Classifications

• • A—HUMAN NECESSITIES
  • A63—SPORTS; GAMES; AMUSEMENTS
  • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
  • A63B24/00—Electric or electronic controls for exercising apparatus of preceding groups; Controlling or monitoring of exercises, sportive games, training or athletic performances
• • 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
  • A63B21/00178—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices for active exercising, the apparatus being also usable for passive exercising
• • A—HUMAN NECESSITIES
  • A63—SPORTS; GAMES; AMUSEMENTS
  • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
  • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
  • A63B21/005—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using electromagnetic or electric force-resisters
• • 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
• • A—HUMAN NECESSITIES
  • A63—SPORTS; GAMES; AMUSEMENTS
  • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
  • A63B24/00—Electric or electronic controls for exercising apparatus of preceding groups; Controlling or monitoring of exercises, sportive games, training or athletic performances
  • A63B24/0087—Electric or electronic controls for exercising apparatus of groups A63B21/00 - A63B23/00, e.g. controlling load
  • A63B2024/009—Electric or electronic controls for exercising apparatus of groups A63B21/00 - A63B23/00, e.g. controlling load the load of the exercise apparatus being controlled in synchronism with visualising systems, e.g. hill slope
• • 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
  • A63B21/002—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
• • 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
  • A63B22/14—Platforms for reciprocating rotating motion about a vertical axis, e.g. axis through the middle of the platform
• • A—HUMAN NECESSITIES
  • A63—SPORTS; GAMES; AMUSEMENTS
  • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
  • A63B2220/00—Measuring of physical parameters relating to sporting activity
  • A63B2220/10—Positions
  • A63B2220/13—Relative positions
• • A—HUMAN NECESSITIES
  • A63—SPORTS; GAMES; AMUSEMENTS
  • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
  • A63B2220/00—Measuring of physical parameters relating to sporting activity
  • A63B2220/50—Force related parameters
  • A63B2220/51—Force
• • 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
  • A63B23/0405—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs involving a bending of the knee and hip joints simultaneously
  • A63B23/0417—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs involving a bending of the knee and hip joints simultaneously with guided foot supports moving parallel to the body-symmetrical-plane by translation
• • A—HUMAN NECESSITIES
  • A63—SPORTS; GAMES; AMUSEMENTS
  • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
  • A63B24/00—Electric or electronic controls for exercising apparatus of preceding groups; Controlling or monitoring of exercises, sportive games, training or athletic performances
  • A63B24/0075—Means for generating exercise programmes or schemes, e.g. computerized virtual trainer, e.g. using expert databases

