WO2008113139A1 - Dispositif de massage - Google Patents

Dispositif de massage Download PDF

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Publication number
WO2008113139A1
WO2008113139A1 PCT/AU2008/000419 AU2008000419W WO2008113139A1 WO 2008113139 A1 WO2008113139 A1 WO 2008113139A1 AU 2008000419 W AU2008000419 W AU 2008000419W WO 2008113139 A1 WO2008113139 A1 WO 2008113139A1
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WO
WIPO (PCT)
Prior art keywords
head
massage
vibration
applicator head
handle
Prior art date
Application number
PCT/AU2008/000419
Other languages
English (en)
Inventor
Neil Brenton Piller
Original Assignee
Cypro-Ssage Pty Ltd
Campbell, George Giles
Young, Rodney, Scott
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 AU2007901480A external-priority patent/AU2007901480A0/en
Application filed by Cypro-Ssage Pty Ltd, Campbell, George Giles, Young, Rodney, Scott filed Critical Cypro-Ssage Pty Ltd
Priority to AU2008229571A priority Critical patent/AU2008229571B8/en
Priority to NZ580400A priority patent/NZ580400A/en
Publication of WO2008113139A1 publication Critical patent/WO2008113139A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H23/00—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
    • A61H23/02—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive
    • A61H23/0254—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive with rotary motor
    • A61H23/0263—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive with rotary motor using rotating unbalanced masses
    • 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
    • A61H15/00—Massage by means of rollers, balls, e.g. inflatable, chains, or roller chains
    • A61H15/0078—Massage by means of rollers, balls, e.g. inflatable, chains, or roller chains power-driven
    • A61H15/0085—Massage by means of rollers, balls, e.g. inflatable, chains, or roller chains power-driven hand-held
    • 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
    • A61H15/00—Massage by means of rollers, balls, e.g. inflatable, chains, or roller chains
    • A61H2015/0007—Massage by means of rollers, balls, e.g. inflatable, chains, or roller chains with balls or rollers rotating about their own axis
    • A61H2015/0014—Massage by means of rollers, balls, e.g. inflatable, chains, or roller chains with balls or rollers rotating about their own axis cylinder-like, i.e. rollers

