LT6128B - Horizontal orthopedic spinal column traction device - Google Patents

Abstract

Horizontal orthopedic spinal column traction device, according to the invention, is related to medical equipment apparatus for nonsurgical treatment. The device allows save liquid medium components. The possible horizontal and vertical shift of pulley and cable units allows to adapt patient position angle in space and thus to reduce the pain of traction. The invention could be used for horizontal orthopedic spinal column traction in liquid medium as water.

Description

Technical field

The invention relates to medical technology, in particular devices for conservative treatment, such as orthopedic spine stretchers, and can be used for horizontal spine stretching in a liquid medium such as a water bath.

State of the art

Underwater horizontal orthopedic stretching of the spine is a method of treatment known at least since the 1950s, involving the action of water (simple or mineral) and the effects of stretching on the human body. Warm water, 36-37 ° C, acts on human proprioceptors and reduces the tone of tense muscles, increasing the distance between the vertebrae and widening the spinal openings where the spinal nerves are located. In addition, reducing muscle tone by underwater stretching, by reducing muscle tension, also stops vascular spasm and improves blood flow to the affected area, making spinal stretching smoother, easier and less painful.

Underwater spinal stretching is used in orthopedics and neurology to reduce spinal disc protrusions in the presence of discogenic pain, lumbar, sacral, neck and shoulder radiculitis due to osteochondrosis of the spine, early onset of Bechterev's disease, deformable spondylosis, spinal deformity or reflex disorders.

The method of dosing horizontal underwater spine stretching in the bath was proposed by V. Lisunov in 1966-1968. Stretching took place in a rectangular water bath on a fractional (stretching) panel, where the panel was fixed to the edge of the bathtub in the head area while remaining unattached in the leg area, allowing the angle of the panel to change. The patient was placed on a fractional shield, a dense material corset was placed on the patient's lower chest, where corset straps were attached to the shield loops in the head area, and on the upper pelvis the patient was placed a smaller corset, where corset straps were attached to the shield loops in the leg area. Weights of 5 to 30 kg were attached to the outside of the bathtub by corset loops, through a system of metal ropes and pulleys. At the beginning of the procedure, weights of 5 kg were lifted, the weight was gradually increased, then gradually decreased to 0 kg at the end of the procedure. For stretching the cervical spine, the patient's head was fixed by Glisson's loop using lighter weights according to V. Lisunov's technique.

According to the 1968 Act. The method of V. Kiseliov's spine stretching was carried out in a simple domestic bath, using simple equipment. The peculiarity of V. Kiseliov's method is that the patient's own weight was used as a load for the spinal tension, the patient's body was fixed only in the shoulder area and the ankles, so that the patient's body would not touch the bottom of the bath.

V. Olefirenko 1981. proposed a special apparatus for horizontal spine stretching, where in the bath the patient's corsets were connected via a block system to a special automatic hydraulic unit, which allowed a smooth increase and decrease of the load required for stretching. Depending on the clinical features of the disease, Olefirenko used sodium chloride, radon, sulfide, turpentine and water baths as the spinal fluid for the device.

Known underwater spine tensile device according to Russian patent RU 2193383 (publ. 27.11.2002), wherein the tensile shield is hinged to one of the bath walls in the patient's head area and the opposite side of the bath has a vertical displacement mechanism with a helical screw drive. the dynamometer is connected to the patient's lumbar support. The panel includes a hard cover that is raised and lowered along with the panel. The panel may slide sideways relative to the body of the bath so that the patient can be moved before and after the procedure. the liquid medium used in the unit is water.

Disadvantages of the device:

stretching of the spine is only possible in a fixed position on the back, so stretching is not possible to change the position of the body, the patient is firmly attached to the shield;

stretching of the cervical spine requiring special conditions is not possible;

the angle of the patient's position depends on the design of the bath, which angle cannot be changed either vertically or horizontally;

treatment requires a sufficient amount of water in this unit, but no water supply and drainage is provided;

auger drive requires additional maintenance.

