EP1112731B1 - Appareil thérapeutique - Google Patents

Appareil thérapeutique Download PDF

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Publication number
EP1112731B1
EP1112731B1 EP00124798A EP00124798A EP1112731B1 EP 1112731 B1 EP1112731 B1 EP 1112731B1 EP 00124798 A EP00124798 A EP 00124798A EP 00124798 A EP00124798 A EP 00124798A EP 1112731 B1 EP1112731 B1 EP 1112731B1
Authority
EP
European Patent Office
Prior art keywords
arm
shoulder
rail
therapy apparatus
joint
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
Application number
EP00124798A
Other languages
German (de)
English (en)
Other versions
EP1112731A2 (fr
EP1112731A3 (fr
Inventor
Gerd Knoll
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.)
Medireha GmbH
Original Assignee
Medireha GmbH
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Medireha GmbH filed Critical Medireha GmbH
Publication of EP1112731A2 publication Critical patent/EP1112731A2/fr
Publication of EP1112731A3 publication Critical patent/EP1112731A3/fr
Application granted granted Critical
Publication of EP1112731B1 publication Critical patent/EP1112731B1/fr
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02—Stretching or bending or torsioning apparatus for exercising
    • A61H1/0274—Stretching or bending or torsioning apparatus for exercising for the upper limbs
    • A61H1/0281—Shoulder
    • 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
    • A61H2201/50—Control means thereof
    • A61H2201/5007—Control means thereof computer controlled
    • 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
    • A61H2201/50—Control means thereof
    • A61H2201/502—Card operated, e.g. pre-paid card, credit card or ID card