Definitions

  • THIS INVENTION relates to a method of self administered massage and to a massage device for that purpose.
  • the invention relates to improvements in, or in relation to, hand held massagers and more particularly but not limited to a massage device for self administered vibratory therapy for treatment of lymphoedema.
  • Hand held massagers are known in for example in US patents 5,152,281 ; 4,669,452; 6,663,580; 5,575,760; 5,123,406; 6,352,518; 5,925,002; 5,711 ,758; 6,758,826; 5,716,130; 5,356,369 and 4,691 ,693.
  • These massagers include various roller and vibrator arrangements including pistol like vibratory massagers. Vibration has been used to treat lymphoedema.
  • Vibration has been used to treat lymphoedema.
  • WO02/065973 to Vibrant Medical Ltd and WO03/088889to Niagara Therapy Mfg Australia Ltd so- called cycloid vibration is administered using a pad to treat lymphoedema by self administration.
  • the above prior art is incorporated herein by reference but its inclusion should not be taken as an admission that any of the listed prior art is common general knowledge in the art.
  • the present invention relates to this field but has general application to any useful application of a massage device of the type described including treatment of other forms of oedema.
  • Other applications may include conditions where changes to the skin and superficial tissues may benefit from the application of a rolled-over vibration. Conditions where undesirable build up of fluids and scar tissue and the build up of fibrous tissue might be involved may also benefit from this treatment.
  • Other instances may include post trauma treatment for burns and surgery.
  • Other applications may include treatment of hypertension as an aid to improve peripheral blood flow, stimulation of tissues in bed sore management and so on.
  • a method of self administration of therapeutic massage using a hand held massager of the type having a handle and a roller head delivering vibration through the head to a treatment site comprising the steps of applying the head in a roller action along the treatment site in a predetermined treatment direction.
  • the roller head is applied under predetermined manual pressure superimposed upon a predetermined mechanical vibration having lowfrequency and low amplitude.
  • the applied manual pressure may be monitored electronically using a transducer, typically an accelerometer, with audible or visual feedback to the user leading the user to reduce the applied manual pressure.
  • the invention resides in a method of self administration of therapeutic massage for relief from lymphoedema using a hand held massager of the type having a handle and a roller head delivering vibration through the head to a treatment site, the method comprising the steps of applying the head in a roller action along the treatment site in a predetermined treatment direction.
  • the roller head is applied under light manual pressure superimposed upon a predetermined mechanical vibration having low frequency and low amplitude.
  • the frequency of vibration should be selected to mimic lymphatic drainage therapy.
  • frequency, determined by rotation of the motor shaft may be quite low from a few Hz up to 100 Hz.
  • the amplitude of vibration, in the case of a motor with a rotating shaft and eccentric weight is determined by the mass of the eccentric weight, its eccentricity and dimensions, and should result in an amplitude at the treatment site of a few millimetres.
  • the amplitude as applied to the tissue is in the range 0.5-2.0mm and more preferably in the range of 1.0-1.5 mm may be used for optimum results.
  • lymphoedema In the case of lymphoedema the applied manual pressure would not normally exceed the equivalent of about 250 gms applied. Pressures may be set for other applications that might require greater pressure say for deeper treatment as might be the case for sporting injuries. In the case of lymphoedema it is preferable to first clear lymphatic regions adjacent the main site before treating the main site. For example, in the case of an arm, the regions of the neck and shoulder are first cleared.
  • the present invention resides in a massage device comprising a handle, an applicator head projecting from the handle and a vibratory source adapted to deliver vibration to the applicator head, the applicator head being coupled to the assembly and being adapted to roll over a surface being treated.
  • the applicator head is preferably coupled to the handle via a vibration dampening coupling and the source of vibration is preferably located in the applicator head.
  • the applicator head preferably comprises a hollow body housing a motor, the motor having an eccentrically mounted weight for the purpose of generating vibration within the applicator head.
  • the motor housing typically has means enabling an outer portion of the head to roll on the motor housing.
  • the motor housing includes ribs on which the outer portion of the applicator head travels.
  • the ribs preferably are circular ribs located on the motor housing which housing is a generally cylindrical motor housing.
  • a generally cylindrical sheath locates across and over the motor housing, the sheath being able to rotate and slide on the ribs to give rotation of the sheath relative to the housing.
  • the sheath preferably locates on the motor housing with a hand insertable clip action.
  • the applicator head includes a removable outer portion in the form of a contact pad which fits over the sheath and is removable for cleaning purposes.
  • the hand insertable clip action of the sheath to the motor housing ensures that the sheath remains in place as the contact pad is removed.
  • the contact pad is contoured or otherwise shaped to generally follow the shape of the area being treated.
  • the contact pad is medially narrowed or narrowed at least to enable application of the applicator head to curved surfaces including regions of the arms and legs.
  • treatment is applied by rolling the contact pad across the region being treated.
