WO2019244167A2 - Instrument for treatment and training of neuromuscular disability conditions - Google Patents

Instrument for treatment and training of neuromuscular disability conditions Download PDF

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Publication number
WO2019244167A2
WO2019244167A2 PCT/IN2019/050206 IN2019050206W WO2019244167A2 WO 2019244167 A2 WO2019244167 A2 WO 2019244167A2 IN 2019050206 W IN2019050206 W IN 2019050206W WO 2019244167 A2 WO2019244167 A2 WO 2019244167A2
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WO
WIPO (PCT)
Prior art keywords
instrument
base member
top surface
rope
arrangement
Prior art date
Application number
PCT/IN2019/050206
Other languages
French (fr)
Inventor
Harpreet Singh SACHDEV
Original Assignee
Sachdev Harpreet Singh
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 Sachdev Harpreet Singh filed Critical Sachdev Harpreet Singh
Publication of WO2019244167A2 publication Critical patent/WO2019244167A2/en

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL 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
    • A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL 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
    • A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02—Stretching or bending or torsioning apparatus for exercising
    • A61H1/0274—Stretching or bending or torsioning apparatus for exercising for the upper limbs
    • 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
    • A63B21/00185—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resistance provided by the user, e.g. exercising one body part against a resistance provided by another body part
    • 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
    • A63B21/02—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters
    • A63B21/023—Wound springs
    • 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
    • A63B21/15—Arrangements for force transmissions
    • A63B21/151—Using flexible elements for reciprocating movements, e.g. ropes or chains
    • A63B21/152—Bowden-type cables
    • 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
    • A63B21/4027—Specific exercise interfaces
    • A63B21/4033—Handles, pedals, bars or platforms
    • A63B21/4035—Handles, pedals, bars or platforms for operation by hand
    • 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
    • A63B21/4041—Interfaces with the user related to strength training; Details thereof characterised by the movements of the interface
    • A63B21/4043—Free movement, i.e. the only restriction coming from the resistance
    • 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
    • A63B21/4041—Interfaces with the user related to strength training; Details thereof characterised by the movements of the interface
    • A63B21/4045—Reciprocating movement along, in or on a guide
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/01—Constructive details
    • A61H2201/0161—Size reducing arrangements when not in use, for stowing or transport
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/01—Constructive details
    • A61H2201/0192—Specific means for adjusting dimensions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12—Driving means
    • A61H2201/1253—Driving means driven by a human being, e.g. hand driven
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/1635—Hand or arm, e.g. handle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL 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
    • A61H2205/00—Devices for specific parts of the body
    • A61H2205/06—Arms
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B71/00—Games or sports accessories not covered in groups A63B1/00 - A63B69/00
    • A63B71/06—Indicating or scoring devices for games or players, or for other sports activities
    • A63B71/0619—Displays, user interfaces and indicating devices, specially adapted for sport equipment, e.g. display mounted on treadmills
    • A63B2071/0655—Tactile feedback
    • 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
    • A63B21/02—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters
    • A63B21/055—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters extension element type
    • A63B21/0552—Elastic ropes or bands
    • 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
    • A63B21/06—User-manipulated weights
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2210/00—Space saving
    • A63B2210/50—Size reducing arrangements for stowing or transport
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2225/00—Miscellaneous features of sport apparatus, devices or equipment
    • A63B2225/09—Adjustable dimensions
    • A63B2225/093—Height
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B71/00—Games or sports accessories not covered in groups A63B1/00 - A63B69/00
    • A63B71/0036—Accessories for stowing, putting away or transporting exercise apparatus or sports equipment

