[0001] The present invention relates to a rehabilitation unit. In particular, the present
invention relates to a rehabilitation unit comprising a plurality of stations for
assisted walking.
[0002] In particular, the present invention relates to a rehabilitation unit comprising
a plurality of stations for assisted walking that are movable along an annular path.
BACKGROUND TO THE INVENTION
[0003] As it is well known, in the field of rehabilitation of patients with walking troubles
it is crucial for the patients to train their lower limbs. Moreover, it is understood
that patients suffering from hemiplegia shall also restore their ability of controlling
and balancing the functions of their own torso, what is usually not deemed crucial
by various rehabilitation approaches and is therefore disregarded, usually focussing
attention mainly on the recovery of the paralysed limb.
[0004] Equipment are well known, provided with harnesses carried by a guide extending along
a given path, whose function is to support the patients unable to walk autonomously.
[0005] The use of this type of equipment put the patient in conditions very different than
the real walking conditions, as the patient cannot control again the correct posture
to manage his/her body on the legs in static and dynamic conditions in order to keep
his/her balance autonomously. Therefore, this kind of equipment, in addition to engage
significant portions of the areas destined to walking training, are unsatisfactory
as regards the recovery of paralysed limbs and, in particular, the recovery of the
mobility ability.
[0006] Moreover, in order to maximise the treatment efficiency and to achieve the expected
results, the equipment shall be used by the users under the continuous control and
with the aid of specialized therapists able to continuously modulate their intervention
according to the patients' needs. It is easily understood that, in order to do this,
the rehabilitation departments for treating patients affected by reduced mobility
of the lower limbs shall have a high number of specialised therapists in order to
assist every patient individually during rehabilitation with this equipment. This
procedure entails very high costs due to the need for performing rehabilitation for
many days under the continuous control of specialized therapists. Moreover, as a therapist
cannot manage more patients simultaneously, not all hospitals or care centres can
ensure continuous rehabilitation as they do not have a sufficient number of specialized
professionals available.
[0007] In view of what above, the problem of having a unit for immobilized patients rehabilitation
allowing to perform the operations described above without the intervention of an
operator is actually unsolved, and represents an interesting challenge for the Applicant.
[0008] Therefore, it would be desirable to have available a rehabilitation unit that, in
addition to allow limiting and possibly overcoming the drawbacks of the prior art,
defines a new standard for this kind of units.
SUMMARY OF THE PRESENT INVENTION
[0009] The present invention relates to a rehabilitation unit. In particular, the present
invention relates to a rehabilitation unit comprising a plurality of stations for
assisted walking.
[0010] In particular, the present invention relates to a rehabilitation unit comprising
a plurality of stations for assisted walking that are movable along an annular path.
[0011] The object of the present invention is to provide a rehabilitation unit allowing
the patient to move the lower limbs safely.
[0012] According to the present invention a rehabilitation unit is provided, whose main
features will be described in at least one of the appended claims.
BRIEF DESCRIPTION OF DRAWINGS
[0013] Further characteristics and advantages of the rehabilitation unit of the invention
will be more apparent from the description below, set forth with reference to the
attached drawings, that illustrate some examples of embodiment, where identical or
corresponding parts of the system are identified by the same reference numbers. In
particular:
- Fig. 1 is a schematic perspective view of a first preferred embodiment of a rehabilitation
unit according to the present invention;
- Fig. 2 is a plan view of Fig. 1;
- Fig. 3 shows a detail of Fig. 1 in enlarged scale and with some parts removed for
the sake of clarity;
- Figs. 4 and 5 are schematic plan views in reduced scale of some variants of a detail
of Fig. 1;
- Figs. 6 and 7 are front views in different scales of variants of Fig. 1;
- Figs. 8 and 9 are perspective schematic views of a detail of Fig. 1.
DETAILED DESCRIPTION OF THE PRESENT INVENTION
[0014] In Fig. 1, number 1 indicates a rehabilitation unit for patients with walking trouble,
who shall recover muscle strength and the ability to move autonomously their weight
from a leg to the other. The unit 1 comprises a frame 10 that is provided with a base
2 that is profiled in order to define a first annular flat path 30 of given shape.
