RU2189213C1 - Table for carrying out manual therapy treatment - Google Patents

Abstract

FIELD: medical engineering. SUBSTANCE: device has frame, bed rotatable about horizontal axis by means of drive, having its working surface mounted on the frame, means for controlling bed tilt axis position, carriage mounted on guides on the opposite bed side and unit for fixing patient body. The device has shoulder rest members mounted on the working surface of the bed to enable one to adjust distance separating them. Through holes are produced in the bed for thoracic and lumbar belts fixing patient body. Opening for positioning patient face is produced in the bed end area remote from the rotation axis. Removable cantilever member with guide member is set on the bed end far away from the rotation axis. Pulley with flexible rope linked to Glisson loop is movably mounted on the guide member to allow movements across the bed width to take place. The carriage having slits for receiving the fixing belts is mounted on the guide member to allow its position to be fixed. EFFECT: wide range of functional applications; enabled full scale treatment to be done on various segments of the vertebral column, chest, extremities. 5 cl, 11 dwg

Description

 The invention relates to medical equipment, namely to medical tables for conducting sessions of manual therapy, massage of any parts of the body, as well as unloading and stretching of the spine. The table can be used in traumatology, orthopedics, physiotherapy and sports medicine for the prevention and treatment of various diseases of the neuromuscular and musculoskeletal system.

 Known table for manual therapy according to the patent of the Russian Federation 2063190, IPC 6 A 61 G 13/00, 07/10/96, the table contains adjustable supports, frame, base and work surface made movable and flexible. Although this table allows you to remove the functional "hard block" in the patient by providing the surface of the table profile equidistant to the profile of the patient’s body, however, it has the disadvantage that it is impossible to carry out the whole complex of manual therapy on the table.

 A known installation of vibromanual therapy of the spine according to the patent of the Russian Federation 2070016, IPC 6 A 61 H 1/02, 10.12.96, the Installation contains a base made of two joined parts with the possibility of vertical displacement relative to each other, a vibration bed, a traction mechanism and fixing elements the patient. In this case, the vibration bed is composed of balls and rollers. Compared with the previous analogue, this installation allows for vibromanual therapy when a tensile force is applied to the patient’s spine in the longitudinal direction with simultaneous application of transverse forces on the displaced portion of the spine. However, this device, as the previous analogue, has limitations on the scope and does not allow to carry out the whole complex of manual therapy on it.

 Moreover, when using well-known tables for manual therapy, doctors experience great physical exertion to change and maintain the necessary posture of the patient in the process of manual exposure, which is unjustified. Doctors in these cases can only have a limited number of sessions.

 As a prototype, according to the largest number of coinciding essential features with the declared table, a device for mechanized massage according to the patent of the Russian Federation 2026051, IPC 6 A 61 H 1/02, 15/00, 01/09/95, was chosen. The device contains a table mounted on a bed with the possibility of it rotation around the horizontal axis by means of a drive, a device for fixing the patient in the form of a Glisson loop or shoulder straps, equipped with a recording unit of the traction force, massage elements made in the form of a group of rollers rotating and moving along the table , heating element and program control system. This device has a limited scope. Namely, it is intended only for mechanized massage on the spinal column with simultaneous extension of the spine only under the patient’s own weight (controlled gravitational effect). The absence of forced traction of the spinal column and the fixation of the patient in only one zone significantly reduce the effectiveness of mechanical action on the affected areas, in particular the cervical and lumbar spine.

 The present invention solves the problem of expanding the functionality of the table for manual therapy, providing the possibility of carrying out on it a full range of manual medicine on various parts of the spine (cervical, thoracic and lumbar), chest, as well as on the upper and lower extremities with the application of tensile forces on both sides from the affected area and with the fixation of the patient in various poses to ensure free access to the affected area for manual exposure. In addition, the inventive table significantly facilitates the work of the doctor and increases the effectiveness of ongoing sessions of manual exposure to the patient.

 The problem is solved in that the table for manual therapy, containing a bed, a lounger with a working surface, mounted on the bed with the possibility of rotation around the horizontal axis by means of a drive, means for adjusting the angle of the lounger, a carriage mounted on rails on the opposite working side of the lounger , and a device for fixing the body, is equipped with sub-shoulder rests mounted on the working surface of the sunbed, with the ability to adjust the distance between them. In addition, in the lounger along its lateral sides, through-cuts were made under the chest and lumbar fixing belts of the patient’s body, and at its end, remote from the axis of its rotation, a hole was made for the patient’s face. At the end of the lounger, remote from the axis of its rotation, there is a removable bracket with a guide, on which a flexible rod unit connected with the Glisson loop is mounted to move along the width of the lounger, and the carriage is placed on the rails with the possibility of fixing its position and slots are made in it under fixing belts.

