WO2000007675A1 - Medical apparatus for sensitive training and therapy - Google Patents

Medical apparatus for sensitive training and therapy Download PDF

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Publication number
WO2000007675A1
WO2000007675A1 PCT/FR1999/001873 FR9901873W WO0007675A1 WO 2000007675 A1 WO2000007675 A1 WO 2000007675A1 FR 9901873 W FR9901873 W FR 9901873W WO 0007675 A1 WO0007675 A1 WO 0007675A1
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WO
WIPO (PCT)
Prior art keywords
plate
base
rotation
stop device
support
Prior art date
Application number
PCT/FR1999/001873
Other languages
French (fr)
Inventor
Jean Pierre Orfila
Original Assignee
Jean Pierre Orfila
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Jean Pierre Orfila filed Critical Jean Pierre Orfila
Priority to DE69902042T priority Critical patent/DE69902042T2/en
Priority to AU51675/99A priority patent/AU5167599A/en
Priority to EP99936651A priority patent/EP1100594B1/en
Priority to AT99936651T priority patent/ATE219956T1/en
Publication of WO2000007675A1 publication Critical patent/WO2000007675A1/en

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Classifications

    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B22/18—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with elements, i.e. platforms, having a circulating, nutating or rotating movement, generated by oscillating movement of the user, e.g. platforms wobbling on a centrally arranged spherical support
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B22/0025—Particular aspects relating to the orientation of movement paths of the limbs relative to the body; Relative relationship between the movements of the limbs
    • A63B2022/0033—Lower limbs performing together the same movement, e.g. on a single support element
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B22/16—Platforms for rocking motion about a horizontal axis, e.g. axis through the middle of the platform; Balancing drums; Balancing boards or the like
    • 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
    • A63B2208/12—Characteristics or parameters related to the user or player specially adapted for children
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2225/00—Miscellaneous features of sport apparatus, devices or equipment
    • A63B2225/30—Maintenance
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2225/00—Miscellaneous features of sport apparatus, devices or equipment
    • A63B2225/74—Miscellaneous features of sport apparatus, devices or equipment with powered illuminating means, e.g. lights