Definitions

  • the invention relates to a therapy device for Treatment of a shoulder and / or Elbow joint and to carry out a continuous passive body movement at one Patients with a trained as a bracer Body support element attached to a seat having device carrier by means of shoulder pivot joints held such that the Intersection of their joint axes approximately in Shoulder area of a patient lies.
  • Such therapy devices are already in different Executions known. That's the way you already have Therapy devices created, for example, after Operations in the area of the shoulder, elbow or knee joint for continuous passive Serve joint mobilization.
  • a therapy device which has a chair, the backrest a gear tray for a body support member, or forms.
  • This Body support element is for adaptation to a patient's body adjustable and to these by means of a respective support for upper and forearm fixable. Furthermore, in particular three Swivel joints to carry out a continuous passive body movement provided to the patient.
  • Problematic in the therapy device according to DE 299 04 429 U1 is the arrangement of at least one of the pivot joints in the head area of the patient, what of this as annoying can be felt and, where appropriate, the swivel range of the body support member limits.
  • US 5 163 451 From US 5 163 451 is already a therapy device of initially known type, which is used to treat a Shoulder or elbow joint serves.
  • the US 5 163 451 previously known therapy device has one, with an office chair comparable seating on, on a commercial CPM device for controlled passive movement of the Shoulder joint is held.
  • the commercial CPM device is designed here so that the patient's arm is in two, at right angles to each other arranged vertical planes is pivotable, wherein the one vertical pivot plane to passive abduction / adduction of the Schuler and the other vertical pivoting plane to the outward and inward Offered the shoulder is provided.
  • the achievement of this task is in the Therapy device of the type mentioned in that a first, an approximately horizontal pivot plane predetermining Shoulder swivel joint so below the seat for the sitting patient is arranged or positionable, that the hinge axis passes through the seat, that the Bracer with the first shoulder swivel joint over one in particular bent or angled connecting arm with the bracer is connected, and that between the Bracer and the connecting arm a second, one about vertical pivot plane predetermining shoulder swivel joint is arranged.
  • the therapy device according to the invention thus has a first, an approximately horizontal pivot plane predetermining shoulder swivel joint on, so under the seat is arranged, that the hinge axis of the seat interspersed.
  • the therapy device according to the invention has also via a second shoulder swivel joint, which specifies the arm rail about a vertical pivot plane.
  • the first Shoulder swivel joint as a manually adjustable and fixable swivel joint is designed. It is possible Also, that the first shoulder swivel joint has a motor Actuator or rotary actuator is assigned. Likewise that Swivel joint for an ante or retroversion be executed motor.
  • a rotational movement predetermining third shoulder swivel joint connected to the bracer is and if the hinge axis of the third shoulder swivel joint approximately through the intersection of the first and the second shoulder pivot joint extends.
  • the first shoulder swivel joint as a manual Swivel joint is designed, can be the desired Adjust the angle particularly precisely when the first shoulder swivel joint a scale for reading the set Shoulder swing angle is assigned.
  • the easy handling of the therapy device according to the invention is favored when the equipment rack as a dental chair designed for the patient who has a seat as well has a backrest and if the backrest to align the patient's shoulder with respect to the second shoulder pivot adjustable in its backrest inclination and is determinable.
  • the backrest To the hinge axis of the second shoulder pivot joint so to be able to align these through the shoulder joint of the Patient runs, the backrest only needs of her front neutral position in a corresponding Backrest inclination adjusted and fixed.
  • the Bracer has at least two rail parts, one of which front free rail part carries a forearm pad that the forearm rest as well as at least the one associated with it Rail part for the optional treatment of the right or the left arm of a patient in a mirror image position can be used that the at least two rail parts over a first rotary and / or pivot joint movable and are firmly connected with each other and that the Forearm support by means of a second pivot on the front free rail part rotatable about its longitudinal axis and is held fixed.
  • Such an embodiment allows a fast Paging in the therapy device according to the invention, without that particularly competent personnel are needed.
  • a page change in the therapy device according to the invention possible by a few simple steps.
  • the handling of the Therapy device according to the invention is thereby essential facilitated.
  • first and the second pivot each having a rotation angle of at least 90 ° and preferably at least about 180 °.
  • the rail parts of the therapy device according to the invention can be in their relative position to each other particularly set securely and firmly if the first and / or second Swivel joint by means of a detent or friction clutch in her Rotary position can be fixed.
  • the therapy device can be brought in a correct position both in the treatment of the right and the left arm of the patient without the rail parts of the bracer must be changed in length and reoriented, it is advantageous if the longitudinal center axes of the engaging on the second shoulder pivot joint portion of the connecting arm on the one hand and the rail part of the arm rail on the other hand are arranged approximately in the pivoting plane of the second shoulder pivot joint.
  • a further embodiment according to the invention provides that the longitudinal center axis of the forearm support are arranged in their offset by 180 ° rotational positions and the axis of rotation of the second pivot about in a plane.
  • the bracer is optional on one of two opposite sides of the Treatment chair is releasably attachable.
