RU2512959C1 - Mechanotherapeutic massage and gravitation spine traction apparatus - Google Patents

Abstract

FIELD: medicine.SUBSTANCE: mechanotherapeutic massage and gravitation spine traction apparatus comprises a solid frame; a table with a horizontal axis rigidly connected thereto, and pivotally connected to the frame; a couch placed on the table; a table inclination tilt group comprising an electric drive attached to the frame and kinematically connected through a pressing reducing valve to the horizontal axis; a massage assembly with massage rollers; an electrically driven displacement assembly for the massage rollers; a pressure assembly for the massage rollers; a traction force sensor; thermal elements; patient's flexlink fasteners; a program control unit with its outputs connected to the electric drive of the table inclination tilt group, the electric drive of the displacement assembly for the massage rollers and the thermal elements. The table inclination tilt group is presented in the form of a hall element with its semiconductor converter attached to the body, and a permanent magnet - mounted on a shaft of the electric drive of the table inclination tilt group. A shutoff pressure force sensor is presented in the form of a strain gage sensor placed on a vertical platform attached to a foot portion of the table. A limit stop for the massage rollers is presented in the form of a supporting bracket rigidly connected to the displacement assembly, and two indicator units of extreme position. A remote-position control is connected to a program control unit. The couch is multi-section; each section is provided with rollers to advance the sections along guides attached to an upper surface of the table, and section position regulator, while one of the sections of the couch comprises a rectangular long slot matched with the patient's spine position on the couch and enclosed with a cape from above. The displacement assembly for the massage rollers has a horizontal frame movable on the rollers along the guides attached to a lower surface of the table and having a C-section, an inclined frame one side of which is pivotally connected to the horizontal frame, and the other side - pivotally connected to the massage assembly, and a toothed belt on two rollers and providing a flexible kinematic link between the electric drive of the displacement assembly for the massage rollers and the horizontal frame. The pressure assembly for the massage rollers has a tongue piece and a screw nut welded to the inclined and horizontal frames respectively of the displacement assembly for the massage rollers, a fork with its threaded portion being engaged with a screw nut thread, and interacting with the tongue piece, and a thrust shaft engaged with the fork and having a recoil spring and a handle. The traction force sensor is presented in the form of a strain gage sensor placed on a vertical platform attached to a head portion of the table. The indicator units of extreme position are configured with a position adjustable along the table, while the outputs of the program control unit are connected to the outputs of the inclination tilt group, the traction sensor and the shutoff pressure force sensor and the two indicator units of extreme position.EFFECT: invention enables giving a fuller complex of manual and mechanical massage and gravitation spine and joint traction, as well as creating more comfortable conditions for the patients when performing therapeutic procedures, reducing a risk of injuries.7 cl, 20 dwg

Description

The invention relates to medical equipment, and more specifically to means for mechanotherapy, and can be used to stretch the spine and joints of the extremities, as well as for vibromechanical massage of the vertebral muscles and ligaments.

The establishment of the prior art.

Based on the analysis of materials from the patent fund and other medical and technical literature, the applicant established the following.

The types of therapeutic effect on the spine and paravertebral muscles and ligaments are known and widely used in domestic and foreign medical practice: manual and mechanical (hardware) massage, traction (traction), vibration (vibration massage and vibration traction), magneto and electrotherapy, thermal radiation, etc. .d. The most common among them are mechanical (vibromechanical) massage and traction.

A brief description of the main types of medical and medical-mechanical effects on the spine and joints.

Massage - a set of methods of therapeutic and mechanical dosage action on the spine and paravertebral muscles and ligaments in the form of pressure, vibration, friction, stroking, etc. It can be used as an independent type of therapeutic effect, or used in combination with other methods of treatment (for example, with vibration or traction). Very often massage is used as an effect prior to stretching.

Vibration is an effect intended to increase the therapeutic effect of mechanical massage or traction and is realized with the help of vibrators moved manually or by using special vibration sources built into automated means for massage or traction of the spine.

Traction - a method of treatment and prevention of diseases of the spine by forming traction along its axis or at some angle to it. The basis of treatment is most often the adoption of measures to lengthen it in order to unload the nerve endings, restore intervertebral discs and correct the relative position of the vertebrae.

Heat therapy. In some cases, the above types of mechanotherapy are preceded by heat therapy. It is intended for thermal relaxation of the paravertebral muscles and ligaments and can be carried out both due to “internal” heat, for example, by performing gymnastic exercises, and due to external thermal irradiation (heating with a heated air stream, thermal elements mounted in means for mechanotherapy, etc.) .P.). Thanks to the preliminary thermal effect on the patient's back, mechanical massage of her muscles and ligaments and extension of the spine itself are facilitated.

Mechanotherapy - a phrase consisting of the words "mechano", ie related to mechanics, and “therapy” is a treatment. With mechanotherapy, a therapeutic and training effect on the spine, its bone-articular elements and paravertebral muscles and ligaments is carried out. Such an effect contributes, for example, to preventing curvature of the spine, improving the mobility of its links, and preventing diseases such as lordosis, kyphosis, scoliosis, and various types of posture disorders.

To date, mechanotherapeutic units for massage and traction of the spine are known, when using which the patient is in a horizontal (orthostatic) position during the treatment procedure, and external horizontal artificial forces are used for traction [1,2].

The practice of using traction aids has shown that the inclined-gravity form of extensia is more physiological when gravity (weight) of the patient’s own body is used to stretch the spine and joints, to which his tissues are adapted [3]. The patient is placed on a special table, which can be tilted at a certain angle to the horizon up to 90 °, when the patient is already in the so-called anti-orthostatic position. With oblique extension, traction is carried out under the influence of gravity equal to, and most often, less than the patient’s body weight, which minimizes the possibility of complications during the procedure. In addition, by changing the angle of inclination, a gradual (metered) change in the pulling force is possible.

Mechanotherapeutic units for inclined gravity traction are divided into two large groups:

a) installations in which the center of gravity of the table and the axis of its inclination (rotation) lie approximately on the same vertical plane [4-12];

b) installations in which the center of gravity of the table and the axis of its inclination (rotation) lie on different (separated from each other) vertical planes [13-15].

A feature of the installations of the first group is that their design requires for tilting the placement of the table's tilt axis at a relatively large distance from the floor (otherwise the table cannot be tilted at large angles). Raising the axis of inclination of the table significantly reduces the stability of the installation, increases its dimensions and complicates the placement of the patient on it.

In installations of the second group, the table inclination axis is in most cases shifted to its end, which allows the table to be tilted up to 90 ° without raising its axis to a relatively large height.

