A CUSTOMIZABLE ADJUSTABLE LOWER EXTREMITY EXERCISE DEVICE.

Abstract

This invention relates to a custom-adjustable lower extremity exercise device (1) that can offer patients more effective treatment at a lower cost during the early rehabilitation period for individuals with lower extremity problems (such as post-surgical, post-traumatic, and paralyzed conditions). With this device (1), individuals can have their foot-knee-hip joints work at the desired ROM without having to come to the hospital. By stabilizing the hip joint, more effective knee angles will be achieved.

Description

1 TARIFF A CUSTOMIZABLE ADJUSTABLE LOWER EXTREMITY EXERCISE DEVICE. Technical Area This invention is designed to help individuals with lower extremity problems (such as post-surgical, post-traumatic, and stroke cases). (in these cases) more effective treatment at a lower cost for patients during the early rehabilitation period 5 It refers to a customizable, adjustable lower extremity exercise device that can offer these benefits. State of the Art The lower extremity is the entirety of the hip, knee, and ankle joint structures. Thanks to the lower extremities... Walking, standing, and meeting basic needs are ensured. Hip, knee, and ankle joints are the joints that bear the most weight in the body, and are essential for performing sporting activities and for 10 days a week. It is important because it contains joints responsible for maintaining mobility. It carries. In addition, it involves all the joints involved in movement for normal walking, especially the hips and knees. Normal range of motion of the ankle joint and normal muscle strength are required. The most common problems in the lower extremities include hip and knee joint osteoarthritis, knee and foot osteoarthritis. Wrist ligament injuries are present. Rehabilitation for individuals with lower extremity problems. Performing passive, active-assisted, active, and resistive joint movements is very important during this process. Range of motion (ROM) (passive, active-assisted, active and resistive) according to the patient's medical condition. Doing exercises is important. Rehabilitation for lower extremity problems (e.g., hip osteoarthritis, knee osteoarthritis) Non-pharmacological interventions are an integral part of the overall recovery process after surgery. It is a part of and also essential for improving clinical outcomes. Physiotherapy exercise A systematic review and meta-analysis shows that physiotherapy exercises are beneficial in the short term. and 25 for function, range of motion and quality of life within 3-4 months after surgery. They concluded that it provided minor to moderate benefits. The primary focus of early rehabilitation is to get patients through the shortest possible time after surgery. The goal is to prepare the patient for discharge from the hospital within a short period. Limited hip, knee, or ankle joint movement. 2 Since range of motion affects functional activities, achieving normal joint range of motion is primary. It is considered one of the indicators. Robert Salter, in the early 1980s, studied biological Continuous Passive Motion (CPM). He introduced the concept of motion. Coutts and colleagues first used CPM in total knee arthroplasty 5 They started it immediately after the surgery. Their reasoning was based on Salter's research and CPM's better It enhances collagen tissue healing through fiber orientation, prevents cross-linking, and thus... It was based on the assumption that it produced better motion restoration. The CPM device is currently used as the first step in rehabilitation after many knee surgeries. It is applied. It can be adjusted to the desired knee angle. In addition, the desired ankle angle can be adjusted. There are also types that can be adjusted at certain angles. However, the models designed so far have some drawbacks. The hip joint... Because it is not stabilized, the leg slides towards the hip during movement, resulting in a knee angle of 15. This is not possible. Furthermore, rehabilitation for patients in the initial post-surgical period is also lacking. Getting to the hospital is not very easy. We need a device that will make it easier to monitor patients at home. It is necessary for patients to actively participate in rehabilitation during the later stages of rehabilitation. The need for devices that will provide this is also obvious. Current solutions do not adequately stabilize the hip, knee, and ankle. The hip joint... The degree of joint range of motion is unknown. Also, as the name of the device suggests... (Continuous Passive Motion (CPM) only allows passive movement. It provides. There are no specific gradings for the hip and ankle. Frontal in the hip. Movement in the plane is not possible. With the knee and ankle in a neutral position, the hip rotates 90° 25°. Flexion movement up to a certain degree, and abduction / adduction movement are not possible. Additionally, In resistance exercises, the resistance level is adjusted instantly and dynamically according to the patient's movement. It cannot be adjusted. Patent document CN111481404A, which is in the known state of the art, provides correct feedback 30 It relates to an adjustable hip joint exercise device that can provide this. However, in this document... 