WO2009154764A1 - Appareil de diagnostic ou d'entraînement pour les troubles de l'équilibre - Google Patents

Appareil de diagnostic ou d'entraînement pour les troubles de l'équilibre Download PDF

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Publication number
WO2009154764A1
WO2009154764A1 PCT/US2009/003647 US2009003647W WO2009154764A1 WO 2009154764 A1 WO2009154764 A1 WO 2009154764A1 US 2009003647 W US2009003647 W US 2009003647W WO 2009154764 A1 WO2009154764 A1 WO 2009154764A1
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WO
WIPO (PCT)
Prior art keywords
balance
patient support
balance pad
patient
recited
Prior art date
Application number
PCT/US2009/003647
Other languages
English (en)
Inventor
Clarence W. Gehris, Jr.
Original Assignee
Gehris Clarence W Jr
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Gehris Clarence W Jr filed Critical Gehris Clarence W Jr
Priority to US12/737,210 priority Critical patent/US20110212814A1/en
Publication of WO2009154764A1 publication Critical patent/WO2009154764A1/fr

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Classifications

    • G—PHYSICS
    • G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B9/00—Simulators for teaching or training purposes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/40—Detecting, measuring or recording for evaluating the nervous system
    • A61B5/4005—Detecting, measuring or recording for evaluating the nervous system for evaluating the sensory system
    • A61B5/4023—Evaluating sense of balance
    • G—PHYSICS
    • G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B19/00—Teaching not covered by other main groups of this subclass
    • G—PHYSICS
    • G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B19/00—Teaching not covered by other main groups of this subclass
    • G09B19/003—Repetitive work cycles; Sequence of movements
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/30—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising

