FI90312C - Device for recording the movement of a joint - Google Patents

Device for recording the movement of a joint Download PDF

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Publication number
FI90312C
FI90312C FI915269A FI915269A FI90312C FI 90312 C FI90312 C FI 90312C FI 915269 A FI915269 A FI 915269A FI 915269 A FI915269 A FI 915269A FI 90312 C FI90312 C FI 90312C
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Prior art keywords
rehabilitation
joint
movement
recording
program
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FI915269A
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Finnish (fi)
Swedish (sv)
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FI915269A (en
FI90312B (en
FI915269A0 (en
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Auvo Kaikkonen
Hannu Jaervi
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Multibusiness Enterprise Finnt
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Priority to FI915269A priority Critical patent/FI90312C/en
Publication of FI915269A0 publication Critical patent/FI915269A0/en
Publication of FI915269A publication Critical patent/FI915269A/en
Application granted granted Critical
Publication of FI90312B publication Critical patent/FI90312B/en
Publication of FI90312C publication Critical patent/FI90312C/en
Priority to EE9400153A priority patent/EE9400153A/en

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Description

! 90312! 90312

Laite nivelen liikkeen rekisteroimiseksiDevice for recording the movement of a joint

Esilla olevan keksinnon kohteena on laite nivelen liikkeen rekisteroimiseksi, jolloin laite on jarjes-5 tetty kiinnitettavaksi irrallisena måårattyyn ke-honosaan ja se sisaltaa maan vetovoimaan perustuvan kallistusanturin, jolloin laitteeseen on rekisteroitå-vissa tietoa nivelen liikkeesta kallistusanturin mittausten avulla.The present invention relates to a device for recording the movement of a joint, the device being arranged to be attached separately to a defined body part and comprising a tilt sensor based on the gravity of the ground, the device being recordable about the movement of the joint by means of tilt sensor measurements.

1010

Vamman tai leikkauksen jalkeinen nivelen kuntoutus perustuu nivelen liikelaajuuden palauttamiseen ja samanaikaisesti lihasvoiman yllapitoon. Useimmiten on vamman laajuuden tai toimenpiteen vuoksi tarkoituksen-15 mukaista alkuvaiheessa rajoittaa nivelen liikkuvuutta kipsilla, lastalla tai muulla vastaavalla ja samanaikaisesti yllapitåa lihasvoimaa isometrisillå harjoi-tuksilla. Tasta on såånnonmukaisesti seurauksena nivelen jaykistyminen ja lihasvoiman alentuminen. Niin 20 sanotut saranakipsit ja saranalastat pyrkivåt mekaani-silla rajoittimilla sallimaan tietyn liikeradan sailymisen. Tåtå liikelaajuutta lisataan kuntoutumisen edetessa.Joint rehabilitation after an injury or surgery is based on restoring the range of motion of the joint and at the same time maintaining muscle strength. In most cases, due to the extent of the injury or the procedure, it is appropriate at the initial stage to limit the mobility of the joint with plaster, spatula or the like and at the same time maintain muscle strength with isometric exercises. This regularly results in stiffening of the joint and a decrease in muscle strength. So-called hinge plasters and hinge pins tend to use mechanical stops to allow a certain trajectory to be maintained. This range of motion will increase as rehabilitation progresses.

