RU143983U1 - MASSAGE DEVICE - Google Patents

Abstract

1. A device for massage, characterized in that it contains a base, a stand, consisting of at least two telescopic telescopic tubes, having at different levels at least two through holes and a threaded bolt for adjusting the height of the rack, and two non-telescopic tubes, at least two hinges with locking screws for connecting the tubes to each other, a removable massage element, made to rotate in the form of a round cylindrical brush, an electric motor with a locking element having an elongated outlet one motor shaft with a locking screw at the end for attaching a massage element to it and equipped with a switch-regulator-reverse for selecting the speed and direction of rotation. 2. The device according to claim 1, characterized in that the replaceable massage elements are made with bristles of varying degrees of stiffness.

Description

The utility model relates to medical equipment, namely: devices for the treatment of vascular and soft tissue diseases of the extremities, and can be used for hardware surface massage in patients with chronic edematous syndrome of the extremities of various origins: in medical rehabilitation, rehabilitation medicine, physiotherapy and sports medicine, surgery and traumatology orthopedics

The vast majority of diseases are accompanied by tissue edema.

In chronic diseases, tissue edema is also chronic, disrupts gas exchange, nutrient metabolism, and can lead to the progression of lymphovenous insufficiency and the development of lymphedema (elephantiasis, lymphostasis), which is a serious disease characterized by progressive edema of the limb and proliferation of connective tissue, which in turn leads to a further increase in edema. Lymphedema is formed due to impaired lymphatic circulation of a congenital or acquired nature: after acute or chronic infection, surgery more often in the axillary and inguinal region, radiation therapy for cancer, etc.

In general, the correction of lymphatic edema is an urgent task, the solution of which is difficult due to the presence of a large number of pathogenetic factors.

One of the most effective methods for eliminating edema is massage, which has a powerful both direct and indirect (reflex) effect on the body. The effect on the duration and severity of pathological changes depends on many factors and primarily on the type of massage.

Various massage techniques are used: both manual (including several types and having a certain set of techniques) and hardware, including various technical means and methods of exposure.

Among the techniques of manual massage techniques (MA Eremushkin. Medical massage. Theory and practice. Textbook. - St. Petersburg: Science and Technology, 2009. - 544 p.) There are four main, based on their different frequency of exposure and degree of pressure on the tissue: stroking, rubbing, kneading and vibration, the effect of which affects the degree and time of expansion of the vessels of various sections of the vascular bed, arteries, arterioles, capillaries, venules, veins, lymph vessels to various degrees. Despite the fact that any of them has a stimulating effect at all of the above levels, increasing both the flow of blood to the tissues and the outflow of blood and fluids from the tissues.

According to A.K. Gaiton and J.E. Hall (Gayton A.K., Medical Physiology / A.K. Gaiton, J.E. Hall / Translated from English; Edited by V.I. Kobrin. - M .: Logosphere, 2008. - 1296 c), with an increase in the pressure of the interstitial fluid, the outflow of lymph also increases, however, with an increase in the pressure of the interstitial fluid, it is already up to 1-2 mm Hg. Art. a further increase in lymphatic drainage stops due to compression of the lymphatic vessels, which reduces the possibility of their drainage function. Therefore, the load on the tissues for the physiological functioning of the lymphatic vessels must be gentle.

According to V.K. Khugaeva et al. (Khugaeva V.K., Potekaev N., Tkachenko S.B., Ardasenov A.V. Methods of intravital study of skin microcirculation / Experimental and clinical dermatocosmetology, 2003. - N 1. - P. 8-16) skin refers to organs having a highly developed blood supply system and the largest number of lymphatic vessels in the subcutaneous fatty tissue in comparison with other organs and tissues ”, which creates the conditions for its use in order to correct edema. In addition, the controlled increase in lymph outflow is of clinical importance in the absence of vascular pathology. Thus, mechanical stimulation of lymphatic venous outflow in the experiment prevented the death of animals with brain ischemia and increased survival in acute pulmonary edema by 2-2.5 times (V.K. Hugaeva, Contractile activity of lymphatic microvessels and the role of opioid peptides in its regulation // Physiological Journal of I.M.Sechenova. 1992, No. 78 .-- S. 09-118).

