WO2019067877A1 - System, devices, and methods including a spinal resistance assembly - Google Patents
System, devices, and methods including a spinal resistance assembly Download PDFInfo
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- WO2019067877A1 WO2019067877A1 PCT/US2018/053391 US2018053391W WO2019067877A1 WO 2019067877 A1 WO2019067877 A1 WO 2019067877A1 US 2018053391 W US2018053391 W US 2018053391W WO 2019067877 A1 WO2019067877 A1 WO 2019067877A1
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- A63B21/002—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices isometric or isokinetic, i.e. substantial force variation without substantial muscle motion or wherein the speed of the motion is independent of the force applied by the user
- A63B21/0023—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices isometric or isokinetic, i.e. substantial force variation without substantial muscle motion or wherein the speed of the motion is independent of the force applied by the user for isometric exercising, i.e. substantial force variation without substantial muscle motion
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- A63B21/1618—Supports for anchoring force-resisters on a door or a door frame
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Definitions
- the present disclosure is directed to, among other things, a neck strengthening device.
- the neck strengthening device includes a spinal resistance assembly having at least one resistance component configured to resist rotation about a first axis.
- the neck strengthening device includes a spinal resistance assembly having at least one resistance component configured to resist lateral rotation of the neck during use.
- the neck strengthening device includes a device securing assembly configured to physically anchor the device to an anchoring structure.
- the neck strengthening device includes a head affixing assembly physically coupled to the spinal resistance assembly.
- the head affixing assembly is configured to secure to a head of a user (e.g., person, patient, athlete, etc.) during use.
- the present disclosure is directed to, among other things, a spinal resistance strengthening system.
- the spinal resistance strengthening system includes circuitry configured generate user-specific neck strengthening information.
- the spinal resistance strengthening system includes circuitry configured to exchange neck strengthening information with one or more of a remote client device, server, network, enterprise server, and the like.
- the spinal resistance includes circuitry configured to exchange neck strengthening information with one or more of a remote client device, server, network, enterprise server, and the like.
- the spinal resistance strengthening system includes circuitry configured to initiate a discovery protocol that allows the spinal resistance strengthening device and a client device to find each other and negotiate one or more pre-shared keys.
- the spinal resistance strengthening system includes circuitry configured to initiate a discovery protocol that allows the spinal resistance strengthening device and a client device to find each other and establish an encrypted secure connection.
- the spinal resistance strengthening system includes circuitry configured to exchange neck strengthening information with a remote client device.
- the spinal resistance strengthening system includes circuitry configured to exchange anonymized and encrypted neck strengthening information with a remote client device.
- the present disclosure is directed to, among other things, a strengthening device.
- the neck strengthening device includes a resistance assembly having at least one resistance component configured to resist movement about a first axis.
- the neck strengthening device includes an affixing assembly physically coupled to the resistance assembly, the affixing assembly configured to secure to a body part of a user.
- the neck strengthening device includes a device securing assembly configured to physically anchor the device to an anchoring structure.
- Figures 1 A- IE are perspective views of a strengthening device according to one or more embodiments.
- Figures 2A and 2B show a spinal resistance strengthening system according to one or more embodiments.
- Figure 3 is a block diagram of a strengthening device according to an embodiment.
- Figure 4 shows a flow diagram of a method according to one embodiment.
- Figures 5A, 5B, and 5C show a spinal resistance strengthening system according to one or more embodiments.
- Figures 6A and 6B show an analytics representation for a spinal resistance strengthening system according to one or more embodiments.
- Musculoskeletal disorders are the second most common cause of disability worldwide, measured by years lived with disability. Storheim K, Zwart JA Musculoskeletal disorders and the global burden of disease study. Ann Rheumatic Dis 73: 949-950 (2014); see also Hoy D, March L, Brooks P, et al. The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis 2014;73:968-74.
- the most common musculoskeletal disorders are neck and low back pain. Neck pain plagues approximately a quarter of the population at any given time, resulting in increased medical costs, loss of productivity, and adds to the proliferation of pain medications.
- Neck pain results from many causes including degenerative conditions, trauma, and sports injuries. Injury and degeneration of the cervical spine have also been shown to cause tension headaches, nerve injury in the neck. These conditions are still poorly understood, and clinicians are often left with a trial and error strategy regarding diagnostic investigation and treatment.
- Degenerative disc disease and neck injuries result in loss of curvature of the spine and decreases in range of motion.
- the neck moves in multiple planes including flexion and extension and rotation.
- Many devices allow strengthening of flexion and extension, however increasing rotational strength and mobility is critical to preventing and recovering from age-related problems, motor vehicle accidents, and sports related incidents.
- Recent studies have also shown that increased neck strength decreases the incidence of sports concussions.
