RU2004229C1 - Massaging-and-manipulating coach - Google Patents

Description

The invention relates to medical equipment used in orthopedics and neurology, in particular for the treatment of patients with diseases of the vertebrae, intervertebral joints and discs.

One of the most effective treatments for orthopedic and neuralgic diseases, in particular various types of ostechondrosis, is specialized massage and manual therapy.

To perform these manipulations, special tables, couches, beds are provided that facilitate the work of a doctor and a massage therapist,

There is a known couch for reposition of hernias, vertebral discs, containing a base on supports, on which there is a sunbed, consisting of fixed and movable platforms, a loading mechanism for moving the platform when stretching the vertebrae, patient fixation elements.

The pelvic platform can be moved horizontally (to the right, left relative to the vertical axis) and lifted up.

However, the known device has a number of disadvantages. When a part of the body is rotated or lifted, the patient involuntarily strains, muscle spasm occurs and this adversely affects treatment. Spine extension occurs mechanically under the action of a loading mechanism without constant monitoring by the physician of the state of the vertebrae. And this can lead to an overdose of traction, cause patient discomfort and muscle tension, which will significantly reduce the result of treatment. When performing manual therapy, the spinal column cannot practically bend, since the patient is lying on a hard lounger.

A medical bed is also known, comprising a base on which a mattress frame is located, consisting of three movable and one fixed sections. A lever-screw mechanism is provided for moving the sections. The bed is equipped with a rigid swivel shield kinematically connected with a lever-screw mechanism.

On this bed you can perform a cardiac massage in a state of clinical death, as well as various types of therapeutic massage.

A disadvantage of the known bed is the inability to stretch the vertebrae and the implementation of manual therapy.

The closest in technical essence to the claimed is a manipulation table (couch) for stretching the spine, containing a base on supports, on which is located a sunbed having movable sections. One section rotates around the transverse axis, the other around the longitudinal axis of the table. The table also contains mechanisms for moving the movable sections (jack and screw gear, exhaust device in the form of a pelvic

a belt with a belt, a gripper, a dynamometer with a cable fixed on a holder made in the form of a drum with a worm drive; Glisson loop, leg support, section limiters and levers

5 for transmitting movements. Pushers with tips are provided in the table design for acting on individual vertebrae or groups of vertebrae, as well as manipulators for moving the pushers.

This table has great functionality compared to peers, but it is very difficult to manufacture and operate and has a high cost.

The main disadvantage of the known table is that the impact on the patient's 4-spine is carried out mechanically: by pushers, by moving

0 sections, by the influence of cargo, manual mechanical drives. However, there is no possibility of constant monitoring of these effects by the doctor.

When treating a patient on such a table

5 there is no connection between the patient's response to the exposure and the physician.

In addition, the patient in the thoracic and pelvic glands, with the Glisson loop, under the influence of mechanisms cannot relax, without

0 which cannot be an effective treatment. Moreover, on a well-known table it is inconvenient to perform the massage that accompanies the treatment of the spine, it is practically impossible to carry out manual therapy,

5 in addition to mechanical impact on the vertebrae with pushers, Despite the complexity of the design, the table has limited functionality.

The objective of the invention is to expand the range of massive manipulation devices, simplifying the design and expanding their functionality.

The problem is solved in that

5 in the massage and manipulation couch, containing the base on the supports, on which there is a lounger with movable sections connected to the mechanisms of their movement, is additionally introduced pivotally attached to the end part of the base

or a plank bed is a radial staircase, with racks fixing its position, resting on a base. In this case, one of the movable sections is made of at least three transverse plates connected to each other and with the plank bed pivotally, and a support with a vertical displacement drive is installed below them, and the other section is made of one or two plates pivotally attached to the plank bed with their mechanism turning around the transverse axes.

In addition, flexible hand grips are mounted on the radial ladder.

The presence of a radial ladder allows the natural extension of the spine to occur, virtually eliminating the overdose of exposure. Spine extension occurs under the influence of the patient’s body weight, without activating the biceps trapezius and latissimus muscles, which contributes to maximum relaxation.

Considering that the radial ladder can occupy from vertical to horizontal position, it is possible to affect all parts of the spine, regardless of the weight, size and severity of the patient's disease. In this case, the effect is carried out without effort by the doctor, but under his control.

Flexible grip for the hands allows you to avoid straining the muscles of the hands and shoulder girdle, i.e. to achieve the greatest possible relaxation, which has a positive effect on the treatment.

The presence of movable sections makes it possible to act on the vertebrae without great efforts on the part of the doctor, i.e. carry out manual therapy regardless of the weight and size of the patient. At the same time, the doctor constantly monitors the patient's condition and his response to the exposure. The ability to organize a transverse target or bulge allows you to remove functional blocks in the vertebral segments, since the vertebrae above the slit are able to move under the influence of the doctor’s efforts.

