DE7529070U - DEVICE FOR TRANSFERRING TENSION FORCE OF PRE-DETERMINABLE AND MEASURABLE SIZE DURING THE TREATMENT TO THE HUMAN SPIRAL COLUMN, USING PULLING EQUIPMENT (TAPES, ROPES, OR THE LIKE) OR. STRAPS THAT THE PULLING FORCE ON THE PERSON TO BE TREATED FOR THE PURPOSE OF STRETCHING THE SPINAL COLUMN OR. TO TRANSFER A PRE-DETERMINED SPINAL AREA, OR TO TRANSFER TENSIONING FORCE TO THE LIMBS OF THE HUMAN BODY FOR THE PURPOSE OF EXTENSION OR EXTENSION - Google Patents

Description

Margita Pondeljak, née Filipovio Kemnader Strasse 2j5

4630 Bochum-Stiepel

Device for transferring tensile forces of a predeterminable magnitude that can be measured during the treatment to the human body Spine, using traction means (straps, ropes or the like.) Or belts that the tensile forces on the transferred to the person to be treated for the purpose of stretching the spine or a predetermined area of the spine, or for transmitting tensile forces to limbs of the human body for the purpose of stretching or stretching them

The innovation relates to a device for transmitting tensile forces which can be predetermined and during the treatment measurable size on the human spine, using traction means (straps, ropes or the like) or Belts that the tensile forces on the person to be treated for the purpose of stretching the spine or a predetermined Spinal area, or to transfer tensile forces to limbs of the human body for the purpose of stretching or stretching them.

The way people live today brings with them numerous diseases of civilization, including spinal diseases due to intervertebral disc damage. The pain that occurs can be varied and

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22 x 0.1 x 7; ";

j for example in the back, legs or hips

^! appear. Spinal diseases can be conditional

Lack of exercise] .. or sitting in the office for hours. the Intervertebral discs, which are still elastic at a young age, lose their resistance over the course of the toe and deform or deform

'shift so that the intervertebral discs are no longer able to withstand the high pressure. Over time, the intervertebral discs shift so that the bony vertebrae can touch each other, whereby in certain cases nerves can be pinched between individual vertebrae or the pre-pressed and flattened intervertebral discs themselves press on ι nerves, which also leads to painful side effects

leads. Can go along with a relaxation of the muscles' of the spine, where the up from the bowels

: the inside of the spine normally exercised and

pressure beneficial for the spine in poor posture

'' and weakened abdominal muscles are lost. Also pulls

nor the weight of the entrails on the spine.

It was found that apart from surgery, chiropractic, massages, radiation, baths, support corsets and use injections and other medication to treat disc damage, including pulling forces on the spine or can cure. To exert such tensile forces, numerous devices have already been proposed that are none of them have so far been able to enforce in practice to a large extent.

On the one hand, the known devices are technically far too complex and expensive. The DT-OS is an example of this 2 036 920 mentioned, which is a device with more complicated electrical or electronic control for stretching the human spine shows, with feet and head respectively are encompassed by loops, which are guided longitudinally displaceably by a motor on displaceable carriages. For operation Such a device is particularly well-trained

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Powers. In addition, the investment costs are very high, so that usually only clinics can afford such devices be able. In addition, the device can only be used to a limited extent.

Another device for pulling the lumbar vertebrae apart in the case of intervertebral disc damage can be found in DT-OS 2 015 440. In this previously known design, the patient is preferably stretched out on a table or the like, straps being attached to different parts of the body which transmit a tensile force to the body that pulls the spine apart. A strap with cuffs or the like is provided at the foot end of the device for fastening to each leg, in particular to the shackles, these leg straps preferably starting from a common strap. In addition, a belt placed around the body of the patient, preferably around the waist, is provided, which is attached to the head end of a bed by means of two body straps to be guided along the upper body of the patient, in particular having a common support element, the leg straps and the belt via at least a winch are adjustable in relation to one another in the longitudinal direction of the patient's spine. The patient is pulled apart so through in the waist and cuffs attacking loops with tension elements. This means that it is not possible to apply a dosed introduction of force in certain areas of the spine. In addition, a complete bed with frame is required in this previously known design, which in the specifically implemented embodiment has a winch with a hand crank on each end face, which is firmly coupled to the bed frame via struts. The patient cannot operate this device himself. The investment costs are also still relatively high. After all, this device is not transportable in the Norma2g-e - * need, but is in the clinic or in the doctor's treatment room.

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Further devices for stretching the spine or for stretching extremities of the human body are in deals with the following publications:

DT Gbm 7,147,619; DT-OSen 1 766 080, 1 965 038, 2 000 045, 2 004 389, 2 004 932, 2 050 250, 2 163 827, 2 215 805, 2 226 073, 2 252 095, 2 403 534, 2 315 593 , 2,423,371, 1,566,401, 2,363,390; DT-PSs 152 892, 181 530, 185 229, 370 985, 959 850, 59 561, 63 142, 66 387, 69 580, 277 336; DT-ASen 1 566 496 _r 1 075 797, 1 122 669, 1 278 698, 1 965 038, 1 566 512, 1 048 671 and 1 541 338. Most of the above-mentioned designs have never been realized in practice. Some are either structurally too complex. What they all have in common is that they are not suitable for both cure disc damage at any point of the spine by tensile loads and also for stretching z. B. arms and legs, for example for massage purposes after bone fractures or surgical interventions, can be used. Still other devices cannot be operated by the patients themselves and require the use of specialist staff.

The device to be taken from DT-GM 7 430 156, which is practically effective with the device according to the DT-OS 2 015 440 is comparable, allows no metered, but above all no tensile force introduction where it should be effective, namely in the lumbar region. Above all, the supply force becomes very unfavorable Introduced through the hip joints into the person's body and not into the lumbar spine area. The constructive one The effort is also quite large. The expense for the frame alone exceeds an economically justifiable level. Also the tubular frame construction is not necessarily kink and flexurally rigid. Rather, on the front sides of the Frame, but also stiffening struts approximately in the middle length range. A stretching of the limbs is not possible.

U.S. Patent No. 2,853,999 describes a table for correction the spine, while US Pat. No. 2,934,063 has a vibrating stretching table describes.

A device for exercising walking can be found in US Pat. No. 3,824,994. A stretching and treatment of lumbar damage is not possible with this device. The patient stands in the cistell.

