MXPA00003497A - Apparatus for restoring the balance of the human body - Google Patents

Abstract

The invention concerns an apparatus for restoring the balance of the human body, consisting essentially of a platform (2) for supporting the subject to be treated and capable of being actuated with an oscillating movement. The invention is characterised in that said platform is power-driven and receives its oscillating movement about a central support axis (6), movement associated with a rotational reciprocating movement, the amplitude and the speed of both the oscillation and the rotation being adjustable and capable of being varied while the apparatus is being used

Description

REEQUI APPARATUS DELIVERED FROM THE HUMAN BODY DESCRIPTION OF THE INVENTION The present invention refers to an improved apparatus that allows a reequilibration of the human body. Such rebalancing, necessary s continuation of multiple causes, implies carrying out operations of CC ion and reeducation that could be qualified as "general biomechanics". Such operations are particularly necessary for the locks of the pelvic girdle, the shoulder girdle and the entire spine. They should also be applied at the time of the sacral insertion in relation to the iliac bones, following direct trauma, or induced by the carrying members or by the gravitational factors that accompany the onset and aggravate it. In addition to these operations of "general biomechanics", it is also advisable to be able to rebalance the posture of the body following dizziness, operations and gravitational imbalances of origins ~ di ve ss as well as the total reprogramming of the projection schemes ti ve s in loads, ankles, and knees. ~~ To perform such rebalancing, we even resort to traditional natural methods, Western and Asian, which allow to obtain a good balance of the human skeleton, methods based on flexions, extensions alternate rotations, from the feet to the head; however, such methods are only accessible to healthy people, are then essentially preventive, and demand a long and annoying practice. In addition to these methods, it has been proposed for a long time to make devices that allow automatic reeducation movements. Thus, it has been proposed, as emerges from FR-A-2 561 911, apparatuses that allow stretching the spine of a person using the weight of his body, the solution described in that document refers to a type of table tilting that allows to install the patient in an analgesic position. Such a solution allows to treat patients whose disks in t e r r e r r e 1 s have a comprehensive pathology as well as to stretch the hips with coxo r r r s s. - The same is not usable in the case in which it is also desired to perform rotational movements, particularly of the pelvis, on the other hand, such a tilting table is of delicate application and of a very uncomfortable use for the user. maintenance of pelvic mobility, it has been proposed, as emerges from FR-A-2 608 057, to realize an armchair that cointegrates a pivoting object in a horizontal plane around a vertical axis while "that the backrest is fixed with relation to said seat. Such an assembly then makes it possible to cause a pivotal movement of the pelvis in one direction or in the other in relation to the fixed trunk, the amplitude of the pivoting movement being adapted according to the treatment. On the other hand, with such an assembly, it is possible to immobilize the seat and make the joints (ankles, knees) work by displacing movable skids on which the user's feet rest. If such an installation makes it possible to ensure the maintenance of the mobility of the pelvis and joints, on the other hand, it is not adapted to carry out a real rehabilitation that involves a mobilization of the skeleton in the three planes of space in the X, Y and Z coordinates. The Swiss patent 328,968 discloses, in this respect, an apparatus comprising two fixation devices for the feet of a patient, devices mounted on a moving platform about a horizontal mid-position. transmission coiritrn i C "a" to the platform an oscillation movement "around its axis and a second device c-omunisa to the platform a movement of ose ila_ci ??? __in a surface that is at least approximately in a vertical plane, and this in such a way that the platform is subjected to a movement that is the resultant of the two oscillation movements. - ~ "~ Such an apparatus allows then to communicate to the pelvis of a patient a conjugate oscillation movement simultaneously in a horizontal and vertical plane, being the amplitude of the oscillations of the platform adjustable in the vertical plane, before use. Even here, it is not possible to obtain a true balance of the body, and moreover, the concrete solution described in that document foresees mediums that are incompatible with a body treatment of the body. This is due to the fact that the patient's feet are fixed by means of "cleats", which can endanger the knees, unless the movement given to them is intimate. The presence of a pelvic girdle blocks ero- iliac mobilization. Finally, the band that maintains the rib cage can disturb breathing and does not allow the torso to work in torsion. Furthermore, in no case can the apparatus aspire to perform a treatment in the sitting position. Outside of the technical field of reeducation proper, it has also been proposed, more particularly with an aim of sports training, to carry out "oscillating, motorized or non-motorized platforms, such as arises particularly from US-A-2 827 894 and from US-A-4 290 601, it is possible for the amplitude of oscillation that can be regulated before use according to the first of these documents, and the amplitude of oscillation that is present in the second. , there have also been proposals, as it appears from US-A-4, 313, 603, the apparitions comprise a platform on which the user stands and which can have an alternating rotational movement in a horizontal plane imparted to the These are the same, in which the movement is obtained by means directly operated by the user, as with the documents examined above, the solutions described in these last three documents also do not allow the Queleto moves in all the space of the three planes, any of these is in position, standing, standing or any other, whose conditions are e s n e lly to maintain a true rebalancing of the body. Now, it has been found, and this is the object of the present invention, a new type of mobile platform, on which the patient can be kept in standing position, in sitting position, or any other, which is of a simple design, easy to apply, multifunctional, and that not only allows the mobility of the pelvis and the joints that are maintained, but also allows a real rebalancing of the body due to the fact that it imposes a change in the entire space of The three levels with the X, Y and Z co-rounds, which make it possible to carry out the sequences of the comp sion-of comp sion, "alternating and rhythmic, adjustable in all its parameters, such an apparatus that allows fundamentally correct imbalances of the center of gravity of the human body located in the pelvis.This progressive imbalance with age, due to lack of maintenance, causes slow, hesitant steps, then falls to what is subjected the aged human skeletons. The apparatus according to the invention allows all the operations to carry out effectively all the operations involving a reection of the entire skeleton, namely mobilization of the sacrum joints. , of the lumbar spine, of the thoracic complex - esc apu 1 o - cer vi ca 1. This is obtained according to the invention by mobilization of the barycenters of the regions of body support surface, standing, bent, three rooms, etc. The subjects in all the space of the three planes with the coordinates Z, X and Y. Such mobilization is obtained by the combination of lateral s_c ilations, pivoting through the diagonal of the sashes, arl rotated pe 1 vis / troncoy oscillation anter op osteor ri.

