EP0101081A1 - Appareil orthopédique - Google Patents

Appareil orthopédique Download PDF

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Publication number
EP0101081A1
EP0101081A1 EP83107986A EP83107986A EP0101081A1 EP 0101081 A1 EP0101081 A1 EP 0101081A1 EP 83107986 A EP83107986 A EP 83107986A EP 83107986 A EP83107986 A EP 83107986A EP 0101081 A1 EP0101081 A1 EP 0101081A1
Authority
EP
European Patent Office
Prior art keywords
spine
orthopedic device
impact
patient
adjustable
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP83107986A
Other languages
German (de)
English (en)
Other versions
EP0101081B1 (fr
Inventor
Hans Klaus Dipl.-Ing. Kramer
Werner R. Maegerlein
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Helmut Mueller Ingenieurgesellschaft Mbh & Co KG
Original Assignee
Helmut Mueller Ingenieurgesellschaft Mbh & Co KG
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Helmut Mueller Ingenieurgesellschaft Mbh & Co KG filed Critical Helmut Mueller Ingenieurgesellschaft Mbh & Co KG
Priority to AT83107986T priority Critical patent/ATE27099T1/de
Publication of EP0101081A1 publication Critical patent/EP0101081A1/fr
Application granted granted Critical
Publication of EP0101081B1 publication Critical patent/EP0101081B1/fr
Expired legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/008—Apparatus for applying pressure or blows almost perpendicular to the body or limb axis, e.g. chiropractic devices for repositioning vertebrae, correcting deformation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02—Stretching or bending or torsioning apparatus for exercising
    • A61H1/0218—Drawing-out devices
    • A61H1/0229—Drawing-out devices by reducing gravity forces normally applied to the body, e.g. by lifting or hanging the body or part of it
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/1635—Hand or arm, e.g. handle

