WO2012143592A1 - Device for maintaining and recovering physical and cognitive capabilities of patients - Google Patents

Device for maintaining and recovering physical and cognitive capabilities of patients Download PDF

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Publication number
WO2012143592A1
WO2012143592A1 PCT/ES2012/070260 ES2012070260W WO2012143592A1 WO 2012143592 A1 WO2012143592 A1 WO 2012143592A1 ES 2012070260 W ES2012070260 W ES 2012070260W WO 2012143592 A1 WO2012143592 A1 WO 2012143592A1
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WIPO (PCT)
Prior art keywords
patient
platform
lighting means
physical
patients
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Application number
PCT/ES2012/070260
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Spanish (es)
French (fr)
Inventor
Joaquin De Larreta-Azelain Oliveras
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Joaquin De Larreta-Azelain Oliveras
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Publication of WO2012143592A1 publication Critical patent/WO2012143592A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B69/00Training appliances or apparatus for special sports
    • A63B69/0053Apparatus generating random stimulus signals for reaction-time training involving a substantial physical effort
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00Exercising apparatus specially adapted for particular parts of the body
    • A63B23/035Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
    • A63B23/04Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs
    • A63B23/0405Exercising 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
    • A63B23/0464Walk exercisers without moving parts
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B24/00Electric or electronic controls for exercising apparatus of preceding groups; Controlling or monitoring of exercises, sportive games, training or athletic performances
    • A63B24/0075Means for generating exercise programs or schemes, e.g. computerized virtual trainer, e.g. using expert databases
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B24/00Electric or electronic controls for exercising apparatus of preceding groups; Controlling or monitoring of exercises, sportive games, training or athletic performances
    • A63B24/0087Electric or electronic controls for exercising apparatus of groups A63B21/00 - A63B23/00, e.g. controlling load
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B2022/0092Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements for training agility or co-ordination of movements
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B2022/0094Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements for active rehabilitation, e.g. slow motion devices

Definitions

  • the present invention relates to a device for the maintenance and recovery of physical and cognitive abilities in patients, specifically psychosomatic skills and abilities in geriatric and disabled groups, as well as physical and trauma rehabilitation of patients, which It has application in the medical fields of gerlatry, disability and rehabilitation of patients who have suffered several injuries allowing them to obtain a partial or total recovery of joint mobility, an increase in muscle mass and an improvement in balance, in addition to stimulation physical to all types of patients and even optimal physical conditioning for professional athletes;
  • brain stimulation through the generation of scenarios and the superposition of acting trajectories, in which there may be an interrelation of sensory senses that induce the generation of total or partial solutions to the problem exposed to other senses, and where it also allows the assessment, earlier than the current assessment systems, of the degree of deterioration of degenerative mental illnesses, such as Alzheimer's disease, intervening in its regression, being also an aid in others such as Parkinson's; and all this through a simple device that allows to be transported comfortably and
  • US application ÜS-5971761 refers to a platform adapted for babies comprising a plurality of lighting means coupled to a plurality of buttons, in which various alphanumeric signs are shown; so that when the baby presses a button, it lights up visually stimulating the baby;
  • the patient refers to a baby, performing the function of a patient because similar to a patient, the shared objective is to improve their abilities by stimulating the senses, in this case visual.
  • Japanese application JP-2004136052 refers to a platform for the rehabilitation of patients, in which a platform is described which comprises elastic elements formed by aqueous or gaseous means, so that when the patient is on said platform, there are vertical and horizontal movements that stimulate and improve your motor coordination, as well as your general balance.
  • Japanese application JP-11114088 describes a platform comprising a means for detecting the position of the patient from a reference position to the position reached by the patient, so that the evolution in the rehabilitation of said patient can be accurately calculated. by measuring the distance traveled in certain periods.
  • a rehabilitation platform which comprises an upper guide parallel to said platform, and where the upper guide comprises hooking means hung thereon, so that they support the patient and they help in the task of walking; additionally said platform comprises a series of lighting means that perform a sequence to mark the pace of walking, suitable in turn with the coupling means and the respective guide.
  • JP-11113986 describes visual stimuli that indicate a path to follow, but instead is not able to detect the position of the feet of the patient, much less the degree of success in the positioning of the same with respect to the request made by the team, and from there establish a certain trajectory or position that improves the patient's capabilities, in addition to not being able to track the evolution of the patient in an automated way .
  • said rehabilitation platforms usually comprise a horizontal arrangement, not generally allowing the possible placement on vertical surfaces such as walls, so that the rehabilitation referred to the previous applications focuses solely on the area of the lower limbs, not allowing the upper limbs to be positioned in areas appropriate to them, facilitating, for example, positions for improving the patient's balance.
  • the present invention relates to a device for the maintenance and recovery of physical and cognitive abilities in patients, which allows to obtain a partial or total recovery of physical abilities such as joint mobility, an increase in muscle mass and an improvement in balance. , in addition to performing a physical stimulation to all types of patients and even an optimal physical conditioning for athletes; and where it additionally allows brain stimulation through the generation of scenarios and the superposition of acting trajectories in which there may be an interrelation of sensory senses that induce the generation of total or partial solutions to the problem exposed to other senses, in addition it allows the assessment, earlier than current assessment systems, of the degree of deterioration of degenerative mental illnesses such as Alzheimer's disease, intervening in its regression, being also an element of help in others such as Parkinson's; and all this by means of a simple device that allows generating trajectories of action of various complexities inserted in problematic scenarios, interrelated with sensory elements, which require variable or fixed solution paths depending on the interaction of the system with the user and the assessment of the capabilities of the user by the system or by the control personnel,
  • said plurality of position detectors is connected to at least one information processing means of said detector network;
  • said, at least one, processing means is connected to lighting means of the lighting means defining different paths to be followed by the patient.
  • the reaction time is determined from when the patient observes the area marked by the lighting means until he lifts the foot that should lead to that area (this time allows estimating and assessing the cognitive or cerebral abilities of the patient). Additionally, the time it takes to take, for example, the foot to the new area of the trajectory is determined (this time allows to estimate and assess the patient's physical abilities).
  • each cobble can be illuminated so that the patient advances through the marked path, or so that the patient is placed in a specific position in order to stretch a series of muscles to rehabilitate.
  • processing means which proceeds to send a series of orders to the ignition means acting on the lighting means defining other paths or scenarios to be performed; in this way, the processing means adapt to the psychosomatic possibilities of the patient's position and define or redefine it, depending on those possibilities, by means of lighting.
  • the trajectory to follow does not have to be a trajectory in the direction of progress, but it can be a trajectory in any direction and direction, besides being able to be a position of balance or repetition thanks to the calculation of a certain time in the one that remains illuminated a certain area in which the patient must be located.
  • the trajectories can be:
  • the illumination means may comprise various colors including various geometric forms varying its intensity according to the rehabilitation exercise by the patient.
  • the shapes can reproduce, for example, the shape of a foot or a hand, configuring the position and even exact orientation in which the user must place a foot or a hand.
  • Said, at least one, processing means can store different information as desired, said information being for example:
  • Information entered by the control personnel for example the general parameters of the patient, his physical condition, his medical history, etc.
  • Information captured by the processing means for example the percentage of successes in the follow-up of trajectories or positions, the time spent by the patient, etc.
  • Information issued by the processing means for example the patient's status report, evolutionary statistics, proposals for new trajectories or positions, etc. relation to the different embodiments Preferred to carry out the realization of the device object of the invention, three complementary options are contemplated, being:
  • the surface illuminated by the lighting means comprises at least one platform; and preferably the lighting means are located on one of the major surfaces of said, at least one, the platform.
  • the platform itself that emits the light signals and is able to simulate different figures, for example the silhouette of the sole of one foot or hand, so that the patient can stand and move according to the different indications indicated by the luminous means of said, at least one, platform; and where, preferably, the light means comprise a plurality of LED diodes capable of varying their intensity or color depending on the orders received by the ignition means connected to the processing means.
