U.S. patent number 3,752,144 [Application Number 05/165,683] was granted by the patent office on 1973-08-14 for muscular evaluation method and testing apparatus.
Invention is credited to Keith E. Weigle, Jr..
United States Patent |
3,752,144 |
Weigle, Jr. |
August 14, 1973 |
MUSCULAR EVALUATION METHOD AND TESTING APPARATUS
Abstract
An adjustable apparatus and method for positioning a force
sensor adjacent various portions of the patient's body and for
measuring and recording forces exerted by the voluntary muscles of
the patient. The apparatus is calibrated such that the adjustment
of the apparatus for positioning the patient and the force sensor
may be recorded and later exactly reproduced. An adjustable
calibrated platform positions the patient while an adjustable
calibrated frame positions the force sensor. The frame and the
patient support platform are relatively movable such that the force
sensor may be positioned adjacent substantially any portion of the
patient's body. The adjustments of the apparatus are recorded such
that the position of the patient and the force sensor may later be
duplicated to compare the patient's muscular condition at spaced
time intervals.
Inventors: |
Weigle, Jr.; Keith E. (Gates
Mills, OH) |
Family
ID: |
22599992 |
Appl.
No.: |
05/165,683 |
Filed: |
July 23, 1971 |
Current U.S.
Class: |
600/587;
73/379.02; 73/379.08 |
Current CPC
Class: |
A61B
5/1107 (20130101); A61B 5/224 (20130101); A61B
5/70 (20130101); A61B 2562/0252 (20130101) |
Current International
Class: |
A61B
5/11 (20060101); A61B 5/22 (20060101); A61b
005/00 () |
Field of
Search: |
;128/2R,2S ;73/379
;272/73,57R |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Trapp; Lawrence W.
Claims
What is claimed is:
1. A method of evaluating muscular condition comprising the steps
of:
a. positioning a patient on an adjustable calibrated supporting
apparatus;
b. adjusting the apparatus to accommodate the physical make-up of
the patient;
c. further adjusting the apparatus to position a force sensor
adjacent a portion of the patient which is movable in response to
movement of such muscles as are to be evaluated;
d. recording the settings of the apparatus when so adjusted such
that the patient may later be re-positioned on the apparatus in
exactly the same manner with the sensor adjacent the same portion
of the patient;
e. measuring the force applied to the sensor by the patient upon
moving the muscles under evaluation; and,
f. recording the data so obtained whereby the patient may be
repeatedly tested over a period of time to evaluate his muscular
condition improvement or deterioration.
2. The method of claim 1 including the additional step of providing
the sensor with a remotely positioned indicator means operably
coupled thereto for remotely indicating the magnitude of the force
sensed.
3. A method of establishing performance tables indicative of the
relative muscular condition of a person as compared to other
persons of similar physical make-up, comprising the steps of:
a. providing an adjustable calibrated apparatus including patient
support means and force sensor support means which may be
adjustably positioned to receive patients of a wide range of
physical builds and to position a force sensor means adjacent
various portions of the patients positioned in the apparatus;
b. testing a large number of patients each in accordance with the
following steps:
i. positioning a patient in the apparatus;
ii. adjusting the apparatus to accommodate the physical make-up of
the patient so positioned;
iii. further adjusting the apparatus to position the force sensor
adjacent a portion of the patient which is movable in response to
movement of such muscles as are to be evaluated;
iv. recording the settings of the apparatus so positioned in order
that other patients of similar physical make-up may be positioned
in exactly the same manner in the apparatus and so tested; and,
v. measuring and recording the force applied to the sensor by the
patient upon moving the muscles under evaluation; and,
c. compiling the test information so obtained into tables
corresponding to the physical make-up of the persons so tested such
that a range of performance characteristics may be established for
patients of various physical make-ups.
4. An apparatus for evaluating the muscular condition of muscles of
a patient, comprising:
a. an adjustable calibrated apparatus including patient support
means and force sensor support means;
b. force sensor means carried by said force sensor support means
and adapted to engage a portion of a patient's body;
c. said patient support means comprising relatively movable members
which are adjustable to adapt said patient support means to receive
and support patients of a wide range of physical make-ups, said
patient support means being calibrated such that the adjustments
made in the relative positions of said members to accommodate a
patient of a particular physical make-up may be reproduced at a
later time when working with the same patient or a patient of
similar physical make-up;
d. said force sensor support means and said patient support means
being relatively movable to adjustably position said froce sensor
means adjacent a predetermined portion of a patient which is
movable in response to movement of such muscles as are to be
tested;
e. said force sensor support means being calibrated such that the
adjustments made in the apparatus to position said force sensor
means adjacent said predetermined portion of said patient may be
reproduce at a later time; and,
f. indicator means connected to said force sensor means for
providing an indication of the force applied to the force sensor by
movement of the muscles under evaluation.
5. The apparatus of claim 4:
a. including a frame which comprises horizontally extending track
means engaging said force sensor support means and said patient
support means; and wherein
b. one of said support means is rigidly secured to said track means
while the other support means is movable along said track means
relative to said one support means.