Definitions

  • the invention relates to an orthopedic device, in particular for the treatment of spinal damage of persons with an element which acts in an abrupt manner on the spine.
  • the object of the present invention is to provide an orthopedic device for the treatment of vertebral damage to persons, with the aid of which individual treatment of the patient is possible, controlled and reproducible application of force can take place, one or more vertebrae independently of the adjacent vertebrae can be treated.
  • the device comprises a vertically or almost vertically displaceable, a person receiving and stretching their spine base frame and a desired impact-like effect on one or more vertebrae (first) element which, depending on the extension of the Spine can be activated.
  • the first element is horizontally and vertically adjustable and preferably as a knob-like designed back-pushing device which acts in a spring-loaded manner on the spine in a controlled manner perpendicular to or perpendicular to the direction of extension of the person, which preferably penetrates or is surrounded by a backrest, which in turn at least sections of the Supports the patient's back.
  • the device according to the invention provides for the first time the opportunity to understand the treatment of a chiropractor, but the decisive advantage is that a reproducible treatment is possible. This means that individual impact-like forces on the people to be treated Treating vertebrae can act, so that there is no danger that damage will occur instead of a healing effect.
  • the device according to the invention ensures that really only the vertebral section to be treated is acted upon by the abruptly advancing element without the adjacent vertebrae being affected. This is due to the fact that the jerky movement begins before the stretching is complete. During the stretching process itself, the individual vertebrae, which can sometimes be tilted against each other, are quasi separated from one another and aligned in a row without muscle tension occurring at the same time.
  • the treatment works as follows.
  • the base frame which starts from a base plate, is height-adjustable and has forearm and armpit supports in its upper section. After the base frame has been extended or lowered onto the person to be treated, the frame can be thought of as a column having telescopic sections, the forearm supports and the armpit supports are placed on the patient.
  • the back pushing device which is also height-adjustable and horizontally adjustable, is then aligned with the area of the back area that is to be treated. Finally, the back pushing device is tensioned to an extent that ensures the desired push application to the vertebrae to be treated. Finally, the leveling device is tensioned.
  • the column can then be lowered so that another patient can be treated, or the stretching process and the impulsive impact on the back area are repeated.
  • the first element interacts with a further second element, which is designed to rest against the spine and can be pivoted and raised at least about an axis of rotation.
  • the second element which is adapted to the spine, is received by a frame which in its upper region merges into at least one swivel arm which is articulated via the horizontally arranged axis of rotation to the at least height-adjustable base frame in the form of, for example, a column.
  • the swivel arm itself is preferably connected to a lever, but can also pass into this in order to then be swiveled by cooperation with a power cylinder.
  • the alternative solution also simulates the manual treatment of a chiropractor. Determined by the construction of the device, the patient must also rest with his back on the second element adapted to the spine. It is also necessary for his arms to lie in arm holders. The frame is then lifted together, which simultaneously causes the spine to stretch. In this treatment position, the patient then only touches the floor with his toes, which can be a base plate of the height-adjustable base frame. The treatment is then carried out to the extent that the element which causes a shock-like impact is included interacts with the element adapted to the spine.
  • This element can preferably be a swing element such as a pendulum, by the deflection of which the force acting on the spine is predetermined.
  • An individual placement on the patient is also given in that the deflection of the swing element has a desired adjustable size or angle. The precise metering of the impact intensity can be metered by means of a measuring device and can therefore be set reproducibly.
  • the impact on the spine can also occur during the stretching process, even after the alternative solution, but also only after the stretching process. This depends on the type of treatment required.
  • the impulse-like impact is not transmitted directly from the first element, for example as a swing element or as a knob-like recoil device, to the spine or the back element adapted to the spine, but an absorption element can be interposed, thereby delaying or The impact is damped.
  • the first element for example as a swing element or as a knob-like recoil device
  • an absorption element can be interposed, thereby delaying or The impact is damped.
  • the orthopedic devices according to the invention in accordance with the proposed solutions described above consist recognizably of a static part and a dynamic part.
  • the static part includes that Base frame, ie the column or frame with which the arm brackets or armpit supports and forearm supports as well as the height-adjustable back pushing device, all of which are adjusted to the physical conditions of a patient before the treatment.
