EP0474055A1 - Appareil pour le traitement post-operatoire en particulier d'une epaule ou d'un coude - Google Patents

Appareil pour le traitement post-operatoire en particulier d'une epaule ou d'un coude Download PDF

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Publication number
EP0474055A1
EP0474055A1 EP91114119A EP91114119A EP0474055A1 EP 0474055 A1 EP0474055 A1 EP 0474055A1 EP 91114119 A EP91114119 A EP 91114119A EP 91114119 A EP91114119 A EP 91114119A EP 0474055 A1 EP0474055 A1 EP 0474055A1
Authority
EP
European Patent Office
Prior art keywords
joint
swivel
shoulder
support
support frame
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Withdrawn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
EP91114119A
Other languages
German (de)
English (en)
Inventor
G. Knoll
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.)
Gerhard Hug GmbH
Original Assignee
Gerhard Hug GmbH
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 Gerhard Hug GmbH filed Critical Gerhard Hug GmbH
Publication of EP0474055A1 publication Critical patent/EP0474055A1/fr
Withdrawn legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02—Stretching or bending or torsioning apparatus for exercising
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02—Stretching or bending or torsioning apparatus for exercising
    • A61H1/0274—Stretching or bending or torsioning apparatus for exercising for the upper limbs
    • A61H1/0277—Elbow
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02—Stretching or bending or torsioning apparatus for exercising
    • A61H1/0274—Stretching or bending or torsioning apparatus for exercising for the upper limbs
    • A61H1/0281—Shoulder