3 The aforementioned disadvantages cannot be overcome with the device in question. The basic function of the device is... The goal is to provide passive movement via a servo motor. In other words, the device moves the patient's leg. It causes the patient to move it, but the patient himself cannot actively move it. The rail mentioned in the text is the basic in only one plane, namely flexion / extension of the hip joint This shows that it enables movement. In the text, other 5 movements such as abduction / adduction (opening outwards / inwards) are mentioned. Movements in planes are not mentioned. Hip abduction and... Adduction is the vertical plane flexion and extension of the hip joint, and flexion of the knee joint. Extension, dorsiflexion, and plantar flexion movements of the ankle joint are not possible. Brief Description of the Invention 10 The purpose of the invention is to help individuals with lower extremity problems (such as post-surgical, post-traumatic, paralysis). (in these cases) more effective treatment at a lower cost for patients during the early rehabilitation period The goal is to create a device that can offer this. Another aim of the invention is to help 15 year olds who are unable to perform active movement in their lower extremities or who have lost muscle strength. The goal is to develop a device that individuals can use easily. Another purpose of the invention is to enable physiotherapists in hospitals or rehabilitation centers to assist patients. The goal is to reduce the need for one-on-one work and minimize workforce loss. Explanation of the Figures Figure 1: A perspective representation of the device that is the subject of the invention. Explanation of References in Figures To better understand the invention, the numbers in the figures correspond to the following: 25 1. Preparation for exercises in the lower extremities 1.1. Knee-ankle-foot orthosis (KAFO) 1.1.1. Footrest section 1.1.2. Calf support section 1.1.3. Thigh support section 30 1.1.4. First fixing strap 4 1.1.5. Ankle joint 1.1.6. D-joint 1.1.7. D'stal side bar 1.1.8. Proximal side bar 1.2. Ray system 5 1.2.1. First ray 1.2.2. Second rail 1.2.3. Third rail 1.3. Scrolling component 1.4. Hip fixation piece 10 1.4.1. Hip joint 1.4.2. Second fixing strap Detailed Description of the Invention The subject of the invention is a lower extremity exercise device (1); at least one knee-ankle-foot orthosis (KAFO) (1.1), 15 At least one third rail (1.2.3) extending horizontally from the hip fixation piece (1.4) to the floor including, in addition, at least one first rail which is perpendicular to the ground and can be removed and attached to the device (1). (1.2.1) and / or horizontal to the floor but perpendicular to the third rail (1.2.3) and brought up to the device (1) having at least one second rail (1.2.2) of a demountable structure, where these rails are interconnected and Thus, at least 20 that enable movement (back and forth, up and down, left and right) on two or three planes. a rail system (1.2) to perform flexion and extension movement in the hip and knee joints and foot support for performing abduction and adduction movements of the hip joint in the frontal plane section (1.1.1) and the rails within the rail system (1.2) connected to the thigh support section (1.1.3) at least two sliding components designed to slide on it (1.3), at least one hip fixation part (1.4) and exercise type, joint angles, resistance level, number of repetitions and / or other 25 At least one control unit that enables the programming of parameters (not shown in the figure) It includes. The first rail (1.2.1) is connected to the footrest section (1.1.1) when the knee joint is in the neutral position. With the sliding component (1.3) sliding inside, the hip joint can be flexed vertically up to 90 degrees. This allows the hip to perform its movement. The second rail (1.2.2) moves the hip when the knee joint is in a neutral position. It allows the joint to perform abduction and adduction movements. The third rail (1.2.3) is: It enables the performance of flexion and extension exercises for the hip and knee joints. KAFO (1.1); at least one footrest section (1.1.1) used to secure the user's foot, at least one 5-inch support belt that supports the calf from below, from the proximal ankle to the distal knee joint. The calf support section (1.1.2) extends from the proximal part of the knee joint to the thigh joint. at least one thigh support section (1.1.3) that supports the user's leg up to its distal end, and At least two primary fixation straps (1.1.4) to secure the thigh to the support sections, ankle at least one ankle joint that adjusts the joint angle (1.1.5), knee joint that adjusts the joint angle and at least two knee joints positioned opposite each other on the side bars (1.1.6), multiple 10 Includes a telescopic bar, so its length can be extended or shortened according to the user, with calf support on the inside and outside. connected to the support section (1.1.2) and between the knee joint (1.1.6) and the ankle joint (1.1.5) at least two distal side bars positioned (1.1.7), containing multiple telescopic bars, so that the length Adjustable according to user's needs, attached to the thigh support section (1.1.3) on the inside and outside. and at least two proximal lateral 15 located between the knee joint (1.1.6) and the hip joint (1.4.1). bar (1.1.8) provides passive, adjustable active-assisted, active and adjustable resistance