DE1937829A1 - Table for spondylo- or vertebral therapy - Google Patents

Description

V9 3 7 B 2 9 ^{den 2} ^ * ^Jul - * · 19 ^ 9

j? 9 Valenciennes
" France ·

Attorney's File: 5508

Table for spondylo or vertebral therapy

The priority is determined for this registration French patent application PY 170 147 of October 16, 1968.

The invention relates to a table for the purpose of spondylotherapy, also known as vertebral therapy.

Such treatments should serve to free the joints or joint joints (especially vertebral and sacro-iliac) to promote blockages as well as a lowering or compression of the intervertebral or intervertebral discs, which is normally caused over a longer period by the action of gravity and its effects are accelerated and intensified by the modern Life-defining excitement shows combat; it is also said to facilitate the relaxation of muscle spasms be, and finally should not be in general terms only the effects of gravity on the spine, but also on the whole of the organism (lowering of the bowels, slackening of muscles and ligaments, slowing down of the venous and lymphatic circulation, for example) can be compensated.

For this purpose, in order to achieve one or the other of the aforementioned objectives, the following various devices have preferably been used up to now:

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..Ca.) Expansion tables: ';''"■'"'~ ^x "' ■ - '

Thereof git "tes various embodiments, the ^on: based same principle, which is to extend the spine in a certain degree by caused them indirectly secured at two locations on two relative to each other movable parts of a table and then a stretching became. However, the vertebral stretches have a number of disadvantages, the most important of which are the following: -

A mostly painful one, or definitely for the Uncomfortable treatment for patients, due to the tensile stresses on the intervertebral or intervertebral discs are exercised, which are sometimes considerable and to which the intervertebral discs are physiologically poorly adapted.

This often creates a reflex spasm of the paravertebral Muscles that strive for To oppose "divergence" resistance.

It will be applied to all the panes between the places where the tensile force is applied, the same stresses are exerted, which makes little sense if one Keep in mind that, the discs move through the changes have adapted the essential structure to the loads, which in the vertical or sitting position progressively from the neck area of the spine to the Enlarge the sacrum.

There is no other influence whatsoever on the rest of the organism.

(b) Sloping plates - relaxation chairs: They are intended for resting and their impact is practically limited to the bloodstream and possibly

Entrails. They also require a relative long treatment with which only a "limited result." is achieved. -

(c) Vibrating chairs or beds:

The vibrations of the frame are transmitted to the body. However, they are not coordinated, the entirety of the body vibrates "in the square" and they actually can't find specific medical or paramedical application.

(d) Vibrating plates:

It is nothing more than a variant of the aforementioned form of treatment, which differs only in the position of the user standing on the plate. As a result the vibrations are transmitted here in the sense of gravity and thus considerably intensify their effects, by going to this one for the spine, the-viscera and the cycle ominous. Depression or compression effect Add. This method is in contrast to the object of the present invention.

(e) Vibromassage devices:

It is a question of devices with poor performance Vibrations are localized on the application site, namely on the skin, the subcutaneous tissue and the superficial Muscles; they are generally reserved for aesthetic massages.

Certain types of these devices, which are more powerful, can also reduce their vibrations to deeper ones Muscles are transferred and are therefore used for massage for relaxation purposes useful. However, their effect is limited, including at the point of application of the "vibration, and, as far as the vertebral, iongitudinal muscles are concerned, an action occurs only in a plane perpendicular to these muscles.

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Although at this point neither on the anatomy nor on the Physio-pathology is to be discussed in detail it to understand the operation of the invention and to To demonstrate their usefulness, it is necessary to refer to a few essential terms.

When you consider that the spine is made up of individual movable. Sections - the vertebrae - formed by intervertebral or intervertebral discs or fiber cartilage Discs are connected to one another and at the same time separated from one another and are separated by articular ones in between. Subdivide extensions, the surfaces of which must "slide freely on one another, then one sees without further ado that it to a loss of mobility in these sections as a result of external influences (stress, any trauma, significant shock or repeated microshocks, muscle spasms, etc.) or as a result of internal influences (changes the state of those in contact Surfaces or the panes, due to inflammation, for example of an infectious or degenerative nature).

