Elbow tendinopathy is commonly known as either tennis elbow (lateral epicondylitis) or golfer's elbow (medial epicondylitis). These tendinopathies result from overload injuries either acutely or chronically, with repetitive forces. Elbow epicondylitis is a common ailment in the population effecting roughly 3 percent of the general population aged 35-65. Common professions include musicians, chefs, manual laborers, and athletes (e.g., racquet sports, golfers and baseball players).
Tendinopathy is the result of a micro-tearing of the tendon at the insertion to the bone. The pathophysiology of tendinopathy includes tendon cellular and matrix changes with alterations in nociceptive processing impairing motor and sensory function. Tendinopathy has increased cellularity, accumulation of ground substance, abnormal arrangement of collagen fibers and neurovascular growth leading to reactive tendinopathy or degenerative tendinopathy which may lead to focal necrosis or calcification. The collagen in the tendon bone interface losses it's strength with repetitive injuries. The tendon becomes fragile and can break, causing the body to form scar tissue causing the tendon to thicken. The common tendon affected for lateral epicondylitis is the extensor carpi radialus brevis. The common tendons for medial epicondylitis are the flexi carpi ulnaris and pronator teres. Patients typically experience pain and reduced function with activities of daily living on either the medial or lateral side of the elbow.
Difficulties in managing elbow epicondylitis are a result of the complexity of the anatomy, biomechanics and pathophysiology. Numerous treatment options are available. Ninety five percent of the patients respond to conservative (non-operative) management. Common treatments include rest, medication (NSAIDS and steroid injections), activity modification, physical therapy, and counterforce bracing. Conventional bracing methods use counterforce straps. Current elbow strap technology is limited by an inability to provide tension feedback for proper bracing adjustment resulting in ineffective use if applied with too little tension, or the potential for bodily harm if excessively tensioned. Current technology also lacks the ability to detect activity in the upper extremity that can perpetuate the tendinopathy. Therefore, a need exists for a device and method to properly apply a counterforce strap. Secondly, a need exists to properly monitor excessive contraction of the forearm musculature which creates a detrimental physiological state.
In addition, there is a need for a device and method of measuring the amount of strain on a body part or muscle group when performing particular tasks that are not directly related to treating the conditions detailed above. Proprioception refers to a body's sense of self-movement, force, and body position. Proprioception is mediated by proprioceptors, mechanosensory neurons located within muscles, tendons, and joints. It is possible, if not probable, that people tend to tense or move a body part specifically to be aware of the location and position of that body part.
Awareness of the body's position and movement is a trait that will inevitably vary from one person to another. It is likely that people that are particularly skilled at certain tasks have a higher level of proprioceptive awareness allowing them to be able to perform tasks and make them appear effortless. For example, guitar players have a natural tendency to tense the hand and forearm they use to manipulate the fretboard, but many world class guitar players appear to play with very relaxed hands and forearms. It is likely that different levels of proprioceptive awareness dictate (at least in part) muscular tension, and how well people perform certain tasks.
According to a first aspect, a bracing system for indicating a potential strain to a preselected body muscle includes a strap having two sides, one side configured to be positioned over and removably fastened to a body surface directly over a preselected body muscle. The system also includes a pressure sensor coupled to or integrated with the strap and configured to detect changes in pressure applied to said one side of said strap in response to a change in the status of said preselected body muscle from a relaxed state to a flexed state, and vice versa. The system further includes an indicator circuit configured to be communicatively coupled to the pressure sensor and, drawing from a power supply, configured to provide one or more indications of the status of said preselected body muscle, including the relaxed state and the flexed state.
According to other embodiments, the indicator circuit further includes one or more light emitting diodes (LEDs), the indicator circuit is configured to indicate the relaxed state by illuminating at least one of the one or more LEDs in a first color, and the indicator circuit is configured to indicate the flexed state by illuminating at least one of the one or more LEDs in a second color that is different than the first color.
In some embodiments, the indicator circuit further includes a visual indicator of an adequate connection to the power supply, a proper fastening of the strap, or the status of said preselected body muscle.
In other embodiments, the indicator circuit is further configured to transmit or communicate pressure readings to an external device such as a computer equipped with software allowing for processing of the data or a commercially available audio interface that can correlate data from an instrument and data received form the device.
In other embodiments, the strap may include a haptic feedback module, vibrating motor, or a buzzer.
