EP0539772A1 - Appareil de mobilisation passive de la cheville - Google Patents

Appareil de mobilisation passive de la cheville

Info

Publication number
EP0539772A1
EP0539772A1 EP92117144A EP92117144A EP0539772A1 EP 0539772 A1 EP0539772 A1 EP 0539772A1 EP 92117144 A EP92117144 A EP 92117144A EP 92117144 A EP92117144 A EP 92117144A EP 0539772 A1 EP0539772 A1 EP 0539772A1
Authority
EP
European Patent Office
Prior art keywords
support
movement
rail according
swivel
movement rail
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.)
Granted
Application number
EP92117144A
Other languages
German (de)
English (en)
Other versions
EP0539772B1 (fr
Inventor
Walter Prof. Blauth
Ernst 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.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Publication of EP0539772A1 publication Critical patent/EP0539772A1/fr
Application granted granted Critical
Publication of EP0539772B1 publication Critical patent/EP0539772B1/fr
Anticipated expiration legal-status Critical
Expired - Lifetime 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
    • A61H1/0237—Stretching or bending or torsioning apparatus for exercising for the lower limbs
    • A61H1/0266—Foot
    • 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
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12—Driving means
    • A61H2201/1207—Driving means with electric or magnetic drive
    • A61H2201/1215—Rotary drive
    • 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
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/164—Feet or leg, e.g. pedal
    • A61H2201/1642—Holding means therefor
    • 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
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1657—Movement of interface, i.e. force application means
    • A61H2201/1676—Pivoting

