EP2113288A1 - Device for the targeted training of individual hand or foot muscles - Google Patents

Abstract

The device has a base plate (1) and a lifting device (3,4) with a contact pad (5). The lifting device rotates around an axis (2) against a force. The contact pad with the training movement guides in a longitudinal direction of the lifting device at or in the lifting device in an adjusting manner. The lifting device has a lifting arm (6) or a frame.

Description

The invention relates to a device for the targeted training of individual foot or hand muscles according to the preamble of claim 1.

From the DE 201 03 657 U1 A device for the targeted training of foot muscles is already known, which has a base plate and a counter to a force pivotable about an axis lifting device, said lifting device must be raised by means of the feet. The lifting device consists in the known device of an elastically extensible tension element, which may be, for example, a rubber band. However, such elastic pulling devices such as rubber bands have during training the disadvantage that the force at the beginning of an exercise is low and increases with increasing stroke. However, the performance of the muscle to be trained is diametrically opposed. In its initial phase of movement, the muscle is able to apply a greater amount of force, while in the course of the movement the amount of effort available decreases. For the reason mentioned is the from the DE 201 03 657 U1 known solution for the targeted training of foot muscles only limited use.

Another solution is from the JP 01270880 A known. The disclosed in the document device for the targeted training of individual foot muscles also has a base plate and a counter to a force about an axis pivotable lifting device with a contact pad. The lifting device consists of a pivotable about an axis lever arm, which can be pivoted against the force of a spring about this axis. For this purpose, the foot is inserted into the lifting device, so that he rests with the clamping on the contact pad. During exercise, the force is transmitted via the instep of the foot to the contact pad and thus to the lifting device. The known device can be adapted to the length of the foot. For this purpose, a guide rail, which is part of the lifting device and is fixed in a set position.

A disadvantage is the fact that the contact pad is rigidly attached to the lifting device. This creates during lifting and lowering of the lifting device and the associated relative movement between the clamping and contact pad friction, which is perceived by the user at least as painful and uncomfortable and in the extreme case even damage to the skin and / or muscles in the clamping area of the foot after can pull.
In this solution, moreover, there is also the problem that must be trained against the force of a spring, so that the effort applied by the foot muscles initially low and increases with increasing stroke, while the performance of the muscles to be trained behaves in the opposite way.

The invention has for its object to provide a device for the targeted training of individual foot or hand muscles, which has a simple structure and is flexible. In addition, the application should be comfortable, painless and the specific requirements of a specific muscular training accordingly possible, so that the force required for the movement of the device is analogous to the performance of the muscle to be trained.

The invention solves this problem with the features of claim 1.

Further embodiments of the invention are the subject of the dependent claims.

A device for the specific training of individual foot or hand muscles with a base plate and a counter to a force pivotable about an axis lifting device with a contact pad, according to the invention was further developed such that the contact pad with the exercise movement in the longitudinal direction of the lifting device on or in the lifting device guided is.

Of importance for the execution of the present device is, first of all, that the lifting device of course not only allows lifting, but is actually to be understood as a lifting-lowering device, so that the foot or hand muscles can be trained, for lowering the said Limbs are responsible. In that regard, the term "lifting device" chosen here is not to be interpreted in the narrower sense of the term.

The various uses of a device according to the invention allows their use, for example, in physiotherapy, in the spa, in rehabilitation centers, in retirement and nursing homes, gyms, hospitals or neurological or orthopedic practices. In addition, a use in the private sector is feasible. The device according to the invention for targeted training of individual hand and foot muscles impresses in particular by their simple structure. It offers the possibility to perform training of individual muscle groups or muscles with a force corresponding to the performance of these muscles. The effort is in contrast to known designs both when lifting, holding, as well as during lowering of the lifting device constant. The device according to the invention enables a daily training and thus the neuromuscular stimulation in a straightforward way. It can also be used while sitting or standing.

With the device according to the invention can be trained not only targeted individual foot or hand muscles. It is also possible to perform physiotherapy treatments. So can for example a Fußheberschwäche, as it may occur due to nerve damage or nerve diseases treated. Likewise, application areas are conceivable which relate to the treatment of muscle weakness, thrombosis prophylaxis and the general mobilization of the muscles and joints. Targeted training can be used, for example, to improve the gait pattern, to treat foot-arch diseases such as lowering, spreading or flat feet, and to combat edema on the feet and / or lower legs. In addition, the device according to the invention can also be used as a therapy device for the training of the wrist musculature, whereby in each case both an extension movement and an flexion movement can be trained.