In still other embodiments, the vibration of the motor can be processed by software to generate a sonic waveform indicating or correlating with the pressure detected by the pressure sensor. This data is transmitted to a receiver, then to an audio interface where the amplitude and frequency of the force are recorded. In this manner the user can immediately track the pressure detected by the pressure sensor directly recorded alongside data from a task, such as playing music, to identify where pressures exceed an acceptable limit.
According to many embodiments, the system further includes a memory configured to record at least one of instances when the preselected body muscle transitions from one state to another.
In other embodiments, the strap further includes a mark, visible on the side of the strap opposite the one side, to assist a user with proper positioning or alignment of the pressure sensor relative to an anatomical feature.
In yet another embodiment, the anatomical feature includes an elbow lateral epicondyle, an elbow medial epicondyle, a bicep, a calf, a thigh muscle, or other muscle or muscle group in the body.
In many other embodiments, the indicator circuit is coupled to or integrated with the strap.
According to many embodiments, the indicator circuit is further configured to indicate that a strap has been fastened at a proper level of tightness.
In yet another embodiment, the preselected body muscle is selected from a group consisting of a extensor carpi radialis brevis, supinator, extensor digitorum, extensor digiti minimi, extensor carpi ulnaris, common flexor tendon, flexor carpi radialis, flexor carpi ulnaris, flexor digitorum superficialis and palmaris longus.
According to other embodiments, a flexed state arises from a muscle contraction, a wrist extension, or a wrist flexion.
According to many embodiments, the external device comprises a pressure gauge or readout, a computer, a smart watch, or a smart phone.
According to a second aspect, a pressure sensing brace for monitoring a preselected body muscle includes a strap having a sensing portion and a latching portion, the latching portion structured to removably fasten the strap about a preselected body muscle and to position the sensing portion on or proximate to the preselected body muscle. The brace further includes a pressure sensor coupled to or integrated with the sensing portion of the strap, the pressure sensor configured to sense at least a first pressure corresponding to a first preselected body muscle state and a second pressure corresponding to a second preselected body muscle state. The brace also includes a sensing circuit communicatively coupled to the pressure sensor and configured to generate an alert responsive to the pressure sensor sensing at least one of the first pressure or the second pressure.
According to still further embodiments, the brace can include, integrate or otherwise incorporate other forms of sensors to collect different forms of data as needed. For example, it can be desirable when treating a patient with a proprioceptive awareness deficit to monitor movement and/or position instead of or in addition to pressure. The brace can include a variety of different sensors including accelerometers or a Hall effect sensor. Various embodiments can integrate additional sensors into the brace to correlate data from the pressure sensor with other data including, but not limited to temperature, proximity, position, motion, force, contact and level sensors as desired.
According to other embodiments, the brace further includes an alignment indicator configured to provide a visual indication to a user to place the brace in a position such that the pressure sensor is correctly aligned with the preselected body muscle.
In other embodiments, the alert is a visual alert.
In many embodiments, the sensing circuit is configured to provide a first alert responsive to the pressure sensor sensing the first pressure and a second alert responsive to the pressure sensor sensing the second pressure.
According to some embodiments, the sensing circuit is coupled to or integrated with the brace.
In many other embodiments, the second pressure is greater than the first pressure.
According to a third aspect, a brace includes a strap having two sides, one side configured to be positioned over and removably fastened to a body surface directly over a preselected body muscle. The brace further includes a pressure sensor integrated with the strap and configured to detect changes in pressure applied to said one side of said strap in response to a change in the status of said preselected body muscle from a relaxed state to a flexed state, and vice versa. The brace further includes a mark, visible on the side of the strap opposite the one side, to assist a user with proper positioning or alignment of the pressure sensor relative to an anatomical feature, wherein the pressure sensor is configured to be communicatively coupled to a pressure indicator.
According to some embodiments, the preselected body muscle includes a forearm, upper arm, or leg.
According to a fourth aspect, a method of monitoring a user's forearm muscle strain, the method includes providing a brace comprising a strap having two sides and structured to be secured about a circumference of a forearm, wherein the strap includes a pressure sensor configured to monitor a state of a forearm muscle and provide an indication corresponding to the state of the forearm muscle. The method further includes providing a first indication when the forearm muscle is in a relaxed state and providing a second indication when the forearm muscle transitions from the relaxed state to a strained state.
