EP3426218B1 - Device for mobilising the sacroiliac joint (sij) of a patient, particularly for loosening a blockage of the sacroiliac joint of the patient - Google Patents

Description

The invention relates to a device for mobilizing the sacroiliac joint (SIJ) of a patient, in particular for releasing a blockage of the patient's sacroiliac joint.

The sacroiliac joint, also called the SI joint, sacroiliac joint, sacrum-iliac joint or sacrum-iliac joint, is located at the lower end of the lumbar spine in the lower part of a person's back. The joint partners of the SI joint are the pelvic blades (os ilium) and the sacrum (sacrum). The sacrum borders on the left and right iliac blades, so that the right and left sacroiliac joints are also referred to. The term sacroiliac joint or SIJ used in the following refers to the left and right sacroiliac joints of a person.

The sacroiliac joint creates a connection between a person's spine and pelvis via the sacrum. The sacroiliac joint is a tight joint that, unlike many other joints in the human body, allows very little movement. The sacroiliac joint is stabilized by ligaments and muscles and cannot be moved arbitrarily.

If the sacroiliac joint is restricted in its mobility or the position of the joint surfaces to one another deviates from the norm, it is called an ISG blockade. Such an ISG blockade, for example, causes pulling pain in the area of the sacroiliac joint.

ISG blockade is usually treated with physiotherapy, in which the sacroiliac joint is manually mobilized and the surrounding muscles are strengthened. At the same time, heat is often used to relax the muscles around the sacroiliac joint.

In the context of the following description, the directional information “transversal” relates to an up / down (head / foot) direction of a patient and “sagittal” to a left / right direction of a patient. The indication of the direction "Frontal" refers to a front / back (abdomen / back) direction of a patient.

A sagittal plane in the sense of medicine / anatomy is a plane extending from the head to the pelvis and from the back to the abdomen. The sagittal plane divides the human body into a left and a right part. In medicine / anatomy, a transverse plane is a plane perpendicular to the longitudinal axis in a standing person, i.e. a horizontal plane. The transverse plane thus divides the human body into an upper and a lower part. A frontal plane in medicine / anatomy denotes the plane of movement that is visible when the person is viewed from the front. The frontal plane divides the human body into a front and a rear part.

For the treatment of lower back pain, the disclosed JP 2013-022317 A a device for exercising the muscles of the lower abdomen. The device comprises a treatment table with a lying surface for a patient. The lying surface has an opening in the area of the patient's buttocks. The patient is fixed relative to the treatment table by means of a holding device above the pelvis. A force transmission element is arranged within the opening of the treatment table which exerts a force on the patient's buttocks in order to trigger a movement of the patient's pelvis, whereby the lower abdominal muscles are trained. By training the lower abdominal muscles, back pain in the lower spine area should be prevented.

The US patent 8,439,948 B1 discloses an apparatus for treating pain in a patient in the region of the sacroiliac joint. The disclosed device comprises a treatment table with a lying surface for the patient, the lying surface having an opening in the region of the sacroiliac joint of the patient. Two force transmission elements are arranged in the opening of the lying surface, which can act on the sacroiliac joint of the patient. The device further comprises two holding devices which are rigidly connected to the force transmission elements, so that the patient is fixed relative to the force transmission elements by means of the holding devices. By moving the Force transmission elements together with the holding elements train the surrounding musculature of the sacroiliac joint, whereby the pain in the patient's sacroiliac joint is to be alleviated.

The aforementioned devices train the surrounding musculature of the sacroiliac joint, but are not suitable for targeted mobilization of the sacroiliac joint.

US2004 / 158176 A1 shows another device.

The invention is based on the object of providing a device for the targeted mobilization of the sacroiliac joint of a patient, in particular for the targeted movement of the sacrum relative to the pelvic blades.

The object is achieved according to the invention by a device for mobilizing the sacroiliac joint (SIJ) of a patient, in particular for releasing a blockage of the patient's sacroiliac joint, according to the claims.

• einen Behandlungstisch mit einer Liegefläche für den Patienten, wobei die Liegefläche eine Öffnung im Bereich des Iliosakralgelenks des Patienten aufweist;
• eine Haltevorrichtung zur Fixierung des Beckens des Patienten relativ zu dem Behandlungstisch; und
• wenigstens ein im Bereich der Öffnung der Liegefläche angeordnetes Kraftübertragungselement, wobei das Kraftübertragungselement ausgebildet ist, durch eine Bewegung eine Kraft auf das Sakrum des Iliosakralgelenks des Patienten auszuüben.