A first embodiment of the invention consists in that the lifting device has a lever arm or a frame. The embodiment of the lifting device as a lever arm or with a lever arm corresponds to a particularly simple embodiment of the invention, which is also easy to transport due to its low weight.

A more stable construction forms a lifting device, which has a frame, or consists of a frame, which in the context of the invention as a frame and a not completely closed, so for example U-shaped executed frame is to be understood.

The particular inventive advantage of the mobility of the contact pad in the longitudinal direction of the lifting device can be improved by a development of the invention by the contact pad forms a slide, or is slidably guided by means of a slide on or in the lifting device. Such sliding allows a virtually smooth guidance of the contact pad in or on the lifting device. Thus, the contact pad rests on the limb during the training movement, so that a largely movement and thus there is frictionless contact between the hand or the foot and the contact pad and consequently no painful relative movements between the contact pad and the hand or the foot arise.

Another embodiment of this solution consists in that the contact pad is displaceably guided by means of at least one ball bearing rail on or in the lifting device. The guidance of the contact pad via ball bearing rails offers a nearly smooth mobility of this contact pad, so that the advantages already mentioned above can also be achieved with such a solution.

Preferably, each ball bearing rail is a double ball bearing rail, wherein the length of the displaceable rail part is shorter than the length of the rail mounted on the lifting device rail part. By shortening the movable rail part, the movable rail part is fixed, but it can be moved by the measure to which it is shortened, with the made of plastic ball holder.

Within the extract, there is thus still a possibility of sliding movement in order to further shift the large-area contact pad within the fixed rail and thus make it possible to adapt the device according to the invention to different foot sizes by presetting.

Due to the non-aligned axes between foot and hinge joint there is a difference in length during the lifting of the foot with the lifting device. The shortened movable rail part allows the movement not to be stopped by the premature stop of the rail at the hinge joint, thus the full ankle movement of maximum 80 ° can be achieved.

The shorter rail part can thus be moved into the longer rail part. In this case, a new stop may be formed for the short rail part. The difference in length between the displaceable and the mounted rail part preferably corresponds to the overall length of the ball holder present in the ball bearing rail. The ball holder is made for example of plastic and strikes against the stop.

By preferably provided double ball bearing is a very easy run, with the foot or the big toe / toe rest only on the large contact pad, given in the leadership. Thus, the device is well suited for training for persons with a paretic foot / Fußheberschwäche, with a big toe or Zehenheberparese, with sensibility / perception disorders.

In order to train the muscles of the hand or foot, is provided according to an advantageous embodiment of the invention, the lifting device with a the insertion of the limb to be trained enabling distance to the base plate to fix on the base plate. This distance can be made adjustable. Preferably, however, this distance can be achieved by at least one stand, which forms a very simple embodiment of the required distance.

On the side opposite the stand, the lifting device should furthermore have at least one support foot. Such a support foot prevents the lowering of the lifting device to the base plate, so that there is still a sufficient distance to the introduction of the limb to be trained given. In addition, a support leg has the advantage that the weight does not last permanently on the limb to be trained (the foot or the hand) during the therapy breaks.

A very advantageous development of the invention compared to known solutions can also be seen in the fact that the lifting device has a holder for weights. The use of weights to train the foot or hand muscles compared to springs or rubber bands has the advantage that, in conjunction with the lifting device, one of the performance of the musculature to be trained adapted force curve is given. That is, the effort required to be applied by the limb being trained is higher at the beginning of the exercise movement and decreases as the work stroke increases. This also corresponds to the performance of a muscle, so that with the device according to the invention an optimal treatment result can be achieved.

The weights can be designed according to a very simple embodiment as a commercial weight plates. These are available in almost all weight classes, so that not only optimal control of the training success is given, but by the exchange of weights, the device can be handled very flexible overall. Thus, their use is possible, for example, in physiotherapy practices for different patients, without a costly conversion is required.

A very important aspect when carrying out the training by means of a device according to the invention is that the safety of the exercising person is to be ensured in order to avoid health impairments. For this purpose, it is proposed that the weights or weight plates are secured releasably secured by spring lock on the holder. These spring retainers are commercially available elements and allow a quick and easy change of the weights located on the holder.