Known mechanotherapeutic installation for massage and gravitational traction of the spine, containing:

- a case, the working surface of which is made in the form of a couch and is equipped with a thermal element and a device for fixing the patient’s body,

- a massage unit located inside the body, made in the form of a platform with rollers-massagers, preloaded, reciprocating and tilting units and a program control unit, the outputs of which are connected to a thermal element and electric units of preloaded, reciprocating and tilted units, wherein:

- the housing is placed at one end on fixed, for example rubber, supports, and at the other end on a support frame pivotally connected to the housing and provided with movement rollers along the supporting surface of the housing,

- the couch is made in the form of a fixed chest section associated with a device for fixing the patient’s body, and a movable hip section mounted on rollers and with the possibility of reciprocating movement along the guides,

- the housing tilt assembly is made in the form of a telescopic mechanism, the first and second ends of which are pivotally connected respectively to the housing and the support frame,

- on the housing there is a sensor for the angle of inclination of the housing, the shaft of which is kinematically connected with the support frame, and the program control unit contains a regulator for inclining the housing, the input and output of which are connected respectively to the output of the sensor for the angle of inclination of the housing and the input of the drive unit of the housing tilt [13].

The disadvantages of this installation are:

- relatively narrow functionality;

- a relatively small maximum angle of inclination of the body (less than 30 °), which in some cases does not allow to achieve the necessary traction force (for example, when stretching the lumbar spine).

Also known mechanotherapeutic installation for manual therapy and traction of the spine, containing:

- bed

- a table equipped with a horizontal axis, providing the possibility of tilting the table,

- a couch placed on the table,

- means for adjusting the angle of the table,

- a carriage mounted on rails on the opposite side of the couch,

- a removable bracket with a block located on the end of the couch, remote from the axis of rotation,

- means for fixing the patient’s body, while:

- in the couch along its lateral sides holes are made for the fixing belts,

- at the end of the couch, remote from the axis of rotation, a hole is made under the face of the patient,

- the carriage is placed on the rails with the possibility of fixing its position, and slots are made under it for fixing belts, on the end of the couch near its axis of rotation there is a second removable bracket with a guide, on which a flexible traction unit is connected, connected with a lumbar belt, and the block is installed on guides with the ability to move across the width of the couch [14].

The disadvantages of this installation are:

- relatively narrow functionality,

- the use of additional weight-regulated cargo (pos. 21),

- non-operational regulation of the weight of goods,

- the lack of thermal massage of the patient.

Characterization and criticism of the prototype.

The closest invention to the proposed according to the greatest number of similar features, technical nature, circuit design and achieved by using the result is a mechanotherapeutic unit for massage and gravity traction of the spine described in [15].

Such an installation, selected as a prototype, contains:

- massive bed

- a table equipped with a horizontal axis, rigidly connected to the table and pivotally - with the bed,

- a couch placed on the table,

- a table tilt assembly comprising an electric drive mounted on a bed and kinematically connected through a gearbox to the horizontal axis of the table,

- massage unit with roller massagers,

- node for moving electric massager rollers,

- knot for pressing roller massagers,

- traction force sensor, made in the form of a dynamometer,

- thermal elements located on the massage unit,

- a program control unit, the outputs of which are connected to the electric drives of the table tilt unit, the displacement unit, and the thermal unit,

- and patient fixation elements with flexible connections.

The prototype is characterized by the following disadvantages:

a) relatively narrow functionality;

b) low automation of medical procedures that complicate the work of a doctor, operator (nurse);

c) there is no information on the angle of inclination of the couch during the procedure.

Medical and technical results and their achievement.

The invention is aimed at achieving such technical results as:

- expansion of installation functionality;

- providing opportunities for carrying out on it a more complete complex of manual and mechanical massage and inclined-gravity traction of various parts of the spine and joints;

- creating more comfortable conditions for patients when performing medical procedures, reducing the risk of injuries;

- facilitation of the work of a doctor, operator.

The achievement of these technical results is ensured by the fact that the well-known mechanotherapeutic installation for massage and gravity traction of the spine, containing:

- massive bed

- a table equipped with a horizontal axis rigidly connected to it, and pivotally - with a bed,

- a couch placed on the table,

- a table tilt assembly comprising an electric drive mounted on a bed and kinematically connected through a gearbox to the horizontal axis of the table,

- massage unit with roller massagers,

- node for moving electric massager rollers,

- knot for pressing roller massagers,

- traction force sensor,

- thermal elements,

- patient fixation elements with flexible connections,

- and a program control unit, the outputs of which are connected to an electric drive of the table tilt unit, an electric drive of a roller-massager moving unit and thermal elements, also contains:

- a table angle sensor made in the form of a Hall element, a semiconductor converter of which is fixed to the housing, and a permanent magnet is located on the electric shaft of the table inclination unit,

- stop pressure force sensor, made in the form of a strain gauge placed on a vertical platform attached to the foot of the table,

- the limiter of the movement of the rollers-massagers, made on the basis of an arm rigidly connected to the node of movement, and two signaling devices of the extreme position,

- and a remote control connected to the program control unit, while:

- the couch is multi-sectional, each of which is equipped with rollers, providing the ability to move the sections along the rails attached to the upper surface of the table, and the position locks of the sections,

- in one of the sections of the couch a longitudinal rectangular slot is made, corresponding to the location of the patient's spine on the couch and closed with a cape on top,

- the node for moving the massager rollers has a horizontal frame that can be moved on rollers along the guides attached to the bottom surface of the table and having a C-shaped section, an inclined frame, one side of which is pivotally connected to the horizontal frame, and the other side is pivotally connected to the massage a unit, and a toothed belt mounted on two rollers and providing a flexible kinematic connection between the electric drive unit for moving the massager rollers and a horizontal frame,

- the pressing unit of the massager rollers has a tongue and a nut welded respectively to the inclined and horizontal frames of the massaging unit of the massaging rollers, the plug, the threaded portion of which is engaged with the thread of the nut, and configured to interact with the tongue, and a pressure shaft made with the possibility of engagement with a fork and equipped with a return spring and a handle,

- the traction force sensor is made in the form of a strain gauge placed on a vertical platform attached to the head of the table,

- alarm extreme position made with the possibility of adjusting their position along the table,

- and the inputs of the program control unit are connected to the outputs of the sensors of the angle of inclination, traction force and pressure force of the feet and two signaling devices of the extreme position.

Besides,

- thermal elements are made on the basis of a flexible graphite tape sewn into the cloak of the couch;

- the massage unit is made in the form of an H-shaped trolley, at the ends of which rollers-massagers are placed, and is equipped with an electric vibrator connected to the output of the program control unit;

- the device is equipped with an emergency button for the patient connected to the input of the program control unit and an audible warning device connected to the output of the program control unit;

- the couch is equipped with a headrest and kneecap;

- the table has safety belts;

- the bed rests on wheels equipped with brakes.

