EP2012668A1

EP2012668A1 - Method and appliance for recording the statics of the whole of the human body

Info

Publication number: EP2012668A1
Application number: EP07722260A
Authority: EP
Inventors: Birgit Ammeling
Original assignee: Individual
Current assignee: Individual
Priority date: 2006-04-28
Filing date: 2007-04-20
Publication date: 2009-01-14
Also published as: WO2007124719A9; WO2007124719A1; DE102006019762A1

Abstract

In a method for recording the statics of the human body, in which the position of reproducible bone structures is recorded as reference points in a system of coordinates, with the body in a standing position and also with the body in a recumbent position, the invention proposes that, in both positions adopted by the body, the reference points relevant to the head statics and also those relevant to the statics of other parts of the body are recorded and, consequently, in both positions, at least two reference points lying in one plane are recorded in each case and, in both positions, at least two such planes are recorded in each case.

Description

METHOD AND DEVICE FOR DETECTING HUMAN TOTAL BODY STATUS

The invention relates to a method according to the preamble of claim 1 and a device according to the preamble of claim 15.

From DE 44 02 562 A1 a generic method and a generic device for scanning a body contour, in particular a back contour of a person known. With the aid of this device, which is referred to as "MediMaus" from practice, the distance traveled during scanning is determined

A device for measuring incorrect posture of the pelvis, the shoulder and the spinal column of a person is known from EP 0 144 528 A2, which is known from DE 198 33 568 A1 Apparatus for measuring the spine of a human known, which is referred to as a "3D Wirbeläulenmessgerät". From DE 101 48 529 A1 a device for the analysis of the supporting reaction of the lower extremities for diagnosing the spinal column state of a person is known. From DE-PS 23 46 505 a measuring gauge for or- Thopadischen measurement of the human body known, for example, to determine a pelvic or Schulterschiefstandes, a Beckenkippung, for Rippenbuckelmessun- gene or to detect a body rotation.

In all of the aforementioned prior art, the statics are considered from the shoulders to the feet, and sometimes only sections thereof such. B. only the spine, so that is referred to as "body statics" conventionally only the static from the shoulders down.

In this case, a known from practice frame-like, upright scaffold can be used, on which a plurality of probe rods are movably mounted. Scales are located on the framework and on the probe rods, so that on the one hand the height, in each of which a probe rod is arranged and the value of how far the probe rod is pulled out of its holder or inserted into the holder, can be recorded. This is done by reading the scale values, whereby these readings are then noted in writing, for example. Postural damage can then be treated and a change in the body statics can be done at intervals by re-capturing the reference points.

From practice, non-mechanical, using touch probes methods are still known, but optical methods in which by means of a projector parallel lines are projected onto the human back. A camera is at an angle to it, so that from the line of sight of the camera, a wave pattern on the human back is visible. This wave pattern can be photographically recorded and evaluated electronically by image processing software. The position of the bony structures is calculated on the basis of the existing wave pattern and here, too, new observations of the body statics can be made at regular intervals. taken to document a change in body statics.

However, in this optical, so-called photogrammetric method, it is disadvantageous that the actual position of the bony reference points can be difficult to detect, depending on the thickness of the tissue structures located above them, so that considerable measurement inaccuracy can be present if the optical lines are detected with high accuracy in terms of measurement can, but the bony reference point, which is ultimately to be used as the actual measuring point for the detection of the body statics, can be assumed only inaccurately, for example, comparatively thick layers of fat.

The invention is based on the object, a generic

To improve the method and a generic device to the extent that the most accurate detection of body statics is possible.

This object is achieved by a method according to claim 1 and by a device according to claim 15.

In other words, the invention proposes not to detect a body contour but to perform an exact static reconstruction of the entire human body. For this, the entire body statics is not only detected when the body is stationary, but also on the lying body. Secondly, "total body statics" refers to the detection of reference points on the body below the head, but also on the head itself.

