JP2008149099A - Vertebra correcting apparatus - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To smoothly and reliably perform a treatment for multiple medical patients having a lumbago by obtaining an osteopathic procedure with the use of an apparatus, thereby attaining efficiency and stability in a lumbago treatment. <P>SOLUTION: The vertebra correcting apparatus composed of a bed for placing the medical patient having the lumbago in a prone position in order to improve the distortion of vertebra, etc. The bed includes: a long support rod which is extended form the bed and turnably attached with a femoral head in the leg of the patient as a fulcrum; and a foot holding body which is arranged on the end side of the support rod, so as to fix and hold the foot of the extended leg. The support rod or the foot holding body includes a pressurizing means for pressurizing the fixed and held leg in the direction of the vertebra. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

  The present invention relates to a spinal correction device that normally corrects the displacement of the vertebra causing back pain.

  In general, for low back pain, the patient's lumbar part that is supine or prone to the bed is manually pulled, and the lumbar part is massaged and swung / pressed / rotated back and forth, back and forth, and the lumbar part or vertebra part. Acupressure treatment is known.

  In the treatment by massage and acupressure, the skill and experience of the operator have a great influence on the treatment effect. Therefore, various treatment devices have been considered by mechanizing the treatment by the above technique.

For example, a spinal shaft pressure device that treats the spinal system of low back pain while applying a load in the direction along the spine of a patient seated on the backrest, or a traction force in the axial direction of the body with the patient lying on the bed In addition, a bed-type body traction machine that performs orthodontic treatment by extending the spinal column and leg joints, and the upper body of the patient lying on the bed are fixed, the legs are fixed separately, and the legs are reciprocated in the axial direction of the body. With the pelvic treatment device that treats low back pain by swinging the pelvic senyo joint by pulling or pressing, the patient is supine on the bed, the leg part is lifted and the waist part is released from the bed Proposals have been made for low back pain / therapeutic instruments that improve the balance of vertebral distortion and lumbar muscles by swinging in the direction intersecting the spine.
JP 04-226653 A Utility Kaihei 05-039522 JP 08-150161 A JP 2003-169818 A

  However, the spinal shaft pressure device has an effect of treating the back of the chair column by applying a load to the back column as a reaction force to improve the reduction and increase the bone strength. To receive treatment while sitting for a long time, there is a problem that the load is applied to the waist and the burden is large.

  In the bed type body traction machine and pelvic treatment device, the upper body of the patient who is supine is fixed and the traction force is applied in the axial direction of the body, or the leg is reciprocated in the axial direction of the body to pull or compress. Therefore, the direction in which force is applied to the patient is always constant, and although appropriate treatment can be performed for correcting the axial direction of the vertebra, sufficient therapeutic effect is expected for rotational displacement of the vertebra Can not.

  In addition, the back pain / treatment device can improve the balance between the vertebral distortion and the muscles of the lumbar region by swinging in the direction crossing the spine, but the leg part of the patient lying on the bed There is a problem that the posture of lifting the waist part away from the bed tends to be a burden on the patient due to the intensity of back pain.

  As described above, each of the above-described conventional devices and treatment tools has a drawback in that it cannot sufficiently cope with the treatment of low back pain caused by the rotation displacement of the vertebra and the alignment of the facet joint being out of the normal position. did.

  It is an object of the present invention to provide a spinal correction device that can deal with a patient more accurately without placing a burden on a patient who receives treatment for low back pain, which is the conventional problem.

  In order to achieve the above object, the present invention provides a spinal correction device comprising a bed for placing a patient with low back pain in a prone state in order to improve vertebral distortion and the like. A long support rod that is pivotably mounted with the femoral head of a patient's leg as a fulcrum, and a leg tip holder for fixing and holding the leg tip of the leg that is provided on the distal end side of the support rod In addition, the support rod or the leg tip holder is provided with pressing means for pressing the fixedly held leg toward the vertebra.

  Further, the pressing means includes a configuration for freely adjusting the strength of the pressing force, the speed of the pressing force, and the number of times of pressing.

Action by problem solving means

The operation of the above problem solving means is as follows.
First, a patient with low back pain is laid on the bed in a prone state, and the patient's legs are extended from the bed within a range in which the waist is not burdened and can be opened and closed.

  Next, of the extended legs, the leg that has the rotational displacement of the vertebrae that causes back pain, for example, if the vertebra is rotationally displaced to the left, the long leg is extended from the bed. Place it on the support rod and hold and fix its leg tip (toe part from the ankle) to the leg tip holder.

  Then, depending on the rotational displacement of the vertebrae, the support rod on which the left leg is placed and held is used as a fulcrum at the femoral head of the patient's leg. When the rotational displacement of the vertebra is large, the rotation angle of the base is increased.) By opening, a desired angle is formed with the right leg that has been extended.