The base 2 is carried by a plurality of pillars 2' and is peripherally delimited by
a respective first edge 12, which is so designed as to support at least one carriage
20 (coupled to the frame 10) in a sliding manner through bilateral constraint members
40. The constraint members 40 comprise a first flat guide 42 laterally carried by
the first edge 12 and geometrically shaped like the first annular path 30. The base
2 is delimited, at the top in Fig. 1, by a substantially horizontal plane 21, and
also the first guide 42 is horizontal, without however limiting the scope of the present
invention.
[0015] Each carriage 20 has a structure comprising a base 200 and a plate 200' supporting,
outside the projection of the base 2, a box-shaped support shaped like an overturned
L, to which the patient can rest the flank and an arm so as to be laterally supported.
The first guide 42 is longitudinally delimited by opposite coplanar flanks 420, shaped
in a given manner, and each base 200 of a respective carriage 20 carries further constraint
members 40 constituted by pulleys 43 (only one of which is visible in Fig. 3) arranged
at opposite sides from the first guide 4242. Each pulley 43 is provided with respective
grooves, whose section is shaped in conjugated manner with the flanks 420 in order
to couple in an angularly fixed and freely sliding manner to the first guide 42.
[0016] The support 22 is carried by the plate 200' through the interposition of a vertical
rod 240 shown in Fig. 3. The rod 240 is coupled to the plate 200' in a manner adjustable
in height through a crank mechanism 242 embodied in a known manner and provided with
a toothed wheel 242' engaging a toothing 242" longitudinally coupled to the rod 240
in a rigid manner in order to be vertically moved.
[0017] Each support 22 is externally delimited by a sheet 23 extending above and at the
side of the first guide 42, as it is shown in Fig. 3. The sheet 23 is externally delimited
by a L-shaped smooth surface 220, comprising a first flat part 222 substantially parallel
to the first guide 42, and a second flat part 224 substantially transverse to the
first guide 42.
[0018] The first part 222 and the second part 224 are connected together by means of a curved
part 226, whose purpose is to optimize the contact with a patient's armpit and to
avoid to constrain him/her, so as to stimulate the patient's ability to find autonomously
a balance condition, gradually loading a paralysed limb where he/she has reduced sensitivity.
[0019] If necessary, vacuum cushions can be associated with the sheet 23, in order to optimize
the contact especially during the rehabilitation first steps, when the patient resting
on the carriage 20 has the impression of needing more support. For instance, vacuum
cushions 23' like the "Stabilo" cushions can be associated with the sheet 23, as schematically
shown only in Fig. 3, where the cushions have been indicated with a broken line.
[0020] In Figs. 1 and 2, the carriages carried by the frame 10 are two and are arranged
at opposite sides from the annular path 30.
[0021] With reference only to Fig. 3, each carriage 20 is provided with a digital communication
device 50 suitable for electronic data wireless exchange, an electronic computer 60
electronically connected to the communication device 50 and a monitor 62 connected
to the electronic computer 60.
[0022] Moreover, sensors 222S, 224S and 226S are respectively associated with the first
part 222, the second part 224 and the curved part 226 of the surface 220 and are connected
(in a wired known manner, not shown for the sake of drawing economy) to the electronic
computer 60 in order to detect the pressure acting onto the sheet 23, as exerted by
a patient interfacing the support 22.
[0023] The rehabilitation unit 1 comprises a central computer 64 carried by the frame 1
(only in Fig. 1) and so designed as to receive and process information from the electronic
computers 60 of each carriage 20 through the respective communication devices 50.
The electronic connections between the components 60 and 64 are known and have not
been shown for the sake of drawing economy.
[0024] With reference to Figs. 1, 8 and 9, the unit 1 comprises a detection device 80 for
detecting the pressure exerted on the ground by the patient at the side of each carriage
20 and therefore of the frame 10 during a rehabilitation session resting on a carriage
20. The detection unit 80 comprises at least one plate 82 shaped substantially as
an insole in order to be inserted inside a patient's shoe.
