Abstract:
A wheelchair having a therapeutic unit attached thereto that contains an auxiliary drive wheel mounted in a frame beneath the chair seat. A pair of leg operated levers are connected to the auxiliary drive wheel by a drive system so that reciprocating the levers causes the auxiliary drive wheel to rotate. The levers contain forwardly extended arms that are hinged to move laterally to one side or the other of the chair seat thus permitting easy ingress and egress from the chair. The auxiliary drive wheel can be raised by one seated in the chair so that the therapeutic value of the system can be realized while the chair is in a stationary position.

Description:
BACKGROUND OF THE INVENTION 
     This application is a continuation in part of copending U.S. application Ser. No. 09/146,780 filed Sep. 4, 1998, entitled Aerobic Wheelchair Attachment in the name of Joseph Chubbuck. 
    
    
     This invention relates to a wheelchair for providing a patient with the capability to exercise therapeutically his or her legs and lower body while seated in the chair. More specifically, this invention relates to a wheelchair that is equipped with a therapeutic exercising device that is compact and will not impede a patient&#39;s ability to easily get in and out of the chair. 
     Oftentimes, patients are unable to walk due to post-operative recoveries, injuries, infirmaries or the like, and are thus confined to a wheelchair for relatively long periods of time. As a consequence, the patients&#39; unused muscles become weakened and the lower body, in particular, loses strength. When the recovery period is lengthy or not possible, the patient is required to attend therapy on a regular basis. This type of treatment is not only expensive, but also time consuming in that the patient usually must be transported from the place of confinement to the therapist&#39;s office. This, in turn, can, and often does, result in missed appointments due to weather, lack of help or transportation or simply poor health. Under these adverse conditions, a patient will lose the desire to continue in therapy and his or her condition will worsen rather than improve. 
     Many different wheelchairs are found in the prior art that are designed to provide exercise to a patient while seated in the chair. In U.S. Pat. No. 4,993,732, a wheelchair is disclosed which has a manual drive system that is operated through means of a pair of hand operated levers. The levers are reciprocated by the patient while seated in the chair and the motion translated to the drive wheels through a suitable linkage, to propel the chair in a desired direction. Although this device works well to provide exercise for the patient&#39;s upper body, it has no therapeutic value in relation to the patient&#39;s lower body which, in most cases, is the part of the body which most requires exercise. 
     In U.S. Pat. No. 5,273,304, there is disclosed a leg powered attachment for a conventional wheelchair. The device is equipped with a single drive wheel that is driven by pedals, much like a child&#39;s tricycle. The pedal unit is attached to the main frame of the chair and protrudes well forward of the chair seat to provide ample leg access to the pedals and sufficient room to turn the drive wheel. As anyone who has pedaled a tricycle knows, pedaling this type of device can be tiring and overtaxing, particularly for a person who is not physically well. The forwardly protruding pedal wheel makes ingress and egress from the chair extremely difficult. In addition, because of the excessive length of the pedal wheel unit, the maneuverability of the chair is seriously impeded and its turning radius is greatly increased. 
     A similar pedal wheel attachment for a wheelchair is disclosed in U.S. Pat. No. 5,280,937 where the direct pedal driver is replaced with a chain and sprocket drive system. Although the chain and sprocket drive offers some improvement in the amount of energy that must be expended in propelling the chair, here again because of the size and complexity of the drive system, getting into and out of the chair is very difficult, particularly for a patient with infirmities. Additionally, maneuverability of the chair is limited and the chair cannot be effectively used in a confined space to provide meaningful exercise. A similar sprocket and chain driven device is also disclosed in U.S. Pat. No. 5,324,060. 
     SUMMARY OF THE INVENTION 
     It is a primary object of the present invention to improve wheelchairs by providing the chair with a compact therapeutic system that will not impede the user&#39;s ability to get into or out of the chair or adversely effect the chair&#39;s mobility and maneuverability. 
     A further object of the present invention is to provide a compact therapeutic exercising device for a wheelchair that can be adjusted by a patient seated in the chair to match the level of exercise to the patient&#39;s physical capabilities. 
