EP1039870B1 - Tragbares wirbeltherapiegerät für lumbare scheibenverlängerung und halswirbelverlängerung - Google Patents

Tragbares wirbeltherapiegerät für lumbare scheibenverlängerung und halswirbelverlängerung Download PDF

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Publication number
EP1039870B1
EP1039870B1 EP98954564A EP98954564A EP1039870B1 EP 1039870 B1 EP1039870 B1 EP 1039870B1 EP 98954564 A EP98954564 A EP 98954564A EP 98954564 A EP98954564 A EP 98954564A EP 1039870 B1 EP1039870 B1 EP 1039870B1
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EP
European Patent Office
Prior art keywords
patient
carriage
traction
chassis
support
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Expired - Lifetime
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EP98954564A
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English (en)
French (fr)
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EP1039870A1 (de
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Christian Haguenauer
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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
    • A61H1/0222—Traction tables

Definitions

  • the present invention relates to a device for portable vertebrotherapy for disc elongation lumbar and cervical elongation.
  • the spine includes 4 segments, namely the cervical spine consisting of 7 vertebrae, the thoracic spine consisting of 12 vertebrae, the lumbar spine consisting of 5 vertebrae, and the sacral spine composed of the sacrum and coccygeal parts. These 4 segments form 4 inverted bends in the plane sagittal.
  • nucleus gelatinous intervertebral disc is moved to the back and compresses one or more spinal nerves this which causes pain and sometimes paralysis.
  • the principle of this therapy generally consists to perform a controlled disc elongation at the level of two vertebrae located on either side of the diseased disc.
  • This device comprises a chassis on which are mounted a mobile pelvic cart and a mobile chest cart likely to be displaced from the pelvic cart thanks to a tightening mechanism.
  • the chassis also has in its extension a removable foot plate comprising means supporting the bent knees of the patient and supporting straps connected to a harness intended to immobilize the patient's rib cage.
  • the thoracic cart has in its extension of a removable head tray.
  • This tray of head has an end portion supporting straps connected to a harness designed to immobilize the cage chest of the patient.
  • This device is suitable for pulling lumbar disc by moving the thoracic cart by relation to the pelvic cart in order to increase the spacing between these two carriages.
  • This device comprises a fixed pelvic tray provided with straps connected to a harness provided to immobilize the patient's pelvis and chest plate with straps connected to a harness provided to immobilize the cage chest of the patient, this chest plate being likely to be displaced from the pelvic plateau thanks to a cylinder type mechanism.
  • the lumbar disc extension of a patient lying on it vertebrotherapy device and immobilized by both harness can be made by moving the tray thoracic so as to increase the spacing between the thoracic plateau and the pelvic plateau.
  • this device is modified by adding a tray of fixed head fitted with straps connected to a headrest designed to immobilize the patient's head.
  • cervical elongation of a patient lying on the vertebrotherapy device immobilized by the headrest and the chest harness will be made by moving the chest plate to increase the spacing between the head plate and the thoracic plate, i.e. by reducing the distance between the thoracic plateau and the pelvic plateau.
  • PTFE polytetrafluoroethylene
  • the traction force will be applied to the chest by the displacement of the thoracic plateau and this force of traction will partially run out on the seals superior dorsal vertebrae then cervical, which is not not good on a healthy spine, to finally act on the cervical segment only at the end of the race.
  • this pulling force should flatten the lordosis or physiological cervical curvature before reaching the joint C5 and C6 to be treated.
  • the object of the present invention is to eliminate the disadvantages of known devices by providing a portable device allowing to carry out effectively, in safely and perfectly controlled either a lumbar disc lengthening, or a stretching cervical, which allows in the case of elongation cervical, to apply a traction force perfectly checked directly on a cervical spine beforehand straightened (cervical curvature eliminated) by minimizing the number of intervertebral joints to cross.
  • a portable vertebrotherapy device for lumbar disc elongation and cervical elongation comprising a chassis forming at least on its part upper rectilinear plane, part on which are movably mounted parallel to the rectilinear plane a pelvic cart designed to support the pelvis of a patient and a thoracic cart provided to ensure the patient's abdominal support, said chassis comprising its end on the side of the pelvic part adjustable with means for supporting the feet of the patient, a part comprising support means for straps capable of supporting straps retaining a means for immobilizing the patient's pelvis and a part intended to support the patient's knees.