Definitions

  • the present invention relates to an arrangement for treatment and training of neuromuscular disability conditions in general and particularly for treatment of patients with Stroke/Hemiplegia - leading to paralysis of one side of the face, arm, leg and body.
  • stroke causes a variety of disorders such as hemiplegia, loss of sensation on one side, deterioration of cognitive function etc.
  • One of the aftermath of stroke is difficult and selective voluntary contraction activity of the muscle paralysis functional disability or an upper extremity hemiplegia.
  • the patients after brain stroke are left with high incidence of disability and functional dependence. For these patients, it is possible to minimize the functional disability with the help of a physical therapist.
  • Reports, mentioning the effectiveness of conventional training and physiotherapy have not been very encouraging in terms of return of Upper extremity functional benefits with 19-85 % of patients not able to function as before the stroke even after 6 months of the episode.
  • an instrument for enabling treatment of neuromuscular conditions is disclosed.
  • the disclosed instrument enables plurality of exercises for treatment of neuromuscular conditions particularly for treatment of patients with Stroke/Hemiplegia.
  • the instrument includes a substantially flat base member having a bottom surface, a top surface and an arrangement in the center on the top surface along the width for optionally accommodating a mirror.
  • the bottom surface of the base member may include a plurality of apertures for detachably accommodating a plurality of adjustable legs.
  • At least one side of the base member may have a pair of pulleys attached thereto and at least one side rail along the side for moving an object from side to side direction.
  • the instrument further includes a handle attached to the bottom surface through one or more resilient members and at least one rotator knob on the top surface of the base member.
  • Figure 1 illustrates an isometric view of an instrument according to an embodiment of the invention
  • Figure 2 illustrates a top view of an exemplary instrument according to an embodiment of the invention
  • Figure 3 illustrates a partial view of a top surface of a base member of the instrument according to an embodiment of the invention
  • Figure 4 illustrates another partial view of the top surface of the base member of the instrument according to an embodiment of the invention
  • Figure 5 illustrates a partial view of a bottom surface of the base member of the instrument according to an embodiment of the invention
  • Figure 6 illustrates a side view of the legs according to an embodiment of the invention
  • Figure 7 illustrates another partial isometric view of the top surface of the base member according to an embodiment of the invention.
  • Figure 8 illustrates yet another partial view of the top surface of the base member according to an embodiment of the invention.
  • Figure 9 illustrates another partial view of the bottom surface of the base member according to an embodiment of the invention
  • Figure 10 illustrates yet another partial view of the top surface of the base member according to an embodiment of the invention.
  • Figure 1 illustrates an isometric view and figure 2 illustrates a top view of an exemplary instrument (100) for enabling treatment of neuromuscular conditions according to an embodiment of the invention.
  • the instrument (100) may include a substantially flat base member (102).
  • the base member (102) may be a wooden or plastic board.
  • Exemplary dimensions of the base member (102) may be length three feet, width two feet and thickness one inch. The illustrated dimensions are exemplary and not limiting, the base member
  • (102) may have any appropriate dimensions without going beyond the scope of the claimed invention.
  • the substantially flat base member (102) may have a bottom surface (104), a top surface (106) and an arrangement (108) in the center on the top surface (106) along the width for optionally accommodating a mirror (110).
  • the mirror (110) may be arranged substantially perpendicular to the top surface (106) of the base member (102).
  • Figure 3 illustrates a partial view of the top surface (106) of the base member (102) of the instrument (100) according to an embodiment of the invention.
  • the top surface (106) may have a plurality of guide lines (112).
  • the guide lines (112) may enable directional reach and assist in error feedback in geographical relations with respect to visual space and body.
  • Figure 4 illustrates another partial view of the top surface (106) of the base member (102) according to an embodiment of the invention.
  • the instrument (100) may have a pair of armrests (114).
  • the armrests (114) may be provided for comfortable arm position such as neutral shoulder; arm by the side, elbow resting, and to reduced effort for arm holding against
