# US 11,304,650 B1 · Systems and methods for heel-to-shin testing > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,304,650 B1 - Document ID: US11304650B1 - Status: Granted - Kind: B1 - Application number: 16/358,852 - Filed: 2019-03-20 - Granted: 2022-04-19 - Earliest claimed: 2019-03-20 - Assignees: University of South Florida - Applicants: University of South Florida - Inventors: Theresa Ann Zesiewicz; Kyle Brandon Reed - Web page: https://patentgrep.com/patent/US11304650B1 ## CPC - A61B 5/4076: {Diagnosing or monitoring particular conditions of the nervous system} - A61B 5/0048: {Detecting, measuring or recording by applying mechanical forces or stimuli (A61B5/021, A61B5/4884 and A61B9/00 take precedence)} - A61B 5/1124: {Determining motor skills} - A61B 5/4064: {Evaluating the brain (for intracranial pressure A61B5/031; for cerebral blood gases A61B5/14553; using EEG A61B5/369)} - A61B 5/4824: {Touch or pain perception evaluation (A61B5/4821 takes precedence)} - A61B 5/6828: {Leg} - A61B 5/6832: {using adhesives (conductive adhesive for bioelectric electrodes A61B5/259)} - G16H 20/30: relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising - G16H 40/63: for local operation - G16H 50/20: for computer-aided diagnosis, e.g. based on medical expert systems - A61B 5/0051: {by applying vibrations} - A61B 5/11: Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb {(A61B5/1038 takes precedence; motion detection to correct for motion artifacts in physiological signals A61B5/721)} - A61B 5/6801: {specially adapted to be attached to or worn on the body surface} - A61B 5/6829: {Foot or ankle} - A61B 5/6831: {Straps, bands or harnesses} - A61B 2562/0247: Pressure sensors - A61B 2562/0252: Load cells - A61B 2562/0261: Strain gauges - A61B 2562/046: in a matrix array - A61B 2562/164: the sensor is mounted in or on a conformable substrate or carrier - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA ## Abstract In one embodiment, a system for heel-to-shin testing includes a patient interface configured to be applied to a shin of a patient and extend from a point on the shin adjacent the knee to a point on the shin adjacent the ankle, the patient interface including an elongated medial touch sensor configured to sense contact of a heel of the patient to a centerline of the shin at any axial position between the knee and the ankle, and a control module in electrical communication with the patient interface, the control module being configured to identify a number of times the patient's heel deviates from the centerline of the shin as the patient slides the heel down the shin or drags the heel up the shin. ## Claims ### Claim 1 A system for heel-to-shin testing, the system comprising: a patient interface configured to be attached to a shin of a patient, the patient interface comprising an elongated flexible substrate sized and configured to extend from a point on the shin adjacent the knee to a point on the shin adjacent the ankle, the patient interface including an elongated medial touch sensor configured to sense contact of a heel of the patient along a centerline of the shin at any axial position between the knee and the ankle and further configured to sense the axial position at which the contact occurs, the medial touch sensor being approximately 1 to 3 cm wide, the patient interface further including first and second elongated lateral touch sensors positioned to the left and right of the medial touch sensor, the lateral touch sensors being configured to sense contact of the heel when the heel deviates from the centerline of the shin; and a control module in electrical communication with the patient interface, the control module including a microcontroller, memory that stores an evaluation program configured for execution by the microcontroller, a user interface configured to receive user commands, and a display configured to communicate information about the testing to the user, wherein the control module is configured to count a number of times the patient's heel deviates from the centerline of the shin as the patient slides the heel down the shin and drags the heel up the shin, the control module further being configured to calculate a percentage of time or distance that the heel is or is not in contact with the centerline of the shin as the heel is slid down or dragged up the shin. ### Claim 2 A system for heel-to-shin testing, the system comprising: a patient interface configured to be applied to a shin of a patient and extend from a point on the shin adjacent the knee to a point on the shin adjacent the ankle, the patient interface including an elongated medial touch sensor configured to sense contact of a heel of the patient to a centerline of the shin at any