According to many embodiments, the strap and pressure sensor are configured to monitor the state of the forearm muscle when the user is playing a musical instrument.
In other embodiments, the second indication alerts the user that the musical instrument is being played with an undesirable forearm muscle strain or wrist position.
According to some embodiments, the strap and pressure sensor are configured to monitor the state of the forearm muscle when the user is playing a sport involving holding a piece of sporting equipment, such as a tennis racket, baseball bat, ball, or golf club, and wherein the second indication alerts the user that the sporting equipment is being held in an undesirable manner.
In many embodiments, a side of the strap, which is visible to the user, bears a mark to assist the user with proper positioning or alignment of the pressure sensor relative to an anatomical feature.
According to other embodiments, the method further includes providing a tightness indicator configured to indicate to the user that the strap has been properly tightened to monitor the state of the forearm muscle.
In some embodiments, the method relieves one or more symptoms of lateral epicondylitis or medial epicondylitis.
In some embodiments, the brace includes microprocessor control, which can detect movement direction and velocity, as well as gravitational pull. When combined with the pressure sensor mechanism, the brace can measure muscle tension versus relaxation and also movement versus stillness. This movement sensor can also be used to develop time-based relationships of tension and movement. For example, a golfer's swing can be graphed showing grip tension changes throughout all stages of their golf swing such that “problem areas” can be identified. In some embodiments, the movement sensor is an accelerometer. In other embodiments, the movement sensor is a 3-axis accelerometer and in still further embodiments, it is a MIMS accelerometer.
Many embodiments of the brace can be used in practice and research (e.g., medical, behavioral, neurophysiological), where the tension of a body part and posture should be measured with minimal constraint or influence from the measuring devices on the target body part. For example, when measuring proprioceptive ability of the hands and fingers, the brace can measure level of relaxation of the hand, and fingers, the brace can measure the level of relaxation of the hand/wrist/forearm, so a base proprioceptive awareness can be measured under minimal hand and finger tension, as a proxy measured by the brace through monitoring forearm tension, deflection, and circumference. The movement sensing capability described above further allows the brace to monitor, alert and record any movement in three-dimensional space.
The brace can also be used in investigation of malingering and cases were patient intent and effort can be interpreted by changes in tension, shape and other physical properties of a body part or muscle group which should be recruited in valid attempts of physical performance of the reportedly injured body part. When combined with other objective and quantifiable physical measures (e.g., optic sensing and recording) and neurophysiological measures (e.g., cognitive activation/Brain wave patterns and GSR) a convergent validation of the authenticity of the injury and/or the patient's effort level can be assessed in an objective, quantifiable and legally defensible fashion.
The disclosure will become more fully understood from the following detailed description, taken in conjunction with the accompanying figures, wherein like reference numerals refer to like elements, in which:
The drawings are not necessarily to scale, and certain features may be shown exaggerated in scale or in somewhat schematic form in the interest of clarity and conciseness.
The brace 100 herein disclosed provides an apparatus and method of measuring the level of strain in a body part during a particular activity or set of activities. As a result, the brace 100 can be used to help screen applicants for a particular task or job based upon how well they perform the task(s) without producing too much strain in a particular body part. In this manner, the brace 100 can not only identify someone that is adept at a particular task but can be used to train someone less adept at the same task to perform it better, i.e., without as much strain on their body. The brace can be used to assess a variety of tasks and movements in this manner including, but not limited to weightlifting, lifting in general, and detecting unintentional behaviors such as jaw clenching and/or teeth grinding. Furthermore, the brace 100 may be useful in treating and/or recovering from certain medical conditions that may affect a person's proprioceptive awareness. For example, patients with traumatic brain injuries and other forms of brain damage may benefit from receiving feedback from certain portions of their body that they may not otherwise receive because of their medical condition. The practical applications for methods of using the brace 100 are numerous and the below description is merely meant to illustrate various embodiment of the brace 100 as well as a variety of methods of employing the brace 100.