Definitions

  • the invention relates to a movement machine for in particular postoperative treatment of at least one ankle.
  • the ankle is composed essentially of the upper and lower ankle.
  • the upper ankle is a hinge joint, which allows movement about a transverse axis, namely a dorsiflexion (lifting the foot) and a plantar flexion (lowering the foot).
  • the lower ankle which is within a tarsus itself is located, enables slight rotary movements about an oblique axis that runs obliquely from the front-medial-top to the back-lateral bottom. The names for these movements are called supination (elevation of the medial edge of the foot) and pronation (elevation of the lateral edge of the foot).
  • the object of the present invention is to provide a device in the form of a movement rail, by means of which movement exercises of the foot can be carried out with little effort or also with an automated process, taking into account the various movement possibilities.
  • the invention proposes in particular that the movement rail has a holding frame with a support for the lower leg and a footrest, that the footrest is adjustable relative to the lower leg support by means of at least one motor drive and that this drive has an output shaft with a on the respective axis of movement of the upper or lower ankle has a pivot axis that can be positioned in alignment.
  • a movement rail is already known, with which flexion movements can be carried out in the hip area, in the knee area and also in the foot area, only one flexion movement being provided around the upper ankle joint in the foot area.
  • this movement rail is not suitable, so that in practice it is special for such a movement Ankle therapy manual physiotherapy exercises are required.
  • the movement rail according to the invention enables foot movements that are matched to the different ankles. With this movement rail, swivel movements can be carried out that are precisely tailored to the respective joint of the foot.
  • the swiveling axis of the motor drive which can be positioned in alignment with the respective ankle joint, prevents tensile and / or pushing forces which otherwise occur and act on the joints and result from compensatory movements. This contributes to the fact that such movement exercises can also be carried out comparatively shortly after operations.
  • motorized swivel drives are provided for the foot movements around the upper and the lower ankle, which can be positioned independently of one another with their output shafts on these ankles and preferably can be operated independently of one another. This allows the two ankles to be moved independently of one another, for example, one after the other without having to change the movement rail or in a combined movement sequence.
  • a swivel bracket carrying the footrest and connected to a motor drive is provided on the holding frame and that the position of the foot with its upper ankle joint, in particular by adjusting the footrest and / or the lower leg rest the pivot axis of the swivel bracket or the drive can be aligned.
  • the foot moves in the upper ankle.
  • the position of the foot in the fore-and-aft direction and thus the ankle movement axis can be adjusted to the axis of the motor drive.
  • the motor drive with swivel joint for foot movement in the lower ankle is arranged between the swivel bracket for foot movement in the upper ankle and the footrest.
  • the drive for supination and pronation, i.e. for the movements of the lower ankle, makes the movement of the swivel bracket.
  • the holding frame is designed as a stand frame with a floor support and support arms attached to it and connected to the lower leg support.
  • a support frame can stand on the floor for a seated patient or can also be used for a patient lying on a mat or in bed, so that it can be used largely universally.
  • the lower leg support is adjustable in its inclination and / or height position, in particular by adjusting the support arms relative to the holding frame.
  • the lower leg support can be used in its initial position for a wide variety of applications, and in particular in the process be aligned to the position of the patient relative to the support frame.
  • a movement splint 1 shown in FIG. 1 is used to treat the ankle.
  • the movement rail has a holding frame 2 with a lower leg support 3, on which a foot support 4 is movably attached.
  • the mobility of the foot rest relative to the lower leg rest is matched to the directions of movement which are predetermined by the upper ankle and the lower ankle of the foot.
  • the footrest 4 has a shoe-like holder for the foot, and straps, for example Velcro straps, can be provided in the lower leg support for fixing the lower leg.
  • the lower leg support 3 has spars 5 running on both sides of the lower leg to be supported, which hold a fabric web or bands that serve to support the lower leg.
  • the bars 5 of the lower leg support 3 are connected to the rest of the holding frame 2 via struts 6.
  • an approximately U-shaped swivel bracket 7 is connected according to the double arrow Pf1.
  • This carries the footrest 4 with the interposition of a motorized swivel drive 8.
  • the swivel bracket 7 can be swiveled back and forth by means of a further motorized swivel drive 9 according to the double arrow Pf1.
  • This swivel movement corresponds to the mobility of the foot around its upper ankle.
  • the swivel axis 10 of the swivel bracket 7 is positioned or positionable in such a way that it is aligned with the movement axis of the upper ankle joint.
  • the footrest 4 When the motorized swivel drive 9 is actuated, the footrest 4 is pivoted upwards and downwards, the foot lifting (dorsiflexion) or lowering (plantar flexion).
  • the swivel range for plantar flexion is approximately up to 4o °, while the Swiveling movement for the dorsiflexion can be up to 30 °.
  • FIGS. 3 and 4 clearly show the neutral position of the footrest 4 (cf. also FIG. 4 with the foot 11 shown) and the two end positions of the raising and lowering of the foot.
  • the footrest 4 In the maximum dorsiflexion position, the footrest 4 is dash-dotted and in the maximum plantar flexion position, dash-dotted lines. The same applies to the associated swivel bracket 7.
  • the motorized swivel drives 8 and 9 are formed in the exemplary embodiment by motor gear units, wherein a worm gear is preferably provided which is connected to an electric motor.
  • the motorized swivel drive 9 for lifting and lowering the foot is connected with its output shaft 12 to the swivel bracket 7, which can be clearly seen in FIG. 2.
  • the housing of the swivel drive 9 is connected to the one spar 5 of the lower leg support 3.
  • the swivel drive 8 On the swivel bracket 7 there is the second motorized swivel drive 8, which takes part in the swivel movement of the bracket 7.
  • the swivel drive 8 is attached to the bracket 7 such that the swivel axis 13 of its output shaft 14 can be positioned in the direction of escape to the movement axis 15 (FIG. 4) of the lower ankle joint.
  • the joint movement axis 15 of the lower ankle is shown in FIG. 4.
  • the movement axis 15 runs, with respect to the foot standing on a horizontal base, from the back-outside-down to the front-inside-up.
  • the joint movement axis 16 of the upper ankle joint is identified in FIG. 4 by a point with a concentric circle. This axis of movement 16 of the upper ankle, which forms a hinge joint, runs across the foot and is aligned in the aligned position of the foot with the swivel axis 10 of the swivel drive 9.
