The specific embodiment
As illustrated in fig. 1 and 2, the described Multifunctional spinal column decompression therapy apparatus of the embodiment of the invention, comprise control system 1, lathe 2, feedback system 3, driver 4 and driving control device 5, described lathe 2 one sides are provided with machine tower 9, machine tower 9 bottoms are provided with driver 4, driver 4 one sides arrange driving control device 5, driver 4 upsides are provided with feedback system 3, described machine tower 9 tops are provided with interface positioning device 6 near a side of lathe 2, interface positioning device 6 can move to suitable position by driving arrangement, described driver 4, feedback system 3 is connected with interface positioning device by twining interface arrangement 7 connections on it, described interface arrangement 7 one ends fix on driver 4, interface arrangement 7 other ends are belt 8 fixedly, and described belt 8 can overlap the patient who is fixedly arranged on the lathe 2; On the described machine tower 9 control system 1 is set also, described control system 1 connects respectively feedback system 3, driver 4 and driving control device 5, can accept the information that feedback system is measured by control system 1, simultaneously metrical information is processed backward driving control device 5 and driver 4 and sent regulating command, monitoring and the correction of group's driver 4 have been realized, to improve therapeutic process, simultaneously, control system 1 can be used as user interface system, is used for receiving the parameters instruction of user's treatment.
In use, the patient is placed on the lathe 2, wherein, patient's head is placed on the top of lathe 2, patient's foot is placed on the bottom of lathe 2, and patient's vertebra is enclosed within the belt 8, and belt 8 is connected with interface arrangement 7, interface arrangement 7 is connected to pulling force by feedback system 3 and interface positioning device 6 and produces on the driver 4, realizes transmitting and adjust the pulling force that driver 4 produces along patient's spinal column belt 8 by the position of control system 1 control interface positioner 6; During implementation, operator can select for patient's pulling force therapeutic scheme and the selected therapeutic scheme of indication accountant operation, control system 1 activate driving control device 5 and (or) driver 4 begins rotation, and drive interface arrangement 7 and be strapped in driver 4, by behind the interface positioning device 6 pulling force being applied on patient's spinal column; Make it follow the pulling force cycle that defines in the therapeutic scheme of user's input thereby control system 1 is adjusted the pulling force output valve, therapeutic scheme can comprise rudimentary and senior pulling force plateau.
As shown in Figure 3, described lathe 2 is comprised of pedestal 201, pedestal 202, mattress substrate 203, upper mattress 204 and lower mattress 205, fixed pedestal 202 on the described pedestal 201, pedestal 202 upper ends are provided with mattress substrate 203, mattress substrate 203 upsides are provided with mattress 204 and lower mattress 205 relatively, and upper mattress 204 is relative with patient's lumbar vertebra position with lower mattress 205 junctions.
As shown in Figure 4, the primary structure of described feedback system 3 is force cell or ergometer, it is embedded in the driver 4, can provide electrical feedback information to control system 1, described feedback system 3 comprises force cell 301, shell 302, dynamometry slide-bar 303, entrance roller bearing 304 and outlet roller bearing 305, described shell 302 1 ends are provided with entrance roller bearing 304 and outlet roller bearing 305 relatively, shell 302 other ends arrange force cell 301, force cell 301 can be collected pulling force data between driver 4 and patient, connect dynamometry slide-bar 303 on the described force cell 301, dynamometry slide-bar 303 is oppositely arranged with entrance roller bearing 304 and outlet roller bearing 305, interface arrangement 7 penetrates from entrance roller bearing 304 during use, pass from outlet roller bearing 305 after walking around dynamometry slide-bar 303, during use, driver 4 drives interface arrangement 7 and applies pulling force to belt 8, the patient produces pulling force opposing interface arrangement 7 and shrinks by belt 8 and between driver 4 and patient, so that the reverse pulling dynamometry slide-bars 303 of interface arrangement 7, be connected to pulling force that 301 pairs of belts 8 of force cell of dynamometry slide-bar 303 bear and make accurately and measuring; Force cell 301 the tension measurement data can be delivered to control system 1 and (or) in the driving control device 5, the feedback data by force cell 301 can be used for monitoring and calculate the treatment setting value.
As shown in Figure 5, described driver 4 is mainly by motor 401, motor shaft 402, hanging groove 403, sensor 404, encoder 405, port 406 and port 407, be respectively equipped with encoder 405, port 406 and port 407 on the motor 401, described port 406 and port 407 be connected respectively to driving control system 1 and (or) driving control device 5, the energy of motor 401 by port 406 be delivered to control system 1 and (or) driving control device 5, motor 401 and encoder 405 by port 407 to motor shaft 402 transmission operation informations; The motor shaft 402 of described motor 401 is provided with sensor 404, can monitor the running of motor shaft 402 by sensor 404, and motor shaft 402 ends are provided with hanging groove 403, but by hanging groove 403 fixed interface devices 7; In use, with interface arrangement 7 one ends around motor shaft 402 and be locked on the hanging groove 403, control system 1 and (or) driving control device 5 sends to motor 401 by port 407 and rotates order, motor shaft 402 begins rotation, value of thrust on the interface arrangement 7 increases or reduces according to its direction of rotation two at motor shaft 402, and this variation is delivered to it the patient by belt 8; The data of described motor shaft 402 rotations are by encoder 405 controls, encoder 405 with the spin data of motor shaft 402 be transferred to control system 1 and (or) driving control device 5 and controlling, these data targets can be done and control take the spinal column pressure reduction method of distance as the basis.