Surprisingly, it has been found in tests that deviant results can be present when lying down. For example, if two bony reference points, such as hip bones, ideally lie in a horizontal plane, then they should be so different that, for example, the right reference point - A -

lower than the left. Surprisingly, it can then be found in measurements lying down that the conditions there are just reversed, ie, for example, the right hip bone is arranged closer to the patient's head (ie actually "higher") than the left reference point

Body statics in an unloaded body, namely when lying down, can be significant for the therapy and be included as additional information in the therapy.

In particular, a significant mutual influence of head and body statics has surprisingly been found: a tooth or jaw malposition can affect, for example, the entire posture, so also lead to malposition of the shoulders, the spine or pelvis. An actual pelvic obliquity may possibly be interpreted as supposedly different leg length. A compensation of this supposedly different leg length by surgery or by mechanical aids such. B. Insoles in the shoes can affect the jaw and cause the person concerned significant problems, such as chronic headaches. Conversely, problems of body statics can be in the form of malpositions of the teeth or the jaw. Correction of these misalignments, for example by means of dental braces or splints, can also cause, for example, chronic headaches.

Through the proposed acquisition of the entire body statics, including the head statics, the connections between the so-called body statics - that of the

Shoulders downward - and the head static are shown, so that not only symptomatic malpositions or incorrect postures are recognized, but a clear assignment can be made, which of the recognizable misalignments or incorrect postures is the cause and which other detected malposition or malposition the effect representing of this cause. Accordingly, a suitable therapy can then be chosen to remedy the causative problem.

The detection of the reference points can advantageously be done by means of tactile rods, so that the user of this device palpates the bony body structures and the probe rods can be performed exactly to this reference point, so that high-precision measurement results are possible.

Alternatively, so-called markers can be attached to the body, for example in the form of glued-on dots in a contrasting color to the skin, or in the form of small, lightweight beads provided on adhesive pads. The markers allow the non-contact optical detection of the reference points, that is, for example, photogrammetrically, so that, for example, motion sequences can also be detected, for example as part of a video recording. In contrast to the photogrammetry described above, the skin surface is not scanned optically, but the position of the markers is detected. By attaching them to the body, the bony structure underlying the skin layers can be felt when they are attached. Consequently, the position of a marker provides a fairly accurate statement about the location of a particular bony structure and thus provides a more accurate statement about the actual body statics, as is possible with conventional photogrammetry.

Advantageously, in a manner known per se, the reference points can be detected in so-called "planes", such as the aforementioned two reference points of the hip bones lying in a common plane, ideally this plane being exactly horizontal the system of the US Upledger Institute known after the teachings of Paul St. John, so after In this established system, the levels can be defined in which the reference points are recorded.

Advantageously, in addition to the detection of these reference points, an investigation of the pressure distribution under the feet of the

Body are performed so that additional information on posture or body statics are obtained based on this pressure distribution, which can be incorporated into any therapeutic concepts.

In order to obtain the most reproducible measurement results and to allow the fastest possible implementation of the method, it can be provided that the alignment of the probe rods and accordingly the position of the probes need not be read and written by the user of the respective device, but rather on the Taststäben transducers are provided, which are connected to an electronic data processing device, so that the respective position of the probe rods can be electronically recorded and stored and optionally further processed.

For the operator of the corresponding device, therefore, the effort for detecting the reference points can be limited to apply the probes to the respective reference points of the body and then - for example by means of a single push of a button - to trigger the electronic detection of the data that are available from the transducers, so So that the position of all probes can be detected and stored with a single press of a button.

Alternatively, it can be provided that the detection of the reference points is done with the aid of the probes, but that the position evaluation is not carried out on the frame itself, but rather that it takes place photographically. The framework can therefore be designed without scales, transducers or the like and the requirements of its mechanical precision is comparatively low, without this affecting the accuracy of the detection of the reference points: regardless of whether there are strong changes in length z. B. is subject to due to temperature influences, or whether the individual struts are perpendicular or arbitrarily obliquely to each other, only need to be ensured that the probes located in a certain position held in exactly this position, the corresponding probe rods can therefore be fixed according to the scaffold.