FR-PS 1 121 411 also describes a table with a vibration drive. Such devices are technically very complex and cause high investment costs.

From FR-PS 2 095 407 an extendable or adjustable structure can be found.

The innovation is based on the task of a device to create the type described above, which are both for stretching the spine or the stretching of predetermined Spine areas as well as for the transmission of tensile forces to limbs or extremities. the The device should be very simple in construction, can basically be operated by the patient himself and in the If necessary, no tables, beds or other special frames require. In addition, the device should also be easily transportable, so that it may be damaged by the spinal column Can be taken home, where these people - if necessary according to the doctor's instructions - their own Complete treatment program.

Based on a device of the narrower type described at the outset, this object is thus achieved according to the invention that the device has only a U-shaped frame open at one end, between the U-legs of the patient or the limb is located, the U-legs at least over part of their length for the purpose of adapting to the body or pivotable to the limb, but to the extent necessary

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Dimensions rigid and kink-resistant to absorb the reaction forces of the tensile forces that can be measured and changed during treatment occurring compressive forces are, the U-legs releasable by fastening means with a around the chest of the patient laid wide, longitudinally adjustable, lockable at its free ends belt are coupled and that in the area of the U-legs connecting U-legs a limited amount in the longitudinal direction of the U-legs slidably guided on this Pull slide is arranged, which can be pulled onto the web by a drive via a flexible pulling means, wherein on the Pull slide several pulling means are attached, which either to a locking, adaptable or adaptable the hip of the patient. adjustable and attached to the traction means, in particular designed as a hip belt holding element or to tension bearings for guide the patient's feet, or that an abutment for enclosing the neck or neck is connected to the pulling carriage is, while the counter-pull can be applied by the holding element releasably attached to the U-legs.

The device according to the invention is very simple in structure and can accordingly be compared to other devices to stretch the human spine or the like. Build and sell inexpensively. As a rule, when using a innovation according to the device to invest only a small fraction of the costs, for example, the device according to DT-OS 2 036 920 requested.

Another advantage is that with the innovation according to the invention Device the introduction of tensile forces on precisely defined areas of the spine, for example the introduction of such tensile forces on the lumbar vertebrae is possible. However, nothing stands in the way of it, instead To transfer tensile forces of the desired size to the cervical vertebrae. In this case the to be treated Person only the other way around than when treating others

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22-03-76 '

Spine areas between the U-legs, i.e. with the
Head towards the slide, clamped. The pulling carriage
has in this case a loop or a belt that
be attached to protruding holding members of the pull slide
can and the neck or throat of the patient in whole or in part
encloses, while the counter-tension is applied by a chest strap that locks the hips, which is attached to the U-legs
is releasably locked. f.

For massage purposes, the person can also lie on their stomach

be arranged between the U-legs. For example, |

in this case it is possible to reduce the tensile stress caused by the |

wide chest strap around the person's chest and through %

loops or loops locking the shackles or feet f

to raise. In all cases the patient can be under tension |

Perform calisthenics, e.g. B. the drawn up legs back and forth |

swing here. I.

A particular advantage of the device according to the invention is i

se '

to see that the / independent of benches, tables,

Chairs or special beds. The U-shaped frame can easily be placed on the floor. |

Two winches like I in DT-OS 2 015 440 are not required to apply the tensile forces, which again reduces the investment and manufacturing costs. \

Another notable advantage is that | controlled by the device according to the innovation tensile forces | can be applied to the body areas, limbs or extremities to be stretched or stretched, for example the spine. Nothing stands in the way, a suitable one
Tension measuring device to be arranged so that the respective to be treated
Person can read the applied tensile values also in the treatment position.

The patient can easily treat himself when using a device as proposed by the innovation. For this purpose, the doctor can give him suitable tensile measurements and treatment times. The operation of the renewal The device is in no case special knowledge in advance. Without exertion, the patient is able to to operate the drive of the pull slide via the flexible traction means, even in a lying position.

Although the device according to the innovation does not require any special tables, special hospital beds, frames or the like, but - as mentioned - works on the floor, on every kitchen table or every treatment table that is normally available, there is nothing in the way of using a device according to the innovation in connection with an inclined plane, which is arranged inclined away from the pulling carriage, such that the patient after buckling with a certain initial pull hangs in the device without the drive of the carriage has been actuated. Will in this If the drive of the carriage is actuated, the introduction of the tensile forces into the body or into the limb begins immediately or the like of the patient. Because by appropriate selection of the transmission ratio for the drive of the pull slide but even small actuation paths on the flexible traction mechanism are usually the use of a inclined plane dispensable. The initial shifts in the skin and tissue when the stretching forces are initiated, can easily be compensated by shifting the pulling carriage accordingly.

Furthermore, nothing stands in the way that the buttocks or other body parts are placed on friction-reducing plates that For example, they can slide over or into one another like scales. The body could also be placed on a mat that are supported by rollers on the floor or the like. However, these documents are not required.

If, for example, the lumbar vertebrae are to be pulled apart, this can be done in such a way that the person The chest strap is buckled when standing or sitting. It is advisable to put the clothes on the upper body beforehand filed.

The locking element for the hip, for example a hip belt, can also be attached while standing or sitting. In this state, the tension elements can dangle down loosely or removed or with automatic belt retractors as in Car seat belts must be fitted. Then go on the side on which the person stands between the U-legs wants, a U-leg folded or pivoted to the side, which is particularly advantageous when the patient is on wants to move to a massage table or other raised surface. Thereupon the U-legs are again in the direction folded onto the patient's body and locked on the chest strap. The tension elements of the hip belt are fastened with buckles or other Abutment of the pull slide coupled and tightened, what when using tapes in the thickness and width dimensions normal car seat belts and when using common friction-locking buckles like those used in car seat belts be used, can be done in a simple manner that is pulled at the free ends of the tension elements. In the same In this way, the chest strap and hip belt can be placed tightly around the patient's body.