Such a device includes:

• a treatment table with a lying surface for the patient, wherein the lying surface has an opening in the region of the sacroiliac joint of the patient;
• a holding device for fixing the patient's pelvis relative to the treatment table; and
• at least one force transmission element arranged in the area of the opening of the lying surface, the force transmission element being designed to exert a force on the sacrum of the sacroiliac joint of the patient by movement.

By means of the device according to the invention, the pelvis of a patient is fixed relative to the treatment table by a correspondingly designed holding device. An opening is arranged in the area of the sacroiliac joint of the patient in the lying surface for the patient of the treatment table. In the area of the opening of the lying surface, a force transmission element is arranged, which exerts a force on the sacrum of the sacroiliac joint of the patient through a movement. In contrast to the prior art known devices, the pelvis of the patient is fixed relative to the treatment table by means of the device according to the invention and a force is exerted on the sacrum by means of the force transmission element. Since the patient's pelvis is fixed relative to the treatment table, the force exerted on the sacrum directly mobilizes the patient's sacroiliac joint. In the devices known from the prior art, the muscles surrounding the sacroiliac joint are strengthened in order to release the blockage of the sacroiliac joint.

According to a preferred variant of the invention, the at least one force transmission element is movably arranged in the area of the opening of the lying surface, in particular movably in the longitudinal direction (transverse direction) and / or lateral direction (sagittal direction) of the lying surface of the treatment table. Because the at least one force transmission element is movably arranged in the area of the lying surface, the sacrum of the sacroiliac joint of the patient can be mobilized in a targeted manner, for example by the force transmission element transmitting a force at different points in the sacrum. The at least one force transmission element can preferably be moved in the longitudinal direction and lateral direction of the lying surface of the treatment table, so that the at least one force transmission element can theoretically reach any point of the sacrum of the sacroiliac joint of the patient and can transmit a corresponding force.

According to a further variant of the invention, the angle of the at least one force transmission element can be adjusted in at least one direction, preferably in the transverse and sagittal direction, relative to the lying surface of the treatment table. By adjusting the angle of the at least one force transmission element relative to the lying surface of the treatment table, in addition to the transverse and / or sagittal alignment of the force transmission element, the angle of the force transmitted to the sacrum of the sacroiliac joint of the patient is also changed. The articular surfaces of the sacroiliac joint between the pelvic blades and the sacrum are inclined in the transverse plane. It has been found to be particularly beneficial when the at least one force transmission element exerts a correspondingly inclined force on the sacrum of the sacroiliac joint.

The alignment of the at least one force transmission element to the sacroiliac joint, in particular the sacrum of the sacroiliac joint, is preferably carried out using imaging methods such as X-ray, magnetic resonance imaging (MRT) or similar methods, by means of which the sacroiliac joint can be assessed or measured in advance. On the basis of the anatomical information on the sacroiliac joint ascertained by means of the imaging method, the force transmission to the sacroiliac joint can be precisely adapted to the respective patient by means of the device according to the invention.

According to an expedient variant, the at least one force transmission element is designed in the shape of a piston.

According to a further variant of the invention, the at least one force transmission element is designed to be changeable in its longitudinal direction in order to exert a force on the sacrum of the sacroiliac joint of the patient. For example, one end of the force transmission element is firmly fixed to a movement mechanism below the treatment table and a force is exerted on the sacrum of the sacroiliac joint of the patient by changing the length of the force transmission element.

In an expedient variant of the invention, the at least one force transmission element has padding on the surface facing the patient. In this way, uncomfortable pressure points for the patient in the area of the sacrum, where a force is transmitted from the force transmission element to the sacrum, can be avoided.

The end of the force transmission element facing the patient can have additional functional units, such as a heat source, an ultrasound source, a shock wave source and / or a laser source. The end facing the patient is expediently designed to be modular or exchangeable so that different additional Functional units can be used by simply exchanging the end of the force transmission element facing the patient.

According to a further advantageous variant, the end of the force transmission element facing the patient is curved in the sagittal and / or frontal direction, the curvature facing the patient in particular in the sagittal plane or laterally outward in the frontal plane. Such a curved end of the force transmission element ensures optimal force transmission to the patient's sacrum.

