EP1124514A1

EP1124514A1 - Rehabilitation device

Info

Publication number: EP1124514A1
Application number: EP99955881A
Authority: EP
Inventors: Klaus Walter
Original assignee: Individual
Current assignee: Individual
Priority date: 1998-10-26
Filing date: 1999-10-26
Publication date: 2001-08-22
Anticipated expiration: 2019-10-26
Also published as: US6905447B1; DE19982139D2; DE29819060U1; WO2000024345A1; DE59911382D1; EP1124514B1; ATE285733T1

Abstract

The invention relates to an improved rehabilitation device for treating a hump-back and forward-drooping shoulders. Said device has the following characteristics: it comprises a base section (1) which can be put on the back of a patient, said base section (1) comprises a support (3), said support (3) is arranged or configured in a transversal direction to the longitudinal axis (5) of the rehabilitation device; a function unit (31) is provided above the support (3), comprising two counter-supports (13) that face the support (3) and are off-set in relation to one another, and the rehabilitation device is provided with a release section (27) by which the two counter-supports (13) can be swiveled around the swivel axis (29) formed by the support (3).

Description

REHABILITATION DEVICE

The invention relates to a rehab device for erecting a rounded back and / or for stretching and erecting the frontal shoulder area.

Back and shoulder stretching devices have already become known, for example from DE 298 18 369 A1, which are used for self-treatment in the case of back pain caused by tension.

However, such training devices are not suitable for use when a so-called rounded back or protruding shoulders are to be treated.

The invention is therefore based on the object of creating a rehab device by means of which it is possible to straighten up a pathologically deformed thoracic spine. The same also applies if shoulders that have fallen should be treated. The object is achieved according to the features specified in claim 1. Advantageous embodiments of the invention are specified in the subclaims.

The invention now proposes a rehab device which is comparatively simple and with which the patient can also carry out exercises on his own, gradually increasing more and more about his or her more or less curved thoracic spine (rounded back) and / or a protruding shoulder to erect.

The rehab device according to the invention is constructed in the manner of a seesaw which can be tilted about a support which can be placed on the back, the support or the tilt axis formed thereby lying transversely to the longitudinal direction of the body. At the upper end of the rehab device, tension elements can be provided or designed in various ways so that they press against the upper frontal shoulder area when used with a counter support. For example, by actuating or pulling elements located below, the patient himself can now increase the pressure on the shoulder area in such a way that the protruding shoulder is erected in relation to the support resting on the back.

The rehab device can be designed in a variety of forms.

In a simple embodiment, the on the Pulling elements acting on the shoulders should be formed from loops. However, constructions using rods, brackets, etc. are also possible, which, for example, lead forward from the rear of the base section of the rehab device above the shoulder and at the ends of which the counter-supports acting on the shoulder are formed.

The bracket construction can consist of several adjustable single brackets in order to optimally adjust the height and relative position of the support according to individual needs.

As an actuating device, for example, actuating rods guided laterally past the body can be connected to the base section of the rehab device comprising the rear support. By lightly tightening the corresponding pressure on the front shoulder area to raise the back can be increased and decreased accordingly. Likewise at these operating sections e.g. Ropes are created, which are anchored to corresponding hooks on a wall, for example, so that the actuating elements are automatically tensioned by slightly moving backwards, thereby increasing the desired pressure on the left and right shoulder area and on the rounded back.

The rehab device according to the invention is characterized, inter alia, for example in preferred embodiments, by the following properties or characteristics:

The rehab device can consist of a double arch, the two individual arch sections of which are stabilized by cross braces. Pads can preferably be attached to the intersection sections between the two, in particular in each case on the inner curve side. The double arches consisting of two single arches can have a narrow semicircular curvature and a wide semicircular curvature, the two arc sections running at least approximately parallel and being open on one side (namely towards the front). The arch sections can have one or more boreholes, to which, for example, the above-mentioned cross struts and / or the pads can be attached in different positions to arches or struts. The pads for support on the shoulder area and / or on the back can each be carried by a slat. The pads, in particular on the chest area, can be adapted to the chest area. The cushion that can be placed across the back and serves as a rocker pad can be attached to the side struts with the longitudinal struts designed as semicircular curvatures pointing inwards (i.e. pointing towards the back) and spanning the entire transverse distance between the side struts or double arches. A support plate carrying the rocker-shaped support is also preferably used here. - At the lower end of the struts on the side, the In particular, struts running out in large curves, loops or rings can be formed or attached to which traction devices can be fastened. The individual parts mentioned, in particular the side struts also in the form of arches, and the one or more cross struts can be made of metal, plastic or wood. They can be of solid or tubular design or the like. The cushions mentioned preferably comprise an elastic core and can be covered with fabric, leather, plastic or the like.

