EP1221332A2 - Gerät zur Wiederherstellung des Knöchels - Google Patents

Gerät zur Wiederherstellung des Knöchels Download PDF

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Publication number
EP1221332A2
EP1221332A2 EP02354001A EP02354001A EP1221332A2 EP 1221332 A2 EP1221332 A2 EP 1221332A2 EP 02354001 A EP02354001 A EP 02354001A EP 02354001 A EP02354001 A EP 02354001A EP 1221332 A2 EP1221332 A2 EP 1221332A2
Authority
EP
European Patent Office
Prior art keywords
base
patient
movement
ankle
heel
Prior art date
Legal status (The legal status 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 status listed.)
Granted
Application number
EP02354001A
Other languages
English (en)
French (fr)
Other versions
EP1221332B1 (de
EP1221332A3 (de
Inventor
Pascal Didier Toschi
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Centre D'evaluation Et De Readaptation Sportive C
Original Assignee
Individual
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 Individual filed Critical Individual
Publication of EP1221332A2 publication Critical patent/EP1221332A2/de
Publication of EP1221332A3 publication Critical patent/EP1221332A3/de
Application granted granted Critical
Publication of EP1221332B1 publication Critical patent/EP1221332B1/de
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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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
    • A63B23/00—Exercising apparatus specially adapted for particular parts of the body
    • A63B23/035—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
    • A63B23/04—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs
    • A63B23/08—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs for ankle joints
    • 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
    • A61H1/0237—Stretching or bending or torsioning apparatus for exercising for the lower limbs
    • A61H1/0266—Foot
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/40—Interfaces with the user related to strength training; Details thereof
    • A63B21/4001—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor
    • A63B21/4011—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor to the lower limbs
    • A63B21/4015—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor to the lower limbs to the foot
    • 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
    • A63B22/18—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with elements, i.e. platforms, having a circulating, nutating or rotating movement, generated by oscillating movement of the user, e.g. platforms wobbling on a centrally arranged spherical support
    • 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
    • A61H1/0218—Drawing-out devices
    • 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
    • A61H2201/164—Feet or leg, e.g. pedal
    • A61H2201/1642—Holding means therefor
    • 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
    • A63B22/18—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with elements, i.e. platforms, having a circulating, nutating or rotating movement, generated by oscillating movement of the user, e.g. platforms wobbling on a centrally arranged spherical support
    • A63B2022/185—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with elements, i.e. platforms, having a circulating, nutating or rotating movement, generated by oscillating movement of the user, e.g. platforms wobbling on a centrally arranged spherical support specially adapted for using with a single foot or 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
    • A63B21/02—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
    • A63B21/045—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 having torsion or bending or flexion element
    • 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

