WO2012008664A1 - Machine à ramer pour patient paraplégique - Google Patents

Machine à ramer pour patient paraplégique Download PDF

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Publication number
WO2012008664A1
WO2012008664A1 PCT/KR2010/009182 KR2010009182W WO2012008664A1 WO 2012008664 A1 WO2012008664 A1 WO 2012008664A1 KR 2010009182 W KR2010009182 W KR 2010009182W WO 2012008664 A1 WO2012008664 A1 WO 2012008664A1
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WIPO (PCT)
Prior art keywords
seat
backrest
user
muscles
base
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Application number
PCT/KR2010/009182
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English (en)
Korean (ko)
Inventor
박대성
김민
정다운
이범석
Original Assignee
대한민국(국립재활원장)
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Publication of WO2012008664A1 publication Critical patent/WO2012008664A1/fr

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    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B22/0087—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with a seat or torso support moving during the exercise, e.g. reformers
    • A63B22/0089—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with a seat or torso support moving during the exercise, e.g. reformers a counterforce being provided to the support
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36003—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of motor muscles, e.g. for walking assistance
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/06—User-manipulated weights
    • A63B21/068—User-manipulated weights using user's body weight
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/15—Arrangements for force transmissions
    • A63B21/151—Using flexible elements for reciprocating movements, e.g. ropes or chains
    • A63B21/153—Using flexible elements for reciprocating movements, e.g. ropes or chains wound-up and unwound during exercise, e.g. from a reel
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/40—Interfaces with the user related to strength training; Details thereof
    • A63B21/4001—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor
    • A63B21/4009—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor to the waist
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/40—Interfaces with the user related to strength training; Details thereof
    • A63B21/4001—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor
    • A63B21/4011—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor to the lower limbs
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/40—Interfaces with the user related to strength training; Details thereof
    • A63B21/4001—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor
    • A63B21/4011—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor to the lower limbs
    • A63B21/4015—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor to the lower limbs to the foot
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B22/0076—Rowing machines for conditioning the cardio-vascular system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/0404—Electrodes for external use
    • A61N1/0408—Use-related aspects
    • A61N1/0452—Specially adapted for transcutaneous muscle stimulation [TMS]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/0404—Electrodes for external use
    • A61N1/0472—Structure-related aspects
    • A61N1/0492—Patch electrodes
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B22/0076—Rowing machines for conditioning the cardio-vascular system
    • A63B2022/0079—Rowing machines for conditioning the cardio-vascular system with a pulling cable
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00—Exercising apparatus specially adapted for particular parts of the body
    • A63B2023/006—Exercising apparatus specially adapted for particular parts of the body for stretching exercises
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B71/00—Games or sports accessories not covered in groups A63B1/00 - A63B69/00
    • A63B71/0009—Games or sports accessories not covered in groups A63B1/00 - A63B69/00 for handicapped persons
    • A63B2071/0018—Games or sports accessories not covered in groups A63B1/00 - A63B69/00 for handicapped persons for wheelchair users
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B71/00—Games or sports accessories not covered in groups A63B1/00 - A63B69/00
    • A63B71/0054—Features for injury prevention on an apparatus, e.g. shock absorbers
    • A63B2071/0063—Shock absorbers
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B71/00—Games or sports accessories not covered in groups A63B1/00 - A63B69/00
    • A63B71/0054—Features for injury prevention on an apparatus, e.g. shock absorbers
    • A63B2071/0072—Limiting the applied force, torque, movement or speed
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/15—Arrangements for force transmissions
    • A63B21/157—Ratchet-wheel links; Overrunning clutches; One-way clutches
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B22/0002—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements involving an exercising of arms
    • A63B22/001—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements involving an exercising of arms by simultaneously exercising arms and legs, e.g. diagonally in anti-phase
    • A63B22/0012—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements involving an exercising of arms by simultaneously exercising arms and legs, e.g. diagonally in anti-phase the exercises for arms and legs being functionally independent
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2213/00—Exercising combined with therapy
    • A63B2213/004—Exercising combined with therapy with electrotherapy
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2220/00—Measuring of physical parameters relating to sporting activity
    • A63B2220/10—Positions
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2220/00—Measuring of physical parameters relating to sporting activity
    • A63B2220/40—Acceleration
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2225/00—Miscellaneous features of sport apparatus, devices or equipment
    • A63B2225/09—Adjustable dimensions
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2225/00—Miscellaneous features of sport apparatus, devices or equipment
    • A63B2225/50—Wireless data transmission, e.g. by radio transmitters or telemetry