Another preferred implementation of described driver 4 is: with the linear structure of integrated encoder 405, integrated encoder 405 is arranged on the motor 401, the motor shaft 402 of linear type driver 4 can extend or regain as the crow flies, motor shaft 402 ends of linear type driver 4 arrange hanging groove 403, connecting interface device 7 on the hanging groove 403, in use, motor 401 drive motors axles 402 extend and rollback, the value of thrust that produces loads 7 along interface and is delivered to it the patient by belt 8, the patient is treated, simultaneously, by integrated encoder 405 with the linear data of motor shaft 402 be transferred to control system 1 and (or) driving control device 5, and by control system 1 with (or) linear data of 5 pairs of motor shafts 402 of driving control device regulates and control.
As shown in Figure 6, the primary structure of described driving control device 5 comprises servo controller 501, be respectively equipped with communication connector 502 on the described servo controller 501, PORT COM 503 and power output 504, described servo controller 501 is connected to driver 4 by power output 504, can clear being delivered in the driver 4 will be driven by power output 504, servo controller 501 is connected to the encoder 405 of driver 4 by communication connector 502, can obtain the position of driver 4 by communication connector 502, the data such as power consumption (or obtain by encoder integrated or that separate), described servo controller 501 is connected in the control system 1 by PORT COM 503, can be with activation bit and the drive scheme information transmission in control system 1 by PORT COM 503; In use, driving control device 5 can be transferred to control system 1 with driving index, simultaneously with drive scheme data and power transfer in driver 4, small adjustment can make interface equipment 7 extend and return and produce accurate variation in the driver 4, take all kinds of indexs as the basis scheme implementation in, this control system has formed suitable depressurized system.
The using method of described Multifunctional spinal column decompression therapy apparatus is: the encoder 5 by driver 4 is measured the interface arrangement 7 that is connected to the patient and is moved the size that certain distance needs moment or energy, shrinks the resistance that produces and spinal column self for extending the resistance that produces thereby can calculate paraspinal muscle.
Prolong the required work of spinal column by estimation, illustrate or the size of the non-paraspinal muscle resistance of rough estimate, in case calculate the approximation of non-paraspinal muscle resistance, just can utilize the merit of driver 4 or the pulling force of application, and then calculate paraspinal muscle and shrink the resistance that produces and spinal column self for extending the resistance that produces.By this process, patient's resistance can be adjusted rapidly in the treatment, and the traction splint scheme that spinal column can be according to expectation obtains stretching to the full extent.Like this, the muscle contraction process is strictly monitored and is not damaged, and when reaching capacity, paraspinal muscle will increase tired, and in addition, psychological paraspinal muscle shrinks and will reduce or eliminate because of the natural reaction of the real-time close tracking spinal column of therapy.
During treating, the spinal column pressure reduction power of using the human spine position will be that position obtains extending, and in the situation of getting rid of the paraspinal muscle activity, the pattern that the resistance of spinal column can elastic constant is expressed:
Fs=Ks*Ss
Wherein Fs=has got rid of the spinal column resistance of paraspinal muscle activity; Ks=linearity or nonlinear elasticity constant; The Ss=distance.In addition, spinal column can shrink by paraspinal muscle and produce resistance, and paraspinal muscle shrinks can be modeled as resistance a: FP.Like this, total resistance of spinal column generation is:
Fs+Fp
In operation, driver 4 by encoder 405 with the voltage used or power transfer to driving control device 5 and (or) in the control system 1.Driving control device can be monitored above-mentioned variable and it can be transferred to control system 1.Encoder 405 driver 4 variablees of any amount can be transferred to driving control device 5 and (or) control system 1, these variablees include but not limited to: position, energy, speed or rate of change, acceleration, direction.Encoder 405 and driving control device 5 are served as part decimal scale feedback system, can follow the tracks of and transmit such as energy, distance.
By driving control device 5 control servomotors 401, servomotor 401 obtains indicating the certain distance of rear drive motor shaft 402 rotations, simultaneously with the same distance of interface arrangement 7 tensions:
Sin=arc length wherein,
The girth of 2*pi*r=
driver 4 and encoder 405 processes, this motion can pattern turn to: sin=Ss
Wherein the arc length of driver 4 generally equals the spinal column prolongation.
