JP5807998B2 - Traction equipment - Google Patents

Description

According to the present invention, in a traction device capable of both cervical traction treatment and lumbar traction treatment with one unit, when one treatment is selected, only the selected traction treatment is performed, and the other treatment is not performed. Thus, the present invention relates to a traction device that enables safe treatment.

In the traction treatment, the spine is pulled with a mechanical force to treat the vertebra and surrounding diseases. There are cervical traction treatment for cervical traction treatment and lumbar traction treatment for lumbar traction treatment.
5 and 6 are examples of a cervical traction device, FIGS. 7 and 8 are lumbar traction devices, and FIG. 9 is an example of a traction device capable of both lumbar traction and cervical traction.

FIG. 5 shows an example of a cervical traction device. The device includes a motor 51, a wire take-up drum 52 connected to the motor 51, a wire 53 connected at one end to the wire take-up drum 52, and the wire 53. A hanger 54 connected to the end and a neck brace 55 connected to the hanger 54 are provided.
The cervical traction device 50 shows only the motor 51 and the wire take-up drum 52 in FIG. 5 (A), but actually, as shown in FIG. 5 (B), the motor 51, the clutch 57, Deceleration gear 58, wire take-up drum 52, control unit 59 for controlling the entire apparatus, input unit 5B for inputting treatment conditions such as traction force and treatment time, and treatment status etc. not shown in the figure It has a display unit for displaying, a traction force detection unit 5A for detecting the actual traction force, and the like.

The clutch 57 connects and disconnects the motor 51 and the wire winding drum 52.
The reduction gear 58 reduces the rotational speed of the motor 51 and rotates the wire winding drum 52 at a predetermined speed.
The wire take-up drum 52 is rotatably provided when it is separated from the motor 51. Further, although not shown in the drawing, a spring or the like is provided on the wire take-up drum 52, and when the wire take-up drum 52 is rotated in one direction, the spring is wound up, and when released, the wire take-up drum is driven by the spring force. 52 is forcibly rotated in the reverse direction.
By doing in this way, the wire wound on the wire winding drum 52 can be pulled out freely, and when the pulled wire is released, the wire winding drum 52 is rotated by a spring and the wire is wound. Can do.

The control unit 59 stores the traction condition input from the input unit 5B, and controls the motor 51 and the clutch 57 according to the traction condition and with reference to the data of the traction force detection unit 5A during the treatment. Carry out traction treatment. In addition, predetermined data is transferred to the display unit and displayed.
The tractive force detector 5A detects the tractive force actually generated.
The input unit 5B inputs traction conditions such as traction force, treatment time, duration (see below), and pause time (see below).
The display unit displays the input treatment condition and the state during treatment (predetermined items such as treatment time and traction force).

Prior to treatment, the patient is seated on the chair 56, the wire 53 connected to the neck brace 55 is pulled out, and the neck brace 55 is attached to the patient. Moreover, preparation of treatment is completed when treatment conditions such as traction force and treatment time are set from the input unit.
When treatment is started, the clutch 57 is operated to connect the motor 51 and the wire 53, the motor 51 is rotated, the rotational speed is reduced by the reduction gear 58, the wire take-up drum 52 is rotated, and the wire 53 is taken up. The patient's cervical spine is pulled through the neck brace 55.
During the treatment, the traction force is constantly monitored by the traction force detection unit 5A, and compared with the input target traction force (set traction force, sometimes traction force at rest), the motor is controlled until the target traction force is reached.

Towing includes intermittent towing and continuous towing, and intermittent towing is usually used. As shown in FIG. 5 (C), intermittent traction is performed by rotating the motor 51 to wind the wire 53 and pulling it, and when the traction force Fn reaches a predetermined value, the traction force is called a predetermined time (duration). Is maintained for about 10 to 20 seconds), then relaxation for reducing the traction force, and when the traction force reaches a predetermined value (usually zero or may be a small value), it is called a predetermined time (pause time). Pause for a few seconds) and repeat this traction-sustain-relaxation-pause cycle during the treatment time.
In the continuous traction, the traction force is maintained for the treatment time after traction to a predetermined traction force Fn.
Hereinafter, intermittent traction will be described as an example.