- the present disclosure details one or more methodologies or technologies that utilizes a novel approach, employing a variable applied force, to provide constant resistance to the cervical spine about one or more axes or planes of movement. In an embodiment, this not only allows for strengthening in both the traditional flexion and extension planes, but also uniquely provides constant resistance in the rotational axis.
- the present disclosure details one or more methodologies or technologies including a device configured to provide a distraction movement which can be used to decompress an injured spine.
- such complementary exercises result in balanced strengthening program for the cervical spine which maximizes the neck' s range of motion and prevents injury.
- Figures 1 A- IE show a strengthening device 102 in which one or more methodologies or technologies can be implemented such as, for example, providing constant resistance to lateral rotation of the cervical spine.
- the strengthening device 102 includes a spinal resistance assembly 104 including at least one resistance component configured to resist rotation about a first axis 112.
- the strengthening device 102 includes a device securing assembly 106 configured to physically anchor the device to an anchoring structure 110.
- the strengthening device 102 includes a head affixing assembly 108 physically coupled to the spinal resistance assembly 104, the head affixing assembly 108 configured to secure to a head of a user.
- the strengthening device 102 is configured and dimensioned to be portable.
- the strengthening device 102 is made from lightweight materials and includes collapsible structures for ease of portability.
- the strengthening device 102 is configured for home use.
- the strengthening device 102 includes a resistance assembly 104 configured to permit left and right lateral neck rotation of a user about the first axis while substantially limiting flexional and extensional movement.
- a user experiences a resistive force about the first axis as the user rotate neck and head, which helps to exercise and strengthen the neck and spinal muscles.
- neck and spinal muscles include longissimus capitis, rectus capitis posterior major, rectus capitis posterior minor, scalene muscles, semispinalis, splenius capitis, sternocleidomastoid, and the like.
- the spinal resistance assembly 104 is configured to permit lateral neck rotation of a user about the first axis while substantially limiting flexional and extensional movement of the head and neck.
- the spinal resistance assembly 104 includes one or more of a mechanical component, electromechanical component, magnetic component, electromagnetic component, hydraulic component, or a pneumatic component configured to resist rotation about the first axis.
- the spinal resistance assembly 104 includes a magnetic component configured to exert a drag force on a metal structure to resist head and neck rotation of a user about the first axis.
- the spinal resistance assembly 104 includes an electromagnetic component configured to exert a drag force on a metal structure to resist head and neck rotation of a user about the first axis. In an embodiment, the spinal resistance assembly 104 includes a magnetic component configured to adjust an applied drag force by modulating or varying a magnetic field. In an embodiment, the spinal resistance assembly 104 includes a magnetic component configured to adjust an applied drag force by moving a magnet further or closer to a ferromagnetic element.
- the spinal resistance assembly 104 includes a magnetic component configured to adjust an applied drag responsive to an applied voltage.
- the spinal resistance assembly 104 includes an eddy current brake.
- the spinal resistance assembly 104 includes a ferrofluid configured to change a resistive force in the presence of an applied voltage.
- the spinal resistance assembly 104 includes a friction pad applied to a rotor. In an embodiment, the spinal resistance assembly 104 includes an elector- mechanical braking pad assembly. In an embodiment, the spinal resistance assembly 104 includes an adjustable mechanical brake.
- the spinal resistance assembly 104 is configured to exert hydraulic resistance by actuation of a propeller in a fluid to resist head and neck rotation of a user about the first axis. In an embodiment, the spinal resistance assembly 104 is configured to exert hydraulic resistance by directing a fluid through a variable orifice to resist head and neck rotation of a user about the first axis. In an embodiment, the spinal resistance assembly 104 is configured to exert pneumatic resistance by directing a fluid through a variable orifice to resist head and neck rotation of a user about the first axis.
- the spinal resistance assembly 104 includes one or more pulleys coupled to at least one weight configured to exert a pull force to resist head and neck rotation of a user about the first axis. In an embodiment, the spinal resistance assembly 104 includes one or more springs configured to exert a pull force to resist head and neck rotation of a user about the first axis. In an embodiment, the spinal resistance assembly 104 includes one or more torque springs configured to resist rotation about the first axis.
- the strengthening device 102 includes a spinal resistance assembly
- the spinal resistance assembly 104 having one or more of a mechanical component, electromechanical component, magnetic component, electromagnetic component, hydraulic component, and a pneumatic component configured to resist flexion and extension about a second axis.
- the spinal resistance assembly 104 includes at least one resistance component configured to resist movement about a third axis different from the first axis and the second axis.
- the spinal resistance assembly 104 includes at least one resistance component configured to resist movement about an axis different from the first axis.
- the spinal resistance assembly 104 is further configured to permit flexional and extensional movement of a user about an axis different from the first axis.
- the spinal resistance assembly 104 includes at least one of a mechanical component, electromechanical component, magnetic component, electromagnetic component, hydraulic component, or a pneumatic component configured to resist lateral flexion and extension about a second axis.