The applicant has not found installations in which the technical result is achieved by a similar set of essential features. Moreover, his analysis of the prior art, including a search by patent and other scientific and technical sources of information and identification of sources containing information about analogues of the invention, made it possible to establish that there are no analogues characterized by features identical to all the essential features of the invention, and the selection from the list analogues of the prototype [15] revealed a combination of significant in relation to the technical results of the distinguishing features of the claimed invention.

In other words, according to the information available to the applicant, there are no analogues that are characterized by sets of features identical to all the features of the claimed installation.

The applicant has also verified the compliance of the specified set of essential features of the installation with three conditions (criteria) of patentability.

Verification of compliance of the claimed installation with the patentability condition “Novelty”.

To assess the novelty of the claimed technical solution, the above set of essential features of the claimed installation is analyzed. For this, the features of the claimed installation are highlighted, coinciding with the features of the prototype.

The installation contains:

- massive bed

- a table equipped with a horizontal axis rigidly connected to it, and pivotally - with a bed,

- a couch placed on the table,

- a table tilt assembly comprising an electric drive mounted on a bed and kinematically connected through a gearbox to the horizontal axis of the table,

- massage unit with roller massagers,

- node for moving electric massager rollers,

- knot for pressing roller massagers,

- traction force sensor,

- thermal elements,

- patient fixation elements with flexible connections,

- and a program control unit, the outputs of which are connected to the electric drive of the table tilt unit, the electric drive of the moving unit of the massager rollers and thermal elements.

Now we highlight the features of the claimed installation that do not match the features of the prototype:

- a table angle sensor made in the form of a Hall element, a semiconductor converter of which is fixed to the housing, and a permanent magnet is located on the electric shaft of the table inclination unit,

- stop pressure force sensor, made in the form of a strain gauge placed on a vertical platform attached to the foot of the table,

- the limiter of the movement of the rollers-massagers, made on the basis of an arm rigidly connected to the node of movement, and two signaling devices of the extreme position,

- and a remote control connected to the program control unit, and:

- the couch is multi-sectional, each of which is equipped with rollers, providing the ability to move the sections along the rails attached to the upper surface of the table, and the position locks of the sections,

- in one of the sections of the couch a longitudinal rectangular slot is made, corresponding to the location of the patient's spine on the couch and closed with a cape on top,

- the node for moving the massager rollers has a horizontal frame that can be moved on rollers along the guides attached to the bottom surface of the table and having a C-shaped section, an inclined frame, one side of which is pivotally connected to the horizontal frame, and the other side is pivotally connected to the massage a unit, and a toothed belt mounted on two rollers and providing a flexible kinematic connection between the electric drive unit for moving the massager rollers and a horizontal frame,

- the pressing unit of the massager rollers has a tongue and a nut welded respectively to the inclined and horizontal frames of the massaging unit of the massaging rollers, the plug, the threaded portion of which is engaged with the thread of the nut, and configured to interact with the tongue, and a pressure shaft made with the possibility of engagement with a fork and equipped with a return spring and a handle,

- the traction force sensor is made in the form of a strain gauge placed on a vertical platform attached to the head of the table,

- alarm extreme position made with the possibility of adjusting their position along the table,

- and the inputs of the program control unit are connected to the outputs of the sensors of the angle of inclination, traction force and pressure force of the feet and two signaling devices of the extreme position.

Besides:

- thermal elements are made on the basis of a flexible graphite tape sewn into the cloak of the couch;

- the massage unit is made in the form of an H-shaped trolley, at the ends of which rollers-massagers are placed, and is equipped with an electric vibrator connected to the output of the program control unit;

- the device is equipped with an emergency button for the patient connected to the input of the program control unit and an audible warning device connected to the output of the program control unit;

- the couch is equipped with a headrest and kneecap;

- the table has safety belts;

- the bed rests on wheels equipped with brakes.

The presence of these features ensures compliance of the totality of features with the condition of patentability “novelty”. However, no devices were found in which the technical result was achieved by a similar set of essential features.

Verification of compliance of the claimed installation with the condition of patentability "inventive step".

To verify compliance with the requirements of inventive step, the applicant conducted an additional search and analysis of solutions for patent and other scientific, technical and medical literature. At the same time, installations of a similar purpose with features similar to the distinguishing features of the claimed object were not identified. The totality of its features is not obvious from the prior art, on the basis of which it was concluded that the proposed object meets the condition of patentability "inventive step" under current law.

It should be noted that there is a causal relationship between the totality of the essential features of the present invention and the achieved technical result, since the specified technical result is achieved only when all known and distinctive features are used together.

The present invention is illustrated by a specific example of execution, which, however, is not the only possible, but clearly demonstrates the possibility of achieving the desired technical result.

SUMMARY OF THE INVENTION

The invention is illustrated by the drawings presented in figures 1-20, where:

- figure 1 is a front view of the installation (without a patient);

- figure 2 is a top view of the couch;

- figure 3 is a top view of the installation frame;

- figure 4 and 5 are views of the installation from the ends (left and right);

- figure 6 is a view of the installation table from below;

- Fig.7 is a structural diagram of the installation;

- on Fig - mechanical (vibromechanical) massage of the paravertebral muscles and ligaments;

- figure 9 is the extension of the cervical spine (SHOP) in the "head up" position;

- figure 10 is an extension of the thoracic spine (GOP) in the "head up" position;

- figure 11 is an extension of the lumbar spine (POP) in the "head up" position;

- Fig.12 - extension of the lumbar spine (POP) in the "head down" position;

- Fig.13 - traction of the knee joint (COP);

- on Fig - extension of the ankle joint (GS);

- on Fig - installation in the "verticalization";

- in Fig.16 - the installation in the "manual massage" or "manual therapy";

- in Fig.17 and 18 - image of the headrest and kneecap;

- Fig.19 is a view of the design of the guides from the end (with rollers);

- Fig.20 is a timing diagram of the operation of the installation in the "traction" mode.

Description of the installation design (in statics).