25 Esimerkiksi polven eturistisidevamman korjausleikkaus perustuu nykyaan polvijanteestå otetun jannesiirteen kayttobn. Polven ojentuessa alle 30 asteen koukistus-kulmaan ja toisaalta koukistuessa yli 60 asteen koukistuskulmaan siirteeseen kohdistuu vetorasitus, 30 joka ennen siirteen kiinnittymista aikaansaa siirteen venyttymisen ja nivelen stabiliteetin menettåmisen, ts. operaation epåonnistumisen. Leikkauksen jalkeen yleenså viikon ajaksi polvi jåykistetaan 45 asteen kulmaan ja sen jalkeen sallitaan liike 30-60 astetta 35 seuraavat kaksi viikkoa. Viimeisten kolmen viikon ajan liike 0-90 astetta on sallittu. Saranalastan poiston jalkeen alkaa 6-12 viikkoa keståvå aktiivisen kuntoutuksen vaihe, jonka tarkoituksena on palauttaa 2 SO 312 loppu liikeradasta. Tainan vaiheen kesto on suuresti riippuvainen potilaasta itseståan. Vastaavaa periaa-tetta sovelletaan muidenkin nivelten ja luiden vammo-jen jålkihoidossa.25 For example, the corrective surgery of the anterior cruciate ligament of the knee is currently based on the use of a tendon graft taken from the knee ligament. When the knee extends to a bend angle of less than 30 degrees and on the other hand bends to a bend angle of more than 60 degrees, the graft is subjected to a tensile stress 30 which causes the graft to stretch and lose joint stability prior to graft attachment. After surgery, the knee is usually stiffened to a 45-degree angle for one week, after which movement of 30 to 60 degrees 35 is allowed for the next two weeks. For the last three weeks, movement of 0-90 degrees is allowed. After removal of the hinge blade, an active rehabilitation phase lasting 6-12 weeks begins, with the aim of restoring 2 SO 312 to the end of the trajectory. The duration of the dough phase is highly dependent on the patient himself. A similar principle applies to the follow-up of other joint and bone injuries.

55

Nykyisin kåytosså olevien menetelmien suurimpana haittana on pidettåvå puutteellista kykya kontrolloida kuntoutumisen edistymistå, toisin sanoen toimiiko potilas annettujen ohjeiden mukaisesti. Vaikka lastas-10 sa onkin mekaaniset sååtorajoitteet tama ei viela mitenkåan takaa, ettå liikelaajuutta harjoitetaan koko sallitulla liikeradalla. Toisaalta lukuisat sååtoti-lanteet kuluttavat paitsi sairaaloiden poliklinikka-resursseja myos merkittåvåsti yhteiskunnan muita 15 palveluja ja potilaan aikaa. Kuntoutusohjelmat on jouduttu laatimaan edella mainittujen viikko-ohjelmien pohjaile. Kuntoutuminen on kuitenkin jatkumo, joka edistyy paivittåin.The main disadvantage of the methods currently in use is the lack of ability to control the progress of rehabilitation, ie whether the patient is following the instructions given. Although the Lastas-10 has mechanical flow constraints, this still does not in any way guarantee that the range of motion is practiced along the entire permitted trajectory. On the other hand, numerous hospital conditions not only consume the resources of outpatient hospitals but also significantly other services in society and patient time. Rehabilitation programs have had to be based on the weekly programs mentioned above. However, rehabilitation is a continuum that progresses daily.

20 Julkaisussa WO 87/05229 on esitetty urheilijan harjoi-tuslaite, joka irrallisena maarattyyn kehonosaan, esim. kateen kiinnitettyna, rekisteroi urheilu- tai kuntoilusuorituksen aikana tehtyjen liikkeiden maaraa. Rekisterointi suoritetaan maan vetovoimaan perustuvan 25 kallistusanturin avulla. Liikkeiden aåriasentoja ei pystytå mittaamaan kyseisella laitteella.WO 87/05229 discloses an athlete's training device which, when detached to a defined part of the body, e.g. the attachment to the roof, registers the amount of movements made during a sports or fitness performance. Registration is performed by means of 25 tilt sensors based on the gravity of the ground. The position positions of the movements cannot be measured with this device.

Keksinnon mukaisen laitteen avulla saadaan aikaan ratkaiseva parannus edella esitetyissa epakohdissa. 30 Taman toteuttamiseksi keksinnon mukaiselle laitteelle on tunnusomaista se, etta irrallinen, haluttuun kehonosaan kiinnitettavissa oleva laite on lihasten ja ja nivelten kuntoutuslaite, joka on jarjestetty rekisteroimaan nivelen liikelaajuuden kertovat kallis-35 tusanturin kulmamittaustiedot kuntoutuksen edistymisen seuraamiseksi. Maan vetovoimaan perustuvan kallistusanturin kaltevuusmittausten avulla laitteeseen on rekisteroitavissa tietoa kuntoutustapahtumasta.The device according to the invention provides a decisive improvement in the above-mentioned drawbacks. To accomplish this, the device of the invention is characterized in that the detachable device, which can be attached to a desired body part, is a muscle and joint rehabilitation device arranged to record the angular measurement data of a joint sensor indicating the range of motion to monitor the progress of rehabilitation. With the help of the inclination measurements of the tilt sensor based on the ground's gravity, information about the rehabilitation event can be registered in the device.

