EP0247684A2 - Apparatus for executing lumbar tractions - Google Patents
Apparatus for executing lumbar tractions Download PDFInfo
- Publication number
- EP0247684A2 EP0247684A2 EP87200944A EP87200944A EP0247684A2 EP 0247684 A2 EP0247684 A2 EP 0247684A2 EP 87200944 A EP87200944 A EP 87200944A EP 87200944 A EP87200944 A EP 87200944A EP 0247684 A2 EP0247684 A2 EP 0247684A2
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- European Patent Office
- Prior art keywords
- traction
- belt
- band
- lumbar
- hook
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- 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
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- 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
- the invention relates to a combination of belts for physiotherapeutic treatment on the lumbar part of the spine. In this treatment, traction is done manually by the physiotherapist in order to reduce back problems.
- the aim was to find a device that would make this treatment less painful and more expedient for the patient.
- the lumbar traction system according to the present invention is a physiotherapeutic aid to enable manual traction on the lumbar spine in a simple and convenient way in one or two or three dimensions, taking into account the possibilities for the patient and the objectives of the treating therapist. in any desired mass from lordosis to kyphosis.
- the device according to the invention can be used on a normal massage table, the height of which is adjustable.
- the particular advantage is that the accessories of this device are adjustable so that they can be adapted to any physique.
- the fixation of the patient is optimal.
- the lumbar traction device for the physiotherapeutic treatment of complaints is characterized by a thoracic fixation belt with a widened part and with an extension part that extends to below the bed, with a strap buckle, which is adjustable by means of a Velcro strap, and a separate pelvic traction belt consisting of parts , which is equipped with D-shaped handlebars made of metal and with loops for carabiners for exercising traction.
- the thoracic fixation belt is placed on the underside of the thorax, and the pelvic traction belt, which is adjustable according to the body size, is placed around the patient's lumbar region.
- the belly band part of the same can also be adjusted according to the body circumference and secured by means of ends with a Velcro band consisting of a loop band and a hook band.
- the part (4) is the pelvic traction belt, which consists of a lumbar part (5), the belly band (6), the handlebars (7) and the traction band (8).
- the system mainly consists of a thoracic fixation belt, a pelvic traction belt, a free-hanging extension part for the thoracic fixation belt and a separate traction accessory for the pelvic traction belt, with hook, bar (9) and cord (10).
- the material for the straps is twill weave canvas, which is embroidered on both sides and is wider where body contact takes place.
- the material is hemmed along the entire length.
- the metal temples are galvanized and upholstered on the body side with soft leather cladding.
- the wide belly band of the thoracic fixation belt must be put on below the lower costal arch with the buckle on the left side of the patient.
- the narrow part of the band runs under the plate of the treatment table and is held in place by means of a Velcro fastener that is pulled through a bracket.
- the wide part of the ligament is anatomically shaped, therefore it supports the thorax with slight angulation and does not hinder abdominal and flank breathing.
- the spine is now fixed to the base at the level of the thoracolumbar transition.
- the attachment and treatment take place by laying the widened part (2) of the thoracic fixation belt (1) on the lying patient, pulling the thorax fixation belt under the treatment bed surface, fastening the end with hook and loop surfaces of the Velcro strap, and the lumbar part (5 ) around the loins and the part of the belly band (6) over the abdomen, the end, which runs through one of the temples, pulls and fastens, the rod (9) will lie between the legs and the traction band is placed around the hips of the therapist , and one exercises traction with the traction band (8) and with the hand on the cord (10).
- Figure 3 shows a pillow in the form of a wedge.
- a manipulation wedge (11) with Velcro tape can be attached to the inside of the part of the pelvic traction belt (4) located on the lower thoracic vertebra.
- the wedge (11) is placed with the lower edge on the spinosis process from the upper height and fixed between the pelvic traction belt (4) and the patient's back, creating an air space between the couch, the wedge edge and the patient's back.
- the patient can readjust the fixation during traction.