Definitions

  • the invention is in the field of medical techniques, and it relates to a ankle rehabilitation device.
  • a base supporting a support in a ball-and-socket joint shaped in particular as a tray.
  • the base is designed to rest on the ground, while the tray is designed to support the patient's foot at rest.
  • These devices are intended to cause omnidirectional movements of the patient's ankle, from pushes exerted by the patient with his foot on the set. These movements aim to solicit the muscles which stabilizes the ankle, causing an imbalance in the support that the patient on the set, from inclinations taken by the latter relative to on the ground. This results in an overall muscular stiffness of the ankle, in order to allow control of the three dorsal and plantar flexion movements, pronosupination and rotation.
  • Document US 4605220 relates to a mechanism for re-education of the ankle in which the entire foot is trapped in a plate mounted on shock absorbers, and orientable in two orthogonal directions. It is impossible for the patient to be able to walk with this mechanism which remains anchored on the ground.
  • the document FR 2521435 describes an exerciser device for ankles, comprising a plantar support sole secured to an oscillating device constituted by a sphere with multidirectional movement. It is used exclusively in the seated position, the legs being vertical.
  • the object of the present invention is to provide an apparatus for the ankle rehabilitation, the structure of which remedies these drawbacks. More particularly, such an apparatus aims to induce ankle work which is related to its anatomy and its natural freedoms of movement, the rehabilitation taking place when the patient is walking with the device attached to each heel.
  • the inventive step of the present invention consisted in proposing a ankle rehabilitation device, which is arranged so as to force the ankle to work in a certain way around a position balance correlated with its anatomy and with protection satisfactory muscle.
  • This apparatus is further arranged to make work the ankle with omni-directional movements guided around of directions determined in the sagittal plane and the horizontal plane, in relationship with the different sprain mechanisms and the anatomy of the ankle.
  • the apparatus for the rehabilitation of the ankle comprises a support for the patient's foot, connected by a joint to a base.
  • the support for the patient's foot comprises an astragalar seat arranged to receive the patient's heel, said seat being extended by a protective ankle cover.
  • the articulation is arranged to allow freedom of movement of the astragalar seat with an authorized travel corresponding to the sub-astragalian articulation of the patient, said movement of the astragalar seat being guided around at least one directional axis oriented by relative to the axis A of extension of the support of the foot in the sagittal plane S at an angle A1 of between 10 ° and 50 °.
  • the movement of the astragalar base (12) can be guided secondly with respect to the horizontal plane H at an angle A2 between 12 ° and 35 °.
  • the support for the patient's foot is shaped into a shoe, boot or the like, supported by the base via the heel.
  • the articulated connection between the support and the base is preferably obtained by means of an ogival-shaped element supported by the base.
  • This ogival element is housed in a ball joint in a housing of complementary shape formed the astragalian seat.
  • Other types of ball joints can be used, provided that the inclined orientation takes place in the sagittal plane and in the horizontal plane along the respective angles A1 and A2 . It will be noted that the values of suitable angles are respectively for A1 of the order of 45 ° and for A2 of the order of 30 °.
  • the ogival articulation element is connected to the base so fixed by means of a vertical axis, the corresponding housing, as for him, being formed inside the heel of the shoe, so that the articulated connection between the base and the shoe results from a heel of the shoe around the bearing surface of the ogival element, which is fixed.
  • the heel of the shoe is advantageously obtained by molding a plastic material.
  • the conical shape of the articulation element and of the housing complementary preferably has a tapered portion, which is oriented towards the front of the talus and upwards relative to the ground.
  • the ball joint can be replaced by an oriented pivot axis according to angle A1, or by a deformable connecting piece coming from molding plastic with the bootie.
  • the apparatus advantageously includes adjustment means. the movement of the talus base relative to the ground, to allow to adapt to the desired mobility of the ankle, both in varus and in valgus than back and forth.
  • adjustment means of the stop type in particular, for example consist of a set of interchangeable shims interposed between the support and the base, or equivalently between the support and the floor according to the size of the base on the floor.
  • the base is preferably shaped according to the projection on the ground the conformation of the astragalar base, and therefore more particularly is shaped like a shoe heel.
  • the height position of the astragalar base relative to the ground is adjustable, between two extreme positions in particular. One of these positions corresponds to a low position, for work by the patient with the foot resting and for walking exercises, and a high position for exercises jump.
  • the vertical axis of connection of the support to the base is a threaded rod which cooperates with an internal thread made in any one of the support and the base, and preferably in the latter.
  • an apparatus for rehabilitating the ankle comprises a base 2 connected to a boot 4 via a ball joint 6.8.
  • This articulation comprises a male element 6 supported by the base 2 by means of a threaded rod 10.
  • This male element 6 is received at the interior of a recess 8 of complementary shape formed inside the heel 12 of boot 4. It follows that boot 4 is articulated so omnidirectional on the base 2 via its heel 12.
  • the ball joint 6,8 is organized so as to limit the freedom of movement of the boot 4 in space, and more particularly so as to force the ankle to work around an equilibrium position in correlation with the mechanisms. sprains.
  • the backward movement in front of the boot 4 for a right foot is carried out in positions respectively in valgus (figure 2) and in varus (figure 4).
  • the male element 6 is of ogival shape tapering towards the front, and penetrates inside a housing 8 of corresponding shape formed in the heel 12 of the boot 4.
  • This ogival element 6 is oriented, relative to the axis A of extension of the shoe, relative to the sagittal plane S at an angle A1 of the order of 45 ° and relative to the horizontal plane H , and more precisely in the rest plane of the base on the ground, at an angle A2 of the order of 30 °.
  • the articulation between the heel 12 and the base 2 is constituted by a pivot axis 20 instead of the ball joint according to the figures preceding.
  • the rectilinear axis 20 extends in an inclined direction making an angle A1 between 10 ° and 50 ° relative to the vertical axis A foot support extension 4.
  • Weight or elastic means can be arranged between the heel 12 and base 2 to maintain the parallelism between the sole of the shoe, and heel 12 during the patient's oscillating step during the market.
  • Figures 11 and 12 illustrate a one-piece structure produced by injection plastic of a boot 4 and a deformable connecting piece 22.
  • the bootie 4 is intended for receiving the hindfoot
  • the connecting piece 22 is several ribs 23, to allow movement of the varus.
  • the orientation of the connecting piece 22 is similar to that of the pivot axis of the Figures 8 to 10. It is also possible to mold in one piece the boot (4), the connecting piece (22) and the base (2).
  • the plastic connecting piece 24 injected with the boot 4 has a plurality of grooves 26, which are oriented by additional shims 28 to allow a predetermined multidirectional or unidirectional movement.

