EP0979063B1 - Dispositif de traitement et d'entrainement - Google Patents

Dispositif de traitement et d'entrainement Download PDF

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Publication number
EP0979063B1
EP0979063B1 EP98931975A EP98931975A EP0979063B1 EP 0979063 B1 EP0979063 B1 EP 0979063B1 EP 98931975 A EP98931975 A EP 98931975A EP 98931975 A EP98931975 A EP 98931975A EP 0979063 B1 EP0979063 B1 EP 0979063B1
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EP
European Patent Office
Prior art keywords
lower leg
therapy
articulated
leg
receivers
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.)
Expired - Lifetime
Application number
EP98931975A
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German (de)
English (en)
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EP0979063A2 (fr
Inventor
Andreas Hassler
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Individual
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Individual
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Publication date
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Publication of EP0979063A2 publication Critical patent/EP0979063A2/fr
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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
    • A63B23/00—Exercising apparatus specially adapted for particular parts of the body
    • A63B23/035—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
    • A63B23/03516—For both arms together or both legs together; Aspects related to the co-ordination between right and left side limbs of a user
    • A63B23/03533—With separate means driven by each limb, i.e. performing different movements
    • 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
    • A61H1/0255—Both knee and hip of a patient, e.g. in supine or sitting position, the feet being moved together in a plane substantially parallel to the body-symmetrical plane
    • A61H1/0259—Both knee and hip of a patient, e.g. in supine or sitting position, the feet being moved together in a plane substantially parallel to the body-symmetrical plane moved by translation
    • 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
    • A61H2201/1253—Driving means driven by a human being, e.g. hand driven
    • A61H2201/1261—Driving means driven by a human being, e.g. hand driven combined with active exercising of the patient
    • A61H2201/1269—Passive exercise driven by movement of healthy limbs
    • A61H2201/1276—Passive exercise driven by movement of healthy limbs by the other leg or arm
    • 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
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00—Exercising apparatus specially adapted for particular parts of the body
    • A63B23/035—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
    • A63B23/04—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs
    • A63B23/0405—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs involving a bending of the knee and hip joints simultaneously
    • A63B23/0417—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs involving a bending of the knee and hip joints simultaneously with guided foot supports moving parallel to the body-symmetrical-plane by translation