A device according to the invention presented here can be used both for the training of individual foot or hand muscles, as well as for the simultaneous training of several limbs. Accordingly, a development of the invention is that the device may have a single lifting device or two lifting devices. When using two lifting devices, for example, both feet can be trained simultaneously. By placing different weights on the Lifting devices, the left and right foot are separately treatable according to their performance. The training of multiple limbs can be done in a single therapy session, so that no additional appointments are required for the patient and ultimately also reduces the cost of treatment altogether. The training is therefore very effective in a device according to the invention equipped with two lifting devices.

The device may according to an embodiment of the invention comprise at least one support which is pivotable between a therapy position and a rest position about an axis or slidably along a guide. With this edition targeted muscle groups such as the forefoot or big toe muscles can be trained. For this purpose, the support is preferably arranged in the front region, that is to say the tip of the foot, of the device according to the invention. The rest forms so to speak an abutment, for example, separately to exercise the big toe or Zehenheberschwäche. So there is the possibility to train also a further movement up to the Dorsalextension, so the lifting of the foot. This additional support can be fixed in position when not in use. For this purpose, offer very simple solutions, such as the attachment by means of a thumbscrew. If required, this can also be released very easily, so that the support can be pivoted about its axis into the therapy position. When training the foot of the forefoot is placed on the support, so that the toes have a free movement in the vertical direction, ie in the direction of the base plate. The toes can be lowered and lifted in this way, leaving the bale on the support.

For ergonomically favorable arrangement of the limbs, which are to train with the device according to the invention, it is advantageous if a base is present on the base plate. This pedestal represents an increase in the area where the heel of the foot or forearm should be placed.

In order to use the device according to the invention for mobile physiotherapy, it is particularly advantageous if their simple structure is used to run the device as a whole, as a mobile, so portable device. For this purpose, the device according to a further embodiment of the invention may comprise at least one transport handle.

To improve the handling and training, it is also proposed that the device has anti-slip pads on the places provided for the attachment or support of the limbs. These are preferably non-slip overlays, which can also be disinfected or cleaned in order to meet the hygienic requirements when using the device for different people.

Another simplification of the training with a device according to the invention is the fact that the device for precise positioning of the limbs to be trained has markings on the base plate and / or the base. Thus, the limbs can be arranged at exactly the right training position. These markings may be provided corresponding to different sizes of the feet and / or hands at different locations of the base plate and / or the base.

For the successful training, it is of crucial importance to document the results comprehensibly. For this purpose, an advantageous solution is that a scale or measuring device for determining the height of the lifting movement is provided on the device. Thus, for each patient individually a movement can be measured, which is performed with the foot to be trained or the hand to be trained. As a result, improvements that have been achieved as a result of training are also recognizable, thus increasing the motivation of the user.

In addition, it may be useful to provide a counter for determining the completed strokes on the device according to the invention. This counter also serves to track the already achieved training effect and thus offers optimal comparison values.

According to a further embodiment of the invention, the counter can be designed as an electronic counter. This is advantageously connected to an electronic storage unit, so for example, a central processing unit (CPU) or a computer for storing and evaluating patient-specific data. By using an electronic counter, which can also form a combination with an electronic scale or measuring device, an individual training success is traceable for each patient. The values can be stored and graphically illustrated, for example, which increases the motivation of the user or patient and greatly facilitates the evaluation for the therapist.

It is also helpful for training with the device according to the invention if the device has a measuring device for detecting the training time and / or a device for specifying the clock speed. In the simplest case, this can be a clock or a short-term alarm clock, so that the training and pause phases can be precisely set and checked.

The contact pad preferably has a flat wrapping with an anti-slip material. This winding has no protruding beads, so that it allows a pleasant investment in particular a foot.

The large-area slip-resistant contact pad preferably has, where it abuts on the displaceable rail part, a flat special wrap, so that it saves space and flush with the rail can be attached. It also allows a versatile, free, pleasant investment opportunity between foot / big toe / toe and contact pads, which should be given just in a sensitive pain sensitive foot.

Figur 1:

eine perspektivische Ansicht einer erfindungsgemäßen Vorrichtung mit zwei Hebeeinrichtungen,

Figur 2:

eine Ansicht von oben auf eine erfindungsgemäße Vorrichtung mit nur einer Hebeeinrichtung,

Figur 3:

die Ansicht in Richtung des Pfeils III aus Figur 2 auf eine erfindungsgemäße Vorrichtung,

Figur 4:

eine Darstellung der Unterseiten zweier Hebeeinrichtungen.

