WO2008066310A1 - Mouvement passif continu de l'épaule et du coude - Google Patents

Mouvement passif continu de l'épaule et du coude Download PDF

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Publication number
WO2008066310A1
WO2008066310A1 PCT/KR2007/006032 KR2007006032W WO2008066310A1 WO 2008066310 A1 WO2008066310 A1 WO 2008066310A1 KR 2007006032 W KR2007006032 W KR 2007006032W WO 2008066310 A1 WO2008066310 A1 WO 2008066310A1
Authority
WO
WIPO (PCT)
Prior art keywords
movement
brachium
unit
movement unit
shoulder
Prior art date
Application number
PCT/KR2007/006032
Other languages
English (en)
Inventor
Cheon Seok Lee
Seong Lae Kim
Jin Young Park
Dae Hwan Kim
Original Assignee
Eugene Medicare Co., Ltd.
Cst Co., Ltd.
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
Priority claimed from KR1020060119229A external-priority patent/KR100804723B1/ko
Priority claimed from KR1020060119230A external-priority patent/KR100758996B1/ko
Application filed by Eugene Medicare Co., Ltd., Cst Co., Ltd. filed Critical Eugene Medicare Co., Ltd.
Publication of WO2008066310A1 publication Critical patent/WO2008066310A1/fr

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0274Stretching or bending or torsioning apparatus for exercising for the upper limbs
    • A61H1/0277Elbow
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0274Stretching or bending or torsioning apparatus for exercising for the upper limbs
    • A61H1/0281Shoulder
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2203/00Additional characteristics concerning the patient
    • A61H2203/04Position of the patient
    • A61H2203/0425Sitting on the buttocks
    • A61H2203/0431Sitting on the buttocks in 90°/90°-position, like on a chair

