EP0917890A2 - Zur Rehabilitation bestimmtes Übungsgerät - Google Patents

Zur Rehabilitation bestimmtes Übungsgerät Download PDF

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Publication number
EP0917890A2
EP0917890A2 EP98830693A EP98830693A EP0917890A2 EP 0917890 A2 EP0917890 A2 EP 0917890A2 EP 98830693 A EP98830693 A EP 98830693A EP 98830693 A EP98830693 A EP 98830693A EP 0917890 A2 EP0917890 A2 EP 0917890A2
Authority
EP
European Patent Office
Prior art keywords
support platform
load
support
selectively
patient
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Withdrawn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
EP98830693A
Other languages
English (en)
French (fr)
Other versions
EP0917890A3 (de
Inventor
Jeremy Lewis
Rami Parizer
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.)
Pari-Lew Investments & Patents Co
Original Assignee
Pari-Lew Investments & Patents Co
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 Pari-Lew Investments & Patents Co filed Critical Pari-Lew Investments & Patents Co
Publication of EP0917890A2 publication Critical patent/EP0917890A2/de
Publication of EP0917890A3 publication Critical patent/EP0917890A3/de
Withdrawn legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/02—Exercising 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
    • A63B21/055—Exercising 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 extension element type
    • A63B21/0552—Elastic ropes or bands
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/16—Supports for anchoring force-resisters
    • A63B21/169—Supports for anchoring force-resisters for anchoring on or against a wall
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/40—Interfaces with the user related to strength training; Details thereof
    • A63B21/4001—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor
    • A63B21/4007—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor to the chest region, e.g. to the back chest
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/40—Interfaces with the user related to strength training; Details thereof
    • A63B21/4001—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor
    • A63B21/4009—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor to the waist
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/40—Interfaces with the user related to strength training; Details thereof
    • A63B21/4001—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor
    • A63B21/4011—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor to the lower limbs
    • A63B21/4013—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor to the lower limbs to the ankle
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B22/18—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with elements, i.e. platforms, having a circulating, nutating or rotating movement, generated by oscillating movement of the user, e.g. platforms wobbling on a centrally arranged spherical support
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B22/0025—Particular aspects relating to the orientation of movement paths of the limbs relative to the body; Relative relationship between the movements of the limbs
    • A63B2022/0033—Lower limbs performing together the same movement, e.g. on a single support element
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/02—Exercising 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
    • A63B21/04—Exercising 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 attached to static foundation, e.g. a user
    • A63B21/0442—Anchored at one end only, the other end being manipulated by the user
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/02—Exercising 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
    • A63B21/055—Exercising 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 extension element type
    • A63B21/0552—Elastic ropes or bands
    • A63B21/0557—Details of attachments, e.g. clips or clamps
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2208/00—Characteristics or parameters related to the user or player
    • A63B2208/02—Characteristics or parameters related to the user or player posture
    • A63B2208/0204—Standing on the feet