Known horizontal underwater spine tensile device according to SU 668680 (published June 25, 1979), wherein the device panel has an electrically driven support. The electric actuator provides vertical movement of the shield to the patient's head area. The patient's chest corset is connected by straps to the support located in the patient's head area, and the patient's pelvic corset is connected to the ropes which are connected to the weight carrier via the second support units. The patient's legs are raised and thus supported behind the ankles by an elastic joint that is connected to the scales by a second support. The screen on which the patient rests is smoothly lowered onto the support at the bottom of the bath, the patient remaining suspended during the procedure as a hammock. Ropes, connectors, weights and electric drive make up the machine's pull mechanism. the liquid medium used in the unit is water.

The disadvantage of this unit is that it is highly specialized and tailored to address a single health problem - stretching the spine with herniated disc herniation, so all weight affects the patient's spinal ligaments and muscles, and for this purpose special conditions are provided for curving the spine like a hammock. ankles through elastic joints. Also, spine stretching occurs only in the position on the back, at an angle that is imposed by the bath structure. Stretching of the cervical spine is not possible; due to the service of the electric drive unit, the safety rules are quite strict. The panel can only move vertically, down, or up. In a rectangular bath, the patient is placed at full height, at an angle, so there should be enough water to immerse the patient's chest throughout the procedure, which is quite a large amount of water. In addition, the problem of filling the bath and draining the waste water after each procedure is not solved in this unit design.

A known apparatus for underwater polysegmentation of the spine is described in RU 2329023 (publ. 10.02.2008), which allows simultaneous or gradual stretching of the cervical, thoracic or lumbar spheres in therapeutic mineral water, as well as allowing vector stretching of the cervical spine. The apparatus includes a corner bath tub, pelvis and chest straps with flexible rope fasteners that are connected to the loading system, and a device for underwater stretching of the cervical spine, consisting of a Glison loop and a loading system. The apparatus has a floating, freely oriented head restraint. An underwater tensioner for the cervical spine includes a device having a bracket fixed rigidly, which can move freely vertically in the hub and be locked to adjust the angle between the cervical and thoracic spine and the shield.

The chest and pelvis spine loading system is a sophisticated eight-rope design.

The main disadvantage of the apparatus is that the spine is stretched only in a fixed position on the back. Although this machine provides stretching of the cervical spine as compared to the device of the Russian patent RU 2193383, it requires special equipment for securing the spine. One of the drawbacks of this unit is that the angle of the patient's position on the panel depends on the bath design: treatment with this unit requires a sufficient amount of mineral water, but no supply or discharge of water to the bath is provided.

The closest proposed technical solution is described in Russian patent RU 2257880 (publ. 10.08.2005), where the device for horizontal underwater spine stretching includes a bathtub, a stretching shield with lifting and lowering bathtubs, patient locking devices such as chest and pelvic straps, and a basic loading device. In addition to the main loading mechanism, the device also has an additional loading mechanism in the bath head area to which the Glison loop can be attached, another additional patient locking element. The unit has a tensile force angle adjustment unit and a locally heated and damaged spinal massage device (shower). The unit is provided for water discharge. The lifting and lowering mechanism of the shield consists of a hydraulic cylinder connected to the water mains, roller blocks, ropes and a lever and telescopic supports for the head and leg areas.

In this device, stretching of the spine is also possible only in a fixed position on the back, the patient is strapped on the shield and cannot even slightly change the position of the procedure to avoid pain, but can terminate the procedure itself, although a quick stretching procedure is not desired. The unit consists of several hydraulic systems, filters. Also, the large amount of water needed to fill the entire rectangular tub of the device to the patient's chest level is used.

Fixed patient positioning is a common disadvantage of all of the above devices. A patient with a sore back may not always lie flat on the shield in a certain fixed position determined by the design of known devices. The aforementioned constructions do not allow the patient to change his position slightly during the stretching procedure and to freely take a more comfortable position, avoiding pain, and to remain in that position throughout the procedure. The said designs provide for the displacement of the supporting ropes only in the vertical plane by changing the angle of the patient's position, but it would be more convenient for the patient if the positioning ropes could also move in the horizontal plane.