  • the chassis further comprises on its upper part a carriage movable head parallel to the rectilinear plane, thereby that a means is provided for immobilizing so removable the pelvic cart on the chassis, a means for detachably immobilize the thoracic cart on the frame and a means for making it integral so removable from the head carriage to the thoracic carriage
  • the chassis has at its end located on the side of the head carriage a tractor arm comprising means strap support provided to support either straps holding a means intended to immobilize the cage chest, or straps holding a means intended to immobilize the patient's head and by the fact that said tractor arm is connected to a traction mechanism to produce a predetermined tensile force either on the straps holding the means intended for immobilize the patient's chest, either on the straps retaining the means intended to immobilize the head of the patient.
  • the traction mechanism is preferably a jack electric.
  • the tractor arm preferably includes an extensometer which can be electronically linked to a device display housed in a desk designed to display the tensile force measured by the extensometer.
  • the traction is a traction control type mechanism programmable which preferably includes a means housed in a desk to program, to select or to introduce a traction program.
  • the device may include, in connection with the command traction control, an actuation command of the traction mechanism and an emergency stop button allowing the release of the traction mechanism.
  • the carriage pelvic is mobile on the chassis, and preferably the tractor arm strap support means support straps holding a means intended to immobilize the cage chest of the patient and the strap support means of the chassis area support straps retaining a means for immobilizing the patient's pelvis.
  • the head cart and the chest cart are separated from each other, the head carriage is movable on chassis, chest cart and cart pelvic muscles are immobilized on the chassis, and preferably the means for supporting the straps of the tractor arm support straps retaining a means for immobilize the patient head, the support means straps of the chassis part preferably not supporting no strap.
  • the head carriage preferably comprises a cushion of suitable form for eliminating the cervical curvature of the patient.
  • the vertebrotherapy device comprises a rigid frame 1 forming on its part higher than a rectilinear plane.
  • This chassis is made of a light metallic material and resistant to deformation and mounted on legs adjustable 2.
  • This chassis 1 has on its upper part three mobile parallelepiped general shape carts parallel to the rectilinear plane.
  • the first cart is planned to provide support for a patient's pelvis.
  • the second carriage called thoracic carriage 4, is provided to provide abdominal support for the patient.
  • the third carriage called head carriage 5, is provided to support the patient's head.
  • Each of the three carriages 3, 4, 5 has rollers 6 arranged so that each of the carriages can be move safely and stably on the top chassis with a rail on each side.
  • the chassis has, at its end located on the side of the pelvic trolley, an adjustable part 7 comprising a plate 8 intended to support the feet of the patient, a part 9, reclining during installation or uninstallation of the patient comprising support means 10, 10 'straps (not visible) and a part 28 provided to support the patient's knees.
  • the part 7 comprising the plate 8 is adjusted according to the size of the patient so as to force the patient into lying on the knee bending device.
  • Part 28 intended to support the bent knees of the patient can either be a part intended to lie in each side of the patient's knees so that they stabilize as shown in Figures 1 and 2, either a part intended to be located under the knees of the patient.
  • the chassis 1 has at its end located on the side of the head carriage 5 a tractor arm 11 comprising means strap support 12, 12 '(not visible) and a extensometer 13.
  • the tractor arm 11 is connected to an electric actuator 14 to programmable traction control located inside the chassis 1.
  • the management of the traction process is entrusted to a programmable controller housed in a console 15.
  • the console 15 includes a means for programming, for select or to enter a traction program allowing to choose, according to the pathologies encountered, traction-hold alternations, traction speed, the release speed as well as the holding peaks and a display device capable of permanently displaying the tensile force measured by the extensometer, the time tensile force, programmed tensile force, time programmed and possibly other data.
  • the parameters of each program are defined for each patient, but can be changed by the doctor.
  • the programs can for example be either programmed directly, either pre-recorded or introduced by means a personalized smart card if such a system is planned.
  • installation period of the therapeutic force F3 and the each release period takes place gradually in 3 steps each corresponding to 1/3 of the value chosen for therapeutic strength F3.
