Passive motion exerciser

• US 4,834,073 A
• Filed: 02/20/1987
• Issued: 05/30/1989
• Est. Priority Date: 02/20/1987
• Status: Expired due to Fees

• Current Assignee: Medical Technology Incorporated
• Original Assignee: Medical Technology Incorporated
• Inventors: Bledsoe, Barry P., Bledsoe, Brett O., Carlson, Clifford H., Bledsoe, Gregory A., Bledsoe, Eric N., Bledsoe, Blake H., Bledsoe, Clarence E., Cade, John C., Bledsoe, Gary R.
• Primary Examiner(s): NOT, DEFINED
• Assistant Examiner(s): Flaxman, Howard
• Application Number:
  US07/017,250
• Time in Patent Office: 830 Days
• Field of Search: 128/25 R, 128/25 B, 128/26, 128/80 G, 128/80 R, 128/80 F, 128/69, 128/70, 128/71, 128/74, 128/48, 128/49, 128/51, 128/52, 128/84 R
• US Class Current: 601/34
• CPC Class Codes: A61H 1/0259 moved by translation

Abstract

A passive motion exerciser for simultaneously flexing the hip and knee joints of a human leg has a base portion with an inclined guide member positionable parallel to a line extending through the ankle and hip joints of the leg, a reversible motor-driven drive member movable upwardly and downwardly along the inclined guide member, and an elongated leg support frame structure securable to the leg and longitudinally adjustable to fit legs of varying lengths. The support frame structure has a first end portion positionable adjacent the ankle joint, a second end portion positionable between the knee and hip joint, and a pivoted intermediate portion positionable adjacent the knee joint. A connecting member is attached to the guide member for movement therealong parallel to the drive member and is connected to the first outer end portion of the support frame structure. The second outer end portion of the support frame structure is pivotally interconnected to the drive member by a cam-driven linkage structure. In response to movement of the drive member, the linkage structure translationally and pivotally drives the second end portion of the support frame structure in a manner causing simultaneous flexure of the hip and knee joints and automatically maintaining a predetermined correlation between the flexure angles of the hip and knee joints regardless of the length of the supported leg.

Claims

1. Apparatus for passively exercising a human leg having a hip joint, a knee joint, an ankle joint, an upper leg portion extending between said hip joint and said knee joint, and a lower leg portion extending between said knee joint and said ankle joint, said apparatus comprising:

a base portion;

first support means for extending along and supporting said lower leg portion for movement therewith, said first support means having a portion positionable closely adjacent said ankle joint;

connecting means for connecting said portion of said first support means, and thus said ankle joint, to said base portion for movement relative thereto in opposite directions along an essentially straight line;

second support means for extending along said upper leg portion for movement therewith, said first support means and said second support means being pivotally interconnected at a location positionable adjacent said knee joint; and

means for driving said second support means to cause said first support means and said second support means to cyclically flex and unflex said hip joint and said knee joint in a manner such that;

said essentially straight line along which said ankle joint travels in opposite directions extends at all times through said hip joint,

said second support means are moved in an arc generally centered about a line extending transversely through said hip joint, and

a predetermined, essentially linear correlation is maintained between the hip flexure angle of said human leg and the knee flexure angle of said human leg, said correlation being essentially independent of the length of said human leg.

2. The apparatus of claim 1 wherein:

said means for driving said second support means include a drive member movably connected to said base portion, and drive means for selectively driving said drive member in opposite directions along an essentially linear path generally parallel to a line extending through said hip joint and said ankle joint when said human leg is operatively supported on said first support means and said second support means.

3. The apparatus of claim 2 wherein:

said portion of said first support means is an outer end portion thereof which is positionable adjacent said ankle joint, and

said connecting means connect said outer end portion of said first support means to said base portion for movement relative thereto in opposite directions generally parallel to said essentially linear path of said drive member.

