U.S. patent number 3,735,101 [Application Number 05/155,531] was granted by the patent office on 1973-05-22 for physiotherapy control device.
Invention is credited to John Stewart Simpson Stewart.
United States Patent |
3,735,101 |
Stewart |
May 22, 1973 |
PHYSIOTHERAPY CONTROL DEVICE
Abstract
The physiotherapy control device described herein includes means
for instructing a patient to perform a particular exercise, means
for counting the number of times the exercise has been properly
performed, and when a predetermined count has been reached for then
instructing the patient to perform a different exercise, means for
counting the number of times the exercise has been properly
performed, and when a predetermined count has been reached for
instructing the patient to rest. After a predetermined time the
cycle is repeated and the operation is terminated after a
predetermined number of cycles.
Inventors: |
Stewart; John Stewart Simpson
(Parbold, Wigan, EN) |
Family
ID: |
10306136 |
Appl.
No.: |
05/155,531 |
Filed: |
June 22, 1971 |
Foreign Application Priority Data
|
|
|
|
|
Jun 23, 1970 [GB] |
|
|
3,034/70 |
|
Current U.S.
Class: |
377/5; 340/309.4;
340/323R; 377/19; 377/20; 377/52; 482/8 |
Current CPC
Class: |
A61B
5/08 (20130101); A63B 23/185 (20130101); H03K
21/00 (20130101); G16H 20/30 (20180101); A63B
24/00 (20130101); A61B 5/486 (20130101); G06M
1/108 (20130101); A61H 1/02 (20130101); A63B
23/0458 (20130101); A63B 24/0075 (20130101) |
Current International
Class: |
A61B
5/00 (20060101); A61H 1/02 (20060101); A61B
5/08 (20060101); A63B 23/00 (20060101); A63B
24/00 (20060101); A63B 23/18 (20060101); H03K
21/00 (20060101); G06M 1/00 (20060101); G06M
1/10 (20060101); A63B 23/04 (20060101); G06m
003/02 () |
Field of
Search: |
;235/92RE,92T,92CT,92CC
;340/31,41,309.4,168C,325 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Wilbur; Maynard R.
Assistant Examiner: Gnuse; Robert F.
Claims
What I claim is:
1. Physiotherapy apparatus for monitoring the repeated performance
by a patient of a given physical task, comprising
a. a stepping register (31) having at least two operating states
and corresponding output terminals (1, 3);
b. signal generator means including a sensor (7), a reference
signal source (14) and a comparator (44) connected with the outputs
of said sensor and said source for generating a task signal each
time the patient performs satisfactorily the physical task;
c. a counter (40);
d. enabling means (33) for connecting said signal generator means
with said counter when said stepping register is in its first
operating state;
e. means (43, 38) for stepping said stepping register to its second
operating state when the count contained in said counter reaches a
predetermined value;
f. normally disabled timer means (41) for establishing a
predetermined time period;
g. means (3) for enabling said timer means when said stepping
register is in said second state;
h. means (42) controlled by said timer means for stepping said
stepping register to another operating state at the end of said
predetermined time period; and
i. register state indicating means connected with said stepping
register for indicating the instantaneous state of operation
thereof.
2. Apparatus as defined in claim 1, and further including
performance indicating means (5) for providing an indication each
time a patient performs satisfactorily a given task.
3. Apparatus as defined in claim 1, and further including normally
disabled warning indicating means (19), and means including a
second timer (39) for enabling said warning indicating means when
said stepping register means is in said first operating state and
said signal generator means has not generated a task signal for a
given period of time.
4. Apparatus as defined in claim 1, wherein said stepping register
includes a third operating state and a corresponding third terminal
(2), a second signal generating means including a second sensor, a
second reference source (15) and a second comparator (45) for
generating a second task signal each time the patient performs
satisfactorily a second physical task, and second enabling means
(34) for connecting said second signal generating means with said
counter when said stepping register is in its third operating
state.
5. Apparatus as defined in claim 1, and further including second
counter means (50) connected with said stepping register for
counting the number of times said register is in a given one of its
operating states, and means (50) for inhibiting the change of state
of said register after a predetermined count has been registered in
said second counter.