  • the light signals not only define trajectories to be followed by the patient, but also that they mark positions where the feet or hands of the patient are to be placed, so that the patient does not move forward but also stretches certain muscles without merely positioning the limbs where the luminous means indicate; and there is also the possibility that the trajectory marked by the luminous media is not visible in its entirety, if not that each of the platforms is illuminated according to the patient's movement, the position he occupies and the time he has remained in said position, improving the cognitive capacity of the latter since it has to be aware of where the simulated silhouette will be illuminated on each of the platforms that form the device object of the invention.
  • the plurality of position detectors comprises pressure sensors
  • said sensors measure the difference in distance between two membranes and calculate the position and force applied per unit area of the patient; where these sensors are easily found in the current market and therefore are easy to maintain and replace; or even the existence of photoelectric sensors configured to spatially reference the patient's position as a function of the amount of light received by said photoelectric sensors is contemplated.
  • the device for the maintenance, and recovery of physical and cognitive skills and abilities that the invention proposes comprises vibratory means that allow the vertical, horizontal and / or rotational displacement of said at least one platform. . Therefore adding to the light stimuli described above; and in this way there are tactile stimuli that improve the rehabilitation of the patient, by performing various movements so that said patient arranges his limbs in one or another position.
  • the vibrating means comprise flexible chambers controlled by said at least one information processing means.
  • said cameras are regulated by means of said, at least one, information processing means and, therefore, are related to the lighting means of the lighting means; complementing in the definition of movements and trajectories to be followed by the patient, and increasing the amount of stimuli that a patient can receive in his correct rehabilitation.
  • said at least one platform comprises coupling means to other adjacent platforms; where the coupling means can be of the mechanical, magnetic, adhesive type, etc .; and in this way various platforms can be connected to each other and can configure both open and closed training circuits. And by having a larger area of rehabilitation, it may be the case that several patients are being rehabilitated at the same time. And additionally, being able to be coupled, said platforms can be positioned in different vertical, horizontal and inclined planes in order to enhance the rehabilitation of different body areas of the patient.
  • the platform comprises hooking means that allow the patient to advance with respect to said at least one platform, the hooking means being coupled in its upper part to at least one guide, and in its lower part coupled to a clamp in contact with the patient.
  • the coupling means may in turn be controlled by said at least one means of information processing, so that the stimuli, movements and positions are controlled at all times; thus obtaining a collection of evolution data. of the patient and being able to perform personalized routines for each patient. It is understood that the clamp in contact with the patient will preferably be placed as a belt and straps coupled to the lower extremities of the patient, without impeding mobility in said limbs and adapting to their movements.
  • said, at least one, platform can comprise sections of varying sizes, with varied geometric shapes such as linear, circular, sinusoidal geometries, etc .; and with smooth, rough surface finishes, etc.
  • the lighting means comprise at least one light emitting element configured to project different paths to be followed by the patient on said at least one surface.
  • the existence of a light emitting platform is not contemplated, although they may be used in combination; rather, the lighting means are located, preferably, in a higher area, and are configured to project the different paths, shapes or scenarios to be performed by the patient. So that the surfaces to be projected can comprise from the floor to side walls that help to rehabilitate the patient's upper extremities; and where, preferably, said, at least one, light emitting element is a laser; this being a widely used light emitting device, of simple maintenance and replacement, and which allows simulating complex shapes and paths with relative simplicity.
  • the plurality of position detectors are on the user himself; unlike the previous preferred embodiment where the position detectors are preferably located on said platform; and both embodiments being perfectly combinable with each other.
  • Object of the invention refers to the possibility that the device for the maintenance and recovery of physical and cognitive abilities in patients comprises virtual reality simulation glasses.
  • the lighting means are part of the glasses themselves, emitting the corresponding images or paths to interact with the patient; and where, preferably, the position detectors are located on the patient himself, and may also be located on platforms similar to those described in the first preferred embodiment.
  • the device for the rehabilitation of patients comprises sound means coupled to said at least one means of information processing.
  • at least one, information processing medium controls the sound media, indicating positions to be followed by the patient or even providing sound messages of the patient's evolution and support to motivate said patient, in addition to stimulating patients with hearing, vision or other deficiencies.
  • the device object of the invention can have a patient identification system by means of radio frequency, which can allow the adequate emission for each patient, in addition to the ambulation control in the event that several patients interact with it. Time to avoid accidents between them.
  • the device for the rehabilitation of patients that the invention proposes constitutes an advance in the Rehabilitation platforms used up to now, and fully and satisfactorily solve the problems described above, in order to allow a partial or total recovery of psychosomatic skills and abilities in geriatric and disabled groups, as well as physical and trauma rehabilitation, such as joint mobility, the increase in muscle mass, the improvement of balance, in addition to a physical stimulation to all types of patients and even an optimal physical conditioning for athletes, all through a simple device that allows each patient and each situation to be conditioned.
  • Figure 1 shows a three-dimensional schematic view of the device for the maintenance, and recovery of physical and cognitive abilities in patients, in the preferred embodiment of platform, with all the active lighting means.
  • Figure 2. Shows a three-dimensional schematic view similar to that shown in Figure 1, but with part of the active lighting means, simulating these the silhouette of a sole of one foot.
  • Figure 3. Shows a three-dimensional schematic view similar to those shown in Figures 1 and 2, observing in detail that the lighting means comprise LEDs.
  • Figure 4. Our a three-dimensional schematic view of the device for maintenance, and recovery of physical and cognitive abilities together with a patient performing some exercises defined by it.
  • FIG. 1 to 3 it can be seen how in one of the possible embodiments of the device for the maintenance and recovery of physical and cognitive abilities in patients proposed by the invention, it comprises lighting means (2) configured to illuminate a surface (1), specifically a plurality of platforms (1 ') capable of being transported to different spaces and capable of being coupled to other similar platforms (1') configuring a circuit, open or closed, to be followed by the patient.
  • lighting means (2) configured to illuminate a surface (1), specifically a plurality of platforms (1 ') capable of being transported to different spaces and capable of being coupled to other similar platforms (1') configuring a circuit, open or closed, to be followed by the patient.
  • the lighting means (2) collaborate with a plurality of position detectors position detectors of the patient with respect to each platform (1 '), wherein said plurality of detectors is connected to a means of processing the information of said detector network; and where the processing medium is connected to lighting means of the lighting means (2) that define the different paths to be followed by the patient; see the difference between the lighting of the lighting means (2) in figures 1 and 2, since in figure 1 the lighting of all the lighting means (2) arranged on one of the larger surfaces is shown of the platform (1 '); so that in a preferred embodiment the lighting means will be fully illuminated where:
  • the plurality of lighting means (2) simulate the sole of a foot, where said simulation can be placed with any orientation and position within the platform (1 ') in order to define a path and / or a specific position of the patient's feet; in the first case to perform continuous movement exercises, and in the second case to perform static exercises where the patient places his limbs in the positions defined by each platform (1 ') and stretches a series of muscles to rehabilitate.
  • the plurality of position detectors comprises pressure and photoelectric sensors, so that two times are determined:

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  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Rehabilitation Therapy (AREA)
  • Engineering & Computer Science (AREA)
  • Databases & Information Systems (AREA)
  • Software Systems (AREA)
  • Cardiology (AREA)
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Abstract

The invention relates to a device for maintaining and recovering physical and cognitive capabilities of patients, which allows the partial or total recovery of physical capabilities, such as articular mobility, increased muscle mass and improved balance, as well as allowing intervention, stimulation, regression and assessment in terms of deterioration associated with degenerative mental diseases, using a simple device comprising lighting means (2) configured to illuminate a surface (1). The aforementioned lighting means (2) co-operate with a plurality of position sensors, which is coupled to at least one processing means (3) for processing the information from the plurality of sensors. In addition, at least one processing means (3) is coupled to means for switching on the lighting means (2) which define different paths for the patient to follow.