- the pelvic traction belt should be put on like a "pair of pants" with the adjustable belly band on the front, the two metal brackets covered with leather on both sides and the lumbar part of the traction belt sliding through it on the back.
- the whole must be attached to the two cristae.
- the belt fixes itself on the pelvis, depending on the mass by which the traction is exerted.
- the therapist stands at the foot of the treatment table, climbs into the band and places the broad loin part on his sacrum.
- the traction is exerted by the therapist's body weight, whereby control with the hands is made possible and cattle are held in the stirrups intended for this purpose.
- the length of the traction belt can be adjusted using the Velcro fastener that runs through a bracket.
- the band can be shortened as much as possible.
- the length of the abdominal belt is adjustable by means of a Velcro fastener, which runs through a bracket and which makes it possible to set a pelvic tilt from maximum lordosis to maximum kyphosis.
- the belly band can also be adjusted by the patient during traction.
- traction can be exercised in a supine, prone or lateral position.
- the belt grips the pelvis directly with a perfect, self-adjusting fixation, which makes it possible to straighten the pelvis and lumbar spine.
- the belt also offers the option of practicing traction from above with the pelvis as a fixed point and the thorax as a movable point. This leaves the possibility of optimal contact with the patient.
- the traction is exercised jointly.
- the belt can be turned for obese patients.
- the belt must be turned through 180 °, or the traction belts should be crossed before doing this, possibly in combination with raising the couch.
- Treatment may include continuous traction, intermittent traction, oscillating and stabilizing effects (overall or segment by segment).
- the position in which the lumbar spine is placed is determined by the indication, the resilience of the tissue and the condition of the patient, and the measure of the pelvic setting can be provided with the belly band (6) of the pelvic traction belt.
- the straps of the pelvic traction belt can be used to apply the force acting on the pelvis and lumbar spine both symmetrically and asymmetrically by means of manual control.
- the system was developed for manual use.
- traction belt by means of a galvanized steel bracket to, for example, an electrically controlled traction device (intermittent / 'continuously) or to a pulley system (continuously).
- the steel bar is then fastened to the two traction belts by hooking into the two loops, which are located near each knee.
- the traction device with pulley consists of two pulley wheels and a non-stretchable plastic line.
- One roll is hooked in the middle of the steel bracket and the other has to be fastened with a band to the foot end of the deck frame. After approximately 15 minutes of manual traction application, traction can be continued by pulling on the leash.
- the line in the rear pulley can be attached. Maximum relaxation of the lumbar structures occurs after about 15 minutes, and the intensity of the traction after the mooring cannot decrease.
- the therapist must again stand in the traction belt, take over the traction manually, release the line and weaken the traction very gradually.
- Lying with a bare torso on the table top is preferred.
- the thoracic fixation belt must be fastened.
- the fixation must correspond to the intensity of the traction.
- the degree of lordosis / kyphosis, the duration, intensity, rhythm and direction depend on the intended goal.
- the patient After the end of the traction, the patient should always remain on the couch for some time in the position in which traction was used, after which some exercises should follow (tonus build-up, gravity, etc.). Breathing must be physiological (especially when getting up from the couch).
Abstract
Description
Vorrichtung zur Anwendung von Lumbaltraktionen.Device for applying lumbar tractions.
Die Erfindung bezieht sich auf eine Zusammenstellung von Gurten zur physiotherapeutischen Behandlung am Lumbalteil der Wirbelsäüle.. Traktion geschieht bei dieser Behandlung manuell durch den Physiotherapeuten um Rückenbeschwerden zu verringern.The invention relates to a combination of belts for physiotherapeutic treatment on the lumbar part of the spine. In this treatment, traction is done manually by the physiotherapist in order to reduce back problems.
Dies ist sehr anstrengend, und es können Hilfsmittel angewandt werden, welche dem Körperbau des Patienten angepasst werden.This is very tiring and aids can be used which are adapted to the physique of the patient.
