System and method for supervised home care rehabilitation of stroke survivors

• US 8,496,564 B2
• Filed: 08/01/2010
• Issued: 07/30/2013
• Est. Priority Date: 08/04/2009
• Status: Active Grant

• Current Assignee: Rachel Zlobinsky
• Original Assignee: Rachel Zlobinsky
• Inventors: Zlobinsky, Rachel
• Primary Examiner(s): RICHMAN, GLENN E
• Application Number:
  US13/388,453
• Publication Number:
  US 20120129655A1
• Time in Patent Office: 1,094 Days
• Field of Search: 482 1- 9, 482900-902
• US Class Current: 482/9
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/0833 Measuring rate of oxygen consumption
• CPC Class Codes: A61B 5/0836 Measuring rate of CO2 production
• CPC Class Codes: A61B 5/221 Ergometry, e.g. by using bicycle type apparatus
• CPC Class Codes: A61B 5/4884 inducing physiological or psychological stress, e.g. applications for stress testing
• CPC Class Codes: A61B 5/6887 mounted on external non-worn devices, e.g. non-medical devices
• CPC Class Codes: A61G 5/021 having particular propulsion mechanisms
• CPC Class Codes: A61H 2201/1276 by the other leg or arm
• CPC Class Codes: A63B 2023/0447 the axis being in the body-symmetrical-plane
• CPC Class Codes: A63B 2071/0018 for wheelchair users
• CPC Class Codes: A63B 2071/0081 Stopping the operation of the apparatus
• CPC Class Codes: A63B 2071/0627 when used improperly, e.g. by giving a warning
• CPC Class Codes: A63B 2071/063 Spoken or verbal instructions
• CPC Class Codes: A63B 2071/0652 Visualisation or indication relating to symmetrical exercise, e.g. right-left performance related to spinal column
• CPC Class Codes: A63B 21/00069 Setting or adjusting the resistance level; Compensating for a preload prior to use, e.g. changing length of resistance or adjusting a valve
• CPC Class Codes: A63B 21/00178 for active exercising, the apparatus being also usable for passive exercising
• CPC Class Codes: A63B 21/00181 comprising additional means assisting the user to overcome part of the resisting force, i.e. assisted-active exercising
• CPC Class Codes: A63B 21/0087 of the piston-cylinder type using hydraulic piston-cylinder type force resistors A63B21/0083
• CPC Class Codes: A63B 21/4049 : Rotational movement
• CPC Class Codes: A63B 22/0056 : the pivoting movement being in a vertical plane, e.g. steppers with a horizontal axis platforms for rocking motion about a horizontal axis A63B22/16
• CPC Class Codes: A63B 22/0076 : Rowing machines for conditioning the cardio-vascular system seats moving during exercise A63B22/0087; training appliances for rowing or sculling on boats A63B69/06
• CPC Class Codes: A63B 22/0605 : performing a circular movement, e.g. ergometers
• CPC Class Codes: A63B 2225/20 : with means for remote communication, e.g. internet or the like
• CPC Class Codes: A63B 2225/305 : Remote servicing
• CPC Class Codes: A63B 2230/04 : heartbeat characteristics, e.g. ECG, blood pressure modulations
• CPC Class Codes: A63B 2230/205 : P-CO2, i.e. partial CO2 value
• CPC Class Codes: A63B 2230/30 : blood pressure A63B2230/04 takes precedence
• CPC Class Codes: A63B 2230/40 : respiratory characteristics
• CPC Class Codes: A63B 2230/433 : partial CO2 value
• CPC Class Codes: A63B 23/0429 : with guided foot supports moving parallel to the body-symmetrical-plane by being cantilevered about a horizontal axis
• CPC Class Codes: A63B 71/0009 : for handicapped persons
• CPC Class Codes: A63B 71/0054 : Features for injury prevention on an apparatus, e.g. shock absorbers mats or the like for absorbing shocks for jumping A63B6/00
• CPC Class Codes: A63B 71/0622 : Visual, audio or audio-visual systems for entertaining, instructing or motivating the user

Abstract

A transportable apparatus for performing cardiovascular training, including: an exercise device that is adapted to enable a user to perform a specific motion pattern; an ergometer that provides an indication of the amount of work performed by the user of the exercise device; an alarm system that provides an indication to the user responsive to the readings of the ergometer; wherein the alarm system is preprogrammed to provide indications responsive to one or more readings of the ergometer based on the results of a cardiorespiratory exercise test performed on the user with the exercise device.