Definitions

  • the present invention relates to a medical apparatus for training and sensitive rehabilitation, comprising a base on which a tray is mounted.
  • it further comprises means for connecting the plate to the base allowing freedom of rotation of the plate in all directions, and at least one angular stop device making it possible to limit or eliminate the freedom in rotation of the plate. along a chosen direction axis.
  • this device comprises a plate made integral with a base by a central ball joint which rests on a support fixed in the center of this set, knobs allow the selection of the direction of the inclinations of the plate.
  • An adjustable spotlight attached to the top of a bracket located at the front, above and secured to the tray indicates to the patient the amplitude of the oscillations of the tray, by projecting directly on a target the image of a light point.
  • Patents concerning proprioceptive rehabilitation are known:
  • the document FR-A-2,683,727 describes a device whose oscillations of the plate are multi-directional, but does not include a system allowing the selection of the direction of the oscillations, major drawback which limits the possibilities of use of the device.
  • Document FR-A-2,669,232 mentions a light system whose source located under the plate can indicate only one direction at a time, either vertical or lateral. This device does not allow multi-directional exercises, so no visual information in the latter case.
  • the present invention provides an effective and economical solution to the re-education of proprioceptive reflexes, and of walking, by facilitating better coordination of movements by very good feedback of information to the patient.
  • the present invention relates to a medical apparatus for training and sensitive rehabilitation, comprising a base on which a tray is mounted.
  • it further comprises means for connecting the plate to the base allowing freedom of rotation of the plate in all directions, and at least one angular stop device making it possible to limit or eliminate the freedom in rotation of the plate. along a chosen direction axis.
  • connection means consist of a ball joint incorporated between the base and the plate.
  • the ball joint is fixed in the center of the base on a support.
  • the connecting means consist of a cardan joint.
  • the connecting means are constituted by a flexible link such as an elastomeric element.
  • the support has the form of a bridge with a clearance in its central part.
  • Each angular stop device comprises a rod mounted on the base or on the plate and receiving at least one lever, the end of which constitutes a bearing point in abutment during the rotation of the plate along an axis whose direction is orthogonal to that of the rod.
  • It has two levers, located on either side of the connecting means to achieve a stop in both directions of rotation.
  • the rod is connected to a lever whose rotation allows the release of the stop device.
  • the stop device includes: coupled support points
  • It includes a light projector secured to the plate capable of producing an image of the movements of the plate for the user.
  • the projector is fixed to the platform by means of a bracket capable of raising it -
  • the projector is a laser beam emitter.
  • Figure 1 a general view of the entire device, with the stem, the protective cap of the ball joint.
  • Figure 2 a section of the plate, the base, the ball and the support with the arrangement of the lever and the fulcrum.
  • Figure 3 the positioning of the fulcrum on a plane.
  • the apparatus comprises a plate 1 and a base 2 as in document FR-A-2,683,727, with the difference that they are connected by a ball joint 3, the latter positioned in the plane of the plate in its center is fixed on a support 4, which raises it relative to the base while preserving a clearance between the plate, and the base.
  • the “ball joint 3 and support 4” assembly is the only connection point at the center of this assembly.
  • the head of the ball joint may, but need not, be visible in the center of the plate to facilitate its maintenance, and include a protective cover.
  • the formation of a ball joint 3 is one of the possibilities for producing the connection means of the invention.
  • the function of these means is to allow freedom in rotation of the plate 1 relative to the base 2 in all directions, the amplitude of the movements can however be limited.
  • the invention further comprises one or more stop devices.
  • the present invention comprises two levers, one lateral 5, the other frontal 6, which mechanically actuate rods 15 arranged perpendicularly to each other and intersecting in the center of the assembly. On each rod 15 are fixed two levers 16 in diametrically opposite manner, which once placed in the high position become support points in contact with the underside of the plate 1.
  • joysticks allow the elevation or erasure of the support points relative to each joystick either 5 (7-8) or 6 (9-10) and to obtain oscillations of the plate 1 in the direction of roll or pitch, the plate 1 resting on three aligned points, the two support points and the central ball joint 3. If the levers 5, 6 are not used, the ball joint 3 remains the only central support point and the oscillations are carried out in all directions.
  • the apparatus further comprises a bracket 14 whose height in the present invention is 250 millimeters, which is fixed integrally to the front of the plate 1, and a projector 13 positioned fixedly at the top of this bracket sends the image of a light point either directly on a target distant from the device, or indirectly on a translucent screen, by reflecting on a concave mirror.
  • the patient performs the appropriate exercises, prescribed by the practitioner while being informed in a playful way, by the luminous point which moves on the target placed against a wall at eye level to encourage him to keep his head straight.
  • the connecting means are formed by another mechanical link, of the gimbal type, either by a through axis and forming a pivot, or by a flexible link comprising an elastomeric element.
  • the support 4 is of the bridge type and has a central clearance to leave a space allowing the installation and the passage of a system for adjusting the mobility of the oscillations of the plate 1 as shown in FIG. 2.
  • the selection of the directions of the oscillations is obtained in a plate 1 / base 2 assembly in which at least one of the parts is of circular shape, by means of fixed support points, arranged at the periphery either under the plate 1, either on the base 2 and diametrically opposed along two perpendicular axes.
  • the selection is made by a slight rotation of one of the parts of the assembly, in order to position the supports of the same axis on planes 12 or notches of identical levels, depending on the therapeutic exercises envisaged.
  • This embodiment is shown in FIG. 3.
  • the positioning of the support points either 7 - 8 or 9 - 10 can be obtained by either mechanical means such as jacks, slides, cams, or even by electromagnetic means of the electromagnet type. The adjustment of the engaged or disengaged position of the stop devices is thus facilitated.
  • the height of the bracket 14 is variable and can be between 10 and 950 millimeters to allow better visualization of the amplitudes of the oscillations of the plate.
  • the projector 13 may be constituted by a class II low power laser beam emitter.
  • the device comprises at the level of the base 2 a system for adapting and fixing the feet of the different types of walkers, either by clamping or by interlocking.
  • the operation of the device will be done, after choosing the orientation of the oscillations, by getting the patient to transfer his weight alternately from one foot to the other, or from the heels to tiptoes, so to cause a slight tilting of the plate, and this repeatedly.

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  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Tools (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Electrotherapy Devices (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)

Abstract

The invention concerns a medical apparatus for sensitive training and therapy, comprising a base (2) whereon is mounted a platform (1). The invention is characterised in that it further comprises means linking the platform (1) on the base (2) enabling the platform (1) to rotate freely in all directions, and at least an angular stop device for restricting or cancelling the platform (1) rotation along a selected axis of direction. The invention is applicable to sensitive training and therapy.