Regardless of the amount of water needed for the procedure, these devices use the amount of water needed to fill the entire bath volume of the device to the patient's chest level.

It is important for the patient to be in a more comfortable position during the stretching procedure.

Prior art devices do not involve changing the patient's angle in both vertical and horizontal planes.

The major problem with known devices is that there is no provision for changing the patient's angle, not only in the vertical but also in the horizontal, so that the patient can slightly change their position during the stretching procedure to freely occupy themselves and avoid pain, the time of the procedure.

Also, prior art devices do not provide for the saving of fluid used. The fluid occupies the entire volume of the device, but not all fluid in the device volume is needed for the procedure.

Therefore, a spine stretching system is needed that allows the patient to position themselves more comfortably during the stretching procedure and to use only enough fluid during the stretching procedure.

The technical object of the invention is to provide a new design of the device which provides for displacement of the supporting pulleys and ropes by changing the patient position angle not only in the vertical but also in the horizontal plane and solving the problem of fluid saving for the stretching procedure.

The technical result that can be obtained with the implementation of the invention is the change of position in the space due to the possible vertical and horizontal displacement of the pulley and rope block system supporting the device, which reduces pain and also the saving of liquid media components.

The essence of the invention

The object of the invention is realized by the totality of the features of the claims.

The device for horizontal stretching of the spine in a liquid medium according to the present invention has an angled support on which the stretching shield is positioned. The stretcher is placed on the patient by attaching the fixation elements, where the fixation elements include chest and / or pelvic corsets and belts, the fixation elements may include a Glison loop.

The tensile loading mechanism of the device consists of pulley and rope assemblies in the patient's head and leg areas, rods and guides. The device of the invention is characterized in that the pulleys and rope blocks are arranged on the rods, and together with the rods the blocks are moved both vertically and horizontally. The bars are mounted on symmetrical guides on the outside edges of the bathtub. The bars may be fixed to the guide rails, for example, by screws.

The bath space of the unit is a tightly separated support from the bath support space, where the support space is not filled with liquid medium. The support space of the bathroom is not necessarily hollow. The working space can be made in conjunction with the support, for example, by casting or stamping. The bath space of the unit has a liquid inlet and outlet.

One of the bars of the tensile load mechanism, which is located in the patient's foot area of the bath, has a hinge. The pulley and rope assembly of the tensile loading mechanism comprises a pulley which, together with its holder, can pivot on said hinge. The hinge allows the pulleys to rotate both in the vertical plane about their axis and in the horizontal plane at an angle of 120 °.

The inner ends of the ropes of the pulleys and rope assemblies shall have joints to which the levers are to be connected, and patient locking elements shall be attached to the levers.

The unit may additionally include a bracket with an autonomous lever and rope system. Such a bracket is required for lowering a patient in a difficult condition together with a tensile shield on a support, and a patient in a difficult condition can be lifted from a support together with a tensile shield.

The fluid drain hose can be connected to the drain via a pump system. The liquid medium is selected from the group consisting of tap water, mineral water, herbal extract solution, saline solutions such as chlorides, sulfides, radon baths and turpentine baths or mixtures thereof.

The temperature of the liquid medium is in the range of 37-40 ° C.

Brief description of the drawings

FIG. 1 - {general arrangement of the device, showing the device bath (without a single wall), with a support, a stretching panel, also showing a system of sliding vertically, on rods and horizontally, on guides, pulleys and rope blocks; illustrates the fluid inlet and outlet channels.

FIG. 2 is a left-hand view of the unit showing the tub of the unit with the leg area guides, leg area rods, visible pulleys, and bolts; also illustrates the outlet of the liquid medium.

FIG. 3 - Right view of the unit showing the unit bath with head area guides, head area bar, pulleys and bolts.

