TECHNICAL FIELD Embodiments of the present invention relate generally to devices to treat, prevent, or alleviate problems with hands, wrists, and forearms, and symptoms of Carpal Tunnel Syndrome (CTS), and more particularly to a device and method to extend the hand backward to exercise and stretch, muscles, tendons, and ligaments to aid in relief and recovery and prevention of problems of the hands, wrists, and forearms and symptoms of CTS.
BACKGROUND Repetitive Strain Injury (RSI) to the hands and arms may result from various repetitive physical movements including movements made doing, for example, assembly-line work, playing a musical instrument, or using a computer keyboard and computer mouse. Such injuries can be serious and painful and may indicate one or more serious conditions that may be preventable and treatable. RSI may cause damage to tendons, nerves, muscles, and other soft tissues.
Long periods of repetitive physical movement may create cumulative damage to the body, sometimes described as Cumulative Trauma Disorder. Lack of adequate rest, infrequent rests, and improper warming up of hands and arms before undergoing movements, such as those described, may cause and exasperate the injuries and conditions. Carpal Tunnel Syndrome (CTS) may result. Other injuries may also occur, included but not limited to: Tendinitis, Bursitis, Tenosynovitis/DeQuervain's Syndrome, Tendinosis, Thoracic Outlet Syndrome, Trigger Finger/Thumb, Myofascial Pain Syndrome, Cubital Tunnel Syndrome, other related conditions.
BRIEF DESCRIPTION OF THE DRAWINGS Embodiments of the present invention will be readily understood by the following detailed description in conjunction with the accompanying drawings. To facilitate this description, like reference numerals designate like structural elements. Embodiments of the invention are illustrated by way of example and not by way of limitation in the figures of the accompanying drawings.
FIG. 1 is a perspective view illustrating one embodiment of the present invention;
FIG. 2 is a side view illustrating one embodiment of the present invention;
FIG. 3 is a side view illustrating another embodiment of the present invention;
FIG. 4 is a side view illustrating another embodiment of the present invention;
FIG. 5 is a side view illustrating another embodiment of the present invention;
FIG. 6 is a perspective view illustrating another embodiment of the present invention; and
FIG. 7 is a flow diagram illustrating a method in accordance with one embodiment of the present invention.
DETAILED DESCRIPTION OF ILLUSTRATIVE EMBODIMENTS OF THE INVENTION In the following detailed description, reference is made to the accompanying drawings which form a part hereof wherein like numerals designate like parts throughout, and in which is shown by way of illustration embodiments in which the invention may be practiced. It is to be understood that other embodiments may be utilized and structural or logical changes may be made in alternate embodiments. Therefore, the following detailed description is not to be taken in a limiting sense, and the scope of embodiments in accordance with the present invention is defined by the appended claims and their equivalents.
The following description may include terms such as inner, outer, under, between, upward, downward, outward, inward, top, bottom, above, below, and the like. Such terms are used for descriptive purposes only and are not to be construed as limiting in the description or in the appended claims. That is, these terms are terms that are relative only to a point of reference and are not meant to be interpreted as limitations but are, instead, included in the following description to facilitate understanding of the various aspects of the invention.
The phrase “in one embodiment” is used repeatedly. The phrase generally does not refer to the same embodiment; however, it may. The terms “comprising,” “having,” and “including” are synonymous, unless the context dictates otherwise.
One embodiment may provide a therapy device which may be used to stretch, warm up, or exercise muscles, tendons, ligaments, and soft tissues of the hands, including the fingers, wrists, and arms. One embodiment may include a hand engaging element disposed to engage a hand, and a pulling cord disposed to pull the hand engaging element, and may be used to extend the hand of a user. One embodiment may include a force redirecting element configured to redirect a pulling force. One embodiment may include a timer, a clock, or an alarm that may be used as a reminder to a user to use the device. One embodiment may include a stiffening device positioned on the back of the hand which may aid in the feel and mechanics of extending the hand backward. One embodiment may include interlinking devices to enable a user to wear one device on each hand and to extend a hand configured with a first device by pulling a cord attached to a second device. In one embodiment pulling cords are configured to pull a hand from a location above the third knuckle (as counted from the fingertip).
FIG. 1 is a perspective view partially in cross-section, andFIG. 2 is a side view illustrating one embodiment of the present invention. Atherapy device10 may comprise a handengaging element12 which may be configured to engage with, and/or connect to, ahand14, and may be configured to at least partially distribute a force which may be illustrated with anarrow16. At least onepulling cord18, has afirst end20 which may be configured to be connected to thehand engaging element12, and has asecond end22 which may be configured to be pulled as may be illustrated with anarrow24. Aforce redirecting element26 may be configured to be connected to a back of thehand14 or a back of awrist28 as illustrated in this described embodiment, and may be configured to redirect the pulling force exerted on thesecond end22. The redirected pulling force may be illustrated with anarrow30, and may be directed to be able to extend thehand14 indirection32.
