WO2023232310A1 - Ensemble d'entraînement à la marche - Google Patents

Ensemble d'entraînement à la marche Download PDF

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Publication number
WO2023232310A1
WO2023232310A1 PCT/EP2023/057945 EP2023057945W WO2023232310A1 WO 2023232310 A1 WO2023232310 A1 WO 2023232310A1 EP 2023057945 W EP2023057945 W EP 2023057945W WO 2023232310 A1 WO2023232310 A1 WO 2023232310A1
Authority
WO
WIPO (PCT)
Prior art keywords
lifting air
walking
air cushions
gait training
arrangement according
Prior art date
Application number
PCT/EP2023/057945
Other languages
German (de)
English (en)
Inventor
Wolfgang Brunner
Original Assignee
Zebris Medical Gmbh
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Zebris Medical Gmbh filed Critical Zebris Medical Gmbh
Publication of WO2023232310A1 publication Critical patent/WO2023232310A1/fr

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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
    • A63B22/0235—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 driven by a motor
    • A63B22/0242—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 driven by a motor with speed variation
    • A63B22/025—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 driven by a motor with speed variation electrically, e.g. D.C. motors with variable speed control
    • 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
    • A63B21/008—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using hydraulic or pneumatic force-resisters
    • A63B21/0085—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using hydraulic or pneumatic force-resisters using pneumatic force-resisters
    • 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
    • A63B22/0015—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with an adjustable movement path of the support elements
    • A63B22/0023—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with an adjustable movement path of the support elements the inclination of the main axis of the movement path being adjustable, e.g. the inclination of an endless band
    • 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
    • A63B2225/00—Miscellaneous features of sport apparatus, devices or equipment
    • A63B2225/62—Inflatable