exercises, positioned in an integrated manner with the knee and ankle joints (1.1.6, 1.1.5) The necessary movements of the joints (1.1.6, 1.1.5) at predetermined angles, predetermined enabling it to do so with speeds and / or, if necessary, with resistance, at least one motor for each joint. (not shown in the figure), synchronized with motors, to measure joint range of motion and 20 data about joint angles is given to motors to evaluate the accuracy of movement. by sending and ensuring correct adjustments are made at the knee and ankle joints (1.1.6, 1.1.5) includes at least one angular sensor positioned in each location (not shown in the figure). Hip fixation device (1.4); at least two hip joints (1.4.1) that adjust the hip joint angle, passive, 25 Adjustable active-assisted, providing active and adjustable resistance exercises for the hip joint. (1.4.1) by positioning the joints in question in an integrated manner, the necessary movements of (1.4.1) to do it at predetermined angles, at predetermined speeds and / or with resistance if necessary. at least one motor providing range of motion, working in sync with the motors, and Data on motor joint angles used to evaluate the accuracy of movement 30 by sending and ensuring correct adjustments at the hip joints (1.4.1) 6 at least one angular sensor positioned and at least one second sensor securing the user's body. Includes a fastening strap (1.4.2). The device subject to the invention (1) is located at the hip, knee and ankle joints (1.4.1, 1.1.6, 1.1.5). At least one battery used as a power source for each motor (not shown in the figure) 5 It includes. In one application of the invention, the device (1) can stop the system in case of emergency, remotely monitoring the patient's exercise progress, programming exercise programs, and utilizing related data. 10 The device must have at least one user interface (1) that enables it to perform transmit / receive functions It contains at least one communication unit that enables communication. This allows for the measurement of movement angles and resistance. Resistance levels during exercises can be adjusted remotely, providing a more effective treatment process. The goal is to transmit rehabilitation-related information to a server via the communication unit. It receives feedback from the server. In one application of the invention, the device (1) includes hip, knee and ankle joints (1.4.1, 1.1.6, 1.1.5) integrated into it and real-time monitoring of joint angles using data received from angular sensors during movement. interfaces (preferably digital screens) that provide visual feedback to the user by displaying it as such. (not shown in the figure) includes. These screens are aligned with the target angle of the exercise. It contributes to its realization. 20 One application of the invention includes fastening straps (1.1.4, 1.4.2) and Velcro fasteners. The device subject to the invention (1) has motors in the hip, knee and ankle joints (1.4.1, 1.1.6, 1.1.5). It includes performing movements passively, actively assisted, actively, and with adjustable resistance. It offers the possibility of adjustable joint angles thanks to the angular sensors. The device in question (1) offers adjustable joint angles 25 and has varying resistance levels, particularly in hip flexion and extension, in the hip joint. Abduction and adduction movements in the frontal plane, flexion and extension of the knee, foot It allows for dorsiflexion and plantar flexion movements at the wrist. Additionally, it allows for vertical movement at the hip. It provides functional flexibility by allowing flexion / extension movement up to 90 degrees in the plane. It offers rehabilitation. This feature is not available in devices from the previous technology. 30 7 In one application of the invention, the control unit detects predetermined emergencies and... When an emergency occurs, the device (1) stops the rehabilitation process. The control unit, If the device detects a mismatch between the motors and the data received from the angular sensors, it will check (1). It ensures user safety by automatically stopping the system and preventing potential damage or injury. It takes precautions against erroneous actions. The situations in which this incompatibility may occur are listed as follows: 5 Exceeding Range of Motion: • If the device (1) reaches an angle that exceeds the patient's range of motion, and this angle If the patient's tolerance level is exceeded, the control unit can detect this and stop the device (1). Unexpected Resistance or Contraction: 10 • If the patient experiences a sudden spasm or muscle contraction and the device (1) movement If it cannot complete it, it can stop by identifying this. Motor and Sensor Incompatibility: • If a discrepancy is detected between motor movement and angular sensor data, The device (1) may be malfunctioning. 15 Excessive Force Detection: • If the extremity that the device (1) moves shows an unusual resistance, this This situation may be due to an obstacle or the patient's illness. Connection Errors or Sensor Failures: • If there is an inconsistency in the data from the angular sensors or motors, the device will malfunction. (1) stands as a safety precaution. With this device (1), the foot-knee-hip joints can be treated without the need for people to come to the hospital. It will be possible to enable it to work within the desired range of motion. This can be further improved by stabilizing the hip joint. Effective knee angles will be provided. 