The invention is explained in more detail below on the basis of exemplary embodiments. The individual shows:

Figure 1: A first exemplary embodiment of a rehab device according to the invention in a schematic perspective representation;

FIG. 2: a corresponding illustration using the rehab device shown in FIG. 1 on a patient;

FIG. 3: an exemplary embodiment modified from FIG. 1;

Figure 4: the rehab device shown in Figure 3 in the applied state;

FIG. 5: a further modified exemplary embodiment game ; and

Figure 6: the rehab device shown in Figure 5 in the applied state.

As can be seen from FIG. 1, the rehab device according to the exemplary embodiments according to FIGS. 1 and 2 consists of a base section 1, which essentially comprises a support 3. In the exemplary embodiment shown, the support 3 is arranged transversely to the longitudinal axis or longitudinal extension 5 of the rehab device. The longitudinal axis or longitudinal extension 5, when applied to a patient, runs parallel to the longitudinal extension of the body, ie generally parallel to the vertical direction.

The support 3 can be provided with a convex and soft padded support surface 3 'made of a continuous, transverse and vertical cross section. However, it can equally well consist of at least two individual cushion elements 3 offset in the transverse direction or, for example, a plurality of individual cushion elements 3 lying next to one another in the transverse direction.

In the exemplary embodiment shown, the soft or elastic support is supported and supported by a base plate 4.

A support 3 formed in this way is held and anchored via a suitable supporting structure, in the exemplary embodiment shown by means of an inside or on the connecting strut 7 located on the rear rear side of the support 3 or of the support plate 4, which is attached to opposite actuating struts 9 which run essentially in the longitudinal direction and parallel to one another.

In the exemplary embodiment shown in FIG. 1, the two actuating struts 9 which are laterally offset from one another are of identical design and have bow-like, i.e. curved shape. The connection strut 7 mentioned in the support 3 can be fixed in a different position along the actuation struts 9 by means of a suitable releasable and fixable adjusting mechanism 11 in order to be able to make an individual adjustment as required.

For this purpose, holes 10 can be made in the longitudinally extending arches or actuating struts 9 and / or in the mentioned cross strut 7, through which screw-shaped fixing means can be inserted and fastened. As a result, the relative position of the cross struts 7 at different points in the longitudinal direction of the actuating struts 9 and / or the width spacing between the two lateral actuating struts 9 can be set differently by always having the corresponding bores 10 in the cross strut or the bores 10 'in the longitudinal struts brought into the desired relative position in a corresponding orientation and the fixing device, preferably consisting of screw bolts, inserted and secured from the rear by nuts. It can also be seen from FIG. 1 that the actuating struts 9 are subdivided into a narrower arch section 12 at the top and a larger arch section 14 at the bottom. In the exemplary embodiment shown, the actuating struts 9 run forward at their upper end in an arc shape. Counter supports 13 are formed or provided there, which in the exemplary embodiment shown can consist of a pressure plate or support plate 15, on which corresponding cushion elements 17 are located opposite each other in the padded support surface 3 'of the support 3.

The counter supports 13 are also adjustable by means of suitable adjusting and fixing devices 19 in different relative positions in relation to the actuating struts 9 in order to enable individual adaptation here as well.

In order to hold the two actuating struts 9 securely, one or more additional connecting struts can be provided at suitable locations in addition to the mentioned connecting strut 7, in the exemplary embodiment shown in FIG. 1, for example, in the front end region of the arcuately tapering actuating struts 9, here again, for example, in the amount of Counter support 13. This opens up the possibility that the counter support 13, for example, not necessarily directly on the actuating struts 9, but z. B. are attached to an attached strut 21 by means of the adjusting and fixing device 19 mentioned, so that the counter-supports 13 via their adjusting and fixing device 19 in lower different side spacing from each other and fixed to the connecting strut 21 and, for example, the connecting strut 21 in turn can be attached to the actuating struts 9 in a different longitudinal position by a further adjusting and fixing mechanism. The fixing device mentioned here also consists, like for example the fastening device of the cross strut 7 on the lateral arc-shaped longitudinal struts 9, of a multiplicity of bores 20 in the two longitudinal struts and bores 20 'which are arranged in the connecting strut 21 at a lateral distance from one another. This also allows the lateral spacing between the two actuating struts 9, on the one hand, and the relative position of the connecting strut 21 in a different longitudinal direction with respect to the lateral actuating struts 9, moreover, also to set and fix the shoulder pads 13 mentioned in a different relative position.

