WO2010017769A1

WO2010017769A1 - Method and device for preventing ankle sprain injuries

Info

Publication number: WO2010017769A1
Application number: PCT/CN2009/073217
Authority: WO
Inventors: Kai-Ming Chan; Tik Pui Daniel Fong; Shu Hang Patrick Yung
Original assignee: The Chinese University Of Hong Kong
Priority date: 2008-08-14
Filing date: 2009-08-12
Publication date: 2010-02-18
Also published as: JP2011530356A; EP2313149A1; CN101909690B; CN101909690A; BRPI0917828A2; US20130041427A1; US8301258B2; JP5383803B2; US20100042182A1; KR101316506B1; KR20110055626A; EP2313149A4

Abstract

A device for preventing ankle sprain injuries comprises a sensing part configured to sense data of an ankle motion; an analyzing part configured to analyze the data to judge whether the motion is a sprain motion; and a stimulating part configured to stimulate one or more lower limb muscles against the motion in light of a result of the analyzing. Furthermore, a method for preventing ankle sprain injuries comprises: sensing data of an ankle motion; analyzing the data to judge whether the motion is a sprain motion; and stimulating one or more lower limb muscles against the motion if the motion is a sprain motion.

Description

METHOD AND DEVICE FOR PREVENTING ANKLE SPRAIN INJURIES

FIELD OF THE INVENTION The present invention relates to prevention of ankle sprain injuries.

BACKGROUND OF THE INVENTION

Injuries to muscles, ligaments and bones in lower limbs, such as the lateral ankle ligaments, are very common in sports, which may cause pain and immobility of the legs or ankle joints. For example, the injuries to the ankle ligaments in a long term may lead to the development of ankle instability, which has not come up with an adequate treatment and rehabilitation protocol yet.

Most ankle sprain injuries are caused by a supination or inversion mechanism. It is known that the peroneal muscles are at the lateral aspect of the lower leg, which functions to pronate or evert the ankle joint. Therefore, the peroneal muscles serve as the intrinsic defensive mechanism against ankle sprain injuries to resist excessive ankle supination or inversion. However, one of the aetiologies of the ankle sprain injuries is the slow reaction time of the peroneal muscles. Thus, in most of the injuries, the peroneal muscles could not catch up and react to provide the intrinsic protection.

Currently, myoelectric stimulation has been employed in various medical devices, such as "Functional Electric Stimulus" (FES), to initiate passive exercise to injured muscles for rehabilitation training. Moreover, similar technologies are employed in passive massage devices. In addition, similar techniques have been employed to assist walking in hemiplegic patients who cannot deliver neuromuscular activation to the leg muscle to walk. In all these devices, electrical signals are delivered to the selected muscle group through pairs of electrodes, which replace the human intrinsic neuromuscular electrical stimluation. The electrical signals can trigger some biochemical changes in muscle cells, leading to contraction of the muscle and thus joint flexion or extension. However, these devices cannot provide quick reaction to prevent acute ankle sprain injuries.

SUMMARY OF THE INVENTION

To prevent an ankle sprain injury, an artificial trigger can be delivered to initiate a peroneal muscle function before the normal muscle reaction. According to one aspect of the present invention, a device for preventing an ankle sprain injury is provided, which comprises a sensing part configured to sense data of an ankle motion; an analyzing part configured to analyze the data to judge whether the motion is a sprain motion; and a stimulating part configured to stimulate one or more lower limb muscles against the motion in light of a result of the analyzing.

According to another aspect of the present invention, a method for preventing an ankle sprain injury is provided, which comprises sensing data of an ankle motion; analyzing the data to judge whether the motion is a sprain motion; and stimulating one or more lower limb muscles against the motion if the motion is a sprain motion.

According to another aspect of the present invention, a shoe comprising the device described herein is provided.

BRIEF DESCRIPTION OF THE DRAWINGS

Fig. 1 shows a schematic block diagram of the device for preventing an ankle sprain injury according to an embodiment of the present invention;

Fig. 2 shows a schematic view of a foot with the device according to an embodiment of the present invention;

Fig. 3 shows a graph of an exemplary electrical pulse generated by the controlling circuit according to an embodiment of the present invention; and

Fig. 4 shows a schematic view of a user's feet standing on the mechanical supination sprain simulator according to an embodiment of the present invention.

