WO2007030646A2 - Ensemble de compression et d'alignement des articulations et procede de mise en oeuvre d'un schema therapeutique de readaptation - Google Patents

Ensemble de compression et d'alignement des articulations et procede de mise en oeuvre d'un schema therapeutique de readaptation Download PDF

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Publication number
WO2007030646A2
WO2007030646A2 PCT/US2006/034904 US2006034904W WO2007030646A2 WO 2007030646 A2 WO2007030646 A2 WO 2007030646A2 US 2006034904 W US2006034904 W US 2006034904W WO 2007030646 A2 WO2007030646 A2 WO 2007030646A2
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WIPO (PCT)
Prior art keywords
alignment
members
patient
assembly
disposed
Prior art date
Application number
PCT/US2006/034904
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English (en)
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WO2007030646A3 (fr
Inventor
Rafael Gonzalez
Original Assignee
Rafael Gonzalez
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Publication date
Application filed by Rafael Gonzalez filed Critical Rafael Gonzalez
Publication of WO2007030646A2 publication Critical patent/WO2007030646A2/fr
Publication of WO2007030646A3 publication Critical patent/WO2007030646A3/fr

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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
    • 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
    • A63B21/0004—Exercising devices moving as a whole during exercise
    • 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
    • A63B21/40—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
    • A63B21/4003—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor to the head; to the neck
    • 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
    • A63B21/4005—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor to the shoulder
    • 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
    • A63B21/4007—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor to the chest region, e.g. to the back chest
    • 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
    • A63B21/4009—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor to the waist
    • 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
    • A63B21/4011—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor to the lower limbs
    • 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
    • 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
    • A63B21/4019—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor to the upper limbs to the hand
    • 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
    • A63B21/4023—Interfaces with the user related to strength training; Details thereof the user operating the resistance directly, without additional interface
    • A63B21/4025—Resistance devices worn on the user's body
    • 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
    • A61H1/006—Apparatus for applying pressure or blows for compressive stressing of a part of the skeletal structure, e.g. for preventing or alleviating osteoporosis
    • 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
    • A63B21/0407—Anchored at two end points, e.g. installed within an apparatus
    • 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
    • A63B21/0555—Details of the rope or band, e.g. shape or colour coding
    • 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

Definitions

  • An assembly comprising a plurality of alignment members structured to be worn by a patient in an operative configuration.
  • Each alignment member is operatively interconnected to at least one other alignment member by one or more adjustable uniform compression members in such a manner so as to properly align the. patient's joints, to the extent possible, as well as to provide a uniform compressive force to the patient's joints to facilitate a therapeutic effect of a rehabilitative treatment regimen while the assembly is worn by the patient.
  • a method for performing a rehabilitative treatment regimen utilizing a joint alignment and compression assembly is also provided.
  • a number of rehabilitation programs are structured to address various physical and/or psychological disorders or a person. It is common for a physical rehabilitation program to include a series of repetitive physical actions or exercises structured to develop or redevelop certain physical attributes of a person's body, often times employing specialized equipment to facilitate the impact of a particular exercise.
  • exercises may be structured to train or retrain the person's motor responses to improve the person's ability to physically function.
  • One way to accomplish this training or retraining of the person's motor responses is by having the person perform a series of repetitive exercises while the associated joints and muscles are maintained in a properly aligned orientation and a resistive force is applied which the person must overcome while performing the exercise.
  • One such device employs a plurality of supports which a person wears about various portions of their body, at least one of the supports being a cup-shaped shoulder harness.
  • the support members are interconnected by elastic tie members which may be made of rubber, plastic, or metallic springs, and are arranged on the body in accordance with the anatomical arrangement of the skeletal muscles.
  • One end of each tie member is connected to a tension adjuster which comprises a band, the adjuster being held in a lock which is fastened to one of the supports.
  • This arrangement requires consideration of the elastic nature of both the tie member and the adjuster in order to apply a desired force to a corresponding joint and/or muscle.
  • One other device includes at least a vest and a pant garment each having a plurality of hooks attached to them.
  • the vest and pant garment are secured about a patient and are interconnected by a plurality of elastic bands which extend between them.
  • the elastic bands may include a number of adjustment nodes or spaced openings such that the tension may be adjusted by securing the different nodes or openings to corresponding hooks on the vest and/or pant garment .
  • This device may include a cap which may be interconnected to the vest portion by the elastic bands, as well as knee and shoe supports which may be interconnected to one another or to the pant garment, once again, via the elastic bands.