FIG. 6 is an example of a cervical traction device having a different traction method from that of FIG. The apparatus generates a traction force by connecting and disconnecting the patient placement section and the head placement section, the traction treatment table (chair) 6B on which the patient is placed, the head placement section 6H for placing the patient's head. It has a cervical traction drive unit Kn.
Although not shown in the figure, a head support unit (neck brace) that supports the head so that it does not move, a control unit that controls the entire device, like the device of FIG. 5, traction force, treatment time, etc. An absorptive part for inputting the treatment conditions, a traction force detecting part for detecting the traction force, a display part for displaying the treatment status, and the like.
The head placement unit 6H is detachable from the traction treatment table 6B. When the cervical traction drive unit Kn provided between the head placement unit 6H and the traction treatment table 6B is operated, the cervical vertebra is pulled. can do.

The patient is placed on the traction treatment table 6B, the head is placed on the head support 6H, and the head is supported by the head support (neck brace). In addition, when treatment conditions such as traction force and treatment time are set from the input unit, preparation for treatment is completed.
When treatment starts, the cervical traction drive unit Kn operates, the traction force detection unit detects the traction force, and compares the set traction force with the distance between the patient placement unit and the head placement unit, and the set traction force Carry out traction treatment.
Even when the cervical spine is pulled, the patient's weight is below the neck, so the body does not shift (because the cervical traction force is smaller than the weight). Further, since the head is supported by the head support portion (neck brace), it is not displaced from the head placement portion 6H. For this reason, when the cervical vertebra pulling drive unit Kn is separated, only the cervical vertebra can be pulled.

FIG. 6 shows an example in which a cervical traction drive unit Kn is provided between the traction treatment table (chair) 6B and the head placement unit 6H, and the traction treatment table (chair) 6B and the head placement unit 6H are separated from each other. Is shown.
The cervical traction drive unit Kn uses a method using a linear actuator or the like, a method of winding a wire with a motor as shown in FIG. 5, a method of connecting and disconnecting the wire to the head placement unit 6H, A double cone method is also disclosed.
The traction treatment table (chair) 6B includes a method using a chair and a method using a bed.
In a method using a chair, there is a chair provided with a backrest and the backrest is provided with the mechanism shown in FIG.
There are methods using a bed for the traction treatment table (chair) 6B, in which the mechanism part of FIG. 6 is provided on the bed, and in which a brace is attached to a patient on the bed and the wire is wound by a motor.

FIG. 7 shows an example of a lumbar traction device. The apparatus includes a traction device 71, a wire 72, a waist orthosis 73, a side orthosis 74, a traction bed 75, and the like. Although not shown in the figure, the apparatus main body 71 is similar to the cervical traction apparatus of FIG. 5, and includes a motor and a clutch, a reduction gear, a wire take-up drum, a control unit that controls the entire apparatus, an input unit, a display unit, and a traction force. It has a detection part.
The traction bed 75 is designed to be suitable for lumbar traction treatment, and has an upper body mat 77 on which the upper body of the patient is placed and a slide mat 76 on which the lower body is placed. The upper body mat 77 is almost fixed and slides. The mat slides freely in the height direction.
The waist orthosis 73 is wound around the pelvis.
The side brace 74 supports the patient's side and prevents the patient from moving on the bed when towing.
Prior to treatment, wear a waist brace 73, place the patient in a supine position on the tow bed 75, place the upper body on the upper body mat 77 and the lower body on the slide mat 76, and support the patient's side with the side brace 74, wire Pull out 72 and connect to waist orthosis 73. Also, treatment conditions such as traction force and treatment time are set from the input unit, and preparation for treatment is completed.

When the treatment is started, a motor built in the traction device 71 rotates to rotate the wire winding drum, wind the wire 72, and pull the lumbar spine of the patient M through the waist brace 73. At this time, the side of the patient is supported by the side brace 74, the upper body rests on the upper body mat 77, and the lower body rests on the movable slide mat 76. It can be applied to the lumbar region for effective lumbar traction.
The traction force is monitored by the traction force detection unit during traction, and traction treatment is performed according to the set treatment conditions while comparing with the set traction force.

FIG. 8 is another example of a lumbar traction device. This is an improved version of the lumbar traction device shown in Fig. 7. When not being treated, the traction table 6 is made into a chair, making it easier for the patient to get on and off the device and moving the traction table 6 backward during treatment. This is an example of a traction device in which a patient is placed in a substantially horizontal supine position (traction position) and lumbar traction therapy is performed.
The apparatus includes a base 1, a traction treatment table 6, a tilting mechanism unit 3, and a lumbar traction mechanism unit 7.
The traction treatment table 6 is rotatably connected to the base 1 via an axis O in the transverse direction of the traction treatment table 6.