Definitions

  • the present invention relates to a shoulder and elbow continuous passive movement, and more particularly, to a shoulder and elbow continuous passive movement enabling to perform an ease change of a position of brachium/antebrachium movement units, a vertical and horizontal movement and a pulling movement.
  • Representative one of the abnormal symptoms of a shoulder joint is an adhesive capsulitis.
  • the adhesive capsulitis is not an independent disease but a condition having active and passive adversity in movement of shoulder joint without other identified reasons, that is, a condition having adversity in movement because of shoulder pain and stiff shoulder joint. Continuous fixing, ages, diabetes, serious or slight trauma etc. are trigger factors of the adhesive capsulitis.
  • One representative example of proper physical treatment equipment is a shoulder and elbow continuous passive movement which treats the abnormal symptom of a shoulder joint using a brachium movement unit and an antebrachium movement unit.
  • the shoulder and elbow continuous passive movement is provided with a supporting member on the bottom of a base body, and a seat and a back are provided over the supporting member. Also, an unit mounting body is fixedly installed on the back of the base body, and a brachium movement unit and an antebrachium movement unit are installed on the right or left side of the unit mounting body, the brachium/ antebrachium movement units being provided with a gear box in which a motor and a plurality ofreduction gears for reducing and transferring the rotating power are mounted.
  • the brachium/antebrachium movement units should be able to be easily changed in right and left sides of the shoulder and elbow continuous passive movement.
  • the brachium/antebrachium movement units provided with the gear box should be disassembled from the unit mounting body and re-assembled to the unit mounting body in a desired position, and thereby inconvenience as well as lots of time and labor should be raised.
  • One object of the present invention is to provide a shoulder and elbow continuous passive movement having an ease and free horizontal change of brachium/antebrachium movement units.
  • Another object of the present invention is to provide a shoulder and elbow continuous passive movement having a vertical and horizontal movement of brachium/ antebrachium movement units.
  • Still another object of the present invention is to provide a shoulder and elbow continuous passive movement performing a pulling movement without additional treatment equipment.
  • a brachium movement unit connector which connects a brachium movement unit is horizontally rotatably connected to a movement unit mounting body provided on the rear of the back of a main body so as to perform an ease and free change of brachium/antebrachium movement units.
  • the brachium movement unit can be vertically erected or horizontally laid so as to perform a vertical and horizontal movement of the brachium/antebrachium movement units.
  • the brachium movement unit has a first brachium movement unit and a second brachium movement unit which can be near and apart from each other so as to perform the pulling movement.
  • the shoulder and elbow continuous passive movement of the present i nvention can enhance the remedial value owing to the vertical and horizontal movement of the brachium/antebrachium movement units.
  • the shoulder and elbow continuous passive movement of the present invention can additionally perform a pulling movementowing to its pulling ability.
  • FIG. 1 is a perspective view schematically illustrating the shoulder and elbow continuous passive movement according to the present invention
  • Fig. 2 is an enlarged perspective view of the movement unit mounting body in Fig.
  • FIG. 3 is an enlarged perspective view of the brachium movement unit connector in
  • FIG. 1; [23] Fig. 4 is a perspective view schematically illustrating the inside of the horizontal change gear box in Fig. 3;
  • FIG. 5 is an enlarged perspective view of the brachium movement unit in Fig. 1 ;
  • Fig. 6 is a view schematically illustrating the inside of the brachium movement unit gear box in Fig. 5;
  • Fig. 7 is a view schematically illustrating the inside of the brachium movement unit in Fig. 5;
  • FIG. 8 is an enlarged perspective view of the antebrachium movement unit in Fig. 1;
  • FIG. 9 is a view schematically illustrating the inside of the antebrachium movement unit gear box in Fig. 8;
  • FIG. 10 is an enlarged perspective view of the armrest unit in Fig. 1;
  • FIG. 11 is an enlarged perspective view of the armrest unit rotating body in Fig. 1 ;
  • Fig. 12 is a perspective view schematically illustrating a condition in which the brachium/antebrachium movement units in Fig. 1 are transferred from right side to left side;
  • Fig. 13 is a perspective view schematically illustrating a condition in which the antebrachium movement unit in Fig. 12 is transferred to front of the seat;
  • Fig. 14 is a perspective view schematically illustrating a condition in which the antebrachium movement unit in Fig. 13 is transferred toward the seat;
  • Fig. 15 is a perspective view schematically illustrating a condition in which the elbow splint and the wrist rest in Fig. 14 are transferred toward the seat;
  • Fig. 16 is a perspective view schematically illustrating the movement of the brachium/antebrachium movement units in Fig. 1 during the elbow joint movement of the antebrachium of a patient;
  • Fig. 17 is a perspective view schematically illustrating the movement of the brachium/antebrachium movement units in Fig. 1 during the horizontal movement of a shoulder joint of a patient.
  • the present invention provides a shoulder and elbow continuous passive movement comprising a main body for seating a patient, the main body having a seat and a back; a brachium movement unit for performing a brachium movement of one elbow of the patient; an antebrachium movement unit for performing an antebrachium movement of the one elbow of the patient, the antebrachium movement unit being rotatably connected to one end of the brachium movement unit; a brachium movement unit connector for horizontally movably connecting the brachium movement unit to the back; and a movement unit mounting body for rotatably mounting the brachium movement unit connector, the movement unit mounting body being fixedly installed on the rear surface of the back.
  • the movement unit mounting body can be vertically moved about the back.
  • the movement unit mounting body may include a guide block pivotally connected thereto and a horizontal shift bar horizontally movably installed on the guide block.