6. The apparatus of claim 5 wherein:
a. said patient support means comprises a platform which may be
adjusted to receive and support a patient in sitting or lying
positions; and,
b. said platform is calibrated such that the adjustments made to
position a particular patient may be recorded and reproduced at a
later time.
7. The apparatus of claim 6 wherein:
a. said force sensor support means comprises frame means having
relatively movable components which may be adjusted to position
said force sensor means adjacent a selected portion of the body of
a patient; and,
b. said frame means is calibrated such that the adjustments made to
position said force sensor means may be recorded and reproduced at
a later time.
8. The apparatus of claim 7 wherein said force sensor support means
is rigidly secured to said track means and said patient support
means is movable along said track means.
9. The apparatus of claim 7 wherein said patient support means is
rigidly secured to said track means and said force sensor support
means is movable along said track means.
10. The apparatus of claim 7 wherein said frame means includes
carriage means movable relative to said patient support means.
11. The apparatus of claim 10 wherein said frame means additionally
includes substantially vertically extending track means mounting
said carriage means for movement relative to said patient support
means, said vertically extending track means and said carriage
means having calibration markings associated therewith such that
the position of said carriage means relative to said patient
support means can be recorded and later reproduced.
12. The apparatus of claim 11 wherein said carriage means includes
a substantially horizontally extending force sensor mounting means
adjustably secured thereto, and calibration markings are associated
with said mounting means such that the position of said mounting
means may be recorded and later reproduced.
13. The apparatus of claim 12 wherein said force sensor mounting
means comprises an angularly adjustably mount for a force sensor,
said mount having calibration markings associated therewith such
that the angular position of a force sensor can be recorded and
later reproduced.
14. An apparatus for evaluating the muscular condition of selected
groups of muscles of a patient, comprising:
a. an adjustable calibrated apparatus including patient support
means and force sensor support means;
b. force sensor means carried by said force sensor support means
and adapted to engage a portion of a patient's body;
c. said patient support means and said force sensor support means
having portions extending into engagement with each other to define
a translational path of relative movement whereby said support
means are movable relative to each other along said path;
d. said portions having calibration markings associated therewith
such that the relative positions of said support means may be
recorded and later reproduced;
e. said patient support means comprising relatively movable members
which are adjustable to adapt said patient support means to receive
and support patients of a wide range of physical make-ups, said
patient support means being calibrated such that the adjustments
made in the relative positions of said members to accommodate a
patient of a particular physical make-up may be reproduced at a
later time when working with the same patient or a patient of
similar physical make-up;
f. said force sensor support means being adjustable to position
said force sensor means adjacent a predetermined portion of a
patient which is movable in response to movement of such muscles as
are to be tested, said force sensor support means being calibrated
such that the adjustments made in the apparatus to position said
force sensor means adjacent said predetermined portion of said
patient may be reproduced at a later time; and,
g. indicator means associated with said force sensor means for
providing an indication of the force applied to the force sensor by
movement of the muscles under evaluation.
15. The apparatus of claim 14 wherein said force sensor means
comprises a tension force responsive device including movable
members, means biasing said members toward each other, and signal
generating means coupled between said members for indicating the
relative position of said members.
16. The apparatus of claim 14 wherein said force sensor means
comprises a compression force responsive device including
relatively movable members, means biasing said members apart, and
signal generating means coupled between said members for indicating
the relative position of said members.
17. The apparatus of claim 14 wherein said force sensor means
includes first and second relatively movable members, biasing means
engaging each of said members, signal generating means coupled
between said members for indicating their relative position, said
first member being adapted for mounting on said frame, and said
second member being adapted to carry a muscle engaging device.
18. The apparatus of claim 17 wherein said first member comprises a
housing telescopically receiving said second member, and said
biasing means is disposed within said housing.
19. The apparatus of claim 17 wherein said force sensor means
additionally includes a muscle engaging device carried by said
second member, said muscle engaging device being lightly padded to
comfortably engage a portion of the patient's body.
20. The apparatus of claim 17 wherein said force sensor comprises a
tension force responsive device and said muscle engaging device
includes portions engageable with certain portions of a patient's
body for applying a tension force to said force sensor.
21. The apparatus of claim 17 wherein said force sensor comprises a
compression force responsive device and said muscle engaging device
includes portions engageable with certain portions of a patient's
body for applying a compression force to said force sensor.
22. An apparatus for evaluating the muscular condition of muscles
of a patient by positioning the patient in a predetermined attitude
and measuring the static force which the patient is able to exert
along a plurality of pre-selected axes comprising:
a. patient support means for receiving and supporting a patient,
said patient support means comprising relatively movable members
which are adjustable to adapt said patient support means to receive
and support the particular body build of the patient under
evaluation, said patient support means being calibrated such that
adjustments made in the relative positions of said members to
accommodate that patient may be reproduced later to facilitate
positioning of that patient or another patient of similar body
build in a desired testing attitude;
b. force sensor means for selectively engaging predetermined
portions of the patient's body and for generating a signal
representative of the static force which the patient is able to
exert on said force sensor means along an axis;
c. force sensor support means coupled to said patient support means
for supporting said force sensor means, said force sensor support
means being adjustable and calibrated to facilitate the positioning
of said force sensor means in contact with a selected portion of
the patient so as to measure the force which he is able to exert
along a corresponding one of a plurality of predetermined axes.