- the strengthening device 102 includes a securing assembly 106 configured to anchor the strengthening device 102 to support structure (e.g., a base, stand, supporting structure, anchoring structure, harness worn by the user, squat rack, door frame, bed frame, wall mount, and the like).
- support structure e.g., a base, stand, supporting structure, anchoring structure, harness worn by the user, squat rack, door frame, bed frame, wall mount, and the like.
- the device securing assembly 106 includes mechanical ratchet device 114 configured to friction fit to a door frame.
- the device securing assembly 106 includes a latching structure configured to releasably attach to a base stand. In an embodiment, the device securing assembly 106 includes an adjustable clamping element configured to secure the strengthening device to a door frame.
- the device securing assembly 106 includes one or more fasteners configured to secure the strengthening device to a support structure.
- fasteners include one or more nuts and bolts, clamps, screws, pins, rivets, hook-and-loop fasteners, hook-and-pile fasteners, touch fasteners, and the like.
- the device securing assembly 106 includes a pneumatic ratchet and clamp device configured to secure the strengthening device to a support structure.
- the device securing assembly 106 includes mechanical ratchet device configured to friction fit to a door frame.
- the device securing assembly 106 includes a scissor jack configured to at least one of extend, push, lock, or compress against a door frame.
- the device securing assembly 106 includes an adjustable fastening structure configured to secure the strengthening device to a mating structure affixed to a door frame. In an embodiment, the device securing assembly 106 includes an adjustable fastening structure configured to secure the strengthening device to a squat rack. In an embodiment, the device securing assembly 106 includes one or more telescoping arms that lock into place via combination of quick release snap buttons and compression springs. In an embodiment, the device securing assembly 106 includes one or more telescoping arms that lock into place via quick release snap buttons. In an embodiment, the device securing assembly 106 includes one or more telescoping arms that lock into place via compression springs.
- the device securing assembly 106 includes a suction/vacuum seal configured to secure to the door frame. In an embodiment, the device securing assembly 106 includes a suction/vacuum seal configured to secure to the door frame that magnetically couples to magnetic piece receptor piece previously installed on the door frame.
- the strengthening device 102 includes a head affixing assembly 108 having at least one adjustable head strap configured to secure the strengthening device to a user.
- the head affixing assembly 108 includes at least one adjustable chin strap configured to secure the strengthening device to a user.
- the head affixing assembly 108 includes a self-forming memory foam to custom fit to custom contours of the head.
- the head affixing assembly 108 includes one or more inflatable bladders configured to pneumatically secure the device to a user' s head.
- the head affixing assembly 108 includes a helmet with internal pneumatic bladders configured to tighten securely around the crown of the head of a user. In an embodiment, the head affixing assembly 108 includes a helmet with internal pneumatic bladders configured to tighten securely around the crown of the head of a user, against the cheekbones and around the base of the skull, sharing a common mechanical interface that latches to a device drive ring.
- the head affixing assembly 108 includes a plate that flank each side of the head that adjusted by a controller (e.g., a screw assembly, an adjustment mechanism, a graduated adjustment mechanism, and the like) to tighten and secure device to the head.
- a controller e.g., a screw assembly, an adjustment mechanism, a graduated adjustment mechanism, and the like
- the strengthening device 102 includes one or more sensors configured to determine position, orientation, resistance, rotation direction, rotation velocity, and the like of the strengthening device 102.
- sensors include acoustic sensors, charge-coupled devices (CCDs), complementary metal-oxide- semiconductor (CMOS) devices, transducers, optical recognition sensors, detectors, electromagnetic energy sensors, image sensors, infrared sensors, nodes, optical sensors, photodiode arrays, radio frequency components sensors, thermo sensors, transducers, Hall Effect sensors, capacitance sensors, and the like
- sensors include angular velocity sensors, gyroscopes, steering angle sensors, rotation speed sensors, yaw-rate sensors, position sensors, and the like.
- the strengthening device 102 includes one or more orientation- aware sensors operably coupled to the strengthening device.
- the strengthening device 102 includes one or more multi-axis accelerometers operably coupled to the spinal resistance assembly 104 and configured to determine the position and the orientation of the strengthening device.
- the strengthening device 102 includes one or more gyroscopes operably coupled to the strengthening device and configured to generate position and the orientation information.
- the strengthening device 102 includes one or more of angular velocity sensors, steering angle sensors, rotation speed sensors, yaw-rate sensors, position sensors, and nodes. In an embodiment, the strengthening device 102 includes one or more of angular velocity sensors, accelerometers, directional sensors, geographical sensor, inertial navigation sensors, inertial sensors, motion sensors, steering angle sensors, rotation speed sensors, yaw-rate sensors, position sensors, and nodes.
- the strengthening device 102 includes one or more of capacitance sensors, contact sensors, strain sensors, flexure sensors, image sensors, impedance sensors, movement sensors, nodes, object gauge sensors, optical sensors, pressure sensors, transducers, ultrasonic transducers, and the like.