Die Abweichungen an der Wirbelsäule und die Behandlung derselben sind beschrieben in Kremer, "Intervertebral Disc Diseases", Thieme, Göttingen-New-York, 1980.The deviations in the spine and the treatment thereof are described in Kremer, "Intervertebral Disc Diseases", Thieme, Göttingen-New-York, 1980.
Es wurde nach einer Vorrichtung gestrebt, mit welcher diese Behandlung für den Patienten weniger schmerzhaft und zweckmässiger ausgeführt werden kann.The aim was to find a device that would make this treatment less painful and more expedient for the patient.
Das Lumbaltraktionssystem gemäss der vorliegenden Erfindung ist ein physiotherapeutisches Hilfsmittel um manuelle Traktionen an der lumbalen Wirbelsäule auf einfache und bequeme Art zu ermöglichen in ein - zwei-oder dreidimensionaler Richtung, wobei den Möglichkeiten für den Patienten 'und den Zielsetzungen des behandelnden Therapeuten Rechnung getragen wird, in jedem gewünschten Masse von Lordosierung bis Kyphosierung. Die erfindungsgemässe Vorrichtung kann auf einer normalen Massageliege, deren Höhe einstellbar ist, angewendet werden.The lumbar traction system according to the present invention is a physiotherapeutic aid to enable manual traction on the lumbar spine in a simple and convenient way in one or two or three dimensions, taking into account the possibilities for the patient and the objectives of the treating therapist. in any desired mass from lordosis to kyphosis. The device according to the invention can be used on a normal massage table, the height of which is adjustable.
Der besondere Vorteil besteht darin, dass die Zubehörteile dieser Vorrichtung so verstellbar sind dass sie jeglichem Körperbau angepasst werden können.The particular advantage is that the accessories of this device are adjustable so that they can be adapted to any physique.
Die Fixierung des Patienten ist dabei optimal.The fixation of the patient is optimal.
Die Lumbaltraktionsvorrichtung zur physiotherapeutischen Behandlung von Beschwerden gemäss der vorliegenden Erfindung ist gekennzeichnet durch einen Thoraxfixierungsgurt mit verbreitertem Teil und mit Verlängerungsteil, der sich bis unter die Liege erstreckt, mit einer Bügelschnalle, wobei sie mittels Klettenband verstellbar ist, sowie einem separaten dazu aus Teilen bestehenden Beckentraktionsgurt, der mit D-förmigen Handgriffbügeln aus Metall und mit Schlaufen für Karabinerhaken zur Ausübung der Traktion ausgestattet ist.The lumbar traction device for the physiotherapeutic treatment of complaints according to the present invention is characterized by a thoracic fixation belt with a widened part and with an extension part that extends to below the bed, with a strap buckle, which is adjustable by means of a Velcro strap, and a separate pelvic traction belt consisting of parts , which is equipped with D-shaped handlebars made of metal and with loops for carabiners for exercising traction.
Der Thoraxfixierungsgurt wird an die Unterseite des Thorax angelegt, und der Beckentraktionsgurt, der dem Körperumfang entsprechend einstellbar ist, wird um die Lenden des Patienten gelegt.The thoracic fixation belt is placed on the underside of the thorax, and the pelvic traction belt, which is adjustable according to the body size, is placed around the patient's lumbar region.
Der Bauchbandteil desselben ist gleichfalls dem Körperumfang entsprechend einstellbar und durch Enden mit Klettenband, das aus Schlaufen-und Hakenband besteht, fest zu machen.The belly band part of the same can also be adjusted according to the body circumference and secured by means of ends with a Velcro band consisting of a loop band and a hook band.
Am Beckentraktionsgurt befinden sich zwei einstellbare Traktionsbänder, die der Therapeut, der am Füssende steht, um seinen Körper spannt und mit zwei Handgriffen festhält.There are two adjustable traction straps on the lap traction belt, which the therapist standing at the foot of the foot tensions around his body and holds in place with two hand movements.
Die Erfindung wird weiter erklärt an Hand der beigefügten Figuren 1,2 und 3.