[0025] Each plate 82 is provided with at least one sensor 820 suitable to detect the pressure
exerted by the moving patient. The detection unit 80 is electronically connected (in
a known and therefore not shown manner) to the electronic processing means 60 remotely
and wireless.
[0026] With reference to Fig. 9, the detection unit 80 is provided with a box-shaped body
81 containing a processing unit 822 electronically connected to each sensor 820. The
box-shaped body 81 has fastening members 810, in particular a pair of laces 811 that
can be associated to a patient's leg in order to measure the variable load that can
be applied to the at least one plate 82 during a rehabilitation session on the unit
1.
[0027] The use of the rehabilitation unit 1 is clearly apparent from the description above
and does not require further explanations. However, it should be useful to specify
that the use of the rehabilitation unit 1 allows a patient to find a mechanical support
for walking adequate to his/her anthropometric measures and physical conformation
since the first steps of rehabilitation for recovering his/her mobility.
[0028] Moreover, the fact of having provided the plate 23 and the plate 82 with sensors
allows the users to verify on the monitor 62 the trend of the rehabilitation session,
so as to match it to the therapeutic indications received. Moreover, a rehabilitation
therapist can contemporaneously control the trends of rehabilitation treatments of
more patients through the processing device 64 communicating with the computers 60
carried on board of the carriages 20 of each rehabilitation unit 1.
[0029] Obviously, by connecting more rehabilitation units 1 to the processing device 64
it will be possible to monitor even more users performing rehabilitation sessions
contemporaneously. By providing the carriages 20 of the various rehabilitation units
1 connected to the processing device 64 with audio equipment, it will be possible
to communicate with the patients and to help them to improve the rehabilitation sessions.
[0030] Lastly, it is clearly apparent that variants and modifications can be done to the
rehabilitation unit described and illustrated herein without however departing from
the protective scope of the invention.
[0031] In particular, in Figs. 4a) and 4b) the frame 10 may be of the modular type and may
comprise at least one first support 14, delimited by rectilinear edges 12', and at
least two second supports 16, delimited by a curved edge 12", in order to provide
annular paths whose shape can be defined at will.
[0032] In Fig. 4a) a frame 10 is illustrated like that of Fig. 1, divided into parts, and
in Fig. 4b) a frame 10 is illustrated composing two first supports 14, three second
supports 16 and a third, substantially T-shaped, joining support 17.
[0033] Obviously, also the guide 42 is modular and composed of segments associated with
the rectilinear and/or curved edges of the various supports composing the desired
version of the frame 10.
[0034] Fig. 5 shows an annular frame 10 having a second annular path 30' inside and parallel
to the first path 30. In this way, the frame 10 is so designed as to carry a second
guide 42', substantially identical to the first guide 42, so that the frame 10 is
suitable to support the carriages 20 (illustrated only schematically) on parallel
tracks of substantially identical geometry. A given moving direction for the respective
carriages 20 corresponds to each path 30 and 30'.
[0035] With reference to Fig. 6, the rehabilitation unit 1 can be modified by providing
carriages 20 supporting a U-shaped arm 201 provided with a supplemental support 22'
aligned with the support 22 carried by the plate 200. In this way, a patient with
high mobility difficulties can rest both arms on the carriage 20, being therefore
supported on both the right and left flank.
[0036] Alternatively, in Fig. 7 the rehabilitation unit 1 of Fig. 6 may be simplified and
may have an arm 201' for each carriage 20 provided with only one ascending branch
202 ending with an end portion 203 that supports a harness 204 through a crutch 205.
[0037] In view of what described above, the rehabilitation unit 1, in the embodiments described
above, solves the problem of having available a rehabilitation unit for immobilized
patients allowing them to perform rehabilitation sessions autonomously under the remote
control of an operator safely, minimizing the times necessary to recover autonomous
mobility.
