The current state of the art, for vests used with unweighting systems, features vests that either have to be cinched extremely tight on a user to attempt to prevent the vest riding up and becoming uncomfortable for user or feature a strap between the legs which presents several problems—autonomic dysreflexia, altered gait, cumbersome and time consuming to put on somebody in a wheelchair, and lack of comfort to the user.
The present invention relates to an exercise vest for use with an unweighting system to unweight patients from minimal weight supported up to 100% of body weight supported. It is an object of the present invention to provide an exercise vest that is easy for a person to put on a user in a standing or seated position, and be able to remove any amount of body weight with the vest remaining in its original position and remaining comfortable for the patient even with maximum weight supported. As force is applied by the unweighting system, patient's upper torso is placed into an upright, elevated rib cage with shoulders back, allowing for maximum lung expansion.
An exercise vest (1) according to the present invention is shown in
Attached at the back of the thoracic belt (4) will be an elasticized and/or reinforced band (5) designed to wrap around the thoracic rib cage to the front of the patient and go up and attach to unweighting system via connector (7). Connector (7) is configured to enable adjusting of tensioning of the band. Pads (20) and (21) further distribute pressure around sensitive anatomical points. The band connects to the thoracic belt on the back side of the user. Optionally, the band connects to the thoracic belt at approximately the midpoint of the band. The band is configured to drape down from the unweighting system towards the should of the user, under the arm of the user, and to attach to the thoracic belt on the back of the user. When the unweighting system is used, the band may not touch the armpit of the user. The band is kept in place by the cross-forces exerted on the front of the band via the connectors to the thoracic belt on the front of the user's body.
Two straps extend down from the unweighting system behind the user. Each strap is connected to the unweighting system via a connector on one end. The end of the strap opposite the end of the strap connected to the unweighting system is configured to connect to the other strap. This connector may optionally be a buckle. The two straps connect in the front of the user, via the connector. The two straps are connected to the belt on the back side of the user. The connection between the two straps and the belt may compromise a clip with slots. The clip may be attached to the belt via a loop of fabric and may be composed of a plastic or metal material. The slots in the clip may enable a loop of fabric to go around one of the two straps and through out of the slots, such that the loop of fabric secures a strap to a slot via the loop of fabric. The two straps pass around the sides of the user to the front of the user. The two straps sit directly below the rib cage of the user.
Force is applied to the two straps via the unweighting system, in substantially a vertical direction. As this force is applied, the two straps cinch around the user just below the rib cage. This force simultaneously tightens the two straps around the user, to prevent the user from slipping downward, and lifts the user. Utilizing the reinforced and/or elasticized straps (5) with this positioning (6) to accomplish this unweighting has the effect of evenly distributing forces and snugging up or hugging the user.
The elastic portion (9) of the strap allows for the hugging effect while the reinforced portion (10) comes into play once a certain amount of force is applied and everything is secured. Then total body weight can be removed without fear of exceeding elastic capabilities of elastic portion of band. Two elasticized and/or reinforced bands (11) and (12) with means to connect together (13) and (14) will go from anterior patient wrapping around each side of patient to back of patient going through connector (15) and connecting to unweighting device via connectors (16) and (17). When an unweighting force is applied to these straps a tensioning force will distribute forces uniformly across entire portion of strap(11) and strap(12) and hugging action occurs. Again the elasticized portion of the strap allows for the hugging and securing activity while the reinforced portion allows for unweight forces to exceed the normal limits of the elasticized portion in a safe manner. The adjustment straps (18) on front of vest connecting to strap (19) are adjustable to control where straps (11) and (12) falls relative to sensitive anatomical points. Adjustable straps (8) and (22) are designed to allow uniform tension between band (5) and straps (11) and (12) or uneven depending on what user is trying to do with patient. As an exemplary use, one strap may be elongated via the adjustable straps, and such an elongation may cause one side, such as the right side, of the user to be lifted first, and be lifted higher than the other side of the user. The adjustable straps may cross on the back side of the user. The adjustable strap that connects to the right side of the unweighting device loops under the left arm of the user, and the adjustable strap that connects to the left side of the unweighting device loops under the right arm of the user.
The combination of the thoracic belt, the band, and the two straps is optionally called the vest.
An ischial tuberosity strap (23) is shown in
When these adjustable straps (31) are snugged up it allows for weight distribution between upper vest (1) and ischial tuberosity strap (23). The weight distribution between the vest and the ischial tuberosity strap may be such that the vest supports approximately half of the weight and the ischial tuberosity strap supports approximately half of the weight. The ischial tuberosity strap (23) is typically positioned and secured after patient is in a standing position. The design allows for non-slip (35) portion of the strap to be used as positioning and locator while the secondary strap (27) is the strap that serves to lock under the gluteal fold and be the primary holder.
In using the present invention, the shoulder straps (36) are hung from an unweighting system which may be positioned over ground or over a treadmill. The unweighting system is positioned so that the vest (1) may be fitted on the person using the treadmill. This fitting may be done in either in a standing or seated position. The person is faced so that the person can back into the vest. The right arm is positioned through the right shoulder strap (37), and the left arm is positioned through the left shoulder strap (38). Thoracic belt is then fastened around patient's abdomen via connectors (2) and (3) and secured in place. Straps (11) and (12) are joined and minimal weight is removed to tension and secure vest (1) in place. Positioning straps (39) and (40) are secured and tensioned to desired positioning. Unweighting system is now adjusted to remove desired amount of body weight} from minimal to full body weight.
While an embodiment has been described with respect to a wheelchair, the vest may also be adapted and used in coordination with an existing chair such as an office chair, lumbar support chair, sofa or automobile seat. In such situation, some of the straps would be secured in a similar manner as described above and as required for automobile crash safety purposes.
Each of the straps and band described may be composed of nylon, or similar material. The connectors may be composed of buckles. Connections to the unweighting system may be configured as an eye and clip, a buckle, a hook with a strap looped through, or similar means. The straps may be elasticized or not. The straps may be reinforced or not.
Number | Date | Country | |
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62313038 | Mar 2016 | US |