EP0715534B1 - Diagnostic and/or therapeutical device for human beings - Google Patents
Diagnostic and/or therapeutical device for human beings Download PDFInfo
- Publication number
- EP0715534B1 EP0715534B1 EP94926897A EP94926897A EP0715534B1 EP 0715534 B1 EP0715534 B1 EP 0715534B1 EP 94926897 A EP94926897 A EP 94926897A EP 94926897 A EP94926897 A EP 94926897A EP 0715534 B1 EP0715534 B1 EP 0715534B1
- Authority
- EP
- European Patent Office
- Prior art keywords
- operating
- legs
- support
- plate
- seat plate
- 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.)
- Expired - Lifetime
Links
- 241000282414 Homo sapiens Species 0.000 title abstract 2
- 230000001225 therapeutic effect Effects 0.000 title abstract 2
- 210000002414 leg Anatomy 0.000 claims description 28
- 210000001217 buttock Anatomy 0.000 claims description 2
- 238000010276 construction Methods 0.000 claims 2
- 230000001174 ascending effect Effects 0.000 claims 1
- 238000003745 diagnosis Methods 0.000 claims 1
- 238000002560 therapeutic procedure Methods 0.000 claims 1
- 238000005259 measurement Methods 0.000 description 11
- 230000002349 favourable effect Effects 0.000 description 4
- 230000006978 adaptation Effects 0.000 description 3
- 210000003205 muscle Anatomy 0.000 description 3
- 230000006378 damage Effects 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 210000003127 knee Anatomy 0.000 description 2
- 210000002784 stomach Anatomy 0.000 description 2
- 238000005452 bending Methods 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 230000002425 cardiocirculatory effect Effects 0.000 description 1
- 210000002310 elbow joint Anatomy 0.000 description 1
- 210000003414 extremity Anatomy 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 210000001503 joint Anatomy 0.000 description 1
- 210000000629 knee joint Anatomy 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 210000002346 musculoskeletal system Anatomy 0.000 description 1
- 230000003183 myoelectrical effect Effects 0.000 description 1
- 230000008929 regeneration Effects 0.000 description 1
- 238000011069 regeneration method Methods 0.000 description 1
- 210000000323 shoulder joint Anatomy 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 238000011282 treatment Methods 0.000 description 1
Images
Classifications
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- 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
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- 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
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- 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
- A63B21/00181—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices comprising additional means assisting the user to overcome part of the resisting force, i.e. assisted-active exercising
-
- 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
- A63B23/0494—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs primarily by articulating the knee 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
- A61H1/0218—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
- A61H2201/1614—Shoulder, e.g. for neck stretching
- A61H2201/1616—Holding means therefor
-
- 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
- A63B21/0058—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 using motors
-
- 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
- A63B2220/54—Torque
-
- 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
- A63B23/0355—A single apparatus used for either upper or lower limbs, i.e. with a set of support elements driven either by the upper or the lower limb or limbs
Definitions
- the invention relates to a device for diagnosing and / or treating a person with an actuation and a support device, in which the actuation and / or the support device are rotatably mounted on a fixed frame about a main axis substantially parallel to the installation surface; the actuating device comprises two legs rotatable about the main axis; Means for measuring and indicating or specifying a resistance applied or to be applied by the person against the movement of an actuating element are provided, the support device is designed as a combined lying and seat frame; the combined reclining and seat frame comprises a seat plate and a back plate which is pivotable with respect to the seat plate about an axis parallel to the main axis; Adjustment means for vertical and / or horizontal positioning of the combined reclining and sitting frame are provided; the seat plate is designed as such or in connection with a removable support plate for alternatively receiving the buttocks or the upper body of the patient; and the back plate is designed to alternatively accommodate the upper body or the leg area of the patient.
- EP-A-0 166 464 (MAGNONI) known.
- EP-A-0 166 464 (MA-GNONI) provides a bed for motor rehabilitation of a patient.
- Mechanical movement arrangements driven by electric motors can be used to cause movements of the patient even against the patient's resistance. Further mechanical arrangements serve to position the bed and the mechanical movement arrangements mentioned above. This allows the bed to be adjusted in height and rotated around a transverse axis.
- the movement arrangements allow, among other things, bending and stretching movements of the elbows and knees.
- the patient can perform the latter knee exercises lying on his back or lying on his stomach. Electronic control and monitoring of the exercises is also provided.
- Another device is from the AT-PS 394 806 known.
- this device designed for use in a weightless room, a test person provides maximum resistance to the movement of the actuating element. During the movement, in addition to this measurement, corresponding measurements, which are attached to the lever, are used to carry out further measurements, such as brain current measurement, measurement of the myoelectric currents in the loaded muscles and the creation of an electrocardiogram. The physical condition of the test subject can be deduced from these measurements. This is to quantify changes that are caused by a longer stay in the weightless room.
- This device designed for minimal space requirements, such as on board a spaceship, naturally does not meet the conditions for routine use under the influence of gravity in people of different physiques, for example in hospitals, where rapid adaptation to every body type and different body dimensions is required.
- the object of the invention is to avoid these disadvantages and to further develop the known devices for terrestrial use, a large number of possible variations in use and the rapid and simple adaptation to the person to be examined being possible.
- the legs can be displaced along the main axis or their spacing can be adjusted and at least one actuating motor and one guide for driving and guiding an actuating element are provided on the legs.
- the actuating motor can be designed as a torque motor and preferably as a pulsed DC motor. Such a motor delivers a predetermined torque regardless of the selected speed. In particular, such a motor can also apply this torque when it is at a standstill and thus also start up under this torque.
- the measuring devices measure the force exerted by the person during the flexion or extension of a joint.
- the reaction of the test subject immediately after the start of the movement or after a point of reversal of the flexed or extended joints is of particular interest to the physician. It is therefore important that this measuring range is not distorted by the starting behavior of the motor.