A tilting mechanism unit 3 is provided between the base 1 and the traction treatment table 6, and when the tilting mechanism unit 3 is operated, the traction therapy table 6 can be tilted.
The traction treatment table 6 has a backrest part 4 on which the patient's upper body is placed and a seat part 5 on which the patient's lower body is placed on the frame 2 so that the distance between the backrest part 4 and the seat part 5 can be separated. I have to.
A lumbar traction mechanism 7 is provided between the backrest 4 and the seat 5. In the figure, the lumbar traction mechanism 7 is provided between the frame 2 and the seat 5, but the main point is to separate the backrest 4 and the seat 5 from each other. Does not matter.
When treatment is not performed, the traction treatment table 6 is set up in a chair shape so that the patient can easily get on and off the apparatus.
A side brace A that supports both sides of the patient and a waist brace b that fixes the pelvis to the seat 5 are provided.
Although not shown in the figure, the panel surface of the apparatus is provided with an input unit, a display unit, and the like for inputting treatment conditions and the like, as in a conventional traction device.
Further, a traction force detection unit 8 for detecting the generated traction force is provided.

Prior to treatment, the patient is seated on a chair-shaped traction treatment table 6, the pelvis is fixed to the seat 6 with the waist orthosis b, both sides are supported by the side brace A, and the traction force, treatment time, etc. from the input unit Set treatment conditions and prepare.
When the treatment is started, first, the tilting mechanism unit 3 is actuated, and the traction treatment table 6 is tilted backward to be in the traction position. The traction position is the position when the traction treatment table 6 is tilted to a predetermined angle and is in a posture to actually perform traction treatment, and is usually the position of the traction treatment table 6 where the patient is in a substantially horizontal supine position. It is. In some cases, the frame may have an angle of several to several tens of degrees.
After that, the traction force detection unit 8 detects the current traction force according to the input treatment conditions, and compares the traction force with the set traction force, and operates the lumbar traction mechanism unit 7 according to the set traction condition. Lapping the lumbar vertebra with the interval of the part 5 close (for example, Patent Document 1).

As described above, the traction device includes the cervical traction device and the lumbar traction device, and several drive methods have been disclosed, but the reasons for the device function, installation space and patient pain reduction, labor saving, etc. Therefore, at present, the cervical traction device is often used as the device shown in FIG. 5, and the lumbar traction device is used as the device shown in FIG.
In addition, since the diseases of the cervical vertebra and the lumbar spine are almost the same, the two models shown in FIGS. 5 and 8 are often introduced and used as a set.

However, the introduction of the two models requires a lot of cost and space. In some cases, only one device is used, and the other is not used, and there is a problem in terms of effective use of the device. .
Therefore, a device capable of two traction treatments for the cervical vertebra and the lumbar vertebra with one traction treatment table as shown in FIG. 9 has been put into practical use.
The apparatus shown in FIG. 9 has a support Pn and a neck brace Sn added to the apparatus shown in FIG. 8, and enables cervical traction treatment as well as lumbar traction.

Like the lumbar traction device in FIG. 8, a traction treatment table 6 is tiltably connected to the base 1, and a tilting mechanism 3 is provided between the base 1 and the traction treatment table 6. When the tilting mechanism unit 3 is operated, the traction treatment table 6 can be tilted backward.
The traction treatment table 6 has a backrest 4 on which the upper body of the patient is placed and a seat 5 on which the lower body of the patient is placed on the frame 2 so that the space between the backrest 4 and the seat 5 can be separated. Provided.
Further, a lumbar traction mechanism 7 is provided between the backrest 4 and the seat 5.
For this reason, when the lumbar traction mode is selected and the lumbar traction mechanism 7 is operated, the distance between the backrest 4 and the seat 5 is separated, and the patient's lumbar part placed on the traction treatment table 6 can be pulled. .
The traction force is detected by the traction force detector 8.
Although not shown in the figure, a side support part for supporting both sides of the patient at the time of lumbar traction and a waist orthosis for fixing the pelvis to the seat part 6 are provided. Further, it includes an input unit for inputting treatment conditions, a display unit for displaying treatment conditions and a state during treatment, a traction force detection unit for detecting actual traction force, a control unit for controlling the entire apparatus, and the like.

When performing lumbar traction treatment with this device, before treatment, seat the patient on the chair-like traction treatment table 6, fix the pelvis to the seat 6 with the waist orthosis, support both sides with the side support, Prepare treatment conditions such as traction force and treatment time from the input unit.
When the treatment is started, first, the tilting mechanism unit 3 is operated, and the traction treatment table 6 is tilted backward to be in the traction position.
After that, the lumbar traction mechanism 7 operates according to the input treatment conditions, the distance between the backrest 4 and the seat 5 is separated, the traction force detection unit 8 detects the traction force, and compares it with the set traction force. The motor is controlled so that the lumbar traction is performed according to the input traction treatment conditions.