Definitions

  • the present invention relates to a rowing machine that assists the exercise of patients with paraplegia caused by spinal diseases or injuries, and more particularly, to help rehabilitation by forcing the lower body muscles of patients whose paraplegia is paralyzed and unable to exercise. It is about exercise equipment.
  • cardiovascular disease is the highest risk factor, accounting for about 20% of deaths in people with spinal cord disorder.
  • the most common way of life in sitting is to reduce bone density by about one-third within two years after spinal cord injury, increase diabetes, depression, cholesterol, and decrease the rate of blood flow to the heart. Decreased attributes or metabolic capacity.
  • the present invention is to solve the above problems to maximize the exercise effect by allowing the user to exercise the upper and lower limbs at the same time or separately to the paralyzed user.
  • the lower extremities are paralyzed to assist in the movement of the lower limbs in conjunction with the movement of the upper limbs and at the same time the functional electrical stimulation (Funtional Electrical Stimulation) in conjunction with the position sensing means installed on the exercise equipment to exercise the muscles To provide an exercise equipment that can be maximized.
  • Functional Electrical Stimulation Fretional Electrical Stimulation
  • the present invention relates to an exercise device to help rehabilitation by forcibly exercising the lower body of a paraplegic patient of the lower body to move back and forth on the rail (2) installed on the base (1) provided with an upper body fixing means (15) And, the footrest 20 is installed on the base (1) of the front lower side of the seat 10, and provided with a foot fixing device 21; And, on the base (1) of the front upper side of the seat (10) Calf fixing belt 30 that is installed but is installed at the end of the length flow rod 31 which can be adjusted in the longitudinal direction of the base (1) so as not to open the left and right legs of the user; and, the seat 10 A main winding cable 40 connected to a handle 42 pulled by a user in a state of being wound on a forced rewinding main pulley 41 installed on the base 1 at the front upper side of the front; and the forced rewinding main pulley 41 Rotatable to the first driven pulley 51 and the rear base 1 of the seat 10 provided to be interlocked with It is installed in a closed loop through the second driven
  • Functional electrical stimulation device (FES, 70) that works in conjunction with the position sensing means 60 to contract the muscles by applying electrical stimulation to each of the pads attached to the site where the muscles to straighten the lower limbs in the reverse direction Paraplegic ring, consisting of It provides for a rowing exercise equipment.
  • the seat 10 is a seat 11 in which the user's hip is positioned; and a back frame 19 hinged to the seat 11 so that the inclination angle is freely adjusted according to the user's movement state; and the back frame
  • the backrest 12 is attached to the (19); and the backrest frame 19 is provided with a hydraulic spring 13 on the rear side is pushed back according to the state of movement and then restored to the original by the restoring force of the hydraulic spring (13)
  • the backrest frame 19 is provided with a backrest moving rail 17 so that the rail fitting portion 18 provided on the backrest 12 is fitted to allow vertical movement of the backrest 12. .
  • the backrest 12 is characterized in that can be fixed at a predetermined inclination angle.
  • the backrest 12 is characterized in that can be fixed by flipping back 180 degrees.
  • the upper body fixing means 15 is characterized in that at least one belt shape is provided on the backrest 12 of the seat 10 to surround the upper body.
  • one end is fixed to the front base 1 of the seat 10, the other end is connected to the seat 10 to limit the moving distance of the seat 10 is pulled back by the pull of the handle 42 It is characterized in that it further comprises a movement limiting string (80).
  • the movement restriction string 80 is characterized in that the scale is displayed.
  • the damper 90 is installed on any one or more of the front and rear bases 10 of the seat 10 to prevent excessive forward and rearward movement during the rearward movement or the original position of the seat 10 and to absorb shocks. It characterized in that it further comprises.
  • the sheet 10 is characterized in that the rotatable and fixed.
