EP2311424A1 - Sling table for carrying out physiotherapy and rehabilitation and functional element for such a sling table - Google Patents

Abstract

The loop table has two mutually parallel longitudinal bars (2) and connecting element attached on ceiling or stand pipe. The cross bars (3) are displaced by the storage elements (4) and the longitudinal bars are provided for the storage medium to shift the load with the bearing element. The braking element has stationary lock. An independent claim is also included for a functional element with a base body.

Description

description

The invention relates to a therapy device in the training of a sling table.
This sling table is used for gymnastic or exercising body movement, in particular for performing physiotherapies and rehabilitations, according to the preamble of claim 1.

State of the art

Therapy devices in the training of sling tables are used, for example, for kyphosis of the lumbar spine. For this purpose, it is provided to arrange slings stationary, so that various embodiments of loops completely encompass different body parts of a patient, preferably the entire body at least in the corresponding areas. In this case, the body "floats" below the known from the prior art frame and thus lies only within the loops. Due to this limbo state, it is possible for a therapist to actively or indirectly actively or even passively move the body without working against a corresponding friction or body weight.

Such therapy devices also serve to specifically enable muscle strengthening. Furthermore, they serve to increase the mobility.

Looping tables of the above type usually have a frame, which consists of substantially vertical and horizontal support elements.

The horizontal support elements are transverse and / or longitudinal frame parts which provide a roof-like formation at a distance from a ground.

On this frame also arranged horizontally individual transverse bars are provided, which are arranged in the direction of the bottom loop elements for receiving a body. The transverse bars are usually fixed or connected to previously defined intervals with the longitudinal beams.

In order to allow a relative displacement of the individual loop elements which are arranged on the transverse bars, connecting elements are provided at the free ends of the transverse bars, which generally allow the fixation to the longitudinal bars at predetermined intervals.

Further developments provide that sling tables are also designed such that the frame is arranged on a ceiling. The corresponding transverse bars are designed such that the individual loops, such as in the DE 44 21 578 A1 described, are attached to a carriage element. This makes it possible to flexibly position the sling prior to use. In general, the carriage is designed such that it is a square tube, which is enclosed by another tight-fitting square tube. On the one hand, preferably pointing to the patient side, an eyelet is provided in which the corresponding loops are inserted. Once reached the position once reached and fixed in a fixed position, which can be achieved by a corresponding lever element, the loop can be loaded by the patient.

From the WO 2007/017282 A2 is an exercise device for storage, diagnosis and therapy and for gymnastic and / or exercising body movement in the training of a sling table known. The preferably mounted on the ceiling device consists essentially of a side rail, to which corresponding positions are arranged cross member, wherein the cross member have functional elements for receiving loops.

In order to achieve the necessary stability of the entire device, the longitudinal member is double-formed, are arranged in the two rod-like structure in plan view with each other. In the continuation is then usually perpendicular and thus fixed to the longitudinal member of the corresponding cross member provided. A plurality of mutually parallel cross members form segments which are designed so that different areas of the body can be worn by slings. Functional elements are displaceable on the cross member and have devices which are suitable for receiving a rope to form a loop. For this example, rollers or eyelets can be provided. The individual cross members are rigidly parallel to each other and thus arranged perpendicular to the longitudinal member. The entire unit, formed by longitudinal and transverse beams, can be rotated about an axis of rotation, with the longitudinal beam suspended at a single point.

For a multifunctional application, however, it is also necessary that not only horizontal and vertical movements are carried out, but also corresponding rotational movements - especially in the area of the individual segments. Due to the fact that the loops are usually arranged on a rope on the functional element, corresponding rotations are indeed possible by pulling on the rope and the loop then pivots the body. However, these rotations are uncontrolled and must be exercised usually against the weight of the body to be rotated. Thus, these are inaccurate and can not lead to a precise treatment.

In addition, another significant disadvantage is that the corresponding positions can not be maintained because the rope with the corresponding loop is anxious to turn back again and again in its original position. Thus, a holding function is not possible, unless appropriate cable clamps are used. But even so are not appropriate positions not exactly determinable. Rather, it has to wait until the rope clamp enters the clamping function, which, however, usually never determines the position that you would like to reach.

Another significant disadvantage of the prior art devices is that the displacement within the plane defined by the frame surface is indeed carried out by means of a carriage, which is not movable under load. This means that if the physiotherapist has selected a particular position of the corresponding loops, the patient is put into the slings and these positions are then fixed for treatment. No further position can be taken during the treatment itself, unless the corresponding noose with the associated carriage is relieved of the weight of the patient by its own weight, so that a displacement is possible.

