Computer based upper extremity evaluation system

• US 4,922,925 A
• Filed: 02/27/1989
• Issued: 05/08/1990
• Est. Priority Date: 02/29/1988
• Status: Expired due to Fees

• Current Assignee: Washington University In St Louis
• Original Assignee: Washington University In St Louis
• Inventors: Crandall, Richard E., Vannier, Michael W., Weeks, Paul M.
• Primary Examiner(s): HINDENBURG, MAX F
• Application Number:
  US07/314,188
• Time in Patent Office: 435 Days
• Field of Search: 128/774, 128/779, 128/781, 128/782, 307/147, 33/511, 33/512, 33/515
• US Class Current: 600/595
• CPC Class Codes: A61B 5/103 Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes A61B5/08 takes precedence; measuring aids for tailors A41H1/00; measuring instruments specially adapted for dentistry A61C19/04
• CPC Class Codes: A61B 5/4528 Joints A61B5/4533, A61B5/4538 take precedence
• CPC Class Codes: A61B 5/6891 Furniture
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 40/63 for local operation

Abstract

An upper extremity evaluation system includes a computer and a directly connected three-dimensional position locator which may be used by a therapist to enter data corresponding to the location of the flexed and extended joints of the hand, wrist and elbow. The computer may then utilize these dimensions in calculating angles of flexion and extension, and a degree of disability in accordance with American Medical Association standards.

Claims

1. A clinical range of motion and disability evaluation device for measuring the range of flexion and extension of a patient'"'"'s hand comprising a computer means, means directly connected to the computer means for a skilled human operator such as a rehabilitative or physical therapist or physician to selectively measure and input various physical locations of the articulated segments which comprise the fingers of the hand, a common reference point, the measuring and input means including means to locate points proximate the various joints of fingers on the hand with respect to said common reference point in a fully three-dimensional Cartesian coordinate form, said measurements being taken with the fingers of the hand in both a flexed and extended orienation, and the computer means having means to determine the degree of disability from said measured locations according to recognized standard criteria, the disability determining means thereby having means to calculate the angles of maximum flexion and extension for each finger from points that locate the absolute position of maximal and distal segments at each and every joint articulation in the fingers of the hands.

2. The device of claim 1 wherein said measurement and input means includes means for a therapist to select an anotomic locus for measurement with has hands and enter data corresponding to the dimension with some body part other than his hands, thereby leaving his hands free to move rapidly from one dimension to another during the course of the evaluation.

3. The device of claim 1 wherein the measuring and input means includes a pointer or manual stylus assembly for a therapist or other expert human to bring into physical contact with a pre-determined anatomic locus on the hand, and means for the therapist to actuate the measuring and input means and thereby cause a measurement to be taken.

4. The device of claim 1 wherein the disability determining means includes means to calculate maximum and minimum angles of flexion and extension of the fingers and thereby determine the range of motion possible.

5. The device of claim 1 further comprising means for the therapist to enter data into the computer means corresponding to the measurement of other physiological parameters of the hand.

6. The device of claim 5 further comprising a dynamometer, a pinch gauge, and means interconnecting same to the computer means so that data generated by same is directly entered into the, computer means.

7. A device to perform the clinical evaluation of the range of motion of a patient'"'"'s hands, said device comprising a computer means, a pointer means, a reference, means directly connected to the computer means to generate data corresponding to the position of the pointer means in three dimensional space with respect to the reference, and means for a therapist to cause data generated by the position means to be stored in the computer means so that a therapist can enter data into the computer means corresponding to the maximum flexion and extension of the patient'"'"'s hands, said computer means having means to calculate and communicate the range of motion.

8. The device of claim 7 further comprising means for a therapist to enter data into the computer means corresponding to the measured sensitivity of the patient'"'"'s hands, the computer means having means to calculate and communicate the degree of disability of the patient'"'"'s hands.

9. The device of claim 8 further comprising means to generate data corresponding to the gripping strength of the patient'"'"'s hands, and means to communicate said data to the computer means.

10. The device of claim 8 further comprising means to generate data corresponding to the pinch strength of the patient'"'"'s hands, and means to communicate said data to the computer means.

11. The device of claim 7 further comprising a work station for containing said device, the work station having a working surface on which the patient'"'"'s hands are placed for the clinical evaluation, the reference being mounted substantially adjacent to the working surface, and the work station having a shield to minimize electromagnetic interference.

12. The device of claim 7 further comprising means to measure the range of motion of the wrist from measurements taken at the radius and ulna as the wrist is moved from a neutral position to each of a maximum supination position and a maximum pronation position.

13. A clinical range of motion and disability evaluation device comprising a work station having a work surface, a personal computer, a three-dimensional six degree of freedom position locator and wand directly connected to the personal computer, said three-dimensional position locator including a common reference mounted to the work station substantially adjacent the working surface and having means to generate data corresponding to the position of the wand with respect to said reference, a second means connected to the personal computer to control the entry of data from the three-dimensional position locator to the computer wherein a therapist may selectively orient the wand at a plurality of points across a patient'"'"'s hand and input data corresponding to the position of the joints while the hand is in a state of maximum flexion and extension, and the computer having means to calculate the angles of maximum extension and flexion and a degree of disability therefrom.

14. The device of claim 13 further comprising an electromagnetic shield mounted in the work station and spaced apart from the working surface to shield the common reference from electromagnetic interference.

15. The device of claim 13 further comprising a dynamometer and pinch gauge connected directly to the personal computer to permit data entry into the computer corresponding to the grip strength and pinch strength of a patient'"'"'s hand.