However, mechanical stimulation of lymphatic venous outflow in the form of limb massage affects mainly the venous component. The maximum use for the formation of the ottlymph of the dense network of already existing lymphatic microvessels in the skin allows the use of extremely gentle surface massage techniques. Moreover, due to the slight severity of the load to achieve a clinical effect, the duration of the surface massage should be longer in comparison with conventional massage. The use of surface manual massage is impractical because it takes a lot of time and requires qualifications.

An alternative to such massage is the use of gentle hardware techniques.

For the implementation of the rehabilitation effect and correction of lymphostosis, various technically complex devices are known.

A device is known for the treatment of lymphedema in patients with breast cancer (RU 2479301 cells, IPC: A61H 23/00, A61H 7/00, A61M 37/00, 2006), intended for a comprehensive physiotherapeutic effect on limb biological tissues.

The device comprises a mobile stand, a control unit with a control unit, a polymer heat chamber with a sealant, a decontaminator of spent ozone / NO-containing air mixture, a temperature sensor, a heat carrier generator generating flows of warm or cold air, and an ozone / NO-containing air mixture generator, communicating with a polymer thermal chamber, a generator of low-frequency ultrasonic vibrations with acoustic units and waveguides-instruments, a capillary-porous gasket with ozone / NO-containing medicinal substance. It is equipped with a two-sided open polymer heat chamber with two sealants, coupled with a forming polymer perforated frame connected to a supporting polymer perforated lodgement placed in its cavity, while it is equipped with a branch pipe connected to a deactivator of spent ozone / NO-containing air mixture discharged through this mixture and the flows of warm or cold air into the environment, also of one of its terminal parts, the polymer heat chamber is paired and fixed with elastic a sealant on the output flange of the instrument unit mounted on a pallet of a supporting mobile rack pivotally connected to a lodgment of a polymer heat chamber; supporting traverse with a massage tool in the form of a freely rotating roller, consisting of a set of alternating massage rings of the same thickness but different diameter, while the forming ring of small diameter is made circular, and the forming ring of large diameter is made wavy, in addition, a traverse with a massage tool of the massage block has the ability to move in height with a fixed position and is cantilever connected to a holder mounted on one of the sides of the supporting mobile rack; thermo- and photochromic-ultrasonic applicator connected to the power supply unit of the instrument unit, one of the outputs of which is connected to the matrix board of the semiconductor polychrome LEDs, and the other output is connected to a vibro-pulse massage module, in addition, the thermo- and photochromic-ultrasonic applicator is connected to the output generating a generator of low-frequency ultrasonic vibrations, the second output of the generation of which is connected to an acoustic unit coupled to a waveguide-tool; in addition, the device is equipped with a polymer one-sided open sleeve corresponding to the size of the affected limb.

Using the device allows to increase the effectiveness of the treatment of patients with lymphedema of the upper extremities due to a complex of physical factors in combination with highly active drugs to activate lymphatic drainage.

A disadvantage of the known design is its complexity, which requires a temperature sensor, a coolant generator, an ozone / NO-containing air mixture generator, a low-frequency ultrasonic oscillation generator with acoustic units and waveguides-instruments, a spent ozone / NO-containing air mixture deactivator, and a heat chamber equipped with a tap branch pipe, case, tight sleeves, mobile rack with pivotally connected to the tool tray, support beam with massage tool, etc.

A device for massage is known (RU 2204372, C, IPC: A61H 15/00, 01/01/2000), containing a drive element in the form of an electric drive and massage elements in the form of blades connected to it with the possibility of rotation and a control panel. It is equipped with a base for accommodating the patient, a program control unit, an electric drive rotation speed control unit and a reverse, while elastic massage elements are placed on one shaft, the axis of which is parallel to the base plane, and the shaft is mounted on a traverse with the possibility of changing the distance between the shaft and the base plane, and the control panel is connected to the input of the program control unit, one output of which is electrically connected to the reverse, and the other to the electric speed control unit drive. On the planes of the working ends of the blades made protrusions. In this case, the working ends of the blades are made in the form of a comb.

The disadvantage of this device is the lack of dosed control of the degree of compression during hardware massage, the narrowness of the zone of massage exposure, the need for frequent correction of the couch level during massage of the entire limb.