 In the lounger at the end near the axis of its rotation, a second hole can be made under the feet of the patient with his head up or his face with his head down. Holes at both ends of the deck can be equipped with covers.

 At the end of the lounger near its pivot axis, a second removable bracket with a guide can be placed on which a flexible rod unit is mounted that can be moved along the width of the lounger, connected with a lumbar fixing belt or Glisson loop.

 The shoulder rests can be equipped with shoulder straps, and the hand and / or foot fixation straps can be placed on the guide blocks.

 The invention is illustrated by drawings, where figure 1 shows a General view of the table for manual therapy, figure 2 - General view of the bed; figure 3, 4 and 5 presents a view from the side of the working surface of the lounger, a side view and a view from the opposite working surface of the lounger, respectively. Figures 6 through 11 show options that do not exhaust other possible options for using the table when carrying out manual impacts on the patient on the chest, cervical, lumbar spine, chest and lower extremities.

 The manual therapy table contains a bed 1 on which a sunbed 2 is installed. A sunbed 2 is mounted so that it can rotate around an axis of rotation 3 mounted on the bed 1 and passing through an opening 4 made in the sunbed 2. The sunbed 2 is rotated by means of a sunbed lift drive 5 . The predetermined rotation angle of the lounger 2 is fixed, for example, by means of a support plate 6 with holes 7 and a fixing pin 8 installed in the corresponding hole 7 and the return hole 9 made in the lounger 2.

 In the sunbed 2 along its lateral sides two longitudinal through holes are made 10. At the end of the sunbed 2, remote from the axis of rotation 3, a hole 11 is made under the face of the patient when he is facing down. In the lounger 2 at the end of the axis 3 of its rotation can be made a second hole 12 under the feet of the patient or his face in the case of a head down position. The holes 11 and 12 can be provided with covers 13 when the patient is facing up. Recommended hole sizes 11 and 12: width 7-8 cm, height 22 - 25 cm; they can have a conical profile with an inner surface finish made of soft material, such as paralon.

 From the side of the working surface of the lounger 2, sub-shoulder rests 14 are installed with the possibility of adjusting the distance between them to fit the patient, for example, by reinstalling and fixing them with a screw 15 in the holes 16 of the lounger 2.

 At the end of the sunbed 2, remote from the axis 3 of its rotation, a removable bracket 17 is fixed with a guide 18, on which is mounted with the possibility of moving along the width of the sunbed 2 block 19 with a flexible rod 20 connected with an adjustable load 21. A second, similar to the first, removable bracket 17 with the guide 18 and the block 19 can be fixed on the end of the lounger 2 at its axis of rotation 3.

 A carriage 23 is installed on the opposite working side of the lounger 2 on the guides 22. The carriage 23 is placed on the guides with the possibility of moving along the guides 22, fixing its position on them, for example, due to the tightening screws 24 or an eccentric (not shown).

 The manual therapy table is equipped with a set of devices for fixing the patient’s body in the chest and / or lumbar region, as well as its individual parts: head, arms, shoulders, legs, etc. In most cases, using these tools, the patient is fixed in at least four places.

 First of all, to stretch the cervical spine, the table is equipped with a Glisson loop 25 through block 19 with a flexible connection 20 connected with an adjustable weight 21. To fix the chest and lumbar region of the patient, the fixing strap 26 and / or 27 made through for example, made of leather or durable fabric. To control the clamping force, the locking belts 26 and 27 may be provided with a dynamometer (not shown). Moreover, at least one of the fixing belts, for example 26, is passed through the openings 28 of the carriage 23 and fixed on the carriage 23. The fixing belt 27 of the lumbar region of the patient can be connected via a flexible link 20 to an adjustable weight 21. For fixing the position the patient’s head uses an elastic strap 29, embracing a plank bed 2 at the level of the patient’s forehead. To fix the patient’s hands with the patient’s head up or to fix his legs when the head is down, use belts 30 located on the upper guide 18. To fix the forearm, use belts 31 placed on the shoulder braces 14.

 Manual therapy table is used as follows.

 The patient is placed on the working surface of sunbed 2 in a position that provides the maximum effect of manual exposure to the affected part of the body. For example, to influence the thoracic spine (Fig.6), the patient is placed with his feet to the axis 3 of the rotation of the lounger 2 face down and with the placement of the subhumeral rests 14 in the armpits of the patient. At the same time, the patient’s face is placed in the hole 11 with the forehead, cheeks and chin resting on the working surface of the sunbed 2. The position of the patient’s head is fixed with an elastic strap 29. After that, the elevator drive 5 is lifted to the required angle, up to the vertical position. In this case, under the influence of the patient's own weight, the spine is stretched. The patient’s body on the sunbed 2 is fixed with a fixing belt 26, the position of which is fixed on the carriage 23 located on the guides 22 in the position corresponding to the anthropological parameters of the patient, after which a manual exposure session is performed on the thoracic spine.