Description
This invention relates to physiotherapy control devices.
It is an object of the present invention to provide an improved
device for monitoring and instructing patients who are engaged in
performing physiotherapy exercises.
A physiotherapy control device including a stepping register, an
input terminal to which a sensor may be connected, a comparator for
providing an output signal when the signal from said sensor exceeds
a predetermined level, means enabled when said register is in a
first one of its states to apply said output signal to a counter,
means for stepping said register into a second state when the count
registered by said counter reaches a predetermined value, a timer
enabled when said register is in its second state, means for
stepping said register into another of its states when a
predetermined time measured by said timer has elapsed, and
indicating means to indicate the state of said register.
One of the duties of a physiotherapist is to show patients how to
perform exercises after operation, but many patients do not perform
their exercises unless they are supervised or repeatedly asked to
do so. The device described herein may be mechanical, fluidic,
pneumatic, electrical, or electronic and is intended to supervise
the patients exercises. The device described herein comprises four
main parts. The first part, a communication device presents on an
illuminated panel or otherwise an instruction to the patient (for
example "EXERCISE NOW"). The second part, a sensing device,
measures the time and/or quantity and/or quality of exercise. The
third part switches off the instruction to the patient when a
signal is received from the second part to the effect that a
pre-set amount of exercise has been performed. The fourth part is a
time switch which switches on the instructions to the patient after
a pre-set interval or intervals. Controls are provided for the
physiotherapist to measure and/or display and/or record the amount
of exercise and to set the frequency and/or duration of
instructions. A common use in practice would be for the
physiotherapist (a) to show a patient how to perform exercises, (b)
to measure the quantity of exercise for a given time, (c) to store
this quantity as a standard, and (d) to set the frequency of
signals to the patient. The machine at set intervals would then
communicate with the patient and continue these instructions until
the patient had performed the necessary exercises. Display,
measurement and recording facilities can be provided as additional
equipment if required. Thus the device encourages, supervises and
controls the amount of exercise which a patient performs.
Facilities can be provided for centralization of controls and
programming to serve several patients or for supervision of
particular muscles or muscle groups.
Features and advantages of the invention will become apparent from
a study of the following description of examples thereof, given by
way of example, taken in conjunction with the accompanying drawings
in which:
FIG. 1 shows a view of a device according to one embodiment of the
invention,
FIG. 2 shows another view of the device shown in FIG. 1, and
FIG. 3 shows in block form the circuitry contained in the device
shown in FIGS. 1 and 2.
The embodiment of the physiotherapy control device described herein
comprises the case 1 shown in FIGS. 1 and 2. FIG. 1 shows the view
of the device as seen by the patient performing the physiotherapy
exercises and FIG. 2 shows the view of the device as seen by the
nurse in charge of the exercises.
Referring to FIG. 1, the device comprises a box 1. On the front
there are three panels 2, 3, and 4 having the captions "EXERCISE
NOW" "FOOT PEDAL" and "DEEP BREATHING" respectively. Normally the
captions cannot be read but sources of light are provided behind
them so that when a respective source is energized the caption can
be read by the patient. An indicator lamp 5, preferably green, is
also provided on the front panel of the device. A cable 6 connects
the circuitry inside the case to sensors indicated by the block 7.
The sensors when the device is to be used in conjunction with calf
exercises and deep breathing exercises are a pedal ergometer and a
band held spirometer such as the Greer manometer respectively. It
will be appreciated however that if other exercises are to be
controlled then appropriate sensors 7 would be employed and the
captions 3 and 4 would be suitable chosen.
Referring to FIG. 2 which shows the rear side of the device, there
are provided on said rear panel an on-off switch 8, two switches 9
for selecting two different time intervals of rest between the two
different kinds of exercise, two switches 10 for selecting two
different numbers of cycles of sets of exercises before the device
switches off, and a switch 11 for starting the operation of the
device. The panel also displays an indicator light 19, preferably
red, and a meter 18 for indicating the amplitude of response from
either of the sensors selected by the switch 12 or the switch 13.