  • the seat 11 is provided with a locking jaw (11a) to prevent the user sitting on the seat 10 to flow down, the inside is characterized in that the material for cushion use, such as cotton, sponge.
  • the ratio of the circumferential length of the main pulley 41 and the first driven pulley 51 is characterized in that 2: 1 to 5: 1.
  • the first driven pulley 51 is provided with a plurality of overlapping shapes of various sizes corresponding to the circumferential length of the main pulley 41 between 1/2 and 1/5, the first driven pulley 51 is characterized in that the gear transmission 53 is further provided.
  • the pad 71 is attached to the rectus muscles of the front of both thighs and the thigh muscles of the back of the thighs, respectively, the functional electrical stimulation device (FES, 70) that is interlocked with the position sensing means (60) Selective contraction of the muscles by electrical stimulation of the seat (10) when advancing the pads attached to the muscles of the thigh, and when retracted to apply the electrical stimulation to the pads attached to the straight muscles of the thighs, respectively, to contract the muscles Characterized in that.
  • FES functional electrical stimulation device
  • the lower extremities are paralyzed to help the movement of the lower limbs to interlock with the movement of the upper limbs, and at the same time the muscle movement in conjunction with the position sensing means installed in the electrical electrical stimulation (Funtional Electrical Stimulation) and exercise equipment Since it is possible to maximize the efficiency of the exercise.
  • the present invention is mechanically operated, the equipment is simple and easy to operate, and it is possible to easily utilize the lower body paralysis alone.
  • Figure 2a is a perspective view of the front of the sheet used in the present invention.
  • Figure 2b is a perspective view of the back of the sheet used in the present invention.
  • FIG. 3 is a conceptual diagram illustrating a configuration for moving the sheet back and forth in the present invention
  • FIG. 4 is a perspective view showing a state in which the present invention is used.
  • FIG. 1 is an overall perspective view of the present invention
  • Figure 2a is a perspective view of the front of the sheet used in the present invention
  • Figure 2b is a perspective view of the back of the sheet used in the present invention
  • Figure 3 is to move the sheet back and forth in the present invention It is a conceptual diagram explaining a structure
  • FIG. 4 is a perspective view which shows the mode by which this invention is used.
  • the present invention relates to an exercise device to help rehabilitation by forcibly exercising the lower body of the lower body paralysis patients, seat 10, footrest 20, calf fixing belt 30, the driving cable (40) ), A driven cable 50, a position sensing means 60 and a functional electric stimulation device (FES) 70.
  • FES functional electric stimulation device
  • the seat 10 corresponds to a device provided with an upper body fastening means 15 while moving back and forth on the rails 2 installed on the base 1.
  • the seat 10 is forcibly moved forward and backward by pulling the coarse cable 40 connected to the seat 10 on the rail 2 installed on the base 1.
  • the rail coupling part 16 provided in the seat 10 is fitted into the rail 2 to perform rail motion.
  • the seat 10 is paraplegic patients sit down.
  • the handle 42 that is pulled by using the upper body is connected to the driving cable 40, and the driving cable 40 is interlocked with the driven cable 50 connected to the seat 10 to the driving cable 40. )
  • the seat 10 is pulled back. During this process, the muscles of the lower body are contracted and relaxed repeatedly, which helps in rehabilitation.
  • the seat 10 is interlocked by the driving pulley 41, the handle 42, the driving cable 40, the driven cable 50, the first driven pulley 51, the second driven pulley 52 and the front and rear Exercise is connected to possible.
  • the seat 10 is a seat of the user who is a paraplegic patient as shown in Figures 2a and 2b, the seat 10 is the seat 11, the hips of the user; and the user's movement
  • the backrest frame 19 hinged to the base 11 so as to freely adjust the inclination angle according to the state; and the backrest 12 attached to the backrest frame 19.
  • the backrest frame 19 is provided with a hydraulic spring 13 on the rear side and is pushed back according to the movement state, and is returned to its original shape by the restoring force of the hydraulic spring 13.
