WO2019038653A1 - Dispositif de rééducation motrice dans des dysfonctionnements posturaux - Google Patents

Dispositif de rééducation motrice dans des dysfonctionnements posturaux Download PDF

Info

Publication number
WO2019038653A1
WO2019038653A1 PCT/IB2018/056268 IB2018056268W WO2019038653A1 WO 2019038653 A1 WO2019038653 A1 WO 2019038653A1 IB 2018056268 W IB2018056268 W IB 2018056268W WO 2019038653 A1 WO2019038653 A1 WO 2019038653A1
Authority
WO
WIPO (PCT)
Prior art keywords
education
motor
patient
motricity
stationary
Prior art date
Application number
PCT/IB2018/056268
Other languages
English (en)
Inventor
Andrea SAGGINI
Susanna MORICI
Original Assignee
C.O.R.P.O. 53 S.R.L.
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 C.O.R.P.O. 53 S.R.L. filed Critical C.O.R.P.O. 53 S.R.L.
Publication of WO2019038653A1 publication Critical patent/WO2019038653A1/fr

Links

Classifications

    • 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
    • A63B22/02—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with movable endless bands, e.g. treadmills
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B69/00—Training appliances or apparatus for special sports
    • A63B69/0057—Means for physically limiting movements of body parts
    • 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
    • A63B21/00181—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices comprising additional means assisting the user to overcome part of the resisting force, i.e. assisted-active exercising
    • 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
    • A63B21/4007—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor to the chest region, e.g. to the back chest
    • 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
    • A63B69/00—Training appliances or apparatus for special sports
    • A63B69/0064—Attachments on the trainee preventing falling
    • 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
    • A63B22/0048—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with cantilevered support elements pivoting about an axis
    • A63B22/0056—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with cantilevered support elements pivoting about an axis the pivoting movement being in a vertical plane, e.g. steppers with a horizontal axis