- a side effect is that isometric measurements, ie measurements without macroscopic muscle movement, are also possible in this way.
- a measurement that is particularly instructive for the medical professional is provided if a control device is provided which controls the speed curve of the motor according to a curve which is predetermined as a function of the path in such a way that a joint of the test subject, preferably the elbow joint or the knee joint, is constant Angular velocity is moved.
- a joint of the test subject preferably the elbow joint or the knee joint
- Angular velocity is moved.
- the resistance to be overcome by the person against the movement of the actuating elements is preset.
- the regeneration of a person's body tissue can be favorably influenced by gradually increasing the resistance to be set and to be overcome within a therapy program.
- the actuating device consists of two parallel legs rotatably mounted about the main axis, the inner end faces of which face each other in the direction of the main axis, means for adjusting the axial distance between the two legs being provided.
- the support device and / or the actuating device can be rotated about the main axis by at least one twisting motor.
- the means for adjusting the axial distance between the legs consist of at least one adjusting motor.
- the adjustment means for displacing the seat plate of the reclining and seat frame include at least one adjustment motor.
- the back plate has protruding, preferably foldable arm supports on its two longitudinal edges in the region of the arms of a person sitting on the seat plate. It can also be provided that in the area of the shoulders of a person sitting on the seat frame, preferably adjustable shoulder supports are provided on the back plate. In this way, optimal conditions for the introduction of the force of the person on the actuating elements are created.
- the seat plate is designed as a saddle. Furthermore, it can be provided that a support plate can be connected to the front of the seat plate in the same plane with the latter. In the case of a back plate inclined in the plane of the seat plate, a person lying on the back plate, the seat plate and the support plate on the stomach can operate the actuating elements with their hands, which enables special arm exercises.
- each actuating element can be displaced linearly in the tangential direction with respect to the main axis, as a result of which the person can exert force on the actuating elements in an ergonomically favorable position.
- the force applied by the person is measured both via strain gauges in the area of the actuating elements and via the current consumption of the actuating motors. This enables fast and accurate data acquisition.
- the apparatus is controlled by a suitably trained person using the keyboard of the associated control computer.
- the keyboard is expediently provided on one side of the reclining and seat frame on the fixed frame.
- the most important performance diagnostic parameters of individual basic motor properties, such as endurance and strength, are measured. Since the measurement data are always personal, the personal data of the test subject, such as name, gender, height, weight and date of birth, are always recorded when the tests are carried out.
- the device allows the effects of physical training on complex functional changes, in particular of the cardiocirculatory system, the muscles and the fluid balance to be examined and controlled under scientific conditions.
- the corresponding extremities can be actively and passively trained and measured according to a movement pattern precisely specified by the therapist with regard to path, movement angle and speed of movement.
- a lying position of the people also makes it possible to partially or completely eliminate the influence of their own weight.
- a particularly effective and rapid rehabilitation can be achieved by a corresponding, precisely defined increase in movement parameters.
- Either both arms or legs can be moved together or individually cyclically or acyclically.
- the actuating motors drive spindles which have a sufficiently large pitch so that they are not self-locking.
- the invention is explained in more detail below on the basis of an exemplary embodiment shown in the figures.
- the device 1 consists of the support device 2 and the actuating device 3, which are rotatably mounted about the main axis 4 on a fixed frame 5.
- the actuating device 3 consists of two legs 6 rotatable about the main axis 4, the inner end faces 6b of which axially oppose each other, each leg 6 each having a guide 7 for an actuating element 8 which is tangential with respect to the main axis 4.
- the axial distance 9 of the two legs 6 is adjustable.
- the support device 2 consists of a combined lying and seat frame 10, which has a saddle-shaped seat plate 11 and a back plate 13 which can be inclined with respect to the seat plate 11 about a pivot axis 12. To the side of the back plate 13 are in the area of the longitudinal edges 14 thereof about a pivot axis 12 parallel axis 15 pivotable and height-adjustable armrests 16 are provided. In the end region 13a of the back plate 13 opposite the pivot axis 12, a height-adjustable head and shoulder support 17 and 18 is attached.
- the entire reclining and seat frame 10 can be adjusted in a plane normal to the main axis 4 both in the direction of the seat plane 19 and in a direction 20 normal thereon, so that the support device 2 can be matched to any possible body size and to the particular exercise .
- the operation of the device 1 and the adjustment and adaptation to different people is carried out by the operating personnel via a control panel 28 provided on the fixed frame.
- the person to be tested or treated is seated on the seat plate 11 and is supported with his back on the back plate 13.
- the arms rest on the armrests 16, the hands encompassing the two handles 16a.
- the height of the seat plate 11 and its horizontal position is set to an ergonomic position which is favorable for the person such that the person can operate the actuating elements 8 with the feet.
- the arm 16, head 17 and shoulder supports 18 are adapted to the person.
- the lying and seat frame 10 can now be pivoted together with the actuating device 3 or independently of it about the main axis 4 through an angle of up to approximately 110 °.
- the person can now complete the leg training, trying to exert resistance against the motor-driven actuating elements 8.
- the speed of the actuating elements 8 can be adjusted as desired along a freely selectable path.
- the application position of the device 1 shown in FIGS. 4 to 6 is set.
- the back plate 13 is rotated with respect to the seat plate 11 about the pivot axis 12 until the back plate 13 and the seat plate 11 lie in one plane.
- a further support plate 21 is coupled to the front side 11a of the seat plate in the same plane as the seat plate 11.
- the width of the support plate 21 is smaller in its central region 21a than the width of the seat plate 11. The person takes a prone position on the reclining frame 10a formed by the support plate 21, seat plate 11 and back plate 13, the chest and arm region of the person on the support plate 21 come to rest.
- the lying frame 10a is now set in the direction 19 and 20 in such a way that the person can operate the actuating elements 8 with his hands in an ergonomically favorable position.
- the two legs 6 of the actuating device 3 are expediently moved towards one another in the axial direction up to a relatively small distance 9, which results from the person's physical structure.