  • the motorized swivel drive 8 is attached to the swivel bracket 7 so that the swivel axis 13 fits in the correct position for the treatment of the right foot.
  • the swivel drive 8 can be implemented for the treatment of the left foot, so that its swivel axis 13a (FIG. 2) then corresponds to the joint movement axis of the left foot, as is also shown in FIG.
  • the swivel bracket 7 has for these two mounting positions of the swivel drive 8 on its U-connecting bracket 17 lateral bends 18, which serve as an assembly support for the housing of the swivel drive 8.
  • bends 18 run such that the output shaft 14 of the swivel drive 8 is in the direction of escape with the provided swivel axis 13 or 13a.
  • the output shaft 14 of the swivel drive 8 is accessible from both sides, so that, depending on the mounting position, the holder 19 of the footrest 4 (FIG. 1) can be connected to one or the other side of the output shaft 14.
  • the swivel drive 8 is arranged on the back of the foot to be treated in each case in the extension of the axis of movement of the lower ankle because of the more favorable space in the embodiment.
  • the bracket 19 for the footrest 4 has a swivel arm 2o, which has angled connection ends 21 at both ends and is connected in the center to a clamping sleeve 22.
  • the connection ends 21 can optionally be connected to the output shaft 14 of a swivel drive 8 mounted on the right or left side of the swivel bracket 7.
  • a swivel drive 8 mounted on the right or left side of the swivel bracket 7.
  • In the clamping sleeve 22 engages with the footrest 4 approximately at right angles connected bolt 23 which is displaceable in the clamping sleeve 22 and can be locked in different insertion positions.
  • the bracket 19 is designed with its transmission elements so that the different positions on the one hand on the side of the swivel drive 8 and on the other hand on the side of the footrest 4 are taken into account. In particular, this is taken into account by the angled connection ends 21 and also the position of the clamping sleeve 22 relative to the swivel arm 20.
  • the adjustability in the area of the holder 19 and also the displaceability of the shoe-like foot holder 24 relative to the footrest 4 enable the foot or ankle to be treated to be precisely aligned with the pivot axes 13 or 13a and the pivot axis 10.
  • a clamping bracket 25 with a clamping screw and a longitudinal slot (FIG. 1) is provided for longitudinally displacing the foot bracket 24 on the footrest 4. If necessary, an adjustment option in the direction of rotation of the foot, that is to say transversely to the adjustment option shown, could also be provided here in the same way.
  • coordinated swivel limits 26 can be provided on the range of motion of the foot, at which the swivel angles provided can be adjusted.
  • the swivel drives can also be connected to a control device with a programmer for presettable movement sequences. On the programmer, certain movement sequences can be predefined in each case, coordinated with the possibility of movement of the foot, which are then repeated automatically, so that a proposed treatment can take place automatically after a single adjustment. Complicated movements with simultaneous movement of the foot around both joints can also be specified.
  • the holding frame 2 is designed as a standing frame with a floor support 27.
  • the support arms 28, 28a and 29 connected to the lower leg support 3 are connected.
  • the support arms 28, 28a are arranged in pairs next to the lower leg support in approximately parallel planes. They are pivotally connected with their bottom ends to spaced-apart cross bars 3o, 31 of the floor support 27.
  • At the other end of the support arms 28 there are clamping joint holders 32 with a through hole 33, through which the free end of the support arms 28a is inserted. When the clamp joint holder 32 is released, these can be pivoted with the radius of the support arms 28 according to the double arrow Pf2.
  • the two opposite clamping joint holders 32 are connected to one another by a connecting axis 34, which in turn is connected to the bars 5 of the lower leg support 3 via the struts 6.
  • the lower leg support can be adjusted in height.
  • the lower leg support 3 is also connected to a support bracket 35, to which the support arms 29 belong.
  • a further connecting axis 34a is provided between these clamping joint holders 36, which is arranged parallel to and at a distance from the connecting axis 34. The inclination of the lower leg support 3 can be adjusted by adjusting the length of the support arms 29 in the clamping joint holder 36.
  • the adjustability of the lower leg support 3 with respect to its height and / or inclination position enables a precise adaptation to the position of the leg of the patient to be treated. In particular, it can also be taken into account whether the patient is in a sitting or lying position. In addition, a bending position in the knee or hip joint area that may be desired can be taken into account.
  • a holding frame 2 with a clamping device for fastening to a bed or the like can also be provided.
  • FIG. 5 shows yet another embodiment of a movement rail 1 a, which is designed differently with respect to the support frame 2. It also has a floor support 27 which, as can be seen in FIG. 6, is essentially formed by a U-bracket 37. This U-bracket 37 is slightly brought together at its free ends and has a bearing there for a support bracket 38 (cf. FIG. 5).
  • the locking bolts 42 are guided in a common sleeve 43 connecting the support bracket arms and are acted upon by springs 44 in the locking direction (FIG. 7).
  • the Locking bolts 42 can be actuated via unlocking pins 45, these pins reaching through slots 46 (FIG. 6) of the sleeve.
  • the unlocking pins are spaced so that they can be gripped with one hand and then moved to one another in the unlocking position. This makes handling possible and simplified with one hand.
  • a support shaft 47 which is connected to the bars 5 of the lower leg support 3 via a strut 6a in each case.
  • latching disks 48 which face one another with their toothings and which can be brought into the latching position or into the release position via a tensioning lever 49.
  • the rest of the structure of the movement rail 1a with the lower leg support 3, the footrest 4 and the like corresponds approximately to that of FIGS. 1 to 4.
  • the holding straps shown in FIG. 1 have been omitted for the sake of clarity.
  • the eyelets 56 are used to attach these straps.
  • the embodiment of the movement rail 1a according to FIGS. 5 to 7 is easier to manufacture and also more user-friendly, with only two operating points remaining here.
  • lateral eyelets 50 are attached to the U-bracket 37, through which a fastening belt for fixing the movement rail in a bed or the like is possible.
  • a holder 51 for a control device 52 On the side of the floor support 27 there is also a holder 51 for a control device 52, on which there is also a suspension holder 53 for a hand switch 55 which can be operated by the patient and via which the movement rail can be switched on and off.
  • the electrical Connection lines between the swivel drives 8 and 9 and the control unit 52 are denoted by 54.

