EP0383137A2 - Guide rail for the treatment of the lower limbs by movement - Google Patents

Guide rail for the treatment of the lower limbs by movement Download PDF

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Publication number
EP0383137A2
EP0383137A2 EP19900102210 EP90102210A EP0383137A2 EP 0383137 A2 EP0383137 A2 EP 0383137A2 EP 19900102210 EP19900102210 EP 19900102210 EP 90102210 A EP90102210 A EP 90102210A EP 0383137 A2 EP0383137 A2 EP 0383137A2
Authority
EP
European Patent Office
Prior art keywords
rail according
motion rail
lower leg
footrest
carriage
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Withdrawn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
EP19900102210
Other languages
German (de)
French (fr)
Other versions
EP0383137A3 (en
Inventor
Hermann Ruf
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.)
RUF JOERG
Original Assignee
Ruf Jorg
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Filing date
Publication date
Application filed by Ruf Jorg filed Critical Ruf Jorg
Publication of EP0383137A2 publication Critical patent/EP0383137A2/en
Publication of EP0383137A3 publication Critical patent/EP0383137A3/en
Withdrawn legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus ; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0237Stretching or bending or torsioning apparatus for exercising for the lower limbs
    • A61H1/0255Both knee and hip of a patient, e.g. in supine or sitting position, the feet being moved in a plane substantially parallel to the body-symmetrical-plane
    • A61H1/0259Both knee and hip of a patient, e.g. in supine or sitting position, the feet being moved in a plane substantially parallel to the body-symmetrical-plane moved by translation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12Driving means
    • A61H2201/1207Driving means with electric or magnetic drive
    • A61H2201/1215Rotary drive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1602Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/164Feet or leg, e.g. pedal
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1602Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/164Feet or leg, e.g. pedal
    • A61H2201/1642Holding means therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1657Movement of interface, i.e. force application means
    • A61H2201/1676Pivoting