It is advisable to raise the patient's legs slightly before applying the pull. This can be done with a stool, a Pillows or a roll can be pushed under the back of the patient's knees. This brings the spine into a flatter shape. The traction mechanism for driving the traction slide is then pulled on the strand provided for this purpose. This can be done with two fingers. The patient is able to do this himself. The actuation of the traction means for the However, the pull slide can also be driven by another person, for example a doctor. the Tension elements get under correspondingly strong

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Tension that can be read on a tensile measuring device. The voltage can maintain a constant value for a correspondingly long time or also intermittently increased and decreased will. The tensile stress can also be increased continuously. Usually tensile forces are on the order of magnitude of 40 kp at the beginning registered as strain on the spine by feeling. With a new one Device can be any high tensile forces on the body or limb, for example in the order of magnitude of 300 kp transferred.

As a result, tensile forces of any desired magnitude can be achieved, for example on the lumbar vertebrae and their intervertebral discs. at In this way, the patient's cervical vertebrae and the joints of the legs are completely unencumbered. It is also through Appropriate buckling is possible so as not to burden the thoracic vertebrae.

If this is desired, however, the cervical vertebrae, for example, can also be stretched, which is usually the case Tensile forces of considerably less than 200 kp are sufficient.

A device according to the innovation for the treatment of spinal column damage can be easily carried out by a person easy to transport, so that they can easily be carried by the nursing staff from one room to the other or from one room Treatment table or massage table can be placed on top of the other. In addition, the device can be collapsible be designed because it consists essentially of a few profile tubes, the two U-legs, the connecting bridge and the pulling carriage. The tension elements and other belts take up little space, are flexible and can also be easily stowed away or rolled up.

Because the U-leg is essentially subject to buckling are, relatively light rods, profile tubes,

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- 11 tubes or the like for the frame.

The device according to the invention can, however, in the same way also be used for stretching or stretching limbs, for example of legs that seem to be shining, arms, for the treatment of such limbs, in the healing treatment of broken bones or the like. can be used.

Furthermore, it is not absolutely necessary that the device is used in a horizontal plane. The device could can also be used in a vertical plane, i.e. the person hanging or standing between the U-legs.

Transferred in a further advantageous embodiment the tension elements acting on the retaining element or hip belt are subjected to approximately ring-shaped uniform tensile stresses on the Waist belt. This avoids unilateral tensile loads being transferred to the spine.

In the same way, the chest strap transmits tensile loads in a ring shape on the upper body.

According to a further feature of the innovation, this is because of this characterized in that one tension element in each case in the area of the hip joint bone or the pelvis, above the same, preferably for example in front of the hip joint bones concerned or the pelvic bones, and a third tension element with the spine running, are attached to the retaining element or the hip belt. As a result, especially when stretching the lumbar vertebrae, which are mainly affected by intervertebral disc damage, tensile stresses on the spinal area transferred, on which these tensile loads are really necessary. All other joints, for example Knees and ankles are not loaded in any way, as is the case with the item according to DT-OS 2 015 440, for example the case is.

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• on

- 12 -

Another embodiment is characterized in that at least those in the area of the hip joint bones "or the Tension elements ending at the pelvis with regard to their fastening points on the holding element or hip belt in its longitudinal direction are adjustable in a circle. As a result, the tension elements can be optimally adjusted for each user, so that the tensile forces can be introduced into the body of the user in an optimal way, which is particularly important in the treatment of intervertebral disc damage is beneficial.

Of particular advantage, a device in which at least the ends or in the region of the hip joint and the pelvic bone at the hip strap holding element or tension elements engaging in loops are connected to loops, by the or the T _e il the hip belt of the holding element is guided displaceably . As a result, tension elements can easily be exchanged for one another, for example tension elements for adults against tension elements for children. In addition, the number of tension elements that act on the holding element or the like can easily be changed. Finally, after putting on the hip belt or the like, the tension elements can be moved in the circumferential direction into the optimal position with regard to their points of application.

According to a further feature, an embodiment is characterized in that the one with the holding element or hip belt connected tension elements on the body or the limb od. The like. Facing side on the hip belt or retaining element attack and that all acting on the hip belt or retaining element tension elements as straps, preferably in the Thickness and width dimensions of common car seat belts are formed. The tension elements can thus be in Easily procure as roll material and easily cut to the desired position. custom made are therefore not required.

It is recommended that that which goes with the spine

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and the tension element engaging the retaining element or hip belt, or the like, immovably engages the hip belt or the like, preferably is sewn to this. This becomes the point of application of the tension element, which runs in the direction of the spine, fixed.

In a wider embodiment, they are on the waist belt od. The like. Attacking tension elements at least at one end - preferably in the area of the retaining element or the hip belt - Easily designed to be detachable. As a result, if necessary, the tension elements can not only be removed from the hip belt, but can also be easily detached from the pulling carriage.

Another feature is that the tension elements acting on the hip belt or the like are easily detachable Buckles are preferably coupled with a friction fit by pulling. After pushing through the end of the ribbon-shaped With the tension element, these tension elements can be easily tightened by pulling on the free end, as is the case with car seat belts is known with such buckles.

It is recommended that the ends of the pulling elements engaging the pulling slide are also coupled via releasable buckles. For this purpose, frictional locking buckles of conventional car seat belts can also be used.

Advantageously, short pieces of tape are connected to the loops, which carry the releasable buckles with which the Tension elements are coupled. As a result, the hip belt can be folded over the patient without the tension elements being involved disturb. These pulling elements can be quickly and easily attached to the corresponding buckles on the short Attach pieces of tape when the patient is in the required position, for example a lying position in between the U-legs of the frame.

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An embodiment is particularly advantageous in which each loop of the tension elements, on which the body or the limb od the like. Facing side is assigned a bead-shaped thickening. This bead-like thickening can lie above the hip joint bone or pelvis. This ensures that when applying the Train results in a good introduction of the tensile stresses in the patient's body without the tensile elements or the hip belt incline and cut into it. The bulbous Thickenings can be arranged in such a way that they are to a certain extent against the corresponding areas of the Create the pelvis or pelvic bone or the hip joint bone or fully or partially overlap these areas. As a result, these bead-like thickenings also form, so to speak, abutments for the body.

In a further advantageous embodiment of the innovation each bead-shaped thickening is directed at an acute angle to the hip belt, such that the bead-shaped thickening points to the pulling carriage. This results in a good fixation of the force introduction areas on the hip belt.