4. The apparatus of claim 1 wherein:

said means for driving said second support means include a drive member movably connected to said base portion, drive means selectively operable to translate said drive member in first and second opposite directions relative to said base portion, and linking means interconnected between said drive member and said second support means for causing simultaneous translation and pivoting of said second support means in response to translational movement of said drive member relative to said base portion.

5. The apparatus of claim 4 wherein:

said second support means have an end portion positionable adjacent a longitudinally intermediate section of said upper leg portion, and

said linking means function to simultaneously move said second support means in an arc generally centered about a line extending transversely through said hip joint and pivot said second support means in a manner such that said end portion of said second support means continuously points at said line extending transversely through said hip joint.

7. The apparatus of claim 4 wherein:

said linking means comprise a duality of linking arm means interconnected between said drive member and said second support means and positionable on opposite sides of said human leg, and

said apparatus further comprises means for selectively adjusting the lateral spacing between said duality of linking arm means.

8. The apparatus of claim 2 wherein:

said drive means include an elongated lead screw member threadedly connected to said drive member, and

motor means for selectively rotating said lead screw member in opposite directions.

9. The apparatus of claim 8 further comprising:

adjustable means for limiting the total length of linear travel of said drive member in said opposite directions.

10. The apparatus of claim 9 wherein:

said adjustable means include a spaced duality of limit switch means each operative to sense the movement of said drive member to a predetermined point and responsively reverse said motor means.

6. Apparatus for passively exercising a human leg having a hip joint, a knee joint, an ankle joint, an upper leg portion extending between said hip joint and said knee joint, and a lower leg portion extending between said knee joint and said ankle joint, said apparatus comprising:

a base portion;

first support means for extending along and supporting said lower leg portion;

connecting means for connecting a portion of said first support means to said base portion for movement relative thereto in opposite directions generally parallel to a line extending through said ankle joint and said hip joint;

second support means for extending along and supporting said upper leg portion, said first support means and said second support means being pivotally interconnected at a location positionable adjacent said knee joint; and

means for translationally and pivotally driving said second support means to cause said first support means and said second support means to simultaneously flex said hip joint and said knee joint in a manner maintaining a predetermined correlation between the degree of flexure of said hip joint and said knee joint which is substantially independent of the length of said human leg,

said means for translationally and pivotally driving said second support means including a drive member movably connected to said base portion, drive means selectively operable to translate said drive member in first and second opposite directions relative to said base portion, and linking means interconnected between said drive member and said second support means for causing simultaneous translation and pivoting of said second support means in response to translational movement of said drive member relative to said base portion,

said second support means having a portion positionable adjacent a longitudinally intermediate section of said upper leg portion,

said linking means functioning to simultaneously move said portion of said second support means in an arc generally centered about a line extending transversely through said hip joint and pivot said second support means in a manner causing a line extending through said portion of said second support means generally parallel to said upper leg portion to continuously extend generally transversely through said portion of said second support means said line extending transversely through said hip joint, said linking means including;

torque arm means pivotally carried by said drive member for movement therewith,

first linking arm means pivotally connected at a first end portion thereof to said torque arm means and having a second end portion,

pivot means secured to said portion of said second support means and pivotally connected to said second end portion of said first linking arm means,

second linking arm means pivotally connected at a first end portion thereof to said torque arm means and having a second end portion pivotally connected to said pivot means,

first cam means for pivoting said first linking arm means relative to said torque arm means in response to translational movement of said drive member relative to said base portion, and

second cam means for pivoting said torque arm means in response to translational movement of said drive member relative to said base portion.