  • the movement unit mounting body may include a pair of index plungers for controlling the motion of the guide block with a predetermined distance.
  • the pair of index plungers may havelocking pins, and the guide block has a pair of locking recesses corresponding to the locking pins.
  • the brachium movement unit connector may be fixedly connected to one end side of the horizontal shift bar and the brachium movement unit connector can be horizontally moved together with the horizontal shift bar.
  • the shoulder and elbow continuous passive movement may further comprise a horizontal change gear box for connecting the brachium movement unit and the brachium movement unit connector from each other, and the brachium movement unit can be rotated about the brachium movement unit connector so as to be vertically erected or to be horizontally laid.
  • the brachium movement unit connector may include a connecting block fixedly connected to one end side of the horizontal shift bar, a vertical shift bar vertically movably installed on the connecting block, and a knob bolt for controlling the motion of the vertical shift bar.
  • the connecting block may include a gas spring cylinder which always pushes out a cylinder rod, and the horizontal change gear box is fixedly connected to the cylinder rod, and thereby the horizontal change gear box being vertically moved by the pushing our of the cylinder rod.
  • the brachium movement unit may perform the vertical movement of brachium/ antebrachium of the patient when it is vertically erected, whereas it may perform the horizontal movement of a shoulder of the patient when it is horizontally laid.
  • the vertical position of the brachium movement unit which is horizontally laid may be adjusted by the brachium movement unit connector so as to perform the horizontal movement of the shoulder.
  • the brachium movement unit may include a brachium movement unit gear box for producing movement, a first brachium movement unit rotatably connected to the brachium movement unit gear box, and a second brachium movement unit horizontally movably connected to the first brachium movement unit.
  • the brachium movement unit gear box may beprovided with a motor and a plurality of reduction gears therein, and the first brachium movement unit is connected to the final gear of the plurality of reduction gears.
  • the first brachium movement unit may be provided with a guide bar fixedly connected to the second brachium movement unit, an elastic body for elastically supporting the guide bar, and a knob bolt for controlling the motion of the guide bar therein, and the second brachium movement unit is apart from the first brachium movement unit by moving the guide bar owing to the elastic fore of the elastic body, and thereby the pulling movement of a shoulder joint of the patient being performed.
  • the antebrachium movement unit may include a unit frame rotatably connected to the brachium movement unit, an antebrachium movement unit gear box rotatably connected to the unit frame, an elbow splint linearly movably connected to the antebrachium movement unit gear box, and an armrest rotatably connected to the antebrachium movement unit gear box.
  • the antebrachium movement unit gear box may be provided with a motor and a plurality of reduction gears therein, and the unit frame is connected to the final gear of the plurality of reduction gears.
  • the antebrachium movement unit gear box may berepeatedly rotated about the unit frame by the rotating force of the final reduction gear, and thereby the elbow joint movement of an antebrachium of the patient being performed.
  • the shoulder and elbow continuous passive movement may further comprisean armrest unit for supporting the other elbow of the patient, and an armrest unit rotating body for rotatably supporting the armrest unit about the seat.
  • the armrest unit rotating body may include an armrest unit holding bar for fixedly supporting the armrest unit, a L-type pipe for vertically supporting the armrest unit holding bar to be vertically movable, a horizontal pipe for horizontally supporting the L-type pipe to be horizontally movable, and a rotating body installing plate for rotatably supporting the horizontal pipe.
  • the armrest unit rotating body may be separately provided with a pair of index plungers having locking pin, and the horizontal pipe is formed with locking recess corresponding to the locking pin, and the motion of the horizontal pipe is controlled by inserting the locking pin into the locking recess or by pulling out the locking pin from the recess by handling the pair of index plungers.
  • the shoulder and elbow continuous passive movement 1000 comprises a main body 1100, a movement unit mounting body 1200, a brachium movement unit connector 1300, a brachium movement unit 1400, an antebrachium movement unit 1500, an armrest 1600 and an armrest rotating body 1700.
  • the main body 1100 is to seat a patient during a predetermined treatment time, and generally it is preferably made in form of a chair as shown in Fig. 1. Further, the main body 1100 is comprised of a seat 1110 for supporting hips of a patient and a back 1130 for supporting the back of a patient.
  • the seat 1110 is fixed installed with a vertical frame 1111 for supporting the seat
  • wheels 1113 are mounted on one of the pair of horizontal supports 1112, preferably the horizontal support 1112 at the rear side of the seat 1110.
  • the back 1300 is vertically fixedly installed on the rear end of a pair of horizontal holders 1114 fixedly installed on the vertical frame 1111 of the seat 1110.
  • the vertical state of the back 1300 may be sustained by installing the back 1130 on a pair of vertical supports 1115 which vertically fixedly installed on the pair of horizontal supports 1112 drawn in dotted lines.
  • the height of the back 1130 is adjustable by handling a knob bolt 1116 connected to the pair of vertical supports 1115. The adjustment of the height is performed by releasing the knob bolt 1116, by pulling up or pushing down a handle 1201 in a desired position, and then by locking the knob bolt 1116.
  • the pair of horizontal holders 1114 can be extended by applying a known art, and through this the horizontal position of the back 1130 may be adjusted suitable for a body form of a patient.
  • the movement unit mounting body 1200 is to mount the brachium/antebrachium movement units 1400 and 1500, particularly the brachium movement unit 1400 on the seat 1130, and it is fixedly installed on the rear surface of the seat 1130.
  • a guide block 1210 is rotatably pivotally connected to the movement unit mounting body 1200.