On the other hand, a column Pn is provided on the patient's head side of the frame 2F, and a neck brace Sn is connected to the tip of the column Pn.
The strut Pn has a variable length, and by adjusting the length, the pulling direction can be determined. In traction therapy, the direction of traction is important.
The neck orthosis Sn includes a wire connected to the support column Pn, a hanger connected to the wire, and a neck orthosis connected to the hanger. This is the same as the conventional appliance shown in FIG.
In the traction device shown in FIG. 9, the cervical vertebra traction force is generated by using the force of the lumbar traction mechanism 7. In other words, the backrest part 5 of the traction treatment table 6 is made slidable, the backrest part 4 and the seat part 5 are connected, this is driven by the lumbar traction mechanism part 7, and the head is fixed with the neck brace, The cervical vertebra is pulled by moving from the bottom to the bottom.
The control unit, the input unit, the display unit, etc. are shared by lumbar traction and cervical traction.

Before treatment, the traction treatment table 6 is made into a chair shape, the patient is seated on this, the neck brace 5 is attached, treatment conditions such as traction force and treatment time are set from the input part, and the backrest part 5 is slid Freely connect to the seat 4 to complete the preparation for treatment.
When the treatment is started, the tilting mechanism portion Kk is operated, and the traction treatment table 6 is tilted backward to be in the cervical vertebral traction position.
After that, the traction force detection unit 8 detects the current traction force, and while referring to this traction force, the lumbar traction mechanism unit 7 operates according to the input treatment conditions, and the traction treatment table 6 is moved downward to perform cervical traction. .

JP2006-87853

In the traction device, before treatment, a traction condition suitable for the patient is set and treatment is started. That is, the treatment conditions of the previous treatment remain before treatment. Therefore, in the traction device that can perform two treatments of cervical traction and lumbar traction with one traction device as shown in Fig. 9, if there is an operation forgotten or incorrect operation, lumbar traction and cervical traction are mistaken, For example, there is a possibility that cervical traction is performed under lumbar traction treatment conditions, or conversely, lumbar traction treatment is performed under cervical traction treatment conditions.
The traction force for lumbar traction is 1/3 to 1/2 of the body weight, and the traction force for cervical traction is around 10 kgf.
Therefore, treatment conditions for lumbar traction When cervical traction is performed, excessive force is applied to the cervical vertebra, which is extremely dangerous. Conversely, if lumbar traction is performed under the cervical traction method, the therapeutic effect cannot be obtained due to insufficient traction.

In addition, since cervical traction is performed with a small traction force of about 10 kgf, an error in the traction force greatly affects the treatment.
The apparatus of FIG. 9 fixes the head and moves the traction treatment table 6 to generate traction force. However, since the weight of the traction treatment table 6 on which the patient is placed is large, the friction force is large. Further, this frictional force varies greatly depending on the patient's physique difference. Moreover, the frictional force varies greatly depending on the angle of the traction treatment table 6, that is, the angle of the cervical traction position. Furthermore, during use, the frictional force fluctuates due to wear of the mechanism.
Due to such factors, the method of moving the traction treatment table 6 is affected by friction, and the traction force applied to the cervical spine is inaccurate, making it difficult to perform effective treatment and also dangerous.
An object of the present invention is to solve such a problem and to provide a traction device capable of performing safe and effective traction treatment.

In invention of Claim 1,
Lumbar traction means for performing lumbar traction therapy,
In a traction device having cervical traction means for performing cervical traction treatment,
Operation detecting means for detecting an operation applied to the lumbar traction means and the cervical traction means;
Based on the detection result by the operation detection means, an operation side determination means for determining which one of the lumbar traction part and the cervical traction part has been operated,
Selection side traction execution means for executing only traction treatment by the traction unit determined by the operation side determination means is provided.

Since the present invention is provided with independent lumbar traction means and cervical traction means, lumbar traction and cervical traction can be performed with a single device.
Further, unlike the apparatus of FIG. 9, the lumbar traction means and the cervical traction means are independent. For this reason, each treatment condition can be set and each traction treatment can be performed accurately. In addition, unlike the apparatus of FIG. 9, the patient's weight, the angle of the traction treatment table, the change in friction of the traction mechanism part over time, etc. are affected by friction, but the present invention is not affected by fluctuations in traction force due to friction, Accurate treatment can be performed with the traction conditions set at all times.
In addition, when an operation is applied to either the lumbar traction means or the cervical traction means, it is identified which operation has been applied, the traction means selected is operated, and the traction treatment is performed. The means should not be used. For this reason, it is possible to avoid the risk of performing treatment by mistaking lumbar traction and cervical traction.

