WO2014012961A1 - Dispositif destiné à un traitement thérapeutique et système destiné à mettre en œuvre, au moyen d'un tel dispositif, une thérapie locomotrice assistée par des appareils - Google Patents

Dispositif destiné à un traitement thérapeutique et système destiné à mettre en œuvre, au moyen d'un tel dispositif, une thérapie locomotrice assistée par des appareils Download PDF

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Publication number
WO2014012961A1
WO2014012961A1 PCT/EP2013/065065 EP2013065065W WO2014012961A1 WO 2014012961 A1 WO2014012961 A1 WO 2014012961A1 EP 2013065065 W EP2013065065 W EP 2013065065W WO 2014012961 A1 WO2014012961 A1 WO 2014012961A1
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WO
WIPO (PCT)
Prior art keywords
frame
holding means
leg
movement
lower leg
Prior art date
Application number
PCT/EP2013/065065
Other languages
German (de)
English (en)
Original Assignee
Reha Technology GmbH
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 Reha Technology GmbH filed Critical Reha Technology GmbH
Priority to EP13774615.2A priority Critical patent/EP2903580A1/fr
Publication of WO2014012961A1 publication Critical patent/WO2014012961A1/fr

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Classifications

    • 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
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus ; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0237Stretching or bending or torsioning apparatus for exercising for the lower limbs
    • A61H1/024Knee
    • 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
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus ; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0237Stretching or bending or torsioning apparatus for exercising for the lower limbs
    • A61H1/0255Both knee and hip of a patient, e.g. in supine or sitting position, the feet being moved in a plane substantially parallel to the body-symmetrical-plane
    • A61H1/0262Walking movement; Appliances for aiding disabled persons to walk
    • 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
    • A61H2201/16Physical interface with patient
    • A61H2201/1602Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/164Feet or leg, e.g. pedal
    • A61H2201/1642Holding means therefor
    • 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
    • A61H2201/16Physical interface with patient
    • A61H2201/1602Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/165Wearable interfaces