Definitions

  • the invention relates to a motor-driven movement rail for the treatment of the lower extremities and the hip joint.
  • the number of common movement rails is large, and they all consist of a base with a slide on which a lower leg rest with a footrest is arranged. This slide is moved by a motor-driven spindle. The leg is stretched or flexed in such a way that the carriage is moved forwards or backwards and the leg is accordingly stretched or bent. Regardless of this movement, it is also possible to perform an additional active muscle training by moving the footrest against an additional spring.
  • the spindle which is arranged in the substructure of the slide or the movement rail, has a length of at least 450 mm.
  • the slide must therefore be moved along this spindle length in order to achieve a stroke of the leg that allows anatomically correct treatment. Due to this long back and forth movement, the parts exposed to wear are subjected to very high loads.
  • the length of the spindle also requires a correspondingly large substructure, which increases the overall movement rail and not only in length, but also in terms of weight, which is a particular burden for the operating personnel, since a movement rail cannot be assigned to each patient, but must be transported from bed to bed.
  • the invention has therefore set itself the task of creating a movement rail, which is characterized on the one hand by a compact, handy, light, yet stable design and on the other hand with the same large stroke works with a shorter displacement path on the spindle and is therefore also less wear-resistant.
  • a movement rail which is characterized in that the slide is freely displaceably mounted and the lower leg support is pivotally connected to the slide with a footrest.
  • the lower leg support and footrest are pivoted using a spindle that engages the footrest directly.
  • the lower leg support with the footrest is pivoted about an axis located on the slide and is pivoted via a gear arranged on the slide, which drives a nut running on the spindle via a gear set.
  • the slide in the movement rail according to the invention can be freely moved on guide rods of the substructure.
  • the guide rods are expediently inclined towards the patient, so that the weight of the sled tends towards the patient and no pull is exerted on the leg.
  • the calf support of the lower leg support is slidably supported on the cross-spaced rods of the lower leg support, so that the correct support of the calf can be selected for each patient.
  • the heel pad is firm. In this way, the mechanical treatment comes closest to the manual exercise, since the foot is held tight and the extremity is bent by pressure on the calf.
  • no forced guidance is exerted on the knee. Due to the freely movable slide, the knee is always without pulling and pushing load and can assume the anatomically correct position in relation to the thigh at every point of movement.
  • the freely movable carriage ensures that muscle reflex formation (voluntary motor function) occurs, which in the highest degree precludes muscle slackening and the formation of pointed feet in passive machines. In addition to passive movement, additional active muscle training is thus achieved in the movement track according to the invention.
  • the flexion or extension of the extremity is not caused by the controlled back and forth movement of the slide - as in the known designs - but by a pivoting of the lower leg support and the footrest associated therewith.
  • the pivoting takes place via a motor-driven nut running on the spindle engaging on the underside of the footrest.
  • This spindle nut adjusts the spindle to the right or left and thereby causes the associated lower leg support / footrest assembly to pivot, which is pivotably mounted on an axis of the slide.
  • the freely movable carriage is automatically moved forwards or backwards, causing the muscle reflex formation already mentioned.
  • the movement rail can be shortened and thus be made lighter and more compact.
  • the spindle nut need only cover 1/5 to 1/8 of the distance of the known movement rails in the movement rail according to the invention. In this way, the wear of the stressed parts is significantly reduced, especially since the working speed of the parts subject to wear is reduced.
  • the weight saving compared to the known machines is 35 to 40%.
  • Fig. 1 shows a perspective view of the movement rail
  • the substructure 1 consists of the frame 2, the front parts 3, the side parts 4 and the guide rods 5, on which the carriage 6 is freely movable.
  • the slide consists of a support part 7, which carries the axis 10, about which the lower leg support 8 with the footrest 9 can be pivoted, and the gear 11 and the guides 12, which slide on the guide rods 5 via segment bearings 15 (FIG. 4).
  • Two segment bearings 15 are provided for each guide and a stopper 16 on both sides.
  • the lower leg support 8 and footrest 9 pivot about 45 to 50 ° about the axis 10 of the slide 6 and are mounted thereon via ball bearings 22, as can be clearly seen from FIGS. 2 and 3, the longitudinal sections through the movement rail according to the invention in the starting position, that is, at straight leg, and in the working position, i.e. with the leg bent, show.
  • the lower leg support 8 consists of two transversely spaced rods 17 on which the calf support 18 can be displaced in order to be able to arrange it at the calf height for each patient.
  • a Velcro strap 19 is used to connect the lower leg to the support 18.
  • the bar ends facing away from the calf support 18 engage in the heel support 20 and are firmly connected to it.
  • the heel pad also represents the connection to the footrest 9.
  • a Velcro strap 21 secures the heel in contact with the footrest and the heel is properly seated on the part 20.
  • the footrest has a handle opening 23 at its upper free end.
  • the gear 11 is explained with reference to FIG. 4.
  • the gear 11 consists of the gear motor 27, which drives the gear set 28, 29 and thus the spindle nut 30 via a transmission member.
  • the drive gear 28 driven by the transmission member meshes with the driven gear 29, which is connected to the spindle nut 30 via screws 31 and / or pins 32.
  • the spindle nut 30 is in turn via ball bearings 33 in the bearing axis 34 stored, which in turn is arranged via pivot bearing 35 in the support member 7. This bearing on the aforementioned pivot bearings allow a correction movement of the spindle axis by 10 to 15 °.
  • the preferably inductively hardened guide rods 5 for the slide 6 are arranged obliquely in the substructure 1, in such a way that the inclination runs in the direction of the patient.
  • This version has proven to be advantageous, but is not essential for the machine to work.
  • the gear set for driving the spindle nut is interchangeable and the gear ratio of the gear can thus be adapted to the requirements.
  • the driven gear 29 is preferably made of plastic, while the spindle nut is made of bronze.
  • the spindle nut 30 and the driven gear 29 can also be made in one piece from plastic.
  • the drive gear 28 is made of steel or a non-ferrous metal. The latter can also be made of plastic, which, however, should not have the same material quality as the driven gear 29 in order not to obtain the same degree of wear on both wheels.
  • the lower extremity of the patient is placed on the lower leg support, the calf support is adjusted accordingly and the lower leg of the patient is fastened to the support via the two Velcro strips 19 and 21.
  • the Rail is switched on, the Un Terschenetzmannlage-Fuß span-Aggregat pivoted by adjusting the spindle 26 in the direction of the arrow in FIG. 1 and the slide moves forward or backward depending on the flexion (FIG. 3) or extension (FIG. 2) of the lower leg.

Abstract

The motor-driven kinetic splint for treating the lower limbs and the hip joint is characterised in that the carriage is mounted to be freely displaceable and the lower leg support with foot-rest is pivotably connected to the carriage. <??>In this arrangement, the pivoting of the lower leg support and the foot-rest is undertaken via a spindle which engages directly on the foot-rest. The carriage is freely displaceable on guide rails of the sub-frame, the guide rails expediently extending towards the patient in an inclined manner. The calf support of the lower leg support is adjustable, so that the correct support can be selected for each patient. The heel support, however, is fixed. In this manner, the mechanical treatment approximates most closely to the kinetic exercise performed by hand, as the foot is held still and the limb is bent by pressure on the calf. <IMAGE>

Description

Die Erfindung bezieht sich auf eine motorangetriebene Bewegungsschiene zur Behandlung der unteren Extremitäten und des Hüftgelenks.The invention relates to a motor-driven movement rail for the treatment of the lower extremities and the hip joint.

