The present invention relates to devices for rehabilitating injured or weakened human body parts. More particularly, the present invention is directed to devices for rehabilitating injured or weakened complex appendages having multiple degrees of freedom.
Injuries, surgeries, or illnesses are known to cause loss of mobility, muscular weakness, and tightening or shortening of the muscles, tendons, or other tissues (commonly known as “contractures”) in human appendages. Typically, physical therapy is required to treat loss of mobility, weakness, and contractures and, for most joints, a physical therapist will generally use manipulation, heat/cold therapy, and exercise for the rehabilitation regimen. In this regard, it is common to use mechanical exercise devices for rehabilitation and strengthening of the injured appendage. However, there are few devices which can be used to strengthen and rehabilitate complex appendages having multiple degrees of freedom such as the wrists/hand and ankles/feet.
As an example, wrist joints can be flexed/extended forward and backward, pivoted side-to-side, and rotated. For a mechanical device to exercise each of these different mobilities, the rehabilitation device would need to be exceedingly complex. Consequently, for injuries to the wrists/hands, physical therapists have traditionally incorporated exercise methods which don't rely on mechanical devices. For example, a hot wax bath can be provided which the patient immerses their wrists/hands into and exercise their wrists/hands therein. The use of hot wax, however, requires removal of the wax from the patient's hands after the exercise and, further, provides only limited resistance which cannot not be controllably increased or decreased.
To provide for greater resistance, it is known that a device can be attached to the hands/feet and includes a movement resisting plate/fin that displaces the hot wax/liquid as the wrist/ankle joint is moved/flexed. See Ostergard, U.S. Pat. No. 4,767,118. It is also known that a magnetorheological (MR) fluid can be used in place of hot wax whereby the resistance provided by the MR fluid can be controllably increased or decreased by applying a magnetic field through MR fluid. See Carlson et al., U.S. Pat. No. 5,693,004.
However, these devices can be cumbersome and unwieldly to use and can be costly and complicated to implement. Accordingly, there exists a need for an improved device for rehabilitating complex appendages and joints having multiple degrees of freedom.
In the present invention, a rehabilitation device for exercising a human appendage comprises a housing having a fluid reservoir with an opening wherethrough a human appendage is inserted into the reservoir, a thermally controllable viscous fluid contained within the reservoir, a heating apparatus for increasing the temperature of the fluid, and a cooling apparatus for decreasing the temperature of the fluid. The fluid has a temperature and a viscosity and experiences an apparent change in viscosity when exposed to a change in temperature. The heating apparatus and the cooling apparatus are controllable for selectively increasing or decreasing the temperature of the fluid and, correspondingly, decreasing or increasing the viscosity of the fluid.
Preferably, the rehabilitation device further comprises a deformable fluid impermeable material surrounding the appendage which prevents direct contact between the appendage and the thermally controllable viscous fluid. Yet more preferably, an elastic membrane is provided extending over and sealing the opening, wherein the elastic membrane deforms and conforms to the appendage during use.
Preferably, the rehabilitation device further comprises a control device that is operatively connected to the heating apparatus and the cooling apparatus for selectively increasing or decreasing the temperature of the fluid.
Yet more preferably, the rehabilitation device further comprises a cooling switch and a heating switch. The cooling switch is operatively connected to the cooling apparatus for selectively decreasing the temperature of the fluid, and the heating switch is operatively connected to the heating apparatus for selectively increasing the temperature of the fluid.
Preferably, the housing includes a thermally insulating layer for maintaining the temperature of the thermally controllable viscous fluid.
Preferably, the reservoir comprises an interior surface and the cooling apparatus comprises an evaporator, wherein the evaporator is a helically coiled tube mounted within the reservoir and lining the reservoir interior surface.
Preferably, the reservoir comprises a bottom surface and the heating apparatus comprises a heating element mounted within the reservoir adjacent the bottom surface. Yet more preferably, a barrier is formed within the reservoir preventing the appendage from contacting the heating element.
Preferably, the heating coil is encased in a coating. Yet more preferably, the coating is a thermally-conductive, electrically-insulative epoxy.
Preferably, the thermally controllable viscous fluid is selected from the group consisting of high fructose corn syrup, honey, and glycerin.
