Abstract:
The present invention provides upright, standing, and weight bearing support system for the sternum, arms, and pelvis. The present invention maintains the subject in an ideal posture position, while the guiding the subject through therapeutic exercises that have a specific and practical application towards standing up straight. The system provides video and audio stimulation, educational instruction, and evokes potential central nervous system stimulation.

Description:
RELATED APPLICATION 
   This application is a continuation of U.S. application Ser. No. 11/541,920, filed on Oct. 2, 2006 now abandoned, which claims the benefit of U.S. Provisional Application No. 60/723,305, filed on Oct. 4, 2005. The entire teachings of the above application are incorporated herein by reference. 

   BACKGROUND 
   A major component of most muscular-skeletal injuries is an imbalance between the flexor muscle group and the extensor muscle group. The flexors are the muscles that cause the body to go into the fetal position when they are contracted. The physiological opposite of the flexors, are the extensors, which are muscles that cause a body to stand up in an erect position when they are contracted. Because of several physiological predispositions and a preponderance of flexor-based activities, the flexor muscle group tends to dominate the extensors. This flexor dominant posture is a key component in many injurious joint angulations and his or her resultant musculo-skeletal injuries. Many types of traditional physical rehabilitation involve flexor-based activation and result in an accentuation of the flexor domination, which is most likely the root of the problem. 
   SUMMARY 
   The present invention provides a unique and stable platform designed to facilitate a predominantly isometric styled set of muscular activations. By providing unique access to the extensor portion of the musculo-skeletal system, each regional extensor pool can be systematically activated, in order to build coherence of the total extensor pool. The total extensor pool has components in the musculo-skeletal systems, which are bound seamlessly via the peripheral nervous system to its somato-topic representation within the central nervous system. 
   A posture rehabilitation apparatus can be provided. The posture rehabilitation apparatus can include a human body positioning system. The human body positioning system can include a torso shroud and a chest pad connected to the torso shroud. The chest pad can be substantially between left and right arm supports. The human body positioning system can enable a human to stand in an upright position with ideal posture, while isolating and activating the extensor muscle groups of the human&#39;s body. 
   An integrated therapeutic multimedia system can be coupled to the human body position system. The integrated therapeutic multimedia system can be capable of providing the human with neurological rehabilitation. The integrated therapeutic multimedia system can include a video display device that enables neurological rehabilitation for the human by providing the human with video guided eye exercises. The integrated therapeutic multimedia system can includes a sound system that enables neurological rehabilitation for the human by providing the human with audio guided musculo-skeletal exercises. The integrated therapeutic multimedia system can include a sound system that enables neurological rehabilitation for the human by providing the human with sound and vibratory therapy. The sound vibration therapy can include chimes. The integrated therapeutic multimedia system can provide neurological rehabilitation by enabling the human to interact with a multimedia presentation of 3-D virtual reality exercise demonstrations. 
   The human body positioning system can provide a mechanism for monitoring the human&#39;s posture using biofeedback. The information obtained from the biofeedback can provide a means for evaluating the patient, for diagnosis or for generating a doctor&#39;s report of findings. 
   The human body positioning system can include a foot platform that provides foot support. The foot platform can be capable of moving to an up position and down position. The human body positioning system can include a seat for the user to sit on, while stile ensuring that the user can maintain upright ideal posture. The human body positioning system can include a combination of active and passive conservative musculo-skeletal therapy. 
   A method of rehabilitating posture can be provided. A user can be positioned in an upright position and can maintain ideal posture. The user can maintain the ideal posture while isolating and activating the extensor muscle groups of the user&#39;s body. The user can be provided with neurological rehabilitation while the user maintains the upright position by (a) providing the user with video guided eye exercises, (b) providing the user with audio guided musculo-skeletal exercises, (c) providing the user with sound and vibratory therapy, and (d) enabling the user to navigate through 3-D virtual reality guided exercises. 

   
     BRIEF DESCRIPTION OF THE DRAWINGS 
     The foregoing will be apparent from the following more particular description of example embodiments of the invention, as illustrated in the accompanying drawings in which like reference characters refer to the same parts throughout the different views. The drawings are not necessarily to scale, emphasis instead being placed upon illustrating embodiments of the present invention. 