It is one so well known in this day and age and therefore knowledge that can be regarded as certain that these changes in the integrity of the articular relationships (intervertebral, sacroiliac, occipito-atlo-axoidal) and the resulting loss of mobility to a can lead to a whole range of unpleasant phenomena, namely to local emphases or radiation acting at a distance, to a heating of the ■ spinal nerves or their Roots, to a compression or irritation of the spinal cord with possible repercussions up to the level of the extended Spinal cord and even into the brain, to disorders of cerebral or bulbar irrigation (syndrome of vertebral Artery) or for marrow irrigation or for irrigation and drainage of the vertebral sections themselves with their further consequences on the bone structure (especially

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special to the. Degree of calcification) and finally too diverse organic disorders.

The nature of these "vertebral blocks" is changing each vertebral step depending on the shape, inclination and condition of the articular surfaces in contact, the nature and thickness of the slices or ribbons, the degree of muscle contraction, etc..

It is now easily possible for two vertebrae to stop working together or being joined together in the normal way because their contact surfaces do not slide freely on one another. This may have been caused by the fact that the vertebrae have slightly exceeded their normal limit of motion and "blocked" in this new position _; or by the fact that the vertebrae have literally "seized up" due to a lack of continued physiological activity or that they are "fixed" by muscle contractions or spasms or by more profound changes in the state of the joint joints, for example pathological types.

It is well known that all of these "blockages" "Sub-contortions" or "displacements" as well as the "clamping" of the disks directly or indirectly by gravity originate and in any case, even if they are independent of gravity, for example as a result of an accident, a Stress or improper movement has occurred that exacerbates gravity.

It is, therefore, unless there is a serious pathological case in which the vertebrae become immobile demanding is, desirable and important, on the one hand the "seized" articular connections free again and on the other hand the effect of squeezing or squeezing them together. Lowering of the intervertebral or intervertebral discs due to the

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'To fight gravity ■ by a force acting in the inverse sense, treatment of short duration is made by a force is caused to act on the various intervertebral or intervertebral discs, which is as low as possible and still exactly proportional to the stresses to which they in Endure standing (or sitting) state.

It would be desirable if this "anti-gravity" treatment of the spine were to avoid similar effects on the various viscera and organs, on the circulatory system (especially the return of venous blood in the lower limbs and the drainage of the lymphatic vessels) and on general decontraction the standing muscles would be accompanied.

These requirements can be met with the device according to the invention realize that a union of the effects of a rapid interrupted pulling action (axial vibration) and a sloping position of the patient allowed.

The table according to the invention for spondylo- or vertebral therapy is characterized by a stand on a horizontal axis of inclination on which a frame is fixed, which can be tilted from a horizontal position and has a table top that is assembled from several panels in the same plane on the frame, wherein the plates are arranged so that they are preferably free and individually within this plane in a common direction perpendicular to the axis of inclination of the frame can move by means of a guide, one of a End plate supported footrest and a vibration device, having a fixed portion carried by one end of the frame, further wherein the frame is the footrest as well as a part that can be moved in a guide,

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which with connecting straps for the ankles or ankles a patient placed on the table top is provided.

This defined above in its essential principle Table can have a certain number of additional organs, which are explained in detail below, and one represent an advantageous addition to the table; it is in particular a headrest, straps for the possible fastening of the patient on the plates,! limit stops for the movement of the plates and means for operating and for different setting and locking.

The patient is placed with his back on the top of the "table." placed, and the ankles are fastened by straps with the vibration device tied together; then the table is tilted slightly so that the patient's feet are higher than the head, which exerts a slight tension on the spine due to the mobility of the plates. In The vertebrae suffer from this sloping position of the patient instead of the stresses that occur in the daily life, ie. instead of the Druckbeaaspruetaangen, now Tensile stresses, their intensity proportional to the compressive stresses and whose size is much smaller.

With the various settings explained below, it is possible to precisely match the tensile stresses required To give properties. In addition, the nature of the stresses in question (vibrations) allows to significantly reduce the tensile stresses in order to achieve the same result as with the known expansion tables.

Me invention is explained below with reference to one in FIGS 20 of the drawing shown, particularly preferred embodiment a table according to the invention for vertebral therapy explained in more detail; however, it is not on

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this embodiment restricts toe, but rather, submits the guidelines given here as well as in the context of the subject of the invention and the general inventive concept in Realize with success in a variety of ways. Show it:

! ig. 1: a side view of the overall structure of the table; FIG. 2: a plan view corresponding to FIG. 1; FIG.

Fig. 3: the upper middle part of Fig. 1 in an enlarged Scale; '.