In another embodiment of the present invention, a rehabilitation device for exercising a human appendage comprises a fluid reservoir having an opening wherethrough a human appendage is inserted into the reservoir; a thermally controllable viscous fluid contained within the reservoir, the thermally controllable viscous fluid having a temperature and a viscosity; and, a temperature control apparatus for selectively increasing or decreasing the temperature of the thermally controllable viscous fluid. The thermally controllable viscous fluid experiences an apparent change in viscosity when exposed to a change in temperature and the temperature control apparatus is controllable via a reversing valve for selectively increasing or decreasing the temperature, and thereby decreasing or increasing the viscosity, of the thermally controllable viscous fluid.
Preferably, the temperature control apparatus comprises a compressor which compresses a refrigerant, an exterior coil disposed outside of the reservoir, and an interior coil disposed within the reservoir. The compressor, the exterior coil, and the interior coil are each in fluid communication with the reversing valve, and the exterior coil and the interior coil are in fluid connect with each other. The reversing valve can be selectively toggled between a cooling position and a heating position. When the reversing valve is in the cooling position, compressed refrigerant is conveyed from the compressor first through the exterior coil and then through the interior coil for absorbing heat from the thermally controllable viscous fluid and thereby reducing the temperature thereof. When the control valve is in the heating position, compressed refrigerant is conveyed from the compressor first through the interior coil for transferring heat from the refrigerant to the thermally controllable viscous fluid and thereby increase the temperature thereof.
In yet another embodiment of the present invention, a method of exercising a human appendage comprises the step of: immersing the appendage within a thermally controllable viscous fluid having a temperature and a viscosity, wherein the thermally controllable viscous fluid experiences an apparent change in viscosity when exposed to a change in temperature; selectively increasing and/or decreasing the temperature of the fluid and thereby decreasing and/or increasing its viscosity; and, moving the appendage through the thermally controllable viscous fluid, whereby the thermally controllable viscous fluid provides resistance forces relative to the viscosity thereof for exercising the appendage.
Preferably, the method further comprises the step of providing a fluid reservoir wherein the thermally controllable viscous fluid is contained and which includes an opening wherethrough the human appendage is inserted and thereby immersed within the thermally controllable viscous fluid.
Preferably, the method of claim further comprises the step of providing an elastic membrane extending over the reservoir opening and wherein, during the steps of immersing and moving, also deforming the elastic membrane whereby the elastic membrane conforms to the appendage and prevents direct contact between the appendage and the thermally controllable viscous fluid.
Preferably, prior to the step of immersing, the method further comprises the step of inserting the appendage into or wrapping the appendage with a deformable fluid impermeable material and, during the steps of immersing and moving, preventing direct contact between the appendage and the thermally controllable viscous fluid. Yet more preferably, the deformable fluid impermeable material is in the form of a plastic bag, glove, sock, or cellophane.
The above-mentioned and other features of this invention and the manner of attaining them will become more apparent, and the invention itself will be better understood by reference to the following description of the embodiments of the invention, taken in conjunction with the accompanying drawings, wherein:
Corresponding reference characters indicate corresponding parts throughout several views. Although the exemplification set out herein illustrates certain embodiments of the invention, the embodiments disclosed below are not intended to be exhaustive or to be construed as limiting the scope of the invention to the precise form disclosed.
An appendage rehabilitation device constructed in accordance with the principles of the present invention is shown and designated by the numeral 10. The rehabilitation device 10 is adapted for rehabilitating and strengthening the muscles of an appendage 14 and, in particular, for rehabilitating and strengthening the muscles of complex, multiple-degree-of-freedom appendages, such as, for example, the ankles/feet and the wrists/hands. For a variety of reasons, such as, for example, injuries, surgeries, or illnesses, patients can experience loss of mobility, muscular weakness, and tightening or shortening of the muscles, tendons, or other tissues (commonly known as “contractures”) in their appendages 14. The rehabilitation device 10 can be used to treat such contractures and issues and for rehabilitating and strengthening the muscles of the injured appendage 14.