  • the upper body fixing means 15 is provided in the backrest 12 of the seat 10 is provided in one or more belt shapes surrounding the upper body. It is provided in the shape of a belt and wrapped around the user's body and then fixed in a velcro or buckle.
  • the user of the present invention is difficult to sit on the seat 10 because the lower body is paralyzed and difficult to exercise even when sitting, the upper body should be firmly fixed to the backrest 12 by the upper body fixing means 15. This is because it is possible to support the user who cannot fix himself for exercise because the lower body is not energized.
  • the backrest 12 provided with the upper half body fixing means 15 should be provided to be movable vertically. This is because the body and back move all at once in the process of exercise, so there is no friction between them.
  • the backrest frame 19 is provided with a backrest rail 17 is fitted rail mounting portion 18 provided in the backrest 12 is possible to vertically move the backrest 12 Let's do it.
  • the seat 11 is provided with a locking jaw (11a) to prevent the user sitting on the seat 10 to flow down, the inside of the user's hips even if exercise for a long time by putting a material for cushion, such as cotton, sponge Prevent bedsores from occurring.
  • a material for cushion such as cotton, sponge
  • the seat 11 should use sufficient cushioning.
  • the backrest 12 is characterized in that can be fixed at a predetermined inclination angle. That is, the backrest 12 may be fixed at a predetermined inclination angle in the process of using the exercise equipment, so that it is possible to adjust the inclination angle of the backrest. In other words, stretching in the exercise process.
  • the configuration for adjusting the angle of the backrest 12 is possible to utilize a variety of known configurations.
  • the angle of inclination of the backrest 12 is characterized in that up to 180 degrees possible.
  • Patients with paraplegia usually move in a wheelchair, so the backrest 12 is tilted back 180 degrees and the wheelchair is moved to the seat 11 as it is. After pushing back, the backrest 12 is returned to its original position to be used for exercise.
  • the sheet 10 is characterized in that the rotatable and fixed.
  • the user of the exercise equipment is paralyzed from the lower body to access the exercise equipment in a wheelchair, so the rotation function is added to the seat 10 so that the user can ride on the seat 10 alone, and adds a rotation function. It is. Of course, it is also preferable that the seat 10 is rotated even with the help of others.
  • the footrest 20 is installed on the base 1 of the front lower side of the seat 10 to serve as a stepping foot in the process of exercising the user's foot is fixed, and has a foot fixing device 21. That is, the foot is fixed so that the foot does not move along the seat 10 moving back and forth, and at the same time serves as a stepping foot for pushing the seat 10 backward.
  • the scaffold 20 has a foot fixing device 21 as shown in Figure 1 for this function.
  • the calf fixing belt 30 is a device for fixing so that both legs do not open to the left and right. That is, in the case of a paraplegic patient, since the force does not enter the leg, the knee 10 may be bent when the front and rear movement of the seat 10 is performed while the foot is fixed to the footrest 20 using the exercise device. The problem is that the part is not parallel but left and right, which reduces the efficiency of the exercise. Therefore, in order to increase the user's exercise efficiency without such a problem, a device for fixing both legs to maintain a parallel state is required.
  • the length of the base 1 must be adjustable in the longitudinal direction because the legs also move forward and backward as a whole according to the forward and backward motion of the seat 10.
  • the calf fixing belt 30 is installed at one end of the length-adjustable length flow rod 31, and the other end of the length flow rod 31 is the base 1 of the front upper side of the seat 10. Install on.
  • the upper body exercise in order to exercise the lower body, the upper body exercise must be performed in parallel. That is, as described above, the seat 10 in which the patient is seated in the present invention must pull the handle 42 by using the upper body (hand) to move the seat 10 backward by the cable 40 interlocked therewith. This is because the lower body is forced to exercise while pulling.
