DE19805164C1 - Training apparatus for mobility impaired patients - Google Patents
Training apparatus for mobility impaired patientsInfo
- Publication number
- DE19805164C1 DE19805164C1 DE1998105164 DE19805164A DE19805164C1 DE 19805164 C1 DE19805164 C1 DE 19805164C1 DE 1998105164 DE1998105164 DE 1998105164 DE 19805164 A DE19805164 A DE 19805164A DE 19805164 C1 DE19805164 C1 DE 19805164C1
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- DE
- Germany
- Prior art keywords
- phase
- patients
- foot
- swing
- planetary gear
- Prior art date
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- 238000012549 training Methods 0.000 title claims description 13
- 230000001771 impaired effect Effects 0.000 title 1
- 230000033001 locomotion Effects 0.000 claims abstract description 18
- 230000005021 gait Effects 0.000 claims description 11
- 230000002123 temporal effect Effects 0.000 claims description 4
- 230000005484 gravity Effects 0.000 claims description 3
- 239000000725 suspension Substances 0.000 abstract description 3
- 230000001105 regulatory effect Effects 0.000 abstract description 2
- 210000002683 foot Anatomy 0.000 description 10
- 210000002414 leg Anatomy 0.000 description 8
- 238000000554 physical therapy Methods 0.000 description 5
- 210000001624 hip Anatomy 0.000 description 3
- 210000000544 articulatio talocruralis Anatomy 0.000 description 2
- 230000037396 body weight Effects 0.000 description 2
- 238000011161 development Methods 0.000 description 2
- 230000018109 developmental process Effects 0.000 description 2
- 210000004394 hip joint Anatomy 0.000 description 2
- 210000000629 knee joint Anatomy 0.000 description 2
- NFGXHKASABOEEW-UHFFFAOYSA-N 1-methylethyl 11-methoxy-3,7,11-trimethyl-2,4-dodecadienoate Chemical compound COC(C)(C)CCCC(C)CC=CC(C)=CC(=O)OC(C)C NFGXHKASABOEEW-UHFFFAOYSA-N 0.000 description 1
- 101100264174 Mus musculus Xiap gene Proteins 0.000 description 1
- 206010033892 Paraplegia Diseases 0.000 description 1
- 241000555745 Sciuridae Species 0.000 description 1
- 208000006011 Stroke Diseases 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A63—SPORTS; GAMES; AMUSEMENTS
- A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
- A63B69/00—Training appliances or apparatus for special sports
- A63B69/0064—Attachments on the trainee preventing falling
-
- 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
- A61H1/0237—Stretching or bending or torsioning apparatus for exercising for the lower limbs
- A61H1/0255—Both knee and hip of a patient, e.g. in supine or sitting position, the feet being moved together in a plane substantially parallel to the body-symmetrical plane
-
- 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
- A63B22/06—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with support elements performing a rotating cycling movement, i.e. a closed path movement
- A63B22/0664—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with support elements performing a rotating cycling movement, i.e. a closed path movement performing an elliptic movement
-
- 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
- A61H3/00—Appliances for aiding patients or disabled persons to walk about
- A61H3/008—Appliances for aiding patients or disabled persons to walk about using suspension devices for supporting the body in an upright walking or standing position, e.g. harnesses
-
- 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
- A63B22/06—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with support elements performing a rotating cycling movement, i.e. a closed path movement
- A63B22/0664—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with support elements performing a rotating cycling movement, i.e. a closed path movement performing an elliptic movement
- A63B2022/067—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with support elements performing a rotating cycling movement, i.e. a closed path movement performing an elliptic movement with crank and handles being on opposite sides of the exercising apparatus with respect to the frontal body-plane of the user, e.g. the crank is behind and handles are in front of the user
-
- A—HUMAN NECESSITIES
- A63—SPORTS; GAMES; AMUSEMENTS
- A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
- A63B22/00—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
- A63B22/0015—Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements with an adjustable movement path of the support elements
-
- A—HUMAN NECESSITIES
- A63—SPORTS; GAMES; AMUSEMENTS
- A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
- A63B2208/00—Characteristics or parameters related to the user or player
- A63B2208/02—Characteristics or parameters related to the user or player posture
- A63B2208/0204—Standing on the feet
Landscapes
- Health & Medical Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Physical Education & Sports Medicine (AREA)
- Epidemiology (AREA)
- Pain & Pain Management (AREA)
- Rehabilitation Therapy (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Rehabilitation Tools (AREA)
Abstract
Description
Die Erfindung betrifft ein Gerät, welches sowohl für die Gangrehabilitation von gehbehinderten Patienten als auch als Trainingsgerät für Normalpersonen entwickelt wurde.The invention relates to a device that both for the gait rehabilitation of handicapped patients as well as a training device for normal people has been.
