FR2868293A1 - Paraplegic or tetraplegic rehabilitation device for spinal cord injured patient, has chest support permitting patient to adapt orthostatic position, and foam cushion supporting patient in seated position so that feet are placed on platforms - Google Patents

Paraplegic or tetraplegic rehabilitation device for spinal cord injured patient, has chest support permitting patient to adapt orthostatic position, and foam cushion supporting patient in seated position so that feet are placed on platforms Download PDF

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Publication number
FR2868293A1
FR2868293A1 FR0403486A FR0403486A FR2868293A1 FR 2868293 A1 FR2868293 A1 FR 2868293A1 FR 0403486 A FR0403486 A FR 0403486A FR 0403486 A FR0403486 A FR 0403486A FR 2868293 A1 FR2868293 A1 FR 2868293A1
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France
Prior art keywords
patient
support
platforms
tetraplegic
feet
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Granted
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FR0403486A
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French (fr)
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FR2868293B1 (en
Inventor
Georges Jean Marie Franc Barbe
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Priority to FR0403486A priority Critical patent/FR2868293B1/en
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Anticipated expiration legal-status Critical
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H3/00—Appliances for aiding patients or disabled persons to walk about
    • A61H3/04—Wheeled walking aids for disabled persons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00—Apparatus for passive exercising; Vibrating apparatus ; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02—Stretching or bending or torsioning apparatus for exercising
    • A61H1/0237—Stretching or bending or torsioning apparatus for exercising for the lower limbs
    • A61H1/0255—Both knee and hip of a patient, e.g. in supine or sitting position, the feet being moved in a plane substantially parallel to the body-symmetrical-plane
    • A61H1/0262—Walking movement; Appliances for aiding disabled persons to walk
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00—Apparatus for passive exercising; Vibrating apparatus ; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02—Stretching or bending or torsioning apparatus for exercising
    • A61H1/0237—Stretching or bending or torsioning apparatus for exercising for the lower limbs
    • A61H1/0266—Foot
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H3/00—Appliances for aiding patients or disabled persons to walk about
    • A61H3/008—Using suspension devices for supporting the body in an upright walking or standing position, e.g. harnesses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H3/00—Appliances for aiding patients or disabled persons to walk about
    • A61H3/04—Wheeled walking aids for disabled persons
    • A61H2003/046—Wheeled walking aids for disabled persons with braking means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/1619—Thorax
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/1635—Hand or arm, e.g. handle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/164—Feet or leg, e.g. pedal
    • A61H2201/1642—Holding means therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/165—Wearable interfaces
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1683—Surface of interface
    • A61H2201/1685—Surface of interface interchangeable

Abstract

The device has three upper supports, a gluteal support (13), a chest support (14), and a support (15) under armpit. The support (14) permits spinal cord injured patient to adapt orthostatic position by holding handles of the support (15) with hands to fix a harness for a suspended walk. The support (13) is provided with a foam cushion (16) that supports the patient in seated position so that foot is placed on platforms (24, 25).

Description

La présente invention concerne un dispositif pour mouvoir les jambes dansThe present invention relates to a device for moving the legs in

une configuration proche de la marche pour personnes atteintes d'une paralysie des membres inférieurs et ainsi stimuler Ieur système neuromoteur dans le cadre d'une rééducation pour activer un grand nombre de fonctions du système nerveux central.  a configuration close to walking for people with paralysis of the lower limbs and thus stimulate their neuromotor system as part of a reeducation to activate a large number of functions of the central nervous system.

La stimulation du système neuro-moteur de blessés médullaires s'effectue traditionnellement en positionnant la personne paraplégique ou tétraplégique par un système de maintien "verticalisateur' en positionnant debout le patient les jambes immobilisées. Un autre système consiste à positionner le blessé assis sur son fauteuil roulant les jambes et pieds reliés et fixés par sangles à un pédalier actionné par un moteur électrique qui va permettre de donner un mouvement rotatif des jambes.  The stimulation of the neuro-motor system of spinal cord injuries is traditionally done by positioning the paraplegic or tetraplegic person by a "verticalizer" system by positioning the patient standing with the legs immobilized Another system consists in positioning the wounded person sitting on his chair rolling legs and feet connected and attached by straps to a pedal operated by an electric motor that will allow to give a rotary movement of the legs.