The merit of driver 4 can pattern turn to: Wm=Fm*t
The merit of Wm=driver 4 wherein, the moment of Fm=driver 4, t=uses the time of pulling force.
The pulling force of driver 4 can pattern turns to directly relevant electric current current potential or is applied to the energy of driver 4.Like this: Vm=Fm
Wherein Vm=is applied to voltage or the energy of driver 4, and the pulling force that driver 4 is used is equal to the power that spine model produces: Vm=Fm=Fs+Fp
Should be noted that it can directly or indirectly be sent to control system 1 with information if encoder functionality does not support that this information can be estimated as roughly feedback system so by the power of driver 4 utilizations.
Following information can be expanded out from process model:
Wm=Fm*t
Wm=Vm*t
Wm=[Fs+Fp]*t
Wm=[(Ks*Ss)+Fp]*t
Wm=[(Ks*Sm)+Fp]*t
Adopt such therapy, thereby make paraspinal muscle movable directly relevant with 4 works of driver, the resistance approximation that spinal column extends not is because thereby the paraspinal muscle activity further affects the result that driver 4 produces for the merit of paraspinal muscle activity, this equipment can simply determine total resistance value, and resistance need not be resolved into paraspinal muscle or non-paraspinal muscle classification, by receiving from driver 4, the control system 1 of encoder 405 or driving control device 5 indexs, can utilize these indexs to calculate based on the paraspinal muscle resistance of above-mentioned result of calculation or total spinal column resistance, also result of calculation can be showed system user.
Specific embodiment 1 (the simple pull scheme of spinal column pressure reduction treatment):
As shown in Figure 7, scheme comprises respectively first, second, and third drawing 902,903 and 904, showed determined pulling force scheme in 902, aim at the design of conventional spinal depressurized system, value of thrust wherein represents with kilogram on X-axis and Y-axis, according to the parameter in the scheme pulling force is done and is used on patient's spinal column, and determined pulling force scheme can be according to patient body weight, patient's medical history, the patient calculates for acceptance level or other factors for the treatment of.Basic spinal column pressure reduction therapy system adopts and carries out without feedback driver.The feedback of force cell 301 is with the speed and the rate of change that adjust without feedback driver 4, and it will increase or reduce and be applied to patient's pulling force numerical value with it.In 903, in will being plotted in from the pulling force of force cell 301 feedback 900, depend on this system in order to the pulling force scheme of proof expection.In 903, the pulling force scheme of expection also will be strict corresponding with force cell 301 pulling force feedback.In 904, drawn out the pulling force correction or regulated 920.Pulling force correction or adjustment curve chart 920, Y-axis is drawn at the place at zero point at the center, and has the positive and negative pulling force limit 930. in this example, and the pulling force correction limit 930 of pulling force correction or adjustment curve chart 920 is 2.25 kilograms of plus or minus.Because in 902 the pulling force scheme 900 of expection will with second width of cloth Figure 90 3 in force cell feedback 910 strict corresponding, pulling force correction or adjust curve chart 920 and in whole therapeutic process, rest on zero kilogram and locate.
System will adhere to these pulling force limit 930, thereby the pulling force correction can not contain the correction above these limit 930, when force cell 301 feedbacks 910 of measuring are less than or more than the pulling force scheme 900 of expection, when surpassing the pulling force correction limit 930, will can not satisfy the pulling force scheme 900 of expection.Therefore, the system control equipment of monitoring and control therapeutic process will stop treatment.
Specific embodiment 2 (the spinal column extension program of spinal treatments):
As shown in Figure 8, option A 01 comprises respectively first, second, and third, three drawing A02, A03 and A04, and option A 01 has adopted take the spinal column pressure reduction method of distance as the basis, and option A 01 is set the traction therapeutic system that adopts for.In figure A02, the spinal column extension program A20 that estimates will be presented in the monitor of control system 1, and showed that patient interface device 7 estimates the distance of extending or shrinking after the course for the treatment of, estimate that in this case traction splint option A 20 is centimetre to represent and to be plotted on the Y-axis A10 of the left side that the time is plotted on the X-axis simultaneously.Only by way of example, estimate that spinal column extension program A20 extends to 10 centimeters from zero point, it is drawn into continuous smooth function and without epispinal unexpected variation.In figure A02, on spinal column extension program A20, pulling force limit A00 is drawn into kilogram on the Y-axis A30 on the right and shows equally.In this therapeutic scheme, pulling force limit A00 is depicted as continuous 60 kilograms of limit, and still, limit A00 can be set as change after the course for the treatment of, and can be complementary a little with the shape of estimating spinal column extension program A20.By this equipment, can carry out and monitor the scheme of the first width of cloth figure A02 in the mode of control system 1 and treat the patient.