The invention will be explained in more detail with reference to the accompanying drawings. The embodiments shown are not limiting to the illustrated variants, but are merely illustrative of the principle of the invention. The same or similar components are designated by the same reference numerals. In order to be able to illustrate the mode of operation according to the invention, only greatly simplified schematic representations are shown in the figures, in which the components which are not essential to the invention have been dispensed with. However, this does not mean that such components are not present in a solution according to the invention. It shows:

FIG. 1:

a perspective view of a device according to the invention with two lifting devices,

FIG. 2:

a view from above of a device according to the invention with only one lifting device,

FIG. 3:

the view in the direction of arrow III FIG. 2 to a device according to the invention,

FIG. 4:

a representation of the undersides of two lifting devices.

The in the FIG. 1 shown in a spatial view and equipped with two lifting devices 3 and 4, inventive device for the targeted training of individual foot or hand muscles has a base plate 1. The lifting devices 3 and 4 are mounted pivotably about a common axis 2 on the base plate 1. In the simplest case, each of the lifting devices 3, 4 consist only of a lever arm 6.

When in the FIG. 1 In the embodiment shown, the lifting devices 3, 4 each have a frame. This frame is formed by a lever arm 6 and a parallel thereto, second lever arm 22, which are interconnected by a connecting plate 23, so that each lifting device 3, 4 consists of an approximately U-shaped, one-sided open frame. On the connecting plate 23 each have a holder 13 is provided, which can accommodate weights 14. The weights 14 are in the present case weight plates, as they are commercially available. The weight plates or weights 14 are fixed to the holder 13 by means of a spring arrester 15. The spring lock 15 enables a releasable locking of the weights 14.

The example of the lifting device 3, the further construction of the device according to the invention will be explained in more detail below. The lifting device 3 has, as already stated, a frame consisting of the lever arms 6 and 22, and the connecting plate 23. Below the connecting plate 23, this frame receives a contact pad 5. The contact pad 5 is used during training of the limbs of the plant and can be provided with a corresponding pad to improve comfort. The contact pad 5 is guided below the connecting plate 23 in the longitudinal direction of the lever arms 6 and 22 and thus in the longitudinal direction of the lifting device 3 slidably. To guide present ball bearing rails 7 and 8, which are each below the lever arms 6 and 22 are provided. Thus, in the lifting movement and when lowering the limb to be trained, the contact pad 5 can understand the movement of the lifting device 3 and there is no unpleasant or painful relative movements between the contact pad 5 and the limb to be trained. This is an essential advantage of the invention. In order to allow the insertion of the limb below the lifting device 3, this is mounted on uprights 9 and 10, so that a height distance to the base plate 1 is given. On the base plate 1 9 and 10, a base 20 is also present in the region of the stand. This base 20 is a convenient, ergonomic edition of the trained Limb. On the opposite side of the support legs 9 and 10, the lifting device 3 each support legs 11 and 12, which avoid a complete lowering of the lifting device 3 to the base plate 1. Thus, the lifting device 3 assumes at all times a height position which facilitates the insertion of the limb to be trained. In the FIG. 1 are shown in the front part of the image on the base plate 1 two pads 16 and 17 in a rest position. These supports 16 and 17 are each pivotable about an axis 18 and 19, respectively. Thus, the pads 16 and 17 about the axes 18 and 19 from the rest position shown here in a therapeutic position, which in this case means a pivoting by 90 ° to the position shown, realize. By means of these requirements 16 and 17 specific muscle groups can be specifically trained. Predominantly, these requirements 16 and 17 can be provided for the training of the toe muscles. On the base plate 1, a transport handle 21 is further provided by means of which the entire device can be transported. In addition to the illustrated individual transport handle 21, of course, several transport handles to facilitate the transportability can be present.

In the FIG. 2 is a view from above of a lifting device 3 according to the invention shown. This is once again in connection with the FIG. 1 already described structure in another view recognizable. The lever arms 6 and 22 are pivotally mounted about an axis 2 to the uprights 9 and 10. The stands are in turn mounted on a base 20, wherein the clear height of the stand 9, 10 is a distance from the base plate 1, so that the limbs to be trained under the contact pad 5 of the lifting device 3 can be performed without that it is the Lifting the lifting device 3 is required. The contact pad 5 serves the plant of the limbs and is guided in the direction of arrow A movable within the lever arms 6 and 22 of the lifting device 3. To guide the already described ball bearing rails 7 and 8, which in the FIG. 2 are shown by dashed lines only hinted. In the front part of the lever arms 6 and 22, these have a connection plate 23rd on, so that it is formed in a broader sense U-shaped frame. On the connecting plate 23, a holder 13 is also present, can be placed on the not shown here weights in the form of weight plates.