- the strengthening device 102 includes one or more sensors configured to assess range of motion.
- the strengthening device 102 includes one or more sensors configured to assess range of rotational motion of the spinal resistance assembly 104.
- the strengthening device 102 includes one or more sensors configured to monitor resistance.
- the strengthening device 102 includes one or more of integrated sensors (e.g., strain gauge, load cells, and the like) to determine and monitor user applied force, for example, while the user is operating this as the user moves back and forth, the strain gauge will monitor and report applied force.
- the feedback from the force measurement is used to manage the applied force by the strengthening device 102 to vary the applied resistance experienced by the user.
- a care provider can remotely configure the strengthening device 102 to customize the therapy specific to an individual user' s needs (e.g., to limit resistance, allowable rotation, and the like to prevent injury).
- the strengthening device 102 includes one or more of integrated electronic inertial measurement units, digital encoders, and Hall Effect sensors configured to enable determination of position relative to time during use.
- the strengthening device 102 includes a plurality of sensors configured to capture time series position information, and force.
- the strengthening device 102 includes circuitry including an integrated gyro configured to generate installation and position information.
- the strengthening device 102 communicates collected data to an associated client device that is configured to generate a virtual display of the time series position information.
- the client device is configured to display one or more instances of user specific time series position information.
- the strengthening device 102 is configured to exchange user-specific acknowledgment or corrective action information with a client device.
- the strengthening device 102 is coupled to a client device configured to display an animation that shows one or more of motion vs time information for an individual exercise session, plot range of motion and force averaged over a series of exercise sessions, plot total exercise times and exercise duration per day, week, or month.
- the strengthening device 102 includes circuitry including an inertial sensor configured to detect velocity of motion. In an embodiment, the strengthening device 102 includes circuitry including one or more accelerometers configured to track stability in x, y, and z directions. In an embodiment, the strengthening device 102 includes circuitry including a safety switch configured to control an applied force exerted by the spinal resistance assembly 104 based on a target value.
- a user in need of strengthening therapy will anchor the
- the strengthening device 102 set a resistance value in accordance with the treatment regiment, and secure themselves to the strengthening device 102.
- the strengthening device 102 will provide feedback (e.g., haptic, audio, visual, etc.) to ensure correct positioning in accordance with the protocol.
- the strengthening device 102 will resist motion and begin to monitor and report one or more of force, position, time series data, and the like.
- the strengthening device 10 is configured to adjust resistance to comply with a target protocol responsive to one or more inputs associated with the monitored information.
- motion information is used to provide one or more of corrective feedback to the user, treatment progress status, applied resistance information, posture, position, compliance information, and the like.
- the reported information is communicated to an associated client device and virtually displayed to the user and health provider.
- the spinal resistance assembly 104 includes a resistance mechanism 116 configured to adjust an applied drag force.
- the spinal resistance assembly 104 includes one or more of a top plate 118, a traction cam 120, one or more traction cam followers 122, a drive ring 124, drive pinion 126, and a base plate 128.
- the device securing assembly 106 is configured to anchor the strengthening device 102 to support structure (e.g., a base, stand, supporting structure, anchoring structure, harness worn by the user, squat rack, door frame, bed frame, wall mount, and the like).
- the device securing assembly 106 includes one or more door frame feet 130.
- the device securing assembly 106 includes one or more telescoping arms 132 and at least one telescoping mechanism 134.
- the device securing assembly 106 is configured to adjust the strengthening device 102 along an axis parallel to the spine of the user. In an embodiment, the device securing assembly 106 is configured to adjust the strengthening device 102 towards or away from a user, along an axis parallel to the spine of the user.
- the head affixing assembly 108 includes a head fixture 136 configured to secure to the strengthening device 102 to a user's head. In an embodiment, the head affixing assembly 108 includes head fixture quick releases 138.
- Figures 2A and 2B show a spinal resistance strengthening device 202 in which one or more methodologies or technologies can be implemented such as, for example, providing constant resistance to lateral rotation of the cervical spine.
- the spinal resistance strengthening device 202 includes circuitry 204 configured generate user-specific neck strengthening information.
- the spinal resistance strengthening device 202 includes circuitry 206 configured to exchange neck strengthening information with a remote server device and locally to a client device.
- client devices include application interface with smart devices, cell phone devices, computer devices, desktop computer devices, internet of things (IoT) devices, laptop computer devices, managed node devices, mobile client devices, notebook computer devices, remote controllers, smart devices, smart eyewear devices, smart wearable devices, tablet devices, wearable devices, and the like.
- IoT internet of things
- neck strengthening information includes time stamped position and the associated resistance force magnitude at the provided position that corresponds to user movement and user applied force in the course of executing the exercise protocol.