  • the armrests (114) may be stored by sliding inside a space provided in the base member (102).
  • the armrests (114) may be connected to the base member (102) through a hinge and may be switched between stored and working position by revolving around the hinge.
  • Figure 5 illustrates a partial view of the bottom surface (108) of the base member (102) according to an embodiment of the invention.
  • the bottom surface (108) of may include an arrangement (116) for accommodating a plurality of legs (118).
  • the arrangement (116) may include a plurality of apertures for detachably accommodating the legs (118).
  • the apertures may have threads to accommodate corresponding threads on one end of the legs (118).
  • Figure 6 illustrates a side view of the legs (118) according to an embodiment of the invention.
  • the length of each leg (118) may be adjustable as per user preference.
  • the height of the legs may be 1.5 - 3 feet adjustable.
  • the leg may be of a light weight and durable material such as, but not limited to, aluminum, plastic etc.
  • the legs (118) may have predefined slots for adjusting length of each leg.
  • each leg may have a covering of a non-slippery material (120) such as, but not limited to, rubber, plastic etc. at a lower end for non-slippage and stability.
  • Figure 7 illustrates another partial isometric view of the top surface (106) of the base member (102) according to an embodiment of the invention.
  • the instrument (100) may have a pair of pulleys (122) attached on at least one side of the base member (102).
  • the instrument (100) may further includes a pair of handles (124) connected to each other through a rope (126), such that the rope (126) passes through each pulley (122).
  • the instrument (100) may further includes a weight (128) connected to a handle (130) through a rope (132), such that the rope (132) may pass through at least one pulley.
  • Weight and handle arrangement may be used for resistance training.
  • Figure 8 illustrates another partial view of the top surface (106) of the base member (102) according to an embodiment of the invention.
  • the instrument (100) may have at least one side rail (134) along the side for moving an object (136) from side to side direction.
  • the object (136) is a ball.
  • the sliding arrangement may enable bilateral arm function such as patient’s movements occurring at the wrist/ elbows / shoulder.
  • the moving ball/target provides a real time feedback.
  • the instrument (100) may further have at least one rotator knob (138) on the top surface of the base member.
  • the rotator knob (138) may be provided for radial - ulnar deviation.
  • the instrument (100) may further include a strap (140) provided on one side of the base member (102).
  • the strap (140) may enable easy transportation of the instrument (100).
  • Figure 9 illustrates another partial view of the bottom surface (104) of the base member (102) according to an embodiment of the invention.
  • the instrument (100) may have a handle (142) attached to the bottom surface (104) through one or more resilient members (144).
  • resilient members (144) may be plurality of springs or any other stretchable material.
  • Figure 10 illustrates yet another partial view of the top surface (106) of the base member (102) according to an embodiment of the invention.
  • the instrument (100) may further includes an elevated tapering edge (146) along a side of the base member (102) for weight bearing and facilitating hand opening.
  • the disclosed instrument (100) has been specifically designed for use in neuromuscular conditions affecting strength of the upper limb particularly for patients with Stroke/ Hemiplegia - leading to paralysis of one side of the face, arm, leg and body (trunk) etc.
  • the illustrated instrument (100) may enhance the quantity of rehabilitation training of the upper limb (UL).
  • the illustrated instrument may enable perform certain exercises advised by the physiotherapist as part of the treatment for Stroke/Hemiplegia patient.
  • the disclosed instrument may enable patient to perform these exercises on their own with the help of instructions provided.
  • the instrument (100) is foldable and light weight about 2 kg and can be carried with a strap (140).
  • the illustrated design of the board is low cost, does not require electricity, easy to carry, understandable, does not require literacy, does not require therapist, one on one supervision, can be utilized for multiple functions simultaneously, increase repetitions, hence training effect, can be used as a home exercise (in familiar environments) and help reduce burden on social framework.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Biophysics (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Rehabilitation Therapy (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Rehabilitation Tools (AREA)