Through after the course for the treatment of, extend A60 according to reality and draw the image of estimating to extend A20, in the second width of cloth figure A03, as mentioned above, the actual A60 that extends can measure by encoder 405, and it will be transferred to control system 1 and mark and draw, and consistent with the spinal column extension program A20 that estimates.Right side Y-axis A80 has represented the actual spine extension among the second width of cloth figure A03, with a centimetre expression.In same width of cloth image, can monitor or draw merit or the pulling force of A70 driver, the merit of driver 4 or pulling force can interface arrangement 7 prolongs or the measurement criteria of contraction quantity with adjusting.In this example, measure the pulling force size by force cell 301, and monitoring is applied to the epispinal pulling force of patient and does not exceed pulling force limit A40.In this example, the pulling force limit A00 of the first and second width of cloth figure and A40 lay respectively in the same width of cloth plane graph, and in the second width of cloth figure A03, pulling force limit A40 is plotted on the Y-axis A50 of left side.The pulling force A70 that measures is plotted on the Y-axis A50 of left side equally.In this example, the spinal column measured among the second width of cloth figure A03 extends that A60 is consistent with the spinal column extension program A20 of expectation, and it is arranged in the first width of cloth figure A02, and can not surpass the pulling force limit A40 during any point of the pulling force A70 of measurement in therapeutic process.
Among the 3rd width of cloth figure in option A 01, by whole treatment, 0 centimeters among the on the left side Y-axis A90 is drawn spinal column extend the image of revising A95, because the spinal column extension program A60 that measures among the spinal column extension program A20 that estimates among the first width of cloth figure A02 and the second width of cloth figure A03 is consistent, the pulling force A70 that measures can not exceed pulling force limit A40, the 3rd width of cloth figure A04 comprises that spinal column extends correction limit A90, and it is positioned at positive and negative 5 centimeters of left side Y-axis.
For example by prolonging interface arrangement 7, the therapeutic scheme sequencing can be extended thereby revise spinal column, and extend A60 extension more than expected A20 place in reality, reduce the composite force that is applied on the patient.For example, therapeutic scheme will be made as guarantee spinal column according to expectation spinal column extension program A20 extended.Again for example, when the pulling force A70 specific thrust limit A00 that measures and the low certain percentage ratio of A40, in this case, therapeutic scheme will be expected above spinal column extension program A20.In this programme, the patient can obtain special loosening, and interim corresponding spinal column pressure reduction treatment when special treatment.Thereby therapeutic scheme can shrink to reduce pressure to draw to apply with 220 and further extending spinal column 208 and increase the decompression treatment that is of value to the patient afterwards.In the sort of situation, the spinal column of measurement extends the spinal column extension program A20 that A60 can exceed the estimates within a certain period of therapeutic scheme.As selection, if when actual pulling force A70 surpasses pulling force limit A00 and A40, can loosen pulling force decompression traction and apply and be with 220.Therefore, the interaction that the clinician can real-time tracking patient paraspinal muscle, whole equipment makes the patient according to the scheme operation of reduced pressure therapy design.After treatment finished, these data can be preserved next time in the patient treats or draw and look back.The spinal column extension program A20 upper limit of estimating can be selected to increase according to former treatment record by medical institutions.
When therapeutic scheme is estimated spinal column extension program A20 more than expected, if the patient is obvious especially for the response that spinal column extends within special treatment period, can provide special spinal column pressure reduction method for the patient in the invention at present.In addition, the patient can monitor and watch the actual extension that is plotted on the second width of cloth figure A03 for pulling force limit A40 and the image of estimating extension program A20 on the screen or in therapeutic process.When Finding case estimates that extension program A20 is unrealized, can consciously loosen spinal column, reach the purpose that promotes further extension and decompression.Therefore, the patient can be interactive with scheme, thereby biofeedback is provided, such therapeutic process patient that will more fit.
Specific embodiment 3 (having showed the spinal column extension program of regulating the position at predetermined extension place):
As shown in Figure 9, option b 01 comprises respectively the first width of cloth figure B02, the second width of cloth figure B03 and the 3rd width of cloth figure B04, option b 01 has adopted take the spinal column extension method of distance as the basis, therapeutic scheme B01 can be set as the traction therapeutic scheme that adopts, in this example, the spinal column extension program B20 and the pulling force limit B40 that estimate have been plotted on the first width of cloth figure B02, and pulling force limit B40 is arranged to 50 kilograms.In the second width of cloth figure B03, the pulling force B70 of measurement increases and begins to surpass default pulling force limit B60.These data can be interpreted as patient's paraspinal muscle and put up a resistance because the following reason that comprises (but being not limited only to following reason) is being extended spinal column, psychological reason (claustrophobia, panic etc.), reflexive reason (changes rapidly, not true or incorrect patient location), perhaps physiological reason (because the muscular tone that too much firmly causes in the treatment).In before session, use accurate estimate spinal column extension program of the same race probably can not cause the result who exceeds pulling force limit B60, because patient's situation is under a kind of continuous unsettled situation.Spinal column extension method take distance as the basis and dissimilar pulling force produce the driver feedback and control can make specific patient treatment become possibility.