Complex appendages 14, such as the ankles/feet and the wrists/hands, for example, can be flexed/extended forward and backward, pivoted side-to-side, and rotated back and forth. In order to fully rehabilitate the appendage 14, the rehabilitation device 10 includes a volume of thermally controllable viscous fluid 12 wherein the device 10 is used by immersing the appendage 14 in the viscous fluid 12 and then moving/flexing/rotating the appendage 14 through its range of motion. As the appendage 14 is moved/flexed/rotated, the viscous fluid 12 is displaced and internal friction within the viscous fluid 12 provides movement opposing resistance forces for thereby exercising and strengthening the muscles of the appendage 14. Viscosity is a measure of the internal friction which resists flow/displacement of a fluid, and thus, the viscosity of the viscous fluid 12 directly relates to the level of resistance provided by the rehabilitation device 10.
To allow a user to selectively control the resistance provided by the rehabilitation device 10, the thermally controllable viscous fluid 12 is configured to increase in viscosity as its temperature decreases and decrease in viscosity as its temperature increases. For example, by selectively increasing the temperature of the viscous fluid 12, the viscosity of the fluid 12, and thus, the level of resistance, will correspondingly decrease. Alternatively, by selectively decreasing the temperature of the viscous fluid 12, the viscosity of the fluid 12, and thus, the level of resistance, will correspondingly increase.
Preferably, the viscous fluid 12 has a relatively wide viscosity range (e.g., the viscous fluid 12 can become very thick/viscous or very thin/water-like) such that the rehabilitation device 10 can provide a wide range of resistance levels. Yet more preferably, the viscous fluid 12 has a relatively wide viscosity range within a temperature range that overlaps with room temperature such that the rehabilitation device 10 can provide a wide range of resistance levels within a temperature range that is safe for the patients. For example, the viscous fluid 12 can be high fructose corn syrup (HFCS), honey, glycerin, or other similarly viscous fluids. Preferably, the thermally controllable viscous fluid 12 comprises HFCS as it is inexpensive and is known to resist the growth of bacteria. Preferably, an anti-fungal and/or anti-bacterial compound, such as, for example, silver ions, amphotericin, fluconazole, or other anti-fungal/anti-bacterial compounds, can be added to the viscous fluid 12 for preventing the growth of fungi or bacteria therein.
As shown in
Preferably, the housing 16 is integrally formed by casting, molding, machining, or otherwise forming the cylindrical wall 22 and the base 24 from a unitary material such as, for example, steel, aluminum, plastic materials, ceramic materials, or cementitious materials. Yet more preferably, the cylindrical wall 22 and the base 24 are integrally formed from a thermally insulative ceramic material.
As best seen in
Preferably, the fluid impermeable material 26 can be an elastic membrane 26a (
The fluid impermeable material 26 can also be, for example, a cellophane or other film-like material 26e (
As shown in
As shown in
Preferably, the heating element 34 is configured and sufficiently sized to heat the volume of viscous fluid 12 to a desired temperature within an acceptable timespan. Yet more preferably, the heating element 34 can be a planar DC resistance-type heating coil which is sized to fit within the reservoir 18 and covers the base 24 top surface 24ts, or which is embedded in the base 24. When heating element 34 is atop the base 24, it can be encased in a layer of thermally conductive but electrically resistive epoxy which is adapted to transmit heat from the heating apparatus 30 to the viscous fluid 12 while simultaneously electrically insulating viscous fluid 12 from the heating apparatus 30.
As shown in
The compressor 42 can be, for example, a piston, rotary, screw, scroll, or centrifugal-type compressor, and the condenser 44 can be, for example, an air-cooled, water-cooled, or combined air and water cooled-type condenser. Preferably, the compressor 42 is sufficiently sized for powering the cooling apparatus 32 such that the volume of viscous fluid 12 can be cooled to a desired temperature within an acceptable timespan. The evaporator 46 is, preferably, a bare tube-type evaporator forming a helical coil (
As is known to those skilled in the art and illustrated in
As shown in
Preferably, the speed of the compressor 42 can be selectively controlled for thereby modulating the temperature of the viscous fluid 12. As shown diagrammatically in
Preferably, the heating and cooling apparatuses 30, 32 are appropriately sized and configured for selectively modulating the temperature of the viscous fluid 12 within a temperature range of between approximately fifty (50) and one-hundred five (105) degrees Fahrenheit. Yet more preferably, the cooling apparatus 32 can be configured for cooling the viscous fluid 12 to between approximately fifty (50) and sixty (60) degrees Fahrenheit for providing a cold bath-like treatment, and the heating apparatus 30 can be configured for heating the viscous fluid 12 to between approximately ninety (90) and one-hundred five (105) degrees Fahrenheit for providing a hot bath-like treatment.
