JP2006345882A - Traction device - Google Patents

Traction device Download PDF

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JP2006345882A
JP2006345882A JP2005171850A JP2005171850A JP2006345882A JP 2006345882 A JP2006345882 A JP 2006345882A JP 2005171850 A JP2005171850 A JP 2005171850A JP 2005171850 A JP2005171850 A JP 2005171850A JP 2006345882 A JP2006345882 A JP 2006345882A
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traction
patient
cervical
waist
head
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Takakazu Ishimatsu
隆和 石松
Tsunehiro Ishimine
恒洋 伊志嶺
Chizuko Nakajima
千鶴子 中島
正人 ▲たか▼岡
Masato Takaoka
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a traction device capable of safely and favorably pulling the cervical division without applying burden on the teeth, the jaw joint or the like. <P>SOLUTION: This traction device includes a head-worn device 12 worn on the head part of a patient P, and a cervical division traction means 14 upward moving the head-worn device 12 and pulling the cervical division. The head-worn device 12 is provided with a constriction abutment part 42 applied to a constricted part between the cervical division and the occipital division from the back side in a state of being closely abutted thereon. Also, this traction device 10 is characterized in pulling the cervical division while retaining the occipital division side alone of the patient by the constriction abutment part 42. <P>COPYRIGHT: (C)2007,JPO&INPIT

Description

本発明は、頚部または腰部等を牽引して疾患部を治療する牽引装置に関する。   The present invention relates to a traction device for tracting a diseased part by pulling a neck or a waist.

頚部脊椎症、頚椎捻挫、椎間板変性、椎間板ヘルニア等の頚部疾患や肩こり、筋肉痛等の治療方法の一つとして頚部を牽引して、頚椎間関節やその周囲の筋肉等の軟部組織等を伸張・弛緩等することにより、神経圧迫による痛みや、こり、頚椎の変形等を緩和、改善させる方法が行なわれている。従来の一般的な頚部の牽引方法としては、図6に示すように、例えば、グリソン牽引といわれるベルト、つり革等からなる牽引装具を用いた牽引方法が用いられており、患者の下顎と後頭部にそれぞれベルトBT1、BT2の中間位置を下から掛け回した状態で両側を側頭部側に略沿わせつつ、各ベルトの両端を上方Uに吊り上げて、患者の頚部を牽引するものであった。これらの牽引は、例えば、特許文献1の添付図面、図1に示すように患者を椅子4に座らせた状態で、顎部や後頭部にベルト8を装着し、ベルトをハンガー6で支持しつつ、頭上に支持された滑車3に掛けまわされた牽引ワイヤー5の一端をハンガー6に接続し、他端側をワイヤーを巻き取るドラム等を内蔵した電動牽引装置21や錘などに接続して、該牽引装置21や錘等を牽引力源としてワイヤー5を引っ張ることにより患者の頚部を牽引するものであった。
特開2002−159521号公報
As one of the treatment methods for cervical diseases such as cervical spondylosis, cervical sprain, intervertebral disc degeneration, intervertebral disc herniation, stiff shoulders, muscle pain, etc.・ Methods to relieve and improve pain, stiffness, cervical vertebral deformation, etc. caused by nerve compression by relaxation. As a conventional general cervical traction method, as shown in FIG. 6, for example, a traction method using a traction device made of belt, strap, etc., called Gleason traction, is used. The belts BT1 and BT2 are hung from the bottom in the middle of the belt BT1, and the both sides of the belt lie along the temporal region, and both ends of each belt are lifted upward U to pull the patient's neck. . These tractions are performed, for example, by attaching a belt 8 to the chin or the back of the head while the patient is seated on the chair 4 as shown in the attached drawing of FIG. One end of the pulling wire 5 hung on the pulley 3 supported above the head is connected to the hanger 6, and the other end is connected to the electric pulling device 21 including a drum or the like that winds the wire, a weight, etc. The patient's neck is pulled by pulling the wire 5 using the pulling device 21 or a weight as a pulling force source.
JP 2002-159521 A

しかしながら、従来の牽引方法では、図6に示すように、頚部を牽引する際に、ベルトBT1により下顎部を上に引き上げるものであるから、下顎骨Jを頭蓋骨本体側(側頭骨T側)に引き寄せる力が加わるので、歯や顎関節Kに大きな負荷がかかる結果、歯、顎又は顎関節周辺の病気を発症、悪化させるおそれがあった。したがって、安全性が低く、歯や顎等の病気をもつ人や高齢者等を治療する際には、特に危険性が高くなり厳重な注意を払う必要があるとともに、患者によっては牽引治療が行なえない場合もあった。また、頚部の牽引では頚椎は自然な状態で前方に凸の彎曲C1になっているので頚椎の後方側を離開させると効果的に治療できるとされているが、従来の牽引方法では、牽引時に頚椎よりも前部分に位置する顎部に力が作用するので、例えば患者の頭部が首の付け根Fを支点として後方(図6上、矢視方向R)に傾いた状態になりがちであった。すなわち、頚椎の自然な彎曲C1状態から過度に彎曲C2させて、頚椎の前方側では各頚椎は離間方向Eに広がるが、頚椎の後方側では各頚椎は近接方向Dに圧縮されて狭くなるようなバランスの悪い牽引となる結果、効果的な頚部の治療が困難であるとともに、逆に神経等を圧迫して病状を悪化させてしまうおそれもあった。さらに、2本のベルトBT1,BT2のあてがい位置や長さ、牽引方向のバランスを微妙に調整する必要があるので作業も煩雑で作業者の労力がかかるとともに、患者が不快感を覚える場合もあった。   However, in the conventional pulling method, as shown in FIG. 6, when pulling the neck, the lower jaw is pulled up by the belt BT1, so that the lower jaw J is moved to the skull body side (the temporal bone T side). Since the pulling force is applied, a large load is applied to the teeth and the temporomandibular joint K. As a result, the disease around the teeth, the temporomandibular joint and the temporomandibular joint may be developed and worsened. Therefore, safety is low, and when treating people with illnesses such as teeth and jaws, elderly people, etc., the risk is particularly high and caution must be exercised. There was no case. Further, in cervical traction, the cervical vertebra is naturally bent into a convex curve C1, so that it can be effectively treated by separating the posterior side of the cervical vertebrae. Since the force acts on the jaw located in front of the cervical spine, for example, the patient's head tends to tilt backward (in the direction of arrow R in FIG. 6) with the base F of the neck as a fulcrum. It was. That is, the cervical vertebrae are excessively distorted C2 from the natural curvature C1 state of the cervical vertebra, so that each cervical vertebra spreads in the separating direction E on the front side of the cervical vertebra, but each cervical vertebra is compressed and narrowed in the proximity direction D on the rear side of the cervical vertebra. As a result of the poor traction of the balance, effective treatment of the cervix is difficult, and conversely, nerves or the like may be pressed to worsen the medical condition. Furthermore, since it is necessary to finely adjust the balance between the position and length of the two belts BT1 and BT2 and the traction direction, the work is complicated and labor is required, and the patient may feel uncomfortable. It was.

本発明は上記従来の課題に鑑みてなされたものであり、その一つの目的は、歯、顎関節等の顎部に負荷をかけることなく、安全かつ良好に頚部を牽引できる牽引装置を提供することにある。   The present invention has been made in view of the above-described conventional problems, and one object thereof is to provide a traction device that can safely and satisfactorily pull the neck without applying a load to the jaw such as teeth and temporomandibular joints. There is.

上記課題を解決するために本発明は、患者Pの頭部に装着される頭部装着具12と、頭部装着具12を上方に移動させて頚部を牽引する頚部牽引手段14と、を含む牽引装置であって、頭部装着具12は、頚部と後頭部の間のくびれ部に背面側から密着当接状にあてがわれるくびれ当接部42を有し、該くびれ当接部42により患者の後頭部側のみを保持した状態で頚部を牽引することを特徴とする牽引装置10から構成される。頭部装着具12は、例えば、枕状の形態やベルト形態に略U字状のくびれ当接部42を設けたもの等任意のものでもよい。頚部牽引手段14は、頭部装着具12を上方に移動させる構成であればよく、下記実施形態のような伸縮装置を用いた構成、索条等で吊るし上げる構成、ねじ軸とねじ軸を螺進退するスライド体とを用いた構成等その他任意の構成でもよい。   In order to solve the above-mentioned problems, the present invention includes a head mounting tool 12 to be mounted on the head of a patient P, and a cervical traction means 14 for moving the head mounting tool 12 upward to pull the cervix. The head mounting device 12 is a traction device, and has a constriction abutting portion 42 applied in close contact from the back side at a constricted portion between the neck and the back of the head. The traction device 10 is configured to pull the neck while holding only the back of the head. The head mounting tool 12 may be any one such as a pillow-like form or a belt-like form provided with a substantially U-shaped constriction contact part 42. The cervical traction means 14 may be configured to move the head-mounted tool 12 upward. The cervical traction means 14 may be configured to use an expansion / contraction device as in the following embodiment, to be suspended by a rope, etc. Any other configuration such as a configuration using a slide body that advances and retreats may be used.