Namely, in this procedure, the framework only serves to hold the probes in a defined position in the space, namely, characterizing the desired bony structures of the patient. Thus, the framework itself does not serve as a measuring device, but as an auxiliary device in carrying out an optical detection method, namely to improve its accuracy. The disadvantages of the photogrammetric method mentioned above are thereby greatly reduced or even eliminated altogether, since the position of the reference points is not based on the course of the

Skin surface of the patient must be suspected, but rather can be accurately determined by the precisely positioned on the bony structures probes.

Thus, it is possible to use a method which is known in principle and only supplemented or extended, with the advantage that an existing apparatus of photo-apparatus can continue to be used, and also that existing image evaluation software can continue to be used or only slightly reworked got to. Only the scaffolding with the styli must be used in addition and in the image analysis must be taken into account instead of specific locations of the skin surface, the position of the probes.

Advantageously, images are made from at least two different angles, so that a spatial assignment the individual reference points to each other from these multiple photographs is made possible.

The framework, which constitutes a holder for the probe rods, can thus be configured either itself as a measuring device with optically readable scales, with electronic transducers or the like, or it can serve as an auxiliary device, which merely ensures the maintenance of a previously set position of the probe rods be designed without such facilities. In both cases, the framework can advantageously have a movably mounted section, for example a fold-down section. Since preferably the movable portion of the frame is provided with the Taststäben, the same probe rods can be used for the measurement both standing and lying body, so that the most cost-effective design of the device is possible. In addition, it immediately becomes clear that reference points of the patient have shifted between the stationary and the lying measurement if the probe rods set during the first measurement no longer lie in the reference position during the second measurement.

Irrespective of the method with which the reference points are detected, it can be provided in a particularly advantageous manner that a virtual human skeleton or a model body, which can be represented as a kind of stick figure, for example, is constructed with the aid of the data on the basis of the initially detected reference points. which have been detected by the real body of the patient, so that, for example, the patient's postural defects can be illustrated on the basis of this virtual model on a computer screen or on a printed paper.

Such a purely schematic illustration of a human, in which both the body silhouette and areas of the skeleton are shown, can be seen in the appended FIG. 1. These The figure illustrates that, according to the proposal, both the head statics and the rest of the body statics are recorded. In this case, ideal horizontal ideal lines are shown in solid lines, each passing through two reference points of the model shown lying at the same height. In addition, dashed measurement lines are shown, which run through the reference points actually determined in the patient. In the accompanying drawing, for purposes of illustration only, all of these measurement lines are highly skewed and deviated from the ideal lines to show the individual characteristics of the body statics of a particular patient being examined.

Using procedures known from photogrammetric detection of body statics, the patient may be photographed and certain patient reference points may be matched with comparable points of the above-described virtual human skeleton and / or stick figure Patient virtually himself and his possibly existing

Attitude error can be observed on the basis of his individual image.

Here, points - the z. B. certain joints mark - or lines - for example, certain bones or

Mark limbs, or run through certain reference points as shown in the accompanying drawing - superimposed on the image of the patient, so that certain aspects of his body statics are particularly clearly visible.

In particular, the photographic acquisition of the patient can take place three-dimensionally, ie from different angles, so that later the image of the virtual patient can be rotated on a computer screen in the different directions and any viewing directions on the virtual one

Allowing patients to perform certain aspects of his Body statics clearly recognizable - for example, in a sequence of movements - can be displayed.

In particular, the following bony structures can advantageously be detected as reference points:

1. The body statics can be advantageously diagnosed in three levels, as part of a three-dimensional posture analysis of humans:

In the horizontal, vertical and sagittal plane, the body statics should be recorded both when standing, ie under static load, as well as lying down, so with static relief. In this case, a frontal view, a rear view and a side view of both right and left of the body is detected.

2. The head statics should also be advantageously recorded in three levels, also here horizontal, vertical and sagital. Standing as well as lying down, where also frontal, back and right as well as left side view should be recorded.

3. For detecting the vertical plane of the body when standing, ie when detecting the frontal view of the body, the shoulder plane (acromioclavicular joints) and upper, middle and lower hip planes are advantageously to be recorded, ie the height of the iliac crests, the anterior upper iliac spine and the upper edges of the greater trochanter. Furthermore, it is advantageous to detect the upper and lower knee level, ie the Pateilaoberränder and the Fibulaköpfchen. It is also advantageous to grasp the upper and lower ankle planes of the inner ankles, and finally the plane of the arch of the foot.

