EP4359088B1 - Vorrichtung zur stimulation bestimmter organe des menschlichen körpers mit ladungen zur verhinderung ihrer degeneration - Google Patents

Vorrichtung zur stimulation bestimmter organe des menschlichen körpers mit ladungen zur verhinderung ihrer degeneration

Info

Publication number
EP4359088B1
EP4359088B1 EP22748393.0A EP22748393A EP4359088B1 EP 4359088 B1 EP4359088 B1 EP 4359088B1 EP 22748393 A EP22748393 A EP 22748393A EP 4359088 B1 EP4359088 B1 EP 4359088B1
Authority
EP
European Patent Office
Prior art keywords
user
stimulation device
platform
stimulation
forces
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.)
Active
Application number
EP22748393.0A
Other languages
English (en)
French (fr)
Other versions
EP4359088C0 (de
EP4359088A1 (de
Inventor
Luc LALLEMAND
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
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Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of EP4359088A1 publication Critical patent/EP4359088A1/de
Application granted granted Critical
Publication of EP4359088B1 publication Critical patent/EP4359088B1/de
Publication of EP4359088C0 publication Critical patent/EP4359088C0/de
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/02—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters
    • A63B21/055—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters extension element type
    • A63B21/0552—Elastic ropes or bands
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/02—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters
    • A63B21/04—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters attached to static foundation, e.g. a user
    • A63B21/0442—Anchored at one end only, the other end being manipulated by the user
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/40—Interfaces with the user related to strength training; Details thereof
    • A63B21/4001—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor
    • A63B21/4017—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor to the upper limbs
    • A—HUMAN NECESSITIES
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    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/40—Interfaces with the user related to strength training; Details thereof
    • A63B21/4027—Specific exercise interfaces
    • A63B21/4033—Handles, pedals, bars or platforms
    • A—HUMAN NECESSITIES
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    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/40—Interfaces with the user related to strength training; Details thereof
    • A63B21/4027—Specific exercise interfaces
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    • A63B21/4035—Handles, pedals, bars or platforms for operation by hand
    • A—HUMAN NECESSITIES
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    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/40—Interfaces with the user related to strength training; Details thereof
    • A63B21/4041—Interfaces with the user related to strength training; Details thereof characterised by the movements of the interface
    • A63B21/4043—Free movement, i.e. the only restriction coming from the resistance
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    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
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    • A—HUMAN NECESSITIES
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    • A63B71/02—Games or sports accessories not covered in groups A63B1/00 - A63B69/00 for large-room or outdoor sporting games
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    • A63B2071/026—Supports, e.g. poles stabilised by weight
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    • A63B71/00—Games or sports accessories not covered in groups A63B1/00 - A63B69/00
    • A63B71/06—Indicating or scoring devices for games or players, or for other sports activities
    • A63B71/0619—Displays, user interfaces and indicating devices, specially adapted for sport equipment, e.g. display mounted on treadmills
    • A63B71/0622—Visual, audio or audio-visual systems for entertaining, instructing or motivating the user
    • A63B2071/0625—Emitting sound, noise or music
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/00058—Mechanical means for varying the resistance
    • A63B21/00061—Replaceable resistance units of different strengths, e.g. for swapping
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/02—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters
    • A63B21/055—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters extension element type
    • A63B21/0552—Elastic ropes or bands
    • A63B21/0557—Details of attachments, e.g. clips or clamps
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2208/00—Characteristics or parameters related to the user or player
    • A63B2208/02—Characteristics or parameters related to the user or player posture
    • A63B2208/0204—Standing on the feet
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2208/00—Characteristics or parameters related to the user or player
    • A63B2208/02—Characteristics or parameters related to the user or player posture
    • A63B2208/0214—Kneeling
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2208/00—Characteristics or parameters related to the user or player
    • A63B2208/02—Characteristics or parameters related to the user or player posture
    • A63B2208/0228—Sitting on the buttocks
    • A63B2208/0233—Sitting on the buttocks in 90/90 position, like on a chair
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2210/00—Space saving
    • A63B2210/50—Size reducing arrangements for stowing or transport
    • A—HUMAN NECESSITIES
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    • A63B2220/00—Measuring of physical parameters relating to sporting activity
    • A63B2220/50—Force related parameters
    • A63B2220/51—Force
    • A—HUMAN NECESSITIES
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    • A63B2220/62—Time or time measurement used for time reference, time stamp, master time or clock signal
    • A—HUMAN NECESSITIES
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    • A63B2230/00—Measuring physiological parameters of the user
    • A63B2230/04—Measuring physiological parameters of the user heartbeat characteristics, e.g. ECG, blood pressure modulations
    • A63B2230/06—Measuring physiological parameters of the user heartbeat characteristics, e.g. ECG, blood pressure modulations heartbeat rate only
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    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
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    • A63B2230/65—Measuring physiological parameters of the user skin conductivity
    • A—HUMAN NECESSITIES
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    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00—Exercising apparatus specially adapted for particular parts of the body
    • A63B23/02—Exercising apparatus specially adapted for particular parts of the body for the abdomen, the spinal column or the torso muscles related to shoulders (e.g. chest muscles)
    • A63B23/0205—Abdomen
    • A63B23/0211—Abdomen moving torso with immobilized lower limbs
    • A—HUMAN NECESSITIES
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    • A63B23/00—Exercising apparatus specially adapted for particular parts of the body
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    • A63B23/03508—For a single arm or leg
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    • A63B23/00—Exercising apparatus specially adapted for particular parts of the body
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    • A63B23/0494—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs primarily by articulating the knee joints
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    • A63B23/00—Exercising apparatus specially adapted for particular parts of the body
    • A63B23/035—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
    • A63B23/12—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for upper limbs or related muscles, e.g. chest, upper back or shoulder muscles
    • A63B23/1245—Primarily by articulating the shoulder joint
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    • A63B23/00—Exercising apparatus specially adapted for particular parts of the body
    • A63B23/035—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
    • A63B23/12—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for upper limbs or related muscles, e.g. chest, upper back or shoulder muscles
    • A63B23/1245—Primarily by articulating the shoulder joint
    • A63B23/1272—Rotation around an axis perpendicular to the frontal body-plane of the user, i.e. moving the arms in the plane of the body, to and from the sides of the body

Definitions

  • the invention relates to the field of physical exercise and physiotherapy devices aimed at slowing down, preventing or treating degenerative diseases.