  Next, the pressing means repeatedly presses the support rod or the leg tip holder in the vertebra direction by a certain amount (according to the rotational displacement of the vertebra). By this pressing, the patient's vertebra is rotated in the normal direction and restored to the original state, and the facet joint alignment is restored to normal.

  By performing the above action according to the intensity of the patient's low back pain, the low back pain of the patient is eliminated.

  The rotation angle of the base is related to the displacement of the patient's iliac bone. For example, when the pedestal is opened about 10 degrees relative to the vertebra, it is about 30 degrees when opened about 30 degrees. The displacement of the iliac is increased, and the rotational displacement of the vertebra can be increased.

  In addition to the rotation angle of the support rod, the pressing means for pressing the patient's leg tip toward the vertebrae can freely adjust the strength of the pressing force, the pressing speed, and the number of pressings. It can correspond to the rotational displacement of the patient's low back pain.

Effects of problem solving means

  The effect of the spinal correction device of the present invention in the above operation will be described. The spinal correction device of the present invention not only applies pressing force to the legs, but also can freely set the direction and strength of applying the pressing force corresponding to the rotational displacement of the vertebrae, so that the conventional osteopathy technique can be accurately performed. It was possible to systematize. Thereby, a back pain treatment can be performed reliably and smoothly.

  Moreover, since the back pain of the patient can be eliminated without requiring heavy labor such as a procedure, the same treatment can be continuously provided to many patients.

  In addition, the configuration of the apparatus is simple and the number of parts can be reduced, so that the cost of the apparatus can be reduced.

  Furthermore, the patient only needs to extend the leg to the bed and sleep in a prone state, and the burden on the patient is small even in the posture during treatment.

BEST MODE FOR CARRYING OUT THE INVENTION

Hereinafter, an embodiment of the spinal correction device of the present invention will be described with reference to the drawings.
1 to 4 show an embodiment of the spinal correction device of the present invention, FIG. 1 is a plan view, FIG. 2 is a partial sectional side view of a leg tip holder, and FIG. 3 is a rear view of a mounting plate. FIG. 4 is a front view of the mounting plate.

  5 to 9 show the usage state of the spinal correction device, FIG. 5 is an explanatory side view showing a state where the legs are attached to the leg tip holding body, and FIG. 6 is an explanatory view showing rotation of the holding plate in the left-right direction. 7 is an explanatory view showing the rotation of the holding body in the front-rear direction, FIG. 8 is an explanatory plan view showing a state where the patient is in a prone state on the bed and a leg is placed on the support rod around the fulcrum, FIG. 7 is an explanatory plan view showing a state in which a support rod is rotated around a fulcrum from a state 7 to open a leg at a desired angle. FIG.

  10 to 13 show the relationship between the rotation angle of the support rod and the displacement of the iliac bone, FIG. 10 is a plan view showing the case where the rotation angle of the support rod is small, and FIG. FIG. 12 is an explanatory view showing a case where the displacement of the iliac bone is small (pushing with a small turning angle of the support rod corresponding to FIG. 10), and FIG. It is explanatory drawing which shows the case where the change of the displacement of the iliac is large (corresponding to FIG. 11, the rotation angle of the support rod is increased and pressed).

  14 and 15 show another embodiment of the present invention, FIG. 14 is a side view showing another embodiment of the support rod, and FIG. 15 shows the position of the prone position on the bed and the adjustment of the support rod according to the physique of the patient. FIG.

  Next, the spine correction device 1 according to the embodiment of the present invention and the configuration of each part will be described with reference to the drawings.

  The spinal correction device 1 according to the present invention includes a bed 2 having a substantially rectangular shape (long length A and short length B) for the patient K lying in a prone state as shown in FIGS. A long support rod 4 for extending from the bed 2 in the short B direction and placing one leg K1 of the patient K (from the lower leg to the tip of the leg) The leg 4 is attached to the distal end of the extended portion of the heel 4 or in the vicinity of the distal end, and includes a leg tip holding body 5 for fixing and holding the leg tip K2 (portion from the ankle to the toe) of the patient K.

  The bet 2 is not particularly limited in size, but when the fulcrum 3 is positioned on the femoral head of the leg K1 of the patient K, the patient's leg K1 (lower leg) and the leg tip K2 (below the ankle) bet. 2 is required, and a leg-side handrail portion on the leg side that is normally provided on the bed 2 is not required.

  A rail 10 for adjusting and moving the position of the leg tip holding body 5 and pressing and moving by the pressing means is provided on the distal end side of the base rod 9, and the physique of the patient K (difference in leg length due to height difference) Thus, the length of the leg K <b> 1 can be finely adjusted by moving the leg tip holder 5 along the rail 10.

