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DE102011009399A1 - Device for therapy of e.g. apoplectic stroke and assistance of recovery or maintenance of motor skills of e.g. hand of patient, has hand rest device e.g. roller, provided for palm rest and slight displacement on underlay - Google Patents

Device for therapy of e.g. apoplectic stroke and assistance of recovery or maintenance of motor skills of e.g. hand of patient, has hand rest device e.g. roller, provided for palm rest and slight displacement on underlay Download PDF

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DE102011009399A1
DE102011009399A1 DE102011009399A DE102011009399A DE102011009399A1 DE 102011009399 A1 DE102011009399 A1 DE 102011009399A1 DE 102011009399 A DE102011009399 A DE 102011009399A DE 102011009399 A DE102011009399 A DE 102011009399A DE 102011009399 A1 DE102011009399 A1 DE 102011009399A1
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hand
therapy
patient
rest
roller
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Anmelder Gleich
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    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16J—PISTONS; CYLINDERS; SEALINGS
    • F16J15/00—Sealings
    • F16J15/02—Sealings between relatively-stationary surfaces
    • F16J15/06—Sealings between relatively-stationary surfaces with solid packing compressed between sealing surfaces
    • F16J15/10—Sealings between relatively-stationary surfaces with solid packing compressed between sealing surfaces with non-metallic packing
    • F16J15/12—Sealings between relatively-stationary surfaces with solid packing compressed between sealing surfaces with non-metallic packing with metal reinforcement or covering
    • F16J15/121—Sealings between relatively-stationary surfaces with solid packing compressed between sealing surfaces with non-metallic packing with metal reinforcement or covering with metal reinforcement
    • F16J15/122—Sealings between relatively-stationary surfaces with solid packing compressed between sealing surfaces with non-metallic packing with metal reinforcement or covering with metal reinforcement generally parallel to the surfaces
    • 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
    • A61H1/0285—Hand
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/0004—Exercising devices moving as a whole during exercise
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/00178—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices for active exercising, the apparatus being also usable for passive exercising
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/00181—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices comprising additional means assisting the user to overcome part of the resisting force, i.e. assisted-active exercising
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/005—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using electromagnetic or electric force-resisters
    • A63B21/0056—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using electromagnetic or electric force-resisters using electromagnetically-controlled friction, e.g. magnetic particle brakes
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/02—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters
    • A63B21/023—Wound springs
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/40—Interfaces with the user related to strength training; Details thereof
    • A63B21/4027—Specific exercise interfaces
    • A63B21/4033—Handles, pedals, bars or platforms
    • A63B21/4035—Handles, pedals, bars or platforms for operation by hand
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B22/18—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with elements, i.e. platforms, having a circulating, nutating or rotating movement, generated by oscillating movement of the user, e.g. platforms wobbling on a centrally arranged spherical support
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B22/20—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements using rollers, wheels, castors or the like, e.g. gliding means, to be moved over the floor or other surface, e.g. guide tracks, during exercising
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00—Exercising apparatus specially adapted for particular parts of the body
    • A63B23/035—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
    • A63B23/12—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for upper limbs or related muscles, e.g. chest, upper back or shoulder muscles
    • A63B23/16—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for upper limbs or related muscles, e.g. chest, upper back or shoulder muscles for hands or fingers
    • E—FIXED CONSTRUCTIONS
    • E05—LOCKS; KEYS; WINDOW OR DOOR FITTINGS; SAFES
    • E05B—LOCKS; ACCESSORIES THEREFOR; HANDCUFFS
    • E05B15/00—Other details of locks; Parts for engagement by bolts of fastening devices
    • E05B15/14—Tumblers
    • E05B15/143—Tumblers elastic, e.g. formed by a spring
    • E—FIXED CONSTRUCTIONS
    • E05—LOCKS; KEYS; WINDOW OR DOOR FITTINGS; SAFES
    • E05B—LOCKS; ACCESSORIES THEREFOR; HANDCUFFS
    • E05B75/00—Handcuffs ; Finger cuffs; Leg irons; Handcuff holsters; Means for locking prisoners in automobiles
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16J—PISTONS; CYLINDERS; SEALINGS
    • F16J15/00—Sealings
    • F16J15/02—Sealings between relatively-stationary surfaces
    • F16J15/06—Sealings between relatively-stationary surfaces with solid packing compressed between sealing surfaces
    • F16J15/10—Sealings between relatively-stationary surfaces with solid packing compressed between sealing surfaces with non-metallic packing
    • F16J15/12—Sealings between relatively-stationary surfaces with solid packing compressed between sealing surfaces with non-metallic packing with metal reinforcement or covering
    • F16J15/121—Sealings between relatively-stationary surfaces with solid packing compressed between sealing surfaces with non-metallic packing with metal reinforcement or covering with metal reinforcement
    • F16J15/127—Sealings between relatively-stationary surfaces with solid packing compressed between sealing surfaces with non-metallic packing with metal reinforcement or covering with metal reinforcement the reinforcement being a compression stopper
    • 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
    • A61H2201/12—Driving means
    • A61H2201/1253—Driving means driven by a human being, e.g. hand driven
    • 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
    • A61H2201/12—Driving means
    • A61H2201/1253—Driving means driven by a human being, e.g. hand driven
    • A61H2201/1261—Driving means driven by a human being, e.g. hand driven combined with active exercising of the patient
    • A61H2201/1269—Passive exercise driven by movement of healthy limbs
    • A61H2201/1276—Passive exercise driven by movement of healthy limbs by the other leg or arm
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1657—Movement of interface, i.e. force application means
    • A61H2201/1664—Movement of interface, i.e. force application means linear
    • A61H2201/1666—Movement of interface, i.e. force application means linear multidimensional
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1657—Movement of interface, i.e. force application means
    • A61H2201/1676—Pivoting
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B2022/0092—Exercising 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
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B2022/0094—Exercising 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
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B22/18—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with elements, i.e. platforms, having a circulating, nutating or rotating movement, generated by oscillating movement of the user, e.g. platforms wobbling on a centrally arranged spherical support
    • A63B2022/185—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with elements, i.e. platforms, having a circulating, nutating or rotating movement, generated by oscillating movement of the user, e.g. platforms wobbling on a centrally arranged spherical support specially adapted for using with a single foot or hand
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/28—Devices for two persons operating in opposition or in cooperation
    • A63B21/285—Devices for two persons operating in opposition or in cooperation in cooperation
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/40—Interfaces with the user related to strength training; Details thereof
    • A63B21/4001—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor
    • A63B21/4017—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor to the upper limbs
    • A63B21/4019—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor to the upper limbs to the hand
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00—Exercising apparatus specially adapted for particular parts of the body
    • A63B23/035—Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
    • A63B23/03508—For a single arm or leg