  • This device may include hook and loop type connectors to facilitate securing the various supports to the person's body, the supports being made of a thin layer of substantially non-elastic, and non-breathable material.
  • the supports are often uncomfortable for the patient, who may be required to wear the device for extended periods of time during treatment, as a result of restricting airflow to the body. Additional discomfort may result from the pressure of the hooks against the patient's body through the thin layer of material as the elastic bands are secured in place.
  • this device employs a number of hooks and clips to attach the elastic bands, the hooks and clips being made of a polypropylene material which is prone to drying and breakage. Also, the openings of the hooks and clips for this device are small relative to the elastic bands thus making it difficult to properly secure the plurality of elastic bands as required for proper treatment.
  • hip stabilization which may be a critical aspect as a person's bones are often compromised and weakened either as a direct result of a medical ailment, or as a result of prolonged inactivity.
  • these devices do not provide adequate means for proper alignment of joints of a person's foot or about the head and neck regions .
  • an assembly which may be utilized to quickly and easily align and uniformly compress a patient's joints to facilitate a therapeutic effect from a rehabilitative treatment regimen. More in particular, it would be beneficial to provide such an assembly comprising adjustable uniform compression members structured to removably interconnect different ones of a plurality of alignment members such that a uniform force may be applied along a patient's joints and muscles requiring rehabilitation.
  • a further benefit may be realized by providing one or more alignment members with at least one expandable attachment member structured to provide a form-fitting relationship with a patient's body when the alignment member is donned by the patient in an operative configuration.
  • an assembly- including alignment members comprising a soft breathable material to assure the comfort of a patient who may be required to wear the assembly for prolonged periods of time throughout the course of a rehabilitative treatment regimen.
  • an assembly it would be beneficial for such an assembly to comprise a waterproof material such that water based rehabilitative treatment regimens may be conducted. It would also be extremely beneficial for such an assembly to provide for the stabilization of a patient's hips during a rehabilitative treatment regimen. Further, any such assembly should provide for proper alignment of the joints of a patient's foot, as well as to permit alignment of a patient's head and neck region. Also, it would be helpful to provide a method for positioning such an assembly on a patient in an operative configuration, as well as for conducting a rehabilitative treatment regimen.
  • the present invention is directed to a joint alignment and compression assembly and a method for performing a rehabilitative treatment regimen utilizing such an assembly.
  • the joint alignment and compression assembly of the present invention includes a plurality of alignment members structured to be removably secured to a patient in an operative configuration.
  • Each of the plurality of alignment members in one embodiment, comprise at least one adjustable quick release fastener to facilitate removably securing each alignment member to the patient.
  • one or more of the alignment members comprise at least one expandable attachment member structured to provide a form-fitting relationship with a patient's body when the alignment member is donned by the patient in an operative configuration.
  • alignment members includes a plurality of interconnection members securely fastened thereto and disposed in a spaced relation with one another.
  • each of the adjustable uniform compression members may be removably interconnected between different ones of the plurality of interconnection members.
  • Each adjustable uniform compression member includes a plurality of adjustment nodes being generally equally spaced along a length of the member.
  • Each adjustment node comprises an aperture sized such the adjustable uniform compression members may be removably interconnected to a portion of at least one of the alignment members by way of the corresponding interconnection members.
  • the adjustment nodes allow the compressive force applied along any particular portion of the patient's body to be adjusted based upon the adjustment nodes selected to removably interconnect the adjustable uniform compression member to one or more alignment members .
  • At least one of the plurality of alignment members comprises a pelvic alignment member structured to substantially encircle the patient's waist and pelvic area when disposed in an operative configuration.
  • the pelvic alignment member includes at least one corresponding pair of interconnection members disposed in a horizontal arrangement along each side of the pelvic alignment member to facilitate stabilization of the patient's hips when the adjustable uniform compression members are removably interconnected between the interconnection members disposed in the horizontal arrangement.
  • the pelvic alignment member comprises an expandable attachment portion disposed along either side each being structured to provide a form-fitting relationship about the patient's pelvic region while the pelvic alignment member is disposed in an operative configuration.
  • the pelvic alignment member may comprise one or more expansion notches to further provide for a form-fitting relationship with the patient's body.
  • one of the plurality of alignment members may comprise a head alignment member structured to substantially encircle at least a portion of the patient ' s head when disposed in an operative configuration.
  • the head alignment member comprises a plurality of interconnection members disposed in a spaced apart relation such that they are disposed about the patient's head, as well as along a chin strap, to permit proper alignment and compression of the joints in the patient's head and neck region.