Definitions

  • the present invention relates generally to exercise apparatus for rehabilitation of the ankle and the knee, with adaptation for the lumbar spine and shoulder.
  • Apparatus for ankle rehabilitation exists.
  • such apparatus includes a rigid support platform placed upon one or more hemispherical supports.
  • one hemispherical support may be placed underneath the center of the platform.
  • the platform thus wobbles about its center upon the hemispherical support.
  • a patient standing on the platform thus exercises the ligaments at the ankle, i.e., performs inversion, eversion, plantarflexion and dorsalflexion.
  • Other combinations of hemispherical supports may be used underneath the platform so as to provide different dynamic effects of an unstable platform. In all cases, the platform is dynamic and not static.
  • the present invention seeks to provide improved ankle rehabilitation apparatus that is useful in rehabilitation therapy of the knee as well, with adaptation for the lumbar spine and shoulder.
  • the present invention provides several features not found in the prior art.
  • the present invention provides a support platform whose texture can be selectively changed to suit the needs of the therapy.
  • the surface can comprise hard foam, soft foam, angled foam, wood, angled wood, artificial grass, water, sand, and/or imbedded stones, just to name a few.
  • the support platform of the present invention may be statically maintained at any desired angle, as well as being dynamically supported, such as wobbling upon a support.
  • poles Extending from the sides of the support platform are poles which may be vertical (i.e., generally perpendicular to the floor) or which may be positioned at any angle with respect to the floor.
  • the poles may be of varying heights, and their arrangement about the support platform is also variable.
  • Attached to the poles are one or more elongate connecting members which can be strapped to, or otherwise attached to, a limb of the patient, such as the ankle, knee, femur, waist, humerus, forearm, wrist and/or hand. As the patient performs different maneuvers in accordance with the therapeutic plan on the support platform, he is tethered by the elongate connecting member(s) to the pole(s).
  • the elongate connecting members are preferably constructed of an elastic material, such as rubber or springs or flexible rope, which offers a certain resistance to stretching thereof, thereby forcing the patient to exercise one or more muscle groups upon pulling the elongate connecting member.
  • the elongate connecting member may either make the therapeutic exercise harder or easier, i.e., either increase or decrease the physical effort in performing maneuvers on the support platform.
  • the apparatus of the present invention makes possible a progressive rehabilitation therapeutic plan for one or more parts of the body, wherein the patient selectively progresses from static exercises to dynamic exercises, all the while selectively changing the resistance to his maneuvers.
  • rehabilitation exercise apparatus including a support platform adapted for supporting a foot of a patient, and variable tilt load-bearing apparatus upon which the support platform is supported, the load-bearing apparatus being operable to selectively statically support the support platform at a desired, fixed angle selected from a range of angles and to selectively dynamically support the support platform whereby the support platform angularly moves about at least one pivot.
  • the apparatus includes at least one extension arm extending from the load-bearing apparatus in a first direction and at least one pole extending from the at least one extension arm in a second direction, the first and the second directions forming an angle therebetween in a range of 0° to 180°.
  • the apparatus includes a plurality of the poles wherein at least one of the poles has a height different from another the pole.
  • a placement of the at least one extension arm relative to the support platform is selectively variable.
  • the apparatus includes at least one elongate connecting member connected to the at least one pole, the elongate connecting member being attachable to a portion of the patient.
  • the at least one elongate connecting member is constricted of an elastic material.
  • the load-bearing apparatus includes at least one generally hemispherically-shaped support element.
  • the load-bearing apparatus includes a ball and socket joint wherein the support platform articulates about the joint.
  • the load-bearing apparatus includes a plurality of props arranged in a pattern underneath the support platform, and an actuator which selectively raises at least one of the props so as to selectively tilt the support platform.
  • the load-bearing apparatus includes a fluid bed.
  • the load-bearing apparatus includes a moving plate that moves the support platform in at least one of translatory and rotational movement.
  • the moving plate is programmed to move in a predetermined sequence.
  • the support platform includes sensors for sensing movement of the patient on the support platform and wherein the moving plate receives sensed information from the sensors and moves the support platform in accordance with the sensed information.
  • the support platform includes a support surface with a selectively changeable texture.
  • Apparatus 10 includes a support platform 12 adapted for supporting a foot 14 of a patient 16.
  • Variable tilt load-bearing apparatus 18 is provided upon which support platform 12 is supported.
  • load-bearing apparatus 18 can either statically support platform 12 at a desired, fixed angle selected from a range of angles, or instead, can dynamically support platform 12 so that platform 12 angularly moves about at least one pivot.