Description

Instrument For Treatment And Training Of Neuromuscular Disability Conditions
Field of Invention The present invention relates to an arrangement for treatment and training of neuromuscular disability conditions in general and particularly for treatment of patients with Stroke/Hemiplegia - leading to paralysis of one side of the face, arm, leg and body.
Background of the Invention
Typically, stroke causes a variety of disorders such as hemiplegia, loss of sensation on one side, deterioration of cognitive function etc. One of the aftermath of stroke is difficult and selective voluntary contraction activity of the muscle paralysis functional disability or an upper extremity hemiplegia. Typically the patients after brain stroke are left with high incidence of disability and functional dependence. For these patients, it is possible to minimize the functional disability with the help of a physical therapist. Reports, mentioning the effectiveness of conventional training and physiotherapy have not been very encouraging in terms of return of Upper extremity functional benefits with 19-85 % of patients not able to function as before the stroke even after 6 months of the episode. These results could partly be attributed to high cost of treatment and financial implications, lack of awareness of the benefits of exercise based training - hence poor attendance for sessions, poor quality of services - not based on evidence (due to lack of training/up gradation), and inadequate therapy dosage and duration, a lot of other social factors like age, gender, transportation/ accessibility etc. could be reasonably affecting the outcome.
In recent years, research is actively underway for the rehabilitation equipment for this purpose. Rehabilitation equipment intended to strengthen the patient's muscle by enabling a range of exercises to increase and enhance muscle strength. Various know instruments are available for training in rehabilitation center. However such instruments are costly, complicated, heavy and typically need an instructor / supervisor for enabling a patient to do correct exercise. For less costly alternatives, one may have to procure many different instruments for performing all exercises again increasing cost and complexity. Hence there is a need for an improved system and method for treatment and training of neuromuscular disability conditions. Summary of the Invention
According to embodiments of the invention, an instrument for enabling treatment of neuromuscular conditions is disclosed. The disclosed instrument enables plurality of exercises for treatment of neuromuscular conditions particularly for treatment of patients with Stroke/Hemiplegia. The instrument includes a substantially flat base member having a bottom surface, a top surface and an arrangement in the center on the top surface along the width for optionally accommodating a mirror. The bottom surface of the base member may include a plurality of apertures for detachably accommodating a plurality of adjustable legs. At least one side of the base member may have a pair of pulleys attached thereto and at least one side rail along the side for moving an object from side to side direction. The instrument further includes a handle attached to the bottom surface through one or more resilient members and at least one rotator knob on the top surface of the base member. Brief Description of the Drawings
Other objects, features, and advantages of the invention will be apparent from the following description when read with reference to the accompanying drawings. In the drawings, wherein like reference numerals denote corresponding parts throughout the several views:
Figure 1 illustrates an isometric view of an instrument according to an embodiment of the invention;
Figure 2 illustrates a top view of an exemplary instrument according to an embodiment of the invention;
Figure 3 illustrates a partial view of a top surface of a base member of the instrument according to an embodiment of the invention;
Figure 4 illustrates another partial view of the top surface of the base member of the instrument according to an embodiment of the invention;
Figure 5 illustrates a partial view of a bottom surface of the base member of the instrument according to an embodiment of the invention;
Figure 6 illustrates a side view of the legs according to an embodiment of the invention;
Figure 7 illustrates another partial isometric view of the top surface of the base member according to an embodiment of the invention;
Figure 8 illustrates yet another partial view of the top surface of the base member according to an embodiment of the invention;
Figure 9 illustrates another partial view of the bottom surface of the base member according to an embodiment of the invention; and Figure 10 illustrates yet another partial view of the top surface of the base member according to an embodiment of the invention.
Detailed Description of the Preferred Embodiments
The present invention will now be described in detail with reference to the accompanying drawings.
Figure 1 illustrates an isometric view and figure 2 illustrates a top view of an exemplary instrument (100) for enabling treatment of neuromuscular conditions according to an embodiment of the invention. The instrument (100) may include a substantially flat base member (102). According to an embodiment, the base member (102) may be a wooden or plastic board. Exemplary dimensions of the base member (102) may be length three feet, width two feet and thickness one inch. The illustrated dimensions are exemplary and not limiting, the base member
(102) may have any appropriate dimensions without going beyond the scope of the claimed invention.
The substantially flat base member (102) may have a bottom surface (104), a top surface (106) and an arrangement (108) in the center on the top surface (106) along the width for optionally accommodating a mirror (110). According to an embodiment the mirror (110) may be arranged substantially perpendicular to the top surface (106) of the base member (102).