Definitions

  • the invention relates to a device for the therapeutic treatment of the lower extremities of a person with the features mentioned in the preamble of claim 1.
  • a device of this kind is known, for example, from WO 00/61059.
  • the invention further relates to a system for device-based locomotion therapy with such a device and to a method for controlling the device.
  • An acute stroke is in many cases associated with hemiplegia (hemiparesis). This degenerates the muscles in the paralyzed extremities. The treatment of such, usually high-grade weakness of the lower extremities is difficult and often unsuccessful.
  • Conventional physiotherapy is possible after the acute stage of the disease, consuming and mostly aims to solve spasticity-related muscle spasms and exercises to prepare for walking both while sitting and standing to practice, for example, the weight transfer to the affected leg to strengthen.
  • robotic systems for device-based locomotion therapy which simulate human walking via control or programmable footplates.
  • Such robot systems are known from DE 100 28 511 AI, DE 10 2006 035 715 AI and DE 10 2009 022 560 AI.
  • Such systems are known from DE 100 28 511 AI, DE 10 2006 035 715 AI and DE 10 2009 022 560 AI.
  • robot systems for device-based locomotion therapy which guide the walking movement through a motorized outer frame, such as AU 002002324518 AI, EP 02 408 413 AI and the aforementioned WO 00/61059.
  • motorized outer frame such as AU 002002324518 AI, EP 02 408 413 AI and the aforementioned WO 00/61059.
  • These known systems control and support knee flexion and knee extension.
  • the problem with the guided movement by the known motorized outer scaffolding is that the
  • Residualkraft of the patient is not used.
  • the movement is given in a two-dimensional plane.
  • the invention has for its object to provide a device for the therapeutic treatment of the lower extremities of a person, which allows a facilitation of knee flexion and knee extension in the context of device-based locomotion therapy. Furthermore, with the invention, a system for the device-based locomotion therapy and a method for controlling the device for therapeutic treatment can be specified.
  • this object is solved by the subject-matter of claim 1, with regard to the system by the subject-matter of claim 14, and with respect to the method by the subject-matter of claim 15.
  • the invention is based on providing a device for the therapeutic treatment of the lower extremities of a human having a frame which extends in use along one of the lower extremities, in particular of the leg. On the frame a flexion for the knee joint is attached.
  • the device has at least one holding means for the thigh and at least one holding means for the lower leg.
  • the thigh-holding means and the lower-thigh holding means are respectively connected to the frame and each have a moving member.
  • Holding means for the thigh and the lower leg are in
  • Offset frame longitudinally and arranged opposite to each other such that the leg in use between the holding means is fixable or is generally receivable between the holding means.
  • the inflectional agent is in
  • the frame longitudinally disposed between the holding means, in such a way that the inflection means is arranged in use in the region of the popliteal fossa.
  • the movement element is adapted to generate a force that is transferable in use by the respective holding means on the leg.
  • the frame can be connected to a system for device-based locomotion therapy.
  • the invention has the advantage that the facilitation in the implementation of a device-based locomotion therapy is made possible.
  • Facilitation is part of the physiotherapeutic treatment method, which is enhanced by
  • Movement pattern moves repetitively, the movement against one of
  • the device can be connected to a system for the device-based locomotion therapy, which can be adapted in this way to perform the facilitation.
  • the application of the resistance, against which the leg movement takes place, is made automatically by the device.
  • the device according to the invention in particular the frame of the device, is adapted for connection to the system for device-based locomotion therapy in such a way that the forces occurring during the device-supported therapy can be transmitted from the system to the device and the person to be treated.
  • the device has at least one
  • Patients can be fixed in the device, so that the transmitted from the system for the device-based locomotion therapy forces can be introduced into the leg.
  • the inflectional means has the
  • Frame longitudinal staggered holding means arranged in such a way that the inflection means is in use in the region of the popliteal fossa.
  • the resistance required for the facilitation is applied according to the invention by the respective moving element on the leg.
  • Movement element is adapted to generate a force.
  • the force is transmitted to the leg by the holding means associated with the respective movement element. In therapy, the leg works against the through the
  • Movement element generated force This simulates the strength of a therapist, for example in the facilitation of the quadriceps during knee extension.
  • the force can preferably by the moving element mechanically, for example.
  • a spring force or pneumatically, for example.
  • Pneumatic cylinder to be generated.
  • Other possibilities of force generation are conceivable and are encompassed by the invention.
  • Resistance to leg movement is preferably passive, for example as a spring force or generally as an elastic force, and is triggered by the force with which the leg presses against the retaining means.
  • the moving element connects the retaining means to the frame. This can be done in one embodiment, for example, by a
  • Abutment surface for the leg at the proximal, d. H. the leg facing the end of the moving element is arranged.
  • the distal, d. H. remote from the leg end of the moving element is connected to the frame.
  • the proximal end of the movement element is movable, in particular axially movable, and can be acted upon by a force.
  • the arranged at the proximal end of the movement element contact surface is taken along and transmits the counterforce on the leg when it presses against the contact surface.
