EP3287112A1 - Therapy couch - Google Patents

Abstract

The invention relates to a therapy couch (10) having a frame device (12), a hip support section (16) for receiving a hip region (42) of a patient (40), an upper body support section (18) for receiving an upper body of the patient (40) and at least one Support element (28) which is arranged in the region of the hip support portion (16) and with respect to the Hüftauflageabschnitt (16) lockable or immovable relative to the Hüftauflageabschnitt (16), wherein the Hüftauflageabschnitt (16) in an operating position of the therapy couch (10) with the frame device (12) is fixedly connected, and that the Oberköperauflageabschnitt (18) relative to the Hüftauflageabschnitt (16) via a pressure movement of the patient (40) along a displacement axis (22) by body force of the patient (40) is displaceable.

Description

The invention relates to a therapy couch according to the preamble of claim 1.

Therapy couches are known from the market with a frame device, a hip support section for receiving a hip region of a patient, an upper body support section for receiving an upper body of the patient and at least one support element, which is arranged in the region of the hip support section and can be locked relative to the hip support section or immovable relative to the hip support section , During a treatment, the patient lays his upper body on the upper body support section and his hip on the hip support section. On the support member, the patient can hold during treatment and a Treatment of back pain can be done, for example, by pivoting the upper body support portion. Alternatively, it is also known from the prior art to move or displace the hip support section away from the upper body support section. With respect to the Hüftauflageabschnitt lockable or immovable relative to the Hüftauflageabschnitt is here presently meant that the support element in a position in which it is available to support the patient through this, either completely immovably mounted or can be brought into such a position and in this position either completely immovable, or resisting displacement or pivoting in this position, which resistance is sufficient to move the upper body support portion to the upper support abutment portion and the hip support portion by support on the support member.

The object of the present invention is to provide a therapy couch that is of simple design and therefore inexpensive to produce and that can be advantageously used for the extension or traction of the human spine, in particular for use in spinal decompression or spinal decompression can. In spinal decompression, the intervertebral discs, which are located between individual vertebral bodies, are relieved or decromimized. The decompression ensures an increased supply of nutrients and fluid to the intervertebral discs, which has a positive effect on the well-being of the patient Patient, especially if he suffers from disc problems.

The object mentioned above is achieved by a therapy couch according to claim 1. The therapy couch according to the invention is characterized in that the hip support portion is fixedly connected to the frame means in an operating position of the therapy couch and that the upper body support portion relative to the hip support portion via a pressure movement of the patient against the support element along a displacement axis by body force of the patient is displaced. The inventive therapy couch is inexpensive to produce and works efficiently. It is provided that in an intended position of the patient on the therapy couch, the displacement axis can be arranged parallel to a section, preferably for the predominant course, of the spinal column of the patient. The displacement axis is preferably arranged horizontally at least in one operating position of the therapy couch.

The hip support portion provides a firm anchor point for the hip of the patient, while the upper body support portion is displaceable or movable via a pressure movement of the patient in which he pushes off on the support element. Relative movement between the hip support section and the upper body support section relieves or decompresses the intervertebral discs in the patient. The patient can then stop the pressure movement, whereby the displaceable upper body support section returns to its original position and the discs return to their original loading condition, so be compressed again. This debiting and debiting can over be repeated over a longer period, which leads to an increased supply of nutrients to the discs, which has an advantageous effect on the well-being of the patient.

It is advantageous if the therapy couch comprises a force limiting device, via which the support element can be locked relative to the hip rest section. Force limiting device is designed such that it holds the support member in a position relative to the Hüftauflageabschnitt or locked until a force acting on the support exceeds a force limit. Exceeds the force acting on the support member, the force limit, the support member moves relative to the Hüftauflageabschnitt. The support element can be connected via the force limiting device, for example, directly to the Hüftauflageabschnitt. It is also conceivable that the support element is connected via the force limiting device with the frame device.

The force limiting device may, for example, a pressure cylinder, which may be performed hydraulically or pneumatically include. It is also conceivable that the force limiting device comprises a spring which is formed with a biasing force. The spring may be formed as a compression, tension or bending spring.

It is advantageous if the force limiting device is designed such that when the force limit is exceeded, the support element from the upper body support portion is displaced away. It is advantageous if the support element is pivotable. It is particularly advantageous if the support element pivotally connected to the force limiting device.