axial position between the knee and the ankle; and a control module in electrical communication with the patient interface, the control module being configured to identify a number of times the patient's heel deviates from the centerline of the shin as the patient slides the heel down the shin or drags the heel up the shin. ### Claim 3 (depends on 2) The system of claim 2, wherein the patient interface further comprises a top touch sensor positioned above the medial touch sensor and a bottom touch sensor positioned below the medial touch sensor, the top and bottom touch sensors being configured to sense contact of the heel. ### Claim 4 (depends on 2) The system of claim 2, wherein the patient interface further comprises first and second elongated lateral touch sensors positioned to the left and right of the medial touch sensor, the lateral touch sensors being configured to sense contact of the heel. ### Claim 5 (depends on 2) The system of claim 2, wherein the medial touch sensor is further configured to sense an axial position at which contact is made by the heel. ### Claim 6 (depends on 5) The system of claim 5, wherein the control module is configured to calculate a percentage of time or distance that the heel is in or out of contact with the centerline of the shin as the heel is slid down or dragged up the shin. ### Claim 7 (depends on 2) The system of claim 2, further comprising bands configured to secure the patient interface to the patient's shin. ### Claim 8 (depends on 2) The system of claim 2, further comprising a stocking configured to secure the patient interface to the patient's shin. ### Claim 9 (depends on 2) The system of claim 2, wherein the control module comprises a microcontroller and memory that stores an evaluation program configured to count the number of times the patient's heel deviates from the centerline of the shin. ### Claim 10 (depends on 9) The system of claim 9, wherein the control module further comprises a user interface configured to receive user commands and a display configured to communicate the number of times to the user. ### Claim 11 A method for heel-to-shin testing, the method comprising: applying an elongated medial touch sensor to a shin of a patient using at least one of adhesive tape, flexible bands, or a stocking, with the touch sensor overlying the shin from a point adjacent the knee to a point adjacent the ankle, the touch sensor being configured to sense contact between a heel of the patient and a centerline of the shin; electronically sensing each time the patient's heel deviates from the centerline of the shin as the patient slides the heel down the shin or drags the heel up the shin; and determining a total number of times the heel deviates from the centerline. ### Claim 12 (depends on 11) The method of claim 11, wherein applying an elongated medial touch sensor to a shin of a patient comprises attaching the medial touch sensor with adhesive tape. ### Claim 13 (depends on 11) The method of claim 11, wherein applying an elongated medial touch sensor to a shin of a patient comprises attaching the medial touch sensor with flexible bands. ### Claim 14 (depends on 11) The method of claim 11, wherein applying an elongated medial touch sensor to a shin of a patient comprises applying the medial touch sensor with a stocking. ### Claim 15 (depends on 11) The method of claim 11, wherein electronically sensing each time the deviates from the centerline of the shin comprises sensing the deviations with elongated lateral touch sensors positioned to the left and right of the medial touch sensor. ### Claim 16 (depends on 11) The method of claim 11, further comprising electronically sensing an axial position along the centerline at which contact is made by the heel. ### Claim 17 (depends on 16) The method of claim 16, further comprising calculating a percentage of time or distance that the heel is in or out of contact with the centerline of the shin as the heel is slid down or dragged up the shin. ### Claim 18 A method for heel-to-shin testing, the method comprising: receiving an output from a patient sensor that is disposed on a patient's body from a point on the shin adjacent the knee to a point on the shin adjacent the ankle, the patient sensor including an elongated medial touch sensor that is configured to sense contact between a heel of the patient and a centerline of the shin at any axial position between the knee and the ankle; electronically sensing each time the patient's heel deviates from the centerline of the shin as the patient slides the heel down the shin or drags the heel up the shin; and determining with a control module a number of times the heel deviates from the centerline, and outputting the result for display to a user.