The hip belt or the like advantageously runs in the manner of a flat V in such a way that the longitudinal axes of the legs of the V meet at an obtuse angle in the strap sections in the area of the spine, where the attacks a tension element. This ensures that the hip belt is also subject to high tensile loads from the tension elements relatively close to the back, including in the area of the spine, and roughly ring-shaped, full, encloses this area of the body. Such a design and arrangement can be made that the hip belt widened funnel-shaped towards the pelvis.

In one embodiment of the innovation, each bead-like thickening is a roll of foam. Such bead-shaped Thickenings are perceived as pleasant and do not produce any

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Pressure points.

According to the innovation, the hip belt or the retaining element is on the inside fully or partially upholstered, e.g. B. provided with a foam rubber neoprene or other foam pad. This also prevents the belt from slipping on bare skin with certainty without causing pressure or pressure Terminal points comes.

Another advantageous embodiment is characterized in that that the hip belt or the holding element and the waist belt on the inside wholly or partially, z. B. with a Provide foam rubber, neoprene or other foam pads is. Apart from the fact that the patients find such a support pleasant, there is also a slipping off This belt prevents the bare skin without causing painful pressure points. The edition can be in be designed in any way, for example in the form of raised knobs or beads.

Another feature is that the chest strap has recesses or has formations for female breasts. This avoids painful pressure points.

The chest belt is considerably wider than the hip belt, for example 1.5 to 5 times as wide as the hip belt.

The chest strap can be about 15 cm wide, while the hip belt is about 8 cm wide.

Advantageously, short pieces of tape are attached to the chest strap and have eyelets at their free ends, each of which goes into the Fastening abutments of the U-legs can be hooked, e.g. B. can be placed over the end faces of the U-legs. This allows couple the chest strap to the frame quickly and easily. The chest strap transmits the reaction forces through these eyelets

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• · · · · P 14t

• »••• HU · ·· ι ·« « >

- 16 compressive forces occurring over the U-legs on the frame.

A light and yet tear-resistant chest strap results from the fact that it consists of one that absorbs the forces flexible harness is made, the spaces between them padded or is provided with a pad made of neoprene, foam rubber or other foam. The harness can consist of webbing.

The belt straps running in the direction of the circumference of the body or limb can have the same thickness and width dimensions as the tension elements leading to the hip belt.

A tight enclosure of the upper body and thus a good introduction of tensile forces into the body results from the fact that the chest strap encompasses the upper body of the person in a funnel-shaped manner, widening upwards towards the head.

is

According to a further feature / the innovation, characterized in that the chest strap in the area of the spine has a bead-shaped raised thickening on the inside, which extends too considerably in the direction of the feet Belt circumferential direction broadened. This creates the naturally existing cavity between the spine and inside of the chest strap are well filled so that when tensile loads are applied to the in the area The tension element running along the spine does not result in an inclined position of the chest strap in this area, but rather the chest strap here also transmits tensile forces to the upper body of the person in a ring shape.

Another embodiment is characterized in that the abutment eyes or hooks on the chest strap are adjustable and are arranged adjustable. This makes it possible to adjust the abutment eyelets depending on the size of the patient and depending on Location of the same between the U-legs of the frame on the

ft ti ·· ♦ «· · I'M · ·

• • »• II · t ·

to adjust the existing conditions.

In a particularly advantageous embodiment, the Drive for moving the pull slide designed as a manually operated winch with transmission gear, which is attached in the middle area of the web connecting the U-legs, with the winch via a flexible Pulling element is connected to the pulling slide via a pulling measuring device with a scale that can be read from the outside, the A drive wheel is assigned to the winch, in whose circumferential groove, preferably designed as a rope groove, a flexible, endless drive element is guided, which extends approximately into the area of the free ends of the U-legs. Through this the patient, who for example rests in a lying position between the U-legs of the frame, can be easily and comfortably and the tractive effort required in each case without great effort by pulling on the corresponding strand of the drive element raise yourself. The patient can adjust the size of the pulling force by reading the scale. Through suitable Choosing the transmission gear of the winch, the tensile force that the patient has to apply on the strand of the flexible, endless drive element can be so small that the pulling with your thumb and forefinger is sufficient. Even a child can pull forces of 200 and more kilograms without exertion Apply the device according to the innovation. This drive is robust, simple and inexpensive with small dimensions, so that the device can also be carried by a child.

The drive element is expediently in the form of a plastic hose or plastic track formed.

An embodiment in which the debris of the drive element is close above and below the Web are guided in eyelets, which have a wrap angle of significantly more than 180 degrees, preferably of about

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- 18 -

250 to 280 degrees to ensure the drive wheel of the winch.

\ This large angle of contact prevents slipping

'of the flexible drive element. The eyelets are cheap

Aids that are much cheaper than a

: additional gear or an additional drive for the

Winch that would otherwise be required. That way is

; it is possible over a distance via the flexible drive element to move the slide in the pulling direction by significantly more than a meter or back into the release position to drive back.

The frame advantageously consists of tubes or of prolile tubes.

The swiveling chen parts of the U-legs can over Journal bearings can be connected to the remaining parts.

According to a further feature of the innovation, the pull slide also consists of tubes or profile tubes and one parallel Part running to the web of the U-legs with sliding sleeves made of tubes or profile tubes attached at each end - if necessary with a friction-reducing bearing insert - through which the U-legs grip.

According to the innovation is on the transverse part of the pull slide the tension measuring device attached.

An existing from a few robust individual parts and accordingly simple embodiment results from the fact that the Tensile measuring device has a tubular housing to which a flange is fastened, which by fastening means with is coupled to the part of the traction slide running parallel to the web, in the interior of the tubular housing in the longitudinal direction of the housing a pipe sleeve is mounted, which one end as an abutment for at least a compression spring is used, the flange in the longitudinal axis

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the tubular housing has a hole through which a rod-shaped fastening abutment for the traction means leading to the drive wheel of the winch engages, the fastening abutment on the side facing away from the tension element by an abutment, e.g. B. a nut, a ■ head or the like is supported on the end face of the tubular sleeve \ , which penetrates the fastening abutment through a hole and an arm is connected to the tubular sleeve, | which engages through a longitudinal slot of the tubular housing and is coupled to a toothed rack which meshes with a pinion which is coaxially connected to a roller having a tension measuring scale on its circumference.

The frame and the pull slide can consist of light metal tubes.