  • the invention relates to a device for stimulating certain organs of the human body by means of charges in order to prevent, avoid, slow down or treat their degeneration.
  • the invention relates to a device enabling the development of muscular efforts by a user in order to stimulate the muscles and transmit pressures of adapted intensity and duration on different joints and different bones of the musculoskeletal chain, thus leading to effects of stimulation, maintenance, development and rehabilitation of certain functions of the human body and the organs concerned with a view to slowing down or preventing or treating degenerative diseases.
  • osteosarcopenia As a result, it is very common for patients to be affected by several of these conditions at the same time, or even by all three conditions, with some causes being common. Correlations exist between osteoarthritis and osteoporosis and it has been proven that Sarcopenia increases the risk of osteoporosis by twelve. A recent medical term defines this combination of diseases: osteosarcopenia.
  • Learned Societies have proposed a protocol for medical or non-medical support for osteoarthritis patients to slow down the progression, cope with the pain and delay the installation of prostheses.
  • the device described consists of a support, two straps equipped with handles to put the patient's body under tension for the purpose of taking medical images.
  • This device the aim of which is not physiological or therapeutic stimulation, but positioning for carrying out medical imaging recordings, has the main disadvantage of imposing a certain passivity of the patient, in particular in a lying position, which is not physiological and without positional control, leading to risks of postures dangerous and inadequate pressures on certain organs.
  • the patient does not have sufficient physiological control over the prolongation of the stimulation which does not really depend on him, nor on his physiological state, but which depends much more on the imaging constraints.
  • This device does not provide any particular adjustment means to adapt it to the morphology and specific constraints of the patient.
  • this invention does not describe a method of implementing the device described.
  • a method for performing constraint exercises with repetitions and recovery periods and an associated device consisting of a contact surface, an actuator, a user interface, a monitoring and control processor are disclosed.
  • This device allows a full contraction exercise program for patients wishing to improve their health or fitness in a wide variety of areas: metabolic syndrome, deconditioned state, osteoporosis or osteopenia, susceptibility to injury, diabetes, pain, chronic non-specific low back pain, fibromyalgia, obesity, multiple sclerosis, low back pain, sports injury, brain disorder.
  • this method and this device have, as main disadvantages, having extremely broad or even incompatible indications; making users work at 100% of their muscular power in a single effort, in a static position, thus causing an intense load on their muscles and bones with risks for the users'vertebrae; to endanger their cartilage (intense static load) due to the intensity of the pressures generated, as has been known for years; to use a system taking up a lot of floor space, which cannot be dismantled quickly or easily; to require a permanent third-party operator to accompany the user of the device.
  • An aim of the invention is to provide a device aimed at at least partially overcoming the drawbacks previously mentioned while making it possible to stimulate the musculoskeletal chain of a patient user in a simple manner.
  • a device for stimulating certain organs of the body of a user in a standing or sitting position comprising a platform arranged so as to be able to support the user, in particular in a standing or sitting position, means for transmitting forces positioned between the platform and the user, during use of the stimulation device, means for securing the user.
  • the stimulation device according to the invention stimulates, by loads, certain organs of the human body to prevent, avoid or treat degenerative conditions such as osteopenia, osteoporosis, sarcopenia, osteoarthritis.
  • This loading jointly stimulates and strengthens several chains of muscles-joints-bones involving in particular, for the bones, the thoracic and lumbar spine, the sacrum, the pelvis, the shoulders and possibly the lower limbs, in particular the femurs, the upper limbs, as well as the related organs, mainly by the action of the user developing calibrated sequences of efforts and rest with limited or almost zero joint movements.
  • the stimulation device according to the invention comprises a platform or base 1 intended to support a user, in particular standing or sitting.
  • This platform 1 is positioned on the ground, when using the stimulation device according to the invention.
  • the stimulation device comprises one or more force transmission means 3.
  • These latter comprise one or more securing means 4, one or more force amplification systems 5, one or more means for adjusting or adapting the amplitude of the movement 6, one or more means for adjusting or adapting 9 the force transmission means 3 or the securing means 4.
  • the securing means 4 to the user comprise means for interfacing with the arms or the pelvis or the shoulders or the thorax of the user or a combination of these interfacing means, such as a belt or a harness or a yoke or handles or bracelets or bandages or any combination of these.
  • the stimulation device according to the invention comprises one or more adaptation or adjustment means 6, 9 fixed or integrated in the force transmission means 3 or in the securing means 4.