All this activity of mú s cu 1 o / a r t i cu r e s is carried approximately by automatically controlled motorization, within the psychological range of the movement of the skeleton, and this without any intervention of the patient. If necessary, active work against resistance can be done to improve muscle dynamics. This device also allows a reprogramming of the complete working patterns of the ankle and knee joints. It also allows the reeducation and recovery of the complete amplitudes of the ankles. On the other hand, the apparatus according to the invention can be used independently of the morphology of the individual. In a general manner, the apparatus according to the invention and which allows carrying out a re-evacuation of the human body, essentially consists of a movable circular platform designed to support the subject to be treated, which can have a movement oscillatory imparted to it, in which the platform has its oscillatory movement imparted to it around a central support point, this movement is combined with a reciprocal rotational movement, by means of a simple motor connected to the medium transmission and without the patient intervention, this is in the plane of the subject of the support platform, around a geometric axis perpendicular to the platform and passing through its center and the rotation that adjusts and can be varied during use, the means are associated with the apparatus so that the subject can be maintained either in a standing position, or in a squatted position s. The possibility of regulation allows, on the one hand, the user to position himself on the platform while it is in horizontal position, on the other hand it allows the amplitude and speed of both the oscillation and the rotation that is altered according to the txat It is possible for these factors, which vary in a programmed manner, during use, according to the invention. Furthermore, the structure of the apparatus according to the invention also makes it possible to use the platform in a horizontal plane, the oscillation movement being then annulled, only the rotational movement remaining. According to an embodiment that allows a great variety of treatments to be carried out, this basic platform is associated with means "that allow at least the spinal column of the patient to be maintained in a vertical position on the mobile platform. the hands, these supports that can be arranged, in relation to the patient, either laterally and / or opposite the latter and / or above and which form, in the latter case, a traction bar. In the case of lateral supports, they can also receive a horizontal reciprocating movement Finally, the apparatus according to the invention is also preferably associated with means that make it possible to ensure an traction on the body axis if necessary, particularly at the moment when the subject is standing upright - In this case, these means are, example, constituted by a fixed upright in the form of a guide that supports an element constituted by a chin rest that allows to maintain the subject in vertical position assuring a traction in the axis of the body; in such a case, the chin rest is advantageously fixed to the end of a cable subjected to an adjustable tensile force, this force being exerted for example by means of a counterweight that can slide in the vertical maintenance column or any other equivalent method. Thanks to such an apparatus, it is then possible to clone the patient on the platform depending on the configuration, whether in a standing posture., squatting, even still sitting. At the moment when the subject is treated in a sitting position, a seat is mounted directly on the mobile platform. In such a case, the seat does not comprise back support and is presented in the form of a stool-type seat on which the patient can be positioned either normally having the legs in front of him, squarely, or arranging his legs on each side as if it were positioned on a saddle. Such a seat is preferably orientable at 90 ° from each side in a horizontal plane and incunable from top to bottom on a vertical axis, the degree of inclination that can be variable but advantageously is between 5 and 30 °. The invention and the advantages it brings will nevertheless be better understood thanks to the exemplary embodiment given below by way of indication, but not limiting, and which is illustrated with the attached diagrams in which: - Figures 1 and 2 are respectively top views and lower of an apparatus made according to the invention; Figure 3 is a bottom view showing more in detail the structure of such an apparatus; - Figure 4 is a bottom view showing the way in which control of the mobile platform is carried out; - Figure 5 is a top view of the Figure 4, in which the platform is shown in its horizontal position; Figure 6 is a view according to A of the Figure 4 that shows the way in which the inclination of the support platform is made which allows it to 'communicate its oscillation movement-; - Figure 1 is a view according to B of Figure 4 showing a way of performing the reciprocating drive in rotation of said support platform; - Figures 8 and 9 are respectively views of the lower upper side of a variant made according to the invention. Following the description, the invention will be described using an apparatus given by way of example with a vertically held patient in a standing position, but could also be applied by keeping the patient in a sitting position, the only adaptation brought to the device in accordance with the invention lies in the fact that a seat on which the patient sits is mounted on the mobile platform, an essential element of the invention. In such a case, the seat does not comprise a dorsal support, it has a structure such that the patient can be either seated normally, or riding it. In addition, said seat will preferably be mounted on a height adjustable support, and may be oriented either on each side in a horizontal plane, or incunable from top to bottom.

