公开(公告)号：US06221032B1

公开(公告)日：2001-04-24

申请号：US09436639

申请日：1999-11-09

申请人： Frederick W. Blanchard ,  Stephen L. Brown ,  Dwayne Hofstatter ,  D. Chris Linville ,  Jeffrey K. Pohl ,  James R. Vetter, Jr.

发明人： Frederick W. Blanchard ,  Stephen L. Brown ,  Dwayne Hofstatter ,  D. Chris Linville ,  Jeffrey K. Pohl ,  James R. Vetter, Jr.

IPC分类号： A61H100

CPC分类号： A61H1/024 ,  A61H1/0255 ,  A61H2201/018 ,  A61H2201/1215 ,  A61H2201/1623 ,  A61H2201/164 ,  A61H2201/1676 ,  A61H2201/5007

摘要： A continuous passive motion device which may be used in providing physical therapy for a patient's knee by moving the patient's leg through a plurality of cycles of motion in a treatment session includes an “Oscillation Zone” range of motion feature that permits the machine to be operated in such a manner that the patient's knee is flexed and his leg extended through a critical or working range of motion more frequently than through the non-critical range of motion, or the remainder of the range of motion of the device, so as to increase the portion of time of a treatment session that is spent in the working range of motion. A preferred embodiment of the device allows the patient's knee to be flexed, extended and held in certain positions a predetermined number of times per cycle, so as to provide a treatment regimen which replicates the holding and stretching one might receive through physical therapy conducted by a therapist or a physician. A preferred embodiment of the invention also has “Soft Turns” capability, wherein the carriage holding the patient's leg is decelerated, at a controlled rate over a controlled distance, from the operational speed to zero, as the carriage approaches an extension or flexion limit, and wherein the carriage is accelerated in the same fashion as the carriage moves away from the extension or flexion limit.

摘要翻译： 连续的被动运动装置可用于通过在治疗过程中通过多个运动周期移动患者的腿来为患者的膝盖提供物理治疗，包括允许机器操作的“振荡区”运动特征范围 使得患者的膝盖弯曲并且腿部比通过非临界运动范围或装置的运动范围的其余部分更频繁地延伸到关键或工作运动范围，以增加 在运动的工作范围内花费的治疗会话的时间部分。 该装置的优选实施例允许患者的膝盖在每个周期中弯曲，延伸并保持在某些位置预定次数，以便提供复制通过物理治疗进行的保持和拉伸的治疗方案 治疗师或医生。 本发明的优选实施例还具有“软匝”功能，其中，当滑架接近延伸或屈曲极限时，保持患者腿部的托架以受控距离的受控速度从操作速度减速到零， 并且其中滑架以与滑架远离伸出或弯曲极限移动相同的方式被加速。

公开(公告)号：US06221033B1

公开(公告)日：2001-04-24

申请号：US09437172

申请日：1999-11-09

申请人： Frederick W. Blanchard ,  Stephen L. Brown ,  Dwayne Hofstatter ,  D. Chris Linville ,  Jeffrey K. Pohl ,  James R. Vetter, Jr.

发明人： Frederick W. Blanchard ,  Stephen L. Brown ,  Dwayne Hofstatter ,  D. Chris Linville ,  Jeffrey K. Pohl ,  James R. Vetter, Jr.

IPC分类号： A61M100

CPC分类号： A61H1/0255 ,  A61H1/024 ,  A61H1/0259 ,  A61H2201/1207 ,  A61H2201/1215 ,  A61H2201/149 ,  A61H2201/1623 ,  A61H2201/164 ,  A61H2201/1676 ,  A61H2201/5007

摘要： A therapeutic device which may be used in providing physical therapy for a patient's knee by moving the patient's leg through a plurality of cycles of motion in a treatment session. The device includes a “Fast Back” range of motion feature that permits the machine to be operated at more than one speed or rate per cycle, wherein the patient's knee may pass through a critical or working range of motion at a first rate, and through a non-critical or non-working range of motion at a second rate, so as to increase the portion of time of a treatment session that is spent in the working of the range of motion, as compared to conventional CPM machines. The preferred embodiment of the invention also has “soft turns” capability, wherein the carriage holding the patient's leg is decelerated, at a controlled rate over a controlled distance, from the operational speed to zero, as the carriage approaches an extension or flexion limit, and wherein the carriage is accelerated in the same fashion as the carriage moves away from the extension or flexion limit.