In the near future, all the above methods have a positive effect on all types of fluid movement (both blood and lymph), however, changes in the flow of lymphatic fluid are of the shortest duration. The absence of a persistent effect during monotherapy forces one to resort to combined methods when a certain set of factors or methods is used. So, with lymphedema, the best clinical effect is ensured by the combination of manual lymphatic drainage after pneumatic massage and hydromassage with pneumatic compression of the limb with apparatuses of various modifications in combination with physiotherapy, drug therapy, physiotherapy, etc.

The objective of the utility model is to create an easy-to-manufacture and use massage device for various diseases accompanied by lymphedema of the extremities, and allowing to obtain a pronounced and lasting therapeutic effect.

The essence of the utility model is that the massage device is characterized in that it contains a base, a stand, consisting of at least two telescopic telescopic tubes having at least two through holes at different levels and a threaded bolt for adjusting the height of the rack, and two non-extendable tubes, at least two hinges with screws for connecting the tubes to each other, a replaceable massage element that is rotatable in the form of a round cylindrical brush, an electric motor with a fixing element a volume having an elongated motor output shaft with a locking screw at the end for attaching a massage element to it and equipped with a switch-regulator-reverse to select the speed and direction of rotation.

Replaceable massage elements are made with a shield of various degrees of rigidity.

Using the utility model allows to obtain the following technical result.

The proposed device allows to obtain a pronounced and persistent clinical effect due to improved blood circulation, microcirculation, detoxification and trophic tissue with a decrease in congestion.

The gentle apparatus massage with the presented device allows you to enhance lymphatic venous outflow by increasing the functionality of the venous and lymphatic channels with an increase in the number of lymphatic vessels and achieving a clinical effect even with monotherapy. An even greater significance of the use of the device was noted in patients with severe lymphedema, when its use at the beginning of combined treatment creates the conditions for the greatest effectiveness of other methods, and simultaneous action with other methods potentiates (enhances) their effect and allows to achieve a stable clinical effect.

A positive point is the low cost of the procedure, even over a long period.

The simplicity of the design allows you to expand the functionality of the device and massage with various diseases in almost any area of the body - the abdomen with pathology of the internal organs, chest with lung pathology, with diseases of the lower extremities accompanied by lymphedema, use it in any room of a medical institution or in home conditions.

A positive aspect is the achievement of a clinical effect without the use of pharmacotherapy.

The technical result is achieved due to the design of the device, providing a gentle surface massage with a soft massaging effect, like stroking lightly in the direction of flow of lymphatic fluid and venous blood (from the periphery to the center) with minimal load on the surface of the skin.

The soft massaging effects of the skin with a massage brush create the conditions for the outflow of venous blood and lymph fluid by increasing the speed of their passage through the vascular bed, maximizing the opening of existing lymphatic vessels and intensive formation of new ones. By achieving an increase in the outflow of interstitial fluid, the concentration of substances that retain the fluid (including protein) in it decreases, which leads to an increase in filtration forces with respect to reabsorption forces, which in turn increases the speed of effective filtration and reduces the concentration of metabolic products in interstitium, which ultimately leads to the normalization of the drainage function of the lymphatic vessels and the achievement of a persistent clinical effect.

The device allows you to perform massage in the patient’s supine position with raised limbs - upper or lower, which is the most physiologically favorable position for lymphatic outflow, in which the discharge occurs due to a higher position in relation to the heart and lymphatic ducts.

The severity of the massaging effect can be controlled by changing the massage element, made with the possibility of rotation in the form of a massage brush with bristles of various degrees of rigidity. When choosing a brush with stiffer bristles, the predominant effect is on the venous bed, and when choosing a soft one, on the lymphatic.

The presence of a system of tubes made with the possibility of extension and adjustment of their position using hinges allows you to set the massage element at the desired angle with respect to the massaged surface in any plane.

A simple design does not require complex devices: a massage brush rotated by an electric motor with the ability to easily but stably change its position in space produces a massaging effect on body tissues with the possibility of controlling its severity due to stiffness of the bristles by quickly changing the massage brush.

When developing the device, the authors were guided by the following provisions.