Definitions

  • the present invention relates to a therapy and training device for positively guided knee joint movement with two on a guide arrangement arranged lower leg shots, which over articulated devices connected to a transmission element of the guide arrangement are that the lower leg shots motion-coupled with each other connects, such that a pivoting movement of one lower leg an opposite swiveling movement due to a knee flexion of the other lower leg.
  • WO 96/29040 is a therapy and training device at the beginning Known type known, which has a rope as a transmission element that the articulation devices that connect via articulated lever the lower leg receptacles are connected.
  • the about that Rope articulated devices coupled to each other are arranged horizontally in a guide rail Guide arrangement guided on the floor or on the ground is arranged on which the patient to be treated located. Therefore, the lower leg images are with the known therapy and training device in operation above the joint devices.
  • the present invention is therefore based on the object of and to propose training equipment of the type described at the outset, that makes it easier for the patient to be in the stretched position Move leg out of stretch to exercise therapy to be able to continue.
  • the hinge device Due to the type of articulation of the lower leg receptacles according to the invention to the hinge device ensures that not that total weight of the leg in the extended position in one the stretching position has a stabilizing effect, but that at least one Part of the lower leg accommodated in the lower leg mount related to the pivot point of the joint device one of these Stabilizing position caused counteracting moment. hereby will raise the leg to begin the flexion movement of the To get out of the stretched position at least slightly, for much easier for the patient.
  • lever is designed to be variable in its effective length, can a change during the movement or an adjustment to the lever ratios of the patient's legs are made.
  • the articulation devices are so arranged on the guide arrangement that the Articulation device, via the associated lower leg mount is assigned to the bent leg, in relation to that joint device, the stretched over the associated lower leg receptacle Leg assigned is located in an elevated position. It is the guide assembly is designed to be inclined Has guideway for the joint devices.
  • the lower leg receptacles are so arranged on the hinge devices that the Force axis of the straight leg at a distance from the pivot point of the Joint devices between a contact area of the therapy and exercise equipment and the pivot point.
  • This will ensure that at the transition of the bent leg from its end position to the extended position via the transmission element transmit a force to the leg in the stretched position with the result that there is a change in its direction of rotation restoring moment counteracting the stretching movement of this leg around the pivot point of the joint device.
  • This too Measure therefore enables the patient in a simple manner and Way, the dead center that occurs when a leg is stretched To overcome movement in the therapy and training device.
  • a particularly advantageous embodiment of the latching connection is achieved if a connecting hinge pin designed as a locking pin on the Lower leg shots is provided for engaging in a Swivel eye of the joint device is determined.
  • FIG. 1 shows a therapy and training device 10 in therapy use on a patient.
  • the therapy and training device 10 has a guideway arrangement 11 with four guide rods 12, 13, 14, 15, which at their ends via stand parts 16, 17, each having two clamping halves 18, 19 (see FIG 2 ) have been combined to form the guideway arrangement 11.
  • At the lower ends of the stand parts 16, 17 are feet 20, 21 and 22, which allow the therapy and training device 10 to be positioned between the legs of a patient, as shown in FIG. 1 .
  • each guide part 25 On both sides of the guide track assembly 11, that both the viewer of FIG. 1 facing, and facing away from the viewer of FIG. 1, respectively, there is a hinge means 23, 24 that have a each have two guide rods 12, 14 and 13, 15 along Slidably arranged guide part 25 is connected to the guideway arrangement 11.
  • Each guide part 25 has two longitudinal guides 26, 27 which, on the one hand, enable reliable guidance along the guide rods 12, 14 or 13, 15, and on the other hand prevent the articulated devices 23, 24 from pivoting away from the guide track arrangement 11.
  • the two deflection rollers positioned laterally on the stand parts 16, 17 29, 30 is guided around the guideway arrangement 11.
  • Driver 31 which clamped the toothed belt 28 in a form-fitting manner between itself and the guide part 25 of the articulation device 23, 24 take up.
  • the positive engagement of the driver 31 becomes the toothed belt 28 by means of a compression spring, not shown here secured.
  • the driver 31 can be used to release the driver engagement pivoted about a driver axis 32 while overcoming the spring force become. In this released position it is possible to change the distance g of the joint devices 23, 24 to change continuously, or at Maintaining a desired distance g both by the same amount in one direction or the other along the guideway arrangement 11 move.
  • 34 lower leg receptacles 35, 36 are pivotally connected to the joint devices 23, 24 via lever arrangements. 1 , the left lower leg of the patient shown in its outline contours is received by the lower leg receptacle 35 connected to the joint device 23 such that the left leg is in its flexed position. In contrast, the right lower leg of the patient, which is only represented by the course of the associated lower leg axis 33, is located in the lower leg receptacle 36 assigned to the joint device 24 such that the right leg of the patient is in its extended position.
  • the joint device 23 When the left patient's leg is transferred from its flexion position to its extended position, i.e. when the left lower leg is pivoted relative to the associated thigh, the joint device 23 is displaced longitudinally to the right via the lower leg receptacle 35 and the lever arrangement 34. To the same extent, the toothed belt 28, the joint device 24, the lever arrangement 34 and the lower leg receptacle 36 are coupled in an opposite manner to the right patient's leg from moving from its extended position shown in FIG. 1 into the flexed position.
  • the lever arrangement 34 is pivotally connected to the joint device 23, 24 via a connecting joint pin 38 inserted in a swivel eye 37 of the joint device 23, 24.
  • the connecting joint pin 38 has a circumferential locking groove 39 into which a spring-loaded locking pin 40 engages.
  • the connecting joint pin 38 is pressed into the swivel eye 37 while overcoming the spring resistance of the locking pin 40 until the locking pin 40 engages in the latching groove 39.
  • An insertion cone 41 formed at the end of the connecting joint pin 38 acts as a support.
  • the locking pin 40 is moved so far out of its guide bore 42 against the resistance of the spring (not shown here) that the locking groove 39 is released and the connecting pin 38 can be pulled out of the swivel eye 37.
  • the lever arrangement 34 is angled so that a weight G which acts from the lower leg receptacle 35, 36 via a receptacle connection 41 to a lever end 44 of the lever arrangement 34 causes a weight moment which multiplies the weight G by a lever offset h Lever arrangement 34 corresponds.
  • the lever offset h can be made changeable.
  • this moment acts to support the movement of the right patient leg in FIG. 1 from its extended position, which corresponds to an end point or dead position of the to and fro movement of the joint devices 23, 24 coincides along the guideway arrangement 11.
  • the lower leg receptacle 36 is connected to the joint device 24 via the lever arrangement 34 in such a way that the lower leg axis 33 is offset by an offset v down to the pivot point 45 of the joint device 24.
  • a return torque R acts.
  • v the - in a similar manner to the previously explained weight moment G. h - supports the movement of the right patient's leg from its extended position.
  • the articulated device 23 assigned to the bent leg is at a higher level than the articulated device 24 assigned to the extended leg. This makes it possible to determine the weight of the bent leg during the movement of the to support the stretched leg out of its stretched position.
  • the articulation device 23 or 24 has a swivel radius limiting device 46 with two angular stops 47, 48 which can be changed in their relative position relative to the articulation device 23, 24 and which cooperate with a stop pin 49 on the lever arrangement 34 and thus the swiveling movement of the lever arrangement 34 limit with respect to the joint device 23, 24.
  • FIG. 2 also shows, in the present case the feet 20, 21 assigned to the left-hand stand part 16 in FIG. 1 are connected to the stand part 16 via rod pull-outs 50, 51 in assigned rod receptacles 52, 53.