Der Stand der Technik ist, daß in der Gangrestauration von Schlaganfallpatienten
sowie von inkompletten querschnittsgelähmten Patienten das Laufbandtraining seit
kurzem mit Erfolg eingesetzt wird, wobei eine partielle Körpergewichtsentlastung
durch eine Aufhängevorrichtung erzielt wird (TTBWS, treadmill training with partial
body weight support) [1-4]. Diese Vorrichtung ermöglicht es dem Patienten, die
gesamte Gehbewegung zu trainieren, obwohl er in der Ebene noch nicht selbständig
oder nur mit größter therapeutischer Hilfe gehfähig ist.
The state of the art is that treadmill training has recently been used successfully in the gait restoration of stroke patients and incomplete paraplegic patients, whereby partial body weight relief is achieved by a suspension device (TTBWS, treadmill training with partial body weight support) [1-4 ]. This device enables the patient to train the entire walking movement, although he is not yet able to walk independently on the plane or can only walk with the greatest therapeutic help.
- 1. [1] Hesse S.; Bertelt C.; Schaffrin A.; Baake P.; Malezic M.; Mauritz K. H., "Restoration of gait in non-ambulatory hemiparetic patients by treadmill training with partial body weight support," Arch Phys Med Rehabil., 75, S. 1087-1093, 1994.1. [1] Hesse S .; Bertelt C .; Schaffrin A .; Baake P .; Malezic M .; Mauritz K.H. "Restoration of gait in non-ambulatory hemiparetic patients by treadmill training with partial body weight support, "Arch Phys Med Rehabil., 75, pp. 1087-1093, 1994.
- 2. [2] Hesse S.; Bertelt C.; Jahnke M. T.; Schaffrin A.; Baake P.; Malezic M.; Mauritz K. H., "Treadmill training with partial body weight support compared with physiotherapy in non-ambulatory hemiparetic patients," Stroke, 26, S. 976-981, 1995.2. [2] Hesse S .; Bertelt C .; Jahnke M. T .; Schaffrin A .; Baake P .; Malezic M .; Mauritz K.H., "Treadmill training with partial body weight support compared with physiotherapy in non-ambulatory hemiparetic patients, " Stroke, 26, pp. 976-981, 1995.
- 3. [3] Norman K. E.; Pepin A.; Laduceur M.; Barbeau H., "A treadmill apparatus and harness support for evaluation and rehabilitation of gait," Arch Phys Med Rehabil, Vol. 76, S. 772-778, 1995.3. [3] Norman K.E .; Pepin A .; Laduceur M .; Barbeau H., "A treadmill apparatus and harness support for evaluation and rehabilitation of Gait, "Arch Phys Med Rehabil, Vol. 76, pp. 772-778, 1995.
- 4. [4] Waagfjörd J.; Levangle P. K.; Certo C. M. E., "Effects of treadmill training on gait in a hemiparetic patient," Physical Therapy, Vol. 70, 9, S. 549-560, 1990.4. [4] Waagfjord J .; Levangle P. K .; Certo C.M.E., "Effects of treadmill training on gait in a hemiparetic patient, "Physical Therapy, Vol. 70, 9, Pp. 549-560, 1990.
Die Nachteile des Laufbandtrainings sind, daß die Füße bei den meisten Patienten von Krankengymnasten gesetzt werden müssen. Der Personalaufwand von bis zu 3 Krankengymnasten sowie deren körperliche Belastung bei der Behandlung ist hoch. Patienten können nur bis zu einem gewissen Schweregrad der Läsion auf dem Laufband behandelt werden. Weiterhin werden die Füße des Patienten häufig nicht exakt gesetzt, was zu unsymmetrischen Bewegungsabläufen führt.The disadvantages of treadmill training are that the feet in most patients must be set by physiotherapists. Personnel expenses of up to 3 Physiotherapists and their physical stress during treatment are high. Patients can only have a certain severity of lesion on the Treadmill to be treated. Furthermore, the patient's feet are often not exactly set, which leads to asymmetrical movements.