  • one side, for example right side in Fig. 2, of the guide block 1210 is pivotally connected to a fixing pin 1211 provided on the movement unit mounting body 1200.
  • the rotation of the guide block 1210 is controlled by handling a pair of index plungers 1212a and 1212b provided on both sides of the fixing pin 1211 with a predetermined distance.
  • the pair of index plungers 1212a and 1212b are provided with locking pins 1213
  • the guide block 1210 is provided with locking grooves 1214 corresponding to the locking pins 1213 on the upper end surface thereof.
  • the rotation of the guide block 1210 is controlled by inserting the locking pin of the index plunger 1212b in right side into the locking recess, otherwise the Figure, if the guide block 1210 is at left side, the rotation of the guide block 1210 is controlled by inserting the locking pin of the index plunger 1212a in right side into the locking recess.
  • Change of the guide block 1210 from right to left is performed by pulling out the locking pin from the locking recess through the operation of the index plunger 1212b at right side, by rotating the guide block 1210 to left side, and by inserting the locking pin into the recess through the operation of the index plunger 1212a.
  • the guide block 1210 is formed with a pair of through holes (not shown) which pass through the inside of theblock 1210, and a pair of horizontal shift bars 1215 are installed in the guide block 1210 such that the pair of horizontal shift bars 1215 pass through the pair of through holes and linearly reciprocativly movable.
  • the movement of the pair of horizontal shift bars 1215 is controlled by handling a knob bolt 1216 provided on the guide block 1210.
  • the pair of horizontal shift bars 1215 are linearly movable when the knob bolt 1216 is released whereas they are held when the knob bolt 1216 is tightened.
  • a stopper 1217 is fixedly installed on one side end, particularly on right side end in
  • Fig.2 of the pair of horizontal shift bars 1215 and the brachium movement unit connector 1300 is fixedly installed on the right side end of the pair of horizontal shift bars 1215.
  • the brachium movement unit connector 1300 is to connect the brachium movement unit 1400 to the movement unit mounting body 1200, and its horizontal position is transferred by the reciprocally horizontal movement of the pair of horizontal shift bars 1215.
  • the brachium movement unit connector 1300 is comprised of a connecting block
  • the connecting block 1311 is provided with a gas spring cylinder 1315 therein which always pushes out a cylinder rod 1314, and a horizontal change gear box 1320 is fixedly connected to the cylinder rod 1314. Therefore, the horizontal change gear box 1320 which is operated by the handling of a rotating knob 1321 is fixedly installed on the upper end of the brachium movement unit connector 1300.
  • the brachium movement unit 1400 and the antebrachium movement unit 1500 connected to the brachium movement unit 1400 are pushed out together, and this causes the forward and backward movement of the horizontal change gear box 1320 as well as the forward and backward movement of the brachium/antebrachium movement units 1400 and 1500.
  • the horizontal change gear box 1320 is provided with a worm 1323 whose rotation movement is done by handling of the rotating knob 1321, and a worm wheel 1324 geared with the worm 1323, and also the worm wheel 1324 has a wheel shaft 1325.
  • the brachium movement unit 1400 is to treat a brachium of a patient, and it is comprised of a brachium movement unit gear box 1410, a first brachium movement unit 1430 and a second brachium movement unit 1450.
  • the brachium movement unit gear box 1410 is to cause the movement of the brachium movement unit 1400, and as shown in Fig. 6, it is provided with a motor 1411 and a plurality of reduction gears 1412 therein. The rotating force of the motor 1411 is gradually increased by the plurality of reduction gears 1412.
  • the structure as shortly described above in which the brachium movement unit 1400 is connected to the horizontal change gear box 1320 is specifically the structure in which the brachium movement unit gear box 1410 is connected to the horizontal change gear box 1320, particularly to the wheel shaft 1325 of the worm wheel 1324. Therefore, the brachium movement unit gear box 1410 can be rotated about the horizontal change gear box 1320 according to the rotation of the wheel shaft 1325.
  • the first brachium movement unit 1430 is rotatably installed on the brachium movement unit gear box 1410 so as to lift up and down an elbow about a shoulder joint. Particularly, the end of the first brachium movement unit 1430 is outwardly connected to the final reduction gear of the plurality of reduction gears 1412 provided with the brachium movement unit gear box 1410, and the first brachium movement unit 1430, further the brachium movement unit 1400 is vertically rotated by the rotation force of the final reduction gear.
  • the second brachium movement unit 1450 has a rear end which is inserted into a plurality of guide bars 1431 provided on front end of the first brachium movement unit 1430, and the distance between the first brachium movement unit 1430 and the second brachium movement unit 1450 can be adjusted by the handling of a knob bolt 1432. That is, the ends of the guide bars 1431 are elastically supported by an elastic body 1433 such as a spring provided in the second brachium movement unit 1450, and this state is maintained by the knob bolt 1432. If the knob bolt 1432 is released, the second brachium movement unit 1450 goes forward owing to the elastic force of the compressed elastic body 1433. This will perform the pulling movement of a shoulder joint.
  • the antebrachium movement unit 1500 is to treat an antebrachium of a patient, and it is provided with a unit frame 1510, an antebrachium movement unit gear box 1530, an elbow splint 1550 and a wrist rest 1570.
  • the unit frame 1510 is connected to a connecting member 1460 fixedly installed on the end of the second brachium movement unit 1450 by a hinge 1461 such that it can be axially rotated about the hinge 1461 for the brachium movement unit 1400, particularly the second brachium movement unit 1450.
  • the unit frame 1510 is formed with a circular arc typed-guide recess 1511 therein, and a knob bolt 1463 provided onthe connecting member 1460 is inserted into the recess 1511. That is, tightening or releasing of the knob bolt 1463 causes the unit frame 1510 to be held or not held.
  • the antebrachium movement unit gear box 1530 performs the movement of the antebrachium movement unit 1500, that is lifting movement, and it is rotatably installed on the unit frame 1510.