Description

DISPOSITIVO PARA EL MANTENIMIENTO Y RECUPERACION DE CAPACIDADES FÍSICAS Y CONGITIVAS EN PACIENTES  DEVICE FOR THE MAINTENANCE AND RECOVERY OF PHYSICAL AND CONGITIVE CAPABILITIES IN PATIENTS
DESCRIPCIÓN DESCRIPTION
CAMPO TÉCNICO DE LA INVENCIÓN La presente invención se refiere a un dispositivo para el mantenimiento y recuperación de capacidades físicas y cognitivas en pacientes, concretamente las habilidades y capacidades psicosomáticas en colectivos geriátricos y de discapacitados, asi como la rehabilitación física y traumatológica de pacientes, que tiene aplicación en los campos médicos de la gerlatría, discapacidad y de la rehabilitación de pacientes que han sufrido lesiones varias permitiéndoles obtener una recuperación parcial o total de la movilidad articular, un incremento de la masa muscular y una mejora del equilibrio, además de una estimulación física a todo tipos de pacientes e incluso un acondicionamiento físico óptimo para deportistas profesionales; además de permitir la estimulación cerebral a través de la generación de escenarios y la superposición de trayectorias de actuación, en las cuales puede haber una interrelación de sentidos sensoriales que induzcan a la generación de soluciones totales o parciales a la problemática expuesta a otros sentidos, y donde además permite la valoración, más precoz respecto de los sistemas de valoración actuales, del grado de deterioro de enfermedades mentales degenerativas, como por ejemplo el Alzhéimer, interviniendo en su regresión, siendo además un elemento de ayuda en otras como el Párkinson; y todo ello mediante un dispositivo sencillo que permite ser transportado de manera cómoda y acondicionado a cada paciente y a cada situación. TECHNICAL FIELD OF THE INVENTION The present invention relates to a device for the maintenance and recovery of physical and cognitive abilities in patients, specifically psychosomatic skills and abilities in geriatric and disabled groups, as well as physical and trauma rehabilitation of patients, which It has application in the medical fields of gerlatry, disability and rehabilitation of patients who have suffered several injuries allowing them to obtain a partial or total recovery of joint mobility, an increase in muscle mass and an improvement in balance, in addition to stimulation physical to all types of patients and even optimal physical conditioning for professional athletes; In addition to allowing brain stimulation through the generation of scenarios and the superposition of acting trajectories, in which there may be an interrelation of sensory senses that induce the generation of total or partial solutions to the problem exposed to other senses, and where it also allows the assessment, earlier than the current assessment systems, of the degree of deterioration of degenerative mental illnesses, such as Alzheimer's disease, intervening in its regression, being also an aid in others such as Parkinson's; and all this through a simple device that allows to be transported comfortably and conditioned to each patient and every situation.
ANTECEDENTES DE LA INVENCIÓN BACKGROUND OF THE INVENTION
Son conocidos diversos dispositivos para mejorar las habilidades de pacientes mediante elementos de plataformas, guias o similares. Various devices are known to improve patient skills through platform elements, guides or the like.
Por ejemplo la solicitud estadounidense ÜS- 5971761 hace referencia a una plataforma adaptada para bebés que comprende una pluralidad de medios de iluminación acoplados a una pluralidad de botones, en los cuales se muestran signos alfanuméricos diversos; de forma que cuando el bebé presiona un botón, éste se ilumina estimulando visualmente al bebé; en esta solicitud el paciente se refiere a un bebé, realizando la función de paciente debido a que de manera similar a un paciente, el objetivo compartido es mejorar sus habilidades mediante la estimulación de los sentidos, en este caso visuales. La solicitud japonesa JP-2004136052 se refiere a una plataforma para la rehabilitación de pacientes, en la cual se describe una plataforma que comprende en su interior elementos elásticos formados por medios acuosos o gaseosos, de modo que cuando el paciente se encuentra sobre dicha plataforma, se producen movimientos verticales y horizontales que le estimulan y mejoran su coordinación motriz, asi como su equilibrio general. For example, US application ÜS-5971761 refers to a platform adapted for babies comprising a plurality of lighting means coupled to a plurality of buttons, in which various alphanumeric signs are shown; so that when the baby presses a button, it lights up visually stimulating the baby; In this application, the patient refers to a baby, performing the function of a patient because similar to a patient, the shared objective is to improve their abilities by stimulating the senses, in this case visual. Japanese application JP-2004136052 refers to a platform for the rehabilitation of patients, in which a platform is described which comprises elastic elements formed by aqueous or gaseous means, so that when the patient is on said platform, there are vertical and horizontal movements that stimulate and improve your motor coordination, as well as your general balance.
La solicitud internacional WO-0230342 describe una plataforma de rehabilitación que comprende unas formas geométricas onduladas de material elástico deformable, el cual se deforma según el paciente vaya avanzando sobre dicha plataforma o cambiando de posición al realizar ejercicios de equilibrio o similar. International application WO-0230342 describes a rehabilitation platform comprising corrugated geometric shapes of deformable elastic material, which deforms as the patient goes advancing on said platform or changing position when performing balance exercises or similar.
Por su parte la solicitud japonesa JP-11114088 describe una plataforma que comprende un medio detector de la posición del paciente desde una posición de referencia hasta la posición alcanzada por éste, de modo que pueda calcularse de manera precisa la evolución en la rehabilitación de dicho paciente mediante la medición de la distancia recorrida en determinados periodos. For its part, Japanese application JP-11114088 describes a platform comprising a means for detecting the position of the patient from a reference position to the position reached by the patient, so that the evolution in the rehabilitation of said patient can be accurately calculated. by measuring the distance traveled in certain periods.
Por último, en la solicitud japonesa JP-1 113986 se describe una plataforma de rehabilitación que comprende una guia superior paralela a dicha plataforma, y donde la guia superior comprende unos medios de enganche colgados respecto de ésta, de manera que sustentan al paciente y le ayudan en la tarea de caminar; adicionalmente dicha plataforma comprende una serie de medios de iluminación que realizan una secuencia para marcar el ritmo de paso al caminar, adecuado a su vez con los medios de enganche y la respectiva guia. Finally, in Japanese application JP-1 113986 a rehabilitation platform is described which comprises an upper guide parallel to said platform, and where the upper guide comprises hooking means hung thereon, so that they support the patient and they help in the task of walking; additionally said platform comprises a series of lighting means that perform a sequence to mark the pace of walking, suitable in turn with the coupling means and the respective guide.
En los antecedentes mencionados, se observan una serie de inconvenientes referidos al correcto mantenimiento, recuperación y rehabilitación de habilidades y capacidades fisicas y cognitivas del paciente, ya que dichas solicitudes no son capaces de estimular los movimientos a seguir por el paciente, en el sentido de que el paciente detecte o presencie un determinado estimulo que le indique dónde o cómo posicionarse, el ritmo a seguir o la postura a realizar. In the aforementioned background, a series of drawbacks related to the correct maintenance, recovery and rehabilitation of physical and cognitive abilities and abilities of the patient are observed, since said requests are not able to stimulate the movements to be followed by the patient, in the sense of The patient detects or witnesses a certain stimulus that tells him where or how to position himself, the pace to follow or the posture to perform.
Si atendemos a la última solicitud mencionada, JP-11113986, vemos que en ella si se describen estímulos visuales que indican una trayectoria a seguir, pero en cambio no es capaz de detectar la posición de los pies del paciente, y mucho menos el grado de acierto en el posicionamiento de los mismos respecto de la solicitud que realiza el equipo, y a partir de ahi establecer una trayectoria o posición determinada que mejore las capacidades del paciente, además de tampoco poder realizar un seguimiento de la evolución del paciente de manera automatizada.. If we attend to the last request mentioned, JP-11113986, we see that it describes visual stimuli that indicate a path to follow, but instead is not able to detect the position of the feet of the patient, much less the degree of success in the positioning of the same with respect to the request made by the team, and from there establish a certain trajectory or position that improves the patient's capabilities, in addition to not being able to track the evolution of the patient in an automated way ..