Die Zahl der gebräuchlichen Bewegungsschienen ist groß, und sie bestehen alle aus einem Unterbau mit einem Schlitten, auf dem eine Unterschenkelauflage mit Fußstütze angeordnet ist. Dieser Schlitten wird über eine motorangetriebene Spindel bewegt. Die Streckung bzw. Beugung des Beines er­folgt dabei auf die Weise, daß der Schlitten vor- oder zurückbewegt wird und dementsprechend das Bein gestreckt oder gebeugt wird. Von dieser Bewegung unabhängig ist es auch möglich, ein zusätzlich aktives Muskeltraining auszu­üben, indem die Fußstütze gegen eine zusätzliche Feder be­wegbar ist.The number of common movement rails is large, and they all consist of a base with a slide on which a lower leg rest with a footrest is arranged. This slide is moved by a motor-driven spindle. The leg is stretched or flexed in such a way that the carriage is moved forwards or backwards and the leg is accordingly stretched or bent. Regardless of this movement, it is also possible to perform an additional active muscle training by moving the footrest against an additional spring.

Um eine anatomisch richtige Streckung und Beugung des Bei­nes bei den bekannten Maschinen zu erreichen, ist es not­wendig, daß die Spindel, die in dem Unterbau des Schlittens bzw. der Bewegungsschiene angeordnet ist, wenigstens eine Länge von 450 mm besitzt. Der Schlitten muß also entlang dieser Spindellänge verschoben werden, um einen Hub des Beines zu erreichen, der eine anatomisch richtige Behand­lung zuläßt. Durch diese lange Hin- und Herbewegung werden die dem Verschleiß ausgesetzten Teile sehr stark bean­sprucht. Die Länge der Spindel bedingt außerdem einen entsprechend großen Unterbau, was die Bewegungsschiene im ganzen vergrößert und nicht nur von der Länge her, sondern auch bezüglich des Gewichtes, was für das Bedienungsperso­nal eine besondere Belastung darstellt, da nicht jedem Patienten eine Bewegungsschiene zugeordnet werden kann, sondern diese von Bett zu Bett transportiert werden muß.In order to achieve an anatomically correct extension and flexion of the leg in the known machines, it is necessary that the spindle, which is arranged in the substructure of the slide or the movement rail, has a length of at least 450 mm. The slide must therefore be moved along this spindle length in order to achieve a stroke of the leg that allows anatomically correct treatment. Due to this long back and forth movement, the parts exposed to wear are subjected to very high loads. The length of the spindle also requires a correspondingly large substructure, which increases the overall movement rail and not only in length, but also in terms of weight, which is a particular burden for the operating personnel, since a movement rail cannot be assigned to each patient, but must be transported from bed to bed.

Die Erfindung hat sich daher zur Aufgabe gesetzt, eine Be­wegungsschiene zu schaffen, die sich einerseits durch eine kompakte, handliche, leichte und trotzdem stabile Bauart auszeichnet und andererseits bei gleich großem Hub mit einem kürzeren Verschiebungsweg auf der Spindel arbeitet und damit außerdem verschleißärmer ist.The invention has therefore set itself the task of creating a movement rail, which is characterized on the one hand by a compact, handy, light, yet stable design and on the other hand with the same large stroke works with a shorter displacement path on the spindle and is therefore also less wear-resistant.

Gemäß der Erfindung wird eine Bewegungsschiene in Vorschlag gebracht, die dadurch gekennzeichnet ist, daß der Schlitten frei verschiebbar gelagert und die Unterschenkelauflage mit Fußstütze schwenkbar mit dem Schlitten verbunden ist. Die Verschwenkung der Unterschenkelauflage und Fußstütze wird über eine unmittelbar an der Fußstütze angreifende Spindel vorgenommen. Dabei ist die Unterschenkelauflage mit der Fußstütze um eine am Schlitten befindliche Achse schwenkbar gelagert und wird über ein auf dem Schlitten angeordnetes Getriebe, das über einen Zahnradsatz eine auf der Spindel laufende Mutter antreibt, geschwenkt.According to the invention, a movement rail is proposed, which is characterized in that the slide is freely displaceably mounted and the lower leg support is pivotally connected to the slide with a footrest. The lower leg support and footrest are pivoted using a spindle that engages the footrest directly. The lower leg support with the footrest is pivoted about an axis located on the slide and is pivoted via a gear arranged on the slide, which drives a nut running on the spindle via a gear set.

Im Gegensatz zu den bekannten Ausführungen ist bei der er­findungsgemäßen Bewegungsschiene der Schlitten frei auf Führungsstangen des Unterbaues verschiebbar. Zweckmäßiger­weise sind die Führungsstangen auf den Patienten hin ge­neigt angeordnet, so daß das Eigengewicht des Schlittens die Tendenz zum Patienten hin hat und kein Zug auf das Bein ausgeübt wird. Die Wadenauflage der Unterschenkelauflage ist verschiebbar auf den querbeabstandeten Stangen der Unterschenkelauflage gelagert, so daß für jeden Patienten die richtige Unterstützung der Wade gewählt werden kann. Die Fersenauflage hingegen ist fest. Auf diese Weise kommt die maschinelle Behandlung der von Hand praktizierten Bewegungsübung am nächsten, da der Fuß dabei festgehalten und die Extremität durch Druck auf die Wade gebeugt wird.In contrast to the known designs, the slide in the movement rail according to the invention can be freely moved on guide rods of the substructure. The guide rods are expediently inclined towards the patient, so that the weight of the sled tends towards the patient and no pull is exerted on the leg. The calf support of the lower leg support is slidably supported on the cross-spaced rods of the lower leg support, so that the correct support of the calf can be selected for each patient. The heel pad, however, is firm. In this way, the mechanical treatment comes closest to the manual exercise, since the foot is held tight and the extremity is bent by pressure on the calf.