- Figur 1 zeigt schematisch die Position des Patienten mit den angelegten Gurten der erfindungsgemässen Vorrichtung.
Figur 2 zeigt eine Ansicht von oben der erfindungsgemässen Vorrichtung. In diesen Figuren ist (1) der Thoraxfixierungsgurt mit einem breiteren Teil (2) und einem Verlängerungsteil (3).
- Figure 1 shows schematically the position of the patient with the belts of the inventive device.
- FIG. 2 shows a view from above of the device according to the invention. In these figures, (1) is the thoracic fixation belt with a wider part (2) and an extension part (3).
Der Teil (4) ist der Beckentraktionsgurt, welcher aus einem Lendenteil (5), dem Bauchband (6), den Handgriffbügeln (7) und dem Traktionsband (8) besteht.The part (4) is the pelvic traction belt, which consists of a lumbar part (5), the belly band (6), the handlebars (7) and the traction band (8).
Das System besteht also hauptsächlich aus einem Thoraxfixierungsgurt, einem Beckentraktionsgurt, einem freihängenden Verlängerungsteil für den Thoraxfixierungsgurt und einem separaten Traktionszubehör für den Beckentraktionsgurt, mit Haken, Stange (9) und Haltekordel (10). Das Material für die Gurte ist Kanvasgewebe in Köperbindung, welches doppelseitig zusammengestickt ist, und das breiter ist, wo Körperberührung stattfindet.The system mainly consists of a thoracic fixation belt, a pelvic traction belt, a free-hanging extension part for the thoracic fixation belt and a separate traction accessory for the pelvic traction belt, with hook, bar (9) and cord (10). The material for the straps is twill weave canvas, which is embroidered on both sides and is wider where body contact takes place.
Ueber die gesamte Länge ist das Material umsäumt.The material is hemmed along the entire length.
Die Metallbügel sind galvanisiert und zur Körperseite hin gepolstert mit weicher Lederverkleidung.The metal temples are galvanized and upholstered on the body side with soft leather cladding.
Der breite Bauchband des Thoraxfixierungsgurtes muss unterhalb des unteren Rippenbogens angelegt werden mit der Schnalle an der linken Seite des Patienten.The wide belly band of the thoracic fixation belt must be put on below the lower costal arch with the buckle on the left side of the patient.
Der schmale Teil des Bandes verläuft unter der Platte der Behandlungsliege und wird mittels Klettenbandschluss,der durch einen Bügel gezogen ist, festgehalten.The narrow part of the band runs under the plate of the treatment table and is held in place by means of a Velcro fastener that is pulled through a bracket.
Der breite Teil des Bandes ist anatomisch geformt, er unterstützt daher den Thorax unter geringer Anwinkelung und behindert dadurch nicht die Bauch-und Flankenatmung.The wide part of the ligament is anatomically shaped, therefore it supports the thorax with slight angulation and does not hinder abdominal and flank breathing.
Die Wirbelsäule ist nun an der Höhe des thorakolumbalen Uebergangs auf der Unterlage fixiert.The spine is now fixed to the base at the level of the thoracolumbar transition.
Das Anbringen und die Behandlung finden statt, in dem man auf den liegenden Patienten den verbreiterten Teil (2) des Thoraxfixierungsgurtes (1) legt, den Thoraxfixierungsgurt unter die Behandlungsliegefläche durchzieht, das Ende mittels Haken- und Schlaufenflächen des Klettenbandes festmacht, den Lendenteil (5) um die Lenden und den Bauchbandteil (6) über den Bauch führt, das Ende, welches durch einen der Bügel läuft, anzieht und festmacht, wobei die Stange (9) zwischen den Schenkeln liegen wird und das Traktionsband um die Hüften des Therapeuten gelegt wird, und man Traktion mit dem Traktionsband (8) und mit der Hand an der Haltekordel (10) ausübt.The attachment and treatment take place by laying the widened part (2) of the thoracic fixation belt (1) on the lying patient, pulling the thorax fixation belt under the treatment bed surface, fastening the end with hook and loop surfaces of the Velcro strap, and the lumbar part (5 ) around the loins and the part of the belly band (6) over the abdomen, the end, which runs through one of the temples, pulls and fastens, the rod (9) will lie between the legs and the traction band is placed around the hips of the therapist , and one exercises traction with the traction band (8) and with the hand on the cord (10).