4. When capturing the rear view of the body while standing, the following levels are advantageously to be recorded: Occipital plane, upper and lower shoulder planes, the distance of the scapulae from the spinous processes, the upper, middle and lower hip planes, as mentioned above, the knee plane, the upper and lower ankle planes as well as the plane of the arch of the foot.

5. When recording while lying down, the following levels are preferably to be recorded in a frontal view of the body:

The shoulder plane (acromioclavicular joints), the upper, middle and lower hip planes, the upper and lower knee planes, the upper and lower ankle planes.

6. When lying down, the following levels should be recorded in the rear view of the body:

Occipital plane, the shoulder plane (top edge / bottom edge), the upper, middle and lower hip planes, the knee plane, as well as the upper and lower ankle planes.

7. When measuring in the horizontal plane of the body, deviations in the median sagittal plane are detected, whereby preferably the following levels are detected:

In the frontal view, the nasal septal plane, the level of Marubrium sterni, the navel and the symphysis, both standing and lying down. 8. In the above-mentioned detection in the horizontal plane of the body, the following levels are preferably detected in the rear view, both standing and lying:

Occipital protuberance,

Vertebral spinous processes, sacrum midline, and anal fold.

9. In the measurements in the sagittal plane of the body, ie the side views from the right and from the left, the following levels are preferably detected:

A first level in the form of the coronal plane: There the external auditory canal, the humeral head, the

Angle between anterior and posterior upper iliac spines, the femoral head, as well as the leading edge of the outer ankle captured.

In a second level, the frontal plane, the pro- cessus cygomaticus maxillae, manubrium sterni, and symphysis are recorded.

As a third level, the torsions of the body when standing (horizontal plane) are recorded:

Namely by measuring the shoulder rotation (acromioclavicular joints by measuring the pelvic / Illeumrotation, by measuring the knees, the thighs and lower legs, the forearms, and the hands and feet.

Furthermore, in the third plane (horizontal plane) the torsions of the body are detected lying down, namely by measuring the shoulder position, the pelvic position, knees, upper and lower legs, forearms, and hands and feet.

Third, the measurement of the pelvic tilting is carried out during the detection in the horizontal plane. The angle of the Illeumvorrotation to the horizontal, that is, detected between the anterior and posterior iliac spine. The pre-rotation is (norm values) usually about

0 - 5 ° for men and 5 ° - 10 ° for women.

10. For detecting the vertical plane of the head while standing and lying down, the detection of the following planes is advantageously proposed in the frontal view:

The orbital, auditory, maxillary, occipital, mandibular, occlusal, mandibular, and lower angulus mandibulae to extinct porus.

11. In order to record the vertical plane of the head, the hearing aid level and the occipital plane are recorded in the rear view, both lying down and standing.

12. The measurements in the horizontal plane of the head are preferably carried out as follows:

1. Frontal plane: standing and lying down - Glabellamitte (in the area of the sutura internasalis)

- nasal septum,

- subnasal point,

- nose tip and - mandibular symphysis.

13. The measurements of the head in the sagittal plane, both standing and lying down, are preferably made by detecting the following planes:

The auditory canal plane, the frontal bone edge plane, the maxilla plane and the lower jaw plane (ramus mandibulae).

Preferably, the proposed method steps can be applied as needed, so that the required investment in technical equipment can be literally scaled: For example, it can be provided in the context of a doctor's practice, the precise by means of a Tastanordnung

Capture the entire body statics allow. An additional photogrammetric detection of the body statics can be provided for example for scientific studies or in the field of sports medicine, so that by the non-contact detection method, for example, dynamic measurements are possible, so measurements on the moving body of man, so that, for example, movements, as for certain sports can be performed by the patient under investigation and based on the results thus determined, an optimization of the corresponding movement sequence can be made possible.