  • the console 15 also has an on / off button and a power-on indicator.
  • command 17 allowing the actuator to be actuated and this emergency stop button 18 are located on a handle 16, It should however be noted that command 17 allowing actuate the actuator and the emergency stop button 18 for loosening the cylinder can be located on the desk 15.
  • This vertebrotherapy device works thanks to a electrical supply device 19 which comprises a low voltage power supply and a safety battery expected in the event of a power failure.
  • This device can be used either to perform a lumbar traction either to achieve traction cervical.
  • the strap support means 12, 12 'of the tractor arm 11 support straps 21, 21' (not visible) retaining a chest harness 22 provided for immobilize the patient's rib cage and the means to strap support 10, 10 'of part 9 of chassis 1 support straps 23 and 23 '(not visible) holding a pelvic harness 24 designed to immobilize the pelvis patient.
  • the positioning of the means of strap support must be such that traction can exercise along the axis of the spine.
  • This configuration of the device is particularly suitable for the treatment of herniated discs and lumbago.
  • Patient lies on device, head resting on the head carriage 5, the back resting on the carriage thoracic 4, the posterior region of the pelvis resting on the pelvic cart 3 and the feet resting on the tray 8 foot with bent knees supported by the part 28.
  • the patient is strapped onto the device using the harness thoracic 22 resting on all of the ribs and pelvic harness 24 resting on the iliac crests.
  • harnesses 22 and 24 may for example each consist in an adjustable velcro bandage according to the size of the patient.
  • the power supply 19 is connected and the personalized treatment program is programmed or selected using keys located on the console 15 or introduced using a personalized smart card in the desk 15 if such a system is provided.
  • Straps 22, 22 '(not visible) and 24, 24' (not visible) are then pre-tensioned and the traction acting on the jack is engaged.
  • the traction arm 11 transmits a traction force generated by the electric actuator on the straps 21, 21 ' (non visible).
  • This force acts on the responsible intervertebral disc compression of the sciatic nerve by performing a disc decompression resulting in reintegration of this disc, and more specifically of the posterior part of this disc, in its original place.
  • the applied tensile force is measured by the extensometer 13 and instantly displayed, possibly along with other data, on the display device of the console 15, by means of electronic link.
  • the cart head 5 is detached from the thoracic carriage 4 and free on chassis 1 and thoracic carriages 4 and pelvic 3 are immobilized on the chassis 1 by means of removable locking or by locking means removable not shown so that they are fixed on the chassis.
  • the strap support means 12, 12 'of the tractor arm 11 support straps 25, 25' (not visible) retaining a headrest 26 provided for immobilize the patient's head.
  • a cushion 27 of suitable shape is provided on the carriage head to eliminate cervical curvature
  • Patient lies on device, head resting on the cushion 27 of the head carriage 5, the back resting on the thoracic cart 4, the posterior region of the pelvis resting on the pelvic cart 3 and feet resting on the foot plate 8 with the bent knees supported by part 28, the cervical curvature being eliminated by the action of the cushion 27.
  • the traction force applied in the case of traction cervical is much less than the pulling force applied in the case of lumbar traction and in the cervical traction, the applied force is low enough that the frictional forces at level of the thorax and pelvis prevent slipping of the lower part of the patient's body. So there is no need to strap the lower body of the patient when performing cervical traction.
  • the power supply 19 is connected and the program of personalized treatment is programmed or selected by means of keys located on console 15 or entered thanks to a personalized smart card in console 15 if such a system is provided.
  • the traction arm 11 transmits a traction force generated by electric jack on the straps 25, 25 '.
  • This force is exerted this time on the cervical spine and causes decoaptation (or separation) of posterior joints and also causes a stretching of the para-cervical muscles, thus acting on the two main causes of neck pain.
  • the applied tensile force is measured by the extensometer 13 and instantly displayed, possibly along with other data, on the display device of the console 15, by means of electronic link.
  • the traction force will be applied by through the headrest 26 directly on the spine cervical previously straightened with, taking for example treatment of pathological joint C5-C6, 4 joints intervertebral to cross instead of 8 intervertebral joints to cross as with the device described in EP-A-0240229.
  • the force recorded by the extensometer 13 corresponds to the force directly applied to the spine cervical, since the lower part is fixed (trolleys lower immobilized). Measuring the applied force will therefore be much more reliable.