Figur 3 zeigt ein Kissen in Form eines Keils.Figure 3 shows a pillow in the form of a wedge.
Zum Zwecke einer tief-thorakalen oder mittenthorakalen Traktionsbehandlung kann ein Manipulierungskeil (11) mit Klettenband an der Innenseite des an dem unteren Brustwirbel liegenden Teils des Beckentraktionsgurtes (4) befestigt werden.For the purpose of deep-thoracic or mid-thoracic traction treatment, a manipulation wedge (11) with Velcro tape can be attached to the inside of the part of the pelvic traction belt (4) located on the lower thoracic vertebra.
Der Keil (11) wird mit dem unteren Rand auf den Processus Spinosis von der oberen Höhe her gelegt und fixiert zwischen dem Beckentraktionsgurt (4) uns dem Rücken des Patienten, wodurch ein Luftraum entsteht zwischen der Liege, dem Keilrand und dem Rücken des Patienten.The wedge (11) is placed with the lower edge on the spinosis process from the upper height and fixed between the pelvic traction belt (4) and the patient's back, creating an air space between the couch, the wedge edge and the patient's back.
Während der Traktion kann der.Patient falls erwünscht selbsttätig .die Fixierung nachstellen.If desired, the patient can readjust the fixation during traction.
Der Beckentraktionsgurt soll wie eine "Hose" angezogen werden mit dem treiten einstellbaren Bauchband an der Vorderseite, den beiden mit Leder umkleideten Metallbügeln an den beiden Seiten und dem dadurchgleitenden Lendenteil des Traktionsgurtes an der Hinterseite.The pelvic traction belt should be put on like a "pair of pants" with the adjustable belly band on the front, the two metal brackets covered with leather on both sides and the lumbar part of the traction belt sliding through it on the back.
Das Ganze muss auf den beiden Cristae anliegend angebracht werden. Der Gurt fixiert sich selbst auf dem Becken, abhängig von dem Masse indem die Traktion ausgeübt wird.The whole must be attached to the two cristae. The belt fixes itself on the pelvis, depending on the mass by which the traction is exerted.
Der Therapeut steht am Fussende der Behandlungsliege, steigt in das Band und legt den breiten Lendenteil auf sein Sacrum.The therapist stands at the foot of the treatment table, climbs into the band and places the broad loin part on his sacrum.
Die Traktion wird mittels des Körpergewichtes des Therapeuten ausgeübt, wobei Steuerung mit den Händen ermöglicht wird rindern in die dazu bestimmten Bügel gefasst wird.The traction is exerted by the therapist's body weight, whereby control with the hands is made possible and cattle are held in the stirrups intended for this purpose.
Die Länge des Traktionsgurtes ist mittels des Klettenbandschlusses, der durch einen Bügel läuft, einstellbar.The length of the traction belt can be adjusted using the Velcro fastener that runs through a bracket.
Wenn das Band jeweils durch den folgenden Bügel gezogen wird,kann das Band maximal verkürzt werden.If the band is pulled through the following bracket, the band can be shortened as much as possible.
Die Länge des Bauchgurtes ist einstellbar mittels Klettenbandschluss, welcher durch einen Bügel verläuft und wodurch es ermöglicht wird ein Beckenkippen ein zu stellen von maximaler Lordosierung bis zur maximalen Kyphosierung.The length of the abdominal belt is adjustable by means of a Velcro fastener, which runs through a bracket and which makes it possible to set a pelvic tilt from maximum lordosis to maximum kyphosis.