  • the Connecting arm at least two detachably connectable arm parts has that on both sides of the treatment chair a first Shoulder pivot joint is provided, and that each first Shoulder swivel joint a first arm of the Vietnamesesarmes carries that over at least a second Arm part of the connecting arm with the arm rail detachable is connectable.
  • the patient during his treatment of an arm his other arm can be conveniently stored, it is appropriate if by the first provided on both sides of the chair Shoulder swivel joints alternately a swivel joint the bracer and one on the opposite chair side arranged pivot joint with an armrest detachable is connectable.
  • the two arm parts of the connecting arm can also be very easy to join together without tools, though acting on one of the first shoulder pivot joints and that associated with the bracer or armrest Arm part telescopically mesh.
  • the arm splint for Carrying out a continuous passive body movement on a patient by means of at least one movement drive is movable, wherein at least one movement drive with a Control device is in control connection.
  • control device has a control program reader and if in the control program reader machine-readable control program data carriers are read, on each of which, one for each patient individual control program is stored.
  • control program data carrier By inserting the control program data carrier into the control program reading device and reading the data stored on the control data carrier data into the controller, the therapy device according to the invention according to the physician recommended therapy and treatment values, such as those required for postoperative mobilization of a shoulder joint and for a continuous adduction, abduction, elevation or rotational movement or pivoting angle provided for an anteversion or retroversion are automatically controlled.
  • physician recommended therapy and treatment values such as those required for postoperative mobilization of a shoulder joint and for a continuous adduction, abduction, elevation or rotational movement or pivoting angle provided for an anteversion or retroversion are automatically controlled.
  • the device can be adapted to the therapy proposals assigned to the next patient with little effort, without the need for further expert personnel.
  • control disk may be referred to as Punched cards or similar machine-readable data carriers be educated.
  • the handling of the invention Therapy device is much easier if the Control program disk as Magnetstsammlung- and / or Chip card are formed.
  • a therapy device 1 is shown that for continuous passive movement of the shoulder and the Elbow joint of a patient is used.
  • Such movement therapy For example, it can be used to treat postoperative conditions as well as for the treatment of injuries and illnesses of the Shoulder joint be indicated.
  • the therapy device 1 has a serving as a body support member Bracer 2, on a device carrier by means of shoulder pivot joints 3, 4 is held such that the intersection of their Joint axes located approximately in the shoulder region of a patient.
  • a treatment chair 5 Of the Equipment carrier is designed here as a treatment chair 5.
  • first shoulder pivot joint 3 arranged below the seat 6 of the patient is.
  • This first shoulder pivot joint 3 is therefore in the head area the patient does not interfere in the way.
  • the bracer 2 is at the first Shoulder pivot joint 3 held by a connecting arm 7, wherein between the arm rail 2 and the connecting arm 7, the second Shoulder pivot 4 is arranged.
  • the treatment chair 5 serving as a device carrier has a seat surface 6 and a backrest 8.
  • the backrest 8 is adjustable in its backrest tilt and fixable.
  • bracer 2 optionally on one of two opposite Sides of the treatment chair 5 to attach releasably, is on both sides of the treatment chair 5 each have a first shoulder pivot joint 3 provided.
  • Each of these shoulder pivot joints 3 carries a first, approximately L-shaped Angled arm part 9, in which a second arm part 10 of essentially two-part connecting arm 7 is inserted.
  • first shoulder pivot joints 3 is alternately a pivot joint 3 with the bracer 2 and one on the opposite side of the chair arranged pivot joint 3 with an armrest 11 detachably connectable. Both the armrest 11 and the bracer 2 is each associated with a second arm part 10.
  • the telescopically interlocking arm parts 9, 10 are in Longitudinally adjustable and fixable with each other connected to the treatment chair 5 to the body dimensions of the patient adapted and the height of the second shoulder pivot joint 4 such can be adjusted until the hinge axis through the Shoulder joint of the patient runs.
  • a height adjustment of the shoulder swivel joint 4 and by setting a corresponding backrest tilt can be the shoulder pivot joints 3, 4 exactly on the position of the shoulder joint to be treated be aligned with the patient.
  • a forearm rest 15 provided by means of a second pivot 16 to the Rail longitudinal axis of the rail part 12 can be rotated. By Twisting the forearm rest position 15 on the rail part 12 by 180 ° can the forearm rest 15 finally brought into a functional position in which they are on the side facing the patient the rail part 12 is arranged.
  • the handling of the therapy device 1 shown here is much easier when the first and the second pivot 14, 16 and possibly also the first shoulder pivot joint 3 each by means of a detent or friction clutch in its rotational position are definable.
  • the pivot drives 17 are available with a control device in Control connection having a control program reader 18.
  • the Control program reader 18 are machine-readable control program data carriers 19 readable, on each of which one, for each patient individual control program is stored. As FIG. 1 shows, are these control disk 19 here as a smart card educated.
  • the therapy device 1 can be adapted to the individual body measurements of Adapt patients.
  • the arm parts 9, 10 can be the second shoulder pivot joint 4 in its height adapt to the shoulder joint of the patient.
  • the first Shoulder pivot joint 3 and the second shoulder pivot joint 4 are aligned so that their joint axes themselves cutting in the shoulder joint of the patient.
  • the respective telescopically formed rail parts 12, 13 in adjustable in length and fixable, so that the bracer Align 2 to the individual arm length of the patient.
  • the therapy device 1 shown here is characterized by its particularly easy and convenient handling.