- Further non- limiting examples of neck strengthening information include motion vs time for an individual exercise session, range of motion and force averaged over a series of exercise sessions, total exercise times and exercise duration per day, week, or month, and the like.
- the strengthening device 102 is instrumented with an embedded computer via application of an embedded Micro-Processing Unit (MPH) with integrated program memory and custom embedded software.
- MPH Micro-Processing Unit
- the MPU monitors and controls the exercise system and enables network communication for data exchange between client and server devices.
- the MPU interface to the system via custom logic, custom analog circuitry, power conversion circuitry, wired and wireless network data communication peripherals, and position and force sensors, and actuators.
- the embedded computer supports secure data exchange with client and server devices to monitor and set device configuration and monitor and remotely record exercise activity and performance monitoring data.
- circuitry includes, among other things, one or more computing devices such as a processor (e.g., a microprocessor, and the like), a central processing unit (CPU), a digital signal processor (DSP), an application-specific integrated circuit (ASIC), a field programmable gate array (FPGA), or the like, or any combinations thereof, and can include discrete digital or analog circuit elements or electronics, or combinations thereof.
- circuitry includes one or more ASICs having a plurality of predefined logic components.
- circuitry includes one or more FPGAs having a plurality of programmable logic components.
- circuitry includes one or more remotely located components.
- remotely located components are operably coupled via wireless communication.
- remotely located components are operably coupled via one or more receivers, transceivers, or transmitters, or the like.
- the strengthening device 102 includes circuitry having one or more components operably coupled (e.g. , communicatively, electromagnetically, magnetically, ultrasonically, optically, inductively, electrically, capacitively coupled, and the like) to each other.
- a component includes one or more remotely located components.
- remotely located components are operably coupled, for example, via wireless communication.
- remotely located components are operably coupled, for example, via one or more receivers, transmitters, transceivers, antennas, or the like.
- circuitry includes one or more memory devices that, for example, store instructions or data.
- circuitry 204 configured generate user-specific neck strengthening information includes one or more memory devices that store one or more parameters associated a user-specific neck strengthening information event, and the like.
- memory devices include volatile memory (e.g., Random Access Memory (RAM), Dynamic Random- Access Memory (DRAM), or the like), non-volatile memory (e.g., Read-Only Memory (ROM), Electrically Erasable
- Flash memory Programmable Read-Only Memory
- persistent memory persistent memory, or the like.
- the one or more memory devices can be coupled to, for example, one or more computing devices by one or more instructions, data, or power buses.
- circuitry includes peripheral devices such as Bluetooth, Wi-Fi, USB (or other wireless or wired network communication peripherals cable of data exchange with remote client and server computers), and cellular connectivity to exchange data, exchange control commands, configure the device, and remotely monitor device parameters.
- peripheral devices such as Bluetooth, Wi-Fi, USB (or other wireless or wired network communication peripherals cable of data exchange with remote client and server computers), and cellular connectivity to exchange data, exchange control commands, configure the device, and remotely monitor device parameters.
- circuitry includes one or more user input/output components that are operably coupled to the device to generate a user interface that enables access to all user configurable parameters.
- circuitry includes computing circuitry, memory circuitry, electrical circuitry, electro-mechanical circuity, control circuitry, transceiver circuitry, transmitter circuitry, receiver circuitry, and the like.
- circuitry 206 configured to exchange neck strengthening information with a remote client device includes computing device circuitry, memory circuitry, and at least one of transceiver circuitry, transmitter circuitry, or receiver circuitry.
- the spinal resistance strengthening device 202 includes circuitry 208 configured to initiate a discovery protocol that allows the spinal resistance strengthening device and a client device to find each other and negotiate one or more pre-shared keys to provide an encrypted secure connection. Individual devices will be configured in hardware with a unique identifier to establish a secure IoT connection.
- the spinal resistance strengthening device 202 includes circuitry 210 configured to exchange neck strengthening information with a remote client device and remote server.
- the spinal resistance strengthening device 202 includes circuitry 212 configured to receive one or more inputs associated with a neck strengthening event.
- the spinal resistance strengthening device 202 includes circuitry 214 configured to generate a user interface presenting a menu of treatment choices.
- the spinal resistance strengthening device 202 includes circuitry 216 configured to generate audible instructions. In an embodiment, the spinal resistance strengthening device 202 includes circuitry 218 configured to generate hap tic feedback. In an embodiment, the spinal resistance strengthening device 202 includes circuitry 220 including a screen and a user interface configured to allow a user to visually select device settings, modes, and options and interact with the device.
- the spinal resistance strengthening device 202 includes circuitry 222 configured to exchange onboard sensor information with a remote client device. In an embodiment, the spinal resistance strengthening device 202 includes circuitry 224 including one or more sensors configured to assess range of motion. In an embodiment, the spinal resistance strengthening device 202 includes circuitry 226 including one or more sensors configured to monitor resistance.
