EP0244271A2 - Table de traitement thérapeutique - Google Patents

Table de traitement thérapeutique Download PDF

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Publication number
EP0244271A2
EP0244271A2 EP87303977A EP87303977A EP0244271A2 EP 0244271 A2 EP0244271 A2 EP 0244271A2 EP 87303977 A EP87303977 A EP 87303977A EP 87303977 A EP87303977 A EP 87303977A EP 0244271 A2 EP0244271 A2 EP 0244271A2
Authority
EP
European Patent Office
Prior art keywords
body section
patient
traction
frame
respect
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
EP87303977A
Other languages
German (de)
English (en)
Other versions
EP0244271A3 (en
EP0244271B1 (fr
Inventor
Allan E. Dyer
Ernest Savoia
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.)
Dyer Allan E
Original Assignee
Individual
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 Individual filed Critical Individual
Priority to AT87303977T priority Critical patent/ATE85205T1/de
Publication of EP0244271A2 publication Critical patent/EP0244271A2/fr
Publication of EP0244271A3 publication Critical patent/EP0244271A3/en
Application granted granted Critical
Publication of EP0244271B1 publication Critical patent/EP0244271B1/fr
Anticipated expiration legal-status Critical
Expired - Lifetime 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
    • A61H1/02—Stretching or bending or torsioning apparatus for exercising
    • A61H1/0218—Drawing-out devices
    • 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
    • A61H1/0222—Traction tables
    • 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
    • A61H2001/0233—Pulsating, alternating, fluctuating
    • 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
    • A61H2201/1628—Pelvis
    • A61H2201/163—Pelvis holding means therefor