Definitions

  • the invention relates to a gait training arrangement, with a treadmill frame and an endless belt running over rollers held in the treadmill frame or slats running from the treadmill frame over a guide device, the surface of which serves as a walking or running surface, the treadmill frame being stored in a base frame or placed on the floor. It further relates to an alternative gait training arrangement, which is formed from a walking or training plate.
  • the aim of the present application is to make gait and running training as well as balance and coordination training on the treadmill or a walking or training plate more varied and interesting, but also to enable effective training for the treatment of various diseases. This is particularly true for diseases such as stroke and Parkinson's, where it is important to regain postural control and balance to enable standing and walking with as little risk of falls as possible. For older people, this is particularly important
  • the invention is therefore based on the object of providing a gait training arrangement of the type characterized above that is improved in terms of its possible therapeutic applications.
  • the gait training arrangement according to the invention offers the user - and especially older users - a completely new quality of stress on the musculoskeletal system without the risk of accidents, with a significantly higher activation of the stabilizing muscles (particularly in the pelvic region, on the trunk and on the joints) even when walking slowly.
  • the cardiovascular and sensorimotor abilities can be significantly increased in a very short time with the proposed arrangement.
  • the gait training arrangement according to the invention can be used very advantageously for gait and stance analysis.
  • the gait training arrangement according to the invention can be used for gait and stance analyzes as well as gait training of dogs and other mammals.
  • the invention includes the idea of supporting the treadmill frame or a substructure of the walking or training plate using elements that offer a simple and cost-effective option for selective height adjustment (and thus, for example, targeted inclination) of the treadmill frame or the substructure.
  • the rear inclination and/or lateral inclination of the running surface that can be achieved in this way enables special training effects in the context mentioned above.
  • the elements in question should also offer the possibility of supporting the treadmill frame or the substructure with adjustable elasticity. This in turn makes it possible to convert the reaction forces exerted by the impacting feet when walking or running on the endless belt or the walking plate into vibrations of the endless belt or the walking plate in a predefined manner.
  • the amplitude of these vibrations depends, on the one hand, on how and with what force the user places his feet, and is therefore subject to his own Control, and on the other hand can be influenced by adjusting the elasticity of the elements mentioned.
  • the invention includes the idea of realizing the explained combined function of the elements mentioned essentially solely by means of lifting air cushions, which are connected on the one hand to the base frame and on the other hand to the treadmill frame or the substructure of the walking platform.
  • the lifting air cushions can also be arranged directly on the floor instead of on a base frame and, if necessary, fixed there.
  • a lifting air cushion is arranged at or near all corner points or laterally in the walking direction of the treadmill frame or the walking plate. This allows the front or rear edge and/or one of the side edges of the treadmill frame or the substructure to be raised in a flexible manner - and also in a predetermined time sequence - and thus in particular to set an incline or a slope of the tread while the generation of an incline by ( While stronger filling of the lifting air cushions at the front edge may be desirable, especially for sporting training, creating a slope by (stronger) filling of the rear lifting air cushions is particularly useful for therapeutic or geriatric applications.
  • the height and elasticity of the lifting air cushions can be controlled via the amount of air they contain or the internal pressure and have air inlets/outlets through which air can be supplied or removed.
  • these air inlets are provided with electrically controllable valves and these are connected to an electric compressor and/or a compressed air tank.
  • a manual air pump can also be used for controlled filling of the lifting air cushions, but this is of minor importance in the practical implementation of the invention.
  • an electronic cushion filling control unit is provided, which is designed to control the compressor and the valves to set a defined filling level and thus a defined height and elasticity of the To control the lifting air cushion.
  • the manual pump already mentioned can also be equipped with a compressed air meter (manometer) to control the filling of the lifting air cushions; However, this too can be seen as a low-cost solution at best with little practical significance.
  • the ability to adjust the elasticity of the lifting air cushions makes it possible to specifically influence or, if necessary, almost eliminate the vibration response of the treadmill or the walking platform to the placement of the user's feet. This allows the training effects mentioned above to be adjusted and optimized in precise coordination with the physical requirements and movement modes of the user. This also applies in particular to the combination of a targeted lifting of the treadmill or the walking platform on one of its edges with the generation of a predetermined vibration response, exclusively via the degree of filling of the lifting air cushions.
  • the treadmill frame or the substructure or the walking or training plate has side arms which are connected to the top of a lifting air cushion located at a corresponding position in the base frame.
  • These outriggers are mounted next to the running surface in a raised manner relative to the lower edge of the treadmill frame or the substructure or relative to the underside of the walking plate, so that a "installation space" is created, so to speak, for the lifting air cushions placed underneath, without the running surface being correspondingly higher.
  • the lifting air cushions are designed in several parts, each comprising at least one partial cushion which has an air inlet with an electrically controlled valve.
  • At least some of the lifting air cushions are assigned stop and/or locking means for fixing the maximum height of the respective lifting air cushion.