  • the antebrachium movement unit gear box 1530 as shown in Fig. 9, is provided with a motor 1511 and a plurality of reduction gears 1513 therein, and the rotating force of the motor 1511 is gradually increased by the plurality of reduction gears 1513.
  • the final reduction gear of the plurality of reduction gears 1513 is outwardly connected to the unit frame 1510. Therefore, the rotating force of the motor 1511 is increased by the plurality of reduction gears 1513, and this increased rotating force causes the antebrachium movement unit gear box 1530 itself to be rotated about the unit frame 1510.
  • the elbow splint 1550 is installed in the unit frame 1510, and it can be linearly moved for the unit frame 1510 by handling a knob bolt 1551. Therefore, the position of the elbow splint 1550 can be adjusted suitable for the length of an arm of a patient.
  • the elbow splint 1550 further can be rotated about the unit frame 1510 so as to be in reverse.
  • the elbow splint 1550 has both sides bent inwardly so as to safely mount an elbow, or alternatively, as drawn dotted lines, a corner 1553 made of fabric materials or soft synthetic resins can be installed instead of the elbow splint 1550. Thereby the motion of the elbow can be very convenient during mounting and movement of an elbow of a patient.
  • the wrest rest 1570 is inwardly or outwardly rotatably connected to the an- tebrachium movement unit gear box 1530 by handling a knob bolt 1573 through an extendable connecting member 1571, and the position of the wrest rest 1570 can be adjusted by stretching or contracting the connecting member 1571 suitable for the length of an antebrachium of a patient by handling the knob bolt 1575. That is, the distance between the elbow splint 1550 and the wrest rest 1570 can be adjusted suitable for the length of an antebrachium of a patient, that is, the length from an elbow to a wrest (or a hand). And, the wrest rest 1570 can be reversely rotated by handling a knob bolt 1577.
  • the armrest unit 1600 is to be safely mounted the other arm which is not treated, and it is composed of an antebrachium seat 1610, a control unit 1630, and a control unit rest 1650.
  • Theantebrachium seat 1610 is fixedly installed on the upper end of the armrest rotating body 1700, and it is made in form of supporting an antebrachium in stabilization and in convenient like well-known art.
  • the control unit 1630 is means for electrically controlling all above described parts operated by power, and the operating range or the operating time etc. can be freely set and/or changed by a user.
  • the control unit rest 1650 is to connect the control unit 1530 to the antebrachium seat 1610, and it is rotatably installed on the end portion of the antebrachium seat 1610. Therefore, the control unit 1630 can be slanted with a predetermined angle or erected for the antebrachium seat 1610, and this causes treatment condition of a user to be better.
  • the armrest unit rotating body 1700 is to install the armrest unit 1600 on the main body 1100, and it is provided with a rotating body installing plate 1710, a horizontal pipe 1730, an L-type pipe 1750, and an armrest unit holding bar 1770.
  • the rotating bodyinstalling plate 1710 has square, rectangular, or circle type, and it is fixedly installed on the bottom surface of the seat 1110 of the main body 1100 by a predetermined fastening means such as bolts. Also, the rotating body installing plate 1710 is provided with index plungers 171 Ia and 171 Ib provided with locking pin (not shown) with a predetermined distance.
  • the horizontal pipe 1730 has one end portion which is rotatably installed on preferably the center of the rotating body installing plate 1710, and other end portion provided with a knob bolt 1731. Further, the horizontal pipe 1730 is formed with locking recess (not shown) near the one end portion, and the locking pin of the index plungers 171 Ia and 171 Ib provided in the rotating body installing plate 1710 is inserted into the locking recess, and thereby the rotation of the horizontal pipe 1730 being controlled. For example, as shown in Fig.
  • the locking pin of the index plunger 171 Ib is inserted into the locking recess when the horizontal pipe 1730 is at right side, whereas the locking pin of the index plunger 171 Ia is inserted into the locking recess when the horizontal pipe 1730 is at left side, which causes the horizontal pipe 1730 to be controlled in rotation.
  • the insertion of the locking pin into the recess is performed by pulling or pushing the index plungers 171 Ia and 171 Ib.
  • the shift of the horizontal pipe 1730 is performed by pulling the index plunger 171 Ib and pulling out the locking pin from the recess, by rotating the horizontal pipe 1730 to left, and by pushing the index plunger 171 Ia and pushing the locking pin into the recess such that the horizontal pipe 1730 is held in left.
  • the L-type pipe 1750 is installed on the other end portion of the horizontal pipe
  • the L-type pipe 1750 is held to the horizontal pipe 1730 if the knob bolt 1731 is tightened, whereas the L-type pipe 1750 is free to the horizontal pipe 1730 if the knob bolt 1731 is released. Therefore, the position of the L-type pipe 1750 for the horizontal pipe 1730 can be adjusted by handling the knob bolt 1731.
  • the armrest unit holding bar 1770 is to hold the armrest unit 1600, and it is insertedly installed on the vertical portion of the L-type pipe 1750, and its movement is controlled by a knob bolt 1751.
  • the armrest unit holding bar 1770 is fixed to the L- type pipe 1750 if the knob bolt 1751 is tightened, whereas the armrest unit holding bar 1770 is free to the L-type pipe 1750 if the knob bolt 1751 is released. Therefore, the position of the armrest unit holding bar 1770 for the L-type pipe 1750 can be adjusted by handling the knob bolt 1751.
  • the height and width between the armrest unit 1600 and the seat 1110 can be adjusted suitable to a patient.
  • the horizontal position of the seat 1130 of the main body 1100 and the vertical position of the movement unit mounting body 1200 are changed suitable for a patient.
  • the change of the horizontal position of the back 1130 is performed by forcefully pushing backwardly or pulling forwardlythe back 1130, and the change of the vertical position of the movement unit mounting body 1200 is performed by forcefully pulling upwardly or pushing downwardly the handle 1201 after releasing the knob bolt 1116.
  • the horizontal position of the brachium movement unit 1400 and the an- tebrachium movement unit 1500 is changed suitable for the position of the brachium or the antebrachium required treatment, for example in left or rightFig. 1 illustrates a case in which the brachium movement unit 1400 and the antebrachium movement unit 1500 are atright so as to treat the right brachium and antebrachium of a patient. Otherwise, in case of treating the left brachium and antebrachium of a patient, thebrachium movement unit 1400 and the antebrachium movement unit 1500 should be at left.
