EP3634589A1 - Gait training device - Google Patents

Gait training device

Info

Publication number
EP3634589A1
EP3634589A1 EP18725240.8A EP18725240A EP3634589A1 EP 3634589 A1 EP3634589 A1 EP 3634589A1 EP 18725240 A EP18725240 A EP 18725240A EP 3634589 A1 EP3634589 A1 EP 3634589A1
Authority
EP
European Patent Office
Prior art keywords
balls
central core
frame
training device
tread
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Withdrawn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
EP18725240.8A
Other languages
German (de)
French (fr)
Inventor
David SALICIO CASTILLO
Ophélie CHOUPIN
Stélian CAMARA DIT PINTO
Maëva LE CLECH
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.)
Assistance Publique Hopitaux de Paris APHP
Original Assignee
Assistance Publique Hopitaux de Paris APHP
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 Assistance Publique Hopitaux de Paris APHP filed Critical Assistance Publique Hopitaux de Paris APHP
Publication of EP3634589A1 publication Critical patent/EP3634589A1/en
Withdrawn legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B22/02Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with movable endless bands, e.g. treadmills
    • A63B22/0207Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with movable endless bands, e.g. treadmills having shock absorbing means
    • A63B22/0221Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with movable endless bands, e.g. treadmills having shock absorbing means on the frame supporting the rollers
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B22/02Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with movable endless bands, e.g. treadmills
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B71/00Games or sports accessories not covered in groups A63B1/00 - A63B69/00
    • A63B71/0054Features for injury prevention on an apparatus, e.g. shock absorbers
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B22/0015Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with an adjustable movement path of the support elements
    • A63B22/0017Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with an adjustable movement path of the support elements the adjustment being controlled by movement of the user
    • A63B2022/002Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with an adjustable movement path of the support elements the adjustment being controlled by movement of the user electronically, e.g. by using a program
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B22/0025Particular aspects relating to the orientation of movement paths of the limbs relative to the body; Relative relationship between the movements of the limbs
    • A63B2022/0028Particular aspects relating to the orientation of movement paths of the limbs relative to the body; Relative relationship between the movements of the limbs the movement path being non-parallel to the body-symmetrical-plane, e.g. support elements moving at an angle to the body-symmetrical-plane
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B22/02Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with movable endless bands, e.g. treadmills
    • A63B2022/0271Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with movable endless bands, e.g. treadmills omnidirectional
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B71/00Games or sports accessories not covered in groups A63B1/00 - A63B69/00
    • A63B71/0054Features for injury prevention on an apparatus, e.g. shock absorbers
    • A63B2071/0072Limiting the applied force, torque, movement or speed
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B22/02Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with movable endless bands, e.g. treadmills
    • A63B22/0285Physical characteristics of the belt, e.g. material, surface, indicia
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B24/00Electric or electronic controls for exercising apparatus of preceding groups; Controlling or monitoring of exercises, sportive games, training or athletic performances
    • A63B24/0062Monitoring athletic performances, e.g. for determining the work of a user on an exercise apparatus, the completed jogging or cycling distance