       FIGS. 1A-1B  are top, front, right side perspective views of the present invention; 
       FIG. 1C  is a top, front, right side cross-sectional perspective view of the present invention; 
       FIGS. 2A-2C  are front or back perspective views of the present invention; 
       FIGS. 3A-3G  are side perspective views of the present invention; 
       FIG. 4  is a flow diagram describing an example process  100  of using the present invention; and 
       FIGS. 5-14  are example screenshots of operational instructions provided by the integrated therapeutic multimedia system of the present invention. 
       FIG. 15  is a schematic illustration of a computer network or similar digital processing environment in which the integrated therapeutic multimedia system embodiments of the present invention may be implemented. 
       FIG. 16  is a block diagram of the internal structure of a computer of the network of  FIG. 15 . 
   

   DETAILED DESCRIPTION OF THE INVENTION 
   A description of example embodiments of the invention follows. 
   The present invention can provide both the therapist and the patient key tools for promoting ideal function of major portions of human physiology, making it a superior human physiology education system. Traditional therapies typically provide a face-down treatment, while the present invention provides treatment while the patient is standing in an upright position. 
   Preferably, the present invention provides a user friendly, ergonomically correct body-working platform, designed to promote an ideal relationship between key components of human physiology, namely the peripheral neuro musculo-skeletal system and its somato-topic representation within the central nervous system. When this ideal relationship is achieved, it can be represented by ideal posture and characterized by peak musculo-skeletal efficiency. 
     FIG. 1A  is a top, front, right side perspective view of the present invention.  FIG. 2  is a front perspective view of the present invention. A left arm support wing assembly  1 L is included and is capable of un-powered rotation that mimics the subject&#39;s left shoulder rotation. A right arm support wing assembly  1 R is included and is capable of un-powered rotation that mimics the subject&#39;s right shoulder rotation. A video monitor  2  is mounted in a fixed position in front of the subject&#39;s face. A chest pad  4  is mounted to a torso shroud  3 . The torso shroud  3  supports the chest pad  4 . An adjusting device  13   a  can provide adjustments to the angle and height of various components of the system  100 , including the chest pad  4  and arm supports  1 R,  1 L. The adjusting device  13   a  can provide adjustments to the total vertical height of the system  100 . A standing platform or base shroud  7  is horizontal to the torso shroud  3 . 
     FIGS. 2A-2C  are front or back perspective views of the present invention. Referring to  FIGS. 1A and 2B , sound speakers  6 R,  6 L are mounted on the system  100 . For example, the speakers  6 R,  6 L can be mounted on each arm support wing  1 L,  1 R, in front of the subject at the base of the torso shroud  3 , or on the standing deck  7  under the subject&#39;s feet. The speakers  6 R,  6 L can be part of a therapeutic multimedia system, which is integrated with the system  100 . Preferably, the integrated therapeutic multimedia system provides neurological rehabilitation by (a) navigation of 3-D virtual reality environments, (b) video guided eye exercises, (c) audio guided musculo-skeletal exercises, and (d) sound/vibratory therapy. As shown in  FIG. 2B , software for providing the 3-D virtual reality and the video guided eye exercises can be stored on and executed from the computer  19  and displayed on the user interface  2 . The sound vibrations can be generated using the audio subwoofer  20 , as well as from the speakers  6 R,  6 L. 
     FIGS. 3A-3G  are side perspective views of the present invention. A powered mechanism can be used in connection with the adjusting devices  13 A,  13 B,  13 C,  13 D to provide angle rotation to mimic the subject&#39;s position. For example, the powered mechanism can provide angle rotation as shown in  FIG. 3G  to mimic the subject&#39;s position while the subject is bending forward at the pelvis. The chest pad  4  and the wings  1 L,  1 R may be on powered feature that causes the chest pad  4  or the wings  1 L,  1 R to be vertically raised up and down and angled. Preferably, these are electromechanically powered pads, which are powered through a remote control. Often, each subject&#39;s chest may be a different distance from the subject&#39;s waist, and thus, by providing a powered mechanism, the angle of the system can be customized to correspond to the subject&#39;s angle at the subject&#39;s chest. For example, as shown in  FIGS. 3C and 1B , the chest pad  4  and the wings  1 L,  1 R of the system  100  can be angled to a position that optimizes the subject&#39;s upright standing posture.  FIG. 3B  shows the chest pad  4  and the wings  1 L,  1 R in a default position, while  FIG. 3C  shows the chest pad  4  and the wings  1 L,  1 R at an incline. 