The mechanotherapeutic unit for massage and gravity traction of the spine contains:

- massive frame 1 (figure 1),

- table 2, equipped with a horizontal axis 3, rigidly connected to it, and pivotally - with the frame 1 (Fig.4 and 5),

- couch 4 (figures 4 and 5), placed on the table 2,

- a table tilt assembly comprising an electric drive 5 mounted on a bed 1 and kinematically connected through a gearbox with a horizontal axis 3 of table 2,

- massage unit, made in the form of an H-shaped trolley 6, at the ends of which rollers-massagers 7 are placed, and equipped with an electric vibrator 8 (Fig.6),

- a moving unit for roller massagers, having a horizontal frame 9 configured to move on rollers 10 along guides 11 attached to the bottom surface of table 2 and having a C-shaped section (Fig. 19), an inclined frame 12, one side of which is pivotally connected with a horizontal frame 9, and the other side articulated with a massage unit, and a toothed belt 13 mounted on two rollers 14 and providing a flexible kinematic connection between the electric drive 15 of the moving unit of the massager rollers and the horizontal frame 9 (Fig.6),

- a node for pressing the rollers of the massagers, having a tongue 16 and a nut 17, respectively welded to the inclined 12 and horizontal 9 frames of the node for moving the rollers of the massagers, a fork 18, the threaded section 19 of which is engaged with the thread of the nut 17, and configured to interact with the tongue 16, and the pressure shaft 20, configured to (if necessary) clutch with a fork 18 and provided with a return spring 21 and a handle 22 (Fig.6),

- the limiter of the movement of the rollers-massagers, made on the basis of the bracket 23, rigidly connected to the horizontal frame 9, and two signaling devices 24 and 25 of the extreme position (Fig.6),

- a table angle sensor made in the form of a Hall element, a semiconductor converter 26 of which is fixed to the housing, and a permanent magnet 27 is on the shaft of the electric drive 5 of the table tilt assembly (Fig. 1)

- traction force sensor, made in the form of a strain gauge 28, placed on a vertical platform 29, attached to the head of the table 2 (figure 1),

- stop pressure force sensor, made in the form of a load cell 30, placed on a vertical platform 31, attached to the foot of the table 2 (figure 1),

- audible alarm 32 (6 and 7),

- thermal elements 33 (figure 2 and 7),

- block 34 program control (6 and 7),

- and elements 35 of the fixation of the patient with flexible connections 36 (Fig.9-14).

The inputs of the program control unit 34 are connected to the outputs of the tilt angle sensor (26.27), the traction force sensor 28 and the stop pressure sensor 30 and two signaling devices 24 and 25 of the extreme position, and its outputs are connected with the electric drive 5 of the table tilt assembly, the electric drive of 15 assembly the movement of the massager rollers, an electric vibrator 8, thermal elements 33 and an audible warning device 32 (figures 1 and 7).

The installation also has a remote control 37, connected by cable to the unit 34.

The signaling devices 24, 25 of the extreme position (Fig.6 and 7) are configured to adjust their position (movement) along the table 2 (not shown).

In the installation, the couch 4 is made multi-sectional (for example, consisting of sections 4-1, 4-2, 4-7), each of which is equipped with rollers 38 (figure 1), providing the ability to move sections along the guides 39 (figure 2), fixed on the upper surface of the table 2, and the latches 40 position of the sections. Between adjacent (adjacent) sections of the couch 4 there are connecting elements 41 (FIGS. 1 and 2).

In one of the sections of the couch 4, a longitudinal rectangular slot 42 is made, corresponding to the location of the patient's spine on the couch 4 and closed from above with a cape 43 (Fig. 2).

Thermal elements 33 are made on the basis of a flexible graphite tape sewn into the cape 43 of couch 4 [16].

The installation couch 4 is equipped with a headrest 44 (Fig. 8, 17) and a kneecap 45 (Fig. 8, 18), and the table 2 has a safety belt 46 (Fig. 15 and 16). The frame 1 of the installation relies on the wheels 47 (Fig.1 and 5), equipped with brakes (not shown).

The hinge between the horizontal axis 3 and the bed 1 is provided by bearings 48 (Fig.3-5).

The gear of the table tilt assembly is implemented on the basis of a worm pair consisting of a worm 49 and a worm wheel 50, rigidly connected respectively to the drive shaft 5 and the axis 3 of table 2 (Figs. 4 and 5).

The emphasis 51 fixes the lower position of the table 2. The emphasis 52 restricts the movement of the couch 4, thereby eliminating the blow of the patient’s head against the load cell 28.

The installation can be equipped with an emergency button 53 of the patient, connected via cable to the block 34 of the program control (figures 1 and 7).

Purpose and functions of structural elements and assembly units.

Massive bed 1 is the main bearing and connecting structural components of the installation, which contains all its other elements and nodes. The main purpose of the bed 1 is to ensure the stability of the installation during the implementation of medical procedures.

The electric vibrator 8 is intended for the formation of vibrational vibrations of the massager rollers 7 during the mechanical massage procedure. Consists of a DC motor and an eccentric attached to its shaft (not shown).

The cross section of the guides 11 C-shaped eliminates the loss of them under the action of the dead weight of the horizontal frame 9. In addition, the movement of the latter strictly along a predetermined path. The design of the guides is shown in Fig. 19.

The electric drive 15 is also a direct current electric motor. Moreover, in the installation, the rotational movement of its rotor is converted into horizontal reciprocating movement of the massager rollers 7.

The force of compression of the massager rollers 7 to the patient’s back is determined by the level (height) of the lifting of the massage trolley 6.

Signaling devices 24 and 25 of the extreme position are designed to generate signals that the frame 9 has reached a predetermined extreme position and thereby changing its direction of movement.

The control unit 34 provides storage and implementation of the program of mechanical massage and traction procedures recorded therein. At the same time, it is possible to program (automate) medical procedures. In addition, it stores threshold values of the traction forces of the cervical, thoracic and lumbar spine, exceeding which can lead to injuries of the patient's spine. In the installation manufactured by the applicant, these threshold values are 20, 55 and 60 kg, respectively.

The load cells 28 and 30 provide the conversion of the forces of traction and pressure into the corresponding electrical signals. In the installation manufactured by the applicant, they are implemented on the basis of a commercially available converter type PC42-100kg-C3 (Flintec).

The sound signaling device 32 is designed for sound informing the medical staff and the patient about the operation of the installation.

Fixation elements (belts) 35 with flexible connections 36 are designed to apply force to the corresponding areas of the patient's body.

An electronic remote control 37 is designed to enter the parameters of the procedures and display information received from the software unit 34. Structurally, it is a combination of touch switches and indicators.

Cape 43 is designed to exclude direct contact of the patient’s back with the massager rollers 7.

The headrest 44 and the kneecap 45 are designed for the convenience of placing the patient on the couch 4. In practice, the diameters of the kneecap 45 can be different and reach up to 250 mm. In the general case, the kneecap 45 is used to increase the therapeutic effect of the procedure by mechanical massage, since when the legs are bent at the knees the longitudinal muscles of the back are relaxed, and the lumbar spine is somewhat straightened. This circumstance provides a closer contact with the massager rollers 7 and, as a result, their more effective impact. Some designs of headrest 44 and kneecap 45 are shown in FIGS. 17 and 18.