With reference to the attached diagrams, and more particularly to Figures 1 to 3, the apparatus according to the invention, and which is designated with the general reference (1), essentially consists of a motorized platform (2) serving as support for the patient's feet, this platform that receives an oscillation movement around a central support axis, combined with an alternate rotation movement. To this platform, a fixed upright (3) is associated, in the form of a guide in the present case, and which supports an element (4) - support for chin, for example, which allows to keep the subject in a vertical position on the platform (2). ) and ensure traction on the body axis if desired. In a simple manner, as shown in Figure 3, this traction can be obtained by mounting the chin rest (4) on the end of a cable subjected to a pulling force (F) exerted by exerting it by means of a counterweight (5). ) that can slide in the vertical column (3), which allows having a vertical oscillating stabilization of the head of the subject in synchrony with the oscillation of the platform (2). By way of indication, a counterweight (5) of five kilograms is suitable for most patients to be treated. It is evident that such a counterweight can be changed and changed to a value of less than or equal to five kilograms. In the same way, any other type of balancing system could be used. As mentioned above, the mobile pedestal support frame (2) has a structure such that it is motorized and can, on the one hand, receive an oscillating movement about a central support axis and, on the other hand, a movement of alternate rotation, these movements that are represented in Figures 1 and 2. Figures 3 to 6 illustrate an embodiment that allows to obtain such combination of movements and the way in which the amp 1 i tud can be regulated. As it emerges from Figures 3 to 6, the oscillation movement whose amplitude can be regulated, is obtained by mounting the platform (2) at the end of a central support shaft (6) by means of a set that forms a label (7) . The support axis (6) of the platform (2) is mounted on "the end of the rod (8) of an elevator (9)." The lower face of the platform (2) comprises a crown (10) on which two rollers (11) driven in rotation about a vertical axis Z are supported by means of a connecting rod (12) connected to a motor platform (13) .The platform (13) is driven in rotation by means of a motor (14). ) through a pulley (15) and a transmission belt (16) The motor platform (13) is carried by wheels (17)., in the crown area, a roller (18) is arranged which slides in a vertical side slide (19) so as to immobilize the platform in rotation and then obtain the oscillation movement ~. Thanks to such an assembly, it is then possible to communicate an oscillation to the platform (2) by varying its inclination relative to the horizontal by simple displacement of the elevator. The amplitude of the oscillation will be _ depending on the inclination of the platform (2), inclination that can reach up to 10 °. According to the invention, the platform (2) also receives an alternate rotation movement. Such rotational movement is obtained, as shown in Figures 4, 6 and 7, by providing a displacement of the slide guide (19) of the roller or (18) mounted on the periphery of the platform (2). To do this, the slide (19) is mounted on a support (20) that can slide on a fixed base (21). An eccentric (22) controls a tie rod (23). The rotary drive of the eccentric (22) is obtained, for example, by means of a motor (14) through a tension belt (25) on which a tensioner (24) rests. By regulating the decentering, it is possible to vary the amplitude of the alternate rotation of the platform (2). This alternating rotation of adjustable amplitude can reach up to 30 °. The engine will be a conventional engine, its speed can be regulated either manually, or programmed for example to vary during the course of a treatment. If, in general, at the time of a classic treatment, the motor always turns in the same direction, it could be considered to invert, according to a certain frequency, its direction of rotation. - Finally, the apparatus according to the invention comprises lateral supports (5) adjustable in height, which can receive, as for them, a horizontal alternative slip.