1. A rehabilitation unit (1) comprising a frame (10) peripherally delimited by a respective
first edge (12) that defines a first annular path (30) of given shape and supporting
at least one carriage (20) coupled to said frame (10) in a sliding manner along said
first path (30) through bilateral constraint means (40); said constraint means (40)
comprising a first guide (42) laterally carried by said first edge (12) and shaped
like said first annular path (30); characterized in that each said carriage (20) has a support (22) externally delimited by a sheet (23) that
extends above and at the side of said first guide (42) and adjusting means (24) for
adjusting the position of said sheet (23) with respect to said first guide (42).
2. Unit according to claim 1, characterized in that said first guide (42) is substantially horizontal and said sheet (23) is externally
delimited by a surface (220) shaped like an overturned L; said surface comprising
a first flat part (222) substantially parallel to said first guide (42), and a second
flat part (224) substantially transverse to said first guide (42); said first part
(222) and second part (224) being connected by means of a curved part (226).
3. Unit according to claim 2, characterized in that said first guide (42) is longitudinally delimited by opposite flanks (420) shaped
in a given manner and said at least one carriage (20) having pulleys (43), arranged
at opposite sides from said first guide (42) and provided with respective grooves
whose section is shaped in conjugated manner with said flanks (420) in order to couple
in an angularly fixed and freely sliding manner to said first guide (42).
4. Unit according to any one of the previous claims, characterized in that said frame (10) is modular and comprises at least one first support (14), delimited
by at least one rectilinear edge (12'), and at least two second supports (16), delimited
by a curved edge (12"), in order to provide annular paths whose shape can be defined
at will.
5. Unit according to any one of the previous claims, characterized by comprising a plurality of carriages (20) arranged along said first path (30).
6. Unit according to claim 5, characterized in that each said carriage (20) is provided with digital communication means (50) suitable
for electronic data wireless exchange, electronic processing means (60) connected
to said communication means (50) and a monitor (62) connected to said electronic processing
means (60).
7. Unit according to claim 6, characterized in that sensing means (222S) (224S) (226S) are associated with said first part (222), second
part (224) and curved part (226) and are connected to said electronic processing means
(60) in order to detect the pressure acting on said sheet (23).
8. Unit according to claim 7, characterized in that pressure detection means (80) are electronically connected to said electronic processing
means (60) of each said carriage (20) remotely and wireless so as to be usable at
the side of said frame (10); said detection means (80) comprising at least one pressure
detection member (82).
9. Unit according to claim 8, characterized in that said detection means (80) are provided with a box-shaped body (81) containing a processing
unit (822) connected to each said pressure detection member (82); said box-shaped
body (81) having fastening members (810) suitable to be associated to a variable load
that can be applied to said pressure detection member (82); said processing unit (822)
being connected, remotely and wireless, to said electronic processing means (60).
10. Unit according to any one of claims 6-9, characterized in that processing means (64) are provided in order to receive and process, in a single station,
information received from said electronic processing means (60) of each said carriage
(20) through the respective communication means (50).
11. Unit according to any one of claims 2-10, characterized by comprising vacuum containment means (90) associated with said sheet (23) that can
be shaped at will.
12. Unit according to any one of the previous claims, characterized in that said frame (10) is of the annular type in order to have a second inner annular path
(30') parallel to said first path (30) and so designed as to carry a second guide
(42') substantially identical to said first guide (42) so that said frame (10) is
suitable to support said carriages (20) on parallel tracks of substantially identical
geometry.
13. Unit according to any one of claims 2-12, characterized in that said at least one carriage (20) is provided with support means (201)(201') for supporting
a patient and extending at opposite side from said first part (222) with respect to
said first guide (42) in order to support a load at the side of said sheet (23).
14. Unit according to claim 13, characterized in that said support means (201) comprise a U-shaped arm (201) provided with a further support
(22') aligned with said support (22).
15. Unit according to any one of claims 2-12, characterized in that said at least one carriage (20) is provided with support means (201') comprising
an arm (201') having an ascending branch (202) ending with an end portion (203) that
supports a harness (204) through a crutch (205).