     Another object of the present invention is to provide a modular exercising device that can be attached without modification to a wide number of existing wheelchairs. 
     Yet another object of the present invention is to provide a compact therapeutic exercising attachment for a wheelchair that can be used to propel the chair or, at the option of a patient seated in the char, easily changed to a non-propelling mode of operation for use in in-place therapeutic exercising. 
     A still further object of the present invention is to improve the quality of life of a patient that is confined to a wheelchair by providing a therapeutic exercising device that can be used while the patient is seated in the chair. 
     These and other objects of the present invention are attained by a wheelchair having a main frame for supporting a seat, a pair of main hand operated drive wheels and standard brackets mounted upon the front of the frame for removably supporting conventional leg rests. An auxiliary frame is mounted upon the brackets that contains a single smaller auxiliary drive wheel located beneath the seat. A pair of leg operated levers are connected to the auxiliary drive wheel through a drive system so that when the levers are reciprocated in a general vertical plane, the auxiliary drive wheel is caused to rotate and thus propel the chair forwardly. Each lever contains a forwardly extended arm that is pivotally mounted in assembly so that the lever arms can be rotated to one side or the other of the seat thus providing easy and safe passage into and out of the chair seat. The auxiliary frame is equipped with a readily accessible actuator that can be pushed downwardly by a patient seated in the chair to lock the auxiliary drive wheel in a raised position whereby the patient can exercise in a stationary or in-place position. A similarly readily accessible brake system is mounted in the auxiliary frame that can be adjustably set by the patient while seated in the chair to place a drag force on the auxiliary drive wheel so that the patient can set the level of exercise to his or her physical capabilities. 
    
    
     BRIEF DESCRIPTION OF THE DRAWING 
     For a better understanding of these and other objects of the present invention, reference will be made to the following detailed description of the invention which is to be read in association with the accompanying drawings, wherein: 
     FIG. 1 is a side elevation of a wheelchair that is equipped with therapeutic apparatus embodying the present invention; 
     FIG. 2 is a perspective view of the therapeutic apparatus illustrated in FIG. 1; 
     FIG. 3 is a partial enlarged side view of the therapeutic apparatus of the present invention showing one of the reciprocating lever arms of the apparatus in a down position; 
     FIG. 4 is a view similar to FIG. 3 showing the lever arm in a raised position; 
     FIG. 5 is a partial perspective view showing one of the leg operated lever arms locked in a forwardly extended operative position; 
     FIG. 6 is a perspective view similar to FIG. 5 showing the leg operated lever arms unlocked and turned to one side away from the chair seat; 
     FIG. 7 is a partial perspective view of one of the leg operated lever arms more clearly illustrating the construction thereof; and 
     FIG. 8 is an enlarged front view more clearly illustrating the transmission and braking mechanism of the present invention. 
    
    
     DETAILED DESCRIPTION OF THE INVENTION 
     Turning initially to FIG. 1, there is illustrated, in phantom outline, a wheelchair, generally referenced  10 , of conventional construction. The chair includes a tubular metal main frame  11  that supports a seat  12  having side guards  13 . Arm rests  14  and a backrest  15  are also provided for the patient&#39;s safety and comfort. A pair of large manually operated drive wheels  17  are rotatably mounted in the back of the main frame and a pair of casters  18  are mounted in the front part of the frame which assists in maneuvering the chair. A pair of hand grips  19  are also mounted in the top back part of the frame which permits a person standing behind the chair to propel and maneuver the chair, if such assistance is required. 
     An auxiliary therapeutic unit, generally referenced  20 , is removably mounted upon the front of the main frame of the chair. The auxiliary unit, as herein depicted in the drawing is detachably mounted upon the main frame of the wheelchair, however, it should be evident from the disclosure below that the auxiliary therapeutic unit may be permanently secured to the wheelchair without departing from the teachings of the present invention. As best illustrated in FIG. 2, the vertical risers  27  of the frame of most present day wheelchairs are spaced apart when the chair is unfolded a predetermined distance to permit the chair to pass through door openings and the like. In addition, most conventional wheelchairs are further equipped with male mounting brackets  35  located on each of the two front risers of the chair frame. Each bracket includes a pair of vertically disposed lugs  25  that are adapted to removably receive therein leg supports (not shown) which may be required to support one or both of the patient&#39;s lower limbs. Here again, the brackets are of a standard size and shape so that a wide variety of leg supports can be mounted on standard size chairs provided by a number of different manufacturers. 