摘要翻译： 一种治疗装置，其可以用于通过在治疗会话中通过多个运动周期移动患者的腿来为患者的膝盖提供物理治疗。 该装置包括运动特征的“快速返回”范围，其允许机器以每个循环多于一个速度或速率运行，其中患者的膝盖可以以第一速率通过运动的关键或工作范围，并且通过 与常规CPM机相比，以第二速率的非关键或非工作范围的运动，以便增加在运动范围的工作中花费的治疗会话的时间部分。 本发明的优选实施例还具有“软匝”功能，其中，当滑架接近延伸或屈曲极限时，保持患者腿部的托架以受控距离的受控速度从操作速度减速到零， 并且其中滑架以与滑架远离伸出或弯曲极限移动相同的方式被加速。

公开(公告)号：US06267735B1

公开(公告)日：2001-07-31

申请号：US09437173

申请日：1999-11-09

申请人： Frederick W. Blanchard ,  Stephen L. Brown ,  Dwayne Hofstatter ,  D. Chris Linville ,  Jeffrey K. Pohl ,  James R. Vetter, Jr.

发明人： Frederick W. Blanchard ,  Stephen L. Brown ,  Dwayne Hofstatter ,  D. Chris Linville ,  Jeffrey K. Pohl ,  James R. Vetter, Jr.

IPC分类号： A61H102

CPC分类号： A61H1/024 ,  A61H1/0255 ,  A61H2201/018 ,  A61H2201/1207 ,  A61H2201/1215 ,  A61H2201/149 ,  A61H2201/1623 ,  A61H2201/164 ,  A61H2201/1676 ,  A61H2201/5007

摘要： A therapeutic device may be used in providing physical therapy for a patient's knee by moving the patient's leg through a plurality of cycles of motion in each of a number of treatment sessions. The device includes a “Comfort Zone” range of motion feature which allows an operator to temporarily increase the flexion angle (or decrease the extension angle) to alleviate discomfort the patient is experiencing as the upper leg support and lower leg support pivot or attempt to pivot through a portion of the operational range of motion. The preferred embodiment of the device will automatically decrease the flexion angle (or automatically increase the extension angle) at a predetermined rate over a period of treatment time, so that the device may return to operation between the preset operational limits of the range of motion with a lower chance that the patient will experience the same pain or discomfort which necessitated the establishment of a Comfort Zone limit. In a preferred embodiment of the invention, the carriage holding the patient's leg is decelerated, at a controlled rate over a controlled distance, from the operational speed to zero, as the carriage approaches the extension or flexion limit, and the carriage is accelerated in the same fashion as the carriage moves away from the extension or flexion limit.

摘要翻译： 治疗装置可以用于通过在多个治疗会话中的每一个中移动患者的腿通过多个运动周期来为患者的膝盖提供物理治疗。 该装置包括“舒适区域”运动特征范围，其允许操作者临时增加屈曲角度（或减小延伸角度），以减轻患者正在经历的不适，因为大腿支撑和小腿支撑枢轴或试图枢转 通过运动范围的一部分。 装置的优选实施例将在治疗时间周期内以预定速率自动降低屈曲角度（或自动增加延伸角度），使得装置可以在运动范围的预设操作极限与 患者将遇到相同的疼痛或不适的机会较低，这需要建立舒适区限制。 在本发明的优选实施例中，当滑架接近延伸或屈曲极限时，保持患者腿部的滑架以受控距离的受控速度从操作速度减速到零，并且滑架在 与支架相同的方式远离扩展或屈曲极限。

公开(公告)号：US06217532B1

公开(公告)日：2001-04-17

申请号：US09437174

申请日：1999-11-09

申请人： Frederick W. Blanchard ,  Stephen L. Brown ,  Dwayne Hofstatter ,  D. Chris Linville ,  Jeffrey K. Pohl ,  James R. Vetter, Jr.