The adjusting knobs 14 and 15 control reference levels relevant to
the two sensors and which set the standard to be achieved by the
respective exercises. The two switches 16 are for selecting one of
two different numbers of exercises which are to be performed in any
one cycle of calf exercise and similarly the switches 17 serve the
same function for the breathing exercises. It will be appreciated
that the switches 9, 10, 16, and 17 in the example described herein
allow for the setting of two different values of the respective
quantities. It will be evident to those skilled in the art that in
alternative embodiments of the machine a greater number of
selections could be provided or alternatively a continuous
selection could be provided so as to yield an almost unlimited
choice of quantities.
The operation of the device will now be summarized.
SETTING UP PROCEDURE
1. Press "on" switch.
2. Select first sensor for test.
3. Examine the standard of exercise, as shown on the meter, and set
the quantity or standard (e.g. vital capacity, peakflow) to be
achieved by the individual patient.
4. Set the number of times this standard has to be attained (e.g.
20 breaths).
5. Repeat for second sensor.
6. Set time interval between exercises (e.g. 30 mins)
7. Set number of cycles or times to be performed each day (e.g.
20)
8. Press start switch.
CYCLE OF OPERATIONS
1. Panel "exercise now" and "footpedal" lit.
2. Patient depresses foot pedal hard enough to achieve standard as
indicated by the green light on the patient's side of the box.
3. Patient repeats exercise until set number of times (green light
with each one) has been attained.
4. The panel "footpedal" is then extinguished and the panel "deep
breathing" is lit.
5. Patient breathes into the spirometer hard enough to get the
green light.
6. Patient repeats exercise until set number of times has been
achieved.
7. All panels are then extinguished.
8. Cycle restarted after set interval and repeated as often as set
number of cycles.
9. Machine switches itself off.
10. If standard of exercise is not reached at any time the red
light on the nurses side of the box comes on and the nurse then
encourages the patient to complete his exercise.
FIG. 3 shows in block form the circuitry contained in the device 1
and this will now be described. The device is effectively
controlled by the sequentially operated device 31 which is a
stepping switch having three positions. Alternatively the device 31
may be a shift register having three stages. It steps one position
each time a pulse is applied to its input. The outputs appear at
the terminals 1, 2, and 3 so that at any instant there is a voltage
appearing at only one of the output terminals. The terminal 1 of
device 31 is connected to the light source for illuminating the
caption 3 (footpedal) and also to one input terminal of an OR-gate
32 and as one input of an AND-gate 33. The terminal 2 of device 31
is connected to the light source for illuminating the caption 4
(deep breathing), to another input terminal of the OR-gate 32, and
to an input terminal of an AND-gate 34. The output of the OR-gate
32 is connected to the source of the illumination of the caption 2
(exercise now).
The sensors 7 are indicated by the two blocks s1 and s2, which as
stated above may be respectively a pedal ergometer and a hand held
spirometer. The outputs from the sensors are connected to
respective comparators 44 and 45. The reference voltages supplied
to said comparators are obtained respectively from potentiometers
14 and 15 connected to a voltage source and are controlled by knobs
on the rear panel on the device as shown in FIG. 2. The outputs
from said comparators are connected respectively to AND-gate 33 and
34. The outputs from the sensors 7 can be selectively connected by
means of the respective switches 12 and 13 to a meter 18 so that
the output level from said sensors may be examined preparatory to
setting the respective reference levels on the potentiometers 14
and 15.
The outputs from the AND-gates 33 and 34 are connected to the two
inputs of an OR-gate 35. The output from OR-gate 35 is connected to
the indicator light 5, to a counter 40, and to an input terminal of
an OR-gate 38. A reference store 48 is effectively a memory store
which contains two different counts of the number of the chest
exercises which are to be performed, either of which may be
selected by one of the switches 16, also shown on the rear panel.
The selected count is applied to an AND-gate 46. In a similar way a
store 49 contains counts of the number of breathing exercises to be
performed and these are selected by the switches 17 and applied to
an AND-gate 47. Output 1 of the device 31 is connected to serve as
the other input of AND-gate 46 and the output from terminal 2 of
device 31 is connected to serve as the other input of AND-gate 47.
