FR2834646A1 - Apparatus for re-educating and practising abdominal respiration comprises four-legged frame with vertically-sliding and weighted panel - Google Patents

Abstract

The apparatus consists of a four-legged frame (2) of metal tubing with cross-members (3) and a vertically-sliding panel (1) that rests on the abdomen and provides a resistance to movement. The panel moves up and down by means of sliders (4) at its four corners, and its weight can be varied by the additional or removal of weights of half or one kilogram.

Description

<Desc / Clms Page number 1>

Constitué d'un cadre métallique rigide, destiné à enjambcl Pabdcmell d'une per- sonne en position couchée, et d'un plateau mobile fig. l (1), fig. 2 reposant sur l'abdomen, lequel lui imprime ses mouvements inspiratoires et expiratoires. DESCRIPTION

Consisting of a rigid metal frame, intended to span the Pabdcmell of a person in the supine position, and a movable plate fig. l (1), fig. 2 resting on the abdomen, which gives it its inspiratory and expiratory movements.

quatre tubes verticaux fig. 1 (2) servant de support à l'appareil (patient allongé sur c une table de rééducation, et accessoirement sur un lit ou sur un tapis de sol) et sept portions de tube disposées horizontalement fig. 1 (3), procurant la solidarité de l'en semble et formant l'armature servant de cadre à la partie mobile, au-dessus de l'abdomen. This metal frame is constructed from chrome tubing (diameter of a tube 2 cm.) With

four vertical tubes fig. 1 (2) serving as support for the device (patient lying on a rehabilitation table, and incidentally on a bed or on a floor mat) and seven portions of tube arranged horizontally fig. 1 (3), providing solidarity for the whole and forming the frame serving as a framework for the movable part, above the abdomen.

The movable part consists of a flat metal plate, (fig. 2) connected to the sliding rods of the vertical segments by four tubular sliders, operating according to the thrust of the abdomen an upward or downward movement.

These tubular sliders (wall thickness 0.45 cm height 5 cm) slide around the sliding rod (length 20 cm) placed at the top of the vertical tubes of the chassis, this part consists of a solid metal rod narrower (diameter 1 cm) over a length of 20 cm, used to slide the sliders. On the sliding rods located at the top, towards the thorax and the patient's head will be engraved a centimeter scale (15 cm) used to quantify the amplitude of the patient's abdominal respiratory stroke (fig. 4).

un dispositif réglable en hauteur, avec une sorte de timbre à vélo, avertissant de la fin z de l'inspiration (selon l'amplitude maximum observée) car étant à chaque fin d'inspiration mis en fonction par une butée située à la partie supéro-exteme du curseur correspondant actionnant ce timbre. (fig. 4) C'est le signal du passage de l'inspiration au relachement expiratoire (cela imprime une cadence). On the sliding rod, located at the top left of the patient's head can be placed

a device adjustable in height, with a kind of bicycle stamp, warning of the end z of inspiration (according to the maximum amplitude observed) because being at each end of inspiration activated by a stop located at the upper part -external of the corresponding cursor activating this stamp. (fig. 4) This is the signal for the passage from inspiration to expiratory relaxation (this gives a rhythm).

plaques rectangulaires en métal de 0, 5 kg et 1 kg permettant de composer à volonté la t-c charge adéquate pour opérer l'exercice) par en dessous une structure métallique permettant d'abaisser le niveau du plateau mobile, afin qu'il reste continuellement en contact avec l'abdomen (même en position creuse), cette structure est constituée d'un demi-cube (L. 20 cm, 1.20 cm, H. 10 cm) en plaque métallique mince, sa surface inférieure, en contact avec l'abdomen, sera nantie d'un matelassage ouaté, recouvert de skai (fig. 2)

Afin de hausser l'appareil pour utiliser sur des personnes au gabarit plus important que ZD la moyenne (idem, par exemple des emphysémateux, au thorax en tonneaux), il est prévu un système d'adaptation de l'appareil, en ce qui concerne la hauteur sur pieds, consistant en ce que, les pieds (en caoutchouc dur) sont fixés à une tubulure crénelée par une structure sinusoïdale, et introduite dans les quatre montants tubulaires verticaux du chassis, lesquels sont munis à l'intérieur de deux lames-ressort courtes, rivetées contre la paroi d'un côté, arrondies par recourbement à leurs extrémités libres, venant se plaquer successivement sur les intervalles creux de la crénelure, lorsque les The movable tray is made up as follows: a thin rectangular metal plate (large transverse dimension to the body 50 cm. Part in the length of the body 35 cm.) Connected at the four corners to the sliders. (fig. 2) At the upper face of this plane will be arranged symmetrically, two upwards, two downwards, four portions of flat metal rod, in the form of a corner (fig. 3,1) at the right angle so that additional weights can be inserted (fig. 3) (2) to provide resistance to the movement of inspiration (provide