In one embodiment the therapy device may include afabric34 configured to fit on ahand14, the hand engaging element and the force redirecting element may be connected to the fabric. In one embodiment thefabric34 may be configured to fit over thehand14 like a glove or a mitten.
One embodiment of the invention may include aforce redirecting element26 which may be a loop made from a resilient material, the at least onecord18 may be configured to pass through the loop which may be configured to stretch as the at least one cord is pulled, or the hand is extended, or both. Theforce redirecting element26 may be configured to pull with abiasing force36 toward the back of the hand, orwrist28. In one embodiment theforce redirecting element26 may be made from a non-resilient material.
Thesecond end22 of thepulling cord18 may be connected to ahandle38. Thehandle38 may be, for example, a rigid cylinder disposed to be grasped in a hand opposite the hand the therapy device is engaged with. The pulling cord may be configured to be pulled in adirection40 along aforearm42.
The handengaging element12 may be, for example, an elongate board. In one embodiment the hand engaging element may be configured to be selectively connected to, and removed from, the fabric such that the pulling force may be selectively directed to different areas of the hand. In one embodiment, the fingers and the hand engaging element may have mating sides of a loop and hook arrangement, for example with Velcro™, enabling adjustment. In one embodiment adjustment may be made possible with snaps.
In one embodiment the at least one pulling cord may include two ormore pulling cords18, for example twopulling cords18 as illustrated inFIG. 1 connected to the handengaging element12 at two spaced apart locations. The twocords18 may be connected to opposite ends of the elongatehand engaging element12 and may pass through theforce redirecting element26 and be arranged to cross over one another before being attached to the handle by, for example, a loop in thepulling cords18.
In one embodiment thetherapy device10 may include anobject44 configured to be squeezed by the hand when contracted which may provide exercise for the hand, and in conjunction with the stretching therapy, provided by thepulling cords18, may help provide a full range of motion. A timer, for example, aclock46 which may have an alarm that may be used as a reminder to a user to use the device. Theclock46 may be affixed to thefabric34, or it may be removably attachable by, for example, with snaps or a Velcro™ connection.
FIG. 3 is a side view illustrating another embodiment of the present invention. Atherapy device110 may comprise a handengaging element112 which may include a firstelongate board114 configured to be secured at one side of the fingers of ahand116 and a secondelongate board118 configured to be secured to an opposite side of the fingers.Connections120 may be disposed to pass between the fingers and configured to connect the firstelongate board114 with the secondelongate board118. The handengaging element112 may be configured to engage with, and/or connect to thehand116, and may be configured to at least partially distribute a force which may be illustrated with anarrow122. At least onepulling cord124 has afirst end126 which may be configured to be connected to the handengaging element112, and has asecond end128 which may be configured to be pulled as may be illustrated with anarrow130. Aforce redirecting element132 may be configured to be connected to a back of thehand116 or a back of awrist134, and may be configured to redirect the pulling force exerted on thesecond end128 as illustrated with anarrow136, and may be directed to be able to extend thehand116 indirection138.
Thetherapy device110 may include afabric140 configured to fit on thehand116, thehand engaging element112 and theforce redirecting element132 being connected to thefabric140. In one embodiment thefabric140 may be configured to fit over thehand116 like a glove or a mitten.
Theforce redirecting element132 may include aring142 connected to thefabric140 with a resilient connection, for example, aspring144. The at least one pullingcord124 may be configured to pass through thering142.
The resilient connection may include a resiliency which is adjustable. For example, thespring144 may be replaceable with another spring with a different spring constant, or one or more additional springs may be added. In one embodiment, the resiliency may be adjusted by changing a distance between thering142 and thespring144 by, for example, with a threaded engagement. In one embodiment, various resilient bands may be used.
A pullingring146 disposed to be grasped in a hand opposite the hand the therapy device may be engaged with, or pulled by another person such as a therapist. In one embodiment, thetherapy device110 may include an interlocking element disposed to be attached to a similarly configured therapy device arranged on an opposite hand such that the pullingcord128 of thefirst device110 may be pulled by moving an interlocked other device. For example, in one embodiment, as shown inFIG. 3 ahook148 may be attached to a bottom of the device which may fit into the pullingring146 of asimilar therapy device110. Such an interlockable arrangement may be useful in cases where the dexterity on one or both hands is compromised and grasping is difficult, or impossible. One embodiment may include astiffening device150 positioned on the back of the hand which may aide in the feel and mechanics of tilting and/or extending the hand backward, which may be housed in, for example, apocket152.
