U.S. patent number 3,580,244 [Application Number 04/808,828] was granted by the patent office on 1971-05-25 for therapeutic device oscillating device.
Invention is credited to Mary E. Graves.
United States Patent |
3,580,244 |
Graves |
May 25, 1971 |
THERAPEUTIC DEVICE OSCILLATING DEVICE
Abstract
A therapeutic device used to relieve and prevent heel cord
contractures, including a foot-supporting plate member pivotally
mounted about a laterally extending axis located substantially
beneath the ankle joint of the supported foot, and including a
reciprocating hydraulic motor connected to the plate member to
cause oscillation thereof. They hydraulic circuit for operating the
motor includes a shiftable reversing valve that is selectively
operable to control the angular extent of the plate member
oscillations, and includes selectively adjustable flow control
valves for regulating the speed of oscillation of the plate member.
Additionally, the hydraulic circuit may include a selectively
adjustable pressure relief valve for controlling the force applied
to the supported foot by the plate member.
Inventors: |
Graves; Mary E. (Charlotte,
NC) |
Family
ID: |
25199863 |
Appl.
No.: |
04/808,828 |
Filed: |
March 20, 1969 |
Current U.S.
Class: |
601/31;
601/96 |
Current CPC
Class: |
A61H
1/0266 (20130101); A61H 2201/018 (20130101); A61H
2201/1246 (20130101) |
Current International
Class: |
A61H
1/02 (20060101); A61h 001/02 () |
Field of
Search: |
;128/24--25,48,49,50 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Trapp; L. W.
Claims
I claim:
1. A therapeutic device for use in relieving and preventing heel
cord contractures or the like, said device including a mounting
frame having a foot-supporting plate member mounted thereon for
pivotal movement about a laterally extending axis located
substantially directly beneath the ankle joint of the supported
foot, means for automatically oscillating said foot plate member
about said axis thereof, control means for selectively regulating
the speed and the angular extent of the oscillation of said plate
member and for selectively controlling the force applied to said
supported foot by said oscillating plate member, and an extendable
leg-supporting member carried by said mounting frame adjacent said
plate member, said leg-supporting member including securing means
to hold said supported leg immobilized during oscillation of its
associated foot by said plate member.
2. A therapeutic device as defined in claim 1 and further
characterized in that said oscillating means includes a fluid motor
having a double-acting reciprocating piston operatively connected
to said plate member, a source of pressurized fluid and conduit
means connecting said source to the opposite sides of said piston,
and shiftable valve means in said conduit means for alternatively
supplying fluid to the opposite sides of said piston, and in that
said control means includes selectively adjustable flow varying
means in said conduit means for varying the flow of fluid to said
piston to regulate the speed of oscillation of said plate
member.
3. A therapeutic device as defined in claim 2 and further
characterized in that said conduit means includes first and second
conduits connected respectively to said fluid motor at each side of
said piston, and in that said flow varying means includes a
selectively adjustable flow control valve in each of said first and
second conduits.
4. A therapeutic device as claimed in claim 3 and further
characterized in that said control means additionally includes a
pair of oppositely acting solenoids connected to operate said
shiftable valve means, an electrical switch connected in circuit
with each of said solenoids for energizing said solenoids,
respectively, when said switches are closed, and selectively
adjustable switch-closing means movable with said plate member to
close said switches alternately for determining thereby the limits
of oscillation of said plate member.
5. A therapeutic device as claimed in claim 4 and further
characterized in that said plate member is connected to a pivot
shaft carried by said mounting frame, in that said switch-closing
means includes a bracket member fixed to said pivot shaft for
movement therewith and having a pair of screw elements adjustably
depending from said bracket member, and in that electrical switches
are carried by said mounting frame for disposition in the path of
screw elements, respectively, during oscillation of said plate
member and said pivot shaft.
Description
BACKGROUND OF THE INVENTION
There are a number of medical conditions (i.e., injury or disease
to the nervous system, and vascular insufficiency of the lower
extremity) which can have a secondary side effect resulting in the
patient's heel cord (tendo achilles) becoming contracted so that
normal movement of the patient's foot at the ankle joint is
severely limited. Similarly, fractures and related maladies of the
leg, foot and ankle joint usually necessitate placing these members
in a cast so that they will remain immobilized for long periods of
time, and the resulting inactivity of the heel cord often causes it
to contract in an extent which restricts the freedom of movement of
the foot at the ankle joint.