Description

«Appareil médical d'entraînement et de rééducation sensitive» "Medical device for training and sensitive rehabilitation"
La présente invention concerne un appareil médical d'entraînement et de rééducation sensitive, comportant un socle sur lequel est monté un plateau.The present invention relates to a medical apparatus for training and sensitive rehabilitation, comprising a base on which a tray is mounted.
Selon l'invention, il comporte en outre des moyens de liaison du plateau sur le socle autorisant une liberté de rotation du plateau dans toutes les directions, et au moins un dispositif de butée angulaire permettant de limiter ou de supprimer la liberté en rotation du plateau suivant un axe de direction choisie.According to the invention, it further comprises means for connecting the plate to the base allowing freedom of rotation of the plate in all directions, and at least one angular stop device making it possible to limit or eliminate the freedom in rotation of the plate. along a chosen direction axis.
Il s'applique à l'entraînement et à la rééducation sensitive.It applies to training and sensitive rehabilitation.
Cet appareil comporte suivant un mode de réalisation un plateau rendu solidaire d'un socle par une rotule centrale qui repose sur un support fixé au centre de cet ensemble, des manettes permettent la sélection du sens des inclinaisons du plateau. Un projecteur orientable fixé au sommet d'une potence située à l'avant, au dessus et solidaire du plateau indique au patient l'ampleur des oscillations du plateau, en projetant directement sur une cible l'image d'un point lumineux.According to one embodiment, this device comprises a plate made integral with a base by a central ball joint which rests on a support fixed in the center of this set, knobs allow the selection of the direction of the inclinations of the plate. An adjustable spotlight attached to the top of a bracket located at the front, above and secured to the tray indicates to the patient the amplitude of the oscillations of the tray, by projecting directly on a target the image of a light point.
On connaît des brevets concernant la rééducation proprioceptive : Le document FR-A-2.683.727 décrit un appareil dont les oscillations du plateau sont multi-directionnelles, mais ne comprend pas de système permettant la sélection du sens des oscillations, inconvénient majeur qui limite les possibilités d'utilisation de l'appareil. Le document FR-A-2.669.232 mentionne un système lumineux dont la source située sous le plateau ne peut indiquer qu'un seul sens à la fois, soit vertical soit latéral. Cet appareil ne permet pas de faire des exercices multi-directionnels, donc pas d'information visuelle dans ce dernier cas.Patents concerning proprioceptive rehabilitation are known: The document FR-A-2,683,727 describes a device whose oscillations of the plate are multi-directional, but does not include a system allowing the selection of the direction of the oscillations, major drawback which limits the possibilities of use of the device. Document FR-A-2,669,232 mentions a light system whose source located under the plate can indicate only one direction at a time, either vertical or lateral. This device does not allow multi-directional exercises, so no visual information in the latter case.
Les brevets mentionnés ci-dessus n'apportent pas de solution satisfaisante et n'offrent pas un éventail d'exercices suffisants.The patents mentioned above do not provide a satisfactory solution and do not offer a sufficient range of exercises.
La présente invention apporte par contre une solution efficace et économique à la rééducation des réflexes proprioceptifs, et de la marche, en facilitant une meilleure coordination des mouvements par un très bon retour de l'information vers le patient.The present invention, on the other hand, provides an effective and economical solution to the re-education of proprioceptive reflexes, and of walking, by facilitating better coordination of movements by very good feedback of information to the patient.
Il est possible grâce aux perfectionnements apportés par le présent brevet de programmer rapidement des zones cérébrales suppléantes aux zones déficientes, notamment chez les personnes à motricité réduite, quelque soit leur âge.It is possible, thanks to the improvements brought by this patent, to quickly program alternate areas of the brain to deficient areas, in particular in people with reduced motor skills, whatever their age.
La présente invention concerne un appareil médical d'entraînement et de rééducation sensitive, comportant un socle sur lequel est monté un plateau.The present invention relates to a medical apparatus for training and sensitive rehabilitation, comprising a base on which a tray is mounted.
Selon l'invention, il comporte en outre des moyens de liaison du plateau sur le socle autorisant une liberté de rotation du plateau dans toutes les directions, et au moins un dispositif de butée angulaire permettant de limiter ou de supprimer la liberté en rotation du plateau suivant un axe de direction choisie.According to the invention, it further comprises means for connecting the plate to the base allowing freedom of rotation of the plate in all directions, and at least one angular stop device making it possible to limit or eliminate the freedom in rotation of the plate. along a chosen direction axis.