Existe también el inconveniente de que dichas plataformas de rehabilitación comprenden usualmente una disposición horizontal, no permitiendo de manera general la posible colocación en superficies verticales como por ejemplo paredes, de manera que la rehabilitación referida a las anteriores solicitudes se centra únicamente en la zona de las extremidades inferiores, no permitiendo posicionar las extremidades superiores en zonas adecuadas a ellas, facilitando, por ejemplo, posiciones de mejora del equilibrio del paciente. Asi pues, se hace necesario la aparición de un nuevo dispositivo para el mantenimiento, y recuperación de capacidades físicas y cognitivas en pacientes que solvente la problemática anteriormente expuesta, en la linea de ser capaz de estimar una evolución del paciente según vaya realizando las trayectorias o circuitos marcados por el dispositivo; estimular de distintos modos al paciente animándole a continuar en su proceso de rehabilitación y obteniendo resultados reales e instantáneos de los ejercicios realizados por él; formado por elementos sencillos y pudiendo ser utilizado en distintos entornos, además de ser capaz de reproducir distintas trayectorias o circuitos que doten de versatilidad al dispositivo y sea apto para todo tipo de pacientes . DESCRIPCIÓN DE LA. INVENCIÓN There is also the disadvantage that said rehabilitation platforms usually comprise a horizontal arrangement, not generally allowing the possible placement on vertical surfaces such as walls, so that the rehabilitation referred to the previous applications focuses solely on the area of the lower limbs, not allowing the upper limbs to be positioned in areas appropriate to them, facilitating, for example, positions for improving the patient's balance. Thus, it is necessary the appearance of a new device for the maintenance, and recovery of physical and cognitive abilities in patients that solve the problem previously exposed, in the line of being able to estimate a patient's evolution as the trajectories are carried out or circuits marked by the device; stimulate the patient in different ways encouraging him to continue in his rehabilitation process and obtaining real and instantaneous results of the exercises performed by him; formed by simple elements and can be used in different environments, in addition to being able to reproduce different paths or circuits that provide versatility to the device and is suitable for all types of patients. DESCRIPTION OF THE. INVENTION
La presente invención se refiere a un dispositivo para el mantenimiento y recuperación de capacidades físicas y cognitivas en pacientes, que permite obtener una recuperación parcial o total de las capacidades físicas tales como la movilidad articular, un incremento de la masa muscular y una mejora del equilibrio, además de realizar una estimulación física a todo tipos de pacientes e incluso un acondicionamiento físico óptimo para deportistas; y donde adicionalmente permite la estimulación cerebral a través de la generación de escenarios y la superposición de trayectorias de actuación en las cuales puede haber una interrelación de sentidos sensoriales que induzcan a la generación de soluciones totales o parciales a la problemática expuesta a otros sentidos, además permite la valoración, más precoz que los sistemas de valoración actuales, del grado de deterioro de enfermedades mentales degenerativas como por ejemplo el Alzheimer, interviniendo en su regresión, siendo además un elemento de ayuda en otras como el Párkinson; y todo ello mediante un dispositivo sencillo que permite generar trayectorias de actuación de diversas complejidades insertadas en escenarios problemáticos, ínterrelacionados con elementos sensoriales, que precisan unas vías de solución variables o fijas en función de la interactuación del sistema con el usuario y de la valoración de las capacidades del usuario por el sistema o por el personal de control, pudiendo establecerse estímulos por medio de relaciones entre otras sensibilidades como pueden ser visual-auditiva, visual-olfativa, visual-táctil, táctil-auditiva u otras. El dispositivo para el mantenimiento, y recuperación de capacidades físicas y cognitivas en pacientes que la invención propone comprende unos medios de iluminación configurados para iluminar una superficie; donde: dichos medios de iluminación colaboran con una pluralidad de detectores de posición del paciente respecto de la superficie; donde The present invention relates to a device for the maintenance and recovery of physical and cognitive abilities in patients, which allows to obtain a partial or total recovery of physical abilities such as joint mobility, an increase in muscle mass and an improvement in balance. , in addition to performing a physical stimulation to all types of patients and even an optimal physical conditioning for athletes; and where it additionally allows brain stimulation through the generation of scenarios and the superposition of acting trajectories in which there may be an interrelation of sensory senses that induce the generation of total or partial solutions to the problem exposed to other senses, in addition it allows the assessment, earlier than current assessment systems, of the degree of deterioration of degenerative mental illnesses such as Alzheimer's disease, intervening in its regression, being also an element of help in others such as Parkinson's; and all this by means of a simple device that allows generating trajectories of action of various complexities inserted in problematic scenarios, interrelated with sensory elements, which require variable or fixed solution paths depending on the interaction of the system with the user and the assessment of the capabilities of the user by the system or by the control personnel, stimuli can be established through relationships between other sensitivities such as visual-auditory, visual-olfactory, visual-tactile, tactile-auditory or others. The device for the maintenance, and recovery of physical and cognitive abilities in patients that the invention proposes comprises means of lighting configured to illuminate a surface; where: said lighting means collaborate with a plurality of patient position detectors relative to the surface; where
dicha pluralidad de detectores de posición está conectada a al menos un medio de procesamiento de la información de dicha red de detectores; y donde  said plurality of position detectors is connected to at least one information processing means of said detector network; and where
dicho, al menos un, medio de procesamiento está conectado a unos medios de encendido de los medios de iluminación que definen distintas trayectorias a seguir por el paciente.  said, at least one, processing means is connected to lighting means of the lighting means defining different paths to be followed by the patient.
Se observan diferencias respecto del estado de la técnica actualmente conocido; principalmente en la existencia de los medios de iluminación asociados a la pluralidad de detectores de posición; ya que esta colaboración permite definir escenarios de actuación, de diversos grados de complejidad, iguales o distintos, fijos o cambiantes, en los que se superponen trayectorias a seguir por el paciente o ejercicios a realizar por éste; de forma que según la posición de dicho paciente, los medios luminosos pueden iluminar una zona fija, variable o pulsante, pueden simular una geometría concreta pulsante en el tiempo o con distintos colores, o incluso variar la intensidad lumínica o el tamaño de la forma a simular, pudiendo contemplarse distintos otros tipos de variabilidad similares a los descritos. Ya que gracias a dicho, al menos un, medio de procesamiento acoplado a los medios de encendido de los medios de iluminación, la versatilidad del dispositivo objeto de estudio es muy elevada; pudiendo variar de múltiples maneras las trayectorias o escenarios a realizar por el paciente en cuestión. Differences are observed regarding the state of the art currently known; mainly in the existence of the lighting means associated with the plurality of position detectors; since this collaboration allows defining action scenarios, of varying degrees of complexity, the same or different, fixed or changing, in which trajectories to be followed by the patient or exercises to be performed by the patient are superimposed; so that depending on the position of said patient, the luminous means can illuminate a fixed, variable or pulsating area, they can simulate a concrete geometry pulsating in time or with different colors, or even vary the light intensity or the size of the shape to simulate, being able to contemplate different other types of variability similar to those described. Since, thanks to said, at least one, processing means coupled to the lighting means of the lighting means, the versatility of the device under study is very high; may vary from multiple ways the trajectories or scenarios to be performed by the patient in question.
Con los datos de los detectores, se puede determinar el grado de coincidencia y acierto entre, por ejemplo, una pisada y la zona prevista para la pisada; y también los tiempos implicados en el proceso. En concreto, se determina el tiempo de reacción desde que el paciente observa la zona marcada por los medios de iluminación hasta que levanta el pie que debe llevar a esa zona (este tiempo permite estimar y valorar las capacidades cognitivas o cerebrales del paciente) . Adicionalmente se determina el tiempo que tarda en llevar, por ejemplo, el pie hasta la nueva zona de la trayectoria (este tiempo permite estimar y valorar las capacidades físicas del paciente) . With the data of the detectors, it is possible to determine the degree of coincidence and success between, for example, a step and the area foreseen for the step; and also the times involved in the process. Specifically, the reaction time is determined from when the patient observes the area marked by the lighting means until he lifts the foot that should lead to that area (this time allows estimating and assessing the cognitive or cerebral abilities of the patient). Additionally, the time it takes to take, for example, the foot to the new area of the trajectory is determined (this time allows to estimate and assess the patient's physical abilities).
Con los tiempos detectados en los diversos dias de trabajo, se pueden obtener rápidamente gráficas sobre la evolución física y cognitiva del usuario, tanto su deterioro en sus habilidades físicas o cognitivas, como su avance o rehabilitación. With the times detected in the various work days, graphs about the user's physical and cognitive evolution, both their deterioration in their physical or cognitive abilities, and their progress or rehabilitation can be quickly obtained.
