The present invention relates to a device for use with an exercise apparatus consisting of at least one hanging, length-adjustable and lockable rope which at its lower end has a gripping means, e.g., a gripping loop.
Such exercise apparatus are known, e.g., in the form of so-called slings which, via guides in the ceiling or on a wall, are length-adjustable and can be locked via a rope fastener on, e.g., a wall. However, the solution requires that the slings be left in order to adjust the rope lengths, or that another person helps with the adjustment. An apparatus known as TrimMaster™ or TerapiMaster™ and manufactured by Nordisk Terapi AS in Norway has significantly improved the previously known solution, so that the apparatus user does not have to leave the gripping means or slings in order to make an adjustment of the rope length.
Such exercise apparatus are widely used for rehabilitation, strength training and mobility training of patients in hospitals and physiotherapeutic institutes, or they are used in fitness studios and in fitness rooms at places of work or in private homes.
Although much of this kind of exercise performed using such apparatus has been found to be of great help, often accompanied by expert guidance from a physiotherapist or the like, it has been shown recently that the treatment of certain disorders, in particular those associated with varying degrees of pain at joints and in the spinal column, has a faster and longer-lasting effect if the joints are further provoked by treatment and exercise under very unstable conditions.
Therefore, more recently, attention has been focused on why active, volitional muscle training does not always give the expected results, even with optional heat treatment and help from assisting personnel, such as physiotherapists or doctors.
In an article published in FYSIOTERAPEUTEN No. 12/2000, pages 9-16, physiotherapist Gitle Kirkesola has described a concept for active treatment and exercise for disorders of the musculoskeletal apparatus under the designation “Sling Exercise Therapy” (SET).
In this article it is pointed out that long-term disorders of the motor apparatus are associated with physiological changes in the body, such as reduced sensomotory control, reduced strength and endurance of the stabilising musculature, reduced strength and endurance of the motor musculature, muscular atrophy and reduced cardiovascular function.
More recent studies indicate that certain muscles have a quite special stabilising function, namely the local or “unconscious” muscles that are close to joints and have a majority of tonic muscle fibres. Such local muscles are believed to be responsible for segmental stability, whilst global muscles perform movements.
On, e.g., sudden movements of the upper body or the extremities, it is precisely the local stabilising muscles that are activated by what is called a “feed forward mechanism”. Documentation has shown that patients with chronic back conditions have lost their feed forward mechanism to the transversus abdominis. In connection with persistent afflictions, e.g., back conditions, it is a known phenomenon that there is a reduction in sensomoto control. The training of sensory muscular activity is therefore essential.
It has been discovered that the effect of training up the local stabilising musculature is enhanced if the patient is exposed to a certain degree of instability. This may be done by having the patient, e.g., stand upright on, kneel on or sit on an unstable cushion with his hands gripping the slings, or by having the patient, e.g., lie on his back with an unstable cushion under his buttocks and his legs placed in the slings.
The exercise time required here will in some cases not be within the usual standard treatment programme in a physiotherapeutic institute. The article concludes that it may therefore be advantageous, if not necessary, that the patient should also have an exercise programme that is possible to follow at home.
Local stabilising musculature is thus small muscle groups which cannot be controlled by conscious will, but which the brain unconsciously controls when it receives the right signals. Such local musculature ensures stability of the joints and prevent abnormal joint dislocations, but when the joints are under great strain and there is pain, this control function may be put out of action and is not easily restored. It is envisaged that if the brain is stimulated to perceive an abnormality or a state of danger in an area of the stabilising musculature, it will—without the person in question being able to control this—restore signals to this musculature, which signals are adapted to ensure that the local muscles surrounding the joints are stimulated to be activated.
It is a known fact that walking in woodland or the like on rough ground is an effective strength training for the body musculature. The brain will in these cases instinctively register any danger of instability and overstepping if the local stabilising musculature in, e.g., the ankle joints is not kept constantly active. The brain will also unconsciously register danger signals as regards the muscles of the back when walking on rough ground or in terrain where there is a great risk of the walker losing his balance, and thus the stabilising muscles of the back will be stimulated unconsciously by the brain to “exercise” the stabilising musculature close to the joints.