It is an Example of this invention. It is an example of a wire end process of the cervical vertebra pulling means of the present invention. It is an example of the operation detection means of this invention, and is an example of a means which detects that operation was added to the wire of the cervical vertebra pulling means by combining the light emitting part L and the light receiving part r. It is a flowchart of the selection side traction execution means of this invention. It is an example of the conventional cervical traction device using a wire. It is an example of the conventional cervical traction apparatus using a linear head. It is an example of a conventional lumbar traction device using a wire in combination with a traction bed. 2 is an example of a lumbar traction device of Patent Document 1. 7 is an example of a traction device in which a cervical traction device is added to the lumbar traction device of Patent Document 1.

Hereinafter, the present invention will be described in detail by way of examples.

The present invention
Lumbar traction means for performing lumbar traction therapy,
In a traction device having cervical traction means for performing cervical traction treatment,
Operation detecting means for detecting an operation applied to the lumbar traction means and the cervical traction means;
Based on the detection result by the operation detection means, an operation side determination means for determining which one of the lumbar traction part and the cervical traction part has been operated,
A traction device comprising a selection-side traction execution unit that executes only traction treatment by the traction unit determined by the operation-side determination unit.

An embodiment of the present invention is shown in FIG.
The apparatus mounts a frame 2 on a base 1, and a connecting axis between the base 1 and the frame 2 is provided with a rotation axis O in the transverse direction of the frame 2. It is provided so as to be tiltable in the rear direction.
In addition, a tilting mechanism 3 is provided between the base 1 and the frame 2, and when the tilting mechanism 3 is operated, the frame 2 is tilted backward from the state of the chair (sitting position) to perform traction treatment. Can be tilted up to The traction position is normally tilted to about 90 degrees, but can be any angle.

On the frame 2, a backrest portion 4 and a seat portion 5 are placed to constitute a traction treatment table 6. Usually, the backrest part 4 is substantially fixed, and the seat part 5 is movable along the frame 2.
That is, as in FIG. 8, in lumbar traction, the lumbar vertebra is pulled to the lower limb side. However, the seat portion 4 may be fixed and the backrest portion 5 may be movable.
Also, a lumbar traction mechanism 7 is provided between the backrest 4 and the seat 5.
For this reason, when the lumbar traction mechanism part 7 is operated, the backrest part 4 and the seat part 5 are separated from each other, and a traction force is generated.

A traction force detection unit 8 is provided between the lumbar traction mechanism unit 7 and the frame 2m, and at the time of traction treatment, the actual traction force detected by the traction force detection unit 8 is compared with the set traction force input when setting the treatment conditions, The traction force is controlled so that the traction force becomes the set traction force. A small amount of traction may be provided even at rest. At the time of relaxation and at rest, the motor is controlled by using the suspension traction force as the traction force setting traction force.
Although not shown in FIG. 1, as in FIG. 8, the apparatus is provided with a side brace that supports the side of the patient and a waist brace that fixes the pelvis to the seat 5.
Further, the operation panel of the apparatus is provided with an input unit for inputting traction conditions such as traction force and traction time, a display unit for displaying the treatment status, and the like.
Furthermore, a control unit for controlling the entire apparatus is provided.

In lumbar traction, before treatment, the traction treatment table 6 is placed in a sitting position, the patient is seated there, the pelvis is fixed to the seat portion 6 with a waist orthosis, and both sides are supported by the side support portions. In addition, treatment conditions such as traction force, treatment time, duration, and rest time are set from the input unit to prepare for treatment.
When treatment is started, the tilting mechanism unit 3 is activated, the traction treatment table 6 tilts backward to the traction position, and then the traction force detected by the traction force detection unit 8 is referred to and compared with the set traction force. The lumbar traction mechanism 7 is operated according to the treatment conditions, and the lumbar traction is performed with the backrest 4 and the seat 5 spaced apart.
That is, the portion of FIG. 8 in the embodiment of FIG. 1 is the lumbar traction means.
The traction position does not need to be in a state where the frame is horizontal, and can be used with an arbitrary angle set. In addition, traction can be performed by either continuous traction or intermittent traction.
In this example, a method using a linear actuator for the lumbar traction mechanism 7 is shown, but a method using a wire as shown in FIG. 6 may be used.