Definitions

  • This invention relates to a therapeutic table for providing traction to a patient's lumbar region.
  • Back pain is a common ailment and can represent a painful hindrance that prevents its sufferer from leading a fulfilling life both in leisure and in the workplace.
  • the ailment is very prevalent and there is a need for a non-surgical and efficient form of treatment that would ease this suffering.
  • One form of non-medical treatment is to apply traction to the lumbar region of the spine.
  • This invention provides a non-surgical therapeutic table that is efficient to use and alleviates back pain by applying traction in a prone position (face down), predetermined in respect of amount and time, to the lumbar region through the use of a separating table.
  • a therapeutic table for providing traction to a patient's lumbar region comprises a frame; a table top having an upper-body section rigid with respect to said frame and a lower-body section slideable with respect to said frame; the said sections providing, in use, a separable surface for a patient to lie prone face down on the table top; hand grips rigid with respect to the upper-body section and extending upwardly of the plane of the table top to be accessible by a patient with arms above head along a plane of the axis of the patient's spine to provide anchoring for the upper body; a pelvic belt anchor rigid with respect to the lower-body section to provide, in use, an anchor to which the pelvic belt can be connected; means for sliding the lower-body section in the frame to cyclically increase and decrease the distance between said hand grips and said pelvic belt anchors to cyclically apply traction through the patient's arms to the lumbar region of the spine in use.
  • the therapeutic table illustrated in the drawings has a table top to support a patient face down as shown in figure 1.
  • the top of the table has an upper body section 10 that extends between channel-like side supports 12.
  • the channel-like side supports 12 extend for the full length of the table but the upper body section 10 remains stationary to support the upper body of a patient in use.
  • upper body it is meant the area of the body above the waist level.
  • the channel-like side supports 12 extend in bifocated fashion below the upper body section 10 and contain tracks 14 for the rollers 19 of the lower body section 18.
  • Crossmember 16 adds stability to the frame.
  • Lower body section 18 has laterally extending rollers 19 that engage in the tracks 14 and is slideable with respect to the upper body section 10. In use, the lower body section supports the lower body of the patient.
  • lower body it is meant the portion of the body, at and below waist level.
  • FIGS. Figure 2 and 3 illustrate the construction of the table sections.
  • the sections are made from sheet metal bent as illustrated.
  • Numerals 20 and 22 designate strengthening channels for the body support sections each of which have cushions 24 and 26.
  • the upper body section 10 is integral with the frame.
  • Hand grips 28 are provided. These grips extend from the frame and are adjustable longitudinally of the frame. Their construction is illustrated in Figure 5.
  • a housing 30 has bearings 32 for the screw 34.
  • Crank 36 is provided to turn the screw in its bearings.
  • a threaded block 38 on the screw extends through a slot 40 in the housing 30 and the handle grip 28 is mounted on the block. It will be apparent that by turning the crank 36, the blocks and their handle grips can be adjusted longitudinally of the table.
  • the lower body section 18 has a traction measuring meter 42 that also acts as an anchor for the pelvic belt 44.
  • a clasp is mounted to the center of the traction measuring meter 42 to receive an end of a strap 110. In use, the strap is connected to the clasp. This permits an accurate gauging by the traction measuring meter 42 of the tension being applied to the patient.
  • Means are provided for sliding the lower body section 18 with respect to the upper-body section 10 to increase and decrease the distance between the hand grips and the pelvic anchor whereby one can controllably apply traction to the spine.
  • the means comprises a double acting air cylinder 46.
  • the air cylinder 46 is rigidly mounted with respect to the frame and upper body section 10 by brackets 48 and 50; and the free end of its piston rod 47 connects with a bracket 52 that depends from the bottom of the lower body section 18.
  • the pneumatic cylinder 46 has two inlets 54 and 56. Air to inlet 54 moves the piston rod 47 to the right and air to inlet 56 moves the piston rod 47 to the left in Figure 3.
  • Air supply to the inputs 54, 56 is regulated by the operator through the use of a control box 58.
  • the control box includes a pressure regulator switch 60 for setting the pressure of the air fed to the cylinder 46.
  • a timer 62 controls the application of pressure to the two inlets of the cylinder 47. It applies pressure to inlet 54 for a predetermined time, then cuts supply to inlet 54 and applies it to inlet 56. It does this cyclically for the duration of treatment.
  • a pause timer 63 regulates the amount of pause of which the lower body section 18 remains against the upper body section between cycles. When the lower body section 18 is drawn back against the upper body section 10, the pause timer is activated to hold the table sections in closed relationship for a set period.
  • a pressure gauge 64 gives a reading of the input pressure.
  • a traction tension gauge 66 gives a reading of the traction applied to the pelvic belt 44 as determined by the traction measuring meter 42.
  • a start button 68 is pushed to commence the treatment, and a stop button 70 may be pressed to terminate the treatment. Alternatively, a timer (not shown) may be used to terminate treatment.
  • the table sections are in or close to abutting relation.
  • Air pressure predetermined to the patient's needs, is admitted through inlet 54 to extend the piston rod 47 and carry the lower body section 18 outwardly. This applies traction to the patient's lumbar region.
  • the predetermined tension is eventually achieved and held until the time set by the treatment timer expires, air pressure is cut off from inlet 54 and applied to inlet 56 to retract the piston rod 47 and lower body section 18 as noted above.
  • the table sections are in abutting relationship, they are held in that position for the duration of time as set by the pause timer. This cycle is repeated for the period set by the timer 62.
  • the cyclical nature of the treatment can be controlled automatically. After setting the amount of traction by dial 64, one sets the time of application of traction by dial 62 and the amount of pause by dial 63. The total amount of time of treatment may also be automatically set by a dial (not shown).
