WO2012093181A1 - Système de mesure de charges s'exerçant sur des cannes-béquilles - Google Patents

Système de mesure de charges s'exerçant sur des cannes-béquilles Download PDF

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Publication number
WO2012093181A1
WO2012093181A1 PCT/ES2011/000340 ES2011000340W WO2012093181A1 WO 2012093181 A1 WO2012093181 A1 WO 2012093181A1 ES 2011000340 W ES2011000340 W ES 2011000340W WO 2012093181 A1 WO2012093181 A1 WO 2012093181A1
Authority
WO
WIPO (PCT)
Prior art keywords
forearm
data
patient
load
cane
Prior art date
Application number
PCT/ES2011/000340
Other languages
English (en)
Spanish (es)
Inventor
Gema CHAMORRO MOLLINA
Original Assignee
Universidad De Sevilla
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 Universidad De Sevilla filed Critical Universidad De Sevilla
Publication of WO2012093181A1 publication Critical patent/WO2012093181A1/fr

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Classifications

    • AHUMAN NECESSITIES
    • A45HAND OR TRAVELLING ARTICLES
    • A45BWALKING STICKS; UMBRELLAS; LADIES' OR LIKE FANS
    • A45B3/00Sticks combined with other objects
    • A45B3/08Sticks combined with other objects with measuring or weighing appliances
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/112Gait analysis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6802Sensor mounted on worn items
    • A61B5/6804Garments; Clothes
    • A61B5/6807Footwear
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H23/00Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
    • A61H23/02Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H3/00Appliances for aiding patients or disabled persons to walk about
    • A61H3/02Crutches
    • AHUMAN NECESSITIES
    • A45HAND OR TRAVELLING ARTICLES
    • A45BWALKING STICKS; UMBRELLAS; LADIES' OR LIKE FANS
    • A45B3/00Sticks combined with other objects
    • A45B3/02Sticks combined with other objects with illuminating devices
    • A45B3/04Sticks combined with other objects with illuminating devices electrical
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/7405Details of notification to user or communication with user or patient ; user input means using sound
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/742Details of notification to user or communication with user or patient ; user input means using visual displays
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/7455Details of notification to user or communication with user or patient ; user input means characterised by tactile indication, e.g. vibration or electrical stimulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5023Interfaces to the user
    • A61H2201/5043Displays
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5023Interfaces to the user
    • A61H2201/5048Audio interfaces, e.g. voice or music controlled
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5058Sensors or detectors
    • A61H2201/5061Force sensors