23. The apparatus of claim 22 additionally including indicator
means operably coupled to said force sensor means for providing a
visual indication of the force applied to said force sensor
means.
24. The apparatus of claim 22 additionally including track means
interposed between said patient support means and said force sensor
means for facilitating the repositioning of said force sensor means
relative to the patient.
25. The apparatus of claim 24 additionally including locking means
associated with said track means for releasably locking said force
sensor means in a desired position relative to the patient.
26. The apparatus of claim 24 wherein said force sensor support
means includes carriage means movable along said track means for
positioning said force sensor means in a desired position relative
to the patient.
27. The apparatus of claim 22 wherein said force sensor means
comprises first and second members, one received telescopically
within the other, means axially biasing said members toward a
predetermined neutral position, and means for generating a signal
representative of the force applied in moving said members axially
relative to each other away from said neutral position.
28. The apparatus of claim 27 wherein said biasing means is
pre-selected in accordance with the range of force which will be
exerted to move said first and second members relative to each
other, such that the biasing means exerts a biasing force of a
magnitude which will limit the axial relative movement of the
members to a range which is less than one inch in length, whereby
the variation in positioning of the patient during testing is
minimized.
29. Apparatus according to claim 4 in which said force sensor means
comprises two assembled relatively movable members, one being
carried by said force sensor support means and the other having
first attachment means thereon for detachably mounting a muscle
engaging device, said apparatus including a plurality of
differently shaped muscle engaging devices respectively adapted for
engagement with different parts of a patient's body and each having
attachment means cooperable with said first attachment means.
30. Apparatus according to claim 4 in which said force sensor
support means comprises a mounting bar and means rigidly supporting
said bar at locations spaced longitudinally of the bar, said force
sensor means being mounted on said bar.
31. Apparatus according to claim 30 in which said force sensor
support means and said patient support means are relatively movable
in one direction, and in which said mounting bar extends in a
direction transverse to said one direction and said force sensor
means is adjustably positionable along said mounting bar in said
transverse direction.
Description
BACKGROUND OF THE INVENTION
1. Field of the Invention
The present invention relates generally to the science of muscular
evaluation and more particularly to improved and novel methods and
apparatus for muscular evaluation.
2. Prior Art
A variety of muscle testing devices have been proposed by the prior
art. However, no acceptable medical diagnostic apparatus has
previously been developed which is suitable for use by members of
the medical profession for properly evaluating the condition and
progress of a patient suffering from a muscle disorder. Since
suitable diagnostic apparatus has not been available, the diagnosis
of persons with many types of muscular disorders has been
relatively primitive. Even in the best of clinics known for their
skilled physicians and elaborate equipment, the accepted and most
exclusively used procedure for evaluating the muscular improvement
or deterioration of a patient comprises having the patient push,
pull, or exert some other force on the examining physician. The
physician then endeavors to recall his impression of the force
which the patient was able to exert during a previous visit, and
compares these two events in his mind to reach a conclusion
regarding the patient's condition.
The reliability of such an impression, recall, and evaluation
procedure is questionable, particularly where the physician sees
hundreds of patients between visits with any particular one
patient. His ability to recall exactly what force a patient could
exert during a prior visit is likely to be subject to error.
Hence, while a variety of muscular evaluation devices have been
proposed, the fact remains that they have not been found to be
practical or widely acceptable for use in medical diagnosis.
One significant problem common to most known muscular evaluation
devices is that they are not adapted for use in testing muscles or
muscle groups at substantially any selected position over the
patient's body. Rather they comprise specialized devices adapted
for use in testing only limited muscle groups, such as those
associated with the hand, or the arm, etc.
Most known muscular evaluation devices are not designed to permit
later duplication of the testing environment. This drawback is
two-pronged in nature. First, most known muscular evaluation
devices fail to provide adequate reference surfaces or positioning
means whereby the relative position of the patient and the
apparatus is exactingly controlled. Second, most known devices are
not adequately calibrated such that their position relative to the
patient can be recorded and later reproduced. Together these
drawbacks render it impossible to assure that at each subsequent
testing, the apparatus is positioned in the same relative location
to the muscles being evaluated. Accordingly, a variation in the
lever-arm through which forces are applied frequently results in
false data which does not correspond to prior examinations.
It should be realized that a very significant need which has in no
way been solved by prior art devices in the provision of an
apparatus which can be universally used to provide significant
muscular evaluation data on large numbers of patients. No
acceptable apparatus has previously been developed whereby, for
instance, data can be compiled to indicate normal ranges of muscle
strengths for persons according to sex and body build. No
universally acceptable apparatus or method for muscular evaluation
has previously been provided, the data from which can be
meaningfully interpreted and understood by doctors, athletic
directors, and the multitude of others who must evaluate and
classify persons according to physical fitness.
SUMMARY OF THE INVENTION
The present invention provides a significant step forward in the
science of muscular evaluation, and provides novel and vastly
improved methods and apparatus for muscular testing and
evaluation.