  • apparatus 10 provides a progressive rehabilitation therapeutic apparatus, wherein the patient can selectively progress from static exercises to dynamic exercises.
  • one or more extension arms 20 extend from load-bearing apparatus 18 in a first direction, such as indicated by arrows 22 and 24.
  • One or more poles 26 extend from extension arms 20 in a second direction, such as indicated by arrows 28 and 30, respectively.
  • First and second directions 22 and 28, or 24 and 30, form an angle therebetween in a range of 0° to 180°, this angle being selectively variable, such as by means of a hinged connector 32.
  • Connector 32 may be provided with a positive locking device, such as a pin 34 fixed in a hole, so as to fix pole 26 at a desired angle with respect to arm 20.
  • Poles 26 may be of varying heights.
  • extension arms 20 are preferably selectively variable.
  • arms 20 may be pinned to mounting holes 36 at a variety of angles and positions.
  • each pole 26 is provided with a slitted disc 42 and an end 44 of elongate connecting member 40 is fixedly slipped through the slit of disc 42. It is of course appreciated that elongate connecting member 40 may be connected to pole 26 in any other suitable manner.
  • An opposite end 46 of elongate connecting member 40 is attached to a portion of patient 16.
  • a connector 48 such as a VELCRO® strap, may be wrapped around a knee of patient 16, as shown in Fig. 1.
  • the elongate connecting member is preferably constructed of an elastic material, such as rubber, springs or flexible rope, which offers a certain resistance to stretching thereof, thereby forcing patient 16 to exercise one or more muscle groups upon pulling elongate connecting member 40.
  • elongate connecting member 40 may either make the therapeutic exercise harder or easier, i.e., either increase or decrease the physical effort in performing maneuvers on support platform 12.
  • support platform 12 preferably includes a support surface with a selectively changeable texture, i.e., various support materials may be placed upon support platform 12.
  • the support surface may initially be a hard foam, which may then be replaced in the progressive therapeutic plan with a soft foam.
  • the support surface may include artificial grass, such as a sheet of ASTROTURF®. Artificial grass may be particularly useful in rehabilitating athletes who are used to playing on grass playing fields.
  • Other materials may include angled foam, wood, angled wood, and/or sand, with or without imbedded stones, for example. It is appreciated that other materials and textures are within the scope of the present invention.
  • a track 47 may be placed at least partially around load-bearing apparatus 18.
  • Track 47 may be provided with another rehabilitation device 49, such as a ball, moving disc or any other structure suitable for placing a foot thereupon and performing other rehabilitation exercises.
  • load-bearing apparatus 18 includes one or more generally hemispherically-shaped support elements 50 which may be inserted or threaded into mounting holes 52 on a base 54 of load-bearing apparatus 18.
  • Elements 50 may be made of an elastomer, such as rubber or neoprene, and may have any desired hardness.
  • load-bearing apparatus 18 includes a ball 56 which articulates with a socket 58 attached to an underside of support platform 12.
  • An adjustment screw 60 may be provided for fixing socket 58 with respect to ball 56.
  • support platform 12 may be statically fixed at any desired angle with respect to the horizontal. If instead screw 60 is not tightened, then support platform 12 will dynamically wobble about ball 56.
  • Biasing devices 61 such as springs, may be provided for tensioning movement of support platform 12 about ball 56.
  • load-bearing apparatus 18 includes a plurality of props 62 arranged in a pattern underneath support platform 12.
  • An actuator 64 such as a hydraulic device or a solenoid, selectively raises one or more props 62, so as to selectively tilt support platform 12.
  • load-bearing apparatus 18 includes a moving plate 66 that moves support platform 12.
  • Moving plate 66 may be an X-Y-Z positioner or a turntable, or a combination thereof, for example.
  • moving plate 66 may translate support platform 12 along any of three mutually orthogonal axes X, Y and Z, or may rotate support platform 12 about any of those axes.
  • a computer 68 is in communication with moving plate 66 and/or actuator 64.
  • Moving plate 66 may be thus programmed to move in a predetermined sequence.
  • Support platform 12 may be provided with one or more sensors 70, such as pressure sensors or electrical contacts, for example, for sensing movement of the patient on support platform 12.
  • Sensors 70 send the sensed information to computer 68 which the commands moving plate 66 to move support platform 12 in accordance with the sensed information.
  • support platform 12 is supported by a fluid bed 72, such as a tank of water.
  • a fluid bed 72 such as a tank of water.
  • the patient can move about the surface of the fluid in any desired manner.
  • FIG. 8 illustrates another preferred embodiment of rehabilitation exercise apparatus 10 with adaptation for the lumbar spine and shoulder.
  • This embodiment is particularly useful for a variety of balance and strengthening exercises, such as, for example, rehabilitation exercises for improving shoulder girdle strength, endurance and proprioreception.
  • poles 26 are longer than in the previously described embodiments and are preferably anchored to one or more walls or ceiling.
  • Elongate connecting members 40 are connected to different parts of the arms or torso by means of connectors 48, and a wide variety of rehabilitation exercises may be planned and performed.