The drawings indicate the following machine positions:

- bath,

- support,

- tensile shield, and 4 ', guide rails located respectively in the feet and in the head,

- rod (in head area),

5 '- pulley and rope assembly (head area),

- pulley,

- rod (in the leg area),

6 '- pulley and rope assembly (leg area),

- pulley,

- connection,

- connection,

- lever,

- drain hose,

- connection,

- connection,

14-lever,

- inlet channel,

- hinge,

- bracket,

- outlet,

19-work space,

- support space,

- Bracket.

DETAILED DESCRIPTION OF THE INVENTION The structure of the device comprises a bath 1, such as a rectangular angled support 2, with a tension shield 3 mounted on the support, wherein a symmetrical guide system 4, 4 'is provided on the bath edges of the patient's head and feet. vertically (up and down j) and horizontally (j to left and j right) pulleys 5, 6 of pulleys and rope blocks, the rods 5, 6 being displaced simply by hand. The position of the pulleys and rope block rods 5, 6 can be further secured with screws 7.

The head area includes a rod 5 with a pulley and rope assembly 5 ', wherein the outer end of the rope, with respect to the bath, has a connector 8 to which a load or hanger can be attached and the inner end of the rope, bath, to 9 is connected to a lever 10 to which the patient's chest straps and corsets are attached, and a Glison loop for stretching the cervical spine can also be connected. The pulley 5 of the pulley and rope assembly 5 'can rotate only in the vertical plane.

The leg area includes a bar 6 with a pulley and rope assembly 6 'comprising a hinge 16 where the inner end of the rope located in the patient's leg area passes through the pulley carrier 17 to the hinge 16, where the pulley carrier 17 can pivot on the hinge 16. 6 in a horizontal plane at an angle of 120 °. The pulleys of the other pulleys and the rope assembly 6 'are rigidly connected to the rod 6, which pulleys can rotate only in the vertical plane. The inner end of the pulley and rope assembly 6 'rope is connected via a joint to a lever 14 to which the locking elements are attached: the patient's pelvic locking straps and corsets. The outer end of the pulley and rope assembly 6 'rope has a connector 13 to which a load can be added or a balance can be hung.

The inlet duct 15 is required for supplying fluid to the bath work space 19. At the bottom of the bath work space 19 is a fluid outlet duct 18 to which an outlet hose 11 is connected. The device bath space 20 is insulated from the bath work space 19; .

The drain hose 11 can also be connected to the drain channel 18 via a pump system.

The device may include a bracket 21 with an autonomous rope and lever system (not shown) for lowering and lowering a patient in a difficult condition, along with a stretching shield 3, and a subsequent lift, along with a stretching shield 3, away from the bath support 2.

Device Operation

The tensile panel 3 of the bath tub support 2 of the device 1, usually or by means of an additional bracket 21, rests the patient to whom the locking elements are applied. The locking belts and / or Glison loop are connected to the levers 10, 14 which are connected via the joints 9, 12 to the pulley and rope assemblies 5 ', 6'.

A test load is applied to the outer ends of the ropes 8, 13. The tensile load from the outer ends of the ropes 8, 13 is transmitted through the pulley and rope assemblies 5 ', 6' to the levers 10, 14 to which said patient locking elements are connected. Due to the free dynamics of the levers 10 and / or 14, the displacement of the hinge 16 and the rods 5, 6, a certain spatial position of the patient is selected as required for the stretching procedure. Further, the patient's position in space can be adjusted even during a stretching procedure. The guide rails 4, 4 'move vertically and horizontally the rods 5', 6 'of the pulleys and rope assemblies 5, 6 until a certain, unique position of the patient is achieved which is suitable for the spinal tensioning procedure. In order to maintain approximately this position during the stretching procedure, the rods 5, 6 are fixed on the guide rails 4, 4 'by screws 7. A constant load or hanging weights are added to the connections 8, 13 for the procedure. After the rods 5, 6 are secured by bolts 7 and a constant load is added, due to the free dynamics of the levers 10, 14 and hinge 16, the patient can slightly change his position on the stretcher during procedure 3 to avoid spinal tension pain.