  • adaptation means 9 make it possible to adjust the stimulation device according to the invention to the positioning, morphology and specificities of the user, for example the height, the position of the lower limbs, those of the upper limbs, or other bodily specificities specific to the latter.
  • These adaptation means are also arranged so as to be able to take into account the personal physiological characteristics, in particular the limitations, ailments and pains, of the user.
  • the adaptation means 6 make it possible to elastically modulate the amplitude of the movements to be made to achieve a predetermined effort.
  • the force amplification system(s) 5 of the stimulation device according to the invention can be actuated by mechanical, electrical, pneumatic, hydraulic or other means, such as for example a mechanical hoist or an electric actuator or a jack or a pantograph.
  • the stimulation device according to the invention may comprise one or more command-control-safety systems, and one or more systems 7a and/or 7b for measuring, displaying, programming and recording the stimulations, the latter being connected to one or more visualization systems, visual and/or sound and/or kinesthetic, or audiovisual 8 piloting of the efforts and their modalities during exercises carried out when using the stimulation device according to the invention.
  • the stimulation device according to the invention may include systems for controlling the position or safety of the user, such as the seat or position of the back, in the approach, reaching or exceeding of a predefined effort threshold or the imbalance in the application of efforts, and this during use of the stimulation device according to the invention.
  • the stimulation device according to the invention comprises an intrinsic safety system arranged so that, during use, a reduction in muscular effort by the user or a release of the securing means 4 makes it possible to interrupt the load on the organs without delay.
  • the stimulation device comprises a seat 2 resting on the measuring system 7a of the platform 1.
  • all or part of the elements forming an embodiment of the stimulation device according to the invention may be modular, for example so that they can be easily dismantled.
  • certain elements are foldable, so as to limit the space occupied outside periods of use in order to facilitate storage of the stimulation device according to the invention.
  • the platform 1 or base serves as a rigid or semi-rigid base for the stimulation device according to the invention, to allow a certain - limited - mobility during efforts, making it possible to fix and maintain in position the majority of the elements of the device.
  • This platform 1 is made, for example, of metal, reinforced glass, natural or synthetic material, several materials being able to be used simultaneously to form a composite platform 1.
  • the platform 1 can be solid or perforated, in a single element or in assembled elements, in particular by gluing, welding, wedging, mechanical fixing, or any other assembly method appropriate to the materials chosen to form the platform 1 of the stimulation device according to the invention.
  • the latter is placed on the platform 1 and is provided so that the user who cannot or does not wish to stand can use the stimulation device according to the invention in order to exercise a part of his body when using the stimulation device according to the invention.
  • This seat 2 is mounted fixed or mobile with the platform 1.
  • the seat 2 is, for example, a simple cushion, a stool permanently fixed or simply placed on the platform 1 or an ergonomic seat (possibly padded) or a self-deploying seat integrated into the platform 1 or the user's wheelchair.
  • the force transmission means 3 are formed so that they are completely rigid in traction to transmit all the forces without any movement of the user, or flexible or relatively elastically deformable to allow a certain mobility - limited and controlled - during the forces.
  • These force transmission means 3 are, here, fixed to the platform 1 with removable or non-removable fixing means. Alternatively, they pass under the platform 1 either freely or by means of guidance systems.
  • the force transmission means 3 are, for example, produced by means of one or more straps, ropes, belts, cables, chains, slings, hollow or solid tubes, poles, mechanical profiles, railings, or any other suitable structure. Alternatively, they are produced in the form of a rigid frame or a frame or a column from which one or more straight or profiled arms emerge in front of or between which the user takes place during use of the stimulation device according to the invention.
  • the securing means 4 are, here, produced in the form of rigid or flexible handles. They can also be either in the form of one or more rectilinear or profiled traction bars, possibly provided with handles, or in the form of wrist straps arranged so as to encircle the user's wrists when using the stimulation device according to the invention, or in the form of a harness or a collar or a yoke placed on the user's shoulders when using the stimulation device according to the invention, or in the form of a belt resting on the upper part of the user's pelvis when using the stimulation device according to the invention, or in a combined form placed on the shoulders or encircling the user's waist or allowing gripping by the hands or attachment to the forearms when using the stimulation device according to the invention.
  • the restraint means 4 are made symmetrically, either in simple symmetry on the sides (left and right) of the user, or in double symmetry (transverse and axial), so as to allow a completely physiological position of the organs intended to be stimulated or used, during use of the stimulation device according to the invention, in particular the trunk and particularly the spinal column, the arms, the shoulders, the pelvis, and all the lower limbs, including joints.
  • the securing means 4 limit the risks of cantilevered positions and efforts, detrimental to optimal stimulation of the said organs thus targeted by use of the stimulation device according to the invention.
  • the effort amplification systems 5 allow, for their part, to stimulate the user's organs more intensely when using the stimulation device according to the invention, including in completely static or immobile positions incompatible with sufficient effort intensity and within the limits of the efforts and pressures acceptable for each user.
  • the force amplification systems 5 are mechanical, electrical, hydraulic and/or pneumatic integrated either into the platform 1 or into the force transmission means 3.
  • the force amplification systems 5 are produced by means of a hoist actuated by the user's arms, making it possible to tension the force transmission means 3 (straps, cables, ropes, belts, chains, etc.) between the platform 1 and the securing means 4 on the user (harness, yoke, belt, etc.).
  • the amplification can also be carried out, for example, by mechanical, electrical, pneumatic, magnetic, reel, jack or pantograph actuator, or any other suitable means.