また、患者Pを背面側に傾斜させた後傾状態で該患者Pを支える傾斜受体16が設けられ、後傾状態で患者の頭部が背面側の傾斜受体16にもたれかかることにより、後頭部を頭部装着具12のくびれ当接部42に密着させて支持することとしてもよい。   Further, an inclined receiver 16 that supports the patient P in a rearward tilted state in which the patient P is tilted rearward is provided, and the patient's head leans against the rearward tilted receiver 16 in the rearward tilted state, The back head may be supported in close contact with the constriction contact portion 42 of the head mounting tool 12.

また、頚部牽引手段14は、人体の正中線の方向Xと略平行方向Xaに頭部装着具12を移動させることにより頚部を牽引することとしてもよい。牽引時に頭部が過剰に後方へ傾いたり或いは前方や左右横方向へ傾いたりせず、頚椎を自然な前彎状態C1から前彎を減少させる方向に全体的にバランスよく牽引できる。   Further, the cervical pulling means 14 may pull the cervical part by moving the head mounting tool 12 in a direction Xa substantially parallel to the direction X of the midline of the human body. When towing, the head does not excessively tilt backward or tilt forward or laterally, and the cervical vertebra can be pulled in a well-balanced manner from the natural forehead state C1 to the direction of decreasing the forehead.

また、傾斜受体16は、傾斜させた後傾状態の患者Pの背中を受ける背もたれ部18と、背もたれ部18にもたれかかった状態で腰部を略90度曲げて着座させる座部20と、を含む椅子体22からなることとしてもよい。椅子体22は、後傾角度を任意に設定できるようにしても良い。背もたれ部18の背もたれ面側や座部20の座面側には、クッション性のある素材を用いることとしてもよい。   Further, the inclined receiver 16 includes a backrest 18 that receives the back of the patient P that has been tilted and tilted, and a seat 20 that is seated by bending the waist at approximately 90 degrees while leaning against the backrest 18. It is good also as consisting of the chair body 22 containing. The chair body 22 may be configured to arbitrarily set the backward tilt angle. A cushioning material may be used for the backrest surface side of the backrest portion 18 and the seat surface side of the seat portion 20.

また、座部20に連結され椅子体22に着座した患者の骨盤周りに装着される腰部装着具58と、腰部装着具58により腰部を固定した状態で座部20を背もたれ部18に対して上下移動させることにより腰部を牽引する腰部牽引手段60と、頚部と腰部を同時に牽引するように頚部牽引手段14と腰部牽引手段60とを連係作動させる制御部30と、を含むこととしてもよい。腰部牽引手段60は、座部20を背もたれ部18に対して上下移動させる構成であればよく、下記実施形態のようなねじ軸68を用いた構成、シリンダ等の伸縮機構や、チェーンの回転による上下機構等、その他任意の構成でもよい。   In addition, a waist attachment device 58 that is connected to the seat portion 20 and is mounted around the pelvis of a patient seated on the chair body 22, and the seat portion 20 is moved up and down with respect to the backrest portion 18 with the waist portion fixed by the waist attachment device 58. It may include a lumbar traction means 60 that pulls the lumbar portion by moving the pelvis and a control unit 30 that operates the cervical traction means 14 and the lumbar traction means 60 in a linked manner so as to pull the cervical portion and the lumbar portion simultaneously. The waist part pulling means 60 may be configured to move the seat part 20 up and down with respect to the backrest part 18, and includes a structure using a screw shaft 68 as in the following embodiment, an expansion / contraction mechanism such as a cylinder, and rotation of the chain. Any other configuration such as a vertical mechanism may be used.

また、腰部牽引手段60は、人体の正中線の方向Xと略平行な方向Xbに座部20を移動させて腰部を牽引することとしてもよい。   Further, the waist pulling means 60 may pull the waist by moving the seat 20 in a direction Xb substantially parallel to the direction X of the midline of the human body.

また、傾斜受体16には、患者Pの頚部及び/又は腰部を温める温熱装置80が設けられたこととしてもよい。   Further, the inclined receiver 16 may be provided with a heating device 80 that warms the neck and / or waist of the patient P.

また、頚部牽引手段14及び/又は腰部牽引手段60による牽引力を検知する検知手段74,76と、検知手段74,76に接続され、検知手段74,76からの信号に基づいて牽引手段14,60を動作させながら設定牽引力を超えた場合には牽引を停止させる安全制御部(30)と、を含むこととしてもよい。例えば、頚部側の牽引力を牽引する検知手段74は、圧力センサ等を頭部装着具12内に組み込んでもよいし、頭部装着具12と頚部牽引手段14との間に介設状に設けても良いし、頚部牽引手段に組み込むこととしてもよい。   The traction means 14 and / or the waist traction means 60 detects the traction force 74 and 76, and is connected to the detection means 74 and 76. Based on the signals from the detection means 74 and 76, the traction means 14 and 60 are connected. And a safety control unit (30) that stops the traction when the set traction force is exceeded while operating. For example, the detection means 74 for pulling the traction force on the cervical side may incorporate a pressure sensor or the like in the head wearing tool 12 or may be provided between the head wearing tool 12 and the cervical traction means 14 in an interposed manner. Alternatively, it may be incorporated into the cervical traction means.

本発明の牽引装置によれば、患者の頭部に装着される頭部装着具と、頭部装着具を上方に移動させて頚部を牽引する頚部牽引手段と、を含む牽引装置であって、頭部装着具は、頚部と後頭部の間のくびれ部に背面側から密着当接状にあてがわれるくびれ当接部を有し、該くびれ当接部により患者の後頭部側のみを保持した状態で頚部を牽引する構成とすることにより、頚部を牽引する際に、歯、顎骨、顎関節に負荷がかかることがなく、安全に頚部を牽引できる。さらに、頚椎全体をバランスよく伸張させるように牽引することができ、効果的に牽引治療できる。   According to the traction device of the present invention, the traction device includes a head mounting device to be mounted on the patient's head, and cervical traction means for moving the head mounting device upward to pull the neck. The head mounting device has a constriction contact portion applied in close contact from the back side at the constriction between the neck and the occipital region, and holds only the patient's occipital side by the constriction contact portion. By adopting a configuration that pulls the neck, the neck, the jawbone, and the temporomandibular joint are not loaded when the neck is pulled, and the neck can be safely pulled. Furthermore, the entire cervical vertebra can be pulled so as to be stretched in a balanced manner, and effective traction treatment can be performed.

また、患者を背面側に傾斜させた後傾状態で該患者を支える傾斜受体が設けられ、後傾状態で患者の頭部が背面側の傾斜受体にもたれかかることにより、後頭部を頭部装着具のくびれ当接部に密着させて支持する構成とすることにより、重力などにより患者の頚部にかかる緊張等を低減したリラックス状態で牽引でき、頚部の伸張効果の向上及び患者への負荷の軽減を実現できる。さらに、患者の頭部のもたれかかりを利用して頭部装着具による後頭部の保持状態を確実に維持して、確実な頚部の牽引を行なえる。   In addition, an inclined receiver that supports the patient in a rearward tilted state in which the patient is tilted rearward is provided, and the patient's head leans against the rearward tilted receiver in the rearward tilted state, thereby By adopting a structure that supports the necking contact portion of the wearing tool in close contact, it can be pulled in a relaxed state with reduced tension applied to the patient's neck due to gravity, etc., improving the neck stretching effect and reducing the load on the patient. Mitigation can be realized. Furthermore, by using the leaning of the patient's head, the holding state of the occipital region by the head mounting device can be reliably maintained, and the cervix can be reliably pulled.

また、頚部牽引手段は、人体の正中線の方向と略平行方向に頭部装着具を移動させることにより頚部を牽引する構成とすることにより、頚椎をバランスよく牽引して治療効果を向上できる。   Further, the cervical traction means is configured to pull the cervical part by moving the head-mounted device in a direction substantially parallel to the direction of the midline of the human body, whereby the cervical spine can be pulled in a well-balanced manner to improve the therapeutic effect.