Definitions

  • the present invention concerns a device for motor re ⁇ education in postural dysfunctions according to the preamble of the main claim.
  • the devices for motor re-education in postural dysfunctions are used for the development of global motricity in stationary environment.
  • These devices for motor re-education in postural dysfunctions allow the patient having a postural problem, which can be caused by diseases, traumas, incorrect habits or the like, to have his/her global motricity evaluated, optimized and increased by at least partially supporting his/her weight and by guiding his/her movements during the activity of stationary motricity.
  • These devices for motor re-education in postural dysfunctions usually comprise a member for patient's stationary motricity ⁇ such as a treadmill, which allows static walking, or an elliptical trainer, which guides walking according to an elliptical movement of the inferior limbs, or else a stepper, which simulates ascending steps) , a supporting member, often of bridge- crane type, with two pillars and a crossbeam, a harness adapted to be worn by the patient, and lifting slings made, for example, of belts or ropes and adapted to constrain the harness to the supporting member, usually the crossbeam, and to support the patient's weight thereby reducing the load on the legs.
  • a member for patient's stationary motricity such as a treadmill, which allows static walking, or an elliptical trainer, which guides walking according to an elliptical movement of the inferior limbs, or else a stepper, which simulates ascending steps
  • a supporting member often of bridge- crane type, with two pillar
  • Another problem is that current devices for motor reeducation in postural dysfunctions have poor effectiveness .
  • Object of the present invention is therefore to provide a device for motor re-education in postural dysfunctions that allows to overcome the above mentioned drawbacks, in particular an object is to implement a device for motor re-education in postural dysfunctions that can be more easily transported.
  • Another object is to provide a device that is more effective in performing its function of motor re ⁇ education in postural dysfunctions.
  • fig. 1 shows a perspective view of a device according to the invention
  • fig. 2 shows a front view of said device
  • fig. 3 is an enlargement of the upper portion of figure 2 , with the addition of arrows that show some possible adjustments;
  • fig. 4 shows a front view of the upper portion of a variation of the device according to the invention.
  • Each patient needs constraints able to be tailored to his or her particular sizes: for example, a child is shorter than an adult.
  • the width of the shoulders varies from patient to patient: if the distance between the lifting slings cannot be adjusted and therefore adapted to the patient, the patient can be subjected to horizontal and torsional forces that make more difficult to perform correct movements.
  • the device for motor re-education in postural dysfunctions cannot be tailored to different types of patients, its effectiveness is doomed to be moderately poor .
  • the device for motor re-education in postural dysfunctions allows these problems to be solved, guiding the patient better, allowing a fine adjustment suitable for each patient of the length, the position and the reciprocal distance of the lifting slings and also obtaining the advantage of an easier transportability of the machine.
  • the device for motor re-education in postural dysfunctions comprises a platform 1, a member for stationary motricity 2, such as a treadmill (depicted in the figures) or a stepper or another similar member arranged above the platform 1 and adapted to allow walking of a patient 3 so that the patient's trunk remains substantially stationary with respect to the device for motor re-education in postural dysfunctions, a supporting member 4 adapted to support the weight of the patient 3.
  • this supporting member 4 comprises a pillar 6 vertically extending from the platform 1 to the side of the member for stationary motricity 2 and a crossbeam 7 horizontally extending above the platform 1 and above the member for stationary motricity 2.
  • the pillar 6 has at least two mutually sliding parts for adjusting the height of the supporting member 4 and thus the total height HT of the device.
  • the supporting member 4 it is of course possible for the supporting member 4 to have a different structure, but in any case this supporting member extend both vertically and horizontally so that at least part of the supporting member is above the member for stationary motricity 2, i.e. directly on the vertical axis.
  • the device comprises horizontal postural constraints 13, both front and rear ones, adapted both to maintain a proper three-dimensional position for the sternum scapulohumeral subsystem, i.e. the shoulders, the pelvis subsystem i.e. the pelvic region, and to provide adeguate support as well as spatial alignment for the vertebral relay subsystem, i.e. the spine.
  • the device according to the invention comprises a harness 5 adapted, when constrained to the supporting member 4, to be worn by the patient 3 and to support his/her weight.
  • This harness 5 is adjustable to fit different patient sizes, and the device can also be equipped with two or more harnesses, for patients of very different sizes, for example one suitable for a child and one suitable for an adult .
  • the device according to the invention comprises one or more lifting slings 8 and 9, which are adapted to connect the harness 5 to the supporting member 4 at one or more connecting points 15 and 16 arranged on the supporting member 4 in a vertical direction above the member for stationary motricity 2.
  • lifting slings refers to flexible elements able to support the weight of the patient. Therefore, these lifting slings 8 and 9 can comprise, for example, ropes, belts, flexible metal cables or chains.
  • the device according to the invention comprises a first lifting sling 8 and a second lifting sling 9, for connecting the harness 5 to the supporting member 4.
  • the distance H in a vertical direction between these one or more connecting points 15 and 16 and the member for stationary motricity 2 or the platform 1 is adjustable and can be reduced in order to simultaneously reduce the f ee-oscillation lengths LI and L2 of the lifting slings 8 and 9, so as to better constrain the patient and guide him/her in performing the correct movements .
  • free-oscillation lengths LI and L2 of the lifting slings 8 and 9 is meant the distance between the first or second connecting points 15 and 16 where the lifting slings 8 and 9 connect to the supporting member 4 and the corresponding attaching elements 14 to attach the harness 5 to the lifting slings 8 and 9, when the harness 5 is worn by the patient who is on the member for stationary motricity 2 in a suitable position for performing his/her motor re-education exercise.