The proposed couch is much simpler than the known ones and cheaper, and also has great functionality (massage, stretching the spine, manual therapy).

When searching in the patent and scientific literature, devices of a similar purpose with features similar to the distinguishing features of the claimed object were not revealed, while the combination of its features is not obvious from the prior art, based on which it can be concluded that the proposed object meets the criteria of novelty and inventive step.

The proposed couch does not cause difficulties in manufacturing and can be industrially mastered.

Figure 1 shows a couch, a General view; Fig. 2 shows various positions of a radial ladder on a couch (without mechanisms 10 for moving sections of a sunbed); in Fig. 3 - (on the snip) section of the sunbed of the two transverse plates in the open position; Figures 4 and 5 are a kinematic diagram of the rotation mechanism (on the lumbar) of a section of one 5 transverse plate with the section closed and open, respectively; Figures 6 and 7 show the (chest) section of the sunbed in a convex and concave state, respectively; Fig. 8 is a manual drive 0 for vertical movement of the chest.

The massage and manipulation couch contains a base 1 on supports made in the form of a frame, on which there is 5 sunbed 2 with movable chest section 3 and the lumbar section 4. Section 3 consists of three transverse plates connected to each other and to the sunbed 2. The middle plate of section 3 has hinges for 0 connection to the side plates, MOSES allowing to vary the distance between the plates (plug). The number of plates in section 3 may be more than three.

Section 4 may consist of two (see 5, Figs. 1-3) or one (see Figs. 4-5) flashing ix plates pivotally connected to a sunbed 2.

Under the sunbed 2, pyi-cni is installed with water 5 of vertical movement of lecture 0 and a mechanism 6 for turning section 4 around the pepper axis.

A radial ladder 7 is attached to the end part of the base 1 by means of hinges 8. The ladder 7 can be attached to the 5 end part of the deck 9. A flexible grip i, 9 for hands is installed on the front end of the ladder 7. The ladder 7 is fixed by puffs 10 resting on the base 1.

The rotation mechanism 6 (see FIGS. 4-5) of section 4 includes a wheel 11 mounted on a rod 12 with a spring 13. A cable 1-1 is connected to the rod 12 by one end. which through the pulleys 15 the other end is connected to a lever 16 mounted on the axis 5 17.

To fix the rod 12 in one of the positions, an ognichitel 18 is installed with a spring 19. The limiter 18 is connected by a cable 20 through a pulley 2 to a lever 22 mounted on an axis 23.

The mechanism 6 can be made screw, lever-screw, lever hydraulic or gear.

The actuator 5 (see Fig. 8) is made lever and contains a lever 24 mounted using a hinge 25 on a rack 26 mounted below the sunbed 2. The other end of the lever 24 is fixed with a pin (not shown) on the perforated rack 27 mounted on the sunbed 2 the other side of section 3. A hemispherical stop 28 is mounted on the lever 24, The sunbed is covered with elastic material 29.

The drive of section 3 can be made screw, lever-screw, hydraulically; gear or gear

The claimed couch operates as follows.

PRI me R 1. Patient T .. 34 years old, came to the hospital of the NGO Turboatom on the basis of lumbar pain radiating to the lower left limb. The previous periodic treatment for three years in a hospital with medication with electrophysiotherapy gave a temporary improvement. About a year ago, patient T. felt partial numbness of the big toe of the left foot with constant lumbar pain.

After examining patient T., a diagnosis was made: discogenic in lumbar sciatica.

The patient was prescribed massage in the lumbar region and annual muscles by subsequent application of biodynamic correction (manual therapy).

The patient was placed on the couch face down, placing him on the tongue above the lumbar section 4 (see Fig. 3). Initially, a massage was performed, the patient relaxed. Then the doctor briefly pressed the lever 16 of the mechanism 6 with his foot. In this case, the lever 16 from its initial position (see Fig. 4) rotates around the axis 17, pulls on the cable 14, which moves the rod 12 with the wheel 11, compressing the spring 13. Moving, the rod 12 presses the stopper 18, compressing the spring 19. Then, the stopper 18 is returned to its initial position by the action of the spring 19, limiting the return of the stem 12 to its original position. Section 4, under its own weight, rotates around the transverse axis, forming a slit in the deck 2 (see Fig. 5). At this time, the doctor with his hand, controlling the patient’s relaxation, presses on the affected vertebral segment located above the gap in the lounger 2 and neutralizes the functional block. In this case, a characteristic click is felt, which indicates successful manipulation.

After the session, the doctor presses the lever 22 with his foot, which through the cable 20 acts on the stopper 18, lowering it down and compressing the spring 19. Having released from the stopper 18, the rod 12 under the action of the spring 13 returns to its original position. Wheel 11 acts on section 4, rotates it to a horizontal initial position. The doctor releases the lever 22 and the spring 19 returns the stopper 18 to its original position.