  • the leg facing the end of the holding means may be arranged.
  • the movement element itself forms the contact surface for the leg.
  • a possible embodiment for this is an air cushion, which generates by compression the desired resistance to the leg movement.
  • the proximal and the distal movement element of a holding means may be provided individually or together.
  • the holding means is movable and forms a resistance to the leg, which abuts against the holding means during the therapy and presses against it.
  • Another advantage of the invention is that the Tibiotarsalgelenk is stabilized by the device according to the invention, specifically by the holding means.
  • the holding means also offer the advantage that due to the fixation of the leg at different points the condition for a flexible
  • Adjustment of the device is created, which can be used to adjust the dorsiflexion and plantarflexion of the leg.
  • the concrete embodiments made for this purpose are the subject of the dependent claims.
  • Another advantage of the invention compared to movement by an orthosis or a motorized outer frame is that the device is constructed so that on the one hand the residual power of the patient can be stimulated. On the other hand, a free and natural movement is the lower one
  • the invention also has the advantage that the mechanism of the device is simple and compact. This facilitates the therapist's access to the patient.
  • the inventive allows
  • both the device itself i. regardless of the system for device-based locomotion therapy, as well as
  • the movement element is aligned sagittal, such that the leg can be acted upon in a sagittal main direction with a force. This is particularly effective for the
  • the direction of force can be exclusively sagittal, with the
  • Movement element is aligned accordingly. There is also one next to it
  • Movement element deviates from the sagittal plane accordingly.
  • Deviation can take place in a range of ⁇ 20 °, in particular ⁇ 15 °, in particular ⁇ 10 °, in particular ⁇ 5 °. Below the sagittal level, one gets off your head understood to the pelvis and from the back to the abdomen extending through the leg.
  • the moving member may comprise a housing having a piston which is guided in the housing and actuated by a spring force, wherein the housing piston assembly movably connects the holding means and the frame.
  • the piston may have an interior in which an elastic means, in particular a compression spring, is arranged, which is connected on the one hand to the piston and on the other hand to the housing.
  • an elastic means in particular a compression spring
  • a further improvement of the functionality of the movement element is achieved in that the movement element has an actuator for adjusting the force acting on the leg and / or the movement path of the holding means.
  • the device can be adapted to the respective patient, so that a suitable for the respective patient resistance in the facilitation is set.
  • the actuator comprises a screw which is connected to a stop for the elastic means, in particular the compression spring.
  • the frame is designed in several parts and adjustable for positioning one or more holding means.
  • the frame forms an adjusting means, whereby a compact construction is possible.
  • the frame may comprise a second adjustment member having a
  • pivotable frame part u nd a stationary frame part hingedly connects, wherein at least one holding means, in particular the holding means for the thigh, is secured to the pivotable frame part.
  • the movement elements are rotatably supported in the frame in all embodiments about an axis perpendicular to the frame, so that the angle of attack of the holding means, based on the leg, is variable.
  • the position of the holding means can be adjusted by a corresponding rotational movement of the leg, for example, when the location of the holding means by the
  • the frame comprises a third
  • Adjusting element which connects a height-adjustable frame part and a stationary frame part, wherein at least one holding means, in particular the holding means for the lower leg, is fixed to the height-adjustable frame part.
  • This embodiment allows a vertical adjustment of the holding means, in particular of the holding means for the lower leg, for adaptation to the respective anatomy of the patient to be treated. It is further preferred that in addition to the holding means for the lower leg and the flexion means for the knee joint and the retaining means for the thigh are fixed to the height-adjustable frame part, so that the aforementioned elements are moved by an adjustment of the frame part. This can be a total of the distance of these elements or means to change the foot.
  • the third adjusting element comprises a perforated plate which is fixable in different heights of the frame.
  • the perforated plate is stable and easy to manufacture.
  • a single perforated plate which is fixable in different heights of the frame.
  • Thigh for example, two holding means to provide.
  • the flexion element is adjustable to change the sagittal position with the frame, in particular adjustably connected by a fourth adjustment.
  • the flexibility of the device is further increased because the position of the flexion element can be adapted to the specific position of the knee in a patient-specific manner.
  • a further improvement of the flexibility with regard to the adjustability of the device is achieved in that the flexion element for changing the sagittal position with the frame adjustable, in particular adjustably connected by a fourth adjustment.
  • the fourth adjustment By the fourth adjustment, the relative position between the flexion and the rest can be
  • the adjustment elements explained above taken individually and in combination, have the advantage that the position of the leg in the device can be changed, so that different facilitation treatments can be carried out.
  • the invention further comprises a device-based locomotion therapy system comprising a device as claimed in claim 1, comprising powered steerable movement means movable along passage trajectories, the frame of the device being provided with one of the movement means connected, in particular releasably connected.