Advantageously, the apparatus used to detect the body statics may have a foot plate which has a central web. This center bar separates two contact areas, with the

Stand patient with each of its feet on one of these two surfaces. The pressure distribution of the feet on the footplate can be done by appropriate pressure sensors. Possibly. However, the foot plate can be made of a transparent material, so that a photogrammetric recording of the pressure distribution is possible. Both the pressure distribution and the position of the feet, for example an angular position of the two feet relative to one another, can be determined both in the case of the previously described be benogramm photogrammetric detection method and in the arrangement of pressure sensors in addition to the detection of the mentioned pressure distribution allows.

Advantageously, the middle web of the base plate can be made variable: either by various interchangeable central webs, of which each of the desired central web is used, or in that a central web is designed adjustable, for example, in its width is adjustable or adjustable in terms of a wedge-shaped configuration, so that, for example, different steep or flat wedge shapes of this central web are adjustable. In any case, can be effected with the help of such a variable central web that the feet of the patient take a certain attitude. Thus, for example, be provided to arrange the feet advantageous so that this - different from the angular position of the feet, which the patient occupies casual, the distance of the feet is adjusted by a correspondingly wide center bar to the effect that the feet approximately corresponding to the hip width of the patient spaced apart from each other. Possibly. It can also be provided that, in order to carry out a comparative measurement, the patient aligns the feet exactly parallel to one another along a corresponding guide of the central web, in order to enable a comparison with the foot position taken by the patient in an unobstructed manner and to check the respective effect on the entire body statics.

In particular, it may be advantageous to compare the reference points with a virtual solder, that is to say an exactly vertical line. In order to reliably detect, for example, the upper and lower jaw positions with respect to such a solder in a frontal view, markers can be provided, which are fastened to the jaw, for example, similar to an impression taking in the dental field is known, so that corresponding rails on the upper and placed on the lower jaw and extending from these rails each have a marker between the lips forward. The upper marker can reflect the position of the upper jaw and the lower marker of the lower jaw. It is particularly provided that these two mentioned markers in front of the tooth gap of the two central incisors of Oberbzw. Lower jaw, however, with additional markers can be located on the mentioned upper and lower jaw splints.

On the one hand, these markers for the upper and lower jaws can show the relation between upper and lower jaw position and the relation of both jaws to the rest of the skull.

Advantageously, several measuring passes, at least two

Measurement runs, to be performed one after the other. The present proposal is based on the consideration that a neurological reaction can be recognized within a few seconds if the entire body statics is influenced. For example, it may be provided after a first

Measurements in which the entire body statics of the patient has been recorded to influence this statics with the help of mechanical aids. For example, with the aid of tooth rails, tooth brackets, shoe inserts or the like, and following this influencing, that is to say using the mechanical aids mentioned, the entire body statics are to be re-recorded during a second measuring run. Based on the changes, therapeutic success can be directly assessed so that the therapy to be carried out can be determined within the shortest possible time and with a high chance of success. This short-term neurological response, which allows two measuring cycles within a comparatively short time of less than one day, in particular within a distance of a few minutes, is surprising and in particular also advantageous, since otherwise mechanical influences on the statics result, for example, from tooth rails or dental braces only after comparatively long-term treatment of, for example, half a year or more.

If, for example, in the context of a scientific or sports medicine examination, a photogrammetric determination of the body statics is provided, can be advantageous also a dynamic measurement in the context of a movement process done. Therefore, it can be provided that the device for detecting the body statics comprises a treadmill so that, for example, the patient can switch over from a footplate on which he first got up to the treadmill and the dynamic measurement can be performed.

In order to minimize the amount of data arising during a photogrammetric acquisition, which must then be evaluated automatically with the aid of suitable software, mirrors can advantageously be provided so that, on the one hand, the view from a camera is directed directly at the patient and, on the other hand The mirrors allow the simultaneous detection of the patient from different perspectives, whereby these different perspectives in the direct and reflected by the mirror reflected sight of the patient can be detected simultaneously by the camera. In this case, provision may be made in particular to arrange additional reference points fixedly in space in the viewing angle detected by the camera so that further information can be obtained thereby and the statement, in particular a dynamic movement sequence, can be specified.