FIG. 4 is a side view illustrating another embodiment of the present invention. Atherapy device210 may comprise ahand engaging element212 which may include anelongate board214 which may be configured to engage with, and/or connect to ahand216, and may be configured to at least partially distribute a force which may be illustrated with anarrow218. At least one pullingcord220 has afirst end222 which may be configured to be connected to thehand engaging element212, and has asecond end224 which may be configured to be pulled as may be illustrated with anarrow226.
Aforce redirecting element228 may include alever arm230 configured to pivot about anaxis232 at, or near, the back of thewrist233, thesecond end224 of the at least one pullingcord220 may be configured to be connected to the lever arm230 afirst distance234 from theaxis232. Thelever arm230 may be configured to be pulled on by asecond cord236 connected to thelever arm230 at asecond distance238. The second cord may be connected to ahandle240. One or both of thefirst distance234, and thesecond distance238, may be adjustable by, for example, providing a number of different connections on the pivot arm, or providing connections on the pivot arm configured to adjustably move along the pivot arm. Thefirst distance234 may be configured to be greater than, or less than, thesecond distance238. In one embodiment a gauge may be included to indicate to a user how hard the cord is being pulled which may be disposed to indicate whether or not the pulling force is within a recommended range. In one embodiment, thelever arm230 may be grabbed directly with an opposite hand, or by another person, such as a therapist, and pulled back in order to extend the hand of the wearer in thedirection240.
In one embodiment asupport242 may be provided support configured to support the hand at, or near, the wrist while typing or mousing.
FIG. 5 is a side view illustrating another embodiment of the present invention. Atherapy device310 may comprise ahand engaging element312 which may include one or more finger engaging elements, for example, rings314 configured to fit on one ormore fingers316 each connected to afirst end318 of at least one pullingcord320. For example, as shown in the embodiment illustrated, fourrings314 may be fitted on each of fourfingers316 of ahand322. Four pullingcords320 may be connected to each of the four rings314. The four pullingcords320 may be disposed to pass through aforce redirecting element326 which may be configured to be connected at, or near, a back of awrist328 as illustrated in this described embodiment, and may be configured to redirect a pullingforce330 exerted on asecond end332 of each of the pulling cords. In one embodiment each of fourcords320 may be connected to a single additional cord, or to a handle, configured to be pulled. The redirected pulling force may be illustrated with anarrow334, and may be directed to be able to extend thehand319 indirection334.
FIG. 6 is a perspective view illustrating another embodiment of the present invention. Atherapy device410 may include afabric411 configured to be fitted on ahand412. Thefabric411 may be a resilient material, for example, elastic. A hand engaging element may be in the form of reinforcedfingers414, for example a non-resilient fabric which may be added to, or made integral with, thefabric411 and which may be made from a sturdy material. A first pullingcord416 may be configured to be connected at afirst end417 thereof to the respective four reinforcedfingers414 with aconnection418 which may be adjustable. Theconnection418 may include one ormore hooks420 attached to the reinforcedfingers414, which may be connectable with mating ends on the first ends417 of the first pullingcords416. Each mating end may include acatch424 arranged to attach to thehooks420. Each of thecatches424 may be removably attachable to the correspondinghooks420 on each of therespective fingers414, and may be left unconnected, or connected to other hooks that may be located higher up or lower down on the fingers. Each of the first pullingcords416 may be joined at a junction, for example, they may be connected at asecond end428 to aring430. A second pullingcord432 may be connected to an opposite side of thering430 at afirst end434 thereof. Asecond end436 of the second pullingcord432 may be configured to be connected to ahandle438. Aforce redirecting element440 may be attached to thefabric411 of thetherapy device410. The second pullingcord432 may be arranged to pass underneath theforce redirecting element440. A number of adjustingelements442 may be arranged on each of the first pullingcords416 to adjust the length thereof.
In one embodiment finger cots may be disposed to fit over the tips of the fingers and may be disposed to have pulling cords connected to them.
FIG. 7 is a flow diagram illustrating a method in accordance with one embodiment of the present invention. The method includes:
pulling a cord at a second end with a pulling force in a direction substantially along an arm, the cord having a first end connected to a hand engaging element,500;
redirecting the pulling force by passing the cord through a force redirecting element such that the pulling force is directed to have a component toward a wrist, the force redirecting element being connected to a back of the hand or a back of a wrist,502; and
extending the hand backward with the pulling force,504.
Although certain embodiments have been illustrated and described herein for purposes of description of the preferred embodiment, it will be appreciated by those of ordinary skill in the art that a wide variety of alternate and/or equivalent embodiments or implementations calculated to achieve the same purposes may be substituted for the embodiments shown and described. Those with skill in the art will readily appreciate that embodiments in accordance with the present invention may be implemented in a very wide variety of ways. This application is intended to cover any adaptations or variations of the embodiments discussed herein. Therefore, it is manifestly intended that embodiments in accordance with the present invention be limited only by the claims and the equivalents thereof.