Of great importance is the provision of conditions for the appearance in the skin and subcutaneous fatty tissue of a new network of lymphatic capillaries and activation of the functioning of existing lymphatic vessels, the degree of severity of the massage effect. Based on the results of experimental work V.K. Hugaeva et al., The most sparing options for massage effects, namely light and very light stroking, have the greatest efficiency.

During the massage, its direct and reflex action consists in accelerating the flow of arterial and venous blood, as well as lymph.

The figure 1 shows a device for massage, General view.

The device comprises a base 1, a rack 2, consisting of at least two telescopic telescopic tubes 3, in which at least two through holes 4 are made at different levels, a threaded bolt 5 for adjusting the height of the rack, at least two non-telescopic tubes 6 and two self-locking hinges 7 with locking screws 8 for connecting the tubes 6 to each other and fixing them to the rack 2, with which the tubes 3 and 6 are installed at the desired angle of inclination with respect to the massaged surface, a removable massage element 9 in the form circular cylindrical brush, an electric motor 10 with a locking element having an elongated motor shaft 11 with the locking screw on the end for attachment thereto of a massage element and provided with a switch-control-reverser 12 to select the speed and direction of rotation.

Replaceable massage elements 9 are made with a shield of varying degrees of rigidity.

The device is used as follows.

For preliminary preparation of the patient, a "drainage position" is used - hanging or elevating the lower limbs by 45 ° or upper ones by 60 °, which is ensured by installing a hard roll at least 15 cm high under the lower limbs of the patient, and at least a rigid pillow under the upper for 15-20 minutes. The effect of hanging (elevation) increases in proportion to the duration of the massage. usually only after 60 minutes there is a significant decrease in the volume of the limb, against which increases the efficiency of the procedure. Elevation can be achieved by raising the foot end of the functional bed, however, the most functional and convenient way to implement the “drainage position” is to hang the limbs on elastic rubber bands, which allows you to get additional massage effect by “shaking” and provides access to any part of the limbs the implementation of massage effects.

Adjusting the height of the rack 2 at the required level is carried out by extending the telescopic tubes 3, aligning the holes 4 with subsequent fixation with a threaded bolt 5. Fasten the tubes 6 to the rack 2 using self-locking hinges 7 and locking screws 8. Correct the angle between the tubes 3 and 6 with hinges 7. Due to the choice of the height of the rack 2 and the correction of the tilt angles by the hinges 7, a position of the massage element 9 is achieved at which the ends of its bristles only slightly touch the surface of the skin, after which the hinges 7 iruyut locking screws 8. Due to the switch controller 12 sets the reverse-speed and direction of rotation of the massage member 9.

The rotation of the electric motor 10 is ensured by connecting to a household electrical network through a switch-regulator-reverse 12, which allows you to choose the speed and direction of rotation of the massage element.

The rotation of the electric motor 10 is ensured by connecting to a household electrical network through a switch-regulator-reverse 13, which allows you to change the type of current, turn on and off, select the speed and direction of rotation of the massage element 9.

In this case, the massage element can be removed and replaced by another similar one having a stiffer or less rigid bristle to provide a different degree of expression of the massage effect.

The duration of exposure to a selected area of the skin is selected individually, after which they are moved to the newly selected area of the skin with the installation of the massage element 10 according to the above scheme.

The total duration of the first procedure does not exceed, as a rule, 15 minutes; subsequently, the exposure time is gradually increased, not exceeding one and a half hours. The rigidity of the massage element is selected individually depending on the severity of the edematous syndrome, its duration and the degree of change in the tissues of the massed area.

Claims (2)

1. A device for massage, characterized in that it contains a base, a stand, consisting of at least two telescopic telescopic tubes, having at different levels at least two through holes and a threaded bolt for adjusting the height of the rack, and two non-telescopic tubes, at least two hinges with locking screws for connecting the tubes to each other, a removable massage element, made to rotate in the form of a round cylindrical brush, an electric motor with a locking element having an elongated outlet one motor shaft with a locking screw at the end for attaching a massage element to it and equipped with a switch-regulator-reverse to select the speed and direction of rotation. 2. The device according to claim 1, characterized in that the replaceable massage elements are made with bristles of varying degrees of stiffness.