The force limiting devices described above make it possible to limit a force with which the patient moves the upper body resting portion away from the hip supporting portion by its pressure movement to a certain force limit. This can effectively prevent overloading of joints, ligaments and muscles.

It is advantageous if the Oberköperauflageabschnitt is stretched along the displacement axis via a biasing means to the Hüftauflageabschnitt out. The Oberköperauflegeeabschnitt thereby moves reliably in its intended starting position when the patient exerts no pressure on the support element or the support elements. Such a tension of the upper body support section via a pretensioning device towards the hip support section can be realized, for example, via a pretensioning device comprising a spring and / or a pressure cylinder.

It is advantageous if the support element can be locked in different pivot positions. This can ensure that the support element is always aligned in the ideal position relative to the Oberköperauflageabschnitt.

It is advantageous if the fixing means for fixing the hip region of the patient comprises a hip belt having a hip part for wrapping around the hip of the patient and at least one attachment portion for connecting the hip belt to the frame device and / or the Hüftauflageabschnitt and / or another with respect to the Hüftauflageabschnitt immovable component of the therapy table comprises, preferably wherein the mounting portion comprises four belt sections, in each case two of the belt portions are arranged on a body side of the patient in an intended mounting configuration, in particular wherein the two on the same side of the body Patients guided belt sections are arranged in the intended mounting configuration extending crosswise. As a result, the hip of the patient can be securely attached to the hip support portion. As a result, the hip region of the patient can be fixed particularly securely with respect to the hip support section.

It is also advantageous if the upper body resting portion is pivotable about a transverse axis, wherein the transverse axis is in a horizontal plane and orthogonal to an intended patient orientation. In this way, for example, the patient can be brought into a sitting or semi-sitting position and subsequently the upper body support section can be displaced relative to the hip support section. As a result, it is possible to respond specifically to different requirements for the loading and unloading of intervertebral discs at different points of the body of the patient. Moreover, by giving away the upper-body support portion, it is possible to deliberately avoid positions that cause pain to the patient.

It is also advantageous in this embodiment if the upper body support section can be locked in at least two points which are pivoted about the transverse axis. Here, first, a desired Pivoting the upper body support portion are adjusted and then the upper body support portion relative to the Hüftauflageabschnitt be moved. The patient can therefore first lay on the therapy table, then a comfortable position of the upper body support section can be adjusted and then the actual loading and unloading operations of the disc can be initiated.

It is also advantageous if the displacement axis about the transverse axis, which extends in the horizontal plane and orthogonal to the intended patient orientation, is pivotable. In this embodiment, therefore, not only the upper body support portion is pivotable, but it can also pivot the direction in which the upper body support portion relative to the Hüftauflageabschnitt is displaced, so the displacement axis.

In an advantageous embodiment, the therapy table has a stop for the upper body support section, which prevents pivoting of the upper body support section about the transverse axis below the horizontal plane. This prevents unintentional manner in which the upper body support section is pivoted into a negative pivoting position, ie below the horizontal plane. Such a negative pivot position, ie a pivotal position in which the upper body of the patient practically hangs down, has an unfavorable effect on the intervertebral discs, as the intervertebral discs are subjected to an unfavorable load on the vertebral bodies.

In an advantageous embodiment of the therapy couch according to the invention, a fixing means for fixing the upper body of the patient is arranged on the upper body support section in the area of the upper body support section and / or a fixing means for fixing the hip region of the patient is arranged on the hip support section in the area of the hip support section. By means of the above-described fixing means, which are advantageously designed as straps, the individual body parts of the patient can be fixed in a simple manner on the upper body support section or on the hip support section. By fixing the hip on the Hüftauflageabschnitt and the entrainment of the displaceable upper body support section on the shoulder pads, the pressure force of the patient in a relative movement between the upper body support portion and Hüftauflageabschnitt as directly as possible transferred to the body or the body parts of the patient, so that a controlled loading and unloading the intervertebral discs is always guaranteed. In addition or as an alternative to the fixing means in the region of the hip support section, a fixing means may also be provided in the region of a thigh support section. About the fixative in the thigh support section, the thighs of the patient can be fixed to this, which has a positive effect on the loading and unloading of the intervertebral discs.