  • Traction is usually applied for between .5 minutes to 1 minute; rest periods usually vary for similar duration.
  • the cycle is repeated 10 to 20 times and treatments are beneficially given from 1 to 3 times a day. Variations are of course possible. The foregoing are only by way of example.
  • Means are preferably provided for restraining the rate of movement of the lower body section. It will be apparent that air is admitted suddenly to the pneumatic cylinder and that if the resulting rate of movement of the lower body section is unrestrained, it could cause discomfort. In the embodiment illustrated, this difficulty is overcome by a hydraulic force-absorbing device which slows the rate of movement until the pneumatic cylinder reaches the full extent of its travel.
  • a cylinder 72 with a piston 74 between its ends has a piston rod 76 secured to the lower-body section 18 as at 84.
  • the cylinder is rigidly mounted on the frame as at 86.
  • the cylinder 72 is filled with a hydraulic fluid and has a fluid bypass 87 extending from one end to the other. Needle valve 88 controls the rate of flow through the bypass in one direction and needle valve 90 controls the rate of flow through the bypass in the other direction.
  • the piston 74 moves to the right and displaces fluid from the right end of the cylinder through the bypass 87 and the valve 88 to the left end of the cylinder.
  • the valve is adjusted to provide resistance to this displacement and thus control the rate of movement of the lower body section 18 under the influence of the pneumatic pressure in the cylinder 46 as it applies traction.
  • the application of traction is for a predetermined time only. After traction has been applied for the predetermined time the action of the pneumatic cylinder is reversed.
  • the lower body section 18 retracts and the piston 74 in the hydraulic cylinder 87 moves to the left direction as viewed in Figure 3. As it does so, hydraulic fluid moves from the left section to the right section through the bypass conduit 87 and needle valve 90. Needle valve 90 is adjusted to achieve a proper rate of movement by initially resisting the movement of the pneumatic piston.
  • the needle valves are adjusted to achieve rate of movement as required to provide a comfortable slow rate of applying traction and retraction to the patients.
  • the pelvic belt 44 is secured around the patient's pelvic region. It has two sections 92 and 94 which are secured round the patient's body by straps 96 and 98 and buckles 100 and 104. Extending from the belt are pull straps 106 and 108. As illustrated in Figure 1, straps 110 connects the straps 106 and 108 to the pelvic belt traction measuring meter 42. In use, when the table separates, the lower-body support section 18 slides rearwardly and causes tension to develop to provide traction to the patient's lumbar region. The single strap belt may be replaced with a multi-strap belt if desired.
  • the pelvic belt is designed so that the straps are connected to the pelvic belt in a manner which locates the posterior straps directly in line with the patient's spinal column.
  • the anterior straps are attached to the belt so as to position the attachment over the anterior superior spine of the Iliac crest of the pelvis.
  • the lateral traction pelvic belt is designed with straps attached to each side of the belt.
  • the patient may be further secured at his upper body region to the upper body section by a thoraic vest attached to the upper body section but it has been found that the patient is more comfortable without this attachment.
  • a thoraic vest attached to the upper body section but it has been found that the patient is more comfortable without this attachment.
  • the patient's upper body is anchored by voluntary hand gripping, he tends to be more relaxed because he is aware that if the traction applied is excessive he can let go.
  • the patient, himself can also terminate the cycle and treatment session by pressing the stop button 70 which is within the patient's reach on the control box 58.
  • the lower body section abuts the upper body section.
  • the pressure of operation for the pneumatic cycle is set as determined by a qualified medical person with the pressure regulator switch 60.
  • the timer 62 which directs the application of pressure between the two inlets is also set.
  • treatment sessions are terminated by pressing the stop button 70 but, alternatively, a second timer, if provided, may be preset to terminate the treatment when the end of the treatment period should occur.
  • the needle valves 88, 90 on the hydraulic restraining cylinder may also be adjusted to provide a desirable rate of separation.
  • the treatment may be commenced.
  • the distance of separation for the table sections is usually between 0 to 6 inches to take up slack in the belts and connections.
  • the time period for traction and relaxation are to be set to suit the particular requirements of the patient. After closure has been achieved and held for the specified period of pause, the air pressure will be again automatically redirected to the inlet 54 to start the cycle over again. These cycles are repeated for the duration of the treatment session.
  • the amount of pressure used for treatment is a function of the traction required for the patient and is determined by a qualified medical practitioner to suit the particular condition of the patient. This may vary between 25 pounds per square inch and 60 pounds per square inch for a pneumatic piston having a diameter of about 2 inches.
  • the tension reading should be in the area of between 35 to 60 Kilo grams again depending on the condition of the patient. The average will be about 45 Kilograms.
  • the precise strength of traction registered by the traction measuring meter 42 is translated to digital readout on the traction tension gauge 66.
  • the traction measuring meter 42 which measures the tension is a device that is readily available on the market and a person skilled in the art would have no difficulty in incorporating it with a translating means for the purpose disclosed herein.
  • the moving parts of the table are pneumatically driven and that the patient does not come into contact with any electrically driven parts. In result, the patient is not subject to the danger of electrical shock.
  • the meters used are battery-powered from a low-voltage power source.
  • the invention provides a non-surgical therapeutic table that is efficient to use and that alleviates back pain by cyclically applying traction and relaxation predetermined in respect of amount and time to the lumbar region through the use of a seperating table.