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  • Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Pain & Pain Management (AREA)
  • Epidemiology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Rehabilitation Tools (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Claims (8)

  1. Appareil de thérapie et d'entraínement pour le mouvement sous contrainte de l'articulation du genou avec deux logements de jambe disposés sur un dispositif de guidage, qui sont raccordés via des dispositifs articulés à un organe de transmission du dispositif de guidage, organe qui relie ensemble les logements de jambe par couplage de mouvement, de telle sorte qu'un mouvement oscillant d'une jambe à la suite d'une flexion du genou déclenche un mouvement oscillant de sens contraire de l'autre jambe,
       caractérisé en ce que
       un levier (34) est prévu pour le raccordement des logements de jambe (35,36) aux dispositifs articulés (23, 24) qui provoque un moment de rappel (G x h) antagoniste au sens de rotation d'une extension de jambe autour d'un point de rotation articulé (45) du dispositif articulé concerné (23, 24).
  2. Appareil de thérapie et d'entraínement selon la revendication 1, caractérisé en ce que, la longueur active du levier (34) est modifiable.
  3. Appareil de thérapie et d'entraínement pour le mouvement sous contrainte de l'articulation du genou avec deux logements de jambe disposés sur un dispositif de guidage, qui sont raccordés via des dispositifs articulés à un organe de transmission du dispositif de guidage, organe qui relie ensemble les logements de jambe par couplage de mouvement, de telle sorte qu'un mouvement oscillant d'une jambe à la suite d'une flexion du genou déclenche un mouvement oscillant de sens contraire de l'autre jambe,
       caractérisé en ce que les dispositifs articulés (23, 24) sont disposés sur le dispositif de guidage (11) de sorte que le dispositif articulé (23) qui est associé via le logement de jambe (35) correspondant à la jambe pliée, se trouve dans une position surélevée par rapport au dispositif articulé (24) qui est associé via le logement de jambe (36) correspondant à la jambe tendue, et le dispositif de guidage (11) comprend une voie de guidage inclinée (12, 13; 14, 15) pour les dispositifs articulés (23, 24).
  4. Appareil de thérapie et d'entraínement pour le mouvement sous contrainte de l'articulation du genou avec deux logements de jambe disposés sur un dispositif de guidage, qui sont raccordés via des dispositifs articulés à un organe de transmission du dispositif de guidage, organe qui relie ensemble les logements de jambe par couplage de mouvement, de telle sorte qu'un mouvement oscillant d'une jambe à la suite d'une flexion du genou déclenche un mouvement oscillant de sens contraire de l'autre jambe,
       caractérisé en ce que les logements de jambe (35, 36) sont disposés sur les dispositifs articulés (23, 24) de sorte que l'axe de force de la jambe tendue se situe à distance du point de rotation articulé (45) des dispositifs articulés (23, 24) entre une surface de soulèvement de l'appareil de thérapie et d'entraínement (10) et le point de rotation articulé.
  5. Appareil de thérapie et d'entraínement selon l'une ou plusieurs des revendications précédentes,
       caractérisé en ce que,
       les dispositifs articulés (23, 24) sont modifiables dans leur disposition relative par rapport à l'organe de transmission (28).
  6. Appareil de thérapie et d'entraínement selon l'une ou plusieurs des revendications précédentes,
       caractérisé en ce que,
       les dispositifs articulés (23, 24) sont dotés d'un dispositif de limitation de rayon de pivotement (46).
  7. Appareil de thérapie et d'entraínement selon l'une ou plusieurs des revendications précédentes,
       caractérisé en ce que,
       les logements de jambe (35, 36) sont reliés, de façon amovible, aux dispositifs articulés (23, 24) par une liaison par encliquetage (37, 38).
  8. Appareil de thérapie et d'entraínement selon la revendication 7, caractérisé en ce que, la liaison par encliquetage comprend un pivot de liaison (38), formé comme un pivot à encliquetage, du logement de jambe (35, 36) et un oeil de charnière (37) du dispositif articulé.
EP98931975A 1997-04-23 1998-04-22 Dispositif de traitement et d'entrainement Expired - Lifetime EP0979063B1 (fr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DE19716942A DE19716942A1 (de) 1997-04-23 1997-04-23 Therapie- und Trainingsgerät
DE19716942 1997-04-23
PCT/DE1998/001125 WO1998047461A2 (fr) 1997-04-23 1998-04-22 Dispositif de traitement et d'entrainement