In an embodiment of the therapy couch according to the invention, a shoulder contact device is arranged in the region of the upper body support section. It is particularly preferred if the shoulder contact device seen in different positions along the intended patient orientation with respect to the Upper body support portion is locked, whereby the shoulder contact device is adaptable to patients of different sizes. It is also advantageous if the shoulder contact device can be locked in different positions orthogonal to the patient orientation. As a result, the therapy table can be adapted to patients of different widths. By way of the shoulder contact device, a compressive force which the patient, who is supported on the support elements, can be transferred to the upper body support section in a simple manner. The lockability of the shoulder contact device in various positions along the intended patient alignment ensures that the therapy table can be adjusted quickly and reliably to patients of different sizes in a simple manner. This makes it possible to use a therapy couch for the treatment of patients of different sizes.

According to a further preferred embodiment of the therapy couch according to the invention, this comprises the thigh support section, which is pivotable about a second transverse axis, the second transverse axis being parallel to the horizontal plane and orthogonal to the intended patient orientation. As a result, the leg position of the patient can be precisely adjusted and adjusted to his respective needs. It is also particularly advantageous if the therapy couch according to the invention comprises a lower leg rest section, which is pivotable about a third transverse axis, wherein the third transverse axis is parallel to the horizontal plane and orthogonal to the intended patient orientation. The lower leg support portion is advantageously via a pull-out with the Thigh support portion connected and can be adapted in particular via a latching mechanism to the respective size of the patient. This is particularly advantageous when the thigh support section is in the pivoted position to the hip support section. By adjusting the lower leg support portion to the thigh support portion, the patient can conveniently rest his lower legs and feet to achieve tilting of the pelvis and thereby pre-stressing the spine. Particularly advantageous is the combination of a pivotable thigh support portion with the above-described pivotable lower leg support portion. As a result, the legs can be positioned at an angle in the pivoted position exactly, so that the most comfortable and pain-free position for the patient during the treatment is possible.

As an alternative to the above-described embodiments with a pivotable thigh support section or a pivotable lower leg support section, a preferred embodiment of the therapy couch is that in which the hip support section is integral with a leg support section, the leg support section comprising the thigh support section and / or the lower leg support section. Such a therapy table can be produced inexpensively and has a few fault-prone mechanical devices. As a result, the therapy table according to the embodiment just mentioned is particularly robust and can be produced very inexpensively while at the same time still very effective therapeutic applications. Preferred in the embodiments just described, when the therapy table is collapsible.

It is also advantageous if the upper body support section can be completely immobilized in the starting position and preferably in a further position different from the starting position relative to the hip support section. As a result, the therapy table can be used in a simple manner as a conventional massage table.

It is also preferred if the shoulder contact device is designed to be removable. This is particularly advantageous in combination with the above-mentioned lockable upper body rest section.

It is also preferred if the hip support section can be pivoted into different positions relative to the frame device, wherein the hip support section is fixedly connected in each case to the frame device in the different positions in the operating position of the therapy couch. The Hüftauflageabschnitt this embodiment can thus be pivoted in the various positions and connect fixed in this with the frame means. As a result, the hip position of the patient can be individually adjusted in order to be able to treat the different spinal column sections more effectively and individually.

Therapy couch according to the preceding claim, characterized in that the hip support section extends horizontally in a position and / or that the hip support section in a second position by at least 10 °, preferably by at least 15 °, in particular inclined by at least 20 ° to the horizontal, preferably wherein the Hüftauflageabschnitt in the second position by at most 35 °, preferably at most 30 °, in particular inclined by at most 25 ° to the horizontal.

Other features, applications and advantages of the invention will become apparent from the following description of exemplary embodiments of the invention, which are explained with reference to the drawings, the feature both alone and in different combinations may be important for the invention, without being explicitly referred to again becomes.