Die Position des unteren Bügelpunktes hinsichtlich der Transversalachse, die durch beide Hüften verläuft, bestimmt die Lage des Beckens in saggitaler Richtung.The position of the lower temple point with respect to the transverse axis, which runs through both hips, determines the position of the pelvis in the sagittal direction.
Während der Traktion kann auch des Bauchband durch den Patienten selbst nachgestellt werden.The belly band can also be adjusted by the patient during traction.
In jeder gewünschten Ausgangsposition kann Traktion ausgeübt werden in Rücken-, Bauch- oder Seitenlage.In any desired starting position, traction can be exercised in a supine, prone or lateral position.
Der Gurt erfasst das Becken direkt mit einer perfekten sich selbst anpassenden Fixierung, wodurch es möglich wird,das Becken und die lumbale Wirbelsäule zu richten.The belt grips the pelvis directly with a perfect, self-adjusting fixation, which makes it possible to straighten the pelvis and lumbar spine.
Der Gurt bietet auch die Möglichkeit von oben her Traktion aus zu üben mit dem Becken als Fixpunkt und dem Thorax als beweglichen Punkt. Dabei verbleibt die Möglichkeit optimalen Kontaktes mit dem Patienten. Die Traktion wird gemeinschaftlich ausgeübt.The belt also offers the option of practicing traction from above with the pelvis as a fixed point and the thorax as a movable point. This leaves the possibility of optimal contact with the patient. The traction is exercised jointly.
Fürkorpulente Patienten kann der Gurt gedreht werden.The belt can be turned for obese patients.
Wenn bei kyphosierender Traktion an sehr schmalem Becken der Lendengurt abrutschen sollte,muss der Gurt um 180° gedreht werden, oder die Traktionsgurte sollten gekreuzt werden,bevor man dies tut, eventuell in Kombination mit Hochstellung der Liege.If the lumbar belt slips off in a very narrow pelvis during kyphosing traction, the belt must be turned through 180 °, or the traction belts should be crossed before doing this, possibly in combination with raising the couch.
Infolge der bequemen Anpassung und der geringen körperlichen Belastung kann Traktion mit diesem System lange durchgehalten werden (15-30 Min). Durch Einhaltung unterschiedlicher Beinlagen wird eine Verstärkung der initiierten Traktionsrichtung erreicht.Due to the comfortable adjustment and the low physical exertion, traction can be maintained with this system for a long time (15-30 minutes). By maintaining different leg positions, the initiated traction direction is strengthened.
Die Behandlung kann kontinuierliche Traktionintermittierende Traktion oszillierende und stabilisierende Wirkung (insgesamt oder eventuell Segmentsweise) umfassen.Treatment may include continuous traction, intermittent traction, oscillating and stabilizing effects (overall or segment by segment).
Die Position,in welche die lumbale Wirbelsäule gestellt wird,ist festgelegt durch die Indikation, die Belastungsfähigkeit des Gewebes und durch das Befinden des Patienten, und das Mass der Beckeneinstellung kann mit dem Bauchband (6) des Beckentraktionsgurtes beigestellt werden. Durch die Bänder des Beckentraktionsgurtes kann die auf das Becken und die Lendenwirbelsäule einwirkende Kraft mittels Handsteuerung sowohl symmetrisch als auch asymmetrisch angebracht werden.The position in which the lumbar spine is placed is determined by the indication, the resilience of the tissue and the condition of the patient, and the measure of the pelvic setting can be provided with the belly band (6) of the pelvic traction belt. The straps of the pelvic traction belt can be used to apply the force acting on the pelvis and lumbar spine both symmetrically and asymmetrically by means of manual control.
Das System wurde zur manuellen Anwendung entwickelt.The system was developed for manual use.
Es ist jedoch auch möglich,den Traktionsgurt mittels eines galvanisiertstählernen Bügels an zum Beispiel eine elektrisch gesteuerte Traktionsvorrichtung (intermittierend/' kontinuierlich) oder an eine Flaschenzugtraktionsvorrichtung (kontinuierlich) an zu schliessen.However, it is also possible to connect the traction belt by means of a galvanized steel bracket to, for example, an electrically controlled traction device (intermittent / 'continuously) or to a pulley system (continuously).