Whatever the cause of the contracture of the heel cord, this
condition can be relieved, and sometimes even prevented, if proper
therapy is administered to the patient to gradually stretch the
heel cord until it returns to normal. This therapy consists
generally of applying pressure simultaneously to the heel portion
and the ball portion of the foot to cause dorsiflexion of the foot
about the ankle joint, and, since the degree of the contracture and
the pain associated with the therapy vary over wide ranges with
different patients, such therapy has heretofore almost universally
been administered manually by a trained physical therapist who can
vary the pressure which is applied to the foot and the extent of
foot movement in response to the requirements of the individual
patient.
The nature of the therapy is such that, to be effective, it must be
administered repetitiously over a period of time so that the heel
cord will be stretched progressively without unnecessary discomfort
to the patient and, as a result, a generous amount of time and
labor is expended by the therapist in attending each patient. Some
effort has been made to provide mechanical assistance to the
therapist as evidenced by the device disclosed in U.S. Pat. No.
3,020,046, but this device still requires the therapist to move the
foot manually. Additionally, there are several prior disclosures of
mechanical devices designed to exercise the muscles in the foot,
representative disclosures of this type being found in U.S. Pat.
No. 2,216,764 and U.S. Pat. No. 3,022,021. However, these prior art
devices are not suitable for use in treating heel cord contractures
because they do not impart to the foot the correct dorsiflexion
required to stretch the heel cord and, more importantly they do not
have facilities for selectively controlling the movement of the
foot so as to satisfy the individual needs of each patient to which
therapy of this type is administered.
The present invention, on the other hand, provides a therapeutic
device which not only assures that the correct flexions are
continuously imparted to the foot, but which also includes
selectively adjustable control features that permit the variables
associated with the proper administration of this therapy to be
regulated to a substantially infinite degree.
SUMMARY OF THE INVENTION
The therapeutic device of the present invention includes a
foot-supporting plate member which is pivotally mounted in a
mounting frame for oscillation about a pivot axis that lies
substantially directly beneath the ankle joint of the supported
foot so that oscillation of the plate member imparts the correct
plantar flexion and dorsiflexion to the foot supported thereby. The
plate member is oscillated automatically by a motor operatively
connected thereto, this motor being provided with controls for
selectively regulating the speed and the extent of the oscillation
of the plate member, and the pressure applied to the supported foot
by the oscillating plate member.
In the preferred embodiment of the present invention, the motor is
hydraulically operated and includes a double-acting reciprocating
piston connected to the plate member whereby the reciprocating
motor of the piston causes oscillation of the plate member about
its pivot axis. The hydraulic circuit for operating the motor
includes a positive displacement gear pump providing a source of
pressurized fluid, a conduit system connecting the pump to the
opposite sides of the reciprocating piston, and a shiftable,
two-position valve interposed in the conduit system between the
pump and the motor for alternately supplying fluid to the opposite
sides of the piston to cause reciprocation thereof. Thus, by
controlling the shifting action of this two-position valve, the
extent of oscillation of the plate member can be regulated since
the direction of movement of the plate member will change in
response to the shifting of the two-position valve. Accordingly,
the present invention provides a pair of oppositely acting
solenoids connected to shift the two-position valve in opposite
direction, and each of these solenoids is energized by an
electrical switch. These switches are closed by corresponding
switch-actuating elements oscillating with the plate member and
adjustable with respect thereto so that the points at which the
electrical switches are closed by their associated activating
elements may be selected to determine thereby the limits of
oscillation of the plate member.
To control the speed of oscillation of the plate member, the
present invention provides a pair of selectively adjustable flow
control valves in the hydraulic circuit, these valves being
disposed, respectively, in the hydraulic lines leading to the motor
at the opposite sides of the reciprocating piston thereof. Thus, by
varying the flow of fluid to or from the motor, the reciprocating
speed of the piston can be controlled to regulate the oscillating
speed of the plate member.
Preferably, the hydraulic circuit is also provided with a
selectively settable pressure relief valve which permits the
hydraulic pressure supplied to the motor to be controlled for
regulating the force or pressure applied to the supported foot by
the oscillating plate member.
Finally, the therapeutic device of the present invention is
provided with an extendable leg-supporting member which is carried
by the mounting frame at a position adjacent the plate member, and
this leg-supporting member is provided with straps or the like for
holding the patient's leg immobilized during oscillation of the
patient's foot by the plate member. Such immobilization of the leg
assures that the oscillating motion of the plate member is properly
imparted solely to the patient's foot to cause the necessary
flexions thereof about the ankle joint.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a side elevational view of the therapeutic device of the
present invention, the hydraulic and electrical circuits being
omitted for clarity of illustration;
FIG. 2 is a plan view of the therapeutic device illustrated in FIG.