- the spinal resistance strengthening device 202 includes circuitry 228 including one or more integrated electronic inertial measurement units, digital encoders, hall effect sensors configured to enables determination of position relative to time during use.
- the spinal resistance strengthening device 202 includes circuitry 230 including an embedded system having a microcontroller that interfaces to a plurality of sensors and captures time synchronized position and force.
- the spinal resistance strengthening device 202 includes circuitry 232 configured to exchange onboard sensor information with a remote client device.
- the spinal resistance strengthening device 202 includes circuitry 234 including an integrated gyro configured to generate installation and position information. In an embodiment, the spinal resistance strengthening device 202 includes circuitry 236 including an inertial sensor configured to detect velocity of motion.
- the spinal resistance strengthening device 202 includes circuitry 238 including one or more accelerometers configured to track stability in x, y, and z directions. In an embodiment, the spinal resistance strengthening device 202 includes circuitry 240 including a safety switch configured to control an applied force exerted by the spinal resistance assembly 104 based on a target value.
- the spinal resistance strengthening device 202 supports data exchange with a remote computer server that monitors and records user specific exercise performance data.
- the remote server executes a custom application that enabled user specific data storage, retrieval, configuration, and reporting.
- the spinal resistance strengthening device 202 includes host computational circuitry 242 configured for one or more of client data capture, client data storage, client reporting, and client provisioning and configuration.
- the host computational circuitry 242 includes account management circuitry configured to allow one or more of creation, deletion, and modification and secure client account access grouped under a care provider as administrator for viewing client exercise data and creating customized reports.
- the host server computational circuitry 242 includes circuitry including memory configured to store client data.
- the host computational circuitry 242 includes a reporting tool that allows creation of customizable reports for individual clients and groups of clients assigned to the care provider.
- the host computational circuitry 242 includes a client portal allows individual clients to track user-specific progress.
- the host computational circuitry 242 includes a customized reporting screen that allow monitoring of individual patient exercise progress over time.
- a care provider can play an animation that displays motion vs time for an individual exercise session, plot range of motion and force averaged over a series of exercise sessions, plot total exercise times and exercise duration per day, week, or month.
- the host computational circuitry 242 includes configuration tools that allow monitoring and management of client device features and client device configuration.
- the host computational circuitry 242 includes an expert system that analyzes client data for proper execution and adherence to a prescribed exercise protocol.
- the host computational circuitry 242 includes circuitry configured to generate an electronic message to a client with customized messages for acknowledgment or corrective action.
- Figure 3 shows a strengthening device 302 in which one or more methodologies or technologies can be implemented such as, for example, providing constant resistance to one or more of flexional and extensional movement, lateral flexion and extension, and lateral rotation of a body part.
- the strengthening device 302 includes a resistance assembly 304 including at least one resistance component configured to resist rotation about a first axis.
- the strengthening device 302 can not only be used to strengthen the cervical spine, but can be converted to strengthen other rotational joints such as the shoulder, knee, hip, etc.
- the resistance assembly 304 includes at least one of a mechanical component, electromechanical component, magnetic component, electromagnetic component, hydraulic component, or a pneumatic component configured to resist flexion and extension about a second axis.
- the resistance assembly 304 includes at least one resistance component configured to resist movement about a third axis different from the first axis and the second axis. In an embodiment, the resistance assembly 304 includes at least one resistance component configured to resist movement about an axis different from the first axis. In an embodiment, the resistance assembly 304 is further configured to permit flexional and extensional movement of a user about an axis different from the first axis.
- the resistance assembly 304 includes at least one of a mechanical component, electromechanical component, magnetic component, electromagnetic component, hydraulic component, or a pneumatic component configured to resist lateral flexion and extension about a second axis.
- the strengthening device 302 includes a device securing assembly 306 configured to physically anchor the device to an anchoring structure.
- the strengthening device 302 includes an affixing assembly 308 physically coupled to the resistance assembly 304, the affixing assembly 308 configured to secure to a body part of a user.
- Figures 4 shows a spinal strengthening method 400.
- the method 400 includes securing a user to a head affixing assembly physically coupled to a spinal resistance assembly.
- the method 400 includes applying a resistive force responsive to head and neck rotation of a user about a first axis.
- applying the resistive force responsive to head and neck rotation includes exerting a drag force on a metal structure to resist head and neck rotation of the user about the first axis.
- applying the resistive force responsive to head and neck rotation includes adjusting an applied drag force by modulating a magnetic field to resist head and neck rotation of the user about the first axis.
- applying the resistive force responsive to head and neck rotation includes exerting a hydraulic resistance by directing a fluid through a variable orifice to resist head and neck rotation of a user about the first axis.
- applying the resistive force responsive to head and neck rotation includes exerting pneumatic resistance by directing a fluid through a variable orifice to resist head and neck rotation of the user about the first axis.