The above-mentioned mirrors can be particularly advantageous for particularly lightweight and optically very high-quality mirrors, as are known, for example, from professional photography. These lightweight mirrors make it possible to realize the proposed measuring device in a small space and, for example, set the mirrors aside if necessary and set up only in case they are to be used, whereby the handling of the mirrors is easy due to the low weight of these mirrors ,

In the field of head statics, a detection of reference points can also be done by markers, which are inserted into the ears. For this purpose, for example, a deformable to the respective auditory canal of the patient individually adjustable Mass be provided that carries a corresponding marker, or it may be similar to known from the field of noise protection, earplugs are provided - if necessary, selected from different sizes - are industrially pre-fabricated and each carry a protruding from the ear marker , As a further alternative it can be provided to carry the markers by means of a head cap, a Strinbandes or a similar externally applied and adapted to the head circumference of the patient or adjustable bracket on the head.

The markers can be designed in a manner known per se, for example as reflex points. In particular, if a dynamic detection of the reference points is provided, the markers can advantageously have spherical bodies, which have the same shape from all perspectives and accordingly enable trouble-free automatic data processing and recognition of these markers in an automatic image analysis. These balls can advantageously be comparatively small and, in particular, as lightweight as possible, so that they can follow the movements as easily as possible during a dynamic movement sequence and do not make it difficult to accurately determine the position of the reference points or the corresponding bony structures by their own mass inertia.

Advantageously, in the proposed measuring device apart from the above-mentioned base plate to the central web provided there no supports for fixing the patient standing in certain positions provided, for example, no knee, chest or head restraints. This helps to ensure that the patient casually takes his natural posture, so that the patient's body statics can be recorded as realistically as possible.

Furthermore, although in a known manner, a solder on the

Measuring device may be provided, however, the proposed measurement method is not performed so that the patient is aligned on the basis of this solder, but rather Let the solder as a kind of reference or normal line clarify the body statics and any misalignments of the patient. In this case, several solders may be provided or may be provided different attachment points for a lot, so that both in lateral and frontal barely rear view of the patient, the lot is in each case before the patient recognizable. Instead of a freely suspended, oscillating solder, the solder can be realized by a tightly stretched cord or wire or by a built-in, as thin as possible rod, so that this lot with relatively small diameter, the view of the reference points or markers as unhindered on the other hand, however, is visible in front of the patient in order to reliably detect the symmetry of the reference points with respect to the solder in this way. For this purpose, optical documentation can be carried out in an advantageous manner, regardless of whether or not the images produced in the process are subsequently evaluated photogrammetrically.

As an alternative to such a solder provided on the measuring device itself, a virtual solder can be inserted in the optical representation of the patient or in the representation of the reference points detected at the patient as part of the image acquisition or image evaluation.

The representation of the reference points recorded on the patient can, for. Example, by the patient is shown as a stick figure, the body statics is not idealized, but according to the actual situation recorded on the patient is shown. To clarify any incorrect postures or

Defective positions can be used to represent deviations from an idealized body statics "exaggerated", ie greater than actually measured, thus making it clear to the inexperienced observer, for example the patient himself, these incorrect postures or misalignments

The degree of elevation in several stages or even steplessly adjustable, or it can be provided at least two stages, so that in any case between a medically cor- right, not or only slightly exaggerated, and a layman more vivid, clearly inflated, "presentation presentation" can be selected.

In particular, the present proposal may include four aspects: First, in a first step, a diagnosis of the current static situation of the human body can be made. In a second step, a therapy concept can be developed. In a third step, a follow-up of the therapy at regular intervals and with possible

Corrections of the therapy made. In a fourth, final step, which does not necessarily have to be the last step in time, scientific documentation can be produced for research purposes. So z. For example, an immediate test of therapeutic agents and their effect on body statics can be provided so that the daily work of a physician can be targeted and efficient.

Advantageously, a ruler may be provided, which is fixedly connected to an upper jaw template, which can be attached to the patient's upper jaw. With the help of this ruler, the position of the upper jaw relative to the rest of the skull in all three levels can be detected. Subsequently, this position can be readjusted or transmitted to the articulator system by means of an articulator system known from dentistry, so that the production of an orthodontic therapy device or for a prosthetic restoration or the preparation of a bite splint considerably simplify the creation of a precise and optimal len therapy device is enabled.