Definitions

• the invention relates to the field of devices that can be used for the rehabilitation and rehabilitation of patients, for the training and weight training of sportsmen and for the prevention of physical problems and the well-being of persons.
• DESCRIPTION OF THE STATE OF THE ART [0002] It is recognized that for the rehabilitation of patients, control of the parameters of the movements performed is essential.
• the modes of mobilization we distinguish the following modes: the isotonic mode, in which the effort provided by the muscle is constant; the isometric mode, in which the muscle provides a determined effort, and the limb does not move; the isokinetic mode, in which the limb moves at a predetermined speed, and provides a variable effort.
• WO0110508 discloses a rehabilitation device comprising position detectors can be attached to a patient member and able to transmit position signals of the member or members to which the detectors are attached and a controller capable of receiving and recording the said signals and to communicate to the patient instructions as to the exercise to be performed.
• This device therefore makes it possible to choose a program of movements to be performed by the patient and to check the correct execution of this movement program.
• this device is purely passive and only allows to measure positions and angles, and incidentally, the forces exerted by the foot of the patient on the ground (Examples 6 and 7).
• the applicant of the present invention has developed a device for proprioceptive rehabilitation and / or physical training, known as the name "Giroplan” and described in EP0240497.
• the "Giroplan” is made up of 3 interconnected elements: (1) A 360 ° turntable on which accessories can be mounted that allow to work all parts of the body.
• the plate has an adjustable brake, which adjusts the braking torque.
• This device has many advantages, such as its simplicity, its lightness, which allows the therapist to use it at the bedside of patients and / or in home visits, its flexibility for a wide class of exercises and pathologies.
• This apparatus having an adjustable and controllable electromagnetic brake and a measurement of the angle of the turntable allows the user to perform in a controlled manner any type of exercise in which the resistance force and the speed of execution can be variable in a programmed amplitude.
• it does not allow exercises in which the force, motion or combination is imposed by the device in a passive, active, isokinetic or isotonic (concentric or eccentric) mode. It also does not allow to track the position and movement of a patient's limb in the three dimensions of space and to impose a movement, while measuring the reaction force and to visualize and model precisely the target musculature.
• the invention provides a device for rehabilitation and / or physical training of a person.
• the device comprises a base and a movable member adapted to move relative to the base according to a degree of freedom guided by guide means.
• the movable member is provided with means for fixing accessories for gripping or fixing members of the said person.
• the device comprises a set of position and / or pressure sensors placed on the movable member, the accessories, or on the body of the user.
• the device comprises a controller receiving position and exerted pressure information capable of inferring in real time the biomechanical characteristics of the movements performed by the user, to model the quality of muscle work and to give back movement instructions to the user. the person to properly carry out the rehabilitation and / or physical training program.
• slave motor means directly drive said movable member and are able to impose on the user movements: passive or active, isometric, isokinetic or isotonic (concentric or eccentric).
• They advantageously comprise a torque servomotor comprising a stator with a large number of poles and a rotor comprising permanent magnets, the rotor directly driving the movable member.
• the mobile member is a plateau capable of moving according to a degree of freedom of rotation relative to the base.
• the torque servomotor is in this case a rotary motor, and the guide means are circular.
• the movable member is a carriage adapted to move with a degree of freedom of translation relative to the base.
• the torque servomotor is in this case a linear motor, and the guide means are also linear.
• the controller is advantageously connected to a display that indicates to the person instructions to move, the movements actually made and corrections to make.
• the instructions can also be transmitted in sound form, for example by tones, or a voice synthesis device.
• the attachment means of accessories may comprise a plurality of parallel dovetail grooves in which the accessories can be fixed. This gives a great flexibility in the choice of positions of the accessories.
• the set of position sensors comprises radio-identification radio-tags, also known as "RFID tags" (Radio Frequency Identification).
• FIG. 1 is a perspective view of a first embodiment of a device according to the invention in which the movement is rotary.
• FIG. 2 is a perspective view of a second embodiment of a device according to the invention in which the movement is linear.
• FIG. 3 is a block diagram showing components of a device according to the invention, and their interactions.
• Figs. 4a and 4b are respectively a view from above and a view from below of a device according to the first embodiment of the invention.
