Brace with worm gear

1. A patient care system for positioning on a limb of a patient for assisting in flexion or extension of a joint of the limb, the system comprising:

a first limb engaging assembly;

a second limb engaging assembly; and

a gear assembly linking the first and second limb engaging assemblies and operable to assist in either flexion or extension of the joint of the limb of the patient, the gear assembly including:

first and second mounting arms pivotally mountable relative to one another, with the first mounting arm connected to the first limb engaging assembly and the second mounting arm connected to the second limb engaging assembly,

a threaded shaft rotatably mounted on a mount, the mount being pivotally connected to the first mounting arm, and

a toothed gear rotatably mounted to the first mounting arm and fixedly mounted to the second mounting arm, and

wherein the mount may be pivotally moved to engage the threaded shaft with the toothed gear and the threaded shaft rotated to rotate the toothed gear and change the position of the second mounting arm relative to the first mounting arm.

2. The system of claim 1 , wherein the first limb engaging assembly comprises an arm engaging assembly and the second limb engaging assembly comprises a hand engaging assembly.

3. The system of claim 2 , wherein the hand engaging assembly includes a palmar support configured to abut a palm portion of a hand of the patient, a dorsum support configured to abut a top portion of the hand of the patient, and a mounting assembly for adjustably mounting the hand engaging assembly to the second mounting arm.

4. The system of claim 3 , wherein the mounting assembly includes a plate having a curved segment and fasteners operatively associated with the curved segment and apertures associated with the dorsum support for enabling the dorsum support to be adjustably positioned relative to the hand of the patient.

5. The system of claim 3 , wherein the mounting assembly comprises an L-shaped bracket and a plate having a plurality of slots defined therein, wherein the L-shaped bracket is adjustably positionable relative to the second mounting arm and the plate is adjustably positionable relative to the L-shaped bracket and the dorsum support via the plurality of slots.

6. The system of claim 3 , wherein the hand engaging assembly further comprises a strap.

7. The system of claim 2 , wherein the arm engaging assembly comprises a cuff for at least partially surrounding a portion of the arm of the patient.

8. The system of claim 7 , wherein the cuff comprises a substantially rigid U-shaped portion having a flexible end extending therefrom.

9. The system of claim 8 , wherein the flexible end defines a plurality of distinct segments which serve as guides for trimming of the cuff for custom fitting of the cuff to the patient.

10. The system of claim 7 , wherein the cuff comprises a substantially rigid U-shaped portion having a pair of oppositely extending flexible ends, each of the flexible ends having defined thereon a plurality of distinct segments which serve as guides for trimming of the cuff for custom fitting of the cuff to the patient.

11. The system of claim 1 , wherein the first limb engaging assembly comprises a bicep engaging assembly and the second limb engaging assembly comprises a forearm engaging assembly.

12. The system of claim 11 , wherein the bicep engaging assembly comprises a substantially rigid U-shaped portion having a pair of oppositely extending flexible ends, each of the flexible ends having defined thereon a plurality of distinct segments which serve as guides for trimming of the cuff for custom fitting of the cuff to the patient.

13. The system of claim 11 , wherein the forearm engaging assembly comprises a substantially rigid U-shaped portion having a pair of oppositely extending flexible ends, each of the flexible ends having defined thereon a plurality of distinct segments which serve as guides for trimming of the cuff for custom fitting of the cuff to the patient.

14. The system of claim 13 , wherein the rigid U-shaped portion includes a plurality of aperture sets, each set spaced circumferentially apart from another of the aperture sets to enable variable positioning of the U-shaped portion relative to the second mounting arm.