The end of the force transmission element facing the patient has, for example, an oval cross section, the longitudinal axis of which runs approximately parallel to the longitudinal axis of the patient lying on the lying surface of the treatment table.

According to a further variant of the invention, the holding device is attached to the treatment table or formed in one piece with it. The holding device is designed, for example, as an adjustable holding frame or as an adjustable holding belt.

In an expedient variant of the invention, the holder device has at least partially padding on the surface facing the patient. In this way, uncomfortable pressure points for the patient when the pelvis is being fixed relative to the treatment table can be avoided.

According to an expedient variant of the invention, the lying surface of the treatment table is at least partially upholstered.

According to an expedient variant of the invention, the opening of the lying surface is covered with a flexible cover, in particular a membrane. Alternatively, the end of the at least one force transmission element facing the patient has a cover. As a result, the patient does not come into direct contact with the at least one force transmission element and after using the device according to the invention, the flexible cover of the opening of the lying surface or the cover of the at least one must at best Force transmission element are replaced before a new patient can use the device according to the invention.

According to a particularly preferred variant of the invention, the device furthermore comprises an electronic control unit for controlling the movement of the at least one force transmission element. The electronic control unit automatically executes the movement of the at least one force transmission element according to a stored movement program, for example. The patient lies down on the lying surface of the treatment table, the sacroiliac joint of the patient being arranged in the area of the opening in the lying surface of the treatment table. The patient's pelvis is fixed relative to the treatment table by means of the holding device. The movement program stored in the electronic control unit is then activated and the electronic control unit moves the at least one force transmission element in such a way that a force is exerted on the sacrum of the sacroiliac joint of the patient. The movement program is preferably designed such that the at least one force transmission element exerts different forces on the sacrum of the sacroiliac joint of the patient, for example by moving the at least one force transmission element in the transverse direction and / or sagittal direction, in particular by adjusting the angle of the at least one force transmission element relative to the lying surface of the treatment table.

According to a particularly advantageous variant of the invention, the device further comprises an emergency stop switch, the emergency stop switch preferably being arranged in such a way that the patient on the lying surface of the treatment table can actuate the emergency stop switch, in particular when the patient's pelvis is fixed relative to the treatment table. Thus, the patient can interrupt the treatment by the device according to the invention for mobilizing the sacroiliac joint at any time, in particular if the treatment causes pain to the patient.

The device comprises a monitoring device for monitoring the movement of the at least one force transmission element. The monitoring device further comprises a Emergency shutdown, which shuts down the device when the at least one force transmission element leaves a predetermined range of motion. The monitoring device thus ensures that even in the event of a malfunction of the at least one force transmission element, no force is exerted on the patient's sacroiliac joint which exceeds a predetermined range of motion.

According to a variant of the invention, the at least one force transmission element is designed such that, in the event of an emergency shutdown, it is automatically moved into a starting position in which the at least one force transmission element is not in contact with the patient lying on the lying surface of the device. In the case of a pneumatic force transmission element, for example, the pneumatic pressure could be released, as a result of which the at least one force transmission element returns to its starting position. In the case of an electrical power transmission element, a storage device for electrical energy can be provided which, after an emergency shutdown, can drive the electrical power transmission element in such a way that it is moved back into a starting position.

According to a particularly preferred variant of the invention, the device comprises two force transmission elements, the two force transmission elements being able to exert a force on the sacrum of the sacroiliac joint of the patient independently or jointly. By means of two force transmission elements, for example, transverse forces could be exerted on the sacrum of the sacroiliac joint of the patient which could not be applied by a single force transmission element. In combination with the aforementioned possibilities of movement of the force transmission elements, for example in the longitudinal and / or lateral direction of the lying surface of the treatment table and the angle relative to the treatment table, the patient's sacroiliac joint can be mobilized in an almost unrestricted manner by means of the two force transmission elements.

In a further variant, the device according to the invention comprises guide means for guiding the force transmission elements and / or for guiding the movement of the force transmission elements in the longitudinal and / or lateral direction.

According to a particularly advantageous variant, the lying surface of the treatment table comprises an additional leg rest, which is designed in particular such that the knees of the patient on the device according to the invention are angled. It has been found that such a leg position is particularly advantageous when mobilizing the sacroiliac joint by means of the device according to the invention.