11. Apparatus for passively exercising a human leg having a hip joint, a knee joint, an ankle joint, an upper leg portion extending between said hip joint and said knee joint, and a lower leg portion extending between said knee joint and said ankle joint, said apparatus comprising:

first support means securable to said lower leg portion;

second support means securable to said upper leg portion, said second support means being pivotally connected to said first support means at a location positionable adjacent said knee joint;

means for translationally and pivotally driving said first support means and said second support means in a manner causing simultaneous flexure of said hip joint and said knee joint; and

means for maintaining a predetermined correlation between the degree of flexure of said hip joint and said knee joint regardless of the overall length of said human leg, said means for maintaining a predetermined correlation including means, responsive to translational and pivotal movement of said first support means and said second support means, for causing said ankle joint to move in a substantially linear path along a line transversely intersecting a line extending transversely through said hip joint, and for causing said second support means to travel in a circular arc generally centered about said line extending transversely through said hip joint.

12. The apparatus of claim 11 wherein:

said apparatus further comprises a base portion, and said means for causing said ankle joint to move in a substantially linear path include means for connecting a portion of said first support means to said base portion for movement relative thereto generally parallel to said substantially linear path.

13. The apparatus of claim 12 wherein:

said base portion has a horizontally inclined guide member and said portion of said first support means is connected to said guide member for upwardly and downwardly inclined movement therealong.

14. The apparatus of claim 13 wherein:

said guide member is horizontally inclined approximately 20° and

is positionable so that it slopes downwardly toward said hip joint when said human leg is operatively secured to said first support means and said second support means.

15. The apparatus of claim 13 wherein:

said predetermined correlation is expressed by the equation KF=2(HF-I), wherein KF is the knee flexure angle, HF is the hip flexure angle, and I is the horizontal inclination angle of said guide member.

16. The apparatus of claim 15 wherein:

the horizontal inclination angle of said guide member is approximately 20°

.

17. The apparatus of claim 11 wherein said means for translationally and pivotally driving said first support means and said second support means comprise:

a drive member movable in opposite directions generally parallel to said linear path,

drive means for sequentially driving said drive member in said opposite directions, and

linking means, interconnected between said drive member and said second support means, for causing simultaneous pivotal and translational motion of said second support means in response to driven movement of said drive member in said opposite directions.

19. The apparatus of claim 12 further comprising:

foot and ankle support means, connected to said first support means for movement therewith, for supporting the foot and ankle of said human leg, and

means for selectively adjusting said foot and ankle support means to control flexure of said ankle joint during flexure of said human leg by said apparatus.

20. The apparatus of claim 19 wherein:

said means for connecting a portion of said first support means to said base portion are pivotally connected to said portion of said first support means,

said foot and ankle support means include a foot support member pivotally connected to said portion of said first support means, and

said means for selectively adjusting said foot and ankle support means include means for adjustably locking said foot support member to a selected one of said portion of said first support means and said means for connecting a portion of said first support means to said base portion.

18. Apparatus for passively exercising a human leg having a hip joint, a knee joint, an ankle joint, an upper leg portion extending between said hip joint and said knee joint, and a lower leg portion extending between said knee joint and said ankle joint, said apparatus comprising:

first support means securable to said lower leg portion;

second support means securable to said upper leg portion, said second support means being pivotally connected to said first support means at a location positionable adjacent said knee joint;

means for translationally and pivotally driving said first support means and said second support means in a manner causing simultaneous flexure of said hip joint and said knee joint; and

means for maintaining a predetermined correlation between the degree of flexure of said hip joint and said knee joint regardless of the overall length of said human leg, said means for maintaining a predetermined correlation including means, responsive to translational and pivotal movement of said first support means and said second support means, for causing said ankle joint to move in a substantially linear path along a line transversely intersecting a line extending transversely through said hip joint,

said means for translationally and pivotally driving said first support means and said second support means comprising;

a drive member movable in opposite directions generally parallel to said linear path,

drive means for sequentially driving said drive member in said opposite directions, and

linking means, interconnected between said drive member and said second support means, for causing simultaneous pivotal and translational motion of said second support means in response to driven movement of said drive member in said opposite directions,

said linking means functioning in a manner causing said second support means to travel in a circular arc generally centered about a line extending transversely through said hip joint, said linking means including;