- the actuating elements 8 are mounted on the outer surfaces 6a of the legs 6.
- the armrests 16, the shoulder supports 18 and the headrest 17 can be pivoted or removed into a position which does not impede the person.
- an actuating motor 22 is provided in each leg 6 and moves an actuating element 8 along the tangential guide 7 via a spindle 23.
- a torsion motor 24 for the pivoting movement 2a or 3a of the support device 2 or the actuation device 3 is provided in or on the fixed frame 5.
- the axial movement of the legs 6 towards and away from one another is caused by the adjusting motor 25 on or in the fixed frame 5.
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Physical Education & Sports Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biophysics (AREA)
- Rehabilitation Tools (AREA)
- Radar Systems Or Details Thereof (AREA)
- Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
- Measuring And Recording Apparatus For Diagnosis (AREA)
- Accommodation For Nursing Or Treatment Tables (AREA)
- Radiation-Therapy Devices (AREA)
- Chairs For Special Purposes, Such As Reclining Chairs (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
- Percussion Or Vibration Massage (AREA)
Abstract
Description
Die Erfindung betrifft eine Vorrichtung zur Diagnose und/oder Therapie einer Person mit einer Betätigungs- und einer Stützeinrichtung, bei welcher die Betätigungs- und/oder die Stützeinrichtung an einem feststehenden Gestell um eine zur Aufstellfläche im wesentlichen parallele Hauptachse drehbar gelagert sind; die Betätigungseinrichtung zwei um die Hauptachse drehbare Schenkel umfaßt; Mittel zum Messen und Aufzeigen bzw. Vorgeben eines von der Person gegen die Bewegung eines Betätigungselementes aufgebrachten bzw. aufzubringenden Widerstandes vorgesehen sind die Stützeinrichtung als kombiniertes Liege- und Sitzgestell ausgebildet ist; das kombinierte Liege- und Sitzgestell eine Sitzplatte und eine bezüglich der Sitzplatte um eine zur Hauptachse parallele Achse schwenkbare Rückenplatte umfaßt; Verstellmittel zur vertikalen und/oder horizontalen Positionierung des kombinierten Liege- und Sitzgestells vorgesehen sind; die Sitzplatte als solche oder in Verbindung mit einer abnehmbaren Stützplatte zur alternativen Aufnahme des Gesäßes oder des Oberkörpers des Patienten ausgebildet ist; und die Rückenplatte zur alternativen Aufnahme des Oberkörpers oder des Beinbereichs des Patienten ausgebildet ist.The invention relates to a device for diagnosing and / or treating a person with an actuation and a support device, in which the actuation and / or the support device are rotatably mounted on a fixed frame about a main axis substantially parallel to the installation surface; the actuating device comprises two legs rotatable about the main axis; Means for measuring and indicating or specifying a resistance applied or to be applied by the person against the movement of an actuating element are provided, the support device is designed as a combined lying and seat frame; the combined reclining and seat frame comprises a seat plate and a back plate which is pivotable with respect to the seat plate about an axis parallel to the main axis; Adjustment means for vertical and / or horizontal positioning of the combined reclining and sitting frame are provided; the seat plate is designed as such or in connection with a removable support plate for alternatively receiving the buttocks or the upper body of the patient; and the back plate is designed to alternatively accommodate the upper body or the leg area of the patient.
Eine Vorrichtung der eingangs genannten Art ist aus der EP-A-0 166 464 (MAGNONI) bekannt. Die EP-A-0 166 464 (MA-GNONI) sieht ein Bett für eine motorische Rehabilitation eines Patienten vor. Dabei können von Elektromotoren angetriebene mechanische Bewegungsanordnungen dazu verwendet werden, Bewegungen des Patienten auch gegen dessen Widerstand zu verursachen. Weitere mechanische Anordnungen dienen der Positionierung des Bettes sowie der zuvor genannten mechanischen Bewegungsanordnungen. Dadurch kann das Bett in der Höhe verstellt und um eine transversale Achse verdreht werden. Die Bewegungsanordnungen ermöglichen u.a. Biege-Streck-Bewegungen der Ellbogen und der Kniee. Letztere Knie-Übungen kann der Patient auf dem Rücken oder auf dem Bauch liegend vornehmen. Ferner ist eine elektronische Steuerung und Überwachung der Übungen vorgesehen.A device of the type mentioned is from the EP-A-0 166 464 (MAGNONI) known. EP-A-0 166 464 (MA-GNONI) provides a bed for motor rehabilitation of a patient. Mechanical movement arrangements driven by electric motors can be used to cause movements of the patient even against the patient's resistance. Further mechanical arrangements serve to position the bed and the mechanical movement arrangements mentioned above. This allows the bed to be adjusted in height and rotated around a transverse axis. The movement arrangements allow, among other things, bending and stretching movements of the elbows and knees. The patient can perform the latter knee exercises lying on his back or lying on his stomach. Electronic control and monitoring of the exercises is also provided.