3 9031 23 9031 2

Keksinnon avulla saavutetaan kuntoutuksessa useita etuja. Eraan edullisen suoritusmuodon mukaan laittee-seen talletettu, yksilollinen ennalta maaritelty muuttuva kuntoutusohjelma mahdollistaa yksilollisen, 5 aktiivisen ja itsenaisen kuntoutumisen. Laitteen keraama tieto kuntoutustapahtumasta on mahdollista purkaa jålkikåteen ja nain kontrolloida kuntoutusoh-jelman toteutumista. Laitteen ansiosta poliklinikka-kayntitarve vahenee, koska kaikki olennainen tieto on 10 tallennettuna laitteen muistiin.The invention achieves several advantages in rehabilitation. According to a preferred embodiment, an individual pre-defined variable rehabilitation program stored in the device enables individual, active and independent rehabilitation. It is possible to decompose the ceramic information about the rehabilitation event afterwards and thus control the implementation of the rehabilitation program. Thanks to the device, the need for outpatient visits is reduced, as all relevant information is stored in the device's memory.

Keksinto mahdollistaa entista aikaisemman kipsin tai lastan poistamisen ja nopeamman paluun normaaliin elamaån. Nain vamman hoito sinansa ei rajoita potilaan 15 harrastuksia tai tyontekoa enempaa kuin itse vamma. Kuntoutustapahtuma ei siis ole sidottu aikaan, paik-kaan eika valittuun hoitomenetelmaan.The invention makes it possible to remove even earlier gypsum or spatula and to return more quickly to normal life. Thus, the treatment of an injury per se does not restrict the patient's 15 hobbies or work more than the injury itself. Thus, the rehabilitation event is not tied to time, place or the chosen method of treatment.

Monipuolisuutensa ansiosta keksinto sopii kaytettåvak-20 si paitsi edellå kuvatussa kåyttotarkoituksessa myos muussa laaketieteellisessa tutkimuksessa, nivelten liikelaajuuksien mittaamisessa, urheilijoiden valmen-nuksessa jne.Due to its versatility, the invention is suitable for use in addition to the intended use described above, but also in other medical research, in measuring the range of motion of joints, in the training of athletes, etc.

25 Seuraavassa keksintoa kuvataan yksityiskohtaisesti viittaamalla piirustuksiin, joissa kuva 1 esittaa laitteen liittymistå kuntoutustapah-tumaan 30 kuva 2 esittaa keksinnon mukaista kaltevuutta mit-taavaa laitetta kuva 3 esittaa kuvan 2 mukaista laitetta kulmamit-35 tauksiin.The invention will now be described in detail with reference to the drawings, in which Figure 1 shows the connection of a device to a rehabilitation event. Figure 2 shows a slope measuring device according to the invention. Figure 3 shows a device according to Figure 2 for angular measurements.

4 903124,90312

Kuvan 1 mukaisesti laitteeseen 1 voidaan ladata kuntoutusohjelma ja purkaa kertynyt tieto latauslait-teessa 2. Latauslaite on liitetty tietokoneeseen 3, 5 jolta tehdåan tiedon luku ja sisaansyotto. Ladattu laite annetaan potilaalle 4. Potilas toteuttaa ohjel-maa laitteen ilmoittamien ohjeiden mukaisesti. Laite rekisteroi potilaan toimenpiteet myohempåa lukua vårten.According to Fig. 1, a rehabilitation program can be downloaded to the device 1 and the accumulated data in the charger 2 can be decoded. The charger is connected to a computer 3, 5 from which the data is read and entered. The charged device is given to patient 4. The patient executes the program according to the instructions provided by the device. The device records the patient's actions for later reading.