* Fig. 4.: the left part of Fig. 1 in enlarged

Scale;

FIG. 5 ν shows the right part of FIG. 1 with a partial enlargement; FIG.

FIG. 6: a section along the line VI - VI in FIG. 3; FIG.

7: a section along the line VII-VII " of FIG. 1;. ■ '■■

8: an enlarged plan view accordingly of Fig. 4;

FIG. 9: a top view of the right part of FIG. 5 in enlargement;

Fig. 10: a section along the line X - X of

Fig. 11: Details of Fig. 3, which are in the with

'broken lines drawn circle XI ·: ..'. located, on a larger scale;

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12: a section along the line XII - XII of Fig. 11;

15: a section along the line XIII - XIII of Fig. 11;

14: a side view of a detail shown in FIG Top view is shown at XIV in Figure 2, on an enlarged scale;

15: a section along the line XV - XV of Fig. 14;

FIG. 16: a section along the line XVI-XVI of FIG. 14;

17: an end view looking at the arrow

XVII of Figure 5;

18: an end view in the direction of the arrow

XVIII of Fig. 4; ,

19: a longitudinal section through the vibration device and

FIG. 20: a section along the line XX - XX in FIG. 19.

The table for spondylo- or vertebral therapy, its Overall structure can be seen from FIGS. 1 and 2, consists essentially from a stand or base 1, a inclinable frame 2, several panels 3, 4 and 5 (in the present Example three), used as a support or support table serve for the patient. The plate 3 is provided with a footrest 8 and the plate 5 with a headrest 9. In addition, the frame has a vibration device. on.

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The base 1 is adjustable in height and consists of for this reason from two parts, namely a lower part, the is formed by two flanges 15, 16 (see also Fig. 7), which are stiffened by cross members 18, 19, as well as from one upper part, which is formed by two flanges 22, 23 (see also Fig. 6), which are connected by two cross-connecting rods 24, 25 against the inner surfaces of the two flanges 15 and 16 of the lower part of the stand. About the Cross-connecting rods are two stiffening tubes such as the tube 27 is pushed, the ends of which are supported against the inner surfaces of the two flanges 22, 23. the two cross-connecting rods 24, 25 extend through two vertical slots 31 »32 in the lower flange 16 and through two corresponding slots such as 33 in the lower flange 15 "The cross-connecting rods are threaded and provided screwed nuts, so that the upper part of the stand 1 at any desired height on the lower part of the stand can be determined.

The frame 2 also consists of two flanges 37 »38, the are stiffened by cross members 39 and fixed so that they are around a tubular upper shaft 41 (Figs. 3 and 6), which through the upper end of the two flanges 22, 23 of the upper one Part of the stand 1 passes through, can be pivoted. The two ends of the shaft 41 are secured by two bolts 42 and "43 firmly connected to two flanges 37, 38 of the frame 2. Two rings 44, 45, which are mounted on the shaft 41 with pins 46 and 47, hold the upper part of the two flanges 22, 23 of the stand in contact with the inner surfaces of the two flanges 37 »38 of the table.

The frame 2 is tiltable in a simple manner by both sides of the 'horizontal up to an angle of 12 °, which can be done, for example, any suitable actuating device, such as j with the illustrated actuator, this includes a drive shaft 51' to

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which can be attached, for example, a handwheel or a hand crank ^: and which rotates in a bore 52 of the flange 25 of the stand and in a bore 53 in the support 54 which is firmly connected to this flange. A drive gear 55, with which a gear 56 fastened on the shaft 57 is in engagement, is fixedly connected to the shaft 51. The shaft 57 rotates in two bores 58 and 59 of the flange 23 or * of the carrier 54. A crank pin 62 is attached to the shaft 57, which has one in relation; on ι the '■ axis of the shaft 57 eccentric, circular driver 63 ■' ■ rotates. This driver is inserted in a radial opening 65 'of the flange 38 of the pivotable frame 2 ·.' On the outer surface of the flange 38, a closure plate 66 ″ covering the opening 65 is fastened with two screws 67. -

The shaft 51 runs through a circular arc-shaped ,, with the pivot shaft 41 of the frame coaxial slot 71 through the flange 38.

