1. Technical Field
The present invention relates to rehabilitation apparatuses and, more particularly, to a gait rehabilitation machine for assisting in a patient's gait rehabilitation and a method of using the gait rehabilitation machine.
2. Description of Related Art
People with paraplegia resulting from spinal cord injuries, strokes, nerve injuries, etc. rely on medical assistive apparatuses in their daily lives not only to move and position their bodies but also to assist in rehabilitation. Typically, the purpose of rehabilitative exercise is to restore patients' mobility. In restoring a patient's walking ability for example, assistive apparatuses for gait rehabilitation play a very important role.
The structure of commercially available assistive gait rehabilitation apparatuses, such as those based on U.S. Pat. No. 6,146,315 and U.S. Pat. No. 6,821,233, mainly includes a suspension system for suspending a patient so that the patient is standing on a treadmill and ready to do gait rehabilitation exercise. As the patient's body must be suspended on the suspension system for a long time to stay in the standing position required by the rehabilitative exercise, bodily discomfort tends to ensue. Besides, it is a time-consuming process for the patient to suspend his or her own body onto the suspension system. Those who help the patient put on or take off the gears must also be properly trained in order to assist the patient in getting on or off the suspension system safely. Moreover, an assistive gait rehabilitation apparatus composed of a treadmill and an ancillary suspension system has a very large volume and, although the operating speed of the treadmill can be controlled to provide walking exercises at different paces, does not allow postural adjustment of the patient's lower limbs; consequently, the training effect on the lower limbs leaves much to be desired.
The primary object of the present invention is to provide a gait rehabilitation machine which allows a patient to do gait rehabilitation exercise without having to be suspended for a long time.
To achieve the foregoing primary object, the present invention provides a gait rehabilitation machine for rehabilitating a patient's lower limbs. The gait rehabilitation machine includes: a frame; a rear supporting member provided at the frame so that the back side of a human body can lean against the rear supporting member; a thigh supporting member corresponding to a thigh of the human body and pivotally connected to the frame; a shank supporting member corresponding to the corresponding shank of the human body and pivotally connected to the thigh supporting member, wherein the shank supporting member has a pedal to be stepped on by the human body; a knee supporting member corresponding to the corresponding knee of the human body and provided at the thigh supporting member or the shank supporting member; and a transmission device for driving the shank supporting member to move.
The present invention also provides a method of using a gait rehabilitation machine, wherein the gait rehabilitation machine includes: a frame; a rear supporting member provided at the frame so that the back side of a human body can lean against the rear supporting member; a thigh supporting member corresponding to a thigh of the human and pivotally connected to the frame; a shank supporting member corresponding to the corresponding shank of the human body and pivotally connected to the thigh supporting member, wherein the shank supporting member has a pedal to be stepped on by the human body; a knee supporting member corresponding to the corresponding knee of the human body and provided at the thigh supporting member or the shank supporting member; a transmission device for driving the shank supporting member to move; and a reeling device in which a winding element is wound and which can increase or decrease the exposed length of the winding element. The method of using the gait rehabilitation machine includes the following steps:
A) Shank positioning: A wheelchair-ridden patient enters the gait rehabilitation machine on his or her own or with external help. Then, the sole of one of the patient's feet is placed on the pedal, and the corresponding shank is placed on the shank supporting member.
B) Thigh positioning: By controlling the reeling device, the winding element is wound around the patient's body. Then, the reeling device is controlled to shorten the exposed length of the winding element such that the patient is driven by the winding element to stand on the shank supporting member, with the corresponding thigh corresponding to the thigh supporting member, and the corresponding knee corresponding to the knee supporting member. In addition, the rear supporting member is installed onto the frame, allowing the patient to lean his or her back side against the rear supporting member.
C) Rehabilitative exercise: The transmission device is operated to drive the shank supporting member into motion; consequently, the patient is engaged in gait rehabilitation exercise.
Thus, the patient only has to step on the shank supporting member, with the corresponding knee pressing against the knee supporting member and corresponding thigh abutting against the thigh supporting member, and lower-limb gait rehabilitation exercise can be carried out in the absence of a suspension system.
The structure as well as a preferred mode of use, further objects, and advantages of the present invention will be best understood by referring to the following detailed description of some illustrative embodiments in conjunction with the accompanying drawings, in which:
The technical features of the present invention are detailed below with reference to the preferred embodiments in conjunction with the accompanying drawings.