Bei der erfindungsgemäßen Ausführung wird auf das Knie keinerlei Zwangsführung ausgeübt. Durch den frei beweg­lichen Schlitten ist das Knie stets ohne Zug- und Druckbe­ lastung und kann in jedem Punkt der Bewegung die anatomisch richtige Stellung zum Oberschenkel einnehmen. Außerdem wird durch den frei beweglichen Schlitten erreicht, daß sich eine Muskelreflexbildung (Willkürmotorik) einstellt, wel­che im höchsten Grad eine sich bei Passivmaschinen ein­stellende Muskelerschlaffung und Spitzfußbildung aus­schließt. Es wird also bei der erfindungsgemäßen Bewegungs­schiene neben der Passivbewegung noch ein zusätzliches ak­tives Muskeltraining erreicht.In the embodiment according to the invention, no forced guidance is exerted on the knee. Due to the freely movable slide, the knee is always without pulling and pushing load and can assume the anatomically correct position in relation to the thigh at every point of movement. In addition, the freely movable carriage ensures that muscle reflex formation (voluntary motor function) occurs, which in the highest degree precludes muscle slackening and the formation of pointed feet in passive machines. In addition to passive movement, additional active muscle training is thus achieved in the movement track according to the invention.

Für die erfindungsgemäße Ausführung wird die Beugung bzw. Streckung der Extremität nicht durch die gesteuerte Hin- und Herbewegung des Schlittens - wie bei den bekannten Aus­führungen - hervorgerufen, sondern durch eine Verschwenkung der Unterschenkelauflage und der damit in Verbindung ste­henden Fußstütze. Die Verschwenkung erfolgt über eine mo­torangetriebene auf der an der Unterseite der Fußstütze angreifenden Spindel laufende Mutter. Diese Spindelmutter verstellt die Spindel nach rechts oder links und bewirkt dadurch eine Verschwenkung des damit verbundenen Unter­schenkelauflagen-Fußstützen-Aggregates, das auf einer Achse des Schlittens schwenkbar gelagert ist. Je nach Streckung oder Beugung des Beines wird der frei bewegliche Schlitten automatisch nach vorn oder zurück bewegt, wobei die schon erwähnte Muskelreflexbildung verursacht wird.For the embodiment according to the invention, the flexion or extension of the extremity is not caused by the controlled back and forth movement of the slide - as in the known designs - but by a pivoting of the lower leg support and the footrest associated therewith. The pivoting takes place via a motor-driven nut running on the spindle engaging on the underside of the footrest. This spindle nut adjusts the spindle to the right or left and thereby causes the associated lower leg support / footrest assembly to pivot, which is pivotably mounted on an axis of the slide. Depending on the extension or flexion of the leg, the freely movable carriage is automatically moved forwards or backwards, causing the muscle reflex formation already mentioned.

Durch die vorerwähnte erfindungsgemäße Antriebsart kann die Bewegungsschiene verkürzt und damit leichter und kompakter ausgeführt werden. Bei gleichem Hub braucht nämlich die Spindelmutter bei der erfindungsgemäßen Bewegungsschiene nur 1/5 bis 1/8 der Wegstrecke der bekannten Bewegungs­schienen zurückzulegen. Auf diese Weise wird der Verschleiß der beanspruchten Teile erheblich verringert, zumal auch die Arbeitsgeschwindigkeit der verschleißbeanspruchten Teile herabgesetzt wird. Die Gewichtsersparnis gegenüber den bekannten Maschinen liegt bei 35 bis 40 %.Due to the above-mentioned type of drive according to the invention, the movement rail can be shortened and thus be made lighter and more compact. With the same stroke, the spindle nut need only cover 1/5 to 1/8 of the distance of the known movement rails in the movement rail according to the invention. In this way, the wear of the stressed parts is significantly reduced, especially since the working speed of the parts subject to wear is reduced. The weight saving compared to the known machines is 35 to 40%.