On the two ends of a connecting tube 74 arranged between the flanges 22 and 23 of the stator, two threaded bolts 75, 76 are fastened, which pass through corresponding holes in the flanges and also through two circular arcs with the upper shaft 41 coaxial slots .77 and 78 in the two flanges 37, 38 pass through ^ On the two outer ends of the two threaded bolts 75-76, corresponding components, for example screw nuts, can be provided which can be screwed tightly onto the flanges 37, 38 of the pivotable frame allow a locking of the frame in any desired inclined position. In the present example, these are: Clamping elements, drivers for quick clamping of the usual type, such as the component 81, which is provided with an operating handle 82. ,. ^; -: - ..: ■ - ■ - ■ - ** ■ v ;; : .- .. ■ ', -. '- .; · -.

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The upper part of the frame 2 is used to support the above lying table, which consists of three panels 3V 4- and 5. For this purpose, each plate, for example the plate 4 z. B. with help the screw 87 has two slide rails 88, 89 of U-shaped Cross-section attached, which form a bearing surface, which rests on rollers 92. These rollers can each rotate freely on an axis 93, which in turn is horizontal is fixed in the upper part of the corresponding flange of the frame 2. On other roles, such as B. 96 (see also Fig. 10), the 'freely rotatable on vertical, on the upper cut surfaces of the corresponding flange of the * Axles 97 attached to the frame are seated, the front or Sectional surface of the inner leg of the corresponding slide rail.

In the illustrated embodiment, the stroke of each plate 3, 4 and 5 is limited to the front, namely by a predetermined distance on the order of 2 cm or 4. cm or 7 * 6 cm. This is done for each plate each side of the table a reversible stop, such as 101 (Figs. 3 and 11 to 13) is provided, which consists of a stop block, which around a horizontal Axis 102 in the upper part of the corresponding flange of the Frame 2 is pivotable. Each stop block partially lies in a quarter circular recess 104, which in the outer surface of the flange is incorporated and a has horizontal edge 105. There is also a Part of each stop block in a rectangular recess (or a cutout) in the lower leg of the "" corresponding movable slide rail «if the stop block 'f 01 is in its shown in the drawing vertical position and the limit 107 of the Recess in the corresponding slide rail on the stop block abuts, then the slide rail is fixed because the stop block itself in Eontakt with the

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stationary surface 105 of the recess 104 is located in the frame 2 ", If you have the stop block 101 by pivoting around his Brings axis 102 into the horizontal position, then "the Movement of the slide rail no longer interrupted because the stop block is inside the slide rail, see above that one can now easily move the plates if so desired.

Under the rear plate 3 are analog, corresponding, not Stop blocks shown provided, which are at 90 ° in the opposite Senses are pivotable to prevent accidental shifting of the entire structure of the stage to the rear.

On the outer surfaces of the slide rails 88 and 89 are on various places projections or buttons 111 (Fig. 10) attached to which straps 112 for buckling the patient can be hung on the plates.

The footrest 8 consists of a cross strut 121 (FIGS. 5, 9 and 17) »carried by two vertical bolts 122, 123 will. These bolts slide in a guide and are in theirs Height adjustable by means of two devices 124, 125, which are in turn carried by two pieces 126, 127. These pieces are arranged so that they are longitudinally in relation to the plate 3 by means of two in total of 128 and 129 respectively designated sliding systems can be moved.

Any device for height adjustment, such. B. 124 is from known type (see the section in Fig. 5) and consists of a bushing 281 of conventional type having an internal conical constriction 284 at its lower end.

In the sleeve 281 there are small balls 283, which are printed by a spring 287 against the conical narrowing, with the spring against a shoulder 289 in the upper part -

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the socket 281 is supported. On the bolt 122 is a sleeve 282 slidably disposed, the lower end of which into the socket enters and has longitudinal slots 290 in which the small Bullets run. The free lower end of this sleeve has forks 291 »which are suitable for working together with the balls. The upper end of the sleeve 282 is provided with a collar 292 to keep this collar out of the socket and also to be able to pull away the small balls 283 so that the bolt 122 can slide freely. Once the sleeve 282 is loosened, the balls are under the action of the spring 287 between the bolts 122 or the conical Constriction clamped.

ψ These devices make it possible to pull up or lower the footrest 121, this support remains in the position in which it is left. The footrest can also be adjusted in the longitudinal direction by sliding the two sliding systems 128, 129. These can also be determined in any desired position by means of a conventional blocking system 135 »136, for example also of the driver type.

The sliding systems 128 and 129 are identical and comprise four side members 304, 305 »306 and 307 fixed to the Plate 3 are connected. The side rails 304 and 305 have. have a square or rectangular cross-section and have ^ on the opposite surfaces on both sides Profiles 308 and 309 of L-shaped cross-section on their horizontal legs stop blocks 310 and 311 rest, which in turn are firmly connected to a part 312 are.