  • one of the alignment members comprises a chest alignment member structured to substantially encircle the patient's chest area when disposed in an operative configuration, the chest alignment member comprising at least one interconnection member disposed in a horizontal arrangement along each shoulder to facilitate alignment of the patient's arm, elbow, and hand regions.
  • the chest alignment member comprises an expandable attachment portion disposed along the front and back, each of which are structured to provide a form- fitting relationship about the patient's chest while the chest alignment member is disposed in an operative configuration.
  • a further embodiment of the joint alignment and compression assembly of the present invention also comprises at least one foot alignment member.
  • the foot alignment member is structured to substantially encircle one of the patient's feet when disposed in an operative configuration.
  • the foot alignment member includes a foot securing element structured to be secured overtop a corresponding one of the patient's ankles when disposed in the operative configuration.
  • the foot alignment member also comprises a foot supporting element structured to be disposed underneath a corresponding one of the patient's arches when disposed in the operative configuration to facilitate alignment of the patient's foot.
  • the foot alignment member comprises a toe securing element structured to substantially encircle one of the patient's great toes when disposed in the operative configuration to facilitate alignment of the patient's foot.
  • Additional alignment members which the joint alignment and compression assembly of the present invention may comprise include, for example, a knee alignment member, an elbow alignment 1_
  • the present invention further comprises a method for performing a rehabilitative treatment regimen utilizing a joint alignment and compression assembly.
  • the method includes removably securing a plurality of alignment members to a patient in an operative configuration, and removably interconnecting corresponding ones of the plurality of alignment members to one another via a plurality of adjustable uniform compression members.
  • the method provides for positioning each of the plurality of adjustable uniform compression members to align the joints of the patient in an operative orientation, and adjusting the tension of each of the plurality of adjustable uniform compression members to provide a preselected compressive force to the joints of the patient.
  • the method of the present invention includes executing a predetermined exercise schedule structured to produce a desired therapeutic effect while the plurality of alignment members are disposed in the operative configuration and the plurality of adjustable uniform compression members are adjusted to provide the preselected compressive force to the joints of the patient.
  • Figure 1 is a front elevation of a plurality of alignment members of one preferred embodiment of a joint alignment and compression assembly of the present invention removably secured to a patient in an operative configuration.
  • Figure 2 is a rear elevation of the embodiment of Figure 1.
  • Figure 3 is a right side elevation of one embodiment of a head alignment member of the present invention.
  • Figure 4 is a left side elevation of the head alignment member of Figure 3.
  • Figure 5A is an elevation of one preferred embodiment of an adjustable uniform compression member of the present invention.
  • Figure 5B is a plan view of the embodiment of the adjustable uniform compression member of Figure 5A disposed in a relaxed disposition.
  • Figure 5C is a plan view of the embodiment of the adjustable uniform compression member of Figure 5A in an elongated disposition.
  • Figure 6 is a partial front elevation of an adjustable uniform compression member securely interconnected via a terminal adjustment aperture.
  • Figure 7 is a partial side elevation of the embodiment of Figure 6.
  • Figure 8 is a partial front elevation of an adjustable uniform compression member securely interconnected via an intermediate adjustment aperture.
  • Figure 9 is a partial side elevation of the embodiment of Figure 8.
  • Figure 10 is a partial front elevation of an adjustable uniform compression member securely interconnected via a loop, a free hook, and a hoop.
  • Figure 11 is a partial side elevation of the embodiment of Figure 10.
  • Figure 12 is a perspective view of one preferred embodiment of a pelvic alignment member of the present invention.
  • Figure 12A is a perspective view of one further preferred embodiment of a pelvic alignment member illustrating an expandable attachment portion disposed along one side.
  • Figure 13 is a perspective view of one preferred embodiment of a chest alignment member of the present invention.
  • Figure 13A is a perspective view of one further preferred embodiment of a chest alignment member illustrating an expandable attachment portion disposed along the front.
  • Figure 14 is a perspective view of one preferred embodiment of a foot alignment member of the present invention.
  • Figure 15 is a cutaway plan view of the foot alignment member of Figure 14 illustrating a foot securing element, a foot supporting element, and a toe securing element disposed in respective operative configurations.
  • Figure 16 is a partial cutaway view the foot alignment member of Figure 14 illustrating one preferred embodiment of a foot securing element .
  • Figure 17 is a partial cutaway view the foot alignment member of Figure 14 illustrating one preferred embodiment of a foot supporting element.