Ein Ausführungsbeispiel der Erfindung wird anhand der Zeichnung beschrieben. Dabei zeigt

  • Fig. 1 eine perspektivische Ansicht der Bewegungs­schiene,
  • Fig. 2 einen Längsschnitt durch die Bewegungsschiene,
  • Fig. 3 einen Längsschnitt durch die Bewegungsschiene in Arbeitsstellung,
  • Fig. 4 eine vergrößerte, zum Teil geschnittene Drauf­sicht auf das Antriebsgetriebe (Detail B gemäß Fig. 3),
  • Fig. 5 ein Ausschnitt, der die Lagerung des Schlittens auf den Führungsstangen erkennbar macht (Detail A gemäß Fig. 3).
An embodiment of the invention is described with reference to the drawing. It shows
  • 1 is a perspective view of the movement rail,
  • 2 shows a longitudinal section through the movement rail,
  • 3 shows a longitudinal section through the movement rail in the working position,
  • 4 is an enlarged, partly sectioned top view of the drive gear (detail B according to FIG. 3),
  • Fig. 5 shows a detail that shows the bearing of the carriage on the guide rods (detail A according to FIG. 3).

Fig. 1 zeigt eine perspektivische Darstellung der Bewe­gungsschiene, deren Unterbau 1 aus dem Rahmen 2, den Stirn­teilen 3, den Seitenteilen 4 und den Führungsstangen 5 be­steht, auf denen der Schlitten 6 frei beweglich verschieb­bar ist.Fig. 1 shows a perspective view of the movement rail, the substructure 1 consists of the frame 2, the front parts 3, the side parts 4 and the guide rods 5, on which the carriage 6 is freely movable.

Der Schlitten besteht aus einem Tragteil 7, das die Achse 10, um den die Unterschenkelauflage 8 mit Fußstütze 9 schwenkbar ist, trägt sowie das Getriebe 11 und die Füh­rungen 12, die über Segmentlager 15 (Fig. 4) auf den Füh­rungsstangen 5 gleiten. Je Führung sind zwei Segmentlager 15 vorgesehen und beidseitig je ein Anschlagstopfen 16.The slide consists of a support part 7, which carries the axis 10, about which the lower leg support 8 with the footrest 9 can be pivoted, and the gear 11 and the guides 12, which slide on the guide rods 5 via segment bearings 15 (FIG. 4). Two segment bearings 15 are provided for each guide and a stopper 16 on both sides.

Die Unterschenkelauflage 8 und Fußstütze 9 schwenken etwa um 45 bis 50° um die Achse 10 des Schlittens 6 und sind darauf über Kugellager 22 gelagert, wie aus den Figuren 2 und 3 klar erkennbar ist, die Längsschnitte durch die er­findungsgemäße Bewegungsschiene in Ausgangsstellung, also bei gestrecktem Bein, und in Arbeitsstellung, also bei ge­beugtem Bein, zeigen. Die Unterschenkelauflage 8 besteht aus zwei querbeabstandeten Stangen 17, auf denen die Waden­auflage 18 verschiebbar ist, um sie bei jedem Patienten in Wadenhöhe anordnen zu können. Ein Klettband 19 dient der Verbindung des Unterschenkels mit der Auflage 18. Die von der Wadenauflage 18 abgewandten Stangenenden greifen in die Fersenauflage 20 ein und sind mit dieser fest verbunden. Die Fersenauflage stellt auch die Verbindung mit der Fußstütze 9 dar. Ein Klettband 21 sichert die Anlage der Ferse an der Fußstütze und die ordnungsgemäße Auflage der Ferse auf dem Teil 20. Die Fußstütze trägt an ihrem oberen freien Ende einen Tragegriffdurchbruch 23.The lower leg support 8 and footrest 9 pivot about 45 to 50 ° about the axis 10 of the slide 6 and are mounted thereon via ball bearings 22, as can be clearly seen from FIGS. 2 and 3, the longitudinal sections through the movement rail according to the invention in the starting position, that is, at straight leg, and in the working position, i.e. with the leg bent, show. The lower leg support 8 consists of two transversely spaced rods 17 on which the calf support 18 can be displaced in order to be able to arrange it at the calf height for each patient. A Velcro strap 19 is used to connect the lower leg to the support 18. The bar ends facing away from the calf support 18 engage in the heel support 20 and are firmly connected to it. The heel pad also represents the connection to the footrest 9. A Velcro strap 21 secures the heel in contact with the footrest and the heel is properly seated on the part 20. The footrest has a handle opening 23 at its upper free end.