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  • General Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biophysics (AREA)
  • General Engineering & Computer Science (AREA)
  • Engineering & Computer Science (AREA)
  • Vascular Medicine (AREA)
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  • Electromagnetism (AREA)
  • Mechanical Engineering (AREA)
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  • Rehabilitation Therapy (AREA)
  • Veterinary Medicine (AREA)
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  • Rehabilitation Tools (AREA)

Abstract

The therapy device has a hand rest device e.g. roller or slider, provided for palm rest and slight displacement on an underlay i.e. table. The hand rest device has a surface made of a chute-restraining material and a curved surface in form of a hemisphere. The support of the therapy device takes place on 4 dots by the roller or the slider. A movement feedback generation unit is accommodated inside the device for generation of movement feedback at a patient. A training device is equipped with a stylus or a light pen.

Description

Die Erfindung bezieht sich auf eine Vorrichtung zum Training von Hand, Unterarm, Oberarm (Grob- und Feinmotorik) zur Behandlung von Störungen, wie sie z. B. durch Schlaganfall, unfallbedingte Hirnschädigung, altersbedingte Beweglichkeitseinschränkung, Erkrankungen der Gelenke, ausgelöst werden. Auch von Geburt an vorhandene Störungen können therapiert werden. Fallbeispiel:
Nach einem Schlaganfall wird häufig eine einseitige Beeinträchtigung der motorischen Fähigkeiten beobachtet. Durch Therapien wird versucht, diese Beeinträchtigung zu reduzieren bzw. gänzlich zu beseitigen.The invention relates to a device for training of the hand, forearm, upper arm (coarse and fine motor skills) for the treatment of disorders, as z. As caused by stroke, accidental brain damage, age-related mobility impairment, diseases of the joints. Even from birth, existing disorders can be treated. Case study:
After a stroke, one-sided impairment of motor skills is often observed. Therapies try to reduce or completely eliminate this impairment.