Definitions

  • the present invention relates to a new system for measuring the loads that are supported by forearm canes, also called Canadian canes, in order to determine whether said loads are in practice adapted to the instructions given in this regard by a physiotherapist.
  • the invention thus falls within the scope of physiotherapy equipment.
  • the object of the invention is, from a certain range of forces with which the cane must act on the ground, to provide the user with acoustic and / or visual information at the moment when said range is abandoned, both by excess and by default, so that the subject can become aware of his mistake and correct himself.
  • the system offers, in a complementary way, information on the coincidence of the loads exerted on the canes with the supports, and therefore discharges, of the affected lower limb.
  • the measurement system also has the possibility of recording, analyzing and visualizing the data simultaneously with the execution of the patient on a PC.
  • a load measurement system is required that does not require large spatial resources or high technical knowledge for its use, and which in turn allows dynamic measurements of gait in different real situations, such as going down a step or going up a ramp.
  • Patent FR 2638340 describes a system consisting of the use of strain gauges at the end of the cane rod, which allows controlling the amount of load exerted by the patient.
  • This patent shows an acoustic warning system (bio-feedback) installed in the cane itself, which requires constant system calibrations, so it needs continuous technical maintenance, not being able to collect and analyze the data on a PC. .
  • Patent DE 10214745 in which a system is described in which the loads applied to the cane are analyzed by means of a sensor that measures the changes in length in the cane thereof. These changes will be related to the forces exerted on the cane, emitting excess signals, and without being able to collect and analyze the data. None of the aforementioned systems allows their use with one or two sticks interchangeably, so that comparisons between the advantages and disadvantages of the use of a cane or two in cases of partial discharge, with a percentage of specific body weight, cannot be made.
  • Patent P200901942 from which, important improvements reflected in the present invention have been made, considering this the closest antecedent to it. These mainly consist of adding, in a complementary way, a new biofeedback mechanism that allows to know the simultaneity of the support of the rods and the lower limb to be unloaded. If such synchronism did not occur, the patient would receive acoustic and / or visual information to later correct his wrong assisted walking.
  • the electronic components have been improved, as well as the signal amplifiers incorporated into the control box that the patient carries in the belt, with the intention of reducing the weight of the rods and consequently facilitating their handling.
  • a last novelty, but no less important, in relation to the mentioned patent, consists in the possibility of replacing the cables that go from the sensors to the control box with a wireless system, allowing the latter (in the form of a clock, mobile , search, etc.) is much more attractive and convenient to transport, this option being considered a second practical embodiment of the present invention.
  • the system that the invention proposes solves in a completely satisfactory way the problem previously exposed, so that it allows to record, analyze and visualize the load information in each cane independently, with which comparisons can be made between the use of one and two canes with the same amount of load, as well as the tendency to the greater load in a contralateral or ipsilateral cane. It also offers the patient the possibility of correcting their lack of precision on the prescribed loads, thanks to a biofeedback mechanism with acoustic or tactile and visual signals, when the requested weight range is exceeded or not reached.
  • a second optional feedback mechanism that complements the measurement system is the one that informs the subject about the simultaneity between the supports of the rods and the support of the lower limb to be unloaded.
  • the load measurement system that the invention proposes is to provide each baton with a miniature prehensile load cell, placed at the end of the rod, thus limiting the errors caused by the moments of force exerted by the support and force applied by the hand and forearm simultaneously.
  • Said load cell will allow a slight flexibility of the same to be able to measure the loads when the cane is not completely perpendicular to the ground, as occurs at the beginning and the end of each step. If the sensitivity range of the sensor is not sufficient, a dynamic coupling system will be installed that will correct said error margin.
  • the load cell is accompanied by a cable along the inside of the rod, which will be connected to a small signal amplifier, and this in turn to a data acquisition card and radiofrequency powered by a battery.
  • the set of the aforementioned elements are integrated in a pouch-shaped control box placed on the back of the patient's belt, so as not to hinder or alter the gait.
  • the cables from the sensors to the control box are replaced by a wireless system, preferably by radiofrequency, such as Bluetooth® or equivalent, so that the load cells, the electronics and their batteries would be immersed inside the cane of each cane.
  • the signals from the sensors are picked up by a much smaller control device in size and weight that no longer necessarily has to be placed on the back of the patient's belt to connect the wiring.
  • the device could have various designs such as a watch, mobile or search among others, which could be placed on the wrist and / or arm, on the belt, etc.
  • the data arrives at a receiver with input to a PC through a USB port.
  • the information is recorded, analyzed and visualized simultaneously to the execution of the subject, showing graphs of load behavior.
  • This program allows the printing of external data, such as patient weight, so that information about loads can be received in percentages of body weight and thus facilitate comparative analysis of the sample and other previous studies.