According to a particularly preferred variant of the invention, the device is designed in such a way that the at least one force transmission element moves on a curved path, in particular a circular path, relative to the lying surface of the treatment table, in particular curved in the lateral direction of the lying surface of the treatment table. Since the joint surfaces of the sacroiliac joint between the pelvis and the sacrum are also curved, the movement of the at least one force transmission element on a curved path, in particular a circular path, relative to the lying surface of the treatment table generates a force essentially along the joint surfaces of the sacroiliac joint. This enables the patient's sacroiliac joint to be mobilized in a targeted manner. The movement of the at least one force transmission element on a curved path, in particular a circular path, relative to the lying surface of the treatment table is achieved, for example, by appropriately designed guide means and / or by specially designed means for moving the at least one force transmission element.

According to a further preferred variant of the invention, the at least one force transmission element is curved, in particular curved in the lateral direction of the lying surface of the treatment table. The at least one force transmission element thus extends essentially along the curved joint surfaces of the sacroiliac joint between the pelvis and the sacrum of the patient.

Fig. 1

eine schematische Ansicht eines Iliosakralgelenks eines Menschen;

Fig. 2

eine Ansicht einer erfindungsgemäßen Vorrichtung im Bereich des Iliosakralgelenks eines Patienten in der Transversalebene;

Fig. 3

eine Ansicht der erfindungsgemäßen Vorrichtung aus Fig. 2 in der Sagittalebene, und

Fig. 4

eine Ansicht einer weiteren erfindungsgemäßen Vorrichtung im Bereich des Iliosakralgelenks eines Patienten in der Transversalrichtung.

The invention is explained in more detail below using an exemplary embodiment shown in the figures. Show it:

Fig. 1

a schematic view of a sacroiliac joint of a human;

Fig. 2

a view of a device according to the invention in the region of the sacroiliac joint of a patient in the transverse plane;

Fig. 3

a view of the device according to the invention Fig. 2 in the sagittal plane, and

Fig. 4

a view of a further device according to the invention in the region of the sacroiliac joint of a patient in the transverse direction.

Fig. 1 shows a schematic view of a sacroiliac joint 1 of a human being, also called SIJ, sacroiliac joint, sacrum-iliac joint or sacro-intestinal joint. The sacroiliac joint 1 is located in the lower part of the back at the end of the lumbar spine. The sacroiliac joint 1 is formed between the pelvic blades 2 (Latin: os ilium) and the sacrum (Latin: sacrum). The sacroiliac joint 1 thus establishes the connection between the spine and the pelvic blades 2 via the sacrum 3. The sacroiliac joint 1 cannot be moved voluntarily and is stabilized by ligaments and muscles. In contrast to many other joints in the human body, the sacroiliac joint 1 allows very little movement and is therefore referred to as a tight joint. The possible movements of the sacroiliac joint are called nutation and counter-mutation. Nutation, for example, causes the pelvic ring to enlarge, which is particularly important during childbirth.

A blockage of the sacroiliac joint 1 occurs, for example, when the already tight joint is restricted in its mobility or when the position of the joint surfaces relative to one another deviates from the norm. A blockage of the sacroiliac joint 1 is often noticeable as pulling pain in the area of the sacroiliac joint 1. The cause of a blockage of the sacroiliac joint 1 is often having loads that are too heavy, lifting it incorrectly or stepping into space, such as missing a step. Further Spinal diseases, a pelvic obliquity, a difference in leg length or improper loading can lead to a blockage of the sacroiliac joint 1.

Fig. 2 shows a view of a device 10 according to the invention in the region of the sacroiliac joint 1 of a patient in the transverse plane, that is to say a sectional view through the longitudinal axis of the patient. The device 10 for mobilizing the sacroiliac joint 1 of the patient, in particular for releasing a blockage of the sacroiliac joint 1 of the patient, comprises a treatment table 20 with a lying surface 30 for the patient. The lying surface 30 has an opening 40 in the region of the sacroiliac joint 1 of the patient. The device 10 further comprises a holding device 50 for fixing the pelvis 2 of the patient relative to the treatment table 20. To mobilize the sacroiliac joint 1 of the patient, the device 10 further comprises at least one force transmission element 60 arranged in the area of the opening 40 of the lying surface 30, the force transmission element 60 is designed to exert a force on the sacrum 3 of the sacroiliac joint 1 of the patient by a movement.

