DE9110023U1 - Treatment bench with multiple, continuously adjustable lying surface for optimizing neurophysiological treatment techniques in physiotherapy - Google Patents

Description

3. Description

3.1 Title of the description

Treatment bench with multiple continuously adjustable
Lying surface for optimizing neurophysiological
Treatment techniques in physiotherapy

3.2 Technical area

The invention belongs to the field of "medical-technical treatment devices"

3.3 State of the art

The adjustment mechanisms for the lying surface known from the area of hospital beds are essentially concerned with the adjustment of individual parts of the lying surface and not with the adjustment of the entire lying surface up to the vertical.

The hospital bed described in the patent DE 31 29 377 C2 consists of a backrest section, a middle section of the lying surface and a foot section. These are connected to one another by hinges. They can be individually adjusted in terms of their inclination and their position relative to one another. With these hospital beds, which belong to the category of articulated frame beds, the inventor has set himself the goal of always being able to set a comfortable seating arrangement for the lying surface sections.

The patent specification DT AS 17 66 522 describes a hospital bed with a bed surface that can be tilted by two lifting units, whereby only a very small angle of inclination can be achieved due to the large distance between the two lifting units.

In the patent specification DT AS 18 08 820, a further development of the above-mentioned invention, a lateral tilting of the bed surface is achieved by attaching a third lifting unit to a cross member. However, according to the inventor's explanation, this is intended to improve the control and movement options of the hospital bed during transport.

In another version of such a hospital bed that can be pivoted around the longitudinal axis (patent specification
DE 32 00 019 C2) with a mattress frame suspended on two bearing bolts is intended to be moved back and forth
By swinging it forwards, a desired anti-decubitus effect can be achieved.

The devices mentioned are primarily designed as hospital beds with an adjustable mattress frame and a narrow, very softly padded bed surface. The use of these hospital beds in physiotherapy is not advisable.

Here it is very important that the patient lies on a relatively firm and stable surface so that he or she can maintain a constant position during the treatment, which in some practices is also supported by fixation belts.

Furthermore, to support certain treatment techniques, it is important that the entire lying surface can be swiveled around the horizontal transverse axis over a wide range (approximately vertical position of the lying surface). In conjunction with this function, the set inclination and the resulting load on the patient should be displayed for control during treatment.

Due to the limited possible inclination of the lying surface around the horizontal axis in the above-mentioned devices, certain treatment techniques cannot be used at all or only unsatisfactory results can be achieved.

3.4 Issues

In recent years, the development of physiotherapy has shown a trend towards neurophysiological treatment techniques, such as Bobath, Voitja or E-technology.

However, the options in terms of treatment equipment are lacking in many respects. In order to optimize the above-mentioned treatment techniques, the physiotherapist in the clinic, in the hospital, but also in the practice needs a versatile device. The invention specified in claims 1 to 4 is based on the problem of creating a flexibly usable treatment bench with a lying surface that can be adjusted in all directions, whereby the respective body region of the patient to be treated always has the optimal position for the treating therapist.

Through a continuous, electrical adjustment of the lying surface of this bench from horizontal to vertical, as well as a sideways tilting of the lying surface, this bench can finally close a currently existing "treatment gap" in physiotherapy.

3.5 Invention

These problems are solved by the measures of claims 1-4.

3.6 Advantageous effects of the invention in practice

Example 1:

Patients who have had disc, pelvis, hip, knee and foot surgery work out a load increase of approx. 10 kg - full load:

- Supine position = 0 kg

- Stand = full load

If the physiotherapist now wants to stabilize the patient with a load of, for example, 30 kg and also practice coordination and movement sequences, he sets the lying surface at a certain incline until the scale integrated in the foot section shows the corresponding value. In this way, the load can be built up slowly and other functions can be developed at the same time.

Example 2:

Stroke with hemiplegia:

Here, too, the support of the affected leg is increased by adjusting the level, while the patient can perform coordination or movement exercises. In this case, the therapist can devote himself entirely to the affected arm without neglecting the leg. Additional passive support of the affected arm is achieved by tilting the bed slightly to the side, which would also mean support in the rotation pattern (ε-technique). The bench is therefore also an optimal support for therapy in neurological diseases.

Example 3

Scoliosis treatment with diagonal tension build-up is optimal for the patient and economical for the therapist on this bench with the adjustable inclined plane. Thanks to the wide and height-adjustable lying surface, this treatment bench can also be used in infant therapy (Voitja, Bobath).

These examples show that the bench can be used for very special, but also for conventional treatment techniques.

3.7 Description of the invention

An embodiment of the invention is described with reference to
Figures 1 to 3 are explained.
Show it :

Fig.l the treatment bench from the side with the lying surface lowered in horizontal and vertical position and in raised, horizontal position

Fig.2 the top view of the treatment bench

Fig.3 the view from the foot end of the treatment bench

In Figure 1, the lying surface (item 1) with adjustable head section (item 3) is shown in horizontal and vertical position (item 5), which is achieved by the lifting drive (item 11). The lying surface is raised and lowered by a scissor lift (item 10) and does not swing out as with conventional rocker arm mechanisms. This requires minimal space and is also advantageous during treatment, as the patient's position does not change when the lying surface is raised in relation to the longitudinal axis of the treatment bench and thus the treating therapist does not have to correct his position. The scissor mechanism forms the connection between the lying surface frame and the lowerable chassis with castors (item 4).

At the foot end you can see the extendable footboard (item 2) in which the load cell with displays (item 6) is integrated. Below the footboard is the box with the knee lever mechanism (item 12), which enables the lying surface to be tilted sideways. Figure 3 shows the sideways tilting of the lying surface and the box with the knee lever mechanism in the open state.

There are also fastening points on the sides of the lying surface (item 9) for locking elements (belts, slings).

In Figures 1 and 2, the control switches for swivelling the bed into the vertical position and tilting it sideways (item 7) and for raising and lowering the bed (item 8) can be seen, which are easily accessible from all sides.
If the physiotherapist wants to always have the optimal working position while standing to the side of the inclined bed surface, for example during treatment of a leg with a constant increase in the load on the patient, he can constantly correct the height and inclination of the bed surface (item 15). The desired setting values can be read directly on the footboard during treatment (item 6).
This means that optimal treatment results are achieved with a relaxed posture for the treating therapist.

The minimum lying surface height of 500 mm enables a disabled person to be easily moved from a wheelchair to the lying surface.

The design of this treatment bench ensures optimal coordination with the treatment techniques listed above.

St 10 023.

Claims (1)

2. Protection claims 2.1 Treatment bench with adjustable lying surface for use
in physiotherapy, characterized by that the lying surface can be swivelled continuously from the horizontal to the vertical position using a low-noise electric drive, regardless of the set height. 2.2 Treatment bench according to claim 1, characterized in that the lying surface is raised straight and without swinging out by a scissor lifting mechanism with a low-noise electric drive. 2.3 Treatment bench according to claim 1 and 2, characterized in that that the lying surface is adjusted independently of the set height and
Inclination can be tilted sideways within a certain range. 2.4 Treatment bench according to claim 1,2 and 3, characterized in that an adjustable footboard is attached to the bed at the foot end, which serves to support the patient when the bed is placed in an upright position, and that a load cell and an inclination indicator are built into the footboard, which serve to control the inclination of the bed and the load on the patient when the bed is placed in an upright position for certain treatment methods.