WO2017043988A1 - System of adaptation standing frame supporting the rehabilitation process of the disabled - Google Patents

System of adaptation standing frame supporting the rehabilitation process of the disabled Download PDF

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Publication number
WO2017043988A1
WO2017043988A1 PCT/PL2015/050046 PL2015050046W WO2017043988A1 WO 2017043988 A1 WO2017043988 A1 WO 2017043988A1 PL 2015050046 W PL2015050046 W PL 2015050046W WO 2017043988 A1 WO2017043988 A1 WO 2017043988A1
Authority
WO
WIPO (PCT)
Prior art keywords
muscles
standing frame
adaptation
control
motor
Prior art date
Application number
PCT/PL2015/050046
Other languages
French (fr)
Inventor
Tomasz KUDASIK
Sławomir MIECHOWICZ
Original Assignee
Politechnika Rzeszowska
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
Priority to PL413859A priority Critical patent/PL413859A1/en
Priority to PLP413859 priority
Application filed by Politechnika Rzeszowska filed Critical Politechnika Rzeszowska
Publication of WO2017043988A1 publication Critical patent/WO2017043988A1/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F4/00Methods or devices enabling invalids to operate an apparatus or a device not forming part of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Detecting, measuring or recording for diagnostic purposes; Identification of persons
    • A61B5/04Measuring bioelectric signals of the body or parts thereof
    • A61B5/0488Electromyography
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Detecting, measuring or recording for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4836Diagnosis combined with treatment in closed-loop systems or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Detecting, measuring or recording for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6887Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient mounted on external non-worn devices, e.g. non-medical devices
    • 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
    • A61H3/008Using suspension devices for supporting the body in an upright walking or standing position, e.g. harnesses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36003Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of motor muscles, e.g. for walking assistance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014External stimulators, e.g. with patch electrodes
    • A61N1/3603Control systems
    • A61N1/36031Control systems using physiological parameters for adjustment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2505/00Evaluating, monitoring or diagnosing in the context of a particular type of medical care
    • A61B2505/09Rehabilitation or training
    • 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
    • A61H1/0218Drawing-out devices
    • A61H1/0229Drawing-out devices by reducing gravity forces normally applied to the body, e.g. by lifting or hanging the body or part of it
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/0404Electrodes for external use
    • A61N1/0408Use-related aspects
    • A61N1/0452Specially adapted for transcutaneous muscle stimulation [TMS]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/0404Electrodes for external use
    • A61N1/0472Structure-related aspects
    • A61N1/0476Array electrodes (including any electrode arrangement with more than one electrode for at least one of the polarities)
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B2022/0094Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements for active rehabilitation, e.g. slow motion devices

Abstract

The system of adaptation standing frame supporting the rehabilitation process of the disabled using the system including a harness has the fastening belt (4) which is connected with the motor (3) of the lifting system by means of belts rolled up by the motor onto the drums, table of the standing frame (7) and the control system (2) connected with sensors (1) measuring tension of muscles of a verticalised patient, which stimulate additional tension of muscles making it possible to lift patient's body. The control system (2) collects information on tension of muscles and controls the process of stimulating muscles and work of the system's motor. The control signal to the system of lifting may come from the area of both lower limbs and upper limbs using in this way signals from the sensors (1) fastened to a healthy limb e.g. to the wrist for control of stimulation of muscles of legs.

Description

System of adaptation standing frame supporting the rehabilitation process of the disabled

The subject of the invention includes a system of adaptation standing frame supporting the rehabilitation process of the disabled.

The aim of the invention is the rehabilitation system which will enable adaptation influence the process of lifting and lowering body taking account of information transmitted from patient's body (tension of muscles).

The system of adaptation standing frame supporting the rehabilitation process of the disabled according to the invention includes a set of sensors from 1 to 8, favourably measurement electrodes which may stimulate muscles including favourably from 1 to 4 sensors measuring tension of muscles, fastened to patient's body, control system, motor of a lifting system, battery supplying the control system and lifting system, safety switch, table of the standing frame ensuring stabilisation of a patient in the standing position and the fastening belt of the lifting system together with a safety harness. The control system is favourably the system collecting information on tension of muscles and controlling the system of stimulation of muscles and work of a motor of the lifting system, follow-up system. The task of the lifting system is mechanical support of the process of verticalisation of a patient. The lifting system includes: a motor, belts rolled up by the motor onto drums and the fastening belt together with the safety harness. Lifting of a patient with the use of the prepared standing frame consists of five stages:

— active attempt to tighten muscles of limbs (initiation of the movement of lifting the body),

— detection of the movement initiated by a patient (even handicapped) through sensors (electrodes) measuring tension of muscles - stimulation of muscles after exceeding the set threshold of tension,

— making of the supported movement (securing from falling) through the system controlling the motor of the lifting system which continuously maintains the tension of belts (rolling up) and the fastening belt (device is activated by means of signals coming from patient's body), — stabilisation stage - pulling up of the belts of the standing frame to a set final position (full verticalisation).

The advantage of the invention is the semi-active participation of a patient in the process of lifting and lowering the body taking account of information transmitted from patient's body (biofeedback). Depending on the degree of paralysis of limbs stimulating electrodes (placed in the area of lower limbs) may also perform the role of measurement electrodes if they are located in places in which it is possible to carry out measurement of tension of muscles. In case of large dysfunctions it is necessary to apply separate measurement electrodes located in places where such a measurement is possible (e.g. arm, forearm). Active participation of a patient in exercises positively influences improvement of the level of motivation to take up rehabilitation exercises. A cycle of movements with active support of an exercise (verticalisation) generates positive stimuli from a brain to limbs of human body in contrast to passive lifting in case of a standard standing frame. The level of perceiving safety of untypical arrangement of the body by a patient is improved and ipso facto the feeling of self-confidence. Patient's concentration on active performance of exercises makes it possible to forget about circulation and respiratory troubles connected with the process of a rapid change of the position of the body. The active control way of the lifting system makes it possible to correct the position of limbs and trunk of a patient irrespective of his weight, degree of paralysis of movements and degree of degeneration of nerve connections.

