The present invention relates to an apparatus and a method for training neck muscle strength and mobility in order to improve, or restore, joint mobility in the neck of a person. It is also an apparatus that gives the neck and head a way to rest and relax.
Whiplash is the most common non-lethal injury in car accidents in the world. In 2007, 430000 people made an insurance claim for whiplash in the UK alone.
The term “whiplash” is a non-medical term that describes a wide range of injuries to the neck that is usually caused by a sudden distortion of the neck associated with extension.
The severity of a whiplash injury ranges from mild pain for a few days, which is the case for most people, to severe disability. About 50% who have whiplash injuries from a car accident will have some long lasting problems.
If an injured person has symptoms lasting for more than six months after the accident, he or she is usually diagnosed with whiplash syndrome.
The method for treating people with whiplash injuries has changed a lot over the years. Earlier it was more common to treat the patients with a collar, either soft or hard.
However, research of later years has concluded that the best way of recovery is to use an active rehabilitation program including physical therapy exercises and postural modifications.
In fact, it is important to begin rehabilitation immediately to prevent future pain, and the main purpose with early rehabilitation is to reduce the risk for development of whiplash syndrome.
Current research supports that active mobilization rather than a collar results in a more rapid recovery in both the short- and long-term perspective and patients who participated in active therapy shortly after injury increased their mobilization of the neck and had significantly less pain within four weeks, than patients using a collar.
Active treatments are light repetitive exercises of the neck and they can be done either at home or under the care of a health professional.
When beginning a rehabilitation regimen, it is important to begin with slow movements, which include cervical rotation until pain threshold three to five times per day, flexing and extension of the shoulder joint by moving the arms up and down two to three times, and combining shoulder raises while inhaling and releasing the shoulder raise while exhaling.
Passive treatments such as acupuncture, massage therapy, and stimulation may sometimes be used as a complement to active exercises. Return to normal activities of daily living should be encouraged as soon as possible to maximize and expedite full recovery.
Due to these changes in the way of treating patients suffering from a whiplash injury several types of exercise equipment have been designed.
US 2010292051 A1 is an example of exercise equipment made for whiplash recovery. The equipment is a portable neck exercise apparatus. The apparatus is meant to be carried on your back. A headband connects the user's head to the apparatus. The headband is connected to a set of wires and an adjustable mechanism makes it possible to adjust the tension on the neck. The user exercises the neck by moving the head back and forth.
There are several problems and drawbacks with this solution. One problem is that the apparatus needs to be carried on the back. It is a large, heavy and bulky apparatus that can only be used while the user is standing. A further problem is that it is only possible to exercise the neck by tilting the head back and forth. This results in that the neck can only be exercised in one direction. Yet another problem is that the apparatus uses restraints to exercise the neck. This increases the danger of exercise related injuries.
Also FR 3005582 A1 describes an apparatus intended to help with the treatment of neck related injuries. Also this apparatus is meant to be carried on the back of the user. In this apparatus the back of the head rests on a support. The neck is exercised by pushing the head against the support.
The problem with this solution is much the same as with US 2010292051 A1. The apparatus can only be used while the user is standing. It is large, heavy and bulky, it only exercises the neck in one direction and it uses a restraining motion on the neck, increasing the dangers of injuries.
A problem for the whip-lash injured person is to find a way to rest his neck and head. To find a pillow that is not provoking the discomfort of the neck is often hard to find. This apparatus will provide a dynamic mobile way to support the head and not give any pressure on the neck.
The object of the present invention is to provide a new and improved neck muscles and neck mobility training apparatus and method that avoids the drawbacks related to prior art devices and methods. It also gives a way to give rest and relax for the head and neck in a dynamic way, without pressure to the neck.
The human head is universally movable through its ability to pivot about three axis located in the neck region. In a mechanical aspect, the complex mobility of the head is composed of nodding the head back and forth about a first axis X which runs sideways substantially along the shoulder line of the body, tilting the head about a second axis Y which runs transversely to the first axis from the front to the rear side of the body, and turning the head about a third axis Z which runs through the neck in the longitudinal direction of the neck and body.
The present invention is an apparatus by which a person can exercise the neck to improve the neck strength and mobility around the three axes X, Y and Z. This is achieved, not necessarily by restraining or controlling the motions of the head, but rather through an apparatus which is structured to define the pivot axes X, Y and Z so that the user can focus the training to each axis individually and thus to one individual component of the complex mobility of the head.
The object is achieved in an apparatus for training muscle strength and mobility in the neck of a person when in lying position, the apparatus comprising a base element arranged to be placed flat on a surface, a head support pivotally coupled to the base element, and a head capsule suspended floating in the head support above the base element.
A preferred embodiment comprises a neck support rising from the base element, wherein the neck support provides a fulcrum that defines head movement to a pivoting motion about a first axis (X) which runs sideways substantially along the shoulder line of the body, a pivot connection between the head support and the base element defines head movement to a pivoting motion about a second axis (Y) transversely to the first axis, and by the floating suspension of the head capsule, the head support defines head movement to a pivoting motion about a third axis (Z) running in the longitudinal direction of the neck and body.