Der Stahlbügel wird dann an den beiden Traktionsgurten festgemacht durch einhaken in die beiden Schlaufen, welche sich in der Nähe jedes Knies befinden.The steel bar is then fastened to the two traction belts by hooking into the two loops, which are located near each knee.
Wenn eine elektrisch angetriebene Traktionsvorrichtung verwendet wird, kann eine Leine angehakt werden.If an electrically powered traction device is used, a line can be hooked on.
Die Traktionsvorrichtung mit Flaschenzug besteht aus zwei Flaschenzugrollen und einer nicht-dehnbaren Kunststoffleine.The traction device with pulley consists of two pulley wheels and a non-stretchable plastic line.
Die eine Rolle ist in der Mitte der Stahlbügel angehakt und die andere muss mit einem Band am Fussende des Liegegerüsts befestigt werden. Nach etwa 15 Minuten manueller Traktionsanwendung kann die Traktion durch Zug an der Leine fortgesetzt werden.One roll is hooked in the middle of the steel bracket and the other has to be fastened with a band to the foot end of the deck frame. After approximately 15 minutes of manual traction application, traction can be continued by pulling on the leash.
Die Leine in der hinteren Flaschenzugrolle kann festgemacht werden. Nach etwa 15 Minuten tritt maximale Entspannung der Lumbalstrukturen auf, wobei die Intensität der Traktion nach dem Festmachen-nicht rückläufig sein kann.The line in the rear pulley can be attached. Maximum relaxation of the lumbar structures occurs after about 15 minutes, and the intensity of the traction after the mooring cannot decrease.
Zum Beenden der Traktion muss der Therapeut sich wiederum in den Traktionsgurt stellen, die Traktion manuell übernehmen, die Leine lösen und die Traktion sehr allmählich abschwächen.To end the traction, the therapist must again stand in the traction belt, take over the traction manually, release the line and weaken the traction very gradually.
Man sollte immer zuerst den Beckentraktionsgurt anlegen und Traktion anwenden, ohne dass der Thoraxfixierungsgurt befestigt ist, um störungsfreie physiologischer Atmung zu gewährleisten.You should always first put on the pelvic traction belt and apply traction without the thoracic fixation belt attached to ensure trouble-free physiological breathing.
Liegen mit nacktem Oberkörper auf der Platte der Liege ist zu bevorzugen.Lying with a bare torso on the table top is preferred.
Wenn infolge zu grosser Traktionskraft die Fixierung ungenügend ist, muss man den Thoraxfixierungsgurt festmachen.If the fixation is insufficient due to excessive traction, the thoracic fixation belt must be fastened.
Die Fixierung muss der Intensität der Traktion entsprechen.The fixation must correspond to the intensity of the traction.
Das Mass der Lordose/Kyphose, die Dauer, Intensität,Rhytmus und Richtung hängen ab von dem beabsichtigten Ziel.The degree of lordosis / kyphosis, the duration, intensity, rhythm and direction depend on the intended goal.
Nach Ende der Traktion sollte der Patient stets einige Zeit auf der Liege verbleiben in der Position in welcher Traktion angewendet wurde, wonach einige Uebungen folgen sollten (Tonus-aufbauen, Schwerkraft usw.). Die Atmung muss physiologisch verlaufen (insbesondere beim Aufstehen von der Liege).After the end of the traction, the patient should always remain on the couch for some time in the position in which traction was used, after which some exercises should follow (tonus build-up, gravity, etc.). Breathing must be physiological (especially when getting up from the couch).