Under the horizontal legs of profiles 508 and 309 and between these there is a plate 313 'through which a screw 314 passes which is inserted into the part 312 is screwed in and provided with a head, the one

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Has side handle. When tightening the screw 314 become the horizontal legs of profiles 308 and 309 between stop blocks 310, 311 and plate 313 included, and thus the footrest is fixed in the longitudinal direction.

The further detection system 136 is identical to the device 135, so that the same reference numerals have been used for the same parts. ι

The headrest 9 (FIGS. 4-, S and 18), like the footrest, is supported by vertical bolts, for example 152, 153. These bolts are in door directions for height adjustment 154, 155, which are connected to devices 124, 125 are identical, stored, on two parts 156, 157-These Parts are firmly connected to a base plate 159, which by means of a longitudinal guide designated as a whole by 158 can be moved with respect to the plate 5. One Neckrest 151 connected to the headrest is also supported by the footplate 159, via two front ratchets. functions 162, 163 for height adjustment.

The longitudinal guide has two firmly connected to the plate 5 Longitudinal beams 294 and 295, which on the opposite Sides with profiles 296 and 297 of L-shaped cross-section 'are provided', with the one horizontal leg against a stop block firmly connected to the base plate 159 29j8 and the other is supported against a stop block 299 which is also firmly connected to the footplate.

Under the horizontal legs of profiles 296 and 297 and between its vertical legs runs a rail 300 through which a rail 300 is firmly connected to the base plate 159 Threaded bolt 301 passes through it. On this threaded bolt a nut 161 is screwed on, with a lateral Handle is provided and forms a locking device.

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It. is possible, the longitudinal guide in any desired position to "block" by means of the locking system the nut 161 tightened, removing the horizontal legs of profiles 296 and 297 between the stop blocks and 299 on the one hand and the rail 300 on the other hand. One can therefore use the headrest and the neckrest adjust at the same time in their height and in their longitudinal direction in order to adapt them to the curvature of the cervical vertebrae pillar to adapt to each patient.

The vibrator 12, which is a substantially thin, cylindrical Has shape is fastened by means of a clamp 175 (FIG. 17) firmly connected to this. The clamp ™ can slide on two longitudinal bolts 176. These bolts are from the corresponding end of the frame so that it is possible to change the position of the vibrator in operation to adapt to the size or shape of the patient.

One can also, as will be shown below, place the vibrator under the other end of the top of the table arrange, i.e. under the headrest; this arrangement is shown in FIG. 4 by broken lines at 12. For this the clamp 175 is placed on two corresponding bolts 178, which are fixed to the associated end of the frame are connected. If you take the present structure as a basis and arrange the vibrator in the last-mentioned position on, then this comes to lie lower than under the footrest, because the level in the clamp 175 Holes a certain distance from the axis of the vibrator. ■

The vibrator can be determined in its respective position on the support bolt by means of a wing nut 181, which is arranged on a bracket of the clamp 175 and a pressure on one of the support bolts, for example on the support bolt 176 exercises.

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The vibrator is shown in detail in FIGS. Has a cylindrical body 191 "in it A flange base 192 is screwed into one end, while the other end is provided with a base 193 fastened by a screw 194. The bottom 193 is with a Ball cartridge 196 provided in which a firing pin 197 as Leadership can slide. A cross member is attached to the outer end of this firing pin, which is supported by two jaws 199 is limited. Each of these jaws has an opening 202 interspersed by the. in each case a belt 203 can be pushed through to the ankles, for example the To attach ankle of the patient to it.

With regard to an additional type of use, the The cross member 198 carried by the firing pin is in the form of a sliding guide, in which two in the opposite direction Clevis 207 »208 are displaceable. These clevises are each through an axis 211, 212, on each of which one freely rotating roller 213 »214- is provided, penetrated. Man the two rollers can approach or move away from each other, which is done with the help of a threaded bolt 216, which runs through two corresponding holes of the two fork heads 207 and 208 provided with opposing threads. The bolt is mounted in the two jaws 199 and one end is provided with an actuating button 218.

At the inner end of the firing pin 197 is a shoulder 221 attached, which by a bolt 222 (whose further function will be explained below) "to a rotary movement within the body 191 is prevented. The bolt 222 runs simultaneously in a longitudinal hole 223 of the base 193 and in a longitudinal hole 224 of the extension 221.