Figur 1

eine perspektivische Darstellung einer ersten Ausführungsform der erfindungsgemäßen Therapieliege;

Figur 2

eine perspektivische Darstellung einer weiteren alternativen Ausführungsform der erfindungsgemäßen Therapieliege mit einem darauf befindlichen Patienten;

Figur 3

die Therapieliege aus Figur 2 mit dem Patienten aus Figur 2 in einer anderen Konfiguration der Therapieliege und in einer Seitenansicht;

Figuren 4 bis 13

die Therapieliege aus den Figuren 2 und 3 ohne den Patienten in verschiedenen Konfigurationen; und

Figur 14

Darstellung einer weiteren alternativen Ausführungsform der erfindungsgemäßen Therapieliege; sowei

Show it:

FIG. 1

a perspective view of a first embodiment of the therapy couch according to the invention;

FIG. 2

a perspective view of another alternative embodiment of the therapy couch according to the invention with a patient thereon;

FIG. 3

the therapy table FIG. 2 out with the patient FIG. 2 in another configuration of the therapy couch and in a side view;

FIGS. 4 to 13

the therapy couch from the Figures 2 and 3 without the patient in different configurations; and

FIG. 14

Representation of a further alternative embodiment of the therapy couch according to the invention; sowei

A therapy couch carries in FIG. 1 Overall, the reference numeral 10 and is shown in a perspective view. The therapy couch 10 comprises a frame device 12, which is composed of a plurality of different struts 14. In the context of the invention is also when the frame device is height adjustable and designed with foldable and / or mobile feet. In FIG. 1 the therapy couch is shown in an operating position. In this operating position, a Hüftauflageabschnitt 16 with the frame means 12 is fixedly connected. Adjacent to the hip support portion 16 is an upper body support portion 18 of the therapy couch 10.

The upper body support portion 18 is pivoted about a transverse axis 20 relative to the Hüftauflageabschnitt 16. The upper body support section 18 is displaceable relative to the hip support section 16 along a displacement axis 22, which is illustrated by an arrow. The upper body support portion 18 is designed and mounted such that upon pivoting of the upper body support portion 18 about the transverse axis 20 and the displacement axis 22 is pivoted about the transverse axis 20.

In the area of the upper body support section 18, a first fixing means 24 is arranged. The first fixing means 24 is presently designed as a belt 24. In the context of the invention, however, a treatment couch without this first fixing means 24 is likewise in the area of the hip support section 16, a second fixing means 26 is arranged, which is formed as a further belt 26.

In the area of the hip rest section 16, two support elements 28 are arranged. The support elements 28 are each immovable relative to the hip support portion 16. In the context of the invention, however, an embodiment of the support elements 28 in which they are movable or pivotable relative to the Hüftauflageabschnitt. However, in these embodiments, the support elements can each be locked relative to the hip rest section, that is to say they can be locked.

The hip support portion 16 of in FIG. 1 In the embodiment shown, the therapy couch is made in one piece with a leg rest section 30, wherein the leg rest section 30 again comprises a thigh rest section 32 and a lower leg rest section 34. In the region of the upper body support section 18, two shoulder contact devices 36 are arranged, each of which is arranged in a lateral upper region of the upper body support section 18. The shoulder contact devices 36 are in the present case designed as foam-coated rolls. The shoulder contact devices 36 are each orthogonal to the displacement axis 22 and pivotable in the direction of the displacement axis 22 along the extension of the upper body support portion 18 slidably and along different positions with respect to the upper body support portion 18 via locking means 38 each lockable. It is also advantageous if the shoulder contact device 36 in different positions orthogonal to the extension of the upper body support portion 18 can be locked in the direction of patient alignment. In this way, the therapy table 10 can be adapted to patients 40 of different widths.

FIG. 2 shows an alternative embodiment of the inventive therapy couch 10. In the illustration of FIG. 2 The patient 40 is fixed with his hip region 42 via the second fixing means 26 on the hip support portion 16 and the upper body 44 of the patient 40 is fixed on the upper body support portion 18 via the first fixing means 24. A shoulder portion 46 of the patient 40 respectively contacts the shoulder contact devices 36 of the therapy couch 10, wherein a head 48 of the patient 40 is arranged between the two shoulder contact devices 36. The therapy couch 10 in the in FIG. 2 The embodiment shown differs from that in FIG FIG. 1 shown therapy couch 10 characterized in that the thigh support portion 32 is formed separately from the hip support portion 16. Furthermore, the thigh support portion 32 is pivotable about a second transverse axis 50, in particular with respect to the hip support portion 16, pivotable. The lower leg support portion 34 is in the embodiment according to FIG. 2 also performed individually and with respect to the thigh support portion 32 about a third transverse axis 52 pivotally and with respect to the thigh support portion 32 extendable, whereby an adaptation to the different size of different patients is improved.