- applying the resistive force responsive to head and neck rotation includes exerting a mechanical pull force to resist head and neck rotation of the user about the first axis.
- applying the resistive force responsive to head and neck rotation includes applying a force of character and for a duration sufficient to permit left and right lateral neck rotation of the user about the first axis while substantially limiting flexional and extensional movement.
- the method 400 includes securing the spinal resistance assembly to an anchoring structure.
- securing the spinal resistance assembly to the anchoring structure includes friction fitting the spinal resistance assembly to a door frame.
- securing the spinal resistance assembly to the anchoring structure includes latching the spinal resistance assembly to a base stand.
- securing the spinal resistance assembly to the anchoring structure includes clamping the spinal resistance assembly to a door frame.
- securing the spinal resistance assembly to the anchoring structure includes fastening the spinal resistance assembly to a support structure.
- Figures 5A, 5B, and 5C show a strengthening device 502 which is adjustable along an axis substantially parallel to the spine of a user, in which one or more methodologies or technologies can be implemented such as, for example, providing constant resistance to lateral rotation of the cervical spine.
- the vertically adjustable strengthening device 502 includes a spinal resistance assembly 104 including at least one resistance component configured to resist rotation about a first axis 513.
- Vertical Adjustment rail 503 is configured to mount to a wall.
- the device securing assembly 106 includes one or more fasteners configured to secure the strengthening device to a support structure.
- fasteners include one or more nuts and bolts, clamps, screws, pins, rivets, hook-and-loop fasteners, hook-and-pile fasteners, touch fasteners, and the like.
- Vertical Adjustment Rail 503 is composed of a vertically orientated rail that physically couples to Vertical Positioning Assembly 504.
- the geometry of Adjustment and permanently coupling rail 503 guides the vertical motion and physically couples to Vertical Positioning Assembly 504, so that's its height can be set at a point to be used by a patient.
- Vertical Adjustment Rail 503, contains a measurement scale to indicate the relative height in which Vertical Positioning Assembly 504 can be positioned.
- Vertical Positioning Assembly 504 contains three subsystems; Macro Adjustment Mechanism 505, Micro Adjustment Mechanism 506 and Electronic Display Interface 508.
- Vertical Positioning Assembly 504 couples to Device Housing Assembly 509.
- Vertical Positioning Assembly 504 has a marker that indicates a relative positioned on the measurement scale on Vertical Adjustment Rail 503.
- Device Housing Assembly 509 couples to a Head Interface 510 and a Resistance Mechanism 507.
- Device Housing Assembly 509 a patient is attached to the Head Interface 512, and rotates about First Axis 513, and consists of a position indicator 514 that includes a LED array connected along the arc of travel to guide a user to constant angular velocity.
- Device Housing Assembly 509 a patient is attached to the Head Interface 512, and rotates about First Axis 513, an audio cue (i.e. counter, metronome), indicates use to move at a constant angular velocity.
- an audio cue i.e. counter, metronome
- Device Housing Assembly 509 a patient is attached to the Head Interface 512, and rotates about First Axis 513, and consists of a position indicator 514 that includes a mechanical component that attaches to Head Interface 512, that indicates position relative to a static origin position.
- position indicator 514 contains a method indicating position of rotation in each direction (clockwise and counter-clockwise) about the first axis 513, by an array of LED lights. In an embodiment, position indicator 514, contains a method of indicating position of rotation in each direction (clockwise and counter-clockwise) about the first axis 513, by angular measurements marked relative to an origin. In an embodiment, position indicator 514, contains a method to indicate position of rotation in each direction (clockwise and counter-clockwise) about the first axis 513, by audible or visual cue when intended range of motion is exceeded.
- Head Interface 108 contains a Chin Strap 511 and a Head Tightening Attachment Mechanism 512 that allows a patient to connect to Vertically Adjustable Strengthening device 502 per the size and/or position of their head.
- Macro Adjustment Mechanism 505 contains two handles that can be locked and unlocked to the Vertical Adjustment Rail 503 via combination of springs, pins and locking holes.
- Macro Adjustment Mechanism 505 contains two handles that be locked and unlocked to the Vertical Adjustment Rail 503 via a combination brake pad, springs and pins. In an embodiment, Macro Adjustment Mechanism 505, contains two handles that when in the unlocked position can easily move vertically along the Vertical Adjustment Rail 503.
- Macro Adjustment Mechanism 505 combination of springs, pins and locking holes that can lock and unlock to Vertical Adjustment Rail 503.
- Macro Adjustment Mechanism 505 contains a combination of gears (spur, worm, bevel, etc.) and a rack powered by a motor (DC, Servo, Hydraulic, Pneumatic, etc.) that translates to rapid vertical motion along Vertical Adjustment Rail 503.
- DC DC, Servo, Hydraulic, Pneumatic, etc.