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  • Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Pain & Pain Management (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)
  • Massaging Devices (AREA)
  • Eye Examination Apparatus (AREA)
  • Apparatus For Radiation Diagnosis (AREA)

Claims (19)

  1. Appareil thérapeutique (1) pour le traitement d'une articulation d'épaule et/ou de coude et pour la réalisation d'un mouvement du corps passif et continu sur un patient comprenant un élément porteur du corps conçu comme un rail de bras (2), qui est maintenu sur un support d'appareils présentant une surface d'assise (6) au moyen d'articulations pivotantes d'épaule (3, 4, 20) de telle sorte que le point d'intersection de leurs axes d'articulation se situe à peu près dans la zone d'épaule d'un patient, le rail de bras (2) avec la première articulation pivotante d'épaule (3) étant relié au moyen d'un bras de liaison (7) en particulier plié ou coudé au rail de bras, et en ce qu'une seconde articulation pivotante d'épaule (4) prédéfinissant un plan de pivotement à peu près vertical étant disposé entre le rail de bras (2) et le bras de liaison (7), caractérisé en ce qu'une première articulation pivotante d'épaule (3), prédéfinissant un plan de pivotement à peu près horizontal, est disposé ou peut être positionné au-dessous de la surface d'assise (6) pour le patient assis, de telle sorte que son axe d'articulation traverse la surface d'assise (6).
  2. Appareil thérapeutique selon la revendication 1, caractérisé en ce que la première articulation pivotante d'épaule (3) est conçue comme une articulation pivotante pouvant être réglée manuellement et fixée.
  3. Appareil thérapeutique selon la revendication 1 ou la revendication 2, caractérisé en ce qu'une échelle graduée pour le relevé de l'angle de pivotement d'épaule réglé est attribuée à la première articulation pivotante d'épaule (3).
  4. Appareil thérapeutique selon l'une quelconque des revendications 1 à 3, caractérisé en ce que le rail de bras (2) porte un support d'avant-bras (15), en ce que le support d'avant-bras (15) est relié au rail de bras (2) au moyen d'une troisième articulation pivotante d'épaule (20) qui prédéfinit un mouvement de rotation et en ce que l'axe d'articulation de la troisième articulation pivotante d'épaule (20) passe à peu près par le point d'intersection de la première et de la seconde articulations pivotantes d'épaule (3, 4).
  5. Appareil thérapeutique selon l'une quelconque des revendications 1 à 4, caractérisé en ce que la première, la seconde et/ou la troisième articulations pivotantes d'épaule (3, 4, 20) présentent une commande de pivotement (17) par moteur.
  6. Appareil thérapeutique selon l'une quelconque des revendications 1 à 5, caractérisé en ce que le rail de bras (2) a au moins deux parties de rail (12, 13), dont une partie de rail (12) libre avant porte un support d'avant-bras (15), en ce que le support d'avant-bras (15) et au moins la partie de rail (12) reliée à ce support peuvent être insérées dans une position réfléchie pour le traitement optionnel du bras droit ou du bras gauche d'un patient, en ce que au moins les deux parties de rail (12, 13) sont reliées entre elles de façon à pouvoir être déplacées et fixées au moyen d'une première articulation rotative et/ou articulation pivotante (14) et en ce que le support d'avant-bras (15) est maintenu de façon à pouvoir être tourné et fixé au moyen d'une seconde articulation (16) rotative sur la partie de rail (12) libre avant autour de son axe longitudinal.
  7. Appareil thérapeutique selon l'une quelconque des revendications 1 à 6, caractérisé en ce que la première et la seconde articulations rotatives (14, 16) ont chacune un angle de rotation d'au moins 90° et de préférence d'au moins environ 180°.
  8. Appareil thérapeutique selon l'une quelconque des revendications 1 à 7, caractérisé en ce que la première articulation rotative (14) permet une rotation ou un basculement des parties de rail (12, 13) s'appliquant sur elle dans un plan de rotation ou de pivotement orienté horizontalement.
  9. Appareil thérapeutique selon l'une quelconque des revendications 1 à 8, caractérisé en ce que la première et/ou la seconde articulations rotatives (14, 16) peuvent être fixées au moyen d'un accouplement d'encliquetage ou de frottement dans leur position de rotation.