The present invention thus solves the problems of prior art apparatuses and meets the need for exercising neck muscles and improving mobility in the neck region while using little or no tension, by defining the movements of the head and neck to a fixed, yet dynamic, set of axis. It is therefore possible to exercise the joint mobility of the neck and the range of the motion of the head and neck around one axis of movement at a time. The apparatus is designed for use while the user is lying on a flat surface such as a floor or a firm bed. The base of the apparatus rests on the floor or bed and has a support for the neck. Further, there is a support for the head suspended above the base. This head support is suspended floating above the base to give the user full range of motion while at rest.
Preferably, the pivot connection between the head support and the base element is arranged movable in parallel with the third axis Z (longitudinal axis). This embodiment allows the head support to be moved towards the body of the user, this way facilitating a backwards nodding motion of the head and increasing the range of pivotal motion of the head around the first axis X.
The movable pivot connection between the head support and the base element can be realized in the form of a journal pin that is arranged sliding in linear guides arranged on the base element. This journal pin can either be secured in a lower side of the head support for insertion into the linear guide from above, or secured in a structural element arranged to travel in the linear guide, from which structural element the journal pin projects upwards for journaling of the head support in pivotal relation. This embodiment which provides rectilinear movability of the head support relative to the base element supports repetitive motion without leaving a vertical plane radial to the first axis X, and helps the user to isolate the head nodding exercise from head tilting and head turning components.
A spring member can be arranged for biasing the journal pin, and thus the head support, towards an initial position which provides the head a neutral position wherein the neck and head is neither bent forwards nor backwards. This embodiment adds to defining the angular range for a nodding mobility training session.
Said initial or neutral position can be determined by application of a stop member at a chosen location along the linear guide for the movable head support, this way permitting customization of the mobility-training apparatus to the individual user.
Said spring member can be realized in the form of a tension spring or a compression spring arranged for regulation of the force required to move the head support along the guide, this way providing the option of setting a load and resistance in the backwards nodding training.
In more detail, a preferred embodiment of the invention comprises a frame structure pivotally connected to the base element, the frame structure partially and symmetrically surrounding the head of the user in lying position, and a head capsule suspended from wheels that are rotationally journaled in the frame structure.
The suspension of the head support comprises a set of laterally disposed left and right side wheels journaled in the frame structure, the rotary axes of which are equally tilted towards a point of intersection above the apparatus, and at least one longitudinally disposed crown wheel journaled in the frame structure, positioned above the crown of the head of a user in lying position, wherein a length of a line runs through all wheels and wherein the head capsule is coupled to ends of the line between the side wheels.
The embodiment provides full support of the head without restricting head movements. The embodiment effectively relieves the neck muscles from the weight of the head in any exercise that involves pivoting about any axis X, Y or Z. Thus enabling low resistance, none weight bearing, exercises.
The head capsule may be realized as a dimensionally or form stable bowl shaped element adapted to receive the back of the head. The head capsule may be a moulded plastic piece or made of wood, e.g. A soft inner lining is preferably applied to the head capsule in order to provide comfort. The inner lining may be formed in a viscoelastic or memory foam material, this way permitting an adaption to individual head shapes.
Preferred embodiments of the invention include a solution for adjusting the height position of the head capsule above the base element. This can be accomplished by applying an adjustable geometry to the frame structure. For example, a riser section of the frame structure may be arranged extendable to effectuate a change in vertical distance between the side wheels and the base element. On the other hand, a spacer section of the frame structure which determines the horizontal distance between the side wheels may alternatively be arranged extendable to lift or lower the head capsule in effect of slackening or stretching the line. Yet another alternative involves length adjustment of the line itself.
The neck support may have a cushioned pillow carried in a free end of a cantilever leg, the fixed end of which is anchored in the base element. The cushioning counteracts pressure caused discomfort as the neck support serves as a fulcrum for the training motion around the first axis X.
The anchoring point of the cantilever leg is preferably arranged movable in the base element substantially in parallel with the third axis Z. This feature allows the user to adjust the location of the fulcrum on the back side of the neck. The self-supporting character of the cantilever leg and its movable attachment to the base element provide in combination a range of settings including a setting wherein the first axis X intersects with the second axis Y, as well as settings at which the axes are separated in longitudinal direction (axis Z direction).
The cantilever leg may be elastic and realized in the form of a spring member or leaf spring in order further to avoid pressure induced discomfort to the neck.
Adjustable tensioning means, such as friction brakes e.g., may be applied to the pivot connection between the head support and the base element, and/or applied to the rotary journals of the side wheels and/or the crown wheel(s) respectively. If appropriate, these tensioning means may optionally be used for regulation of resistance against pivoting of the head in training under load.