DETAILED DESCRIPTION OF THE INVENTION

Hereinafter, a detailed description of embodiments of the present invention will be given with reference to the appended drawings.

Referring to Fig. 1, in an embodiment, the device 100 of the present invention may include a sensing part 110, an analyzing part 120 and a stimulating part 130.

The sensing part 110 is configured to sense the motions of a user's foot. To sense the motions of the foot, the sensing part 110 can be attached to an external or internal surface of a heel cup of a shoe, as shown in Fig. 2. Alternatively, the sensing part 110 also can be attached to a skin surface of a foot. In operation, the sensing part 110 senses and transmits the data of motions of the user's foot in a real-time manner. In an implementation, the sensing part 110 comprises a tri-axial accelerometer and a gyrometer for sensing the motions of the foot segment relative to the shank segment. In this case, the data to be sensed and transmitted is the ankle inversion velocity of the user's foot in motion. In the disclosure, the ankle inversion velocity means the rate of change of the ankle inversion degree of a foot. That is,

_* i i _T • _u , -. ,_Λ i _Λ Ankle Inversion Degree (deg) Ankle Inversion Velocity (deg/sec) = - - — — —

Duration of Ankle Inversion (sec)

In another implementation, the sensing part 110 comprises a pressure sensor to sense the motions of the foot segment. In this case, the data to be sensed and transmitted by the sensing part 110 is the pressure to the user's foot in motion.

In other implementations, the sensing part 110 may comprise one or more selected from the group consisting of a tri-axial accelerometer, a gyrometer, a goniometer, a pressure sensor and the like.

According to an embodiment of the device of the present invention, the sampling frequency of the sensing part 110 may be adjustable. In an implementation of the present invention, the sampling frequency of the sensing part 110 is 50Hz~l,000Hz. For example, the sampling frequency of the sensing part 110 may be 100Hz or 500Hz.

The data for each of the motions sensed by the sensing part 110 are transmitted in real time to the analyzing part 120 through a wire or in a wireless manner. A threshold differentiating sprain motions from normal motions is preset in the analyzing part 120. Once data received about a motion exceed the threshold, the analyzing part 120 will transmit a trigger signal to the stimulating part 130. Otherwise, no trigger signal will be sent out of the analyzing part 120 if the received data do not exceed the threshold, and the analyzing part 120 will process subsequent data.

In an implementation, the threshold preset in the analyzing part 120 is adjustable for users with different weights or for different uses such as in walking, sporting, climbing, and so on.

The stimulating part 130 is provided for stimulating lower limb muscles to prevent ankle sprain injuries. According to an implementation, the stimulating part 130 may comprise an electrical source 131, a controlling circuit 132, and a pair of electrodes 133 and 134, as shown in Fig. 1. The electrical source 131 supplies electric power for the controlling circuit 132 connected with the electrodes 133 and 134.

In an embodiment, the sensing part 110, the analyzing part 120, the electrical source 131 and the controlling circuit 132 are encapsulated in a housing 200 attached to a heel cup of a shoe 300 and the electrodes 133 and 134 are attached to the skin surface of the peroneal muscle group so as to stimulate the peroneal muscle group, as shown in Fig. 2. It can be understood that the housing 200 also can be attached to any other position of a shoe according to the user's need in practice, by sewing, bonding or any other known coupling manner. Once the stimulating part 130 receives a trigger signal from the analyzing part 120, the controlling circuit 132 delivers an electric stimulation signal to the electrodes 133 and 134 so as to generate a pulse current through the peroneal muscle group in a low limb of the user.

In an embodiment, the electric stimulation signal is an electric potential difference in pulse with desired level.

When an electrical signal passes through the peroneal muscle group, the peroneal muscle group of the user may be stimulated to rapidly pronate or evert the ankle joint to prevent the ankle from an acute ankle sprain injury. In particular, when a pulse current from the controlling circuit 132 is delivered through the electrodes 133 and 134 to the peroneal muscle group, the peroneal muscle group may contract and initiate ankle pronation or eversion to resist the sudden supination or inversion.