The working space 19 of the device bath 1 is filled with liquid medium through the inlet channel 15. At the end of the procedure, the liquid medium is discharged through the outlet conduit 18. Further, a load is removed from the outer ends of the ropes 8, 13, and the locking device is separated from the inner ends of the ropes 9, 12 by the levers 10, 14. The patient is lifted from the support 2 together with the stretching shield 3, usually or by using an additional bracket 21.

Examples of implementation of the invention and effective operation of the device:

First example. Male Born 1954 Diagnosis: Lumbopathia L III S I. Lumbosacralgia in the eye. Hernia disci intervertebralis LV-SI. Prolobatio d.i / v. L III L IV et L V. Osteochondrosis et spondiloarthrosis reg. lumbar. Arthroplastica totalis coxae dex.

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Patient status prior to treatment rating Continuous intense 7-point lumbar spine pain; ability to maintain a certain posture of the body: sitting, standing, lying down: pain increases to 9 points while sitting, standing and changing body position, muscle tension, 6 points; painful and limited body flexion in the lumbar spine. Number of procedures 15th Duration of the procedure min 10-30 Tensile load, kg 8-18 Used stretching Device for horizontal stretching of the spine procedures for fixation and in liquid medium, chest and pelvis load equipment stretching corsets, belts, weights from 0.5 kg to 2 kg procedures set. Used stretching Water, 37-38 ° C, maximum temperature procedures for liquid medium 39 ° C. Patient assessment after Slight, 1 point, lumbar pain treatment in the sacrum; ability to maintain a particular body posture: sit, stand, lie down: 1 point pain after

40 minutes of sitting and standing; muscle tension, 1 point; decreased muscle tension and muscle fixation in lumbar spine, pelvic and pelvic femoral joints. There was a significant increase in the volume of movement, especially of the lumbar spine and the right pelvic floor joint. Lower limb muscle adaptation to exercise improved.

The second example. Diagnosis of a woman born in 1963: Lumbopathia L3-45-S1. Lumbalgia et radiculopathy L5, S1 sin. In protrusio centers d i / v L4-5 et discosis L5-S1. Osteochondrosis et spondyloarthrosis l / s. Stenosis canalis spinalis region L45. Hernia Schmorly L1-2-3-4.

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Pre-treatment assessment of patient status Continuous intense 6-point pain in lumbar sacrum, left leg 8 points; ability to maintain a certain posture of the body: sitting, standing, lying down: pain increases to 8 points while sitting, standing and changing body position; muscle tension, 6 points; painful and limited flexion of the body in the lumbar spine; 5 points of numbness in 1-2 left toes, periodic feeling of cold and burning in left leg. Number of procedures 15th Duration of procedure, min. 10-25 Tensile load, kg 7-17 Stretching used procedures for locking and loading equipment for stretching Horizontal spine stretcher, chest and pelvis corsets, belts, 0.5 kg to 2 kg

procedures set. Stretching used procedures for liquid medium Water, 37-38 ° C, maximum temperature 39 ° C. Post-treatment assessment of patient status Minor, 2 points, lumbar sacral pain; ability to maintain a certain posture of the body: sitting, standing, lying down: 2 lumbar pain after 40 min. sitting, standing or walking, leg pain occurs periodically, intensity is 1 point; muscle tension, 1 point; decreased muscle tension in the lumbar spine. The amplitude of motion of the lumbar spine was significantly increased and the inner rotation of the left pelvis was increased with the outstretched leg; improved lower limb muscle reflex quality, adapting to increasing exercise.

The third example. Female Born 1978 Diagnosis: Lumbopathia L4L5-S1, Discosis L4-L5-S1. Posterolistesis L5. Lumbalgia et radiculopathy L5, SI dex. Hernia d i / v L5-SI mediolateral. Prolobatio disci L4-L5.Osteochondrosis.