Eine andere Vorrichtung ist aus der AT-PS 394 806 bekannt. Bei diesem für die Anwendung im schwerelosen Raum konzipierten Gerät leistet eine Versuchsperson maximalen Widerstand gegen die Bewegung des Betätigungselementes. Während der Bewegung werden neben dieser Messung über entsprechende Elektroden, die am Hebel befestigt sind, weitere Messungen, wie Gehirnstrommessung, Messung der myoelektrischen Ströme in den belasteten Muskeln und die Erstellung eines Elektrokardiogrammes vorgenommen. Aus diesen Messungen kann auf den körperlichen Zustand der Versuchsperson rückgeschlossen werden. Dadurch sollen Veränderungen, die durch einen längeren Aufenthalt im schwerelosen Raum bedingt sind, quantitativ erfaßt werden. Diese für minimalen Raumbedarf, wie etwa an Bord eines Raumschiffes, konstruierte Vorrichtung erfüllt naturgemäß nicht die Bedingungen für den routinemäßigen Einsatz unter Einfluß der Schwerkraft bei Personen unterschiedlichen Körperbaues, beispielsweise in Spitälern, wo die rasche Adaptierung auf jeden Körpertyp und verschiedene Körperabmessungen erforderlich ist.Another device is from the AT-PS 394 806 known. In this device, designed for use in a weightless room, a test person provides maximum resistance to the movement of the actuating element. During the movement, in addition to this measurement, corresponding measurements, which are attached to the lever, are used to carry out further measurements, such as brain current measurement, measurement of the myoelectric currents in the loaded muscles and the creation of an electrocardiogram. The physical condition of the test subject can be deduced from these measurements. This is to quantify changes that are caused by a longer stay in the weightless room. This device, designed for minimal space requirements, such as on board a spaceship, naturally does not meet the conditions for routine use under the influence of gravity in people of different physiques, for example in hospitals, where rapid adaptation to every body type and different body dimensions is required.
Aufgabe der Erfindung ist es, diese Nachteile zu vermeiden und die bekannten Vorrichtungen für den irdischen Einsatz weiterzuentwickeln, wobei eine hohe Zahl an Variationsmöglichkeiten bei der Anwendung und die rasche und einfache Anpassung an die zu untersuchende Person möglich ist. Erfindungsgemäß wird dies dadurch erreicht, daß bei der eingangs genannte gattungsgemäßen Vorrichtung die Schenkel längs der Hauptachse verschiebbar bzw. in ihrem Abstand einstellbar sind und an den Schenkeln jeweils wenigstens ein Betätigungsmotor und eine Führung für den Antrieb und die Führung eines Betätigungselementes vorgesehen sind. Der Betätigungsmotor kann dabei als Torquemotor und vorzugsweise als gepulster Gleichstrommotor ausgebildet sein. Ein solcher Motor gibt unabhängig von der gewählten Geschwindigkeit ein vorbestimmtes Drehmoment ab. Insbesondere vermag ein solcher Motor dieses Drehmoment auch im Stillstand aufzubringen und somit auch unter diesem Drehmoment anzulaufen. Dies ist bedeutsam, da von den Meßgeräten die von der Person während der Beugung oder Streckung eines Gelenkes aufgebrachte Kraft gemessen wird. Für den Mediziner ist dabei insbesondere die Reaktion der Versuchsperson unmittelbar nach Beginn der Bewegung bzw. nach einem Umkehrpunkt der gebeugten oder gestreckten Gelenke interessant. Es ist daher wichtig, daß gerade dieser Meßbereich nicht durch das Anlaufverhalten des Motors verfälscht wird. Ein Nebeneffekt dabei ist, daß auf diese Weise auch isometrische Messungen, d.h. Messungen ohne makroskopische Muskelbewegung, möglich sind.The object of the invention is to avoid these disadvantages and to further develop the known devices for terrestrial use, a large number of possible variations in use and the rapid and simple adaptation to the person to be examined being possible. According to the invention this is achieved in that in the generic device mentioned in the introduction, the legs can be displaced along the main axis or their spacing can be adjusted and at least one actuating motor and one guide for driving and guiding an actuating element are provided on the legs. The actuating motor can be designed as a torque motor and preferably as a pulsed DC motor. Such a motor delivers a predetermined torque regardless of the selected speed. In particular, such a motor can also apply this torque when it is at a standstill and thus also start up under this torque. This is important because the measuring devices measure the force exerted by the person during the flexion or extension of a joint. The reaction of the test subject immediately after the start of the movement or after a point of reversal of the flexed or extended joints is of particular interest to the physician. It is therefore important that this measuring range is not distorted by the starting behavior of the motor. A side effect is that isometric measurements, ie measurements without macroscopic muscle movement, are also possible in this way.
Eine für den Mediziner besonders aufschlußreiche Messung ist gegeben, wenn eine Steuereinrichtung vorgesehen ist, die den Geschwindigkeitsverlauf des Motors nach einer Kurve steuert, die in Abhängigkeit vom Weg so vorgegeben ist, daß ein Gelenk der Versuchsperson, vorzugsweise das Ellbogengelenk oder das Kniegelenk, mit konstanter Winkelgeschwindigkeit bewegt wird. Bei linearer Bewegung der Hand bzw. des Fußes gegenüber dem Schultergelenk bzw. der Hüfte bedeutet das, daß die Geschwindigkeit des Betätigungselementes proportional zum Arkussinus des zurückgelegten Weges vorgegeben werden muß. Bei einer Bewegung des Betätigungselementes über eine vom Motor angetriebene Spindel gilt diese Funktion auch für die Winkelgeschwindigkeit des Motors.A measurement that is particularly instructive for the medical professional is provided if a control device is provided which controls the speed curve of the motor according to a curve which is predetermined as a function of the path in such a way that a joint of the test subject, preferably the elbow joint or the knee joint, is constant Angular velocity is moved. With linear Movement of the hand or foot with respect to the shoulder joint or hip means that the speed of the actuating element must be specified in proportion to the arc sine of the path covered. When the actuating element moves via a spindle driven by the motor, this function also applies to the angular speed of the motor.
Bei der therapeutischen Anwendung der Vorrichtung, etwa zur Rekonvaleszenz von Personen nach Verletzungen, wird der von der Person zu überwindende Widerstand entgegen der Bewegung der Betätigungselemente voreingestellt. Durch schrittweise Erhöhung des eingestellten und zu überwindenden Widerstandes innerhalb eines Therapieprogrammes kann die Regeneration von Körpergewebe einer Person günstig beeinflußt werden.When the device is used therapeutically, for example for convalescing people after injuries, the resistance to be overcome by the person against the movement of the actuating elements is preset. The regeneration of a person's body tissue can be favorably influenced by gradually increasing the resistance to be set and to be overcome within a therapy program.