In this example, because the pulling force B70 that measures has surpassed predefined pulling force limit B60, control system 2 indication drivers 4 make interface arrangement 7 extend specific or unspecific distance.When interface arrangement 7 extends, the pulling force B70 of measurement will compare with predefined pulling force limit B60, until the pulling force B70 that measures is positioned at the pulling force limit B60 when following, circulation will be proceeded.In the 3rd width of cloth figure B04, when the pulling force B70 that measures in the second width of cloth figure B03 surpassed default pulling force limit B60, figure B04 had showed that spinal column extends correction B20, the perhaps extension of interface arrangement 7, and it is probably at 0.5 to 1 centimetre.Simultaneously, the spinal column of measuring among the second width of cloth figure B03 extends B10, is provided by encoder 405, expresses a little to descend.In case the pulling force limit B60 that predetermines is controlled at the pulling force of measuring in the scope, therapeutic scheme will calculate safety, and more the spinal column of slow rate extends B20, and it can make the extension of patient's spinal column more meet expectation spinal column extension among the first width of cloth figure B02.By the method, patient's spinal column keeps paraspinal muscle to be in continuously or is centered around around their the reflexive constriction point.Because it is less to be recorded in the signal that paraspinal muscle reflexive muscle shrinks, the patient also can lessly feel traction splint psychologically.By treatment, spinal column has been extended its maximum, so paraspinal muscle shrinks and corresponding psychological paraspinal muscle contraction all can reduce, this method has improvement on spinal column pressure reduction curative effect and patient safety.
Specific embodiment 4 (for the pulling force scheme " form of driver merit " of spinal treatments):
As shown in figure 10, spinal column pulling force scheme D01 comprises respectively the first width of cloth figure D02, the second width of cloth figure D03 and the 3rd width of cloth figure D04, and scheme D01 has adopted one take the spinal column pressure reduction method of pulling force as the basis, and scheme D01 sets for and adopts the pull strength therapy system.In the first width of cloth figure D02, will be presented in the display of control system 1 for the expectation spinal column pulling force scheme D20 of spinal column pressure reduction, and show after the course for the treatment of, patient interface device 7 is estimated to be applied to patient's pulling force with it.For example, the spinal column pulling force scheme D20 that estimates shows with kilogram and is plotted on the Y-axis D10 of left side, time is plotted on the X-axis, estimate that spinal column pulling force scheme D20 extends about 120 kg from zero point, and be depicted as the continuously smooth function without the pulling force flip-flop, same top graph as D02 in, on the spinal column pulling force scheme D20, drawn merit or the energy limit D00 of the driver that adopts relative size in the right side Y-axis.For example, driver 4 is motor of an acting, in therapeutic scheme D01, the merit of motor or energy limit D00 are plotted as a continuous limit, but, after finishing the course for the treatment of, limit D00 can set change for, and can some couplings be arranged with the shape of estimating spinal column pulling force scheme D20.Can pass through the patient scheme of this monitoring of equipment and enforcement the first width of cloth figure D02 with it in the mode of control system 1.
After finishing the course for the treatment of, as shown in the second width of cloth figure D03, the pulling force D20 of expection can draw according to actual pulling force D60, in the second width of cloth image D03, measure the energy of motor or the limit D40 of merit at right side Y-axis D80, the upper value of thrust of measuring of on the left side Y-axis D50, the pulling force D60 of practical application is plotted among the second width of cloth figure D03, actual value of thrust D60 will be transmitted and be plotted to control system 1, it with the first width of cloth figure D02 in expectation spinal column pulling force scheme D20 very approaching.Can measure actual value of thrust by force cell 301 as mentioned above, the energy of electromotor or the limit D40 of merit have been plotted on the second width of cloth figure D03, and it is consistent with the energy of electromotor or the limit D00 of merit among the first width of cloth figure D02.As mentioned above, the engine power of practical application or merit D70 can by encoder 405 and (or) driving control device 5 measures, calculates, and be plotted among the second width of cloth figure D03.Illustrate, in the second width of cloth figure D03, the arbitrfary point of merit D70 in therapeutic process of the electromotor of using can not exceed the limit D40 of electromotor merit, for the energy of the electromotor of guaranteeing practical application or the limit D40 that merit D70 is no more than engine power or merit, will monitor energy or the merit of real engine.Therefore, the second width of cloth figure D03 can be used as the limit D40 that whether surpasses merit according to the energy of actual actuator or merit D70 and adjusts the additional standard that seat belt extends or shrink quantity.
In the 3rd width of cloth figure D04 of therapeutic scheme D01, because the spinal column pulling force D60 that measures among the spinal column pulling force scheme D20 that estimates among the first width of cloth figure D02 and the second width of cloth figure D03 is very approaching, and the energy of the electromotor of measuring or merit D70 surpass the limit D40 of engine power or merit, therefore in whole therapeutic process, the image rendering of spinal column pulling force correction D90 is at zero kilogram place among the Y-axis D95 of the left side.The 3rd width of cloth figure D04 comprises spinal column pulling force correction limit D90, and it is at the positive and negative 2-3 kilogram place of left part Y-axis.