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Pre-treatment assessment of patient status Continuous, intense 7-point pain in lumbar spine, 8-point pain in back of left leg; ability to maintain a particular body posture, to sit, stand, lie down: pain increases with sitting, standing and changing posture; internal rotation of the left pelvis and lifting of the left outstretched leg are limited, painful; muscle tension: 8 points in the waist

in the sacrum, 7 points in the leg; painful and limited body flexion in the lumbar spine. Due to scoliosis, the body is leaning to the left; obvious cold sensation in left foot and increased sensitivity to cold; hypostasis in the right foot, especially in the L5 area. Number of procedures 15th Duration of procedure, min. 15-20 Tensile load, kg 10-20 Stretching used locking and loading equipment for stretching procedures Horizontal spine stretcher, chest and pelvis corsets, belts, 0.5 kg to 2 kg set. Stretching used procedures for liquid medium Water, 37-38 ° C, maximum temperature 39 ° C. Post-treatment assessment of patient status Decreased scoliosis from stage III-IV to stage I-II. slight, 3 points, lumbar sacral pain, leg pain occurs periodically, intensity is 2 points; ability to maintain a certain body posture, sitting, standing, lying: pain, 1 point, after 40 minutes of sitting and standing; muscle tension, 2 points; decreased feeling of cold in the foot and sensitivity of the foot to cold; no hypostasis in the right foot and lower leg; decreased muscle tension and muscle fixation in lumbar spine, left pelvis, improved left leg extension;

improved lower limb adaptation to increasing exercise.

Fourth example. Male Born 1958 Diagnosis: Lumbopathia L1L2-L3-L4-L5-S1. Lumbalgia et radiculopathy L5, S1 dex. In protrusio centers d i / v L5S1. Osteochondrosis et spondyloarthrosis l / s.

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Patient status prior to treatment rating Continuous intense 6-point pain in lumbar sacrum, right leg 8 points, the biggest pains are in the mornings; ability to maintain a certain posture of the body, sitting, standing, lying down: pain increases to 8 points while sitting, standing and changing body position; muscle tension, 4 points. Number of procedures 12th Duration of the procedure min 15-30 Tensile load, kg 7-20 Used stretching device for horizontal stretching of the spine procedures for fixation and in liquid medium, chest and pelvis load equipment stretching corsets, belts, weights from 0.5 kg to 2 kg procedures set. Used stretching Water, 37-38 ° C, maximum temperature procedures for liquid medium 39 ° C. Patient assessment after Decreased scoliosis from stage I-II to stage O-l. healing slight, 2 points, lumbar sacral pain; pain in the left leg occurs periodically, its intensity is 1-2 points, it occurs after 40-60 minutes. driving a car, reduced pain in the mornings; muscle tension decreased to 1 point.

Fifth example. Male Born 1979, Diagnosis: Lumbopathia L4-L515

S, discosis L4-L5-S1. Lumbalgia et radiculopathy L5 dex. Hernia d i / v L4-L5 mediolateral. Osteochondrosis et spondiloartrosis reg. lumbar. Stenosis canalis spinalis region L4-5.

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Pre-treatment assessment of patient status Persistent pain, especially at night, in lumbar sacrum, intensity 7 points, lower back, right leg and right lower leg 8-9 points; limited and painful all movements of lumbar spine and lower extremities; spine fixed, scoliosis developed, body leaning to the left; numbness of the fingers of the right foot; ability to maintain a certain posture of the body, sitting, standing, lying down: pain increases while sitting, standing, lying on the left side, changing body position; Feeling of burning in both feet; Muscle tension, scores 7-8. Number of procedures 14th Duration of procedure, min. 15-30 Tensile load, kg 8-18 Stretching used locking and loading equipment for stretching procedures Horizontal spine stretcher, chest and pelvis corsets, belts, 0.5 kg to 2 kg set. Stretching used procedures for liquid medium Water, 37-38 ° C, maximum temperature 39 ° C. Post-treatment assessment of patient status Decreased scoliosis from stage III-IV to stage II. increased movement in the lumbar spine, rotation in the left pelvic femur, increased movement and relaxation in the lower limbs;

ability to maintain a certain body posture, sit, stand, lie down: lumbar cross 3-point lumbar spine pain; pain in the left leg occurs periodically with an intensity of 2 points; pain increases with sitting or standing for 30 min. or longer, after a long walk; burning sensation occurs periodically while driving a car; muscle tension decreased to 1 point.