  • additional means allow the - fundamentally desired - vibrations of the treadmill or the walking platform to be suppressed. This is particularly useful for simply adjusting the inclination of the running or walking surface.
  • the stop or locking means are designed to be adjustable, in particular electrically adjustable.
  • stop and/or locking means are equipped with additional damping means and are preferably designed to be adjustable, in particular electrically adjustable.
  • Such damping means can prevent permanent mechanical stops of the locking means and the vibrations of the running or walking surface can be additionally dampened, so that an optimal training effect is achieved under practically all conditions and dangers for the user are minimized.
  • the base frame of the treadmill or the walking or training plate comprises two separate traverse modules, each of which is designed as an elongated support, at each end of which a lifting air cushion is fixed.
  • these traverse modules are connected to the treadmill frame, the substructure or the walking plate at or at some distance parallel to the front edge and rear edge.
  • height measuring devices are provided for determining the height of predetermined points of the treadmill frame or the walking or training plate, which are connected to height sensor inputs of the cushion filling control unit.
  • pressure sensors assigned to the lifting air cushions can be provided to determine the internal pressure of the respective lifting air cushion, which are connected to pressure sensor inputs of the cushion filling control unit.
  • the sensors mentioned serve to display essential operating parameters of the gait training arrangement and in particular also to provide basic information that can be used for further adjustment of the gait training arrangement. They can be fed to a corresponding display unit via the corresponding sensor inputs of the cushion filling control unit, and the operator of the gait training arrangement can then control the internal pressure and thereby the height of the lifting air cushions in the desired manner.
  • the cushion filling control unit has a program control device for program-controlled filling and thus height and elasticity adjustment of at least part of the lifting air cushions. This can be done in particular by processing the signals from the electrical height measuring devices and/or the pressure sensors to determine the internal pressure of the lifting air cushions.
  • the program control device is designed to store and implement a predetermined time course of the height and elasticity of at least part of the lifting air cushions as part of a predetermined running training program.
  • the bottom or top of the walking or running surface of the treadmill or the walking or training plate is equipped with force sensors and/or strain gauges or a large number of pressure sensors arranged in a matrix, the measurement results of which can be used for a gait analysis but also for controlling the electronic cushion filling control unit.
  • FIG. 1a and 1b show schematic representations of a gait training arrangement according to the invention in a partially sectioned side view (longitudinal section) or cross-sectional representation
  • FIG. 3a and 3b detailed views of a (modified) gait training arrangement of the type shown in Figs. la and lb,
  • FIGS. 3a and 3b show a detailed view of a gait training arrangement which is structurally modified compared to FIGS. 3a and 3b,
  • Fig. 5 is a schematic representation in the form of a
  • FIG. 6 shows a detailed view of a gait training arrangement with multi-part lifting air cushions in the form of a cross-sectional view
  • FIG. 7 is a perspective detailed view of a gait training arrangement modified compared to FIG. 6,
  • Fig. 8 is a schematic top view of an inventive
  • FIG. 9 is a schematic representation of an exemplary setting or control device of a gait training arrangement according to the invention in the form of a block diagram.
  • FIG. 1a and 1b show a sketch of a gait training arrangement 1, in which two rollers 3 are mounted in a treadmill frame 2, over which a treadmill 4 runs and is driven.
  • the rollers 3 each have a drive shaft or axis of rotation 3a, which can rotate with little friction in bearings of the treadmill frame 2.
  • the treadmill frame 2 is, on the one hand, height-adjustable by means of several lifting air cushions 5 and, on the other hand, is mounted in a base frame 6 so that it can oscillate.
  • the functions and structure of the lifting air cushions are explained below as examples.
  • FIGS. 2a to 2c show sketchy adjustment and usage options of a gait training arrangement 1' with a user N training on it.
  • a walking plate 7 is shown here only schematically as a structural element of the gait training arrangement 1', which is fixed at its corner points on a lifting air cushion 5 , which is simply placed on the floor here.
  • Fig. 2a shows the arrangement with air cushions filled at the front edge and two empty air cushions at the rear edge, so that an upward inclination of the walking plate in the walking or running direction of the user N is set with an inclination angle predetermined by the degree of filling of the air cushions.
  • Fig. 2b shows a corresponding setting of the arrangement in which a gradient is set by filling the rear air cushions and emptying the two front air cushions.
  • Fig. 2c shows the incomplete filling of all air cushions on the longitudinal edges of the arrangement.
  • the double arrows shown are intended to symbolize that this causes the walking or running surface to swing in both the vertical and horizontal directions.
  • Air cushion 5 has an air inlet 5a, which is assigned an electrically controllable valve (not shown). is and via which the lifting air cushion 5 can be filled with a predetermined amount of compressed air L.
  • Fig. 3a shows a state in which the lifting air cushion 5 is deflated or only minimally filled, such that it has a minimum height and the treadmill frame 2 'lies on the floor. It should be noted that the air cushion has a certain minimum height even when completely unfilled due to its design. However, the design with a side arm and the placement of the air lifting bag laterally outside the walking area allows a significantly lower ascent height compared to the version according to Fig. la and lb.
  • Fig. 3b shows a (partially) filled state of the lifting air cushion 5, in which its height is significantly increased compared to the initial state.
  • the treadmill frame 2 ' is lifted off the ground and rests elastically on the lifting air cushion located under the respective boom 2a.
  • this bearing is more or less elastic and can therefore oscillate to an adjustable extent in the horizontal and vertical directions