     With further reference to FIG. 2, the therapeutic unit  20  is equipped with an auxiliary frame  26  that includes a horizontally disposed cross member  27 . A pair of female brackets  28  are mounted at each end of the cross member. Each female bracket further includes a vertical post  30  containing spaced apart upper and lower mounting plates  31  and  32  containing holes  33  that are capable of being slidably received upon the lug  25  of the male mounting brackets  35  situated on the main frame of the chair. A locking arm  34  is rotatably mounted in the vertical post of each female mounting bracket that is arranged to pass under the bottom lug support  35  in each male bracket to prevent the auxiliary frame from being inadvertently removed from the main frame of the chair. 
     As further illustrated in FIGS. 2-4, the auxiliary frame includes a transmission housing  37  that is secured to the cross member  27 . The transmission housing contains a pair of side walls  38 — 38  that are welded or otherwise joined to the cross member and a recessed top wall  39  and a bottom wall  40  (FIG.  2 ). A beam  41  is pivotally mounted at its upper end in each side wall of the transmission. The lower end of each beam contains a bushing (not shown) in which the shaft  42  of an auxiliary drive wheel  43  is rotatably supported. In assembly, when the auxiliary frame is mounted upon the chair frame, the auxiliary drive wheel is situated well beneath the seat of the chair and does not pose an obstruction to a patient using the chair or to the mobility of the chair. 
     The transmission contains a pair of spaced apart bevel gears  45 — 45  that are mounted for rotation about a common shaft  46 . The bevel gears, in turn, are tied together by an upper idler gear  47  and a lower idler gear  48  which serve to coordinate the motion of the two bevel gears. The hub  49  of each bevel gear contains a recess in which a leg operated lever  50  is mounted so that the lever turns with the bevel gear. Each lever is arranged to pivot about the gear shaft  46  and contains a relatively long forwardly disposed arm  52  and a shorter rearwardly disposed arm  53 . 
     As illustrated in FIG. 1, the forwardly disposed arm of the two levers are provided with leg rests  55  (FIG. 2) that enable a patient seated in the chair to use his or her legs to reciprocate each lever in a vertical plane. Through means of the bevel gear arrangement, the motion of the levers is coordinated so that one lever will move upwardly while the other is moving downwardly. The rear arm  53  of each lever is, in turn, connected to the drive shaft of the auxiliary drive wheel by means of a two bar linkage  60  consisting of a first driving link  62  that is pivotally connected to a driven link  63  that is connected to the drive shaft by a one-way clutch  64 . The one-way clutch permits the auxiliary drive wheel to drive the wheel in a forward direction only. 
     As can be seen, reciprocating the longer lever arms of the drive system produces rotational movement of the auxiliary drive wheel through the two bar linkage thereby propelling the chair in a forward direction. As noted above, the motion of the two levers is coordinated through the drive system so that a continuous rotational force is delivered to the auxiliary drive wheel as the levers are moved up and down. 
     As noted above, the forwardly protruding leg operated levers, under certain conditions, can impede a patient&#39;s ability to get into or out of the chair. The longer arm  52  of each leg operated lever is provided with a hinge, generally referenced  70 , that permits either arm to be moved sideways to one side or the other of the chair seat. As illustrated in FIGS. 5-7, the arm  52  of each lever has a pair of opposed flanges  71  and  72  formed therein in which axially aligned holes  73  are bored or otherwise machined. The flanges in assembly, are adapted to fit into the body  84  of each lever and vertically aligned pivot pins  75  and  76  are passed through the flange holes and secured in the lever so that the arm  52  can rotate about the pins. The arm  52  is equipped with a stop surface  77  that is arrested against the side wall  78  of the lever body when the arm  52  is brought into co-axial alignment with the body of the lever as shown in FIG.  5 . The arm  52  contains a latch  80  that is rotatable about screw  81  so that the latch can move between an open vertical position as shown in FIG. 6 and a closed or locked position as shown in FIG.  5 . The arm  52  is provided with a horizontally disposed shoulder upon which the latch rests when placed in the locked position. One leg rest  55  is shown in phantom outline in FIG. 1 moved back about the hinge. 