Safety belt 46 provides insurance for the patient's body from falling during the procedures.

The equipment of the frame 1 with four wheels 47 allows, without applying relatively large efforts, to move, if necessary, the installation on a horizontal surface (floor).

The gearbox, based on the worm 49 and the worm gear 50, is a “speed-reducing” gearbox.

Description of the installation (in dynamics).

The described installation is multifunctional and allows you to implement on it, in particular, the following types of procedures:

- mechanical or vibromechanical massage of the vertebral muscles and ligaments;

- traction of the cervical spine (SHOP) in the "head up" position;

- traction of the thoracic spine (GOP) in the "head up" position;

- traction of the lumbar spine (POP) in the "head up" position;

- traction of the lumbar spine (POP) in the "head down" position;

- traction of the knee joint (CS);

- traction of the ankle joint (GS);

- work in the "verticalization" mode;

- work in the "manual massage" or "manual therapy";

- other procedures.

Massage and traction procedures in the installation are carried out in several stages:

- preliminary examination of the patient by the attending physician;

- preparation of the installation for the procedure;

- preparing the patient for the procedure;

- input of procedure parameters;

- direct execution of the procedure;

- post-treatment activities.

Before starting treatment procedures:

- the installation must be stably placed on a flat horizontal surface (floor);

- its wheels 47 must be locked by appropriate brakes;

- the position of all the movable sections of the couch 4 should be fixed using the clips 40.

It is also desirable that before performing the procedures the patient should be dressed in a light tracksuit.

1. The procedure "mechanical (vibromechanical) massage of the paravertebral muscles and ligaments."

The operator helps the patient to properly sit on the couch 4 (Fig.8). The patient lies back down so that:

- the axis of his spine coincided with the longitudinal axis of the couch 4,

- the massaged area of his back was located above the slot 42 of the section 4-3,

- the head was located on section 4-1 or on section 4-2 of the couch (determined by the anthropometric parameters of the patient).

At the request of the patient, the operator places a headrest 44 under his head, and under the knees

- the kneecap 45 (Fig.17 and 18). As the kneecap 45 can be used, in particular, folded into a roll of towel.

Upon completion of the study of the prescription of the attending physician, the operator writes through the remote control 37 to block 34 the treatment program. Such a program may include, in particular:

- date of the procedure and name of the patient;

- heating level;

- the vibration level of the massager rollers 7;

- the duration of the procedure;

- other parameters.

Next operator:

- pressing the handle 22, engages the shaft 20 into engagement with the fork 18, and, rotating the handle 22 clockwise or counterclockwise, changes the angle of inclination of the frame 12, thereby setting the necessary level (height) of the massager rollers 7, and therefore, the degree of pressure the latter to the back of the patient (Fig.6 is a view of the table 2 from the bottom);

- by moving the signaling devices 24 and 25 along the table 2 sets the boundaries of the movement of the massager rollers 7 along the patient's back;

- gives the patient an emergency button 53;

- by clicking on the “Start” button (not shown) on the remote control 37, it starts this treatment procedure in the installation.

At the “Start” signal, the unit 34 turns on the thermal elements 33, starts the electric vibrator 8 and the electric drive 15, which is accompanied by a two-time sound signal from the signaling device 32. The electric drive 15 drives the horizontal frame 9, which, in turn, moves the inclined frame 12 with massager rollers 7. The latter, rolling along the back of the patient, carry out a mechanical (vibromechanical) massage of her paravertebral muscles and ligaments.

When the bracket 23 appears, for example, above the signaling device 24, the latter generates a signal arriving at the program unit 34, which perceives it as a signal for switching the polarity of the supply voltage of the electric drive 15. As a result, the electric drive 15 starts to rotate in the opposite direction, thereby changing the direction of movement massager rollers 7.

The above-described change in the direction of movement of the rollers-massagers 7 is carried out in a similar way when the bracket 23 appears above the signaling device 25.

Thus, performing a reciprocating movement, the rollers-massagers 7 conduct longitudinal mechanical vibration massage of the back of the patient. During this massage, as a result of changes in the intervertebral distance, there is a micro-extension of local parts of the spine. Under the influence of massage effects, there is a certain stretching of the spine, its alignment and straightening, the disappearance of pinching (squeezing) of the nerve endings located near the vertebrae, muscle spasm is relieved, normal mobility of the vertebrae is restored, and the conductivity of nerve impulses to internal organs and tissues improves.

In addition, during the massage, each vertebra of the spine makes local movements in the sagittal plane. If vibration is turned on, additional vibrational vibrations are superimposed on such vertebral movements. As a result, the vertebrae perform more complex periodic "massage" fluctuations.

If during the procedure there is a need for an emergency stop of the installation, the patient just needs to press the button 53. In this case, the movement of the massage trolley 6 automatically stops and the thermal elements 33 are turned off, and the signaling device 32 generates a multiple sound signal.

Note. Vibration during mechanical massage is used if it is not contraindicated to the patient.

Note. The level adjustment of the rollers-masseurs 7 is carried out only with a fixed frame 9, located in the extreme position at the head of the couch 4.

Note. The procedure of vibromechanical massage is recommended to begin with a minimum level of lifting of the massager rollers 7, gradually increasing the degree of their pressing against the patient’s back.

If the massage procedure has expired, the program control unit 34 also stops the electric drive 15, the vibrator 8, turns off the thermal elements 33 and turns on the signaling device 32, which generates a single sound signal.

The following are the after-treatment activities described below.

2. The procedure "extension of the cervical spine (SHOP)" head up "(Fig.9).

All therapeutic traction procedures in the installation can be carried out by two methods. According to the first method, the load on the spine during one session increases during the procedure and decreases towards its end ("constant" mode, see Fig. 20, a). According to the second method, the load periodically increases and decreases during one ongoing session ("variable" mode, see Fig. 20, b). The specific method of traction is chosen by the attending physician.