Figure 2 shows the rehab device. It can be seen from this that the padded support 3 is brought into contact with the back 25 of a patient and there forms the fulcrum of an axis of rotation (hinge) extending transversely to the longitudinal direction of the body, that is to say generally in the standing position, the two extending upwards arcuate section of the actuating struts 9 extend forward over the shoulders, so that the abutments 13 mentioned lie on the left and right of the front shoulder area. By gripping the lower trigger sections 27 projecting downward and forward over the support 3, this can now be done Rehabilitation device can be tilted about its horizontal pivot axis 29 formed by the support 3 in such a way that the functional part 31 formed above the support 3 pivots the associated counter supports 13 in the direction of the back according to the arrow position 33. Likewise, for example, pulling cables 35 can also be attached to the release sections 27 (for example to eyes 28 which are formed at the end of the actuating struts 9) and with their other end to hooks 37 on a fixed wall 38 or the like. are anchored so that the corresponding tilting movement and thus the pressure of the counter-supports 13 on the front shoulder area and the rounded back is exerted in the desired manner by the person stepping back slightly and the pivoting movement of the triggering sections 27 to the front and / or upward caused thereby.

As a result of this process, the cushion elements 17 are pressed against the frontal right and left shoulder areas and stretch the front chest and straighten the lateral (ie left and right) frontal shoulder area and at the same time also the rounded back.

A modification of a rehab device is shown with reference to FIG.

In the exemplary embodiment according to FIG. 3, it is made clear that the two actuating struts 9, which are laterally offset, do not necessarily have to be curved, but for example also only with one or more narrow ones Arch sections or kinks can be formed. In this case, the functional part 31 located above the support 3 may not have end sections of the actuating struts 9 that run out straight, but rather straight out. The actuation struts 9 in the back area can therefore be designed to be vertical and straight. For further stabilization, for example, two connecting struts 21 which are arranged above the support 3, offset in the vertical direction and running transversely are provided, which are also again in their vertical position by means of suitable adjusting or fixing devices 23 in a different relative position (that is to say in the longitudinal direction of the actuating struts 9 and / or can be fastened with a different lateral offset of the two actuating struts). These fastening or fixing devices 23 can also again consist of a multiplicity of appropriately offset bores through which corresponding screwing and fixing means are inserted, as was explained with reference to the fastening of the cross strut 7 with reference to FIG. 1.

In this exemplary embodiment, shoulder straps, which can be formed in the manner of loops, straps, etc., serve as counter-supports 13. Such a loop-shaped counter-support 13, for example made of textiles or leather material, therefore does not have to be provided with any further cushion elements 17. Nevertheless, additional padding can of course be provided, particularly in the interior of the loop. In the attached state, the arms are passed through these loops leads, with appropriate height adjustment of the two transverse connecting struts 21 and the attached end portions 39 of the loops, the position of the loops not only at a lateral distance from each other (by adjusting their fixing elements on the connecting struts 21), but also in relation to the desired height Support 3 can be optimally adjusted by different height adjustment and fixation of the connecting struts 21.

By appropriate action on the triggering sections 27 by gripping or pivoting or by the use of, for example, triggering ropes 35, the desired rocking and pivoting movement is in turn generated with the generation of the desired pressure which straightens the shoulder area and the rounded back, the support 3 forming the pivoting axis 29 bears against the rounded back 30 to be treated.

Further additional special features can be found in FIGS. 3 and 4, which will be briefly discussed below.

In Figures 3 and 4, reference numeral 52 also shows a semicircular back of the support 3, which makes it possible for this support to be used for floor exercises without the frame shown, so that the support 3 serves as a tilting element for lying treatment on the floor or even serve on a separate bed. Furthermore, a tension belt between the counter-supports 13 and the adjustment bracket 45 is identified by reference numeral 53, an elongated strut 9 by reference numeral 54, a transverse strut by reference numeral 55 for stabilizing the elongated strut 54, and an adjustable connection point by reference numeral 62, which connects those running up the back , laterally offset struts and the elongate struts 9 which can be attached to them in an extension so as to be able to fix them in different longitudinal dimensions.

