RU137194U1 - DEVICE FOR HEALING OF THE SPINE AND JOINTS - Google Patents

Abstract

A device for healing the spine, joints, containing a wedge-shaped device made of two wedges interconnected along the axis, adjacent to each other with flat sides, while the wedges are equipped with handles with a spring installed between them to return the handles and fit the wedges, characterized in that additionally contains a handle for pressing, pressing and turning half wedges, one surface of the handle is made anatomically similar repeating contours of the palm surface of the brush, nor NJ surface is anatomically similar repeating 2-5 palmar surface of the fingers, the handle has a slot for the monolithic protrusion in the upper arm, which allows to set the handle from a horizontal to a vertical position while rotating stiletto. inserted into the hole on the handle and the protrusion, holes are made in the upper part of the protrusion, which ensure the fixing of the handle in the desired position by inserting studs, half wedges into them. those passing into the handles have a flat contacting surface, and on the back side there are working planes with recesses, anatomically repeating the contours of the end part of the articular processes and glued with softening material, the palm rest located on the handle has an anatomically similar surface surface between 1 and 2 fingers of the hand and thumb hole on the stop.

Description

A device for healing the spine, joints relate to medical equipment.

The prior art device for the correction of the spine, containing a wedge-shaped device, which is made sliding of two interconnected along the axis of the wedges adjacent to each other with flat sides, while the wedges are equipped with handles with a return spring installed between them, providing contact and breeding of the wedges ( RU No. 2220697, publ. 10.01.2004).

The device, taken as a prototype, to some extent removes the physical effort of a specialist, increases intervertebral space with a decrease in the effect of a herniated disc on the elements of the spinal cord.

However, as shown by the use of the known device, the prototype revealed the following disadvantages:

- the introduction of half wedges requires a lot of physical effort, which forces the healer to additionally press on the base of the half wedges;

- the inability to carry out the impact of only one half-wedge, since both half-wedges move apart at the same time;

- the working side of the half-wedge, in view of the presence of a flat beveled surface, slides off the surface of the spinous processes, bone elements that form the joint;

- half-wedges do not allow the rotation of the vertebrae and elements of the joints due to their sliding off the bone elements;

- the device cannot displace one bone part of the components of the joint, the spinal-motor segment with the simultaneous rigid fixation of the other part of the spine, joint;

- on the handles of the device there is no emphasis for 1-2 fingers, which leads to slipping of the hands with the introduction of half wedges in the tissue of the healing;

- given the different angle of exit of the spinous processes, the spine and the location of the bones that form the joints, it is impossible to stably establish the angle of influence of the semi-wedges when acting on the interspinous tissues, on the transverse processes of the vertebrae, ribs articulating with the transverse processes of the vertebrae, and bone elements of the joints of the musculoskeletal device.

The task is to develop a device for improving the spine, joints, reducing the labor costs of the health-improving device, with the possibility of more effective impact on the spine and joints of the musculoskeletal system.

The technical result is expressed in achieving a reduction in labor costs by the health worker, a more effective effect on the spine, joints by bringing their elements into a normal anatomical location.

The proposed device includes (Fig. 1)

1 - a movable handle in the sagittal plane for pressing, pressing, turning semi-wedges, has on one surface anatomically similar repeating contours of the palm surface of the hand, the lower surface anatomically repeats the palm surface of 2-5 fingers, has a groove for a monolithic protrusion 17 for movable connection with the handle 18. α the angle of the possible installation of the handle 1 from horizontal to vertical position. Changing the position angle is possible due to the screw 2, and the pin 14 inserted through the hole 15 into the holes 16 ensures the fixation of the handle 1 under the selected position.

2 - a bolt for a movable connection with a handle 1.

3 - a wedge, consists of two half-wedges 5 and 4 with the possibility of breeding and closing due to rapprochement and breeding of the handles 18 and 19.

4 - a half-wedge, closed with a half-wedge 5, form a wedge 3, which is the working part when introduced into the desired area of impact.