Y como curiosidad, el desarrollo de este dispositivo se basa en la idea de una calzada romana formada por adoquines, donde cada adoquín puede iluminarse para que el paciente avance a través de la trayectoria marcada, o para que el paciente se sitúen en una posición concreta de cara a estirar una serie de músculos a rehabilitar. And as a curiosity, the development of this device is based on the idea of a Roman road formed by cobblestones, where each cobble can be illuminated so that the patient advances through the marked path, or so that the patient is placed in a specific position in order to stretch a series of muscles to rehabilitate.
Adicionalmente dicho dispositivo permite: Additionally said device allows:
1) Analizar las posiciones anteriores guardadas y la posición actual del paciente mediante la pluralidad de detectores de posición; 2) estimar los tiempos de respuesta del paciente y el grado de acierto de la respuesta, 1) Analyze the previous saved positions and the current position of the patient through the plurality of position detectors; 2) estimate the response times of the patient and the degree of success of the response,
3) estimar la simetría del movimiento,  3) estimate the symmetry of the movement,
Y donde dicha información es recogida por dicho, al menos un, medio de procesamiento, el cual procede a enviar una serie de órdenes a los medios de encendido que actúan sobre los medios de iluminación definiendo otras trayectorias o escenarios a realizar; de esta manera, los medios de procesamiento se adecúan a las posibilidades psicosomáticas de posición del paciente y le define o redefinen, en función de esas posibilidades, mediante los medios de iluminación. And where said information is collected by said, at least one, processing means, which proceeds to send a series of orders to the ignition means acting on the lighting means defining other paths or scenarios to be performed; in this way, the processing means adapt to the psychosomatic possibilities of the patient's position and define or redefine it, depending on those possibilities, by means of lighting.
A modo aclaratorio, la trayectoria a seguir no ha de ser una trayectoria en sentido de avance, sino que puede ser una trayectoria en cualquier dirección y sentido, además de poder ser una posición de equilibrio o de repetición gracias al cálculo de un determinado tiempo en el que se mantiene iluminada una determinada zona en la cual el paciente ha de estar situado. By way of clarification, the trajectory to follow does not have to be a trajectory in the direction of progress, but it can be a trajectory in any direction and direction, besides being able to be a position of balance or repetition thanks to the calculation of a certain time in the one that remains illuminated a certain area in which the patient must be located.
Las trayectorias pueden ser: The trajectories can be:
Fijas, se emiten y se mantienen con el paso del tiempo; Fixed, issued and maintained over time;
con repeticiones alternativas o consecutivas de los miembros inferiores (o de los miembros superiores en el caso de disponer de elementos auxiliares externos) ; o trayectorias mixtas, es decir, trayectorias fijas que además incluyen elementos de repetición o elementos de iluminación desplazarles . Por lo tanto, dependiendo de la posición y distancia entre las extremidades superiores e inferiores u otros factores del paciente, se definen distintas trayectorias a seguir mediante estímulos luminosos, entre otros. with alternative or consecutive repetitions of the lower limbs (or of the upper limbs in the case of having external auxiliary elements); or mixed paths, that is, fixed paths that also include repeating elements or moving lighting elements. Therefore, depending on the position and distance between the upper and lower extremities or other factors of the patient, different trajectories are defined to be followed by light stimuli, among others.
Los * medios de iluminación pueden comprender colores diversos incluso formas geométricas variadas, pudiendo variar su intensidad lumínica según el ejercicio de rehabilitación realizado por el paciente. Las formas pueden reproducir por ejemplo la forma de un pie o una mano, configurando la posición e incluso orientación exacta en la cual el usuario debe situar un pie o un a mano. * The illumination means may comprise various colors including various geometric forms varying its intensity according to the rehabilitation exercise by the patient. The shapes can reproduce, for example, the shape of a foot or a hand, configuring the position and even exact orientation in which the user must place a foot or a hand.
Dicho, al menos un, medio de procesamiento puede almacenar distinta información según se desee, siendo dicha información por ejemplo: Said, at least one, processing means can store different information as desired, said information being for example:
Información introducida por el personal de control: por ejemplo los parámetros generales del paciente, su estado fisico, su historial médico, etc. Information entered by the control personnel: for example the general parameters of the patient, his physical condition, his medical history, etc.
Información capturada por el medio de procesamiento: por ejemplo el porcentaje de aciertos en el seguimiento de trayectorias o posiciones, el tiempo empleado por el paciente, etc.  Information captured by the processing means: for example the percentage of successes in the follow-up of trajectories or positions, the time spent by the patient, etc.
Información emitida por el medio de procesamiento: por ejemplo el informe de estado del paciente, estadísticas evolutivas, propuestas de nuevas trayectorias o posiciones, etc. relación a las distintas realizaciones preferentes para llevar a cabo la realización del dispositivo objeto de invención, se contemplan tres opciones complementarias entre sí, siendo: Information issued by the processing means: for example the patient's status report, evolutionary statistics, proposals for new trajectories or positions, etc. relation to the different embodiments Preferred to carry out the realization of the device object of the invention, three complementary options are contemplated, being:
1) La superficie iluminada por los medios de iluminación comprende al menos una plataforma; y de manera preferente los medios de iluminación se encuentran situados en una de las superficies mayores de dicha, al menos una, la plataforma. 1) The surface illuminated by the lighting means comprises at least one platform; and preferably the lighting means are located on one of the major surfaces of said, at least one, the platform.
De manera que es la propia plataforma la que emite las señales luminosas y es capaz de simular distintas figuras, por ejemplo la silueta de la planta de un pie o de la mano, para que el paciente pueda situarse y avanzar en función de las distintas indicaciones señaladas por los medios luminosos de dicha, al menos una, plataforma; y donde, de manera preferente, los medios luminosos comprenden una pluralidad de diodos LED capaces de variar su intensidad o color en función de las órdenes recibidas por los medios de encendido conectados a los medios de procesamiento. Aclarar que las señales luminosas no sólo definen trayectorias a seguir por el paciente, si no que también marcan posiciones donde han de colocarse los pies o manos de éste, de forma que el paciente no avance sino que estira unos determinados músculos sin más que posicionar las extremidades donde le indican los medios luminosos; y también existe la posibilidad de que la trayectoria marcada por los médios luminosos no sea visible en su totalidad, si no que cada una de las plataformas se ilumina según el movimiento del paciente, la posición que éste ocupe y el tiempo que haya permanecido en dicha posición, mejorando la capacidad cognitlva de éste ya que ha de estar atento de dónde va a iluminarse la silueta simulada en cada una de las plataformas que forman el dispositivo objeto de invención. Adicionalmente se contempla la posibilidad de que la pluralidad de detectores de posición comprende sensores de presión, de modo que dichos sensores miden la diferencia de distancia entre dos membranas y calculan la posición y la fuerza aplicada por unidad de superficie del paciente; donde estos sensores se encuentran fácilmente en el mercado actual y por lo tanto son de fácil mantenimiento y sustitución; o incluso se contempla la existencia de sensores fotoeléctricos configurados para referenciar espacialmente la posición del paciente en función de la cantidad de luz recibida por dichos sensores fotoeléctricos . En relación a la estimulación sensitiva del paciente, el dispositivo para el mantenimiento, y recuperación de habilidades y capacidades físicas y cognitivas que la invención propone comprende medios vibratorios que permiten el desplazamiento vertical, horizontal y/o rotatorio de dicha, al menos una, plataforma. Sumándose por tanto a los estímulos luminosos descritos anteriormente; y de esta manera existen estímulos táctiles que mejoran la rehabilitación del paciente, al realizar diversos movimientos para que dicho paciente disponga sus extremidades en una u otra posición. So it is the platform itself that emits the light signals and is able to simulate different figures, for example the silhouette of the sole of one foot or hand, so that the patient can stand and move according to the different indications indicated by the luminous means of said, at least one, platform; and where, preferably, the light means comprise a plurality of LED diodes capable of varying their intensity or color depending on the orders received by the ignition means connected to the processing means. Clarify that the light signals not only define trajectories to be followed by the patient, but also that they mark positions where the feet or hands of the patient are to be placed, so that the patient does not move forward but also stretches certain muscles without merely positioning the limbs where the luminous means indicate; and there is also the possibility that the trajectory marked by the luminous media is not visible in its entirety, if not that each of the platforms is illuminated according to the patient's movement, the position he occupies and the time he has remained in said position, improving the cognitive capacity of the latter since it has to be aware of where the simulated silhouette will be illuminated on each of the platforms that form the device object of the invention. Additionally, the possibility that the plurality of position detectors comprises pressure sensors is contemplated, so that said sensors measure the difference in distance between two membranes and calculate the position and force applied per unit area of the patient; where these sensors are easily found in the current market and therefore are easy to maintain and replace; or even the existence of photoelectric sensors configured to spatially reference the patient's position as a function of the amount of light received by said photoelectric sensors is contemplated. In relation to the sensitive stimulation of the patient, the device for the maintenance, and recovery of physical and cognitive skills and abilities that the invention proposes comprises vibratory means that allow the vertical, horizontal and / or rotational displacement of said at least one platform. . Therefore adding to the light stimuli described above; and in this way there are tactile stimuli that improve the rehabilitation of the patient, by performing various movements so that said patient arranges his limbs in one or another position.