  • Figure 18A is a front elevation of one preferred embodiment of a knee alignment member of the present invention.
  • Figure 18B is a rear elevation of the embodiment of Figure 18A illustrating a plurality of adjustable quick release fasteners .
  • Figure 19A is a front elevation of one preferred embodiment of an elbow alignment member of the present invention.
  • Figure 19B is a rear elevation of the embodiment of Figure 19A illustrating a plurality of adjustable quick release fasteners .
  • Figure 2OA is a schematic representation of a front elevation of one embodiment of a joint alignment and compression assembly of the present invention illustrating one arrangement of a plurality of adjustable uniform adjustment members relative to a plurality of alignment members .
  • Figure 2OB is a schematic representation of a side elevation of the embodiment of Figure 2OA.
  • Figure 2OC is a schematic representation of a rear elevation of the embodiment of Figure 20A.
  • the present invention is directed to a joint alignment and compression assembly, generally as shown at 10 throughout the figures. More in particular, the joint alignment and compression assembly 10 of the present invention is structured to facilitate the performance of specific rehabilitative treatment regimens to provide therapeutic benefits to persons suffering from a wide variety of debilitating conditions including, but by no means limited to, cerebral palsy, multiple sclerosis, brain trauma, developmental delays, and post stroke conditions.
  • the joint alignment and compression assembly 10 of the present invention permits a therapist to properly align a patient's joints, to the extent possible, and to apply a preselected compressive force along portions of the patient's body, to effect training or retraining of the patient's motor responses by way of a rehabilitative treatment regimen, as discussed more fully below.
  • the joint alignment and compression assembly 10 of the present invention includes a plurality of alignment members, generally as shown at 11, each structured to be removably secured to a patient in an operative configuration, wherein the operative configuration is at least partially defined by a substantially encircling disposition about at least one portion of the patient's body such as, by way of example only, the patient's chest, pelvic region, head, feet, elbows, knees, etc., by a corresponding one of the plurality of alignment members 11.
  • the alignment members 11 are constructed of a plurality of layers of a stretchable and breathable material, such as cotton or a cotton blend, to assure the comfort of the ( patient who may be required to wear the alignment members 11 for extended periods of time in a specific rehabilitative treatment regimen.
  • the alignment members 11 comprise a waterproof or water resistant material of construction, such as, by way of example only, synthetic material as is utilized to fabricate wet suits and the like, to facilitate usage of the joint alignment and compression assembly 10 of the present invention to perform water based rehabilitative treatment regimens.
  • each of the plurality of alignment members 11 comprise at least one, but preferably a plurality of adjustable quick release fasteners 12, as illustrated throughout the figures, to facilitate removably- securing each of the plurality of alignment members 11 to the patient.
  • the adjustable quick release fastener 12 comprises a hook and loop type fastener, such as Velcro, however, it is understood to be within the scope and intent of the present invention to utilize other adjustable quick release fasteners 12 such as, snaps, zippers, laces, ties, and/or clips, just to name a few.
  • each alignment member 11 includes a plurality of interconnection members, generally as shown at 20, at least some of which are securely fastened to an outer surface of the alignment member 11 to permit adjustable interconnection of the plurality of alignment members 11 to one another, as discussed below.
  • at least some of the plurality of interconnection members 20 are disposed in a spaced relation with one another along the outer, surface of the corresponding alignment member 11. More specifically, the spaced relation is at least partially defined by an array of interconnection members 20 disposed in a generally vertical arrangement 22 as illustrated in the figures. At least some of the interconnection members 20 comprise a fixed hook 21 securely fastened to the outer surface of the alignment member 11.
  • the fixed hooks 21 comprise a generally open end to facilitate interconnection of the alignment members 11, as discussed below, and may be constructed of any sufficiently rigid material so as to withstand the preselected compressive forces applied to the assembly 10 under normal usage without bending or breaking.
  • the fixed hooks 21 are constructed of Nylon 66 which is dyed to trap moisture, thereby decreasing breakage or complete failure due to drying and cracking.
  • the fixed hooks 21 are between approximately 0.14 and 0.15 inches thick and between approximately 0.90 to 1.00 inches wide.
  • other materials of construction and/or dimensions may be utilized within the scope and intent of the present invention provided the foregoing requirements with regard to bending and/or breaking under the compressive forces of normal usage are met.
  • a plurality of adjustable uniform compression members, generally as shown at 30 throughout the figures, are also provided in the present invention.