Definitions

  • the invention relates to a device for in particular postoperative treatment of a shoulder and / or elbow joint, with a support rail supporting the arm, which has at least one shoulder swivel joint and is fastened to a support frame and optionally has a flexion joint for arm flexion movement in the elbow area.
  • Such a device is already known from EP 0147645 and has essentially also proven itself.
  • the support frame of this device can be attached to the patient's body by means of a holder so that it is portable. It can also be used on the seated patient.
  • the object of the present invention is to provide a device with a movement rail of the type mentioned at the outset which can also be used in bedridden patients, so that here too the particular advantage of early treatment is at a time when the patient cannot get up yet. comes into play.
  • the device should be adaptable to both the position of the patient and different bed constructions.
  • the advantages of the known movement rail should be retained.
  • the invention proposes in particular that the support frame has a bracket for attachment to a bed frame, that an adjustable articulated arm is provided between the support frame and the support rail and that the shoulder or swivel joints are adjustable to the joint axes of the shoulder to be treated in such a way that their joint axes are aligned with the corresponding shoulder joint axes of the patient and that at least one of the joints has a motor-driven drive.
  • This support frame for the movement or support rail can be easily attached to a bed and the adjustable articulated arm allows an exact position adjustment, whereby in particular the articulated axes can be brought into alignment with the shoulder articulated axes, so that disadvantageous compensatory movements in the shoulder or arm joint area are avoided.
  • the support frame is expediently arranged transversely to the bed frame and fastened with its end regions to longitudinal beams of the bed frame.
  • the support frame is well supported and firmly connected to the bed frame.
  • the support frame has approximately parallel connecting arms between its outer mounting ends, which are adjustable in length, the connecting arms running in particular below the bed mattress.
  • the support frame can be adjusted to beds of different widths. Due to the location of the connecting arms below the mattress, the patient is unhindered on the one hand and the support frame is not in the way when the arm splint moves.
  • connection connection for the articulated arm is provided on the side of the support frame, with this connection connection being provided with a preferably height-adjustable support column, to the upper end of which the articulated arm is attached.
  • This height-adjustable support column forms the connection between the support frame and the articulated arm or the associated movement rail and enables the height to be adjusted relative to the patient.
  • a joint with a drive for an approximately vertical up and down pivoting movement and optionally a further joint with a drive for an approximately horizontal pivoting movement of the support rail is provided between the support frame and the support rail.
  • the swivel joint for the approximately horizontal swivel movement above the shoulder and that for the approximately vertical swivel movement are arranged on the side of the shoulder joint.
  • the swivel joint axes can be assigned to the position of the shoulder joint on the one hand and the patient is only slightly hampered by the arrangement.
  • the drives expediently have a housing with a rotary drive and each form a swivel joint at the same time. These drives can thus advantageously as a swivel joint between the device parts to be moved relative to each other to be built in. Cumbersome transmission mechanisms are avoided.
  • a rotary drive of the support rail can be provided for rotating its forearm support including the flexure joint.
  • the arm can also be rotated (rotation) or the forearm swiveled when the arm is bent.
  • a device 1 serves to support and support an arm 2 and in particular to carry out physiotherapeutic movement exercises of the shoulder joint 6 (FIGS. 5 and 6).
  • the device 1 essentially has a support rail 3, a support frame 4 for attachment to a bed frame 8 and an articulated arm 9 between the support rail 3 and the support frame 4.
  • a swivel drive 5 With the help of a swivel drive 5, the support rail 3 can be moved, so that depending on the setting of the support rail 3 elevation exercises (Fig. 1 - 3 and 5) with up and down movements of the arm 2 or rotation exercises (Fig. 4 and 6) can be carried out.
  • the support frame 4 is arranged transversely to the longitudinal extent of the bed frame 3 and has clamp holders 10 at its outer end regions, one of which is shown in FIG. 7.
  • This clamp holder has a tension hook 11 which passes through the support frame 4 and engages under a longitudinal beam 12 of the bed frame 8. With the help of a nut 13, the clamp holder 10 can be tightened.
  • lashing straps could also be used.
  • the support frame 4 has between its outer mounting ends approximately parallel connecting arms 14, which are adjustable in length to adapt to different bed widths.
  • the connecting arms 14 are designed as telescopically interlocking tubes.
  • the respective parallel pipe sections are connected at their outer ends to U-shaped brackets.
  • the clamp holder 10 is attached to a cross member 21 which has sliding sleeves 22 encompassing the opposite connection arms 14 at its ends.
  • the support column 17 (FIGS. 1 and 2) is mounted so as to be vertically displaceable in the connection connection 15.
  • a sliding block which engages in a longitudinal groove of the holding column designed as a profile rail can be provided in the connection terminal 15, which on the one hand provides guidance of the holding column 17 and on the other hand is adjustable by means of a clamping screw 23 so that the holding column can be locked at a set height.
  • the articulated arm 9 is fastened to the upper end of the holding column 17. In the exemplary embodiment, it is constructed in several parts with two swivel arms 24, 25. One end of the swivel arm 24 engages on the support column 17 and the opposite end of the articulated arm 9 or its swivel arm 25 is fastened to the swivel drive 5.
  • clamping screws 28 are provided in each case for fixing a specific position.
  • the exact setting of the support rail 3 on the shoulder joint 6 of a patient 7 is of particular importance, since joint adjustment movements, ie sliding movements occurring transversely to the joint axis, are avoided with exact setting.
  • the basic setting for this is possible with the height-adjustable support column 17 and the multi-adjustable articulated arm 9.
  • the support rail 3 itself also allows fine adjustment, so that the shoulder swivel joint can be adjusted exactly to the joint axes of the shoulder to be treated.
  • the setting is made so that the joint axes are each aligned with the corresponding shoulder joint axes of the patient 7. This is good in Figures 5 and 6 recognizable.
  • the rotary drive 5 shown in somewhat more detail in FIG. 8 has a housing 16 in which a gear, preferably a worm gear, is located.
  • An electric motor 19 is flanged to the housing 16 on the outside.
  • a support rail arm 20 is connected to the output 18 of the swivel drive 5 and can perform a back and forth swivel movement according to the double arrow PF 1.
  • the swivel angle and also the swivel range can be determined by corresponding setting elements on the swivel drive 5.
  • the swivel drive 5 is connected to a control device 32 via a control cable 31.
  • This control device 32 can have a program generator, in particular for presettable movement sequences.
  • movement therapy tailored to the patient can be programmed and then called up if necessary, if necessary by the patient himself.
  • the use of a specialist can in each case be limited to the adjustment of the movement sequences, while the actual movement therapy can then proceed automatically according to this presetting (cf. also FIGS. 5 and 6).
  • the support rail arm 20 engaging in the rotary drive 18 is articulated to an upper arm support 36 and this in turn to a forearm support 34.
  • clamping screws 28 are also arranged here, by means of which a positioning once carried out can be fixed.
  • Arm rests 37 are attached to the upper arm support 36 and the forearm support 34, respectively. These armrests 37 can be moved longitudinally on the supports 34, 36, so that the connecting joint between the two supports can be positioned in accordance with the flexion joint 35 of a patient. In addition, it is also possible to adapt to different arm lengths.
  • the support rail 3 is pivoted about the pivot axis 29, so that an arm 2 located on this support rail can be raised and lowered.
  • the pivot axis 29 is set so that it is exactly aligned with the shoulder pivot axis. The patient's arm is approximately extended for this treatment.
  • the device 1 according to FIG. 6 is adjusted for a rotational treatment.
  • the patient's forearm is angled at approximately a right angle and the pivot axis 29 runs here approximately along the patient's upper arm and is also flush with the axis of rotation of the shoulder joint 6.
  • the support rail 3 here has only one forearm support 34 attached directly to the swivel drive 5 (cf. also FIG. 4).
  • the support frame 4 is attached to the bed frame 8 so that its connecting arms 14 extend below the mattress 30, so that the support frame 4 does not appear disruptive overall.
  • the connecting arms 14 can also run below the bed frame.
  • uniaxial swivel joints in the articulated arm 9, but possibly also in the support rail 3 can at least partially be replaced by lockable ball joints. It is therefore possible to adjust the system in several levels within a joint.
  • a further joint with a drive for an approximately horizontal swivel movement could also be provided.
  • a further swivel drive for the flexion and extension of the forearm is arranged in the elbow area at the flexure joint 35.
  • the device 1 can also be used to treat the elbow joint.