Weitere Entwicklungen sind Fitneß- und Rehabilitationsgeräte, bei denen die Füße
der Personen auf Fußplatten bewegt werden (Langlaufgeräte wie z. B. Kettler Power
Walker Olympic, Gangtrainer [5], Precor Transport, USA, Reebok Body Trec oder
Miha Crosswalker). Die letzten drei dieser Geräte ermöglichen ein natürliches
Fußanheben in der Schwungbeinphase. Keines dieser Geräte gibt jedoch das
natürliche Verhältnis von Schwungbeinphase zu Standbeinphase von etwa 40 : 60
vor, sondern das technisch einfacher zu realisierende Verhältnis von 50 : 50.
Other developments include fitness and rehabilitation equipment in which people's feet are moved on footplates (cross-country equipment such as the Kettler Power Walker Olympic, gait trainer [5], Precor Transport, USA, Reebok Body Trec or Miha Crosswalker). The last three of these devices enable natural foot lifting during the swing leg phase. However, none of these devices specifies the natural ratio of the swing leg phase to the standing leg phase of around 40:60, but rather the ratio of 50:50 that is easier to implement technically.
- 1. [5] D. Uhlenbrock, T. Sarkodie-Gyan, F. Reiter, M. Konrad, and S. Hesse, "Development of a servo-controlled gait trainer for the rehabilitation of non ambulatory patients," Biomed. Tech., vol. 42, pp. 196-202, 1997.1. [5] D. Uhlenbrock, T. Sarkodie-Gyan, F. Reiter, M. Konrad, and S. Hesse, "Development of a servo-controlled gait trainer for the rehabilitation of non ambulatory patients, "Biomed. Tech., vol. 42, pp. 196-202, 1997.
Es ist technisch möglich, die natürliche Gangbewegung durch zwei mehrachsige Roboter zu generieren. Diese müßten aber wegen der zu erwartenden Kräfte von bis zu 1300 N groß dimensioniert werden und die Kosten wären hoch. Die Akzeptanz durch die Patienten wäre ebenfalls fraglich.It is technically possible to move naturally through two multi-axis gears Generating robots. But these would have to be due to the expected forces from to dimensions of 1300 N and the costs would be high. The acceptance by the patient would also be questionable.
Es ist daher Aufgabe der Erfindung, ein Gerät zu entwickeln, welches die natürliche Gangbewegung erzeugt, und dabei das natürliche zeitliche Verhältnis von Schwung zu Stand von 40 : 60 vorgibt. Zusätzlich soll die körperliche Belastung der behandelnden Therapeuten gering sein. Auch schwer betroffene Patienten sollten behandelt werden können, und die erzeugte Schrittlänge sollte symmetrisch sein. Eine Ausführungsform der Erfindung ist in den Bildern 1 und 2 dargestellt. It is therefore an object of the invention to develop a device which generates the natural gait movement and thereby specifies the natural temporal ratio of swing to level of 40:60. In addition, the physical strain on the treating therapist should be low. Seriously affected patients should also be able to be treated and the stride length created should be symmetrical. An embodiment of the invention is shown in Figures 1 and 2 .
Die Neuentwicklung zur Reduzierung des körperlichen Einsatzes der Krankengymnasten besitzt anstelle des Laufbandes zwei Fußplatten 1, Bild 1, welche gemäß dem natürlichen Gangzyklus vor und zurück gefahren sowie zeitgerecht in der Schwungbeinphase angehoben werden. Sie befinden sich auf zwei Stangen 2, die an jeweils zwei Punkten befestigt sind. Der vordere Punkt, zu dem die Fußspitze 6 des Patienten 7 zeigt, ist an einer Stange befestigt, die ungefähr in der Höhe der Hüfte beweglich aufgehängt ist. Somit bewegt sich der vordere Stangenpunkt auf einer kreisförmigen Bahn 4 mit einem Mittelpunkt in Hüfthöhe. Der hintere Punkt einer Stange ist an je einem Planetengetriebe 5 befestigt.The new development to reduce physical exertion by physiotherapists has two foot plates 1 , Fig. 1 instead of the treadmill. They are located on two rods 2 , which are attached to two points each. The front point, to which the toe 6 of the patient 7 points, is attached to a rod which is suspended approximately at the level of the hip. Thus, the front pole point moves on a circular path 4 with a center point at the waist. The rear point of a rod is attached to a planetary gear 5 .