In the FIG. 3 the view is in the direction of arrow III FIG. 2 shown. This side view of a lifting device 3 according to the invention shows once more clearly the connection of the stand 9 with the lever arm 22. For this purpose, the lever arm 22 has been connected to the stand 9 via a hinge joint. The hinge joint thus forms the axis 2 about which the lever arm 22 is pivotable. In the front part of the lever arm 22 is the connecting plate 23 with the existing thereon holder 13, which in the FIG. 3 shown without applied weights. Below the connecting plate, the lever arm 22 has a support foot 12. The transport handle 21 on the base plate 1 serves to facilitate transport of the device according to the invention. In the rear part of the stand 9 below the stand 20 for an ergonomically optimal recording of the foot to be trained or an optimal edition of the hand to be trained below the lifting device. 3

In FIG. 4 the undersides of two lifting devices 3 are shown. The contact pad 5 is removed from the right lifting device 3, so the attached to each lifting device 3 ball bearing rails 7, 8 can be seen. Each ball bearing rail 7, 8 is designed as a double ball bearing rail. The mounted on each lifting device 3 sliding part 40 receives a displaceable rail member 41 slidably. Both rail parts 40, 41 are connected to each other by a ball holder 42 made of plastic.

The movable rail part 41 is shortened with respect to the mounted rail part 40 in its length. The length difference between the two rail parts 40, 41 corresponds approximately to the overall length of the ball holder 42. The movable rail part 41 can therefore be moved beyond the free end of the mounted rail part 40 by the length of the ball holder 42. This can the contact pads 5 arranged on the movable rail parts 41 are moved into the region of the hinges 43 for the lifting device. On the other hand, it is possible to move the contact pad 5 with the movable rail parts 41 up to the upper edge of the lifting device 3.

In some examples, the targeted training of individual muscles of the foot muscles with a device according to the invention will be explained below.

Before using the device according to the invention, the calf muscles should always be stretched. A well-stretched calf muscle causes a better contraction of the tibial musculature and allows a greater range of motion in the dorsal extension. A neurogenically damaged, flaccid musculature must not be stretched. If there is no flaccid paralysis and no pain in the nerves, the ankle muscles can be stretched and then better contracted.

To stretch the tibial musculature, the leg is stretched a bit and the foot is brought into equinus position, so that the weight 14 is raised slightly and pushes the foot down. Post-isometric relaxation (PIR) can be achieved by the foot lifting the weight slightly, holding it for about 10 seconds, and then lowering the weight again to be brought into the equinus position for stretching (about 30-60 seconds). Stretching pain becomes more pronounced in neurogenic nerve pain, whereas muscular strain pain diminishes the longer the stretch is maintained at the same foot position.

To treat the Fußhebermuskeln the foot with the heel is placed centrally in the amount of the axis 2 on the base 20 of the device. It is then located between the uprights 9 and 10. The forefoot or toes are placed under the contact pad 5 so that the weight can be raised, held and lowered for therapy.

1. 1. Vorab sollte eine Ermittlung der maximalen Kraft erfolgen, das heißt, eine Prüfung, wie viel Gewicht der Fußhebermuskel im Seitenvergleich linker zu rechtem Fuß heben kann.
2. 2. Zum allgemeinen Training sollte mit zwei drittel des maximal möglichen Gewichts trainiert werden. Das ist das Trainingsgewicht.
3. 3. Ausdauertraining sollte mit wenig Gewicht durch bewusste Wechsel zwischen "Heben" und "Halten" beziehungsweise "Senken" erfolgen. Dabei sollte eine gleich bleibende, fließende Bewegung möglich sein. So kann eine Muskelkräftigung und eine Verbesserung der Durchblutungsförderung erreicht werden.
4. 4. Das Üben erfolgt beispielsweise mit kurzen, schnellen Hüben in Mittelstellung des Fußes.
5. 5. Zur isometrischen Kräftigung wird der Fuß mit maximal möglichem Gewicht etwa 10 Sekunden angehoben dann bewusst abgesenkt. Es folgen mindestens 20 Sekunden Pause oder Entspannung vor der nächsten Übung. Hier sollten mehrere Wiederholungen aufeinander folgen.