  • Base frame ie the column or frame with which the arm brackets or armpit supports and forearm supports as well as the height-adjustable back pushing device, all of which are adjusted to the physical conditions of a patient before the treatment.
  • the standing area for the patient which inevitably defines the starting position.
  • the dynamic part has force elements, such as hydraulic cylinders or spring elements, which have the effect that after the patient has assumed the basic position, the latter is raised and thereby stretched, preferably with a reproducible, adjustable impulse-like impact being applied to the spine before the stretching has ended can.
  • force elements such as hydraulic cylinders or spring elements
  • the same exercise can be simulated with the orthopedic device according to the invention, which has the pivotable backrest.
  • the curved second element which is articulated in the upper edge region and preferably via the swivel arm, is used.
  • the articulation point serves as the stationary axis of rotation of the curved element.
  • the bent element is pivoted in that, for example, a hydraulic cylinder acts on a lever which can be connected to the upper end region of the bent element or the pivot arm. If a patient is now lying with his back part against the curved element, the hydraulic cylinder, lever, curved element and, if necessary, swivel arm, the rolling movement.
  • holding devices for elbows are preferably provided in the middle region between the upper and lower ends of the curved element.
  • the base frame preferably in the form of a column
  • a stationary frame such as, for example, a trestle
  • the column or the frame can then form the basis for a bed cover so that a further medical purpose is fulfilled, for example it can serve as a resting position for medical massages or the like.
  • the second element or the backrest which support at least sections of the spine and is adapted to the shape
  • these can preferably be a curved board.
  • frames with interchangeable inserts there are also other possible solutions. It is only essential that an adaptation of the spine is possible.
  • Fig. 1 is a first.
  • Embodiment of orthopedic device 10 according to the invention can be seen, which consists of a column 12 which can also be replaced by a frame or a frame.
  • the column 12 consists of two sections 14 and 16 which can be shifted into one another. This means that the section 16 can be lengthened or shortened relative to the section 14 by means of cylinders 18 arranged in section 14 in the form of preferably hydraulic cylinders.
  • An element 20 is arranged on the section 16, which is adapted to the shape of a spine.
  • the element 20 is preferably received by a frame 22 which is constructed from sections 24 which run vertically and form rigid axes, and rigid horizontal arms.
  • the frame 22 rests in its lower, rigid on the arms 26 extending from the section 16, and merges into swivel arms 28 in the upper region. If desired, an articulated connection between the frame 22 and the arms 26 could also take place via an axis 30.
  • the vertical sections 22 preferably merge rigidly into the swivel arms 28, thus forming part of the frame 22, but can also be articulated with the swivel arms 28 via axes 32 be attached.
  • armrests 42 are also arranged.
  • 20 arm supports 44 are provided in the side region of the first element.
  • the element 20 adapted to the spine also interacts with a pivotable element 46, the axis of rotation of which preferably coincides with the axis 34.
  • the pivoting element can be a pendulum, the preferably cylindrical body 48 of which optionally interacts with the central region of the first element 20 via an elastic, controlled force-absorbing element 50.
  • the deflection of the swivel element 46 that is to say in the exemplary embodiment of the cylinder 48, takes place in that a handle 54 provided on the pendulum rod 52 is gripped.
  • the pendulum is then pivoted out in such a way that it is held by a locking element, such as pawl 58, arranged on an adjustable measuring device such as, for example, scale 56.
  • the pendulum 46 then swings out in the direction of the element 20 adapted to the shape of a spine and can thus transmit a metered impulse-like impact to it.
  • the column 12 is preferably arranged on a base plate 60 which, in the front region, comprises a foot plate 62 on which the feet of a patient are to be placed.
  • the hydraulic cylinders 18 and 40 can be controlled via a control unit 64, which is arranged on the base plate 60, in order to achieve simple handling in the area of the orthopedic device 10 according to the invention.
  • the patient's feet are placed on the plate 62.
  • the arms are then inserted into the arm handles 42.
  • An individual setting is made according to the size of the patient.
  • the section 16 is displaced with respect to the section 14, that is to say the upper section is moved out of the lower section. The displacement takes place to such an extent that the patient still touches the footplate 62 with his toes. In this state, the spine is stretched to the desired extent.
  • the pendulum 46 with the pendulum body 48 is moved away from its rest position from the element 20 in order to interact with the pawl 58, which is pinned on the scale 56 depending on the impact applied.
  • the pendulum moves in the direction of the first element 20 and, if necessary, transmits an impulse-like impact to the back area via the shock-absorbing element 50, whereby the desired orthopedic treatment is achieved.
  • the one with the frame 22 is lifted off the horizontally extending arms 26.