 For impact on the cervical spine, the patient is placed, for example, with his feet to the axis 3 of rotation of the lounger 2 face down to the working surface of the lounger 2 (Fig.7). In this case, the patient’s face is placed in the hole 11 with the forehead, cheeks and chin resting on the working surface of plank bed 2. The patient’s head is fixed with a Glisson loop. The patient's body is fixed with a fixing belt 26 and sub-shoulder brackets 14 with shoulder fixing belts 31. The Glisson loop through block 19 is connected by a flexible connection 20 with a load 21 of a given weight. Lounger 2 is raised to the required angle, providing the necessary effort to stretch the spine, after which a manual session is performed on the cervical spine.

 Manual impact on the cervical spine can also be carried out with the patient standing upside down (Fig. 8). In this case, the patient’s head is fixed with a Glisson loop connected by a flexible connection through a block 19 located on the guide 18 of the bracket 17 located on the end face of the sunbed 2 at the axis 3 of its rotation. In this case, the patient’s face faces the hole 12 made in the sunbed 2. The patient’s feet are placed in the hole 11 made in the sunbed 2 and fixed with fixing straps 30 fixed to the bracket 17 fixed to the end face of the sunbed 2, remote from the axis of rotation 3 .

 The table allows for manual exposure on the limbs (Fig. 10). In this case, the patient’s position, both face up and face down, is fixed on the lounger 2 by means of sub-shoulder supports 14 and a fixing belt 26, and an external tensile force is applied to the limb, for example, due to the Glisson loop 25 connected via a flexible link with a load through the block 19 21 or cross strap 30.

 In FIG. 11 shows the patient’s posture and its fixation during manual exposure to the chest.

 If necessary, support pillows 32 may be used.

 Possible options for patient poses, fixation options for these poses, as well as the nature of the manual impact on the patient are not exhausted by the options for patient positions shown in the drawings, fixation of this position and the nature of the manual impact.

 The claimed table has more functionality than the well-known tables for conducting on it a full range of manual medicine on various parts of the spine (cervical, thoracic and lumbar), chest, as well as on the upper and lower extremities, providing tensile forces both under its own weight and and with the application of tensile forces on both sides of the affected area and with the fixation of the patient in various poses to provide free access to the affected area for manual exposure.

 In addition, the inventive table provides more comfortable conditions during the whole complex of procedures for both the patient and the doctor, greatly facilitating the process of manual exposure to the patient. In addition, with a manual impact on the cervical and thoracic spine when the patient is facing down, the declared table, in contrast to the known tables, eliminates sideways turning of the cervical region, which makes the manual effect natural.

 In all cases of a complex of manual therapy sessions on the affected areas, the claimed table, if necessary, in all patient poses, allows the patient to fix the patient’s body on healthy areas, vertebrae or joints around the affected area and to stretch and treat the vertebrae or joints with a dosed effort, both due to their own weight patient, and due to external load or their joint use.

 All this together increases the effectiveness of ongoing sessions of manual exposure to the patient.

Claims (5)

 1. Manual therapy table comprising a bed, a deck chair with a working surface, mounted on the bed with the possibility of rotation around the horizontal axis by means of a drive, means for adjusting the angle of the deck, a carriage mounted on rails on the opposite working side of the deck, a removable bracket with a block placed on the end face of the lounger, remote from the axis of its rotation, a Glisson loop connected by a flexible rod to the block, and a device for fixing the patient’s body, characterized in that in the lounger along its side through holes for the chest and lumbar fixing belts of the patient’s body are made, and at its end, remote from the axis of its rotation, a hole is made for the patient’s face, the carriage is placed on the rails with the possibility of fixing its position and cuts for fixing belts are made in it, at the end the lounger at its pivot axis has a second removable bracket with a guide on which a flexible traction unit is mounted, connected to a lumbar fixing belt or Glisson loop, the blocks being mounted on rails eremescheniya on loungers width.  2. The table according to claim 1, characterized in that a second hole is made in the sunbed at the end near the axis of rotation.  3. The table according to claim 2, characterized in that the holes on both ends of the lounger are provided with covers.  4. The table according to claim 1, characterized in that the sub-shoulder rests are mounted on the working surface of the sunbed with the possibility of adjusting the distance between them.  5. The table according to claim 1, characterized in that the sub-shoulder rests are equipped with shoulder straps, and the hand and / or foot fixation straps are placed on the guide blocks.

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