In addition or as an alternative to the fixing means 26 in the region of the hip support section 16, a can also be used not shown fixing means may be provided in the region of the thigh support portion 32. About such fixative in the region of the thigh support portion 32, the thighs of the patient 40 can be fixed to the thigh support portion 32, which has a positive effect on the loading and unloading of the intervertebral discs.

The in the FIGS. 1 and 2 The embodiments shown each have a stop 53 for the upper body resting portion 18, which prevents pivoting of the Oberköperauflageabschnitts 18 about the transverse axis 20 below a horizontal plane 54

In the other Figures 3-13 are not in each figure, all reference numerals reproduced again to ensure a clear presentation.

In FIG. 3 is the therapy table off FIG. 2 shown in a side view. In the side view of FIG. 3 is clearly visible as the thigh support portion 32 via a first pivoting mechanism 55, which includes a mechanical adjustment 56, which may also be designed as a lockable gas spring, is pivoted about the second transverse axis 50. It can also be seen that the lower leg support portion 34 opposite the thigh support portion 32 via a second pivoting mechanism 58, which also includes a mechanical adjustment 60, which may also be configured as a lockable gas spring, is pivoted about the third transverse axis 52. The lower leg rest section 34 can also be extended along the longitudinal axis 51 relative to the thigh rest section 32.

FIGS. 4 and 5 show the therapy table Figures 2 and 3 in another position. In this position, the thigh support portion 32 and the lower leg support portion 34 are non-pivoted with respect to the hip support portion 16, and the thigh support portion 32 and lower leg support portion 34 are in a position in which they are aligned with the hip support portion 16.

In particular in FIG. 5 It will be appreciated that the upper body support portion 18 is pivoted about the transverse axis 20 by a third pivot mechanism 62. The third pivoting mechanism 62 has a mechanical adjustment 64, which can also be designed as a lockable gas spring. The therapy couch 10 from the FIGS. 2 to 5 is in the rest FIGS. 6 to 13 shown in different different positions, each of the upper body support portion 18 and the thigh support portion 32 and the lower leg support portion 34 are shown in different pivoting positions.

In FIGS. 6 and 7 is shown a position with slightly angled thigh support portion 32, wherein the lower leg support portion 34 is arranged parallel to the hip support portion 16.

In the configuration according to FIGS. 8 and 9 the thigh support portion 32 is pivoted substantially orthogonal to the hip support portion 16 and the lower leg support portion 34.

In the in FIG. 10 and 11 shown configuration corresponds to the position of thigh support portion 32 and lower leg support portion 34 of the FIGS. 8 and 9 , However, the upper body support portion 18 is slightly pivoted relative to the Hüftauflageabschnitt 16 according to the pivoting position, which is already in FIG. 4 is shown.

In the in FIG. 12 shown upper body support portion 18, Hüftauflageabschnitt 16, thigh support portion 32 and lower leg support portion 34 are aligned in the horizontal plane 54 shown by a dashed line. The transverse axis 20 extends in the horizontal plane 54. The second transverse axis 50 and the third transverse axis 52 extend parallel to the horizontal plane 54, or in the in FIG. 12 also shown in the horizontal plane 54.

In the in FIG. 13 shown position corresponds to the position of the upper body support portion 18 of the example in Figures 10 and 11 and the position of the thigh support portion 32 and the lower leg support portion 34 shown in, for example, FIGS FIGS. 6 and 7 shown position.

In using the therapy layer, a position of the thigh support portion 32 and lower leg support portion 34 may be selected such that the patient 40 is conveniently supported according to their respective ailments. This convenient storage can also be achieved by a corresponding adjustment of the upper body support section 18. To perform a sequence of compression and decompression the intervertebral discs of the patient 40, the patient 40 can press on the support elements 28 with his arms. The support elements 28 thus form a fixed anchor point for the patient 40. When the patient 40 presses against the support elements 28, a force which he exerts on the latter is transmitted to the shoulder contact devices 36 and from there to the upper body support section 18. Since the upper body support portion 18 is slidably mounted along the displacement axis 22, the upper body support portion 18 is displaced along the displacement axis 22 in the just described pressure movement of the patient. The hip support portion 16 remains stationary in each case.