  • the patient must insert his arms into the arm supports 44. Then the hydraulic cylinder 40 can be actuated so that the piston rod 38 exerts approximately a movement which takes place parallel to the longitudinal axis of the column 12. This movement causes the lever 36 to pivot about the axis 34. Since the lever 36 can be rigidly connected to the pivot arm 28 or merges into it, the element 20 is simultaneously rotated about the axis 34. Accordingly, the desired rolling movement of the Spine along this attached fit element 20 take place. (Of course, when the piston 38 is displaced, the hydraulic cylinder 40 must be pivotable about an axis at its lower fixed point)
  • a further possibility of achieving the desired rolling movement can be achieved in that the second section 16 can be pivoted relative to the first section 14 about an axis (not shown) running parallel to the axis 34.
  • the orthopedic device 10 according to the invention can be received by a bearing block 68 via an axis 66.
  • This means that the orthopedic device 10 can be pivoted about the axis 66.
  • a pivoting through 90 ° can take place, as illustrated in FIG. 3.
  • other orthopedic exercises may also be possible in this position.
  • the device 70 consists of a base frame 72, which can consist of telescopically displaceable columns 74, 76 and 78. Furthermore, the device 70 comprises a base plate 80, which serves as a base for a patient to be treated. Armpits go from column 72 82 and forearm supports 84, a backrest 86 which is adapted to the spine and an element 88 in the form of a back-pushing device which causes an impact force on the parts of the spine to be treated. Furthermore, a so-called leveling device 90 is indicated, the function of which is to be described below with that of the back-pushing device 88. Finally, on the column section 78 there is an adjusting element 92, designed as a lever in the exemplary embodiment, for the back pushing device, and a clamping element 93 for adjusting the height of the back pushing device.
  • the operation of the orthopedic device 70 according to the invention is now as follows. After a patient has stood on the base plate 80, the column 72 or its sections 74, 76 and 78 are displaced relative to one another in such a way that the forearm supports 84 and armpit supports 82 are adjusted to the body size. The armpits and forearms of the patient are then placed in the arm supports and in the forearm supports. In order to be able to make an individual adjustment here, the corresponding supports can be pivoted about the longitudinal axis of the column and are also designed to be height-adjustable along the longitudinal axis of the column.
  • the leveling device 90 is activated such that the patient is lifted with the feet still touching the base plate 80. During this lifting, the spine is stretched to a degree which relaxes the vertebrae, for example, which are shifted or tilted against each other and are thus aligned in a line.
  • the recoil device 88 is activated by a trigger element (not shown) in such a way that a pulse-like impact on the vertebrae or parts of the vertebrae to be treated can take place perpendicular to the stretching direction. The strength of the force can be adjusted by means of the clamping element 92.
  • the element 88 to be preloaded for example by means of a spring, is preloaded to the extent that the required impact force is exerted on the vertebrae lot can act.
  • the back pushing device 88 is itself adjustable in height and horizontally in order to be able to treat different parts of the back in a targeted manner.
  • triggering can take place via locking elements, for example, but also by means of a proximity switch or the like.
  • FIG. 6 shows a path-step diagram by means of which the functional sequence that is to be carried out when treating patients with the aid of the device 70 according to the invention is to be illustrated.
  • the process steps to be considered for themselves are provided with the Roman numerals I to VII and their respective sequence with letters from A to V.
  • the column 78 is lowered (A) in order to then be raised (B) to adapt it to the patient to be treated.
  • the armpits are open (E) so the patient can put their armpits in.
  • the armpits are closed (F).
  • the back abutment device 88 is adjusted in height to the back area to be treated by means of the clamping element 93 (N, 0), in order to be able to have a targeted impulse impact from the back abutment device 88 on the vertebral area.
  • the process sections VI and VII represent the essential treatment steps which are carried out with the orthopedic device 10 according to the invention.
  • the non-prestressed vertical surge device 9G (Q) is tensioned (R) in order to trigger at point 96, which in the diagram lies on line 94 intersecting the other method steps. This causes the spine to stretch to point 98 or shortly before.
  • the recoil device 88 is then activated in order to use up the prestress by applying force to the spine.
  • the treatment is completed at point 102, so that the back pushing device, the forearm supports, armpit supports and the column height can be moved back to their basic positions (D, G, J, M, P). In this case, of course, the height pushing device 90 and the back pushing device 88 are also relaxed (S, V).
  • process step V, VI or VII can of course be carried out, namely when a further impulsive impulse is intended to act on the same or a different spine part of the same patient.
  • the jerky impulse is preferably triggered before the final stretching of the spine in order not to get into the tension phase of the muscles.
  • the same process step can only be triggered after stretching.