In accordance with one important aspect of the present invention,
an adjustable apparatus is provided for receiving and supporting
patients of a wide range of body builds. By the term "patient", it
is intended to include all such persons as may be tested by the
methods and apparatus of the invention, and accordingly it is to be
understood that persons who are not under the direct care of a
doctor are not to be excluded from the intended scope of this
term.
An adjustably positioned force sensor is provided which can be
positioned adjacent substantially any portion of a patient's body
whereby forces exerted by various muscles and muscle groups can be
sensed and recorded. The apparatus has calibrations associated with
each of its adjustments whereby both the position of the patient
and the position of the force sensor may be recorded and later be
duplicated.
One advantage of the apparatus of the present invention is that
testing conditions for a particular patient may be exactly
duplicated at spaced time intervals. Accordingly the muscular
condition of a patient can be accurately ascertained, and his
muscular improvement or deterioration can be accurately measured.
Another significant advantage is that patients of similar body
build may be tested under identical conditions to improve data
indicative of the normal range of muscular characteristics for
patients of that particular body make-up.
Still another extremely significant advantage of the present
invention is the provision of an apparatus whereby many muscular
characteristics of patients of a wide variety of physical builds
can be measured and correlated. The data so correlated may then be
used to establish standards for muscular condition and normalicy
ranges enabling the muscular condition of a particular patient to
be meaningfully compared to that of many other persons.
In accordance with one method of muscular evaluation of the present
invention, a patient is positioned in an adjustable calibrated
supporting apparatus. The apparatus is then adjusted to accommodate
the physical build of the patient. The apparatus is further
adjusted to position a force sensor adjacent a portion of the
patient which is movable in response to movement of such muscles as
are to evaluated. The settings of the apparatus when so adjusted
are recorded such that the patient may later be repositioned in the
apparatus in exactly the same manner with the sensor adjacent the
same portion of the patient. The force applied to the sensor by
movement of the muscles under evaluation is then measured and
recorded. By this arrangement, data obtained from repeated tests of
the patient over spaced intervals of time may be used to evaluate
the patient's muscular improvement or deterioration.
In accordance with another method of the present invention, a large
number of patients are tested in an adjustable calibrated apparatus
including patient support means and force sensor means which may be
adjustably positioned to receive patients of a wide range of
physical builds. Each of the patients is tested in accordance with
the following steps:
1. the patient is positioned in the apparatus;
2. the apparatus is adjusted to accommodate the physical build of
the patient;
3. the apparatus is further adjusted to position the force sensor
adjacent a portion of the patient which is movable in response to
movement of such muscles as are to be evaluated;
4. the settings of the apparatus so positioned are recorded in
order that other patients of similar physical build may be
positioned in exactly the same manner in the apparatus for testing;
and,
5. the forces applied to the sensor by the patient upon moving the
muscles under evaluation are measured and recorded.
The test information so obtained is then compiled into table
corresponding to the physical make-up of the person so tested such
that a range of performance characteristics is established for
patients of various physical make-ups.
The present invention has a wide range of application. The
apparatus is a highly versatile diagnostic tool for use by the
medical profession. It is also useful in quantitatively evaluating
the effect of drugs on the body.
In physiotherapy, the methods and apparatus of the invention permit
the therapist to quantitatively evaluate the progress of a patient.
Persons recovering from strokes have been found to improve to a
point at which their improvement tends to plateau. The present
invention enables the therapist to know when this plateau is
reached, beyond which point most therapy is a waste of time.
The present invention is a valuable tool in programming the
exercise of an athlete. Athletes tend to loose fitness or decay
during the off-seasons of their particular sports. When they begin
training again at the opening of a new season, different parts of
their bodies regain fitness more quickly than others. The present
invention permits quantitative evaluation of the progress of an
athlete's training whereby the athlete's muscle groups which are
slow in responding to training can be detected. Where athletes are
tested at the height of their fitness during a previous season,
these test results may be compared with tests during a subsequent
training perior to quantitatively evaluate the athlete's
fitness.
Still other applications for the present invention will be apparent
to those skilled in the art. As an employee screening device for
industry, the present invention is effective to detect back
injuries and other potential health problems. Accident victims
complaining of a wide range of injuries can also be tested by the
methods and apparatus of the present invention. By measuring the
amount of force such persons are able to exert and the length of
time over which they are able to continuously or repititiously
exert such force, the presence or absence of an injury and its
extent are often quantitatively determinable.
Accordingly, it is the principal object of the present invention to
provide improved methods and testing apparatus for muscular
evaluation.
Other objects and a fuller understanding of the invention may be
had by referring to the following description and claims taken in
conjunction with the accompanying drawings.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a perspective view of one embodiment of the muscular
evaluation apparatus of the present invention;
FIG. 2 is a side elevational view of the apparatus of FIG. 1,
illustrating in phantom various movements of the patient
positioning apparatus;
FIG. 3 is an end elevational view of the apparatus of FIG. 2 with
portions broken away to illustrate detail;
FIG. 4 is a sectional view as seen from the plane indicated by the
line 4--4 in FIG. 2;
FIG. 5 is a sectional view as seen from the plane indicated by the
line 5--5 in FIG. 3;
FIG. 6 is a sectional view illustrating a tension force sensor
which may be used in conjunction with the apparatus of FIG. 1;
FIG. 7 is a sectional view illustrating a compression force
sensor;
FIGS. 8-11 are perspective views illustrating various padded muscle
engaging devices for use in conjunction with the force sensors of
FIGS. 6 and 7;
FIG. 12 is a perspecive view illustrating a variable angle mounting
device for the force sensors of FIGS. 6 and 7;
FIG. 13 is an elevational view of a force sensor support for
testing the bite of a patient;
FIG. 14 is a plan view of a force sensor support for testing the
facial muscles of a patient;
FIG. 15 is a perspective view of an alternate embodiment of the
apparatus of the present invention; and,
FIGS. 16-19 are schematic illustrations showing an exemplary few of
the muscle testing arrangements which may be provided by the
apparatus of the present invention.