1;
FIG. 3 is a right-hand end view of the therapeutic device
illustrated in FIG. 1;
FIG. 4 is a plan view of the foot supporting plate member;
FIG. 5 is a schematic diagram of the electrical and hydraulic
circuits for the therapeutic device of the present invention.
DESCRIPTION OF THE PREFERRED EMBODIMENT
Referring now in detail to the drawings, the therapeutic device of
the present invention includes a generally open, rectangular
mounting frame 10 having a pair of upper support members 12 and a
pair of lower support members 14 all extending longitudinally in
parallel relation. A pivot shaft 16 is journaled in the upper
support members 12 and extends thereacross, and a foot-supporting
plate member 18 is fitted on the pivot shaft 16 for pivotal
movement about the laterally extending axis formed by the pivot
shaft 16. The plate member 18 is provided with a curved, upstanding
wall 20 and a pair of straight, upstanding walls 22 arranged to
receive a human foot and position it properly with respect to the
pivot shaft 16, and straps 24 are provided for holding the foot in
place on the plate member 18. The location of the curved wall 20 on
the plate member 18 is such that when the heel of the supported
foot is disposed thereagainst, the pivot shaft 16 will be located
substantially directed beneath the ankle joint of the foot so that
oscillation of the plate member 18 on the pivot shaft 16 will
result in the previously described plantar flexion and
dorsiflextion being imposed properly on the foot.
To make certain that this oscillating movement of the plate member
18 is correctly applied to cause the desired movement of the foot
about the ankle joint rather than other movements (i.e. bending of
the leg at the knee), the device of the present invention
preferably includes a leg-supporting member 26 carried on the upper
supports 12 by sliding brackets 28, 30 that permit the
leg-supporting member 26 to be extended selectively with respect to
the mounting frame 10, the brackets 30 being secured to the
leg-supporting frame 26 and having wing bolts 32 which can be
tightened against the upper supports 12 to hold the leg-supporting
member 26 in place at any selected position. The leg-supporting
member 26 is also provided with straps 34 for securely holding the
supported leg in place.
The plate member 18 is oscillated by a double-acting hydraulic
motor 36 that is anchored to the mounting frame 10 through a
pivotal connection fitting 38 and that includes a reciprocating
piston rod 40 pivotally connected to an arm 42 extending beneath
the central portion of the plate member 18, this connection being
in the form of a yoke 44 fitted on the piston rod 40 and a pivot
pin 46 extending through the yoke 44 and the end of the arm 42 as
best seen in FIG. 2. Thus, reciprocation of the piston rod 40 will
cause the plate member 18 to be oscillated on pivot shaft 16.
To operate the hydraulic motor 36, a hydraulic circuit is provided
which includes a number of components interconnected by hydraulic
and electrical lines which have been deleted from FIGS. 1 through 4
for purposes of clarity, but which are shown in the schematic
diagram in FIG. 5. This hydraulic circuit includes a source of
hydraulic pressure which, in the preferred embodiment of the
present invention, is a conventional pumping unit 48 including a
pump motor 50, a gear pump 52, and a reservoir tank 54, all
assembled together as a compact unit and mounted to mounting frame
10. Also attached to the mounting frame 10 are a shiftable,
two-position safety valve 56 operated by a solenoid "A" (FIG. 5),
and by a shiftable, two-position motor control valve 58 operated by
a pair of oppositely acting solenoids "B" and "C" as will be
explained in greater detail presently. The solenoid "A" is
energized by a manually operable primary on-off electrical switch
60 located at one end of the mounting frame 10, and the solenoids
"B" and "C" are energized by a pair of contact switches 62, 64
mounted on one of the upper supports 12. The switches 62, 64 are
closed by corresponding switch-closing elements 66, 68 which are
threaded screws having their lower ends depending to an adjustable
extent from a bracket 70 that is attached to the pivot shaft 16 for
oscillation therewith.
The hydraulic circuit also includes a pressure relief valve 72
having a control knob 72' extending from a control panel 74 at one
end of the mounting frame 10, and a pair of flow control valves 76,
78 provided with adjusting knobs 76', 78' located at the control
panel 74. Finally, the control panel 74 includes an
oscillating-control on-off switch 80, a timing device 82 having
appropriate graduations on the face thereof, and an indicator light
84 which is turned on when the primary switch 60 is at its on or
closed position.