torque arm means pivotally carried by said drive member for movement therewith,

first linking arm means pivotally connected at a first end portion thereof to said torque arm means and having a second end portion,

pivot means secured to said second support means and pivotally connected to said second end portion of said first linking arm means,

second linking arm means pivotally connected at a first end portion thereof to said torque arm means and having a second end portion pivotally connected to said pivot means,

first cam means for pivoting said first linking arm means relative to said torque arm means in response to translational movement of said drive member, and

second cam means for pivoting said torque arm means in response to translational movement of said drive member.

21. A passive motion exerciser for simultaneously flexing the hip and knee joints of a human leg having an ankle joint, an upper leg portion extending between said hip joint and said knee joint, and a lower leg portion extending between said knee joint and said ankle joint, said passive motion exerciser comprising:

an elongated leg support frame structure adapted to extend along and be connected to said human leg, said support frame structure having;

a first outer end portion positionable adjacent said ankle joint,

a second outer end portion positionable adjacent a longitudinally intermediate section of said upper leg portion, and

a pivotable, longitudinally intermediate section positionable adjacent said knee joint;

a guide member positionable generally parallel to an essentially straight line extending through said ankle joint and said hip joint;

a connecting member interconnected between said first outer end portion of said leg support frame structure and said guide member and being movable along said guide member in response to movement of said leg support frame structure;

a drive member supported for movement relative to said guide member;

a drive system operable to selectively drive said drive member in opposite directions relative to said guide member; and

linking means, interconnected between said drive member and said second outer end portion of said leg support frame structure, and responsive to driven motion of said drive member, for moving said second outer end portion of said leg support frame structure in an arc generally centered about a line extending transversely through said hip joint, and for causing pivoting of said leg support frame structure about said longitudinally intermediate section thereof in a manner maintaining a predetermined, aligned relationship between said second outer end portion of said leg support frame structure and said line extending transversely through said hip joint and simultaneously causing said first outer end portion of said support frame structure, and thus said ankle joint, to travel in an essentially straight line which at all times passes through said hip joint.

22. The passive motion exerciser of claim 21 wherein:

said passive motion exerciser further comprises a base portion having a bottom surface adapted to rest upon a generally horizontal support surface, and

said guide member is inclined relative to said bottom surface.

23. The passive motion exerciser of claim 22 wherein:

said guide member is inclined approximately 20°

relative to said bottom surface.

24. The passive motion exerciser of claim 22 wherein:

said guide member has track means for movably supporting said drive member and said connecting member.

25. The passive motion exerciser of claim 21 wherein:

said first outer end portion of said leg support frame structure is pivotally connected to said connecting member, and

said passive motion exerciser further comprises a foot support member pivotally connected to said first outer end portion of said leg support frame structure, and locking means for locking said foot support member to a selected one of said first outer end portion of said leg support frame structure and said connecting member.

26. The passive motion exerciser of claim 21 wherein said leg support frame structure comprises:

first and second pairs of elongated, telescopingly engaged support members adapted to be positioned on opposite sides of said lower leg portion;

third and fourth pairs of elongated, telescopingly engaged support members which are adapted to be positioned on opposite sides of said upper leg portion and are pivotally connected to said first and second pairs of support members, respectively;

means for selectively adjusting the overall lengths of said first, second, third and fourth pairs of support members;

first cradle means, interconnected between and depending from said first and second pairs of support members, for supporting said lower leg portion;

second cradle means, interconnected between and depending from said third and fourth pairs of support members, for supporting said upper leg portion; and

means for selectively adjusting the depth of said first cradle means and said second cradle means.

27. The passive motion exerciser of claim 26 wherein:

said first and second pairs of support members are gimballed to said connecting member in a manner permitting pivotal motion of opposite side portions of said leg support frame structure toward and away from one another to compensate for thickness variations in a human leg supported in said leg support frame structure, and

means, interconnected between said opposite side portions, for locking said opposite side portions in a desired relative positional relationship.