25 This invention has implications for orthopedic surgeries, intensive care units in hospitals, and neurological procedures. It is a device that can be used in all rehabilitation centers and in patients' homes. It will be able to enable controlled movement during the early rehabilitation period. For example, a phone. Thanks to the application, physiotherapists or clinicians can see how much time patients spend working at home. They will be able to track and see exercise progress and adjust the ROM values ​​as needed. 8 The device in question (1) is used for knee replacement after meniscus surgery and knee ligament surgery. It can be used after hip replacement surgeries. It can also be used for lower extremity muscle surgeries. in cases where strength is insufficient and / or lower extremity muscle strengthening is required Individuals can easily perform desired hip, knee, and 5-inch hip and knee exercises at home without needing a physiotherapist / healthcare professional. Ankle ROMs are passive, actively assisted, active, or resistant (to strengthen muscles). This will provide the opportunity to exercise (Resistance will automatically adjust according to the patient's muscle strength). (Adjustable, and the resistance level is increased as muscle strength increases). The overall cost can be reduced by preventing patients from having to come to the hospital every day. 10 By strengthening joint stabilization, the most effective angles can be achieved. Patients' progress... Their levels can be monitored remotely and steps can be selected for their development. On the device (1) Specialized movements thanks to motor integration in the extremity joints (hip, knee, ankle). By adding to it, the focus can be shifted to the addition process. The advantages of the device in question (1) are summarized below: 15 - Multiple Joint Integration: Subject of the invention is an exercise device for the lower extremity (1); hip, knee and contains motors in the ankle and wrist joints (1.4.1, 1.1.6, 1.1.5). Thus, the existing While CPM devices are generally designed only for the knee or hip joint, this device (1) Providing integrated movement for multiple joints, enabling more comprehensive rehabilitation. It offers. 20 - Thanks to the motors used in the joints: o Ensuring EHA control in the hip, knee and ankle, It has become possible to allow passive, actively assisted, active and resistance exercise. - Comprehensive Movement Capacity: Device (1), flexion and extension in the knee joint, foot 25 in the dorsal and plantar flexion planes at the wrist joint and in the frontal plane at the hip joint. Abduction and adduction cause flexion and extension movements in the vertical plane. It has the ability to provide. In addition, the knee and ankle joints with the rail system (1.2) In a neutral position, the hip should flex up to 90 degrees and the frontal By providing the possibility of movement in planes, it contributes to functional rehabilitation. It is located. 30 9 - Angular sensors: Allow for more precise adjustment of joint angles, joint It measures the range of motion in real-time and evaluates the accuracy of the movement. - Digital Support: Integrated digital screens on the joints provide the patient with real-time information. It provides visual feedback, ensuring exercises are performed at the correct angles. - Smart Control and Bluetooth Integration: 5 via mobile application Bluetooth connection `device (1) settings (for example, Exercise type, joint angles, number of repetitions can be done. In active resistance exercises, resistance can be adjusted according to the patient's muscle strength, and the muscle As it gets stronger, the resistance ratio can be increased. The rehabilitation process can be monitored and controlled remotely. 10 The patient's exercise progress can be monitored and data can be transmitted remotely. In emergency situations, the system can be stopped remotely, thus increasing patient safety. It is possible. - Error Detection and Safety Mechanism: Sensors detect incompatibility with motor movements. When detected, the automatic safety mechanism is activated and the device (1) stops, so 15 The patient's harm is prevented. - More effective angles during exercises with hip jointVnVn stabVlVze edVlmesV will be provided. - Fully Foldable and Portable Design: The device (1) is foldable and its components are portable. It is designed to be easily accessible, allowing for storage in minimum volume and easy access. It is portable. It can also be adjusted according to the user's height. Industrial Applicability of the Invention This invention is designed to help individuals with lower extremity problems (such as post-surgical, post-traumatic, and stroke cases). (in these cases) more effective treatment at a lower cost for patients during the early rehabilitation period This relates to an individually adjustable lower extremity exercise device (1) that can offer 25 to the industry. It is feasible. The invention is not limited to the above descriptions; a person skilled in the field can easily discover different aspects of the invention. They can present applications. These fall within the scope of the protection sought by the invention through claims. It should be evaluated.

