EP0101081B1 - Appareil orthopédique - Google Patents

Appareil orthopédique Download PDF

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Publication number
EP0101081B1
EP0101081B1 EP83107986A EP83107986A EP0101081B1 EP 0101081 B1 EP0101081 B1 EP 0101081B1 EP 83107986 A EP83107986 A EP 83107986A EP 83107986 A EP83107986 A EP 83107986A EP 0101081 B1 EP0101081 B1 EP 0101081B1
Authority
EP
European Patent Office
Prior art keywords
spine
shock
patient
stretching
person
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.)
Expired
Application number
EP83107986A
Other languages
German (de)
English (en)
Other versions
EP0101081A1 (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 for the treatment of vertebral damage to people with vertically or almost vertically displaceable, a person receiving and stretching their spine base frame and an at least almost perpendicularly to the person's stretching device impacting a first part of the spine.
  • the patient can be lifted by a chiropractor, i.e. the spine stretched, in order to then have a jerky movement on the spine.
  • the patient crosses his arms at the back of the head and is grasped and raised backwards on his forearms. Then there is an impulsive shock.
  • this manual treatment has certain disadvantages.
  • the treating person is also put under a lot of stress, with the spine possibly also being overused.
  • the patient runs the risk that the forces applied during therapy can be chosen too strongly. Since the patient has no way of evading the force exerted, unwanted pain and possibly unintentional damage can occur again and again.
  • the object of the present invention is to provide an orthopedic device for the treatment of spinal damage to persons, with the aid of which an individual, targeted and metered treatment of the patient is possible.
  • the device according to the invention provides for the first time the possibility of reproducing customary manual therapies, with the decisive advantage that a measurable and reproducible action of force is possible.
  • An advantage that the patient hangs on axillary supports or forearm supports is that the patient can slip out of the supports if the impact forces are too great and thus lead to pain.
  • the orthopedic device according to the invention in accordance with the previously described solution has a static part and a dynamic part.
  • the static part comprises a base frame, i.e. a column or a 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, after the patient has assumed the basic position, are 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
  • Embodiments of the invention result from claims 2 to 4.
  • FIG. 1 shows a first embodiment of an orthopedic device 10 according to the invention, which comprises 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 via cylinders 18 arranged in the section 14 in the form of preferably hydraulic cylinders.
  • An element 20 is arranged on the section 16 and 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. Furthermore, 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.
  • 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, that is to say form part of the frame 22, but can also be articulated to the swivel arms 28 via axes 32.
  • 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 detected.
  • 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 foot plate 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 impulsive impact to the back area via the shock-absorbing element 50, as a result of which the desired orthopedic treatment is achieved.
  • the frame 22 is lifted off the horizontally extending arms 26).
  • 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.
  • This results in the advantage that the orthopedic device according to the invention with its column 12 and the element 20 adapted to the spine can form the basis for, for example, a treatment bed.
  • 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. From the column 72, armpit supports 82 and forearm supports 84, a backrest 86 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, originate. Furthermore, a so-called leveling device 90 is indicated, the function of which will be described below with that of the backing 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.
  • 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 adjustable in height along the longitudinal axis of the column. After the column length and the supports are accordingly adapted to the patient, the leveling device 90 is activated such that the patient is lifted with the feet still touching the base plate 80.
  • the spine is stretched to a degree that relaxes the vertebrae, for example, which are shifted or tilted against each other and are thus aligned in a line.
  • the back pushing device 88 is activated by a trigger element (not shown) in such a way that a pulse-like push on the vertebrae or parts of the vertebrae to be treated can occur perpendicular to the stretching direction.
  • the strength of the force can thereby be adjusted by means of the tensioning element 92. I.e. that the element 88 to be preloaded, for example by means of a spring, is preloaded to the extent that the required shock-like force can act on the vertebrae.
  • the back pushing device 88 is itself height-adjustable and horizontally adjustable in order to be able to treat different parts of the back in a targeted manner.
  • triggering can take place, for example, by locking elements, but also by a proximity switch or the like.
  • FIG. 6 shows a path-step diagram by 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 are provided with the Roman numerals to VII and their respective sequence with letters from A to V.
  • the column 78 is lowered (A) in order to then be raised to adapt it to the patient to be treated (B).
  • the armpits are open (E) so the patient can put their armpits in.
  • the armpits are then closed (F).
  • the forearm supports which can, however, still be lowered (K) or raised (L) in process section 111 or IV, in order to ensure an exact adaptation to the patient.
  • the back abutment device 88 is adjusted in height to the back area to be treated by means of the clamping element 93 (N, O) in order to be able to deliberately allow impulse-like impact from the back abutment device 88 on the vertebral area.
  • 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 leveling device 90 (Q) is tensioned (R) in order to trigger at point 96, which in the diagram lies on the line 94 intersecting the other method steps. This causes the spine to stretch to point 98 or shortly before.
  • the back pushing device 88 is then activated in order to use up the pretension by applying force to the spine.
  • the treatment is completed at point 102, so that the back push 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).
  • step V, VI or VII can 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 extension of the spine, so as not to cause tension phase of the muscles.
  • the same process steps 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)