  • Fig. 4a shows a modified version compared to the embodiment according to Fig. 3a and 3b, in which additional stop or locking means 9 are provided to limit the height of the lifting air cushion 5 and at the same time to lock the treadmill frame 2 '.
  • the stop or locking means 9 include, for example, a stud bolt or cylinder 9a with an external thread, the foot 9b of which rests in a correspondingly designed bore 8a in the base plate 8.
  • a height-adjustable stop and centering element 9c runs on the thread of the stud bolt or cylinder 9a and engages with a bore 2b in the boom 2a.
  • the conical design of the stop and centering element 9c when it partially engages in the bore 2b, means that the treadmill frame 2' is precisely guided laterally and vibration components as a result of the contact forces of a user are prevented when the lifting air cushion is filled. However, if the lifting air cushion is partially deflated, the treadmill frame can move freely in both vertical and horizontal directions. Fig.
  • the stop and centering element 9c is freely movable upwards on the cylinder 9a, up to a possibly adjustable limiting element 9f, and is held against it by a spring 9e and an adjusting element 9d Hole 2b in boom 2a pressed.
  • the height of the adjusting element 9d can be adjusted as a screw element via a thread, whereby the spring force and thus the damping behavior is changed. This also prevents undesirable, constant mechanical impact of the centering element 9c on the boom 2a while walking.
  • an elastomer can also be used and/or combined with the centering element 9c and made entirely or partially of an elastomer.
  • a support plate (substructure) 10 of the walking plate or a treadmill frame 7 has a lowered receiving area 10a created by means of corresponding folds, into which the walking plate or the treadmill frame can be inserted removably and fixed on all sides by means of the folds.
  • This arrangement can therefore be easily transported and equipped in a very simple manner with various types of walking devices, which differ, for example, in the hardness of the walking surface or in the presence of embossed unevenness or in that sensors and/or actuators are installed, with which additional functions such as, for example foot force detection or the active generation of unevenness that changes over time can be realized.
  • the side arms can basically be incorporated into a side frame surrounding the walking device or into a completely or partially closed housing or can be designed as part of such.
  • FIG 6 shows a detailed view based on FIG 5'.
  • This includes a lower, closed air cushion 5.1 with a fixed air volume and thus constant height and an upper air cushion 5.2, which can be filled with a desired amount of air through the air inlet and outlet 5a and can therefore be changed in height.
  • the space between the side edge 6a' of the base frame 6' and the side edge of the support plate 10 is closed in the area of the two-part air cushion 5', for example, with an accordion-shaped flexible protective wall 11.
  • a greater height can be achieved than with a one-piece air cushion, and on the other hand, by combining a closed air cushion with predetermined elastic properties and a variably fillable air cushion with adjustable elasticity, this can be achieved in a particularly flexible manner Vibration behavior of the substructure resting on the lifting air cushion or a treadmill frame resting on it can be adjusted.
  • Fig. 7 shows a modified construction compared to the embodiments described above, which has no coherent substructure and no coherent base frame. Rather, separate traverse modules are provided here, which are attached transversely to the front and rear edges of the walking plate.
  • truss modules each comprise an elongated base frame module 6 'and a substructure module 10' shaped to match this, of which the figure shows an end region.
  • the truss modules therefore have the reference number 6'/10'.
  • the respective ends of the base frame module 6 'and the substructure module 10' are slightly elevated compared to the middle part and in between there is a two-part lifting air cushion 5' with a lower air cushion 5.1 and upper air cushion 5.2 (like in Fig. 6) between them.
  • Fig. 8 shows a top view of a gait training arrangement, in which a conventional treadmill arrangement (not specifically designated) with a treadmill frame 6 is placed on two traverse modules 6 '/10' of the type shown in Fig. 7 and explained above.
  • a 6'/10' truss module is positioned on the front edge and rear edge of the treadmill frame.
  • the treadmill frame is connected to the corresponding traverse module by a suitable screw connection (not shown) or similar.
  • the truss modules can also be positioned very advantageously at a certain distance parallel to the front and rear edges. On the one hand, this allows the possible adjustment angle of the upward and downward inclination to be increased and, particularly in the case of long walking devices, the mechanical stability and thus the bending of the walking surface can be prevented.
  • This arrangement enables existing conventional treadmills or walking platforms to be “retrofitted” with the elements of an arrangement according to the invention explained above and thus a particularly cost-effective implementation of the invention.
  • FIG. 9 shows an example of arrangement components of a gait training arrangement of the type described above, which are used for the controlled filling of the air cushions 5 via their air inlet 5a. Parts shown in dashed lines may exist alternatively or in combination with parts shown in solid lines.
  • the lifting air cushions 5 are filled by a compressor 14 and/or from a compressed air tank 15 via a solenoid valve 16.
  • a cushion filling control unit 17 determines control signals for the compressor 14 and / or the solenoid valve 16 by processing input signals that come from an internal pressure sensor 18 in the lifting air cushion 5 and / or from a height sensor 19 on or in the air cushion 5 to corresponding control signal inputs 17a, 17b the control unit 17 are delivered.
  • An input signal evaluation unit 17c evaluates the measurement signals in a suitable manner and feeds them to a comparator unit 17d.
  • This receives a target signal from a program control device 17e, in which program data (such as target values or target pressure or target height time curves) for filling the lifting air cushions are stored.
  • the memory contents in the program control device 17e can be changed via an operating unit 17f of the pillow control unit 17, and
  • the compressor 14 and optionally also the solenoid valve 16 can be controlled directly by the operator.