Treatment procedure can be compiled by extending interface arrangement 7 revises the spinal column pulling force, thereby in the exceed the estimates position of spinal column pulling force D20 of actual spine pulling force D60, reduces being sent to making a concerted effort on the patient.In upper example, treatment procedure need to guarantee that the pulling force that acts on is consistent with the spinal column pulling force scheme D20 of expectation.And for example, when the limit D40 of the energy of the energy of the electromotor of measuring or merit D70 ratio engine or merit and the low certain percentage ratio of D00, treatment procedure can surpass spinal column pulling force scheme D20, in this programme, the patient can loosen and interim response spinal column pressure reduction treatment when special treatment especially, can shrink interface arrangement 7 after the treatment procedure, further prolong spinal column 208 and make the patient benefit from more decompression treatment, the spinal column pulling force scheme D20 that the spinal column pulling force D60 of measurement can exceed the estimates within certain period of therapeutic scheme.As selection, if surpassed the energy of electromotor or limit D00 and the D40 of merit, just can discharge 220.Therefore, the treatment doctor can interact by real-time tracking patient paraspinal muscle, and this equipment can be used as the specific depressurized system of patient.The treatment after, can preserve or draw the image of these data, and when treating next time interim review data.The upper limit of estimating spinal compression scheme D20 can be selected to increase according to past treatment record by medical institutions.
The spinal column pulling force scheme D20 if treatment procedure is prepared to exceed the estimates had for the spinal column pulling force in the patient special treatment period of specific response, and present invention will provide the patient specific spinal column pressure reduction treatment.In addition, the patient can check figure D02 among the therapeutic scheme D01 at the screen of control system 1 or display in therapeutic process, D03 and D04, and watch actual pulling force D60 according to merit or the energy limit D40 of driver and estimate that pulling force scheme D20 draws.If the patient observes the pulling force scheme 1220 of expectation when not realizing, thereby can consciously loosening spinal column muscle, the patient further promotes pulling force and decompression.Therefore, the patient can interact with scheme biofeedback is provided, and treatment will become more personalized like this.
Specific embodiment 4 (the pulling force scheme of spinal treatments):
As shown in figure 11, the pulling force scheme volume E01 of spinal treatments comprises the first width of cloth figure E02 and the second width of cloth figure E03.Scheme E01 adopts take pulling force as basic methods and provides the treatment conversation analysis for spinal column pressure reduction.In the first width of cloth figure E02, the spinal column pulling force scheme E20 of expectation has been illustrated on the display of control system 1, and shows that in the course for the treatment of patient interface device 7 expectations are applied to patient pulling force E20. with it later
For example, the spinal column pulling force scheme E20 that estimates represents with kilogram and is plotted on the Y-axis E10 of the left side, meanwhile the time has been plotted on the X-axis, the spinal column pulling force scheme E20 that estimates extends about 120 kg place from zero point, and it is drawn into the continuously smooth function that does not contain the pulling force flip-flop, can be by the mode of equipment with control system 1, implement and monitor scheme among the first width of cloth figure E02 with it the patient.
In the second width of cloth figure E03, can draw according to the actual pulling force E70 that acts in the therapeutic process image of the pulling force E60 that estimates.The pulling force E60 that estimates among the second width of cloth figure E03 generally with among the first width of cloth figure E20 estimates that pulling force E20 is identical.For example, the title that scheme E01 adopts is that the treatment session of E90 is " treating No. 5 ", in the second width of cloth figure E03, can measure actual pulling force E70 by measuring transducer 301, it will transmit, be plotted in the control system 1, and E60 is consistent with expectation spinal column pulling force scheme, left side Y-axis E50 measures the size of actual pulling force E70 among the second width of cloth figure E03, as mentioned above, the image of the second width of cloth figure E03 produces the merit of driver or the algorithm of energy based on being used for measuring pulling force, as servo, and the situation of the actual pulling force of driving control device 5 and measurement, respectively in the second width of cloth figure on the first and second pulling force summit E65 and the E75, actual pulling force E70 will be less than and estimates pulling force E60, thus in the treatment on these aspects, expectation pulling force E60 does not reach.Therefore, in therapeutic process, the merit of electromotor or energy close to or surpass the merit of electromotor or the limit of energy, and electromotor is not intended to produce pulling force, needs the merit of electromotor or merit or the energy limited that energy surpasses electromotor and produce pulling force.In the 3rd pulling force summit E80, actual pulling force E70 has surpassed expectation pulling force E60, show the merit of electromotor or merit or the energy limited that energy is lower than default electromotor fully, and pulling force scheme E60 on the estimation, allow computer to increase the pulling force rank and increase decompression power by algorithm.