Landscapes

  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Invalid Beds And Related Equipment (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)
EP91114119A 1990-09-07 1991-08-23 Appareil pour le traitement post-operatoire en particulier d'une epaule ou d'un coude Withdrawn EP0474055A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE9012764U 1990-09-07
DE9012764U DE9012764U1 (de) 1990-09-07 1990-09-07 Einrichtung zur insbesondere postoperativen Behandlung eines Schulter- und/oder Ellbogengelenkes

Publications (1)

Publication Number Publication Date
EP0474055A1 true EP0474055A1 (fr) 1992-03-11

Family

ID=6857248

Family Applications (1)

Application Number Title Priority Date Filing Date
EP91114119A Withdrawn EP0474055A1 (fr) 1990-09-07 1991-08-23 Appareil pour le traitement post-operatoire en particulier d'une epaule ou d'un coude

Country Status (2)

Country Link
EP (1) EP0474055A1 (fr)
DE (1) DE9012764U1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2001072256A1 (fr) * 2000-03-29 2001-10-04 Smith & Nephew Kinetec Attelle de mobilisation passive du bras
EP1112731A3 (fr) * 1999-12-27 2002-07-31 Medireha Gmbh Appareil thérapeutique

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5179939A (en) * 1990-08-27 1993-01-19 Sutter Corporation Passive anatomic shoulder exerciser
DE4110703A1 (de) * 1991-04-03 1992-10-08 Peter Halsig Bewegungssystem fuer sitz-, liege-, steh- und gehmoebel oder -geraete, trainingsgeraete und koerperkorrektursysteme

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3305692A1 (de) * 1983-02-18 1984-08-23 Wolf 8403 Bad Abbach Ciecierski Verstellbare liege
FR2542993A1 (fr) * 1983-03-25 1984-09-28 Nantes Caisse Regionale Assura Orthese motorisee du membre superieur
EP0147645A2 (fr) * 1983-12-15 1985-07-10 Ernst Knoll Feinmechanik Dispositif pour le traitement postopératoire particulièrement d'une articulation d'épaule et/ou du coude
DE3602166A1 (de) * 1985-01-23 1986-07-24 Invacare Corp., Elyria, Ohio Bewegungs-uebungsgeraet

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3305692A1 (de) * 1983-02-18 1984-08-23 Wolf 8403 Bad Abbach Ciecierski Verstellbare liege
FR2542993A1 (fr) * 1983-03-25 1984-09-28 Nantes Caisse Regionale Assura Orthese motorisee du membre superieur
EP0147645A2 (fr) * 1983-12-15 1985-07-10 Ernst Knoll Feinmechanik Dispositif pour le traitement postopératoire particulièrement d'une articulation d'épaule et/ou du coude
DE3602166A1 (de) * 1985-01-23 1986-07-24 Invacare Corp., Elyria, Ohio Bewegungs-uebungsgeraet

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1112731A3 (fr) * 1999-12-27 2002-07-31 Medireha Gmbh Appareil thérapeutique
WO2001072256A1 (fr) * 2000-03-29 2001-10-04 Smith & Nephew Kinetec Attelle de mobilisation passive du bras
FR2806905A1 (fr) * 2000-03-29 2001-10-05 Smith & Nephew Kinetec Sa Attelle de mobilisation passive du bras

Also Published As

Publication number Publication date
DE9012764U1 (de) 1991-01-24

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