  • the applicator head includes an enlarged end.
  • the enlarged end is typically generally rounded and more preferably is hemispherical.
  • the end is also used for delivery of vibration as an alternative or adjunct to the roller treatment. In this case the enlarged end is applied as a point source of vibration.
  • the assembly is generally pistol shaped, the applicator head having a bulbous or enlarged end enabling application of vibration in point form using the end of the applicator head in a non-rolling configuration to provide a second form of treatment.
  • the applicator head is rolled across the surface being treated with the surface being treated in contact with the contoured portion of the applicator head in a manual rolling backward and forth fashion.
  • treatment may be in a repetitive stroking form in a single direction from a starting point rather than back and forth.
  • the applicator head and handle are made from separate parts assembled and connected together via the vibration dampening coupling.
  • the vibration dampening coupling preferably includes cushion means located between the applicator head and the handle.
  • the vibration dampening coupling includes a ball and socket arrangement where a ball and a socket either on the head or on the handle are located together to provide limited pivoting movement of the applicator head relative to the handle.
  • the socket is located in the handle and the ball is located at one end of the applicator head.
  • the ball is fitted into the socket and a fastener is passed through a portion of the handle to retain the ball and socket in operative position.
  • the vibration dampening cushioning means is provided by an annular soft resilient surround which extends around the coupling between the head and the handle and extending about the ball and socket joint.
  • the cushioning means comprises a lip extending across the joint and over a marginal edge portion of the motor housing and having an annular rib extending around the ball joint of the head and bridging between the handle and the head to assist with vibration dampening and to bias the head in resilient manner to a central position.
  • the handle preferably includes a display and PCB assembly, the display including a liquid crystal screen and there being a control button in order to operate a timing function.
  • the timing function preferably comprises a numerical display of minutes of treatment, with a visual display of cumulative treatment time, typically in ten second intervals. Each ten second interval is usually displayed as a segment in a circular display divided into 12 segments which segments are lit as time progresses up to 12 of the segments for one minute. As minutes are reached numerals are displayed of the transpired minute count and the segments are cleared and begin to light progressively again up till the next minute, the minute display is incremented, the segments are then cleared and begin to light again and the process repeats.
  • a user may easily and visually note the length of time a treatment has taken in accordance with their prescription from their physician.
  • On, off, pause, reset functions and so on may be utilised with separate press buttons or a single press button may be utilised depending on whether there is a short switching or a time delay during switching to reset, start or switch off the unit as a whole.
  • the vibration may be constant across the surface of the applicator head or may vary. Preferably the vibration varies marginally with a vibration having and amplitude of about 1mm along the medial region and 1.5mm at the end of the head.
  • Figure l isa perspective drawing of a vibration applicator according to the present invention.
  • Figure 2 is a perspective view from the opposite side;
  • Figure 3 is a side view;
  • Figure 4 is a partial exploded view;
  • Figure 5 is a partial exploded view of part of the assembly
  • Figure 6 is a vertical section through the midline of the applicator
  • Figure 7 is a horizontal section through the midline of the applicator head and part of the handle;
  • FIGS 8 and 9 illustrate in more detail the vibration dampening coupling
  • Figures 10 to 13 illustrate the assembly of the display and PCB board as a module
  • Figure 14 illustrates a partial exploded view illustrating the insertion of the display and PCB board into the handle
  • Figure 15 is a partial exploded view illustrating the motor and motor housing
  • Figure 16 is an exploded view of the applicator and its associated cradle
  • Figure 17 is a block diagram of a first embodiment of a circuit applicable to the present invention.
  • Figure 18 is a block diagram of a second embodiment of a circuit applicable to an applicator according to the present invention.
  • Figure 19 is a block diagram of a further embodiment illustrating more details of the massager operation and control in terms of the overall structure and motor frequency control;
  • Figure 20 is a flow diagram illustrating operation of the motor driver firmware (coarse control loop);
  • Figure 21 is a flow diagram illustrating the operation of the motor driver firmware (fine control loop);
  • Figures 22A and 22B are flowdiagrams illustrating measurement of motor frequency;
  • Figure 23 is a flow diagram showing a typical process for providing an over-pressure indicator
  • Figure 24 is a graph showing the participant agent in a clinical study
  • Figure 25 is a graph showing the period of time from surgery to remove lymph nodes and the study
  • Figure 26 is a graph showing the period of time in months upon which participants in the study experienced clinically manifest lymphoedema.
  • a hand held massage device 10 comprising a handle 11 and an applicator head 12.
  • the handle includes a press button 13 for operation and a display 14.
  • the applicator head 12 has a medial narrowing 15 and is adapted to free wheel in a rolling action relative to the handle 11.
  • the end 16 is rounded so that a user may deliver endwise vibration to a site to be treated in addition to the other therapeutic mode of operation involving rolling with the medial narrowing portion 15 in contact with the surface being treated.