Landscapes

  • Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Mechanical Treatment Of Semiconductor (AREA)
  • Electrical Discharge Machining, Electrochemical Machining, And Combined Machining (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
EP87303977A 1986-05-01 1987-05-01 Table de traitement thérapeutique Expired - Lifetime EP0244271B1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AT87303977T ATE85205T1 (de) 1986-05-01 1987-05-01 Behandlungsliege.

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CA000508084A CA1252144A (fr) 1986-05-01 1986-05-01 Table therapeutique
CA508084 1986-05-01

Publications (3)

Publication Number Publication Date
EP0244271A2 true EP0244271A2 (fr) 1987-11-04
EP0244271A3 EP0244271A3 (en) 1989-06-07
EP0244271B1 EP0244271B1 (fr) 1993-02-03

Family

ID=4133021

Family Applications (1)

Application Number Title Priority Date Filing Date
EP87303977A Expired - Lifetime EP0244271B1 (fr) 1986-05-01 1987-05-01 Table de traitement thérapeutique

Country Status (4)

Country Link
EP (1) EP0244271B1 (fr)
AT (1) ATE85205T1 (fr)
CA (1) CA1252144A (fr)
DE (1) DE3783936T2 (fr)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5106083A (en) * 1990-12-10 1992-04-21 Hall Henry V Exercise device with protrusion
FR2726184A1 (fr) * 1994-10-28 1996-05-03 Gedouin Jean Appareil de reeducation de la colonne vertebrale humaine
WO2000009065A1 (fr) * 1998-08-12 2000-02-24 Dyer Allan E Fonctionnement d'une table de decompression axiale de la colonne vertebrale
US9498367B1 (en) 2015-03-11 2016-11-22 John V Howard Apparatus and method for applying spinal traction forces
CN113425482A (zh) * 2021-05-19 2021-09-24 邵丝文 一种骨科用牵引治疗设备

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5353809A (en) * 1993-04-12 1994-10-11 Germain Faucher Hospital barcchial support

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1950948A (en) * 1929-11-18 1934-03-13 Lester L Robinson Osteo-rotor
US2475003A (en) * 1945-01-02 1949-07-05 Lewis M Black Body manipulation apparatus
US3238936A (en) * 1962-04-16 1966-03-08 Nat Foundation For Physical Me Apparatus for mechanical corrective therapy
US4379450A (en) * 1980-12-17 1983-04-12 Sjoelinder Per Olof Traction benches
WO1984002075A1 (fr) * 1982-11-29 1984-06-07 Leif Lundblad Appareil de traitement des douleurs dorsales
DE3308809A1 (de) * 1983-03-05 1984-09-06 Steindorf, Susanne Ruth, 2875 Ganderkesee Steuereinrichtung fuer ein extensionsgeraet

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1950948A (en) * 1929-11-18 1934-03-13 Lester L Robinson Osteo-rotor
US2475003A (en) * 1945-01-02 1949-07-05 Lewis M Black Body manipulation apparatus
US3238936A (en) * 1962-04-16 1966-03-08 Nat Foundation For Physical Me Apparatus for mechanical corrective therapy
US4379450A (en) * 1980-12-17 1983-04-12 Sjoelinder Per Olof Traction benches
WO1984002075A1 (fr) * 1982-11-29 1984-06-07 Leif Lundblad Appareil de traitement des douleurs dorsales
DE3308809A1 (de) * 1983-03-05 1984-09-06 Steindorf, Susanne Ruth, 2875 Ganderkesee Steuereinrichtung fuer ein extensionsgeraet

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5106083A (en) * 1990-12-10 1992-04-21 Hall Henry V Exercise device with protrusion
FR2726184A1 (fr) * 1994-10-28 1996-05-03 Gedouin Jean Appareil de reeducation de la colonne vertebrale humaine
WO2000009065A1 (fr) * 1998-08-12 2000-02-24 Dyer Allan E Fonctionnement d'une table de decompression axiale de la colonne vertebrale
US9498367B1 (en) 2015-03-11 2016-11-22 John V Howard Apparatus and method for applying spinal traction forces
CN113425482A (zh) * 2021-05-19 2021-09-24 邵丝文 一种骨科用牵引治疗设备

Also Published As

Publication number Publication date
DE3783936T2 (de) 1993-09-02
EP0244271A3 (en) 1989-06-07
EP0244271B1 (fr) 1993-02-03
DE3783936D1 (de) 1993-03-18
ATE85205T1 (de) 1993-02-15
CA1252144A (fr) 1989-04-04

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