On the other hand, cervical traction means for cervical traction is provided on the head side of the apparatus.
In the embodiment of FIG. 1, the cervical traction means includes a motor 11, a wire winding drum 12 connected to the motor 11, a wire 13 connected to the wire winding drum 12, a neck brace Sn connected to the wire 13, An extendable column Pn that supports the wire 13 and determines the cervical traction angle, and a pulley k that changes the direction of the wire 3 are provided.
Although not shown in the figure, the motor 11 and the wire take-up drum 12 are connected or disconnected by a clutch. Further, a reduction gear is provided in the motor 11 so that the wire take-up drum 12 is rotated at a predetermined speed.
The wire take-up drum 12 is rotatable, provided with a spring, and disconnected from the motor 11 with a clutch. The wire 13 can be pulled out freely, and when released, the wire take-up drum 12 is rotated with the spring, and the wire 13 is wound up. As long as the wire can transmit the traction force, a belt may be used as in the embodiment of FIG.
Further, the operation panel of the apparatus is provided with an input unit for inputting traction conditions such as traction force and traction time, a display unit for displaying the treatment status, and the like. Furthermore, a control unit for controlling the entire apparatus is provided.

FIG. 2 shows a configuration example of the end portion of the wire 13.
As shown in FIG. 2A, a wire member B to which the neck brace Sn can be attached and detached is provided at the end of the wire 13.
When the cervical traction means is not used, the wire 13 is wound up by the wire winding drum 12 as described above.
However, in order to prevent the entire wire 13 from being wound around the wire take-up drum 12, as shown in FIG. I have to.

FIG. 2B is a view of the state in which the wire member B is housed in the wire receiving portion R as viewed from the front, and FIG. 2C is a view as seen from the side (a cross-sectional view of any central portion).
The tip end portion of the support pillar Sn including the wire receiving portion R and the pulley r is covered with a cover H as shown in FIG. In this way, the wire 13 is held by the wire receiving portion R and stored entirely in the cover H except when the cervical spine is pulled. By doing in this way, the front-end | tip part of a wire does not get in the way, it is effective in safety | security, and it looks good.
As described above, when the cervical spine is not pulled, the neck orthosis Sn is removed from the wire 13, the wire 13 is taken up by the wire take-up drum 12, and the wire member B is held by the wire receiving portion R. Further, when performing cervical spine traction, a neck brace Sn is connected to the wire member B, the wire is pulled out, and used by being attached to the patient's head.

The present invention includes operation detection means for detecting an operation applied to the lumbar traction means and the cervical traction means. This embodiment is shown in FIG. This example is an example of operation detection means for determining that an operation has been applied to the cervical vertebra pulling means when the wire 13 is pulled out in order to perform cervical spine traction.
The wire member B is a plate-like member that has been cut through the inside, and is connected to the end of the wire 13.
The wire receiving portion R is provided with a hole so that the wire 13 can pass but the wire member B cannot pass.
With this configuration, if the wire 13 is left as it is, the wire 13 is wound around the wire take-up drum 12. However, since the wire 13 is provided with the wire member B, the wire 13 is connected to the wire receiving portion R. , Can be stored inside the cover H.
For this reason, the wire accommodated in the cover H can be pulled out freely, and the pulled wire can be accommodated in the cover H.

As shown in FIG. 3, a light emitting portion L and a light receiving portion r are provided inside the cover H, and when the wire member B is stored in the wire receiving portion R, the light emitted from the light emitting portion L is converted into the wire member B. The light is received by the light receiving portion r. Further, when the wire 13 is pulled out, the light from the light emitting portion L is blocked by the wire so that the light cannot be detected by the light receiving portion r.
In this way, an operation detection unit that can detect whether or not the wire 13 has been pulled out is configured.
However, the operation detection means may be another method. Any means such as a method of detecting light reflected by a wire, a method of detecting the movement of the wire by a proximity sensor, a method of detecting the rotation of the wire winding drum 12 may be used.
The operation detection means when an operation is applied to the cervical traction means has been described above, but the operation detection means of the lumbar traction means is also provided. This may be detected by any means, such as assuming that the lumbar traction belt is attached as an operation.
The operation detection means may be provided on either the lumbar traction means side or the cervical traction means side.