Definitions

  • the present invention relates to the diagnosis and treatment of balance disorders.
  • Dizziness and other balance disorders affect millions of patients world-wide, arising from injury, infection, stroke, metabolic and inflammatory disorders. Diagnosis of these disorders is initiated by the primary care physician and is refined by otolaryngologists, neurologists, audiologists, physical therapists, and sports medicine specialists. To arrive at an exact diagnosis, an accurate history and physical examination is required and the initial assessment must often be supplemented with audiologic tests, vestibular function testing, blood tests, and imaging studies. Evaluations of vision, cardiovascular function, hormonal levels, and function of the nerves in the feet and spinal column add to the information sometimes required to arrive at a conclusion as to what may be causing the problem, and how best to treat the complaint. Clearly, the technology which is sometimes required for the purpose is complex and, of course, very expensive. For this reason, many patients worldwide receive incomplete evaluations and less than fully effective therapy.
  • U.S. Patent No. 5,052,406 shows an apparatus and method for movement coordination analysis.
  • the Wii Fit and other gaming apparati have the disadvantage that they are not sufficient for use with patients having serious balance disorders. Patients can fall off, or are not stable enough to actually use the gaming apparati.
  • the present invention provides a diagnostic or training apparatus comprising:
  • a balance pad connected to the controller and receiving information from the controller
  • a patient support the balance pad being located within the patient support.
  • the support advantageously can permit a patient to stabilize himself or herself when on the balance pad. Diagnosis and treatment of balance disorders using simple gaming technology and other balance pads becomes possible. [0013]
  • the present invention also provides a patient support including a base and a hand rail above the base, the base having a balance pad space
  • the present invention also provides a method for diagnosing or treating balance disorders comprising
  • FIG 1 shows schematically a diagnosis apparatus according to one embodiment of the present invention
  • Fig 2 shows an alternate embodiment of the present invention in which a walker is fixed to a base
  • Fig 3 shows a possible attachment device for attaching the base to the walker
  • Fig 1 shows a controller 100, a balance pad 120 (shown schematically by dotted lines and smaller for clarity) and a patient support 10
  • Controller 100 and balance pad 120 may, for example, be a Wii and Wii Fit available commercially from Nintendo, and be provided with balance diagnosis software or gaming software such as yoga or other commercially available software which a physician may find useful for diagnosis balance disorders
  • Balance pad 120 may communicate with controller 100 wirelessly or via a wire link
  • Patient support 10 in the preferred embodiment includes a base 20, a hand rail 30 and handle rail supports 40, 42, 44, 46.
  • Base 20 may be, for example, of plastic construction with sand or metal or other weighty material surrounded by the plastic material, and may for example be constructed using similar technology used in the construction of weights used in weight-lifting.
  • Base 20 may have a space 22 for the balance pad 120, and preferably has a space dimensioned to the Wii Fit balance pad
  • the space 22 may be bare, so that no bottom is present, or have a bottom, preferably with indentations 24 (shown away from pad 120 for clarity) for feet of the Wii Fit balance pads to fit into. If no bottom is present, the balance pad 120 rests on the floor within the support 20.
  • the base 20 may have a opening 26 to access on an-off button of the Wii Fit balance pad, and an opening 28 to permit the wireless communication device of the Wii Fit balance pad to function more efficiently.
  • Supports 40, 42, 44, 46 may be telescoping metal, for example, aluminum rods, for example, with frictional height adjusters 50, 52, 54, 56 capable of being tightened by turning a ring.
  • the adjusters may also be spring-loaded to permit movement of the top telescoping part relative to the fixed hollow bottom support part. Construction may be similar to that used for adjustable-height hiking poles for example.
  • Sensors 60, 62, 64, 66 may be provided in each of the supports 40, 42, 44, 46 to measure for example the distance that the top telescoping part moves with respect to the bottom support part.
  • Sensors 60, 62, 64, 66 for example may be targets adapted to be sensed by a Wii sensor sensing body movements, or may be induction or optical sensors sensing other targets or marks on the telescoping parts.
  • the force on each support 40, 42, 44, 46 can then be determined when a patient grip or falls on the hand rail 30 by determining the distance each top telescoping part moves.
  • the sensors can send information wirelessly to the controller, or be connected via wires.
  • the hand rail 30 may be height-adjustable via supports 40, 42, 44, 46, and sensors 60, 62, 64, 68 can be initialized once the height is set.
  • Hand rail 30 may include one side 20 that has a latch 32 and hinge 34 so that a patient can be completely surrounded by hand rail 30.
  • Hand rail 30 may include ergonomically-designed padding around an aluminum or metal support connected to the supports 40, 42, 44, 46.
  • a support 10 fully surrounding the patient has been shown a three sided support or semi-circular support is also possible.
  • the support covers at least 270 degrees of the patients' circumferential extent, and most preferably all of it.
  • a physician or technician can open the hand rail at latch 32 about hinge 34, and direct the patient to enter onto the balance pad 120.
  • the latch can be closed, and the patient directed, for example via graphics on a screen 200, to perform certain balance tests or treatment routines.
  • the balance pad 120 can transmit information to controller 100, for example as occurs in the Wii Fit device, and, optionally, information can be collected via sensors 60, 62, 64, 66. Whether or not sensors 60, 62, 64, 66 are present, the support of the present invention provides increased safety, and permits the use of the balance pad to diagnose and treat patients with significant balance disorders in a cost-effective and safe manner.
  • commercially-available balance pads can be converted into diagnostic and treatment devices.
  • a simple example, one diagnostic test or training method that can be run is to ask the patient to stand on his or her left foot alone, and determine what the reaction is via, for example, sensors 60, 62, 64, 66 and the balance pad information itself. A series of such predetermined routines can be run and diagnostic information gathered.
  • Fig. 2 shows an alternate embodiment in which a base 220 for a balance pad has at least two arms 222, 224 for attaching to a standard four-legged walker 300, such as those used for the elderly.
  • Such medical walkers are available commercially for example from the Invacare Corporation, and may or may not include two front wheels.
  • the base 220 could also have four attachment arms.
  • Fig. 3 shows a possible attachment device for the arm 222 (and any other arms), including a clamp 225 for a leg 310 of walker 300.
  • a wing nut 228 with a screw portion 226 can be removed from two flexible portions 231, 233 of arm 222, for example made of spring steel, so that flexible portions 231, 231 can clasp around leg 310. Wing nut 228 can then be used to fasten walker leg 310 to base 220.
  • the walker 300 with base 220 thus can accept a balance pad, such as balance pad 120.