Es ist günstig, wenn zwei Betätigungselemente vorgesehen sind, die wahlweise von den Armen oder von den Beinen der Versuchsperson betätigt werden, wobei die beiden Betätigungselemente jeweils von einem eigenen Betätigungsmotor angetrieben werden. Auf diese Weise ist eine weitgehend unabhängige Messung für die beiden Arme bzw. Beine möglich. Etwaige asymmetrische Zustände der Versuchsperson können so sicher diagnostiziert werden. Vorzugsweise ist dabei vorgesehen, daß die Betätigungseinrichtung aus zwei parallelen, drehbar um die Hauptachse gelagerten Schenkeln besteht, deren innere Stirnflächen in Richtung der Hauptachse einander zugekehrt sind, wobei Mittel zur Einstellung des axialen Abstandes der beiden Schenkel zueinander vorgesehen sind.It is advantageous if two actuating elements are provided, which are actuated either by the arms or legs of the test subject, the two actuating elements being each driven by a separate actuating motor. In this way, a largely independent measurement for the two arms or legs is possible. Any asymmetrical states of the test person can thus be diagnosed with certainty. It is preferably provided that the actuating device consists of two parallel legs rotatably mounted about the main axis, the inner end faces of which face each other in the direction of the main axis, means for adjusting the axial distance between the two legs being provided.
Zur Erzielung einer großen Anzahl von Verstellmöglichkeiten kann weiterhin vorgesehen sein, daß die Verdrehung der Stützeinrichtung und/oder der Betätigungseinrichtung um die Hauptachse durch mindestens einen Verdrehmotor erfolgt.In order to achieve a large number of adjustment options, provision can further be made for the support device and / or the actuating device to be rotated about the main axis by at least one twisting motor.
In weiterer Ausgestaltung der Erfindung ist vorgesehen, daß die Mittel zur Einstellung des axialen Abstandes der Schenkel zumindest aus einem Einstellmotor bestehen.In a further embodiment of the invention it is provided that the means for adjusting the axial distance between the legs consist of at least one adjusting motor.
Eine einfache und rasche Justierung wird dadurch erreicht, daß die Verstellmittel zur Verschiebung der Sitzplatte des Liege- und Sitzgestelles zumindest einen Verstellmotor beinhalten.A simple and rapid adjustment is achieved in that the adjustment means for displacing the seat plate of the reclining and seat frame include at least one adjustment motor.
Vorteilhafterweise ist auch vorgesehen, daß die Rückenplatte an ihren beiden Längskanten im Bereich der Arme einer auf der Sitzplatte sitzenden Person vorstehende, vorzugsweise wegklappbare Armstützen aufweist. Es kann auch vorgesehen sein, daß im Bereich der Schultern einer auf dem Sitzgestell sitzenden Person an der Rückenplatte vorzugsweise verstellbare Schulterstützen vorgesehen sind. Auf diese Weise werden optimale Voraussetzungen für die Einleitung der Kraft der Person auf die Betätigungselemente geschaffen.It is also advantageously provided that the back plate has protruding, preferably foldable arm supports on its two longitudinal edges in the region of the arms of a person sitting on the seat plate. It can also be provided that in the area of the shoulders of a person sitting on the seat frame, preferably adjustable shoulder supports are provided on the back plate. In this way, optimal conditions for the introduction of the force of the person on the actuating elements are created.
In weiterer Ausgestaltung der Erfindung ist es vorteilhaft, wenn die Sitzplatte sattelförmig gestaltet ist. Des weiteren kann vorgesehen sein, daß an die Vorderseite der Sitzplatte in gleicher Ebene mit dieser eine Stützplatte anschließbar ist. Bei einer in die Ebene der Sitzplatte geneigten Rückenplatte kann eine auf der Rückenplatte, der Sitzplatte und der Stützplatte auf dem Bauch liegende Person die Betätigungselemente mit den Händen bedienen, wodurch spezielle Armübungen ermöglicht werden.In a further embodiment of the invention, it is advantageous if the seat plate is designed as a saddle. Furthermore, it can be provided that a support plate can be connected to the front of the seat plate in the same plane with the latter. In the case of a back plate inclined in the plane of the seat plate, a person lying on the back plate, the seat plate and the support plate on the stomach can operate the actuating elements with their hands, which enables special arm exercises.
Vorzugsweise ist vorgesehen, daß jedes Betätigungselement linear in tangentialer Richtung bezüglich der Hauptachse verschiebbar ist, wodurch die Person in einer ergonomisch günstigen Haltung auf die Betätigungselemente Kraft ausüben kann.It is preferably provided that each actuating element can be displaced linearly in the tangential direction with respect to the main axis, as a result of which the person can exert force on the actuating elements in an ergonomically favorable position.
In einer äußerst vorteilhaften Ausführungsvariante ist vorgesehen, daß die von der Person aufgebrachte Kraft sowohl über Dehnmeßstreifen im Bereich der Betätigungselemente als auch über die Stromaufnahme der Betätigungsmotoren gemessen wird. Dadurch ist eine rasche und genaue Datenerfassung möglich. Die Steuerung der Apparatur erfolgt durch eine entsprechend ausgebildete Person über die Tastatur des zugehörigen Steuercomputers.In an extremely advantageous embodiment variant it is provided that the force applied by the person is measured both via strain gauges in the area of the actuating elements and via the current consumption of the actuating motors. This enables fast and accurate data acquisition. The apparatus is controlled by a suitably trained person using the keyboard of the associated control computer.
Zweckmäßigerweise ist die Tastatur an einer Seite des Liege- und Sitzgestelles am feststehenden Gestell vorgesehen. Dabei werden die wichtigsten leistungsdiagnostischen Größen einzelner motorischer Grundeigenschaften, wie Ausdauer und Kraft, gemessen. Da die Meßdaten immer personenbezogen sind, werden bei der Durchführung der Tests immer auch die persönlichen Daten der Versuchsperson, wie Name, Geschlecht, Größe, Gewicht und Geburtsdatum, festgehalten.The keyboard is expediently provided on one side of the reclining and seat frame on the fixed frame. The most important performance diagnostic parameters of individual basic motor properties, such as endurance and strength, are measured. Since the measurement data are always personal, the personal data of the test subject, such as name, gender, height, weight and date of birth, are always recorded when the tests are carried out.