Further, the present invention provides an operation side determination means for determining which one of the lumbar traction part and the cervical traction part has been operated,
It has selection side traction execution means for executing only traction treatment by the traction section determined by the operation side determination means.
This embodiment is shown in FIG.
Whether or not an operation has been applied can be detected by operation detection means such as the embodiment of FIG.
Whether the operation is applied to the lumbar traction means or the cervical traction means can be determined by the operation side determination means for checking the output of the operation detection means.
When an operation is applied to any of the traction means, and the traction means for selecting the lumbar traction or the cervical traction is selected by the selection-side traction execution means. Execute.
The traction means on the side operated by the operation side determination means is determined, the traction means on the operated side is executed by the selection side traction execution means that selects and executes the traction means, and the traction means on the side that is not operated is executed. do not do.

An example when cervical traction is selected is shown below.
Before use, the wire 13 is wound around the wire winding drum 12 and stored in the wire receiving portion R, and the light emitted from the light emitting portion L is centered on the wire member B as shown in FIG. The light is received by the light receiving part r through the part of the part that has been hollowed out, and it is determined that no operation has been applied to the cervical traction means.
In this state, it is a state waiting for any one of the lumbar traction means and the cervical traction means to be operated.

Prior to treatment, the traction table is placed in a sitting position, the patient is seated there, the neck brace Sn is connected to the wire 13, the wire is pulled out and attached to the patient. At this time, as shown in FIG. 3B, the light emitted from the light emitting portion L is reflected by the wire 13 and cannot be detected by the light receiving portion r, and it is determined that an operation has been applied to the cervical traction means (operation detecting means). . In this embodiment, the operation detection means includes a light emitting unit L and a light receiving unit r.
When it is detected that the operation is detected by the operation detection unit, the control unit checks the output of the light receiving unit, and it is determined from the output of the light receiving unit r of the cervical vertebra pulling unit that the cervical spine pulling unit is operated (operation side determination unit). ).
If it is determined that the cervical traction means has been operated, the cervical traction means is selected by the selection-side traction execution means so that the lumbar traction is not activated.
In this way, cervical traction and lumbar traction are not mixed and used, and safe and effective traction treatment can be performed.

When cervical traction is selected, standard treatment conditions for cervical traction or treatment conditions for the previous cervical traction are selected, displayed, and wait for input from the input unit.
When changing to treatment conditions suitable for the patient, traction conditions such as traction force Fn, treatment time, duration, and rest time are input from the input unit.

When the treatment is started, the tilting mechanism unit 3 is actuated, and the traction treatment table 6 is tilted backward to the cervical vertebral position tilted backward by a predetermined angle.
After that, the clutch is driven to connect the motor 11 and the wire take-up drum 12. Although not shown in the figure, the current traction force is monitored by the traction force detection unit, and the motor 11 is compared with the set traction force. Then, the wire winding drum 12 is operated to wind the wire 13, the head is pulled through the neck orthosis Sn, and a predetermined traction force Fn is applied to the cervical spine.
Therefore, traction can be performed with a traction force that is more accurate than the conventional apparatus of FIG.
The cervical vertebral pulling position can be set at any angle depending on the patient's condition and other requirements, such as the so-called semi-sitting position tilted about 45 degrees while the sitting position (not tilted), and the pulling position tilted about 90 degrees to the nearly horizontal supine position. You can do it.
The traction mechanism is a conventional system using a wire as shown in FIG. 5, but any system such as a system using a linear actuator shown in FIG. 6 may be used.
The cervical traction means is configured by providing the control means for executing the cervical traction therapy as described above.

In this embodiment, an optical sensor is provided at the tip of the bar b to monitor whether the wire has been drawn. That is, in this example, the optical sensor is a traction unit monitor, and the traction unit monitor is provided in the cervical vertebra traction unit.
In this embodiment, an optical sensor having a light emitting part and a light receiving part is provided, and the irradiation light from the light emitting part is emitted toward the wire 3. When the wire 3 is not pulled out, as shown in FIG. 2 (A), the irradiation light is prevented from hitting the wire so that the irradiation light is reflected and is not detected by the light receiving unit. When the wire 3 is pulled out, as shown in FIG. 2 (B), the irradiated light hits the wire and is reflected, and the irradiated light is reflected and detected by the light receiving unit.
However, the present invention is not limited to the optical sensor, and any other sensor such as an ultrasonic wave, radio wave, magnetism, etc. may be used, and any method such as a method of viewing a transmitted wave as well as a reflected wave is used. The force applied to the bar b, the wire, the neck brace, and the like when the wire is pulled out may be monitored. Since the wire take-up drum 2 rotates when the wire is pulled out, this rotation may be monitored.