Furthermore, feet can be assigned to the U-like frame in the area of the web. In one embodiment, these feet are removably attached to the U-frame. This allows the device either in connection with a massage bench, a treatment table or the like. Or directly use a mat or on the floor. To adapt to different heights of the tables or inclined planes, the Feet be adjustable in length. For this purpose, the feet can be designed as tubes which can be telescoped into one another being.

In the drawing, the innovation is illustrated in an exemplary embodiment - partly schematically. Show it:

1 shows a device according to the innovation in a perspective view with waist belt and hip belt;

FIG. 2 shows the device shown in FIG. 1 from a different perspective, likewise in perspective Depiction;

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FIG. 3 shows a perspective detail from FIG. 1 with the pull slide, on a larger scale; FIG.

FIG. 4 likewise shows a detail from FIG. 1 with the chest strap and the hip belt, also on a larger scale; FIG.

5 shows a loop as used in connection with the hip belt, also in a larger one Scale;

6 shows a patient in the treatment position during treatment to 11 of intervertebral disc damage;

12 shows a partial longitudinal section through a tension measuring device.

In the drawing, the innovation is applied to a device illustrates that as a universal device for the treatment of spinal damage in the lumbar, thoracic and Neck area, in the treatment of broken bones, for massage purposes and the like. With The device shown in the drawing can be particularly advantageous in the treatment of spinal column damage, for example in the treatment of intervertebral disc damage in the lumbar vertebrae area.

The device according to the innovation consists essentially of an approximately U-shaped frame 1, between its U-legs is - as can be seen from Fig. 6 - the patient is. Instead, however, between the U-legs 2 and 3 a limb, such as an arm or a leg, lie down. In the embodiment shown, the U-legs 2 and 3 can pivot sideways via axes 4 and 5, respectively. Instead of this However, the joints 4 and 5 can also be designed so that the U-legs are not only approximately horizontal, but are also articulated or pivotable in the vertical plane. This could be necessary if the renewal

7529070 Z9.Oa78

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appropriate device is used in conjunction with a massage bench, a table or an inclined plane, so that the U-legs 2 and 3 according to the course of the pad can be swiveled. It is also due to the special design and arrangement of the U-legs 2 and 3 according to the innovation Device possible to pivot a limb, for example the limb 2, to the side so that the patient can do so does not need to climb over the U-leg in question, which is particularly important when treating on tables or massage benches or the like. Is advantageous.

The entire U-like frame 1 consists in the illustrated embodiment of light metal tubes of square Cross-section. Instead, of course, other materials, such as plastic pipes or steel pipes, be used.

The U-legs 2 and 3 have fastening means 6 and 7, which in the illustrated embodiment are shoulder-shaped Setbacks of the U-legs 2 and 3 are formed. These fasteners 6 and 7 are for a around the chest of the Patient-laid, wide, length-adjustable, buckle-able and lockable belt (chest belt) 8 intended.

In the area of the web 9 connecting the U-legs 2 and 3, there is a limited amount in the longitudinal direction of the U-legs 2 and 3 arranged displaceably on this guided pull slide 10, which is driven by a drive 11 via a flexible pulling means 12 can be pulled in the direction of the web 9 of the U-legs 2 and 3, with three flexible, removable ones on the pull slide TO Tension elements 13, 14, 15 are attached, which lead to a long adjustable, buckled hip belt 16 and on this are releasably attached.

The tension elements 13, 14 and 15 are with the hip belt on about 120 degrees in the circumferential direction of the hip belt arranged to each other, so that approximately annular tensile loads

• · · · »it

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transferred to the hip belt. The arrangement of the tension elements 13 and 15 is made so that they are approximately sideways forward, above the hip joint bone. attack the pelvic bone, while the tension element 14 extends in the direction of the spine, that is approximately parallel to this.

The tension elements 13, 14, 15 are in their thickness and width dimensions designed like normal car seat belts and can be made of the same material. These tension elements 13, 14 and 15 are releasably connected to the pull slide 10, which in the illustrated embodiment has a friction fit Buckles happens that are usually found in car seat belts / application. In addition, the Tension elements 13 and 15 via such frictional buckles - indirectly - in the type and described below Way with the hip belt 16 detachably coupled. Such a friction-locking buckle 17 can be clearly seen from FIG recognize.

Loops 18 and 19 are arranged on the hip belt 16 so as to be displaceable in the longitudinal direction of the hip belt 16. One is clear the loops 18 from FIG. 5 can be seen. With each of the loops 18 and 19, a short tension element 20 and 21 (Fig. 5) firmly connected, for example by seams, which in the embodiment shown carry the buckles 17. Through this the points of application of the tension elements 13 and 15 on the hip belt 16 can be changed in the circumferential direction of the same and can be optimally adjusted for each patient. Of course, nothing stands in the way of pulling element 14 over to attack a loop on the hip belt 16. It is also possible to releasably use this loop, not shown to couple the tension element 14, for example also by means of a friction-locking buckle.

The short tension elements 20 and 21 also consist of sections

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normal car seat belts.

Each loop 18 or 19 is on the body or the A bead-like thickening 22 or 23 is assigned to the limb or the like facing the side. These bead-like thickenings 22 or 23 (such a thickening can clearly be seen from FIG. 5) is in each case above the hip joint bone or pelvis. As the drawing clearly shows, each bead-like thickening runs underneath at an acute angle to the hip belt axis 16 such that it points in the direction of the pulling carriage 10. Otherwise there is in the embodiment shown, each bead-like thickening made from a roll of coated foam, foam rubber or neoprene.

Furthermore, in the illustrated embodiment - which is not apparent from the drawing - the chest strap 8 and dsr Hip belt 16 inside, d. H. on the side facing the patient or the limb, completely or partially with foam rubber or neoprene foam or other foam lined that increases the slip resistance of these belts and also enables the two straps to be carried comfortably.

The rest of the strap material can consist of tear-resistant plastic. Furthermore, the chest strap 8 can have recesses or formations for female breasts so that there are no incisions.

As clearly shown in FIGS. 1 and 4, there are 8 short, flexible pieces of tape on the chest strap, for example made up of sections conventional car seat belts 24 and 25 arranged, which are commonly used in car seat belts frictional buckles 26 and 27 are assigned. This means that the chest strap can be steplessly pushed through the pieces of tape 24 and 25 by the corresponding buckles 26 and 27 with the desired force by simply pulling on the

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Secure the ends of the pieces of tape 24 and 25 to the patient's torso.

