If the
rehabilitation device does not provide forces throughout the full functional range, form is compromised.
This type of
rehabilitation equipment is, however, difficult and expensive for use outside of clinic.
Due to the
large size, high-end equipment is difficult and cumbersome to deploy.
Further, because high-end equipment has so many
moving parts, it requires regular maintenance, special handling, and is easily damaged with rough handling and without proper care.
Additionally, due to high cost and size, high-end equipment is impractical for widespread distribution.
Moreover, rehabilitation with this type of equipment requires bringing the
injured person in to a rehab clinic, a geographic constraint requiring presence in and transportation to and from the clinic site.
This is often very difficult and cumbersome, because many people with minor conditions such as moderate
elbow,
wrist, or hand
tendonitis often do not feel their conditions are severe enough to keep them from working for a trip to a rehab clinic.
Many soldiers with apparently minor injuries do not feel their conditions are severe enough to keep them from deploying, on a mission for a trip to a rehab clinic.
It is currently, however, difficult for physical and occupational therapists to address this problem with high-quality rehab equipment being so bulky and difficult to deploy.
Additionally, because such equipment is designed only for in-clinic use many people are unable to enjoy the benefits of high quality rehab when they are away from the clinic, and cannot enjoy the benefits of high-quality exercise between visits.
Due to these constraints, therapists often cannot use high-quality
therapeutic devices to rehabilitate soldiers, and have no choice but to use practical alternatives that are less effective, such as, for example, a hammer as shown in FIG. 3.
Although much less extensive and more convenient, there is a significant gap in terms of quality and consistency of the forces provided between high-quality machinery such as the Multi
Wrist™ and the hammer or vertical shaft with adjustable weights.
With a vertical shaft there are several significant problems.
If they do not, they will be functionally weaker at the ranges where they did not
strength train.
For example, if after an injury, the patient only works his
biceps by doing bicep curls starting with the arm straight down and then stopping at 90° rather than
curling through a complete 180°, the patient will not enjoy the benefit of stronger muscles for much of the remaining 90° because the
muscle fibers have not been strengthened for that region.
In areas where the patient has not been strength trained, the patient will be weak.
This leads to the very serious issue of improper
recovery that can lead to long-lasting pain and a higher chance of re-injury.
A vertical weight does not provide this.
Although this is much cheaper, there is an enormous gap in terms of quality and consistency of the forces provided between high-quality machinery and the hammer or vertical shaft with adjustable weights.
In fact, the vertical weight device only provides an adequate torque at positions, unluckily, outside the most desired
range of motion (beyond the limits illustrated in FIGS. 5A and 5C).
This can be a problem, because during the course of rotation, there is initially no significant induction of rotation.
This extreme variation does not provide a consistent exercise.
Thus it is a very common feature in most rehab clinics despite its lack of effectiveness.
As discussed above, the simple vertical exercise device cannot efficaciously strengthen these muscles.
Further, unless the athlete has unfettered access to high-end machines such as the Multi
Wrist™, the athlete faces several problems.
First, without the ability to regularly exercise throughout the full
range of motion, it is difficult for the athlete to enhance performance.
Second,
weakness in these
muscle groups leave an athlete more prone to injury than if they had a practical method to
strength train these muscles.
For a soldier in the infantry, operating virtually any type of military equipment is rendered extremely difficult without the ability to perform pronation, supination, ulnar deviation and
radial deviation with one's hands and wrists.
The keyboard and mouse interfaces common in the majority of most computers are also rendered extremely difficult to use with injuries that limit these movements.
In addition,
wrist pain is notorious for being so pervasive in that it affects such a significant portion of the activities one has to perform that it may reduce the mental
clarity of the patient.
Further, this can be frustrating and lead to a vicious cycle of diminished image of self-worth because the soldier understands that without full function of their hands, they are physically capable of far less.