EP2616034B1 - Medizinprodukt zur rehabilitation und prävention von verstauchungen - Google Patents

Medizinprodukt zur rehabilitation und prävention von verstauchungen Download PDF

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Publication number
EP2616034B1
EP2616034B1 EP11764797.4A EP11764797A EP2616034B1 EP 2616034 B1 EP2616034 B1 EP 2616034B1 EP 11764797 A EP11764797 A EP 11764797A EP 2616034 B1 EP2616034 B1 EP 2616034B1
Authority
EP
European Patent Office
Prior art keywords
cradle
medical apparatus
articulator
foot
plate
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.)
Not-in-force
Application number
EP11764797.4A
Other languages
English (en)
French (fr)
Other versions
EP2616034A1 (de
Inventor
Pascal Toschi
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.)
Centre D'evaluation Et De Readaptation Sportive C
Original Assignee
Centre D'Evaluation et de Readaptation Sportive CEVRES
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 Centre D'Evaluation et de Readaptation Sportive CEVRES filed Critical Centre D'Evaluation et de Readaptation Sportive CEVRES
Publication of EP2616034A1 publication Critical patent/EP2616034A1/de
Application granted granted Critical
Publication of EP2616034B1 publication Critical patent/EP2616034B1/de
Not-in-force legal-status Critical Current
Anticipated expiration legal-status Critical

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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
    • 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
    • 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
    • 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
    • A63B21/4015—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 foot
    • 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
    • A63B23/08—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs for ankle joints
    • A63B23/085—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs for ankle joints by rotational movement of the joint in a plane substantially parallel to the body-symmetrical-plane
    • 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
    • A63B23/10—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs for feet or toes
    • 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
    • A61H2201/14—Special force transmission means, i.e. between the driving means and the interface with the user
    • A61H2201/1454—Special bearing arrangements
    • 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
    • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/165—Wearable interfaces
    • 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
    • A61H2205/00—Devices for specific parts of the body
    • A61H2205/12—Feet
    • 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
    • A63B2022/185—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 specially adapted for using with a single foot or hand
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2225/00—Miscellaneous features of sport apparatus, devices or equipment
    • A63B2225/09—Adjustable dimensions