28. The passive motion exerciser of claim 21 wherein:

said linking means include first and second elongated arm means positioned on opposite sides of said guide member, said first and second arm means being connected at first end portions thereof to said second outer end portion of said leg support frame structure, and gimballed at second end portions thereof to said drive member in a manner permitting pivotal motion of said first and second arm members toward and away from one another to compensate for thickness variations in a human leg supported in said leg support frame structure, and

means, interconnected between said first and second arm means, for locking said first and second arm means in a desired relative positional relationship.

29. The passive motion exerciser of claim 21 wherein said drive system includes:

an elongated lead screw member threadedly engaged with said drive member, and

motor means selectively operable to rotate said lead screw in opposite directions.

30. The passive motion exerciser of claim 29 wherein:

said drive system further includes adjustable means for limiting the total length of travel of said drive member in said opposite directions.

31. The passive motion exerciser of claim 30 wherein:

said adjustable means include a spaced duality of movable limit switch means each operative to sense the movement of said drive member to a predetermined point and responsively reverse said motor means.

32. The passive motion exerciser of claim 31 wherein:

said passive motion exerciser further comprises a tab member secured to said drive member for movement therewith, and

said duality of movable limit switch means are optical switches having light beams adapted to be broken by passage therethrough of said tab member.

33. The passive motion exerciser of claim 32 wherein:

said adjustable means further include a spaced duality of backup mechanical limit switches positionable outwardly of said optical switches for contact by said tab member, said mechanical limit switches each being operative to reverse said motor means if contacted by said tab member.

34. The passive motion exerciser of claim 21 wherein said linking means include:

first and second cam plate members positioned on opposite sides of said guide member, each of said first and second cam plate members having formed therethrough a first cam slot extending generally parallel to said guide member and a second cam slot having a curved configuration;

first and second torque arm members respectively positioned adjacent said first and second cam plate members;

first connecting means, received in said said first cam slots for movement therealong, for pivotally connecting first portions of said first and second torque members to said drive member for movement therewith;

said connecting means secured to second portions of said first and second torque arm members and received in said second cam slots for movement therealong;

first and second elongated arm members positioned on opposite sides of said guide member, said first and second arm members having linear end portions connected to said first connecting means for movement therewith, and outer end portions;

first and second pivot members pivotally connected to said outer end portions of said first and second arm members, respectively, and secured to said second outer end portion of said leg support frame structure;

third and fourth elongated arm members positioned on opposite sides of said guide member, said third and fourth arm members having outer end portions pivotally connected to said first and second pivot members, respectively, and inner end portions pivotally connected to third portions of said first and second torque arm members, respectively; and

cam means for causing pivotal motion of said first and second arm members in response to motion of said drive member.

36. The passive motion exerciser of claim 34 wherein:

said inner end portions of said first and second arm members are gimballed to said first connecting means, said inner end portions of said third and fourth arm members are gimballed to said third portions of said first and second torque arm members.

37. The passive motion exerciser of claim 21 further comprising:

alignment means for aligning said exerciser with said hip joint.

38. The passive motion exerciser of claim 37 wherein:

said alignment means comprise an elongated alignment member removable connectable at one end portion thereof to said second outer end portion of said leg support frame structure, and having an opposite end portion alignable with said hip joint.

39. The passive motion exerciser of claim 21 further comprising:

a base portion having a bottom surface adapted to rest upon a generally horizontal support surface, said bottom surface having an end edge portion which generally faces said second outer end portion of said leg support frame structure and projects downwardly from the balance of said bottom surface.