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  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biophysics (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Pulmonology (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Rehabilitation Tools (AREA)
EP98830693A 1997-11-19 1998-11-19 Zur Rehabilitation bestimmtes Übungsgerät Withdrawn EP0917890A3 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
IL12225397 1997-11-19
IL12225397A IL122253A0 (en) 1997-11-19 1997-11-19 Rehabilitation exercise apparatus

Publications (2)

Publication Number Publication Date
EP0917890A2 true EP0917890A2 (de) 1999-05-26
EP0917890A3 EP0917890A3 (de) 1999-08-25

Family

ID=11070866

Family Applications (1)

Application Number Title Priority Date Filing Date
EP98830693A Withdrawn EP0917890A3 (de) 1997-11-19 1998-11-19 Zur Rehabilitation bestimmtes Übungsgerät

Country Status (2)

Country Link
EP (1) EP0917890A3 (de)
IL (1) IL122253A0 (de)

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1284152A1 (de) * 2001-08-07 2003-02-19 Peter Liebhart Ergotherapeutische Wippe
WO2013159146A1 (en) 2012-04-24 2013-10-31 Tonus Sport Pty Ltd. Exercise/training machine
US9914003B2 (en) 2013-03-05 2018-03-13 Alterg, Inc. Monocolumn unweighting systems
US10265565B2 (en) 2013-03-14 2019-04-23 Alterg, Inc. Support frame and related unweighting system
US10342461B2 (en) 2007-10-15 2019-07-09 Alterg, Inc. Method of gait evaluation and training with differential pressure system
IT201800005406A1 (it) * 2018-05-15 2019-11-15 Macchina ginnica.
US10493309B2 (en) 2013-03-14 2019-12-03 Alterg, Inc. Cantilevered unweighting systems
US11806564B2 (en) 2013-03-14 2023-11-07 Alterg, Inc. Method of gait evaluation and training with differential pressure system
US11957954B2 (en) 2017-10-18 2024-04-16 Alterg, Inc. Gait data collection and analytics system and methods for operating unweighting training systems

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Publication number Priority date Publication date Assignee Title
FR2410486A1 (fr) * 1977-12-02 1979-06-29 Aubry Michel Appareil d'assouplissement, notamment pour la preparation au ski
IT1220260B (it) * 1988-04-18 1990-06-06 Giovanni Bertoletti Attrezzo a piattaforma rotante e inclinabile per ginnastica particolarmente di tipo presciistico
FR2654942B1 (fr) * 1989-11-24 1992-04-03 Tardieu Jacques Dispositif de reeducation proprioceptive et d'entrainement sportif par appui podal et suivant plusieurs degres de liberte de mouvements.
US5112045A (en) * 1990-09-05 1992-05-12 Breg, Inc. Kinesthetic diagnostic and rehabilitation device
US5368536A (en) * 1993-10-01 1994-11-29 Stodgell; Mark E. Ankle rehabilitation device
US5613690A (en) * 1996-02-13 1997-03-25 Mcshane; Jerry M. Balance and proprioception training and enhancement devices

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
None

Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1284152A1 (de) * 2001-08-07 2003-02-19 Peter Liebhart Ergotherapeutische Wippe
US10342461B2 (en) 2007-10-15 2019-07-09 Alterg, Inc. Method of gait evaluation and training with differential pressure system
WO2013159146A1 (en) 2012-04-24 2013-10-31 Tonus Sport Pty Ltd. Exercise/training machine
CN104428039A (zh) * 2012-04-24 2015-03-18 托努斯运动私人有限公司 锻炼/训练机器
JP2015517839A (ja) * 2012-04-24 2015-06-25 トーヌス スポート ピーティーワイ リミテッド エクササイズ／トレーニングマシン関連出願に係るクロスレファレンス
EP2844357A4 (de) * 2012-04-24 2015-12-30 Tonus Sport Pty Ltd Übungs-/trainingsmaschine
US9604115B2 (en) 2012-04-24 2017-03-28 Tonus Sport Pty Ltd Exercise/training machine
US9914003B2 (en) 2013-03-05 2018-03-13 Alterg, Inc. Monocolumn unweighting systems
US10265565B2 (en) 2013-03-14 2019-04-23 Alterg, Inc. Support frame and related unweighting system
US10493309B2 (en) 2013-03-14 2019-12-03 Alterg, Inc. Cantilevered unweighting systems
US11806564B2 (en) 2013-03-14 2023-11-07 Alterg, Inc. Method of gait evaluation and training with differential pressure system
US11957954B2 (en) 2017-10-18 2024-04-16 Alterg, Inc. Gait data collection and analytics system and methods for operating unweighting training systems
IT201800005406A1 (it) * 2018-05-15 2019-11-15 Macchina ginnica.

Also Published As

Publication number Publication date
EP0917890A3 (de) 1999-08-25
IL122253A0 (en) 1998-04-05

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