1010

Kuvassa 2 nåkyy itse laite l, nåyttoyksikko 5 ja painike 6. Laite sisaltaa maan vetovoimaan perustuvat kallistusanturit, joiden avulla voidaan mitata kahden-suuntaista kallistumaa ja laskennallisesti saada 15 nåiden komponentit. Nåiden lisaksi laitteessa on muisti, johon talletetaan kuntoutusohjelma seka keratty tieto. Kuntoutusohjelma sisaltaa laaditun, tarvittaessa ajan funktiona muuttuvan suunnitelman. Laite hyvaksyy ja rekisteroi ohjelman mukaisen suori-20 tuksen seka ilmoittaa tasta potilaalle.Figure 2 shows the device 1 itself, the display unit 5 and the button 6. The device includes tilt sensors based on the gravity of the ground, which can be used to measure the bidirectional tilt and to compute 15 of these components. In addition to these, the device has a memory in which the rehabilitation program and the collected data are stored. The rehabilitation program includes a plan, which changes as a function of time if necessary. The device accepts and registers the execution according to the program and informs the patient.

Kuvassa 3 on kuvan 2 laitetta taydennetty ulkoisella anturilla 7, joka antaa laitteelle referenssin kulma-mittausta vårten.In Fig. 3, the device of Fig. 2 is supplemented by an external sensor 7, which provides the device with a reference for angle measurement.

2525

Keksinto ei ole rajoittunut selityksessa ja piirustuk-sissa esitettyihin suoritusmuotoihin, vaan monet muunnokset ovat mahdollisia seuraavien patenttivaati-musten maaritteleman keksinnollisen ajatuksen puit-30 teissa.The invention is not limited to the embodiments shown in the description and in the drawings, but many modifications are possible within the scope of the inventive idea defined by the following claims.

Claims (3)

5 90312 . Patenttivaatimukset:5,90312. Claims: 1. Laite nivelen liikkeen rekisterdimiseksi, jolloin 5 laite (1) on jarjestetty kiinnitettavåksi irrallisena maaråttyyn kehonosaan ja se sisåltåM maan vetovoimaan perustuvan kallistusanturin, jolloin laitteeseen on rekisteroitåvissa tietoa nivelen liikkeesta kallistusanturin mittausten avulla, tunnettu siita, etta 10 laite on lihasten ja nivelten kuntoutuslaite, joka on jarjestetty rekisteroimaan nivelen liikelaajuuden kertovat kallistusanturin kulmamittaustiedot kuntou-tuksen edistymisen seuraamiseksi.A device for recording the movement of a joint, the device (1) being arranged to be attached separately to a defined body part and comprising a tilt sensor based on the gravity of the ground, the device being capable of recording information about the movement of the joint arranged to record the angle measurement data of the tilt sensor indicating the range of motion of the joint to monitor the progress of the rehabilitation. 2. Patenttivaatimuksen 1 mukainen kuntoutuslaite, tunnettu siita, etta laitteeseen on tallennetta- vissa yksilollinen ennalta maaritelty kuntoutusohjelina ja siihen on rekisterditåvissS tietoa edella mainitun kuntoutusohjelman toteutumisesta. 20Rehabilitation device according to Claim 1, characterized in that an individual pre-defined rehabilitation program can be stored in the device and contains information on the implementation of the above-mentioned rehabilitation program. 20 3. Patenttivaatimuksen 1 tai 2 mukainen kuntoutuslaite, tunnettu siita, etta sita on tåydennetty ulkoisella maan vetovoimaan perustuvalla anturilla (7) laitteen (1) ja anturin (7) valisen kulman mittaami-25 seksi. 6 c η 7 i oRehabilitation device according to Claim 1 or 2, characterized in that it is supplemented by an external ground traction sensor (7) for measuring the angle between the device (1) and the sensor (7). 6 c η 7 i o
FI915269A 1991-11-08 1991-11-08 Device for recording the movement of a joint FI90312C (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
FI915269A FI90312C (en) 1991-11-08 1991-11-08 Device for recording the movement of a joint
EE9400153A EE9400153A (en) 1991-11-08 1994-11-22 Device for recording the movement of a joint

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FI915269 1991-11-08
FI915269A FI90312C (en) 1991-11-08 1991-11-08 Device for recording the movement of a joint

Publications (4)

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FI915269A0 FI915269A0 (en) 1991-11-08
FI915269A FI915269A (en) 1993-05-09
FI90312B FI90312B (en) 1993-10-15
FI90312C true FI90312C (en) 1994-09-20

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Publication number Priority date Publication date Assignee Title
WO1994026359A1 (en) * 1993-05-07 1994-11-24 Multibusiness Enterprise Finntrade Oy Device for registering movement of a joint

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FI90312B (en) 1993-10-15
FI915269A0 (en) 1991-11-08

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