Definitions

  • the present invention relates to a training device for walking, in particular for the rehabilitation of patients with injuries or disorders of walking or for training sportsmen.
  • the invention has applications in the medical field, for example for rehabilitation in trauma, rheumatology and neurology, or in the sports field for training in walking or running or in the field of simulators and games video to simulate the movement of a user.
  • Walking mats are known, both in the medical field and in sports, to train a patient, an athlete or any other user to walk or run. These treadmills allow a repetition of the number of steps at different speeds or even slopes.
  • the treadmill In the sports field, whether for the training of a high-level athlete or for occasional physical activity, the treadmill is used to reproduce, indoors, walking or running usually in the open air, with substantially identical effects on the body.
  • a conventional treadmill such as that shown in Figure 1 and referenced 10, generally comprises a frame 1 1 in which a tread 12 is moved.
  • This tread 12 is an endless band, that is to say forming a closed loop, of flexible material driven and supported by pulleys or drums 13.
  • the pulleys and / or drums 13 are mounted transversely in the frame 1 1, inside the tread so that said tread is in tension between the two pulleys and / or drums 13.
  • the pulleys and / or drums 13 are rotated by a motor not shown in FIG. 1 but generally accommodated in the chassis, so as to scroll the tread.
  • a conventional treadmill 10 generally comprises a console 15 provided with a control keyboard for controlling, for example, starting, stopping, speed and sometimes inclination of the tread 12 and a screen for visualize speed and slope data and / or medical data.
  • a conventional tread generally comprises holding arms 14, fixed to the frame and positioned substantially vertically of the tread 12.
  • These holding arms 14 may be gripping handles that allow the user to synchronize its movements with the running of the tread, especially when the treadmill is used for sports applications.
  • the holding arms 14 may also be parallel bars, as shown in Figure 1, which allow a brachial support of the user during the movement of his legs, especially when the treadmill is used for medical purposes.
  • the applicant proposes a walking training device in which the rate of travel of the tread is imposed. by the user and not by the machine.
  • the invention relates to a walking training device comprising:
  • a treadmill comprising a tread and rolling members
  • This device is characterized in that it comprises a central core constituting a support structure for the rolling members and the tread, and in that the rolling members comprise:
  • said central core comprising a plurality of first housings adapted to each receive one of the balls
  • a cage trapping the plurality of balls to maintain said balls on the central core by allowing their mobility relative to said central core, the tread being adapted to slide on the balls and to drive said balls in rotation on the central core.
  • the tread is driven in displacement as the steps of the user. It is therefore the user himself who imposes the speed of displacement of the tread.
  • the gait training device will be described with reference to an orthonormal marker XYZ, in which the plane XZ is a plane parallel to the surface of the ground on which the training device is placed. and in which the Y axis is an axis perpendicular to the XZ plane.
  • This central core which constitutes the base of the conveyor belt, that is to say the support structure of the running gear and the tire strip. rolling.
  • This central core has a surface and an underside, in substantially parallel planes, and a circumference or periphery perpendicular to the surface and sub-surface planes.
  • the surface is the face of the central core closest to the user's walking surface.
  • the underside is the face, opposite to the surface, the nearest of the soil surface.
  • central core will be understood to mean all the faces, surfaces, contours and / or sub-faces of the central core along which the tread is likely to move.
  • the tread surrounds the central core, the cage and the plurality of balls.
  • the tread can be moved in all directions of the walking surface.
  • the plurality of balls comprises sliding balls distributed on the surface of the central core and housed in first housings of said central core. These sliding balls allow the sliding of the tread on the surface of the central core.
  • the plurality of balls comprises support balls distributed in the underside of the central core and housed in first housings of said central core. These support balls allow the displacement of the tread.
  • the sliding balls have a diameter smaller than the diameter of the support balls.
  • the frame comprises an inner wall equipped with second housings, the second housing being adapted to receive at least support balls contiguous to the support balls of the central core.
  • the support balls of the frame and the support balls of the central core are formed respectively on either side of the tread. This arrangement of the balls allows the tread to move smoothly, smoothly, smoothly, allowing the user to move on the treadmill as on a floor.
  • the plurality of balls comprises positioning balls or rollers positioned laterally on the central core and housed in first housings of said central core.
  • the chassis comprises positioning balls or rollers housed in the second housing of the frame and each contiguous to a ball or roller positioning the central core.
  • the positioning balls or rollers of the chassis and the positioning balls or rollers of the central core are formed respectively on either side of the tread. This arrangement of the balls or positioning rollers contribute to the fluidity of movement of the tread.
  • the gait training device comprises a safety device and / or a user retaining device able to be positioned vertically to the chassis so as to reassure and / or help maintain the user, especially when he is a patient with walking disorders.
  • the walking training device comprises an external structure in which is mounted the assembly formed of the frame and the treadmill, and a tilting system connecting the frame and the external structure to tilt said frame relative to the external structure.
  • a tilting system connecting the frame and the external structure to tilt said frame relative to the external structure.
  • FIG. 1 shows an example of treadmill according to the prior art.
  • FIGS. 2A and 2B show views, respectively from the front and in perspective, of an example of a walking training device according to the invention.
  • FIG. 3 diagrammatically represents an example of a treadmill of the walking training device of FIG. 2.
  • FIG. 4 shows schematically an example of the treadmill of Figure 3 mounted in a frame of the walking device according to the invention.
  • FIG. 5 shows schematically an example of the frame block of Figure 4 mounted in an outer structure so as to be tilting.
  • FIGS 2A and 2B show a side view and a perspective view of the gait device according to some embodiments of the invention.
  • This training device 100 comprises a treadmill 120 mounted in a frame 130 placed on the ground or on any other flat surface intended to receive the driving device 100.
  • the treadmill 120 is adapted to be driven in motion by a patient or any other user, in walking position on said carpet.
  • the frame 130 is a rigid structure, for example made of metal or plastic, hollow, in which is placed the conveyor belt 120.
  • the frame 130 may have, for example, a parallelepipedal or cylindrical basin shape with a narrow neck to surround the treadmill 120 while leaving free the surface of said carpet.
  • the assembly consisting of the conveyor belt 120 and the frame 130 forms a frame unit 1 10.
  • the frame unit 1 10 is directly placed on the ground or on any flat surface parallel to the ground.
  • the frame unit 1 10 is mounted in an external structure 170 placed on the ground or on any flat surface parallel to the ground.
  • the treadmill 120 comprises a tread 121 intended to be moved by sliding on rolling members 122-124. Indeed, as will be described in more detail later, the user taking steps on the belt generates a displacement of the tread on the running gear.
  • rolling members comprise, as shown in Figure 3, a plurality of balls 122-124 distributed around a central core 126 and housed in said core.
  • the central core 126 may be a plate, for example parallelepipedal or cylindrical, solid or partially hollow.
  • the central core 126 can be made, for example, Titanium - which has the advantage of being very resistant - or Steel - which has the advantage of being cheaper than Titanium - or Aluminum - which has the advantage of being lightweight and have a good hygienic level - or even in composite materials - which have the advantage of being particularly light.
  • the central core 126 may also be made using several of the aforementioned materials such as, for example, a composite material for the entire core with titanium reinforcements to make the core more impact resistant.
  • the central core 126 may comprise a plurality of housings 127, called first housings, adapted to each receive one of the balls 122-124.
  • each housing 127 is hollowed out of the material forming the central core 126.
  • the central core 126 is manufactured, for example by molding, with the plurality of housings 127.
  • reinforcements for example titanium, may be arranged in the housing or in the vicinity of said housing 127 to strengthen the core structure and / or facilitate the sliding of the balls 122-124 in their respective housings.
  • a cage 125 is provided around the central core 126 to trap the balls 122-124 to maintain them in their respective housing 127 while allowing their mobility in said housing.
  • the cage 125 of the central core may be a box - of substantially identical shape to that of the central core 126 but substantially larger - whose walls have openings facing the housing 127 of the central core 126.
  • the cage 125 may be a rigid or semi-rigid reinforcement, of the lattice type, having openings facing the housings 127 of the central core 126.
  • each of the balls 122-124 is placed in a housing 127 of the central core 126 and passes partly through an opening of the cage 125 so as to protrude from said cage while being maintained between the central core 126 and the cage 125 .
  • the tread 121 is an envelope made of a flexible material, of fabric or rubber type, mounted and stretched around the balls 122-124.
  • the material in which the tread 121 is formed has a predetermined elasticity and structure for forming an envelope which surrounds the entire assembly formed of the central core 126, the cage 125 and the balls 122-124.
  • bearing 121 is in contact with the outer part of each ball 122-124, that is to say with the part of each of the balls which is outside the cage 125. In this way, any displacement of the strip 121 is accompanied by a rotation of the balls 122-124 in their respective housing 127.
  • the treadmill 120 may take the form, for example, of a right block or a cylinder whose height is small in front of the lateral dimensions (if right pad) or radial (if cylinder).
  • the section of the treadmill 120 may have a parallelogram shape, for example a rectangle, or a disk shape.
  • the treadmill 120 has a flat cylinder shape and comprises a cylindrical central core 126, surrounded by a cylindrical cage 125, itself surrounded by a tread 121 forming a cylindrical envelope. .
  • Housing 127 each intended to accommodate one of the balls 122-124, are distributed on the surface 126a and the underside 126b of the central cylindrical core 126 and on its circumference 126c.
  • the balls 122-124 are distributed on the central core 126 according to their function. For example, sliding balls 122, intended to ensure the sliding of the tread 121, are distributed over the surface 126a of the central core; support balls 124, intended to support the central core 126 and ensure the displacement of the tread 121, are distributed on the underside 126b of the central core; positioning balls 123, intended to ensure the positioning of the central core in the chassis and the displacement of the tread 121, are distributed over the circumference of said central core 126.
  • the sliding balls 122 are, according to some embodiments, of dimensions smaller than the dimensions of the support balls 124 and positioning balls 123.
  • the sliding balls 122 preferably have a diameter of less than 10 mm so as to ensure user, a feeling of flatness when walking. They may have, for example, a diameter of 5mm.
  • the little the size of the sliding balls 122, relative to the support balls and the positioning balls, allows the tread 121 to slide on the central core 126, that is to say to move in a continuous and fluid manner, by developing a minimum effort. It also allows the user not to feel, under his feet, the undulations of the balls and to give him the feeling of walking on a flat structure such as soil.
  • the support balls 124 and the positioning balls 123 are balls of dimensions greater than the dimensions of the sliding balls 122 and whose role is to ensure the displacement of the tread around the central core 126.
  • the Support balls 124 and 134 have a diameter greater than that of the positioning balls 123 and 133.
  • the positioning balls 123, 133 may have, for example, a diameter of the order of ten times the diameter of the sliding balls 122.
  • the support balls 124, 134 may have, for example, a diameter of the order of twenty times the diameter of the sliding balls 122.
  • the positioning balls may have a diameter of 50 mm and the support balls a diameter of 100mm.
  • support balls 124 and positioning 123 are each associated with an identical ball, positioned in the frame.
  • Each support ball 124 and positioning 123 of the treadmill 120 is adapted to interact with, respectively, a support ball 134 and a positioning ball 133 of the frame 130.
  • Examples of pairs of support balls 124, 134 and pairs positioning balls 123, 133 are shown in Figure 4.
  • the support balls 134 of the frame 130 and the positioning balls 133 of the frame 130 are housed in housings 137, called second housings, arranged in the inner wall 131 of the frame 130.
  • a frame cage 135 is mounted at least partially along the inner wall 131 of the frame so as to maintain the support balls 134 and positioning 133 in their housings 137.
  • the cage 135 of the frame may be a rigid or semi-rigid frame type trellis having openings facing the housing 137 of the frame.
  • the cage 135 of the frame may be a U-shaped receptacle - with dimensions substantially smaller than the dimensions of the inner pane 131 - whose walls have openings facing the housings 137 of the frame 130. openings in the receptacle or in the frame have dimensions allowing the partial crossing of the balls 133-134, that is to say the crossing of a portion less than half of the sphere forming each of the balls, this portion being called "outer part of the balls".
  • each of the balls 133-134 is placed in a housing 137 of the frame 130 and passes partly through an opening of the cage 135 so as to protrude from said cage while remaining between the frame 130 and the frame cage 135 .
  • the support balls 124 of the central core and the support balls 134 of the frame are identical balls, of the same dimensions and made of the same material. Each support ball 124 is positioned opposite a support ball 134 and is separated from said ball 134 by the tread 121. Each support ball 134 is mounted by ball joint in a housing 137 of the frame.
  • the positioning balls 123 of the central core and the positioning balls 133 of the frame are identical balls, of the same dimensions and made of the same material.
  • Each positioning ball 123 is positioned opposite a positioning ball 133 and is separated from said ball 133 by the tread 121.
  • the tread 121 which surrounds the central core 126 and all the balls 122-124 of the core, is positioned so as to separate the support balls 124 from the core of the support balls 134 of the frame and the balls of positioning 123 of the core of the positioning balls 133 of the frame.
  • the interaction between the support balls 124 of the core and the support balls 134 of the frame makes it possible to limit the areas of the tread in contact with the chassis and / or the core and thus limit the friction of the tread when of his displacements.
  • the displacement of the tread 121 on the sliding balls 122 is thus facilitated so that the patient does not perceive this movement under his feet.
  • the interaction between the positioning balls 123 of the core and the positioning balls 133 of the frame makes it possible both to ensure the proper positioning of the tread 121 around the central core 126 and to assist in the movement of said tread. bearing on the rolling balls 122.
  • the balls of positioning 123, 133 further allow the tread to be stretched so that it is not in contact with the cage 125 of the central core.
  • the positioning balls 123 and the positioning balls 133 are in a cylindrical, roll-like shape, positioned along axes parallel to each other. The displacement of the tread 121 thus causes a rotation of each of the rollers 123, 133 in opposite directions of rotation.
  • the frame structure 130 surrounds the treadmill 120 except the upper face 121 of the tread 121 - also known as the walking surface - which is intended to accommodate the user.
  • the tread 121 is driven in translation by the sliding balls 122.
  • the tread slides on the sliding balls.
  • the positioning balls 123, 133 and the support balls 124, 134 accompany this sliding so that the tread can be translated in all directions of the plane containing the walking surface 121 s. In this way, it is the user who imposes his walking pace on the training device.
  • the user is not forced to adapt to a rhythm imposed by the machine; he can move at his own pace on the treadmill and it is the tread that follows his movements.
  • the training device as just described promotes proprioception with unpredictable changes in rhythm and direction.
  • the training device comprises a safety device 140 ensuring in particular the balance or the maintenance of the patient.
  • This safety device 140 may comprise, for example, an annular structure 141 adapted to surround the patient and define a walking space.
  • This annular structure 141 may be equipped at its center with a buoy 142 of dimensions adaptable to the diverence of the patient.
  • This buoy 142 may be a plastic or rubber ring whose inner circumference is variable and whose outer circumference is adapted to the annular structure 141.
  • the buoy 140 is a hollow ring filled with a gas, for example air, the type of child's buoy or inner tube.
  • a gas for example air
  • the pressure of the gas the inside of the buoy 142 may vary depending on the size of the patient or the desired support.
  • the annular structure 141 and the buoy 142 may be equipped with a door system making it possible to open and close the annular structure and the buoy to allow the patient to be installed on the conveyor belt 120.
  • the safety device 140 may further comprise telescopic feet 143 fixed to the annular structure 141 to ensure a vertical displacement of said annular structure and the buoy 142. These telescopic legs 143 can be placed on the ground, around the frame 130, or fixed in bases 1 1 1 secured to the frame 130. These telescopic legs 143 allow to lower the annular structure and / or the buoy to allow the patient to be installed on the treadmill 120 and to reassemble to maintain the patient.
  • the buoy 142 can be used to support the patient and help him to maintain the standing position. In this case, the buoy must be inflated enough to surround the patient. Buoy 142 can also be used to help the patient maintain balance and reassurance. In this case, the buoy must be slightly inflated to surround the patient without holding it.
  • the drive device may also include a patient restraint system 150.
  • This restraint system may be in the form, for example, of a belt 151 to retain the patient in case of a fall.
  • This shoulder belt 151 may be fixed on the annular structure 141, or on any other structure situated in the vicinity of the treadmill 120, by means of fasteners 152.
  • These fasteners 152 may be, for example, equipped with a locking pawl associated with an accelerometer so that the shoulder 151 is blocked as soon as an acceleration threshold corresponding to a fall of the patient is detected.
  • the gait device includes motors connected to the support balls and / or positioning balls to control the speed of travel of the tread 121 and, in particular, to avoid any acceleration of said tread.
  • the chassis unit 1 10 as just described is mounted in an external structure 170, itself placed on the ground.
  • the outer structure 170 may be made, for example, of the same material as the frame 130 and have a shape similar to said frame but of external and internal dimensions so that the entire frame unit can be contained in the outer structure.
  • the frame unit 1 10 can be fixed in the external structure 170.
  • the frame unit can also be movable in the external structure thus making it possible to incline the surface 121 s of the conveyor belt 120 with respect to the surface of the ground, that is, ie with respect to the XZ plane.
  • Such inclination makes it possible to simulate, for the patient, a rising slope and / or a downward slope.
  • the walking training device 100 comprises a tilting system 160 adapted to incline the frame block 101 formed of the frame 130 and the conveyor belt 120. , compared to the XZ plane.
  • the frame unit 1 as previously described, is mounted in an external structure 170 and connected to said external structure by the inclination system 160.
  • This inclination system 160 can be controlled to move, in the Y direction, at least a portion of the frame block 1 10 so that said frame block is inclined at a predetermined angle with respect to the XZ plane.
  • the inclination system 1 60 may comprise, for example, at least two cylinders 1 61 -1 64 positioned between the external structure 170 and the frame 130.
  • the cylinders can be two in number, for example the jacks 1 61 and 162, positioned at opposite positions of each other of the frame.
  • one of the cylinders is positioned at the front of the carpet while the other cylinder is positioned at the rear of the carpet.
  • the two jacks 1 61, 1 62 are positioned on either side of the diagonal of said frame unit, as shown schematically in FIG. 6A.
  • the opposed jacks 1 61, 1 62 are fixed on the external structure 170 by pivotal links so as to allow an inclination in one direction or the other of the treadmill 120.
  • the activation of the jacks 1 61 and / or 162 allows to generate a positive slope (rising slope) or a negative slope (downward slope) of a variable angle.
  • the inclination of the two opposing cylinders 61, 162 allows a relatively high degree of slope for a reduced cylinder stroke.
  • the inclination system 1 60 may comprise two jacks 161, 1 64 distributed on the same half of the frame unit and a pivot 1 65 fixed on the other half of the frame unit 1 10, as shown diagrammatically in the figure 6B.
  • the two cylinders 1 61, 1 64 can be both attached to the front of the frame block 1 10, by ball joints on the outer structure 170 and by pivot connections on the block frame.
  • the pivot 1 65 is then attached to the rear of the frame unit.
  • the two jacks 1 61, 164 can be both fixed on the same half-circumference of the frame block 1 10, by ball joints on the outer structure 170 and by pivot links on the chassis block.
  • the pivot 1 65 is then fixed on the other half-circumference of the frame block, as shown in Figure 6B.
  • this variant only a portion of the frame block rises relative to the XZ plane while the other part pivots.
  • This variant relatively simple to use, allows a stronger attachment but a lower degree of slope than the variant of Figure 6A.
  • the inclination system 160 may comprise three jacks 1 61, 1 63, 1 64 distributed over the contour of the chassis unit, as shown schematically in FIG. 6C. They can be distributed, for example, so as to form an equilateral triangle. Each cylinder 161, 1 63, 1 64 can be fixed by a ball joint connection to the chassis block and by a pivot connection on the external structure 170.
  • This variant makes it possible to generate all kinds of inclinations, which makes it possible, for example, to simulate a displacement on variable slopes.
  • the gait training device comprises various variants, modifications and improvements which will become apparent to those skilled in the art, being understood that these variants, modifications and improvements are within the scope of the invention.