Adicionalmente los medios vibratorios comprenden cámaras flexibles controladas mediante dicho, al menos un, medio de procesamiento de la información. Donde dichas cámaras se regulan por medio de dicho, al menos un, medio de procesamiento de la información y, por tanto, están relacionadas con los medios de encendido de los medios de iluminación; complementándose en la definición de movimientos y trayectorias a seguir por el paciente, y aumentando la cantidad de estímulos que puede recibir un paciente en su correcta rehabilitación. Se contempla la posibilidad de que dicha, al menos una, plataforma comprende medios de acople a otras plataformas contiguas; donde los medios de acople pueden ser del tipo mecánico, magnético, adhesivo, etc.; y de esta manera diversas plataformas pueden estar conectadas entre si pudiendo configurar circuitos de entrenamiento tanto abiertos como cerrados. Y al disponer de una mayor superficie de rehabilitación se puede dar el caso de que varios pacientes se encuentran rehabilitándose al mismo tiempo. Y adicionalmente, al poder estar acopladas, dichas plataformas pueden posicionarse en distintos planos verticales, horizontales e inclinados para asi potenciar la rehabilitación de distintas zonas corporales del paciente. Additionally, the vibrating means comprise flexible chambers controlled by said at least one information processing means. Where said cameras are regulated by means of said, at least one, information processing means and, therefore, are related to the lighting means of the lighting means; complementing in the definition of movements and trajectories to be followed by the patient, and increasing the amount of stimuli that a patient can receive in his correct rehabilitation. The possibility is contemplated that said at least one platform comprises coupling means to other adjacent platforms; where the coupling means can be of the mechanical, magnetic, adhesive type, etc .; and in this way various platforms can be connected to each other and can configure both open and closed training circuits. And by having a larger area of rehabilitation, it may be the case that several patients are being rehabilitated at the same time. And additionally, being able to be coupled, said platforms can be positioned in different vertical, horizontal and inclined planes in order to enhance the rehabilitation of different body areas of the patient.
Adicionalmente se contempla la posibilidad de que la plataforma comprende medios de enganche que permiten al paciente avanzar respecto de dicha, al menos una, plataforma, estando los medios de enganche acoplados en su parte superior a al menos una guia, y en su parte inferior acoplados a una abrazadera en contacto con el paciente. Additionally, the possibility is contemplated that the platform comprises hooking means that allow the patient to advance with respect to said at least one platform, the hooking means being coupled in its upper part to at least one guide, and in its lower part coupled to a clamp in contact with the patient.
Los medios de enganche podrán estar controlados a su vez por dicho, al menos un, medio de procesamiento de la información, de modo que los estímulos, movimientos y posiciones estén controlados en todo momento; consiguiendo asi una recogida de datos de la evolución . del paciente y pudiendo realizar rutinas personalizadas para cada paciente. Se entiende que la abrazadera en contacto con el paciente se colocará preferentemente a modo de cinturón y de correas acopladas a las extremidades inferiores del paciente, sin impedir la movilidad en dichas extremidades y adaptándose a sus movimientos. The coupling means may in turn be controlled by said at least one means of information processing, so that the stimuli, movements and positions are controlled at all times; thus obtaining a collection of evolution data. of the patient and being able to perform personalized routines for each patient. It is understood that the clamp in contact with the patient will preferably be placed as a belt and straps coupled to the lower extremities of the patient, without impeding mobility in said limbs and adapting to their movements.
Por último, y en relación con esta primera realización preferente, dicha, al menos una, plataforma puede comprender secciones de tamaños variables, con formas geométricas variadas tales como geometrías lineales, circulares, sinusoidales, etc.; y con acabados superficiales lisos, rugosos, etc. Finally, and in relation to this first preferred embodiment, said, at least one, platform can comprise sections of varying sizes, with varied geometric shapes such as linear, circular, sinusoidal geometries, etc .; and with smooth, rough surface finishes, etc.
2) Los medios de iluminación comprenden al menos un elemento emisor de luz configurado para proyectar distintas trayectorias a seguir por el paciente sobre dicha, al menos una, superficie. 2) The lighting means comprise at least one light emitting element configured to project different paths to be followed by the patient on said at least one surface.
En esta segunda realización preferente no se contempla la existencia de una plataforma emisora de luz, aunque puedan ser utilizados en combinación; sino que los medios de iluminación se encuentran situados, de manera preferente, en una zona superior, y están configurados para proyectar las distintas trayectorias, formas o escenarios a realizar por el paciente. De manera que las superficies a proyectar pueden comprender desde el suelo hasta paredes laterales que ayuden a rehabilitar las extremidades superiores del paciente; y donde, de manera preferente, dicho, al menos un, elemento emisor de luz es un láser; siendo éste un dispositivo emisor dé luz ampliamente utilizado, de sencillo mantenimiento y sustitución, y que permite simular formas y trayectorias complejas con relativa sencillez. Se contempla la posibilidad de que la pluralidad de detectores de posición se encuentran sobre el propio usuario; a diferencia de la anterior realización preferente donde los detectores de posición se sitúan, preferentemente, en dicha plataforma; y siendo ambas realizaciones perfectamente combinables entre si. In this second preferred embodiment the existence of a light emitting platform is not contemplated, although they may be used in combination; rather, the lighting means are located, preferably, in a higher area, and are configured to project the different paths, shapes or scenarios to be performed by the patient. So that the surfaces to be projected can comprise from the floor to side walls that help to rehabilitate the patient's upper extremities; and where, preferably, said, at least one, light emitting element is a laser; this being a widely used light emitting device, of simple maintenance and replacement, and which allows simulating complex shapes and paths with relative simplicity. The possibility is contemplated that the plurality of position detectors are on the user himself; unlike the previous preferred embodiment where the position detectors are preferably located on said platform; and both embodiments being perfectly combinable with each other.
3) Por último, la tercera realización preferente del dispositivo . objeto de invención se refiere a la posibilidad de que el dispositivo para el mantenimiento, y recuperación de capacidades físicas y cognitivas en pacientes comprende unas gafas de simulación de realidad virtual. 3) Finally, the third preferred embodiment Of the device . Object of the invention refers to the possibility that the device for the maintenance and recovery of physical and cognitive abilities in patients comprises virtual reality simulation glasses.
De manera que los medios de iluminación forman parte de las propias gafas, emitiendo las imágenes o trayectorias correspondientes para interactuar con el paciente; y donde, de manera preferente, los detectores de posición se encuentran situados sobre el propio paciente, pudiendo también estar situados sobre plataformas similares a las descritas en la primera realización preferente. So that the lighting means are part of the glasses themselves, emitting the corresponding images or paths to interact with the patient; and where, preferably, the position detectors are located on the patient himself, and may also be located on platforms similar to those described in the first preferred embodiment.