- L'invention pourra se présenter sous les modes de réalisation suivants : Les moyens de liaison sont constitués par une rotule incorporée entre le socle et le plateau.- The invention may be presented in the following embodiments: The connection means consist of a ball joint incorporated between the base and the plate.
- La rotule est fixée au centre du socle sur un support.- The ball joint is fixed in the center of the base on a support.
- Les moyens de liaison sont constitués par un cardan.- The connecting means consist of a cardan joint.
- Les moyens de liaisons sont constitués par un lien souple tel un élément élastomère. - Le support a la forme d'un pont comportant un dégagement dans sa partie centrale.- The connecting means are constituted by a flexible link such as an elastomeric element. - The support has the form of a bridge with a clearance in its central part.
- Chaque dispositif de butée angulaire comporte une tringle montée sur le socle ou sur le plateau et recevant au moins un levier dont l'extrémité constitue un point d'appui en butée lors de la rotation du plateau suivant un axe dont la direction est orthogonale à celle de la tringle. - Il comporte deux leviers, situés de part et d'autre des moyens de liaison pour réaliser une butée dans les deux sens de rotation.- Each angular stop device comprises a rod mounted on the base or on the plate and receiving at least one lever, the end of which constitutes a bearing point in abutment during the rotation of the plate along an axis whose direction is orthogonal to that of the rod. - It has two levers, located on either side of the connecting means to achieve a stop in both directions of rotation.
- Il comporte deux tringles se croisant perpendiculairement.- It has two rods crossing perpendicularly.
- La tringle est reliée à une manette dont la rotation permet le débrayage du dispositif de butée.- The rod is connected to a lever whose rotation allows the release of the stop device.
- Le dispositif de butée comprend : des points d'appui couplés- The stop device includes: coupled support points
+ un ensemble de crans de niveaux différents et de plans permettant la sélection des orientations des mouvements de rotation du plateau, par rotation du plateau par rapport au socle.+ a set of notches of different levels and planes allowing the selection of the orientations of the rotational movements of the plate, by rotation of the plate relative to the base.
- Il comprend un projecteur lumineux solidaire du plateau apte à produire une image des mouvements du plateau pour l'utilisateur.- It includes a light projector secured to the plate capable of producing an image of the movements of the plate for the user.
- Le projecteur est fixé sur le plateau par le biais d'une potence apte à la surélever - Le projecteur est un émetteur de rayon laser.- The projector is fixed to the platform by means of a bracket capable of raising it - The projector is a laser beam emitter.
- Il comporte à sa partie périphérique des pattes de fixation modulables, soit par serrage, soit par emboîtement en vue d'adapter un support amovible du type déambulateur.Le dispositif de butée angulaire est positionné par des moyens électromagnétiques. Le présent descriptif sera plus compréhensible en se référant aux dessins annexés qui illustrent l'invention et représentent :- It has at its peripheral part modular fixing lugs, either by tightening, or by interlocking in order to adapt a removable support of the walker type. The angular stop device is positioned by electromagnetic means. The present description will be more understandable by referring to the appended drawings which illustrate the invention and represent:
La figure 1 une vue générale de l'ensemble de l'appareil, avec la potence, le cache de protection de la rotule.Figure 1 a general view of the entire device, with the stem, the protective cap of the ball joint.
La figure 2 une coupe du plateau , du socle, de la rotule et du support avec la disposition de la manette et du point d'appui.Figure 2 a section of the plate, the base, the ball and the support with the arrangement of the lever and the fulcrum.
La figure 3 le positionnement du point d'appui sur un plan.Figure 3 the positioning of the fulcrum on a plane.
Dans la présente réalisation, l'appareil comprend un plateau 1 et un socle 2 comme dans le document FR-A-2.683.727, à la différence qu'ils sont reliés par une rotule 3, celle-ci positionnée dans le plan du plateau en son centre est fixée sur un support 4, qui la surélève par rapport au socle en préservant un dégagement entre le plateau, et le socle. L'ensemble « rotule 3 et support 4 » est l'unique point de liaison au centre de cet ensemble. La tête de la rotule pourra, mais pas nécessairement, être apparente au centre du plateau pour faciliter son entretien, et comporter un cache de protection. La formation d'une rotule 3 est l'une des possibilités de réalisation des moyens de liaison de l'invention.In the present embodiment, the apparatus comprises a plate 1 and a base 2 as in document FR-A-2,683,727, with the difference that they are connected by a ball joint 3, the latter positioned in the plane of the plate in its center is fixed on a support 4, which raises it relative to the base while preserving a clearance between the plate, and the base. The “ball joint 3 and support 4” assembly is the only connection point at the center of this assembly. The head of the ball joint may, but need not, be visible in the center of the plate to facilitate its maintenance, and include a protective cover. The formation of a ball joint 3 is one of the possibilities for producing the connection means of the invention.