Timing diagrams of the operation of the device in accordance with these methods are shown in Fig.20, where:

T _at - the time of the procedure,

F _in - traction force,

t ₀ - time point of the start of the procedure,

t ₁ , t ₅ - time points of the beginning of the extension,

t ₂ , t ₆ - time moments of reaching a given traction force F _max (the beginning of the active phase of traction),

t ₃ - the time moment of completion of the active phase of the traction (the beginning of the return stroke of the traction drive),

t ₄ - the time moment of the beginning of the passive phase of the extension,

t ₅ - the time moment of completion of the passive phase of the extension,

t _n - the point in time to achieve a zero level of traction force,

t _u is the time point when the drive 5 reaches the initial position,

t _k is the time moment of completion of the procedure,

(t ₂ -t ₁ ) is the time to reach a given traction force F _max (period of increase in the traction force),

(t ₃ -t ₂ ) is the duration of the active phase,

(t ₅ -t ₄ ) is the duration of the passive phase,

(t _n -t _k ) is the period of weakening of the traction force,

(h _u -f _k ) is the period of the return of the electric drive 5 "extension" to its original position,

(t _k -t ₀ ) is the duration of the procedure.

The patient is placed on the couch 4. Next, a fixation element 35 is put on his head, made, for example, in the form of a Glisson loop, which, using flexible connections 36, connects to the traction force sensor 28.

After that, the connecting elements 41 between the sections 4-2 and 4-3 of the couch 4 are disconnected (FIGS. 1 and 2) and the latches 40 of the position of the sections 4-3, 4-4, 4-5, 4-6 and 4-7 are disconnected, those. in a fixed position only sections 4-1 and 4-2 interconnected remain.

Upon completion of the study of the prescription of the attending physician, the operator writes through the remote control 37 to the control unit 34 the SHOP treatment program. Such a program may include, in particular:

- date of the procedure and name of the patient;

- heating level;

- force (program) AIZ extension including the maximum F _{B max} and minimum value _min F _B traction force (Figure 20);

- threshold value of the force F _then stretching AIZ (usually less than 20 kg), the excess of which may cause injury to the patient's spine;

- the duration of the procedure;

- other parameters.

Preparation for the procedure is completed by handing the button 53 to the patient.

Further, by clicking on the "Start" button on the remote control 37, the operator starts the treatment procedure "pulling the SHOP" head up "in the installation, which is accompanied by a two-time sound signal from the signaling device 32.

According to the "Start" signal, the program unit 34 includes thermal elements 33 and starts the electric drive 5 (Fig.7). The rotation of its rotor through the worm 49 and the worm wheel 50 of the reduction gearbox is transmitted to the horizontal axis 3, which, in turn, begins to tilt (turn clockwise) table 2. In this case, the total weight of P _{U.T. SHOP} sections of the patient's body (except the weight of his head) acts on sections 4-3, 4-4, 4-5, 4-6 and 4-7 couches, which begin to move on rollers 38 along the guides 39. As a result, the weight P of the _{unit store is divided} into two components: normal force F _d pressure on the surface of the sections of the couch 4 and the force F in. _SHOP traction _SHOP acting s along this surface (Fig. 9, b). Moreover, if you do not take into account the coefficient of friction between the moving in this case sections of the couch 4 and the surface of the table 2, the magnitude of the traction force of the SHOP will be proportional to the angle α of the inclination of the table 2:

$$F_{\mathrm{at}.W\mathrm{ABOUT}P}=P_{\mathrm{at}.t.W\mathrm{ABOUT}P}\sin \alpha .\left(\mathrm{one}\right)$$

This force through the fixing element 35 and flexible connection 36 acts on the measuring element - the strain gauge 28, which converts it into the corresponding electrical signals received for processing in block 34. The latter compares them with the specified (program) values of the traction force. The comparison results in the form of control signals are supplied to the electric drive 5.

In addition, in the process of pulling the SHOP in the installation, the angle α is measured using a tilt angle sensor based on the Hall element. At each revolution of the drive shaft 5, the permanent magnet 27 induces an electric pulse on the semiconductor converter 26, which is counted by the block 34. As a result, the number of counted pulses is proportional to the corresponding angle α. At the same time, the block 34 associates with each value of the angle α the force value F _v . _SHOP received from the strain gauge 28. As a result, upon completion of the stretching procedure, in block 34, a set (“table”) of the values of the angle α and the corresponding values of the force F _v . _{SHOP is formed} . The presence of such a table greatly simplifies the formation of the traction program upon repeated acceptance of the procedure by this patient, since it is enough to “run” this “table” in the installation.

If during the procedure, the force F _{v. SHOP} exceeds the threshold F _{then the} value of the traction force, block 34 automatically stops the operation of the installation.

In addition, if during the procedure there is a need for an emergency stop of the installation, the patient just needs to press the button 53. This automatically stops the operation of the electric drive 5 and the thermal elements 33 are turned off, and the signaling device 32 generates a multiple sound signal.

If the time of the SHOP extension procedure has expired, the program control unit 34 also stops the electric drive 5 (returning it to its original position), turns off the thermal elements 33 and turns on the signaling device 32, which generates a single sound signal.

The following are the after-treatment activities.

3. The procedure "traction of the thoracic spine (GOP)" head up "(figure 10).

The implementation of this procedure does not practically differ from the execution of the SHOP traction procedure.

The fixation element 35 (chest girdle) is located at the level of the armpits, as shown in FIG. 10. He is using flexible connections 36 is connected to the sensor 28 of the traction force. In addition, the connecting elements 41 are disconnected between the sections 4-3 and 4-4 of the couch 4 (Figs. 1 and 2) and the latches 40 of the position of the sections 4-4, 4-5, 4-6 and 4-7 are disconnected, i.e. . in a fixed position, only sections 4-1,4-2 and 4-3 connected to each other remain.

Upon completion of the study of the prescription of the attending physician, the operator writes through the remote control 37 to the control unit 34 the treatment program for GOP. Such a program may include, in particular:

- date of the procedure and name of the patient;

- heating level;

- effort (program) traction GOP, including the maximum F _{B max} and minimum F _{B min} values of the traction force (Fig.20);

- threshold F _pore value of the GOP traction force (usually 55 kg), exceeding which can lead to injuries of the patient's spine;

- the duration of the procedure;

- other parameters.

Further, by clicking on the “Start” button on the remote control 37, the operator starts the treatment procedure “stretching the GOP“ head up ”in the device, which is accompanied by a two-time sound signal of the signaling device 32.

The magnitude of the traction force GOP will also be proportional to the angle α of the inclination of the table 2:

$$F_{\mathrm{at}.G\mathrm{ABOUT}P}=P_{\mathrm{at}.t.G\mathrm{ABOUT}P}\sin \alpha .\left(\mathrm{one}\right)$$

where R _u.t.GOP - areas of the patient’s body located on moving sections of the couch 2 moving with this procedure.

The further operation of the installation is similar to its operation during the extraction of SHOP.

4. The procedure "stretching the lumbar spine (POP)" head up "(Fig.11).

The implementation of this procedure is practically no different from the performance of the GOP traction procedure.