DESCRIPTION OF THE PREFERRED EMBODIMENT
Referring to FIG. 1, a muscular evaluation apparatus is shown
generally at 10. The apparatus 10 generally comprises a patient
support device 11 and a force sensor support frame 12. A force
sensor, indicated generally by the numeral 13, is carried by the
frame 12. As will be explained in greater detail, the force sensor
13 includes an electrical signal generating means which is coupled
by an electrical cable 14 to an electrical display and recording
instrument 15.
Referring to FIGS. 2 and 3, the patient support device 11 comprises
a pair of generally trapezoidal-shaped upright frame members 20.
The members 20 rigidly support a horizontally disposed platform
21.
A pair of support panels 22, 23 are provided forwardly and
rearwardly of the platform 21. Each of the panels 22, 23 is
pivotally mounted for movement relative to the platform 21. The
panel 22 is hinged about an axis 24 so as to be pivotal from a
position beneath the platform 21 to a substantially horizontal
position. The panel 23 is hinged about an axis 25 so as to be
pivotal from the vertical position shown in FIG. 2 to a
substantially horizontal position. When the panels 22, 23 are in
their horizontal position, they serve as extensions for the
platform 21.
The panel 23 is provided with a centrally disposed through aperture
26. A support bracket 27 extends through the aperture 26 so as to
be movably carried by the panel 23. A suitably padded backrest
member 28 is carried by the bracket 27. A locking device 29 is
provided for locking the bracket 27 in place relative to the panel
23. A series of calibration marks 30 are provided along the bracket
27. By this arrangement, the backrest 28 may be suitably positioned
in contact with a patient and locked in place. The position of the
backrest may then be ascertained from the calibration marks 30 and
recorded. The backrest 28 and the support bracket 27 may be removed
when the panel 23 is positioned horizontally to serve as an
extension for the platform 21.
A pair of threaded clamping bolts 31 are carried by opposite sides
of the panel 22. A pair of slotted latch arms 32 are slidably
positioned on the bolts 31 such that the bolts 31 may be tightened
to clamp the arms 32 against the sides of the panel 22. The arms 32
are mounted about an axis 33 for pivotal movement relative to the
frame members 20. By this arrangement, the bolts 31 serve to clamp
or lock the panel 22 in position.
A pair of arms 34 extend from the panel 23 into the region below
the platform 21. The arms 34 journal the ends of a rod 35 which
extends between the lower ends of the arms 34. A notched latching
arm 36 is pivotally mounted on a rod 37. The rod 37 extends between
the frame members 20 and has its ends journaled by the frame
members. The notched latching arm 36 is engageable with the rod 35
to lock the panel 23 in its vertical position. Alternately the rod
35 is engageable with the underside of the platform 21 to hold the
panel 23 in its horizontal position.
A pair of arm supports 40 are adjustably carried by the frame
members 20. The arm support 40 are constructed in a manner similar
to the backrest 28, and include suitably padded support portions 41
carried on calibrated brackets 42. The brackets 42 are extensible
in vertical directions relative to the frame members 20. Locking
devices 43 are provided to lock the brackets 42 in place relative
to the frame members 20.
An adjustable foot support member 50 is provided between the frame
members 20. The foot support includes a movable platform 51 carried
between a pair of uprights 52. The uprights 52 are calibrated along
their lengths to indicate the position of the platform.
The force sensor frame 12 includes a pair of horizontally extending
track members 60. A first carriage structure 61 is slidably mounted
on the horizontal track members 60. The first carriage 61 includes
a pair of vertically extending track members 62. A second carriage
structure 63 is slidably mounted on the vertical track members 62.
The second carriage 63 includes a horizontally extending mounting
bar 64. The force sensor 13 is removably secured to the bar 64, as
will be described in greater detail.
A chain drive system is provided for moving the first carriage
structure 61 along the horizontal track member 60. As is best seen
in FIGS. 2 and 3, each of the track members 60 comprises an
outwardly facing U-shaped channel having a roller chain positioned
therein. The chains 70 are reeved around sprockets 71 carried on
shafts 72 journaled by the track members 60. The chains 70 are
endless and connect with carriage base members 73.
A rotatable crank 74 is provided for moving the chains 70 and hence
the carriage 61 along the tracks 60. The crank 74 is mounted on a
shaft 75. The shaft 75 is rotatably supported by a bracket 76. A
sprocket 77 is carried on the shaft 75. An aligned sprocket 78 is
carried on the shaft 72. An endless chain 79 is reeved around the
sprockets 77, 78. By this arrangement, rotation of the crank 74
will cause rotation of the shafts 75, 72 and, consequentially,
movement of the chains 70 and the carriage 61.