Definitions

  • the document EP 1221332 discloses an ankle rehabilitation apparatus, having an articulator for destabilizing the foot, by means of a pivot axis oriented preferably at 45 ° with respect to the sagittal plane. The positioning of this pivot axis is located in the articulator, and is below the axis of Henke constituting the anatomical articulation of the ankle.
  • the object of the invention is to provide a medical device for rehabilitation and prevention of sprains, to optimize the biomechanical movements of the articulator, and to facilitate the adjustment of the amplitude of these movements.
  • the axis of tilting of the articulator is fictitious, and is located at the axis of Henke corresponding to the articulation of the ankle of the user.
  • the adjustment means comprise a lever connected to a disk with a pin to be positioned in a notch of the rocking cradle.
  • the rolling tracks of the cradle are shaped in arcs of circle, whose radius is centered preferably on the axis of tilting.
  • the circular plate is above the cradle and has a degree of freedom in rotation of vertical axis passing through its own center, with a rotational stroke of between 10 ° and 30 °, preferably 20 °.
  • a medical device 10 makes it possible to recreate predefined biomechanical movements for the rehabilitation and prevention of ankle sprains.
  • the medical device 10 is attached to a foot of a person as a shoe, and is composed for this purpose of a shoe 11 and two destabilizing elements. These are respectively formed by an articulator 12 and a ball of forefoot 13, intended to destabilize respectively the rear foot and forefoot of the person.
  • the liner 11 holds the foot on the articulator 12 and on the forefoot 13 during the execution of the biomechanical movements.
  • the rear end destabilizing articulator 12 is composed of an upper portion 14 in contact with the heel of the person, and movable relative to a lower portion 15 bearing on the ground.
  • the upper portion 14 of the articulator 12 comprises a rocking cradle 16 of semi-cylindrical shape, surmounted by a rotary plate 17 with the interposition of a washer 32 of friction.
  • the base of the cradle 16 is equipped with a pair of rolling tracks 18, 19 shaped in arcs, fixed to the edges of the cradle 16.
  • the circular plate 17 serves as a support means of the heel of the user, and has a degree of freedom in rotation of vertical axis passing through its own center.
  • the amplitude of its rotational stroke is approximately in the range of 10 ° to 30 °, preferably 20 °.
  • Spring blades 20 are embedded in the cradle 16, and cooperate by elastic deformation with a notch of the plate 17 to ensure its return to a central position when no mechanical stress is applied thereto.
  • a flexible and telescopic retaining ball 21 is fixed in a radial groove 22 of the plate 17, and is housed in a cavity 23 of the cradle 16 when the plate 17 is in the central position of 0 °.
  • the presence of the ball 21 constitutes a resilient hard point which makes this central position stable, with a slight holding resistance at 0 °.
  • the ball 21 exits by elastic deformation of the cavity 23 of the cradle 16, and allows the limited rotation of the plate 17.
  • the lower part 15 of the articulator 12 is in contact with the ground, and is formed by the assembly of a support base 24 provided with rollers 25 in the form of rollers, a bottom 26 and a sole 27 flexible.
  • the support base parts 23, bottom 26 and sole 27 are clipped together, and have no degree of freedom with respect to each other.
  • the rollers 25 rollers are fixed on the support base 23 by means of metal pins, so as to rotate freely about these axes.
  • the raceways 18, 19 can roll on the rollers 25 by allowing the tilting movement of the cradle 16.
  • An adjusting lever 28 connected to a disc 29, is placed on the bottom 26, and can be actuated in rotation to adjust the amplitude of the tilting stroke of the cradle 16.
  • the disc 29 is provided with a pin 30 to be positioned in one of three notches of different sizes of the cradle 16.
  • the two parts 14 and 15 of the articulator 12 are inseparable, and the upper part can tilt over the lower part 15.
  • the inclination of the upper part 14 relative to the lower part 15 depends on the amplitude of the tilting movement of the cradle 16 according to the position of the adjustment lever 28.
  • the axis of rotation XY of the articulator 12 is fictitious, and extends at the level of the anatomical axis of Henke corresponding to the articulation of the ankle. This axis of rotation XY is oriented at 45 ° with respect to the sagittal plane of the body, and at 0 ° relative to the horizontal plane.
  • the rotating plate 17 which is movable on the articulator 12, can also perform a rotational stroke of about 20 ° of the rear foot vertical axis.
  • the pelota forefoot 13 is intended to destabilize or stabilize the forefoot.
  • the upper face of the pelota has a first zone Z1 of placement of the toes, and a second zone Z2 support of the metatarsals.
  • the lower face of the ball is subdivided into two parts P1, P2 forming between them a corner extending along a line 33.
  • a removable shim 34 is integrated in the lower part of the ball 13. Its geometry allows it to fit in two different ways in the pelota, so as to generate either a lateral destabilization of the forefoot or a stabilization of the forefoot.

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Epidemiology (AREA)
  • Vascular Medicine (AREA)
  • Biophysics (AREA)
  • Cardiology (AREA)
  • Pain & Pain Management (AREA)
  • Rehabilitation Therapy (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Footwear And Its Accessory, Manufacturing Method And Apparatuses (AREA)

Claims (7)