In particular, when the patient 40 is connected via the second fixing means 26 with the Hüftauflageabschnitt 16 and fixed to this, a relative movement between Oberkörperauflageabschnitt 18 and Hüftauflageabschnitt 16 transmits directly to the body of the patient 40. The relative movement between the upper body support portion 18 and Hüftauflageabschnitt 16 takes place by pressure of the patient on the shoulder contact devices 36, wherein it is supported on the support elements 28. In the described pressure movement of the patient 40, therefore, the upper body 44 of the patient 40 is moved away from its hip area 42, which leads to a decompression of the intervertebral discs of the patient 40. If the pressure on the support elements 28 is reduced by the patient, the upper body support section 18, together with the upper body 44 of the patient 40, moves against the direction of the arrow 22 along the displacement axis 22 to the hip support section 16, which in turn compresses the intervertebral discs of the patient 40 leads. A change between decompression and compression of the intervertebral discs of the patient 40 results an increased supply of nutrients to the discs, which has a positive effect on the well-being of the patient 40 and reduces back problems.

FIG. 14 shows a further alternative embodiment of the therapy table 10.

As in the embodiment of FIG. 14 1, the fixation means 26 for fixing the hip region 42 of the patient 40 may comprise a hip belt 66 (shown individually in FIG FIG. 14b) however, the attachment portion may also be used to connect the hip belt 66 to the hip support portion 16 and / or another in the operative position the therapy couch 10 relative to the hip support portion 16 immovable component of the therapy couch 10 may be formed.

Preferably, the attachment portion 70 comprises four strap portions 70a-d, of which, in an intended attachment configuration, two of the strap portions 70a, 70b and 70c, 70d, respectively, are disposed on a body side of the patient 40, particularly, the two being disposed on the same body side of the patient 40 Belt portions 70a, 70b and 70c, 70d are arranged crosswise in the intended mounting configuration, as in FIG. 14c) shown.

The therapy couch 10 off FIG. 14 also includes a force limiting device 72, via which the support element 28 and both support elements relative to the Hüftauflageabschnitt 16 can be locked or are, wherein the force limiting device 72 is configured such that it holds the support member 28 in a position opposite the Hüftauflageabschnitt 16 until a force acting on the support member 28 exceeds a force limit. So is the support member 28 with a force that is greater than the force limit, from the patient in FIG. 14 pressed to the left, so the support member 28 moves in FIG. 14 to the left relative to the frame device 12 or the hip support section 16.

As in the embodiment of FIG. 14 is shown, the Oberköperauflageabschnitt 18 can be stretched along the displacement axis 22 via a biasing means 74 to the Hüftauflageabschnitt 16 back. In the present case, the pretensioning device 74 comprises a spring 76.

As in the embodiment of FIG. 14 is shown, the Hüftauflageabschnitt 16 can be pivoted in different positions relative to the frame means 12. Two positions are in FIG. 14 represented by the reference numerals 16a and 16b. The hip support portion 16 is fixedly connected in each case in the operating position of the therapy couch 10 with the frame device 12 in both positions.

The hip support portion 16 extends horizontally in the position 16a. In the second position 16b of the Hüftauflageabschnitt 16 extends in an inclined by at least 10 °, preferably at least 15 °, in particular at least 20 ° to the horizontal, preferably wherein the Hüftauflageabschnitt 16 in the second position by at most 35 °, preferably by at most 30 ° , in particular inclined at most 25 ° to the horizontal inclined. The angle of inclination contributes in FIG. 14 the reference numeral 80 and the inclination is about 45 ° to the horizontal.

Claims (15)