  • two forms of treatment may be adopted.
  • FIG. 4 there is shown an exploded view whereby the handle 11 is made up of two parts 17 and 18.
  • a motor housing 19 Connected to the handle 11 is a motor housing 19 which has spaced ribs 20, 21 , 22, 23 and 24.
  • a roller sheath 25 clips onto the motor housing and travels on these ribs which in turn has a removal applicator 26 which passes over and is resiliently held on the sheath.
  • the applicator 26 may be longer for leg treatment and in other shapes as may be desirable for different treatments.
  • the applicator 26 is of a flexible rubber like material and may be easily removed for cleaning.
  • the motor housing 19 and its connection to the handle section 17 is illustrated in exploded view where a ball section 27 cooperates with a clip 28 which passes through an opening in the handle section 17 and clips into the interior 29 of the ball section 27 to retain the ball in the handle. This will be illustrated in greater detail below.
  • Figures 6 and 7 illustrate sections through the device in its fully assembled form.
  • a battery 30 is located inside the handle and a motor 31 with an output shaft 32 and an eccentric weight 33 is located in the head.
  • the eccentric weight 33 creates a vibration which passes through to the applicator 26 via the sheath 25.
  • the sheath 25 and applicator 26 roll on the ribs 20 through 24 while the handle is substantially isolated from the vibration by dampening means.
  • Figures 8 and 9 illustrate the connection of the motor housing to the handle where the ball section 27 of the motor housing fits into a corresponding socket section 34.
  • the clip 28 (which is not present in Figure 8) is inserted into the position shown in Figure 9 and locks the joint together as shown.
  • Vibration from the motor housing is dampened by a flexible spacer-come-washer arrangement illustrated at 32 which has two parts, an outer sealing part 33 and a bridging annular cushion part 34.
  • the effect of this arrangement is that the motor housing via its ball joint arrangement, shown generally at 35, is effectively able to rock and joggle in any direction against the cushion afforded by the projection 34 and the seal 33.
  • the applicator head is applied to the surface being treated there is some give by reason of the ball joint connection and the vibration dampening arrangement, at the same time vibration is absorbed isolating the handle 11.
  • the display 14 is housed in a display module 36 illustrated in Figures 10 to 13 where the electronics in the PCB board and the display itself is held by a plate 37 which inserts into the housing 38 enabling the whole module to be screwed or otherwise secured in the handle as shown in Figure 14.
  • Figure 15 illustrates an exploded view of the motor housing 19 which is made from two parts screwed together and retaining the motor and its eccentric weight.
  • Figure 16 illustrates in exploded view a suitable cradle with the device able to be mounted for recharge and storage. This is how the final device would appear to the end user.
  • Figure 17 illustrates a simple block diagram of a typical circuit.
  • Figure 18 illustrates another version where an accelerometer at 39 is used to provide feedback to the user as to applied treatment pressure by way of a visual or audible signal when the applied pressure exceeds a predetermined limit.
  • This is not essential to the invention but enables applied pressure by the user to the applicator head to be controlled other than by learned tactile control as in the case of Figure 17. This ensures that there is not over pressure as compared to the medical prescription for the treatment. This is particularly the case in relation to lymphoedema where it is desirable to apply a relatively small load to the area being treated.
  • the massager unit has a user interface which consists of a single push button and an LCD.
  • a single treatment involves 30 minutes of massage, the typical treatment procedure is set out later in this specification.
  • the push button is pressed.
  • the massage motor starts and the LCD backlight lights.
  • the time display reads "30". Every 3 minutes an additional dial segment illuminates. After 30 minutes all 10 dial segments are illuminated indicating a complete cycle.
  • the backlight When the 30minute cycle is complete the backlight will dim, and the motor will ramp down and turn off. The unit will remain in this stage for a period of 5 minutes. After 5 minutes has elapsed the system will shut down and enter a low power state. If the button is pressed before the 5 minute period has elapsed the unit will immediately shut down.
  • the unit pauses. In this state the motor and time stops, and the LCD backlight dims. The session can be continued with an additional press of the button. If the massager is left in pause for 5 minutes it will shut down, saving the session time in memory. Next time the button is pressed the unit will resume. If the button is held down for 3 seconds (or longer) the unit will reset the timer, and power down. If the unit is running, and placed on the charging dock, it will power down immediately, and store the timer value ready to resume on the next keypress. When the unit is in the charging dock it does not respond to the button. (Assuming the charger is plugged in).
  • the battery icon When the unit is charging, the battery icon is illuminated. The battery level segments on the LCD will step from left to right. When charging is complete icon turns off. As the battery becomes exhausted the battery level segments will gradually reduce. When the battery is completely exhausted the outline will flash.
  • the massager charge port is a 2 wire interface. It is used for the dual purpose of battery charging and for data communication.
  • the charger If the DC charge level is above a nominal threshold voltage the charger starts. If the level is pulsed below this threshold it can be used for communications.
