Apparatus for Automated Walking Training

{
  "publication_number": "US2016136477A1",
  "country": "US",
  "kind": "A1",
  "title": "Apparatus for Automated Walking Training",
  "abstract": "An apparatus for automated walking training includes a frame or treadmill having a driven treadmill belt and a pelvis attachment to support a position and weight of a user. The pelvis attachment includes a displacement unit for allowing a movement of the user's pelvis held by attachment elements transverse to and/or rotating about a perpendicular axis to the walking direction of the treadmill to provide a more natural and physiological gait during training. A weight suspension unit having a cable guided over a guide roller positioned above and attached to the pelvis attachment may include a displacement unit adapted to move the guide roller perpendicular to the diverted section of the cable to influence the transverse position of an upper body of the user as well as to prevent a pendulum effect of the trunk of his body.",
  "claims": [
    "1. An apparatus for automated walking and/or treadmill training of a user comprising: a frame configured to allow a walking movement of the user in the frame, a pelvis attachment to support at least one of a position and weight of the user and having attachment elements configured to be connected to the user, wherein the pelvis attachment comprises a displacement unit for at least one of allowing and supporting a movement of a pelvis of the user held by the attachment elements transverse to, rotating about, or transverse to and rotating about a perpendicular axis to a walking direction. 2. The apparatus according to claim 1, wherein the frame comprises an open space towards the bottom and wheels at an underside or a treadmill having a driven treadmill belt. 3. The apparatus according to claim 1, wherein the displacement unit comprises a lateral displacement unit having guide rails for allowing a movement of the user held by the attachment elements from the group transverse to the walking direction, in the walking direction, or combined transverse and in the walking direction. 4. The apparatus according to claim 1, wherein the displacement unit comprises a rotating displacement unit for allowing a movement of the user held by the attachment elements transverse to the walking direction. 5. The apparatus according to claim 1, wherein the displacement unit comprises two guide rails inclined one to another, two guiding sleeves each movable along one associated guide rail and a bar connected and articulated through hinge joints with said guiding sleeves for allowing a combined transverse and rotating movement of the user held by the attachment elements connected to the bar. 6. The apparatus according to claim 5, wherein an inclination of the guide rails is adjustable. 7. The apparatus according to claim 1, further comprising an orthotic device comprising at least one orthotic drive for each leg, having at least one cuff for each leg, wherein at least one cuff for each leg is movably attached to a cuff attachment device of the orthotic device for a movement of the respective cuff transversal to the walking direction provided by the treadmill. 8. The apparatus according to claim 7, wherein the cuff attachment device comprises a drive for effecting the transverse movement of the associated cuff. 9. The apparatus according to claim 1, further comprising a control unit configured to control drives of at least one of the pelvis attachment and cuff attachment. 10. An apparatus for automated treadmill training of a user comprising: a frame configured to allow a walking movement of the user in the frame, a pelvis attachment to support at least one of a position and weight of the user and having attachment elements configured to be connected to the user, and a weight suspension unit having a cable guided over a guide roller positioned above the pelvis attachment and opposite to the treadmill, wherein the guide roller is configured to divert the cable towards the pelvis attachment, wherein the cable is attached to the pelvis attachment, wherein the weight suspension unit comprises a weight suspension displacement unit that is configured to move the guide roller essentially perpendicularly to a direction of a diverted section of the cable. 11. The apparatus according to claim 10, wherein the weight suspension displacement unit comprises a carriage onto which the guide roller is mounted. 12. The apparatus according to claim 11, wherein an axis of the guide roller is mounted parallel to a movement direction of the carriage and the home position of the guide roller is predetermined in a way that a cable portion between the guide roller and the next following roller is in line with the walking direction and at a right angle to the carriage to minimize changes in rope length. 