  • the coarse cable 40 is connected to a handle 42 that is pulled by a user at one end while being wound on a forced rewinding cog pulley 41 installed on the base 1 of the front upper side of the seat 10.
  • a forced rewinding cog pulley 41 installed on the base 1 of the front upper side of the seat 10.
  • the coarse cable 40 is unwound from the coarse pulley 41 and then rewound by the coarse pulley 41 by the rewinding force of the elastic means provided therein. Since the rewinding configuration of the elastic means is used in the conventional rowing machine, detailed description thereof will be omitted.
  • the driven cable 50 is rotatably installed on the first driven pulley 51 and the rear base 1 of the seat 10 provided to be interlocked with the forced rewinding main pulley 41. Is installed in a closed loop through the 52, the driven cable 50 is connected to the seat 10, the seat 10 is moved backward by the pull of the handle 42, Forced rewind By coercion of the pulley 41, the seat 10 is interlocked to move to the original position.
  • the coarse cable 40 corresponds to a device for interlocking the lower extremity movement in accordance with the upper limb movement of the patient as described above
  • the main pulley 41, the first driven pulley 51, The second driven pulley 52 and the driven cable 50 correspond to the device that is linked to the main cable 40 to help the seat 10 to move.
  • the first driven pulley 51 is provided with the main pulley 41 to be interlocked and rotated separately, compared with the length of the main cable 40 when the driven cable 50 is pulled out.
  • the upper limbs tend to progress too quickly if the upper limbs are healthy to the extent that the lower limbs are paralyzed. Since the distance that the driven cable 50 is pulled by the upper limb than the distance that the driving cable 40 is pulled is intended to be shortened by a certain ratio. That is, to proceed slow motion of the lower limbs.
  • the ratio of the circumferential length of the main pulley (41) and the first driven pulley (51) is about 2: 1 to 5: 1. That is, the driven pulley 41 is larger in size than the first driven pulley 51, and the driven coil wound on the first driven pulley 51 compared to the moving distance of the driving cable 40 wound on the driving pulley 41. It is to lower the moving distance of the cable 50 by a certain ratio.
  • the first driven pulley 51 is provided in a plurality of overlapping shapes having various sizes corresponding to 1/2 to 1/5 of the circumferential length of the main pulley 41.
  • the first driven pulley 51 may further include a gear transmission 53.
  • a shape in which three different driven first pulleys 51 are overlapped is illustrated as an example.
  • the exercise speed of the lower part of the body according to the user's body size, such as the user's body size or paralysis of the lower half of the body to vary the size of the first driven pulley (51) to provide a plurality of at once gear shift
  • the device allows for instantaneous shifting.
  • the efficiency of the exercise can be increased and the user's boredom can be reduced, which can be very efficient.
  • the main cable 40 and the driven cable 50 may be of a variety of methods such as belts, chains, strings, etc. It is preferable to use those that do not increase or decrease in the longitudinal direction as much as possible.
  • the position sensing means 60 is provided on the seat 10 or the base 1 to sense the position of the seat 10 in real time.
  • the functional electrical stimulation device 70 to be described below is provided to force the lower extremity movement by forcibly contracting and relaxing the lower extremity muscles of the lower paraplegic patient during the forward and backward movement of the seat 10. Therefore, in order to use the functional electrical stimulation device 70, the position sensing means 60 for sensing the position of the seat 10 in real time should be provided.
  • the position sensing means 60 is provided with a transmitting device (not shown)
  • the functional electrical stimulation device 70 is provided with a receiving device (not shown) to sense the information sensed by the position sensing means 60 It must be continuously transmitted to the functional electrical stimulation device (70).
  • the transmitting device and the receiving device may be connected by wire or wirelessly, and in the configuration of the present invention, a method of wirelessly connecting is preferable.