Das Planetengetriebe wurde gewählt zur Generierung folgender Funktionen:
The planetary gear was chosen to generate the following functions:
- a) dem natürlichen Anheben der Ferse in der Schwungbeinphasea) the natural lifting of the heel in the swing leg phase
- b) dem natürlichen Verhältnis beim menschlichen Gang von Schwung- zu Standbeinphase von 40 : 60 (oder anderen einstellbaren Verhältnissen)b) the natural relationship in human walking from swing to swing Leg phase of 40:60 (or other adjustable ratios)
- c) unterschiedlichen Schrittlängen bei einem konstanten Verhältnis von 50 : 50 von Schwung und Stand.c) different stride lengths at a constant ratio of 50:50 of momentum and stance.
Diese Funktionen werden erzielt durch zwei Planetengetriebe mit feststehenden Sonnenrädern 8 und umlaufenden, vom Steg angetriebenen Planetenrädern 9 gleichen Durchmessers. Der Durchmesser muß gleich sein, damit nach einem Umlauf das Planetenrad sich selbst ebenfalls nur einmal gedreht hat. Zur Bewegungsgenerierung wird die Stange mit der Fußplatte an einem außermittigen Punkt am Planetenrad abgegriffen.These functions are achieved by two planetary gears with fixed sun gears 8 and rotating planet gears 9 of the same diameter driven by the web. The diameter must be the same so that after one revolution the planet gear has also only rotated once. To generate motion, the rod is tapped off with the footplate at an eccentric point on the planet gear.
Die technische Realisierung des zweifachen Planetengetriebes geschieht folgendermaßen (Bild 2, Schnitt durch die Zentralwelle):The technical implementation of the double planetary gear is done as follows ( Figure 2, section through the central shaft):
Eine Zentralwelle 10 wird mittig 11 mittels einer Kette Bild 1, 12 angetrieben. Links und rechts davon wird die Welle gelagert Bild 2, 13. Weiter außen befinden sich die gelagerten Sonnenräder 8, die durch Blockierungen 14 festgehalten werden. Innen dreht die Welle, wohingegen die zwei Lageraufnahmen und die zwei Sonnenräder feststehen. Weiter außen auf der Zentralwelle befindet sich die umlaufende Stegbefestigung.A central shaft 10 is centrally driven by a chain 11 Image 1, 12th The shaft is mounted to the left and right of this Fig. 2, 13 . Further out are the mounted sun gears 8 , which are held in place by blocks 14 . The shaft rotates on the inside, whereas the two bearings and the two sun gears are fixed. The circumferential web attachment is located further out on the central shaft.
Durch den Steg 15 wird das umlaufende Planetenrad angetrieben. Die exzentrische Bewegung für die Fußstange 2 kann nicht direkt vom Planetenrad abgegriffen werden, weil sonst die Fußstange gegen den Steg läuft innerhalb eines Umlaufes. The rotating planet gear is driven by the web 15 . The eccentric movement for the foot bar 2 cannot be tapped directly from the planet gear, because otherwise the foot bar runs against the web within one revolution.
Deshalb befindet sich am Planetenrad eine Außenwelle 16, die die gewünschte Bewegung nach außen (außerhalb der Stegbewegung) verlagert. Hier wird die Bewegung für die Fußstange abgegriffen. Je exzentrischer die Fußstange an der Mitnehmerstange 17 aufgehängt wird, desto verschiedener ist das zeitliche Verhältnis von Vorwärts- und Rückwärtsbewegung, welches der Schwung- und Standbeinphase entspricht. Hier ist es möglich das natürliche Verhältnis von 40 : 60 (Schwung : Stand) einzustellen.Therefore, there is an outer shaft 16 on the planet gear, which shifts the desired movement to the outside (outside the web movement). Here the movement for the foot bar is tapped. The more eccentrically the foot bar is suspended from the driving bar 17 , the more different is the temporal ratio of forward and backward movement, which corresponds to the swing and standing leg phase. Here it is possible to set the natural ratio of 40:60 (swing: stance).