The above-mentioned upper jaw template can be provided, for example, with the spherical marker mentioned above, so that the same template can optionally be provided with the abovementioned line or the spherical marker. Alternatively, two templates may be provided, one of which has the mentioned ruler and the other the marker. The marker can in the upper jaw template as in the associated lower jaw template preferably be adjustable, so that the marker can be adapted to the individual physiological conditions in the respective patient. Namely, the marker between the upper central incisors and the lower central incisors may be preferably arranged to diagnose midline displacements in the dental and / or glandic region.

The mirrors mentioned above, which are helpful in the photogrammetric detection of several perspectives at the same time, can either be arranged down-to-earth or fastened to the rest of the measuring apparatus and can preferably be dismounted, or they can be attached, for example, to a support system on the ceiling of the examination room be fixed so that they can be handled quickly and without having to handle the weight of the mirror, or can be moved to a use position or in a spaced-Lagerungsbzw, high position in which they are moved to save space from the rest of the measuring device so that they do not interfere there during the time when no photogrammetric measurements are taken.

Advantageously, an additional mirror can be provided, which is arranged above the patient and allows a view approximately vertically to the patient, so that, for example, a body rotation of the patient is made possible by means of this view from above enabling mirror. This additional upper mirror can either be provided fixedly to the measuring device or likewise attached to the ceiling of the examination room.

In addition, the location of reference points for the known four criteria of the reference points can be additionally examined

Mayr diagnostics for respiratory and digestive problems be provided, because even such problems can have a significant impact on posture, so it To achieve the best possible body statics can also be provided to pursue therapeutic approaches to these four criteria of Mayr diagnostics.

Fig. 1 shows, in addition to the measuring and ideal lines shown therein and further mentioned above, a vertical perpendicular as a mean line drawn in the drawing.

FIG. 2 shows the patient from FIG. 1 in a rear view, whereby here too a vertical perpendicular is shown. Furthermore, the location of some of the reference points to be recorded is drawn.

Fig. 3 shows the patient of Fig. 1 and 2 in a schematic and side view, whereby also the position of the solder is drawn here.

FIG. 4 shows, in a purely schematic representation of a healthy thorax, the position of relevant measuring points, for example the armpit, the middle of the thorax, and the

Waist points at the bottom of the last rib.

5 shows the two relevant measuring points for determining the scapula distance,

6 shows the two relevant measuring points for detecting the ventral neck length.

FIG. 7 shows the three measuring points for detecting the epicgastric angle. The measuring points, which are explained with reference to FIGS. 4 to 7, are used in particular in the context of Mayr diagnostics for the diagnosis of respiratory problems.

FIG. 8 explains the ideal lines and reference points for the detection of the head statics, the occlusal plane being indicated by a reference numeral

Ruler, which illustrates the inclination of the occlusal plane in this frontal view of the patient, which again refers to the solders from the side.

9 shows a sagittal view of the patient and the position of the occlusal plane that can be detected in the process.

Figure 10 shows in a greatly reduced and schematic representation a lateral view of the patient and the detection of the strongest convexity of the abdomen by means of a reference point shown there which is not on a bony one

Structure is due. Furthermore, Figure 8 shows the arrangement of a vertical solder, so that the position of the measuring point can be set in quantitative relation to this solder, for example, the horizontal distance between solder and measuring point can be detected. This measurement point is also used in the diagnosis of respiratory or digestive problems in the context of Mayr diagnostics.

Fig. 11 shows a purely schematic plan view of an upper jaw template, which is designed approximately semicircular with a ruler attached thereto.

Fig. 12 shows a likewise purely schematic view from the front of the mouth of the patient with upper lip and lower lip, behind which each upper and lower jaw of the patient are. The ruler of FIG. 11 is located between the two jaws and two markers are drawn, which are of spherical design and held on rods or wires which are held on upper and lower jaw templates which are not apparent from this illustration.

