Apparatus and method for measuring abduction strength of a patient's thumb

• US 5,471,996 A
• Filed: 09/30/1993
• Issued: 12/05/1995
• Est. Priority Date: 09/30/1993
• Status: Expired due to Term

• Current Assignee: Charlotte Mecklenburg Hospital Authority
• Original Assignee: Charlotte Mecklenburg Hospital Authority
• Inventors: Boatright, James R., Peindl, Richard D.
• Primary Examiner(s): RIMELL, SAMUEL G
• Application Number:
  US08/130,108
• Time in Patent Office: 796 Days
• Field of Search: 128/774, 128/782, 128/781, 128/779, 128/639, 128/644, 128/721, 33/511, 33/512
• US Class Current: 600/595
• CPC Class Codes: A61B 5/225 of the fingers, e.g. by monitoring hand-grip force
• CPC Class Codes: A61B 5/4528 Joints A61B5/4533, A61B5/4538 take precedence

Abstract

An apparatus and method for measuring abduction strength of a patient'"'"'s thumb. The apparatus includes a frame for receiving the patient'"'"'s hand thereupon in a longitudinal direction, enabling the thumb of the patient to move freely upwardly and downwardly about the joint at the base of the thumb. A thumb engaging means is pivotally mounted to the frame for engaging the patient'"'"'s thumb assuring the upward and downward movement thereof. The thumb engaging means is pivotal about a transverse axis. A force transducer means is mounted to the thumb engaging means for detecting the force transmitted between the thumb engaging means and the patient'"'"'s thumb. The force transducer means produces an output representative of the detected force. A display means is provided for displaying the received output.

Claims

1. An apparatus for measuring abduction strength of a patient'"'"'s thumb, said apparatus comprising:

a frame having a generally planar base surface defining a longitudinal direction and a transverse direction, said planar base surface defining a longitudinal direction and a transverse direction, said planar base surface being sized to support the hand of the patient thereupon in the longitudinal direction enabling the thumb of the patient to freely pivot upwardly and downwardly about the joint at the base of the patient'"'"'s thumb;

thumb engaging means pivotally mounted to said frame for engaging the patient'"'"'s thumb during upward and downward movement thereof, said thumb engaging means being pivotable only about a transverse axis generally parallel to said planar base surface and adapted to pass through the joint at the base of the patient'"'"'s thumb;

force transducer means mounted to said thumb engaging means for detecting a force transmitted between said thumb engaging means and the thumb of the patient, said force transducer means producing an output representative of the detected force; and

display means for displaying said output.

2. The apparatus as defined in claim 1 wherein said thumb engaging means comprises a thumb cuff for directing, engaging, and supporting the thumb of the patient'"'"'s hand so that the thumb moves along a predetermined arc about said transverse axis during the upward and downward movement of the thumb, and a lever positioned adjacent said thumb cuff and having said force transducer means attached thereto, and mounting means for mounting said thumb engaging means to said frame such that said thumb cuff and said lever are independently pivotable about said transverse axis.

3. An apparatus as defined in claim 2 wherein said force transducer means comprises a spring element having a generally C-shaped configuration and defining a first end and an opposite second end, a transducer located in one of said first end and said second end and a magnet located in the other of said first end and said second end.

4. An apparatus as defined in claim 3 wherein said transducer measures changes in the magnetic field of said magnet in response to deflection of said spring element.

5. An apparatus as defined in claim 3 wherein said force transducer means is mounted to said lever and is located between said thumb cuff and said lever.

6. An apparatus as defined in claim 2 further comprising a second thumb engaging means pivotally mounted to said frame for engaging the patient'"'"'s second thumb during upward and downward movement thereof when the patient'"'"'s second hand is inserted into said frame to replace the patient'"'"'s first hand, said second thumb engaging means being pivotable about a transverse axis generally parallel to said planar base surface and adapted to pass through the joint at the base of the patient'"'"'s second thumb;

second force transducer means mounted to said second thumb engaging means for detecting a force transmitted between said second thumb engaging means and the patient'"'"'s second thumb, said second force transducer means producing an output representative of the detected force; and

display means for displaying said output of said second force transducer means; and

wherein said second thumb engaging means and said second force transducer means are located on said frame in generally parallel alignment with and in opposed relation to said first mentioned thumb engaging means and said first mentioned force transducer means.

7. The apparatus as defined in claim 2 wherein said mounting means for mounting said thumb engaging means to said frame includes first adjustment means for selective adjustment of said transverse axis along a path which is substantially perpendicular to said planar base surface.

8. An apparatus as defined in claim 2 further comprising stop means for limiting the pivotal movement of said lever about said transverse axis.

9. An apparatus as defined in claim 8 wherein said stop means is positioned to prevent said lever from forcing the thumb retained within said thumb cuff into contact with the palm of the hand.

10. An apparatus as defined in claim 8 further comprising locking means for selectively locking said lever into a predetermined position along its pivotal movement, enabling said lever to remain stationary under a controlled force.

11. An apparatus as defined in claim 1 further comprising first restraining means movably affixed to said frame for restraining all fingers of the patient'"'"'s hand therebetween.

12. An apparatus as defined in claim 11 wherein said first restraining means includes an extension for restraining the palm of the patient'"'"'s hand between said extension and said base surface.