The fixation element 35 (pelvic girdle) is placed on the patient’s girdle just above the pelvic bones, as shown in FIG. He is using flexible connections 36 is connected with the sensor 28 of the traction force.

Next, the connecting elements 41 are disconnected between the sections 4-3 and 4-4 of the couch 4 (Figs. 1 and 2) and the latches 40 of the position of the sections 4-4, 4-5, 4-6 and 4-7 are disconnected, i.e. in a fixed position, only sections 4-1, 4-2 and 4-3 are connected to each other.

The operator writes through the remote control 37 to the control unit 34 the treatment program for EPP. Such a program may include, in particular:

- date of the procedure and name of the patient;

- heating level;

- force (program) traction POP, including the maximum F _{B max} and minimum F _{B min} values of the traction force (Fig.20);

- threshold F _{then the} value of the traction force POP (usually 60 kg), exceeding which can lead to injuries of the spine of the patient;

- the duration of the procedure;

- other parameters.

Further, by clicking on the “Start” button on the remote control 37, the operator starts the treatment procedure “stretching POP“ head up ”in the installation, which is accompanied by a two-time sound signal of the signaling device 32.

The magnitude of the traction force POP will also be proportional to the angle α of the inclination of the table 2:

. $$F_{\mathrm{at}.P\mathrm{ABOUT}P}=P_{\mathrm{at}.t.P\mathrm{ABOUT}P}\sin \alpha$$

.

The further operation of the installation is similar to its operation when stretching the GOP.

5. The procedure "stretching the lumbar spine (POP)" head down ".

On Fig shows another option for stretching POP, when in the process of stretching the patient’s head is in the "lower" part of the table 2.

The initial position of the patient is on the “horizontal” couch 2 his head is “on the right”.

The fixation element 35 (pelvic girdle) is placed on the patient’s girdle just above the pelvic bones. He is using flexible connections 36 is connected to the sensor 28 of the traction force.

The connecting elements 41 between the sections 4-4 and 4-5 of the couch 4 are disconnected (Figs. 1 and 2) and the position locks 40 of the sections 4-5, 4-6 and 4-7 are disconnected, i.e. in a fixed position, only sections 4-1, 4-2, 4-3 and 4-4 connected to each other remain.

Further installation work is similar to that described above.

Note. The choice of the method of stretching POP (11 or 12) is carried out by the attending physician according to the results of a preliminary examination of the patient.

Note. All the stretching procedures described above can be preceded by the procedure “mechanical (vibromechanical) massage of the paravertebral muscles and ligaments”.

6. The procedure "extension (unloading) of the knee joint (CS)."

The initial position of the patient - on the "horizontal" couch 2, his head is "on the right." The position on it of the joint belt 35 with flexible connections 36 during extension (unloading) of the knee joint is shown in Fig. 13.

The connecting elements 41 are disconnected between the sections 4-3 and 4-4 of the couch 4 (Figs. 1 and 2) and the position locks 40 of the sections 4-4, 4-5, 4-6 and 4-7 are disconnected, i.e. in a fixed position, only sections 4-1, 4-2 and 4-3 are connected to each other.

Further installation work is similar to that described above.

7. The procedure "extension (unloading) of the ankle joint (GS)."

The placement of the patient on the couch 4 and the position on it of the joint belt 35 with flexible connections 36 during extension (unloading) of the ankle joint is shown in Fig. 14.

The initial position of the patient - on the "horizontal" couch 2, his head is "on the right."

The connecting elements 41 are disconnected between the sections 4-3 and 4-4 of the couch 4 (Figs. 1 and 2) and the position locks 40 of the sections 4-4, 4-5, 4-6 and 4-7 are disconnected, i.e. in a fixed position, only sections 4-1, 4-2 and 4-3 are connected to each other.

Further installation work is similar to that described above.

8. The procedure of "verticalization" (Fig).

The procedure of “verticalization” is intended to restore the function of the patient’s vestibular apparatus, - to train his function of standing upright (for example, after a long stay in bed or in zero gravity).

The initial position of the patient is horizontally on the couch 2. At the same time, his head is on the “left”, and the feet are placed on the load cell 30. All latches 40 of the couch section 4 positions are disconnected. During the procedure, a safety belt 46 is used to prevent the patient’s body from falling.

The program of the treatment procedure can be constructed, for example, as follows. At the first stage, table 2, together with the patient, rotates through a relatively small angle β and stops. Using the load cell 30, the stop pressure is measured, the value of which is fixed in block 34. After a specified period of time, table 2 returns to its original horizontal position.

The specified procedure is repeated a specified number of times.

At the second stage, table 2, together with the patient, rotates already at a slightly larger angle β and stops again. Using the strain gauge 30, the stop pressure is again measured, the value of which is again fixed in the block 34. After a specified period of time, table 2 returns to its original horizontal position.

The specified procedure is also repeated a specified number of times.

At each new stage, the value of angle β increases. As a result, in block 34, a table of values of the angle β and the corresponding pressure values of the patient's feet on the load cell 30 is formed (stored). The resulting table can serve as the basis for the analysis of the "verticalization" procedure and the subsequent correction of the parameters of this procedure.

7. The procedure "work in the" manual massage "or" manual therapy ".

This procedure is designed to perform manual massage or manual therapy.

The starting position of table 2 is horizontal. Typically, the patient rests on the couch 4 face down. Next, the operator rotates the table 2 at some convenient angle (Fig. 16). Previously, the patient is fixed with a safety belt 46. Next, the direct execution of the manual massage procedure or manual therapy begins.

In the process of performing this procedure, the operator can, if necessary, quickly change the angle of the table 2.

8. After-treatment activities.

After-treatment measures begin with an examination by the attending physician. After this, the patient is sent to the rest room for 10-15 minutes of post-treatment rest and thereby consolidating the achieved effect of massage and stretching of the vertebral discs, the release of nerve processes.

In some cases, it is advisable to conduct additional relaxation massage with elements of passive gymnastics, drug therapy, physiotherapy, etc., which is determined by the attending physician.

Achievable results.

Thus, the present invention solves the problem of expanding the functionality of the installation, providing the possibility of carrying out on it a full range of manual and mechanical massage and inclined-gravity traction of various parts of the spine and joints.

In the inventive installation for patients, more comfortable conditions are created when performing medical procedures (the presence of a head restraint, patella, etc.). There is a reduction in the risk of injuries when performing traction procedures, which is achieved due to the possibility of an emergency stop of the device using the emergency button 53 of the patient. In addition, the cape 43 reduces the risk of injuries to the patient's back during mechanical massage using massager rollers 7.

The installation has the ability to adjust (change) the area of mechanical massage by changing the position of the signaling devices 24 and 25.