The subject of the invention is presented in the following examples which do not limit in any way this invention in the drawing in which fig. 1. presents in the isometric diagonal view from a side, and fig. 2. presents the scheme of the adaptation system of the standing frame supporting the rehabilitation process of the disabled.

Example:

The system of the adaptation standing frame supporting the rehabilitation process of the disabled consists of a set of measurement electrodes measuring the tension of muscles and stimulating electrodes 1, fastened to patient's body. In addition, the adaptation system consists of a motor 3 of the lifting system together with a battery 5 supplying the control and lifting systems, safety switch 6 and control system 2, which collects information on tension of muscles and controls the process of stimulation of muscles and work of the motor of the system. The table of the standing frame 7 ensures stabilisation of a patient in the standing position. A patient is secured by the fastening belt 4 of the lifting system 3 together with the safety harness. Lifting of a patient with the use of the prepared standing frame consists of five stages:

— active attempt to tighten muscles of limbs (initiation of the movement of lifting the body),

— detection of the movement initiated by a patient (even handicapped) through electrodes 1 measuring tension of muscles - stimulation of muscles after exceeding the set threshold of tension,

— making of the supported movement securing from falling through the system controlling 1 the motor of the lifting system 3 which continuously maintains the tension of belts through their rolling up and the fastening belt 4 with the reservation that the device is activated by means of signals coming from patient's body,

— stabilisation stage - pulling up of the belts of the standing frame to a set final position (full verticalisation).

Claims

Patent claims
The system of adaptation standing frame supporting the rehabilitation process of the disabled using the system including a harness is characterised in that it has the fastening belt 4 which is connected with the motor 3 of the lifting system by means of belts rolled up by the motor onto the drum, table of the standing frame 7 and the control system 2 connected with sensors 1 measuring tension of muscles of a verticalised patient, which stimulate additional tension of muscles making it possible to lift patient's body.
The system of adaptation standing frame according to claim 1 is characterised in that the degree of tension of the belts and pulling up of the fastening belt is adjusted in a continuous way through work of the motor 3 of the lifting system cooperating with the control system 2.
The system of adaptation standing frame supporting the rehabilitation process of the disabled according to claim 1 or 2 is characterised in that the control system 2 collects information on tension of muscles and controls the process of stimulating muscles and work of the system's motor.
The system of adaptation standing frame according to claim 3 is characterised in that the control signal to the system of lifting may come from the area of both lower limbs and upper limbs using in this way signals from the sensors 1 fastened to a healthy limb e.g. to the wrist for control of stimulation of muscles of legs.
The system of adaptation standing frame supporting the rehabilitation process of the disabled according to claim 4 is characterised in that the motor 3 of the system and the control system 2 are supplied by the battery 5 and the supply may be disconnected by means of the safety switch 6.
PCT/PL2015/050046 2015-09-07 2015-09-23 System of adaptation standing frame supporting the rehabilitation process of the disabled WO2017043988A1 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
PL413859A PL413859A1 (en) 2015-09-07 2015-09-07 System of adaptative standing frame supporting rehabilitation process of disabled persons
PLP413859 2015-09-07

Publications (1)

Publication Number Publication Date
WO2017043988A1 true WO2017043988A1 (en) 2017-03-16

Family

ID=54364640

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/PL2015/050046 WO2017043988A1 (en) 2015-09-07 2015-09-23 System of adaptation standing frame supporting the rehabilitation process of the disabled

Country Status (2)

Country Link
PL (1) PL413859A1 (en)
WO (1) WO2017043988A1 (en)

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040143198A1 (en) * 2000-08-25 2004-07-22 West R. Gary Powered gait orthosis and method of utilizing same
US20040172097A1 (en) * 2001-05-16 2004-09-02 Roland Brodard Therapeutic and/or training device for a person's lower limbs
US20050217025A1 (en) * 2004-03-31 2005-10-06 Barattia Edward C Standing frame with lift, support and transport of user
US20110040349A1 (en) * 2009-08-12 2011-02-17 Daniel Graupe Noninvasive electrical stimulation system for standing and walking by paraplegic patients
US20150165265A1 (en) * 2013-12-13 2015-06-18 ALT Innovations LLC Multi-Modal Gait-Based Non-Invasive Therapy Platform
US20150182784A1 (en) * 2011-08-27 2015-07-02 Restorative Therapies, Inc. Motorized Functional Electrical Stimulation Step and Stand Trainer

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040143198A1 (en) * 2000-08-25 2004-07-22 West R. Gary Powered gait orthosis and method of utilizing same
US20040172097A1 (en) * 2001-05-16 2004-09-02 Roland Brodard Therapeutic and/or training device for a person's lower limbs
US20050217025A1 (en) * 2004-03-31 2005-10-06 Barattia Edward C Standing frame with lift, support and transport of user
US20110040349A1 (en) * 2009-08-12 2011-02-17 Daniel Graupe Noninvasive electrical stimulation system for standing and walking by paraplegic patients
US20150182784A1 (en) * 2011-08-27 2015-07-02 Restorative Therapies, Inc. Motorized Functional Electrical Stimulation Step and Stand Trainer
US20150165265A1 (en) * 2013-12-13 2015-06-18 ALT Innovations LLC Multi-Modal Gait-Based Non-Invasive Therapy Platform

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
None

Also Published As

Publication number Publication date
PL413859A1 (en) 2017-03-13

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