The hip belt 16 also has a short piece of tape 28, for example made of a material in the strength and dimensions of a normal car seat belt, with one made of the drawing not clearly recognizable, attached to the hip belt 16 buckle can be locked steplessly when the Hip belt 16 is placed around the patient's waist, for example. In this case, the patient or a carer needs it after inserting the piece of tape 28 through a frictional buckle or the like. Only pull at the free end to to lock the hip belt 16 in the desired manner.

Both the chest belt 8 and the hip belt 16 run in the form of a funnel in the embodiment shown, that is, the chest belt 8 encloses the upper body of the patient below the arms, widening upwards in a funnel shape, while the hip belt expands in the direction of the pelvis in a funnel shape wnd also the body of the patient in a ring.

The chest strap 8 is in the area of the spine on the inside a bead-shaped raised thickening 29, which extends in the direction of the feet too considerably in the circumferential direction of the belt widened.

Furthermore, FIG. 4 clearly shows that 8 abutment eyelets 30, 31 and 32, 33 are connected to the chest strap. These abutment eyelets are attached to the chest strap 8 via loops made of tear-resistant material, for example made of Trevira connected. The loops, only two of which are designated by the reference numerals 34 and 35 in Fig. 4, are stitched firmly connected to the chest strap 8.

The hooks or eyes 30, 31, 32 and 33 can be paired with ■? the fasteners 6 and 7 are coupled when

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• I · ·

the patient is between the U-legs 2 and 3.

The drive 11 for moving the pull slide 10 is to be operated manually in the embodiment shown Winch with transmission gear (gear, pinion) and detachable backstop designed in the middle of the U-legs 2 or 3 connecting web 9 is releasably attached, the winch 11 via a flexible tension element 36, which at the embodiment shown is designed as a plastic cord, via a tensile measuring device 37 with readable from the outside Skala38 is connected to the pull slide 10. With the winch 11, a drive wheel 39 is coupled, in the revolving, in the illustrated embodiment, the groove formed as a cable groove, the flexible, endless drive element 36 guided which extends approximately into the area of the free ends of the U-legs 2 and 3. *) is,

As clearly shown in FIG. 3, the debris of the drive element 36 is close above and below the web 9 guided in eyelets 40 (Fig. 3) and 41 (Fig. 1), which have a wrap angle of about 250 to 280 degrees around the drive wheel 39 ensure. This prevents the drive element 36 from slipping in the cable groove. One saves This creates a complicated transmission gear or a complicated drive. Albeit with the one shown Embodiment the tubes of light metal of square If the outer and inner cross-sections exist, nothing stands in the way, instead circular pipes made from another Material, for example made of a suitable plastic, to be used. The tubes can also be nickel-plated and / or chrome-plated being.

The pull slide 10 also consists of tubes, preferably of the same tubes as the frame 1. The pull slide has a part 42 which runs parallel to the web 9 of the U-legs 2 and 3 and which has a sliding sleeve at each end

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43 and 44 respectively. The sliding sleeves can be inside with suitable Bearing inserts made of plastic or metal be provided. The U-legs engage through these sliding sleeves 43 and 44 2 and 3 of the frame 1 through.

Wis clearly from Figures 1, 2 and 3 is that Tensile measuring device 37 is attached to the transverse part 42 of the pull slide 10. The displacement path of the pull carriage 10 is limited to one end of the U-legs 2, 3 by the web and to the other end by feet 45 that the pull slide Keep at a clear distance from the base, not shown, for example the floor. With your feet and / cder with the web 9 can be on both sides, advantageously in the corner points - i.e. three or more feet, for example releasably connected. These feet will be beneficial designed telescopically extendable. The feet can be adjustable in steps or via a friction fit Sliding sleeve be clamped in the desired height position, so that the device can be different Heights of massage beds, treatment tables, inclined planes or the like. Can be adjusted. In addition, these can not be shown Feet be designed to be removable so that the device can also be placed on the floor, as this is the case Fig. 1 illustrates.

The tension measuring device 37 has - as can be seen in particular from FIG. 7 - a tubular housing 46 on which a Flange 47 is fastened, which by fastening screws with the parallel to the web 9 part of the pull slide 10 is coupled. In the interior of the tubular housing 46, a pipe socket 48 is mounted so as to be displaceable in its longitudinal direction, which serves as an abutment for a compression spring 49 at one end. In the flange 47 there is a hole 50 in the longitudinal direction thereof arranged, through which a fastening abutment 51 designed as a rod for Jas to the drive wheel 39 of the winch 11 leading traction means 12 engages. The fastening abutment 51

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is supported on the side facing away from the tension element 12 by a screw nut 52 on the pipe socket 48. The Fastening abutment 51 extends through compression spring 49 in its longitudinal axis. With the tubular sleeve 48 is an arm 53 connected, which engages through a longitudinal slot 54 and carries a rack 55 which meshes with a pinion 56 which is coaxial with a measuring scale 38 on its circumference Roller 56 is connected. The scale 38 is calibrated in kiloponds.

For example, suppose a patient is to be treated with a damaged lumbar disc:

Chest and hip belts are placed on the patient's chest and hip belts below the arms or in the waist area, and these belts are tightened accordingly by tightening the straps 24, 25 and 28, so that these belts cannot slip. With corresponding friction-reducing inserts, slipping on the skin is definitely ruled out, even with low tightening forces. Then, the tension elements 13 and 15 are adjusted by moving the loops 18 and 19 such that these traction elements above the hip joint or ^ fS ^ I ¹ Seckens initiate forces in the waist belt sixteenth It is assumed here that the tension element 14 is firmly connected to the hip belt in the spinal column area.