  • the massager communications interface is configured as a slave. It will never attempt to send data unless it is requested to do so by the device connected to the interface.
  • This subsystem is based around a dedicated stand alone battery charger
  • the battery pack is a two cell rechargeable Ni-MH pack protected by an encapsulated polyswitch.
  • This subsystem is based around a dedicated power management IC. This steps the battery voltage up to a regulated 3.3V. This powers the entire circuit. This is protected against over voltage, over current, short circuit and has thermal cutout.
  • This subsystem inputs a PWM drive from the processor, and drives the motor. It also measures the motor voltage and motor current. These are monitored by the firmware, and are used along with the accelerometer data to control and regulate the motor speed by adjusting the PWM drive.
  • the motor driver uses the measured motor voltage, motor current and accelerometer frequency to accurately set and regulate the motor RPM.
  • the motor driver uses two separate control loops, one for course control as set out in Figure 20 and the second for fine control as set out in Figure 21.
  • the massager On boot up the massager loads a target motor voltage out of the ERAM and into the memory.
  • the main motor control loop starts the motor, measures the motor voltage and compares it to the target voltage.
  • the control loop will continually adjust the PWM mark-space ratio to achieve this target voltage. This is updated very quickly to accommodate and compensate for varying loads on the motor - ie adjustments in application pressure, or during movement across different densities of tissue or bone.
  • the unit frequency and motor firmware control is set out in Figures 22A and 22B.
  • the motor frequency is obtained directly from the accelerometers.
  • the frequency is measured whenever the motor is turning, and is put into a running average. This is high precision measurement with the absolute accuracy limited by the CPU crystal.
  • the motor frequency is compared to the target frequency (42Hz). If the measured frequency differs from the target frequency the target voltage is incremented or decremented and fed back into the coarse control loop. On shut down the new target motor voltage is saved to ERAM.
  • This subsystem is used purely for motor frequency measurement.
  • This circuit is based a round a 2 axis accelerometer, and associated passive filtering components.
  • the accelerometer is hard mounted on a remote
  • the signal amplitude is proportional to the tip acceleration, and the signal frequency directly corresponds with the motor frequency.
  • the measured frequency is used by the firmware to set the motor speed.
  • the X and Y axis signal from the accelerometer are linked directly into the processors high speed comparator input. An interrupt is caused at the signal X- Y crossover point. A 1000ms gate is left open, and the crossover points are counted. This directly corresponds to the motor frequency in hertz.
  • the measured frequency is discarded if it falls outside the band of 27- 60Hz.
  • the sample period is 1000ms.
  • a delay of 16ms is used to debounce the measurement.
  • the unit contact head contains a two axis accelerometer. This is an electronic measuring device used to measure and convert acceleration into an electrical potential. In this application an accelerometer is used to measure the magnitude and frequency of vibration of the contact head. This information is then used to extrapolate the applied pressure between the contact head, and the massage recipient.
  • the resultant waveform approximates two sine-waves, corresponding to the acceleration in the X and Y planes.
  • the amplitude of each waveform is directly proportional to the acceleration.
  • the motor current, and voltage are monitored during run time. Assuming constant motor frequency, it is possible to use the motor current and voltage to measure variations in motor loading (Power applied to the motor).
  • the motor loading value is used in conjunction with the accelerometer data to produce a numeric value. This numeric value is not calibrated, and therefore will be unit specific.
  • overpressure icon will illuminate. When the applied pressure drops below the preset threshold the icon will turn off.
  • the numeric value acquired is compared to a threshold value to illuminate the icon.
  • the threshold value can be set and adjusted for each unit.
  • the processor is directly connected to the LCD.
  • the processor contains all the hardware required to control the LCD.
  • the LCD backlight uses a PWM drive from the processor to set the LED junction current, controlling the backlight intensity.
  • the intensity is modal, and is gently ramped.
  • the push button is directly connected to the processor, and polled by the firmware.
  • the massager may include other features including but not limited to the following: During each session the firmware logs runtime data. These data logs can be accessed by connecting a custom interface box to the massager charging terminals.
  • System odometer Total number of key presses (non resetable). System odometer: Total number of sessions, where a session is defined as any run period over 50 seconds (non resetable).
  • the firmware automatically logs key usage statistics. The principle use of this feature is to provide technical feedback for consultants, and to aid in patient therapy progress analysis.
  • a device according to the present invention was caused to vibrate at 42Hz with a tip amplitude of 1.5-2.0mm and a centre amplitude of 0.5-1.0mm, the device was applied with a rolling action using light pressure for a short 3-5 minute time over specific lymph drainage areas in patients with lymphoedema.
  • the trials resulted in a reduction of 5% of the total oedema and had the advantage of being self administered at home.
  • Subjective patient response was very positive with 25% reduction in pain and improved movement of 28% after the first week. At the end of the second week perceived heaviness had improved by 26%, pins and needles reduced by over 24% and perceived arm size by 20%.