The firing pin 197 is actuated by a helical compression spring 226 in the direction of the interior of the body 191

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burdens. The ends of the spring are supported, on the one hand, against the bottom 193 and on the other hand against the approach 221.

The firing pin 197 is periodically displaced at high speed against the force of the return spring 226; this is done by a mechanism that by means of an electric motor 228 is operated. The motor is coaxial with the flange bottom 192 of the body 191 Flange 229 provided. The clamp 175 is attached to this electric motor 228.

On the shaft 231 of the electric motor, which protrudes into the interior t of the body or housing of the vibrator, a plate 233 with an inclined surface 234 is fastened by means of a screw 232. This plate rotates in a roller bearing .235 and a ball bearing 236, the outer bearing shells of which are fastened in the flange base 192. A ball 238 acts against the inclined surface 234 of the rotating plate and sits freely rotatably in a disk 239, which in turn is firmly connected to an axis 242. This axis 24-2 can slide axially in a bore of the axis 243 without rotating. The axis 242 can rotate without being axially displaced in the extension 221. The angular relationship between the axis 242 and the axis 243 is determined by a screw 245 which runs radially in the axis 243 and the end of which engages in a longitudinal groove in the axis 242. The ball 238 is supported against a ball stop ring 247, which in turn is supported against the outer ring of a ball bearing 249 via a washer 248. The ball bearing 249, like the ball bearing 236, has inclined contact surfaces. The inner ÄLng of the ball bearing 249 is pressed onto the shaft 243 and -Ge- 'shrinks. The angular setting of the axis 243 can be adjusted from the outside of the apparatus by means of an operating button 251. This operating button is mounted on the corresponding end of the bolt 222, the inner end of which carries a gear 252 which meshes with

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a second gear 253 fastened on the axle 243 ″ is located. The center of the ball 238 is in one predetermined distance from the geometric axis of the Shaft 242, this distance is equal to the distance between this axis and the axis of the plate 233 niit the inclined face. When the axis 243 on the extension 221 assumes the angular position illustrated in FIG. 19, at which the distance of the ball 238 to the axis of the plate provided with the inclined surface is a maximum, maintains the firing pin 197 an axial movement with maximum stroke, when the plate 233 is rotated by the electric motor 228. If a setting is now made by means of the actuating button- 251 in which the Ball 238 of the axis of the one provided with the inclined surface Plate is approximated, as can easily be seen, the axial travel of the firing pin for each revolution of the Plate lowered. When you finally get the ball 238 in brings the center of the plate, the stroke of the firing pin is zero. In this way you have the opportunity to use the Adjust the length of the stroke of the firing pin very precisely. You can also check the frequency of the vibrations of the Adjust the firing pin when using an electric motor 228, its speed, for example can be regulated or adjusted by means of a rheostat.

In FIG. 2, reference numeral 261 denotes a device which it allows the two plates 4 and 5 to be firmly connected to one another on one side. A similar device 262 is provided on the other hand, also are two other, similar devices 263 and 264 in a similar manner Way arranged; the latter serve to fasten the plates 3 and 4 to one another.

These devices are detailed in FIGS. 14-16 shown. Such a device has a small plate £ 62; one end of this plate is through a rivet 263..an attached to the corresponding slide rail of the plate 5, while at the other end in a slot 264 a

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fast acting "clamping device, generally designated 265, of any suitable known type is provided. This clamping device comprises, for example, a cam 266, which is provided on a clamp 267, in the interior of which a bolt 268 is slidably guided. That bolt passes through the slot 264 and a corresponding slot 269 in the slide rail of the adjacent panels 4 and carries a web 271. This web can be pressed against the inner surface of the body of the slide rail, see above that the two slide rails of the two corresponding plates be firmly connected to each other. ·

The operation of the table according to the invention for the Vertebral therapy is the following:

The operator adjusts the height of the table once and for all according to its size to make it comfortable to be able to operate; that happens through a sliding Displacement of the upper part 23 of the stand 1 on its lower part 16, which is possible after loosening the screws 24 and 25 to be tightened again after the adjustment.

The patient is placed with his back on the table, and in such a way that his stoop is on the plate 5, while his pelvis rests on the plate 4 and his Legs are on the plate 2. The feet come on Footrest or pad 8 and his head and neck accordingly on the headrest 9 and the neckrest 151 The last three organs are suitably by the above-described devices set in the longitudinal direction and in their height.