Another significant disadvantage is that the known carriage elements may indeed be provided with a locking device. If locking devices are provided, these are in the form of pins or screws to be plugged or screwed accordingly. After several years of use and stress, however, these locks are difficult to perform so that the final function is not necessarily guaranteed.

The devices known from the prior art, in particular the corresponding ceiling constructions, are designed in such a way that very unfavorable moment ratios occur due to the loading of the patient, which is arranged in the loops, which cause instabilities in the system. In particular, by the Einpunktdeckenlagerung, but also by the seen in plan stacking of the side members, as they are known for example from the prior art, the torques are not sufficiently compensated with respect to the suspension points of the loop, so that the patient does not receive the necessary feeling of security for such a device that is to treat him.

Object of the invention

It is therefore an object of the invention to improve at least one disadvantage of the prior art.

Solution of the task

The solution of the problem is achieved by the characterizing features of claim 1 and / or claim 8.

Advantages of the invention

One of the essential advantages of the invention is that all parts of the device according to the invention can be used in different positions, since all components and assemblies can be connected to the same and additional parts. In particular, by the massive design and arrangement of parts, bearing element and shafts, the device can be exposed to heavy loads without the smoothness of the individual functional elements, but also the cross member and the longitudinal spar is affected in any way. In particular - and this is a significant difference from the prior art - even under load, that is, when the patient is already placed in the loop, a shift very easily possible. This also has the advantage that the patient can first be brought to a basic position, so that he can be brought from here very carefully and carefully in the appropriate positions, which means for him freedom from pain.

All axes and suspension points are preferably provided with corresponding linear ball bearings and are therefore always under full load of the patient still very easy to move and also at least partially rotatable. This also creates a so-called Freiläufereffekt, which allows a painless suspension and Auslotung the patient is very fast and painless. Due to the smooth running of the individual elements, a self-exploration takes place.

Muscular, capsular and arthrogenic imbalances can thus be better determined in this way with the device according to the invention.

An additional individually rotatable traction bar allows the patient to train on the move, either auto- mobilizing or autostabilizing, even under traction or compression. A centrally integrated entrained pelvic traction bar following the movement of the patient is also provided. Thus, traction is always exercised in the same direction.

Another important advantage of the invention is the Konnektierungselementen. The Konnektierungselemente are intended to provide a connection between the longitudinal and the cross member. As a result, a free positioning of the loop elements over the body of the patient is possible. In particular, the lotgerechte positioning of the pivot points over the spine of the patient allow a horizontal movement.

In particular, a two-part design provides that the longitudinal member relative to the cross member is rotatable. As a result, an example adjustable and rotatable head part by a plurality of axial and radial bearings is possible, which is very easy even under very heavy stress, that is, when the patient is already placed in the loop. A special neck-spine head suspension in combination with this connective element allows horizontal rotation of the head, but also rotation and lateral flexion. The pivot points are freely definable due to the special design, so that in particular between the cervical vertebrae areas C0 and C7 these are freely selectable.

A development of Konnektierungselemente provides that this is both receiving element for the cross member, as well as for the longitudinal and the cross member.

A development thereof provides that here too the cross member is arranged rotatable relative to the longitudinal member. In particular, this very stable design, since it is arranged on the transverse spar, allows the body centers of gravity or the body mass points to be fixed and positioned precisely at these points.

Another very central training for the inventive sling table is that the functional elements have been developed that allow a multifunctional use of slings and straps. In particular, these functional elements are arranged on the cross member and are there via a corresponding axial or radial bearing at least linearly displaceable in the direction of the cross member. The special design of this functional element provides that in addition to the displacement along the cross member, which is also lockable, very easily a rope or a belt can be added, for example, to receive a sling. For this purpose, a receiving area is provided which allows easy threading of the rope. The cable guide is preferably done via two rollers, which are stored accordingly to ensure a smooth running. In order to prevent the rope from jumping out of the guide unintentionally, it is provided that a cover element is provided on at least one side surface. In particular, the arrangement of a cover element on one side is possible if a c-shaped recess of the receiving region is provided in cross section, wherein the rollers are rotatably arranged on the rear wall of the c-shaped recess. After threading the rope, we close the lid element, so that a guide channel, which prevents the lateral slipping of the rollers accordingly, is provided.