The elongated struts 54, optionally with or without the cross strut 55, can also be used, for example, to slowly advance into a door approximately into the door frame until the elongated struts strike an upper lintel. By gently moving forward or rocking, the corresponding forces are also applied to the front shoulder area and the rounded back in order to straighten them up.

For the sake of completeness, it is already mentioned here that the mentioned connection points between the vertical and horizontal support struts can also have, for example, adjustable connection points at a suitable point in order to enable quicker adjustment and fine adjustment depending on personal needs with regard to the width adjustment or To be able to adjust the height of the individual longitudinal and transverse struts. The exemplary embodiment according to FIGS. 5 and 6 corresponds in terms of its basic structure to that according to FIGS. 3 and 4. This exemplary embodiment, instead of the loop-shaped counter-supports shown in dashed lines in FIG. 5, the counter-support is realized by additional plug-in or connectable supplementary brackets. In this exemplary embodiment, the actuating struts 9 running straight ahead are provided at their upper end with a corresponding plug-in projection 41, in which the plug-in end 42 is shown plugged in by extension struts 43 which run forward over the shoulders in a large arc, at the front, again after A bottom U-shaped adjustment bracket 45 is anchored at the bottom ends at different heights. This adjusting bracket 45 can also be anchored in a different relative position in accordance with the arrow representation 47 in such a way that the counter-supports 13 located at the end thereof with a pressure support plate 15 and cushion elements 17 usually placed there in a different relative position are more or less far in Direction of the rear support 3 are adjustable. This construction opens up the possibility that a patient can put this device on more easily, since the distance between the mounting struts 43 and the adjustment strut 45 leaves enough space to put the rehab device thus formed over the head.

The transverse distance between the two mounting struts 43 can also be changed, for example, by pivoting about their insertion axes 41. To make an adjustment here too With regard to the adjustment strut 45, the adjustment strut 45 is divided into two and comprises two bracket halves 45 ′ and 45 ″, which is provided on its base section 45a with a fitting section 45b that can be telescopically pushed into and out of one another.

Otherwise, the adjustment strut 45 and / or the attachment strut 43 are again provided in the region of their crossing points 50 with a plurality of bores 51, each offset in the longitudinal direction, which enable the adjustment bracket 45 to be attached to the attachment struts 43 at different heights and also in a different relative position to fix the individual requirements and wishes to each other with reference to the arrow representation 47, for example also by means of the adjustment and fixing devices mentioned, for example consisting of bolts and nuts.

FIG. 6 again shows that the further structure and the mode of operation are otherwise comparable to the previous exemplary embodiments.

The fact that the vertical extension under the longitudinal struts 54 and connecting struts 55 can only be provided selectively, that is, does not have to be provided, and can additionally be inserted or removed in the other struts, is shown, for example, with reference to FIG the vertical extension struts 54 with the connecting strut 55 is not shown. For the sake of completeness, it is also mentioned that the functional part 31 with the corresponding sections of the actuating struts 9 or the possibly provided attachment struts 43 or one or more adjusting struts 45 can also be designed such that these struts do not extend beyond the upper base section 1 starting from the rear Shoulder area, but can extend laterally around the outside of the shoulder and arm area or even under the armpit, a corresponding counter support being formed on the respective front shoulder area and / or being fixable in different adjustment positions.

It is shown in FIGS. 2 and 4 that, at the lower end of the actuation struts 9, cables 35 can be attached, for example, to a fixed wall or a fixed piece of furniture in order to introduce the corresponding forces onto the shoulder area and the rounded back by forward and backward movement. Of course, appropriate ropes can also be attached above the rocker-shaped support 3 on the so-called functional part and the free ends of which can also be fastened again to a wall or a cupboard. In this case, the patient only needs to go forward to apply the backward forces on the shoulder areas to straighten the rounded back. In this case, the trigger sections 27 are arranged above the support 3 forming the pivot axis 29.

Claims

Expectations ;

1. Rehabilitation device with the following features:

- With a base section (1) that can be placed on the patient's back,

- The base section (1) comprises a support (3),

- The support (3) is arranged or designed to run in the transverse direction to the longitudinal axis (5) of the rehab device,

- Above the support (3) a functional part (31) is provided, which has two mutually offset, the support (3) facing counter-supports (13), and

- On the rehab device, a trigger section (27) is provided, by means of which the two counter supports (13) can be pivoted about the pivot axis (29) formed by the support (3).