An der Unterseite der Fußstütze befindet sich ein Lagerbock 25 mit oder ohne Nadellager zur Aufnahme des einen Endes der stehenden Spindel 26. Die Spindel 26 greift schwenkbar an dem Lagerbock 25 an, um deren Korrekturbewegung bei Ver­schwenkung des Unterschenkelauflage-Fußstütze-Aggregates zu ermöglichen, wie ein Vergleich der Figuren 2 und 3 zeigt. Das Getriebe 11 wird anhand der Fig. 4 erläutert. Das Ge­triebe 11 besteht aus dem Getriebemotor 27, der über ein Übertragungsglied den Zahnradsatz 28, 29 und damit die Spindelmutter 30 antreibt. Das von dem Übertragungsglied angetriebene Antriebszahnrad 28 kämmt mit dem angetriebenen Zahnrad 29, das über Schrauben 31 und/oder Stifte 32 mit der Spindelmutter 30 verbunden ist. Die Spindelmutter 30 ist ihrerseits über Kugellager 33 in der Lagerachse 34 gelagert, die ihrerseits über Schwenklager 35 in dem Trag­teil 7 angeordnet ist. Diese Lagerung über die vorgenannten Schwenklager lassen eine Korrekturbewegung der Spindelachse um 10 bis 15° zu.On the underside of the footrest there is a bearing block 25 with or without a needle bearing for receiving one end of the standing spindle 26. The spindle 26 pivots on the bearing block 25 in order to enable its correction movement when the lower leg rest-footrest unit is pivoted, such as a comparison of Figures 2 and 3 shows. The gear 11 is explained with reference to FIG. 4. The gear 11 consists of the gear motor 27, which drives the gear set 28, 29 and thus the spindle nut 30 via a transmission member. The drive gear 28 driven by the transmission member meshes with the driven gear 29, which is connected to the spindle nut 30 via screws 31 and / or pins 32. The spindle nut 30 is in turn via ball bearings 33 in the bearing axis 34 stored, which in turn is arranged via pivot bearing 35 in the support member 7. This bearing on the aforementioned pivot bearings allow a correction movement of the spindle axis by 10 to 15 °.

Mit 36 ist die Abdeckung des Tragteils bezeichnet und mit 37 das Bedienfeld der Bewegungsschiene.With 36 the cover of the supporting part is designated and with 37 the control panel of the movement rail.

Wie aus den Figuren 2 und 3 deutlich ersichtlich, sind die vorzugsweise induktiv gehärteten Führungsstangen 5 für den Schlitten 6 schräg verlaufend in dem Unterbau 1 angeordnet, und zwar in der Weise, daß die Neigung in Richtung auf den Patienten hin verläuft. Diese Ausführung hat sich als vorteilhaft erwiesen, ist aber für die Wirkungsweise der Maschine nicht zwingend.As can be clearly seen from FIGS. 2 and 3, the preferably inductively hardened guide rods 5 for the slide 6 are arranged obliquely in the substructure 1, in such a way that the inclination runs in the direction of the patient. This version has proven to be advantageous, but is not essential for the machine to work.

Der Zahnradsatz zum Antrieb der Spindelmutter ist aus­wechselbar und damit der Übersetzungsgrad des Getriebes auf diese Weise den Voraussetzungen anpaßbar. Das angetriebene Zahnrad 29 ist vorzugsweise aus Kunststoff gefertigt, wäh­rend die Spindelmutter aus Bronze ausgebildet ist. Die Spindelmutter 30 und das angetriebene Zahnrad 29 können aber auch einteilig aus Kunststoff ausgeführt sein. Das Antriebszahnrad 28 besteht aus Stahl oder einem Nichteisen­metall. Letzteres kann auch aus Kunststoff sein, der jedoch nicht die gleiche Werkstoffqualität wie das angetriebene Zahnrad 29 haben soll, um nicht den gleichen Verschleißgrad bei beiden Rädern zu erhalten.The gear set for driving the spindle nut is interchangeable and the gear ratio of the gear can thus be adapted to the requirements. The driven gear 29 is preferably made of plastic, while the spindle nut is made of bronze. The spindle nut 30 and the driven gear 29 can also be made in one piece from plastic. The drive gear 28 is made of steel or a non-ferrous metal. The latter can also be made of plastic, which, however, should not have the same material quality as the driven gear 29 in order not to obtain the same degree of wear on both wheels.

Bei Anwendung der Bewegungsschiene wird die untere Extremi­tät des Patienten auf die Unterschenkelauflage gelegt, die Wadenauflage entsprechend eingestellt und der Unterschenkel des Patienten an der Auflage über die beiden Klettbänder 19 und 21 befestigt. Bei Einschalten der Schiene wird das Un­ terschenkelauflage-Fußstütze-Aggregat durch Verstellung der Spindel 26 in den Pfeilrichtungen gemäß Fig. 1 verschwenkt und der Schlitten je nach Beugung (Fig. 3) oder Streckung (Fig. 2) des Unterschenkels nach vorne oder zurück bewegt.When using the movement rail, the lower extremity of the patient is placed on the lower leg support, the calf support is adjusted accordingly and the lower leg of the patient is fastened to the support via the two Velcro strips 19 and 21. When the rail is switched on, the Un Terschenauflage-Fußstützen-Aggregat pivoted by adjusting the spindle 26 in the direction of the arrow in FIG. 1 and the slide moves forward or backward depending on the flexion (FIG. 3) or extension (FIG. 2) of the lower leg.