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  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biophysics (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Rehabilitation Tools (AREA)

Abstract

L'invention se réfère à un ensemble d'entraînement à la marche comprenant un bâti de tapis roulant et une courroie sans fin ou une courroie à segments, qui s'étend sur et est entraînée par des rouleaux maintenus par l'intermédiaire du bâti de tapis roulant, ou un panneau de marche ou d'entraînement dont la surface est utilisée en tant que surface de marche ou de course. Chacun d'au moins quatre coussins d'air de levage est agencé latéralement dans la direction de marche ou à proximité de chaque point d'angle, les coussins d'air de levage étant reliés au bâti de base sur sa face inférieure, ou sont placés sur le sol et sont reliés au bâti de tapis roulant sur sa face supérieure, supportent le bâti de tapis roulant et ont une hauteur qui peut être réglée par l'intermédiaire de la quantité d'air contenue. Les coussins d'air de levage comportent des orifices d'entrée pourvus d'électrovannes, un compresseur électrique et/ou un réservoir d'air comprimé est relié aux vannes des coussins d'air de levage, et une unité de commande électronique de remplissage de coussin prévue est conçue pour actionner simultanément le compresseur et les vannes afin de régler un niveau de remplissage défini d'au moins deux coussins d'air de levage adjacents, afin de régler une inclinaison et/ou une élasticité spécifiées de la surface de course ou d'entraînement.
PCT/EP2023/057945 2022-06-02 2023-03-28 Ensemble d'entraînement à la marche WO2023232310A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102022113985.9 2022-06-02
DE102022113985.9A DE102022113985A1 (de) 2022-06-02 2022-06-02 Gangtrainingsanordnung

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Publication Number Publication Date
WO2023232310A1 true WO2023232310A1 (fr) 2023-12-07

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PCT/EP2023/057945 WO2023232310A1 (fr) 2022-06-02 2023-03-28 Ensemble d'entraînement à la marche

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WO (1) WO2023232310A1 (fr)

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5112045A (en) * 1990-09-05 1992-05-12 Breg, Inc. Kinesthetic diagnostic and rehabilitation device
WO1992011905A1 (fr) * 1991-01-08 1992-07-23 Stairmaster Exercise Systems Tapis roulant pour pratiquer la marche ou la course a pied
US5441466A (en) * 1994-02-03 1995-08-15 Piaget; Gary Exercise step with adjustable leg bellows
US5827155A (en) * 1991-02-21 1998-10-27 Icon Health & Fitness, Inc. Resiliently mounted treadmill
EP1916981A1 (fr) * 2005-05-04 2008-05-07 Nadamisa, Inc. Ensemble plate-forme de physiotherapie

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5112045A (en) * 1990-09-05 1992-05-12 Breg, Inc. Kinesthetic diagnostic and rehabilitation device
WO1992011905A1 (fr) * 1991-01-08 1992-07-23 Stairmaster Exercise Systems Tapis roulant pour pratiquer la marche ou la course a pied
US5827155A (en) * 1991-02-21 1998-10-27 Icon Health & Fitness, Inc. Resiliently mounted treadmill
US5441466A (en) * 1994-02-03 1995-08-15 Piaget; Gary Exercise step with adjustable leg bellows
EP1916981A1 (fr) * 2005-05-04 2008-05-07 Nadamisa, Inc. Ensemble plate-forme de physiotherapie

Also Published As

Publication number Publication date
DE102022113985A1 (de) 2023-12-07

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