rectangular metal plates of 0, 5 kg and 1 kg allowing to compose at will the tc adequate load to operate the exercise) from below a metal structure allowing to lower the level of the movable plate, so that it remains continuously in contact with the abdomen (even in the hollow position), this structure consists of a half-cube (L. 20 cm, 1.20 cm, H. 10 cm) in thin metal plate, its lower surface in contact with the abdomen, will be provided with a padded quilting, covered with skai (fig. 2)

In order to raise the device for use on people with a size larger than the average ZD (idem, for example of emphysematous, in the barrel in barrels), there is provided a system of adaptation of the device, with regard to the height on feet, consisting in that, the feet (in hard rubber) are fixed to a crenellated tubing by a sinusoidal structure, and introduced into the four vertical tubular uprights of the chassis, which are provided inside with two blades- short springs, riveted against the wall on one side, rounded by bending at their free ends, coming to be pressed successively on the hollow intervals of the notch, when the

<Desc / Clms Page number 2>

 feet are pulled out to be taken out or pushed back inside to return to normal height, (fig. 5) This device will be used as part of respiratory functional rehabilitation, to obtain easy ventilation, thanks to the work of the diaphragm and the abdominal muscles, which will ultimately lead to better control of asthma attacks, which can end up being prevented and controlled.

rééducation du diaphragme peut être indiquée pour des séquelles traumatiques du c thorax ou de l'abdomen, en fin d'assistance respiratoire (anesthésie-réanimation) dans certains soins pré et post-opératoires thoraçiques. A good sliding of the layers of the pleura, in the cases of rehabilitation of the consequences of pleurisy, exudative pleuritis (prevention of pleural symphises), will facilitate the collection of bronchial secretions, with a view to their evacuation (to associate the clapping and the declining position) , in the cases of bronchitis (bronchorées) bronchiectasis, will allow the reeducation of the expiration in the cases of emphysema, the reeducation is useful to perfect the treatment of silicoses and to avoid the after-effects, the

diaphragm rehabilitation may be indicated for traumatic sequelae of the chest or abdomen, at the end of respiratory assistance (anesthesia-resuscitation) in certain pre and post-operative thoracic care.

This device can be manufactured by a manufacturer of metal devices and is intended for respiratory rehabilitation practitioners (physiotherapists, physiotherapists) can be used for the education of breath in athletes.

Its effectiveness can be demonstrated by respiratory functional exploration exams (spirometry, spirography) which may be requested, as well as the measurement of blood gases.

Claims (5)

CLAIMS - Apparatus for exercising the ventilatory function by abdominal breathing movements against resistance, characterized because it consists of a frame (serving as a frame for the mechanism and support) made of metal tubing (tube diameter 2 cm). This frame is made up of four vertical tubes with 20 cm high ends at their ends, a part made up of thinner rods (diameter 1 cm) used to connect and slide the four sliders of the mobile part that we will study later. They are interconnected by four lateral longitudinal tubes (2 on the right, 2 on the left) 2 transverse tubes located at the bottom (towards the subject's pelvis) 1 transverse tube situated at the top (towards the subject's thorax) (fig. 1) l - Apparatus for exercising the ventilatory function by abdominal breathing movements against resistance according to claim l, characterized in that it consists of '' a rectangular mobile platform and four sliders (one at each angle) to ensure the solidarity of the assembly and the mechanism ensuring the movement of the mobile platform by sliding (fig. 1 fig. 2) 3 - Apparatus for exercising the ventilatory function by abdominal breathing movements against resistance according to claims 1 and 2 characterized in that one can place additional loads (fig. 3), in the locations provided for this purpose on the upper face of the movable plate (fig. 3) - Apparatus for exercising the ventilatory function by abdominal breathing movements against resistance according to claims 1, 2 and 3 characterized in that on the front face of the sliding rods of the sliders of the upper part of the frame (either located near the thorax, in the direction of the face) is on the right and on the left a centric scale (15 cm) allowing to appreciate the amplitude of the abdominal respiratory stroke. On the left the timbre which can be raised or lowered according to this amplitude and thus be in a position to give its signal punctuating the rate of execution of the movements (fig. 4) S-apparatus for exercising the ventilatory function by abdominal respiratory movements, according to claims 1-2-3 and 4 characterized in that the feet are provided with a telescopic device, making it possible to raise or lower the apparatus according to the patient's size (fis. 5)