发明人： Frederick W. Blanchard ,  Stephen L. Brown ,  Dwayne Hofstatter ,  D. Chris Linville ,  Jeffrey K. Pohl ,  James R. Vetter, Jr.

IPC分类号： A61H102

CPC分类号： A61H1/024 ,  A61H1/0255 ,  A61H2201/018 ,  A61H2201/1207 ,  A61H2201/1215 ,  A61H2201/149 ,  A61H2201/1623 ,  A61H2201/164 ,  A61H2201/1676 ,  A61H2201/5007

摘要： A therapeutic device may be used in providing physical therapy for a patient's knee by moving the patient's leg through a plurality of cycles of motion in each of a number of treatment sessions. The device includes a progressive range of motion feature that permits an automatic decrease in the flexion angle (or an automatic increase in the extension angle) over a period of time as rehabilitation progresses. In a preferred embodiment of the invention, the carriage holding the patient's leg is decelerated, at a controlled rate over a controlled distance, from the operational speed to zero, as the carriage approaches the extension or flexion limit, and the carriage is accelerated in the same fashion as the carriage moves away from the extension or flexion limit.

摘要翻译： 治疗装置可以用于通过在多个治疗会话中的每一个中移动患者的腿通过多个运动周期来为患者的膝盖提供物理治疗。 该装置包括逐渐的运动特征范围，其允许在康复进行时在一段时间内自动降低屈曲角度（或延伸角度的自动增加）。 在本发明的优选实施例中，当滑架接近延伸或屈曲极限时，保持患者腿部的滑架以受控距离的受控速度从操作速度减速到零，并且滑架在 与支架相同的方式远离扩展或屈曲极限。

公开(公告)号：US08620438B1

公开(公告)日：2013-12-31

申请号：US11706455

申请日：2007-02-13

申请人： Yorick Wijting ,  Jeffrey K. Pohl

发明人： Yorick Wijting ,  Jeffrey K. Pohl

IPC分类号： A61N1/00

CPC分类号： A61N1/36003 ,  A61N1/0452 ,  A61N1/36014 ,  A61N7/00 ,  A61N2007/0026

摘要： A method and apparatus for applying neuromuscular electrical stimulation to an agonist/antagonist muscle pair to move a limb about a joint includes generating a first pattern of neuromuscular electrical stimulation pulses for output through a first channel to a first pair of electrodes and generating a second pattern of neuromuscular stimulation pulses for output through a second channel to a second pair of electrodes. The first pair of electrodes are attached to the agonist muscle of the agonist/antagonist muscle pair, and the second pair of electrodes are attached to the antagonist muscle. A first pattern of electrical stimulation pulses is transmitted through the first pair of electrodes to the agonist muscle at a first intensity level to initiate contraction of the agonist muscle, and then at a second intensity level which is less than the first intensity level to continue contraction of the agonist muscle. A second pattern of electrical stimulation pulses is transmitted through the second pair of electrodes to the antagonist muscle at a first intensity level to reduce the acceleration of the limb, and then at a second intensity level which is less than the first intensity level to regulate the movement of the limb.

摘要翻译： 用于向激动剂/拮抗剂肌肉对施加神经肌肉电刺激以围绕关节移动肢体的方法和装置包括产生神经肌肉电刺激脉冲的第一模式，用于经由第一通道输出到第一对电极并产生第二图案 的神经肌肉刺激脉冲，用于通过第二通道输出到第二对电极。 第一对电极与激动剂/拮抗剂肌肉对的激动肌连接，第二对电极附着于拮抗肌。 电刺激脉冲的第一模式通过第一对电极以第一强度水平传递给激动肌，以引发激动肌的收缩，然后在小于第一强度水平的第二强度水平上继续收缩 的激动肌。 电刺激脉冲的第二模式通过第二对电极以第一强度水平传递给拮抗肌，以减小肢体的加速度，然后在小于第一强度水平的第二强度水平上调节 肢体运动。