Claims (4)

1. Appareil orthopédique pour le traitement des maux de vertèbres des personnes, constitué par un châssis de support (14,16, 72), déplaçable verticalement ou presque verticalement, admettant une personne et allongeant sa colonne vertébrale, ainsi qu'un premier élément (48, 88) influant par chocs sur une partie de colonne vertébrale, au moins presque verticalement à l'arrangement d'allongement de la personne, caractérisé en ce que le premier élément (48, 88) est déplaçable en hauteur, et à produire diverses sortes de chocs individuels, cet élément est formé comme un mécanisme de choc dorsal de la sorte d'un bouton, influant verticalement par chocs sur la partie de colonne vertébrale, à mettre en précontrainte contrôlé sous élasticité ou comme une masse mobile déviable à commande contre gravité, à déclencher.
2. Appareil orthopédique selon 1, caractérisé en ce que le mécanisme de choc dorsal (88) traverse un dossier (86), de préférence en forme d'un coussin dorsal divisé ou qu'il est entourné par ce dossier, qui à son tour supporte au moins des sections de la partie dorsale du patient (Fig. 4).
3. Appareil orthopédique selon 1 ou 2, caractérisé en ce que le premier élément (48, 88) à produire un choc à impulsions, est un élément volant, qui peut être orienté dans sa direction de déviation, comme p.ex. un pendule.
4. Appareil orthopédique selon 1 ou 3, caractérisé en ce qu'un élément d'absorption (50) est arrangé entre le premier élément (48, 88) et la colonne vertébrale pour continuer le réglage du choc à impulsions influant sur la partie de colonne vertébrale.
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
DE3230724 1982-08-18
DE19823230724 DE3230724A1 (de) 1982-08-18 1982-08-18 Orthopaedisches geraet

Publications (2)

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

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

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2643815A1 (fr) * 1989-03-03 1990-09-07 Durand Francois Extenseur lombaire naturel
DE69107361T2 (de) * 1990-06-15 1995-10-12 Fernandes Santos Sastre Physiotherapiegerät.
BE1006084A3 (fr) * 1992-07-31 1994-05-10 Solarsky Jean Table d'elongation.
RU2348432C2 (ru) * 2004-03-26 2009-03-10 Аслам ХАН Аппарат для импульсной терапии спинного и верхнешейного отдела позвоночника
US8845561B2 (en) 2005-03-08 2014-09-30 Aslam Khan Non-invasive method of spinal intervention and use of devices effective for spinal intervention

Family Cites Families (8)

* 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
FR829380A (fr) * 1937-07-26 1938-06-24 Filippo Salvati Perfectionnements aux appareils orthopédiques pour corriger les déviations de la colonne vertébrale
US2180775A (en) * 1938-03-07 1939-11-21 Evan W Stevens Spinal adjuster
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
US3387605A (en) * 1966-07-22 1968-06-11 Schmidt Heinz Device for the mechanical treatment of the vertebral column and its bone connection organs
CA994822A (en) * 1973-06-11 1976-08-10 Peter J. Simon Therapeutic equipment

Also Published As

Publication number Publication date
DE3230724A1 (de) 1984-02-23
EP0101081A1 (fr) 1984-02-22
DE3371468D1 (en) 1987-06-19
ATE27099T1 (de) 1987-05-15

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