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  • 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)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Rehabilitation Tools (AREA)
EP92117144A 1991-10-29 1992-10-08 Appareil de mobilisation passive de la cheville Expired - Lifetime EP0539772B1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE4135552 1991-10-29
DE4135552A DE4135552A1 (de) 1991-10-29 1991-10-29 Fussgelenk-bewegungsschiene

Publications (2)

Publication Number Publication Date
EP0539772A1 true EP0539772A1 (fr) 1993-05-05
EP0539772B1 EP0539772B1 (fr) 1996-04-17

Family

ID=6443609

Family Applications (1)

Application Number Title Priority Date Filing Date
EP92117144A Expired - Lifetime EP0539772B1 (fr) 1991-10-29 1992-10-08 Appareil de mobilisation passive de la cheville

Country Status (4)

Country Link
US (1) US5352185A (fr)
EP (1) EP0539772B1 (fr)
AT (1) ATE136765T1 (fr)
DE (2) DE4135552A1 (fr)

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US5474520A (en) * 1994-03-14 1995-12-12 Bittikofer; Raymond P. Apparatus for producing multiple motions
KR20190092918A (ko) * 2018-01-31 2019-08-08 건양대학교산학협력단 관절 재활운동장치
KR102062388B1 (ko) * 2018-12-11 2020-01-03 건양대학교 산학협력단 발목관절 재활운동 장치