1 Q Le dispositif. selon l'invention permet de combiner les deux systèmes existants en permettant de positionner le blessé debout pour améliorer la correction de la posture - les pieds en appui sur les plate-forme afin d'alléger de 20 à 50 % le poids du corps du patient grâce aux supports sous aisselles et une bonne assise sur le support fessier - ceux-ci étant réglables à la demande.  1 Q The device. according to the invention can combine the two existing systems to position the injured standing to improve the correction of posture - the feet resting on the platform to lighten 20 to 50% of the weight of the body of the patient thanks to underarm supports and a good seat on the gluteal support - these can be adjusted on demand.

Lors de la mise en route du moto réducteur muni sur son axe de poulies doubles reliées par courroies au vilebrequin la rotation de l'ensemble fait avancer et reculer les plate-forme, coordonne le mouvement flexion extension en alternance côté droit et côté gauche en parfaite harmonie grâce au potentiomètre variateur de vitesse.  When starting the geared motor equipped on its axis with double pulleys connected by belts to the crankshaft the rotation of the assembly moves the platforms forward and backwards, coordinates the bending movement extension alternately right and left side in perfect harmony thanks to the variable speed potentiometer.

En référence à ces dessins le dispositif comporte une structure en U (1) montée sur quatre roues mobiles et pivotantes (2) pour le déplacement de l'appareil - les roues arrières sont équipées d'une Z O sécurité autobloquante (3) une alimentation 24 volts (4) une carte électronique (5) un potentiomètre variateur de vitesse 10 tours avec bouton d'arrêt (6) une poulie double (7) fixée sur l'arme moto réducteur (8) et vilebrequin (9) reliées entre elles par deux courroies crantées (10) permettant la rotation de l'ensemble.  With reference to these drawings the device comprises a U-shaped structure (1) mounted on four mobile and pivoting wheels (2) for moving the device - the rear wheels are equipped with a ZO self-locking security (3) a power supply 24 volts (4) an electronic card (5) a 10-speed speed control potentiometer with stop button (6) a double pulley (7) attached to the gear reduction motorcycle (8) and crankshaft (9) interconnected by two toothed belts (10) for rotating the assembly.

Sur le châssis (1) est soudé l'élément vertical (11) ainsi que trois supports (12) , Les supports 2.5 (13)(14)(15) sont réglables en hauteurlargeur et maintenus à la structure par des vis de serrage (26) pour maintenir l'utilisateur en position debout.  On the frame (1) is welded the vertical element (11) and three supports (12), the supports 2.5 (13) (14) (15) are adjustable in heightwidth and held in the structure by clamping screws ( 26) to keep the user upright.

Sur les supports (12) en position haute sont vissées quatre rotules (17) soudées aux attelles (20). Sur celles ci sont fixées des demies coquilles latex souple (19) une garniture de velours est cousue à l'extérieur (18) pour sangler les cuisses et les jambes du patient avec des bandes "velcro" (marque déposée) (21) Les attelles en position basse sont rivetées (22) et fixées sur le côté â des plate-forme talon (24) . A la hauteur de la flexion des genoux les attelles (28) sont rivetées entre elles. Chaque attelle est réglable par une tige filetée (29) qui se visse sur un embout taraudé (diamètre 30) sur trois centimètres pour adapter la hauteur des jambes du patient.  On the supports (12) in the high position are screwed four ball joints (17) welded to the splints (20). On these are fixed semi soft latex shells (19) a velvet pad is sewn on the outside (18) to strap the thighs and legs of the patient with "velcro" strips (trademark) (21) The splints in the lower position are riveted (22) and fixed to the side of the heel platform (24). At the height of the flexion of the knees the splints (28) are riveted together. Each splint is adjustable by a threaded rod (29) which is screwed on a threaded tip (diameter 30) over three centimeters to adapt the height of the legs of the patient.

Le porte fessier (13) muni de coussin mousse (16) supporte le patient en position assise pour que 3 J' les pieds reposent au maximum sur les plateforme (24) (25) articulées en leur milieu.  The gluteal seat (13) provided with a foam cushion (16) supports the patient in a sitting position so that the feet rest as far as possible on the platforms (24) articulated in their middle.