2. Rehabilitation device according to claim 1, characterized in that the trigger sections (27) below the support (3) are formed lying.

3. Rehabilitation device according to claim 1 or 2, characterized in that the release sections (27) consist of two struts (9, 27) which run from the base section (1) below the support (3), preferably with one running forward Section .

4. Rehabilitation device according to one of claims 1 to 3, characterized in that the trigger sections (27) lie in the applied state of the rehabilitation device so that their forward end sections (27) can be gripped with one hand each.

5. Rehabilitation device according to one of claims 1 to 4, characterized in that a release cable (28) can be anchored as a pulling device on the two release sections (27).

6. Rehabilitation device according to one of claims 1 to 5, characterized in that above the support (3) directly or indirectly attached to the base section (1), the two mutually laterally offset counter-supports (13) are provided.

7. Rehabilitation device according to one of claims 1 to 6, characterized in that the two counter-supports (13) in their lateral spacing and / or in their relative position based on the base section (1) or the support (3) differently adjust and are fixable.

8. Rehabilitation device according to one of claims 1 to 7, characterized in that the counter-supports (13) on struts

(21, 41, 45) sit, which start from the base section (1) and are formed in a side view in the shape of an arc or in the manner of an inverted U.

9. Rehabilitation device according to claim 8, characterized in that the counter-supports (13) are seated on the upwardly extending arc-shaped (12) or U-shaped (43, 45) struts extending from the base section (1).

10. Rehabilitation device according to one of claims 1 to 8, characterized in that a connecting strut (21) is arranged on the struts (9, 12) extending upwards from the base section (1), on which the counter-supports (13 ) sit.

11. Rehabilitation device according to claim 10, characterized in that the counter supports (13) seated on the connecting strut (21) by means of a suitable adjusting and fixing mechanism (23) at different lateral relative distances and / or the connecting strut (21 ) can be adjusted by means of an adjusting and fixing mechanism (23) in different longitudinally displaceable relative positions with respect to the struts starting from the base section (1).

12. Rehabilitation device according to claim 10 or 11, characterized in that the connecting strut (21) is formed after a U-shaped adjustment struts in plan view, while rend the base section connecting the two longitudinal legs (45a) is adjustable in different relative positions.

13. Rehabilitation device according to claim 12, characterized in that at the area of the free leg ends of the adjusting strut (45) the counter supports (13) are formed or can be fastened.

14. Rehabilitation device according to one of claims 1 to 13, characterized in that the mounting struts (43) on the base portion (1) can be plugged and anchored.

15. Rehabilitation device according to one of claims 1 to 14, characterized in that the base section (1) consists of two laterally offset longitudinal struts (9) between which the support (3) extends transversely to form the pivot axis (29). is trained.

16. Rehabilitation device according to one of claims 1 to 15, characterized in that a plurality of connecting struts (7, 21, 43) extending between the two longitudinal struts (5) are formed.

17. Rehabilitation device according to one of claims 1 to 16, characterized in that the two longitudinal struts (9) are designed the same in side view.

18. Rehabilitation device according to one of claims 1 to 17, characterized characterized in that the two laterally offset longitudinal struts (9) merge into the release struts at the bottom.

19. Rehabilitation device according to one of claims 1 to 18, characterized in that the counter supports (13) can be adapted to the respective shoulder area in a self-aligning manner, that is to say they can be pivoted at least within a certain angular range.

20. Rehabilitation device according to one of claims 1 to 19, characterized in that the counter-supports (13) consist of a loop penetrated by the arm in the applied state.

21. Rehabilitation device according to one of claims 1 to 20, characterized in that the at least two lateral struts (9) are essentially arc-shaped and preferably merge into a narrower arch section (12) in the upper region.

22. Rehabilitation device according to one of claims 1 to 20, characterized in that the lateral longitudinal struts (9) have essentially straight strut sections and preferably only have an arch section or a bent connecting area at the transition from the lower release section (27) to the rear strut area .

23. Rehabilitation device according to one of claims 1 to 22, characterized characterized in that the functional part can be extended with further vertical struts (54) and, if necessary, at least one further cross strut (55) and preferably these additional struts serve as release devices.

24. Rehabilitation device according to one of claims 1 to 23, characterized in that the connection points between the individual struts and strut parts are designed as adjustable connecting struts.