Furthermore, the functional element provides in a development that an eyelet is arranged on the side facing the patient. The eyelet is an integral part of the functional element, which is preferably made of a component. Preferably aluminum is used for this purpose. The eyelet provides to receive either a rope or a snap hook or similar fixing elements. The arrangement of the corresponding support for the rope, as well as the arrangement of the eyelet are each arranged in the center of gravity of the functional element, so that the moment load on the cross member is effected only on the arrangement of the longitudinal beams, provided that the two functional elements arranged symmetrically to the longitudinal beam on the cross member are. However, due to the displacement along the cross member is always a vertical arrangement of a rope relative to the patient and thus an optimal power consumption possible. A correction when the patient is already in the loop, is readily possible, since the functional elements are easily displaced back and forth on the cross member even under load. This is achieved in particular by linear bearings, which are arranged in the main body of the functional element. However, equally effective means may be provided which allow the corresponding smooth sliding under load.

In order to enable the corresponding fixation of the functional element to the cross member positionally, after threading a rope in the functional element - as previously described - the lid member is closed. Upon closure of the cover element, a cam, which is part of the cover element, is pressed onto the cross member at the same time, so that at least between the functional element and the cross member a frictional connection is produced, which is equivalent to a braking effect of the functional element. This means that with the cover element closed, that is to say, during the physiotherapeutic application, the functional element is stationarily positioned. Preferably, on the mirror image opposite side of the cross member with respect to the longitudinal beam also a functional element is arranged, which forms the corresponding loop with the other functional element.

On the functional elements and corresponding pulleys can be provided which allow a power transmission. This in turn means that a precise position-correct positioning within the sling table is possible.

However, if only one functional element is loaded on the crossbeam, while a torque occurs with respect to the longitudinal beam, however, due to the fact that the longitudinal beam consists of two tubes arranged parallel to one another in a plan view, the corresponding torque in cooperation with the connecting element, in which the cross member is guided compensated.

Further advantageous embodiments will become apparent from the following description, the drawings, and the claims.

drawings

Fig. 1

eine perspektivische Ansicht auf die erfindungsgemässe Vorrichtung in der Ausbildung eines Ständerelementes;

Fig. 2

eine weitere perspektivische Ansicht auf die erfindungsgemässe Vorrichtung gemäss Fig.1 aus einer anderen Perspektive;

Fig. 3

eine vergrösserte Darstellung der Anordnung der Längsholme, beziehungsweise der Längsträger und der dazu angeordneten Querträger mit entsprechenden Seilen und Gurten;

Fig. 4

eine schematische Ansicht auf die Grundausführung der erfindungsgemässen Vorrichtung in Draufsicht ebenfalls als Ständermodell;

Fig. 5 A-C

eine Seitenansicht und eine Vorderansicht auf ein erfindungsgemässen Funktionselementes für die erfindungsgemässe Vorrichtung gemäss den Figuren 1 bis 4 im ausgeklappten Zustand und im Bremszustand;

Fig. 6

ein Schnitt durch die erfindungsgemässe Vorrichtung gemäss Figur 5 B entlang einer Linie VI - VI;

Fig. 7 A - B

Anwendungsbeispiele der erfindungsgemässen Vorrichtung zu Therapiezwecken an einem Patienten.

Show it:

Fig. 1

a perspective view of the inventive device in the formation of a stator element;

Fig. 2

a further perspective view of the inventive device according to Fig.1 from another perspective;

Fig. 3

an enlarged view of the arrangement of the longitudinal beams, or the side members and the arranged cross member with corresponding ropes and straps;

Fig. 4

a schematic view of the basic version of the inventive device in plan view also as a stand model;

Fig. 5 AC

a side view and a front view of an inventive functional element for the inventive device according to the FIGS. 1 to 4 in the unfolded state and in the braking state;

Fig. 6

a section through the inventive device according to FIG. 5B along a line VI - VI;

Fig. 7 A - B

Application examples of the device according to the invention for therapy purposes on a patient.

Description of an embodiment

In the FIGS. 1 to 4 an embodiment of the inventive looping table 1 is shown.