Sixth example. Diagnosis of a woman born in 1961: Cervicopathia C V - C VII. Radiculopathia C6, C7 syn. Cervicobrachialgia sin. Hernia disci i / v lateralis sin C6-C7 et.

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Pre-treatment assessment of patient status In the cervical spine, the left shoulder exhibits 6-point pains, the left arm 5-point pains that increase with sitting, working, typing; in 5 minutes pain in sitting, lying in the head and head rotation; tension in the neck area, 7 points; Numbness of the 2, 3 and 4 fingers of the left hand; periodic numbness and burning in the left shoulder and left shoulder; Number of procedures 15th Duration of procedure, min. 10-25 Tensile load, kg 3-7 Stretching used locking and loading equipment for stretching procedures device for horizontal spine stretching in liquid medium, chest and pelvis corsets, belts, 0.5 kg to 2 kg set. Stretching used Water, 37-38 ° C, maximum temperature

procedures for liquid medium 39 ° C. Post-treatment assessment of patient status There was a 0-1 score pain in the cervical spine, no pain in the left arm; lie down and sleep without pain; tension in the neck area, 1 point; shoulder volume fully recovered, performed at full amplitude; numbness of the fingers of the hand decreased; numbness and burning in left shoulder and left shoulder disappeared.

The seventh example. Diagnosis of a woman born in 1986: Lumbopathia L3-S1. Radiculopathia L5-S1 sin c. subac. Hernia d i / v L4-L5 and L5-S1. Syndromum algicum. Osteochondrosis et spondylosis def. p. lumbar.

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Pre-treatment assessment of patient status Constant lumbar pain, 7 points, and left leg 8 points; pain increases with sitting, standing, lying on left side, back, as well as changing body posture and long walking; 8-point tension in lumbar spine, 7-point tension in leg; pain increases when standing from a sitting position, lumbar spine, pelvis and left leg, painful movements, limited; there is numbness in the left leg. Number of procedures 10th Duration of procedure, min. 15-20 Tensile load, kg 4-15 Stretching used procedures for locking and loading equipment for stretching Horizontal spine stretcher, chest and pelvis corsets, belts, 0.5 kg to 2 kg

procedures set. Stretching used procedures for liquid medium Water, 37-38 ° C, maximum temperature 39 ° C. Post-treatment assessment of patient status Scoliosis decreased from stage III-IV to stage I-II; Pain in lumbar spine reduced to 2 points, leg to 1 point, occurs after long sitting, standing, walking; 5-point tension in the lumbar spine, 3-point tension in the leg, a slight decrease in tension; movements in the lumbar spine no longer painful, amplitude of movement increased; numbness of the left leg occurs periodically and is transient.

Application and advantages of the invention

The proposed device significantly reduces the amount of fluid required during the procedure.

The bath of the proposed device in the bath is integral and tightly connected to the bath wall of the device, made at an angle, the liquid does not enter the lower part, which in case of leaking connection of the bath with grandparents would freely occupy the procedure.

The working space of the device shall be tightly separated from the support space, whether detachable or non-detachable.

The bath space of the unit is usually insulated from the rest of the retaining space so that no liquid enters the remaining space not required for the tensile procedure. However, the working space of the device can be made with a support, for example by casting or stamping, so that the support space is not necessarily hollow.

the device stretcher surface is non-slippery, the device stretcher shield may be lattice-shaped to be used for patient transport:

moving, carrying, lowering and lifting. This device requires about half or at least one third less liquid media than its analogues. Water and / or other liquid media components are saved.

The liquid medium is supplied through an inlet duct and is discharged through an outlet duct hose, which may be connected to the outlet duct via a pump system.

The stretch medium used for the stretching procedure is selected from the group consisting of tap water, mineral water, herbal extract solution, saline solutions such as chlorides, sulfides, radon baths and turpentine baths or mixtures thereof.