La fonction de ces moyens est de permettre une liberté en rotation du plateau 1 par rapport au socle 2 dans toutes les directions, l'amplitude des mouvements pouvant cependant être limitée.The function of these means is to allow freedom in rotation of the plate 1 relative to the base 2 in all directions, the amplitude of the movements can however be limited.
De cette façon, les possibilités d'utilisation de l'appareil sont importantes.In this way, the possibilities of using the device are important.
Pour fixer des directions où la rotation n'est pas souhaitée ou à limiter, l'invention comprend en outre un ou plusieurs dispositifs de butée.To fix directions where rotation is not desired or to be limited, the invention further comprises one or more stop devices.
On décrit ci-après un mode de réalisation des dispositifs de butée tel qu'il ressort de la figure 2.An embodiment of the abutment devices as described in FIG. 2 is described below.
La présente invention comprend deux manettes, l'une latérale 5, l'autre frontale 6, qui actionnent mécaniquement des tringles 15 disposées perpendiculairement l'une par rapport à l'autre et se croisant au centre de l'ensemble. Sur chaque tringle 15 sont fixés deux leviers 16 de façon diamétralement opposée, qui une fois mis en position haute deviennent des points d'appui en contact avec la face inférieure du plateau 1.The present invention comprises two levers, one lateral 5, the other frontal 6, which mechanically actuate rods 15 arranged perpendicularly to each other and intersecting in the center of the assembly. On each rod 15 are fixed two levers 16 in diametrically opposite manner, which once placed in the high position become support points in contact with the underside of the plate 1.
L'utilisation alternative des manettes permet l'élévation ou l'effacement des points d'appui relatifs à chaque manette soit 5(7-8) soit 6(9-10) et d'obtenir des oscillations du plateau 1 dans le sens du roulis ou tangage , le plateau 1 reposant sur trois points alignés, les deux points d'appui et la rotule 3 centrale. Dans le cas de non-utilisation des manettes 5, 6, la rotule 3 reste le seul point d'appui central et les oscillations s'effectuent tous azimuts.The alternative use of the joysticks allows the elevation or erasure of the support points relative to each joystick either 5 (7-8) or 6 (9-10) and to obtain oscillations of the plate 1 in the direction of roll or pitch, the plate 1 resting on three aligned points, the two support points and the central ball joint 3. If the levers 5, 6 are not used, the ball joint 3 remains the only central support point and the oscillations are carried out in all directions.
L'appareil comprend en outre une potence 14 dont la hauteur dans la présente invention est de 250 millimètres, laquelle est fixée solidairement à l'avant du plateau 1 , et un projecteur 13 positionné fixement au sommet de cette potence envoie l'image d'un point lumineux soit directement sur une cible distante de l'appareil, soit indirectement sur un écran translucide, en se réfléchissant sur un miroir concave.The apparatus further comprises a bracket 14 whose height in the present invention is 250 millimeters, which is fixed integrally to the front of the plate 1, and a projector 13 positioned fixedly at the top of this bracket sends the image of a light point either directly on a target distant from the device, or indirectly on a translucent screen, by reflecting on a concave mirror.
Le patient effectue les exercices appropriés, prescrits par le praticien en étant informé de façon ludique, par le point lumineux qui se déplace sur la cible placée contre un mur à la hauteur de ses yeux pour l'inciter à garder la tête droite.The patient performs the appropriate exercises, prescribed by the practitioner while being informed in a playful way, by the luminous point which moves on the target placed against a wall at eye level to encourage him to keep his head straight.
Selon un autre mode de réalisation, les moyens de liaison sont formés par un autre lien mécanique, du type cardan, soit par un axe traversant et formant pivot, soit par un lien souple comprenant un élément élastomère.According to another embodiment, the connecting means are formed by another mechanical link, of the gimbal type, either by a through axis and forming a pivot, or by a flexible link comprising an elastomeric element.
Dans une autre réalisation le support 4 est du type pont et comporte un dégagement central pour laisser un espace permettant la pose et le passage d'un système de réglage de la mobilité des oscillations du plateau 1 comme montré en figure 2.In another embodiment the support 4 is of the bridge type and has a central clearance to leave a space allowing the installation and the passage of a system for adjusting the mobility of the oscillations of the plate 1 as shown in FIG. 2.