Referring to FIG. 4, the arrangement of parts within one of the
U-shaped channels 60 is shown in greater detail. Each of the
sprockets 71 is keyed to an end of one of the shafts 72 by a key
80. A snap ring 81 carried in an annular groove in the shaft 72
holds the gear 71 in place on the shaft.
The carriage base members 73 mount stub shafts 83. Ball bearings 84
carried on the stub shafts 83 support the carriage 61 for movement
relative to the tracks 60. Brackets 84a are connected to the base
members 73. The brackets 84a connect with the endless chains 70 to
cause the carriage 61 to move in response to movement of the
chains. The shafts 72 and sprockets 71 assure that the chains 70
will move in unison to move the carriage 61.
Threaded locking bolts 85 are carried by threaded apertures formed
through the carriage base members 73. The locking bolts 85 are
positioned to releasably engage the tracks 60 to clamp the first
carriage 61 and the track 60 to prevent relative movement
therebetween.
Referring to FIGS. 3 and 5, the second carriage 63 includes a pair
of end plates 90. The end plates 90 mount stub shafts 91. Ball
bearings 92 are mounted on the stub shafts 91 to guide the movement
of the carriage 63 relative to the upright tracks 62. Snap rings 93
engage grooves in the stub shafts 91 and hold the bearings 92 in
place.
Endless roller chains 95 are positioned in the upright tracks 62 in
a manner similar to that of the chains 70. Brackets 96 are carried
by the end plates 90 for connection with the chains 95.
Threaded locking bolts 96a are carried by threaded apertures formed
through the end plates 90. The locking bolts 96a are positioned to
releasably engage the tracks 62 to clamp the second carriage 63 and
the tracks 62 to prevent relative movement therebetween.
A rotatably mounted control shaft 100 is journaled for support by
the tracks 62 adjacent their upper ends. The shaft 100 carries
sprockets 101. The roller chains 95 are reeved over the sprockets
101. Cranks 102 are provided to rotate the shaft 100 and to move
the chains 95 in unison.
As is best seen in FIG. 3, a sprocket 103 is provided adjacent the
lower end of each of the tracks 63. Stub shafts 104 rotatably mount
the sprockets 103. The chains 95 are reeved around the sprockets
103.
The horizontal mounting bar 64 is provided with calibration marks
105 along its length. The calibration marks 105 serve to indicate
the position of the force sensor 13 along the bar 64.
Referring to FIGS. 6 and 7, two embodiments of the force sensor 13
are shown in greater detail. Both embodiments have identical outer
housing and support structures, which will now be described.
A C-shaped mounting bracket 110 is provided to support the force
sensor 13 from the horizontally extending mounting bar 64. A
threaded clamping member 111 extends through a threaded aperture
112 in the C-shaped bracket for releasably engaging the mounting
bar 64. By this arrangement, the C-shaped bracket 110 may be
positioned anywhere along the mounting bar 64 and clamped in
position.
The C-shaped bracket has a second threaded aperture 113. The
apertures 112, 113 are preferably axially aligned. A force sensor
mounting stud 114 is threaded into the aperture 113. The stud 114
is formed integrally with a housing end plate 115. The housing end
plates 115 differ in configuration in the embodiments of FIGS. 6
and 7, as will be explained in greater detail.
A hollow cylindrical housing 120 is secured to the end plate 115 by
suitable fasteners 121. The end plate 115 serves to close one end
of the housing member 120. The other end of the housing is closed
by an apertured end plate 122. The end plate 122 is secured to the
housing by suitable fasteners 123.
A rod member 124 is telescopically carried within the housing 120.
The rod 124 extends through an aperture 125 in the end plate 122.
The outer end 126 of the rod 124 is threaded to provide attachment
means in order to mount various muscle engaging devices, as will be
explained in greater detail.
The portion of the rod 124 which extends internally of the housing
120 carries a coil spring 130. The coil spring 130 is a compression
coil spring adapted to exert a force opposing its compression in an
axial direction. A plunger 131 secured to the rod 124 engages one
end of the coil spring 130. In the embodiment of FIG. 6, the other
end of the coil spring engages the end plate 122. In the embodiment
of FIG. 7, the other end of the coil spring engages the end plate
115.
Referring to FIG. 6, the end plate 115 has a substantially planar
configuration which serves simply to close one end of the housing
115. The plunger 131 is slip fitted within the housing and serves
to support the rod 124.
Referring to FIG. 7, the end plate 115 has a substantially
cylindrical portion 135 extending into the hollow housing 120. The
portion 135 has a cylindrical guide hole 136 which carries one end
of the rod 124.
In each of the force sensor embodiments a linear potentiometer 140
is provided to sense relative movement of the ends of the spring
130. The linear potentiometer 140 comprises a variable resistance
device including a housing 141 which telescopically receives an
axially translatable shaft 142. Linear potentiometers of this type
are sold by Bourne Laboratories, Riverside, California.
