Neck pain and headaches are often associated with postural abnormalities, reduced neck muscles' gross motor skills, and limited range of neck movement. The need to exercise neck muscles as a treatment for certain neck pain syndrome is well recognized in physical therapy and pain research literature. One way of exercising neck muscles is installing an eccentric weight on a wearable head mount and requiring the patient to maintain his head in a pre-determined posture and balance the weight with his/her neck muscles. Such systems are described in the prior art, for example, in the following:
Common to all these and other prior art solutions is that the mechanical load on the muscles is stationary. It can be manually moved by changing the radius and the mass of the weight(s) to adjust the moment, but once the moment is set, it stays fixed throughout the patient's treatment.
Such apparatuses are limited for diagnostic purposes, as precise diagnoses of specific muscles require delicate and slight changes in the moment applied to the head and following the patient's feedback on the precise position that is associated with the pains that they experience.
The apparatuses are also limited for treatment purposes, as good exercise for a muscle requires cyclic stretch and release of the muscle, both concentric and eccentric efforts, and such is not possible with a fixed moment. Such a system for this exercise would challenge the premotor central nervous system, as it would necessitate adaptive dynamic strategies to balance the head.
Accordingly, it would be very useful if a device could be available where the moment that the muscle must apply can continuously change and periodically does change. It would be even more useful if the direction of change of the moment could be adjusted according to the anatomical position and physiological functions of the treated muscles.
Embodiments of the present invention include a neck exercising device having a headset, an arm, a motor, and a weight, and a method for the device's use.
In a preferred embodiment of the invention the weight is mounted eccentrically on a radial track that is rotatable by one motor and extendable by another motor. An optional third motor, and the weight are mounted on the arm. The arm is mounted on the apex of the headset. The direction of the arm, the distance between the apex of the headset and the weight, the eccentricity of the weight on the axis, and the speed of rotation of the motor are all parameters that can be adjusted by a caregiver or user, either manually or via controlling software.
When the user wears the headset while the motor is operating, a moment is applied to the head and neck, and this moment necessitates neck muscle adaptation to maintain proper neck posture. Due to the angular and radial motion and the rotation of the eccentric weight this moment changes continuously and/or periodically at a desired amplitude and speed. If the user is trying to keep his/her head straight, certain neck muscles are exercised to provide the proper positioning.
In a preferred embodiment of the invention, an indication can be given to the user, typically by a sound or by a vibrator in contact with the user's skull, which provides a directional error message when the head is determined to be at an improper orientation.
In a preferred embodiment of the invention, the error message is created in a smartphone that is mounted on the headset using a software application that obtains information from the phone's accelerators and inclinometers.
In a preferred embodiment of the invention, the error message is created in the electronics of the system using an inertial measurement unit.
In a preferred embodiment the inertial measurement unit is electromechanical.
In a preferred embodiment the inertial measurement unit is solid state.
In a preferred embodiment the inertial measurement unit is a smartphone that is mounted on the headset using a software application that obtains information from the phone's accelerators and inclinometers.
In a preferred embodiment of the invention, The patient will be playing a game in which he/she is challenged to do precise head movements while the moment of the eccentric weight of the headset is changed or modulated.
Embodiments of the invention are operated as follows: based on the patient's initial neck posture, the strength of different neck muscle groups, and the specific head and neck pain syndrome, a therapist makes a decision with regard to the direction of the arm, the speed of rotation, etc. For example, patients with forward neck tilting, multiple trigger points in neck extensor muscles will benefit from weights applied posterior to the head that would require activation of neck flexor muscles and would reduce the tension and the over activation of neck extensor muscles.
A different utilization of this device is in the treatment of neck dystonia, Dystonia is a condition brought about by abnormal functioning of the brain motor networks. An abnormal posture of the neck is established due to the incorrect activation of the neck muscles. By changing the moment on the head and neck muscles a different combination of weight and moment is reached with normalization of the posture.
Embodiments of the present invention are described in detail below with reference to the accompanying drawings, which are briefly described as follows:
The invention is described below in the appended claims, which are read in view of the accompanying description including the following drawings, wherein:
Attention is now directed to
Attention is now directed to
A radial arm 26 made of any strong and light-weight material, such as plastic, wood, or aluminum, extends from the apex of the headset and rotates in a horizontal plane about an axis 24. Friction or other means of fastening keeps the arm 26 in a fixed orientation relative to the headset.