Durch die Vorrichtung können die Auswirkungen körperlichen Trainings auf komplexe Funktionsänderungen, besonders des kardiozirkulatorischen Systems, der Muskulatur und des Flüssigkeitshaushaltes unter wissenschaftlichen Bedingungen untersucht und gesteuert werden.The device allows the effects of physical training on complex functional changes, in particular of the cardiocirculatory system, the muscles and the fluid balance to be examined and controlled under scientific conditions.
Nach Verletzungen, Operationen oder bei medizinischen Behandlungen an Elementen des Bewegungsapparates können die entsprechenden Extremitäten nach einem vom Therapeuten hinsichtlich Weg, Bewegungswinkel und Bewegungsgeschwindigkeit genau vorgegebenen Bewegungsmuster sowohl aktiv als auch passiv trainiert und gemessen werden. Durch eine liegende Position der Personen ist es außerdem auch möglich, den Einfluß deren Eigengewichtes teilweise oder völlig auszuschalten. Durch eine entsprechende, genau definierte Steigerung der Bewegungsparameter kann dabei eine besonders wirkungsvolle und rasche Rehabilitation erreicht werden.After injuries, operations or medical treatments on elements of the musculoskeletal system, the corresponding extremities can be actively and passively trained and measured according to a movement pattern precisely specified by the therapist with regard to path, movement angle and speed of movement. A lying position of the people also makes it possible to partially or completely eliminate the influence of their own weight. A particularly effective and rapid rehabilitation can be achieved by a corresponding, precisely defined increase in movement parameters.
Es können entweder beide Arme oder Beine gemeinsam oder einzeln zyklisch oder azyklisch bewegt werden.Either both arms or legs can be moved together or individually cyclically or acyclically.
Für die zuverlässige Anwendung ist es günstig, daß die Betätigungsmotoren Spindeln antreiben, die eine ausreichend große Steigung aufweisen, um nicht selbsthemmend zu sein. Im folgenden wird die Erfindung anhand eines in den Figuren dargestellten Ausführungsbeispieles näher erläutert.For reliable use, it is favorable that the actuating motors drive spindles which have a sufficiently large pitch so that they are not self-locking. The invention is explained in more detail below on the basis of an exemplary embodiment shown in the figures.
- Fig. 1Fig. 1
- eine axionometrische Ansicht der erfindungsgemäßen Vorrichtung in einer möglichen Anwendungsposition,2 shows an axionometric view of the device according to the invention in a possible application position,
- Fig. 2Fig. 2
- eine Seitenansicht der Vorrichtung,a side view of the device,
- Fig. 3Fig. 3
- eine Frontalansicht der Vorrichtung,a frontal view of the device,
- Fig. 4Fig. 4
- eine axionometrische Darstellung der erfindungsgemäßen Vorrichtung in einer anderen Anwendungsposition,3 shows an axionometric representation of the device according to the invention in another application position,
- Fig. 5Fig. 5
- eine Seitenansicht der Vorrichtung unda side view of the device and
- Fig. 6Fig. 6
- eine Frontalansicht der Vorrichtung.a front view of the device.
Die Vorrichtung 1 besteht aus der Stützeinrichtung 2 und der Betätigungseinrichtung 3, welche um die Hauptachse 4 an einem feststehenden Gestell 5 drehbar gelagert sind. Die Betätigungseinrichtung 3 besteht aus zwei um die Hauptachse 4 drehbaren Schenkel 6, deren innere Stirnflächen 6b einander axial gegenüberstehen, wobei jeder Schenkel 6 jeweils eine bezüglich der Hauptachse 4 tangentiale Führung 7 für ein Betätigungselement 8 aufweist. Der axiale Abstand 9 der beiden Schenkel 6 ist verstellbar.The
Die Stützeinrichtung 2 besteht aus einem kombinierten Liege- und Sitzgestell 10, welches eine sattelförmig geformte Sitzplatte 11 und eine bezüglich der Sitzplatte 11 um eine Schwenkachse 12 neigbare Rückenplatte 13 aufweist. Seitlich der Rückenplatte 13 sind im Bereich deren Längskanten 14 um eine zur Schwenkachse 12 parallele Achse 15 schwenkbare und höhenverstellbare Armstützen 16 vorgesehen. In dem der Schwenkachse 12 gegenüberliegenden Endbereich 13a der Rückenplatte 13 ist eine höhenverstellbare Kopf- und Schulterstütze 17 und 18 angebracht. Das gesamte Liege- und Sitzgestell 10 läßt sich in einer Ebene normal auf die Hauptachse 4 sowohl in Richtung der Sitzebene 19 als auch in einer darauf normalen Richtung 20 verstellen, so daß die Stützeinrichtung 2 auf jede mögliche Körpergröße und auf die jeweilige Übung abgestimmt werden kann.The
Die Betätigung der Vorrichtung 1 sowie die Justierung und Anpassung an verschiedene Personen erfolgt durch das Bedienungspersonal über eine am feststehenden Gestell vorgesehene Schalttafel 28.The operation of the
In der in den Figuren 1 bis 3 gezeigten Anwendungsposition der Vorrichtung 1 sitzt die zu testende oder zu therapierende Person auf der Sitzplatte 11 und stützt sich mit dem Rücken an der Rückenplatte 13 ab. Die Arme ruhen auf den Armstützen 16, wobei die Hände die beiden Griffe 16a umfassen. Die Höhe der Sitzplatte 11 sowie deren horizontale Position wird auf eine für die Person günstige ergonomische Lage derart eingestellt, daß die Person mit den Füßen die Betätigungselemente 8 bedienen kann. Auch die Arm- 16, Kopf- 17 und Schulterstützen 18 werden an die Person angepaßt. Das Liege- und Sitzgestell 10 kann nun zusammen mit der Betätigungseinrichtung 3 oder unabhängig von dieser um die Hauptachse 4 um einen Winkel bis zu etwa 110° geschwenkt werden. Die Person kann nun das Beintraining absolvieren, wobei sie versucht, gegen die motorisch bewegten Betätigungselemente 8 einen Widerstand auszuüben. Durch das Schwenken des Liege- und Sitzgestelles 10 kann der Einfluß des Eigengewichtes der Person teilweise oder völlig ausgeschaltet werden. Die Geschwindigkeit der Betätigungselemente 8 ist entlang eines frei wählbaren Weges beliebig einstellbar.In the application position of the