The object of the present invention is also met in a method for training muscle strength and mobility in the neck of a person in lying position, the method comprising
i) arranging an apparatus with a base element (1), a head support (2) suspended floating above the base element, and a neck support (27) rising from the base element, such that the apparatus defines head movements to pivoting motion about
ii) pivoting the head selectively around said axes one at a time.
The method optionally includes applying tensioning means to regulate a resistance against head pivotal motion around any axis X, Y and Z.
It will thus be appreciated that the apparatus and method of the present invention is equally useful in a rehabilitation program aiming to restore neck muscle strength and mobility for a person with a diagnosis, as well as in an athletic training program aiming for improved neck strength through load training.
The apparatus also enables a dynamic resting function where the head and neck is in a dynamical position. This means it locates itself at a point of least resistance according to the axis's involved and that it will provide relief from pressure and discomfort to the neck.
Embodiments of the invention will be further illustrated below with reference made to the accompanying schematic drawings. In the drawings,
It should initially be noted that the drawings are schematic and not true to scale. In practise, dimensions and angular relationships need to be considered and calculated from case to case. However, given the teachings presented herein, a skilled person will be able to arrive at practicable implementations of the invention using ordinary engineering skills only.
With reference to
The head support includes a capsule 3 which is shaped as a bowl to receive the back of the head. The head capsule is suspended in a frame structure 4 which is pivotally journaled in the base element through a pivot connection 5. The pivot connection 5 defines head pivotal motion around axis Y (see
The head support 2 is mounted movable relative to the base element 1 substantially in the longitudinal direction as illustrated through the arrow B in
As illustrated on larger scale in the cut out detail view of
With reference to
A split clamp 13 with tightening screw 14 may optionally be arranged as a form of frictional brake surrounding an upper end of the journal pin 7 that projects above the seat 9.
The head capsule 3 may be formed in a ductile material which accommodates to the shape of the head, such as fabric. The head capsule 3 may optionally be formed in a mouldable and form stable material such as plastic. In
The floating suspension of the head capsule 3 in the frame structure 4 will now be explained with reference to
The frame structure 4 comprises a longitudinal arm section 10, a riser section 16 adjoining a distal end of the arm section 10, and left and right wing sections 17 and 18 extending laterally from the riser section 16. The riser section 16 rises above the crown 19 of a head of a user in lying position. The wing sections 17, 18 extend on each side of the head substantially to the region of the left and right temples 20 of the head of a user in lying position. The frame structure 4 thus symmetrically and partially embraces a head that rests in the head capsule.
The head capsule 3 is suspended in a length of line 21, such as a length of a rope, a wire, or a belt or cord, which is guided through a set of pulleys or wheels that are rotationally journaled in the frame structure. The line 21 may have an oval, circular or V-shaped section to mate with the profile of the wheel peripheries.
The set of wheels includes at least one crown wheel 22 carried on the riser section 16, and left and right side wheels 23 and 24 carried on the wing sections 17 and 18 respectively. The side wheels 23, 24 are tilted at an angle that guides the line 21 in a path that goes beneath the back of the head, where the head capsule is attached to the line, i.e. to the ends of the line between the side wheels 23 and 24. The tilting angle of the side wheels is such that their journaling axes 23′ and 24′ intersect above the apparatus (see
Basically, the wheels 22-24 are journaled on bearings to provide low friction and low resistance against rotation of the wheels. The head capsule 3 and line 21 form together an endless element journaled on wheels, such that the head capsule can be moved effortlessly from side to side between the side wheels 23 and 24 as the user turns the head in pivotal motion around the axis Z (see
Optionally, a split clamp 25 with tightening screw 26 may be arranged at one or more wheel 22-24 as a form of frictional brake to provide the possibility of applying a tension and resistance against pivotal motion around axis Z (see the clamp and screw shown schematically in
With reference to
The neck support provides a fulcrum 32 for pivotal motion of the head around axis X (see
The embodiments illustrated in the drawings has a frame structure that comprises tubular arm, riser and wing sections, which are bent and assembled to a shape that provides the spatial relation between wheels which is required to permit head movements and support the head at appropriate height above the base element. It should be noted that the frame can be otherwise structured, such as shaped or moulded to a singular element that provides the corresponding support and relation between the wheels. The tubular embodiment however facilitates the provision of a modified apparatus wherein riser and/or wing sections are made extendable, such as telescopic, in order to accomplish adjustment of the height position of the head support in relation to the base element. Other possible modifications include, e.g., a movable attachment of the wing sections to the riser section, a tilting frame, a line that is adjustable in length, etc. The accompanying claims shall be understood to cover the invention including all such useful modifications, although not explicitly disclosed above and in the drawings, which can be seen as improvements of the disclosed embodiments.
Number | Date | Country | Kind |
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20161702 | Oct 2016 | NO | national |
Filing Document | Filing Date | Country | Kind |
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PCT/NO2017/050275 | 10/27/2017 | WO | 00 |
Publishing Document | Publishing Date | Country | Kind |
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WO2018/080319 | 5/3/2018 | WO | A |
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Number | Date | Country | |
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20190254911 A1 | Aug 2019 | US |