  • the position sensing means 60 When the position sensing means 60 is mounted to the seat 10, it may be an accelerometer.
  • the accelerometer is a device that can sense the direction and position of the movement when the seat 10 moves, so it should be mounted directly on the moving seat 10.
  • the position sensing means 60 may be a device provided in the longitudinal direction along the rail 2 of the base 1 to detect the position of the seat 10.
  • a simple sensing chip or the like may be attached to the seat 10, and the position may be detected by a sensing device attached to the rail 2 in the longitudinal direction as the seat 10 moves.
  • the position sensing means 60 is electrically connected to the functional electrical stimulation device 70 in a wired or wireless manner to continuously transmit information about the position of the seat 10 to the functional electrical stimulation device 70. do.
  • the functional electrical stimulation device (Functional Electrical Stimulation, 70) is provided with a plurality of pads (71) attached to both thighs of the user to selectively contract the muscles by electrical stimulation, but bend the lower limbs when advancing the seat (10) Giving the pads attached to the site where the muscles are located, and when the retracted to apply the electrical stimulation to each of the pads attached to the site where the muscles to straighten the lower leg so as to interlock with the position sensing means 60 to contract the muscles Should be.
  • the pads 71 are attached to the straight thigh portion of the front of both thighs and the thigh muscles of the back of the thighs of the user, respectively, the functional electrical stimulation device (FES, 70) that is interlocked with the position sensing means (60) Selective contraction of the muscles by electrical stimulation of the seat (10) when advancing the pads attached to the muscles of the thigh, and when retracted to apply the electrical stimulation to the pads attached to the straight muscles of the thighs, respectively, to contract the muscles can do.
  • FES, 70 functional electrical stimulation device
  • the lower body is contracted and relaxed by moving the seat 10 interlocked with the cable 40 with the help of the upper limb movement described above for the movement of the lower extremity. It is due to the back and forth movement, it is difficult to exercise the muscles alone by this alone, so to use the functional electric stimulation device 70 to further support the movement of the muscles.
  • the pads 71 provided in the functional electrical stimulation device 70 are attached to the thigh straight muscles at the front of both thighs and the thigh muscles at the back of the thighs, respectively, to selectively contract the muscles, and to advance the sheet 10.
  • the pads attached to the muscles of the hind femur when the reverse is applied to the pads attached to the straight muscles of the forelimbs so as to interlock with the position sensing means 60 to contract the muscles.
  • the pads provided according to the user's needs and the functional electric stimulation device 70 can be added, and can also use the functional electric stimulation device by sending out muscle contraction signals in two groups.
  • the present invention may further include a movement restriction string (80).
  • the movement limiting string 80 is fixed at one end to the front base 1 of the seat 10, and the other end is connected to the seat 10 and pulled back by pulling the handle 42. It is a device to limit the moving distance of).
  • the scale is displayed on the movement limiting string 80, and setting the exercise device in accordance with the scale of the movement limiting string 80 only once, in later use, simply by setting the exercise device in accordance with the scale by storing the scale It is possible to use.
  • the present invention may further include a damper (90).
  • the damper 90 is installed on at least one of the front and rear bases 10 of the seat 10 to prevent excessive forward and rearward movement and to absorb shocks when the seat 10 is moved backwards or in home position. Corresponds to the device.
  • the seat 10 is not moved back and forth by the electric device, but mechanically interlocked with the cable 40 so that the seat 10 is moved back and forth.
  • the seat 10 may collide with the rear or front of the base 1, in this case the damper 90 in a predetermined position ) To prevent excessive movement and to absorb shocks that may be caused by bumps during excessive movement.