Figure 3 illustrates a partial view of the top surface (106) of the base member (102) of the instrument (100) according to an embodiment of the invention. As illustrated the top surface (106) may have a plurality of guide lines (112). The guide lines (112) may enable directional reach and assist in error feedback in geographical relations with respect to visual space and body.
Figure 4 illustrates another partial view of the top surface (106) of the base member (102) according to an embodiment of the invention. As illustrated, the instrument (100) may have a pair of armrests (114). The armrests (114) may be provided for comfortable arm position such as neutral shoulder; arm by the side, elbow resting, and to reduced effort for arm holding against
gravity. According to an embodiment, the armrests (114) may be stored by sliding inside a space provided in the base member (102). According to another embodiment, the armrests (114) may be connected to the base member (102) through a hinge and may be switched between stored and working position by revolving around the hinge. Figure 5 illustrates a partial view of the bottom surface (108) of the base member (102) according to an embodiment of the invention. As illustrated the bottom surface (108) of may include an arrangement (116) for accommodating a plurality of legs (118). According to an embodiment, the arrangement (116) may include a plurality of apertures for detachably accommodating the legs (118). According to an embodiment, the apertures may have threads to accommodate corresponding threads on one end of the legs (118). Figure 6 illustrates a side view of the legs (118) according to an embodiment of the invention. As illustrated, the length of each leg (118) may be adjustable as per user preference. According to an exemplary embodiment, the height of the legs may be 1.5 - 3 feet adjustable. The leg may be of a light weight and durable material such as, but not limited to, aluminum, plastic etc. According to an embodiment, the legs (118) may have predefined slots for adjusting length of each leg. According to yet another embodiment, each leg may have a covering of a non-slippery material (120) such as, but not limited to, rubber, plastic etc. at a lower end for non-slippage and stability.
Figure 7 illustrates another partial isometric view of the top surface (106) of the base member (102) according to an embodiment of the invention. As illustrated, the instrument (100) may have a pair of pulleys (122) attached on at least one side of the base member (102). The instrument (100) may further includes a pair of handles (124) connected to each other through a rope (126), such that the rope (126) passes through each pulley (122). According to yet another embodiment the instrument (100) may further includes a weight (128) connected to a handle (130) through a rope (132), such that the rope (132) may pass through at least one pulley. Weight and handle arrangement may be used for resistance training.
Figure 8 illustrates another partial view of the top surface (106) of the base member (102) according to an embodiment of the invention. As illustrated, the instrument (100) may have at least one side rail (134) along the side for moving an object (136) from side to side direction. According to an embodiment, the object (136) is a ball. The sliding arrangement may enable bilateral arm function such as patient’s movements occurring at the wrist/ elbows / shoulder. The moving ball/target provides a real time feedback. The instrument (100) may further have at least one rotator knob (138) on the top surface of the base member. The rotator knob (138) may be provided for radial - ulnar deviation. The instrument (100) may further include a strap (140) provided on one side of the base member (102). The strap (140) may enable easy transportation of the instrument (100).
Figure 9 illustrates another partial view of the bottom surface (104) of the base member (102) according to an embodiment of the invention. As illustrated the instrument (100) may have a handle (142) attached to the bottom surface (104) through one or more resilient members (144). According to an exemplary embodiment resilient members (144) may be plurality of springs or any other stretchable material. Figure 10 illustrates yet another partial view of the top surface (106) of the base member (102) according to an embodiment of the invention. As illustrated the instrument (100) may further includes an elevated tapering edge (146) along a side of the base member (102) for weight bearing and facilitating hand opening.
According to embodiments of the invention disclosed instrument (100) has been specifically designed for use in neuromuscular conditions affecting strength of the upper limb particularly for patients with Stroke/ Hemiplegia - leading to paralysis of one side of the face, arm, leg and body (trunk) etc. The illustrated instrument (100) may enhance the quantity of rehabilitation training of the upper limb (UL). The illustrated instrument may enable perform certain exercises advised by the physiotherapist as part of the treatment for Stroke/Hemiplegia patient. According to embodiments of the invention, the disclosed instrument may enable patient to perform these exercises on their own with the help of instructions provided. Features such as guide lines (112)
enable feedback on the progress to the patients. The instrument (100) is foldable and light weight about 2 kg and can be carried with a strap (140). The illustrated design of the board is low cost, does not require electricity, easy to carry, understandable, does not require literacy, does not require therapist, one on one supervision, can be utilized for multiple functions simultaneously, increase repetitions, hence training effect, can be used as a home exercise (in familiar environments) and help reduce burden on social framework.
As will be readily apparent to those skilled in the art, the present invention may easily be produced in other specific forms without departing from its essential characteristics. The present embodiments is, therefore, to be considered as merely illustrative and not restrictive, the scope of
the invention being indicated by the claims rather than the foregoing description, and all changes which come within therefore intended to be embraced therein.