  • the means 6 for adjusting or adapting the amplitude of a movement allow, for their part, that, on the one hand, the effort is exerted with a controlled movement to facilitate the control of the effort or to avoid the rigidity of the effort which can be painful for certain people, in particular the oldest people, and, on the other hand, to control or avoid static efforts on the cartilages.
  • the modes of implementing the adaptation can also reside in the use of flexible or deformable materials to produce certain elements of the stimulation device according to the invention, such as the platform 1, the means of transmitting the efforts 3, the seat 2, the securing means 4.
  • intermediate parts deformable under the effort such as elastic straps, springs, interchangeable or adjustable shock absorbers can be used if necessary.
  • the adjustment or adaptation means 9 allow different adjustment ranges depending on the size of the user of the stimulation device according to the invention, of its diverence, limitations of movement, installation method, use of a power multiplier, etc.
  • systems for adjusting the height of the stimulation device according to the invention make it possible to adapt the height of the gripping or installation or securing systems 4 so as to allow the user of the stimulation device according to the invention to work in his zone of greatest power and greatest comfort while respecting his personal physiological characteristics.
  • the adjustment systems are either continuous, any position between the extremes being usable, or discrete, a certain number of pre-set positions being selectable.
  • the adjustment can in particular be made by a choice of straps of different lengths, by sliding one end into a self-locking jamming loop or ratchet loop fixed to another end, by jamming the tongue of a loop in a notch among a set of notches, by long self-gripping closure, by stapling, by fixing the gripping handles in eyelets arranged at regular intervals, etc.
  • the adjustment is made, for example, by a choice of cables or ropes of different lengths, by moving and adjusting cable clamps, by a self-locking manual or electric winch system, by mechanical or electric reel or other, possibly self-locking or fixed and controlled by a trigger at the grip handle or fixed on, under or in the platform 1.
  • the adjustment can be made by adding one or more rings or shackles or carabiners of appropriate lengths or adjustable metal, synthetic or textile shackles.
  • the adjustment can also be made by inserting height shims or spacers on the platform 1 of the stimulation device according to the invention.
  • adjustments are made, for example, by accessories (harnesses, belts, yokes, etc.) adapted to body size ranges and usable by people with similar body characteristics (waist, hip, chest, neck, neck height, bust, shoulder widths, etc.) or by accessories adjustable on all or part of the dimensions mentioned by means in particular of cushions, straps, straps with different types of locking system (barb, jamming buckles, self-gripping fabrics, eyelets, clips, elastic bands, etc.).
  • accessories wornnesses, belts, yokes, etc.
  • body size ranges and usable by people with similar body characteristics waist, hip, chest, neck, neck height, bust, shoulder widths, etc.
  • accessories adjustable on all or part of the dimensions mentioned by means in particular of cushions, straps, straps with different types of locking system barb, jamming buckles, self-gripping fabrics, eyelets, clips, elastic bands, etc.
  • the adjustments are made, for example, by choosing the number of pulleys used to multiply the force, also involving an adjustment of the useful cable length (in the broad sense).
  • the working end of the hoist's pulling cable is installed either on the upper pulley (yoke for example), or on the lower pulley (base for example), or even on a pulley fixed at an intermediate height for example, by means of a cable, or equivalent, adjustable in height or a mast having several fixing points.
  • control-safety systems make it possible to control a gradual increase and an instantaneous or gradual interruption of the efforts according to the decisions of the user of the stimulation device according to the invention.
  • they can be controlled by an automation limiting the efforts within a range predefined by or according to the user of the stimulation device according to the invention, or controlled by the user of the stimulation device according to the invention or a third-party operator by means of an electric, hydraulic, magnetic or pneumatic proportional trigger, independent or fixed on one of the gripping handles of the stimulation device according to the invention.
  • significant safety is provided by releasing the handles that the user holds in his hands and which serve either as a fixed point for transmitting forces or as a force multiplication system.
  • the user of the stimulation device according to the invention immediately puts an end, without any delay, to the effort to which he is subjected to stimulate his organs, when using the stimulation device according to the invention.
  • a position safety of the user of the stimulation device according to the invention is achieved by a comparison of the loads on each foot, possibly each arm of the user of the stimulation device according to the invention, or a load differential existing between the front and the back of each foot.
  • An anomaly signal and interruption of the sequence of exercises being carried out with the stimulation device according to the invention is emitted in the event of an imbalance greater than the previously determined setpoint.
  • position safety is achieved by means of a visual or audio sequence reminding the position instructions to be observed when using the stimulation device according to the invention.
  • these positions are secured by means of luminous templates or gauges drawn or to be fixed on the platform 1 or to be placed on the spine and shoulders to guide the position of the feet, pelvis, spine or head of the user of the stimulation device according to the invention.
  • the systems 7a, 7b for measuring the forces applied to/by the user are either inserted into the force transmission means 3, or placed on the platform 1, or integrated into the platform 1, or forming part of the securing means 4 on the user, or inserted at the interface between two of the different parts of the stimulation device according to the invention.
  • the systems 7a, 7b for measuring the forces make it possible, by means of sensors distributed on the platform 1 or in the force transmission means 3, to guarantee good physical and postural positioning of the user of the stimulation device according to the invention by comparing the spatial variations of the pressures exerted, in particular longitudinally or transversely under the user's feet, on his shoulders, on his hips. They comprise, for these purposes, pressure or traction sensors, as the case may be, as well as a system for integrating and transducing the data from the sensors thus provided in the stimulation device according to the invention.