In the embodiment illustrated by Figures 1 to 3, the lateral supports (5) are semi-circular and it is possible to adjust the distance by means of connecting rods (26). The control of the horizontal alternative sliding is transmitted from the alternating rotation movement of the pedestal support platform (2) amplifying it. In addition, the displacements of the supports later ai is (5) can be stopped to give a c o n t r a - r e s t s n e of the movement made by the patient. Advantageously, the lateral supports 15) are mounted on the column (3). Finally, additional supports can be provided, for example arranged in front of or above the patient. The variant embodiment carried out by Figures 8 and 9 comprises a platform (2) operated in a manner similar to that described above. The differences essentially reside in the structure of the additional means, and more particularly of the supports, which can be associated with such a platform. In this embodiment, two vertical frames (30) are arranged laterally to one part and the other of the platform (2) ~ and are mounted on the four angles of the assembly (31) forming the cover of said platform and of its drive means. These two gantries (30) serve as support for the supports (32, 33) for the hands arranged both laterally in front of and above the subject.

Likewise, the frames can serve as support means for means (not shown) that allow to ensure a traction in the axis of the body. In this embodiment, the lateral supports (32) are constituted by two telescopic rods whose ends can slide along the uprights of the frames (30), thus allowing for positioning either horizontally, or oblique way, also making the height positioning of such supports vary. The front supports (33) shown only in Figure 8 are also supported at their ends by the side frames (30).

They can be constituted by a single assembly (33) mounted sliding along the uprights of the. gantry (30), set comprising a support bar (34) adjustable to n gu 1 a rmen t e. Preferably, a plurality of front supports (34) disposed at different levels on the uprights of the gantry (30) and whose handles (34) are pre-oriented with respect to each other, will preferably be used, as shown in Figure 8. the subject to be treated. Finally, an upper cross member (35) can also make it possible to fix the means that allow traction to be exerted on the body axis. In certain cases where you want to keep the patient in a very precise position on the platform, -It is possible, as shown in Figure 9, to equip it with a belt (36), belt that is itself connected to each of the side posts of the frames (30) for the means of elastic links (37) or do not. The two embodiments according to the invention allow real realization of the body and this, applying all or part of the elements they comprise.

In fact, such an apparatus can be applied either by using the platform alone, or by using the platform with the hand supports, laterally in particular, or by using the platform, the hand supports and the oscil- lation decompression head, the patient that can be either standing or squatting, either in a sitting position on a seat mounted on the platform. These different modes of application and the results obtained are summarized below. use of the form s ol a. In such use, the subject being standing on the platform, the following effects are obtained: a) the elevation and inclination of the platform produces an ascension of the hemipelvis on one side: vertical axis Z and the simultaneous descent of the other side and further convergence and divergence of the underlying vertebral segments in a transverse plane; b) a rotation of the platform activates "on one side a rotation + anteversion of the hemipelvis on a transverse axis X at the same time as a rotation and postponement of the opposite hemipelvis and; c) the inclination of the platform determines a change angle of the hemipelvis that causes a lateral translation in relation to a sagittal axis Y. The consequences of this complex movement in three dimensions of the skeleton, then ensure in the three planes of space sequences of c omp resi - n of sc omp resi There is a general articulation drive that can then slow down and stabilize, for example, the sequelae of osteoporosis and obtain a joint and cartilaginous rehabilitation of cartilaginous discs. "Such a combination of movement also gives rise to coherence motor "d aptada to the stimulation. On the other hand, a recentering of the pelvis and spine is obtained, which balances the vertebral supports on the sacrum and frees the iliac tensions, causing a reduction of the possible pains and an improvement of the steps.