13. The apparatus according to claim 10, wherein the carriage movement is actuated by a drive and the carriage and roller position is controlled by a control unit of the apparatus based on a gait phase of the user provided by a signal providing directly or indirectly representative for an orientation of the cable between the guide roller and the harness of the user. 14. (canceled) 15. A method for operating an apparatus for automated walking and/or treadmill training of a user comprising a frame configured to allow a walking movement of the user in the frame, and a pelvis attachment to support at least one of a position and weight of the user and having attachment elements configured to be connected to the user, wherein the pelvis attachment comprises a displacement unit for at least one of allowing and supporting a movement of a pelvis of the user held by the attachment elements either transverse to, rotating about or transverse to and rotating about a perpendicular axis to the walking direction, wherein the pelvis attachment is positioned above an opening of the frame at a predetermined height, the user is attached to the pelvis attachment, the user is attached to a weight suspension unit, wherein the pelvis attachment is driven and controlled as well as the weight suspension unit is driven and controlled. 16. The apparatus according to claim 1, wherein the frame comprises a treadmill having a driven treadmill belt. 17. The apparatus according to claim 6, wherein the inclination of the guide rails is adjustable by a drive in order to set a relation between lateral travel and transverse rotation. 18. The apparatus according to claim 1, further comprising one or more sensors from the group of: force sensors relating to forces exerted on the pelvis attachment or cuff attachment, and position sensors configured to deliver position signals of the pelvis attachment or cuff attachment. 19. The apparatus according to claim 18, wherein the apparatus is provided at least with one force sensor which measures force interaction with the user and allows for the control unit to provide assist-as-needed control, where the user participates actively to the movement and the actuator provides the remaining work necessary. 20. The apparatus according to claim 11, wherein the carriage is oriented transverse to a direction of movement of a treadmill belt."
  ],
  "description_excerpt": "The invention relates to an apparatus for automated walking and especially treadmill training according to the preamble of the independent claims.\n\nFrom Prior Art several such devices are known using a treadmill belt for walking whereas the user is supported by a weight unloading system and/or where the walking on the treadmill belt is further supported by a leg orthosis or leg brace and the weight of such devices can be relieved through additional weight relieving elements as a parallelogram support frame.\n\nEP 1 137 378 discloses an automatic machine, which is used in treadmill therapy (walking therapy) usable for paraparetic and hemiparetic patients and which automatically guides the legs on the treadmill. Said machine consists of a driven and controlled orthotic device, which guides the legs in a physiological pattern of movement, a treadmill and a relief mechanism. The knee and hip joints of the orthotic device are each provided with a drive. Said orthotic device is stabilized on a treadmill with stabilizing means in such a manner that the patient does not have to keep his/her equilibrium. The orthotic device can be adjusted in height and can be easily adapted to different patients.\n\nFurther developments of the relief mechanism relate to a device for adjusting the height and the relief force acting on a weight as disclosed in EP 1 586 291 showing two different cable length adjustment means. One is provided to adjust the length of the cable to define the height of the suspended weight. The other is provided to adjust the length of the cable to define the relief force acting on the suspended weight.",
  "cpc": [
    "A63B 22/02",
    "A61H 1/0255",
    "A61H 1/0262",
    "A61H 2201/1207",
    "A61H 2201/123",
    "A61H 2201/163",
    "A61H 2201/1642",
    "A61H 2201/1652",
    "A61H 2201/5061",
    "A61H 2201/5064",
    "A61H 3/008",
    "A63B 21/00178",
    "A63B 21/00181",
    "A63B 22/0235",
    "A63B 2220/10",
    "A63B 2220/51",
    "A63B 24/0062",
    "A63B 24/0087",
    "A63B 69/0062",
    "A63B 69/0064"
  ],
  "ipc": [
    "A63B 22/02",
    "A63B 24/00",
    "A61H 1/02",
    "A61H 3/00",
    "A63B 21/00",
    "A63B 69/00"
  ],
  "assignees": [
    "Hocoma AG"
  ],
  "inventors": [
    "Rainer Bucher",
    "Konstatin Daremas",
    "Adrian Moser",
    "Aryananda Lijin"
  ],
  "filing_date": "2014-06-20",
  "publication_date": "2016-05-19",
  "priority_date": "2013-06-21",
  "application_number": "US-201414899578-A",
  "family_id": "48745663",
  "cited_by_count": 22,
  "citations": [
    "US5667461A",
    "US20060281606A1",
    "US20040005962A1",
    "US6273844B1",
    "US6436009B1",
    "US7381163B2",
    "US20050288157A1",
    "US20110312473A1"
  ]
}