The vibration device 12 is located in the upper Location, which is shown in Figs. 1 and 17, and the The patient's ankles are secured using straps203 connected to the end of the cross member 198 of the device.

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By means of a handwheel attached to the shaft -51 or a corresponding hand crank is used to set the table in the way inclined so that the patient is in a slightly sloping position, i.e. his head is lower than his feet.

The table's tilt angle of 12 ° gives good results. The basin, the back and the head of the patient to be drawn in this manner under the influence of gravity downwardly with di _t ese movement due to the individual mobility of the three plates 3 »4 and 5 can be carried out completely free. The spine is also naturally stretched. The vibrator is then switched on, the speed and stroke of which are set according to the respective needs.

The very fast intermittent, in the form of an axial Vibration generated tension is transmitted in the longitudinal direction to the entire body of the patient and allows one additional stretching of the spine by pulling yourself on the Intervertebral or intervertebral discs and by dissolving the Muscle contractions and the excessive friction that exists between the "blocked" articular or joint surfaces prevails. When the patient's feet are in a high position are held, the vibrations lead to an effect opposite to the compression, with a natural extension of the spine. In the course of this application, roles 213 »214 of the Vibration device not used.

In addition to this basic application, the prescribed table according to the invention can have additional uses can be used:

Blockage of the cervical-dorsal joints is at times particularly persistent, so that iü. appropriate in certain cases can be an additional train to this area " exert influence.

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For this purpose, the table is tilted in the opposite direction in order to bring the head into an elevated position and the Rest of the body to "use" to reduce the tensile load produce, purely this application is the "head rest or support supplemented by a chinstrap made of fabric, with which the head can be set more carefully. Furthermore, the vibration device is in the lower Position attached as shown in FIG connects. This is the only, anyway unusual case of use in which the vibration device itself acts on a moving part of the table.

The table according to the invention can be adjusted depending on the location of the user in two different embodiments:

In the first of these embodiments, the vibration device can optionally be on the front or back of the Table can be attached and the table is in both directions tiltable. This embodiment was explained in more detail above.

In the second of these embodiments, the plates 3 and 5 are interchangeable and the table can only be tilted in one direction.

Finally, in certain cases it is necessary to additionally apply a percussion to certain sections of the patient's spine. For this, the patient is placed on his stomach on the table, and the Vibrationseinrich- j processing 12 is off the table and taken in hand, and in such a manner that the rollers 213 '214 is the about the candidate sections Spine can roll. It is a deeply penetrating vibration massage that is applied symmetrically on or over the vertebral grooves or

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Splints is made. The distance between the "two rollers" is adjusted so that they are above the body the transverse or articular (dorsal area) or wart-shaped (lumbar region) bone processes or Touch apophyses. Also, speed and Amplitude of the vibrations adjusted to optimal values. Adjusting the distance enables precise touches according to the individual characteristics of the patient and, for the same patient, according to those to be treated Vortex. "

The main advantages of the table according to the invention are summarized as follows:

1) The above settings (speed and rotation of the vibration element, inclination of the table) can be done during operation, whereby all combinations are possible that are required for optimal functioning; here can be the most varied Conditions of use are taken into account, in particular depending on the age, the Weight, height and vertebral condition of each, individual patient as well as the desired effect.

2) The extremely rapidly changing tension (axial Vibration) allows the tensile forces compared to known devices to achieve the same Result, significantly reduce, whereby in particular a considerable advantage over the known expansion tables is achieved; it is therefore sufficient for this purpose to fix the patient on the movable plates by provided straps, including the projections, hooks or buttons on the side parts of the slide rails

■ the plates can be used if necessary.

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009818/05 5 8

3). In. sloping positions are made by the weights that each Has carried vertebrae, exerted tensile forces (or at least a fraction identical to these loads).

A major advantage of the device according to the invention is that there is complete proportionality between the tensile forces exerted on each vertebra and each intervertebral disc and the weights who wear them in a standing (or sitting) position.

4) The setting of the slope (slope) allows * while maintaining the proportionality between the different vertebral areas through the degree of inclination of the table to change the severity of the tensile forces on each vertebral section.

The pulling effect, which corresponds to the longitudinal component of the body weight on the table, which is to be regarded as an inclined plane, changes considerably according to the sine of the inclination angle.