Neben dem Verhältnis von Schwung zu Stand kann auch die Schrittlänge verstellt werden aber nur bei einem konstanten Verhältnis von Schwung zu Stand von 50 : 50. Wenn die Blockierungen der Sonnenräder 14 aufgehoben werden, und die Planetenräder durch Blockierungen 18 mit dem Steg verbunden werden, können an den Exzentern nun verschieden große Kreise und damit verschiedene Schrittlängen erzeugt werden.In addition to the swing-to-stand ratio, the stride length can also be adjusted, but only with a constant swing-to-stand ratio of 50:50. If the blockings of the sun wheels 14 are released and the planet wheels are connected to the web by blocks 18 circles of different sizes and thus different stride lengths are now generated on the eccentrics.
Den eigentlichen Antrieb übernimmt ein Drehstrom-Asynchron Käfig-Läufer Motor Bild 1, 19 (750 W, Siemens) mit nachgeschaltetem Untersetzungsgetriebe 20. Der Motor wird gespeist von einem Umrichter 21 (MM75, Siemens), der die Netzspannung (230 V 1AC) in Drehstrom (3AC) umwandelt. Mittels des Umrichters wird die Drehzahl des Motors geregelt.The actual drive is carried out by a three-phase asynchronous squirrel cage motor Fig. 1, 19 (750 W, Siemens) with a reduction gear 20 connected downstream . The motor is fed by a converter 21 (MM75, Siemens), which supplies the mains voltage (230 V 1AC) Converts three-phase current (3AC). The speed of the motor is regulated by means of the converter.
Zur Anpassung des Trainers auf Größenunterschiede und unterschiedliche
Schweregrade der Behinderung wurden die folgenden Einstellmöglichkeiten
berücksichtigt:
To adjust the trainer to size differences and different degrees of severity of the disability, the following setting options were taken into account:
- - Das Verhältnis von Schwung zu Stand kann an der Mitnehmerstange am Planetengetriebe in Stufen von 30 : 70 bis 70 : 30 verändert werden.- The ratio of momentum to stand can be determined on the driving rod on Planetary gear can be changed in steps of 30: 70 to 70: 30.
- - Die Schrittlänge kann am Planetengetriebe in einem Bereich von 30 cm bis 66 cm in Schritten von 3 cm verändert werden, bei konstantem Verhältnis von 50 : 50 (Schwung : Stand). - The stride length can be on the planetary gear in a range of 30 cm up to 66 cm in increments of 3 cm, with a constant ratio of 50: 50 (swing: standing).
- - Die Schrittfrequenz kann stufenlos in einem Bereich von 0 bis 70 Schritte/min variiert werden.- The cadence can be continuously adjusted in a range from 0 to 70 steps / min can be varied.
-
- Die eingesetzte Drehzahlregelung erlaubt folgende Trainingsarten:
- 1. 1.) rein passive Durchbewegung des Patienten (bei 0%iger Unterstützung durch den Patienten),
- 2. 2.) aktive Mithilfe des Patienten (< 0-100%ige Unterstützung durch den Patienten).
- 1. 1.) purely passive movement of the patient (with 0% support from the patient),
- 2. 2.) Active help from the patient (<0-100% patient support).
Als Biofeedback und als Trainingsdokumentation wird dem Patienten der Grad seiner aktiven Mithilfe fortlaufend auf einer Analoganzeige mitgeteilt (Leistungsmessung am Umrichter 21).As a biofeedback and as training documentation, the patient is continuously informed of the level of active assistance on an analog display (power measurement on the converter 21 ).
Ein weiteres Merkmal des Gerätes ist die Sicherung des Patienten in dem massenschwerpunktsgesteuerten Gurtsystem 23. Beim natürlichen Gang bewegt sich der Massenschwerpunkt des Menschen während eines Gangzyklusses 2 cm zweimal sinusförmig auf und ab, sowie einmal um 4 cm sinusförmig in Gehrichtung horizontal nach links und nach rechts.Another feature of the device is the securing of the patient in the belt system 23, controlled by the center of gravity. In natural gait, the center of gravity of the human being moves 2 cm sinusoidally up and down during a gait cycle, and once 4 cm sinusoidally in the walking direction horizontally to the left and to the right .
Diese Bewegung wird durch zwei mit dem Hauptantrieb verbundene Schubkurbelgetriebe 24 erzeugt und mittels Seilen 25 übertragen. Das Schubkurbelgetriebe für die vertikale Bewegung dreht mit doppelter Hauptantriebsdrehzahl und wird durch einen Zahnriemenantrieb 26 auf die gewünschte Drehzahl übersetzt. Die Befestigungen der Seile befinden sich an dem Sicherungsgurt des Patienten.This movement is generated by two thrust crank gear 24 connected to the main drive and transmitted by means of ropes 25 . The thrust crank mechanism for the vertical movement rotates at twice the main drive speed and is translated to the desired speed by a toothed belt drive 26 . The ropes are fastened to the patient's safety belt.