     FIGS. 3A-3G  are side perspective views of the present invention. As shown in  FIG. 3A , the adjusting members  13 A,  13 B, and  13 C provide angle rotation that mimics the subject&#39;s rotating position at the torso. For example,  FIG. 3B  shows the system  100  in a standard default  100  position, while  FIG. 3C  shows the system  100  at an angled position. Referring to  FIG. 3D , the system  100  positions the subject  50  to an upright standing posture and has the foot platform in the down position, and in  FIG. 3E , the system  100  maintains the subject&#39;s upright standing posture position, while the foot platform is in the up position. 
   Referring to  FIG. 3F , the head of the subject  50  can also be extended. As shown in  FIG. 3G , the head of the subject  50  can be extended forward. Having the subject alternate between the positions shown in  FIGS. 3D-3G , while maintaining an ideal posture in an upright standing position facilitates a predominantly isometric styled set of muscular activations. In particular, the combination of having the subject experience the audio visual presentation, while having the subject  50  maintain an upright standing posture in the positions shown in  FIGS. 3D-3G  provides unique access to the extensor portion of the subject&#39;s musculo-skeletal system. Specifically, each regional extensor pool can be systematically activated, in order to build coherence of the total extensor pool. The total extensor pool has components in the musculo-skeletal systems, which are bound seamlessly via the peripheral nervous system to its somato-topic representation within the central nervous system. 
   The subject&#39;s positioning can be monitored with the biofeedback computer control. The biofeedback control can use electronic or electromechanical instruments to accurately measure, process, and feed back status information to the subject, with reinforcing information, about the subject&#39;s positioning. This information can take the form of analog of auditory or visual feedback signals, or both. The biofeedback can help the subject develop greater awareness and control over his or her posture. For example, the system can provide the subject feedback about whether the subject is rounding his or her back or slouching. 
   As shown in  FIG. 3F , the HALO head strap apparatus  33  can be used to provide biofeedback. As the subject pulls his or her head back from the position shown in  FIG. 3G  to the position shown in  FIG. 3F  a potentiometer switch attached to the apparatus will change the electrical signals sent to the computer. The result will be a change in either audio or visual signals represented on the computer screen. For example, as the subject pulls his or her head back, a dot will rise from the bottom of the computer screen towards the top. The rise of the dot on the computer screen is directly proportional to the extent of the subject head movement backward (the process is reversed as the head is rested forward). Another example, as the subject pulls his or her head back, the volume of an audio tone will increase, as the subject rests his or her head forward the volume will decrease. 
   Biofeedback can be provided in response to the subject rotating his or her torso. As the torso is rotated, the potential switch attached to that hardware will provide different electrical signals to the computer. The result will be a change in visual signals represented on the computer screen. For example, as the subject rotates his or her torso, a dot will move from either a right to left direction or a left to right on the computer screen, depending on the actual rotation of the subject. Rotation of the subject&#39;s torso to the right corresponds with movement of the dot to the right on the computer screen. Rotation of the subject&#39;s torso to the left corresponds with movement of the dot to the left on the computer screen. The horizontal movement of the dot on the computer screen is directly proportional to the extent of the subject&#39;s rotation. 
   Biofeedback can also be provided in response to the movement in the subject&#39;s lower extremities. As the lower extremities are depressed downward from the position shown in  FIG. 3E  to the fully extended position shown in  FIG. 3D , a potentiometer switch provides different electrical signals to the computer. The result will be a change in either audio or visual signals represented on the computer screen. For example, as the lower extremities are depressed a dot on the computer screen will also fall. Conversely, as the lower extremities rise the dot will also rise. The vertical rise and fall of the dot are directly proportional to the level of depression of the lower extremities. Another example, as the subject depresses his or her lower extremities the volume of an audio tone will increase, and as the subject raises his or her lower extremities, the volume will decrease. 