Soll die Person Armübungen durchführen, wird die in den Fig. 4 bis 6 gezeigte Anwendungsposition der Vorrichtung 1 eingestellt. Dabei wird die Rückenplatte 13 bezüglich der Sitzplatte 11 um die Schwenkachse 12 verdreht, bis Rückenplatte 13 und Sitzplatte 11 in einer Ebene liegen. An die Vorderseite 11a der Sitzplatte wird eine weitere Stützplatte 21 in gleicher Ebene mit der Sitzplatte 11 angekoppelt. Die Breite der Stützplatte 21 ist in ihrem mittleren Bereich 21a geringer als die Breite der Sitzplatte 11. Die Person nimmt Bauchlage auf dem durch Stützplatte 21, Sitzplatte 11 und Rückenplatte 13 gebildeten Liegegestell 10a ein, wobei Brust- und Armbereich der Person auf der Stützplatte 21 zu liegen kommen. Das Liegegestell 10a wird nun in Richtung 19 und 20 derart eingestellt, daß die Person in einer ergonomisch günstigen Lage die Betätigungselemente 8 mit den Händen betätigen kann. Zweckmäßigerweise werden die beiden Schenkel 6 der Betätigungseinrichtung 3 in axialer Richtung bis zu einem relativ geringen Abstand 9 zueinandergefahren, der sich aus dem Körperbau der Person ergibt. Die Betätigungselemente 8 werden dabei an den Außenflächen 6a der Schenkel 6 montiert. Die Armstützen 16, die Schulterstützen 18 und die Kopfstütze 17 können in eine die Person nicht behindernde Lage geschwenkt oder abmontiert werden.If the person is to perform arm exercises, the application position of the
Wie in Fig. 2 und 3 ersichtlich ist, ist in jedem Schenkel 6 ein Betätigungsmotor 22 vorgesehen, welcher über eine Spindel 23 ein Betätigungselement 8 entlang der tangentialen Führung 7 bewegt. Des weiteren ist im oder am feststehenden Gestell 5 ein Verdrehmotor 24 für die Schwenkbewegung 2a bzw. 3a der Stützeinrichtung 2 bzw. der Betätigungseinrichtung 3 vorgesehen. Die axiale Bewegung der Schenkel 6 zueinander bzw. voneinander weg wird durch den Einstellmotor 25 am oder im feststehenden Gestell 5 verursacht. Zur Verstellung der Sitzplatte 11 in Richtung der Sitzebene 19 bzw. normal dazu sind weitere Motoren 26 und 27 in einer mit der Stützeinrichtung 2 mitschwenkbaren Stützsäule 2b untergebracht.As can be seen in FIGS. 2 and 3, an
Claims (15)
- Device for the diagnosis and/or therapy of a person having an operating device (3) and a support device (2), in whicha) the operating device (3) and/or the support device (2) are mounted on a stationary stand (5) in rotatable manner about a principal axis (4) essentially parallel to the set-up surface (5a);b) the operating device (3) comprises two legs (6) which can turn about the principal axis (4);c) means for measuring and indicating or specifying a resistance applied or to be applied by the person against the movement of an operating element (8) are provided;d) the support device (2) is constructed as a combined reclining or seating support (10);e) the combined reclining and seating support (10) comprises a seat plate (11) and a back plate (13) capable of being pivoted about an axis (12) parallel to the principal axis (4);f) means of adjustment (26, 27) for the vertical and/or horizontal positioning of the combined reclining and seating support (10) are provided;g) the seat plate (11) as such or in combination with a detachable support plate (21) is constructed for the alternative reception of the buttocks or of the upper body of the patient; andh) the back plate (13) is constructed for the alternative reception of the upper body or of the leg region of the patient,
characterised in thati) the legs (6) are displaceable along the principal axis (4) or their spacing (9) can be adjusted, andj) on each of the legs (6) at least one operating motor (22) and a guide (7) are provided for driving and guiding an operating element (8). - Device according to Claim 1, in which the legs (6) are of L-shaped construction and arranged parallel to one another.
- Device according to Claim 2, in whicha) the shorter end region of the L-shaped legs (6) is traversed by the principal axis (4); andb) the guides (7) are arranged on the longer end region of the L-shaped legs (6).
- Device according to one of the preceding claims, in whicha) means for the releasable fastening of operating elements (8) are provided on the legs (6), wherein the fastening means and/or the operating means (8) pass through the guides; andb) the operating motor (22) drives the operating elements (8) through the means for fastening.
- Device according to one of the preceding claims, in which fastening means for operating means (8) and a guide (7) on the inside and outside of each of the legs (6) are provided.
- Device according to one of the preceding claims having at least one adjustment motor (25) for adjusting the axial spacing (9) of the two legs (6).
- Device according to one of the preceding claims, in which the guides (7) enable linear guidance of the operating elements (8) in the tangential direction with respect to the principal axis (4).
- Device according to one of the preceding claims, in which the forces applied by the person are measured through wire strain gauges in the region of the operating elements (8) and/or the power consumption of the operating motors.