Claims

Claims
1. An instrument (100) for enabling treatment of neuromuscular conditions, the instrument comprising:
a substantially flat base member (102) having a bottom surface (104), a top surface (106) and an arrangement (108) in the center on the top surface (106) along the width for optionally accommodating a mirror (110);
a plurality of legs (118) mountable on an arrangement (116) provided on the bottom surface (104) of the base member(l02);
a pair of pulleys (122) attached on at least one side of the base member (102);
at least one side rail (134) provided along the side of the base member (102) for moving an object (136) from side to side direction;
a handle (142) attached to the bottom surface (104) through a one or more resilient members (144); and
at least one rotator knob (138) on the top surface (106) of the base member (102).
2. The instrument (100) as claimed in claim 1, wherein the top surface (106) have a plurality of guide lines (122) for directional reach and error feedback in geographical relations with respect to visual space and body.
3. The instrument (100) as claimed in claim 1, further comprising a pair of handles (124) connected to each other through a rope (126), such that the rope (126) passes through each pulley (122).
4. The instrument (100) as claimed in claim 1, further comprising a weight (128) connected to a handle (130) through a rope (132), such that the rope (132) passes through at least one pulley.
5. The instrument (100) as claimed in claim 4, further comprising an elevated tapering edge (146) along a side of the base member (102) for weight bearing and facilitating hand opening.
6. The instrument (100) as claimed in claim 1, wherein the mirror (110) is substantially perpendicular to the top surface (106) of the base member (102).
7. The instrument (100) as claimed in claim 1, further comprising at least one armrest (114).
8. The instrument (100) as claimed in claim 1, further comprising at least one strap (140).
9. The instrument (100) as claimed in claim 1, wherein the arrangement (116) for includes a plurality of apertures provided on the bottom surface (104) of the base member (102).
10. The instrument (100) as claimed in claim 1, wherein the length of each leg is adjustable.
Dated this 20 Day of November 2017
Signature of Patent Agent
Figure imgf000008_0001
(Rahul Bagga) IN/PA-2366
PCT/IN2019/050206 2018-06-22 2019-03-15 Instrument for treatment and training of neuromuscular disability conditions WO2019244167A2 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
IN201811023334 2018-06-22
IN201811023334 2018-06-22

Publications (1)

Publication Number Publication Date
WO2019244167A2 true WO2019244167A2 (en) 2019-12-26

Family

ID=68983490

Family Applications (1)

Application Number Title Priority Date Filing Date
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Country Status (1)

Country Link
WO (1) WO2019244167A2 (en)

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