Dies erfolgt vor Allem durch gezielte Bewegungstherapie mit verschiedenen Hilfsmitteln, die eine Bewegung durch den Therapeuten oder den Patienten selbst ermöglichen sollen.This is done primarily by targeted exercise therapy with various tools that allow movement by the therapist or the patient himself.

Auch bei altersbedingten Beeinträchtigungen wird durch aktives und passives Bewegungstraining eine Verschlechterung des Zustands verlangsamt.Even with age-related impairments, deterioration of the condition is slowed down by active and passive movement training.

Stand der TechnikState of the art

Zur Therapie vorgenannter Erkrankungen werden Gummibälle, teilweise mit „Stacheln” besetzt, zylindrische Körper u. v. a. Therapiemittel verwendet.For the treatment of the above-mentioned diseases, rubber balls, sometimes with "spikes" occupied, cylindrical body u. v. a. Therapeutic agent used.

Ebenso sind im Bereich der Physiotherapie, Ergotherapie, Materialien unterschiedlichster Formen im Einsatz. Auch diverse Utensilien, z. B. auf ein Handtuch platzierte Hand, mit der dann die Bewegungen auf gleitfähigen Untergründen ausgeführt werden, kommen zum Einsatz.Similarly, in the field of physiotherapy, occupational therapy, materials of various forms in use. Also various utensils, z. B. placed on a towel hand, with which then the movements are performed on slippery surfaces are used.

Dies hängt vor allem von der Phantasie des Therapeuten ab.This depends above all on the imagination of the therapist.

Beschreibung der ErfindungDescription of the invention

Die Erfindung besteht im grundsätzlichen Aufbau aus einem Teil, auf welches die Hand aufgelegt wird. Vorzugsweise ein halbkugelförmiges, mit rutschhemmender, griffangenehm ausgeführter Oberfläche versehenes Teil, das folgende Aufgaben erfüllt:
Handauflage, verschiebbar auf einer Unterlage (z. B. Tisch) mittels z. B. Rollen, Kugelrollen, hochgleitfähiger Materialien u. v. a. (siehe 1) Da gerade zu Beginn der Therapie oft die Fähigkeit zu greifen, festzuhalten, gering bzw. gar nicht vorhanden ist, ist gerade eine rutschhemmende, sich angenehm anfühlende, Oberfläche sinnvoll und erforderlich. Denkbar ist auch eine Befestigung der Hand mit einem Band.The invention consists in the basic structure of a part on which the hand is placed. Preferably a hemispherical part provided with a slip-resistant, handle-pleasant surface, which fulfills the following tasks:
Hand rest, slidable on a base (eg table) by means of z. As rollers, ball rollers, highly lubricious materials, etc. (see 1 ) Since especially at the beginning of the therapy, the ability to grasp, hold, is low or not at all present, just a non-slip, pleasant-feeling, surface is useful and necessary. It is also conceivable attachment of the hand with a tape.

Zu Beginn der Therapie wird zunächst eine Bewegung in einer Richtungsachse geübt. Dies geschieht durch z. B. vorwärts/rückwärts sowie rechts/links – Bewegung des Armes bzw. Unterarms.At the beginning of the therapy, a movement in a directional axis is first practiced. This is done by z. B. forward / backward and right / left - movement of the arm or forearm.

Die Unterstützung des Therapiegerätes erfolgt an 4 Punkten mittels Rollen oder Gleitstücken. Vorzugsweise werden Kugelrollen eingesetzt. (siehe 2)The support of the therapy device takes place at 4 points by means of rollers or sliders. Preferably, ball rollers are used. (please refer 2 )

Die Bewegung kann durch Führen der Hand durch den Therapeuten, aber auch durch Anbringen einer Führung bzw. Handhabe, z. B. Seil, gezielt in einer Richtung erfolgen. Die Bewegung ist zunächst durch die Vierpunktauflage nur in zweidimensional möglich, z. B. vorwärts/rückwärts, rechts/links.The movement can be performed by guiding the hand by the therapist, but also by attaching a guide or handle, z. B. rope, targeted in one direction. The movement is initially only possible in two dimensions by the four-point edition, z. Forwards / backwards, right / left.