  • the visual display and control systems 8 summarize and visually integrate the data from the force measurement systems 7a, 7b.
  • These display and control systems 8 are either integrated into the force measurement systems 7a, 7b, or returned remotely, for example by a cable or a wireless connection, in particular according to the Bluetooth or Wi-Fi standards, to be easily viewed by the user in a safe force position when using the stimulation device according to the invention.
  • the different options are not mutually exclusive.
  • These systems can be adjustable according to the characteristics of the user of the stimulation device according to the invention.
  • the visual display and control systems 8 can include an adjustable calibration system making it possible, for example, to subtract all or part of the user's weight for the display of the forces, or to set a minimum or maximum force threshold to be reached.
  • Sound or visual or kinesthetic indication systems of the user's efforts are possibly integrated with the measurement systems 7a, 7b or sent remotely so that they are easily perceived by the user of the stimulation device according to the invention, or even so that only the user of the stimulation device according to the invention can perceive them, in particular by integration with individual transmitters (glasses, headphones, earphones, vibrator, etc.).
  • These indication systems are possibly adjustable according to the characteristics of the user of the stimulation device according to the invention.
  • Recording and programming systems can be implemented in order to record, analyze, calculate, restore and display on a screen, the details or summary of previous sessions and their progress, the program of the day's session, the precise description of the current sequence, the relative or absolute progress of the current session, the theoretical programming of future sessions. They are integrated into the stimulation device according to the invention or reported in separate data processing systems.
  • the recording and programming systems can, in certain modalities, be programmed either before or after delivery of the stimulation device according to the invention, either by an operator or by the user of the stimulation device according to the invention.
  • This programming integrates, for example, data relating to the power of the efforts to be provided, their duration, their repetition, their gradation, the recovery in a session or between several sessions. It also integrates data collected at each session to allow the intensity of a following session to be adapted (power, duration, repetitions, gradation, recovery, etc.).
  • the recording and programming systems can be arranged so as to give interpretations of the session depending on the ability of the user of the stimulation device according to the invention to complete the session, their performance and the comparison with previous sessions. Based on these elements, recording and programming systems can also provide advice on activities, rest or recovery between sessions. Finally, based on the various pressure and position information, the recording and programming systems are arranged to check whether the position or effort of the user of the stimulation device according to the invention is not suitable, and to indicate the adjustments to be made to correct the position or effort and reduce physiological risks.
  • Each session 6.7-S1,2,i,n of use of the device according to the invention is characterized by a certain number of data.
  • the initial programming data (Intensity: power, duration, gradation, repetitions, etc.) 6.8-PI of a session 6.7-S1,2,i,n come from a calculation step 6.3-C based on the user's objectives 6.1-OU, the user's specificities and limits 6.2-SU, the initial safety instructions 6.4-RIS, and the data from previous sessions.
  • new data are calculated and stored, including recovery methods 6.9-R.
  • session data 6.7-S1,2,i,n are displayed in step 6.6-A.
  • the user of the stimulation device according to the invention must begin by questioning his personal competence to use it safely, in particular by respecting the general and personal constraints, in particular health constraints, which concern him, and by ensuring that he adopts risk-free exertion positions.
  • the user of the stimulation device according to the invention must be warned of the importance of adopting safe positions, specifically with regard to his spine, but also for the knees, shoulders and organs that are specifically vulnerable to him.
  • the user of the stimulation device according to the invention must contact a competent health professional such as a doctor, a physiotherapist, a physical therapist, in order to obtain advice on how to use the stimulation device according to the invention properly, to adopt, if necessary, the precautionary measures necessary for the safe implementation of the stimulation device according to the invention, or even to refrain from using it if the limitations of the potential user are incompatible with the use of the stimulation device according to the invention.
  • a competent health professional such as a doctor, a physiotherapist, a physical therapist
  • a generic safety position is to have your feet slightly apart, between head and shoulder width.
  • the feet form an angle of approximately 10° to 30° between them.
  • the head is kept straight, looking at the horizon, or slightly tilted forward.
  • the chest is out by straightening the ribcage, the pelvis is in a neutral position, stomach tucked in, abdominal muscles contracted.
  • the arms are placed alongside the body in a vertical position.
  • the knees are slightly bent near the maximum power position of the thighs to be able to exert this power upwards. Such a position is illustrated very schematically in the figure 2 .
  • the forearms are raised vertically, the arms taking a position compatible with the user's shape to implement his greatest muscular power. Such a position is illustrated very schematically in the figure 4 .
  • the user checks the integrity of the parts, and particularly the moving parts. He adjusts the height of the securing means 4 in such a way as to exercise in his zone of greatest effectiveness, taking into account both his characteristics personal physiological factors, including strength, as well as any limitations (mobility, position, injury, pain, fragility, lesion, specific precautions, etc.).
  • the user sets up the securing means 4, climbs onto the platform 1, starts the possible measuring systems 7a, 7b, control, recording and carries out a certain number of muscular effort cycles predefined in duration, power, gradation, rest in such a way as to obtain the desired physiological result, according to its specific characteristics.
  • the user of the stimulation device according to the invention can also use the possible effort amplification systems to more easily reach the desired level of effort, depending on his capacities, his incapacities and his personal physiological and health characteristics.
  • the pressure is generated by an effort of the thighs vertically upwards so as to reach the set power during the duration planned for the sequence.
  • the user of the stimulation device according to the invention uses the handles to generate the set pressure level for the duration planned for the sequence of the current session.