Landscapes

  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Rehabilitation Tools (AREA)

Abstract

The invention relates to a gait training device (100) comprising a treadmill (120) comprising a belt (121) and rolling parts (122-124), and a frame (130) on which the treadmill is mounted, the rolling parts comprising: - a plurality of balls (122-124) distributed around a central core (126), and - a cage (125) enclosing the plurality of balls in order to keep said balls on the central core while allowing them to be movable relative to said central core, the belt (121) being able to slide over the balls and rotate said balls on the central core.

Description

DISPOSITIF D'ENTRAÎNEMENT A LA MARCHE  DEVICE FOR TRAINING ON THE MARKET
DOMAINE TECHNIQUE TECHNICAL AREA
La présente invention concerne un dispositif d'entraînement à la marche, notamment pour la rééducation de patients présentant des blessures ou des troubles de la marche ou pour l'entraînement de sportifs. L'invention trouve des applications dans le domaine médical, par exemple pour la rééducation en traumatologie, rhumatologie et neurologie, ou dans le domaine sportif pour l'entraînement à la marche ou à la course à pied ou encore dans le domaine des simulateurs et jeux vidéo pour simuler le déplacement d'un utilisateur. The present invention relates to a training device for walking, in particular for the rehabilitation of patients with injuries or disorders of walking or for training sportsmen. The invention has applications in the medical field, for example for rehabilitation in trauma, rheumatology and neurology, or in the sports field for training in walking or running or in the field of simulators and games video to simulate the movement of a user.
ETAT DE LA TECHNIQUE STATE OF THE ART
Des tapis de marche sont connus, tant dans le domaine médical que dans le domaine sportif, pour entraîner un patient, un sportif ou tout autre utilisateur à la marche ou à la course à pied. Ces tapis de marche permettent une répétition du nombre de pas à des vitesses, voire des pentes, différentes. Walking mats are known, both in the medical field and in sports, to train a patient, an athlete or any other user to walk or run. These treadmills allow a repetition of the number of steps at different speeds or even slopes.
De nombreuses études médicales ont démontré l'intérêt de ces tapis de marche pour la rééducation de patients présentant des blessures ou des affections rhumatologiques ou neurologiques ou chez des patients âgés pour l'entraînement à la marche. En effet, il a été démontré que l'utilisation d'un tapis de marche améliore les performances à la marche de ces patients par rapport à une rééducation classique pratiquée uniquement avec l'aide d'un thérapeute.  Many medical studies have demonstrated the value of these treadmills for the rehabilitation of patients with wounds or rheumatological or neurological conditions or in elderly patients for walking training. Indeed, it has been shown that the use of a treadmill improves the walking performance of these patients compared to conventional rehabilitation practiced only with the help of a therapist.
Dans le domaine sportif, que ce soit pour l'entraînement d'un sportif de haut niveau ou pour la pratique d'une activité physique occasionnelle, le tapis de marche permet de reproduire, en intérieur, la marche ou la course pratiquée généralement en plein air, avec des effets sensiblement identiques sur l'organisme.  In the sports field, whether for the training of a high-level athlete or for occasional physical activity, the treadmill is used to reproduce, indoors, walking or running usually in the open air, with substantially identical effects on the body.
Un tapis de marche classique, tel que celui représenté sur la figure 1 et référencé 10, comporte généralement un châssis 1 1 dans lequel une bande de roulement 12 est déplacée. Cette bande de roulement 12 est une bande sans fin, c'est-à-dire formant une boucle fermée, en matériau souple entraînée et supportée par des poulies ou tambours 13. Les poulies et/ou tambours 13 sont montés transversalement dans le châssis 1 1 , à l'intérieur de la bande de roulement de sorte que ladite bande de roulement soit en tension entre les deux poulies et/ou tambours 13. Les poulies et/ou tambours 13 sont entraînés en rotation par un moteur non représenté sur la figure 1 mais généralement logé dans le châssis, de sorte à faire défiler la bande de roulement. A conventional treadmill, such as that shown in Figure 1 and referenced 10, generally comprises a frame 1 1 in which a tread 12 is moved. This tread 12 is an endless band, that is to say forming a closed loop, of flexible material driven and supported by pulleys or drums 13. The pulleys and / or drums 13 are mounted transversely in the frame 1 1, inside the tread so that said tread is in tension between the two pulleys and / or drums 13. The pulleys and / or drums 13 are rotated by a motor not shown in FIG. 1 but generally accommodated in the chassis, so as to scroll the tread.
Un tapis de marche 10 classique comporte généralement une console 15 munie d'un clavier de commande pour commander, par exemple, le démarrage, l'arrêt, la vitesse et parfois l'inclinaison de la bande de roulement 12 et d'un écran pour visualiser des données de vitesse et de pente et/ou des données médicales.  A conventional treadmill 10 generally comprises a console 15 provided with a control keyboard for controlling, for example, starting, stopping, speed and sometimes inclination of the tread 12 and a screen for visualize speed and slope data and / or medical data.
En outre, un tapis de marche classique comporte généralement des bras de maintien 14, fixés au châssis et positionnés sensiblement à la verticale de la bande de roulement 12. Ces bras de maintien 14 peuvent être des poignées de préhension qui permettent à l'utilisateur de synchroniser ses mouvements avec le défilement de la bande de roulement, en particulier lorsque le tapis de marche est utilisé pour des applications sportives. Les bras de maintien 14 peuvent également être des barres parallèles, telles que représentées sur la figure 1 , qui permettent un appui brachial de l'utilisateur lors du déplacement de ses jambes, en particulier lorsque le tapis de marche est utilisé à des fins médicales.  In addition, a conventional tread generally comprises holding arms 14, fixed to the frame and positioned substantially vertically of the tread 12. These holding arms 14 may be gripping handles that allow the user to synchronize its movements with the running of the tread, especially when the treadmill is used for sports applications. The holding arms 14 may also be parallel bars, as shown in Figure 1, which allow a brachial support of the user during the movement of his legs, especially when the treadmill is used for medical purposes.
Les tapis de marche classiques présentent un inconvénient en termes d'adaptabilité. En effet, même si les conditions de défilement de la bande de roulement (vitesse de défilement et inclinaison) peuvent varier, ces conditions répondent à des paramètres prédéfinis, déterminés indépendamment de l'utilisateur. L'utilisateur, ou son thérapeute, peut choisir les conditions de défilement de la bande de roulement parmi une sélection de conditions prédéterminées, mais cette sélection de conditions est invariable quel que soit l'utilisateur du tapis. L'utilisateur doit donc s'adapter au rythme de défilement de la bande de roulement. Or, certains patients, notamment ceux présentant des troubles de la marche, ont des difficultés à suivre un rythme de marche régulier et continu. Pour ces patients, marcher sur une bande de roulement présentant un défilement régulier et continu est générateur de chutes. Ces patients ne peuvent utiliser un tapis de marche seul. Un thérapeute doit veiller à chaque instant sur chacun d'eux afin de pouvoir intervenir rapidement en cas de chute ou de risque de chute.  Conventional treadmills have a disadvantage in terms of adaptability. Indeed, even if the conditions of running of the tread (speed of movement and inclination) can vary, these conditions respond to predefined parameters determined independently of the user. The user, or his therapist, can choose the tread conditions from among a selection of predetermined conditions, but this selection of conditions is invariable regardless of the user of the treadmill. The user must therefore adapt to the running rate of the tread. However, some patients, particularly those with walking disorders, have difficulty in following a steady and steady pace of walking. For these patients, walking on a tread with regular and continuous scrolling is a generator of falls. These patients can not use a treadmill alone. A therapist must watch every moment on each of them in order to be able to intervene quickly in case of fall or risk of falling.
RESUME DE L'INVENTION Pour répondre au problème évoqué ci-dessus de l'adaptabilité de l'utilisateur au rythme de défilement de la bande de roulement, le demandeur propose un dispositif d'entraînement à la marche dans lequel le rythme de défilement de la bande de roulement est imposée par l'utilisateur et non par la machine. SUMMARY OF THE INVENTION In response to the above-mentioned problem of the user's adaptability to the running rate of the tread, the applicant proposes a walking training device in which the rate of travel of the tread is imposed. by the user and not by the machine.
Selon un premier aspect, l'invention concerne un dispositif d'entraînement à la marche comportant :  According to a first aspect, the invention relates to a walking training device comprising:
- un tapis roulant comprenant une bande de roulement et des organes de roulement, et  a treadmill comprising a tread and rolling members, and
- un châssis sur lequel est monté le tapis roulant.  - a chassis on which the treadmill is mounted.
Ce dispositif se caractérise par le fait qu'il comporte un noyau central constituant une structure de support des organes de roulement et de la bande de roulement, et en ce que les organes de roulement comportent :  This device is characterized in that it comprises a central core constituting a support structure for the rolling members and the tread, and in that the rolling members comprise:
- une pluralité de billes réparties autour du noyau central, ledit noyau central comportant une pluralité de premiers logements adaptés pour recevoir chacun une des billes, et  a plurality of balls distributed around the central core, said central core comprising a plurality of first housings adapted to each receive one of the balls, and
- une cage emprisonnant la pluralité de billes pour maintenir lesdites billes sur le noyau central en autorisant leur mobilité par rapport audit noyau central, la bande de roulement étant apte à glisser sur les billes et à entraîner lesdites billes en rotation sur le noyau central.  - A cage trapping the plurality of balls to maintain said balls on the central core by allowing their mobility relative to said central core, the tread being adapted to slide on the balls and to drive said balls in rotation on the central core.
Dans ce dispositif, la bande de roulement est entraînée en déplacement au fur et à mesure des pas de l'utilisateur. C'est donc l'utilisateur lui-même qui impose la vitesse de déplacement de la bande de roulement.  In this device, the tread is driven in displacement as the steps of the user. It is therefore the user himself who imposes the speed of displacement of the tread.
Dans la description qui va suivre, le dispositif d'entraînement à la marche sera décrit en référence à un repère orthonormé XYZ, dans lequel le plan XZ est un plan parallèle à la surface du sol sur lequel est posé le dispositif d'entraînement à la marche et dans lequel l'axe Y est un axe perpendiculaire au plan XZ.  In the following description, the gait training device will be described with reference to an orthonormal marker XYZ, in which the plane XZ is a plane parallel to the surface of the ground on which the training device is placed. and in which the Y axis is an axis perpendicular to the XZ plane.