Die vertikale Befestigung an dem Sicherungsgurt dient gleichzeitig als Sicherung für den Patienten im Falle eines Stolperns.The vertical attachment to the safety belt also serves as a safety device for the patient in the event of a trip.
Die horizontale Bewegung wird durch das Seil auf der einen Seite der Hüfte und durch eine Rückstellfeder 27 auf der anderen Seite vorgegeben.The horizontal movement is determined by the rope on one side of the hip and by a return spring 27 on the other side.
Die Vorteile des Gerätes sind:
The advantages of the device are:
- - Patienten gehen komplett symmetrisch (im Gegensatz zum Laufbandtraining und Gehen in der Ebene selbst bei krankengymnastischer Unterstützung). - Patients walk completely symmetrically (in contrast to treadmill training and Walk on the level even with physiotherapy support).
- - Das Gangmuster hat alle Merkmale des natürlichen Ganges mit Anheben des Fußes in der Schwungbeinphase und korrektem zeitlichem Verhältnis zwischen Schwung und Stand.- The gait pattern has all the characteristics of the natural gait with lifting the Foot in the swing leg phase and correct temporal relationship between Momentum and stance.
- - Durch die Aufhängevorrichtung und ein am Antrieb befindliches weiteres Getriebe wird eine korrekte Massenschwerpunktsbewegung des Patienten vorgegeben. Die horizontale Bewegung ist nur durch arbeitsaufwendigen krankengymnastischen Einsatz zu erreichen, während die vertikale Bewegung bislang überhaupt nicht korrekt zu generieren ist.- Through the suspension device and another gear located on the drive the patient's correct center of mass movement is specified. The Horizontal movement is only due to labor-intensive physiotherapy Achieve use while vertical movement has not been done at all is to be generated correctly.
- - So ist der krankengymnastische Arbeitsaufwand sehr gering und beschränkt sich weitestgehend auf überwachende Funktionen.- So the physiotherapy workload is very low and limited largely on monitoring functions.
- - Das Gerät arbeitet stoßfrei, und somit werden die Hüft-, Knie- und Sprunggelenke deutlich weniger belastet als beim Gehen in der Ebene oder auf Laufbändern.- The device works bumpless, and thus the hip, knee and ankle joints significantly less stress than when walking on a flat surface or on treadmills.
Für Normalpersonen, die das Gerät zur körperlichen Ertüchtigung verwenden wollen, sind folgende Änderungen sinnvoll. Anstelle des Motors wird eine Bremsvorrichtung eingebaut, die verschiedene Bremswiderstände für verschiedene Trainings belastungen zur Verfügung stellt.For normal people who want to use the device for physical exercise, the following changes make sense. Instead of the engine there is a braking device built in, the different braking resistors for different training provides charges.
Des weiteren ist es für Normalpersonen interessant, neben dem Gehen auch das Laufen zu trainieren. Beim Laufen ist die Schwungbeinphase länger als die Standbeinphase. Diese Einstellung kann man erreichen, indem man an der Mitnehmerstange das Verhältnis von z. B. 60 : 40 (Schwung : Stand) einstellt.Furthermore, it is interesting for normal people, besides walking, that too Train to run. When running, the swing leg phase is longer than that Mainstay phase. You can achieve this attitude by looking at the Driving rod the ratio of z. B. 60: 40 (swing: standing).
Im Vergleich zum Laufband ist ein entscheidender Vorteil, daß das Gerät stoßfrei arbeitet und somit die Hüft-, Knie- und Sprunggelenke deutlich weniger belastet werden als beim Laufen in der Ebene oder auf Laufbändern.Compared to the treadmill, a key advantage is that the device is bumpless works and therefore puts less strain on the hip, knee and ankle joints than when running on a level or on treadmills.
Mit dem oben genannten Gerät kann mit geringem krankengymnastischen Einsatz individuelles und symmetrisches Gangtraining auch von schwer betroffenen gehbehinderten Patienten durchgeführt werden.With the above device can be used with little physiotherapy individual and symmetrical gait training even for severely affected people disabled patients.
Ebenso ist dieses Gerät für Normalpersonen beim Trainieren von Laufen und Gehen geeignet.Likewise, this device is for normal people when training running and walking suitable.