  • the guide block 1210 is controlled by handling the index plunger 1212a, and then the brachium movement unit connector 1300 connected to the horizontal shift bars 1215 is forcefully pulled leftward up to a desired position.
  • This state is illustrated in Fig. 12.
  • the brachium/antebrachium movement units 1400 and 1500 shifted to left arelocated in rear of the back 1130.
  • the brachium/antebrachium movement units 1400 and 1500 are rotated in clockwise direction like the arrow by operating the horizontal change gear box 1320 such that the brachium movement unit 1400 is located in front of the back 1130.
  • the unit frame 1510 is free to the connecting member 1460 after releasing the knob bolt 1463, and then the antebrachium movement unit 1500 is rotated in clockwise direction like an arrow toward the back 1130 and the knob bolt 1463 is tightened again.
  • Fig. 14 the wrest rest 1570 is rotated in counter-clockwise direction after releasing the knob bolt 1575, and the elbow splint 1550 is separated from the unit frame 1510 after releasing the knob bolt 1551. And then the elbow splint 1550 is fit other side of the unit frame 1510 and then a knob bolt 1551 is tightened.
  • Fig. 5 the armrest unit 1600should be moved in right. The operation to change of the horizontal position (left or right) of the armrest 1600 will be described with reference Fig. 11.
  • the positional change of the armrest unit 1600 is performed by the rotation of the armrest rotating body 1700.
  • the armrest rotating body 1700 or the horizontal pipe 1730 is rotated in counter-clockwise direction like thearrow after releasing the horizontal pipe 1730 by handling the index plunger 171 Ib in right in Fig. 11.
  • the horizontal pipe 1730 is controlled by handling the index plunder 171 Ia in left.
  • the armrest unit 1600 is rotated in clockwise or counter-clockwise direction after releasing the knob bolt 1751 such that the control unit 1630 is in front. And, the knob bolt 1751 is tightened again, which is shown in Fig. 15.
  • the height that is, the vertical position of the brachium movement unit 1400 is changed suitable for the position of the brachium required treatment.
  • This operation to change the position of the brachium movement unit 1400 will be described with reference to Fig. 3.
  • the cylinder rod 1314 provided in the gas spring cylinder 1315 begins to be pushed out when the rotating knob 1313 provided on the outside of the connecting block 1311 is slowly released.
  • the being pushed cylinder rod 1314 is guided by the vertical shift bar 1312.By this operation, the horizontal change gear box 1320 connected to the cylinder rod 1314 is vertically moved like thearrow, and the brachium movement unit 1400 (shown in Fig. 1) connected to the horizontal change gear box 1320 is also vertically moved.
  • the rotating knob 1313 is tightened to prevent the cylinder 1314 from being pushed out further when thebrachium movement unit 1400 is located on the almost same line with a shoulder, and thereby the brachium movement unit 1400 being held in a desired position.
  • the position of the elbow splint 1550 for the unit frame 1510 is adjusted by handling the knob bolt 1551, and correspondingly, the position of the wrest rest 1570 for the elbow splint 1550 is also adjusted by handling the knob bolt 1575.
  • the positional angle of the wrest rest 1570 is adjusted by rotating the wrest rest 1570 inwardly or outwardly by handling the knob bolt 1573. (See Fig. 8)
  • the vertical or horizontal position of the armrest unit 1600 is adjusted.
  • the vertical position of the armrest unit 1600 is adjusted by adjusting the vertical position of the armrest unit holding bar 1770by handling the knob bolt 1751.
  • the horizontal position of the armrest unit 1600 is adjusted by adjusting the horizontal position of the L-type pipe 1750 for the horizontal pipe 1730 by handling the knob bolt 1731. (See Fig. 10)
  • the antebrachium movement unit 1500 is free by handling the knob bolt 1463 on the unit frame 1510 illustrated in Fig. 8, and the antebrachium movement unit 1500 is rotated until it is located in the same straight line with the brachium movement unit 1400. Then, the antebrachium movement unit 1500 is held by handling the knob bolt 1463. In this state, the motor 1511 and the plurality of reduction gears 1513 are operated when the antebrachium movement unit gear box 1530 is operated by handling the control unit 1630, which causes the antebrachium movement unit 1500 to be repeatedly moved up and down as shown in Fig. 16. Therefore, the antebrachium rested on the elbow splint 1550 and the armrest 1570 mounted on the antebrachium movement unit 1500 is repeatedly folded and unfolded, and thereby the joint movement is performed. (See Fig. 16)
  • the brachium movement unit 1400 is horizontally laid down and the antebrachium movement unit 1500 faces in downward by handling the worm 1323, the worm wheel 1324, and the wheel shaft 1325 provided in the horizontal change gear box 1320 illustrated in Fig. 4.
  • the antebrachium movement unit 1500 facing in downward is in horizontal condition by rotating it in counter-clockwise direction like the arrow in Fig. 17 by handling the control unit 1630 so as to operate the motor 1511 and the plurality of reduction gears 1513 provided in the antebrachium movement unit gear box 1530 in Fig. 17.
  • the elbow splint 1550 and the armrest 1570 provided in the antebrachium movement unit 1500 keep their horizontal condition.
  • the motors 1411 and the plurality of reduction gears 1412 provided in the brachium movement unit gear box 1410 are operated. This causes the brachium movement unit 1400 to be moved inwardly and outwardly like the arrow, and thereby the horizontal movement of a shoulder being performed. (See Fig. 17)
  • the guide bar 1431 is automatically moved in the arrow direction by the repulsive power against the elastic force of the compressed elastic body 1433 when the rotating knob 1432 provided in the second brachium movement unit 1450is released. This causes the second brachium movement unit 1450 connected to the guide bar 1431 to be moved, and the second brachium movement unit 1450 is apart from the first brachium movement unit 1430. Therefore, the pulling movement of a shoulder joint is performed.
  • the shoulder and elbow continuous passive movement of the present invention may be widely used in orthopedics and/or rehabilitation partsrequiring physical treatment of a shoulder.