Then one of the legs 2 or 3 is swiveled to the side so that the patient can lie down between the U-legs 2 and 3 can. The chest strap is coupled pressure-tight to the U-legs 2 and 3 via the abutments or hooks 30, or 32, 33. The tension elements 13, 14 and 15 are attached to the hip belt 16 or coupled to the pulling carriage 10. Then the tension elements are tightened by appropriately pulling on the free end sections the tension elements 13, 14 and 15 tightened. Then the drive element 36 can be placed in the hand of the patient. However, it is also possible that an auxiliary person

7529070 7.9.06.78

drive element 36 takes in hand. By appropriate Pulling on the pulling strand, the drive wheel 39 is rotated, which results in a corresponding pulling force on the flexible pulling means 12 has, which compresses the compression spring via the fastening abutment 51. The assistant or the patient himself can The tensile force applied in each case can be conveniently read off on the scale 38. It is advantageous for the patient to be in the popliteal region a role, a pillow, stool or the like comes to lie flat. The tensile forces can also be applied intermittently. Usually the patients notice it for the first time a tensile force of 40 kp acting on the lumbar vertebrae. The tensile force can then each in the desired manner, for example intermittently increasing and decreasing or steadily increasing on the the desired value can be increased, held there for a while or also immediately decreased again. For example With the push-pull device according to the invention, forces of the order of magnitude of up to about 300 kp can be applied. By dimensioning the winch and the U-legs, the pulling carriage and other device parts accordingly forces of more than 300 kp can be achieved. It goes without saying that this is an appropriate one Calibration of the scale 38 and a correspondingly strong compression spring 49 presupposes.

The tensile measuring device is advantageously a display device which can be adjusted to the respectively desired tensile value assigned, which responds acoustically and / or visually. This device can be battery operated and attached to the housing of the Tensile measuring device have two contacts, one of which is adjustable. When reaching / Hochstzugwert z. B. a red lamp will be switched on when the contacts are closed.

The features of the utility model described in the description and in the claims for protection and can be found in the drawing can be essential for the innovation both individually and in any combination.

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Claims (42)