Referring to
The rear supporting member 13 is provided at the frame 11 so as for the back side of a human body to lean against the rear supporting member 13. The thigh supporting member 14 corresponds to one thigh of the human body and is pivotally connected to the frame 11. The shank supporting member 17 corresponds to the corresponding shank of the human body and is pivotally connected to the thigh supporting member 14. The shank supporting member 17 has a pedal 171 on which the human body can step. The knee supporting member 16 corresponds to the corresponding knee of the human body and is provided either at the thigh supporting member 14 or at the shank supporting member 17. The transmission device 18 is configured for driving the shank supporting member 17 to move.
Referring again to
The rear supporting member 13 is fixedly and detachably connected to the frame 11 so that the back side of the human body (e.g., the portion between the waist and buttocks) can lean against the rear supporting member 13. In this embodiment, the rear supporting member 13 has a fixed bracket 131 and a supporting pad 132. The fixed bracket 131 is detachably connected to the handrail 115 of the frame 11. The supporting pad 132 is fixedly provided on the fixed bracket 131 and is configured for supporting the back side of the human body. In other words, the back side of the human body can lean against the supporting pad 132. In this preferred embodiment, the supporting pad 132 is made of a soft material to provide a comfortable feel to the human body.
In this embodiment, the thigh supporting member 14 has a first section 141 and a second section 142. The first section 141 is pivotally connected to the handrail 115 of the frame 11, and the second section 142 is movably connected to the first section 141. More specifically, the first section 141 is mounted around the second section 142. By moving the first section 141 and the second section 142 relative to each other, the distance therebetween can be adjusted so that the thigh supporting member 14 is adjusted to correspond to the size of the corresponding thigh of the human body.
The shank supporting member 17 corresponds to the corresponding shank of the human body and is provided on the frame 11. The shank supporting member 17 has a pedal 171 to be stepped on by the human body. In this embodiment, the shank supporting member 17 is movably connected to the knee supporting member 16 and has a flat plate portion 173. The pedal 171 to be stepped on is formed by the flat plate portion 173. It should be pointed out that, in this embodiment, the knee supporting member 16 has a guide post 164, and the shank supporting member 17 has a guide hole 172 corresponding to the guide post 164, wherein the guide post 164 is inserted in the guide hole 172 to limit relative movement between the knee supporting member 16 and the shank supporting member 17. In addition, the rear side of the flat plate portion 173 is protrudingly provided with a stop block 174. A strap 22 is provided at the flat plate portion 173 and in front of the stop block 174. Thus, when one of a patient's feet is placed on the pedal 171, the foot can be inserted in between the strap 22 and the flat plate portion 173 such that the stop block 174 abuts against the heel. This prevents the foot from coming off the flat plate portion 173 and thereby enhances safety in use.
It should be noted that, while the strap 22 in this preferred embodiment is provided at the flat plate portion 173, it is also feasible to have the strap 22 provided on the thigh supporting member 14, as shown by the dashed line in
The knee supporting member 16 corresponds to the corresponding knee of the human body and is provided at the thigh supporting member 14 or the shank supporting member 17. In this embodiment, the knee supporting member 16 is pivotally connected to the thigh supporting member 14, or more particularly to the second section 142 of the thigh supporting member 14. The knee supporting member 16 has an abutting portion 161 against which the corresponding knee of the human body can abut. In addition, the present embodiment includes a position-limiting element 162 fixedly provided at the abutting portion 161. The position-limiting element 162 has a position-limiting groove 163 corresponding to the corresponding knee of the human body. The knee can be located in the position-limiting groove 163 and have its moving direction limited by the position-limiting groove 163.
The transmission device 18 is configured for driving the shank supporting member 17 into motion. In this embodiment, the transmission device 18 has a base 181, a lateral movement device 182, and a vertical movement device 183.
The base 181 is provided beside the frame 11. The lateral movement device 182 is provided at the base 181 and between the base 181 and the frame 11. The lateral movement device 182 has a lateral movement platform 184 which can move laterally. The vertical movement device 183 is provided at the lateral movement platform 184 and has a vertical movement platform 185 which can move up and down. The vertical movement platform 185 is pivotally connected to the shank supporting member 17 so as to drive the shank supporting member 17 to move.
