Abstract

Obesity is known to be growing worldwide. The World Health Organization (WHO) reports that obesity has tripled since 1975. In 2016, 39% of adults over 18 years old were overweight, and 13% were obese. Obesity is mostly preventable by adopting lifestyle improvements, enhancing diet quality, and doing physical exercise. The workload of the physical exercises should be proportionate to the patient’s capabilities. However, it must be considered that obese people are not used to training; they may not endure physical exertion and, even more critically, they could have some psychological impediments to the workouts. Physical exercises and equipment must, therefore, guarantee comfort and prevent situations in which the bariatric individual may feel inadequate. For these reasons, this study aims to design an innovative system to approach simple physical activities, like leg and arm exercises, to bariatric users to enable them to recover mobility and muscle tone gradually. The leading feature of this architecture is the design of hidden exercise mechanisms to overcome the psychological barriers of the users toward these kinds of machines. This paper proposes the initial design of the main sub-systems composing the rehabilitation machine, namely the leg curl and leg extension mechanism and its control architecture, the upper body exercises system, and a series of regulation mechanisms required to accommodate a wide range of users. The proposed functional design will then lead to the development of a prototype to validate the machine.

Highlights

  • Obesity is one of the world’s most significant problems related to health, one that has shifted from being a problem in wealthy countries to one that affects all income levels

  • Obesity is a chronic and complex multifactorial disease caused by an excessive amount of body fat due to an imbalance between energy intake and consumption [1]. This pathology increases the risk of other diseases and health problems, such as cardiovascular diseases, diabetes, high blood pressure, and damage to the musculoskeletal system [3]

  • Since it is essential to achieve an active routine that has to be carried out for a long time, this paper proposes a novel rehabilitation machine for bariatric individuals to introduce such people to light and simple physical exercises

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Summary

Introduction

Obesity is one of the world’s most significant problems related to health, one that has shifted from being a problem in wealthy countries to one that affects all income levels. The key requirement leading the design of this machine is the will to overcome the psychological barrier of obese individuals toward such machines, to hide all the moving parts and mechanisms, and to provide some positive and motivational feedback This design aims at developing a rehabilitation machine that does not look like typical gym equipment, but it appears as a chair or an armchair. The upper body muscle groups (chest, shoulders, and arms) and the abdominal muscles are the secondary and tertiary involved muscles that can do some workout Given these requirements, the design of the machine started with the synthesis of the mechanisms that enable these movements and some auxiliary regulations, followed by a preliminary study on a possible control system for the leg exercises and an initial executive design of the whole machine. The results section collects and discusses the results of the leg exercises mechanism and its Machines 2020, 8, x FOR PEER REVIEW conclusions section closes the paper, collecting and summarizing the discussion on the findings and results

Rehabilitation
System Requirements
Leg Exercises Mechanism
Representation
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Detail
Leg Exercises Control System
Upper Body Exercises Mechanism
Structure and Regulation Mechanisms
Parameters
Results
Full Text
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