13. An apparatus as defined in claim 11 wherein said first restraining means includes second adjustment means for selectively adjusting said first restraining means along the longitudinal direction of said planar base surface and selectively adjusting said first restraining means along a path perpendicular to said planar base surface to accommodate hands of varying sizes.

14. An apparatus as defined in claim 11 further comprising padding located on said planar base surface, said thumb engaging means, and said restraining means, where said planar base surface, said thumb engaging means, and said restraining means contact the patient'"'"'s hand.

15. An apparatus as defined in claim 11 further comprising second restraining means attached to said frame for restraining a wrist and a forearm of the hand inserted within the frame.

16. An apparatus as defined in claim 15 wherein said second restraining means comprises at least one selectively releasable strap.

17. An apparatus as defined in claim 1 wherein said display means comprises a digital panel meter for displaying said output received from said force transducer means in digital form.

18. An apparatus for measuring abduction resistance of a patient'"'"'s thumb, said apparatus comprising:

a frame having a generally planar base surface defining a longitudinal direction and a transverse direction, said base being sized to support the hand of a patient thereupon, enabling the thumb to pivot freely upwardly and downwardly about the joint at the base of the patient'"'"'s thumb;

first restraining means attached to said frame for restraining all fingers of the patient'"'"'s hand in a desired position;

second restraining means attached to said frame for restraining the wrist and forearm of the patient'"'"'s hand longitudinally inserted within said frame;

thumb engaging means pivotally mounted to said frame for engaging the patient'"'"'s thumb during upward and downward movement thereof, said thumb engaging means being pivotable about a transverse axis generally parallel to said planar base surface and adapted to pass through the joint at the base of the patient'"'"'s thumb;

force transducer means mounted to said thumb engaging means for detecting a force transmitted between said thumb engaging means and the thumb and for producing an output representative of the detected force; and

display means for displaying said output.

19. The apparatus as defined in claim 18 wherein said thumb engaging means comprises a thumb cuff for directing, engaging, and supporting the thumb of the patient'"'"'s hand so that the thumb moves along a predetermined arc about said transverse axis during the upward and downward movement of the thumb, and a lever positioned adjacent said thumb cuff and having said force transducer means attached thereto, and mounting means for mounting said thumb engaging means to said frame such that said thumb cuff and said lever are independently pivotable about said transverse axis.

20. The apparatus as defined in claim 19 wherein said mounting means for mounting said thumb engaging means to said frame includes first adjustment means for selective adjustment of said transverse axis along a path which is substantially perpendicular to said planar surface.

21. An apparatus as defined in claim 19 wherein said force transducer means is mounted to said lever and is located between said thumb cuff and said lever.

22. An apparatus as defined in claim 19 wherein said force transducer means comprises a spring element having a generally C-shaped configuration and defining a first end and an opposite second end, and a transducer located in said first end and a magnet located in said second end.

23. An apparatus as defined in claim 22 wherein said spring element has a known stiffness.

24. An apparatus as defined in claim 22 wherein said transducer measures changes in the magnetic field in response to deflection of said spring element.

25. An apparatus as defined in claim 19 further comprising stop means for limiting the pivotal movement of said lever about said transverse axis.

26. An apparatus as defined in claim 19 wherein said stop means is positioned to prevent said lever from forcing the thumb retained within said thumb cuff into contact with the palm of the patient'"'"'s hand.

27. An apparatus as defined in claim 26 further comprising locking means for selectively locking said lever into a predetermined position along its pivotal movement enabling said lever to remain stationary under a controlled force.

28. An apparatus as defined in claim 19 further comprising a second thumb engaging means pivotally mounted to said frame for engaging the patient'"'"'s second thumb during upward and downward movement thereof when the patient'"'"'s second hand is inserted into said frame to replace the patient'"'"'s first hand, said second thumb engaging means being pivotable about a transverse axis generally parallel to said base and adapted to pass through the joint at the base of the patient'"'"'s second thumb;

second force transducer means mounted to said second thumb engaging means for detecting a force transmitted between said second thumb engaging means and the patient'"'"'s second thumb, said second force transducer means producing an output representative of the detected force; and

display means for displaying said output of said second force transducer means; and

wherein said second thumb engaging means and said second force transducer means are located on said frame in generally parallel alignment with and in opposed relation to said first mentioned thumb engaging means and said first mentioned force transducer means.

29. An apparatus as defined in claim 18 wherein said first restraining means includes second adjustment means for selectively adjusting said first restraining means along said longitudinal direction of said planar base surface and selectively adjusting said first restraining means along a path perpendicular to said planar base surface to accommodate hands of varying sizes.

30. An apparatus as in claim 29 wherein said first restraining means includes an extension for restraining the palm of the hand between said extension and said base surface.

31. An apparatus as defined in claim 18 wherein said second restraining means comprises at least one selectively releasable strap.

32. An apparatus as defined in claim 18 further comprising padding located on said base, said thumb engagement means, and said first and second restraining means, where said base, said thumb engagement means, and said first and second restraining means contact the patient'"'"'s hand.

33. An apparatus as defined in claim 18 wherein said display means comprises a digital panel meter for displaying said output received from said force transducer means in digital form.