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  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Rehabilitation Tools (AREA)

Abstract

L'invention concerne un mouvement passif continu de l'épaule et du coude et comporte un corps principal 1110 possédant un siège 1110 et un dossier 1130 pour asseoir un patient, une unité de mouvement brachial 1400 pour faire effectuer un mouvement brachial à un coude du patient, une unité de mouvement antébrachial 1500 reliée de manière rotative à une extrémité de l'unité de mouvement brachial 1400 afin de faire effectuer un mouvement antébrachial du coude du patient, un connecteur d'unité de mouvement antébrachial 1300, destiné à relier de manière horizontalement mobile l'unité de mouvement brachial 1400 au dossier 1130, et un corps de montage d'unité de mouvement 1200, que l'on installe de manière fixe sur la surface arrière du dossier 1130 pour monter de manière rotative l'unité de mouvement brachial 1400.
PCT/KR2007/006032 2006-11-29 2007-11-27 Mouvement passif continu de l'épaule et du coude WO2008066310A1 (fr)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
KR1020060119229A KR100804723B1 (ko) 2006-11-29 2006-11-29 좌,우수 변환이 용이한 어깨관절치료기
KR10-2006-0119229 2006-11-29
KR10-2006-0119230 2006-11-29
KR1020060119230A KR100758996B1 (ko) 2006-11-29 2006-11-29 수평왕복운동이 가능한 어깨관절치료기