As described above, when the wire of the cervical traction unit is pulled out, it is determined that an operation has been applied to the cervical traction unit, cervical traction treatment is selected, and the cervical traction treatment program is executed. When the cervical traction program is executed, lumbar traction operation is not accepted, so that lumbar traction treatment is prohibited and safe cervical traction can be performed.
In cervical traction, the traction force is about several to tens of kgf, the treatment time is 10 to 15 minutes, the duration is 10 to 20 seconds, and the rest time is about 5 to 10 seconds. For example, the traction force is 10 kgf, the treatment time is 10 minutes, the duration is 15 seconds, the rest time is about 5 seconds, and most patients are treated under the same treatment conditions.

In lumbar traction, a lumbar orthosis is attached, so the operation detection means can be obtained by monitoring the attachment state of the lumbar orthosis.
If it is determined that the lumbar traction means is operated by the operation detection means, it is determined that the lumbar traction means is selected by the operation side determination means, and the lumbar traction is executed by the selection side traction execution means, as in the above cervical traction. To do.
In lumbar traction, the traction force is about 1/3 to 1/2 of the body weight, the treatment time is 10 to 15 minutes, the duration is 10 to 20 seconds, and the rest time is about 5 to 10 seconds. . However, in general, standard treatment conditions such as a traction force of 25 kgf, a treatment time of 10 minutes, a duration of 15 seconds, and a rest time of about 5 seconds are determined, and most patients are treated under the same treatment conditions. There are many things.

The operation panel, input unit, display unit, and control unit may be shared by the lumbar traction means and the cervical traction means. In this case, an operation panel having an input unit and a display unit is provided with a switch for switching between the lumbar traction means and the cervical traction means so that either one can be selected and used.
When either the lumbar traction means or the cervical traction means is selected with the changeover switch, the treatment condition stored in the treatment condition storage unit of the selected traction means is displayed on the display. If it is desired to change the treatment condition, it may be input again from the input unit. The treatment condition storage unit may store standard treatment conditions so that the treatment conditions can be changed. If standard traction force is used, unexpected traction force does not act, and safe and effective traction can be achieved. Further, if the range in which the traction force can be input is determined, an excessive or excessive traction force is not input. Therefore, for example, in cervical traction, treatment conditions for lumbar traction cannot be set, and thus the risk can be reduced.
If such a technique is additionally used for the operation detection means of the present invention, the safety can be doubled.

Before treatment, it is in a state of waiting for any one of the operation detection means to be operated.
When the patient is placed on the device, the cervical traction wire 13 is pulled out and the cervical spine is attached, it is determined that cervical traction is to be performed, the treatment conditions are prepared, and cervical traction treatment can be executed.
When the patient rests on the device and wears the lumbar orthosis b, it is determined that lumbar traction is to be performed, the treatment conditions are prepared, and lumbar traction treatment can be executed.
Thus, the traction treatment on the operated side can be performed under the treatment conditions.
For this reason, it is possible to prevent medical errors without losing lumbar traction and cervical traction.
In addition, since the treatment conditions prepared at this time are the standard traction treatment conditions or the traction treatment conditions used in the previous treatment on the same side, since the traction force is not extremely large or small, the risk is low, High therapeutic effect is also obtained.
Furthermore, since the cervical vertebra is also pulled by a dedicated pulling means, unlike the conventional apparatus shown in FIG. 9, the frictional force does not become a problem and an appropriate pulling force can be applied. For this reason, a high therapeutic effect can be obtained reliably.
For this reason, medical efficiency can also be improved.
As described above, two traction treatments for the cervical vertebra and the lumbar vertebra can be effectively, safely and efficiently performed with one device, and the cost and space saving effects can be obtained. .

1: Base 2: Frame
3: Tilt mechanism part 4: Backrest part
5: Seat 6: Traction treatment table
7: Traction mechanism 8: Traction force detector
11: Motor 12:
Wire take-up drum
13: Wire
k: pulley Pn: support Sn: neck orthosis H: cover S: optical sensor R: wire receiver B: wire member L: light emitting part r: light receiving part b: waist orthosis A: side orthosis
6B: Traction treatment table 6H: Head placement part Kn: Cervical traction drive part M: Patient Fw: Lumbar traction force Fn: Cervical traction force

Claims (1)

Lumbar traction means for performing lumbar traction therapy,
In a traction device having cervical traction means for performing cervical traction treatment,
An operation detecting means for detecting an operation applied to the lumbar traction means and the cervical traction means by a light detection method ;
Based on the detection result by the operation detection means, an operation side determination means for determining which one of the lumbar traction part and the cervical traction part has been operated,
A traction device comprising a selection-side traction execution unit that executes only traction treatment by the traction unit determined by the operation-side determination unit.