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  • Engineering & Computer Science (AREA)
  • Health & Medical Sciences (AREA)
  • Business, Economics & Management (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Theoretical Computer Science (AREA)
  • Educational Administration (AREA)
  • Educational Technology (AREA)
  • General Physics & Mathematics (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • Entrepreneurship & Innovation (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Neurology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Neurosurgery (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Physiology (AREA)
  • Veterinary Medicine (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Epidemiology (AREA)
  • Primary Health Care (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Rehabilitation Tools (AREA)

Abstract

La présente invention concerne un appareil de diagnostic ou d'entraînement comprenant un contrôleur, un plateau d'équilibre relié au contrôleur et recevant de l'information provenant du contrôleur, et un support de patient, le plateau d'équilibre étant situé à l'intérieur du support de patient. L'invention concerne également un support de patient et un procédé.
PCT/US2009/003647 2008-06-18 2009-06-18 Appareil de diagnostic ou d'entraînement pour les troubles de l'équilibre WO2009154764A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US12/737,210 US20110212814A1 (en) 2008-06-18 2009-06-18 Balance disorder diagnostic or training apparatus

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US13234808P 2008-06-18 2008-06-18
US61/132,348 2008-06-18

Publications (1)

Publication Number Publication Date
WO2009154764A1 true WO2009154764A1 (fr) 2009-12-23

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2009/003647 WO2009154764A1 (fr) 2008-06-18 2009-06-18 Appareil de diagnostic ou d'entraînement pour les troubles de l'équilibre

Country Status (2)

Country Link
US (1) US20110212814A1 (fr)
WO (1) WO2009154764A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105919555A (zh) * 2016-04-18 2016-09-07 朱勇 一种人体平衡功能检测训练系统
ES2616102A1 (es) * 2015-12-09 2017-06-09 Pitxuflitos, S.L. Aparato para utilizar una consola con movimiento por personas con discapacidad.

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR101233026B1 (ko) * 2010-10-22 2013-02-20 주식회사 싸이버메딕 동적자세균형훈련시스템
US9272174B2 (en) 2013-08-13 2016-03-01 Russell Brands, Llc Handstand training device
US20190343706A1 (en) * 2016-06-21 2019-11-14 Iqinvestments Corporation Pty Ltd Muscle Activation Assembly System And Method
CN112971714A (zh) * 2021-01-22 2021-06-18 昆明市中医医院 一种老年病人测试锻炼平衡能力自动调整装置

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US4906192A (en) * 1986-12-18 1990-03-06 Smithard Michael A Electronic computerized simulator apparatus
US5337757A (en) * 1991-02-20 1994-08-16 Baltimore Therapeutic Equipment Co. Device for inducing and registering imbalance
US6595530B2 (en) * 2001-03-29 2003-07-22 American Healthcare Solutions, Inc. Medical walker
US20080070684A1 (en) * 2006-09-14 2008-03-20 Mark Haigh-Hutchinson Method and apparatus for using a common pointing input to control 3D viewpoint and object targeting

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US4906192A (en) * 1986-12-18 1990-03-06 Smithard Michael A Electronic computerized simulator apparatus
US5337757A (en) * 1991-02-20 1994-08-16 Baltimore Therapeutic Equipment Co. Device for inducing and registering imbalance
US6595530B2 (en) * 2001-03-29 2003-07-22 American Healthcare Solutions, Inc. Medical walker
US20080070684A1 (en) * 2006-09-14 2008-03-20 Mark Haigh-Hutchinson Method and apparatus for using a common pointing input to control 3D viewpoint and object targeting

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ES2616102A1 (es) * 2015-12-09 2017-06-09 Pitxuflitos, S.L. Aparato para utilizar una consola con movimiento por personas con discapacidad.
CN105919555A (zh) * 2016-04-18 2016-09-07 朱勇 一种人体平衡功能检测训练系统

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