Use of the platform and of the lateral supports With regard to the embodiment described above, for the handholding, and this at different heights, it is possible to obtain a wide variety of positioning positions and of the shoulder blade locating and propagating the effects of mobilization of the pelvis and trunk carrier to the different scales of the spine and in all the anatomical and mechanical positions, optimizing then a release of the mobility ero - pelvis tron. The lateral supports allow "also relieve or increase the underlying mechanical discomfort.

Use of the platform f of metal supports and of the oscillating decompression head The use of an oscillating decompression head (4), free in the planes of the space, allows to ensure the vertical maintenance or a slight decompression that will follow the movements induced by the platform. It is then possible to help -a ce rrt r a r - the access of the body of very poorly oriented subjects in space and also ensure a relief of the muscles c e r i c o - e s c apu 1 a r e s. In addition, visual signals can be arranged in front of the subject, which allows acting on imbalances of postures by input of visual posture. In such a case, the hand support sockets are then the means of ensuring coordinations in the cross chains of the scapular and pelvic belts of the fundamental movements of human dynamics and propulsion.

In addition to the uses previously examined for a subject kept in a standing position, it is also possible to use such a set in a sitting position. In this case, a seat without dorsal support shall be mounted on the platform, adjustable at 90 ° on each side in a horizontal and incunable plane from 5 to 30 ° from top to bottom on a vertical axis. Such adaptation allows to select _ a reeducation work of sitting posture, particularly for people injured in the lower limbs. This also makes the work in the spine selective in this reference and allows the release of a clamp set that opens from the tripod that represents each vertebral joint, the tripod which is the fundamental element and base unit of the spine. For such a form of application, it is possible to act on numerous parameters, namely the adjustable height, the amplitude of rotation, the anterior and posterior inclination of the seat, the position of support grip of the upper limbs and see You can also use the reference head. Such a set, of a particularly simple design, can be used not only for the purpose of reeducation, but also to allow preparing and balancing the skeleton at the time of cures of vertebral appendages, chiroplaxis, osteopathies or others before and after. after the sessions, to stabilize the results. It can also be used in the sports field as a training element.

Claims (9)

1. Apparatus that allows a rebalancing of the human body, consisting essentially of a movable circular platform intended to support the subject to be treated and that may have an oscillatory movement imparted therein, and in which the platform has its oscillatory movement imparted in the same around a point of central support, this movement is combined with a reciprocal rotational movement and by means of a simple motor connected to the medium transmission, and without the intervention of the patient, this is in the plane of the subject of the support platform, around a geometric axis perpendicular to the platform and passing through its center, the amplitude and speed of both the oscillation and the rotation are adjustable and capable of being varied during use, the means are associated with the apparatus so that the subject can be kept on the platform and either * in a standing position or in a squat or seated.

2. Apparatus according to the claim 1, characterized in that it comprises supports for the hands.

~~ 3. Apparatus according to the claim 2, characterized in that the supports are lateral supports adjustable in height.

4. Apparatus according to claim 3, characterized in that the lateral supports receive an alternative horizontal sliding.

5. Apparatus according to the rei indication 2, characterized in that it comprises supports arranged in front of or above the subject.

6. Apparatus according to one of the rei indications 1 to 5, characterized in that it comprises means for ensuring traction on the axis of the body.

7. Apparatus according to the claim 6, characterized in that the means allowing to ensure a traction on the axis of the body consisting of an element made of a chin support fixed to the end of a cable subjected to a pulling force.

8. Apparatus according to claim 1, characterized in that the means for holding the subject in a seated position consisting of a seat mounted directly on the movable platform, this seat having no back support and presenting itself in the form of a seat type "taboo r_e te" on which the patient can be positioned either normally having the legs in front of him squarely, or arranging his legs on each side as if he were sitting on a saddle.

9. Apparatus according to claim 8, characterized in that the seat can be orientable at 90 ° from each side in a horizontal plane and tiltable from top to bottom on a vertical element.