5 - a semi-wedge that goes into the handle 18, just as the half-wedge 4 goes into the handle 19. The half-wedges have a flat contact surface and working planes with recesses in them 10 and 11 on the reverse side, anatomically repeating the contours of the ends of the articular processes.

6 - the spring holding the handles in the open state, and the half wedges 5 and 4 in the closed state, forming a wedge 3.

7 - connection by a bolt, along the axis of which there is a smooth closure of the handle 18 and 19 with the simultaneous divergence of half wedges 5 and 4.

8 - local gluing like huskies or similar material of both half wedges to soften when exposed to joint space, transverse and spinous processes.

9 - after inserting the wedge into the joint space, when pulling the handle 19 from the bottom up to the handle 18, the pressure occurs only with a half-wedge 4. Stable holding the device and pressing the upper handle 18 down leads to a shift of the half-wedge 5. Compression of two handles 18 and 19 at once produces an average effect on the expansion of the joint space. Arrows indicating the direction of displacement, in the first case β, in the second ω.

10 - a notch in a half wedge 5 is located in the center for congruent emphasis on the end face, for example, of the spinal process of the vertebra located in the position of rotation or retrolisthesis, which allows to increase articular spaces, to carry out derotation without slipping half wedges.

11 - a recess to prevent slipping when exposed to the spinous processes. Together with the hole 10 form a thin wedge for introduction into the tissue of the affected area.

12 - an emphasis for a hand, has an anatomically similar surface surface between the thumb 1 and 2, which makes it possible to press forward while pressing the handle 18 while lowering the handle in the direction of arrow ω, forming additional pressure.

13 - hole for the thumb on the stop 12, which makes it possible more strong steady pressure device.

14 - a pin inserted into the hole 15 in the handle 1 for fixing the handle 1 at different angles, as appropriate, in the hole 16.

15 - hole in the handle 1 for inserting the studs while fixing in different positions of the handle 1 with the stud 14, inserted into one of the selected holes 16.

16 - holes located in a semicircle relative to the bolt connection 2 located on the protrusion of the device for movable connection with the handle 1.

17 - a monolithic protrusion on the handle 18 for connecting the handle 1 with its fixation with a bolt 2, with the possibility of changing the angular position of the handle 1 as appropriate, followed by fixing with a pin 14 in the direction of α, after aligning with one of the holes 16.

Work with the device.

After visual and palpation testing, we proceed to recovery.

Heals in the supine position, elbows to the sides, forehead on the hands. The device increases the intervertebral spaces, acting on the transverse processes of the vertebrae as follows.

We smoothly introduce two half-wedges in the closed state into the space between the transverse processes of the necessary segment of the spine and repeatedly slowly squeezing the handles, we increase the space from the side of the scoliotic concavity with the gradual removal of the closed half-wedges. We act in the same way from the contralateral side. You can alternate the impact from one and the other side, and repeatedly. There is a pump effect, “pumping” of disks with biological fluid during the formation of periodic negative pressure in the intervertebral space, increasing the depreciation and reposition capabilities of the pulpous nucleus, eliminating wedge-shaped protrusion of the disks and returning them to their physiological position. In the intervals of the segments, the cylindrical shape of the discs, their height, and protrusions and intervertebral hernias are restored.

The impact occurs along the longitudinal axial spine, on the ventrally located ligamentous apparatus of the vertebral bodies and the ligamentous apparatus of the spinous processes in a balanced manner. Otherwise, if you start the action first on the spinous processes, this leads to a wedge-shaped increase in the gaps, an expansion in which between the spinous processes there is an overstretching of the interspinous ligaments, and a strong compression of the marginal parts of the vertebral bodies forms in the ventral part. In the presence of ventrally displaced discs, especially dehydrated, sequestration can occur on one side, and wedge-shaped protrusions form or increase from the dorsal part of the vertebral bodies.