Landscapes

  • Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Rehabilitation Therapy (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Biophysics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Rehabilitation Tools (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Prostheses (AREA)
EP02354001.6A 2001-01-03 2002-01-03 Gerät zur Wiederherstellung des Knöchels Expired - Lifetime EP1221332B1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR0100042A FR2818912B1 (fr) 2001-01-03 2001-01-03 Appareil pour reeducation de la cheville
FR0100042 2001-01-03

Publications (3)

Publication Number Publication Date
EP1221332A2 true EP1221332A2 (de) 2002-07-10
EP1221332A3 EP1221332A3 (de) 2009-03-11
EP1221332B1 EP1221332B1 (de) 2014-04-16

Family

ID=8858491

Family Applications (1)

Application Number Title Priority Date Filing Date
EP02354001.6A Expired - Lifetime EP1221332B1 (de) 2001-01-03 2002-01-03 Gerät zur Wiederherstellung des Knöchels

Country Status (2)

Country Link
EP (1) EP1221332B1 (de)
FR (1) FR2818912B1 (de)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2964559A1 (fr) * 2010-09-15 2012-03-16 Ct D Evaluation Et De Readaptation Sportives Cevres Appareil medical pour la reeducation et la prevention des entorses

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2308307C1 (ru) * 2005-12-29 2007-10-20 Андрей Борисович Юрков Тренировочное устройство для восстановления двигательной активности ног
CN104941143A (zh) * 2013-07-03 2015-09-30 曹富强 一种教学方法及转动装置
FR3153739B1 (fr) 2023-10-04 2025-10-31 Physio React Dispositif d’entraînement et/ou de rééducation d’une cheville et procédé de commande d’un tel dispositif

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3782721A (en) 1970-12-10 1974-01-01 F Passera Physical training device
US4306714A (en) 1980-04-07 1981-12-22 Loomis Joseph L Iso-energetic ankle exerciser
FR2521435A1 (fr) 1982-02-18 1983-08-19 Claude Raskin Appareil de preparation a l'effort des chevilles pour les sportifs et notamment les skieurs
US4605220A (en) 1985-04-12 1986-08-12 Wikco Industries, Inc. Ankle exerciser
FR2641183A1 (fr) 1988-09-28 1990-07-06 Heurte Alain Appareil d'etude et de reeducation de la cheville
US5368536A (en) 1993-10-01 1994-11-29 Stodgell; Mark E. Ankle rehabilitation device

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4452447A (en) * 1980-07-07 1984-06-05 Isotechnologies, Inc. Ankle exerciser
US4538595A (en) * 1984-02-21 1985-09-03 Hajianpour Muhamad A Passive exercising device
US4650183A (en) * 1985-05-20 1987-03-17 Isotechnologies, Inc. Exercise apparatus for certain foot and ankle joints
CA2260298A1 (en) * 1997-06-20 2000-07-25 Gilbert A. Hice Foot leverage system and method

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3782721A (en) 1970-12-10 1974-01-01 F Passera Physical training device
US4306714A (en) 1980-04-07 1981-12-22 Loomis Joseph L Iso-energetic ankle exerciser
FR2521435A1 (fr) 1982-02-18 1983-08-19 Claude Raskin Appareil de preparation a l'effort des chevilles pour les sportifs et notamment les skieurs
US4605220A (en) 1985-04-12 1986-08-12 Wikco Industries, Inc. Ankle exerciser
FR2641183A1 (fr) 1988-09-28 1990-07-06 Heurte Alain Appareil d'etude et de reeducation de la cheville
US5368536A (en) 1993-10-01 1994-11-29 Stodgell; Mark E. Ankle rehabilitation device

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2964559A1 (fr) * 2010-09-15 2012-03-16 Ct D Evaluation Et De Readaptation Sportives Cevres Appareil medical pour la reeducation et la prevention des entorses
WO2012035214A1 (fr) 2010-09-15 2012-03-22 Centre D'evaluation Et De Readaptacion Sportive Cevres Appareil medical pour la reeducation et la prevention des entorses

Also Published As

Publication number Publication date
FR2818912A1 (fr) 2002-07-05
FR2818912B1 (fr) 2003-06-27
EP1221332B1 (de) 2014-04-16
EP1221332A3 (de) 2009-03-11

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