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  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Massaging Devices (AREA)
EP83107986A 1982-08-18 1983-08-12 Appareil orthopédique Expired EP0101081B1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AT83107986T ATE27099T1 (de) 1982-08-18 1983-08-12 Orthopaedisches geraet.

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE19823230724 DE3230724A1 (de) 1982-08-18 1982-08-18 Orthopaedisches geraet
DE3230724 1982-08-18

Publications (2)

Publication Number Publication Date
EP0101081A1 true EP0101081A1 (fr) 1984-02-22
EP0101081B1 EP0101081B1 (fr) 1987-05-13

Family

ID=6171138

Family Applications (1)

Application Number Title Priority Date Filing Date
EP83107986A Expired EP0101081B1 (fr) 1982-08-18 1983-08-12 Appareil orthopédique

Country Status (3)

Country Link
EP (1) EP0101081B1 (fr)
AT (1) ATE27099T1 (fr)
DE (2) DE3230724A1 (fr)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1990009773A1 (fr) * 1989-03-03 1990-09-07 Durand Francois Extenseur lombaire naturel
EP0467820A1 (fr) * 1990-06-15 1992-01-22 Fernandez Santos Sastre Appareil de physiothérapie
EP0581757A1 (fr) * 1992-07-31 1994-02-02 Jean Solarsky Appareil d'élongation
EP1727506A1 (fr) * 2004-03-26 2006-12-06 Aslam Khan Dispositif de traitement vertebral et cervical superieur par impulsions
US8845561B2 (en) 2005-03-08 2014-09-30 Aslam Khan Non-invasive method of spinal intervention and use of devices effective for spinal intervention

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR829380A (fr) * 1937-07-26 1938-06-24 Filippo Salvati Perfectionnements aux appareils orthopédiques pour corriger les déviations de la colonne vertébrale
FR1394109A (fr) * 1964-01-24 1965-04-02 Appareil à effet progressif pour la décontraction de la colonne vertébrale
US3364923A (en) * 1965-02-19 1968-01-23 Jimmie J. Jones Spine adjuster
US3859990A (en) * 1973-06-11 1975-01-14 Peter J Simon Therapeutic equipment

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE234809C (fr) *
US1455320A (en) * 1921-06-08 1923-05-15 William H Sweetland Chiropractic adjustment machine
US2180775A (en) * 1938-03-07 1939-11-21 Evan W Stevens Spinal adjuster
US3387605A (en) * 1966-07-22 1968-06-11 Schmidt Heinz Device for the mechanical treatment of the vertebral column and its bone connection organs

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR829380A (fr) * 1937-07-26 1938-06-24 Filippo Salvati Perfectionnements aux appareils orthopédiques pour corriger les déviations de la colonne vertébrale
FR1394109A (fr) * 1964-01-24 1965-04-02 Appareil à effet progressif pour la décontraction de la colonne vertébrale
US3364923A (en) * 1965-02-19 1968-01-23 Jimmie J. Jones Spine adjuster
US3859990A (en) * 1973-06-11 1975-01-14 Peter J Simon Therapeutic equipment

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1990009773A1 (fr) * 1989-03-03 1990-09-07 Durand Francois Extenseur lombaire naturel
EP0467820A1 (fr) * 1990-06-15 1992-01-22 Fernandez Santos Sastre Appareil de physiothérapie
EP0581757A1 (fr) * 1992-07-31 1994-02-02 Jean Solarsky Appareil d'élongation
BE1006084A3 (fr) * 1992-07-31 1994-05-10 Solarsky Jean Table d'elongation.
EP1727506A1 (fr) * 2004-03-26 2006-12-06 Aslam Khan Dispositif de traitement vertebral et cervical superieur par impulsions
EP1727506A4 (fr) * 2004-03-26 2009-09-09 Aslam Khan Dispositif de traitement vertebral et cervical superieur par impulsions
AU2005226795B2 (en) * 2004-03-26 2011-04-21 Aslam Khan Spinal and upper cervical impulse treatment device
US8152747B2 (en) 2004-03-26 2012-04-10 Aslam Khan Spinal and upper cervical impulse treatment and device
US8845561B2 (en) 2005-03-08 2014-09-30 Aslam Khan Non-invasive method of spinal intervention and use of devices effective for spinal intervention

Also Published As

Publication number Publication date
DE3230724A1 (de) 1984-02-23
DE3371468D1 (en) 1987-06-19
ATE27099T1 (de) 1987-05-15
EP0101081B1 (fr) 1987-05-13

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