Claims (2)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE1998105164 DE19805164C1 (en) | 1998-02-10 | 1998-02-10 | Training apparatus for mobility impaired patients |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE1998105164 DE19805164C1 (en) | 1998-02-10 | 1998-02-10 | Training apparatus for mobility impaired patients |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| DE19805164C1 true DE19805164C1 (en) | 1999-05-27 |
Family
ID=7857124
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DE1998105164 Expired - Fee Related DE19805164C1 (en) | 1998-02-10 | 1998-02-10 | Training apparatus for mobility impaired patients |
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| Country | Link |
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| DE (1) | DE19805164C1 (en) |
Cited By (16)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE10028511A1 (en) * | 2000-06-06 | 2002-05-16 | Stefan Hesse | Robot system for use in rehabilitating patients with walking difficulties has footplates on which a patient stands and is guided through a set of programmed routes while being supported in a support arrangement |
| DE10316688A1 (en) * | 2003-02-14 | 2004-09-09 | Thomas Bauer | Device used for training/therapy comprises two stand surfaces provided on independently mounted stand surface elements pivoted in opposite directions by a motor drive about two perpendicular axes lying in the plane of each stand surface |
| DE202008001590U1 (en) | 2008-01-31 | 2008-07-17 | Schulte-Tigges, Gotthard, Dr.-Ing. | Multifunctional training device for human gait variations |
| DE102007050575A1 (en) | 2007-10-23 | 2009-04-30 | Michael Funk | Handicapped patient i.e. stroke patient, securing and weight releasing device for use during treadmill training, has hangings united to attachment, where attachment and hangings are provided besides patient and not over head of patient |
| DE102008007580A1 (en) | 2008-01-31 | 2009-08-13 | Schulte-Tigges, Gotthard, Dr.-Ing. | Multi-functional training device for human gait variations, is provided for training particularly sports persons and persons with weak ambulation or lower limb prosthesis in movement function of running in slanting level |
| DE202010003761U1 (en) | 2010-03-17 | 2010-07-15 | Bellicon Ag | Tightly holding device |
| WO2010105804A1 (en) | 2009-03-17 | 2010-09-23 | Bellicon Ag | Fall protection device |
| DE102011106228A1 (en) | 2011-06-29 | 2013-01-03 | Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. | Method and device for gait analysis and / or gait rehabilitation |
| DE102011106231A1 (en) | 2011-06-29 | 2013-01-03 | Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. | Apparatus for gait analysis and / or gait rehabilitation |
| DE102011121227A1 (en) | 2011-12-15 | 2013-06-20 | Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. | Device for guiding pelvis of person for neurological rehabilitation, has ropes that are secured at opposite sides of fixing unit and are fed to control movement of fixing unit in translatory and rotatory degrees of freedom in plane |
| EP2815793A1 (en) | 2013-06-17 | 2014-12-24 | sch.epp OG | Gear movement device |
| US9642765B2 (en) | 2011-09-09 | 2017-05-09 | Medica Medizintechnik Gmbh | Gait training apparatus for generating a natural gait pattern |
| EP3269430A1 (en) * | 2016-07-11 | 2018-01-17 | Anton Reck e.K. | Approximation of a natural walking motion in a sitting position |
| DE102018102179A1 (en) | 2018-01-31 | 2019-08-01 | ReActive Robotics GmbH | Relief system for at least partial relief of the body weight of a person |
| WO2021245317A1 (en) | 2020-06-05 | 2021-12-09 | Tecnimusa S.L. | Rehabilitation device |
| DE102021101293A1 (en) | 2021-01-21 | 2022-07-21 | ReActive Robotics GmbH | Relief system for at least partially relieving a person's body weight |
Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO1997049460A1 (en) * | 1995-12-07 | 1997-12-31 | Precor Incorporated | Stationary exercise device |
-
1998
- 1998-02-10 DE DE1998105164 patent/DE19805164C1/en not_active Expired - Fee Related
Patent Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO1997049460A1 (en) * | 1995-12-07 | 1997-12-31 | Precor Incorporated | Stationary exercise device |
Cited By (25)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE10028511C2 (en) * | 2000-06-06 | 2002-09-12 | Stefan Hesse | Robot gait trainer for use in rehabilitation |