En outre, dans cette description, l'aménagement des billes du dispositif sera décrit en référence au noyau central qui constitue l'embase du tapis roulant, c'est-à- dire la structure de support des organes de roulement et de la bande de roulement. Ce noyau central a une surface et une sous-face, dans des plans sensiblement parallèles, et une circonférence ou pourtour perpendiculaire aux plans de surface et de sous-face. La surface est la face du noyau central la plus proche de la surface de marche de l'utilisateur. La sous-face est la face, opposée à la surface, la plus proche de la surface du sol. In addition, in this description, the arrangement of the balls of the device will be described with reference to the central core which constitutes the base of the conveyor belt, that is to say the support structure of the running gear and the tire strip. rolling. This central core has a surface and an underside, in substantially parallel planes, and a circumference or periphery perpendicular to the surface and sub-surface planes. The surface is the face of the central core closest to the user's walking surface. The underside is the face, opposite to the surface, the nearest of the soil surface.
Dans la description, on comprendra par « autour du noyau central », toutes les faces, surfaces, contours et/ou sous-faces du noyau central le long desquelles la bande de roulement est susceptible de se déplacer.  In the description, "around the central core" will be understood to mean all the faces, surfaces, contours and / or sub-faces of the central core along which the tread is likely to move.
De façon avantageuse, la bande de roulement enveloppe le noyau central, la cage et la pluralité de billes. Ainsi, la bande de roulement peut être déplacée dans toutes les directions de la surface de marche.  Advantageously, the tread surrounds the central core, the cage and the plurality of balls. Thus, the tread can be moved in all directions of the walking surface.
Avantageusement, la pluralité de billes comporte des billes de glissement réparties en surface du noyau central et logées dans des premiers logements dudit noyau central. Ces billes de glissement permettent le glissement de la bande de roulement sur la surface du noyau central.  Advantageously, the plurality of balls comprises sliding balls distributed on the surface of the central core and housed in first housings of said central core. These sliding balls allow the sliding of the tread on the surface of the central core.
Avantageusement, la pluralité de billes comporte des billes de support réparties en sous-face du noyau central et logées dans des premiers logements dudit noyau central. Ces billes de support permettent le déplacement de la bande de roulement.  Advantageously, the plurality of balls comprises support balls distributed in the underside of the central core and housed in first housings of said central core. These support balls allow the displacement of the tread.
Avantageusement, les billes de glissement ont un diamètre inférieur au diamètre des billes de support.  Advantageously, the sliding balls have a diameter smaller than the diameter of the support balls.
Avantageusement, le châssis comporte une paroi interne équipée de seconds logements, les seconds logements étant adaptés pour recevoir au moins des billes de support accolées aux billes de support du noyau central.  Advantageously, the frame comprises an inner wall equipped with second housings, the second housing being adapted to receive at least support balls contiguous to the support balls of the central core.
Avantageusement, les billes de support du châssis et les billes de support du noyau central sont ménagées respectivement de part et d'autre de la bande de roulement. Cet aménagement des billes permet à la bande de roulement de se déplacer de façon continue, fluide, sans à-coup, ce qui permet à l'utilisateur de se déplacer sur la tapis roulant comme sur un sol.  Advantageously, the support balls of the frame and the support balls of the central core are formed respectively on either side of the tread. This arrangement of the balls allows the tread to move smoothly, smoothly, smoothly, allowing the user to move on the treadmill as on a floor.
Avantageusement, la pluralité de billes comporte des billes ou rouleaux de positionnement positionnés latéralement sur le noyau central et logés dans des premiers logements dudit noyau central.  Advantageously, the plurality of balls comprises positioning balls or rollers positioned laterally on the central core and housed in first housings of said central core.
Avantageusement, le châssis comporte des billes ou rouleaux de positionnement logés dans des seconds logements du châssis et accolés chacun à une bille ou rouleau de positionnement du noyau central.  Advantageously, the chassis comprises positioning balls or rollers housed in the second housing of the frame and each contiguous to a ball or roller positioning the central core.
Avantageusement, les billes ou rouleaux de positionnement du châssis et les billes ou rouleaux de positionnement du noyau central sont ménagés respectivement de part et d'autre de la bande de roulement. Cet aménagement des billes ou rouleaux de positionnement participent à la fluidité de déplacement de la bande de roulement. Advantageously, the positioning balls or rollers of the chassis and the positioning balls or rollers of the central core are formed respectively on either side of the tread. This arrangement of the balls or positioning rollers contribute to the fluidity of movement of the tread.
Avantageusement, le dispositif d'entraînement à la marche comporte un dispositif de sécurité et/ou un dispositif de retenue de l'utilisateur apte à être positionné à la verticale du châssis de sorte à rassurer et/ou aider au maintien de l'utilisateur, en particulier lorsque celui-ci est un patient ayant des troubles de la marche.  Advantageously, the gait training device comprises a safety device and / or a user retaining device able to be positioned vertically to the chassis so as to reassure and / or help maintain the user, especially when he is a patient with walking disorders.
De façon avantageuse, le dispositif d'entraînement à la marche comporte une structure externe dans laquelle est monté l'ensemble formé du châssis et du tapis roulant, et un système d'inclinaison reliant le châssis et la structure externe pour incliner ledit châssis par rapport à la structure externe. Une telle configuration du dispositif permet de simuler un sol en pente et d'entraîner un utilisateur à la marche en pente.  Advantageously, the walking training device comprises an external structure in which is mounted the assembly formed of the frame and the treadmill, and a tilting system connecting the frame and the external structure to tilt said frame relative to the external structure. Such a configuration of the device makes it possible to simulate a sloping ground and to drive a user to walk on a slope.
BREVE DESCRIPTION DES FIGURES D'autres avantages et caractéristiques de l'invention apparaîtront à la lecture de la description, illustrée par les figures dans lesquelles : BRIEF DESCRIPTION OF THE FIGURES Other advantages and characteristics of the invention will appear on reading the description, illustrated by the figures in which:
- La figure 1 représente un exemple de tapis de marche selon l'art antérieur. - Figure 1 shows an example of treadmill according to the prior art.
- Les figures 2A et 2B représentent des vues, respectivement de face et en perspective, d'un exemple de dispositif d'entraînement à la marche selon l'invention. FIGS. 2A and 2B show views, respectively from the front and in perspective, of an example of a walking training device according to the invention.
- La figure 3 représente schématiquement un exemple de tapis roulant du dispositif d'entraînement à la marche de la figure 2. FIG. 3 diagrammatically represents an example of a treadmill of the walking training device of FIG. 2.
- La figure 4 représente schématiquement un exemple du tapis roulant de la figure 3 monté dans un châssis du dispositif d'entraînement à la marche selon l'invention. - Figure 4 shows schematically an example of the treadmill of Figure 3 mounted in a frame of the walking device according to the invention.
- La figure 5 représente schématiquement un exemple du bloc châssis de la figure 4 monté dans une structure externe de sorte à être inclinable. - Figure 5 shows schematically an example of the frame block of Figure 4 mounted in an outer structure so as to be tilting.
- Les figures 6A, 6B et 6C représentent schématiquement des vues de dessus de différentes variantes du système d'inclinaison du bloc châssis dans la structure externe. DESCRIPTION DETAILLEE D'AU MOINS UN MODE DE REALISATION - Figures 6A, 6B and 6C schematically show top views of different variants of the tilt system of the frame block in the outer structure. DETAILED DESCRIPTION OF AT LEAST ONE EMBODIMENT
Un exemple de réalisation d'un dispositif d'entraînement à la marche dans lequel le rythme de défilement de la bande de roulement s'adapte à l'utilisateur est décrit en détail ci-après, en référence aux dessins annexés. Cet exemple illustre les caractéristiques et avantages de l'invention. Il est toutefois rappelé que l'invention ne se limite pas à cet exemple. An exemplary embodiment of a gait device in which the rate of travel of the tread adapts to the user is described in detail hereinafter with reference to the accompanying drawings. This example illustrates the features and advantages of the invention. However, it is recalled that the invention is not limited to this example.
Sur les figures, les éléments identiques sont repérés par des références identiques. Pour des questions de lisibilité des figures, les échelles de taille entre éléments représentés ne sont pas respectées.  In the figures, the identical elements are identified by identical references. For questions of readability of the figures, the size scales between elements represented are not respected.
Les figures 2A et 2B représentent une vue de côté et une vue en perspective du dispositif d'entraînement à la marche selon certains modes de réalisation de l'invention. Ce dispositif d'entraînement 100 comporte un tapis roulant 120 monté dans un châssis 130 posé au sol ou sur toute autre surface plane destinée à recevoir le dispositif d'entraînement 100. Le tapis roulant 120 est adapté pour être entraîné en mouvement par un patient ou tout autre utilisateur, en position de marche sur ledit tapis.  Figures 2A and 2B show a side view and a perspective view of the gait device according to some embodiments of the invention. This training device 100 comprises a treadmill 120 mounted in a frame 130 placed on the ground or on any other flat surface intended to receive the driving device 100. The treadmill 120 is adapted to be driven in motion by a patient or any other user, in walking position on said carpet.
Le châssis 130 est une structure rigide, par exemple en métal ou en plastique, creuse, dans laquelle est placé le tapis roulant 120. Le châssis 130 peut avoir, par exemple, une forme de bassine parallélépipédique ou cylindrique à col resserré permettant d'entourer le tapis roulant 120 tout en laissant libre la surface dudit tapis. L'ensemble constitué du tapis roulant 120 et du châssis 130 forme un bloc châssis 1 10. Dans certains modes de réalisation, le bloc châssis 1 10 est directement posé au sol ou sur toute surface plane parallèle au sol. Dans d'autres modes de réalisation, qui seront décrits par la suite, le bloc châssis 1 10 est monté dans une structure externe 170 posée au sol ou sur toute surface plane parallèle au sol.  The frame 130 is a rigid structure, for example made of metal or plastic, hollow, in which is placed the conveyor belt 120. The frame 130 may have, for example, a parallelepipedal or cylindrical basin shape with a narrow neck to surround the treadmill 120 while leaving free the surface of said carpet. The assembly consisting of the conveyor belt 120 and the frame 130 forms a frame unit 1 10. In some embodiments, the frame unit 1 10 is directly placed on the ground or on any flat surface parallel to the ground. In other embodiments, which will be described later, the frame unit 1 10 is mounted in an external structure 170 placed on the ground or on any flat surface parallel to the ground.