     FIG. 4  is a flow diagram describing an example process  200  of using the present invention. At step  105 , the subject steps onto the standing platform/deck. At step  110 , the powered support pads can be adjusted to meet the positioning and size requirements of the subject and the therapy session. At step  115 , the subject applies pressure on the pelvic support pad with his or her pelvis by leaning forward and dropping down, while still being supported by the present invention. At step  120 , the subject applies pressure on the sternum support pad with his or her sternum by leaning forward and dropping down, while still being supported by the present invention. At step  125 , the subjects rest the subject&#39;s arms on the wings. By applying forces counter to the support provided by the wings, sternum pad, and the pelvic pad, the subject effectively activates the extensor portion on his or her muscles. The subject can lean forward via the powered mechanism to adjust the position of the subject to accommodate the desired therapy. A diverse range of therapies are possible using the present invention, such as chiropractic musculo-skeletal therapy, proprioceptive rehabilitative therapy, rehabilitative training (e.g. stretching) and massage. 
   At step  130 , the subject can experience visual, video and audio stimulation to aid in education and therapy. In particular, the present invention can provide this visual, video and audio stimulation using its integrated therapeutic multimedia system. Referring back to  FIG. 2B , the integrated therapeutic multimedia system includes the video monitor  2  and the sound system  6 R,  6 L. The video/computer screen  2  and sound system  6 R,  6 L provide operational instructions (e.g. information, exercises, therapy treatments, and demos). Operational instructions may include instructions concerning the subject&#39;s appropriate use the present invention, instructions concerning the subject&#39;s appropriate position with respect to the present invention and instructions concerning the subject&#39;s expectations in connection with use of the present invention. Operational instructions may include anatomy and physiology education, including as audio-visual guided muscular skeletal exercises. The presentation displayed on the monitor  2  typically includes both audio and visual components.  FIGS. 5-14  are example screenshots of operational instructional images generated on the display  2  provided by the integrated therapeutic multimedia system of the present invention. 
   The operational instructions include video guided eye exercises. The video guided eye exercises can allow the subject to look in specific places identified on the video screen for a specific period of time and track a target object on the video screen. The eye exercises stimulate brain activity and are part of the neurological therapeutic component of the present invention. 
   The operational instructions may include audio stimulation. The subject can experience audio stimulation to aid in education and therapy. For example, referring to  FIGS. 1-3 , speakers  6  emit vibrations that provide sound and vibration therapy. The sounds emitted can be any type of sound. Examples of sounds are specific tones of specific frequencies, such as chimes, that may be used to provide a soothing and relaxing experience. The tones are also used to keep tempo for exercises that are performed by the subject, such as the postural exercises and extensor-based exercises. 
   The present invention can provide navigation of 3-D virtual reality environments shown on the video screen  1 . A subject can use the moving parts of the present invention as a mouse/pointer device, which allows the subject to navigate through 3-D virtual reality environment via the video  1  and audio  6  components. Preferably, the video  1  and audio  6  components are associated with a computer system, which includes a computer processor for processing the operational instructions to be shown on the video screen  1 . The moving parts of the present invention can be used to communicate with the computer system and receive feedback from the subject. Feedback may include information about the posture of the subject and the results of exercises performed using the present invention. This feedback information can be used to create a report for analysis and diagnosis of the subject. 
     FIG. 15  illustrates a computer network or similar digital processing environment  1900  in which the integrated therapeutic multimedia system of the present invention may be implemented. Client computer(s)/devices  1950  and server computer(s)  1960  provide processing, storage, and input/output devices executing application programs and the like. Client computer(s)/devices  1950  can also be linked through communications network  1970  to other computing devices, including other client devices/processes  1950  and server computer(s)  1960 . Communications network  1970  can be part of a remote access network, a global network (e.g., the Internet), a worldwide collection of computers, Local area or Wide area networks, and gateways that currently use respective protocols (TCP/IP, Bluetooth, etc.) to communicate with one another. Other electronic device/computer network architectures are suitable. 
     FIG. 16  is a diagram of the internal structure of a computer (e.g., client processor/device  1950  or server computers  1960 ) in the computer system of  FIG. 15 . Each computer  1950 ,  1960  contains system bus  2079 , where a bus is a set of hardware lines used for data transfer among the components of a computer or processing system. Bus  2079  is essentially a shared conduit that connects different elements of a computer system (e.g., processor, disk storage, memory, input/output ports, network ports, etc.) that enables the transfer of information between the elements. Attached to system bus  2079  is an Input/Output (I/O) device interface  2082  for connecting various input and output devices (e.g., keyboard, mouse, displays, printers, speakers, etc.) to the computer  1950 ,  1960 . Network interface  2086  allows the computer to connect to various other devices attached to a network (e.g., network  1970  of  FIG. 19 ). Memory  2090  provides volatile storage for computer software instructions  2092  and data  2094  used to implement an embodiment of the present invention (e.g., object models, codec and object model library discussed above). Disk storage  2095  provides non-volatile storage for computer software instructions  2092  and data  2094  used to implement an embodiment of the present invention. Central processor unit  2084  is also attached to system bus  2079  and provides for the execution of computer instructions. 