  • a device-based locomotion therapy system comprising a device as claimed in claim 1, comprising powered steerable movement means movable along passage trajectories, the frame of the device being provided with one of the movement means connected, in particular releasably connected.
  • Robot system is connected.
  • movement patterns including different movement patterns, can be precisely repeated within one and the same therapy, so that the facilitation effect takes place repeatedly at the same time during the step cycle.
  • the device according to the invention is intended for supplementing or retrofitting known systems for device-based locomotion therapy. It is also possible to provide the device according to the invention integrally with one of the moving devices of a device-based locomotion therapy system, when non-facilitation operation is not required or desired.
  • the position of the flexing means and / or the lower leg retaining means is changed in such a way that the plantar flexion angle or the dorsiflexion angle of the leg changes.
  • Figure 1 is a perspective view of the device according to a
  • Figure 2 is a side view of the device according to Figure 1;
  • Figure 3 is a plan view of the device of Figure 1;
  • Figure 4 is a perspective view of the device according to Figure 1, on the
  • FIG. 1 is a perspective view of a device according to FIG. 1
  • Embodiment of the invention shown which can be used for the therapeutic treatment and / or support of the lower extremities of a human in the therapeutic simulation of walking and / or climbing stairs.
  • the device is particularly well suited for training the lower extremities of neurological patients.
  • the device has a frame 11, on which a plurality of holding means 12a, 12b, 12c, are arranged.
  • the holding means 12a, 12b, 12c each have a padded sleeve, which provide a soft contact surface 35 for the leg.
  • the holding means 12a, 12b, 12c are movably mounted on the frame 11 via movement elements 14.
  • Frame is also a flexion means 13 for the knee joint, such as a padded roll, provided.
  • the flexing means 13 is fixed to the frame, i. immobile in use, connected.
  • the position of the flexing means 13 is adjustable.
  • the frame 11 can be connected to a system for device-supported locomotion therapy, not shown in FIG.
  • the frame has a fastening means 15, for example a metal plate, which is firmly connected to the frame 11.
  • the frame extends in use along the lower limb or leg of a patient. Specifically, the frame extends laterally to the leg.
  • the frame forms an outer rigid structure to which the holding means 12a, 12b, 12c and the flexion means 13 are attached. In use, the frame is stationary relative to the leg.
  • the frame 11 is connected to a moving device of a device-based locomotion therapy system, as in FIG. 4
  • the movement device carries the device shown in Figure 1, so that this device performs a corresponding movement together with the leg. This total movement is superimposed on the movement of the holding means 12a, 12b, 12c, which in use requires the facilities required for the facilitation
  • the movable holding means 12a, 12b, 12c allow a relative movement of the leg relative to the fixed frame 11th
  • the holding means on the stationary frame are arranged independently movable.
  • the fastening means 15 for example in the form of a horizontal metal plate, is arranged on the lower side in use of the frame.
  • the metal plate has various holes or general openings, with which the metal plate with the foot mechanics of
  • Movement device of a system for device-based locomotion therapy can be connected (see also Figure 4). At the proximal end of the
  • the frame 11 forms a flat support column whose wall thickness is dimensioned so that the forces occurring during the therapy can be introduced into the leg.
  • the support column has an arcuately curved shape, wherein the upper, spaced from the fastening means 15 end of the frame 11 terminates at about the same height or slightly before the distal end of the fastener.
  • the frame 11 is constructed in several parts and has different
  • the first frame portion 31 is fixedly connected to the fastening means 15 and extends obliquely backwards, so that the first
  • Frame section 31 protrudes at least partially beyond the fastening means 15.
  • the second frame portion 32 is detachably connected to the first frame portion 31 and extends approximately vertically upward with respect to the attachment means 15.
  • the third frame portion 33 is integrally connected to the second frame portion 32 and extends obliquely forward, resulting in the arcuate shape of the entire frame 11 results.
  • Frame portion 34 is connected to the third frame portion 33 and extends it obliquely forward.
  • the fourth frame portion 34 forms an adjustable frame part 27 which is pivotally connected to the stationary frame part 28 corresponding to the third frame portion 33.
  • a second adjusting element 16 is provided, for example in the form of a rotary joint, which is used to adjust the
  • Perforated plate is formed and thus forms a third adjustment member 17, the stationary first frame portion 31 with the height-adjustable frame part, comprising the third frame portion 33 and the fourth frame portion 34, adjustably connects.
  • the frame 11 is formed in three parts. It is also possible to form the frame 11 in two parts, so that the frame itself only fulfills the pivoting function.
  • the vertical one is also possible to form the frame 11 in two parts, so that the frame itself only fulfills the pivoting function.
  • Adjustability of the holding means 12a, 12b can be realized otherwise. It is also possible to provide only the height adjustment of the frame 11, wherein the pivotability of the holding means 12c for the thigh is otherwise realized.
  • each holding means 12a, 12b, 12c are movably mounted on the frame 11.
  • each holding means 12a has a movement element 14.
  • the movement element 14 is an elongated, in particular cylindrical, component which is located in the
  • Movement means 14 extend in parallel sagittal planes.
  • the attachment of the movement elements 14 is effected by first adjusting elements 18 which are fixedly connected to the frame 11.