After increasing the spaces between the transverse processes and relaxing the ligamentous apparatus, we proceed to expand the interspinous spaces. The wedge-shaped part of the device is inserted into the desired interspinous gap by the refined part of the middle of the half-wedges, formed by the recesses 10 and 11, and is installed under and above the spinous processes. Gently squeeze the wedge, and then unfold it with handles and handle at the required angle for derotation, shifting clockwise or counterclockwise. Simultaneously with the expansion, vertebral rotations are eliminated using the processes as short levers. A preliminary increase in the intervertebral spaces of the deformed and adjacent segments excludes the destruction of dehydrated and compressed discs, and their sequestration at the time of exposure. The extension of the half wedges is carried out smoothly, painlessly with a gradual deepening. This is especially necessary in the presence of "fish" or with a decrease in the height of the vertebral bodies, with overgrown osteophytes and overstressed articular and ligamentous apparatus.

And only after the restoration of the articular spaces, the elimination of rotation, we proceed to eliminate antero or retrolisthesis.

The recovering person lies on his stomach, resting on his elbows, his head is propped up with his fists - the most comfortable, stable posture with a relaxed spine bent to the banquet, which provides edge compression of the vertebral bodies from the side of the deflection, and the ventral-fan extension. This position makes it easier, dorsal, or ventral displacement of the vertebral body, restores joints and soft tissue structures of adjacent segments. We firmly hold the device by the handle 1 and handle 18 with an emphasis for the hand 12. We install the device so that the notch of the half-wedge congruently adjoins the end part of the displaced spinous process. For some time, we press on a caudally displaced spinous process with a retention of 1 min. up to 2 min. Periodically pressing until the vertebra is displaced to the physiological position.

We increase the intervals between adjacent vertebrae. The thinning provided for in the half wedges, in the form of recesses, is necessary for congruent fit with the end face of the spinous process. Half-wedges due to the notches are introduced into the interspinous spaces less painfully, and carry out parallel expansion at the time of compression of the handles 18 and 19. A half-wedge with a notch is more maneuverable, congruent to the surface of the spinous process and facilitates derotation of the spinous processes or elements of the joints of the musculoskeletal system. The pressure increases if the handle 18 is simultaneously lowered down along the arrow ω, at the time of pressing the handle 1 and the stop 12.

Thus, the elimination of deformations of the spine and joints is possible, the neurovascular plexuses originating from the spinal cord in these segments are restored, and trophic joints are improved. With a static holding of the device on the back and pressing the lower handle 19 to the upper 18, one of the half wedges is pressed in the caudal direction. It is used in the elimination and anterolisthesis to increase intervertebral spaces.

Device features.

After the survey, visual inspection and palpation testing of posture, spinal deformity, protrusion, functional blocks, we proceed to recovery.

1. Expansion of the space between the processes: after identifying problematic segments of the spine, a wedge consisting of two half wedges, we introduce between the transverse processes of the vertebral bodies, if necessary, between the ribs and smooth compression of the handles, and at the beginning we slowly push the half wedges, exactly the same way from the contralateral side. Thus, the smooth alternating expansion of the spaces between the transverse processes creates the effect of relaxing the ligaments, which have the same property as seat belts in cars, and makes it possible to eliminate compression and rotational damage to the intervertebral discs. The position of the transverse processes and ribs becomes parallel due to the elimination of lateral wedge-shaped protrusions and centralization of the pulp nuclei, as well as the restoration of turgors and depreciation properties of the discs. Next, we introduce closed semi-wedges between the spinous processes, for example, rotated relative to each other, and by smoothly compressing the arms, we expand the gap between them.

2. After relaxation of the ligamentous apparatus, by turning the device clockwise or counterclockwise, as appropriate, we deploy the spinal processes towards each other in the sagittal plane. The effect of derotation is achieved by the action of two device handles and a handle. We have the same repositional effect on the desired segment of the spine. After the cessation of sufficient exposure, the height of the disk is generally maintained.

A similar effect is applicable for the expansion of large and small joints: costal, collarbone, sternum, hip, knee, ankle, sacroiliac, symphysis, skull joints, etc. During the ongoing manipulations of the device, a constant dialogue with the healed is carried out and his comments can be used as corrective.