In the in Fig. 2 In the illustrated embodiment, the device 10 comprises two force transmission elements 60, wherein the two force transmission elements 60 can exert a force on the sacrum 3 of the sacroiliac joint 1 of the patient independently or jointly. The ends 70 of the two force transmission elements 60, which are arranged directly adjacent to the patient, expediently have padding on the surface facing the patient. Furthermore, in particular the ends 70 of the force transmission elements 60 facing the patient can include further functional units (not shown), such as a heat source, an ultrasound source, a shock wave source and / or a laser source. The ends 70 facing the patient are expediently designed to be modular or exchangeable, so that different additional functional units can be used by simply exchanging the end 70 of the force transmission element 60 facing the patient.

The two force transmission elements 60 are movably arranged in the area of the opening 40 of the lying surface 30, in particular movably in the longitudinal direction (sagittal direction) and / or lateral direction (transverse direction) of the lying surface 30 of the treatment table 20. The movement of the force transmission elements 60 in the sagittal direction (left / right) is according to Figure 2 for example, by means of sagittal curved toothed rails 80 arranged at the lower ends of the force transmission elements 60 and drivable sagittal toothed gears 90 which are operatively connected to the sagittal curved toothed rails 80. Saggital guide means 120 are arranged in the area of the opening 40 in the lying surface 30 of the treatment table 20. By driving one or both sagittal toothed wheels 90, the respective lower end of the force transmission element 60 is pivoted over the corresponding sagittal curved toothed rail 80. Since the respective force transmission element 60 is rotatably mounted in the area of the sagittal guide means 120, the pivoting of the force transmission elements 60 causes a corresponding movement of the patient-facing ends 70 of the force transmission elements 60 in the sagittal (left / right) direction.

Consequently, the angles of the force transmission elements 60 in the sagittal direction relative to the lying surface 30 of the treatment table 20 are also changed or adjusted.

The movement of the force transmission elements 60 in the transverse direction is in particular the Figure 3 refer to. For this purpose, the device 10 according to the invention has, for example, a transversely curved tooth splint 100 in the lower area. The transversely curved toothed splint 100 is connected to the means for adjusting the sagittal direction 80, 90 and the lower ends of the force transmission elements 60. Via the driven transverse gear wheel 110, which is in operative connection with the transversely curved toothed rail 100, the transversal curved toothed rail can be pivoted and thus also the means for setting the sagittal direction and the force transmission elements 60 provided, for example, as a curved groove and one therein included lubricant exist, wherein the lubricant is firmly connected to the means for sagittal movement or the force transmission elements 60.

According to a further advantageous variant, the ends 70 of the force transmission elements 60 facing the patient are curved in the sagittal and / or frontal direction, the curvature facing the patient in particular in the sagittal plane or laterally outward in the frontal plane. Such curved ends 70 of the force transmission elements 60 ensure an optimal force transmission to the sacrum 3 of the patient.

The power transmission elements 60 from Fig. 2 are designed to be changeable in their longitudinal direction in order to exert a force on the sacrum 3 of the sacroiliac joint 1 of the patient. For this purpose, the force transmission elements 60 can be moved towards the sacrum 3 of the patient to be treated, for example by a corresponding device, or the force transmission elements 60 comprise means for changing the length of the force transmission elements 60. The force transmission elements 60 can be designed, for example, as length-variable piston elements.

The force transmission elements 60 expediently have padding 70 on the surface facing the patient.

Again Fig. 2 can be removed, the holding device 50 is attached to the treatment table 20. The holding device 50 off Fig. 2 is designed as an adjustable holding frame. Alternatively, the holding device 50 can be designed as an adjustable tether.

The holding device 50 expediently comprises at least partially padding on the surface facing the patient. Likewise, the lying surface 30 of the treatment table 20 is preferably at least partially upholstered.

Fig. 3 a view of the device according to the invention Fig. 2 in the sagittal plane. The device 10 for mobilizing the sacroiliac joint 1 of a patient, in particular for releasing a blockage of the sacroiliac joint 1 of the Patient, out Fig. 3 comprises the treatment table 20 with the lying surface 30 for the patient, the holding device 50 for fixing the pelvis 2 of the patient relative to the treatment table 20 and two force transmission elements 60 arranged in the area of the opening 40 of the lying surface 30.