Dans une autre réalisation, la sélection des orientations des oscillations s'obtient dans un ensemble plateau 1 / socle 2 dans lequel l'une des parties au moins est de forme circulaire, au moyen de points d'appui fixes, disposés à la périphérie soit sous le plateau 1 , soit sur le socle 2 et diamétralement opposés suivant deux axes perpendiculaires. La sélection s'effectue par une rotation légère de l'une des parties de l'ensemble, afin de positionner les appuis d'un même axe sur des plans 12 ou des crans de niveaux identiques, en fonction des exercices thérapeutiques envisagés. Ce mode de réalisation est montré en figure 3.In another embodiment, the selection of the directions of the oscillations is obtained in a plate 1 / base 2 assembly in which at least one of the parts is of circular shape, by means of fixed support points, arranged at the periphery either under the plate 1, either on the base 2 and diametrically opposed along two perpendicular axes. The selection is made by a slight rotation of one of the parts of the assembly, in order to position the supports of the same axis on planes 12 or notches of identical levels, depending on the therapeutic exercises envisaged. This embodiment is shown in FIG. 3.
Dans un autre mode de fabrication plus élaboré, le positionnement des points d'appui soit 7 - 8, soit 9 - 10 peut être obtenu par des moyens soit mécaniques tels que des vérins, des glissières, des cames, soit encore par des moyens électromagnétiques du type électro-aimants. Le réglage de la position embrayée ou débrayée des dispositifs de butée est ainsi facilité.In another more sophisticated manufacturing method, the positioning of the support points either 7 - 8 or 9 - 10 can be obtained by either mechanical means such as jacks, slides, cams, or even by electromagnetic means of the electromagnet type. The adjustment of the engaged or disengaged position of the stop devices is thus facilitated.
La hauteur de la potence 14 est variable et peut se situer entre 10 et 950 millimètres pour permettre une meilleure mise en évidence visuelle des amplitudes des oscillations du plateau.The height of the bracket 14 is variable and can be between 10 and 950 millimeters to allow better visualization of the amplitudes of the oscillations of the plate.
Dans une autre réalisation , le projecteur 13 pourra être constitué par un émetteur de rayon laser de faible puissance, de classe II.In another embodiment, the projector 13 may be constituted by a class II low power laser beam emitter.
Suivant un autre mode de fabrication, non représenté dans les figures, l'appareil comprend au niveau du socle 2 un système pour l'adaptation et la fixation des pieds des différents types de déambulateurs, soit par serrage , soit par emboîtement. Le fonctionnement de l'appareil se fera, après le choix de l'orientation des oscillations, en obtenant du patient qu'il reporte son poids alternativement d'un pied sur l'autre, ou des talons vers la pointe des pieds, de façon à provoquer une légère inclinaison du plateau, et cela de façon répétitive.According to another manufacturing method, not shown in the figures, the device comprises at the level of the base 2 a system for adapting and fixing the feet of the different types of walkers, either by clamping or by interlocking. The operation of the device will be done, after choosing the orientation of the oscillations, by getting the patient to transfer his weight alternately from one foot to the other, or from the heels to tiptoes, so to cause a slight tilting of the plate, and this repeatedly.
Les descriptions précédentes pourront utilement être adaptées sur des appareils pouvant exister ou à venir et comprenant ou ne comprenant pas un système de contrôle de la mobilité du plateau.The foregoing descriptions may usefully be adapted to devices which may or may not exist or which include or do not include a platform mobility control system.
L'invention n'est pas limitée aux exemples cités, décrits et représentés. Les dessins, figures et descriptifs n'ont aucun caractère limitatif, d'autres réalisations pourront être envisagées dans le cadre de cette invention, notamment pour la D réalisation d'un appareil servant à la rééducation unipodale de la cheville, ainsi que d'autres réalisations destinées aux enfants handicapés moteur.The invention is not limited to the examples cited, described and shown. The drawings, figures and descriptions are in no way limiting, other embodiments may be envisaged in the context of this invention, in particular for the D realization of a device used for the unipodal reeducation of the ankle, as well as other realizations intended for the handicapped children.
Par ailleurs, les fonctionnalités et avantages d'un coussin unique tel que décrit dans le document FR-A-2.683.727 pourront être employés dans le cadre de l'invention. Furthermore, the functionalities and advantages of a single cushion as described in document FR-A-2,683,727 may be used in the context of the invention.
REFERENCESREFERENCES
1. Plateau1. Tray
2. Socle 3. Rotule2. Base 3. Ball joint
4. Support4. Support
5. Manette latérale5. Side handle
6. Manette frontale6. Front handle
7. 8, 9, 10. Points d'appui 11. Dégagement7. 8, 9, 10. Support points 11. Clearance
12. Plan12. Plan
13. Projecteur 14 Potence 15. Tringle 16. Levier 13. Projector 14 Stem 15. Rod 16. Lever