Data in the treatment are presented among data show E90, the E94 and E96 of the bottom of conceptual scheme E01 through editor, for making things convenient for patient and doctor to check, it will be illustrated on the screen of control system 1, for example, the title for the treatment of session, the data for the treatment of session, patient's name, doctor's name, and be applied to the position of spinal column in the treatment, such as cervical vertebra.Patient data shows that E96 has indicated percentage ratio, for example 80%, and it is from the data that are plotted in the second width of cloth figure E03.It is to estimate standardization zone under the pulling force E60 image divided by actual or measure zone under the pulling force scheme E70 that these data are taken as, in this example, remove numeral be 0.80 or 80%.Patient data shows that E94 has showed the similar percentage ratio that calculates according to treatment session numeral 1 to 4.Therefore, by each successful treatment, will demonstrate the patient and finish gradually actual pulling force drawing E70, E60 is more consistent with the drawing of expectation pulling force.As shown in scheme E01, in treatment #5, it is 80% that the patient reaches the treatment qualification rate.
The doctor can be explained the percentage ratio among data display E94 and the E96, that is to say that the patient can or adapt to treatment psychologically on the health, therefore increase the treatment curative effect.When the patient can accept therapy especially, the curative effect that exceeds 100% ratio will be reached probably.
Method take algorithm as means can be used for monitoring and control pulling force, can be used for equally monitoring additional measurement index described in the present invention, the energy of electromotor for example, as previously mentioned.Therefore, operator can utilize equipment to judge in the special treatment process within the special time the most suitable patient's pulling force rank, thereby increase the safety for the treatment of, are that the patient is benefited.In one day in treatment, the patient can follow doctor's indication, increases the possibility of adaptability and healing, and can obtain the curative effect of decompression treatment from estimate the pulling force scheme.On the contrary, in other one day, be different from and accept to estimate the pulling force scheme, the patient may lift the object of a special weight.In any case, by a plurality of variable the method for monitorings, can include, but are not limited to energy or the merit of electromotor in therapeutic process, pulling force and spinal column extend, and allow the special treatment of Real-Time Monitoring, not in addition in the program initial time for the doctor.The method of post analysis data makes the doctor can edit more accurately for individual patient the program of pressure regulating equipment.In this example, the percentage ratio that increases gradually in data show E94 and E96 shows that the doctor should increase expectation pulling force scheme E20 in next therapeutic process, simple percentage ratio can be used as the success that the narration patient is correlated with equally, encourages the patient to advance towards restoring target.
In addition, the merit that much relates to driver 4 is arranged for the advantage of paraspinal muscle reaction.The reaction of paraspinal muscle is one and guarantees spinal column not because the guarantee of factitious motion (for example undue or too fast pulling force) injury, at present the person that can make the therapeutics of the special Reduced pressure treatment system of patient in the invention follows the tracks of the reaction of paraspinal muscle in treatment or run through in the history of whole patient treatment.For example, when opportunity extend or pulling force not respectively with estimate to extend or pulling force when consistent, system can allow to treat the scholar draws the contraction of paraspinal muscle reflexive in treatment figure.Spinal column extension or pulling force can be retreated a little after the doctor, so just can reduce contraction, make the doctor can proceed decompression treatment.Just as the method that the specific form in the at present invention can provide, by the activity of Continuous Tracking paraspinal muscle, just can reduce reflexive and psychological paraspinal muscle and shrink.Equally, by following the trail of the movable and spinal column extension of paraspinal muscle, measure the size of merit, the pulling force that perhaps uses can help to carry out successful treatment.
In addition, no matter be therapy take pull strength as the basis or spinal column pressure reduction system can realize surpassing traditional restriction by the merit (perhaps other relevant parameters) that measurement is applied to patient's needed reality of pulling force scheme with it progress, by this method, the patient who meets treatment can treat between the session in difference compare (showing more at most that for finishing the needed merit of same pulling force scheme the patient is more suitable for special treatment), if can be for the patient provides this measurement index in real time in treatment, the patient just can observe index and conscious loosening under pressure state so.In addition, can provide and record spinal column extension data and use as extra analysis.To estimate that spinal column extends and (or) pulling force scheme measurement index extend with reality respectively and (or) pulling force scheme index compares, just can after repeatedly finishing the course for the treatment of, demonstrate to meet treatment with actual patient and be equivalent to estimate that the patient is fit to the percentage ratio for the treatment of.
As shown in figure 12, the treatment flow process of therapy apparatus of the present invention is:
Employing is take the traction splint method of distance as the basis, implement the algorithm of the special spinal column pressure reduction therapy of patient, in this programme, the user is current patient C00 input therapeutic scheme data, and these data comprise that weight in patients, treatment time, the pulling force upper limit, pulling force produce the merit of driver, spinal column extends the limit, other factors etc. revised.