Le tapis roulant 120 comporte une bande de roulement 121 destinée à être déplacée par glissement sur des organes de roulement 122-124. En effet, comme cela sera décrit plus en détail par la suite, l'utilisateur effectuant des pas sur le tapis génère un déplacement de la bande de roulement sur les organes de roulement. Ces organes de roulement comportent, comme représenté sur la figure 3, une pluralité de billes 122-124 réparties autour d'un noyau central 126 et logées dans ledit noyau. Le noyau central 126 peut être une plaque, par exemple parallélépipédique ou cylindrique, pleine ou partiellement creuse. Le noyau central 126 peut être réalisé, par exemple, en Titane - qui a l'avantage d'être très résistant - ou en Acier - qui a l'avantage d'être moins cher que le Titane - ou en Aluminium - qui a l'avantage d'être léger et de présenter un bon niveau hygiénique - ou encore en matériaux composites - qui ont l'avantage d'être particulièrement légers. Le noyau central 126 peut également être réalisé en utilisant plusieurs des matériaux précédemment cités comme, par exemple, un matériau composite pour l'ensemble du noyau avec des renforcements en Titane afin de rendre le noyau plus résistant aux chocs. The treadmill 120 comprises a tread 121 intended to be moved by sliding on rolling members 122-124. Indeed, as will be described in more detail later, the user taking steps on the belt generates a displacement of the tread on the running gear. These rolling members comprise, as shown in Figure 3, a plurality of balls 122-124 distributed around a central core 126 and housed in said core. The central core 126 may be a plate, for example parallelepipedal or cylindrical, solid or partially hollow. The central core 126 can be made, for example, Titanium - which has the advantage of being very resistant - or Steel - which has the advantage of being cheaper than Titanium - or Aluminum - which has the advantage of being lightweight and have a good hygienic level - or even in composite materials - which have the advantage of being particularly light. The central core 126 may also be made using several of the aforementioned materials such as, for example, a composite material for the entire core with titanium reinforcements to make the core more impact resistant.
Le noyau central 126 peut comporter une pluralité de logements 127, appelés premiers logements, adaptés pour recevoir chacun une des billes 122-124. Dans certaines variantes, chaque logement 127 est creusé dans la matière formant le noyau central 126. Dans d'autres variantes, le noyau central 126 est fabriqué, par exemple par moulage, avec la pluralité de logements 127. En fonction du matériau choisi pour le noyau central 126, des renforcements, par exemple en Titane, peuvent être disposés dans les logements ou au voisinage desdits logements 127 afin de renforcer la structure du noyau et/ou faciliter le glissement des billes 122-124 dans leurs logements respectifs.  The central core 126 may comprise a plurality of housings 127, called first housings, adapted to each receive one of the balls 122-124. In some embodiments, each housing 127 is hollowed out of the material forming the central core 126. In other embodiments, the central core 126 is manufactured, for example by molding, with the plurality of housings 127. Depending on the material chosen for the central core 126, reinforcements, for example titanium, may be arranged in the housing or in the vicinity of said housing 127 to strengthen the core structure and / or facilitate the sliding of the balls 122-124 in their respective housings.
Une cage 125 est prévue autour du noyau central 126 pour emprisonner les billes 122-124 afin de les maintenir dans leur logement respectif 127 tout en autorisant leur mobilité dans ledit logement. La cage 125 du noyau central peut être une boîte - de forme sensiblement identique à celle du noyau central 126 mais de dimensions sensiblement supérieures - dont les parois comportent des ouvertures en regard des logements 127 du noyau central 126. Selon une variante, la cage 125 peut être une armature rigide ou semi-rigide, de type treillis, comportant des ouvertures en regard des logements 127 du noyau central 126. Les ouvertures dans la boîte ou dans l'armature ont des dimensions permettant la traversée partielle des billes 122-124, c'est-à-dire la traversée d'une portion inférieure à la moitié de la sphère formant chacune des billes, cette portion étant appelée « partie externe des billes ». Ainsi, chacune des billes 122-124 est placée dans un logement 127 du noyau central 126 et passe en partie à travers une ouverture de la cage 125 de sorte à dépasser de ladite cage tout en restant maintenue entre le noyau central 126 et la cage 125.  A cage 125 is provided around the central core 126 to trap the balls 122-124 to maintain them in their respective housing 127 while allowing their mobility in said housing. The cage 125 of the central core may be a box - of substantially identical shape to that of the central core 126 but substantially larger - whose walls have openings facing the housing 127 of the central core 126. According to one variant, the cage 125 may be a rigid or semi-rigid reinforcement, of the lattice type, having openings facing the housings 127 of the central core 126. The openings in the box or in the reinforcement have dimensions allowing partial traversing of the balls 122-124, that is to say the crossing of a portion less than half of the sphere forming each of the balls, this portion being called "external part of the balls". Thus, each of the balls 122-124 is placed in a housing 127 of the central core 126 and passes partly through an opening of the cage 125 so as to protrude from said cage while being maintained between the central core 126 and the cage 125 .
La bande de roulement 121 est une enveloppe réalisée dans un matériau souple, de type tissu ou caoutchouc, montée et tendue autour des billes 122-124. Le matériau dans lequel est formé la bande de roulement 121 présente une élasticité et une structure prédéterminées permettant de former une enveloppe qui entoure la totalité de l'ensemble formé du noyau central 126, de la cage 125 et des billes 122- 124. La bande de roulement 121 est donc en contact avec la partie externe de chaque bille 122-124, c'est-à-dire avec la partie de chacune des billes qui est en- dehors de la cage 125. De cette façon, tout déplacement de la bande de roulement 121 est accompagné d'une rotation des billes 122-124 dans leurs logements 127 respectifs. The tread 121 is an envelope made of a flexible material, of fabric or rubber type, mounted and stretched around the balls 122-124. The The material in which the tread 121 is formed has a predetermined elasticity and structure for forming an envelope which surrounds the entire assembly formed of the central core 126, the cage 125 and the balls 122-124. bearing 121 is in contact with the outer part of each ball 122-124, that is to say with the part of each of the balls which is outside the cage 125. In this way, any displacement of the strip 121 is accompanied by a rotation of the balls 122-124 in their respective housing 127.
Le tapis roulant 120 peut prendre la forme, par exemple, d'un pavé droit ou d'un cylindre dont la hauteur est petite devant les dimensions latérales (si pavé droit) ou radiales (si cylindre). Autrement dit, la section du tapis roulant 120 peut avoir une forme de parallélogramme, par exemple de rectangle, ou une forme de disque. Dans les exemples des figures 2A et 2B, le tapis roulant 120 a une forme de cylindre plat et comporte un noyau central 126 cylindrique, entouré d'une cage 125 cylindrique, elle-même entourée d'une bande de roulement 121 formant une enveloppe cylindrique.  The treadmill 120 may take the form, for example, of a right block or a cylinder whose height is small in front of the lateral dimensions (if right pad) or radial (if cylinder). In other words, the section of the treadmill 120 may have a parallelogram shape, for example a rectangle, or a disk shape. In the examples of FIGS. 2A and 2B, the treadmill 120 has a flat cylinder shape and comprises a cylindrical central core 126, surrounded by a cylindrical cage 125, itself surrounded by a tread 121 forming a cylindrical envelope. .
Des logements 127, destinés à accueillir chacun une des billes 122-124, sont répartis sur la surface 126a et la sous-face 126b du noyau central cylindrique 126 ainsi que sur sa circonférence 126c. Selon certains modes de réalisation, et comme représenté dans l'exemple de la figure 3, les billes 122-124 sont réparties sur le noyau central 126 suivant leur fonction. Par exemple, des billes de glissement 122, destinées à assurer le glissement de la bande de roulement 121 , sont réparties sur la surface 126a du noyau central ; des billes de support 124, destinées à supporter le noyau central 126 et assurer le déplacement de la bande de roulement 121 , sont réparties sur la sous-face 126b du noyau central ; des billes de positionnement 123, destinées à assurer le positionnement du noyau central dans le châssis et le déplacement de la bande de roulement 121 , sont réparties sur la circonférence dudit noyau central 126.  Housing 127, each intended to accommodate one of the balls 122-124, are distributed on the surface 126a and the underside 126b of the central cylindrical core 126 and on its circumference 126c. According to some embodiments, and as shown in the example of Figure 3, the balls 122-124 are distributed on the central core 126 according to their function. For example, sliding balls 122, intended to ensure the sliding of the tread 121, are distributed over the surface 126a of the central core; support balls 124, intended to support the central core 126 and ensure the displacement of the tread 121, are distributed on the underside 126b of the central core; positioning balls 123, intended to ensure the positioning of the central core in the chassis and the displacement of the tread 121, are distributed over the circumference of said central core 126.
Les billes de glissement 122 sont, selon certains modes de réalisation, de dimensions inférieures aux dimensions des billes de support 124 et des billes de positionnement 123. Les billes de glissement 122 ont de préférence un diamètre inférieur à 10mm de sorte à assurer, à l'utilisateur, une sensation de platitude lors de la marche. Elles peuvent avoir, par exemple, un diamètre de 5mm. La petite dimension des billes de glissement 122, par rapport aux billes de support et aux billes de positionnement, permet à la bande de roulement 121 de glisser sur le noyau central 126, c'est-à-dire de se déplacer de façon continue et fluide, en développant un effort minimum. Elle permet en outre à l'utilisateur de ne pas ressentir, sous ses pieds, les ondulations des billes et de lui donner la sensation de marcher sur une structure plate comme un sol. The sliding balls 122 are, according to some embodiments, of dimensions smaller than the dimensions of the support balls 124 and positioning balls 123. The sliding balls 122 preferably have a diameter of less than 10 mm so as to ensure user, a feeling of flatness when walking. They may have, for example, a diameter of 5mm. The little the size of the sliding balls 122, relative to the support balls and the positioning balls, allows the tread 121 to slide on the central core 126, that is to say to move in a continuous and fluid manner, by developing a minimum effort. It also allows the user not to feel, under his feet, the undulations of the balls and to give him the feeling of walking on a flat structure such as soil.
Les billes de support 124 et les billes de positionnement 123 sont des billes de dimensions supérieures aux dimensions des billes de glissement 122 et dont le rôle est d'assurer le déplacement de la bande de roulement autour du noyau central 126. Dans une variante, les billes de support 124 et 134 ont un diamètre supérieur à celui des billes de positionnement 123 et 133. Les billes de positionnement 123, 133 peuvent présenter, par exemple, un diamètre de l'ordre de dix fois le diamètre des billes de glissement 122. Les billes de support 124, 134 peuvent présenter, par exemple, un diamètre de l'ordre de vingt fois le diamètre des billes de glissement 122. En particulier, les billes de positionnement peuvent avoir un diamètre de 50mm et les billes de support un diamètre de 100mm.  The support balls 124 and the positioning balls 123 are balls of dimensions greater than the dimensions of the sliding balls 122 and whose role is to ensure the displacement of the tread around the central core 126. In a variant, the Support balls 124 and 134 have a diameter greater than that of the positioning balls 123 and 133. The positioning balls 123, 133 may have, for example, a diameter of the order of ten times the diameter of the sliding balls 122. The support balls 124, 134 may have, for example, a diameter of the order of twenty times the diameter of the sliding balls 122. In particular, the positioning balls may have a diameter of 50 mm and the support balls a diameter of 100mm.