  • Each of the adjustable uniform compression members 30 may be removably interconnected between different ones of the plurality of interconnection members 20 which are securely fastened to different ones of the plurality of alignment members 11, thereby permitting interconnection of the plurality of alignment members 11 to one another. Furthermore, the adjustable uniform compression members 30 are interconnected between the different ones of the plurality of interconnection members 20 in such a manner so as to guide the joints of the patient into a proper alignment, at least to the extent possible without causing undue discomfort to the patient.
  • the plurality of interconnection members 20 may be disposed along the various alignment members 11 to permit any of a large number of arrangements of the plurality of adjustable uniform compression members 30 to guide a patient's joints into proper alignment regardless of the degree of misalignment with which the patient may be afflicted.
  • the adjustable uniform compression members 30 are securely fastened to the same alignment member 11, specifically to stabilize the patient's hips.
  • Each adjustable uniform compression member 30 includes a plurality of adjustment nodes 32 which are generally equally spaced along a length of the compression member 30.
  • Each adjustment node 32 comprises an aperture sized such the adjustable uniform compression members 30 may be securely yet removably interconnected to a portion of at least one of the alignment members 11 by way of the corresponding interconnection members 20.
  • the adjustment nodes 32 include a pair of oppositely disposed terminal adjustment apertures 34 and, in at least one preferred embodiment, a plurality of intermediate adjustment apertures 36 being equally spaced along the length of the compression member 30 between the oppositely disposed terminal adjustment apertures 34, as shown best in Figures 5A through 5C.
  • the adjustable uniform compression members 30 are constructed so as to provide a uniform elasticity along the length of the compression member 30, whether the compression member 30 is disposed in a relaxed disposition, as in Figure 5B, or in an elongated disposition, as illustrated in Figure 5C, such as when interconnected between interconnection members 20 to apply a preselected compressive force therebetween.
  • the uniform elasticity facilitates an even application of compressive forces along portions of the patient ' s body as may be required by various rehabilitative treatment regimens, as discussed in further detail below.
  • the adjustable uniform compression members 30 are constructed of a vulcanized rubber material. It is, however, within the scope and intent of the present invention for the adjustable uniform compression members 30 to comprise any material having the desired property of uniform elasticity along its length regardless of whether the compression member 30 is in a relaxed disposition or an elongated disposition.
  • the plurality of adjustment nodes 32 allow the compressive force applied along any particular portion of the patient's body to be readily adjusted based upon the specific combination of adjustment nodes 32 and interconnection members 20 selected for removably interconnecting the adjustable uniform compression member 30 to one or more alignment member 11. Specifically, interconnecting an adjustable uniform compression member 30 between different ones of the interconnection members 20 via the terminal adjustment apertures 34 located at its opposite ends, as partially illustrated in Figures 6 and 7, provides a minimum amount of compressive force to the portion of the patient's body between the corresponding interconnection members 20.
  • At least one of the alignment members 11 comprises a pelvic alignment member 13 structured to substantially encircle the patient's waist and pelvic area when disposed in an operative configuration about the patient.
  • the pelvic alignment member 13 includes at least one corresponding pair of interconnection members 20 disposed in a generally horizontal arrangement 24 along each side, as illustrated in Figure 2 and Figure 12.
  • the corresponding interconnection members 20 disposed in the generally horizontal arrangement 24 provide a means for horizontal hip stabilization for the patient when an adjustable uniform compression member 30 is removably interconnected between the corresponding interconnection members 20 disposed in the horizontal arrangement 24. This is an important consideration as often times the patient's muscles are weakened as a result of their ailment or because they are not a physically active as they would be under normal circumstances, and as a result, the bones are often in a compromised and weakened condition, which puts patient's at greater risk for bone fractures.
  • the present invention specifically provides for corresponding pairs of fixed hooks 21 disposed in such a generally horizontal arrangement 24 to reinforce the stability and integrity of the hip joints, thus making the joint alignment and compression assembly 10 of the present invention safer for the patient to use relative to other devices.
  • the pelvic alignment member 13 comprises a plurality of elongated adjustable quick release fasteners 12' to facilitate secure interconnection with a chest alignment member 14, as discussed more fully below.
  • the pelvic alignment member 13 further comprises at least one expandable attachment portion, as at 40.
  • the expandable attachment portion 40 provides for a substantially form-fitting relationship of the pelvic alignment member 13 about the patient ' s pelvic region while the pelvic alignment member 13 is disposed in an operative configuration. It will be appreciated by one of ordinary skill in the art that a form fitting garment provides a significantly greater degree of comfort, which is very important for 1 a patient who must don the joint compression and alignment assembly 10 for extended periods of time, versus a "one-size-fits- all" garment.