According to the embodiment, the electrical signal from the controlling circuit 132 can be delivered through the muscle group within 20-30 ms after the start of a sprain injury. It is known that the torque latency of the ankle muscles is about 21 -25ms. Therefore, the reaction time to a sprain injury is short enough and it could catch up to initiate peroneal muscle contraction to protect the ankle joint.

According to an embodiment, the electrical source 131 is a set of batteries. By using the electrical source 131, the controlling circuit 132 can output a pulse with a peak voltage of about 100-200V. Although the peak voltage is quite high, the current is small enough to ensure the safety for the user. In the embodiment, the electrodes 133 and 134 are separated by a distance of l-3cm on the skin surface of the peroneal muscle group. Optionally, the electrodes 133 and 134 are disposable/replaceable skin-attached silver chloride discs. Furthermore, the electrodes 133 and 134 can be embedded in any accompanying brace or sock with a storage room at the lateral aspect of the lower leg. There may have accompanying apparel which should not block the direct contact of the electrodes 133 and 134 and the skin surface. For the safety, when none skin impedance is detected by the electrodes 133 and 134, the device 100 will not be activated.

Moreover, the controlling circuit 132 can comprise an on-off switch to control the delivery of the electrical signal to the electrode pair.

The physical variable to be sensed by the sensing part 110 and compared with the threshold may be any of variables characterizing the motions of a foot, such as the inversion angle, tilting angle (an angle of the foot segment relative to the ground), tilting velocity, and the like. In an embodiment, the ankle inversion velocity is the physical variable to be sensed. Then, the threshold differentiating sprain motions from normal motions is selected to be a bit higher than the range of the ankle inversion velocity of normal motions of a foot so as to provide a good protection. The range of the ankle inversion velocity of the normal motions of a foot can be obtained via trials. According to an embodiment, the ankle inversion velocity of any normal motion is between 22.8 to 186.7 degrees per second. Moreover, it is reported in "Biomechanics of supination ankle sprain: A case report of an accidental injury event in the laboratory", Fong DTP, Hong Y, Shima Y, Krosshaug T, Yung PSH, Chan KM, The American Journal of Sports Medicine, 37(4):822-827 (2009) that the maximum ankle inversion velocity of the human is 632 degrees per second. Therefore, the threshold for the activation of the stimulating part 130 should be somewhere between 186.7 to 632 degrees per second. In the embodiment, the threshold for the activation of the stimulating part 130 is set in the range between 190-600 degrees per second, such as 200 degrees per second. Optionally, the threshold may be adjustable from 190 to 600 degrees per second according to the needs of the user. For example, the threshold can be set higher when the user is having a high intensity exercise such as running, hiking, playing basketball and the like.

For illustration, some persons with healthy ankle perform in a test to collect data of the normal motions of a foot. A gyrometer with a size of 20mm * 18mm ^χ 6mm used as the sensing part 110 is fixed at the heel of a foot of a user or at the surface of a heel cup of a shoe. The gyrometer is connected to a single printed circuit board (PCB) with a size of 50mm x 25mm * 15mm to collect the data of motions. The gyrometer monitor the inversion velocity of the foot segment. The sampling frequency of the gyrometer is 500Hz. The users perform five normal motions (i.e. non-sprain motions): walking, running, cutting, jumping-landing and stepping-downstairs. Each motion contributes to 10 trials respectively. These motions are chosen because they are common in human daily activities. The sequences of data collection of different non-sprain motions are random. In walking and running trials, the users are requested to walk or run naturally for 5 consecutive strides. The data collection is started from the first stride. In cutting trials, the users are requested to perform a single leg cutting by their left or right foot. The users run for 5 consecutive strides with full speed before the cut, followed by a 90 degrees cut. In stepping-downstairs trials, data of 3 consecutive strides are collected. In jumping-landing trials, the users are requested to perform vertical jumping and landing with both legs to their maximum height. In addition, the users are allowed to rest between each trial to ensure that their muscles are not fatigue. Results of the tests are shown in Table 1. It can be seen that the maximum inversion velocity of the motions varies from 22.8 to 186.7 degrees per second. It should be noted that if the conditions of the trials and/or the user are changed, the results of the trials may vary. Therefore, these trials for illustration should not be the limitation to the present invention.