Ces billes de support 124 et de positionnement 123 sont associées, chacune, à une bille identique, positionnée dans le châssis. Chaque bille de support 124 et de positionnement 123 du tapis roulant 120 est adaptée pour interagir avec, respectivement, une bille de support 134 et une bille de positionnement 133 du châssis 130. Des exemples de couples de billes de support 124, 134 et de couples de billes de positionnement 123, 133 sont représentés sur la figure 4. Comme montré sur la figure 4, les billes de support 134 du châssis 130 et les billes de positionnement 133 du châssis 130 sont logées dans des logements 137, appelés seconds logements, ménagés dans la paroi interne 131 du châssis 130. Une cage de châssis 135 est montée au moins partiellement le long de la paroi interne 131 du châssis de sorte à maintenir les billes de support 134 et de positionnement 133 dans leurs logements 137. Comme pour la cage 125 du noyau central, la cage 135 du châssis peut être une armature rigide ou semi-rigide, de type treillis, comportant des ouvertures en regard des logements 137 du châssis. Selon une variante, la cage 135 du châssis peut être un réceptacle en forme de U - avec des dimensions sensiblement inférieures aux dimensions de la paroir interne 131 - dont les parois comportent des ouvertures en regard des logements 137 du châssis 130. Les ouvertures dans le réceptacle ou dans l'armature ont des dimensions permettant la traversée partielle des billes 133-134, c'est-à-dire la traversée d'une portion inférieure à la moitié de la sphère formant chacune des billes, cette portion étant appelée « partie externe des billes ». Ainsi, chacune des billes 133-134 est placée dans un logement 137 du châssis 130 et passe en partie à travers une ouverture de la cage 135 de sorte à dépasser de ladite cage tout en restant maintenue entre le châssis 130 et la cage de châssis 135. These support balls 124 and positioning 123 are each associated with an identical ball, positioned in the frame. Each support ball 124 and positioning 123 of the treadmill 120 is adapted to interact with, respectively, a support ball 134 and a positioning ball 133 of the frame 130. Examples of pairs of support balls 124, 134 and pairs positioning balls 123, 133 are shown in Figure 4. As shown in Figure 4, the support balls 134 of the frame 130 and the positioning balls 133 of the frame 130 are housed in housings 137, called second housings, arranged in the inner wall 131 of the frame 130. A frame cage 135 is mounted at least partially along the inner wall 131 of the frame so as to maintain the support balls 134 and positioning 133 in their housings 137. As for the cage 125 of the central core, the cage 135 of the frame may be a rigid or semi-rigid frame type trellis having openings facing the housing 137 of the frame. According to a variant, the cage 135 of the frame may be a U-shaped receptacle - with dimensions substantially smaller than the dimensions of the inner pane 131 - whose walls have openings facing the housings 137 of the frame 130. openings in the receptacle or in the frame have dimensions allowing the partial crossing of the balls 133-134, that is to say the crossing of a portion less than half of the sphere forming each of the balls, this portion being called "outer part of the balls". Thus, each of the balls 133-134 is placed in a housing 137 of the frame 130 and passes partly through an opening of the cage 135 so as to protrude from said cage while remaining between the frame 130 and the frame cage 135 .
1 . Les billes de support 124 du noyau central et les billes de support 134 du châssis sont des billes identiques, de mêmes dimensions et réalisées dans le même matériau. Chaque bille de support 124 est positionnée en regard d'une bille de support 134 et est séparée de ladite bille 134 par la bande de roulement 121 . Chaque bille de support 134 est montée par liaison rotule dans un logement 137 du châssis.  1. The support balls 124 of the central core and the support balls 134 of the frame are identical balls, of the same dimensions and made of the same material. Each support ball 124 is positioned opposite a support ball 134 and is separated from said ball 134 by the tread 121. Each support ball 134 is mounted by ball joint in a housing 137 of the frame.
De même, les billes de positionnement 123 du noyau central et les billes de positionnement 133 du châssis sont des billes identiques, de mêmes dimensions et réalisées dans le même matériau. Chaque bille de positionnement 123 est positionnée en regard d'une bille de positionnement 133 et est séparée de ladite bille 133 par la bande de roulement 121 .  Similarly, the positioning balls 123 of the central core and the positioning balls 133 of the frame are identical balls, of the same dimensions and made of the same material. Each positioning ball 123 is positioned opposite a positioning ball 133 and is separated from said ball 133 by the tread 121.
Ainsi, la bande de roulement 121 , qui enveloppe le noyau central 126 et l'ensemble des billes 122-124 du noyau, est positionnée de sorte à séparer les billes de support 124 du noyau des billes de support 134 du châssis et les billes de positionnement 123 du noyau des billes de positionnement 133 du châssis. L'interaction entre les billes de support 124 du noyau et les billes de support 134 du châssis permet de limiter les zones de la bande de roulement en contact avec le châssis et/ou le noyau et donc limiter les frottements de la bande de roulement lors de ses déplacements. Le déplacement de la bande de roulement 121 sur les billes de glissement 122 est ainsi facilité de sorte que le patient ne perçoit pas ce déplacement sous ses pieds.  Thus, the tread 121, which surrounds the central core 126 and all the balls 122-124 of the core, is positioned so as to separate the support balls 124 from the core of the support balls 134 of the frame and the balls of positioning 123 of the core of the positioning balls 133 of the frame. The interaction between the support balls 124 of the core and the support balls 134 of the frame makes it possible to limit the areas of the tread in contact with the chassis and / or the core and thus limit the friction of the tread when of his displacements. The displacement of the tread 121 on the sliding balls 122 is thus facilitated so that the patient does not perceive this movement under his feet.
L'interaction entre les billes de positionnement 123 du noyau et les billes de positionnement 133 du châssis permet à la fois d'assurer le bon positionnement de la bande de roulement 121 autour du noyau central 126 et d'aider au déplacement de ladite bande de roulement sur les billes de roulement 122. Les billes de positionnement 123, 133 permettent, en outre, d'étirer la bande de roulement de sorte à ce qu'elle ne soit pas en contact avec la cage 125 du noyau central. The interaction between the positioning balls 123 of the core and the positioning balls 133 of the frame makes it possible both to ensure the proper positioning of the tread 121 around the central core 126 and to assist in the movement of said tread. bearing on the rolling balls 122. The balls of positioning 123, 133 further allow the tread to be stretched so that it is not in contact with the cage 125 of the central core.
Dans certains modes de réalisation, les billes de positionnement 123 et les billes de positionnement 133 se présentent sous une forme cylindrique, de type rouleaux, positionnés suivant des axes parallèles l'un à l'autre. Le déplacement de la bande de roulement 121 engendre donc une rotation de chacun des rouleaux 123, 133 dans des sens de rotation opposés.  In some embodiments, the positioning balls 123 and the positioning balls 133 are in a cylindrical, roll-like shape, positioned along axes parallel to each other. The displacement of the tread 121 thus causes a rotation of each of the rollers 123, 133 in opposite directions of rotation.
On comprend de ce qui précède que la structure du châssis 130 entoure le tapis roulant 120 excepté la face supérieure121 s de la bande de roulement 121 - appelée aussi surface de marche - qui est destinée à accueillir l'utilisateur. Lorsque l'utilisateur effectue des pas sur le tapis roulant 120, la bande de roulement 121 est entraînée en translation par les billes de glissement 122. Autrement dit, la bande de roulement glisse sur les billes de glissement. Les billes de positionnement 123, 133 et les billes de support 124, 134 accompagnent ce glissement de sorte que la bande de roulement puisse se translater dans toutes les directions du plan contenant la surface de marche 121 s. De cette façon, c'est l'utilisateur qui impose son rythme de marche au dispositif d'entraînement. L'utilisateur n'est donc pas contraint de s'adapter à un rythme imposé par la machine ; il peut évoluer à son rythme sur le tapis roulant et c'est la bande de roulement qui suit ses déplacements. Dans les applications au domaine médical, le dispositif d'entraînement tel qu'il vient d'être décrit favorise la proprioception avec des changements de rythme et de direction imprévisibles.  It is understood from the foregoing that the frame structure 130 surrounds the treadmill 120 except the upper face 121 of the tread 121 - also known as the walking surface - which is intended to accommodate the user. When the user takes steps on the treadmill 120, the tread 121 is driven in translation by the sliding balls 122. In other words, the tread slides on the sliding balls. The positioning balls 123, 133 and the support balls 124, 134 accompany this sliding so that the tread can be translated in all directions of the plane containing the walking surface 121 s. In this way, it is the user who imposes his walking pace on the training device. The user is not forced to adapt to a rhythm imposed by the machine; he can move at his own pace on the treadmill and it is the tread that follows his movements. In applications in the medical field, the training device as just described promotes proprioception with unpredictable changes in rhythm and direction.
Dans certains modes de réalisation, en particulier ceux appliqués au domaine médical représentés sur les figures 2A et 2B, le dispositif d'entraînement comporte un dispositif de sécurité 140 assurant notamment l'équilibre ou le maintien du patient. Ce dispositif de sécurité 140 peut comporter, par exemple, une structure annulaire 141 adaptée pour entourer le patient et délimiter un espace de marche. Cette structure annulaire 141 peut être équipée, en son centre, d'une bouée 142 de dimensions adaptables à la corpulence du patient. Cette bouée 142 peut être une couronne en plastique ou en caoutchouc dont la circonférence intérieure est variable et dont la circonférence extérieure est adaptée à la structure annulaire 141 .  In certain embodiments, in particular those applied to the medical field shown in FIGS. 2A and 2B, the training device comprises a safety device 140 ensuring in particular the balance or the maintenance of the patient. This safety device 140 may comprise, for example, an annular structure 141 adapted to surround the patient and define a walking space. This annular structure 141 may be equipped at its center with a buoy 142 of dimensions adaptable to the corpulence of the patient. This buoy 142 may be a plastic or rubber ring whose inner circumference is variable and whose outer circumference is adapted to the annular structure 141.
Dans une variante, la bouée 140 est une couronne creuse, remplie d'un gaz, par exemple de l'air, du type bouée d'enfant ou chambre à air. La pression du gaz à l'intérieur de la bouée 142 peut varier en fonction de la corpulence du patient ou du soutien souhaité. In a variant, the buoy 140 is a hollow ring filled with a gas, for example air, the type of child's buoy or inner tube. The pressure of the gas the inside of the buoy 142 may vary depending on the size of the patient or the desired support.
Dans une variante, la structure annulaire 141 et la bouée 142 peuvent être équipées d'un système de porte permettant d'ouvrir et de fermer la structure annulaire et la bouée pour permettre l'installation du patient sur le tapis roulant 120.  In a variant, the annular structure 141 and the buoy 142 may be equipped with a door system making it possible to open and close the annular structure and the buoy to allow the patient to be installed on the conveyor belt 120.