En pressant sur la poignée (30) reliée par un fil en acier qui coulisse dans une gaine (31) le ressort (32) se comprime et le loquet de sécurité (33) sort de son logement permettant l'ouverture de deux bras (34) qui pivotent côté gauche et droit.  By pressing on the handle (30) connected by a steel wire which slides in a sheath (31) the spring (32) is compressed and the safety latch (33) comes out of its housing allowing the opening of two arms (34). ) that rotate left and right side.

Le support poitrine (14) permet l'adaptation posturale en position orthostatique en se maintenant avec les mains aux poignées (35) le support sous aisselle (15) muni de coussins soulage le buste de l'utilisateur avec possibilité de fixer un harnais pour marche suspendue.  The chest support (14) allows the postural adaptation in orthostatic position by holding hands with the handles (35) the underarm support (15) provided with cushions relieves the bust of the user with the possibility of fixing a harness for walking suspended.

Sur le maneton du vilebrequin (9) tourne un coussinet (38) sur celui-ci est soudée une pièce métallique rectangulaire percée de deux trous pour fixer les talons plate-forme (24) par des vis (36) et sur ladite pièce métallique surmontée d'un cavalier en U (37) permet le guidage et le coulissement des lames support (23) munies de coussinets (39) qui oscillent sur l'arbre (40).  On the crankpin (9) rotates a bearing (38) thereon is welded a rectangular metal piece pierced with two holes to fix the platform heels (24) by screws (36) and on said metal piece topped a U-shaped jumper (37) allows guiding and sliding of the support blades (23) provided with bearings (39) which oscillate on the shaft (40).

Selon les modes particulières de réalisation l'appareil peut être modifié pour l'amplitude du mouvement des jambes la plante des pieds sanglée sur les plate-forme articulées en leur milieu. Ces plate-forme reposent sur les lames support plus courtes soudées parallèlement au châssis et fixées sur deux arbres transversalement boulonnés par cavalier à la structure.  According to the particular embodiments, the apparatus may be modified for the amplitude of the movement of the legs, the soles of the feet being strapped on the articulated platforms in their middle. These platforms are based on the shorter support blades welded parallel to the frame and fixed on two shafts transversely bolted by jumper to the structure.

Cette transformation de l'appareil supprime le coussinet, la pièce métallique, la lame support plate-forme solidaire du vilebrequin. EIle permet de fixer les talons plate-forme par palier sur le maneton du vilebrequin. Cette modification identique à un pédalier permet la rotation complète pour une mobilité I5 hanche genou cheville.  This transformation of the device eliminates the pad, the metal part, the deck support blade secured to the crankshaft. It allows to fix the platform heels in stages on the crankpin. This modification identical to a crankset allows complete rotation for a mobility I5 hip knee ankle.

Claims (5)