Installation significantly facilitates the work of a doctor, operator (nurse). The presence of the remote control 37 controls facilitates the entry of parameters of the procedures. Thanks to the presence of wheels 47, its mobility and the possibility of quick reinstallation in the room are ensured.

Verification of compliance of the claimed installation with the patentability condition “industrial applicability”.

According to the applicant, the information provided in the description is sufficient for the installation. Such an installation for massage and gravitational traction of the spine does not cause difficulties in its manufacture. The applicant made a prototype of the inventive installation.

The set of essential features characterizing the essence of the invention, in principle, can be reused.

Thus, the above information indicates for the claimed invention, as it is described in the independent claim, the possibility of its implementation using known and proposed methods and means.

The invention can find application in medical and preventive and spa medical institutions with a wide profile for manual and mechanical massage and constant or periodic traction of the spine (traction therapy). It is suitable for operation in almost any medical institution, dispensary, sanatorium.

The above allows us to conclude that the invention meets the condition of patentability "industrial applicability" under applicable law.

Thus, the above information indicates that the claimed invention meets all the required criteria for patentability and has significant advantages compared with known installations.

Used sources of information.

1. RF patent No. 2195243 for the invention of "Device for spinal traction." IPC A61H 1/02, publ. 12/27/2002

2. RF patent No. 2265427 for the invention of "Device for spinal traction." IPC A61H 1/02, publ. December 10, 2005

3. Bonev L. Extensional therapy / Guide to kinesitherapy. Sofia: Medicine and physical education. 1978, p. 177-181.

4. Auto USSR №858821 for the invention of "Apparatus for physical therapy exercises" IPC A61H 1/02, A63B 23/04. Publ. 08/30/1981

5. Auto USSR №1710043 for the invention "Device for unloading the spine" IPC A61H 1/02. Publ. 02/07/1992

6. Auto USSR №1710044 for the invention "Device for traction of the spine" IPC A61H 1/02. Publ. 02/07/1992

7. Auto USSR No. 1777858 for the invention of a device for spinal traction. IPC A61F 5/04. Publ. November 30, 1992

8. RF patent No. 2314082 for the invention of "Device for traction of the patient’s body." IPC A61H 1/02. Publ. 01/10/2008

9. RF patent No. 2129457 for the invention of "Simulator using the gravitational effect." IPC A63B 21/00, A61H 1/02, A61F 5/04. Publ. 04/27/1999

10. RF patent No. 2270649 for the invention "Stationary vibro-decompression installation." IPC A61H 1/02. Publ. December 10, 2003

11. RF patent No. 2092148 for the invention "Method of stretching the patient’s body." IPC A61H 23/00. Publ. 10/10/1997

12. RF patent No. 2391084 for the invention "Mechanurgical table for massage and manual therapy." IPC A61H 1/02, A61G 7/015 / Publ. 06/10/2010

13. RF patent No. 2262915 for the invention of "Device for massage and traction of the spine." IPC A61H 1/02. Publ. 10/27/2005

14. RF patent No. 2189213 for the invention of "Table for manual therapy." IPC A61H 1/00, IPC A61H 1/02, published on September 20, 2002

15. RF patent No. 2026051 for the invention of "Device for mechanized massage." IPC A61H 1/02, A61H 15/00. Publ. 01/09/1995, (prototype).

16. Car electric heaters ThermoSoft. Magazine Automotive Yekaterinburg, No. 47, 2003.

Claims (7)

1. Mechanotherapeutic installation for massage and gravity traction of the spine, containing:
- massive bed
- a table equipped with a horizontal axis rigidly connected to it, and pivotally - with a bed,
- a couch placed on the table,
- a table tilt assembly comprising an electric drive mounted on a bed and kinematically connected through a gearbox to the horizontal axis of the table,
- massage unit with roller massagers,
- node for moving electric massager rollers,
- knot for pressing roller massagers,
- traction force sensor,
- thermal elements,
- patient fixation elements with flexible connections,
- and a program control unit, the outputs of which are connected to the electric drive of the table tilt unit, the electric drive of the moving unit of the massager rollers and thermal elements,
characterized in that it also contains:
- a table angle sensor made in the form of a Hall element, a semiconductor converter of which is fixed to the housing, and a permanent magnet is located on the electric shaft of the table inclination unit,
- stop pressure force sensor, made in the form of a strain gauge placed on a vertical platform attached to the foot of the table,
- the limiter of the movement of the rollers-massagers, made on the basis of an arm rigidly connected to the node of movement, and two signaling devices of the extreme position,
- and a remote control connected to the program control unit, while:
- the couch is multi-sectional, each of which is equipped with rollers, providing the ability to move the sections along the rails attached to the upper surface of the table, and the position locks of the sections,
- in one of the sections of the couch a longitudinal rectangular slot is made, corresponding to the location of the patient's spine on the couch and closed with a cape on top,
- the node for moving the massager rollers has a horizontal frame that can be moved on rollers along the guides attached to the bottom surface of the table and having a C-shaped section, an inclined frame, one side of which is pivotally connected to the horizontal frame, and the other side is pivotally connected to the massage a unit, and a toothed belt mounted on two rollers and providing a flexible kinematic connection between the electric drive unit for moving the massager rollers and a horizontal frame,
- the pressing unit of the massager rollers has a tongue and a nut welded respectively to the inclined and horizontal frames of the massaging unit of the massaging rollers, the plug, the threaded portion of which is engaged with the thread of the nut, and configured to interact with the tongue, and a pressure shaft made with the possibility of engagement with a fork and equipped with a return spring and a handle,
- the traction force sensor is made in the form of a strain gauge placed on a vertical platform attached to the head of the table,
- alarm extreme position made with the possibility of adjusting their position along the table,
- and the inputs of the program control unit are connected to the outputs of the sensors of the angle of inclination, traction force and pressure force of the feet and two signaling devices of the extreme position. 2. Installation according to claim 1, characterized in that the thermal elements are made on the basis of a flexible graphite tape sewn into the cloak of the couch. 3. The installation according to claim 1, characterized in that the massage unit is made in the form of an H-shaped trolley, at the ends of which rollers are placed, massagers, and is equipped with an electric vibrator connected to the output of the program control unit. 4. The installation according to claim 1, characterized in that it is equipped with an emergency button for the patient connected to the input of the program control unit and an audible warning device connected to the output of the program control unit. 5. Installation according to claim 1, characterized in that the couch is equipped with a headrest and kneecap. 6. Installation according to claim 1, characterized in that the table has safety belts. 7. Installation according to claim 1, characterized in that the bed rests on wheels equipped with brakes.

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