The sling table 1 according to the invention consists essentially of two longitudinal bars 2, which are arranged parallel to each other and have a defined distance from each other. The two longitudinal beams 2 are connected to each other via transverse bars 3. So-called linear position elements 4, which are arranged on the longitudinal bars 2, have the property of being linearly displaceable in and against the direction of the arrow 5 on the longitudinal spar 2 and at the same time receiving the transverse bars 3. This creates a stable basic construction, consisting of two mutually juxtaposed longitudinal beams 2 and at least two mutually parallel transverse bars 3, which are connected via linear bearing position elements 4 with the longitudinal beams 2. The transverse bars 3 have, in the embodiment shown here centrally arranged Konnektierungselemente 6. The Konnektierungselemente 6 are such configured, that they have the property of at least one longitudinal member 7, which is aligned parallel to the longitudinal spar 2 in the embodiment shown here, record. In order to produce greater stability of the overall system, two longitudinal members 7a, 7b arranged parallel to one another are provided, which are seen in plan view (FIG. FIG. 4 ) are arranged parallel to each other.

On the side member 7 each arranged at a distance from each other further connecting elements 6 are provided. These connecting elements 6 have a first subregion 6b (FIG. Fig. 1 ), which receives the longitudinal member 7 but also a further portion 6 c, which receives a cross member 8. The Konnektierungselement 6 is provided as a solid component that provides the corresponding through holes to at least linearly receive the side members 7. This also applies to the corresponding cross member 8. The cross member 8 are arranged opposite the longitudinal members 7 such that they are perpendicular to each other in the basic version.

A particular embodiment of Konnektierungselementen 6 is also provided on the sling table 1 according to the invention. It consists of three areas, namely a first subarea 6b ( Fig. 1 ), which receives the longitudinal member 7 but also a further portion 6 c, which receives a cross member 8. In addition, a third subregion 6a ( Fig. 2 ), which receives the cross member 3. A special feature of a particular embodiment of this Konnektierungselements 6 is that the first portion 6b relative to the second portion 6b in the direction of arrow 9 ( Fig. 2 ) and in the opposite direction is rotatable.

In order to receive the corresponding loops S, loops, cables SZ and similar elements, 8 functional elements 10 are provided on the cross beams ( Fig. 5 and 6 ). These functional elements 10 are simply or repeatedly arranged on the corresponding cross members 8 and mounted longitudinally displaceably on these in the direction of arrow 11 and its opposite direction. The inventive functional element 10, which cooperates with the inventive device 1 and fulfills the corresponding task, consists of a base body 12 having an axis of symmetry SY, which is preferably a solid component, for example made of aluminum. The main body 12 has a bore 13 which is suitable for receiving a spar or a carrier, in particular the cross member 8. In addition, position elements 14, provided in the form of sliding or roller bearings, which allow a slight back and forth shifting under load on the cross member 8.

In addition, a receiving area 15 for ropes S is provided on the base body 12. The receiving area 15 is configured such that it has a threading area 16 which points to the user. This threading region 16 extends up to an axis of symmetry SY of the base body 12 and merges into the bearing region 17 for the corresponding rope S. In the bearing region 17, at least one roller element 18 is provided, which has the property that the rope S introduced into the threading region 16 to pick up and store easily. In order to prevent that in particular under load, the introduced into the receiving area 17 rope S moved out again over the threading 16, a lid member 19 is provided, which is rotatable about a hinge 20 which is pivotable in and against the arrow 21, stored (open position in FIG Fig. 5A and closed position in Fig. 5B shown). The cover element 19 consists of a stylus element 22 and a cam element 23, which are preferably connected to one another in one piece. In addition, the lid member 19 is spring loaded mounted on the hinge 20.

For threading a rope S in the Einfädelbereich 16 and thus in the receiving area 17 of the main body 12 of the functional element 10, the lid member 19 - as in FIG. 5A is shown - opened so that the Einfädelbereich 16 is freely accessible. Is the rope S threaded accordingly and stored on the roller elements 18 of the receiving portion 17, the cover member 19 is closed ( Fig. 5B and 5C ). The cover element 19 thus lies over the threading area 16 and closes it. So will too visually signaled that the imported rope is stored safely. At the same time, the cover element 19 is also a braking device according to the invention. The cam member 23 is pivoted during closure of the lid 19 such that this protrudes into the cross section of the bore 13 ( Fig. 5B ) And thus enters into a frictional connection with the cross member 7 of the inventive device 1. The braking effect is therefore achieved when the element is closed, whereas a release is given when the cover element 19 is open.

The functional element 10 further comprises an eyelet 24 (FIG. Fig. 5C ), which is adapted to receive appropriate fastening means, such as snap hooks, ropes, clamps or similar means. The eyelet 24 is designed such that it can be used regardless of whether a rope S is arranged in the storage area 17.