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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)

Claims (13)

  1. Tragbare Wirbelsäulen-Therapievorrichtung zur lumbalen Bandscheibenstreckung und Halsstreckung mit einem Gehäuse (1), welches mindestens auf seinem oberen Teil eine geradlinige Ebene bildet, wobei auf diesem Teil parallel zur geradlinigen Ebene beweglich ein Beckenschlitten (3) befestigt ist, der zur Sicherstellung der Abstützung des Beckens eines Patientenbestimmt ist, und ein Thoraxschlitten (4) befestigt ist, der zur Sicherstellung der abdominalen Abstützung des Patienten bestimmt ist, wobei das genannte Gehäuse (1) an seinem auf der Seite des Beckenschlittens (3) liegenden Ende ein einstellbares Teil (7) mit einem Mittel (8) zum Stützen der Füße des Patienten sowie ein Teil (9) aufweist, welches Mittel (10,10') zum Tragen von Gurten, die geeignet sind, Gurte (23,23') zu tragen, welche ein Mittel (24) zur Immobilisierung des Beckens des Patienten halten, und ein Teil (28) zur Abstützung der Knie des Patienten umfaßt, dadurch gekennzeichnet, daß das Gehäuse (1) ferner auf seinem oberen Teil einen Kopfschlitten (5) aufweist, der parallel zur geradlinigen Ebene bewegbar ist, daß sie mit einem Mittel zur lösbaren Immobilisierung des Beckenschlittens (3) auf dem Gehäuse (1), einem Mittel zur lösbaren Immobilisierung des Thoraxschlittens (4) auf dem Gehäuse (1) und einem Mittel (20) zur lösbaren, festen Verbindung des Kopfschlittens (5) mit dem Thoraxschlitten (4) versehen ist, daß das Gehäuse (1) an seinem auf der Seite des Kopfschlittens (5) liegenden Ende einen Zugarm (11) aufweist, der Mittel zum Tragen von Gurten (12,12') umfaßt, die zum Tragen entweder der Gurte (21,21'), welche ein zur Immobilisierung des Brustkorbs des Patienten bestimmtes Mittel (22) halten, oder der Gurte (25,25'), welche ein zur Immobilisierung des Kopfes des Patienten bestimmtes Mittel (26) halten, bestimmt sind, und daß der genannte Zugarm (11) mit einem Zugmechanismus (14) verbunden ist, der die Erzeugung einer vorbestimmten Zugkraft entweder auf die Gurte (21,21'), welche das zur Immobilisierung des Brustkorbs des Patienten bestimmte Mittel (22) halten, oder auf die Gurte (25,25'), welche das zur Immobilisierung des Kopfes des Patienten bestimmte Mittel (26) halten, ermöglicht.
  2. Vorrichtung nach Anspruch 1, dadurch gekennzeichnet, daß der Zugmechanismus (14) ein elektrischer Stellantrieb ist.
  3. Vorrichtung nach einem der Ansprüche 1 oder 2, dadurch gekennzeichnet, daß der Zugarm (11) ein Extensometer (13) trägt.
  4. Vorrichtung nach Anspruch 3, dadurch gekennzeichnet, daß das Extensometer (13) elektronisch mit einer Anzeigevorrichtung verbunden ist, die in einem Pult (15) aufgenommen und zur Anzeige der durch das Extensometer gemessenen Zugkraft bestimmt ist.
  5. Vorrichtung nach einem beliebigen der Ansprüche 1 bis 4, dadurch gekennzeichnet, daß der Zugmechanismus (14) ein Mechanismus mit programmierbarer Zugkraftsteuerung ist.
  6. Vorrichtung nach Anspruch 5, dadurch gekennzeichnet, daß die programmierbare Zugkraftsteuerung ein in einem Pult (15) aufgenommenes Mittel aufweist, um ein Zugkraftprogramm zu programmieren, auszuwählen oder einzugeben.
  7. Vorrichtung nach einem der Ansprüche 5 oder 6, dadurch gekennzeichnet, daß sie in Verbindung mit der programmierbaren Zugkraftsteuerung eine Steuerung (17) zur Betätigung des Zugmechanismus (14) und einen Nothalt-Schalter (18) aufweist, der das Entspannen des Zugmechanismus ermöglicht.
  8. Wirbelsäulen-Therapievorrichtung nach einem beliebigen der Ansprüche 1 bis 7 in einer zur lumbalen Bandscheibenstreckung geeigneten Ausführungsform, dadurch gekennzeichnet, daß der Kopfschlitten (5) und der Thoraxschlitten (4) miteinander fest verbunden und auf dem Gehäuse (1) beweglich sind und daß der Beckenschlitten (3) auf dem Gehäuse beweglich ist.
  9. Wirbelsäulen-Therapievorrichtung nach Anspruch 8, dadurch gekennzeichnet, daß die Tragmittel für die Gurte (12,12') des Zugarms (11) Gurte (21,21') tragen, welche ein Mittel (22) halten, das zur Immobilisierung des Brustkorbes des Patienten bestimmt ist, und daß die Tragmittel der Gurte (10,10') des Teils (9) des Gehäuses (1) Gurte (23,23') halten, welche ein Mittel (24) tragen, das zur Immobilisierung des Beckens des Patienten bestimmt ist.
  10. Wirbelsäulen-Therapievorrichtung nach einem beliebigen der Ansprüche 1 bis 7 in einer zur Halsstreckung geeigneten Ausführungsform, dadurch gekennzeichnet, daß der Kopfschlitten (5) und der Thoraxschlitten (6) nicht fest miteinander verbunden sind, daß der Kopfschlitten (5) auf dem Gehäuse (1) beweglich ist und daß der Thoraxschlitten (4) und der Beckenschlitten (3) auf dem Gehäuse (1) immobilisiert sind.
  11. Wirbelsäulen-Therapievorrichtung nach Anspruch 10, dadurch gekennzeichnet, daß die Tragmittel für Gurte (12,12') des Zugarms (11) Gurte (25,25') tragen, welche ein Mittel (26) halten, das zur Immobilisierung des Kopfes des Patienten bestimmt ist.
  12. Wirbelsäulen-Therapievorrichtung nach Anspruch 11, dadurch gekennzeichnet, daß die Tragmittel für Gurte (10,10') des Teils (9) des Gehäuses keinen Gurt tragen.
  13. Wirbelsäulen-Therapievorrichtung nach einem beliebigen der Ansprüche 10 bis 12, dadurch gekennzeichnet, daß der Kopfschlitten (5) ein Kissen (27) mit geeigneter Form zur Beseitigung der Halskrümmung des Patienten aufweist.
EP98954564A 1997-11-18 1998-11-13 Tragbares wirbeltherapiegerät für lumbare scheibenverlängerung und halswirbelverlängerung Expired - Lifetime EP1039870B1 (de)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
FR9714444A FR2770998A1 (fr) 1997-11-18 1997-11-18 Dispositif de vertebrotherapie portable pour l'elongation discale lombaire et l'elongation cervicale
FR9714444 1997-11-18
PCT/FR1998/002413 WO1999025304A1 (fr) 1997-11-18 1998-11-13 Dispositif de vertebrotherapie portable pour l'elongation discale lombaire et l'elongation cervicale