  • Applicant has further devised a home based sequence and protocol involving first clearing the lymph in regions adjacent the treatment site (eg neck and shoulder) before treating the site itself (eg the arm).
  • the preferred treatment is as follows:
  • Sample size for the study was 30 control limbs and lymphoedema limbs. The duration of the study was 28 days per patient. Patient to self administer as per the protocol. Treatment application can be morning or evening but there was a preference for evening. Patients were instructed to consume a full glass of water prior to and after each session. Patients and their partners were given full instructions on the equipment use prior to unsupervised use. A telephone support system was offered if required.
  • NB The majority of patients entered into the trial however had prior treatment, often the best currently available.
  • Suitable patients were to have the following standard tests performed immediately prior to the application of the treatment and at weekly intervals until the completion of the trial at 28 days. Patients were reassessed for longer term benefits after one month.
  • the basic patient protocol included detailed instruction about how the patient should first clear the thoracic and attempt to clear the pelvic area.
  • the development of the clearance program was undertaken by a Manual Lymphatic Drainage therapist, since clearance of the trunk is crucial to optimise the outcomes.
  • Massaging the Affected Arm 1. Using the side of the massage unit, sweep from the back of the elbow and up over the shoulder for 2 minutes.
  • the participant's style and accuracy was checked in a subgroup of the participants. In this subgroup of 5 patients, they were asked to present to the clinic and the full range of measurements of perometry and bio-impedance made immediately prior to and immediately after their use of the hand held massage unit. Not only did this allow us to check technique and confirm that patterns and pressures were within our normal range, but also it allowed us to check the specific effects of the use of the hand held massage unit over a short period of time with no confounding variables interfering.
  • the arm should be supported gently during the massage. This can range from resting in on a pillow or a wedge through to having a partner gently supporting it. To gain the best results it is best if the muscle elements of the upper and fore arms are as relaxed as possible.
  • the following analysis represents primarily a descriptive analysis only, that is one describing the trial outcomes only as they relate to the study group.
  • the analysis of the trial data set is however, a full stand alone analysis describing the details of the trial.
  • the mean age of the patients was 60.07 years with a standard deviation of 10.4. This is slightly older than the average diagnosis time of breast cancer but is in concert with the fact that lymphoedema takes an average of 3 years to become clinically manifest.
  • 25 were right handed and 5 left handed. Twelve had a partial mastectomy and axillary clearance while 15 had a total mastectomy and axillary clearance and 3 had a lumpectomy only.
  • the average period of time from the indicated surgery was 10 years.
  • the average date of the surgical intervention was 1996 and the most common date 1997 This is depicted graphically in Figure 25.
  • lymphoedema The average period of time after surgery that patients were first aware of what could be described as clinically manifested lymphoedema was 30 months. This is depicted graphically in Figure 26. This is in concert with prior studies about the onset of lymphoedemas. The causes of the lymphoedema were wide ranging with 12 participants not being really sure of the precipitating factor. There was no relationship between precipitating factors and the outcome measures.
  • LO cause of LO
  • Bio-impedance measures the amount of total segmental fluids in the limb up to the apex of the shoulder.
  • the segmental fluids include the extracellular compartment volumes (consisting of fluids within the lymphatics, fluids within the blood vessels and mainly the fluids within the extracellular spaces) and the intracellular compartment (consisting of fluids within the cells - which normally are constant).
  • Mean fluid volume changes mi) (Complete data set)
  • Perometry measures the total limb volume, but is only able to measure it into the middle upper-arm and does not account for changes in limb size in the axillary area. Bio-impedance does take into account fluid changes in this area. For this reason there can be a discrepancy between these values. However, in general terms, some of the larger differences in perometry and bio-impedance can be accounted for in terms of the effect of treatment either on the fluid alone or on the tissue composition, for instance changes in fat or perhaps even muscle volumes.
  • Tonometry is a surrogate measure of the amount of fibre in the tissues. Its value also may change when a limb becomes smaller and this arti-factual hardening must be taken into account when examining tonometry data. Given the gentle nature of the hand held massage and its relatively short duration per day great changes in tonometry are not expected.
  • Mean Group Tonometry values
  • Subjective data will be presented in two formats firstly looking at the % change of the various parameters and then looking at the statistical significances.
  • lymphoedema The ability to self manage lymphoedema will reduce the overall cost for lymphoedema treatment for the patient since there may be a reduced need for visits to the health professional
  • the outcomes from this study may be able to be extrapolated to other conditions of fluid accumulation in the body such as lymphoedema of the legs or truncal regions.
  • lymphoedema of the legs or truncal regions There may also be an opportunity to suggest and extrapolation to venous oedemas although this perhaps would need a small additional investigation of this specific group.