Publications (2)

Publication Number Publication Date
EP0979063A2 EP0979063A2 (fr) 2000-02-16
EP0979063B1 true EP0979063B1 (fr) 2003-09-24

Family

ID=7827367

Family Applications (1)

Application Number Title Priority Date Filing Date
EP98931975A Expired - Lifetime EP0979063B1 (fr) 1997-04-23 1998-04-22 Dispositif de traitement et d'entrainement

Country Status (6)

Country Link
US (1) US6520892B1 (fr)
EP (1) EP0979063B1 (fr)
JP (1) JP4082742B2 (fr)
AT (1) ATE250405T1 (fr)
DE (2) DE19716942A1 (fr)
WO (1) WO1998047461A2 (fr)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE10138472C2 (de) * 2001-08-04 2003-10-02 Wolfgang Eder Vorrichtung zur therapeutischen Behandlung der Gelenke eines Menschen
US10682543B1 (en) 2019-05-31 2020-06-16 Jamie Alvarez Systems and methods for passive, active, and resistance range of motion and stretching apparatus
CN113749910B (zh) * 2021-10-12 2023-10-20 北京铸正机器人有限公司 一种腿部固定及调节装置

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4570927A (en) * 1983-12-15 1986-02-18 Wright State University Therapeutic device
US4637379A (en) * 1984-12-05 1987-01-20 Toronto Medical Corporation Device for imparting continuous passive motion to leg joints
US5044355A (en) * 1990-04-23 1991-09-03 Reopelle Lawrence E Reciprocating leg exercise apparatus with gear assembly
US5472396A (en) * 1993-07-14 1995-12-05 Brazaitis; David Portable exercise apparatus
US6416448B1 (en) 1995-03-20 2002-07-09 Andreas Hassler Therapy and training device
US5833583A (en) * 1998-01-27 1998-11-10 Chuang; Jin Chen Exerciser having foot supports moving along elliptical path
US6447428B1 (en) * 1999-11-08 2002-09-10 Motorcizer Corporation Exercise device

Also Published As

Publication number Publication date
EP0979063A2 (fr) 2000-02-16
WO1998047461A2 (fr) 1998-10-29
DE59809729D1 (de) 2003-10-30
WO1998047461A3 (fr) 1999-01-28
JP2002510219A (ja) 2002-04-02
JP4082742B2 (ja) 2008-04-30
ATE250405T1 (de) 2003-10-15
US6520892B1 (en) 2003-02-18
DE19716942A1 (de) 1998-10-29

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