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SE520671C2 (sv) * 2001-12-18 2003-08-12 Frida Soederblom Anordning för fotgymnastik
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FR2860713B1 (fr) * 2003-10-09 2006-06-02 Abilityone Kinetec Sa Attelle de mobilisation passive de l'articulation de la cheville
US7364534B2 (en) * 2003-12-23 2008-04-29 Robert Gregory Zoller Exercise device for foot, ankle and/or shin
WO2006037101A2 (fr) * 2004-09-27 2006-04-06 Massachusetts Institute Of Technology Interface de cheville
WO2006138456A2 (fr) * 2005-06-15 2006-12-28 University Of Delaware Systeme d'orthese pedi-jambiere
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US7931567B2 (en) * 2009-03-06 2011-04-26 Leon Rosenberg Apparatus for isolating an injured ankle or foot during aerobic exercise
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US9259343B2 (en) 2012-07-06 2016-02-16 Newman Technologies LLC Device for mitigating plantar fasciitis
US9603768B1 (en) 2013-11-08 2017-03-28 MISA Technologies, L.L.C. Foot flexion and extension machine
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CZ307539B6 (cs) * 2014-08-06 2018-11-21 Eduard Železný Zařízení pro pasivní léčebný tělocvik
CN107530567B (zh) * 2015-03-24 2020-11-20 意大利学院科技基金会 驱动系统以及用于患者的下肢和躯干的康复的康复机
CN105125380B (zh) * 2015-09-28 2017-04-12 北京工业大学 一种踝关节康复装置
US11011262B2 (en) 2015-10-07 2021-05-18 Kinex Medical Company, Llc Retrofitted continuous passive motion devices
US10980696B2 (en) 2016-01-15 2021-04-20 Tao Life Sciences Inc. Limb stretching device
RU2658760C1 (ru) * 2017-01-09 2018-06-22 Общество с ограниченной ответственностью Научно-внедренческое предприятие "ОРБИТА", (ООО НВП "ОРБИТА") Механотерапевтическое устройство для разработки подвижности голеностопных суставов
US11904204B2 (en) 2018-02-26 2024-02-20 Ts Medical Llc Devices and methods for exercising an ankle, foot, and/or leg
EP3773943A1 (fr) 2018-04-06 2021-02-17 TS Medical LLC Dispositifs portables pour faire travailler des muscles dans la cheville, le pied et/ou la jambe, et procédés associés
CA3055361A1 (fr) 2018-09-14 2020-03-14 Mary Anne Tarkington Dispositifs portatifs pour exercer les muscles des chevilles, des pieds et/ou des jambes, et methodes connexes
USD961023S1 (en) 2020-02-12 2022-08-16 TS Medical, LLC Excercise device
USD1012207S1 (en) 2020-08-12 2024-01-23 TS Medical, LLC Exercise device

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US4538595A (en) * 1984-02-21 1985-09-03 Hajianpour Muhamad A Passive exercising device
WO1990000383A1 (fr) * 1988-07-08 1990-01-25 Pecheux Jean Claude Roger Appareil de mobilisation articulaire passive continue du pied
FR2635457A1 (fr) * 1988-08-18 1990-02-23 Materiel Orthopedique Cie Gle Appareil de mobilisation passive des articulations de l'arriere-pied
DE8913308U1 (fr) * 1989-11-10 1990-03-22 Gerhard Hug Gmbh, 7801 Umkirch, De
EP0496528A1 (fr) * 1991-01-22 1992-07-29 Compagnie Generale De Materiel Orthopedique Appareil d'entraînement passif

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5474520A (en) * 1994-03-14 1995-12-12 Bittikofer; Raymond P. Apparatus for producing multiple motions
KR20190092918A (ko) * 2018-01-31 2019-08-08 건양대학교산학협력단 관절 재활운동장치
KR102014536B1 (ko) 2018-01-31 2019-11-04 건양대학교 산학협력단 관절 재활운동장치
KR102062388B1 (ko) * 2018-12-11 2020-01-03 건양대학교 산학협력단 발목관절 재활운동 장치

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ATE136765T1 (de) 1996-05-15
US5352185A (en) 1994-10-04
DE4135552A1 (de) 1993-05-06
DE59206028D1 (de) 1996-05-23
EP0539772B1 (fr) 1996-04-17

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