Le dispositif de sécurité 140 peut comporter, en outre, de pieds télescopiques 143 fixés sur la structure annulaire 141 pour assurer un déplacement vertical de ladite structure annulaire ainsi que de la bouée 142. Ces pieds télescopiques 143 peuvent être posés au sol, autour du châssis 130, ou bien fixés dans des embases 1 1 1 solidaires du châssis 130. Ces pieds télescopiques 143 permettent d'abaisser la structure annulaire et/ou la bouée pour permettre l'installation du patient sur le tapis roulant 120 et de les remonter pour maintenir le patient.  The safety device 140 may further comprise telescopic feet 143 fixed to the annular structure 141 to ensure a vertical displacement of said annular structure and the buoy 142. These telescopic legs 143 can be placed on the ground, around the frame 130, or fixed in bases 1 1 1 secured to the frame 130. These telescopic legs 143 allow to lower the annular structure and / or the buoy to allow the patient to be installed on the treadmill 120 and to reassemble to maintain the patient.
La bouée 142 peut être utilisée pour soutenir le patient et l'aider à conserver la position debout. Dans ce cas, la bouée doit être suffisamment gonflée pour ceinturer le patient. La bouée 142 peut également être utilisée pour aider le patient à garder l'équilibre et le rassurer. Dans ce cas, la bouée doit être plus légèrement gonflée de façon à entourer le patient sans le maintenir.  The buoy 142 can be used to support the patient and help him to maintain the standing position. In this case, the buoy must be inflated enough to surround the patient. Buoy 142 can also be used to help the patient maintain balance and reassurance. In this case, the buoy must be slightly inflated to surround the patient without holding it.
Le dispositif d'entraînement peut comporter également un système de retenue 150 du patient. Ce système de retenue peut se présenter sous la forme, par exemple, d'un baudrier 151 permettant de retenir le patient en cas de chute. Ce baudrier 151 peut être fixé sur la structure annulaire 141 , ou sur toute autre structure située au voisinage du tapis roulant 120, au moyen d'attaches 152. Ces attaches 152 peuvent être, par exemple, équipées d'un cliquet de blocage associé à un accéléromètre de sorte que le baudrier 151 est bloqué dès qu'un seuil d'accélération correspondant à une chute du patient est détecté.  The drive device may also include a patient restraint system 150. This restraint system may be in the form, for example, of a belt 151 to retain the patient in case of a fall. This shoulder belt 151 may be fixed on the annular structure 141, or on any other structure situated in the vicinity of the treadmill 120, by means of fasteners 152. These fasteners 152 may be, for example, equipped with a locking pawl associated with an accelerometer so that the shoulder 151 is blocked as soon as an acceleration threshold corresponding to a fall of the patient is detected.
Dans certains modes de réalisation, le dispositif d'entraînement à la marche comporte des moteurs connectés aux billes de support et/ou aux billes de positionnement afin de contrôler la vitesse de déplacement de la bande de roulement 121 et, en particulier, d'éviter toute accélération de ladite bande de roulement. Ces moteurs, positionnés dans châssis 130, par exemple au voisinage des billes de support 124, sont connectés à une unité de commande apte à contrôler la vitesse et/ou le sens de rotation des billes de support et/ou de positionnement. Dans certains modes de réalisation, le bloc châssis 1 10 tel qu'il vient d'être décrit est monté dans une structure externe 170, elle-même posée au sol. La structure externe 170 peut être réalisée, par exemple, dans le même matériau que le châssis 130 et présenter une forme similaire audit châssis mais de dimensions externes et internes supérieures de sorte que le bloc châssis dans son intégralité puisse être contenu dans la structure externe. Le bloc châssis 1 10 peut être fixé dans la structure externe 170. Le bloc châssis peut également être mobile dans la structure externe permettant ainsi d'incliner la surface 121 s du tapis roulant 120 par rapport à la surface du sol, c'est-à-dire par rapport au plan XZ. Une telle inclinaison permet de simuler, pour le patient, une pente montante et/ou une pente descendante. Dans ces modes de réalisation, dont un exemple est représenté sur la figure 5, le dispositif d'entraînement à la marche 100 comporte un système d'inclinaison 160 apte à incliner le bloc châssisl 1 0, formé du châssis 130 et du tapis roulant 120, par rapport au plan XZ. Dans ces modes de réalisation, le bloc châssis 1 10, tel que décrit précédemment, est monté dans une structure externe 170 et relié à ladite structure externe par le système d'inclinaison 160. Ce système d'inclinaison 160 peut être commandé pour déplacer, dans la direction Y, une partie au moins du bloc châssis 1 10 de sorte que ledit bloc châssis soit incliné d'un angle prédéterminé par rapport au plan XZ. In some embodiments, the gait device includes motors connected to the support balls and / or positioning balls to control the speed of travel of the tread 121 and, in particular, to avoid any acceleration of said tread. These motors, positioned in frame 130, for example in the vicinity of the support balls 124, are connected to a control unit able to control the speed and / or the direction of rotation of the support and / or positioning balls. In some embodiments, the chassis unit 1 10 as just described is mounted in an external structure 170, itself placed on the ground. The outer structure 170 may be made, for example, of the same material as the frame 130 and have a shape similar to said frame but of external and internal dimensions so that the entire frame unit can be contained in the outer structure. The frame unit 1 10 can be fixed in the external structure 170. The frame unit can also be movable in the external structure thus making it possible to incline the surface 121 s of the conveyor belt 120 with respect to the surface of the ground, that is, ie with respect to the XZ plane. Such inclination makes it possible to simulate, for the patient, a rising slope and / or a downward slope. In these embodiments, an example of which is shown in FIG. 5, the walking training device 100 comprises a tilting system 160 adapted to incline the frame block 101 formed of the frame 130 and the conveyor belt 120. , compared to the XZ plane. In these embodiments, the frame unit 1 10, as previously described, is mounted in an external structure 170 and connected to said external structure by the inclination system 160. This inclination system 160 can be controlled to move, in the Y direction, at least a portion of the frame block 1 10 so that said frame block is inclined at a predetermined angle with respect to the XZ plane.
Pour cela, le système d'inclinaison 1 60 peut comporter, par exemple, au moins deux vérins 1 61 -1 64 positionnés tous deux entre la structure externe 170 et le châssis 130. Les vérins peuvent être au nombre de deux, par exemple les vérins 1 61 et 162, positionnés à des emplacements opposés l'un de l'autre du châssis. Dans le cas d'un bloc châssis rectangulaire, l'un des vérins est positionné à l'avant du tapis tandis que l'autre vérin est positionné à l'arrière du tapis. Dans le cas d'un bloc châssis rond, les deux vérins 1 61 , 1 62 sont positionnés de part et d'autre de la diagonale dudit bloc châssis, comme représenté schématiquement sur la figure 6A. Les vérins 1 61 , 1 62 opposés sont fixés sur la structure externe 170 par des liaisons pivots de sorte à permettre une inclinaison dans un sens ou dans l'autre du tapis roulant 120. L'activation des vérins 1 61 et/ou 162 permet de générer une pente positive (pente montante) ou une pente négative (pente descendante) d'un angle variable. L'inclinaison des deux vérins en opposition 1 61 , 162 permet un degré de pente relativement élevé pour une course de vérin réduite. Selon une variante, le système d'inclinaison 1 60 peut comporter deux vérins 161 , 1 64 répartis sur une même moitié du bloc châssis et un pivot 1 65 fixé sur l'autre moitié du bloc châssis 1 10, comme représenté schématiquement sur la figure 6B. Dans le cas d'un bloc châssis rectangulaire, les deux vérins 1 61 , 1 64 peuvent être fixés tous deux à l'avant du bloc châssis 1 10, par des liaisons rotules sur la structure externe 170 et par des liaisons pivot sur le bloc châssis. Le pivot 1 65 est alors fixé à l'arrière du bloc châssis. Dans le cas d'un bloc châssis rond, les deux vérins 1 61 , 164 peuvent être fixés tous deux sur une même demi-circonférence du bloc châssis 1 10, par des liaisons rotules sur la structure externe 170 et par des liaisons pivot sur le bloc châssis. Le pivot 1 65 est alors fixé sur l'autre demi-circonférence du bloc châssis, comme représenté sur la figure 6B. Dans cette variante, une partie seulement du bloc châssis s'élève par rapport au plan XZ tandis que l'autre partie pivote. Cette variante, relativement simple d'utilisation, permet une fixation plus solide mais un degré de pente plus faible que la variante de la figure 6A. For this, the inclination system 1 60 may comprise, for example, at least two cylinders 1 61 -1 64 positioned between the external structure 170 and the frame 130. The cylinders can be two in number, for example the jacks 1 61 and 162, positioned at opposite positions of each other of the frame. In the case of a rectangular frame block, one of the cylinders is positioned at the front of the carpet while the other cylinder is positioned at the rear of the carpet. In the case of a round frame block, the two jacks 1 61, 1 62 are positioned on either side of the diagonal of said frame unit, as shown schematically in FIG. 6A. The opposed jacks 1 61, 1 62 are fixed on the external structure 170 by pivotal links so as to allow an inclination in one direction or the other of the treadmill 120. The activation of the jacks 1 61 and / or 162 allows to generate a positive slope (rising slope) or a negative slope (downward slope) of a variable angle. The inclination of the two opposing cylinders 61, 162 allows a relatively high degree of slope for a reduced cylinder stroke. According to one variant, the inclination system 1 60 may comprise two jacks 161, 1 64 distributed on the same half of the frame unit and a pivot 1 65 fixed on the other half of the frame unit 1 10, as shown diagrammatically in the figure 6B. In the case of a rectangular frame block, the two cylinders 1 61, 1 64 can be both attached to the front of the frame block 1 10, by ball joints on the outer structure 170 and by pivot connections on the block frame. The pivot 1 65 is then attached to the rear of the frame unit. In the case of a round frame block, the two jacks 1 61, 164 can be both fixed on the same half-circumference of the frame block 1 10, by ball joints on the outer structure 170 and by pivot links on the chassis block. The pivot 1 65 is then fixed on the other half-circumference of the frame block, as shown in Figure 6B. In this variant, only a portion of the frame block rises relative to the XZ plane while the other part pivots. This variant, relatively simple to use, allows a stronger attachment but a lower degree of slope than the variant of Figure 6A.
Selon une autre variante, le système d'inclinaison 160 peut comporter trois vérins 1 61 , 1 63, 1 64 répartis sur le contour du bloc châssis, comme représenté schématiquement sur la figure 6C. Ils peuvent être répartis, par exemple, de sorte à former un triangle équilatéral. Chaque vérin 161 , 1 63, 1 64 peut être fixé par une liaison rotule sur le bloc châssis et par une liaison pivot sur la structure externe 170. Cette variante permet de générer toutes sortes d'inclinaisons, ce qui permet de simuler par exemple un déplacement sur des pentes variables.  According to another variant, the inclination system 160 may comprise three jacks 1 61, 1 63, 1 64 distributed over the contour of the chassis unit, as shown schematically in FIG. 6C. They can be distributed, for example, so as to form an equilateral triangle. Each cylinder 161, 1 63, 1 64 can be fixed by a ball joint connection to the chassis block and by a pivot connection on the external structure 170. This variant makes it possible to generate all kinds of inclinations, which makes it possible, for example, to simulate a displacement on variable slopes.
Bien que décrit à travers un certain nombre d'exemples, variantes et modes de réalisation, le dispositif d'entraînement à la marche selon l'invention comprend divers variantes, modifications et perfectionnements qui apparaîtront de façon évidente à l'homme du métier, étant entendu que ces variantes, modifications et perfectionnements font partie de la portée de l'invention.  Although described through a number of examples, variants and embodiments, the gait training device according to the invention comprises various variants, modifications and improvements which will become apparent to those skilled in the art, being understood that these variants, modifications and improvements are within the scope of the invention.