- Device according to one of the preceding claims, in which the operating motors (22) drive spindles (23) which have a sufficiently large ascending slope for the avoidance of self-locking.
- Device according to one of the preceding claims, in which means for turning the operating device (3) and/or the support device (2) about the principal axis (4) comprise at least one torsion motor (24).
- Device according to one of the preceding claims, in which the means of adjustment (26, 27) for the vertical and/or horizontal positioning of the combined reclining and seating support (10) comprise at least one adjusting motor (26, 27).
- Device according to one of the preceding claims, in which on both of its longitudinal edges (14) the back plate (13) possesses projecting, preferably swing-away armrests (16) in the region of the arms of a person seated on the seat plate (11).
- Device according to one of the preceding claims, in which in the region of the shoulders of a person seated on the seat plate (11) preferably adjustable head and/or shoulder supports (18) are provided on the back plate (13).
- Device according to one of the preceding claims, in which the seat plate (11) is of saddle-shaped construction.
- Device according to one of the preceding claims, in which at the front end (11a) of the seat plate (11) means for the connection of a support plate (21) are provided in such a way that the surface (21a) of the support plate (21) joins flush with the surface of the seat plate (11) and running in the same plane.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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AT1717/93 | 1993-08-26 | ||
AT0171793A AT400223B (en) | 1993-08-26 | 1993-08-26 | DEVICE FOR DIAGNOSIS AND / OR THERAPY OF A PERSON |
PCT/EP1994/002839 WO1995005871A1 (en) | 1993-08-26 | 1994-08-26 | Diagnostic and/or therapeutical device for human beings |
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EP0715534A1 EP0715534A1 (en) | 1996-06-12 |
EP0715534B1 true EP0715534B1 (en) | 1997-07-16 |
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EP94926897A Expired - Lifetime EP0715534B1 (en) | 1993-08-26 | 1994-08-26 | Diagnostic and/or therapeutical device for human beings |
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US (1) | US5843004A (en) |
EP (1) | EP0715534B1 (en) |
AT (2) | AT400223B (en) |
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DK (1) | DK0715534T3 (en) |
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US6599255B2 (en) * | 2001-05-31 | 2003-07-29 | Rehabilitation Institute Of Chicago | Portable intelligent stretching device |
DE102004032012B4 (en) * | 2004-07-01 | 2008-09-18 | Siemens Ag | Device for placing a patient |
US7412904B2 (en) * | 2005-04-05 | 2008-08-19 | Holder Thomas L | Isokinetic testing apparatus and system |
ES2427213B1 (en) * | 2013-07-24 | 2014-09-10 | Jonathan MOLINA SARAVIA | Motorized gym machine |
US10932696B2 (en) * | 2016-09-30 | 2021-03-02 | Koninklijke Philips N.V. | Determining a measure of the physical fitness of a subject |
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US3960144A (en) * | 1975-07-10 | 1976-06-01 | Simjian Luther G | Exercise and massaging apparatus |
IT1174500B (en) * | 1984-02-28 | 1987-07-01 | Ofmec Off Mecc Mantovane Spa | TABLE FOR PASSIVE, SELF-PASSIVE OR AGAINST PATIENT RESISTANCE, EQUIPPED WITH MECHANICALLY CONTROLLED DEVICES AND OPERABLE BY ELECTRONIC, PROGRAMMABLE AND CONTROLLABLE COMPONENTS |
US4650183A (en) * | 1985-05-20 | 1987-03-17 | Isotechnologies, Inc. | Exercise apparatus for certain foot and ankle joints |
US4649934A (en) * | 1985-06-07 | 1987-03-17 | Faro Medical Technologies, Inc. | Joint laxity measurement |
US5078152A (en) * | 1985-06-23 | 1992-01-07 | Loredan Biomedical, Inc. | Method for diagnosis and/or training of proprioceptor feedback capabilities in a muscle and joint system of a human patient |
EP0251656A3 (en) * | 1986-06-23 | 1988-09-14 | Loredan Biomedical, Inc. | Apparatus for diagnosis and/or training of proprioceptor feedback capabilities in a muscle and joint system of a human patient |
US4742832A (en) * | 1987-02-12 | 1988-05-10 | Richard Kauffmann | Muscle measuring apparatus and method |
US5104364A (en) * | 1987-06-11 | 1992-04-14 | Jones Arthur A | Method for exercising or testing rotary torso muscles |
US4836536A (en) * | 1987-06-11 | 1989-06-06 | Arthur Jones | Apparatus for exercising muscles of the lower trunk of the human body |
US4909262A (en) * | 1989-01-31 | 1990-03-20 | Orthopedic Systems, Inc. | Apparatus for obtaining a body limb torque signal |
US5020795A (en) * | 1989-06-07 | 1991-06-04 | Soma Dynamics Corporation | Physical therapy and exercise apparatus for body limbs |
JPH03165744A (en) * | 1989-11-22 | 1991-07-17 | Konbi Kk | Instantaneous force measuring device by leg extending force |
AT394806B (en) * | 1990-04-17 | 1992-06-25 | Bumba Walter Ing | Appliance for measuring muscle force |
US5060939A (en) * | 1990-10-01 | 1991-10-29 | Diversified Products Corporation | Multi-position exercise bench |
US5230672A (en) * | 1991-03-13 | 1993-07-27 | Motivator, Inc. | Computerized exercise, physical therapy, or rehabilitating apparatus with improved features |
DE9201260U1 (en) * | 1992-02-03 | 1992-07-30 | Bohn, Joachim, 6783 Dahn | Pedal crank ergometer for cycling, adjustable to different body positions and usable as a leg press |
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1993
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1994
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EP0715534A1 (en) | 1996-06-12 |
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GR3025079T3 (en) | 1998-01-30 |
US5843004A (en) | 1998-12-01 |
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ATA171793A (en) | 1995-03-15 |
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WO1995005871A1 (en) | 1995-03-02 |
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