Claims (4)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| AT87200944T ATE73319T1 (en) | 1986-05-28 | 1987-05-20 | DEVICE FOR EXECUTING LUMBAR TRACTION. |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| NL8601360A NL192776C (en) | 1986-05-28 | 1986-05-28 | Pelvic traction device. |
| NL8601360 | 1986-05-28 |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| EP0247684A2 true EP0247684A2 (en) | 1987-12-02 |
| EP0247684A3 EP0247684A3 (en) | 1989-04-12 |
| EP0247684B1 EP0247684B1 (en) | 1992-03-11 |
Family
ID=19848079
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| EP87200944A Expired - Lifetime EP0247684B1 (en) | 1986-05-28 | 1987-05-20 | Apparatus for executing lumbar tractions |
Country Status (4)
| Country | Link |
|---|---|
| EP (1) | EP0247684B1 (en) |
| AT (1) | ATE73319T1 (en) |
| DE (1) | DE3777243D1 (en) |
| NL (1) | NL192776C (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5258017A (en) * | 1989-05-09 | 1993-11-02 | Harold Myers | Traction device |
| US10433872B2 (en) | 2006-09-15 | 2019-10-08 | Board Of Regents, The University Of Texas System | System, kit and apparatus for attachment of external fixators for bone realignment |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3472222A (en) * | 1967-07-03 | 1969-10-14 | Cyril L Aplin | Therapeutic apparatus |
| US3522802A (en) * | 1966-12-07 | 1970-08-04 | Walter Morton | Traction apparatus |
| DE2000045A1 (en) * | 1970-01-02 | 1971-07-08 | Teufel Wilh Jul Fa | Device for stretching the spine |
| US3960146A (en) * | 1975-03-03 | 1976-06-01 | Donald Albrecht | Traction belt |
| DE2622255A1 (en) * | 1975-09-13 | 1977-11-24 | Pondeljak Geb Filipovic Margit | Appts. conveying measurable pulling forces on e.g. backbone - consists of U-shaped support with bands, ropes or belt attached at top for controlled extending forces |
| US4361322A (en) * | 1981-05-15 | 1982-11-30 | Wells David L | Body stretching exerciser |
-
1986
- 1986-05-28 NL NL8601360A patent/NL192776C/en not_active IP Right Cessation
-
1987
- 1987-05-20 DE DE8787200944T patent/DE3777243D1/en not_active Expired - Fee Related
- 1987-05-20 EP EP87200944A patent/EP0247684B1/en not_active Expired - Lifetime
- 1987-05-20 AT AT87200944T patent/ATE73319T1/en not_active IP Right Cessation
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3522802A (en) * | 1966-12-07 | 1970-08-04 | Walter Morton | Traction apparatus |
| US3472222A (en) * | 1967-07-03 | 1969-10-14 | Cyril L Aplin | Therapeutic apparatus |
| DE2000045A1 (en) * | 1970-01-02 | 1971-07-08 | Teufel Wilh Jul Fa | Device for stretching the spine |
| US3960146A (en) * | 1975-03-03 | 1976-06-01 | Donald Albrecht | Traction belt |
| DE2622255A1 (en) * | 1975-09-13 | 1977-11-24 | Pondeljak Geb Filipovic Margit | Appts. conveying measurable pulling forces on e.g. backbone - consists of U-shaped support with bands, ropes or belt attached at top for controlled extending forces |
| US4361322A (en) * | 1981-05-15 | 1982-11-30 | Wells David L | Body stretching exerciser |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5258017A (en) * | 1989-05-09 | 1993-11-02 | Harold Myers | Traction device |
| US10433872B2 (en) | 2006-09-15 | 2019-10-08 | Board Of Regents, The University Of Texas System | System, kit and apparatus for attachment of external fixators for bone realignment |
Also Published As
| Publication number | Publication date |
|---|---|
| NL8601360A (en) | 1987-12-16 |
| NL192776C (en) | 1998-02-03 |
| ATE73319T1 (en) | 1992-03-15 |
| NL192776B (en) | 1997-10-01 |
| DE3777243D1 (en) | 1992-04-16 |
| EP0247684A3 (en) | 1989-04-12 |
| EP0247684B1 (en) | 1992-03-11 |
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