Weiterführend werden dann mehr Bewegungsrichtungen durch den Therapeuten freigegeben.Continuing then more directions of movement are released by the therapist.

Dies geschieht z. B. durch umgruppieren der Auflagerollen, beispielsweise in Längsrichtung (siehe 3), indem die Stützrollen re/li entfernt werden und das Therapiegerät eine Kippbewegung rechts/links ausführen kann, die eine Rotation im Arm/Handgelenk, ermöglicht. Hierdurch wird eine erweiterte Koordination der Motorik im Handgelenk trainiert.This happens z. B. by regrouping the support rollers, for example, in the longitudinal direction (see 3 ) by removing the support rollers right / left and allowing the therapy device to perform a right / left tilting movement that allows rotation in the arm / wrist. As a result, an extended coordination of motor skills in the wrist is trained.

Nach gleichem Schema kann auch eine Bewegung nur um die Querachse freigegeben werden, indem die vordere und hintere Rolle entfernt werden (siehe 4).In the same way, a movement can only be released around the transverse axis by removing the front and rear rollers (see 4 ).

Wird nur noch eine zentrale Rolle eingesetzt, ist eine Bewegung in mehreren Richtungen ausführbar, die wieder mehr Anforderungen an den Patienten stellt (siehe 5).If only one central role is used, a movement can be executed in several directions, which again places more demands on the patient (see 5 ).

Die Höhe und damit der Grad der Kippbewegung kann variabel ausgeführt sein, z. B. durch auswechselbare Teile oder auch einstellbare Teile (siehe 6a und 6b).The height and thus the degree of tilting movement can be made variable, z. B. by interchangeable parts or adjustable parts (see 6a and 6b ).

Die Rollen können z. B. mittels Haltemagneten (siehe 7) in ihrer Position gehalten werden, aber auch durch mechanische Klemmung oder Rastung.The roles can z. B. by means of holding magnets (see 7 ) are held in position, but also by mechanical clamping or detent.

Zum Koordinationstraining und um die Akzeptanz der Therapie zu erhöhen (Motivation) ist eine Erweiterung z. B. mittels Schreibstift- und/oder Lichtzeigeraufnahme vorgesehen.For coordination training and to increase the acceptance of therapy (motivation) is an extension z. B. provided by means of pen and / or light pointer recording.

Hier wird dann durch den Patienten das Nachfahren von vorgegebenen Linien oder, mittels des Stifts, malen von Geraden, Kreisen, Kurven usw. vorgegeben. (siehe 10).Here, the descendants of given lines or, by means of the pen, paint of straight lines, circles, curves, etc. is then specified by the patient. (please refer 10 ).

In einer weiteren Ausgestaltung ist eine Vorrichtung zum Anbringen eines Zugseiles oder elastischen Teils (Gummiseil, Feder) vorgesehen. Dadurch kann der Patient durch erhöhen des Kraftaufwands für die Bewegung eine zusätzliche Belastung bekommen. (siehe 8).In a further embodiment, a device for attaching a pull rope or elastic part (rubber cord, spring) is provided. As a result, the patient may be burdened by increasing the effort required to move. (please refer 8th ).

In einer weiteren Ausgestaltung ist eine Vorrichtung zum umlenken des Zugseiles vorgesehen.In a further embodiment, a device for deflecting the traction cable is provided.

Dadurch kann der Therapeut, neben dem Patienten sitzend, eine geradlinige Zugbewegung erreichen, und den Patienten anfänglich unterstützen (siehe 10). Der Therapeut kann sowohl das Seil alleine oder auch eine zweites Therapiegerät benutzen.This allows the therapist, sitting next to the patient, to achieve a straight-line pulling movement and initially support the patient (see 10 ). The therapist can use the rope alone or a second therapy device.

Weiterhin ermöglicht die Umlenkung, das der Patient bei Einsatz von zwei Therapiegeräten eine wechselseitige Übung ausführen kann (zieht rechts/links/rechts usw..) (siehe 10).Furthermore, the diversion allows the patient to perform a reciprocal exercise using two therapy devices (pull right / left / right, etc.) (see 10 ).