また、傾斜受体は、傾斜させた後傾状態の患者の背中を受ける背もたれ部と、背もたれ部にもたれかかった状態で腰部を略90度曲げて着座させる座部と、を含む椅子体からなる構成とすることにより、患者の頚部、背中、腰部等を自然な状態で牽引でき、効果的に牽引治療できる。さらに、患者は比較的楽な姿勢で牽引されるとともに、患者に対する負担も少ない。また、傾斜受体の患者を支える構成が比較的簡単な構成で製造できる。また、牽引するための準備を簡便、短時間で行なえる。   In addition, the inclined receiver includes a chair body including a backrest portion that receives the back of a patient who is tilted and tilted, and a seat portion that is seated by bending the waist portion by approximately 90 degrees while leaning against the backrest portion. By adopting the configuration, the patient's neck, back, waist, and the like can be pulled in a natural state, and effective traction treatment can be performed. Furthermore, the patient is pulled in a relatively easy posture and the burden on the patient is small. Moreover, the structure which supports the patient of an inclination receptacle can be manufactured with a comparatively simple structure. In addition, preparation for towing can be performed easily and in a short time.

また、座部に連結され椅子体に着座した患者の骨盤周りに装着される腰部装着具と、腰部装着具により腰部を固定した状態で座部を背もたれ部に対して上下移動させることにより腰部を牽引する腰部牽引手段と、頚部と腰部を同時に牽引するように頚部牽引手段と腰部牽引手段とを連係作動させる制御部と、を含む構成とすることにより、脊椎の略全体及びその周囲の筋肉等を全体的に牽引して、脊椎や背筋等により生じる頚部疾患等に対しても効果的に頚部を治療できる。同時に、腰椎、脊椎等も牽引される結果、腰、背中等の疾患も緩和、治療できる。   In addition, a waist attachment device that is connected to the seat portion and is mounted around a patient's pelvis seated on a chair body, and the waist portion is moved up and down with respect to the backrest portion while the waist portion is fixed by the waist attachment device. By including a lumbar traction means for traction, and a control unit for operating the cervical traction means and the lumbar traction means in a coordinated manner so as to simultaneously pull the cervical portion and the lumbar region, substantially the entire spine and surrounding muscles, etc. As a whole, the cervix can be effectively treated against cervical diseases caused by the spine and back muscles. At the same time, the lumbar spine, spine, and the like are pulled, so that diseases such as the waist and back can be alleviated and treated.

また、腰部牽引手段は、人体の正中線の方向と略平行な方向に座部を移動させて腰部を牽引する構成とすることにより、頚椎及び腰椎を含む脊椎の略全体がバランスよく牽引されて、効果的な治療が行なえる。   The lumbar traction means is configured to pull the lumbar part by moving the seat part in a direction substantially parallel to the direction of the midline of the human body, so that the entire spine including the cervical vertebra and the lumbar vertebra is pulled in a well-balanced manner. Effective treatment can be performed.

また、傾斜受体には、患者の頚部及び/又は腰部を温める温熱装置が設けられた構成とすることにより、患部を温めることで、患部周辺の血液の循環を向上させたり、痛みの緩和できる等の温熱治療効果を期待できる結果、相乗的に患部の治療効果を向上させうる。また、例えば、牽引前に予め患部を温めておくと、筋肉等の緊張が緩和された状態で牽引されるので、牽引治療効果も向上できる。   In addition, the inclined receiver is provided with a heating device for heating the patient's neck and / or waist, so that the blood circulation around the affected area can be improved and pain can be relieved by heating the affected area. As a result of being able to expect a thermotherapy effect such as, it is possible to synergistically improve the treatment effect of the affected area. In addition, for example, if the affected area is warmed in advance before towing, the towing treatment effect can be improved because the towing is performed in a state where the tension of muscles and the like is relaxed.

また、頚部牽引手段及び/又は腰部牽引手段による牽引力を検知する検知手段と、検知手段に接続され、検知手段からの信号に基づいて牽引手段を動作させながら設定牽引力を超えた場合には牽引を停止させる安全制御部と、を含む構成とすることにより、過剰に頚部または腰部に牽引力が作用するのを防止して、安全に牽引治療が行える。   Further, a detecting means for detecting the traction force by the cervical traction means and / or the lumbar traction means, and a traction force when the set traction force is exceeded while operating the traction means based on a signal from the detection means. By including the safety control unit to be stopped, it is possible to prevent traction force from acting on the neck or waist excessively and perform traction therapy safely.

以下添付図面を参照しつつ本発明の牽引装置の実施の形態について説明する。本発明の牽引装置は、例えば、頚部を牽引して頚部疾患の治療等に利用される牽引装置である。図1ないし図5には、本発明の牽引装置の実施形態を示している。図1、図2に示すように、本実施形態において、牽引装置10は、患者の頭部に装着される頭部装着具12と、頭部装着具12を上方に移動させて頚部を牽引する頚部牽引手段14と、を備えている。   Embodiments of the traction device of the present invention will be described below with reference to the accompanying drawings. The traction device of the present invention is, for example, a traction device that is used for cervical disease treatment by pulling the cervix. 1 to 5 show an embodiment of a traction device of the present invention. As shown in FIGS. 1 and 2, in the present embodiment, the traction device 10 pulls the neck by moving the head mounting tool 12 mounted on the patient's head and the head mounting tool 12 upward. Cervical traction means 14.

本実施形態では、図1に示すように、患者Pを背面側、矢視Rs方向に傾斜させた後傾状態で該患者Pを支持する傾斜受体16が設けられており、患者を後傾した状態で頚部を牽引するようになっている。本実施形態では、傾斜受体16は、後傾された背もたれ部18と、座部20と、を含む椅子体22からなり、患者Pは、座部20に着座しつつ、背もたれ部18にもたれかかった状態で頚部の牽引が行われる。なお、本実施形態では、患者が椅子体22に座った際の正面側、即ち、図1の左側を前方とし、患者が椅子体22に座った際の背中側、即ち、図1の右側を後方とする。本実施形態において、椅子体22は、床面上に設置される中空箱形の支持台24に回動軸25を介して回動できるように軸支されており、支持台24に内蔵された回動機構26を介して、背もたれ部18が鉛直状に設定された直立状態と、背もたれ部18が後方に傾斜させた後傾状態と、を自在に変更できるように支持されている。これにより、牽引前または牽引後に椅子体22を直立状態として、患者Pの椅子体18への着席、又は立ち上がり動作を楽に行なえる。一方、牽引操作する前には患者を着座させた状態で後傾状態に変更できる。   In the present embodiment, as shown in FIG. 1, an inclined receiver 16 is provided to support the patient P in a rearward tilted state in which the patient P is tilted in the direction of the arrow Rs on the back side. In this state, the neck is pulled. In the present embodiment, the inclined receiver 16 includes a chair body 22 including a backrest portion 18 that is tilted rearward and a seat portion 20, and the patient P sits on the seat portion 20 and leans against the backrest portion 18. The cervical traction is performed in the applied state. In this embodiment, the front side when the patient sits on the chair body 22, that is, the left side of FIG. 1 is the front side, and the back side when the patient sits on the chair body 22, that is, the right side of FIG. It will be backward. In the present embodiment, the chair body 22 is pivotally supported by a hollow box-shaped support base 24 installed on the floor so as to be rotatable via a rotation shaft 25, and is built in the support base 24. Via the rotation mechanism 26, it is supported so that the upright state in which the backrest portion 18 is set in a vertical shape and the rearward tilted state in which the backrest portion 18 is inclined rearward can be freely changed. As a result, the chair body 22 can be placed in the upright state before or after towing, and the patient P can easily sit on the chair body 18 or can stand up. On the other hand, before the pulling operation, the patient can be changed to the backward tilted state while being seated.