The user can determine treatment numerical value according to treatment record before, in the case, the user is from selecting some data the treatment before, these digital proofs for the non-paraspinal muscle resistance of traction splint C10, these data can reduce or remove from the user and take rough estimation of a few minutes for the non-paraspinal muscle resistance of traction splint.
Control system 1 calculate the spinal column extension program C20 that predetermines and with this information transmission to driving control device 5 and (or) in the driver 4, control system 1 can be calculated total treatment time C30, this treatment time can be for medical institutions and patient.
In case when calculating the spinal column extension program that predetermines and all variablees and having set, treatment just can begin C35. by among the spinal column extension program C40 that predetermines for the particular distance of first " point ", driver 4 can obtain indication extends or contraction patient interface device 7.
In case remove interface arrangement 7, the variable of program Restriction of the Measuring or a plurality of variable, in this case, pulling force is measured by pulling force sensor 301 configuration C50.This module is wanted to compare with the default pulling force limit in treatment C60 in period, if the pulling force limit of measuring does not exceed, program determines whether treatment is finished or whether therapy continues C95.If treatment is not finished, program continues interface arrangement 7 to be extended or shrink one section special distance to the next spinal column extension program C40 " point " that predetermines that is arranged in, if the pulling force limit C50 that measures has exceeded the default pulling force limit in treatment period among the C60, program continues by level and smooth mode C70 the pulling force seat belt to be extended one section special distance so.After extending increase, again measure pulling force C80.If the pulling force of again measuring still on default pulling force limit C85, needs repetition interface arrangement 7 to extend smooth increases C70 so.
If but the pulling force of measuring is less than default pulling force limit C85, program continues to calculate the level and smooth and steady growth that relevant spinal column extends, and this will make patient get back to the spinal column extension program C90 of expectation.Program focuses onto and judges whether treatment C95 in period finishes afterwards.If treatment is not finished period, program is extended belt or is shunk " point " of one section special distance C 40 to the predetermined spinal column extension program of the next one, finishes period if program is judged treatment, and program will stop C98.
Compare tradition and do not monitor or check speed and the rate of change (for example traction) of driver 4, it is a module that is more suitable for judging the decompression treatment progress that spinal column extends.Can record and access the spinal column extension program of present invention different expression form, and can show accurately that the patient is treating in the session before, the spinal column of having finished What kind do extends.Employing is from the record of traditional pulling force surveillance, and the treatment doctor can only judge the pulling force quantity that is applied on the patient body.By the extension record of present invention, the treatment doctor can judge the progress of patient in the decompression treatment process course for the treatment of.For example, can show because paraspinal muscle opposing patient spinal column can not reach from the record in first therapeutic process and to estimate the number of times that extends that the record in therapeutic process subsequently can show that the minimizing of patient's spinal column paraspinal muscle opposing and final patient's spinal column meet or exceed and estimate the situation of extending.
In addition, patient's progress can adopt the mode record in addition that estimate to extend percentage ratio.For example, the actual extension of measurement is for estimate that the percentage ratio that extends can increase with the mode of percentage ratio on the basis of Successful treatment.For the first time treatment may cause an actual image that extends only to occupy 85% of expectation extension bitmap picture, successful treatment can bring actual extension with respect to the percentage ratio steady-state growth of estimating to extend, treatment subsequently can be increased to 90%, 95%, 200% or successful treatment actual extending beyond estimate to be extended, for example 105%.By following the trail of patient's progress in the mode of estimating the treatment certain percentage, the specific Reduced pressure treatment system of patient can provide a criterion of judging the decompression treatment success or not for the treatment doctor in the invention at present.For example, in the place that applies to epispinal pulling force and can measure and can be used as another functional standard (for example extend or merit) record, spinal column extends and other modules are not limited to use decompression treatment, can also be used to measure progress or any amount of additive method of traditional traction therapeutic.
In equipment described herein, be basis or take decompression as basic schema, the parameter of record all can be in such a way for the patient displays no matter draw, thereby biofeedback and increase patient's curative effect is provided.By the parameter of record, the technical staff can more accurately follow the trail of patient's progress and make spinal treatments be more suitable for patient's specific demand.System can adapt to also more acceptant treatment of the same patient of patient in therapeutic process, so just can reach the purpose of personalized treatment.(for example, spinal column extends labelling, distance by using these modules, voltage, energy) and their derivatives, just can create a special numerical value or one group of numerical value, these numerical value can be used as judges that can the patient obtain the successful standard for the treatment of by estimating therapeutic scheme.
When according to some form of expression of specializing invention being described, as everyone knows, on the basis away from scope of the present invention not, can make various modifications and system is carried out equivalent substitution system by those people that are skilled in technique, in addition, on the basis away from the scope of the invention not, can make amendment to system makes special situation or material adapt to teaching cases of the present invention.Therefore, we are intended that the specific form of expression that the present invention is not limited to disclose, and the present invention will comprise all and drop into concrete manifestation form in the adnexa claimed range.