In another embodiment, as diagrammatically shown in
In a first cooling position as shown in
As should now be appreciated, when the reversing valve 54 is in the cooling position, the heat pump type temperature control apparatus 32′ acts like the cooling apparatus 32 for cooling the viscous fluid 12, and, when the reversing valve 54 is in the heating position, the heat pump type temperature control apparatus 32′ acts like a heater for heating the viscous fluid 12. Accordingly, the temperature control apparatus 32′ can be configured to selectively heat or cool the viscous fluid 12, and thereby selectively increase or decrease the level of resistance provided by the rehabilitation device 10, without need for a separate heating apparatus 30. Preferably, the reversing valve 54 and the compressor control module 43′ can be used to selectively control the heat pump type temperature control apparatus 32′ and thereby heat or cool the viscous fluid 12 to the desired temperature.
Preferably, the temperature control apparatus 32′ also includes an expansion valve 48′ which can be connected between the exterior coil 44′ and the interior coil 46′. The expansion valve 48′ can be adapted to reduce the pressure of the refrigerant as it travels from the exterior coil 44′ to the interior coil 46′, or from the interior coil 46′ to the exterior coil 44′.
Preferably, the exterior and interior coils 44′, 46′ are formed from thermally conductive materials such as, for example, copper or aluminum tubing, and are sufficiently sized for heating or cooling the viscous fluid 12 to a desired temperature. Yet more preferably, the interior coil 46′ is a bare tube-type, helical coil heat exchanger formed from copper tubing and the exterior coil 44′ is an air-cooled, bare tube-type heat exchanger formed from copper or aluminum tubing. The interior coil 46′ is preferably sized to fit within the reservoir 18 and lines the cylindrical wall 22 interior surface 22is or is embedded within the wall 22, and the exterior coil 44′ is preferably mounted to the exterior of the housing 16.
In operation, as mentioned above, the rehabilitation device 10 is adapted to provide resistance for rehabilitating and strengthening the muscles of a complex, multiple-degree-of-freedom appendage 14. The rehabilitation device 10 is used by lowering/extending a complex appendage 14, such as, for example, an ankle 14a and a foot 14f, through the opening 20 into the reservoir 18 until the appendage 14 is substantially immersed in the viscous fluid 12. As shown in
The ankle 14a can then be moved/flexed/rotated, thereby moving the foot 14f through and displacing the fluid 12. As mentioned hereinabove, as the foot 14f moves through the viscous fluid 12, the viscosity of the fluid 12 resists the movement and provides opposing resistance forces for exercising and rehabilitating/strengthening the muscles of the ankle 14a. To increase or decrease the level of resistance, an operator can selectively modulate the heating and cooling of the fluid 12 of the apparatuses 30, 32 via the heater power regulator 40 and the compressor control module 43, or the temperature control apparatus 32′ via the reversing valve 54 and the compressor control module 43′, for thereby selectively modulating the temperature, and, hence, the viscosity, of the viscous fluid 12.
In traditional, mechanical exercise devices, resistance is provided in only a single degree of freedom and the muscles of the appendage 14 are strengthened in only a single range of motion. As should now be appreciated, with the rehabilitation device 10 of the present invention, the appendage 14 is immersed within the viscous fluid 12 and is free to move/flex/rotate in any direction, and the viscous fluid 12 correspondingly resists any such movement. Thus, the rehabilitation device 10 can be used for rehabilitating and strengthening each of the muscles of the appendage 14 throughout the full range of mobility thereof, regardless of the number of degrees of freedom.
While this invention has been described as having an exemplary embodiment, the present invention may be further modified within the spirit and scope of this disclosure. This application is therefore intended to cover any variations, uses, or adaptations of the invention using its general principles.
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| 20250128115 A1 | Apr 2025 | US |