Supine Stepper With Reciprocating Tracks for Heel-Slide Rehabilitation

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Solution Overview

Problem

There is a lack of portable devices that can help severely deconditioned patients regain leg mobility and perform heel slides without requiring multiple individuals, and existing motorized systems are impractical due to cost and space constraints.

Innovation Solution

A supine stepper system that allows patients to practice heel slides and leg presses using a reciprocating mechanism, with features like resistance devices, weight mechanisms, and adjustable components to facilitate independent or coordinated leg movements.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If motorized systems are used to help patients regain leg mobility, then patient mobility improvement is enhanced, but device cost and space requirements increase significantly

Engineering Contradiction:
Improvepatient mobility improvementVSAvoiddevice cost and space
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The system enables patients to perform rehabilitation exercises independently using their own body weight and the mechanical advantage of the lever system, eliminating the need for motorized assistance and multiple therapists while maintaining effective mobility improvement

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The patent removes the motorized components and complex control systems from the rehabilitation device, extracting only the essential mechanical elements (levers, tracks, force receiving members) needed to achieve the therapeutic effect, thereby reducing cost and space requirements

Inventive Principle:
Principle #2Taking out (Extraction)

2Reliability

If multiple individuals are required to assist patients with leg mobility exercises, then patient safety and effectiveness are improved, but therapist workload and resource requirements increase

Engineering Contradiction:
Improvepatient safety and effectivenessVSAvoidtherapist workload
Core Design Contradiction:
ReliabilityVSProductivity

Solution Approach 1:

The mechanical system is designed to guide and support patient movements automatically through the track and lever mechanism, allowing patients to perform exercises safely without continuous therapist intervention, thereby reducing workload while maintaining effectiveness

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The force receiving members and track structure serve as intermediaries between the patient and the therapeutic exercise, providing structured guidance and support that ensures safe and effective movement patterns without requiring constant human supervision

Inventive Principle:
Principle #24Intermediary (Mediator)

3Reliability

If existing rehabilitation devices are used for heel slides, then patient leg mobility is improved, but portability and accessibility are reduced due to size and cost

Engineering Contradiction:
Improveleg mobility improvementVSAvoidportability and accessibility
Core Design Contradiction:
ReliabilityVSAdaptability or versatility

Solution Approach 1:

The rehabilitation system is divided into modular components (base, tracks, force receiving members, reciprocating mechanism) that can be configured for different exercise types and potentially assembled in space-efficient arrangements, improving portability and accessibility while maintaining therapeutic effectiveness

Inventive Principle:
Principle #1Segmentation

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

Enables patients to regain mobility efficiently by allowing one leg to drive the other, reducing overexertion and requiring only one therapist for effective rehabilitation.

Implementation Method 1

the reciprocating mechanism includes a rack and pinion mechanism. According to various embodiments, the rack and pinion mechanism includes a first engagement member coupled to the first track structure, a second engagement member coupled to the second track structure, and a gear coupled to the first engagement member and the second engagement member

Methodology Applied
Scientific EffectRack and pinion mechanism: Rack and Pinion

Implementation Method 2

the brake mechanism includes an adjustment mechanism configured to adjust the braking force

Methodology Applied
Scientific EffectFriction: Friction

Implementation Method 3

the weight mechanism is coupled to at least one of the first track structure and the second track structure such that the translation of at least one of the first force receiving member and the second force receiving member causes movement of the at least one weight in a direction perpendicular to the horizontal plane

Methodology Applied
Scientific EffectGravity: Gravitation

Data Source

PatentUS12453888B2Supine stepper
Publication Date: 2025.10.28 MEMORIAL SLOAN KETTERING CANCER CENT
  • US12453888B2 patent drawing
  • US12453888B2 patent drawing
  • US12453888B2 patent drawing

AI summary

A stepper includes a base defining a horizontal plane, a first track structure coupled to the base and configured to translate along a first track, a first force receiving member coupled to the first track structure, a second track structure coupled to the base and configured to translate along a second track, a second force receiving member coupled to the second track structure, and a reciprocating mechanism coupled to the first track structure and the second track structure such that translation of the first force receiving member in a first direction causes the second force receiving member to translate in a second direction opposite the first direction.