The brace 100 provides a training device that aids to prevent injury and improves performance of tasks where a firm grip is necessary to perform the task, but an excessive grip can result in reduced task performance and injury. As a prominent example, epicondylitis is a frequent injury for musicians (e.g., guitarists). A difficult concept and skill to command in guitar playing is to relax the fretting hand while practicing intensely. The player's grip should be only tight enough such that the strings play clearly when depressed to make contact with the frets. However, given the rigors, complexity, and stress of learning multiple chording and single note techniques, students tend to overtighten their grip. Even guitarists who have previously learned to play with a very relaxed and healthy technique will tend to grip too tightly under stress. This excessive grip not only leads to injury but decreases the player's ability to play in direct relationship to the over-gripping of the instrument. When properly worn, the brace 100 provides immediate feedback to the player when they are gripping too tightly, so that the player can relax their grip to a level that reduces unnecessary tendon stress or strain.
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The strap 10 is configured to be worn circumferentially around a pre-selected muscle group, such as, for example, a forearm muscle 200. The strap 10 is connected to the fastening member 20 on one end of the strap 10 and the tension ring 12 on the other end of the strap 10. The strap 10 also includes a fastening portion along a surface of the strap 10 such that the fastening member 20 can be secured to, fastened to, or otherwise removably coupled to the fastening portion of the strap 10. The fastening portion of the strap 10 and the fastening member 20 can each be part of a hook and loop fastening system, where the fastening portion is made up of the loops and the fastening member 20 is made up of the hooks. When the fastening member 20 interlocks with the fastening portion of the strap 10, the circumference of the strap 10 is fixed.
The tension ring 12 includes a through-hole or opening to allow the fastening member 20 to pass through. The tension of the strap 10 may be adjusted mechanically by the amount of the strap 10 that is pulled through the tension ring 12 and then doubled back against itself and secured with the fastening member 20. In this configuration, a user only needs a single hand to don and tension the brace 100 with a single grasp and pulling motion.
The pressure sensor 24 is located on the side of the strap 10 that makes contact with the wearer when the brace 100 is worn. The pressure sensor 24 is configured to detect the changes in pressure caused by the forearm muscle 200 flexing and thereby circumferentially expanding against the strap 10, which itself maintains a substantially consistent circumference. The interaction between the expanding circumference of wearers forearm muscle 200 against the fixed circumference of the strap 10 creates the pressure that is read by the pressure sensor 24. The pressure sensor 24 is positioned between the strap 10 and the sensor cushion 25. The sensor cushion 25 and the pressure sensor 24 can be integrated into the strap 10 or may be removably coupled to the strap 10 with a plurality of fasteners or any other suitable fastening system. The pressure sensor 24 may be any one of a number of commercially available devices that convert pressure into an electrical signal that can be stored, displayed, read and/or transmitted. In some embodiments, the pressure sensor 24 detects the pressure by utilizing the piezoelectric effect, which certain materials produce an electric current in response to stress, including pressure, turning or twisting.
The indications 14, 16, 18, may be visual indications as shown in
The power indication 18 is configured to activate or light up when the brace 100 is powered on. The relaxed indication 16 is configured to activate or light up when the brace 100 is donned with the proper tension about the muscle 200. The flexed indication 14 is configured to activate or light up when the pressure sensor 24 senses that the muscle 200 has transitioned to a state that may unduly stress or damage the muscle 200 or the tendons of the muscle 200. In some embodiments, the relaxed indication 16 stays activated when the flexed indication 14 is activated.
Reference is now made to
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As the resistance of the pressure sensor 24 decreases, potential voltage drop across the pressure sensor 24 decreases until the LED 16a achieves forward bias (2VDC), allowing current to flow through the LED 16a. In this sense, the LED 16a is performing both logic and indication functions for determining if the muscle 200 is in the relaxed state. As the resistance of the pressure sensor 24 decreases further, potential voltage drop across the pressure sensor 24 decreases until the LED 14a achieves forward bias (2VDC), allowing current to flow through the LED 14a. In this sense, the LED 14a is performing both logic and indication functions for determining if the muscle 200 is in the flexed state.
The depicted resistors function as current limiters for the LEDs and can be readily replaced with current limiting devices in a Surface Mounted Device miniature component format. Also, the LED 18a is configured to activate when the brace 100 is switched on by closing a single pole switch (not shown). The current to LED 18a is severely limited by a relatively large current limiting resistor to reduce the drain on the power supply 22 and maximize the life of the power supply 22.
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According to some embodiments, the display 32 is a touch sensitive display which allows for the wearer to interact with the display 32. The wearer can alter various settings of the display 32, alter what or how information is depicted on the display 32, or a combination thereof.