These spherical markers can advantageously be arranged in front of a contrasting background, so that the markers on the one hand comprise the spherical body itself, but on the other hand also a contrast-colored small plate, which, for example, the

Skin surface of the patient is present. Due to this contrasting background, the optimum recognizability of the spherical body is always ensured from different perspectives. Advantageously, the proposed acquisition of the entire body statics can be accompanied or supplemented by electromyogra- phic examinations, by means of which tensions and tensions of the examined muscle parts can be detected. This detection can be done by means of introduced into the muscle fibers electrodes, however, in the present proposal, the detection of potential changes on the skin using non-invasive means - such. B. as adhesive pads ausgestalteter electrodes - as electromyographic

Investigation called.

It may be provided in the proposed method to carry out the detection of multiple reference points with several different methods: for example, some reference points can be detected by Taststäben, others using markers, again different methods for holding the markers can be applied such. As the above-mentioned earplugs or sticky pads. The choice of how the respective reference point is detected may depend, for example, on whether the bony structure underlying the skin surface of the patient is covered by a thin layer of skin or a thicker fat layer, for example, depending on the obese state of the respective patient the detection of reference points of the same body sites in different patients by different methods is performed.

Claims

claims:

1. A method for detecting the human body statics, wherein both the standing body and on the underlying body, the position of reproducible bony structures is detected as reference points in a coordinate system, characterized in that in both positions, which occupies the body, both for the head static as well as the relevant for the rest of the body statics reference points are detected and thus in each case at least two lying in a plane reference points are detected, and in both layers at least two such E benen are detected.

2. The method according to claim 1, characterized in that the detection of the levels is carried out according to a method known from the US Paul St. John Upledger Institute.

3. The method according to claim 2, characterized in that on the stationary body, a pressure distribution is determined under the feet.

4. The method according to any one of the preceding claims, characterized in that the position is determined under the feet on the stationary body.

5. The method according to any one of the preceding claims, characterized in that the reference points are detected by means of mechanical probe rods, which are each guided with their free, designated as the probe end to the respective reference point.

6. The method according to claim 5, characterized in that the probe rods cooperate with electronic transducers and the position of the probe is detected electronically.

7. The method according to any one of the preceding claims, characterized in that the reference points are marked by means of attached to the body so-called marker.

8. The method according to any one of claims 5 to 7, characterized in that the position of the probes or the marker is photographically detected.

9. The method according to claim 8, characterized in that the position of the probes or the marker is photographically detected from at least two viewing angles.

10. The method according to any one of the preceding claims, characterized in that the position of the reference points is transmitted as data to an electronic data processing device and the data is stored therein.

11. The method according to any one of the preceding claims, characterized in that the position of the reference points is transmitted as data to an electronic data processing device and that this data in a computer-aided program for representing a model, virtual human body or

Skeletons are processed, which has the same statics as the metrologically detected, real body.

12. The method according to any one of the preceding claims, characterized in that initially in a first measurement passage the reference punktθ are recorded, then the head and / or the body statics are influenced by mechanical aids, and then the reference points are detected again in a second measurement passage.

13. The method claim 12, characterized in that the two measurement runs are performed within a day.

14. The method claim 13, characterized in that the two measuring passes are carried out at intervals of a few minutes.

15. The method according to any one of the preceding claims, characterized in that the reference points are not only detected statically on the stationary and lying body, but also detected dynamically and without contact to the moving body.

16. A device for detecting reference points, which are associated with specific bony structures of the human body, with a framework, and with movably mounted on the scaffold, to the reference points approachable Taststäben, each designated as a probe portion of the probe rod can be applied to the reference point , characterized in that the framework designed in such a way and the Taststäbe are designed and arranged such that both reference points of the head and reference points of the rest of the body are detectable, and in that transducers are provided, each of which detects the position of a probe rod relative to the scaffold wherein the transducers are operatively connectable to an electronic data processing device such that the position of the probe rod can be electronically stored and / or further processed, and wherein the frame has a movable portion which is movable between an upright and a horizontal orientation is, and which Taststäbe carries.

17. The apparatus of claim 16, characterized by transducers, each detecting the position of the probe rod relative to the scaffold, wherein the transducers are effectively connected to an electronic data processing device, such that the position of the probe rod can be electronically stored and / or further processed.