Claims (12)

1.) Bewegungsschiene zur Behandlung der unteren Extremi­täten aus einem Unterbau mit einem Schlitten, der eine Unterschenkelauflage und eine Fußstütze trägt,
dadurch gekennzeichnet,
daß der Schlitten (6) frei verschiebbar gelagert ist und die Unterschenkelauflage (8) mit Fußstütze (9) schwenkbar an dem Schlitten (6) angeordnet ist.
1.) Movement splint for the treatment of the lower extremities from a substructure with a sled that carries a lower leg rest and a footrest,
characterized,
that the carriage (6) is freely displaceable and the lower leg support (8) with footrest (9) is arranged pivotably on the carriage (6).
2.) Bewegungsschiene nach Anspruch 1,
dadurch gekennzeichnet,
daß die Verschwenkung der Unterschenkelauflage (8) mit Fußstütze (9) über eine unmittelbar an der Fußstütze (9) oder an deren Drehachse schwenkbar angreifende Spindel (26) vorgenommen ist.
2.) motion rail according to claim 1,
characterized,
that the pivoting of the lower leg support (8) with footrest (9) is carried out via a spindle (26) which pivots directly on the footrest (9) or on its axis of rotation.
3.) Bewegungsschiene nach Anspruch 1 oder 2,
dadurch gekennzeichnet,
daß die Unterschenkelauflage (8) mit der Fußstütze (9) um eine am Schlitten (6) befindliche Achse (10) schwenkbar gelagert ist.
3.) motion rail according to claim 1 or 2,
characterized,
that the lower leg support (8) with the footrest (9) is pivotally mounted about an axis (10) located on the slide (6).
4.) Bewegungsschiene nach einem oder mehreren der vorhergehenden Ansprüche,
gekennzeichnet dadurch
ein auf dem Schlitten (6) angeordnetes Getriebe (11), das über einen Zahnradsatz (28, 29) eine auf der Spindel (26) laufende Mutter (30) antreibt.
4.) motion rail according to one or more of the preceding claims,
characterized by it
a gear (11) arranged on the slide (6), which drives a nut (30) running on the spindle (26) via a gear set (28, 29).
5.) Bewegungsschiene nach Anspruch 4,
dadurch gekennzeichnet,
daß der Zahnradsatz (28, 29) auswechselbar angeordnet ist.
5.) motion rail according to claim 4,
characterized,
that the gear set (28, 29) is interchangeably arranged.
6.) Bewegungsschiene nach Anspruch 4,
dadurch gekennzeichnet,
daß das angetriebene Zahnrad (29) des Zahnradsatzes mit der Spindelmutter (30) verbunden, vorzugsweise verschraubt ist.
6.) motion rail according to claim 4,
characterized,
that the driven gear (29) of the gear set with the spindle nut (30) is connected, preferably screwed.
7.) Bewegungsschiene nach Anspruch 6,
dadurch gekennzeichnet,
daß das angetriebene Zahnrad (29) und die Spindel­mutter (30) aus einem Teil gefertigt sind.
7.) motion rail according to claim 6,
characterized,
that the driven gear (29) and the spindle nut (30) are made from one part.
8.) Bewegungsschiene nach Anspruch 6,
dadurch gekennzeichnet,
daß das angetriebene Zahnrad (29) aus Kunststoff und die Spindelmutter (30) aus einem Metall oder einer Metallegierung, vorzugsweise Bronze, bestehen.
8.) motion rail according to claim 6,
characterized,
that the driven gear (29) made of plastic and the spindle nut (30) made of a metal or a metal alloy, preferably bronze.
9.) Bewegungsschiene nach Anspruch 4,
dadurch gekennzeichnet,
daß das Antriebszahnrad (28) aus Stahl oder einem Nichteisenmetall besteht.
9.) motion rail according to claim 4,
characterized,
that the drive gear (28) is made of steel or a non-ferrous metal.
10.) Bewegungsschiene nach Anspruch 1 oder einem oder mehreren der vorhergehenden Ansprüche,
dadurch gekennzeichnet,
daß der Schlitten (6) auf vorzugsweise induktiv gehärteten Führungsstangen (5) des Unterbaus (1) gelagert ist.
10.) motion rail according to claim 1 or one or more of the preceding claims,
characterized,
that the carriage (6) is mounted on preferably inductively hardened guide rods (5) of the substructure (1).
11.) Bewegungsschiene nach Anspruch 10,
dadurch gekennzeichnet,
daß die Führungen (12) des Schlittens (6) über Seg­mentlager (15) auf den Stangen (5) angeordnet sind.
11.) motion rail according to claim 10,
characterized,
that the guides (12) of the carriage (6) via segment bearings (15) on the rods (5) are arranged.
12.) Bewegungsschiene nach Anspruch 10,
dadurch gekennzeichnet,
daß die Führungsstangen (5) schräg verlaufend im Unterbau (1) angeordnet sind, wobei die Stangen (5) in Richtung auf den Patienten hin geneigt verlaufen.
12.) motion rail according to claim 10,
characterized,
that the guide rods (5) are arranged obliquely in the substructure (1), the rods (5) being inclined towards the patient.
EP19900102210 1989-02-15 1990-02-05 Guide rail for the treatment of the lower limbs by movement Withdrawn EP0383137A3 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE3904445A DE3904445C2 (en) 1989-02-15 1989-02-15 Motion track
DE3904445 1989-02-15