  10. Appareil thérapeutique selon l'une quelconque des revendications 1 à 9, caractérisé en ce que les axes médians longitudinaux de la zone partielle (10), s'appliquant sur la seconde articulation pivotante d'épaule (4), du bras de liaison (7) d'une part et de la partie de rail (13) du rail de bras (2) d'autre part sont disposés à peu près dans le plan de pivotement de la seconde articulation pivotante d'épaule (4).
  11. Appareil thérapeutique selon l'une quelconque des revendications 1 à 10, caractérisé en ce que les axes médians longitudinaux du support d'avant-bras (15) sont disposés dans leurs positions de rotation décalées de 180° et le plan de rotation de la seconde articulation rotative (16) à peu près dans un plan.
  12. Appareil thérapeutique selon l'une quelconque des revendications 1 à 11, caractérisé en ce que le rail du bras (2) peut être fixé de façon amovible au choix sur l'un de deux côtés opposés de la chaise de traitement (5).
  13. Appareil thérapeutique selon l'une quelconque des revendications 1 à 12, caractérisé en ce que le bras de liaison (7) a au moins deux parties de bras (9, 10) pouvant être reliées de façon amovible, en ce qu'une première articulation pivotante d'épaule (3) est prévue des deux côtés de la chaise de traitement (5) et en ce que chaque première articulation pivotante d'épaule (3) porte une première partie de bras (9) du bras de liaison (7), laquelle peut être reliée de façon amovible au rail de bras (2) par au moins une seconde partie de bras (10) du bras de liaison (7).
  14. Appareil thérapeutique selon l'une quelconque des revendications 1 à 13, caractérisé en ce que, sur les premières articulations pivotantes d'épaule (3) prévues des deux côtés de la chaise de traitement (5), alternativement une articulation pivotante (3) peut être reliée de façon amovible au rail de bras (2) et une articulation pivotante (3) disposée sur le côté de chaise opposé à un support de bras (11).
  15. Appareil thérapeutique selon l'une quelconque des revendications 1 à 14, caractérisé en ce que la partie de bras (9) s'appliquant sur l'une des premières articulations pivotantes d'épaule (3) et la partie de bras (10) reliée au rail de bras (2) ou au support de bras (11) s'engagent l'une dans l'autre de façon télescopique.
  16. Appareil thérapeutique selon l'une quelconque des revendications 1 à 15, caractérisé en ce que les parties de bras (9, 10) s'engageant l'une dans l'autre sont reliées entre elles de façon à pouvoir être déplacées dans le sens longitudinal et être fixées.
  17. Appareil thérapeutique selon l'une quelconque des revendications 1 à 16, caractérisé en ce que le rail de bras (2) peut être déplacé au moyen d'au moins une commande de mouvement (17) pour l'exécution d'un mouvement de corps passif continu sur un patient, au moins une commande de mouvement (17) étant en liaison de commande avec un dispositif de commande.
  18. Appareil thérapeutique selon l'une quelconque des revendications 1 à 17, caractérisé en ce que le dispositif de commande a un lecteur de programme de commande (18) et en ce que des supports de données de programme de commande (19) pouvant être lus à la machine peuvent être entrés dans le lecteur de programme de commande (18), supports sur chacun desquels on peut mémoriser un programme de commande individuel pour chaque patient.
  19. Appareil thérapeutique selon l'une quelconque des revendications 1 à 18, caractérisé en ce que les supports de données de programme de commande (19) sont conçus sous la forme d'une carte à puce à bande magnétique et/ou carte à puce.
EP00124798A 1999-12-27 2000-11-14 Appareil thérapeutique Expired - Lifetime EP1112731B1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE19963200 1999-12-27
DE19963200A DE19963200A1 (de) 1999-12-27 1999-12-27 Therapiegerät

Publications (3)

Publication Number Publication Date
EP1112731A2 EP1112731A2 (fr) 2001-07-04
EP1112731A3 EP1112731A3 (fr) 2002-07-31
EP1112731B1 true EP1112731B1 (fr) 2005-07-06

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EP00124798A Expired - Lifetime EP1112731B1 (fr) 1999-12-27 2000-11-14 Appareil thérapeutique

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US (1) US6695795B2 (fr)
EP (1) EP1112731B1 (fr)
AT (1) ATE299009T1 (fr)
DE (2) DE19963200A1 (fr)

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US6695795B2 (en) 2004-02-24
EP1112731A2 (fr) 2001-07-04
EP1112731A3 (fr) 2002-07-31
DE50010663D1 (de) 2005-08-11
DE19963200A1 (de) 2001-09-06
US20020082530A1 (en) 2002-06-27
ATE299009T1 (de) 2005-07-15

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