  • the user of the stimulation device according to the invention thus subjects the organs to be worked (joints, cartilage, muscles, bones) to pressures intense enough to stimulate them, and thus to maintain or strengthen them, and gentle enough to respect their integrity in the short, medium and long term.
  • the pressures to be used are within a range of between 40% and 80-90% of the maximum power of the user of the stimulation device according to the invention, or even below or above these limits in certain particular cases, so as to stimulate the most powerful organs without damaging the most fragile ones.
  • the number of repetitions (5 to 20 repetitions lasting 5 to 30 seconds, separated by rest periods of 5 to 30 seconds, also) is adapted to the power developed.
  • the user of the stimulation device according to the invention determines the intensity of the exercise according to his habits of life, of his known physical capacities, of the current loads that he is accustomed to carrying.
  • a competent health professional family doctor, physical therapist, physiotherapist, sports doctor, rheumatologist, etc.
  • the user of the stimulation device according to the invention in certain variant embodiments of the stimulation device according to the invention, is assisted by a certain number of visual, luminous, auditory or kinesthetic signals indicating whether the power and/or the duration of the predefined efforts are reached.
  • the pressures generated are physiological, that is to say they are entirely the result of the efforts of the user of the stimulation device according to the invention, unless the user decides to use the possible amplification assistance.
  • the user can interrupt these pressures of his own accord at any time to return almost instantly to a situation of bodily rest in the starting position (generally standing slightly bent, sometimes in a straight upright position or in a more accentuated flexion position, possibly sitting, depending on his morphology and his personal state of fitness and health).
  • the user of the stimulation device according to the invention disengages and stops the components of the stimulation device according to the invention which require it, puts it away if necessary and waits a few days for recovery (typically 2 to 7 days) before starting a new session.
  • the recovery time depends on the effort.
  • the control and recording systems of the stimulation device according to the invention can calculate it.
  • the user of the stimulation device according to the invention must only resume use of the device after a complete analysis of the causes, a reassessment of the objectives and the intensity of the resumption session, in conjunction with a competent health professional.
  • the user of the stimulation device according to the invention can resume the session where it was interrupted.
  • a session is successful if the user of the stimulation device according to the invention has implemented the entire program planned for said session.
  • the reference intensity of the following session and the recovery time before this following session depend on the final objectives of the user of the stimulation device according to the invention, on his capacity to reach and maintain the reference intensity of the session which has just been completed, and, if this is not possible, with reference to previous sessions.
  • the intensity of the next session is set to that of the interrupted session.
  • the recovery time is extended (typically doubled), and the program for the next session is developed based on the last successful session.
  • the program of successive sessions is calculated by the local or remote recording and programming systems, associated with or provided in the stimulation device according to the invention.
  • the stimulation device according to the invention is produced as follows:
  • It comprises a platform 1 measuring 40 cm x 30 cm x 2 cm made of synthetic material (polypropylene, for example), flat on the upper face, reticulated or ribbed on the lower face to stiffen it and give it a resistance capacity of 200 daN, with feet at the four corners 2 cm high.
  • synthetic material polypropylene, for example
  • Two rigid handles, one to the right, the other to the left of the base are formed of a hollow rigid synthetic tube with a diameter of 2.5 cm and a length of 12 cm, surrounded by a fitted synthetic foam tube, the void of the rigid tube allowing the previously mentioned strap to pass through, all with a capacity of 150 daN;
  • the stimulation device according to the invention is produced as follows.
  • It comprises a flat platform 1 placed on the ground, measuring 120 cm x 120 cm x 4 cm, formed from a sheet of non-slip treated stainless steel, reinforced and stiffened by expanded metal welded in the lower part, the whole resting on height-adjustable rubber pads, equipped with two rings placed in a middle position 3 cm from the right and left edges of platform 1 opposite each other, with a total support capacity of 500 daN.
  • the stimulation device comprises a yoke (a wooden or synthetic or composite beam, comprising a central U-shaped opening for the neck, intended to be placed on the shoulders), equipped with comfort and protection foams for the user's neck and shoulders, with a total width of 1 m, equipped at each end with a ring, capable of supporting two loads of 200 daN.
  • a yoke a wooden or synthetic or composite beam, comprising a central U-shaped opening for the neck, intended to be placed on the shoulders
  • comfort and protection foams for the user's neck and shoulders
  • a total width of 1 m equipped at each end with a ring, capable of supporting two loads of 200 daN.
  • Two independent load measurement systems of 200 daN are fixed to each ring at the end of the yoke.
  • a force transmission system is composed of two synthetic safety cables with a length of 4 m, with a traction capacity of 200 daN.
  • the stimulation device in its complex version, comprises two rigid handles, passed through the force transmission system, one on the right, the other on the left of the base, each fixed to the end of each force transmission cable, formed of a hollow synthetic tube 2.5 cm in diameter and 12 cm long, surrounded by a fitted synthetic foam tube, the void of the hollow tube allowing a strap 45 cm long, 2 cm wide, sewn onto itself to form a loop, incorporating a metal ring, all with a capacity of 200 daN.
  • a force amplification system is composed of four single or multiple pulleys forming two hoists with the force transmission cables, fixed to the rings of the base and the yoke.
  • the complex version of the stimulation device comprises an information display system consisting of a flat electronic screen 20 cm high x 30 cm wide, equipped with an integrated loudspeaker, placed on a desk adjustable in height and connected to the data processing center by cable or waves.