  • the data acquisition card that incorporates the control device that the patient carries, in addition to having connections for both canes, has other channels for the adaptation of complementary systems:
  • - Biofeedback mechanism I that emits acoustic, visual, light and / or tactile signals (by means of vibrations in the handle), when the patient exceeds or does not reach the load range marked by the physiotherapist, and that has previously been introduced in the control module by means of the pulsometers and the digital display that allow modifying the parameters.
  • Biofeedback Mechanism II which provides information on the simultaneity of stick loads and supports and discharges of the affected limbs, by means of two transducers or sensors placed on the front and back of the sole of the patient's footwear, that mark the beginning and end of the foot support on the ground.
  • the devices are protected by a semi-elastic material in the shape of a bowl (in the heel and toe), which are fixed and adjusted to the footwear by elastic straps with sailboat and straps.
  • From the transducers or sensors part a cable to the control box, in mode I, by the back of the affected member, fixed and guided by a strap placed on the leg.
  • the data would reach the control device wirelessly, so the sensors must have the same as the poles of a transmitter with its own power.
  • the support range will be graphically compared in the computer equipment with the beginning and end of the supports and loads of the sticks.
  • the biofeedback mechanism I it emits informative signals to the patient if he or she is not synchronously performing the supports.
  • the incorporation of a visual feedback through a cannon is planned. issue the image of the large-scale physiotherapist / researcher's computer screen, so that the patient observes it while walking.
  • FIG 1. Schematically shows an individual carrying a forearm cane provided with the load measurement system of the invention, in a first practical embodiment, with cable connections, as well as the complementary data analysis equipment.
  • FIG 2. Schematically shows a detailed view of the fixation of the invention at the foot of the carrier individual.
  • FIG 3. Schematically shows an individual carrying a forearm cane provided with the load measurement system of the invention, in a first practical embodiment, with wireless connections, as well as the complementary data analysis equipment.
  • a forearm cane is represented, that is to say a cane (1) provided with means for adapting to the user's forearm, with a handle (2) and a reed (3) of appropriate length, topped by its lower end in a bead (4), and where the invention consists of installing inside the reed (3) and near its lower and free end, that is to say, next to the container (4), a load cell (5).
  • the load cell (5) is connected, through a cable (6) that runs inside the rod, with a control box (7), which integrates signal amplifiers, data acquisition and radio frequency cards, battery, etc. ., placed on the back of a belt (8) that the patient is given.
  • the aforementioned control box (7) transmits the data received from the load cell (5) to a receiver (9), also wireless, with a USB port for data recording, analysis and simultaneous visualization of the same in a PC (10).
  • control box (7) is also associated with a system of warning, that is to say a biofeedback system, acoustic, visual and / or tactile, that allows mobility to the patient without limiting it to the laboratory or treatment room, and that by means of vibrations in the handle of the cane or by any other means , generate warning signals to the patient when the patient exceeds or does not reach the load range marked by the physician's prescription.
  • a system of warning that is to say a biofeedback system, acoustic, visual and / or tactile, that allows mobility to the patient without limiting it to the laboratory or treatment room, and that by means of vibrations in the handle of the cane or by any other means , generate warning signals to the patient when the patient exceeds or does not reach the load range marked by the physician's prescription.
  • a second biofeedback mechanism composed of a transducer or sensor in the forefoot (11) and another in the rearfoot (12), is connected to the data acquisition card integrated in the control box (7).
  • the said cable (6) that runs through the cane leaves said rod substantially in correspondence with the upper extremity thereof, from where said cable (6) is kept in the air and duly oversized to reach the flask (7), without said cable (6) being the least obstacle to the normal movement of the user's body, as well as of the rods themselves.
  • the fixation of the forefoot transducer (11) and the rearfoot transducer (12) to the anterior and posterior ends, respectively, of the sole of the footwear, is solved by means of semi-elastic protective cups (13) with adjustable fasteners, starting from these devices, a cable (14) that ascends through the back of the lower limb, guided and held by a strap (15) placed on the patient's leg, until connected to the control box (7).
  • a forearm cane is represented, that is to say a cane (1) provided with adaptation means to the user's forearm, with a handle (2) and a rod (3) in length appropriate, topped by its lower end in a bead (4), and the invention consists in installing inside the reed (3) and near its lower and free end, that is to say next to the bead (4), a cell loading (5).
  • the load cell (5) is related to the corresponding electronics (26), batteries (27) that give it autonomy and a wireless system (28) that sends the data to the control device (29).
  • the fixation of the forefoot transducer or sensor (11) and the rearfoot transducer or sensor (12) to the front and rear ends, respectively, of the sole of the footwear, is resolved by protective cups
  • the data can also be sent to a computer (24) wirelessly, being collected by a receiver (23) connected via a USB port.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Pain & Pain Management (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Rehabilitation Therapy (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Epidemiology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Physiology (AREA)
  • Rehabilitation Tools (AREA)