  • the expandable attachment portion 40 comprises at least one adjustable fastener 42 structured to draw oppositely disposed segments 43 of the expandable attachment portion 40 towards one another as the adjustable fastener 42 is tightened.
  • the adjustable fastener 42 may comprise an elongated tie or lace threaded through a plurality of loops 25 affixed along the edge of each oppositely disposed segment 43.
  • the oppositely disposed segments 43 of the expandable attachment member 40 will be drawn closer to one another, providing a snugger, secure fit, as may be required by some patients.
  • the oppositely disposed segments of the expandable attachment member 40 may be spread apart from one another, as may be required by other patients having larger waists and/or thighs.
  • a tie or lace threaded through a plurality of loops 25 is merely illustrative of an adjustable fastener 42, and that alternate types of fasteners may be employed within the scope and intent of the present invention including, as just one example, a hook and loop type of fastener, as described above.
  • Figure 12A also illustrates the expandable attachment member 40 further comprising an expansion panel 44.
  • the expansion panel 44 is attached to each of the oppositely disposed segments 43 of the expandable attachment member 40, preferably along a length of each.
  • the expansion panel 44 prevents the oppositely disposed segments 43 of the expandable attachment member 40 from becoming completely detached from one another, and at least partially defines a maximum range of expansion of the member 40.
  • the expansion panel 44 provides a buffer between the patient's body and the adjustable fastener 42, for the patient's further comfort.
  • At least one embodiment of the expandable attachment member 40 of the present invention does not comprise an expansion panel 44, as discussed in greater detail below.
  • the pelvic alignment member 13 comprises a plurality of expandable attachment members 40, preferably along either side of the member 13, thus providing even greater flexibility to form-fit the pelvic alignment member 13 about the body of the patient in an operable configuration.
  • the pelvic alignment member 13 of the present invention comprises at least one expansion notch 46 disposed along the bottom of each side, as illustrated in Figure 12A, which, as above, provides further flexibility for form-fitting the pelvic alignment member 13 to a plurality of patients having different physical configurations.
  • FIG. 12A also illustrates that in at least one embodiment, the pelvic alignment member 13 may further comprise a closure member 48, for example, a zipper, which serves to aid patients in donning and removing the member 13, as well as for allowing patients access to relieve themselves without requiring removal of the entire pelvic alignment member 13.
  • a closure member 48 for example, a zipper
  • At least one embodiment of the present invention also comprises a chest alignment member 14 structured to substantially encircle the patient's chest area when disposed in an operative configuration.
  • a plurality of adjustable quick release fasteners 12 are provided along the front and under each arm to facilitate removably securing the chest alignment member 14 to the patient.
  • the chest alignment member 14 preferably includes a V-shaped neckline to facilitate patients requiring external devices, such as a tracheotomy connection.
  • the chest alignment member 14 comprises at least one interconnection member 20 disposed in a horizontal arrangement 24 along each shoulder to facilitate interconnection to alignment members 11 disposed along the patient's arms, in particular, the patient's elbows and hands, as discussed in greater detail below.
  • the chest alignment member 14 comprises a plurality of interconnection members 20 disposed in a horizontal arrangement 24, such as, for example, one (1) interconnection member 20 anterior to the patients shoulder and two (2J) interconnection members 20 positioned posterior to the patients shoulders when the chest alignment member 14 is disposed in an operative configuration .
  • the chest alignment member 14 comprises a pair of integral shoulder pads 14 ' structured to further provide a comfortable fit to the patient, as well as to eliminate potential entanglement with one or more of the adjustable uniform compression members 30 which may be interconnected thereto. Also, as illustrated in Figure 13, the chest alignment member 14 includes a plurality of hoops 28 to facilitate additional interconnection with the pelvic alignment member 13 via the elongated adjustable quick release fasteners 12' affixed thereto.
  • FIG 13A illustrates a preferred embodiment of a chest alignment member 14 further comprising a plurality of expandable attachment members 40.
  • the chest alignment member 14 of Figure 13A comprises an expandable attachment member 40 disposed along each of the front and back of the member 14 , generally along the center of each.
  • the expandable attachment members 40 disposed on the chest alignment member 14 are similar in structure and function as the members 40 described above with respect to the pelvic alignment member 13, thereby permitting the chest alignment member 14 to be disposed about the patient in an operative configuration about the patient's chest area in a substantially form-fitting relationship.