  • the device according to the invention may comprise a system of elastic rewinding or active adjustment of the lifting slings, which allows their free-oscillation lengths to be tailored to the changing height of the patient's shoulders during exercise, always applying the same weight supporting force and maintaining a reduced load on the patient's legs .
  • the member for stationary motricity 2 has a walking direction S that, in case of the treadmill shown in figure 1, corresponds for example to the sliding direction with respect to which a left side LS, a right side LD, a front side LA and a back side LP can be determined (figure 1).
  • said first and second connecting points 15 and 16 have an adjustable mutual distance D in the horizontal direction, in order to fit the width of the patient's shoulders.
  • the harness is preferably provided with straps 12 or belts which wrap round the patient's shoulders, and these straps 12 have attaching elements 14, such as rings, at the left shoulder and the right shoulder, so that by means of these attaching elements 14 the first lifting sling 8 can be connected to a point of the harness 5 corresponding to the right shoulder of the patient 3 and the second lifting sling 9 can be connected to a point of the harness 5 corresponding to the left shoulder of the patient 3.
  • At least one of these lifting slings 8 and 9 or them both have adjustable free-oscillation lengths Ll and L2.
  • the free-oscillation lengths Ll and L2 of the lifting slings 8 and 9 can be adjusted, i.e. increased or decreased, by a winding device to wind the lifting slings 8 and 9 that is arranged in the crossbeam, so that the free-oscillation lengths Ll and L2 may not correspond to the lengths of the lifting slings 8 and 9.
  • the free-oscillation length Ll of the first lifting sling 8 preferably, can be adjusted independently of the free-oscillation length L2 of the second lifting sling 9.
  • said supporting member 4 extends from the platform 1 vertically, or at least in a direction having a vertical component, at only one side of the member for stationary motricity 2 or of the platform 1, for example the right side LD as in figure 1 or at two adjacent sides, for example the right side LD and the back side LP.
  • the supporting member 4 has an adjustable height, for example by means of the mutual sliding of the two parts making up the pillar 6, the entire device according to the invention also has an adjustable total height HT.
  • said height HT can be adjusted or varied up to a value lower than two meters, for easier transport of the device.
  • this total height HT can be adjusted or varied up to a value lower than 1.5 m.
  • a telescopic single or multi-stage pillar that comprises two or more reciprocally sliding parts and that can be lowered by bringing the crossbeam 7 very close to the pillar 1 and to the member for stationary motricity 2, which can be removed from the platform 1.
  • the device according to the invention may comprise, as shown in figure 4, a first rigid supporting member 20 connected to the crossbeam 7 and adapted to be connected to the first strap 8 and a second rigid supporting member 21 connected to the crossbeam 7 and adapted to be connected to the second strap 9.
  • Said first and second rigid support elements 20 and 21 are adapted to lower the first and second connecting points 15 and 16, respectively, by bringing them closer to the shoulders of patient 3 and reducing the free- oscillation lengths LI and L2 of the respective lifting slings 8 and 9.
  • first and second rigid supporting elements 20 and 21 may comprise a guide for the first and second lifting slings 8 and 9, respectively: for example, the lifting slings 8 and 9 may pass through this guide, which reduces their f ee-oscillation lengths LI and L2, thereby preventing the free oscillation of the element portion that is inserted in the guide.
  • each of said first and second rigid supporting elements 20 and 21 can comprise an annular element, at least as large as the patient's head, shaped as a circle, square or rectangle, for example .
  • Each of these first and second rigid supporting elements can have the shape, for example, of a large ring with a diameter of 20 cm or more and rigidly connected to the crossbeam 7, the line joining the centers of the two rings being substantially in line with the patient's shoulders.
  • first and second rigid supporting elements may also be arranged obliquely (not shown for simplicity) , but so that the first and second connecting points 15 and 16 are directly above the patient's shoulders and close to the patient's head.
  • the supporting member 4 may comprise, for example inserted in the crossbeam 7, a manual or electrical and/or mechanical device for adjusting the reciprocal distance D between said first and second lifting slings 8 and 9 , according to the arrows in figure 3, and for reducing their free-oscillation lengths Ll and L2.
  • the device In its operation, the device can be transported to the rehabilitation center by lowering the crossbeam 7 as much as possible and reducing the total height HT, so that the dimensions are as small as possible.
  • the supporting member is raised, for example by extending the pillar 6 to a height adapted to allow the patient to stand on the member for stationary motricity 2 without touching the crossbeam 7 with the head.
  • the patient wears the harness 5, the lifting slings 8 and 9 are lowered and one end thereof is connected to the attaching elements 14, which are arranged on the straps 12 of the harness 5, respectively on the left shoulder and the right shoulder.
  • the height of the pillar 6 is lowered until the crossbeam 7 is just above the head of the patient 3.
  • the distance D between the first and second lifting slings 8 and 9 is adjusted to fit the shoulder width of the patient 3.
  • the free-oscillation lengths Ll and L2 of the lifting slings 8 and 9 are reduced.
  • the free-oscillation lengths LI and L2 of the lifting slings 8 and 9 are also independently adjusted, in order to adapt each lifting sling to the height of the patient's shoulder which the lifting sling is connected to.
  • Horizontal postural constraints 13 are leaned against the front and back of the patient's shoulders, pelvis and spine .
  • the latter can take a compact shape useful for facilitating its transport.
  • the device for motor re-education in postural dysfunctions allows multiple fine adjustments based on the features of each single patient, in particular it allows to adjust:
  • the distance D between the first and the second lifting slings 8 and 9 or, equivalently, the distance D between the first and the second connecting points 15 and 16.
  • An advantageous feature of the invention is that the free-oscillation lengths Ll and L2 of the lifting slings 8 and 9 can be greatly reduced by the presence of said first and second rigid supporting elements 20 and 21 which extend from the crossbeam 7, thereby bringing the first and second connecting points 15 and 16 significantly closer to the patient's shoulders and resulting in a large increase in the patient's natural oscillation frequency, and a reduction to a minimum of his/her oscillations.