REVENDICATIONS 1) Dispositif pour la rééducation des paraplégiques tétraplégiques en position debout sur im comportant un axe vertical (11) caractérisé en ce qu'il comporte quatre supports (12) (13) (14) (15). Le support supérieur (15) sous aisselle et le support poitrine (14) muni de poignées de maintien (35) permettent l'adaptation postural du patient avec possibilité de fixer un harnais pour _marche suspendue.  1) Device for the rehabilitation of paraplegics tetraplegic standing upright with im having a vertical axis (11) characterized in that it comprises four supports (12) (13) (14) (15). The upper support (15) under the armpit and the chest support (14) provided with holding handles (35) allow postural adaptation of the patient with the possibility of attaching a harness for _marche suspended. 2) Dispositif selon la revendication 1 caractérisé en ce que le support fessier (13) comprend deux bras articulés mobiles (34) maintenus par un système intégrant un ressort (32) comprimant un loquet de sécurité (33) permettant l'ouverture pour maintenir l'utilisateur dans une position orthostatique après fermeture du système.  2) Device according to claim 1 characterized in that the buttock support (13) comprises two movable articulated arms (34) held by a system incorporating a spring (32) compressing a safety latch (33) allowing the opening to maintain the l user in an orthostatic position after closing the system. J 0  J 0 3)Dispositif selon la revendication 1 caractérisé en ce que, au niveau de la partie supérieure des jambes, le support (12) permet la fixation de rotules (17) reliées à chaque attelle (20). Celle-ci comporte deux parties mobiles rivetées l'une sur l' autre (28) pour la flexion extension.3) Device according to claim 1 characterized in that, at the upper part of the legs, the support (12) allows the attachment of ball joints (17) connected to each splint (20). It comprises two movable parts riveted one on the other (28) for flexion extension. 4) Dispositif selon la revendication 3 caractérisé en ce que chaque paire d'attelles (20) maintient la jambe droite et gauche du patient par des demi-coquilles garniture souple (18) et bande "velc_ro" (21) pour sangler les cuisses et jambes de l'utilisateur les pieds reposant sur des plateforme (24) (25) articulées en leur milieu.  4) Device according to claim 3 characterized in that each pair of splints (20) holds the right leg and left of the patient by flexible padding half-shells (18) and band "velc_ro" (21) to strap the thighs and legs of the user the feet resting on platforms (24) (25) hinged in their middle. 5) Dispositif selon la revendication 4 caractérisé en ce qu'il comprend un moto réducteur (8) couplé par courroies (10) au vilebrequin (9) qui permet d'actionner un système de lames support (23) qui coulissent dans des guides de forme rectangulaire sur lesquels sont fixées des plate- forme repose-pied (24,25). Lors de la mise en route du bouton arrêt variateur de vitesse (6), le moto réducteur (8) permet la rotation du vilebrequin (9) qui entraîne la flexion des attelles (20) gauche et droite en alternance et fait avancer et reculer les plate-forme (24) (25) sur les lames support (23) qui oscillent sur l'arbre (40) fixé par deux paliers sur le châssis (1). d $  5) Device according to claim 4 characterized in that it comprises a geared motor (8) coupled by belts (10) to the crankshaft (9) which allows to actuate a system of support blades (23) which slide in guides of rectangular shape on which are fixed footrest platform (24,25). When starting the speed variator stop button (6), the geared motor (8) allows the rotation of the crankshaft (9) which causes the bending of the splints (20) left and right alternately and moves forward and backward. platform (24) (25) on the support blades (23) oscillating on the shaft (40) fixed by two bearings on the frame (1). d $
FR0403486A 2004-04-02 2004-04-02 ORTHOSTATIC MUSCLE REEDUCATION APPARATUS FOR MEDAL INJURIES Expired - Fee Related FR2868293B1 (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ES2609248A1 (en) * 2015-10-13 2017-04-19 Shanae Servicios Geriatricos, S.L.U. Wiper device for people with deficit de marcha (Machine-translation by Google Translate, not legally binding)
EP3509558A4 (en) * 2016-09-08 2020-05-06 Trexo Robotics Inc. Mobile weight-bearing powered orthosis device

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4802542A (en) * 1986-08-25 1989-02-07 Falcon Rehabilitation Products, Inc. Powered walker
US5343856A (en) * 1992-11-18 1994-09-06 Proctor Alfred E Complete body passive exercise machine
US5365621A (en) * 1991-09-24 1994-11-22 Blain Joseph E Invalid lift
WO1999058093A2 (en) * 1998-05-08 1999-11-18 R. T. Palmer Ltd. Orthotic walker
WO2001066059A2 (en) * 2000-03-09 2001-09-13 Firma Ortopedyczna 'medort' S.A. Device for enabling persons with paresis of lower limbs to walk
US20030004444A1 (en) * 2000-05-30 2003-01-02 Barbara Perner Rehabilitation device for persons with paresis of lower limps enabling them to walk

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4802542A (en) * 1986-08-25 1989-02-07 Falcon Rehabilitation Products, Inc. Powered walker
US5365621A (en) * 1991-09-24 1994-11-22 Blain Joseph E Invalid lift
US5343856A (en) * 1992-11-18 1994-09-06 Proctor Alfred E Complete body passive exercise machine
WO1999058093A2 (en) * 1998-05-08 1999-11-18 R. T. Palmer Ltd. Orthotic walker
WO2001066059A2 (en) * 2000-03-09 2001-09-13 Firma Ortopedyczna 'medort' S.A. Device for enabling persons with paresis of lower limbs to walk
US20030004444A1 (en) * 2000-05-30 2003-01-02 Barbara Perner Rehabilitation device for persons with paresis of lower limps enabling them to walk

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ES2609248A1 (en) * 2015-10-13 2017-04-19 Shanae Servicios Geriatricos, S.L.U. Wiper device for people with deficit de marcha (Machine-translation by Google Translate, not legally binding)
EP3509558A4 (en) * 2016-09-08 2020-05-06 Trexo Robotics Inc. Mobile weight-bearing powered orthosis device

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