  • the expandable attachment member 40 disposed along the front of the chest alignment member 14 does not comprise an expansion panel 44 thereby allowing the oppositely disposed edges 43 to be opened a substantially greater distance from one another without limitation by an expansion panel 44, to further facilitate the donning and removal of the chest alignment member 14 by a patient.
  • At least one embodiment of the present invention comprises a head alignment member 15, as best illustrated in Figures 3 and 4, structured to substantially encircle at least a portion of the patient's head when disposed in an operative configuration.
  • the head alignment member 15 comprises a chin strap 15' to facilitate removably securing the head alignment member 15 to the patient in the operative configuration.
  • the chin strap 15' comprises an adjustable quick release fastener 12 to facilitate removably securing the head alignment member 15 to the patient in the operative configuration.
  • Figures 3 and 4 also illustrate a further embodiment of an interconnection member 20 of the present invention.
  • the interconnection members 20 of the head alignment member 15 comprise a plurality of loops 25 affixed along the periphery of the head alignment member 15, as well as along one side of chin strap 15', as illustrated in the figures.
  • the adjustable uniform compression members 30 are interconnected to one or more of the loops 25 via a free hook 26, the free hook 26 preferably comprising a C-shaped configuration.
  • the free hook 26 is interconnected through one of the apertures 34 or 36 of the adjustable uniform compression member 30, and the other end of the "C” is interconnected through one of the plurality of loops 25 disposed on the head alignment member 15.
  • the free hooks 26 are constructed of Nylon 66 which includes a dye to entrap moisture to prevent drying and cracking.
  • the free hooks 26 may comprise any material that will resist bending and/or breaking under normal compressive forces associated with use of the assembly 10 of the present invention.
  • the plurality of loops 25 around the periphery of the head alignment member 15, as well as along the chin strap 15 ' provide total control of the alignment and compressive forces applied about the head and neck regions of the patient, via interconnection of one or more adjustable uniform compression members 30 between the head alignment member 15 and the chest alignment member 14, while the head alignment member 15 and the chest alignment member 14 are disposed in their respective operative configurations about the corresponding portions of the patient ' s body.
  • a further embodiment of the joint alignment and compression assembly 10 of the present invention also comprises at least one foot alignment member 16, as best illustrated in Figures 14 through 17.
  • the assembly 10 of the present invention comprises a pair of foot alignment members 16.
  • the foot alignment member 16 is structured to substantially encircle one of the patient's feet when disposed in an operative configuration.
  • the foot alignment member 16 includes a foot securing element 16' structured to be disposed overtop a corresponding one of the patient's ankles, as illustrated best in Figures 15 and 16, and to securely maintain the foot alignment member 16 in the operative configuration about the patient's foot.
  • the foot alignment member 16 may also comprise a foot supporting element 16' ' structured to be disposed underneath a corresponding one of the patient's arches, as illustrated best in Figures 15 and 17, to facilitate proper alignment of the patient's foot as well as to further secure the foot alignment member 16 about the patient's foot in the operative configuration. Additionally, the foot alignment member 16 comprises a toe securing element 16 ' ' ' structured to substantially encircle one of the patient's great toes, as in Figure 15, to further facilitate alignment of the patient's foot and secure the foot alignment member 16 to the patient's foot in the operative configuration.
  • Additional alignment members 11 which the joint alignment and compression assembly 10 of the present invention may comprise include, for example, knee alignment members 17, elbow alignment members 18 and hand alignment members 19.
  • the knee alignment member 17 comprises a plurality of adjustable quick release fasteners 12 to facilitate removably securing the knee alignment member 17 about the patient's knee region in an operative configuration.
  • the figures show that in one preferred embodiment, the knee alignment member 17 comprises a hoop 28 on either side. The hoop 28 is positioned to facilitate interconnection of a foot alignment member 16 to the pelvic alignment member 13 with the adjustable uniform compression member 30 passing through the hoop 28 to prevent entanglement with the patient, or other components of the assembly 10.
  • the elbow alignment member 18 illustrated in Figures 19A and 19B also comprises a plurality of adjustable quick release fasteners 12 to facilitate removably securing the elbow alignment member 18 about the patient's elbow region in an operative configuration.
  • the elbow alignment member 18 may also include hoops 28 along each side to facilitate interconnection of a hand alignment member 19 to the chest alignment member 14, in the manner described above with regard to the knee alignment member 17.