Eine weitere Ausgestaltung der Vorrichtung sieht vor, dass eine gerade oder gekrümmte Fläche vorhanden ist, mit dem ein Körper, z. B. Ball, Kugel, mit dem Therapiegerät ähnlich eines Billards, gespielt werden kann. Dies kann auch ein separates Teil sein, welches bei Bedarf mit der Vorrichtung verbunden wird (siehe 11).A further embodiment of the device provides that a straight or curved surface is provided with which a body, for. B. ball, ball, with the therapy device similar to a billiards, can be played. This can also be a separate part, which is connected to the device if necessary (see 11 ).

In einer weiteren Ausgestaltung ist eine Vorrichtung vorgesehen, mit welcher dem Therapiegerät eine taktile und/oder akustische und/oder optische Bewegungsrückmeldung möglich ist. Das kann sowohl durch mechanische Komponenten als auch durch den Einsatz von Elektronik/Elektromechanik erfolgen. Die erforderlichen Bauelemente befinden sich im Inneren der Vorrichtung.In a further embodiment, a device is provided with which the therapy device, a tactile and / or acoustic and / or optical motion feedback is possible. This can be done both by mechanical components and by the use of electronics / electromechanics. The required components are located inside the device.

1 zeigt eine mögliche Ausführung des Trainingsgeräts 1 shows a possible embodiment of the training device

2 zeigt eine mögliche Ausführung des Trainingsgeräts mit 4 bestückten Auflagerollen 2 shows a possible embodiment of the training device with 4 stocked Auflagerollen

3 zeigt eine mögliche Ausführung des Trainingsgeräts mit 2 bestückten Auflagerollen, Kippbewegung in Richtung A–B 3 shows a possible embodiment of the training device with 2 equipped Auflagerollen tilting movement in the direction A-B

4 zeigt eine mögliche Ausführung des Trainingsgeräts mit 2 bestückten Auflagerollen, Kippbewegung in Richtung C–D 4 shows a possible embodiment of the training device with 2 equipped support rollers, tilting movement in direction C-D

5 zeigt eine mögliche Ausführung des Trainingsgeräts mit 1 bestückten Auflagerolle, Kippbewegung frei in alle Richtungen 5 shows a possible embodiment of the training device with 1 equipped Auflagerolle, tilting movement freely in all directions

6 zeigt eine mögliche Ausführung des Trainingsgeräts mit 1 bestückten Auflagerolle, mit erhöhter Rollenlage für größeren Kippwinkel 6 shows a possible embodiment of the training device with 1 equipped Auflagerolle, with increased role position for larger tilt angle

7 zeigt eine mögliche Ausgestaltung der austauschbaren Kugelrolle und magnetischer Halterung 7 shows a possible embodiment of the replaceable ball roller and magnetic holder

8 zeigt eine mögliche Ausführung des Trainingsgeräts mit bestücktem Zugseil und Umlenkrolle(n) 8th shows a possible embodiment of the training device with equipped traction cable and pulley (s)

9 zeigt eine mögliche Ausführung des Trainingsgeräts als Funktion 9 shows a possible execution of the training device as a function

10 zeigt eine mögliche Ausführung des Trainingsgeräts mit bestücktem Schreibstift oder Lichtzeiger 10 shows a possible embodiment of the training device with equipped pen or light pointer

Claims (10)