After the third session (sessions were carried out once every 5 days), patient T. felt much better, i.e. pain in the lumbar region disappeared and heat appeared in the thumb of the left limb. The patient restored the function of the neuromuscular apparatus.

During the follow-up examination of patient T., after one and three months, his condition was found to be satisfactory, there were no complaints of pain in the lower back, fingers on the left extremity acquired stable sensitivity.

The formation of a gap in the bed 2 at the time of the manipulation greatly facilitates the work of the doctor and does not require much effort. The patient does not feel discomfort, gives in to relaxation, which greatly improves the effectiveness of treatment. The doctor’s hand is always on the patient’s spine and he senses and controls the patient’s reaction.

PRI me R 2. Patient M., 48 years old, went to the hospital for persistent back pain. He considers himself a patient for about 7 years. She was treated several times in a hospital, receiving a temporary improvement. Recently, occasionally feels pain in the heart.

The X-ray diffraction pattern showed destructive changes in the thoracic spine caused by osteochondrosis, C 4-5, C 5-6, C 6-7.

A detailed examination revealed the presence of a back injury at the age of 17. At the time of going to the hospital, the patient had a recurrent course of osteochondrosis, an exacerbation stage with a pain syndrome.

Massage along the spine, extension of the spine and biodynamic correction of the affected parts of the spine were prescribed.

The patient wore flexible grips 9 on her hands and hung on the radial ladder 7 until she felt uncomfortable. An elastic coating was preliminarily laid on the ladder 7. Using the hinges 8, the ladder 7 was tilted at various angles and fixed by struts 10. The direction of action on the vertebrae was changed (see Fig. 2).

Thus, the extension of the spine with the help of the ladder 7 occurred naturally under the influence of the patient's body weight, which virtually eliminates the overdose of the impact, in contrast to the prototype with the mechanical effect of the load on the spine.

These procedures with natural extension of the spine brought relief to the patient, heart pains decreased.

To perform massage and biocorrection of the vertebrae, the patient was laid face down on sunbed 2 so that the thoracic spine was above section 3 of sunbed 2.

After performing the massage and relaxing, the patient doctor lowers the lever 24 down and fixes it on the perforated rack 27 with a pin (see Fig. 8). In this case, the hemispherical stop 28 falls down 4, section 3 under its own weight and with a light pressure by the hand of a doctor falls down (see Fig. 7). Coating 29 repeats the bending of section 3. Formed from the gap in the lounger 2 allows the doctor to work confidently and without much effort. The limit of his efforts is the radial surface of section 3 itself, and the gap between the patient’s body and the radial surface of section 3 is sufficient for correction. If necessary, this gap can be adjusted by lever 24 and focus 28.

The doctor sharply presses a hand on the affected vertebrae above the gap formed by section 3. Correction takes place under the constant supervision of the doctor over the reaction of the 5th patient. In this case, the doctor does not spend much effort.

After five sessions of manual therapy, the patient completely had back pain, and there was no pain in the heart.

0 During the control examination of patient M,

after one and three months, it was noted that no back pain appeared, and heart pain also disappeared. The patient felt satisfactory.

5Compared with the prototype

the couch is much simpler in design and operation, has a lower cost and greater reliability.

The proposed couch allows without

0 great efforts on the part of the doctor to treat all types of osteochondrosis of the spine, to treat displacement of the vertebral discs. Moreover, any treatment takes place under the supervision of a doctor, since biocorrection is carried out on

5 to the enclosed couch with the hands of a doctor, and not mechanically,

Compared with the prototype, the proposed couch has great functionality, the claimed couch

0 expands the range of massage and handling devices and facilitates the work of the doctor.

(56) Copyright certificate of the USSR No. 1106496, cl. A 61 F 5/04, 1982,

5

Claims (2)

1. MASSAGE AND MANIPULATION COT, containing a base on supports, on which there is a lounger with movable sections connected to their movement mechanisms, characterized in that a radial ladder with pivots fixed to the end part of the base or lounger is inserted into it , resting on the base, while one of the movable sections is made of at least three transverse plates connected to each other and to the lounger pivotally, and a stop with a vertical cross sections, and the other section is made of one or two plate cross members pivotally attached to the bed with a mechanism for their rotation around the cross section of the axes. 2. The couch according to claim 1, characterized in that that on the radial ladder there are light grips for the hands. 7 sz g FIG. 2 Fig.Z Osl SP CN CM t oh oh see Cxi B € g -3cm G J / 5 J 5 C ± C ± l Czd C ± 3 FIG. 6 s: ± s t / g 7 27 FIG. 8