The inclination, which is limited to 12 ° in the exemplary embodiment, can can of course also be chosen to be larger, although the range of inclination proposed in the exemplary embodiment is different k within the limits of what is pleasantly tolerable for the body and safe treatment, as corresponding tests have shown.

Exceptionally, it may be necessary for additional applications be to fix the panels in relation to the frame. For this purpose is in Pig. 12 an apparatus as an example shown in order to be able to set any one of the three plates, for example the plate 5, on the frame 2 in a fixed manner. This device consists of a removable cylindrical mandrel 321, preferably with a knurled head 522 is provided and at the same time in a hole 323 of the

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0098 18/055 3

the slide rail 88 to be determined. Plate and in a Hole 324 of frame 2 engages .. When this mandrel in the position described is the corresponding one Plate immobile in relation to the frame. Since it is also possible through the means described above is to firmly connect the three panels together, can you can optionally connect them all firmly to the frame. Of course, a similar one can be used if desired Place the mandrel on the other side of the plate; Corresponding, through, the slide rails can just as well the other plates through domes are provided. -

The invention is not limited to a described and illustrated embodiment, which is only given as an example is indicated, and it can contain numerous variations without departing from the scope of the invention.

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Claims (11)

- ■ K / Tr Marcel DBAUX July 23, 1969 ft Valenciennes France = Attorney's file: 5508 claims for protection 1.j Table for spondylo- or vertebral therapy, marked by means of a stand (1) with a horizontal ^ transmission axis ('41) on which a frame (2) is attached, which can be tilted from a horizontal position and one of several in the same plane on the frame (2) successive plates (3 »4, 5) joined together Has table top, the plates (3, 4, 5) are arranged so that they are preferably free and individually within this level in a common, for Inclination axis (41) of the frame (2). Can move in the vertical direction by means of a guide, one of an end plate (3) worn footrest (8) and a vibration device O2), which has a fixed, from one end of the frame (2) carried part (175), wherein also the frame (2) the footrest (8) and an in * A guide carries a movable part, which is connected with connecting straps (203) for the ankles or ankles of a patient placed on the table top is. 2. Table according to claim 1, characterized in that the plate (5) which is provided with the footrest (8) Plate (3) opposite, has a head rest (9). ACCOUNTS DRESDNER BANK. KO l * l · ΙΜΪ ft \ ö »4 ü A> 9 Λ CHECK HAMBURO NO. 19 3 7 66 3. Table according to claim 1 or 2, characterized in that that the plates (3, 4, 5) are provided with straps (112) for securing the patient. 4. Table according to one of claims 1 Ms 3 »characterized by limit stops (101) for the sliding movement or displacement of each plate (3 »4, 5) the frame, frame or the like. (2). 5. Table according to one of claims 1 to 4, characterized in that that the footrest (8) and / or the headrest (9) in their height and / or in the longitudinal direction of the table are adjustable. 6. Table according to one of claims 1 to 5 »characterized in that that the plates (3, 4, 5) supporting Frame (2) can only be inclined in one sense relative to the horizontal and that the footrest (8) and / or the head rest (9) optionally preferably on one of the End plates (3 »5) can be applied, in particular that The foot and head plates are interchangeable. 7. Table according to one of claims 2 to 6, characterized that the vibration device (12) is optional attached to one or the other end of the frame (2) and with a device for connection to the plate carrying the head support (9) (5) is provided, for example two jaws are provided on the underside of the plate, the recesses to attach the vibrator by straps. 8. Table according to one of claims 1 to 7, characterized by an operating device for the inclination of the the panels (3, 4, 5) supporting frame (2) made of 0 09818/05 58 there is an actuatable rotating shaft (41) in the stator (1) and is connected to a rotatable driver, that of one also provided in the stand (1) Shaft. (51) and in a to · rotating shaft (41) or pivot axis of the frame (2) on the stand (1) radial slot (71) of the frame (2) engages. 9. Table according to one of claims 1 to 8, characterized by one or more devices (262 to 271) for a fixed connection of the plates (3 »4, 5) with one another. 10. Table according to one of claims 1 to 9, characterized by one or more devices (521 to 324 for Locking the plates (3, 4, 5) on the frame (2). 11. Table according to one of claims 1 to 10, characterized in that the vibration device ¹ (12) is removable and the displacement part (197) has two coaxial massage rollers (213, 214), the distance of which is adjustable and the axes (211, 212) ) are perpendicular to the direction of movement or stroke of the displacement part (197). - 3 009818/0558 Blank page