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The motion sensing brace 150 may be useful in treating disorders that affect proprioception such as sensory processing disorders, brain injuries, multiple sclerosis, Lou Gehrig's disease and/or other disorders caused by brain damage. The motion sensing brace 150 can provide feedback to guide a user who struggles with proprioceptive awareness, which the user can then use to adjust the way they perform certain tasks. For example, if the user struggles to write without using an excess of force, then the motion sensing brace 150 can be used to provide feedback useful in addressing such a problem.
The communications module 28 can also be configured to communicate or transmit other data collected by or sensed by other sensors connected to or communicatively coupled to the connected brace 120, the display brace 130, the vibrating brace 140, and/or the motion sensing brace 150.
Reference is now made to
The user interface 1200 displays the amount of time 1230 that the wearer's forearm muscle 200 spent in each state over the course of the day. In this manner, the wearer can determine which activities they were performing when their forearm muscle 200 was in the flexed state and focus on relaxing their grip the next time the wearer performs those activities. In this manner, the brace 100 facilitates providing immediate feedback to the wearer in the form of the relaxed indication 16 or the flexed indication 14 while a task is currently being performed by the wearer while simultaneously providing data that the wearer can review after a task has been performed.
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The brace 100 can be implemented with a variety of applied circuitry which can be designed to minimize the overall part count and minimize the thermal and electromagnetic field emissions for low cost, disposable, or submersible embodiments of the brace 100. The brace 100 can also be implemented with more complex and higher functioning devices which can record and transmit diagnostic information using a wired or wireless communications module 28. The brace 100 can be used to evaluate candidates for a particular task and assess how well they perform that task. As a result, the brace 100 can be used to select candidates for certain tasks and/or jobs for which such candidates are naturally more adept at performing. Further, the brace 100 can be used to measure the effort level of someone performing a task or set of tasks to verify if said person is putting the appropriate level of effort into a task, i.e., the brace 100 can be used to detect malingering. In addition, the feedback provided by the brace 100 can be used to train an individual to better perform a task.
Regardless of where the brace 100 is used or on what part of the body it is placed, the brace 100 provides feedback on the amount of strain being produced in a particular body part, muscle, or muscle group. The brace 100 can be used in any number of contexts to improve performance by monitoring the amount of strain in a particular body part during a movement and using that data to modify the manner in which the movement is performed. For example, the brace 100 may be used by an athlete monitoring the recovery of an injured muscle.
Although embodiments of a brace 100 apparatus and method have been described in detail, those skilled in the art will also recognize that various substitutions and modifications may be made without departing from the scope and spirit of the appended claims.
In the foregoing description of certain embodiments, specific terminology has been resorted to for the sake of clarity. However, the disclosure is not intended to be limited to the specific terms so selected, and it is to be understood that each specific term includes other technical equivalents which operate in a similar manner to accomplish a similar technical purpose. Terms such as “left” and “right,” “front” and “rear,” “above” and “below” and the like are used as words of convenience to provide reference points and are not to be construed as limiting terms.
In this specification, the word “comprising” is to be understood in its “open” sense, that is, in the sense of “including,” and thus not limited to its “closed” sense, that is the sense of “consisting only of.” A corresponding meaning is to be attributed to the corresponding words “comprise,” “comprised” and “comprises” where they appear.
In addition, the foregoing describes some embodiments of the disclosure, and alterations, modifications, additions and/or changes can be made thereto without departing from the scope and spirit of the disclosed embodiments, the embodiments being illustrative and not restrictive.
Furthermore, the disclosure is not to be limited to the illustrated implementations, but to the contrary, is intended to cover various modifications and equivalent arrangements included within the spirit and scope of the disclosure. Also, the various embodiments described above may be implemented in conjunction with other embodiments, e.g., aspects of one embodiment may be combined with aspects of another embodiment to realize yet other embodiments. Further, each independent feature or component of any given assembly may constitute an additional embodiment.
This U.S. non-Provisional Patent Application claims priority to and the benefit of U.S. Provisional Patent Application No. 63/421,439, filed on Nov. 1, 2022, the entirety of which is incorporated herein by reference. Furthermore, this U.S. non-Provisional Patent Application similarly incorporates by reference the entirety of U.S. Provisional Patent Application No. 63/465,135, filed on May 9, 2023, herein.
Number | Date | Country | |
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63421439 | Nov 2022 | US | |
63465135 | May 2023 | US |