The temperature of the liquid medium used for the tensile procedure must be within 3740 ° C.

The unit is provided with a simple plumbing connection to plumbing and drainage systems, utilizes standard straight and curved household plumbing pipes, flexible plumbing domestic pipes, couplings and standard plastic or metal connectors commercially available, and may include faucets, valves and / or taps, pumps commercially available.

In essence, the proposed unit can be disassembled, assembled, adjusted and transported in various ways and can be used in any room where access to water supply and drainage installations (such as washing machines or dishwashers) is possible.

Corsets, Corsets, Belts and Glison Loop - are standard medical equipment commercially available.

Effect of the Invention: The technical problem of the invention is solved when the patient, when lying on the stretching shield, can change the angle of his position in space, vertical and horizontal planes together, the space under the stretching shield is not filled with liquid medium. The unit is equipped with a system of supporting pulleys and rope blocks that can be moved vertically, on rods, and horizontally, on guides, exactly as needed on a case-by-case basis, and lock the patient in a stretching procedure such that stretching effect in liquid media.

Claims (14)

DEFINITION OF INVENTION 1. A device for horizontal stretching of the spine in a liquid medium, having: - a tub (1) with an angled support (2), on which a stretching panel (3) is placed, on which the patient is placed, with the fixing elements inserted, - comprising tensile loading mechanisms: pulley and rope assemblies (5 ', 6') in the patient's head and leg areas, rods (5, 6), guide rails (4, 4 '), characterized in that the tensile load pulley and rope assemblies ( 5 ', 6') are moved both vertically and horizontally with the rods (5, 6) mounted on symmetrical guides (4, 4 ') on the patient's head and leg areas arranged on the rods (5,6). bath (1) outer edges. Device according to claim 1, characterized in that the working space (19) of the bath (1) is a tightly separated support (2) from the supporting space (20) of the bath (1), wherein the supporting space (20) is not filled with liquid medium. Device according to Claim 2, characterized in that the working space (19) of the bath (1) is formed in conjunction with the support (2), for example by casting or stamping. Device according to any one of the preceding claims, characterized in that the support space (20) is not necessarily hollow. Device according to any one of the preceding claims, characterized in that the working space (19) of the bath (1) has a fluid inlet channel (15) and an outlet channel (16). Device according to any one of the preceding claims, characterized in that the rod (6) has a hinge (16) in the patient's foot area and the pulley and rope assembly (6 ¹ ) comprises a pulley (6) which on the hinge (6). 16), together with the bracket (17), can rotate both in the vertical plane about its axis and in the horizontal plane at an angle of 120 °. Device according to any one of the preceding claims, characterized in that the pulleys (5, 6 ') of the pulleys and rope assemblies (5, 6') on the guide rails (4, 4 ') can be fixed, for example, by screws (7). Apparatus according to any one of the preceding claims, characterized in that the inner ends of the ropes of the blocks (5 ', 6') are to be connected (9, 12) to which the levers (10, 14) are attached for securing the patient locking elements. Device according to claim 8, characterized in that the patient's fastening elements comprise chest and / or pelvic corsets and belts. Device according to claim 8 or 9, characterized in that it further comprises a tensioning element of the cervical spine, for example a Glison loop. Device according to any one of the preceding claims, characterized in that it further comprises a vertical bracket with an autonomous rope and lever system for lowering a patient in a difficult condition together with a stretching shield (3) on a support (2) and / or lifting it with a stretching shield (3) ) from the support (2). Device according to any one of the preceding claims, characterized in that the liquid medium outlet hose (11) is connected to the outlet channel (18), optionally via a pump system. Device according to any one of the preceding claims, characterized in that the liquid medium is selected from the group consisting of tap water, mineral water, herbal extract solution, saline solutions such as chlorides, sulfides, radon baths and turpentine baths or mixtures thereof. . Device according to any one of the preceding claims, characterized in that the temperature of the liquid medium is in the range of 37-40 ° C.