35. A passive motion exerciser for simultaneously flexing the hip and knee joints of a human leg having an ankle joint, an upper leg portion extending between said hip joint and said knee joint, and a lower leg portion extending between said knee joint and said ankle joint, said passive motion exerciser comprising:

an elongated leg support frame structure adapted to extend along and be connected to said human leg, said support frame structure having;

a first outer end portion positionable adjacent said ankle joint,

a second outer end portion positionable adjacent a longitudinally intermediate section of said upper leg portion, and

a pivotable, longitudinally intermediate section positionable adjacent said knee joint;

a guide member positionable generally parallel to a line extending through said ankle joint and said hip joint;

a connecting member interconnected between said first outer end portion of said leg support frame structure and said guide member and being movable along said guide member in response to movement of said leg support frame structure;

a drive member supported for movement relative to said guide member;

a drive system operable to selectively drive said drive member in opposite directions relative to said guide member; and

linking means, interconnected between said drive member and said second outer end portion of said leg support frame structure, and responsive to driven motion of said drive member, for moving said second outer end portion of said leg support frame structure in an arc generally centered about a line extending transversely through said hip joint, and for causing pivoting of said leg support frame structure about said longitudinally intermediate section thereof in a manner maintaining a predetermined, aligned relationship between said second outer end portion of said leg support frame structure and said line extending transversely through said hip joint, said linking means including;

first and second cam plate members positioned on opposite sides of said guide member, each of said first and second cam plate members having formed therethrough a first cam slot extending generally parallel to said guide member and a second cam slot having a curved configuration,

first and second torque arm members respectively positioned adjacent said first and second cam plate members,

first connecting means, received in said said first cam slots for movement therealong, for pivotally connecting first portions of said first and second torque arm members to said drive member for movement therewith,

second connecting means secured to second portions of said first and second torque arm members and received in said second cam slots for movement therealong,

first and second elongated arm members positioned on opposite sides of said guide member, said first and second arm members having inner end portions connected to said first connecting means for movement therewith, and outer end portions;

first and second pivot members pivotally connected to said outer end portions of said first and second arm members, respectively, and secured to said second outer end portion of said leg support frame structure;

third and fourth elongated arm members positioned on opposite sides of said guide member, said third and fourth arm members having outer end portions pivotally connected to said first and second pivot members, respectively, and inner end portions pivotally connected to third portions of said first and second torque arm members, respectively; and

cam means for causing pivotal motion of said first and second arm members in response to motion of said drive member, and

said cam means including cam members carried by said first and second arm members, and roller means engageable by said cam members.

40. Passive motion exercising apparatus comprising:

support means for supporting a human leg, said support means being cyclically drivable to cause cyclic flexing and unflexing of the hip and knee joints of said human leg supported thereby;

means, connected to a first portion of said support means, for cyclically driving said support means; and

means for maintaining a predetermined, essentially linear correlation between the hip joint flexure angle and the knee joint flexure angle of said human leg regardless of the length thereof, said means for maintaining including means, connected to a second portion of said support means, for causing the ankle joint of said human leg to move in opposite directions generally along an essentially straight line extending at all times through the hip and ankle joints of said human leg during said cyclic flexing and unflexing of the hip and knee joints of said human leg, and means for causing said first portion of said support means to travel in a circular arc generally centered about a line passing transversely through said hip joint during said cyclic flexing and unflexing of the hip and knee joints of said human leg.

41. The apparatus of claim 40 wherein:

said line extending through the hip and ankle joints of said human leg is horizontally inclined.

42. The apparatus of claim 41 wherein:

the inclination angle of said line extending through the hip and ankle joints of said human leg is approximately 20°

.

43. The apparatus of claim 40 wherein:

said support means include an articulated leg support frame structure having opposite end portions, and opposite side portions positionable on opposite sides of said human leg,

said means for cyclically driving said support means are connected to one of said end portions thereof,

said means for causing the ankle joint to move in opposite directions are connected to the other of said end portions, and

said means for cyclically driving are operative to move said one of said end portions in an arc generally centered about a line extending transversely through the hip joint of said human leg.