本実施形態では、椅子体の背もたれ部18は、図1、図4に示すように、前面側に患者の背中を受ける広面積の背もたれ面28を有しており、正面視縦長略矩形状で支持台24に支持された荷重受基体29に設けられている。荷重受基体29は、下端側を回動軸25を介して支持台24に軸支されている。荷重受基体29には、内部に頚部牽引手段14等の構成部材や装置を制御する制御部30等を内蔵する収容空間が形成されており、牽引装置全体が椅子体22構造としてコンパクトに設けられている。なお、背もたれ部の背もたれ面28は、図1上では平面状に形成されているが、例えば、背骨のS字彎曲に沿うような彎曲面やその他任意の形状に形成されていても良い。一方、座部20は、上面側に人の座面31を形成した箱型形状に設けられており、背もたれ部18の前面に突出するように荷重受基体29の背もたれ部18より低位置側に一体的に設けられている。本実施形態では、座部20は、着座した患者Pが、背もたれ部にもたれかかった状態で腰部を略90度曲げた姿勢になるように、座部20の座面31が背もたれ部18に対して略90度に設定されている。これにより、患者は腰部を略90度曲げて着座することにより脊椎が自然なS字状彎曲になりやすいとともに、傾斜した背もたれ部18にもたれかかることで脊椎方向にかかる重力が低減し、例えば、重力等による患者の頚椎や頚部周辺の筋肉等の緊張が低下したリラックス状態となる。これにより、頚部に大きな牽引力を加えることなく有効に頚椎を離間させることができ、患者への負担も少なく、効果的な牽引治療を行える。さらに、座部20は、後述の腰部牽引手段60を介して背もたれ部18に対して上下動自在に連結されている。座部20の下端側には、足載せ33が前方に突設されている。なお、傾斜受体16としては、本実施形態の構成に限らず、例えば、座部に対して背もたれ部のみが後傾された構成、座部と背もたれ部の角度が自在に変更できる構成、ベッド状の構成等その他任意の構成でもよい。   In this embodiment, as shown in FIG. 1 and FIG. 4, the backrest portion 18 of the chair body has a wide-area backrest surface 28 that receives the patient's back on the front side, and has a substantially rectangular shape when viewed from the front. A load receiving base 29 supported by the support 24 is provided. The load receiving base 29 is pivotally supported on the support base 24 via the rotation shaft 25 at the lower end side. The load receiving base 29 is formed therein with a housing space containing components such as the cervical traction means 14 and a control unit 30 for controlling the device, and the entire traction device is compactly provided as a chair body 22 structure. ing. The backrest surface 28 of the backrest portion is formed in a planar shape in FIG. 1, but may be formed in, for example, a curved surface along the S-shaped curve of the spine or any other shape. On the other hand, the seat portion 20 is provided in a box shape in which a human seat surface 31 is formed on the upper surface side, and is positioned lower than the backrest portion 18 of the load receiving base 29 so as to protrude from the front surface of the backrest portion 18. It is provided integrally. In the present embodiment, the seat 20 has the seat surface 31 of the seat 20 with respect to the backrest 18 so that the seated patient P is in a posture in which the waist is bent by approximately 90 degrees while leaning against the backrest. Is set to approximately 90 degrees. As a result, the patient is seated with the waist bent by approximately 90 degrees, and the spine tends to be a natural S-shaped curve, and the gravity applied to the spine direction is reduced by leaning against the tilted backrest 18, for example, It becomes a relaxed state in which the tension of the patient's cervical vertebrae and the muscles around the cervical region is reduced due to gravity or the like. Thereby, the cervical vertebra can be effectively separated without applying a large traction force to the cervix, and the burden on the patient can be reduced and an effective traction treatment can be performed. Further, the seat portion 20 is connected to the backrest portion 18 via a waist pulling means 60 described later so as to be movable up and down. A footrest 33 protrudes forward from the lower end side of the seat portion 20. The inclined receiver 16 is not limited to the configuration of the present embodiment, for example, a configuration in which only the backrest portion is tilted backward with respect to the seat portion, a configuration in which the angle between the seat portion and the backrest portion can be freely changed, and a bed Any other configuration such as a shape configuration may be used.

回動機構26は、椅子体22を回動軸30周りに回動させるとともに、椅子体18の所要の角度における後傾状態を保持されるように支持する。本実施形態において、回動機構26は、支持台24内に配置された駆動モータ34と、支持台24内で前後方向に軸方向を向けて軸回り回転自在に支持されたねじ軸36と、ねじ軸36に貫通状に螺着しているスライド体38と、一端をスライド体38に軸支されつつ他端側を背もたれ部18の後方に突設された接続片39に軸支された支持腕40と、を含む。駆動モータ34は背もたれ部18内に設置された制御部30に電気的に接続されており、制御部30からの信号により、運転、停止する。ねじ軸36は、駆動モータ34と減速機を介して連結されており、駆動モータ34の回転によって軸回転させられることによりスライド体38をねじ軸の軸方向に螺進退させる。ねじ軸の軸回転により、スライド体38がねじ軸36後方側に移動すると支持腕40を介して椅子体22の後方側への荷重を支持しながら椅子体22を後傾させる。スライド体38がねじ軸36の前方側へ移動すると支持腕40を介して椅子体22は強制的に立ち上げられて直立状態となる。なお、回動機構26は、上記のように駆動モータとねじ軸等を利用した構成に限らず、例えば、回動軸25にギアを一体的に設けてギアにモータ等を直結して回動軸を直接に回動させる構成、シリンダ等の伸縮機構を用いた構成等、その他任意の構成でよい。   The rotation mechanism 26 rotates the chair body 22 around the rotation shaft 30 and supports the chair body 18 so that the rearward tilt state at a required angle is maintained. In the present embodiment, the rotation mechanism 26 includes a drive motor 34 disposed in the support base 24, a screw shaft 36 that is supported in the support base 24 so as to be rotatable about its axis in the front-rear direction, and an axial direction. A slide body 38 that is screwed into the screw shaft 36 in a penetrating manner, and a support that is pivotally supported by a connection piece 39 that is pivotally supported at one end by the slide body 38 and protrudes from the backrest 18 at the other end side. Arm 40. The drive motor 34 is electrically connected to a control unit 30 installed in the backrest 18, and is driven and stopped by a signal from the control unit 30. The screw shaft 36 is connected to the drive motor 34 via a speed reducer. When the drive motor 34 is rotated, the slide body 38 is screwed back and forth in the axial direction of the screw shaft. When the slide body 38 moves to the rear side of the screw shaft 36 due to the rotation of the screw shaft, the chair body 22 is tilted backward while supporting the load on the rear side of the chair body 22 via the support arm 40. When the slide body 38 moves to the front side of the screw shaft 36, the chair body 22 is forcibly raised through the support arm 40 and is in an upright state. The rotation mechanism 26 is not limited to the configuration using the drive motor and the screw shaft as described above. For example, the gear is integrally provided on the rotation shaft 25 and the motor is directly connected to the gear. Other arbitrary configurations such as a configuration in which the shaft is directly rotated and a configuration using an expansion / contraction mechanism such as a cylinder may be used.