Claims

REVENDICATIONS
1 . Dispositif d'entraînement à la marche (100) comportant : 1. Walking training device (100) comprising:
un tapis roulant (120) comprenant une bande de roulement (121 ) et des organes de roulement (122-124), et  a treadmill (120) comprising a tread (121) and rolling members (122-124), and
un châssis (130) sur lequel est monté le tapis roulant,  a chassis (130) on which the treadmill is mounted,
caractérisé en ce qu'il comporte un noyau central (126) constituant une structure de support des organes de roulement et de la bande de roulement, et characterized in that it comprises a central core (126) constituting a support structure for the rolling members and the tread, and
en ce que les organes de roulement comportent : in that the rolling members comprise:
- une pluralité de billes (122-124) réparties autour du noyau central (126), ledit noyau central comportant une pluralité de premiers logements (127) adaptés pour recevoir chacun une des billes (122-124), et a plurality of balls (122-124) distributed around the central core (126), said central core comprising a plurality of first housings (127) adapted to each receive one of the balls (122-124), and
une cage (125) emprisonnant la pluralité de billes pour maintenir lesdites billes sur le noyau central en autorisant leur mobilité par rapport audit noyau central, la bande de roulement (121 ) étant apte à glisser sur les billes et à entraîner lesdites billes en rotation sur le noyau central.  a cage (125) trapping the plurality of balls to maintain said balls on the central core by allowing their mobility with respect to said central core, the tread (121) being able to slide on the balls and to drive said balls in rotation on the central core.
2. Dispositif d'entraînement à la marche selon la revendication 1 , caractérisé en ce que la bande de roulement (121 ) enveloppe le noyau central (126), la cage (125) et la pluralité de billes (122-124). Gait training device according to claim 1, characterized in that the tread (121) surrounds the central core (126), the cage (125) and the plurality of balls (122-124).
3. Dispositif d'entraînement à la marche selon la revendication 1 ou 2, caractérisé en ce que la pluralité de billes comporte des billes de glissement (122) réparties en surface du noyau central (126) et logées dans des premiers logements (127) dudit noyau central. 3. Walking training device according to claim 1 or 2, characterized in that the plurality of balls comprises sliding balls (122) distributed on the surface of the central core (126) and housed in first housings (127). of said central core.
4. Dispositif d'entraînement à la marche selon l'une quelconque des revendications 1 à 3, caractérisé en ce que la pluralité de billes comporte des billes de support (124) réparties en sous-face du noyau central (126) et logées dans des premiers logements (127) dudit noyau central. 4. Walking training device according to any one of claims 1 to 3, characterized in that the plurality of balls comprises support balls (124) distributed in the underside of the central core (126) and housed in first housings (127) of said central core.
5. Dispositif d'entraînement à la marche selon les revendications 3 et 4, caractérisé en ce que les billes de glissement (122) ont un diamètre inférieur au diamètre des billes de support (124). Gait training device according to claims 3 and 4, characterized in that the sliding balls (122) have a diameter smaller than the diameter of the support balls (124).
6. Dispositif d'entraînement à la marche selon la revendication 5, caractérisé en ce que le châssis comporte une paroi interne (131 ) équipée de seconds logements (137), les seconds logements étant adaptés pour recevoir au moins des billes de support (134) accolées aux billes de support (124) du noyau central. 6. Training device according to claim 5, characterized in that the frame comprises an inner wall (131) equipped with second housings (137), the second housing being adapted to receive at least support beads (134). ) contiguous to the support balls (124) of the central core.
7. Dispositif d'entraînement à la marche selon la revendication 6, caractérisé en ce que les billes de support (134) du châssis et les billes de support (124) du noyau central sont ménagées respectivement de part et d'autre de la bande de roulement (121 ). 7. Gait training device according to claim 6, characterized in that the support balls (134) of the frame and the support balls (124) of the central core are formed respectively on either side of the strip. rolling (121).
8. Dispositif d'entraînement à la marche selon l'une quelconque des revendications 1 à 7, caractérisé en ce que la pluralité de billes comporte des billes ou rouleaux de positionnement (123) positionnés latéralement sur le noyau central (126) et logés dans des premiers logements (127) dudit noyau central. Gait training device according to one of Claims 1 to 7, characterized in that the plurality of balls comprise positioning balls or rollers (123) positioned laterally on the central core (126) and housed in first housings (127) of said central core.
9. Dispositif d'entraînement à la marche selon la revendication 8, caractérisé en ce que le châssis comporte des billes ou rouleaux de positionnement (133) logés dans des seconds logements (137) du châssis et accolés chacun à une bille ou rouleau de positionnement (123) du noyau central. 9. A gait training device according to claim 8, characterized in that the frame comprises positioning balls or rollers (133) housed in second housing (137) of the frame and each contiguous to a ball or positioning roller (123) of the central core.
10. Dispositif d'entraînement à la marche selon la revendication 9, caractérisé en ce que les billes ou rouleaux de positionnement (133) du châssis et les billes ou rouleaux de positionnement (123) du noyau central sont ménagés respectivement de part et d'autre de la bande de roulement (121 ). Gait training device according to claim 9, characterized in that the positioning balls or rollers (133) of the frame and the positioning balls or rollers (123) of the central core are respectively formed on each side and other of the tread (121).
1 1 . Dispositif d'entraînement à la marche selon l'une quelconque des revendications 1 à 10, caractérisé en ce qu'il comporte un dispositif de sécurité et/ou un dispositif de retenue de l'utilisateur apte à être positionné à la verticale du châssis. 1 1. Gait training device according to any one of claims 1 to 10, characterized in that it comprises a safety device and / or a user retaining device adapted to be positioned vertically of the frame.
12. Dispositif d'entraînement à la marche selon l'une quelconque des revendications 1 à 1 1 , caractérisé en ce qu'il comporte : une structure externe (170) dans laquelle est monté l'ensemble formé du châssis et du tapis roulant, et 12. Gait training device according to any one of claims 1 to 1 1, characterized in that it comprises: an external structure (170) in which is mounted the assembly formed of the frame and the conveyor belt, and
un système d'inclinaison (1 60) reliant le châssis et la structure externe pour incliner ledit châssis par rapport à la structure externe.  a tilt system (160) connecting the frame and the outer structure to tilt said frame relative to the outer structure.
EP18725240.8A 2017-05-22 2018-05-21 Gait training device Withdrawn EP3634589A1 (en)

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FR1754524A FR3066397A1 (en) 2017-05-22 2017-05-22 DEVICE FOR TRAINING ON THE MARKET
PCT/EP2018/063248 WO2018215383A1 (en) 2017-05-22 2018-05-21 Gait training device

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CN109248415B (en) * 2018-08-14 2020-09-11 东南大学 Roller type human body omnidirectional motion platform and speed synthesis method thereof
USD918317S1 (en) * 2018-10-01 2021-05-04 Technogym S.P.A. Exercise equipment
CN111821665A (en) * 2020-08-10 2020-10-27 力迈德医疗(广州)有限公司 Gait balance training equipment
WO2023137221A1 (en) * 2022-01-17 2023-07-20 Mark Joseph Hanfland Omnidirectional treadmill system

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US5562572A (en) * 1995-03-10 1996-10-08 Carmein; David E. E. Omni-directional treadmill
US5527241A (en) * 1995-08-31 1996-06-18 Peng; Yue-Hong Jogging exerciser
US6743154B2 (en) * 2001-06-01 2004-06-01 Neil B. Epstein Omnidirectional moving surface
BE1015447A6 (en) * 2003-03-27 2005-04-05 Wow Co Sa Device movement omni.
US20070072743A1 (en) * 2005-09-29 2007-03-29 Joseph Severino Treadmill belt article, apparatus, and method
FR2944615B1 (en) * 2009-04-21 2013-11-22 Eric Belmon CARPET ADAPTED TO DISPLACEMENTS IN A VIRTUAL REALITY
KR101194018B1 (en) * 2012-02-29 2012-10-24 신현오 Pressure treatment running machine
ITMO20150012A1 (en) * 2015-01-29 2016-07-29 Univ Politecnica Delle Marche EQUIPMENT FOR TRAINING BALANCE

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