  • the adjusting elements 18 form
  • Movement elements 14 are adjusted in the sagittal direction, so that the position of the holding means 12a, 12b can be changed for the lower leg.
  • the movement member 14 for the upper thigh holding means 12c is rigidly connected to the frame 11. Alternatively, a sagittal adjustable connection of the movement element 14 with the frame 11 can take place.
  • the holding means 12a, 12b are attached further down the frame 11 as the thigh holding means 12c. Between the upper holding means 12b for the lower leg and the holding means 12c for the thigh, a distance is formed in the vertical direction. In addition, the thigh support means 12c faces in a rearward direction, i. in the direction of the rear.
  • the retaining means 12a, 12b for the lower leg have in opposite
  • the holding means 12a, 12b, 12c arranged so that in use a leg between the holding means 12a, 12b, 12c is fixable.
  • the holding means 12c for the thigh is fixed to the fourth frame portion 34 and the pivotable frame part 27, namely at the free end of the frame part 27.
  • the holding means 12a, 12b for the lower leg are in the lower region of the frame 11, fixed to the height-adjustable frame part ,
  • the holding means 12a, 12b, 12c each have a contact surface 35 for the leg.
  • Lower leg and thigh abutment surface 35 are disposed at each end of the retaining means and facing in opposite directions so that the respective abutment surface contacts the front of the thigh and the back of the lower leg, respectively, as the leg moves in the device becomes.
  • the flexing means 13, in the region of which in use the knee joint is located, is arranged in the frame longitudinal direction between the upper retaining means 12b for the lower leg and the retaining means 12c for the thigh.
  • the flexing means 13, in particular the padded roll, is approximately flush with the lower leg holding means 12a, 12b. Another position is possible due to the adjustability of the flexing means 13 or the holding means 12a, 12b.
  • the flexing means 13 is arranged in the region of the second adjusting means 16 or of the rotary joint.
  • the flexion means 13 has a longitudinal axis which is perpendicular to the frame 11.
  • the curved surface of the flexing means 13 against which the knee joint abuts in use extends circumferentially about the longitudinal axis.
  • the flexing means 13 is attached to an angle piece, whose one leg is arranged parallel to the frame 11. On the other leg, the padded role or generally the role of the knee joint is appropriate.
  • a plurality of slots are provided, through which the inflection means 13, specifically the angle piece is adjustably secured to the frame.
  • the Elbow has a central slot, which is in engagement with the hinge, specifically with the mounting screw of the rotary joint. Parallel to the central slot at least one, in particular two outer slots are provided, through which the fixing means 13 by means of appropriate screws on the frame 11 can be fastened.
  • Movement elements 14 adapted to generate a force that is transferable in use by the respective holding means 12a, 12b, 12c on the leg.
  • each movement element 14 consists of a housing 22, in particular of an outer cylinder, which is connected by an elastic means 24, for example a compression spring, movable with a piston, concretely with an inner cylinder 23.
  • the piston 23 is guided in the housing 22 and by a
  • the actuator 25 is designed as a clamping device which is fixedly mounted on the housing 22 and the outer cylinder and as an end stop of the
  • the bolt 26 connected to the screw can be easily adjust the bias or the path of movement of the holding means 12a, 12b, 12c.
  • Movement element is an example of the initially described distal
  • a proximal arrangement of the movement element may be provided, for example.
  • the cuff is designed as a compressible air cushion.
  • the first adjustment elements 18 extend perpendicular to the frame 11 and receive the movement elements 14 in a vertical position, so that they are arranged parallel to the frame 11. Furthermore, it can be seen in FIG. 3 that the retaining element 12c is tilted obliquely upwards in the rest position shown in FIG. 3, whereby the bearing of the retaining element 12c on the thigh is favored.
  • the thigh support means 12c engages the thigh when the leg is stretched, with the desired counterforce being exerted on the thigh by the movement member 14 by the holding means 12c (facilitation).
  • the thigh is released from the thigh support 12c.
  • the flexion of the knee is assisted by the flexing means 13, which comes into abutment with the popliteal fossa.
  • the investment in the holding means 12c for the thigh and the inflection means 13 takes place intermittently.
  • the lower leg support means 12a, 12b contact it during flexion and / or extension of the leg.
  • One function of the lower leg support means 12a, 12b is mechanical stabilization of the leg.
  • Another feature is the improvement of muscle tension through the touch of the skin similar to stimulating the skin through physiotapes.
  • a position of the lower leg holding means 12a, 12b adapted to the respective patient is achieved by adjusting the lower leg holding means 12a, 12b.
  • driven controllable moving means are provided, one of which is shown in FIG.
  • the movement means are connected to a stationary frame (not shown) and have holding means for fixing one foot each.
  • the holding means for Attachment of the foot is shown in FIG. 4 and firmly connected to the base plate or fastening means 15 of the device.
  • the motion devices of the system are independently movable along gantry trajectories.
  • the movement devices each comprise a pivotable at different altitudes boom, on the one hand hinged to a first carriage of a linear guide and on the other hand rotatably connected to one of the holding means.
  • a second carriage of the linear guide is arranged, which is articulated to the boom by a connecting element.
  • the first carriage has a first linear drive for changing the height position of the respective holding means.
  • the boom is equipped with a rotary drive to change the inclination of the respective holding means.