本実施形態において、頭部装着具12は、図1、図4に示すように、背もたれ部18の前面側の上方位置で座部20の座面31上に配置されており、椅子体22に着座した患者Pが背もたれ部18にもたれかかった状態で頭部に装着される。頭部装着具12は、図2、図3にも示すように、患者の頚部と後頭部の間のくびれ部に背面側から密着当接状にあてがわれるくびれ当接部42を有している。本実施形態では、くびれ当接部42は、例えば、略U字状である程度の縦幅を有する帯体状に形成されており、患者のくびれ部に沿いつつ、頚部の真後ろ側から左右両側に広がって、両端側を両耳の後方近辺、具体的には側頭骨Tの乳様突起Mが位置する部分に延長させて下方側から略U字状に密着当接するように形成されている。乳様突起Mの位置は、上部側の頚椎の位置に対して、側面視で前後方向のずれが少ないので、この位置を支持して牽引することにより、バランスよい頚部の牽引が期待できる。なお、図3は、説明のために詳細を省略した模型図であり、概略構成を簡単に示している。頭部装着具12は、この略U字状のくびれ当接部42により患者の後頭部側のみを保持した状態で頚部を上方へ牽引する。すなわち、頭部装着具12は、従来の装具のように顎にかけるベルト等を一切含まず後頭部側のくびれ部周辺だけに牽引力を作用させて頚部を牽引する。これにより、牽引時に歯や顎関節K等に負荷がかかることがないので顎の疾患等を発症、悪化させることがなく安全に牽引できる。さらに、主に頚椎の左右両側付近から後方側にかけて牽引力が作用するから、頚椎が前方に彎曲している自然な状態C1から頚椎の前部側及び頚椎の後部側を離開するように(図2上、離間方向E1に)バランスよく牽引でき、効果的に牽引治療できる。本実施形態では、頭部装着具12は、上記のように後傾した椅子体22に患者Pがもたれかかった状態で装着されるから、後傾状態で患者の頭部が背面側の椅子体22にもたれかかることにより、患者の後頭部を頭部装着具12のくびれ当接部42に密着させて支持するようになっている。よって、くびれ当接部42による後頭部側のみの保持状態でも頭部に安定して装着でき、後頭部から離脱したり、ずれたりすることなく確実に頚部の牽引が行える。本実施形態では、頭部装着具12には、装着状態を確実にするために、くびれ当接部42の後方側に接続されて後頭部の隆起部に係着される補助受部44と、補助受部44の上端側に接続されて頭部に巻き付け状に固定される補助巻き付け部46と、が一体的に設けられている。頭部装着具12の補助巻き付け部46には、ワイヤー等の索条類からなる吊支部材48が接続されており、吊支部材48を介して頚部牽引手段14に連係されている。   In the present embodiment, as shown in FIGS. 1 and 4, the head wearing tool 12 is disposed on the seat surface 31 of the seat portion 20 at an upper position on the front side of the backrest portion 18. The seated patient P is mounted on the head while leaning against the backrest 18. As shown in FIG. 2 and FIG. 3, the head-mounted device 12 has a constriction contact portion 42 applied to the constriction portion between the patient's neck and the back of the head in a close contact manner from the back side. . In the present embodiment, the constriction contact portion 42 is formed in, for example, a band shape having a substantially U-shape and a certain vertical width, and extends from the back side of the neck to the left and right sides along the patient's constriction. Both ends are extended to the vicinity of the rear of both ears, specifically, to the part where the mastoid protrusion M of the temporal bone T is located, and are formed so as to be in close contact with each other in a substantially U shape from the lower side. The position of the mastoid M is less displaced in the front-rear direction in a side view with respect to the position of the cervical vertebra on the upper side, and by supporting and pulling this position, it is possible to expect traction of the cervix in a balanced manner. Note that FIG. 3 is a model diagram in which details are omitted for explanation, and a schematic configuration is simply shown. The head-mounted tool 12 pulls the neck upward while holding only the patient's occipital side by the substantially U-shaped constriction contact portion 42. That is, the head-mounted tool 12 does not include any belt or the like that is applied to the chin like conventional devices, and pulls the neck by applying a traction force only to the vicinity of the constricted part on the back of the head. As a result, no load is applied to the teeth, the temporomandibular joint K, and the like during towing, so that it can be safely towed without developing or exacerbating jaw diseases. Further, since a traction force acts mainly from the left and right sides of the cervical vertebra to the posterior side, the front side of the cervical vertebra and the rear side of the cervical vertebra are separated from the natural state C1 where the cervical vertebra is bent forward (FIG. 2). It can be pulled in a well-balanced manner in the separation direction E1 and can be effectively pulled. In this embodiment, since the head mounting tool 12 is mounted in a state where the patient P leans against the chair body 22 tilted backward as described above, the patient's head is the chair body on the back side in the backward tilted state. 22, the patient's occipital region is supported in close contact with the constriction contact portion 42 of the head mounting tool 12. Accordingly, even when the constriction contact portion 42 is held only on the back of the head, the head can be stably attached to the head, and the neck can be reliably pulled without being disengaged from or displaced from the back of the head. In the present embodiment, the head wearing tool 12 has an auxiliary receiving portion 44 connected to the rear side of the constricted contact portion 42 and engaged with the raised portion of the occipital region in order to ensure the wearing state, An auxiliary winding portion 46 connected to the upper end side of the receiving portion 44 and fixed to the head in a winding shape is integrally provided. A suspension support member 48 made of a cable or the like is connected to the auxiliary winding portion 46 of the head mounting device 12, and is linked to the cervical traction means 14 via the suspension support member 48.

本実施形態では、頚部牽引手段14は、その構成部材を背もたれ部18を構成している荷重受基体29に内蔵して、椅子体22に一体的に組み付けられている。図1、図4に示すように、本実施形態では、頚部牽引手段14は、背もたれ部18の左右中央側の上端側に設置され、頭部装着具12を背もたれ部20に対して上下動させる直動機構50を含む。本実施形態では、直動機構50は、制御部30を介して動作制御されており、後傾した背もたれ部18にもたれかかった患者Pの正中線の方向Xと略平行な方向Xaに沿って頭部装着具12を移動させる。すなわち、患者の頚部を正中線の方向Xと略平行に牽引することとなり、牽引時に頚部が前屈又は後屈して頚椎に負荷がかかるのを防止し、頚椎全体を伸張させるようなバランスの良い牽引を実現できる。直動機構50は、例えば、モータ52と、モータ52の回転によりロッド体を伸縮する伸縮装置54と、を有している。モータ52は、制御部30に電気的に接続されており、制御部30からの信号を受けて駆動、停止する。伸縮装置54の上端側には、背もたれ部18の上端から前方側に向けて突設した連結支持部56が設けられており、連結支持部56の前端側に吊支部材48を介して頭部装着具12が連結されている。モータ52を駆動させて、伸縮装置54のロッド体を伸張することにより、頭部装着具12を背もたれ部の背もたれ面28に略沿うように吊り上げて、頚部を牽引する。なお、頚部牽引手段14は、上記実施形態に限らず任意の構成でよい。例えば、背もたれ部14を上下2分割にして、上部側を下部側の背もたれ部に対して上下移動に構成し、該上部側に頭部装着具12を固定することにより構成してもよい。   In the present embodiment, the cervical traction means 14 is assembled integrally with the chair body 22 with its constituent members built into the load receiving base 29 constituting the backrest portion 18. As shown in FIG. 1 and FIG. 4, in this embodiment, the cervical traction means 14 is installed on the upper end side on the left and right center side of the backrest portion 18, and moves the head mounting tool 12 up and down with respect to the backrest portion 20. A linear motion mechanism 50 is included. In the present embodiment, the linear motion mechanism 50 is operation-controlled through the control unit 30 and is along a direction Xa substantially parallel to the direction X of the midline of the patient P leaning against the backrest 18 tilted backward. The head mounting tool 12 is moved. In other words, the patient's neck is pulled substantially parallel to the direction X of the midline, and when the patient is pulled, the neck is bent forward or backward to prevent the cervical spine from being loaded, and the balance of the neck is extended. Towing can be realized. The linear motion mechanism 50 includes, for example, a motor 52 and an expansion / contraction device 54 that expands / contracts the rod body by the rotation of the motor 52. The motor 52 is electrically connected to the control unit 30 and is driven and stopped in response to a signal from the control unit 30. On the upper end side of the telescopic device 54, a connection support portion 56 is provided that protrudes from the upper end of the backrest portion 18 toward the front side, and the head is connected to the front end side of the connection support portion 56 via a suspension member 48. The mounting tool 12 is connected. By driving the motor 52 and extending the rod body of the telescopic device 54, the head-mounted device 12 is lifted so as to substantially follow the backrest surface 28 of the backrest portion, and the neck portion is pulled. The cervical traction means 14 is not limited to the above embodiment, and may have any configuration. For example, the backrest part 14 may be divided into upper and lower parts, the upper part may be configured to move up and down relative to the lower part of the backrest part, and the head mounting tool 12 may be fixed to the upper part.

さらに、本実施形態では、患者の頚部と同時に腰部を牽引するようになっており、図1に示すように、椅子体22には、座部20に連結され患者の骨盤周りに装着される腰部装着具58と、腰部装着具58により腰部を固定した状態で座部20を背もたれ部に対して上下移動させることにより腰部を牽引する腰部牽引手段60と、が設けられている。頚部の疾患の原因は頚部周辺に限らず、頚椎を含む脊椎、背中、肩等の筋等にもある場合多いことから、脊椎の略全体を牽引することにより、頚部の治療を効果的に行なえる。同時に、脊椎の疾患、腰部の疾患等の治療も効果的に行なえる。   Further, in this embodiment, the waist is pulled simultaneously with the patient's neck, and as shown in FIG. 1, the chair body 22 is connected to the seat 20 and is mounted around the patient's pelvis. An attachment tool 58 and a waist part pulling means 60 that pulls the waist part by moving the seat part 20 up and down with respect to the backrest part with the waist part fixed by the waist part attachment tool 58 are provided. The cause of cervical disease is not limited to the cervical region, but is often found in the spine including the cervical vertebrae, muscles such as the back and shoulders, etc. The At the same time, spinal diseases, lumbar diseases, etc. can be effectively treated.

腰部装着具58は、例えば、患者の腰部の骨盤周囲に巻き付け状に装着される環状のベルト体からなり、腰部装着具42の両側方側から一体的に下方に伸びた接続帯部62により座部20に接続される。腰部装着具58は、例えば、バックル等や面ファスナ等の連結手段で腰の前で環状に連結、解除自在な構成として、簡単に腰部に装着離脱されるようになっている。   The waist attachment device 58 is formed of, for example, an annular belt body that is wound around the pelvis of the patient's waist, and is seated by a connection band portion 62 that extends integrally downward from both sides of the waist attachment device 42. Connected to the unit 20. The waist attachment device 58 is configured to be connected to and released from the waist easily by a connecting means such as a buckle or a hook-and-loop fastener in a ring shape in front of the waist.