Vorrichtung zur Therapie von Erkrankungen und Förderung der Wiedererlangung oder Erhaltung der motorischen Fähigkeiten von Hand, Unterarm, Oberarm, dadurch gekennzeichnet, dass Mittel zur Handauflage sowie zur leichten Verschiebbarkeit auf einer Unterlage, z. B. Rollen, Gleitmaterialien, vorhanden sind.Device for the therapy of diseases and promotion of the recovery or maintenance of the motor skills of the hand, forearm, upper arm, characterized in that means for hand rest as well as for easy displacement on a base, for. As rollers, lubricants, are available. Vorrichtung nach Anspruch 1., dadurch gekennzeichnet, dass die Mittel zur Handauflage eine Oberfläche aus einem rutschhemmenden Material besitzen.Apparatus according to claim 1, characterized in that the means for hand rest have a surface made of an anti-slip material. Vorrichtung nach einem oder mehreren der vorhergehenden Ansprüche, dadurch gekennzeichnet, dass die Mittel zur Handauflage eine gekrümmte Oberfläche, z. B. in Form einer Halbkugel oder eines Kugelabschnitts besitzen.Device according to one or more of the preceding claims, characterized in that the means for hand rest a curved surface, for. B. in the form of a hemisphere or a spherical segment. Vorrichtung nach einem oder mehreren der vorhergehenden Ansprüche, dadurch gekennzeichnet, dass die Mittel zur leichten Verschiebbarkeit wechselbar und unterschiedlich anzuordnen sind.Device according to one or more of the preceding claims, characterized in that the means for easy displaceability are changeable and different to arrange. Vorrichtung nach einem oder mehreren der vorhergehenden Ansprüche, dadurch gekennzeichnet, dass die Mittel zur leichten Verschiebbarkeit durch geeignete Mittel, z. B. Zwischenstücke, derart veränderbar sind, das die Kippbewegung veränderbar ist.Device according to one or more of the preceding claims, characterized in that the means for easy displaceability by suitable means, for. B. spacers are so changeable that the tilting movement is variable. Vorrichtung nach einem oder mehreren der vorhergehenden Ansprüche, dadurch gekennzeichnet, dass eine gerade oder gekrümmte Fläche vorhanden ist oder als Zusatzteil anzubringen ist, mit dem ein Körper, z. B. Ball, Kugel, mit dem Therapiegerät ähnlich eines Billards, gespielt werden kann.Device according to one or more of the preceding claims, characterized in that a straight or curved surface is present or is to be attached as an additional part, with which a body, for. B. ball, ball, with the therapy device similar to a billiards, can be played. Vorrichtung nach einem oder mehreren der vorhergehenden Ansprüche, dadurch gekennzeichnet, dass Mittel zum Anbringen eines Seils, Schreibstifts, eines Lichtzeiger vorhanden sind oder als Zusatzteile anzubringen sind.Device according to one or more of the preceding claims, characterized in that means for attaching a rope, pen, a light pointer are present or are to be attached as additional parts. Vorrichtung nach einem oder mehreren der vorhergehenden Ansprüche, dadurch gekennzeichnet, dass Mittel zum Erzeugen einer Rückmeldung an den Patienten mittels taktiler und/oder akustischer und/oder optischer Funktion vorhanden sind.Device according to one or more of the preceding claims, characterized in that means for generating a feedback to the Patients are present by means of tactile and / or acoustic and / or visual function. Vorrichtung nach einem oder mehreren der vorhergehenden Ansprüche, dadurch gekennzeichnet, dass die Mittel zum Erzeugen einer Bewegungsrückmeldung an den Patienten mittels taktiler und/oder akustischer und/oder optischer Funktion mechanischer, elektromechanischer und/oder elektronischer Art sind.Device according to one or more of the preceding claims, characterized in that the means for generating a motion feedback to the patient by means of tactile and / or acoustic and / or optical function of mechanical, electro-mechanical and / or electronic nature. Vorrichtung nach einem oder mehreren der vorhergehenden Ansprüche, dadurch gekennzeichnet, dass die Mittel zum Erzeugen einer Bewegungsrückmeldung an den Patienten im Inneren der Vorrichtung untergebracht sind.Device according to one or more of the preceding claims, characterized in that the means for generating a motion feedback to the patient are housed inside the device.
DE102011009399A 2011-01-25 2011-01-25 Device for therapy of e.g. apoplectic stroke and assistance of recovery or maintenance of motor skills of e.g. hand of patient, has hand rest device e.g. roller, provided for palm rest and slight displacement on underlay Ceased DE102011009399A1 (en)

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DE202011110221U DE202011110221U1 (en) 2011-01-25 2011-01-25 Apparatus for movement therapy

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102973392A (en) * 2012-11-27 2013-03-20 高述玲 Hand recovery curer
DE102014004508A1 (en) 2014-03-27 2015-10-01 Institut Für Technische Informatik Universität Zu Lübeck Device for supporting gripping functions of a hand for training gripping functions

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB201800910D0 (en) 2017-12-19 2018-03-07 Neurofenix Ltd Movement training apparatus

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102973392A (en) * 2012-11-27 2013-03-20 高述玲 Hand recovery curer
DE102014004508A1 (en) 2014-03-27 2015-10-01 Institut Für Technische Informatik Universität Zu Lübeck Device for supporting gripping functions of a hand for training gripping functions

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