3. Elimination of retro, anterolisthesis. When using the device, we put the person being healed on the banquet with his forehead on the hands. We conduct palpation testing - please bend on outstretched arms. Remember your feelings and the possibility of maximum deflection. At this moment, by palpation we fix all the bulging vertebrae, retro-anterolisthesis and rotation. Next, we heal the healthier with emphasis on the elbows, propping his chin with clenched fists. The pose must be steady. Having previously increased the intervertebral spaces above and below adjacent segments, we set the half wedges with a hole on the displaced spinous process. Handles 18 and 19, located in the hand, combine with the longitudinal axial spinous process and the direction of force on its end part. For congruence of the notch with the end face of the spinous as a gasket, you can use an additional flap of thick, soft (1 mm) skin or a towel in 2-3 layers. With a smooth movement, holding the device with the left palm on the handle 1, and pressing the stop 12 with the right palm, lower the handle 18 down. We produce a force displacement of the semi-wedge 5, which displaces the body of the bulging vertebra into the physiological position. Moreover, each moment of exposure is amplified by the pressing movement of the handle 1 and the stop 12 at the same time. Manipulation must be repeated until the result is fully achieved, and in the lumbar region, pressure is applied in the cranial and caudal directions.

When acting on the cervical spine, we install the device under a certain, as appropriate, angle between the spinous processes relative to the sagittal plane and at the same time we reposition, extend and rotate the vertebral bodies. If necessary, you can reposition carefully for the transverse processes of the neck. Thus, it is possible to eliminate cervical scoliosis and kyphosis and restore functional lordosis.

The device allows to eliminate retrolisthesis by acting on the adjacent vertebral bodies and on the flat part of the transverse processes or ribs. To do this, we increase the gaps with adjacent vertebrae and alternately pressing the half-wedge 5 on the flat part of the transverse processes of the bulging, i.e. swing the displaced vertebra and alternate pressures, with different pressing forces for the handle 1 and focus 12 with the simultaneous displacement of the handle 18 down, which gives an addition to the pressure force. At this moment, the bulging body of the vertebra descends to the physiological position, which was in the position of retrolisthesis. Similarly, spinal deformities are eliminated, in which palpation testing revealed antero-retro-retrolisthesis.

The technical result is achieved:

Thanks to the effect of the device, the connections between the musculoskeletal system and internal organs are restored.

Due to the smooth effect on the ligamentous apparatus of the joints, through soft pads, elderly, pregnant and children easily and less painfully tolerate manipulations. With the help of the device, the procedures, in most cases, pass quickly, the rehabilitated do not get tired of them.

Thanks to the device, it is possible to heal at the time of exacerbation, contrary to the recommendations of neurologists and manual therapists, not to intervene at the time of acute pain. We can reposition each vertebral body in 3 planes as part of the spine, gently releasing the restrained neurovascular plexuses.

Due to the smoothness of the controlled effects of the device, the risk of irreversible over stretching with rupture of ligaments and destruction of the compressed discs is eliminated.

Due to the capabilities of the device, percussion techniques are not used.

Due to the correctness of the effect of the device, there is no need for painkillers and cooling, pre-heating electrical stimulating, etc. procedures.

Thanks to the developed device that facilitates the healing procedures, they can be carried out by female specialists and saving energy in the healing person.

Thanks to the device, the main recovery takes place in a stable position on the elbows, propping his head with his fists. This position creates a temporarily increased lordosis, which can be increased by placing an elastic declinator-lining under the elbows. In this position, defects in the segments of the spine, the “soldered chain effect” are much more pronounced, and as the device impacts, the affected ones feel a gradual and smooth increase in the deflection of lordosis and a decrease in hyperkyphosis of the thoracic spine. With extension, a fan-shaped marginal expansion is formed on the ventral side of the vertebral bodies, and at the moment the device acts on the dorsal part of the spine, with the expansion of the intervertebral spaces, the moment of almost spontaneous repositioning of the retro-vertebral vertebrae to the physiological position is formed ventrally.

An example of spinal healing.