Abstract

L'invention concerne un dispositif qui est destiné à un traitement thérapeutique des extrémités inférieures d'un être humain et qui est pourvu d'un cadre (11) lequel s'étend lors de son utilisation le long de l'une desdites extrémités inférieures; un moyen de flexion (13) destiné au genou étant fixé sur le cadre (11); au moins un moyen de maintien destiné à la cuisse et au moins un moyen de maintien destiné au mollet étant chacun relié au cadre (11) à l'aide d'un élément de déplacement; les moyens de maintien destinés à la cuisse et au mollet étant décalés l'un par rapport à l'autre dans le sens longitudinal du cadre et disposés l'un face à l'autre, de manière à ce que lors de l'utilisation, la jambe puisse être fixée entre les moyens de maintien; le moyen de flexion (13) étant disposé dans le sens longitudinal du cadre entre les moyens de maintien, de manière à ce que lors de l'utilisation, le moyen de flexion (13) soit disposé au niveau de la fosse poplitée; ledit moyen de déplacement étant réalisé tel qu'il permet de générer une force laquelle peut être transmise, lors de l'utilisation, à la jambe par l'intermédiaire du moyen de maintien concerné; et le cadre (11) pouvant être relié à un système destiné à mettre en œuvre une thérapie locomotrice assistée par des appareils.
PCT/EP2013/065065 2012-07-17 2013-07-17 Dispositif destiné à un traitement thérapeutique et système destiné à mettre en œuvre, au moyen d'un tel dispositif, une thérapie locomotrice assistée par des appareils WO2014012961A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EP13774615.2A EP2903580A1 (fr) 2012-07-17 2013-07-17 Dispositif destiné à un traitement thérapeutique et système destiné à mettre en oeuvre, au moyen d'un tel dispositif, une thérapie locomotrice assistée par des appareils

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102012106428.8A DE102012106428A1 (de) 2012-07-17 2012-07-17 Vorrichtung zur therapeutischen Behandlung, System zur gerätegestützten Lokomotionstherapie und Verfahren zur Steuerung der Vorrichtung
DE102012106428.8 2012-07-17

Publications (1)

Publication Number Publication Date
WO2014012961A1 true WO2014012961A1 (fr) 2014-01-23

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Country Link
EP (1) EP2903580A1 (fr)
DE (1) DE102012106428A1 (fr)
WO (1) WO2014012961A1 (fr)

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DE102021100829B3 (de) 2021-01-15 2022-05-19 ReActive Robotics GmbH Fußstützensystem für ein Fußmodul eines Rehabilitationsmechanismus

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