Claims

oREVENDICATIONS o CLAIMS
1. Appareil médical d'entraînement et de rééducation sensitive, comportant un socle (2) sur lequel est monté un plateau (1), caractérisé par le fait qu'il comprend en outre des moyens de liaison du plateau (1 ) sur le socle (2) autorisant une liberté de rotation du plateau (1) dans toutes les directions, et au moins un dispositif de butée angulaire permettant de limiter ou de supprimer la liberté en rotation du plateau (2) suivant un axe de direction choisie.1. Medical device for training and sensitive rehabilitation, comprising a base (2) on which a plate (1) is mounted, characterized in that it also comprises means for connecting the plate (1) to the base (2) allowing freedom of rotation of the plate (1) in all directions, and at least one angular stop device making it possible to limit or eliminate the freedom in rotation of the plate (2) along a chosen direction axis.
2. Appareil, selon la revendication 1 , caractérisé par le fait que les moyens de liaison sont constitués par une rotule (3) incorporée entre le socle (2) et le plateau (1).2. Apparatus according to claim 1, characterized in that the connecting means are constituted by a ball joint (3) incorporated between the base (2) and the plate (1).
3. Appareil , selon la revendication 2, caractérisé par le fait que la rotule (3) est fixée au centre du socle (2) sur un support (4).3. Apparatus according to claim 2, characterized in that the ball joint (3) is fixed to the center of the base (2) on a support (4).
4. Appareil selon la revendication 1 , caractérisé par le fait que les moyens de liaison sont constitués par un cardan.4. Apparatus according to claim 1, characterized in that the connecting means are constituted by a gimbal.
5. Appareil, selon la revendication 1 , caractérisé par le fait que les moyens de liaisons sont constitués par un lien souple tel un élément élastomère.5. Apparatus according to claim 1, characterized in that the connecting means are constituted by a flexible link such as an elastomeric element.
6.Appareil, selon la revendication 3, caractérisé par le fait que le support (4) a la forme d'un pont comportant un dégagement (1 1) dans sa partie centrale.6. Apparatus according to claim 3, characterized in that the support (4) has the shape of a bridge having a clearance (1 1) in its central part.
7. Appareil, selon l'une quelconque des revendications 1 à 6, caractérisé par le fait que chaque dispositif de butée angulaire comporte une tringle (15) montée sur le socle (2) ou sur le plateau (1) et recevant au moins un levier (16) dont l'extrémité constitue un point d'appui (7, 7. Apparatus according to any one of claims 1 to 6, characterized in that each angular stop device comprises a rod (15) mounted on the base (2) or on the plate (1) and receiving at least one lever (16) whose end constitutes a fulcrum (7,
8, 9, 10) en butée lors de la rotation du plateau (1) suivant un axe dont la direction est orthogonale à celle de la tringle (15). δ.Appareil, selon la revendication 7, caractérisé par le fait qu'il comporte deux leviers (16), situés de part et d'autre des moyens de liaison pour réaliser une butée dans les deux sens de rotation.8, 9, 10) in abutment during the rotation of the plate (1) along an axis whose direction is orthogonal to that of the rod (15). δ.Apparatus according to claim 7, characterized in that it comprises two levers (16), located on either side of the connecting means to achieve a stop in both directions of rotation.
9. Appareil, selon la revendication 8, caractérisé par le fait qu'il comporte deux tringles (15) se croisant perpendiculairement.9. Apparatus according to claim 8, characterized in that it comprises two rods (15) crossing each other perpendicularly.
10. Appareil, selon l'une quelconque des revendications 7 à 9, caractérisé par le fait que la tringle (15) est reliée à une manette (5, 6) dont la rotation permet le débrayage du dispositif de butée.10. Apparatus according to any one of claims 7 to 9, characterized in that that the rod (15) is connected to a lever (5, 6) whose rotation allows the disengagement of the stop device.
11. Appareil, selon l'une quelconque des revendications 1 à 6, caractérisé par le fait que le dispositif de butée comprend : des points d'appui couplés (7, 8 ; 9, 10) un ensemble de crans de niveaux différents et de plans (12) permettant la sélection des orientations des mouvements de rotation du plateau11. Apparatus according to any one of claims 1 to 6, characterized in that the stop device comprises: coupled support points (7, 8; 9, 10) a set of notches of different levels and planes (12) allowing the selection of the orientations of the rotational movements of the plate
(1), par rotation du plateau (1) par rapport au socle (2). (1), by rotation of the plate (1) relative to the base (2).
12. Appareil, selon l'une quelconque des revendications 1 à 11 , caractérisé par le fait qu'il comprend un projecteur (13) lumineux solidaire du plateau (1) apte à produire une image des mouvements du plateau (1) pour l'utilisateur.12. Apparatus according to any one of claims 1 to 11, characterized in that it comprises a light projector (13) integral with the plate (1) capable of producing an image of the movements of the plate (1) for the user.
13. Appareil, selon la revendication 12, caractérisé par le fait que le projecteur (13) est fixé sur le plateau (2) par le biais d'une potence (14) apte à surélever13. Apparatus according to claim 12, characterized in that the projector (13) is fixed on the plate (2) by means of a bracket (14) capable of raising
14. Appareil, selon l'une quelconque des revendications 12 ou 13, caractérisé par le fait que le projecteur (13) est un émetteur de rayon laser. 14. Apparatus according to any one of claims 12 or 13, characterized in that the projector (13) is a laser beam emitter.
15. Appareil, selon l'une quelconque des revendications 1 à 14, caractérisé par le fait qu'il comporte à sa partie périphérique des pattes de fixation modulables, soit par serrage, soit par emboîtement en vue d'adapter un support amovible du type déambulateur. 15. Apparatus according to any one of claims 1 to 14, characterized in that it comprises at its peripheral part modular fixing lugs, either by clamping or by interlocking in order to adapt a removable support of the type walker.
16. Appareil, selon l'une quelconque des revendications 1 à 15, caractérisé par le fait que le dispositif de butée angulaire est positionné par des moyens électromagnétiques. 16. Apparatus according to any one of claims 1 to 15, characterized in that the angular stop device is positioned by electromagnetic means.
PCT/FR1999/001873 1998-08-04 1999-07-29 Medical apparatus for sensitive training and therapy WO2000007675A1 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
DE69902042T DE69902042T2 (en) 1998-08-04 1999-07-29 MEDICAL DEVICE FOR REHABILITATION AND TRAINING THE BALANCE
AU51675/99A AU5167599A (en) 1998-08-04 1999-07-29 Medical apparatus for sensitive training and therapy
EP99936651A EP1100594B1 (en) 1998-08-04 1999-07-29 Medical apparatus for sensitive training and therapy
AT99936651T ATE219956T1 (en) 1998-08-04 1999-07-29 MEDICAL DEVICE FOR REHABILITATION AND TRAINING THE SENSE OF BALANCE