  1. Medizinischer Apparat zur Wiederermöglichung biomechanischer Bewegungen und zur Rehabilitation nach Verstauchungen, der umfasst: - ein den hinteren Fuß destabilisierendes Element, das von einem Artikulator (12) gebildet wird, der um eine Schwenkachse XY schwenken kann, die entsprechend einem Winkel von 10 bis 55° bezüglich der Sagittal-Längsebene ausgerichtet ist,
    - und einen Füßling (11), der dazu bestimmt ist, den Fuß auf dem Artikulator (12) zu halten,
    dadurch gekennzeichnet, dass der Füßling den Fuß auf einem Vorderfußkissen (13) hält und dass der Artikulator (12) umfasst:
    - einen oberen Teil (14), der sich zusammensetzt aus einem halb-zylindrischen, schwenkbaren Träger (16), der mit Rollbahnen (18, 19) versehen ist, und einer drehbaren Platte (17), die als Auflagemittel für die Ferse des Benutzers dient,
    - einen unteren Teil (15), der in Kontakt mit dem Boden ist und einen Auflageteil (24) umfasst, der mit Rollen (25) versehen ist, die mit den Rollbahnen des Trägers (16) nach dem Zusammenfügen der beiden Teile (14, 15) zusammenwirken,
    - und Mittel zum Einstellen des Schwenkhubausschlags des Trägers (16).
  2. Medizinischer Apparat nach Anspruch 1, dadurch gekennzeichnet, dass die Mittel zum Einstellen einen Hebel (28) umfassen, der an eine Scheibe (29) gekoppelt ist, die mit einem Zapfen (30) versehen ist, der dazu vorgesehen ist, in einem Ausschnitt des Trägers (16) positioniert zu werden.
  3. Medizinischer Apparat nach Anspruch 1, dadurch gekennzeichnet, dass die Rollbahnen (18, 19) des Trägers (16) Form von Kreisbögen ausgestaltet sind, deren Radius auf die Schwenkachse zentriert ist.
  4. Medizinischer Apparat nach Anspruch 1, dadurch gekennzeichnet, dass die kreisförmige Platte (17) über dem Träger (16) angeordnet ist und einen Drehfreiheitsgrad der vertikalen Achse besitzt, die durch seinen eigenen Mittelpunkt führt, mit einem Drehhub von 10 bis 30°, vorzugsweise 20°.
  5. Medizinischer Apparat nach Anspruch 4, dadurch gekennzeichnet, dass der Träger(16) mit Federblättern (20) zum Zurückholen der Platte (17) in Richtung auf eine zentrale Position beim Fehlen von mechanischer Beanspruchung versehen ist, und dass die Platte (17) eine weichelastische Rückholkugel (21) umfasst, die in der genannten zentralen Position einen Fixpunkt bilden soll.
  6. Medizinischer Apparat nach Anspruch 1, dadurch gekennzeichnet, dass die Rollen (26) Räder umfassen, die frei drehbar auf den Achsen des Auflageteils (23) montiert sind.
  7. Medizinischer Apparat nach einem der vorstehenden Ansprüche, dadurch gekennzeichnet, dass eine Zugfeder (31) zwischen dem festen Auflageteil (24) und dem schwenkbaren Träger (16) verankert ist, um ihn in eine vorbestimmte Richtung zu ziehen.
EP11764797.4A 2010-09-15 2011-09-13 Medizinprodukt zur rehabilitation und prävention von verstauchungen Not-in-force EP2616034B1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR1003676A FR2964559B1 (fr) 2010-09-15 2010-09-15 Appareil medical pour la reeducation et la prevention des entorses
PCT/FR2011/000499 WO2012035214A1 (fr) 2010-09-15 2011-09-13 Appareil medical pour la reeducation et la prevention des entorses

Publications (2)

Publication Number Publication Date
EP2616034A1 EP2616034A1 (de) 2013-07-24
EP2616034B1 true EP2616034B1 (de) 2014-08-06

Family

ID=43927821

Family Applications (1)

Application Number Title Priority Date Filing Date
EP11764797.4A Not-in-force EP2616034B1 (de) 2010-09-15 2011-09-13 Medizinprodukt zur rehabilitation und prävention von verstauchungen

Country Status (3)

Country Link
EP (1) EP2616034B1 (de)
FR (1) FR2964559B1 (de)
WO (1) WO2012035214A1 (de)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110384603A (zh) * 2019-08-14 2019-10-29 慧诚自动化技术(宁波)有限公司 混联踝关节训练机器人

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108014454A (zh) * 2018-01-12 2018-05-11 时新(上海)产品设计有限公司 猪鼻子健身瘦腿垫结构及其使用方法
CN111012625B (zh) * 2019-12-28 2021-08-27 青岛大学附属医院 一种脚关节锻炼康复装置

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2642964A1 (fr) * 1988-09-28 1990-08-17 Heurte Alain Appareil d'etude et de reeducation de la cheville
US5897464A (en) * 1994-08-22 1999-04-27 Mcleod; Max O. Method and apparatus for ankle exercise
FR2818912B1 (fr) * 2001-01-03 2003-06-27 Pascal Toschi Appareil pour reeducation de la cheville
US7175577B2 (en) * 2002-10-29 2007-02-13 Orbital Industries, Inc. Therapy device having a rotatably tiltable platform
US7740567B2 (en) * 2003-12-22 2010-06-22 Benjamin Bailar Shoe accessory

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110384603A (zh) * 2019-08-14 2019-10-29 慧诚自动化技术(宁波)有限公司 混联踝关节训练机器人
CN110384603B (zh) * 2019-08-14 2021-04-02 慧诚自动化技术(宁波)有限公司 混联踝关节训练机器人

Also Published As

Publication number Publication date
WO2012035214A1 (fr) 2012-03-22
FR2964559B1 (fr) 2012-09-28
FR2964559A1 (fr) 2012-03-16
EP2616034A1 (de) 2013-07-24

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