Landscapes

  • 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)
  • Pulmonology (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Rehabilitation Tools (AREA)

Abstract

Cette invention concerne un dispositif de rééducation motrice dans des dysfonctionnements posturaux comprenant une plateforme (1), un élément pour motricité stationnaire (2) agencé au-dessus de la plateforme (1), un élément de support (4) conçu pour supporter le poids du patient (3), où ledit élément de support (4) s'étend horizontalement au-dessus de l'élément pour motricité stationnaire (2), un harnais (5) conçu pour être porté par le patient (3), où ledit dispositif comprend une ou plusieurs élingues de levage (8, 9) conçues pour relier le harnais (5) à l'élément de support (4) en un ou plusieurs points de fixation (15,16) agencés sur l'élément de support (4) dans le sens vertical au-dessus de l'élément pour motricité stationnaire (2), où la distance verticale (H) entre ledit ou lesdits points de fixation (15, 16) et l'élément pour motricité stationnaire (2) est réglable.
PCT/IB2018/056268 2017-08-24 2018-08-20 Dispositif de rééducation motrice dans des dysfonctionnements posturaux WO2019038653A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
IT102017000095769A IT201700095769A1 (it) 2017-08-24 2017-08-24 Dispositivo per la rieducazione della motricità nelle disfunzioni posturali
IT102017000095769 2017-08-24

Publications (1)

Publication Number Publication Date
WO2019038653A1 true WO2019038653A1 (fr) 2019-02-28

Family

ID=61024844

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IB2018/056268 WO2019038653A1 (fr) 2017-08-24 2018-08-20 Dispositif de rééducation motrice dans des dysfonctionnements posturaux

Country Status (2)

Country Link
IT (1) IT201700095769A1 (fr)
WO (1) WO2019038653A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110711115A (zh) * 2019-10-22 2020-01-21 漫步者（天津）康复设备有限公司 悬吊式下肢康复机器人
US20220287903A1 (en) * 2021-03-11 2022-09-15 Fu An Wellness Technology, Inc. Device with Antigravity and Suspension

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2010105773A1 (fr) * 2009-03-20 2010-09-23 M.P.D. Costruzioni Meccaniche S.R.L. Dispositif de réhabilitation motrice robotisé
EP2241302A1 (fr) * 2009-03-25 2010-10-20 Jorge Cardile Appareil pour la réhabilitation de patients souffrant d'un dysfonctionnement moteur
WO2016005367A1 (fr) * 2014-07-09 2016-01-14 Hocoma Ag Appareil pour l'entraînement à la marche

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2010105773A1 (fr) * 2009-03-20 2010-09-23 M.P.D. Costruzioni Meccaniche S.R.L. Dispositif de réhabilitation motrice robotisé
EP2241302A1 (fr) * 2009-03-25 2010-10-20 Jorge Cardile Appareil pour la réhabilitation de patients souffrant d'un dysfonctionnement moteur
WO2016005367A1 (fr) * 2014-07-09 2016-01-14 Hocoma Ag Appareil pour l'entraînement à la marche

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110711115A (zh) * 2019-10-22 2020-01-21 漫步者（天津）康复设备有限公司 悬吊式下肢康复机器人
US20220287903A1 (en) * 2021-03-11 2022-09-15 Fu An Wellness Technology, Inc. Device with Antigravity and Suspension

Also Published As

Publication number Publication date
IT201700095769A1 (it) 2019-02-24

Similar Documents

Publication Publication Date Title
US2812010A (en) Balancing and walking device
US2648540A (en) Weight raising exercising apparatus
KR102218960B1 (ko) 몸통 지지 외골격 및 사용 방법
US11260267B2 (en) Weighted-squat exercise machine and belt
US4125257A (en) Exercising device for aerial exercises
US3937461A (en) Exerciser for aerial calisthenics
US3379439A (en) Side horse training device
US20140276306A1 (en) Physical therapy support device and harness
US9854898B2 (en) Suspension therapy apparatus
US8287439B2 (en) Self-operating back stretching device
US10039684B2 (en) Rehabilitation apparatus
EP1207836B1 (fr) Bride de levage
US11097145B2 (en) Free weight belt squat machine
US11083661B2 (en) Dual hand controlled device for leg stretching and/or activation
WO2011089632A1 (fr) Dispositif pour entraînement par suspension doté d'une barre d'équilibrage
WO2019038653A1 (fr) Dispositif de rééducation motrice dans des dysfonctionnements posturaux
CN112657125B (zh) 步行训练系统、穿戴件及工作方法
WO2017139737A1 (fr) Dispositif de levage
RU170298U1 (ru) Устройство для вертикализации и разгрузки массы тела обучаемого с детским церебральным параличом при обучении ходьбе
JP3802045B1 (ja) 屈伸動作補助具
US20210038464A1 (en) Relief system for at least partially relieving the body weight of a person
JP2017225626A (ja) 歩行補助装置
CN112657124A (zh) 步行训练系统及工作方法
US20220305307A1 (en) Self-adjusting safety harness
US10245200B2 (en) Traction device

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 18769792

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 18769792

Country of ref document: EP

Kind code of ref document: A1