Table 1 : The peak values and the time of peak value of the ankle inversion angle and the ankle inversion velocity during the five motions

Jumping- Stepping-

Walking Running Cutting landing downstairs

Max ankle inversion (deg) -8.3 -13.3 8.7 -2.5 -36.7

Time of max ankle inversion

0 -0.01 0.78 -0.23 0.04 (s)

Max ankle inversion velocity

-151.2 -186.7 -160.0 -22.8 -38.3 (deg/s)

Time of max ankle inversion

-0.1 -0.08 0.69 0.22 0.25 velocity (s)

* Negative value in maximum ankle inversion and ankle inversion velocity means that the ankle is in an everted position relative to the offset position.

** Negative time means that the time is before the moment of foot strike. According to an embodiment, the electrodes 133 and 134 are attached to the skin surface of the peroneal muscle of a leg of the user. The electric stimulation signal generated by the controlling circuit 132 is an electrical pulse. An exemplary electrical pulse is illustrated in Fig. 3. As shown in Fig. 3, the electrical pulse has a plurality of cycles. The on-time (i.e. the width) of one cycle, the number of the cycles and the delay-time from the start of a sprain injury to the start of the electrical pulse are all adjustable. According to the embodiment, a simple mechanical supination sprain simulator (which is described in "A mechanical supination sprain simulator for studying ankle supination sprain kinematics" Chan YY, Fong DTP, Yung PSH, Fung KY, Chan KM, Journal of Biomechanics, 41(11): 2571-2574 (2008)) is used for providing a sudden ankle supination of about 15 or 30 degrees so as to evaluate the effect of different electrical pulses. The two feet of a user stand on two plates 500 in the same horizontal of the mechanical supination sprain simulator, respectively, and then one of the two plates 500 falls to provide a sudden ankle supination of about 15 or 30 degrees, as shown in Fig. 4. The results of trials with different combinations of these parameters are presented in Tables 2(a) and 2(b). The values are averages of several trials.

Table 2(a): Different setting of myoelectric stimulation and the corresponding inversion angle when the platform is dropped to 15 degrees

Myoelectric stimulation setting Inversion angle of the ankle when the platform is dropped to

Delay time (ms) On-time (ms) of cycles 15°

No myoelectric stimulation -10.1

10 10 5 -5.5

10 10 10 -4.3

10 15 5 -5.4

10 15 10 -5.1

10 20 5 -5.7

10 20 10 -5.5

15 10 5 -5.9

15 10 10 -5.3

15 15 5 -4.2

15 15 10 -4.5

15 20 5 -6.3

15 20 10 -5.7 Table 2(b): Different setting of myoelectric stimulation and the corresponding inversion angle when the platform is dropped to 30 degrees

Myoelectric stimulation setting Inversion angle of the ankle

Number _{^ 1} . _Λ . when the platform is dropped to of cycles ^{y time (ms) On}-^time (^ms) 30°

No myoelectric stimulation -7.6

IO -5.5 5 -5.5

IO -4.6 IO -4.6

IO -6.4 5 -6.4

IO -6.6 5 -6.6

15 -6.3 10 -6.3

It can be seen from the results that the inversion angle of the ankle with myoelectric stimulation is reduced in various degree.

An article for preventing the ankle from sprain injuries in sports and outdoor activities is provided, such as a shoe or a brace-like or sock-like ankle protector, which may comprise the device 110 embedded therein. Those skilled in the art can attach the device 100 to or embed the device 100 into a suitable position of the article according to the requirements in practice by sewing, bonding or any other known coupling manner. In an implementation, an intelligent sprain- free shoe with the device 100 can be beneficial for athletics in sprain prevention.

Furthermore, the device 100 can reduce the cost of treatment in ankle sprain injury. Users also can gain the benefit from a product equipped with the device 100 for preventing sport-related injuries.