     The distal end of each leg operated lever contains a foot rest  50  upon which the foot of a patient seated in the chair can be supported. The lever arms  52  are contoured with a downward bend so that the patient can easily apply a downward pressure on the lever while seated in a natural position in the chair thus causing the levers to reciprocate and the auxiliary drive wheel to rotate to propel the chair at a relatively slow speed in a forward direction. 
     The auxiliary drive wheel normally rests in contact upon the chair support surface  85  as illustrated in FIG.  3 . The auxiliary wheel can, at the option of the user, be raised from the chair support surface as illustrated in FIG.  4 . When the wheel is raised, a patient in the chair can still perform therapeutic exercises while the chair remains stationary. Accordingly, the exercises can be performed in a relatively confined space. A lifting mechanism  87  is attached between the two wheel supporting beams  41 . The mechanism includes a U-shaped member  88  having arms that are secured to each of the beams by threaded fasteners  89 . An actuating rod  90  is secured in the base of the U-shaped member that protrudes outwardly beyond the front of the chair seat so that it can be easily grasped by someone seated in the chair. By pushing down on the actuating rod, the beams supporting the auxiliary wheel will be pivoted about pivots  91  secured in the sidewalls  38  of the transmission housing, thus bringing the wheel to an elevated position as shown in FIG.  4 . 
     A hook-like element  92  is secured as by welding to the cross member  27  of the auxiliary frame for securing the actuating rod in a down and locked position, thus holding the auxiliary wheel in a raised condition. The actuating rod is movably supported in the base of the U-shaped member so that it can be moved laterally under the element  92 . 
     Each driving link  62  of the two bar linkage contains an elongated slot  69  in which a threaded fastener  68  is slidably mounted. A cylindrical shaped stop is, in turn, mounted upon the fastener which is capable of riding up into contact with the beam  41  and lifting the beam, and thus the auxiliary wheel from the chair supporting surface. The positioning of the stop along the slotted hole is adjusted to match the normal physical leg stroke of a patient seated in the chair so that the stop will not come in contact with the beam during normal stroking of the levers. However, by over extending the stroke length, the patient will cause the auxiliary wheel to be raised above the support surface. Thus, in effect, rendering the one-way clutch associated with the auxiliary drive wheel ineffective in preventing the chair from moving backward. Accordingly, in the event the patient finds him or herself in a tight spot requiring rearward movement of the chair, the auxiliary wheel can be raised slightly and the main drive wheel manually operated to propel the chair in a rearward direction. 
     A braking mechanism generally referenced  93  is also provided in the auxiliary frame for placing a retarding load on the auxiliary wheel drive system. The amount of drag placed on the system can be adjusted by the user to match his or her capabilities so that the most effective therapeutic results can be attained. The braking mechanism is arranged to act upon the upper idler gear of the transmission and includes a threaded control rod  94  that is threaded through the cross member  27  of the auxiliary frame as shown in FIG. 9. A brake pad  95  is secured to the distal end of the control rod that is capable of riding in friction contact against the top surface of the idler gear hub  96 . A second brake pad  97  may also be joined to the top of the hub to increase the friction between the hub and the control rod. The shank of the control rod extends upwardly to an elevation where it can be easily reached by a patient seated in the chair. The upper end of the rod is further equipped with a handle  98  for turning the rod in either direction. As can be seen, turning the rod downwardly will increase the drag on the drive system and thus increase the level of energy needed to rotate the auxiliary wheel. Turning the rod in the opposite direction will, of course, produce the opposite effect. A protective cover  99  is placed over the brake to prevent dirt and the like from degrading the system. 
     While the present invention has been particularly shown and described with reference to the preferred embodiment, it will be understood by one skilled in the art that various changes in detail may be effected therein without departing from the spirit and scope of the invention as defined by the claims.