Notes on exercises:

1. 1. In advance, a determination of the maximum force should be made, that is, an examination of how much weight the toe muscle can lift in the side comparison left to right foot.
2. 2. For general training should be trained with two-thirds of the maximum possible weight. That's the training weight.
3. 3. Endurance training should be done with little weight through deliberate change between "lifting" and "holding" or "lowering". A constant, flowing movement should be possible. Thus, a muscle strengthening and improving blood circulation promotion can be achieved.
4. 4. Practicing is done, for example, with short, fast strokes in the middle position of the foot.
5. 5. For isometric strengthening, the foot is raised with maximum possible weight for about 10 seconds then lowered deliberately. This is followed by at least 20 seconds rest or relaxation before the next exercise. This should be followed by several repetitions.

For therapy of the great toe muscles, the toes to be trained are placed under the contact pad 5. The heel is centered on the base 20. Subsequently, the toes are raised, so that the first movement only affects the toe (s). As a result, the foot can be lifted with. With the device according to the invention a light, comfortable training in side comparison (right to left foot and vice versa) is possible.

Claims (23)

Device for the targeted training of individual foot or hand muscles, comprising a base plate (1) and a lifting device (3, 4) pivotable against a force about an axis (2) with a contact pad (5),
characterized,
that the contact pad (5) with the exercise movement in the longitudinal direction of the lifting means (3, 4) on or in the lifting means (3, 4) is slidably guided. Apparatus according to claim 1, characterized in that the lifting device (3, 4) has a lever arm (6) or a frame. Apparatus according to claim 1 or 2, characterized in that the contact pad (5) forms a sliding carriage or by means of a sliding carriage on or in the lifting device (3, 4) is displaceably guided. Apparatus according to claim 1 or 2, characterized in that the contact pad by means of at least one ball bearing rail (7, 8) on or in the lifting device (3, 4) is displaceably guided. Apparatus according to claim 4, characterized in that each ball bearing rail is a double ball bearing rail, wherein the length of the displaceable rail part is shorter than the length of the mounted on the lifting device rail part. Apparatus according to claim 5, characterized in that the length difference between the displaceable and the mounted rail part corresponds to the overall length of the present in the double ball bearing rail ball holder. Device according to one of the preceding claims, characterized in that the lifting device (3, 4) with a the insertion of the limb to be trained enabling distance to the base plate (1) on the base plate (1) is fixed. Apparatus according to claim 7, characterized in that the distance is formed by at least one stand (9, 10). Device according to one of the preceding claims, characterized in that the lifting device (3, 4) has at least one support leg (11, 12). Device according to one of the preceding claims, characterized in that the lifting device (3, 4) has a holder (13) for weights (14). Apparatus according to claim 10, characterized in that the weights (14) are weight plates. Apparatus according to claim 10 or 11, characterized in that the weights (14) or weight plates are secured by spring lock (15) releasably secured to the holder (13). Device according to one of the preceding claims, characterized in that the device comprises a lifting device (3 or 4) or two lifting devices (3, 4). Device according to one of the preceding claims, characterized in that the device comprises at least one support (16, 17) which is designed to be pivotable between a therapy position and a rest position about an axis (18, 19) or displaceable along a guide. Device according to one of the preceding claims, characterized in that on the base plate (1) has a base (20) is present. Device according to one of the preceding claims, characterized in that the device is designed overall as a mobile, portable device. Device according to one of the preceding claims, characterized in that the device has at least one transport handle (21). Device according to one of the preceding claims, characterized in that the device has anti-slip pads on the places provided for the conditioning or support of the limbs. Device according to one of the preceding claims, characterized in that the device for positionally accurate positioning of the limbs to be trained on the base plate (1) and / or on the base (20). Device according to one of the preceding claims, characterized in that a scale or measuring device for determining the height of the lifting movement is present on the device. Device according to one of the preceding claims, characterized in that the device has a counter for determining the completed strokes. Apparatus according to claim 21, characterized in that the counter is an electronic counter, which is connected to an electronic storage unit for storing and evaluating patient-specific data. Device according to one of the preceding claims, characterized in that the device has a measuring device for detecting the training time and / or a device for specifying the clock speed.

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