Publications (1)

Publication Number Publication Date
WO2008066310A1 true WO2008066310A1 (fr) 2008-06-05

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Application Number Title Priority Date Filing Date
PCT/KR2007/006032 WO2008066310A1 (fr) 2006-11-29 2007-11-27 Mouvement passif continu de l'épaule et du coude

Country Status (1)

Country Link
WO (1) WO2008066310A1 (fr)

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103919659A (zh) * 2014-04-21 2014-07-16 安阳工学院 一种肩关节自主康复训练器
CN103976851A (zh) * 2014-04-21 2014-08-13 安阳工学院 一种肩关节自主康复训练器
ES2499815A1 (es) * 2014-06-25 2014-09-29 José Luis GÁLVEZ CAMPOS Aparato para ejercitar las articulaciones del hombro y el codo
CN104814855A (zh) * 2015-05-09 2015-08-05 安阳工学院 一种双侧上肢同步运动康复训练装置
CN106132376A (zh) * 2014-04-24 2016-11-16 韩国科学技术研究院 上肢肌力强化装置及具备其的套件
CN106137677A (zh) * 2016-07-15 2016-11-23 江苏大学 一种外骨骼式肘关节与肩关节康复器械
CN109223447A (zh) * 2018-11-23 2019-01-18 上海理工大学 一种左右互换的上肢康复与活动辅助装置
CN109620646A (zh) * 2019-02-01 2019-04-16 上海理工大学 一种用于上肢康复训练器的前臂内/外旋机构
CN114209554A (zh) * 2022-01-25 2022-03-22 安徽职业技术学院 一种基于康复训练的肘关节牵引系统

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US5179939A (en) * 1990-08-27 1993-01-19 Sutter Corporation Passive anatomic shoulder exerciser
US5417643A (en) * 1993-10-27 1995-05-23 Danninger Medical Technology, Inc. Continuous passive motion exercise device
US6007500A (en) * 1998-01-28 1999-12-28 Quintinskie, Jr.; John J. Shoulder, rotator cuff, and elbow stretching machine
US6695752B2 (en) * 2001-12-11 2004-02-24 Lung-Huei Lee Wheel-type resistance device for a bicycle exerciser

Patent Citations (4)

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Publication number Priority date Publication date Assignee Title
US5179939A (en) * 1990-08-27 1993-01-19 Sutter Corporation Passive anatomic shoulder exerciser
US5417643A (en) * 1993-10-27 1995-05-23 Danninger Medical Technology, Inc. Continuous passive motion exercise device
US6007500A (en) * 1998-01-28 1999-12-28 Quintinskie, Jr.; John J. Shoulder, rotator cuff, and elbow stretching machine
US6695752B2 (en) * 2001-12-11 2004-02-24 Lung-Huei Lee Wheel-type resistance device for a bicycle exerciser

Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103919659A (zh) * 2014-04-21 2014-07-16 安阳工学院 一种肩关节自主康复训练器
CN103976851A (zh) * 2014-04-21 2014-08-13 安阳工学院 一种肩关节自主康复训练器
CN103976851B (zh) * 2014-04-21 2016-05-25 安阳工学院 一种肩关节自主康复训练器
CN106132376A (zh) * 2014-04-24 2016-11-16 韩国科学技术研究院 上肢肌力强化装置及具备其的套件
ES2499815A1 (es) * 2014-06-25 2014-09-29 José Luis GÁLVEZ CAMPOS Aparato para ejercitar las articulaciones del hombro y el codo
WO2015197894A1 (fr) * 2014-06-25 2015-12-30 José Luis Galvez Campos Appareil pour exercer les articulations de l'épaule et le coude
CN104814855A (zh) * 2015-05-09 2015-08-05 安阳工学院 一种双侧上肢同步运动康复训练装置
CN106137677A (zh) * 2016-07-15 2016-11-23 江苏大学 一种外骨骼式肘关节与肩关节康复器械
CN109223447A (zh) * 2018-11-23 2019-01-18 上海理工大学 一种左右互换的上肢康复与活动辅助装置
CN109223447B (zh) * 2018-11-23 2020-11-03 上海理工大学 一种左右互换的上肢康复与活动辅助装置
CN109620646A (zh) * 2019-02-01 2019-04-16 上海理工大学 一种用于上肢康复训练器的前臂内/外旋机构
CN114209554A (zh) * 2022-01-25 2022-03-22 安徽职业技术学院 一种基于康复训练的肘关节牵引系统

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