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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)
  • Percussion Or Vibration Massage (AREA)

Abstract

L'invention porte sur un dispositif de massage à main (10) comprenant une poignée (11) et une tête applicatrice (12). La poignée est équipée d'un bouton poussoir (13) pour la mise en marche, et d'un dispositif d'affichage (14). La tête applicatrice (12) présente un rétrécissement médian (15) ; elle est conçue pour tourner librement dans une action de roulement par rapport à la poignée (11). L'extrémité (16) est arrondie, permettant à l'utilisateur d'appliquer les vibrations produites à ladite extrémité sur un site à traiter, en complément des autres modes de fonctionnement thérapeutique, lesdits modes comprenant le roulement à l'aide de la partie présentant un rétrécissement médian (15) au contact de la surface à traiter.
PCT/AU2008/000419 2007-03-21 2008-03-25 Dispositif de massage WO2008113139A1 (fr)

Priority Applications (2)

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AU2008229571A AU2008229571B8 (en) 2007-03-21 2008-03-25 A massage device
NZ580400A NZ580400A (en) 2007-03-21 2008-03-25 A massage device comprising an over-pressure sensor and applicator

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AU2007901480A AU2007901480A0 (en) 2007-03-21 A massage device
AU2007901480 2007-03-21

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Cited By (14)

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Publication number Priority date Publication date Assignee Title
WO2011159317A1 (fr) * 2010-06-18 2011-12-22 Willow Vibe Llc Procédé et appareil pour stimulus vibratoire, tactile et autre localisé pour diminuer la douleur associée à des injections pour des procédures chirurgicales mineures et des traitements cosmétiques au laser
ITRM20100569A1 (it) * 2010-10-29 2012-04-29 Bosco System Lab S P A Attrezzatura per l esercizio fisico comprendente un manubrio vibrante.
ITRM20100570A1 (it) * 2010-10-29 2012-04-30 Bosco System Lab S P A Apparato per la trasmissione di vibrazioni localizzate, in particolare a muscoli di un utilizzatore .
ITTO20110623A1 (it) * 2011-07-14 2013-01-15 Cizeta Medicali S P A Dispositivo a rullo, per trattamenti di drenaggio linfatico
CN103919674A (zh) * 2014-04-21 2014-07-16 朱守莲 一种神经内科用按摩装置
CN104644409A (zh) * 2015-03-10 2015-05-27 吕莉 一种神经内科用按摩装置
EP2886098A1 (fr) * 2013-12-19 2015-06-24 Conair Corporation Appareil de traitement de la peau
US10758027B2 (en) 2018-03-29 2020-09-01 L'oréal Flexible tilting applicator attachment
ES2798315A1 (es) * 2020-04-27 2020-12-10 Termosalud S L Aparato de masaje corporal
WO2021000378A1 (fr) * 2019-07-02 2021-01-07 深圳讯丰通医疗股份有限公司 Dispositif et méthode de commande de massage de fascia profond
US11534362B2 (en) 2015-09-16 2022-12-27 Indiana University Research And Technology Corporation Quantification of force during soft tissue massage for research and clinical use
CN115701967A (zh) * 2020-04-29 2023-02-14 席拉博迪股份有限公司 带有电连接的附接件的冲击治疗设备
CN116473826A (zh) * 2023-04-25 2023-07-25 尼亚加拉(南京)医疗技术有限公司 一种三维振动治疗仪、控制系统及控制方法
US11857482B1 (en) 2013-07-01 2024-01-02 Hyperice Ip Subco, Llc Massage device having variable stroke length

