The invention relates to a device for passive therapeutic exercise, especially for plantar and dorsal flexions of lower limbs, which comprises at least one pedal for swivelling motion of the foot, pivotally mounted on the shaft.
In the civilized world of today a deep vein thrombosis becomes a new epidemic, which means that blood clots, thrombi, are formed in deep veins in the thigh and particularly in the popliteal part of the leg. In many cases, this situation results in serious life threatening complication, pulmonary embolism, in which thrombi penetrate with the blood to the lungs, where they clog small arteries, and thereby prevent the blood flow and oxygenation. The reason for thrombus formation is the lack of exercise by people with predominantly sedentary lifestyle. When moving the lower limbs muscles pump blood in the veins to the heart, and unless these muscles are in motion, blood circulation in the extremities slows down, which creates a major risk factor for thrombus formation.
Research conducted in people at risk of venous thromboembolism showed that the current use of electro-mechanical devices that cause muscle contraction significantly reduces the risk of DVT. These devices stimulate leg and thigh muscles and thus accelerate the venous blood flow, which leads to a better dispersion of activated blood components and dissolution of small thrombi. Such devices are mainly used for patients lying after injury.
However, not only lying patients but a far greater number of healthy people, who sit at work, such as IT workers, office workers, computer gamers, etc., are at risk to health and life due to the formation of clots n deep veins, and predominantly in the popliteal part of legs and thighs. It was found out that every hour of sitting, which decreases blood flow to the rear side of the knee, increases the risk of thrombus formation by ten percent.
A wide range of devices with pedals powered by pedalling or electrically are known, which cause movement of the legs. The movement of the leg on a pedal is dual; first, primary, rotating around the axis of rotation of the crank bearing pedals and secondary, rocking movement around a pivot axis of the pedal crank. However, persons sitting at work hardly use these devices, partly because the vertical movement of the leg occupies a greater height that the height of the worktop and party because movement of the leg is transferred to the upper body thus preventing work by hands, e.g. with a keyboard and a mouse.
Persons who work mainly in a sitting position, such as IT staff, administrative works, cashiers in supermarkets, are due to immobility of the lower limbs threatened not only by atrophy of muscles but especially by blood clothing resulting in formation of pulmonary embolism or heart attacks. To avoid these problems it is necessary to exercise the legs by feet motion, i.e. plantar and dorsal flexions, always after one or two hours of sitting.
Various devices are known to simulate the movement of the leg in order to exercise the muscles. They support the leg by a pedal that defines the movement. Currently known devices have pedals performing rotary motion similarly as the bicycle pedals. Some are driven by an electric motor, others by pedalling. A disadvantage of these known devices is on the one hand the range of motion of a pedal, which is so large that the exercise cannot take place under the desk, so these devices cannot be used where they are needed, i.e. during sedentary work, and on the other hand, even with such a large movement of the leg the needed plantar and dorsal flexions are very small.
The literature also mentions a device, which sets muscles of the leg in motion by electric shocks with electrodes attached to the calf and thigh, while this motion is regulated and measured by a rocking pedal that uses spring to create resistance of the muscle movement. These shocks are achieved and controlled by switch-boards placed near the leg. The disadvantage of this and other know devices is that they cannot be used where they are needed, i.e. in sedentary work, since it is impossible for a working person to expose himself/herself to electric shocks at regular intervals and always strip for this purpose and fasten electrodes to the legs or even wear them for the whole working hours.
The passive therapeutic device comprising at least one pedal for swivelling motion of a foot the pedal pivotally mounted on the shaft removes the said disadvantages of the current state of technology and meets the object of invention. According to the invention the pedal is located on the side of a drive housing on a rotating shaft extending from the side wall of the drive housing and coupled with a drive mechanism to create a forced movement of the pedal around the shaft axis. Preferably, the pedal swinging axis can be arranged adjacently to the perpendicular projection of the ankle joint to the pedal. The shaft axis may be advantageously arranged perpendicularly to the longitudinal axis of the pedal movable along a circular arc centred on the ankle joint. Preferably the drive housing may be provided with outriggers to adjust the inclination of the drive housing towards the base. The device for passive therapeutic exercise may advantageously include a mechanism to switch operations on and off as well as to regulate the size of range and speed of the pedal swinging.
The inventive device is based on rigorous and widely cited study that demonstrates that passive, i.e. externally controlled movement of feet determined by plantar and dorsal flexions significantly prevent the incidents of thrombosis and related complications. It was proved that stimulation of leg muscles, which pump blood, does not require any pedalling force, however only movement but not the vertical movement of the lower leg but only the rocking movement of the foot, i. e. plantar and dorsal flexions as a primary motion. The inventive device used by a seated person best stimulates natural gait, in which leg muscles pump enough blood and thereby prevent formation of life-threatening blood clogs without disturbing the user from focusing on work.
The inventive device consists of a housing and one or two pedals and it is arranged so that the pedals in a form of plates with dimensions corresponding to the dimensions of the feet are placed with the swing towards the housing. To drive the pedals the device is provided with a drive mechanism, in particular electric motor, connected with the pedals via kinetic mechanism arranged in the housing of the device. The swing angle is between 0° and 50°. The angle between plantar and dorsal flections shall be split by moving the device closer or further from a seated person. In order to split the angle between the plantar and dorsal flexions the device is provided at its ends with height-adjustable supports. Pedal swinging axis is located closer to the heel end of the pedal, in particular in one quarter of the length of the pedal so as it is approximately below the ankle joint. The device is further equipped with a mechanism for switching the activities on and off as well as for regulation of the size of the range and speed of the pedals rocking. Buttons to start and end the activities and to control the time and speed of swinging are arranged on the housing of the device and/or on a separate remote control. The remote control can be adapted for connection to a computer.
The advantage of the device is that it achieves the required plantar and dorsal flexions without affecting the upper torso, while it can be placed under a working desk and operated during sedentary work.
The inventive device is explained in the drawings, in which
The inventive device for plantar and dorsal flexions is shown on the attached
According to
According to
Number | Date | Country | Kind |
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PV 2014-533 | Aug 2014 | CZ | national |
Filing Document | Filing Date | Country | Kind |
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PCT/CZ2015/000086 | 8/5/2015 | WO | 00 |