  As a means for moving and pressing the leg tip holder 5 along the rail 10, a driving source (not shown) is provided below the rail 10 and moved along the rail 10 via a belt or gear by the driving source. To be configured. Alternatively, the electric winch can be configured to move the wire. Further, the strength, speed, and number of times of pressing movement can be freely controlled by setting in advance according to the degree of back pain of the patient K by a control panel (not shown) provided on the bed 2.

  The leg tip holder 5 has a rectangular mounting plate 11a with which the leg back K3 abuts, and a mounting plate 11b fixed to the back surface of the mounting plate 11a and formed in a rectangular shape smaller than the mounting plate 11a. The holding plate 11 is composed of an angle adjustment body 12 that is pivotally supported by the mounting plate 11 b and adjusts the angle of the holding plate 11.

  A longitudinal groove 25 opened at the upper end side central portion is formed along the substantially central portion in the longitudinal direction from the upper end side central portion of the mounting plate 11b, and the upper central portion of the mounting plate 11a extends in the vertical direction. A long elongated hole 26 is bored, and a U-shaped attachment portion 17 for attaching (inserting and attaching) an upper belt body 16 for fixing a part of the upper part of the leg is provided in the vicinity of the left side of the substantially central portion. Is provided. That is, the mounting plate 11 a and the mounting plate 11 b can be adjusted in length in the vertical direction at the mounting position of the long hole 26 and the vertical groove 25.

  On the upper side of the mounting plate 11a, a substantially L-shaped fixture 15 as viewed from the side for fixing the ankle K5 is inserted into the longitudinal groove 25 and the long hole 26 through the tip screw portion and fixed with a nut or the like. It is fixed with a rod-shaped fastener 27. Thereby, the attachment position of the fixing tool 15 can be moved to the up-down direction on the mounting board 11a.

  The fixture 15 is in contact with the mounting plate 11a and has a horizontal mounting portion 15a formed with a groove 28 formed in the horizontal direction from the upper end portion, a vertical mounting portion 15b perpendicular to the mounting plate 11a, and a vertical mounting. It is formed from a hole 14 that is formed so as to penetrate through the portion 15b and is inserted through the leg neck band 13 for attachment.

  The angle adjusting body 12 is provided at the tip of a core rod 30 inserted through a substantially semicircular arc-shaped arc body 29 fixed to a substantially central portion of the mounting plate 11b and a hole 29a drilled in the top of the arc body 29. A small-diameter disk 31 fixed inside the arcuate body 29, a frame body 32 through which the core rod 30 is inserted, and a frame body 32 attached to the other end side of the core rod 30 along the core rod 30. It is comprised from the lever body 33 which press-moves to 31 side. Thereby, the angle of the holding plate 11 can be swung by 360 °, and the vertical and horizontal angles can be changed by about 10 °.

  A substantially L-shaped support 34 is attached to the frame 32, and the leg tip holding body 5 can be attached to the tip of the support rod 4 by connecting the support 34 to the rail 10 of the base rod 9. it can.

  The spinal correction device 1 according to the first embodiment of the present invention is configured as described above. Next, a case where low back pain is treated using the spinal correction device 1 will be described with reference to FIGS. 5 to 9.

  First, the patient K whose vertebra is rotationally displaced (in the example, left side) and whose degree of displacement (severe A, mild B) has been confirmed is laid in a prone state where the leg K1 is straightened on the bed 1, The position of the head K0 on the bed 1 of the patient K is determined.

  Next, the position of the leg tip holder 5 is adjusted to the length of the leg K1 of the patient K, and then the patient K's heel K4 is in contact with the fixture 15 and the leg back K3 is held in contact with the placement plate 11a. By adjusting the angle of the plate 11 (rotational adjustment in the range of 360 °, fine adjustment of the angle in the vertical and horizontal directions), the holding body 11 is fixed by closing the lever 33, and the left leg K1 of the patient K is fixed. Attached to the leg tip holder 5.

  After fixing the leg tip K2, the support rod 4 is rotated around the fulcrum 3 by a desired angle. In the embodiment, the rotation angle is widened to about 30 degrees in the case of severe A (when the rotational displacement of the vertebra S is large), and about 10 degrees in the case of mild B (when the rotational displacement of the vertebra S is small). By spreading it as small as possible, it is possible to appropriately press the iliac N. Note that the angle of rotation is determined not only by the rotational displacement of the vertebra S but also by various conditions such as back pain symptoms and age based on medical detection. See FIGS. 10 to 13.

  As described above, the leg tip K2 is fixed by the leg tip holder 5, and the leg K1 is rotated by a desired angle with the support rod 4, whereby preparation for treatment of low back pain is completed.