Therapy couch (10) with a frame device (12), a hip support section (16) for receiving a hip region (42) of a patient (40), an upper body support section (18) for receiving an upper body of the patient (40) and at least one support element (28) , which is arranged in the region of the hip support section (16) and can be locked relative to the hip support section (16) or is immovable relative to the hip support section (16), characterized in that the hip support section (16) is in an operating position of the therapy couch (10) with the frame device (10). 12) is fixedly connected, and that the Oberköperauflageabschnitt (18) relative to the Hüftauflageabschnitt (16) via a pressure movement of the patient (40) against the support element (28) along a displacement axis (22) by body force of the patient (40) is displaceable. The therapy couch (10) according to claim 1, characterized in that the upper body support portion (18) is pivotable about a transverse axis (20), the transverse axis (20) extending in a horizontal plane (54) and orthogonal to a provided patient orientation. Therapy couch (10) according to claim 2, characterized in that the Oberköperauflageabschnitt (18) in at least two to each other about the transverse axis (20) pivoted positions can be locked. Therapy couch (10) according to one or more of the preceding claims, characterized in that the displacement axis (22) about the transverse axis (20) which extends in the horizontal plane (54) and orthogonal to the intended patient orientation, is pivotable. Therapy couch (10) according to one or more of the preceding claims, characterized in that it comprises a stop (53) for the upper body resting portion (18) which pivoting the upper body resting portion (18) about the transverse axis (20) below the horizontal plane (54 ) prevented. Therapy couch (10) according to one or more of the preceding claims, characterized in that a fixing means (24) for fixing the upper body (44) of the patient (40) on the upper body support portion (18) is arranged in the region of the upper body support portion (18) and / or in that a fixing means (26) for fixing the hip region (42) of the patient (40) on the hip support section (16) is arranged in the region of the hip support section (16) and / or that a fixing means for fixing the hip support section (32) is provided in the region of the thigh support section (32) Thigh of the patient (40) on the thigh support portion (32) is arranged. Therapy couch (10) according to one or more of the preceding claims, characterized in that a shoulder contact device (36) is arranged in the region of the upper body support section (18), preferably wherein the shoulder contact device (36) is provided in different positions along the provided Patient orientation seen relative to the upper body support portion (18) can be locked. A therapy couch (10) according to one or more of the preceding claims, characterized in that a thigh support section (32) is pivotable about a second transverse axis (50), the second transverse axis (50) being parallel to the horizontal plane (54) and orthogonal to the second transverse axis (50) intended patient alignment. A therapy couch (10) according to one or more of the preceding claims, characterized in that a lower leg rest section (34) is pivotable about a third transverse axis (52), the third transverse axis (52) being parallel to the horizontal plane (54) and orthogonal to the intended patient alignment extends and / or wherein the lower leg support portion (34) along a longitudinal axis (51) relative to the thigh support portion (32) is extendable. The therapy couch (10) according to one or more of the preceding claims 1 to 7, characterized in that the hip support portion (16) is integral with a leg support portion (30) comprising the thigh support portion (32) and / or the lower leg support portion (34) , Therapy couch (10) according to one or more of the preceding claims, characterized in that the therapy couch (10) comprises a force limiting device (72), via which the support element (28) relative to the hip rest section (16) is lockable, wherein the force limiting means (72) adapted to hold the support member (28) in a position opposite the Hüftauflageabschnitt (16) until a force acting on the support element (28) exceeds a force limit. Therapy couch (10) according to one or more of the preceding claims, characterized in that the upper body resting portion (18) along the displacement axis (22) via a biasing means (74) to the Hüftauflageabschnitt (16) is stretched out. Therapy couch (10) according to one or more of the preceding claims, characterized in that the fixing means (26) for fixing the hip region (42) of the patient (40) comprises a hip belt (66) having a hip portion (68) for wrapping around the hip the patient and at least one attachment portion (70) for connecting the hip belt (66) with the frame means (12) and / or the Hüftauflageabschnitt (16) and / or another in the operating position of the therapy couch (10) relative to the Hüftauflageabschnitt (16) immovable Component of the therapy couch (10), preferably wherein the fastening portion (70) comprises four strap sections (70a-d), of which, in an intended fastening configuration, two each of the strap sections (70a, 70b or 70c, 70d) on a body side of the patient ( 40) are arranged, in particular wherein the two on the same body side of the patient (40) arranged belt sections (70a, 70b and 70c, 70d) in the provided fastening configuration are arranged extending over a cross. Therapy couch (10) according to one or more of the preceding claims, characterized in that the hip support section (16) is pivotable in different positions relative to the frame device (12), wherein the hip support section (16) in the different positions in the operating position of the therapy couch (10 ) is in each case fixedly connected to the frame device (12). The therapy couch (10) according to the preceding claim, characterized in that the Hüftauflageabschnitt (16) extends horizontally in a position and / or that the Hüftauflageabschnitt (16) in a second position at least 10 °, preferably by at least 15 °, in particular at least 20 ° inclined to the horizontal, preferably wherein the Hüftauflageabschnitt (16) extends inclined in the second position by at most 35 °, preferably at most 30 °, in particular by at most 25 ° to the horizontal.

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