In each of the embodiments of the force sensor, the transducer
housing 141 is mounted on the housing 120, while the shaft 142 is
secured to the plunger plate 131. By this arrangement, the shaft
142 will move with the rod 124 to vary the resistance of the
transducer in accordance with the relative position of the rod 124
and the housing 120.
A pair of conductors 143 connect with the transducer 140 and extend
through an aperture 144 in the wall of housing 120. The conductors
143 form part of the cable 14 which connects with the console 15.
The cable 14 also includes a shielded jacket to shield the
conductors 143 from spurious signals.
Referring to FIGS. 8-11, several embodiments of muscle engaging
devices are illustrated. Each of the muscle engaging devices
includes a square shoulder 150. A threaded aperture 151 is provided
in the shoulder 150 to provide attachment means for threadably
receiving the threaded end 126 of one of the force sensor rods 124.
Additionally, each of the muscle engaging devices has a bracket
structure 152 having portions 153 suitably padded. The bracket
structure 152 is rigidly connected to the shoulder 150. By this
arrangement, the muscle engaging devices may be threaded onto the
force sensor rods 124 so as to be supported by the force
sensor.
The bracket structures 152 may take on a variety of configurations,
some of which are illustrated in FIGS. 8-11. It will be understood
that the bracket structures are intended to provide a suitable
configuration for engaging various regions of a patient's body. The
devices of FIGS. 8 and 9 provide padded regions opposite the
shoulder 150 and, as such, are primarily intended for use with the
tension force sensor of FIG. 6. The devices of FIGS. 10 and 11
provide padded regions adjacent the shoulder 150 and, as such, are
primarily intended for use with the compression force sensor of
FIG. 7. As will be apparent, many other muscle engaging devices may
be constructed with such contours and surfaces as are required to
engage particular body surface portions.
Referring to FIG. 12, a variable angle mounting device 160 is shown
for supporting the force sensors 13. The variable angle mount 160
is intended to replace the C-shaped mounting bracket 110 where the
force sensor 13 needs to be tilted relative to the bar 64.
The variable angle mount 160 includes a C-shaped bracket 161 with a
threaded locking bolt 162. A semi-circular support portion 163
connects with the bracket 161. The portion 163 defines a
semi-circular chamber within which is positioned a circular disc
164. A shaft 165 has its ends journaled by the portion 163. The
shaft 165 extends through the disc 164 and rotatably mounts the
disc 164 with suitable bearings, not shown.
A square shoulder 166 rigidly connects with the disc 164. The
shoulder 166 is provided with a threaded aperture 167. The threaded
aperture 167 is adapted to receive the threaded stud 114 which
mounts the force sensor 13.
The semi-circular portion 163 is provided with a semicircular slot
168. Calibration marks 169 are formed on the disc 164. The
calibration marks 169 may be read in conjunction with one or more
reference marks 170 to indicate the angular positon of the disc 164
relative to the bracket 161.
A clamping screw 171 is threaded through an aperture in the portion
163 for releasably engaging the disc 164. By this arrangement, the
disc can be clamped in a preselected position to hold one of the
force sensors.
Referring to FIG. 13, a special purpose force sensor support 180 is
illustrated. The support 180 is designed to facilitate measuring
the bit force of a patient. The support 180 comprises first and
second arms 181, 182 which are pivotally connected at 183. One end
of each of the arms 181, 182 is provided with a throw-away plastic
insert 184. The inserts 184 are removably interference fitted over
the end portions of the arms 181, 182 and may be replaced following
each use so as to provide a sanitary means of engaging a patient's
teeth.
The inserts 184 are provided with end portions 185 of reduced
cross-section. Shoulders 186 mark the transition between the main
body of the inserts 184 and their reduced cross-sectional end
portions. The shoulders 186 are intended to be positioned in
abutting contact with a patient's front teeth. By this arrangement,
the patient's biting force is applied to the support 180 along a
lever arm of controlled length, and the test environment may be
easily duplicated at a later date.
A mounting block 188 forms the other end of the arm 181. The
mounting block 188 includes a C-shaped bracket 189 with a threaded
locking bolt 190 for securing the support 180 to the bar 64.
The mounting block 188 also includes a threaded aperture 191 for
receiving the threaded stud 114 of the compression force sensor 13
as illustrated in FIG. 7. The arm 182 is provided with a threaded
aperture 193 adapted to receive the threaded end 126 of the force
sensor piston rod 124.
The support 180 operates in the manner of a pair of pliers to apply
a compression force to the sensor 13 in response to the patient's
exerting a biting force on the inserts 184. As will be apparent,
the support 180 may be constructed with a variety of lever arm
lengths, or with arms 181, 182 of adjustable calibrated length, so
as to increase or decrease the sensitivity of the force sensor
measurements in accordance with the biting capacity of a particular
patient.
Referring to FIG. 14 a force sensor support 200 is illustrated. The
support includes a pair of relatively movable U-shaped frame
members 201, 202. The member 202 is substantially hollow along its
length and telescopically receives the ends 203, 204 of the member
201. A pair of threaded lock members 205 are carried by the member
202 to releasably engage the ends 203, 204 and thereby clamp the
members 201, 202 against relative movement.