Next, we begin treatment for specific back pain.
First, set the pressing force (pressing speed, strength, number of times, time) to the leg K1 on the control panel in advance according to the situation such as medical examination, and press the leg tip holding body 5 with the set pressing force. To do. As a result, the leg K1 of the patient K is pressed in the direction in which the iliac N is appropriately rotated, and the rotational displacement of the vertebra S is canceled and returned to the normal position.

  Usually, the pressing speed is 2 to 3 times per second, and the pressing is repeated several hundred times.

  After completion of the treatment, the rotation of a desired angle about the fulcrum 3 of the support rod 4 is returned to the original (in the longitudinal direction of the bed 2), and the leg neck band 13 of the leg tip holding body 5 and All the treatments are completed by removing the upper crotch body 16 to make the leg tip K2 free and lowering the patient K from the bed 2.

  As described above, by using the device 1 of the present invention, it is possible to eliminate the rotational displacement of the patient's vertebra S that cannot be solved by the conventional device.

  Moreover, even if it does not require heavy labor by the operator, it can cope with any rotational displacement of the vertebra S equivalent to that of the operator, and the same therapeutic effect can be obtained.

  In the above embodiment, the position of the fulcrum 3 of the support rod 4 is determined based on the position of the bed 2 on which the patient K is placed. However, the adjustment of the fulcrum 3 is not limited to this in the present invention. As described, the fulcrum 3 can be adjusted by moving the support rod 4 from the bed 2.

  One embodiment of the configuration in this case is configured to be rotatable about the fulcrum 3 and the support rod 4 is attached to the center of the back side of the bed 2 and is provided with a drive motor (not shown) inside. 6. A rotating shaft 7 having a desired length rotated by a drive motor and having a screw formed on the outer periphery, a moving body 8 screwed at one end to a screw portion of the rotating shaft 7, and a lower side of the moving body 8 It is composed of a long rod column-like base rod 9 that is pivotally attached at one point (fulcrum 3), and rotates the rotating shaft 7 to move the moving body 8 in the longitudinal direction of the bed 2 (the bed 2 The fulcrum 3 is moved by extending from the short dimension B direction. In addition, the movement method of the fulcrum 3 is not limited to this, For example, the moving shaft attached to the cylinder which is expanded-contracted by an air pump, the connecting body attached to the moving shaft, and the lower side of the connecting body The fulcrum 3 is configured to be pivotally attached to the fulcrum 3 portion, and the fulcrum 3 is moved by moving the moving shaft 7 in the longitudinal direction of the bed 2 by expansion and contraction of the cylinder. .

  The action is by moving the moving unit 8 along the rotation axis 7 according to the body of the patient K (moving upward in the case of a tall patient K and moving downward in the case of a short patient K). Finely adjust the position of the fulcrum 3 of the support rod 4 (corresponding to the distance L between the end of the bed 2 and the fulcrum 3).

The top view which shows one Embodiment of the spinal correction apparatus of this invention Partial cross-sectional side view of leg holder Rear view of mounting plate Front view of mounting plate Explanatory side view showing a state where the legs are attached to the leg tip holder Explanatory drawing which shows rotation to the left-right direction of a holding plate Explanatory drawing which shows rotation to the front-back direction of a holding body Explanatory plan view showing a state in which the patient is lying on the bed and the legs are placed on the support rod around the fulcrum FIG. 7 is an explanatory plan view showing a state in which the support rod is rotated around the fulcrum to open the leg at a desired angle from the state of FIG. Plan view showing the case where the pivot angle of the support rod is small The top view which shows the case where the rotation angle of a support rod is large compared with FIG. Explanatory drawing which shows the case where there is little change of the displacement of the iliac bone (corresponding to FIG. 10 and the rotation angle of the support rod is reduced) Explanatory drawing which shows the case where the change of the displacement of the iliac is large (corresponding to FIG. 11 and increasing the rotation angle of the support rod) Side view showing another embodiment of support rod Explanatory plan view showing the position of the prone position on the bed and the adjustment of the support rod according to the physique of the patient

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 ... Spinal correction device, 2 ... Bet, 3 ... Supporting point, 4 ... Support rod, 5 ... Leg tip holding body, 10 ... Rail, 11 ... Holding plate, 12 ... Mounting angle adjustment body,
K ... patient, K1 ... leg, N ... positive bone, S ... vertebra

Claims (2)

In a spinal correction device comprising a bed for placing a patient with lumbago in a prone state in order to improve vertebral distortion, etc., the bed extends from the bed and is rotatable about the femoral head of the patient's leg as a fulcrum A long supporting rod attached and a leg tip holding body for fixing and holding the leg tip of the leg provided and extended on the distal end side of the supporting rod, and the supporting rod or the leg tip holding body. Is provided with a pressing means for pressing the fixedly held leg toward the vertebra. The spinal correction device according to claim 1, wherein the pressing means includes a configuration that freely adjusts the strength of the pressing force, the speed of the pressing force, and the number of times of pressing.

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