腰部牽引手段60は、本実施形態では、その構成部材を背もたれ部18を構成している荷重受基体29内に内蔵されて、椅子体22に一体的に組み付けられて設けられている。本実施形態では、腰部牽引手段60は、座部20を背もたれ部18の背もたれ面に沿って上下動させるレール機構63を含む。レール機構63は、椅子体22に着座した患者の正中線Xの方向と略平行な方向Xbに座部を上下移動させるようになっている。なお、腰部牽引手段60は、患者の体格に合わせて頭部装着具12に対する座部の位置調整手段も兼ねている。本実施形態では、レール機構63は、背もたれ部18の前面側に縦に設けられたレール64と、モータ66と、背もたれ部18内に縦方向に配置され軸回転自在に支持されたねじ軸68と、座部20の背面側から背もたれ部18内に一体的に突設されてねじ軸68に貫通状に螺着しているスライド部70と、を含む。レール64は、座部20の後面側に設けられた車輪等のレール係合部(図示せず)と係合しつつ、座部20を上下にスライド移動する。モータ66は背もたれ部18内に設置された制御部30に電気的に接続されており、制御部30からの信号により、運転、停止する。ねじ軸68は、モータ66と減速機を介して連結されている。モータ66の回転によるねじ軸68の軸回転により座部20のスライド部70がねじ軸の軸方向に螺進退して座部20がレール64に沿って上下動するとともに、モータの停止状態では所定位置で固定状態が保持される。また、本実施形態では、座部20に着座した患者の脇下を下から支えるように背もたれ部18から前方に突設された脇支持部材72が設けられている。脇支持部材72は、腰部牽引手段60による腰部の牽引時に上半身側を背もたれ部側に固定状態とし、頚部牽引手段14により牽引されている頚部に過剰に牽引力が加わるのを防止しつつ確実に腰部を牽引できる。なお、患者の上半身側を背もたれ部側に固定するベルトなどを設けても良い。   In this embodiment, the waist portion pulling means 60 is provided by incorporating its constituent members in the load receiving base 29 constituting the backrest portion 18 and assembling it integrally with the chair body 22. In the present embodiment, the waist pulling means 60 includes a rail mechanism 63 that moves the seat 20 up and down along the backrest surface of the backrest 18. The rail mechanism 63 moves the seat up and down in a direction Xb substantially parallel to the direction of the midline X of the patient seated on the chair body 22. In addition, the waist | hip | lumbar part pulling means 60 serves also as the position adjustment means of the seat part with respect to the head mounting tool 12 according to a patient's physique. In the present embodiment, the rail mechanism 63 includes a rail 64 vertically provided on the front side of the backrest portion 18, a motor 66, and a screw shaft 68 that is disposed in the backrest portion 18 in the vertical direction and is rotatably supported. And a slide part 70 that protrudes integrally from the back side of the seat part 20 into the backrest part 18 and is screwed to the screw shaft 68 in a penetrating manner. The rail 64 slides up and down the seat portion 20 while engaging with a rail engaging portion (not shown) such as a wheel provided on the rear surface side of the seat portion 20. The motor 66 is electrically connected to the control unit 30 installed in the backrest unit 18, and is operated and stopped by a signal from the control unit 30. The screw shaft 68 is connected to the motor 66 via a speed reducer. The slide portion 70 of the seat portion 20 is screwed back and forth in the axial direction of the screw shaft due to the rotation of the screw shaft 68 due to the rotation of the motor 66, and the seat portion 20 moves up and down along the rail 64. The fixed state is maintained at the position. Moreover, in this embodiment, the armpit support member 72 projected forward from the backrest part 18 is provided so that the armpit of the patient seated on the seat part 20 may be supported from the bottom. The side support member 72 fixes the upper body side to the backrest side when the waist is pulled by the waist pulling means 60, and reliably prevents the waist from being excessively applied to the neck that is being pulled by the neck pulling means 14. Can be towed. In addition, you may provide the belt etc. which fix a patient's upper body side to the backrest part side.

本実施形態では、頚部牽引手段14による頚部の牽引力を検知するための頚部検知手段74と、腰部牽引手段60による腰部の牽引力を検知するための腰部検知手段76が設けられており、各検知手段74,76の信号に基づいて頚部牽引手段14、腰部牽引手段60による牽引を停止させる安全制御部を有している。本実施形態では、安全制御部は、制御部30に兼用されており、各検知手段74,76は制御部30と電気的に接続されている。頚部検知手段74は、例えば、圧力センサからなり、伸縮装置54の上端に設けられた連結支持部56内に配置されて、頭部装着具12を吊支している吊支部材48に接続されている。吊支部材48にかかる引っ張る力を検知して、検知信号を制御部30に送る。同様に、腰部検知手段76は、圧力センサからなり、腰部装着具58の接続帯部62と座部20との接続位置に組み込まれている。接続帯部62にかかる引っ張り力を検知して、検知信号を制御部30に送る。   In this embodiment, a neck detecting means 74 for detecting the neck pulling force by the neck pulling means 14 and a waist detecting means 76 for detecting the waist pulling force by the waist pulling means 60 are provided. On the basis of the signals 74 and 76, there is a safety control section for stopping the traction by the cervical traction means 14 and the lumbar traction means 60. In the present embodiment, the safety control unit is also used as the control unit 30, and the detection means 74 and 76 are electrically connected to the control unit 30. The neck detecting means 74 is composed of, for example, a pressure sensor, and is connected to a suspension member 48 that is disposed in a connection support portion 56 provided at the upper end of the telescopic device 54 and that supports the head mounting device 12. ing. A pulling force applied to the suspension member 48 is detected, and a detection signal is sent to the control unit 30. Similarly, the waist detection means 76 is composed of a pressure sensor, and is incorporated at a connection position between the connection band portion 62 and the seat portion 20 of the waist attachment device 58. A tensile force applied to the connection band 62 is detected, and a detection signal is sent to the control unit 30.

本実施形態では、制御部30は、頚部と腰部を同時に牽引するように頚部牽引手段14と腰部牽引手段60とを連係作動させるように制御している。制御部30は、例えば、スイッチのオン、オフ操作できるコントローラ等に接続されており、患者自身又は医者等の他の操者のコントローラ操作により、牽引動作を起動、停止できるようになっている。さらに、本実施形態では、検知手段50、51からの信号に基づいて、頚部牽引手段22を動作させるとともに、検知手段50、51からの信号が設定牽引力を超えた場合には、牽引を停止させるように頚部牽引手段14、腰部牽引手段60を制御する。これにより、過度の牽引による怪我や病状の悪化を未然に防止して、患者の安全を確保できる。なお、設定牽引力は、例えば、患者の体重や、年齢、病状等に合わせて設定されるとよい。   In the present embodiment, the control unit 30 controls the cervical traction means 14 and the lumbar traction means 60 to operate in a coordinated manner so as to pull the cervical part and the lumbar part simultaneously. The control unit 30 is connected to, for example, a controller that can be turned on and off, and can start and stop the traction operation by the controller operation of the patient himself or another operator such as a doctor. Furthermore, in the present embodiment, the cervical traction means 22 is operated based on signals from the detection means 50 and 51, and traction is stopped when the signal from the detection means 50 and 51 exceeds the set traction force. Thus, the cervical traction means 14 and the lumbar traction means 60 are controlled. As a result, it is possible to prevent injuries and deterioration of medical conditions due to excessive traction and to ensure patient safety. The set traction force may be set in accordance with, for example, the patient's weight, age, medical condition, and the like.