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US5792080A (en) * 1994-05-18 1998-08-11 Matsushita Electric Works, Ltd. Massaging apparatus having self-adjusting constant strength and non-adjust strength modes
US6120468A (en) * 1999-06-11 2000-09-19 Tseng; Chin-Chun Sound-controllable multistage massager equipped with LCD device
US6632185B2 (en) * 2001-11-13 2003-10-14 Chin-Chen Chen Extendable rotable massager
US20040077978A1 (en) * 2001-02-19 2004-04-22 Nelson Ernest Peter Leg ulcer, lymphoedema and DVT vibratory treatment and device
US20040133134A1 (en) * 2003-01-07 2004-07-08 Gus Polychronis Rotating apparatus for surface massage
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US5792080A (en) * 1994-05-18 1998-08-11 Matsushita Electric Works, Ltd. Massaging apparatus having self-adjusting constant strength and non-adjust strength modes
US6120468A (en) * 1999-06-11 2000-09-19 Tseng; Chin-Chun Sound-controllable multistage massager equipped with LCD device
US20040077978A1 (en) * 2001-02-19 2004-04-22 Nelson Ernest Peter Leg ulcer, lymphoedema and DVT vibratory treatment and device
US6632185B2 (en) * 2001-11-13 2003-10-14 Chin-Chen Chen Extendable rotable massager
US20040133134A1 (en) * 2003-01-07 2004-07-08 Gus Polychronis Rotating apparatus for surface massage
US20050159687A1 (en) * 2004-01-19 2005-07-21 Matsushita Electric Works, Ltd. Massaging apparatus

Cited By (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2011159317A1 (fr) * 2010-06-18 2011-12-22 Willow Vibe Llc Procédé et appareil pour stimulus vibratoire, tactile et autre localisé pour diminuer la douleur associée à des injections pour des procédures chirurgicales mineures et des traitements cosmétiques au laser
ITRM20100569A1 (it) * 2010-10-29 2012-04-29 Bosco System Lab S P A Attrezzatura per l esercizio fisico comprendente un manubrio vibrante.
ITRM20100570A1 (it) * 2010-10-29 2012-04-30 Bosco System Lab S P A Apparato per la trasmissione di vibrazioni localizzate, in particolare a muscoli di un utilizzatore .
WO2012056484A1 (fr) * 2010-10-29 2012-05-03 Bosco System Lab S.P.A. Dispositif pour transmettre des vibrations localisées, en particulier aux muscles d'un utilisateur
WO2012056483A1 (fr) * 2010-10-29 2012-05-03 Bosco System Lab S.P.A. Appareil d'exercice physique comprenant une poignée vibrante
RU2608910C2 (ru) * 2011-07-14 2017-01-26 Чицета Медикали С.П.А. Роликовое устройство для проведения лимфодренажной терапии
ITTO20110623A1 (it) * 2011-07-14 2013-01-15 Cizeta Medicali S P A Dispositivo a rullo, per trattamenti di drenaggio linfatico
WO2013008210A1 (fr) * 2011-07-14 2013-01-17 Cizeta Medicali S.P.A. Dispositif à rouleau pour des traitements de drainage lymphatique
CN103732199A (zh) * 2011-07-14 2014-04-16 西泽塔麦迪卡里股份公司 用于淋巴引流处理的辊设备
CN103732199B (zh) * 2011-07-14 2015-11-25 西泽塔麦迪卡里股份公司 用于淋巴引流处理的辊设备
US11938082B1 (en) 2013-07-01 2024-03-26 Hyperice Ip Subco, Llc Massage device having variable stroke length
US11857482B1 (en) 2013-07-01 2024-01-02 Hyperice Ip Subco, Llc Massage device having variable stroke length
EP2886098A1 (fr) * 2013-12-19 2015-06-24 Conair Corporation Appareil de traitement de la peau
CN103919674A (zh) * 2014-04-21 2014-07-16 朱守莲 一种神经内科用按摩装置
CN104644409A (zh) * 2015-03-10 2015-05-27 吕莉 一种神经内科用按摩装置
US11534362B2 (en) 2015-09-16 2022-12-27 Indiana University Research And Technology Corporation Quantification of force during soft tissue massage for research and clinical use
US10758027B2 (en) 2018-03-29 2020-09-01 L'oréal Flexible tilting applicator attachment
WO2021000378A1 (fr) * 2019-07-02 2021-01-07 深圳讯丰通医疗股份有限公司 Dispositif et méthode de commande de massage de fascia profond
ES2798315A1 (es) * 2020-04-27 2020-12-10 Termosalud S L Aparato de masaje corporal
CN115701967A (zh) * 2020-04-29 2023-02-14 席拉博迪股份有限公司 带有电连接的附接件的冲击治疗设备
CN116473826A (zh) * 2023-04-25 2023-07-25 尼亚加拉(南京)医疗技术有限公司 一种三维振动治疗仪、控制系统及控制方法

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AU2008229571B2 (en) 2012-11-29
AU2008229571B8 (en) 2013-03-21
AU2008229571A1 (en) 2008-09-25
NZ580400A (en) 2012-03-30

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