The young man, Magomed K, 19 years old, from the ensemble “Dances of the Nations of the World”, came up with a problem - pain in the right side of the lower back. At the moment of "pa", when in a jump it is necessary to land on both knees, arms spread out to the sides, a sharp pain pierced and has continued to hurt since then. Gritting his teeth, almost on one leg, imperceptibly went into the background. In the future, the deterioration of health gradually increased. There was a headache in the right temple and forehead, numbness of the right limb, pain in the right hypochondrium. I could not participate in performances. Visual and palpation testing revealed a distortion of the pelvic bones and deviation of the sacrum towards a relatively elongated limb.

Currently known segmental innervation, affecting organs and muscles. The device expanded the intervertebral spaces by acting on the transverse processes introducing a wedge consisting of two half-wedges and squeezing the handles gently extended them. This manipulation was repeated several times. After that, using the notches on the semi-wedges, gently squeezing them between the spinous processes and turning at the necessary angle, inside the intervertebral joint, the vertebral bodies were controlled laterally by the spinous processes, using them as short levers. The revealed rerolisthesis with a lateral displacement of the vertebra L ₅ , repeated pressure on the end face of the spinous process, setting the device at a certain angle, was displaced ventrally. After 3 sessions with an interval of 2 weeks, the pain stopped and was not disturbed in the future (observation during the year).

An example of joint healing.

Pavel M., 28 years old. There was an injury: a fracture of the external, internal ankles, a tear of the ligaments of the tibiofibular joint. After bone fusion, arthrosis of the tibia was revealed. Complaints of pain when walking in the joint, limiting the back flexion of the foot by 10-15 °.

A wedge was inserted at each session between the tibia in front in the projection of the tibiofibular joint and half wedges were bred to stretch the middle tibial ligament. Then, after cultivation of the tibia, the front edge of the fibula was deployed outward to mobilize the anterior tibial ligament. Next, the wedge was inserted posteriorly between the tibia into the projection of the tibiofibular syndesmosis and the posterior edge of the fibula was deployed anteriorly to mobilize the posterior tibial ligament.

As a result of such actions, using the device for healing joints (and the spine), the intervertebral joint was stretched due to the mobilization of all three ligaments, which led to an increase in the ankle forks and the elimination of ligamentous contracture of the tibiofibular syndesmosis, the back flexion of the foot was restored in full.

Bibliography.

1. V.I. Shvetsov, V.D. Makushin et al. “Osteochondropathy of the hip joint”, 2007

2. P.L. Zharkov, E.G. Martirosov, A.P. Zharkov “Movement treatment (kinesitherapy) at home and in medical institutions for pain in the musculoskeletal system”, 2003

3. S.A. Stepanyan “Manual Sacro-Occipital Therapy”, 2002

4. A.N. Ushakov "Biomechanics of the spine", 2003

5. V.G. Gubenko “Manual therapy in vertebro-neurology”, 2006

6. V.D. Chaklin, E.A. Abalmasova "Scoliosis and kyphosis", 1973

7. Ya. Yu. Popelyansky “Orthopedic Neurology”, 2003

8. K. Levit, J. Zachse, V. Yanda “Manual therapy”, 1993

9. V.P. Veselovsky "Practical Verterology", 1991

Claims (1)

A device for healing the spine, joints, containing a wedge-shaped device made of two wedges interconnected along the axis, adjacent to each other with flat sides, while the wedges are equipped with handles with a spring installed between them to return the handles and fit the wedges, characterized in that additionally contains a handle for pressing, pressing and turning half wedges, one surface of the handle is made anatomically similar repeating contours of the palm surface of the brush, nor NJ surface is anatomically similar repeating 2-5 palmar surface of the fingers, the handle has a slot for the monolithic protrusion in the upper arm, which allows to set the handle from a horizontal to a vertical position while rotating stiletto. inserted into the hole on the handle and the protrusion, holes are made in the upper part of the protrusion, which ensure the fixing of the handle in the desired position by inserting studs, half wedges into them. those passing into the handles have a flat contacting surface, and on the back side there are working planes with recesses, anatomically repeating the contours of the end part of the articular processes and glued with softening material, the palm rest located on the handle has an anatomically similar surface surface between 1 and 2 fingers of the hand and thumb hole on the stop.

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