また、本実施形態では、椅子体22の背もたれ部18には、患者Pの頚部と腰部を温める温熱装置80が設けられている。温熱装置80は、本実施形態では、例えば面状発熱体等の電気抵抗で発熱するヒータを内蔵した枕状の温熱パッドからなり、制御部30と電気的に接続されている。温熱装置80は、本実施形態では、背もたれ部18の患者の頚部と腰部部分に対応した位置に取り付けられて、装置の表面が直接的に患者にあてがわれるようになっている。なお、温熱装置80は、例えば、遠赤外線や近赤外線を利用したもの、その他任意のものでもよい。温熱装置80は、患者Pの頚部と腰部等の患部を温めることにより、患部周辺の血液の循環を向上させたり、痛みの緩和できる等の温熱治療することができる。さらに、筋肉等の緊張が緩和されるので牽引治療効果も高くなる結果、相乗的に治療効果を向上させうる。本実施形態では、温熱装置80は、制御部30を介して頚部牽引手段14、腰部牽引手段60と連係的に動作するようになっており、例えば、牽引の前に温熱装置80で患部をある程度温めておいて、所定時間経過後に頚部牽引手段14、腰部牽引手段60を作動するようになっている。本実施形態では、例えば、制御部30にタイマを内蔵しておいて、温熱装置80が動作してから所定時間後に頚部牽引手段14、腰部牽引手段60をタイマ作動させて牽引するようなっている。なお、温熱装置80は、上記のような制御に限らず、例えば、温熱装置80の起動操作とは別に手動でコントローラ78等を操作して牽引手段を作動させることとしてもよい。また、一つのボタン操作で温熱装置80と各牽引手段14,60とを同時に起動するようにしてもよい。また、牽引手段14,60を制御する制御部30とは別系統で電気的に制御されることとしてもよい。   In the present embodiment, the backrest 18 of the chair body 22 is provided with a heating device 80 that warms the neck and waist of the patient P. In the present embodiment, the heating device 80 is composed of a pillow-shaped heating pad with a built-in heater that generates heat by electrical resistance, such as a planar heating element, and is electrically connected to the control unit 30. In the present embodiment, the heating device 80 is attached to a position corresponding to the patient's neck and waist portions of the backrest portion 18 so that the surface of the device is directly applied to the patient. The heating device 80 may be, for example, a device using far infrared rays or near infrared rays, or any other device. The thermal apparatus 80 can perform thermal treatment such as improving the blood circulation around the affected area and relieving pain by heating the affected area such as the neck and waist of the patient P. Furthermore, since the tension of muscles and the like is relieved, the traction treatment effect is enhanced, and as a result, the treatment effect can be synergistically improved. In the present embodiment, the thermal device 80 operates in conjunction with the cervical traction means 14 and the lumbar traction means 60 via the control unit 30. For example, the thermal device 80 can remove the affected part to some extent before the traction. The cervical traction means 14 and the lumbar traction means 60 are activated after a predetermined time has elapsed. In the present embodiment, for example, a timer is built in the control unit 30, and the cervical traction means 14 and the lumbar traction means 60 are operated by a timer after a predetermined time from the operation of the heating device 80 to be pulled. . The heating device 80 is not limited to the above-described control, and for example, the controller 78 and the like may be manually operated to activate the traction means separately from the activation operation of the heating device 80. Moreover, you may make it start the thermal apparatus 80 and each traction means 14 and 60 simultaneously by one button operation. Moreover, it is good also as being electrically controlled by the system | strain different from the control part 30 which controls the traction means 14 and 60. FIG.

次に、本実施形態に係る牽引装置の作用について説明する。牽引装置10を使用する場合には、先ず、椅子体22を真っ直ぐ立てて直立状態としておく。患者Pは、腰部を略90度曲げた状態で椅子体22の背もたれ部18に背中をもたれかけながら座部20に着座する。頭部装着具12のくびれ当接部42を患者Pの頚部と後頭部の間のくびれ部に背面側から密着当接状にあてがいながら患者Pの頭部に頭部装着具12を装着するとともに、腰部に腰部装着具58を装着する。回動機構26を介して、椅子体22全体を後方向に傾斜して、図1に示すような患者Pを背面側に傾斜させて後傾状態とする。この後傾状態で患者の頭部が背もたれ部18にもたれかかることにより、後頭部を頭部装着具12のくびれ当接部42に密着させて支持される。後傾状態とすることにより患者の体重が正中線方向Xと背もたれ部にかかる方向に分散されて、頚椎、脊椎やその周りの筋肉に余計な緊張力を低下させたリラックス状態となり、牽引時の伸びが良く効果的に牽引を行なえる。なお、必要に応じて、温熱装置80を作動させて頚部や腰部を温めると牽引治療と併せて温熱治療できる。コントローラ78のスイッチをオンにし、制御部30を介して、頚部牽引手段14と腰部牽引手段60を作動させて、頚部と腰部を同時に牽引する。脊椎の略全体が牽引されることにより、頚部の疾患、脊椎の疾患、腰部の疾患等の治療を同時に効果的に行なえる。頚部牽引は、顎に牽引力が加わらず、くびれ当接部42により患者の後頭部側のみを保持した状態で牽引するので、顎の疾患を発症、悪化させることがなく、安全に牽引することができる。同時に、図2にも示すように、頚椎全体をバランスよく伸張させるように牽引することができ、効果的に牽引治療できる。牽引中では、制御部30は、頚部検知手段74、腰部検知手段76からの信号に基づいて各牽引手段を動作させつつ、各検知手段74、76からの信号が設定牽引力を超えた場合には牽引を停止させる。これにより、過剰な頚部、腰部の牽引による、病状の悪化や怪我等を未然に防止できる。このような牽引を間欠的又は持続的に行ない、所要時間後に牽引を終了する。牽引終了後には、椅子体22を直立状態に戻し、頭部装着具と腰部装着具を患者Pから外させる。   Next, the operation of the traction device according to this embodiment will be described. When the traction device 10 is used, first, the chair body 22 is set upright to be in an upright state. The patient P sits on the seat 20 while leaning his back against the backrest 18 of the chair body 22 with the waist bent at approximately 90 degrees. While attaching the constriction contact part 42 of the head wearing tool 12 to the constricted part between the neck and the occipital region of the patient P from the back side, the head wearing tool 12 is attached to the head of the patient P. A waist attachment tool 58 is attached to the waist. Through the rotation mechanism 26, the entire chair body 22 is tilted backward, and the patient P as shown in FIG. When the patient's head leans against the backrest 18 in the rearward tilted state, the back of the head is brought into close contact with and supported by the constriction contact portion 42 of the head wearing tool 12. By tilting backward, the patient's weight is distributed in the midline direction X and in the direction of the backrest, resulting in a relaxed state in which excessive tension on the cervical vertebrae, spine and surrounding muscles is reduced, and when pulling It stretches well and can be pulled effectively. In addition, if necessary, the thermal treatment can be performed together with the traction treatment by operating the thermal device 80 to warm the neck and waist. The switch of the controller 78 is turned on, and the cervical traction means 14 and the lumbar traction means 60 are operated via the control unit 30 to simultaneously pull the cervical part and the lumbar part. By substantially pulling the entire spine, it is possible to effectively treat cervical diseases, spinal diseases, lumbar diseases, and the like simultaneously. In the cervical traction, no traction force is applied to the chin, and the cervical traction is performed while only the patient's occipital side is held by the constriction contact portion 42. Therefore, the cervical traction can be safely pulled without developing or worsening the jaw disease. . At the same time, as shown in FIG. 2, the entire cervical vertebra can be pulled so as to be stretched in a balanced manner, and effective traction treatment can be performed. During towing, the control unit 30 operates each towing unit based on the signals from the neck detecting unit 74 and the waist detecting unit 76, and when the signals from the detecting units 74 and 76 exceed the set tractive force. Stop towing. As a result, it is possible to prevent deterioration of the medical condition and injury due to excessive cervical and lumbar traction. Such traction is performed intermittently or continuously, and the traction is terminated after a required time. After the end of towing, the chair body 22 is returned to the upright state, and the head wearing tool and the waist wearing tool are removed from the patient P.

以上説明した本発明の牽引装置は、上記した実施形態のみの構成に限定されるものではなく、特許請求の範囲に記載した本発明の本質を逸脱しない範囲において、任意の改変を行ってもよい。   The traction device of the present invention described above is not limited to the configuration of the above-described embodiment alone, and may be arbitrarily modified without departing from the essence of the present invention described in the claims. .

本発明の牽引装置は、例えば、頚部を牽引、又は頚部と腰部と同時を牽引して、頚部疾患、或いは腰部疾患、脊椎疾患等を治療する際に好適に用いられる。   The traction device of the present invention is preferably used when, for example, cervical diseases, lumbar diseases, spinal diseases, and the like are pulled by pulling the cervix or simultaneously pulling the cervix and the lumbar region.