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EP0383137A2 true EP0383137A2 (en) 1990-08-22
EP0383137A3 EP0383137A3 (en) 1991-03-27

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ID=6374075

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US (1) US5035233A (en)
EP (1) EP0383137A3 (en)
JP (1) JPH02241450A (en)
CA (1) CA2010173A1 (en)
DE (1) DE3904445C2 (en)

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US11752391B2 (en) 2019-03-11 2023-09-12 Rom Technologies, Inc. System, method and apparatus for adjustable pedal crank
US11957960B2 (en) 2019-05-10 2024-04-16 Rehab2Fit Technologies Inc. Method and system for using artificial intelligence to adjust pedal resistance
US11957956B2 (en) 2019-05-10 2024-04-16 Rehab2Fit Technologies, Inc. System, method and apparatus for rehabilitation and exercise
US11801423B2 (en) 2019-05-10 2023-10-31 Rehab2Fit Technologies, Inc. Method and system for using artificial intelligence to interact with a user of an exercise device during an exercise session
US11951359B2 (en) 2019-05-10 2024-04-09 Rehab2Fit Technologies, Inc. Method and system for using artificial intelligence to independently adjust resistance of pedals based on leg strength
US11904207B2 (en) 2019-05-10 2024-02-20 Rehab2Fit Technologies, Inc. Method and system for using artificial intelligence to present a user interface representing a user's progress in various domains
US11833393B2 (en) 2019-05-15 2023-12-05 Rehab2Fit Technologies, Inc. System and method for using an exercise machine to improve completion of an exercise
US11801419B2 (en) 2019-05-23 2023-10-31 Rehab2Fit Technologies, Inc. System, method and apparatus for rehabilitation and exercise with multi-configurable accessories
US11896540B2 (en) 2019-06-24 2024-02-13 Rehab2Fit Technologies, Inc. Method and system for implementing an exercise protocol for osteogenesis and/or muscular hypertrophy
US11955221B2 (en) 2019-10-03 2024-04-09 Rom Technologies, Inc. System and method for using AI/ML to generate treatment plans to stimulate preferred angiogenesis
US11950861B2 (en) 2019-10-03 2024-04-09 Rom Technologies, Inc. Telemedicine for orthopedic treatment
US11830601B2 (en) 2019-10-03 2023-11-28 Rom Technologies, Inc. System and method for facilitating cardiac rehabilitation among eligible users
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US11915815B2 (en) 2019-10-03 2024-02-27 Rom Technologies, Inc. System and method for using artificial intelligence and machine learning and generic risk factors to improve cardiovascular health such that the need for additional cardiac interventions is mitigated
US11923065B2 (en) 2019-10-03 2024-03-05 Rom Technologies, Inc. Systems and methods for using artificial intelligence and machine learning to detect abnormal heart rhythms of a user performing a treatment plan with an electromechanical machine
US11923057B2 (en) 2019-10-03 2024-03-05 Rom Technologies, Inc. Method and system using artificial intelligence to monitor user characteristics during a telemedicine session
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US11961603B2 (en) 2019-10-03 2024-04-16 Rom Technologies, Inc. System and method for using AI ML and telemedicine to perform bariatric rehabilitation via an electromechanical machine
US11756666B2 (en) 2019-10-03 2023-09-12 Rom Technologies, Inc. Systems and methods to enable communication detection between devices and performance of a preventative action
US11955222B2 (en) 2019-10-03 2024-04-09 Rom Technologies, Inc. System and method for determining, based on advanced metrics of actual performance of an electromechanical machine, medical procedure eligibility in order to ascertain survivability rates and measures of quality-of-life criteria
US11955218B2 (en) 2019-10-03 2024-04-09 Rom Technologies, Inc. System and method for use of telemedicine-enabled rehabilitative hardware and for encouraging rehabilitative compliance through patient-based virtual shared sessions with patient-enabled mutual encouragement across simulated social networks
US11955220B2 (en) 2019-10-03 2024-04-09 Rom Technologies, Inc. System and method for using AI/ML and telemedicine for invasive surgical treatment to determine a cardiac treatment plan that uses an electromechanical machine
US11701548B2 (en) 2019-10-07 2023-07-18 Rom Technologies, Inc. Computer-implemented questionnaire for orthopedic treatment
US11826613B2 (en) 2019-10-21 2023-11-28 Rom Technologies, Inc. Persuasive motivation for orthopedic treatment
WO2023091496A1 (en) * 2021-11-18 2023-05-25 Rom Technologies, Inc. System, method and apparatus for rehabilitation and exercise

Also Published As

Publication number Publication date
EP0383137A3 (en) 1991-03-27
US5035233A (en) 1991-07-30
DE3904445A1 (en) 1990-08-16
JPH02241450A (en) 1990-09-26
DE3904445C2 (en) 1998-01-29
CA2010173A1 (en) 1990-08-15

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