  • the complex version includes a data acquisition and processing system consisting of a microprocessor and memories, equipped with a program, all connected to the screen, to the measurement systems, connectable to a keyboard, equipped with computer connectors (USB in particular), and possibly to a database and an external processing center via the internet.
  • a security system is integrated into the previous one.
  • the data acquisition and processing system is implemented as follows.
  • An administrator profile protected by password, can create, modify, read, suspend, activate and delete all the parameters of the user profiles and their password.
  • the administrator of the program who can be the user, enters into the program the basic parameters of the exercises to be performed (power, number of repetitions, duration of exercises and rests, gradation in the session, safety threshold, duration of recovery before the next session) under the user profile (case of multi-user device) allowing to start the first stimulation session. These parameters are determined according to the information collected on the fitness, health and possible limitations of the user.
  • the user of the stimulation device starts the system, selects his profile (protected by a password).
  • the user is guided through their sessions using visual instructions (absolute power, percentage of power compared to the reference and safety, number of repetitions remaining and completed, time remaining for the current repetition, inappropriate position, imbalance in the use of the device, approaching and crossing safety thresholds, immediate stop) and auditory instructions (time countdown, number of repetitions, immediate stop).
  • visual instructions absolute power, percentage of power compared to the reference and safety, number of repetitions remaining and completed, time remaining for the current repetition, inappropriate position, imbalance in the use of the device, approaching and crossing safety thresholds, immediate stop
  • auditory instructions time countdown, number of repetitions, immediate stop.
  • a screen summarizes the session by indicating the objectives achieved, the objectives not achieved, the recommended recovery time, the safety points not respected.
  • the program also allows a calculation of the parameters of the next session based on the results of the last session.
  • the program In the event of a significant safety problem (in particular exceeding safety thresholds, inability to follow the session parameters, imbalance in the use of the device, poorly controlled position, etc.), the program allows a blocking of the user profile, and displays a notification of the blocking on the administrator screen.
  • the stimulation device according to the invention is a device of small dimensions and weight, removable or foldable, for certain models, compatible with domestic use in cramped dwellings.
  • variations in design and construction of the stimulation device according to the invention allow devices for professional environments (sports halls, rehabilitation centers, gymnasiums, physiotherapy, physical therapy, occupational therapy offices, in particular) that are more intensive, both in duration and in acceptable constraints and number of users.
  • the stimulation device according to the invention makes it possible to take into account all of the user's characteristics, both their strengths and their physiological limitations in terms of joints (cartilages), skeleton (bones), and musculature (muscles, tendons). Indeed, thanks to its adjustment systems, the stimulation device according to the invention can be adjusted to each user to allow them a position adapted to their morphology, their constraints and their possible limitations with a limited variation of position throughout the effort to remain in their comfort zone, sufficient power and safety, while having a physiological effect on the target organs. It is notably possible to respect painful positions to be avoided, positions of organic weakness or inadequate strength...
  • the stimulation device according to the invention allows the user to exert series of efforts between 40% and 80-90% of his maximum power, making it possible to stimulate both the muscles and the skeleton while respecting the integrity of the cartilage according to the most recent scientific publications.
  • the stimulation device according to the invention can make it possible to go below (approximately 5%) or beyond (95 to 100%) this zone for specific needs (maximum power tests or limitations, in particular).
  • the stimulation device subjects a specific subset of organs to limited and sufficient stimulations to have a physiological effect while remaining within the specific safety zone of all the involved organs of the user.
  • the flexibility of the stimulation device according to the invention can allow the user a slight movement of certain motor organs of the body to reach the desired level of effort, thus preventing the risks inherent in static efforts, potentially harmful to the joints and cartilage.
  • the user Compared to recent devices such as vibration platforms where the passive user undergoes an automated process, even if personalized, with a device of stimulation according to the invention, the user is active and applies the physiological efforts themselves according to their capacities and sensations. In case of necessity, discomfort or internal physiological signal, they can immediately stop their efforts and return to the initial resting situation, which is impossible with an automatic or semi-automatic machine, whether mechanical or electrical.
  • the stimulation device according to the invention the user self-pilots and constantly controls the stimulation device according to the invention and their physical effort, therefore the stimulation applied to their organs.
  • the stimulation device transmits efforts of progressively and continuously variable power, never allowing reaching the domain of shocks or frequencies harmful to the cartilage, as is the risk with vibration or impact devices.
  • the stimulation device Unlike conventional bodybuilding or rehabilitation devices where a fixed effort is chosen by means of a counterweight, the stimulation device according to the invention allows the user to vary his effort continuously in real time, taking into account his instantaneous state of fitness, sensitivity and health.
  • the user can, by using the stimulation device according to the invention, stop his effort without delay and without latency, and without noticeable movement or with minimal movement, depending on the setting that he himself has defined for his own comfort and safety.
  • the stimulation device makes it possible to work in a specific position or in the immediate vicinity of this position, avoiding the risks and disadvantages linked to intermediate or extreme, painful or dangerous positions.
  • the stimulation device may include several morphological adjustment systems. It can be used by most users with a single adjustment of the height of the gripping or fixing means, in certain modalities. This adjustment can possibly be made in a seated position on a chair without having to lift a load for the adjustment.