本発明の実施形態に係る牽引装置の一部内部構造を示した側面説明図である。It is side explanatory drawing which showed the partial internal structure of the traction apparatus which concerns on embodiment of this invention. 図1の牽引装置の頭部装着具の拡大説明図である。It is expansion explanatory drawing of the head mounting tool of the traction apparatus of FIG. 図2のA−A線矢視説明図である。It is AA arrow explanatory drawing of FIG. 図1の牽引装置の背もたれ部に正対した状態の図である。It is a figure of the state which faced the backrest part of the traction apparatus of FIG. 頭部牽引手段及び腰部牽引手段と制御部と検知手段の構成を概略で示すブロック説明図である。It is block explanatory drawing which shows roughly the structure of a head traction means, a waist | hip | lumbar part pulling means, a control part, and a detection means. 従来の頚部牽引治療に用いられる装具の説明図である。It is explanatory drawing of the brace used for the conventional cervical traction treatment.

符号の説明Explanation of symbols

10 牽引装置
12 頭部装着具
14 頚部牽引手段
16 傾斜受体
18 背もたれ部
20 座部
22 椅子体
30 制御部
42 くびれ当接部
58 腰部装着具
60 腰部牽引手段
74 頚部検知手段
76 腰部検知手段
80 温熱装置
DESCRIPTION OF SYMBOLS 10 Pulling device 12 Head mounting tool 14 Neck part pulling means 16 Inclined receptacle 18 Backrest part 20 Seat part 22 Chair body 30 Control part 42 Constriction contact part 58 Lumbar part mounting tool 60 Lumbar part pulling means 74 Neck part detection means 76 Lumbar part detection means 80 Heating device

Claims (8)

患者の頭部に装着される頭部装着具と、頭部装着具を上方に移動させて頚部を牽引する頚部牽引手段と、を含む牽引装置であって、
頭部装着具は、頚部と後頭部の間のくびれ部に背面側から密着当接状にあてがわれるくびれ当接部を有し、
該くびれ当接部により患者の後頭部側のみを保持した状態で頚部を牽引することを特徴とする牽引装置。
A traction device comprising: a head mounting device mounted on a patient's head; and a cervical traction device that moves the head mounting device upward to pull the neck.
The head mounting tool has a constriction contact portion applied to the constriction portion between the neck and the occipital region in close contact from the back side,
A traction device that pulls the neck while holding only the occipital region of the patient by the constriction contact portion.
患者を背面側に傾斜させた後傾状態で該患者を支える傾斜受体が設けられ、
後傾状態で患者の頭部が背面側の傾斜受体にもたれかかることにより、後頭部を頭部装着具のくびれ当接部に密着させて支持することを特徴とする請求項1記載の牽引装置。
An inclined receptacle that supports the patient in a tilted state after the patient is tilted to the back side,
2. The traction device according to claim 1, wherein the patient's head leans against the back side inclined receiving body in a rearward tilted state, thereby supporting the back of the head in close contact with the constriction contact portion of the head wearing tool. .
頚部牽引手段は、人体の正中線の方向と略平行方向に頭部装着具を移動させることにより頚部を牽引することを特徴とする請求項2記載の牽引装置。   3. The traction device according to claim 2, wherein the cervical traction means pulls the cervix by moving the head mounting tool in a direction substantially parallel to the direction of the midline of the human body. 傾斜受体は、傾斜させた後傾状態の患者の背中を受ける背もたれ部と、
背もたれ部にもたれかかった状態で腰部を略90度曲げて着座させる座部と、を含む椅子体からなることを特徴とする請求項2または3記載の牽引装置。
The tilted receiver is a backrest that receives the back of a tilted patient's back,
The traction device according to claim 2 or 3, comprising a chair body including a seat portion that is seated by bending the waist portion by approximately 90 degrees while leaning against the backrest portion.
座部に連結され椅子体に着座した患者の骨盤周りに装着される腰部装着具と、
腰部装着具により腰部を固定した状態で座部を背もたれ部に対して上下移動させることにより腰部を牽引する腰部牽引手段と、
頚部と腰部を同時に牽引するように頚部牽引手段と腰部牽引手段とを連係作動させる制御部と、を含むことを特徴とする請求項4記載の牽引装置。
A waist attachment device that is connected to the seat and is worn around the pelvis of a patient seated on a chair body,
Waist pulling means for pulling the waist by moving the seat up and down with respect to the backrest while the waist is fixed by the waist attachment;
The traction device according to claim 4, further comprising a control unit that operates the cervical traction means and the lumbar traction means in a coordinated manner so as to simultaneously pull the cervical part and the lumbar part.
腰部牽引手段は、人体の正中線の方向と略平行な方向に座部を移動させて腰部を牽引することを特徴とする請求項5記載の牽引装置。   6. The traction device according to claim 5, wherein the lumbar traction means moves the seat in a direction substantially parallel to the direction of the midline of the human body and pulls the lumbar region. 傾斜受体には、患者の頚部及び/又は腰部を温める温熱装置が設けられたことを特徴とする請求項2ないし6のいずれかに記載の牽引装置。   The traction device according to any one of claims 2 to 6, wherein the inclined receiver is provided with a heating device that warms the neck and / or waist of the patient. 頚部牽引手段及び/又は腰部牽引手段による牽引力を検知する検知手段と、
検知手段に接続され、検知手段からの信号に基づいて牽引手段を動作させながら設定牽引力を超えた場合には牽引を停止させる安全制御部と、を含むことを特徴とする請求項1ないし7のいずれかに記載の牽引装置。
Detection means for detecting traction force by the cervical traction means and / or the lumbar traction means;
8. A safety control unit, connected to the detection means, and configured to stop traction when a set traction force is exceeded while operating the traction means based on a signal from the detection means. A traction device according to any one of the above.
JP2005171850A 2005-06-13 2005-06-13 Traction device Pending JP2006345882A (en)

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Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101822580A (en) * 2010-05-10 2010-09-08 吉林省亮达医疗器械有限公司 Cervical vertebra retractor
JP2011160938A (en) * 2010-02-09 2011-08-25 Og Giken Co Ltd Cervical vertebra traction treatment device
JP2011160937A (en) * 2010-02-09 2011-08-25 Og Giken Co Ltd Traction treatment device
JP2012011013A (en) * 2010-07-01 2012-01-19 Og Giken Co Ltd Traction treatment apparatus
CN102824242A (en) * 2012-09-18 2012-12-19 魏永强 Rotary cervical curvature tractor
CN105997327A (en) * 2015-10-10 2016-10-12 陈柏锦 Traction chair for achieving vertebral traction by tilting rotating shaft rod through leaning
EP3305264A1 (en) * 2016-10-04 2018-04-11 Minato Medical Science Co., Ltd. A chair-shaped lumbar vertebra traction device
KR101906672B1 (en) * 2016-10-19 2018-10-10 신복영 Chair for stretching of spine and cervical vertebrae
CN112545731A (en) * 2020-12-14 2021-03-26 中国地质大学(武汉) Cervical vertebra traction chair
CN114028060A (en) * 2021-11-23 2022-02-11 中国人民解放军空军军医大学 Spinal surgery supports draw gear
CN112545731B (en) * 2020-12-14 2024-06-04 中国地质大学(武汉) Cervical vertebra traction chair

Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2011160938A (en) * 2010-02-09 2011-08-25 Og Giken Co Ltd Cervical vertebra traction treatment device
JP2011160937A (en) * 2010-02-09 2011-08-25 Og Giken Co Ltd Traction treatment device
CN101822580A (en) * 2010-05-10 2010-09-08 吉林省亮达医疗器械有限公司 Cervical vertebra retractor
JP2012011013A (en) * 2010-07-01 2012-01-19 Og Giken Co Ltd Traction treatment apparatus
CN102824242A (en) * 2012-09-18 2012-12-19 魏永强 Rotary cervical curvature tractor
CN102824242B (en) * 2012-09-18 2014-08-06 魏永强 Rotary cervical curvature tractor
CN105997327A (en) * 2015-10-10 2016-10-12 陈柏锦 Traction chair for achieving vertebral traction by tilting rotating shaft rod through leaning
EP3305264A1 (en) * 2016-10-04 2018-04-11 Minato Medical Science Co., Ltd. A chair-shaped lumbar vertebra traction device
KR101906672B1 (en) * 2016-10-19 2018-10-10 신복영 Chair for stretching of spine and cervical vertebrae
CN112545731A (en) * 2020-12-14 2021-03-26 中国地质大学(武汉) Cervical vertebra traction chair
CN112545731B (en) * 2020-12-14 2024-06-04 中国地质大学(武汉) Cervical vertebra traction chair
CN114028060A (en) * 2021-11-23 2022-02-11 中国人民解放军空军军医大学 Spinal surgery supports draw gear
CN114028060B (en) * 2021-11-23 2023-06-30 中国人民解放军空军军医大学 Spinal surgery supports draw gear

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