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR9809978A FR2782013B1 (en) 1998-08-04 1998-08-04 MEDICAL APPARATUS FOR SENSITIVE TRAINING AND REHABILITATION
FR98/09978 1998-08-04

Publications (1)

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WO2000007675A1 true WO2000007675A1 (en) 2000-02-17

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PCT/FR1999/001873 WO2000007675A1 (en) 1998-08-04 1999-07-29 Medical apparatus for sensitive training and therapy

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EP (1) EP1100594B1 (en)
AT (1) ATE219956T1 (en)
AU (1) AU5167599A (en)
DE (1) DE69902042T2 (en)
ES (1) ES2178452T3 (en)
FR (1) FR2782013B1 (en)
WO (1) WO2000007675A1 (en)

Cited By (1)

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Publication number Priority date Publication date Assignee Title
DE10341511A1 (en) * 2003-09-05 2005-04-14 Brückner Maschinenbau GmbH Method and circuit arrangement for the sensorless determination of load states of synchronous linear motors

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2366743A (en) * 2000-09-02 2002-03-20 Jacqueline Kathleen Edmunds Exercise device for stomach muscles

Citations (8)

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Publication number Priority date Publication date Assignee Title
US3134591A (en) * 1961-08-23 1964-05-26 Jr Lee D Conn Rotatably mounted foot engaging exercising device
US3352559A (en) * 1964-07-20 1967-11-14 Erling A Larsen Golf swing training device
FR2410486A1 (en) * 1977-12-02 1979-06-29 Aubry Michel Exercise appliance for skier - consists of swivel plate connected by springs to base with two extensions for including sockets for ski sticks
US4199137A (en) * 1976-10-01 1980-04-22 Giguere Andre M Apparatus for foot rehabilitation
FR2641183A1 (en) * 1988-09-28 1990-07-06 Heurte Alain Apparatus for examination and reeducation of the ankle
FR2669232A1 (en) 1990-11-20 1992-05-22 Louis Gerard Apparatus for proprioceptive and balancing re-education
FR2683727A1 (en) 1991-11-14 1993-05-21 Orfila Jean Pierre Training zimmer (frame)
US5613690A (en) * 1996-02-13 1997-03-25 Mcshane; Jerry M. Balance and proprioception training and enhancement devices

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3134591A (en) * 1961-08-23 1964-05-26 Jr Lee D Conn Rotatably mounted foot engaging exercising device
US3352559A (en) * 1964-07-20 1967-11-14 Erling A Larsen Golf swing training device
US4199137A (en) * 1976-10-01 1980-04-22 Giguere Andre M Apparatus for foot rehabilitation
FR2410486A1 (en) * 1977-12-02 1979-06-29 Aubry Michel Exercise appliance for skier - consists of swivel plate connected by springs to base with two extensions for including sockets for ski sticks
FR2641183A1 (en) * 1988-09-28 1990-07-06 Heurte Alain Apparatus for examination and reeducation of the ankle
FR2669232A1 (en) 1990-11-20 1992-05-22 Louis Gerard Apparatus for proprioceptive and balancing re-education
FR2683727A1 (en) 1991-11-14 1993-05-21 Orfila Jean Pierre Training zimmer (frame)
US5613690A (en) * 1996-02-13 1997-03-25 Mcshane; Jerry M. Balance and proprioception training and enhancement devices

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE10341511A1 (en) * 2003-09-05 2005-04-14 Brückner Maschinenbau GmbH Method and circuit arrangement for the sensorless determination of load states of synchronous linear motors
DE10341511B4 (en) * 2003-09-05 2005-12-22 Brückner Maschinenbau GmbH Method and circuit arrangement for the sensorless determination of load states of synchronous linear motors

Also Published As

Publication number Publication date
ATE219956T1 (en) 2002-07-15
EP1100594B1 (en) 2002-07-03
ES2178452T3 (en) 2002-12-16
DE69902042D1 (en) 2002-08-08
FR2782013B1 (en) 2000-10-13
EP1100594A1 (en) 2001-05-23
DE69902042T2 (en) 2003-02-06
AU5167599A (en) 2000-02-28
FR2782013A1 (en) 2000-02-11

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