By simultaneously controlling the lateral movement device 182 and the vertical movement device 183, the vertical movement platform 185 is moved in conjunction with the lateral movement platform 184 to drive the shank supporting member 17 into motion. Thus, the gait path of the gait rehabilitation machine can be actively controlled, and the exercise posture of a patient's lower limbs is adjustable. Consequently, the problem of having a fixed lower-limb moving pattern as is typical of the conventional assistive gait rehabilitation apparatuses is solved. It should be pointed out that the transmission function of the transmission device 18 is equally achievable by other devices, such as elliptical trainers or like gait training machines; however, the lateral and vertical movement paths of such gait training machines are invariable.
The method of using the gait rehabilitation machine in the first preferred embodiment is now described with reference to
According to the aforesaid structure, the present invention enables a patient to do gait rehabilitation exercise without having to be suspended for a long time. Thus, not only is the discomfort resulting from long-term suspension eliminated, but also the space occupied by the gait rehabilitation machine is reduced due to the omission of the suspension system typically required in the conventional assistive gait rehabilitation apparatuses.
The method of use of the second preferred embodiment is different from that of the first preferred embodiment in that, by operating the lifting unit 113, the distance between the movable element 112 and the base 181, and hence the height of the thigh supporting member 14, can be adjusted.
The front supporting member 12 is fixedly and detachably connected to the handrail 115 of the frame 11 so that the front side of the human body can lean against the front supporting member 12. In this preferred embodiment, the front supporting member 12 is of a plate shape. A soft pad 23 made of a soft material is fixedly connected to an edge of the front supporting member 12. The front side of the human body, such as the abdomen or waist, can lean against the soft pad 23.
The operation method of this preferred embodiment is substantially the same as that of the first preferred embodiment except that, in the third preferred embodiment, a patient's front side and back side abut against the front supporting member 12 and the rear supporting member 13 respectively while the patient is standing on the shank supporting member 17. This allows the patient to do gait rehabilitation exercise without having to hold the handrail 115. Besides, the front supporting member 12 in this embodiment doubles as a table, and a patient can lean backward against the rear supporting member 13.
The operation method of this preferred embodiment is substantially the same as that of the first preferred embodiment except that, once a patient stands on the shank supporting member 17, the supporting shaft 152 can be rotated so that not only does the roller 153 abut against the patient's thighs, but also the tightness with which the roller 153 abuts against the patient's thighs can be adjusted. Consequently, the stability of the patient's thighs during gait rehabilitation exercise is increased.
The method of use of the fifth preferred embodiment is described as follows with reference to
Referring to
A) Shank positioning: A patient seated in a wheelchair enters the gait rehabilitation machine on his or her own or with external help. Then, the sole of one of the patient's feet is put on the pedal 371, with the corresponding shank placed on the shank supporting member 37.
B) Thigh positioning: The reeling device 41 is controlled so that the winding element 411 is wound around the patient's body. Afterward, the reeling device 41 is controlled to shorten the exposed length of the winding element 411; consequently, the patient is driven by the winding element 411 to stand on the shank supporting member 37, wherein the patient's corresponding thigh corresponds to the thigh supporting members 34 and the patient's corresponding knee corresponds to the knee supporting members 36. In addition, the rear supporting member 33 is assembled onto the frame 31 so as for the patient's back side to lean against the rear supporting member 33.
C) Rehabilitative exercise: The transmission device 38 is operated such that the shank supporting member 37 is driven to move by the transmission device 38. Hence, the patient is engaged in gait rehabilitation exercise.
To sum up, the gait rehabilitation machine and the method of using the same as disclosed herein have the following features:
1. The present invention enables gait rehabilitation with a less bulky machine than in the prior art and eliminates the bodily discomfort of being suspended.
2. By operating the reeling device 21, a patient can take on and leave the exercise position in the gait rehabilitation machine on his or her own. This makes it easier for the patient to engage in rehabilitative exercise than with the prior art assistive apparatuses.
3. By controlling the transmission device 18, the moving path of the shank supporting member can be changed, and hence the patient's lower-limb exercise posture can be adjusted. As a result, the problem of having a fixed lower-limb moving pattern as is commonly seen in the conventional assistive gait rehabilitation apparatuses is solved.
Number | Date | Country | Kind |
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100111254 A | Mar 2011 | TW | national |
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Number | Date | Country | |
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