Claims

REQUESTS 1. Individuals with lower extremity problems receive less treatment during the early rehabilitation period. In order to provide more effective treatment at a lower cost; to stabilize the user's foot. at least one foot support section used (1.1.1), from the calf proximal to the ankle to the knee at least one calf support section (1.1.2) that supports the joint from below up to the stalactite, thigh 5 supporting at least part of the knee joint from proximal to inferior to femoral joint. b`r thigh support section (1.1.3), supports the user's leg and thigh to the support sections. For fastening, at least a 'k' 'r'nc' fastening strap (1.1.4) should be used to adjust the ankle joint angle. at least one ankle joint (1.1.5) that adjusts the knee joint angle and which are connected to each other at least k`d`z joints (1.1.6) positioned on opposite side bars, multiple telescopic 10 a bar that can be lengthened or shortened according to the user, with inner and outer calf straps. connected to the support section (1.1.2) and the knee joint (1.1.6) and ankle joint (1.1.5) at least `k` d`stal side bar (1.1.7) positioned between, b`rden çok tele`k bar `containing, Thus, its length can be adjusted to suit the user, and it provides thigh support from both the inside and outside. connected to section (1.1.3) and between the d'z joint (1.1.6) and the hip joint (1.4.1) 15 at least `k` prox`mal lateral bar (1.1.8) positioned to the knee and ankle joints (1.1.6, 1.1.5) by positioning the joints in question (1.1.6, 1.1.5) in an integrated manner. movements at predetermined angles, at predetermined speeds and / or as required enabling it to do so with resistors, at least one twin- foot orthosis (KAFO) (1.1), at least one of each 20 used as a power source for motors. Battery included; At least one third rail extending horizontally from the hip fixation piece (1.4) to the ground. (1.2.3) containing, in addition to this, a device that is perpendicular to the ground and can be removed and attached to the device (1) at least b`rb`r`nc rail (1.2.1) and / or horizontal to the ground but perpendicular to the third rail (1.2.3) and The device (1) must contain at least one second rail (1.2.2) of a removable and attachable structure, and these rails must be connected to each other by 25 at least one that is connected and thus enables movement on these `k` or three planes. Ray system (1.2) to perform flexion and extension movements in the hip and knee joints. and to perform abduction and adduction movements of the hip joint in the frontal plane The rail system (1.2) is connected to the foot support section (1.1.1) and the thigh support section (1.1.3). Designed to slide on the rails inside, at least k sliding components (1.3), hip 30 at least `k` hip joints (1.4.1) that adjust the joint angle, integrated into the hip joints (1.4.1) 11 By positioning them as shown, the necessary movements of the joints in question (1.4.1) can be determined in advance. Enables it to perform actions at specified angles, at predetermined speeds, and with resistance if necessary. at least one motor, working synchronously with the motors, to measure the range of motion of the joint and Used to evaluate the accuracy of movement, regarding motor joint angles. 5 in hip joints (1.4.1) that enables correct adjustments to be made by sending `ver`. at least one angular sensor positioned and at least one to stabilize the user's body. At least one hip fastening part (1.4) with a 'k'nc' fastening strap (1.4.2), with engines Synchronized operation, measuring joint range of motion and accuracy of movement. Used for evaluation purposes, by sending data to motors about joint angles. 10 in the knee and ankle joints (1.1.6, 1.1.5) that enable correct adjustments to be made. KAFO and exercise type, joint angles, each containing at least one positioned angular sensor, The most effective way to program the resistance level, repetition count and / or other parameters. A lower extremity exerciser (1) characterized by a little control.

2. If the device detects any discrepancy between the data received from the angular sensors and the motors, (1) Characterized by its control unit that automatically stops, like in System 1, 15 A lower extremity exercise (1).

3. Control unit's ability to stop the system in emergency situations, monitor the patient's exercise progress. performing, exercise programming and remote transmission / reception of relevant data functions enabling get`reb`lmes`n`, enabling at least one user interface `communication` with the device (1) az b`r communication b`r`m` ̀ çermes`yle karakterVze edVlen ̀ system 2'dek` g`b` b`r alt ekstrem`te 20 exercise_device (1).

4. Integrated into the hip, knee and ankle joints (1.4.1, 1.1.6, 1.1.5) and movement By displaying the joint angles in real-time using data received from angular sensors during the process. Characterized by containing an interface that provides visual feedback to the user. exercise equipment for the lower extremity as in any of the above systems (1). 25

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