• Ι ·· ·· «· ι> t ■ >> ■ ι, t · ♦ · ti · tti «» Lit if «·« 29 - Protection claims Device for transmitting tensile forces, predeterminable and during the treatment of measurable size on the human spine, using traction means (straps, ropes od. Like.) or belts that the tensile forces on the person to be treated for the purpose of stretching the spine or a Transferred predetermined spinal column area, or for transferring tensile forces to limbs of the human Body for the purpose of stretching or stretching it, thereby characterized in that the device has only a U-like frame (1) open on one end face, between its U-legs (2 or 3) is the patient or the limb, whereby the U-legs (2, 3) at least part of its length can be pivoted in order to adapt to the body or the limb, however, to the extent necessary, it is rigid and kink-resistant to absorb the reaction forces during the treatment measurable and changeable tensile forces occurring compressive forces, the U-legs (2, 3) through Fastening means (6 or 7) releasable with one to the Chest of the patient placed wide, longitudinally adjustable belt (8) that can be locked at its free ends are and that in the area of the U-legs (2, 3) connecting U-web (9) a limited amount in In the longitudinal direction of the U-legs (2, 3) is arranged displaceably on this guided pull slide (10) which can be pulled onto the web (9) by a drive (11) via a flexible pulling means (36), with the pull slide (10) several traction means (13, 14, 15) are attached, either to one of the patient's hips locking, adaptable or adjustable and attached to the traction means, in particular as a hip belt (16) trained holding element (16) or lead to tension bearings for the patient's feet, or that with the pull slide 752 907 0 29, oa78 (10) an abutment to encircle the neck or neck is connected, while the counter-pull is releasably attached to the U-legs (2, 3) holding element (16) is applicable. 2. Apparatus according to claim 1, characterized in that the tension elements acting on the holding element or hip belt (16) (13, 14, 15) approximately ring-shaped, uniform Tensile stresses on the hip belt (16) or the like. Transferred. 3. Device according to claim 1 and / or 2, characterized in that that each a tension element (13 or 15) in the area of the hip joint bone or pelvic bone, above the same, preferably somewhat in front of the hip joint or pelvic bone concerned, and a third tension element (14) running with the spine, to which the holding element or hip belt (16) are attached. 4. Apparatus according to claim 1 or one of the following, characterized in that at least the isi area the tension elements (13, 15) ending in the hip joint or pelvic bones with regard to their fastening points on the holding element or hip belt (16) are adjustable in the longitudinal direction in a circle. 5. Apparatus according to claim 1 or one of the following, characterized in that at least in the area the hip joint or pelvic bone on the holding element or hip belt (16) engaging tension elements (13, 15) in Loops (18 or 19) ground or are connected to loops through which the hip belt (16) or the part of the holding element is carried out vercaieblich. 6. Apparatus according to claim 1 or one of the following, characterized in that the with the holding element or 7529070 29.oa78 Hip belt (16) connected tension elements (13, 14, 15) on the the body or limb or the like. Attack the side facing the hip belt (16) or retaining element and that all tension elements (13, 14, 15) acting on the hip belt (16) or retaining element as belts, preferably in the thickness and width dimensions of normal car seat belts, are trained. 7. Apparatus according to claim 1 or one of the following, characterized in that that with the spine extending tension element (14) engaging the hip belt (16) or retaining element, immovable on the hip belt (16) od. The like. Attacks, is preferably sewn to this. 8. Device according to claim 1 or one of the following, characterized in that the on the hip belt (16) or the like. engaging tension elements (13, 14, 15) at least at one end - preferably in the area of the hip belt (16) od. Like. - Are designed to be easily detachable. 9. Apparatus according to claim 1 or one of the following, characterized in that the on the hip belt (16) od. Like. Attacking tension elements (13, 14, 15) via easily releasable buckles (17) - preferably frictionally can be tightened by pulling - are coupled. 10. Apparatus according to claim 1 or one of the following, characterized in that also on the pull slide (10) engaging ends of the tension elements (13, 14, 15) are coupled via releasable buckles. 11. The device according to claim 1 or one of the following, characterized in that the loops (18 or 19) short pieces of tape (20 or 21) are connected, which carry the releasable buckles (17) with which the tension elements (13 or 15) are coupled. 7529070 06/29/78 12. The device according to claim 1 or one of the following, characterized in that each loop (18 or 19) the tension elements (13 or 15) on their side facing the body or the limb or the like have a bead-like shape Thickening (22 or 23) is assigned. 13. Apparatus according to claim 12, characterized in that the bead-like thickening (22 or 23) is above the hip joint bone or pelvis. 14. Apparatus according to claim 12 and / or 13, characterized in that that each bead-like thickening (22 or 23) is directed at an acute angle to the hip belt axis is such that it points in the direction of the pulling carriage (10). 15. The device according to claim 1 or one of the following, characterized in that the hip belt (16) od. Like. in the manner of a V runs in such a way that the longitudinal axis of the legs of the V is at an obtuse angle in the In the area of the spine, the middle of the belt collide, where the one tension element (14) also engages. 16. The device according to claim 12 or one of the following, characterized in that the bead-shaped thickening (22 or 23) is a roll made of foam. 17. The device according to claim 1 or one of the following, characterized in that the hip belt (16) or the like. and the waist belt (8) completely or partially padded on the inside, e.g. B. with a foam rubber, neoprene or other foam pads are provided. 18. The device according to claim 1 or one of the following, characterized in that the chest strap (8) has recesses or has formations for female breasts. 7529070 29.oa78 19. The device according to claim 1 or one of the following, characterized in that the chest strap (8) relative to the The hip belt (16) is considerably wider, e.g. B. 1.5 to 3 times as wide. 20. The device according to claim 1 or one of the following, characterized in that the chest strap (8) is about 15 cm is wide, while the hip belt (16) is about 8 cm wide. 21. Device according to claim 1 or one of the following, characterized in that short pieces of tape (34 or 35) are attached to the chest strap (8), which on their free Wear end eyelets, each of which can be hooked into the fastening abutments (6 or 7) of the U-legs (2 or 3), e.g. B. can be placed over the end faces of the U-legs (2, 3). 22. The device according to claim 1 or one of the following, characterized in that the chest strap (8) consists of one consists of flexible harness that absorbs the forces, the spaces between which are padded or with a cushion cover made of neoprene, foam rubber or other foam. 23. The device according to claim 22, characterized in that the harness consists of straps. 24. The device according to claim 1 or one of the following, characterized in that the circumferential direction in the body or limb running belt straps have the same thickness and width dimensions as the hip belt (16) have leading tension elements (13, 14, 15). 25. The device according to claim 1 or one of the following, characterized in that the chest strap is the upper body of the person in a funnel-shaped manner, widening and extending upwards towards the head. 7529070 06/29/78 26. The device according to claim 1 or one of the following, characterized in that the chest strap (8) is raised in the form of a bead on the inside in the region of the spine Has thickening (29) which widens in the direction of the feet in the circumferential direction of the belt. 27. The device according to claim 1 or one of the following, characterized in that the chest strap is annular transfers roughly the same thrust forces to the upper body. 28. The device according to claim 1 or one of the following, characterized in that the abutment eyes or hooks (30, 31 or 32, 33) are adjustable and adjustable on the chest strap (8). 29. The device according to claim 1 or one of the following, characterized in that the drive (11) for the Moving the pull slide (10) is designed as a manually operated winch with transmission gear, which in the middle area of the U-legs (2, 3) connecting Web (9) is attached, the winch (11) over a flexible pulling element (12) via a pulling measuring device (37, 38) with a scale that can be read from the outside with the pulling slide (10) is connected, the winch (11) being assigned a drive wheel (39), in its rotating, preferably a flexible, endless drive element (36) is guided, which extends approximately into the Area of the free ends of the U-legs (2, 3) runs. 30. The device according to claim 29, characterized in that the drive element (36) as a plastic tube or Plastic cord is formed. 31. Device according to claim 29 and / or 30, characterized in that that the debris of the drive element (36) close above and below the web (9) in eyelets (40 and 41) 7529070 29.0a78 are performed that have a wrap angle of essential more than 180 degrees, preferably from about 250 to 280 degrees, around the drive wheel (39) of the winch (11). 32. Apparatus according to claim 1 or one of the following, characterized in that the frame (1) consists of tubes or profile tubes. 33 · Device according to claim 1 or one of the following, characterized in that the pivotable parts of the U-legs (2, 3) via journal bearings (4 or 5) with the remaining parts are connected. 34. Device according to claim 1 or one of the following characterized in that the pull slide (10) also consists of tubes or profile tubes and one in parallel to the web (9) of the U-legs (2, 3) running part (42) with sliding sleeves (43 or 44) attached at each end of tubes or profile tubes - if necessary with a friction-reducing bearing insert - through which the U-legs (2 or 3) grab. 35. Apparatus according to claim 1 or one of the following, characterized in that on the transverse part (42) of the pull slide (10) the tension measuring device (37, 38) is attached. 36. Apparatus according to claim 1 or one of the following, characterized in that the tensile measuring device is a having tubular housing (46) to which a flange (47) is attached, which by fastening means with the parallel to the web (9) extending part (42) of the pull slide (10) is coupled, with the interior of the tubular Housing (46) in the longitudinal direction of the housing (46) a pipe sleeve (48) is mounted, which at one end serves as an abutment for at least one compression spring (49), the flange (47) in the longitudinal axis of the 7529070 06/29/78 ::: ΊίΟ tubular housing (46) has a hole (50) through a fastening abutment designed as a rod (51) for the traction means (12) leading to the drive wheel (39) of the winch (11) and that the fastening abutment (51) on the side facing away from the tension element (12) by an abutment (52), e.g. B. a nut, a Head or the like, supported on the end face of the tubular sleeve (48) which the fastening abutment (51) through a hole penetrated, wherein with the tubular sleeve (48) an arm (53) is connected, which through a longitudinal slot (54) of the tubular housing (46) engages and is rigidly coupled to a rack (55) which is connected to a pinion (56) meshes, which is coaxially connected to a roller having a tension measuring scale (38) on its circumference. 37. Device according to claim 1 or one of the following, characterized in that the frame (1) and the pull slide (10) consist of light metal tubes. 38. Device according to claim 1 or one of the following: characterized in that feet are assigned to the U-like frame (1) in the region of the web (9). 39. Apparatus according to claim 38, characterized in that the feet are removably attached to the U-frame (1). 40. Device according to claim 38 and / or 39, characterized in that that the feet are adjustable in length. 41. Apparatus according to claim 1 or one of the following, characterized characterized in that the tension elements (13, 14, 15) are assigned automatic belt retractors. 42. Apparatus according to claim 1 or one of the following, characterized in that on the with the device connected tensile measuring device (46) a display device in the sense of the formation of a unitary component is arranged, the display device being adjustable to the desired maximum tensile value and after it has been reached this set maximum tensile value indicates this visually and / or acoustically. j 7529070 06/29/78