The opening 40 in the lying surface 30 of the treatment table 20 is arranged in the area of the sacroiliac joint 1 of the patient so that the force transmission elements 60 can exert a force on the sacrum 3 of the sacroiliac joint 1 of the patient when the force transmission elements 60 are relative to the pelvis 2 of the patient be moved.

The movement of the force transmission elements 60 in the sagittal direction is in particular the Figure 2 refer to. To move the force transmission elements 60 in the transverse direction, the device, as already explained above and in particular in FIG Figure 3 shown in the lower area a transversely curved tooth splint 100. The transversely curved toothed splint 100 is connected to the means for adjusting the sagittal direction 80, 90 and the lower ends of the force transmission elements 60. Via the driven transverse gear wheel 110, which is in operative connection with the transversely curved toothed rail 100, the transversal curved toothed rail can be pivoted and thus also the means for setting the sagittal direction and the force transmission elements 60 provided, which consist for example as a curved groove and a lubricant received therein, the lubricant being firmly connected to the means for sagittal movement or the force transmission elements 60.

The device 10 from the Figures 2 and 3 further comprises an electronic control unit (not shown) for controlling the movement of the two force transmission elements 60. The electronic control unit automatically executes the movement of the force transmission elements 60 according to a stored movement program.

The device 10 according to the invention further comprises a monitoring device for monitoring the movement of the two force transmission elements 60. For example, this monitoring device is integrated in the electronic control unit. The monitoring device includes an emergency shutdown, which shuts down the device 10 when at least one force transmission element 60 leaves a predetermined range of motion. In addition, the device 10 according to the invention can comprise an emergency stop switch, which can preferably be operated by the patient, even if it is fixed relative to the lying surface 30 of the treatment table 20 by means of the holding device 50.

In the event of an emergency shutdown, the at least one force transmission element 60 is expediently automatically moved into an initial position in which the at least one force transmission element 60 is not in contact with the patient lying on the lying surface 30 of the device 10.

Fig. 4 shows a view of a device 10 according to the invention in the region of the sacroiliac joint 1 of a patient in the transverse plane, that is to say a sectional view through the longitudinal axis of the patient. The device 10 for mobilizing the sacroiliac joint 1 of the patient, in particular for releasing a blockage of the sacroiliac joint 1 of the patient, comprises a treatment table 20 with a lying surface 30 for the patient. The lying surface 30 has an opening 40 in the region of the sacroiliac joint 1 of the patient. The device 10 further comprises a holding device 50 for fixing the pelvis of the patient relative to the treatment table 20. To mobilize the sacroiliac joint 1 of the patient, the device 10 further comprises at least one force transmission element 60 arranged in the area of the opening 40 of the lying surface 30, the force transmission element 60 is designed to exert a force on the sacrum 3 of the sacroiliac joint 1 of the patient by a movement.

In the in Fig. 4 illustrated embodiment, the device 10 comprises two force transmission elements 60, the two force transmission elements 60 independently or jointly a force on the sacrum 3 of the Can exercise sacroiliac joint 1 of the patient. The ends 70 of the two force transmission elements 60, which are arranged directly adjacent to the patient, expediently have padding on the surface facing the patient. Furthermore, in particular the ends 70 of the force transmission elements 60 facing the patient can include further functional units (not shown), such as a heat source, an ultrasound source, a shock wave source and / or a laser source. The ends 70 facing the patient are expediently designed to be modular or interchangeable, so that different additional functional units can be used by simply exchanging the ends 70 of the force transmission element 60 facing the patient.

The embodiment according to Fig. 4 differs from the embodiment according to Fig. 2 In particular, in that the device 10 is designed in such a way that the two force transmission elements 60 each move on a curved path, in particular a circular path, relative to the lying surface 30 of the treatment table 20, in particular curved in the lateral direction of the lying surface 30 of the treatment table 20 For example, the device 10 may have correspondingly designed guide elements and / or as in FIG Fig. 4 indicated, the means for moving the force transmission elements 60 are designed to move the force transmission elements 60 on a curved path, in particular a circular path, relative to the lying surface 30 of the treatment table 20. Furthermore, the Fig. 4 It can be seen that the force transmission elements 60 are curved, in particular curved in the lateral direction of the lying surface 30 of the treatment table 20. The curvature of the force transmission elements 60 is essentially adapted to the curvature of the joint surfaces of the sacroiliac joint 1 of the patient between the pelvis and the sacrum.