- Macro Adjustment Mechanism 505 contains a combination of gears (spur, worm, bevel, etc.) and a rack that is manually (non-motor/power controlled) controlled via input crank/knob that translates to rapid vertical motion along Vertical Adjustment Rail 503.
- Micro Adjustment Mechanism 506, contains a controller that translates to fine vertical motion of Vertical Positioning Assembly 504 along Fine Vertical Adjustment Rail 515.
- Micro Adjustment Mechanism 506, contains a combination of gears (spur, worm, bevel, etc.) and a rack that translates to fine vertical motion along Fine Vertical Adjustment Rail 515.
- Micro Adjustment Mechanism 506, contains a combination of gears (spur, worm, bevel, etc.) and a rack powered by a motor (DC, Servo, Hydraulic, Pneumatic, etc.) that translates to rapid vertical motion along Fine Vertical Adjustment Rail 515.
- Figure 6A illustrates a simple example of the type of analytic typical of a local Bluetooth linked cell phone application making use of the sensors in some embodiments.
- Figure 6A shows what one might expect of plotting the head's position (602) with respect to the resistive force being applied (604) restricting head movement for a magnetic force due to parasitic eddy current torque.
- the dashed line (606) shows an actual measurement one could plot for one cycle of head rotation.
- the opposing resistive force is zero.
- the head starts to rotate the opposing force quickly rises to a fixed level as controlled by a feedback of the sensors to control the strength of the magnetic field to a pre-determined constant force.
- the force again falls to zero then changes polarity as the head moves in the opposite direction. At the other extreme it reverses again.
- Figure 6B shows an idealized example of a "profile" one could generate graphically on a local cell phone application, in a more sophisticated environment elsewhere, if the plot is recorded over time (608) as the third axis in a three-dimensional (3D) plot.
- the 3D plot is useful as a graphic portrayal of how the subject is performing over the length of a session.
- the example in Figure 6B is highly idealistic, with each cycle the same, when in a real situation one would see the effect of physical defects or lack of them in as well.
- the profile is a graphic representation of the measurements made and requires no human intervention and is manipulated as a simple 3D picture for later interpretation. In this respect it would be equivalent to "fingerprint” or a "signature" of a physical condition such as a cardiogram is for the heart.
- any two components so associated can also be viewed as being “operably connected,” or “operably coupled,” to each other to achieve the desired functionality, and any two components capable of being so associated can also be viewed as being “operably coupleable,” to each other to achieve the desired functionality.
- operably coupleable include, but are not limited to, physically mateable, physically interacting components, wirelessly interactable, wirelessly interacting components, logically interacting, logically interactable components, etc.
- one or more components may be referred to herein as “configured to,” “configurable to,” “operable/operative to,” “adapted/adaptable,” “able to,”
- ASICs Application Specific Integrated Circuits
- FPGAs Field Programmable Gate Arrays
- DSPs digital signal processors
- Non-limiting examples of a signal- bearing medium include the following: a recordable type medium such as magnetic data storage media, non- volatile memory drive "Solid state drive,” any potable data storage media, a hard disk drive, a Compact Disc (CD), a Digital Video Disk (DVD), a digital tape, a computer memory, etc.; and a transmission type medium such as a program distribution via remote download over any wired or wireless network.
- a recordable type medium such as magnetic data storage media, non- volatile memory drive "Solid state drive," any potable data storage media, a hard disk drive, a Compact Disc (CD), a Digital Video Disk (DVD), a digital tape, a computer memory, etc.
- a transmission type medium such as a program distribution via remote download over any wired or wireless network.
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Abstract
Description
Claims
Priority Applications (4)
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EP18862186.6A EP3687637A4 (en) | 2017-09-30 | 2018-09-28 | System, devices, and methods including a spinal resistance assembly |
CA3077043A CA3077043A1 (en) | 2017-09-30 | 2018-09-28 | System, devices, and methods including a spinal resistance assembly |
JP2020540242A JP2020535942A (en) | 2017-09-30 | 2018-09-28 | Systems, devices and methods including spinal resistance assembly |
US16/627,878 US11020631B2 (en) | 2017-09-30 | 2018-09-28 | Systems, devices, and methods including a spinal resistance assembly |
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US201762566410P | 2017-09-30 | 2017-09-30 | |
US62/566,410 | 2017-09-30 | ||
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2018
- 2018-09-28 EP EP18862186.6A patent/EP3687637A4/en active Pending
- 2018-09-28 WO PCT/US2018/053391 patent/WO2019067877A1/en active Application Filing
- 2018-09-28 CA CA3077043A patent/CA3077043A1/en active Pending
- 2018-09-28 JP JP2020540242A patent/JP2020535942A/en active Pending
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CA3077043A1 (en) | 2019-04-04 |
JP2020535942A (en) | 2020-12-10 |
EP3687637A4 (en) | 2021-06-16 |
EP3687637A1 (en) | 2020-08-05 |
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