Por último, y en combinación con las tres realizaciones preferentes descritas, se contempla la posibilidad de que el dispositivo para la rehabilitación de pacientes comprende medios sonoros acoplados a dicho, al menos un, medio de procesamiento de la información. Donde dicho, al menos un, medio de procesamiento de la información controla los medios sonoros, indicando posiciones que ha de seguir el paciente o incluso aportando mensajes sonoros de la evolución del paciente y de apoyo para motivar a dicho paciente, además de estimular a pacientes con deficiencias de audición, visión u otras deficiencias. Asi mismo, el dispositivo objeto de invención puede disponer de un sistema de identificación de los pacientes por medio de radio frecuencia, el cual puede permitir la emisión adecuada para cada paciente, además del control de deambulación en el caso de que varios pacientes interactúen al mismo tiempo para evitar accidentes entre ellos. Finally, and in combination with the three preferred embodiments described, the possibility is contemplated that the device for the rehabilitation of patients comprises sound means coupled to said at least one means of information processing. Where said, at least one, information processing medium controls the sound media, indicating positions to be followed by the patient or even providing sound messages of the patient's evolution and support to motivate said patient, in addition to stimulating patients with hearing, vision or other deficiencies. Likewise, the device object of the invention can have a patient identification system by means of radio frequency, which can allow the adequate emission for each patient, in addition to the ambulation control in the event that several patients interact with it. Time to avoid accidents between them.
Asi pues, de acuerdo con la invención descrita, el dispositivo para la rehabilitación de pacientes que la invención propone constituye un avance en las plataformas de rehabilitación hasta ahora utilizadas, y resuelve de manera plenamente satisfactoria la problemática anteriormente expuesta, en la linea de permitir una recuperación parcial o total de habilidades y capacidades psicosomáticas en colectivos geriátricos y de discapacitados, asi como la rehabilitación física y traumatológica, como la movilidad articular, el incremento de la masa muscular la mejora del equilibrio, además de una estimulación fisica a todo tipos de pacientes e incluso un acondicionamiento físico óptimo para deportistas, todo ello mediante un dispositivo sencillo que permite estar acondicionado a cada paciente y a cada situación. Thus, according to the described invention, the device for the rehabilitation of patients that the invention proposes constitutes an advance in the Rehabilitation platforms used up to now, and fully and satisfactorily solve the problems described above, in order to allow a partial or total recovery of psychosomatic skills and abilities in geriatric and disabled groups, as well as physical and trauma rehabilitation, such as joint mobility, the increase in muscle mass, the improvement of balance, in addition to a physical stimulation to all types of patients and even an optimal physical conditioning for athletes, all through a simple device that allows each patient and each situation to be conditioned.
DESCRIPCIÓN DE LOS DIBUJOS Para complementar la descripción que se está realizando y con objeto de ayudar a una mejor comprensión de las características del invento, de acuerdo con un ejemplo preferente de realización práctica del mismo, se acompaña como parte integrante de dicha descripción, un juego de dibujos en donde con carácter ilustrativo y no limitativo, se ha representado lo siguiente: DESCRIPTION OF THE DRAWINGS To complement the description that is being made and in order to help a better understanding of the features of the invention, according to a preferred example of practical realization thereof, a set is attached as an integral part of said description. of drawings where illustrative and not limiting, the following has been represented:
La figura 1.- Muestra una vista esquemática tridimensional del dispositivo para el mantenimiento, y recuperación de capacidades físicas y cognitivas en pacientes, en la realización preferente de plataforma, con la totalidad de los medios de iluminación activos. La figura 2.- Muestra una vista esquemática tridimensional similar a la mostrada en la figura 1, pero con parte de los medios de iluminación activos, simulando éstos la silueta de una planta de un pie. Figure 1 shows a three-dimensional schematic view of the device for the maintenance, and recovery of physical and cognitive abilities in patients, in the preferred embodiment of platform, with all the active lighting means. Figure 2.- Shows a three-dimensional schematic view similar to that shown in Figure 1, but with part of the active lighting means, simulating these the silhouette of a sole of one foot.
La figura 3.- Muestra una vista esquemática tridimensional similar a las mostradas en las figuras 1 y 2, observándose en detalle que los medios de iluminación comprenden diodos LED. Figure 3.- Shows a three-dimensional schematic view similar to those shown in Figures 1 and 2, observing in detail that the lighting means comprise LEDs.
La figura 4.- Nuestra una vista esquemática tridimensional del dispositivo para el mantenimiento, y recuperación de capacidades físicas y cognitivas junto con un paciente realizando unos ejercicios definidos por éste. Figure 4.- Our a three-dimensional schematic view of the device for maintenance, and recovery of physical and cognitive abilities together with a patient performing some exercises defined by it.
REALIZACIÓN PREFERENTE DE LA INVENCIÓN PREFERRED EMBODIMENT OF THE INVENTION
A la vista de las figuras 1 a 3 puede observarse cómo en una de las posibles realizaciones del dispositivo para el mantenimiento y recuperación de capacidades físicas y cognitivas en pacientes que la invención propone, éste comprende unos medios de iluminación (2) configurados para iluminar una superficie (1), concretamente una pluralidad de plataformas (1' ) capaces de ser transportadas a distintos espacios y capaces de ser acopladas a otras plataformas (1') similares configurando un circuito, abierto o cerrado, a seguir por el paciente. In view of Figures 1 to 3 it can be seen how in one of the possible embodiments of the device for the maintenance and recovery of physical and cognitive abilities in patients proposed by the invention, it comprises lighting means (2) configured to illuminate a surface (1), specifically a plurality of platforms (1 ') capable of being transported to different spaces and capable of being coupled to other similar platforms (1') configuring a circuit, open or closed, to be followed by the patient.
Los medios de iluminación (2) colaboran con una pluralidad de detectores de posición detectores de posición del paciente respecto de cada plataforma (1'), donde dicha pluralidad de detectores está conectada a un medio de procesamiento de la información de dicha red de detectores; y donde el medio de procesamiento está conectado a unos medios de encendido de los medios de iluminación (2) que definen las distintas trayectorias a seguir por el paciente; véase la diferencia existente entre la iluminación de los medios de iluminación (2) en las figuras 1 y 2, ya que en la figura 1 se aprecia el encendido de la totalidad de los medios de iluminación (2) dispuestos sobre una de las superficies mayores de la plataforma (1'); de manera que en una realización preferente los medios de iluminación se iluminarán en su totalidad donde: The lighting means (2) collaborate with a plurality of position detectors position detectors of the patient with respect to each platform (1 '), wherein said plurality of detectors is connected to a means of processing the information of said detector network; and where the processing medium is connected to lighting means of the lighting means (2) that define the different paths to be followed by the patient; see the difference between the lighting of the lighting means (2) in figures 1 and 2, since in figure 1 the lighting of all the lighting means (2) arranged on one of the larger surfaces is shown of the platform (1 '); so that in a preferred embodiment the lighting means will be fully illuminated where:
Se iluminan en color verde indicando que el paciente ha superado satisfactoriamente el ejercicio definido por el dispositivo objeto de invención; They light up in green indicating that the patient has successfully passed the exercise defined by the device object of the invention;
Se iluminan en color ámbar indicando que el paciente ha cometido un fallo leve a la hora de realizar el ejercicio; o  They light up in amber indicating that the patient has made a slight mistake when performing the exercise; or
se iluminan en color rojo cuando el paciente no ha superado satisfactoriamente el ejercicio a realizar.  they light up in red when the patient has not successfully completed the exercise to be performed.
Y para indicar las posiciones a seguir por las extremidades del paciente, se observa en la figura 2 cómo la pluralidad de medios de iluminación (2) simulan la planta de un pie, donde dicha simulación puede situarse con cualquier orientación y posición dentro de la plataforma (1') de cara a definir una trayectoria y/o una posición concreta de los pies del paciente; en el primer caso para realizar ejercicios en movimiento continuo, y en el segundo caso para realizar ejercicios estáticos donde el paciente sitúa sus extremidades en las posiciones definidas por cada plataforma (1') y estira una serie de músculos a rehabilitar. Para valorar las capacidades físicas y cognitivas en los pacientes; la pluralidad de detectores de posición comprende sensores de presión y fotoeléctricos, de manera que se determinan dos tiempos: And to indicate the positions to be followed by the limbs of the patient, it is observed in figure 2 how the plurality of lighting means (2) simulate the sole of a foot, where said simulation can be placed with any orientation and position within the platform (1 ') in order to define a path and / or a specific position of the patient's feet; in the first case to perform continuous movement exercises, and in the second case to perform static exercises where the patient places his limbs in the positions defined by each platform (1 ') and stretches a series of muscles to rehabilitate. To assess physical and cognitive abilities in patients; the plurality of position detectors comprises pressure and photoelectric sensors, so that two times are determined:
1) El tiempo de reacción desde que el paciente observa la zona marcada por los medios de iluminación hasta que levanta el pie que debe llevar a esa zona; siendo dicho tiempo el necesario para estimar y valorar las capacidades cognitivas o cerebrales del paciente; y 1) The reaction time from when the patient observes the area marked by the illumination means until he lifts the foot that he must take to that area; said time being necessary to estimate and assess the cognitive or cerebral abilities of the patient; Y
2) el tiempo que tarda en llevar, por ejemplo el pie, hasta la nueva zona de la trayectoria; donde este tiempo permite estimar y valorar las capacidades fisicas del paciente.  2) the time it takes to take, for example the foot, to the new area of the path; where this time allows to estimate and assess the physical abilities of the patient.