The member 201 is provided with a C-shaped mounting bracket 206 of
the same type employed in the aforedescribed supports. The C-shaped
bracket 206 mounts the support 200 on the bar 64.
A cross-member 210 extends between opposite legs of the U-shaped
member 201. A pair of arms 211, 212 are pivotally mounted at 213 on
the cross-member 210. The arms 211, 212 are provided with muscle
engaging pads 214, 215 at one end, and with force sensor support
apertures 216, 217 at the other end. In the manner of the support
180, a force sensor 13 is supported by the apertures 216, 217 so as
to extend between the arms 211, 212.
The support 200 is adapted to be positioned over the head of a
patient. A padded bracket 218 is carried by the frame member 202
for engaging the back of a patient's head. With the support
positioned over a patient's head, the frame members 201, 202 are
adjusted to bring the pads 214, 215 into engagement with the
patient's cheek muscles. Such force as may then be exerted by the
patient in holding his mouth closed and puffing his cheeks is then
transmitted to the force sensor 13. In this embodiment, the sensor
13 is a tension sensor as shown in FIG. 6.
From the foregoing it will be apparent that a wide variety of force
sensor supports and muscle engaging brackets may be used with the
apparatus of the present invention. However, one significant
feature of the wide variety of patient support and force sensor
support devices that may be used with the apparatus of the present
invention is that the apparatus is calibrated in conjunction with
each adjustable member to enable the settings of the apparatus to
be recorded and later exactly duplicated.
While the apparatus shown in FIGS. 1-3 provides an upstanding
carriage 61 which is movable relative to the track members 60 and
to the patient support device 11, the arrangement of these
structures may be reversed while still rendering the carriage and
the patient support relatively movable. Referring to FIG. 15, a
second embodiment of the apparatus of the present invention is
illustrated. In this embodiment, the patient support device 11' is
mounted on rollers 230 which engage track members 60'. The
upstanding members 62' are rigidly secured to the track members
60'. By this arrangement, instead of the members 62' forming a
carriage which is movable relative to the patient support device
11', the patient support device is rendered movable relative to the
members 62'. Calibrations are still provided along the track
members 60' to ascertain the position of the patient support
device.
The advantage of the arrangement of FIG. 15 is that the chain drive
for the carriage 61 can be eliminated. The patient support device
11' is sufficiently rigid that it can simply be pushed into
position along the tracks 60' and then locked in place. By
eliminating the movement between the track members 60' and 62',
these members may be rigidly connected to reduce play in the force
sensor support apparatus. Except for these modifications, the
apparatus of FIG. 15 is substantially identical to the apparatus of
FIG. 1 and will not be described in further detail.
Referring to FIGS. 16-19 various applications of the described
apparatus are illustrated schematically. In FIG. 16, the force
sensor 13 is shown positioned in engagement with the forehead of a
patient. By this arrangement, certain neck muscles of the patient
may be exercised to exert a compressive force on the sensor 13
which may then be recorded. In FIG. 17, the force sensor 13 is
positioned in engagement with the back of the head of a patient. By
this arrangement, certain other neck muscles may be exercised to
exert a tensile force on the sensor 13. In FIGS. 18 and 19, the
force sensor 13 is positioned, respectively in engagement with the
ankle and wrist of a patient. By this arrangement, certain muscles
of the leg and arm may be exercised to exert a compressive force on
the sensor 13.
Referring once again to FIG. 1, the display console 15 includes a
galvanometer 180. Suitable controls 181 are provided for
calibrating and changing the scale of the galvanometer. Appropriate
electrical signal amplification circuitry, not shown, is provided
to amplify the signal provided by the force sensor 13 and feed it
to the galvanometer 180.
The console 15 may also include suitable recording apparatus for
continuously graphically recording the signal from the sensor 13.
Since such recording apparatus is well known and does not form a
part of the present invention, it will not be described in
detail.
In operation, a patient is positioned on the patient support device
11. The various movable portions of the support device 11 are then
adjusted to accommodate the particular build of the patient. The
settings of the patient support are then recorded so that the exact
same testing environment may later be duplicated.
The carriages 61, 63 are then moved into position and locked. The
force sensor 13 is then fitted with an appropriate muscle engaging
device and locked in position. The positions of the carriages and
the force sensor are then recorded.
With the force sensor in position, the patient exercises the
muscles under observation so as to exert his maximum available
force on the sensor 13. This force causes the spring 130 in the
sensor 13 to compress. Simultaneously, the linear potentiometer 140
sends a signal which is representative of the magnitude of the
exerted force. The console 15 visually presents the signal on the
galvanometer 180 and suitably records the signal graphically if so
desired.
The positions of the force sensor and the patient may be changed as
desired during the examination to test other muscles and muscle
groups. The data so obtained may then be compiled with data from
other patients to establish normalcy ranges. By this arrangement,
the muscular condition of the patient may be thoroughly and
comprehensively evaluated.
Although the invention has been described in its preferred form
with a certain degree of particularity, it is understood that the
present disclosure of the preferred form has been made only by way
of example and that numerous changes in the details of construction
and the combination and arrangement of parts may be resorted to
without departing from the spirit and the scope of the invention as
hereinafter claimed.
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