Claims

1. A transportable apparatus for performing cardiovascular training for stroke survivors, comprising:

an exercise device that is adapted to enable a user to perform a specific motion pattern based on motor deficiencies of the user, by adjusting the device to allow performance of the specific motion pattern;

wherein the device adjustments enable the device to perform reciprocal motion by moving a damaged limb responsive to motion of a healthy limb;

wherein said exercise device is transportable by a single person so that it may be transported and used at the user'"'"'s home;

an ergometer that provides an indication of the amount of effort exerted by the user of the exercise device;

an alarm system that provides an indication to the user responsive to the readings of the ergometer;

wherein said exercise device is configurable to function in a test mode and in an exercise mode;

Wherein in the test mode the user performs a cardiorespiratory exercise test with said exercise device after being configured to perform the specific motion pattern, and the readings of the ergometer are recorded; and

wherein the recorded readings of the ergometer are used to preprogram said alarm system to provide indications responsive to one or more readings of the ergometer for the specific user when using the device in the exercise mode to perform the specific motion pattern.

2. An apparatus according to claim 1, wherein said exercise device is adapted to be attached to a wheel chair to enable performing exercise while seated in the wheel chair.

3. An apparatus according to claim 1, wherein said alarm system provides continuous readings related to the amount of effort performed by the user.

4. An apparatus according to claim 3, wherein said readings are provided as audio signals.

5. An apparatus according to claim 3, wherein said readings are provided as visual signals.

6. An apparatus according to claim 1, wherein the exercise device can be adjusted to have a higher or lower level of resistance to the motion performed by the user, so that the level of resistance matches the ability of the user.

7. An apparatus according to claim 6, wherein the exercise device is calibrated with a different level of resistance on each side of the exercise device.

8. An apparatus according to claim 1, wherein the cardiorespiratory exercise test determines a maximum amount of effort allowed by the user during a single session.

9. An apparatus according to claim 1, wherein said alarm system provides signals to remind the user to perform exercise.

10. An apparatus according to claim 1, wherein said alarm system provides signals to notify the user to stop performing exercise.

11. An apparatus according to claim 1, wherein said alarm system provides signals to help the user to follow a pre-programmed exercise plan.

12. An apparatus according to claim 1, wherein said alarm system prevents the user from continuing to perform exercise with the exercise device.

13. An apparatus according to claim 2, wherein said exercise device is adapted to be used while the wheel chair is stationary.

14. An apparatus according to claim 2, wherein said exercise device is adapted to enable the user to control the motion of the wheel chair.

15. An apparatus according to claim 2, further comprising a pump that produces compressed air from the exercise performed by the user.

16. An apparatus according to claim 15, wherein the compressed air is used to move the wheel chair forward or backward, instead of moving the wheel chair by hand.

17. An apparatus according to claim 1, wherein compressed air stored in a container in the exercise device is provided to a pump to perform the reciprocal motion by moving the user'"'"'s damaged limb responsive to motion of the healthy limb.

18. A method of performing home based cardiovascular exercise training for stroke survivors, comprising:

designing a specific motion pattern to be performed by a user of a transportable exercise device based on motor deficiencies of the user;

adjusting the exercise device based on the motor deficiencies of the user to allow performance of the specific motion pattern;

wherein the adjustments enable the device to perform reciprocal motion by moving a damaged limb responsive to motion of a healthy limb;

training the user to use the exercise device;

testing the cardiorespiratory ability of the user while using the exercise device after being adjusted to allow performance of the specific motion pattern and monitoring the readings of an ergometer that provides indication of the effort of the user while using the device;

planning a fitness program based on the testing;

using the results of said testing to program an alarm system of the exercise device to provide the user with indications responsive to various readings of the ergometer while using the exercise device.

19. A method according to claim 18, wherein said exercise device is adapted to be attached to a wheelchair.

20. A method according to claim 18, further comprising warning the user if he exceeds a pre-determined exercise rate.

21. A method according to claim 18, wherein said alarm system prevents said user from performing exercise with said exercise device responsive to readings from the ergometer.