   In one embodiment, the processor routines  2092  and data  2094  are a computer program product, including a computer readable medium (e.g., a removable storage medium, such as one or more DVD-ROM&#39;s, CD-ROM&#39;s, diskettes, tapes, hard drives, etc.) that provides at least a portion of the software instructions for the integrated therapeutic multimedia system of the invention system. The computer program product can be installed by any suitable software installation procedure, as is well known in the art. In another embodiment, at least a portion of the software instructions may also be downloaded over a cable, communication and/or wireless connection. In other embodiments, the invention programs are a computer program propagated signal product embodied on a propagated signal on a propagation medium (e.g., a radio wave, an infrared wave, a laser wave, a sound wave, or an electrical wave propagated over a global network, such as the Internet, or other network(s)). Such carrier medium or signals provide at least a portion of the software instructions for the present invention routines/program  2092 . 
   In alternate embodiments, the propagated signal is an analog carrier wave or digital signal carried on the propagated medium. For example, the propagated signal may be a digitized signal propagated over a global network (e.g., the Internet), a telecommunications network, or other network. In one embodiment, the propagated signal is a signal that is transmitted over the propagation medium over a period of time, such as the instructions for a software application sent in packets over a network over a period of milliseconds, seconds, minutes, or longer. In another embodiment, the computer readable medium of computer program product is a propagation medium that the computer system may receive and read, such as by receiving the propagation medium and identifying a propagated signal embodied in the propagation medium, as described above for computer program propagated signal product. 
   Generally speaking, the term “carrier medium” or transient carrier encompasses the foregoing transient signals, propagated signals, propagated medium, storage medium and the like. 
   While this invention has been particularly shown and described with references to preferred embodiments thereof, it will be understood by those skilled in the art that various changes in form and details may be made therein without departing from the scope of the invention encompassed by the appended claims. 
   For example, the present invention may be implemented in a variety of computer architectures. The computer network of  FIGS. 15-16  are for purposes of illustration and not limitation of the present invention. 
   The invention can take the form of an entirely hardware embodiment, an entirely software embodiment or an embodiment containing both hardware and software elements. In a preferred embodiment, the invention is implemented in software, which includes but is not limited to firmware, resident software, microcode, etc. 
   Furthermore, the invention can take the form of a computer program product accessible from a computer-usable or computer-readable medium providing program code for use by or in connection with a computer or any instruction execution system. For the purposes of this description, a computer-usable or computer readable medium can be any apparatus that can contain, store, communicate, propagate, or transport the program for use by or in connection with the instruction execution system, apparatus, or device. 
   The medium can be an electronic, magnetic, optical, electromagnetic, infrared, or semiconductor system (or apparatus or device) or a propagation medium. Examples of a computer-readable medium include a semiconductor or solid state memory, magnetic tape, a removable computer diskette, a random access memory (RAM), a read-only memory (ROM), a rigid magnetic disk and an optical disk. Some examples of optical disks include compact disk-read only memory (CD-ROM), compact disk-read/write (CD-R/W) and DVD. 
   A data processing system suitable for storing and/or executing program code will include at least one processor coupled directly or indirectly to memory elements through a system bus. The memory elements can include local memory employed during actual execution of the program code, bulk storage, and cache memories, which provide temporary storage of at least some program code in order to reduce the number of times code are retrieved from bulk storage during execution. 
   I/O devices (including but not limited to keyboards, displays, pointing devices, etc.) can be coupled to the system either directly or through intervening I/O controllers. 
   Network adapters may also be coupled to the system to enable the data processing system to become coupled to other data processing systems or remote printers or storage devices through intervening private or public networks. Modems, cable modem and Ethernet cards are just a few of the currently available types of network adapters.