• Figs. 5a, 5b and 5c are respectively a bottom view of a plate, the top of a base and the side of a device according to the first embodiment of the invention.
• FIG. 6 is a bottom view of a device according to the second embodiment of the invention.
• Figs. 7a, 7b and 7c are respectively a bottom view of a carriage, the top of a base and the side of a device according to the second embodiment of the invention.
• FIG. 8 is an anterior view and a rear view of a person on which position sensors of a device are disposed according to the invention.
• Figs. 9a, 9b and 9c are respectively a view of the dorsal surface and the palmar surface of a hand, and of the plantar surface of a foot of a person on which position sensors and pressure sensors are arranged. a device according to the invention.
• the rotary rehabilitation device 10 comprises a base 20 on which is rotatably mounted a plate 30.
• the base 20 can be positioned in various inclinations by being hinged by means of a hinge 40 to a base 50.
• the position of the base 20 is then maintained by means of a telescopic rod and fastening means.
• the plate 30 is rotatably mounted on the base 20. It is possible to mount on this plate 30 various accessories for gripping or fixing a limb.
• the base can be placed on the ground to allow the user among others to work standing on the plate 30, but can also be mounted vertically on a stand, a wall, as shown in FIG. 1, or placed on a table.
• the device according to the invention comprises a dynamometric servomotor (not shown in FIG. 1), a controller and a display 75, such as a screen that communicates instructions to the person .
• positional and / or pressure sensors can be placed on certain accessories and / or on the person. selected points. These sensors will be described in more detail below.
• FIG. 2 is a perspective view of a second embodiment of a device according to the invention in which the movement is linear.
• This device also comprises a base 90.
• a carriage 100 can move in translation over a distance of, for example, 1m.
• a linear servo motor described in more detail below, controls the movement of the carriage.
• a controller 110 controls the device and displays instructions on the display device 75,
• FIG. 3 is a block diagram showing components of a device according to the invention, and their interactions.
• the controller 110 receives signals from the position sensors 120 and / or the pressure sensors 130. Depending on the exercise program that has been selected, the controller 110 transmits to the rotary servo motor 150 or linear 140 positional instructions angular, torque or angular velocity in the rotary embodiment, or position, force or velocity in the linear embodiment.
• the engine 140,150 can also transmit indications of angular position or torque, or linear position or force.
• the controller 110 also transmits to a display 75 instructions to the patient, as to the exercise to be performed (total number of repetitions / remaining) and the intensity of the exercise. In isokinetic exercise, the patient is instructed to perform a movement with a predetermined speed.
• a graph bar on the screen indicates to the patient the actual speed achieved.
• a representation mode such as a color, indicates whether the realized speed is lower, higher than a desired range, or located in that range.
• the controller 110 simultaneously gives instructions to the motor 150, 140 to adapt the resistance to be overcome by the muscle.
• the device of the invention thus gives a permanent visual or auditory feedback.
• the position sensors 120 may be "RFID tags" (Radio Frequency Identification). The acquisition of the position of the tags is carried out with a period of the order of one millisecond, in the three dimensions of the space, from a reader placed on the base of the device or on the user. It is also possible to use gyroscope transmitters.
• FIG. 4a is a top view of the rotary rehabilitation device 10.
• the plate 30 has a plurality of dovetail section grooves 160. It is thus possible to attach one or more accessories in selected positions on the surface of the plate 30. can thus adapt the device to the desired amplitude of movement and the size of the patient.
• Fig. 4b is a view from below of this same device.
• the base 50 is articulated to the base 20 by means of hinges 40.
• a telescopic rod or rod 170 makes it possible to adjust the angle of inclination of the base 20 with respect to the base 50. It is thus possible to vary the type of movements. to achieve and obtain trajectories in the three dimensions of space.
• FIG. 5a is a view from below of a plate 30 of the rotary rehabilitation device.
• Permanent magnets 180 are aligned in a ring on the periphery of the plate. These magnets 180 are arranged to produce a magnetic field perpendicular to the plane of the plate, and oriented alternately upwardly and downwardly with respect to this plane.
• Fig. 5b is a top view of a base.
• Coils 190 are arranged in a ring and face the permanent magnets 180. Inside these coils 190 is disposed a slideway comprising a rail 200 and movable elements 210. This slide ensures that a predetermined distance is maintained between the magnets 180 permanent and windings 190 and allows the rotation of the board
• FIG. 5c is a side of the device 10.
• the choice of the type of motor and slide has made a very compact device.
• FIG. 6 is a bottom view of a device 80 according to the second embodiment of the invention.
• On a base 90 are mounted the coils 190 of a linear motor and the rail 200 of a slide.