In the light of such practical experience, it has been concluded that some joint pain, which in fact often travel to other parts of the body, may indeed be due to the fact that the local or “unconscious” stabilising musculature have wholly or partly lost communication with the brain, and that this communication under certain circumstances can be stimulated.
Tests that have been carried out where at least parts of the body are subjected to imbalance, e.g., in that a person is supported by an unstable surface, even when the joint is loaded, optionally with volitional muscular movement in addition, have shown that even short-term treatment and exercise under such instability-prevailing circumstances give considerable relief and in many cases elimination of joint pain, whilst the original functionality is restored.
Additional tests have shown that if instability is implemented via an exercise apparatus as defined above, or as a supplement to other instability, significant alleviation of joint pain associated with weak, local or “unconscious” stabilising musculature at one or more joints can be obtained.
However, it has been seen to be desirable to be able to make the treatment programme using SET even more effective and thus reduce the treatment time, and it is this goal that the present invention aims to achieve.
According to the present invention, the object is therefore to provide a device of the type mentioned above which makes it possible to achieve this goal, and where such a device is simple in its function, easy to manufacture, easy to operate and inexpensive to purchase and run.
According to the invention, the device is characterised by a vibration means designed, when attached via a rope engaging member to a portion of such rope, to impart to the rope and thus the gripping device a vibratory motion. The vibratory motion is preferably in a frequency range of about 20 Hz-150 Hz. This frequency range appears to block pain signals. This is important to allow the user to perform the training and thereby improve strength and durability.
Further testing of the aspects that form the basis of the present invention has confirmed that when training up the stabilising musculature, a considerably greater effect will, according to the invention, be obtained when using SET if the slings are made to vibrate, so that the user finds them significantly more unstable and not least even more provoking when it comes to maintaining balance in all the joints of the body.
Additional embodiments of the device will be apparent from the attached subsidiary claims, and from the following description with reference to the attached drawing figures.
a and 9b show a first embodiment of the device according to the invention.
a and 14b show details of the device shown in
In the solutions shown in
Although it has been shown and described that power supply can be provided via cable 23, it will be understood that with the correct choice of powerful and light batteries in, e.g., the device housing, the user will not be dependent on cable 23, which in some cases may be found to get in the way of a training exercise. The possibility of charging such batteries, preferably by quick charge, should be present.
a and 9b show a first embodiment of the device, preferably intended for cooperation with a TerapiMaster™, where the vibration means 6, 7 is designed, when attached via respective rope engaging members 8, 9 to a portion of a respective rope 10, 11 to impart to the rope and thus its respective gripping means 13, 14 (see
As shown in
The vibration means 6, 7 has at least one drive means 24, 25 (see
On studying
In the solution shown in
In the solution shown in
As shown in
In the alternative shown in
As can be seen from the solutions shown in
a shows by way of example an actuator, such as one of the actuators 49, 50 in
b shows that the actuator 55 can be made adjustable not only as regards the control of stroke length, as shown in
As shown in
As regards the solution shown in
In the double-motor solution shown in
On synchronous control and thus synchronous oscillation it is conceivable that each vibration means, as for example the means shown in
Asynchronous movement of the ropes will further provoke the local stabilising musculature. Of course, this is not necessary, but has been found to further improve the treatment.
In the variant of
It would be conceivable that also the device shown in
For reasons of clarity, the connecting lines to the drive motor have not been shown in
In the device according to the present invention disclosed above, the vibratory motion may have a frequency within a range of about 20 Hz-150 Hz (Hertz), and/or the vibratory motion may have a maximum amplitude of about 2 cm (centimeters). Further, vibration means may be designed to impart to the rope and thus its gripping means a vibratory motion (only) in directions that are generally perpendicular to the rope.
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Number | Date | Country | |
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Number | Date | Country | |
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Parent | 11576924 | Aug 2007 | US |
Child | 12884406 | US |