| DE10028511A1 (en) * | 2000-06-06 | 2002-05-16 | Stefan Hesse | Robot system for use in rehabilitating patients with walking difficulties has footplates on which a patient stands and is guided through a set of programmed routes while being supported in a support arrangement |
| DE10316688A1 (en) * | 2003-02-14 | 2004-09-09 | Thomas Bauer | Device used for training/therapy comprises two stand surfaces provided on independently mounted stand surface elements pivoted in opposite directions by a motor drive about two perpendicular axes lying in the plane of each stand surface |
| DE10316688B4 (en) * | 2003-02-14 | 2006-04-06 | Thomas Bauer | Device used for training/therapy comprises two stand surfaces provided on independently mounted stand surface elements pivoted in opposite directions by a motor drive about two perpendicular axes lying in the plane of each stand surface |
| DE102007050575A1 (en) | 2007-10-23 | 2009-04-30 | Michael Funk | Handicapped patient i.e. stroke patient, securing and weight releasing device for use during treadmill training, has hangings united to attachment, where attachment and hangings are provided besides patient and not over head of patient |
| DE102008007580A1 (en) | 2008-01-31 | 2009-08-13 | Schulte-Tigges, Gotthard, Dr.-Ing. | Multi-functional training device for human gait variations, is provided for training particularly sports persons and persons with weak ambulation or lower limb prosthesis in movement function of running in slanting level |
| DE202008001590U1 (en) | 2008-01-31 | 2008-07-17 | Schulte-Tigges, Gotthard, Dr.-Ing. | Multifunctional training device for human gait variations |
| US9387384B2 (en) | 2009-03-17 | 2016-07-12 | Angehrn Ag Umformtechnik | Fall protection device |
| WO2010105804A1 (en) | 2009-03-17 | 2010-09-23 | Bellicon Ag | Fall protection device |
| DE102009013203A1 (en) * | 2009-03-17 | 2010-09-23 | Bellicon Ag | Fall protection device |
| DE202010003761U1 (en) | 2010-03-17 | 2010-07-15 | Bellicon Ag | Tightly holding device |
| DE102011106228A1 (en) | 2011-06-29 | 2013-01-03 | Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. | Method and device for gait analysis and / or gait rehabilitation |
| DE102011106231A1 (en) | 2011-06-29 | 2013-01-03 | Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. | Apparatus for gait analysis and / or gait rehabilitation |
| US9642765B2 (en) | 2011-09-09 | 2017-05-09 | Medica Medizintechnik Gmbh | Gait training apparatus for generating a natural gait pattern |
| DE102011121227A1 (en) | 2011-12-15 | 2013-06-20 | Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. | Device for guiding pelvis of person for neurological rehabilitation, has ropes that are secured at opposite sides of fixing unit and are fed to control movement of fixing unit in translatory and rotatory degrees of freedom in plane |
| EP2815793A1 (en) | 2013-06-17 | 2014-12-24 | sch.epp OG | Gear movement device |
| US9700478B2 (en) | 2013-06-17 | 2017-07-11 | Schepp Medtech Gmbh | Training device for human walking movement |
| EP3269430A1 (en) * | 2016-07-11 | 2018-01-17 | Anton Reck e.K. | Approximation of a natural walking motion in a sitting position |
| DE102018102179A1 (en) | 2018-01-31 | 2019-08-01 | ReActive Robotics GmbH | Relief system for at least partial relief of the body weight of a person |
| WO2019149317A1 (en) | 2018-01-31 | 2019-08-08 | ReActive Robotics GmbH | Relief system for at least partially relieving the body weight of a person |
| US11357693B2 (en) | 2018-01-31 | 2022-06-14 | ReActive Robotics GmbH | Relief system for at least partially relieving the body weight of a person |
| WO2021245317A1 (en) | 2020-06-05 | 2021-12-09 | Tecnimusa S.L. | Rehabilitation device |
| DE102021101293A1 (en) | 2021-01-21 | 2022-07-21 | ReActive Robotics GmbH | Relief system for at least partially relieving a person's body weight |
| WO2022156858A1 (en) | 2021-01-21 | 2022-07-28 | ReActive Robotics GmbH | Buttock support for at least partial load-relief of the body weight of a person, and load-relief system comprising such a buttock support |
| DE102021101293B4 (en) | 2021-01-21 | 2022-07-28 | ReActive Robotics GmbH | Relief system for at least partially relieving a person's body weight |
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| 8100 | Publication of the examined application without publication of unexamined application | ||
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