• a carriage 100 is secured to one or more movable elements 210 sliding on the rail 200. When the carriage 100 is large, one can mount wheels 220 to guide its movement.
• a handle 70 is mounted on the carriage 100.
• FIG. 7a is a bottom view of a carriage of a device according to the second embodiment of the invention, showing the permanent magnets 180 and the movable elements 210 of the slideway fixed to the carriage 100.
• FIG. 7b is a top view of a base 90, the rail 200 of the slideway and the coils 190 of the linear motor.
• Fig.7c is a side view next arrow A of Fig.6 of this same device.
• FIG. 8 is an anterior and posterior view of a person on which are disposed position sensors of a device according to the invention. Sensors are advantageously arranged at a selection of the positions, according to the necessities of the exercise: external malleolus (ME), internal malleolus (Ml), external condyle (CE), internal condyle (Cl), anterior anterior iliac spine (EIAS ), Sacrum Top (SAC), Epicondyle (EpC), Epitrochlea (EpT) 1 Acromion (ACR), Sternum (STE), 7th Cervical (C7), Mastoid Apophysis (MAS), Forehead (FRO). Subsets of individual sensors may be formed to follow a particular limb or segment of a member.
• ME external malleolus
• Ml internal malleolus
• CE internal condyle
• Cl internal condyle
• EIAS anterior anterior iliac spine
• SAC Sacrum Top
• EpC Epicondyle
• FIG. 9a view of the dorsal surface on which position sensors have been installed at the following points: distal end of the phalanges, outer face of the distal end of the 1st, 2nd and 4th metacarpals, radial styloid process (thumb side), styloid apophysis cubital (small finger side).
• FIG. 9b is a view of the palmar surface of a hand on which pressure sensors have been installed at the following points: distal end of the phalanges, distal end of the 2nd and 4th metacarpals, external face of the distal end of the 2nd and 4th 4th metacarpal, thenar eminence (inch side), hypothenar eminence (small finger side).
• the set of position and pressure sensors of a hand can advantageously be arranged in a glove.
• 9c is a view of the plantar surface of a person's foot on which position sensors and pressure sensors are arranged at the following points: (OF1 to OF5 and OP1 to OP5) Toes 1 to 5 (sensors of force and position), (MF1 and MF5) External face of the Distal End of the 1st and 5th
• the rotor directly drives the turntable or moving carriage.
• the field is directed in the axis of rotation. No rotation shaft is needed, the support being provided by the slide.
• the field is perpendicular to the base.
• the slide may be a ball slide, provided by THK, and described in US 5265963, or a friction slide.
• the device according to the invention can induce totally different modes of execution thanks to the servomotor and / or the sensors of the present invention.
• Fig.1 shows an exercise of flexion / extension of the knee where the servo motor alone via the controller can impose the user different modes of operation: passive or active, isometric, isokinetic or isotonic (concentric or eccentric) but in a global way because we use here only the stress sensors and position of the servo-motor.
• Example 2 Specific strengthening of the vastus medialis of the quadriceps muscle [0036] As in Fig.1, the person flexes / extends the knee. A pressure sensor placed on the internal face of the forefoot makes it possible to force the patient to press more or less heavily on the latter during the flexion and extension movement to cause the more or less intense contraction of the vast internal quadriceps.
• two pressure sensors one placed below the forefoot and the other under the heel (or from the PLF sensor of Fig. 9c if using the sock) , which allow: 1. To force the patient to distribute pressure evenly over the forefoot and heel. 2. to help the patient to control this pressure distribution by increasing the resistance in a definite way if the speed of execution slows down and / or if the pressure decreases under the heel according to neurological criteria defined with respect to the capabilities of the patient.
• the device of the invention dialogue with the patient, displays its result and promotes consistency in the effort, both in the control of it as in the creation of a beneficial rhythm by sonic, visual or pressure-sensitive points of reference that guarantee the proper movement.
• the device of the invention is not limited to the simple "Muscular Strengthening", it is a new "Platform for Functional Rehabilitation and physical preparation of athletes".
• the device of the invention allows to gather as many therapeutic possibilities in a single system while objectifying their realization. This device thus makes it possible to visualize and concretize via a controller the distribution of the moments of force of a three-dimensional movement carried out induced by the device.

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

Priority Applications (3)

Applications Claiming Priority (2)

Publications (2)

Family

ID=40707837

Family Applications (1)

Country Status (4)

Cited By (1)

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• 2008
  • 2008-11-14 BE BE2008/0623A patent/BE1018843A3/fr not_active IP Right Cessation
• 2009
  • 2009-11-10 CA CA2779680A patent/CA2779680A1/fr not_active Abandoned
  • 2009-11-10 EP EP09825664A patent/EP2362802A2/de not_active Withdrawn
  • 2009-11-10 WO PCT/BE2009/000056 patent/WO2010054447A2/fr not_active Ceased

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