  • the present invention further comprises a method for performing a rehabilitative treatment regimen utilizing a joint alignment and compression assembly 10. Specifically, the method includes removably securing a plurality of alignment members 11 to a patient in an operative configuration, such as is illustrated, for example, in Figure 1.
  • the method further provides for removably interconnecting corresponding ones of the plurality of alignment members 11 to one another via a plurality of adjustable uniform compression members 30, as illustrated in Figures 2OA through 2OC.
  • the method provides for positioning each of the plurality of adjustable uniform compression members 30 to align the joints of the patient in an operative orientation. More in particular, positioning the plurality of adjustable compression members 30 to interconnect the plurality of alignment members 11 so as to place the patient's joints in proper alignment, to the extent possible without causing undue discomfort to the patient, at least partially defines the operative orientation.
  • the method of the present invention provides for adjusting the tension of each of the plurality of adjustable uniform compression members 30 to provide a preselected compressive force to the joints of the patient.
  • the compressive force exerted by any of the adjustable uniform compression members 30 may be readily adjusted to provide a preselected compressive force by interconnecting the compressions member 30 to the interconnection members 20 via the terminal adjustment apertures 34, to provide less compressive force, or via the intermediate adjustment apertures 36, to provide varying degrees of increased compressive force.
  • the method of the present invention includes a patient executing a predetermined exercise schedule structured to produce a desired therapeutic effect while the plurality of alignment members 11 are disposed in the operative configuration and the plurality of adjustable uniform compression members 30 are adjusted to provide the preselected compressive force to the joints of the patient.
  • the predetermined exercise schedule includes a daily exercise period of between substantially about 1 to 4 hours per day for 5 days per week.
  • the predetermined exercise schedule requires that the daily exercise period 5 days per week is maintained for a period of between substantially about 3 to 4 weeks.
  • the rehabilitative treatment regimen of the present invention when executed utilizing the joint alignment and compression assembly 10, provides an increased weight bearing load distributed across the patient's body, as well as providing resistance to specific muscle groups.
  • the load and/or resistance may be readily varied as required to target the patient's specific weaknesses via placement of the adjustable uniform compression members 30.
  • the rehabilitative treatment regimen aids in the training or retraining of the patient's motor functions by providing greater body awareness and increased strength, while the patient's joints are maintained in proper alignment.
  • the rehabilitative treatment regimen of the present invention is structured to provide improved normal alignment of the patient's body.
  • the preselected compressive forces applied to the patient via the joint alignment and compression assembly 10 builds strength to specific muscle groups of the patient's body, and the increased weight bearing on the patient's body improves the patient's body awareness, strength, and motor function.
  • the rehabilitative treatment regimen acts to train or retrain the patient's brain to move in a corrected manner by maintaining the patient's joints in correct alignment while increasing strength and gaining a better awareness of how their body is moving in space, as well as learning new motor patterns in the brain through repetitive exercises. Additionally, pathological reflexes are reduced as a result of the weight bearing load distributed across the patient ' s body.

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

Abstract

Cette invention concerne un ensemble de compression et d'alignement des articulations comprenant une pluralité d'éléments d'alignement structurés de façon qu'ils soient fixés amovibles à un patient dans une configuration d'utilisation, les différents éléments d'alignement étant interconnectés par le biais d'une pluralité d'éléments de compression uniforme réglables. Au moins un de ces éléments d'alignement comprend un élément d'alignement pelvien comportant au moins une paire d'éléments d'interconnexion placés selon une disposition horizontale et structurés de façon qu'ils facilitent la stabilisation des hanches du patient lorsqu'ils sont interconnectés par des éléments de compression uniforme réglables. L'ensemble comprend également un élément d'alignement de pied comportant un élément de fixation de pied, un élément d'appui de pied et un élément de fixation d'orteil. En outre, un élément d'alignement de la tête sert à assurer l'alignement et la compression des articulations dans la tête et la zone du cou du patient. Cette invention concerne également un procédé permettant de mettre en oeuvre un schéma thérapeutique de réadaptation à l'aide d'un ensemble de compression et d'alignement des articulations.
PCT/US2006/034904 2005-09-09 2006-09-07 Ensemble de compression et d'alignement des articulations et procede de mise en oeuvre d'un schema therapeutique de readaptation WO2007030646A2 (fr)

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US11/223,863 US20070004571A1 (en) 2004-09-09 2005-09-09 Joint alignment and compression assembly and method for performing a rehabilitative treatment regimen

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