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  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biophysics (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Rehabilitation Tools (AREA)

Abstract

La présente invention concerne une machine à ramer pour aider à l'exercice d'un patient dont la partie inférieure du corps est paralysée par une maladie ou lésion de la colonne vertébrale, et plus particulièrement, une machine à ramer qui assure l'exercice forcé des muscles de la partie inférieure du corps d'un patient paraplégique pour aider à la réhabilitation. La machine à ramer comporte une feuille comprenant une unité pour fixer la partie supérieure du corps d'un utilisateur, une prise de pied comprenant une unité pour fixer les pieds, et une sangle de fixation des mollets pour fixer les deux jambes d'un utilisateur pour empêcher l'écartement des deux jambes, une poulie d'entraînement reliée à un manche destiné à être tracté par l'utilisateur, une poulie d'entraînement de ré-enroulement forcé, une première poulie entraînée, une seconde poulie entraînée, une unité de détection de position, et une unité de stimulation électrique fonctionnelle.
PCT/KR2010/009182 2010-07-15 2010-12-22 Machine à ramer pour patient paraplégique WO2012008664A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR1020100068193A KR101236281B1 (ko) 2010-07-15 2010-07-15 하반신 마비 환자용 로잉운동기
KR10-2010-0068193 2010-07-15

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WO2012008664A1 true WO2012008664A1 (fr) 2012-01-19

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WO (1) WO2012008664A1 (fr)

Cited By (7)

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US9421144B2 (en) 2014-03-07 2016-08-23 Eugene Kalinowski Motorized air walker and suspension system for paralyzed persons
CN107670230A (zh) * 2017-11-18 2018-02-09 佛山市神风航空科技有限公司 一种自充电健身按摩椅
CN112472528A (zh) * 2020-12-23 2021-03-12 张梅青 一种医疗用针对腿部瘫痪康复设备
CN113941123A (zh) * 2021-09-30 2022-01-18 温州市中心医院 一种神经内科临床治疗装置
CN114534175A (zh) * 2021-12-30 2022-05-27 浙江金拓机电有限公司 一种稳定划船机
CN114712167A (zh) * 2022-05-10 2022-07-08 昆明理工大学 一种用于帕金森的多功能辅助治疗仪
CN115228047A (zh) * 2022-07-25 2022-10-25 郑州大学第一附属医院 一种脊柱损伤引起的截瘫用康复装置

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KR101497875B1 (ko) * 2014-07-22 2015-03-04 이석종 로윙머신
KR102352271B1 (ko) 2021-09-10 2022-01-17 주식회사 예스나인 로잉머신
KR102624711B1 (ko) 2021-10-05 2024-01-11 충북대학교 산학협력단 운동 치료 장치

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US4863157A (en) * 1988-04-29 1989-09-05 State University Of New York Method and apparatus for exercising a paralyzed limb
US5033736A (en) * 1989-12-01 1991-07-23 Hirschfeld Scott M Passive exercise bicycle
US5618247A (en) * 1996-08-29 1997-04-08 Perez; Jose L. Exercise leg device
KR200437905Y1 (ko) * 2006-11-07 2008-01-07 이광덕 전신운동장치
KR100938776B1 (ko) * 2008-02-02 2010-01-27 장성철 대체의학 물리치료기

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9421144B2 (en) 2014-03-07 2016-08-23 Eugene Kalinowski Motorized air walker and suspension system for paralyzed persons
US10299981B2 (en) 2014-03-07 2019-05-28 Eugene Kalinowski Motorized air walker and suspension system for paralyzed persons
CN107670230A (zh) * 2017-11-18 2018-02-09 佛山市神风航空科技有限公司 一种自充电健身按摩椅
CN112472528A (zh) * 2020-12-23 2021-03-12 张梅青 一种医疗用针对腿部瘫痪康复设备
CN113941123A (zh) * 2021-09-30 2022-01-18 温州市中心医院 一种神经内科临床治疗装置
CN114534175A (zh) * 2021-12-30 2022-05-27 浙江金拓机电有限公司 一种稳定划船机
CN114534175B (zh) * 2021-12-30 2023-01-24 浙江金拓机电有限公司 一种稳定划船机
CN114712167A (zh) * 2022-05-10 2022-07-08 昆明理工大学 一种用于帕金森的多功能辅助治疗仪
CN115228047A (zh) * 2022-07-25 2022-10-25 郑州大学第一附属医院 一种脊柱损伤引起的截瘫用康复装置
CN115228047B (zh) * 2022-07-25 2024-02-06 郑州大学第一附属医院 一种脊柱损伤引起的截瘫用康复装置

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KR20120007579A (ko) 2012-01-25

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