Features, integers, characteristics or groups described in conjunction with a particular aspect, embodiment, implementation or example of the invention are to be understood to be applicable to any other aspect, embodiment, implementation or example described herein unless incompatible therewith. All of the features disclosed in this specification (including any accompanying claims, abstract and drawings), and/or all of the steps of any method or process so disclosed, may be combined in any combination, except combinations where at least some of such features and/or steps are mutually exclusive. The invention is not restricted to the details of any foregoing embodiments. The invention extends to any novel one, or any novel combination, of the features disclosed in this specification (including any accompanying claims, abstract and drawings), or to any novel one, or any novel combination, of the steps of any method or process so disclosed.

The present invention is not limited to the embodiments described above. Variations and modification made by those skilled in the art according to the disclosure herein should be within the scope of the present invention.

Claims

WHAT IS CLAIMED IS:

1. A device for preventing an ankle sprain injury, comprising: a sensing part configured to sense data of an ankle motion; an analyzing part configured to analyze the data to judge whether the motion is a sprain motion; and a stimulating part configured to stimulate one or more lower limb muscles against the motion in light of a result of the analyzing.

2. The device of claim 1, wherein the data sensed by the sensing part is transmitted in real time to the analyzing part through a wire or in a wireless manner and the sensing part has a sampling frequency adjustable in a range of 5OHz-1, 000Hz.

3. The device of claim 1 or 2, wherein the sensing part is attached to an external or internal surface of a heel cup of a shoe or attached to a skin surface of a foot.

4. The device of any of claims 1-3, wherein the data sensed by the sensing part is an ankle inversion velocity.

5. The device of any of claims 1-4, wherein the sensing part comprises a tri-axial accelerometer and a gyrometer.

6. The device of any of claims 1-4, wherein the sensing part comprises one or more selected from the group consisting of a tri-axial accelerometer, a gyrometer, a goniometer and a pressure sensor.

7. The device of any of claims 1-6, wherein a threshold is preset in the analyzing part for comparing with the data transmitted from the sensing part, and the analyzing part transmits a trigger signal to the stimulating part if the data exceeds the threshold.

8. The device of claim 7, wherein the threshold is adjustable.

9. The device of claim 7 or 8, wherein the data sensed by the sensing part is an ankle inversion velocity and the threshold is between about 190 to 600 degrees per second.

10. The device of any of claims 7-9, wherein the stimulating part comprises: a pair of electrodes configured to be in contact with a lower limb, and a circuit configured to deliver an electric stimulation signal applying between the electrodes when the trigger signal is transmitted from the analyzing part.

11. The device of claim 10, wherein the electrodes are attached to a skin surface of the peroneal muscle group.

12. The device of claim 11, wherein the electrodes are separated by a distance of l-3cm on the skin surface of the peroneal muscle group.

13. The device of any of claims 10-12, wherein the electrodes are disposable/replaceable skin-attached silver chloride discs.

14. The device of any of claims 10-13, wherein the electric stimulation signal is an electrical pulse.

15. The device of claim 14, wherein the electrical pulse has a plurality of cycles with an adjustable width.

16. A method for preventing an ankle sprain injury, comprising: sensing data of an ankle motion; analyzing the data to judge whether the motion is a sprain motion; and stimulating one or more lower limb muscles against the motion if the motion is a sprain motion.

17. The method of claim 16, wherein the data is sensed in a real-time manner with a sampling frequency adjustable in a range of 50Hz~l, 000Hz.

18. The method of claim 16 or 17, wherein the sensed data is an ankle inversion velocity.

19. The method of any of claims 16-18, wherein the analyzing the data comprises: comparing the sensed data with a preset threshold, wherein if the sensed data is larger than the threshold, the ankle motion is a sprain motion; and otherwise, if the sensed data is less than or equal to the threshold, the ankle motion is not a sprain motion.

20. The method of claim 19, wherein the threshold is adjustable.

21. The method of claim 19 or 20, wherein the sensed data is an ankle inversion velocity and the threshold is between about 190 to 600 degrees per second.

22. The method of any of claims 16-21, wherein the one or more lower limb muscles is the peroneal muscle group.

23. The method of any of claims 16-22, wherein the stimulating one or more lower limb muscles comprises stimulating the muscles with an electrical pulse.

24. The method of claim 23, wherein the electrical pulse has a plurality of cycles with an adjustable width.

25. An article comprising the device of claim 1.