The outputs of AND-gate 46 and 47 are connected to a comparator 43
which compares the count in the counter 40 with that provided from
one of the stores 48 or 49 to provide an input to an OR-gate 42
when the count in 40 reaches that indicated by a respective store
48 or 49. The output of OR-gate 42 is connected to the input of
device 31 to step it along one place whenever an output is provided
by said OR-gate.
The output 3 of the device 31 is connected to the input of a timer
41 to start it operating, and, after a predetermined time which can
be controlled by the switches 9, to provide an input to the OR-gate
42. Said output 3 of device 31 is also connected through a NOT-gate
36 to an input of an AND-gate 37. The output of OR-gate 38 is
connected as the re-set input to a timer 39 which is set to provide
an output signal after a predetermined time. The output of the
timer 39 is connected to serve as the other input of the AND-gate
37. The output of AND-gate 37 is connected to the warning light 19.
Another output from the OR-gate 42 is connected to re-set the
counter 40 and as an input to the OR-gate 38.
In order that the device shall stop after a predetermined number of
cycles of exercise, a counter 50 is connected to the output of
device 41. Each cycle of operation causes the counter to increase
its count by 1. The counter is connected, like counter 40, to a
store 51, selecting means 10 for selecting one or two counts from
said store, and a comparator 52 to provide an output when a
predetermined count is reached. The output from comparator 52 is
connected to ON/OFF switch 8.
In order to commence operation of the device once again, a switch
11, preferably of press-button type, is provided which when closed
applies a re-set signal to the counter 50 and to the device 31 to
step into the condition in which terminal 1 is energized and the
cycle then commences again.
In operation, supposing that the device 31 is in the condition when
an output appears on terminal 1. Then the caption footpedal is
illuminated, the caption exercise now is illuminated and a signal
is applied to the AND-gate 33. As the patient operates the sensor
s1 each time the device provides an output greater than the
reference level set by the potentiometer 14 an input is provided to
the other terminal of the AND-gate 33. This applies an input
through the OR-gate 35 to the indicator light 5. This means that
the indicator light seen by the patient flashes each time he has
reached the predetermined level. The signal is also applied through
the OR-gate 38 to reset the timer 39. If no signal emerges from the
comparator 44 during an interval longer than that set by the timer
39, an input is applied by the timer 39 to the AND-gate 37, and
since a signal is also applied from terminal 3 of device 31 through
the NOT-gate 36 to AND-gate 37, an output is applied to the warning
light 19. This serves to warn the nurse that the patient is not
doing the exercise. The signal from the OR-gate 35 is applied to
the counter 40 and the AND-gate 46 allows a reference signal to be
applied from store 48 to the comparator 43. When the counter 40
reaches the count indicated by the store 48, an output is provided
by the comparator 43 which, through the OR-gate 42 steps the shift
register 31 along one place and also resets the counter 40 and the
timer 39.
An output now appears on terminal 2 of device 31 and the operation
is similar to that occurring with the footpedal but now relates to
deep breathing.
When the predetermined number of deep breathing exercises has been
accomplished 31 shifts to the condition in which terminal 3 is
energized. This initiates the timer 41 and also withdraws the
enabling from AND-gate 37 through the NOT-gate 36.
After a time determined by the timer 41 controlled by the selector
9, a signal is applied to the OR-gate 42, and thence to the device
31 to shift the energization from terminal 3 to terminal 1 thereof
and the cycle continues until the device is switched off by counter
50 acting via comparator 52 and store 51 on on/off switch 8.
It will be appreciated that numerous variations within the scope of
the invention may be provided. For example whilst the instructions
to the patient have been shown in the example described above as
visual, they could equally be auditory, for example in the form of
tape-recorded instructions. The device described above is a two
channel one in which there are three stages in the cycle, namely
two different exercise modes and a rest period. It will be obvious
that various combinations may be provided for example by using only
a single sensor or three or more sensors, and the rest interval may
be made to occur between each exercise stage, or in any desired
combination therewith.
* * * * *