Abstract

La présente invention concerne un système de mesure des charges s'exerçant sur des cannes-béquilles, c'est-à-dire des cannes comportant un corps (1) adaptable à l'avant-bras de l'utilisateur, et comprenant une poignée (2) ainsi qu'un long fût (3) se prolongeant au niveau inférieur et terminé par un embout (4) d'appui sur le sol. Le système selon l'invention est caractérisé en ce qu'il comprend une cellule de charge (5) qui est alignée sur l'extrémité inférieure du fût (3) et placée dans ce dernier, la cellule de charge étant couplée à l'amplificateur de signal, des cartes d'acquisition de données, de radio et de batterie d'alimentation, la carte d'acquisition de données étant pourvue de connexions pour les deux cannes et pour un système d'avertissement sonore, visuel et/ou tactile qui est activé lorsque le patient dépasse la plage de charge prescrite ou bien ne l'atteint pas, ainsi que lorsque l'utilisateur n'effectue pas l'appui des cannes de manière synchrone par rapport à celui du membre à décharger.
PCT/ES2011/000340 2010-11-30 2011-11-30 Système de mesure de charges s'exerçant sur des cannes-béquilles WO2012093181A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ES201031779A ES2383412B1 (es) 2010-11-30 2010-11-30 Sistemas de medicion de cargas en bastones de antebrazo
ESP201031779 2010-11-30

Publications (1)

Publication Number Publication Date
WO2012093181A1 true WO2012093181A1 (fr) 2012-07-12

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ES (1) ES2383412B1 (fr)
WO (1) WO2012093181A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10849395B2 (en) 2017-04-21 2020-12-01 University Of Washington Systems, methods, and devices for sensing and providing biofeedback at target axial load

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ES1249804Y (es) * 2020-05-22 2020-10-15 Fundacion Inst De Estudios Ciencias De La Salud De Castilla Y Leon Iecscyl Ibsal Dispositivo de control de carga acoplable a muletas y/o bastones para la rehabilitacion de la marcha en pacientes

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE19915603C1 (de) * 1999-04-07 2000-10-05 Stefan Molnar Krücke mit Belastungsmeßeinrichtung
DE20005559U1 (de) * 2000-03-24 2001-07-26 Clausen-Hoormann, Ah Kee, 21502 Geesthacht Belastungsvorrichtung
DE10160537A1 (de) * 2001-12-10 2003-06-26 Heptec Gmbh Stütze
US20070032748A1 (en) * 2005-07-28 2007-02-08 608442 Bc Ltd. System for detecting and analyzing body motion
WO2007137851A2 (fr) * 2006-05-31 2007-12-06 Peter Lenhart Dispositif détecteur et procédé permettant de générer et de visualiser des signaux indicateurs relatifs à la motricité d'une personne
DE202007016709U1 (de) * 2007-11-28 2009-04-09 Spiekermann, Reinhold Belastungstrainer
DE102008059776A1 (de) * 2008-02-18 2009-08-27 Soehnle Professional Gmbh & Co. Kg Gehhilfe
EP1519701B1 (fr) * 2002-06-19 2009-12-09 Heimo Clar Dispositif pour mesurer et surveiller la sollicitation partielle de patients en orthopedie et en chirurgie

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE19915603C1 (de) * 1999-04-07 2000-10-05 Stefan Molnar Krücke mit Belastungsmeßeinrichtung
DE20005559U1 (de) * 2000-03-24 2001-07-26 Clausen-Hoormann, Ah Kee, 21502 Geesthacht Belastungsvorrichtung
DE10160537A1 (de) * 2001-12-10 2003-06-26 Heptec Gmbh Stütze
EP1519701B1 (fr) * 2002-06-19 2009-12-09 Heimo Clar Dispositif pour mesurer et surveiller la sollicitation partielle de patients en orthopedie et en chirurgie
US20070032748A1 (en) * 2005-07-28 2007-02-08 608442 Bc Ltd. System for detecting and analyzing body motion
WO2007137851A2 (fr) * 2006-05-31 2007-12-06 Peter Lenhart Dispositif détecteur et procédé permettant de générer et de visualiser des signaux indicateurs relatifs à la motricité d'une personne
DE202007016709U1 (de) * 2007-11-28 2009-04-09 Spiekermann, Reinhold Belastungstrainer
DE102008059776A1 (de) * 2008-02-18 2009-08-27 Soehnle Professional Gmbh & Co. Kg Gehhilfe

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10849395B2 (en) 2017-04-21 2020-12-01 University Of Washington Systems, methods, and devices for sensing and providing biofeedback at target axial load

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Publication number Publication date
ES2383412B1 (es) 2013-03-13
ES2383412A1 (es) 2012-06-21

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