A motor 28 increases the moment of arm 26 and may include gearing to change the speed of rotation. The motor 28 is attached to the arm 26 by a band 30. The band allows the user to slide the motor along the arm 26 and to fix it in place. An eccentric weight 34, possibly made of a set of heavy eccentric disks, is fixed to the motor axis 32. The mass of the weight can be adjusted by adding or removing disks.
Electricity supplied by a battery 38 on the headset powers the motor. An electronic device 36, such as a dedicated inertial movement unit or a general purpose smartphone, has means to measure the orientation of the head in space using a software application that implements orientation sensors. Such orientation sensors are typically available on modern smart phones. Alternatively, device 36 can be a dedicated device that is designed for the system of the present embodiment and comprises means to measure and record the pitch, roll, and yaw angles of the headset. Additionally, the device 36 is configured, using commercially available text-to-speech software, to send correction messages to the user, alerting him/her when his/her head is inclined away from a desired head position. The message can be played to the user by audio via a speaker on the head set or via earphones in place near or in the user's ears.
Device 36 enables the utilization of the exact position of the headset in three-dimensional space as an input to a virtual reality based software that would require knowledge of precise head movements.
As a result of the eccentric motion of the weight around the X axis, a cyclic moment in the pitch and yaw dimensions is applied to the head and neck. The attachment band 30 can be sled forward and backward along the arm 26, and the mass and eccentricity of the weight 34, as well as the rotational speed of the motor, can be adjusted to change the amplitude and frequency of the moment cycles.
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Attention is now directed to
In all the configurations shown in
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Information about the head orientation (roll, pitch, yaw) is processed to detect whether the user's head is inside of or outside of a normal envelope set by the caregiver. If the orientation of the head of the user is not within the normal envelope, as set by a caregiver, a voice generator 74 generates an alert message such as “forward” or “leftward” that is amplified in an amplifier 72 and played to the user via speakers or earphones. This gives the user real-time feedback that guides him to correct the head orientation.
The signals from the processor 62 also go into a head shake monitor 66 that calculates the amplitude of head shaking, which is indicative of the ability of the user to restrain the moment of the eccentric weigh using his neck muscles. The information together with the data on head orientation is input to a data processor 68 and is recorded on a log 70 that can serve the user and the caregiver for monitoring the user's treatment off-line.
Attention is now directed to
The top of a user's skull 80 is shown in a normal posture, and a device 82 is attached to it comfortably (attachment means not shown). Four inclination Single-Pole, Single-Throw (SPST) mercury switches (such as those described in Handbook of Modern Sensors—Physics, Designs and Applications (3rd Edition). Springer-Verlag. pp. 256-257) 84, 86, and two others not shown for clarity, are mounted diagonally on the device, facing front, rear, right and left sides of the skull. Alternatively, and preferably, electronic inclinometers such as “High Accuracy Digtial Output 1-Axis MEMS Inclinometer Tilt Sensor” available from ZC, 3F, #6 Building, No. 639 Guangzhong Road, Minhang, Shanghai, 201108, China may be used. The switches are arranged so that their slopes, when the user exhibits proper posture, keep the mercury 88, 90 in the switches from reaching the electrodes 92, 94 thus preventing electric flow through the switches. Electric wires 96, 98 lead from the electrodes 92, 94, respectively, to the device and to a controller (not shown).
The inclination of switch 86, which is the rear switch, is adjusted so that when the skull leans forwards, as shown in
The inclination of switch 84, which is the rear front, is adjusted so that when the skull leans backwards, as shown in
In similar way, inclination to the left closes the right-side switch and inclination to the right closes the left-side switch.
The switches can be made implementing other technologies used in the art for sensing inclination.
The controller can determine from the conductance of the four switches whether and in which direction the skull is inclined and can then output voice instructions as described in
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A weight 118 is mounted on the arm. The moment of the weight on the skull changes with the distance between the weight and the axis, which is the radius of its rotation.