To explain the operation of the therapeutic device of the present
invention, attention is directed the schematic hydraulic and
electrical line diagram illustrated in FIG. 5, the hydraulic
circuit being shown in full lines and the electrical circuit being
shown in broken lines.
The hydraulic circuit includes a primary leg 86 leading from the
pump 52 to the motor control valve 58, and two secondary legs 88,
88' leading from the motor control valve 58 to each end of the
hydraulic motor 36 on opposite sides of the reciprocating piston
36' therein. The primary leg 86 includes a pressure indicator gauge
90, and the previously mentioned pressure relief valve 72 is
selectively adjustable to control the pressure in the hydraulic
system by bypassing some of the hydraulic fluid out of the system
when the pressure exceeds that for which valve 72 is set. Each
secondary leg 88, 88' includes a one-way check valve 92, and a
bypass line 94 in which the aforementioned flow control valves 76,
78 are located, respectively; the check valves 92 acting to permit
the hydraulic fluid to be supplied directly to the hydraulic motor
36 at the intake side thereof and to be bypassed through the flow
control valve 76 or 78 at the discharge side of the hydraulic motor
36. A safety line 96 extends from one of the secondary legs 88 to a
return reservoir, and the previously mentioned safety valve 56 is
interposed in the safety line 96 to control the flow to this return
reservoir. When primary switch 60 is closed, solenoid "A" will be
energized to move safety valve 56 to the right in FIG. 5 to close
the lines 96. However, when switch 60 is open to cease operation of
the therapeutic device, solenoid "A" will be deenergized and safety
valve 56 will move to the left under its own bias whereby safety
line 96 will be opened to vent any pressure in the hydraulic
circuit.
When the plug 98 is connected to a suitable 110-volt supply, and
the primary on-off switch 60 is closed, an electrical circuit is
completed which starts the pump 52 to pressurize the hydraulic
circuit. However, the plate member 18 will not begin to oscillate
until oscillating control switch 80 is closed to complete the
electrical circuit between the contact switches 62, 64 and the
corresponding solenoids "B" and "C". When this electrical circuit
is completed by closing switch 80, it will be observed that as the
piston 36' of the hydraulic motor 36 moves to its left-hand
position in FIG. 5, the switch 62 is closed (by switch-closing
element 66 in FIG. 1) and solenoid "B" is energized to move the
motor control valve 58 to the right in FIG. 5 whereupon the fluid
from the pump 52 will flow through the secondary leg 88 and cause
the piston 36' to move to the right. When the piston 36' then moves
a sufficient distance to close switch 64, solenoid "C" will be
energized so as to move the motor control valve 58 back to the left
again whereupon fluid from the pump 52 flows through secondary leg
88' to reverse the movement of the piston 36'. Thus, the direction
of movement of the piston 36' is continuously reversed and the
plate member 18 will, accordingly be oscillated continuously.
It will be noted, of course, that the extent of this oscillation of
plate member 18 is determined by the points at which contact
switches 62, 64 are closed, and since the switch-closing elements
66, 68 can be readily adjusted, as previously described, the
operator can choose substantially any range of oscillation.
Moreover, by turning either or both of the control knobs 76', 78',
the operator can regulate the flow in the secondary legs 88, 88',
and thereby selectively set the speed of oscillation of the plate
member 18. Finally, by adjusting the knob 72' which controls the
setting of pressure relief valve 72, the operator can selectively
control the pressure in the hydraulic system and the pressure which
is applied to the supported foot by the oscillating plate member
18.
With this wide range of control option available to the operator,
it will be apparent that the therapeutic device of the present
invention can be used to exceptional advantage in administering
proper therapeutic movement to a large number of patients because
the operator can select substantially any movement pattern required
to satisfy the individual requirements of each patient. Moreover,
after the operator has strapped the patient's leg and foot in place
(using straps 24 and 34) and adjusted the several controls to
obtain the movement pattern, the operator may leave the patient
while the therapy is being continuously administered, and attend to
other patients. In this case, it may be desirable to provide the
device with a remote on-off switch (not shown) which the patient
can hold and use to stop the oscillating movement of the plate
member 18 when desired or if there is any malfunction of the
equipment.
The present invention has been described in detail above for
purposes of illustration only and is not intended to be limited by
this description or otherwise to exclude any variation or
equivalent arrangement that would be apparent from, or reasonably
suggested by, the foregoing disclosure to the skill of the art.
* * * * *