Publications (2)

Publication Number Publication Date
EP1039870A1 EP1039870A1 (de) 2000-10-04
EP1039870B1 true EP1039870B1 (de) 2002-10-02

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EP98954564A Expired - Lifetime EP1039870B1 (de) 1997-11-18 1998-11-13 Tragbares wirbeltherapiegerät für lumbare scheibenverlängerung und halswirbelverlängerung

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EP (1) EP1039870B1 (de)
AU (1) AU1162799A (de)
DE (1) DE69808511T2 (de)
FR (1) FR2770998A1 (de)
WO (1) WO1999025304A1 (de)

Families Citing this family (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102004035173B4 (de) * 2004-07-16 2015-03-05 Eduard Rymalov Extensionsvorrichtung
RU2282431C1 (ru) * 2005-03-23 2006-08-27 Виталий Сергеевич Костанбаев Устройство для коррекции и лечения позвоночника (варианты)
DE202006014265U1 (de) * 2006-09-13 2007-06-06 Stojakovic, Mile Medizinisches Brett
CN108186248B (zh) * 2018-02-08 2023-07-07 河南省洛阳正骨医院（河南省骨科医院） 三屈位可调节式支垫
RU2689841C1 (ru) * 2018-06-04 2019-05-29 Юрий Алексеевич Скултан Пружинящее основание для вытяжения и удлинения позвоночника
CN112569034B (zh) * 2020-12-25 2023-03-31 中国人民解放军空军军医大学 一种腰椎和颈椎牵引康复健身器
US20230172784A1 (en) * 2021-12-02 2023-06-08 North American Medical Corporation System & method for providing whole body vibration therapy and physiotherapeutic spinal mobilization and decompression modalities

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2630800A (en) * 1950-10-27 1953-03-10 Henry H Voss Therapeutic traction table
US3741200A (en) * 1971-10-20 1973-06-26 H Morin Orthopedic treatment table
GB8607924D0 (en) * 1986-04-01 1986-05-08 Henshaw J T Traction apparatus
FR2734153B1 (fr) * 1995-05-17 1998-08-07 Haguenauer Christian Dispositif d'elongation discale portable

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Publication number Publication date
WO1999025304A1 (fr) 1999-05-27
DE69808511D1 (de) 2002-11-07
EP1039870A1 (de) 2000-10-04
AU1162799A (en) 1999-06-07
FR2770998A1 (fr) 1999-05-21
DE69808511T2 (de) 2003-06-26

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