Estos datos se introducen en un medio de procesamiento que, a la vista de los tiempos detectados en los dias de trabajo, se obtiene rápidamente gráficas sobre la evolución física y cognitiva del paciente, tanto su deterioro en sus habilidades fisicas o cognitivas, como su avance o rehabilitación; siendo tales resultados individuales para cada tipo de paciente. These data are introduced in a processing medium that, in view of the times detected in the work days, graphs are quickly obtained on the physical and cognitive evolution of the patient, both their deterioration in their physical or cognitive abilities, and their progress or rehabilitation; such results being individual for each type of patient.
Por último, puede observarse en la figura 4 una superficie (1) que conforma un circuito cerrado y sobre la cual el paciente realiza los ejercicios indicados por ésta; ayudado por una barandilla de apoyo que permite el agarre y sujeción del paciente. Finally, it can be seen in Figure 4 a surface (1) that forms a closed circuit and on which the patient performs the exercises indicated by it; helped by a support railing that allows the patient to grip and hold.
A la vista de esta descripción y juego de figuras, el experto en la materia podrá entender que las realizaciones de la invención que se han descrito pueden ser combinadas de múltiples maneras dentro del objeto de la invención. La invención ha sido descrita según algunas realizaciones preferentes de la misma, pero para el experto en la materia resultará evidente que múltiples variaciones pueden ser introducidas en dichas realizaciones preferentes sin exceder el objeto de la invención reivindicada. In view of this description and set of figures, the person skilled in the art will be able to understand that the embodiments of the invention that have been described can be combined in multiple ways within the scope of the invention. The invention has been described according to some preferred embodiments thereof, but it will be apparent to the person skilled in the art that multiple variations can be introduced in said preferred embodiments without exceeding the object of the claimed invention.

Claims

REIVINDICACIONES
1.- Dispositivo para el mantenimiento y recuperación de capacidades físicas y cognitivas en pacientes, que comprende unos medios de iluminación (2) configurados para iluminar una superficie (1), estando el dispositivo caracterizado por que 1.- Device for the maintenance and recovery of physical and cognitive abilities in patients, comprising lighting means (2) configured to illuminate a surface (1), the device being characterized by
dichos medios de iluminación (2) colaboran con una pluralidad de detectores de posición del paciente respecto de la superficie (1), donde  said lighting means (2) collaborate with a plurality of patient position detectors relative to the surface (1), where
dicha pluralidad de detectores de posición está conectada al menos un medio de procesamiento de la información de dicha pluralidad de detectores,  said plurality of position detectors is connected at least one means of processing the information of said plurality of detectors,
y donde dicho, al menos un, medio de procesamiento está conectado a unos medios de encendido de los medios de iluminación (2) que definen distintas trayectorias a seguir por el paciente.  and where said, at least one, processing means is connected to lighting means of the lighting means (2) that define different paths to be followed by the patient.
2.- Dispositivo según la reivindicación 1, caracterizado por que dicha superficie (1) comprende al menos una plataforma (1' ) . 2. Device according to claim 1, characterized in that said surface (1) comprises at least one platform (1 ').
3.- Dispositivo según la reivindicación 1, caracterizado por que los medios de iluminación (2) se encuentran situados en una de las superficies mayores de dicha, al menos una, la plataforma (1')·3. Device according to claim 1, characterized in that the lighting means (2) are located on one of the major surfaces of said at least one, the platform (1 ') ·
4.- Dispositivo según cualquiera de las reivindicaciones 2 y 3, caracterizado por que la pluralidad de detectores de posición comprende sensores de presión. 4. Device according to any of claims 2 and 3, characterized in that the plurality of position detectors comprises pressure sensors.
5.- Dispositivo según cualquiera de las reivindicaciones 2 a 4, caracterizado porque la pluralidad de detectores de posición comprende sensores fotoeléctricos . 5. Device according to any of claims 2 to 4, characterized in that the plurality of position detectors comprises sensors Photoelectric
6. - Dispositivo según cualquiera de las reivindicaciones 2 a 5, caracterizado por que dicha, al menos una, plataforma (1') comprende medios vibratorios configurados para permitir el desplazamiento vertical, horizontal y/o rotatorio de dicha plataforma (1'). 6. - Device according to any of claims 2 to 5, characterized in that said at least one platform (1 ') comprises vibratory means configured to allow the vertical, horizontal and / or rotational displacement of said platform (1').
7. - Dispositivo según la reivindicación 6, caracterizado por que los medios vibratorios comprenden cámaras flexibles controladas mediante dicho, al menos un, medio de procesamiento. 7. - Device according to claim 6, characterized in that the vibrating means comprise flexible chambers controlled by said at least one processing means.
8. - Dispositivo según cualquiera de las reivindicaciones 2 a 7, caracterizado por que dicha, al menos una, plataforma (1' ) comprende medios de acople a otras plataformas (1') contiguas. 8. - Device according to any of claims 2 to 7, characterized in that said at least one platform (1 ') comprises means for coupling to other adjacent platforms (1').
9. Dispositivo según cualquiera de las reivindicaciones 2 a 8, caracterizado por que comprende medios de enganche que permiten al paciente avanzar respecto de dicha, al menos una, superficie (1), estando los medios de enganche acoplados: Device according to any one of claims 2 to 8, characterized in that it comprises coupling means that allow the patient to advance with respect to said at least one surface (1), the coupling means being coupled:
en su parte superior a al menos una guia; y en su parte inferior a una abrazadera en contacto con el paciente.  in its upper part at least one guide; and in its lower part to a clamp in contact with the patient.
10. - Dispositivo según la reivindicación 1, caracterizado por que los medios de iluminación (2) comprenden al menos un elemento emisor de luz configurado para proyectar distintas trayectorias a seguir por el paciente sobre dicha, al menos una, superficie (1) . 10. - Device according to claim 1, characterized in that the lighting means (2) comprise at least one light emitting element configured to project different paths to be followed by the patient on said at least one surface (1).
11.*- Dispositivo según la reivindicación 10, caractarisado por que dicho, al menos un, elemento emisor de luz es un láser. 11. * - Device according to claim 10, characterized in that said at least one light emitting element is a laser.
12.- Dispositivo según cualquiera de las reivindicaciones anteriores, caracterizado por que comprende medios sonoros acoplados a dicho, al menos un, medio de procesamiento. 12. Device according to any of the preceding claims, characterized in that it comprises sound means coupled to said at least one processing means.
PCT/ES2012/070260 2011-04-18 2012-04-18 Device for maintaining and recovering physical and cognitive capabilities of patients WO2012143592A1 (en)

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Citations (8)

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JPH1099389A (en) * 1996-09-27 1998-04-21 Hitachi Ltd Walking training machine
JPH11113986A (en) * 1997-10-08 1999-04-27 Nippon Medix:Kk Walking aid
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Publication number Priority date Publication date Assignee Title
JPH1099389A (en) * 1996-09-27 1998-04-21 Hitachi Ltd Walking training machine
JPH11113986A (en) * 1997-10-08 1999-04-27 Nippon Medix:Kk Walking aid
JP2000014827A (en) * 1998-06-30 2000-01-18 Oshima Kogyo Kk Physical function recovery auxiliary device
WO2001008755A1 (en) * 1999-05-27 2001-02-08 Smith & Nephew Plc Rehabilitation device
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