For the rest, reference is made to the previous statements, which are also in connection with the device according to FIG Fig. 4 are usable.

List of reference symbols

1

Sacroiliac joint

2

Pool scoop / pool

3

Sacrum / sacrum

10

contraption

20th

Treatment table

30th

Lying surface

40

Opening of the lying surface

50

Holding device

60

Power transmission element

70

End of the force transmission element facing towards the patient

80

sagittal curved splint

90

sagittal gear

100

transverse curved splint

110

transverse gear

120

sagittal guide means

130

transversal guide means

140

Means for changing the length of the power transmission means

150

Leg rest

Claims (14)

1. Device (10) for mobilizing the sacroiliac joint (1) of a patient, in particular for releasing a blockage of the patient's sacroiliac joint (1), comprising:

   - a treatment table (20) with a lying surface (30) for the patient, the lying surface (30) having an opening (40) in the region of the sacroiliac joint (1) of the patient;

   - a holding device (50) for arranging the pelvis (2) of the patient relative to the treatment table (20);

   - at least one force transmission element (60) arranged in the region of the opening (40) of the lying surface (30), the force transmission element (60) being designed to exert a force on the sacrum (3) of the sacroiliac joint (1) of the patient by means of a movement; and

   - a monitoring device for monitoring the movement of the at least one force transmission element (60), wherein the monitoring device comprises an emergency shutdown, which shuts off the device (10) when the at least one force transmission element (60) leaves a predetermined range of motion.
2. Device (10) according to claim 1, wherein the at least one force transmission element (60) is arranged movably in the region of the opening (40) of the lying surface (30), in particular movable in the longitudinal direction and/or lateral direction of the lying surface (30) of the treatment table (20).
3. Device (10) according to claim 1 or claim 2, wherein the angle of the at least one force transmission element (60) relative to the lying surface (30) of the treatment table (20) is adjustable.
4. Device (10) according to one of claims 1 to 3, wherein the patient facing end (70) of the force transmission element (60) comprises an additional functional unit, such as a heat source, an ultrasonic source, a shock wave source and/or a laser source.
5. Device (10) according to one of claims 1 to 4, wherein the at least one force transmission element (60) is designed to be variable in its longitudinal direction in order to exert a force on the sacrum (3) of the patient's sacroiliac joint (1).
6. Device (10) according to one of claims 1 to 5, wherein the holding device (50) is attached to the treatment table (20).
7. Device (10) according to one of claims 1 to 6, wherein the opening (40) of the lying surface (30) is covered with a flexible cover, in particular a membrane, and/or the end (70) of the at least one force transmission element (60) facing the patient has a cover.
8. Device (10) according to one of claims 1 to 7, further comprises an electronic control unit (90) for controlling the movement of the at least one force transmission element (60),
   wherein the electronic control unit (90) preferably automatically executes the movement of the at least one force transmission element (60) in accordance with a stored exercise program.
9. Device (10) according to one of claims 1 to 8, further comprising an emergency stop switch.
10. Device (10) according to one of claims 1 to 9, wherein the at least one force transmission element (60) is automatically moved to an initial position in the event of an emergency shutdown, in which the at least one force transmission element (60) is not in contact with the patient lying on the lying surface (30) of the device (10).
11. Device (10) according to one of claims 1 to 10, wherein the device (10) comprises two force transmission elements (60), wherein the two force transmission elements (60) can independently or jointly exert a force on the sacrum (3) of the patient's sacroiliac joint (1).
12. Device (10) according to one of claims 1 to 11, further comprising guide means (130, 140) for guiding the force transmission elements (60) and/or for guiding the movement of the force transmission elements (60) in the longitudinal and/or lateral direction.
13. Device (10) according to one of claims 1 to 12, wherein the device (10) is designed such that the at least one force transmission element (60) moves on a curved path, in particular a circular path, relative to the lying surface (30) of the treatment table (20), in particular curved in the lateral direction of the lying surface (30) of the treatment table (20).
14. Device (10) according to one of claims 1 to 13, wherein the at least one force transmission element (60) is curved, in particular curved in the lateral direction of the lying surface (30) of the treatment table (20).

Images