Another motor (not shown) on the arm rotates a pully wheel 124 and a wire 126 connected to the weight 118 and then to another wheel 122. The weight is mounted on a rail (not shown) so that by rotating the second motor, the wire pulls the weight along the rail (very much like a printhead of a printer). This positions the weight at different locations along the arm, so that the moment of the weight on the head can be changed continuously and automatically. This dynamic moment has a medical value in treating a patient. Batteries and a controller are located in a box 120 on the back of the headset.
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A strap system for securing a helmet 130 to a user's head is shown. The helmet is stably fixed to the head of the patient to withstand moments in all three dimensions, pitch, roll, and yaw. Such as in contrast to conventional helmets, such as motorcycle or construction worker's helmet, which protect the head but do not have to withstand moments of the same magnitude. Device carrying helmets, like a combat helmet carrying IR binoculars, or a surgeons' helmet carrying magnifiers and projectors, need to withstand pitch moments but very small yaw and roll moments. The present embodiment has a strapping system for helmets that can sufficiently withstand moments in all three dimensions.
A horizontal, latitudinal band 138 or 127 is strapped around the user's skull 128 so that it passes below the occipital bone 129 and is strapped by a conventional strapping fastener 134. This strap circumference is smaller than the skull circumference at the occipital bone, so the strap cannot move upwards.
A set of longitudinal straps 136, 144, 146, and others not shown, which total typically four or six in number, spaced around the skull 128 connect a payload 132 on top of the skull with the horizontal strap 138. These straps are fastened by conventional fasteners 137, 138, 140.
When all latitudinal and longitudinal straps are fastened, the payload 132 is fixed on the skull unable to slide about the surface of the head. Unlike other types of helmet fastening systems that fasten the helmet to the head with one latitudinal strap and one longitudinal strap going down under the chin, the present invention shows a trapping system that fastens the helmet to the head with one latitudinal strap and a plurality of longitudinal straps going up. A down-going strap can be included to increase the stability of the payload.
Attention is now directed to
In this embodiment, four channels of feedback signals are provided to the user's skull 174 by a head-wearable device 152 using four vibrators 160, 156, 154, and 162. Each of the vibrators is positioned against a skull bone so that a relatively weak vibration will be easily sensed by the user. The four vibrators are assigned to the four main directions—vibrator 156 is assigned to the front direction 166, vibrator 162 is assigned to the back direction 172, and vibrators 160 and 154 are assigned to the side directions 164 and 170, respectively. The user can distinguish between the vibrators by their unique vibration frequencies or by their unique vibration amplitude modulation or by sensing their location on the head, depending on the embodiment.
In this embodiment, the positions of the side vibrators 160, 154 are not identical to the directions that they indicate, that is, they are not positioned at the farthest points left and right of the user's head. Advantageously, they are more easily sensed because they contact bone, which enables the user to quickly learns to interpret them correctly.
Attention is now directed to
Attention is now directed to
A helmet 198 carries an eccentric arm 190 along which a carriage 194 is configured to move radially. The carriage has a weight and some electronic circuits 196. The arm 190 can rotate around the helmet in a horizontal plane around a vertical axis 192. It is desired that the moment of the carriage on the helmet will be variable between zero and a maximum value. The moment is varied by changing the distance between the weight and the axis 192.
The system is powered by one or more batteries 200. In a preferred embodiment of the invention, the batteries are serving as a part of the weight and are a part of the carriage 194. This saves on the weight of the system that a user must wear on his head.
Having thus described exemplary embodiments of the invention, it will be apparent that various alterations, modifications, and improvements will readily occur to those skilled in the art. Alternations, modifications, and improvements of the disclosed invention, though not expressly described above, are nonetheless intended and implied to be within spirit and scope of the invention. Accordingly, the foregoing discussion is intended to be illustrative only; the invention is limited and defined only by the following claims and equivalents thereto.
This application claims benefit under 35 U.S.C. § 119(e) of the Feb. 21, 2018 filing of U.S. Provisional Application No. 62/633,244, which is hereby incorporated by reference in its entirety.
Filing Document | Filing Date | Country | Kind |
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PCT/IB2019/051409 | 2/21/2019 | WO | 00 |
Number | Date | Country | |
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62633244 | Feb 2018 | US |