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biophysics (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Percussion Or Vibration Massage (AREA)

Claims (15)

  1. Vorrichtung zur Stimulation bestimmter Körperorgane eines Benutzers in stehender oder sitzender Position, dadurch gekennzeichnet, dass sie eine Plattform (1) umfasst, die dafür ausgelegt ist, während der Benutzung direkt auf dem Boden platziert zu werden, mit Füßen versehen ist und so angeordnet ist, dass sie den Benutzer in stehender oder sitzender Position tragen kann, Kraftübertragungsmittel (3), die mit der Plattform verbunden sind und zwischen der Plattform und dem Benutzer positioniert sind, wobei die Kraftübertragungsmittel Befestigungsmittel zur Anbringung am Benutzer umfassen, wobei die Befestigungsmittel symmetrisch auf der linken und rechten Seite des Benutzers angeordnet sind, und wobei die Kraftübertragungsmittel zugfest sind.
  2. Vorrichtung nach Anspruch 1, dadurch gekennzeichnet, dass die Plattform (1) einen auf der Plattform angeordneten oder integrierten Sitz (2) trägt.
  3. Vorrichtung nach Anspruch 2, dadurch gekennzeichnet, dass der Sitz fest mit der Plattform verbunden ist.
  4. Vorrichtung nach einem der Ansprüche 1 bis 3, dadurch gekennzeichnet, dass die Vorrichtung Stimulationsmesssysteme (7a, 7b) und ein System zur Visualisierung der Kräfte und ihrer Eigenschaften (8) umfasst.
  5. Vorrichtung nach einem der Ansprüche 1 bis 4, dadurch gekennzeichnet, dass die Befestigungsmittel einen Gurt, ein Geschirr, ein Joch, Griffe, Armbänder, Bandagen oder eine beliebige Kombination dieser Elemente umfassen.
  6. Vorrichtung nach einem der Ansprüche 1 bis 5, dadurch gekennzeichnet, dass die Vorrichtung ein oder mehrere Anpassungs- oder Einstellmittel (6, 9) umfasst, die an den Kraftübertragungsmitteln oder an den Befestigungsmitteln angebracht oder in diese integriert sind.
  7. Vorrichtung nach einem der Ansprüche 1 bis 6, dadurch gekennzeichnet, dass sie Kraftverstärkungssysteme (5) umfasst, die mit den Kraftübertragungsmitteln verbunden sind.
  8. Vorrichtung nach Anspruch 7, dadurch gekennzeichnet, dass die Kraftverstärkungssysteme durch mechanische, elektrische, pneumatische, hydraulische oder andere Mittel betätigbar sind, insbesondere durch einen mechanischen Flaschenzug, einen elektrischen Aktuator, einen Zylinder oder ein Pantograph.
  9. Vorrichtung nach einem der Ansprüche 1 bis 8, dadurch gekennzeichnet, dass die Vorrichtung Systeme zur Überwachung der Position oder Sicherheit des Benutzers umfasst, insbesondere in Bezug auf die Sitzhaltung oder Rückenposition oder im Zusammenhang mit dem Erreichen, Überschreiten oder Annähern an einen vordefinierten Kraftschwellenwert oder einem Ungleichgewicht bei der Anwendung von Kräften.
  10. Vorrichtung nach einem der Ansprüche 1 bis 9, dadurch gekennzeichnet, dass die Vorrichtung ein programmierbares automatisches System für eine Übungseinheit umfasst.
  11. Vorrichtung nach Anspruch 10, dadurch gekennzeichnet, dass das programmierbare automatische System so eingerichtet ist, dass es die Erfassung, Verarbeitung, Steuerung oder visuelle, akustische oder kinästhetische Rückmeldung von Daten oder Programmen der Übungseinheiten durchführt.
  12. Vorrichtung nach einem der Ansprüche 1 bis 11, dadurch gekennzeichnet, dass sie ferner Systeme zur Fernverbindung, Datenverarbeitung und Datenspeicherung umfasst, die so eingerichtet sind, dass sie insbesondere eine Sicherung, Aktualisierung, Steuerung, Bedienung, Überwachung und/oder Fernwartung ermöglichen.
  13. Vorrichtung nach einem der Ansprüche 1 bis 12, dadurch gekennzeichnet, dass die Vorrichtung so ausgestaltet ist, dass das gesamte Gerät oder Teile davon modular aufgebaut sind.
  14. Vorrichtung nach einem der Ansprüche 1 bis 13, dadurch gekennzeichnet, dass die Vorrichtung so ausgestaltet ist, dass das gesamte Gerät oder Teile davon leicht demontierbar sind.
  15. Vorrichtung nach einem der Ansprüche 1 bis 14, dadurch gekennzeichnet, dass die Vorrichtung so ausgestaltet ist, dass das gesamte Gerät oder Teile davon zusammenklappbar sind, um den Platzbedarf außerhalb der Nutzung zu minimieren.
EP22748393.0A 2021-06-22 2022-06-21 Vorrichtung zur stimulation bestimmter organe des menschlichen körpers mit ladungen zur verhinderung ihrer degeneration Active EP4359088B1 (de)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
FR2106612 2021-06-22
FR2110495 2021-10-05
PCT/FR2022/051212 WO2022269190A1 (fr) 2021-06-22 2022-06-21 Dispositif de stimulation par des charges de certains organes du corps humain pour prevenir leur dégénérescence

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EP4359088A1 EP4359088A1 (de) 2024-05-01
EP4359088B1 true EP4359088B1 (de) 2025-07-30
EP4359088C0 EP4359088C0 (de) 2025-07-30

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EP (1) EP4359088B1 (de)
CA (1) CA3224339A1 (de)
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EP4359088C0 (de) 2025-07-30
CA3224339A1 (fr) 2025-10-30
EP4359088A1 (de) 2024-05-01

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