For better storage of the rope S two roller elements 18 are provided, through which a simple rope S can be performed.

In the FIGS. 7A and 7B an application example of the device according to the invention is shown. The patient P is lying on a couch L, wherein the inventive device 1 is formed as a stand element. Transverse spars 3 and longitudinal beams 2 are aligned parallel to each other, wherein the cross member 8 is also aligned in parallel for the body of the patient P, so that a relaxed position for the patient is achieved. In particular, the Konnektierungselement 6, which must accommodate a heavy body part, for example, a head is - as already described above - designed such that it consists of three sections, with a portion of the corresponding cross member 8 receives. In addition, in particular at the head end, the intended connecting element can accommodate a further cross member 8a, which is fixed, for example, in the further partial region ( Fig. 7A ). In the embodiment shown here, the further cross member 8a is aligned perpendicular to the other cross member 8. As a result, corresponding cervical movements in and against the direction of arrow P can be performed.

In order to carry out corresponding hip movements, for example, it is provided that the arrangement of the longitudinal bars 2 be arranged in such a way as they are in FIG. 7B are shown. Here, the longitudinal member 7 is moved on the longitudinal beams 2 as an entire unit. This is also a pivoting as in FIG. 7b is shown possible.

Due to the very compact designs, in particular due to the arrangements, all the movable elements are designed so that they are smooth under load and that the cross members provide corresponding inventive functional elements that require a multi-functional arrangement of loops straps and the like for therapy on the sling table Permits means, a device has been provided that allows a very wide range of applications both as a stand element and as a ceiling element.

Claims (12)

Slings table for performing physiotherapies and rehabilitations, at least consisting of two mutually parallel longitudinal beams, which are attachable via at least one connecting element to a ceiling or a stator element, wherein at the longitudinal beams at least two transverse bars are arranged, which can be positioned on these and at least one Longitudinal member is coupled to the transverse bars, are attached to the at least indirectly means for suspending loops and straps, which are provided for storage and fixation of body parts of a patient, or can be fixed, characterized in that the transverse bars (3) via bearing elements (4) on the longitudinal bars (2) are displaceable, wherein for storage means are provided which allow a displacement under load and wherein at least one of the bearing elements comprises a braking element for stationary locking. Loop table according to claim 1, characterized in that transversely to the longitudinal member (7) a cross member (8) is arranged, which comprises at least one functional element (10) as means for suspending loops and straps, which is mounted displaceably on the cross member (8) , wherein at least one of the functional elements (10) comprises a braking element for stationary locking. Loop table according to claim 1 or 2, characterized in that for fixing the cross member (8) on the side member (7) connecting elements (6) are provided which receive both the side rail (7) and the cross member (8) and this line line and store. Loop table according to claim 3, characterized in that the Konnektierungselement (6) is designed such that this at least two-part (portion 6b and portion 6c) is formed and one is rotatable relative to the other part. Loop table according to claim 3 or 4, characterized in that the Konnektierungselement (6) comprises a braking element for stationary locking. Loop table according to claim 4, characterized in that the one subregion (6b) of the connecting element (6) comprises the longitudinal carrier (7) and the further subregion (6c) of the connecting element (6) comprises means for accommodating at least one transverse carrier (8) in the correct position. Loop table at least one of the preceding claims, characterized in that two longitudinal members (7a, 7b) are provided, which are arranged parallel to each other and side by side. Functional element as a device for hanging and fixing loops and straps for performing physiotherapies and rehabilitations with a sling table, characterized in that the functional element (10) comprises means to arrange on a spar or carrier and slidably move to any position, wherein for storage Guide means are provided which allow a displacement under load and the functional element (10) comprises a braking element for stationary locking. Functional element according to claim 8, characterized in that the functional element (10) in addition to the deflection of ropes (S) or thaws at least one roller element (18). Functional element according to claim 8 or 9, characterized in that the functional element (10) consists of a base body (12) with a bore (13) for receiving a spar or carrier and on the base body (12) pivotally mounted cover member (21) , the additional one Cam element (23) which in the braking state at least partially protrudes into the bore (13) and thus at least causes a frictional connection with the spar or carrier. Functional element according to claim 8, characterized in that the roller bearing element (18) below the guide means of the functional element (10) is arranged. Functional element according to at least one of claims 8 to 11, characterized in that in addition to the base body (12) of the functional element (10) has an eyelet (24) for receiving fastening means is provided, whose center is arranged in the direction of gravity below the guide means.

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