RU2766776C1 - Table for massage, manual therapy and spinal traction - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to tables for massage, manual therapy and spinal traction. Table for massage, manual therapy and spinal traction consists of a base with adjustable supports, a bed including a head and body parts, a bed frame and a bed frame lifting-lowering drive. Bed frame is pivotally connected to the base by two pairs of posts, and in the head and foot ends it contains two pairs of detachable horizontal guides. On the guides there are three pairs of height-adjustable vertical posts, on the upper end of which there are guide rollers, which are realized with the possibility of performing longitudinal traction through them along the body axis by means of a stretching system. Stretching system is attached to the body parts by means of the embracing system and to the table base, and the longitudinal traction is performed by increasing the distance between the bed frame and the table base by means of the bed frame lifting-lowering drive. Embracing system consists of a pelvic girdle, a chest girdle and a Glisson loop.

EFFECT: expanding the functionality of the table while increasing its ease of use by simplifying its design.

6 cl, 3 dwg

Description

The invention relates to medical equipment for massage, manual procedures, as well as physical therapy for the treatment and prevention of various diseases of the musculoskeletal system. The invention is intended for the treatment of patients with degenerative-dystrophic diseases of the spine, including those complicated by herniation of intervertebral hernias by methods of physiotherapy, namely traction therapy. The device can be used independently or in combination during massage, manual or osteopathic techniques, physical therapy, removal of functional "blocks" at the level of individual muscles of the spine or other muscle relaxation techniques.

To carry out the above therapeutic measures, many special devices have been created.

The main purpose of such devices is to obtain a relaxation effect on soft tissues, including paravertebral muscles, as well as joints of the spine by giving the patient's body various postures and positions, stretching the spine. Devices that stretch the spine can be used independently, as well as in a complex during massage-manipulation and manual procedures by mechanical action on the soft tissues of the patient by the hands of a massage therapist (chiropractor, osteopath) or special devices.

Traditionally, integral structural elements of such devices are the base on which the device is located on a support, and the bed on which the patient is placed. To give the patient's body various postures and positions, the bed may consist of several sections that change their orientation in space. To adjust the height of the bed, the table can be equipped with an appropriate lifting-lowering drive.

One such solution is a device for massage and traction of the spine, described in the invention RU 2262915 [RU 2262915, published 27.10.2005 Bull. No. 30, Giniyatullin N.I., Giniyatullin M.N.].

According to the invention, the device for massage and traction of the spine contains a body, the working surface of which is made in the form of a couch and is equipped with a heating element and a device for fixing the patient's body, a massage unit placed inside the body, made in the form of a platform with massager rollers, compression units, reciprocating translational movement and inclination of the body and a program-time block, the outputs of which are connected to the heating element and electric drives of the compression units, reciprocating movement and inclination of the body, characterized in that the body is placed at one end on fixed, for example rubber, supports, and the other end - on the support frame pivotally connected to the body and provided with rollers for moving along the support surface of the body, the body inclination unit is made in the form of a telescopic mechanism, the first and second ends of which are pivotally connected to the body and the support frame, respectively, a body inclination angle sensor is placed on the body, in the shaft of which is kinematically connected to the support frame, the program-time block contains a body inclination controller, the input and output of which are connected, respectively, to the output of the body inclination angle sensor and the input of the electric drive of the body inclination unit.

The proposed invention has narrowly focused technical characteristics that limit its use as an independent massage table (there is no mechanism for adjusting the height of the table for a medical specialist), traction of the spine is carried out due to the vertical tilt of the table, which is often not comfortable for the patient to endure.

The closest in technical essence and the achieved result is a table for massage and manual therapy, consisting of a base with supports, a bed consisting of an upper and lower frame and a drive for raising and lowering the bed, made in the form of a "screw-nut", "nut" mechanism which is pivotally connected to the base, while the upper frame is formed from the head, hip and leg sections, and the lower frame is pivotally connected to the base by two pairs of racks, characterized in that it contains a longitudinal rod pivotally connected to the levers mounted on the corresponding pairs of racks, and an additional support fixed on it on wheels, the axes of which are placed in a transverse plane passing through the center of gravity of the table, and made with the ability to lower to a plane passing through the lower ends of the fixed supports, the drive for raising and lowering the bed is equipped with a gearmotor, kinematically connected with the mechanism "screw-nut", the "screw" of which is pivotally connected to the longitudinal rod, section ii of the upper frame are pivotally connected to each other and provided with tilt angle clamps, one ends of which are pivotally connected to the lower frame, and the other ends are pivotally connected to the corresponding section of the upper frame, while hinges between the head and hip sections and guides are fixed on the lower frame, on which the leg section is installed, the angle locks of the head and hip sections are made in the form of lockable gas springs, and the leg section lock is in the form of a self-jamming mechanism [RU 2275894, 10.05.2006 Bull. No. 13 Giniyatullin N.I., Giniyatullin M.N.].

This device is selected as a prototype, as the closest in technical essence. However, this design has a number of disadvantages.

Such a table is characterized by structural difficulties (which affects the cost of the product) and functional shortcomings. So, to perform traction of the spine on the table during massage and manual therapy (osteopathy), it is necessary to change the angle of the table plane, which is not always well tolerated by the patient and limits the simultaneous use of manual (manipulative) techniques.

The essence of the invention.

The technical result to be achieved by the present invention is to expand the functionality of the table while increasing the convenience of its operation and reducing its cost by simplifying the design. Implementation of the invention will make it possible to use the possibilities of spinal traction on most massage tables equipped with a drive for adjusting the height of the table bed, in addition to providing soft and directed traction for the selected area of the spine.

These technical results are achieved by the fact that a table for massage, manual therapy and traction of the spine, consisting of a base with adjustable supports, a bed including the head and torso parts, a bed frame and a drive for raising and lowering the bed frame, while the bed frame is pivotally connected to the base two pairs of racks, characterized in that the bed frame at the head and foot ends contains two pairs of removable horizontal guides, on which three pairs of height-adjustable vertical racks are installed, at the upper end of which there are guide rollers, implemented with the possibility of performing longitudinal traction through them along axis of the torso by means of a tension system attached to parts of the torso using a system of coverage and to the base of the table, by increasing the distance between the frame of the bed and the base of the table by means of a drive for raising and lowering the frame of the bed, while the coverage system consists of a pelvic girdle, chest girdle and Glisson loops.

Besides:

The system of tension elements includes such elastic elements as silicone bands and/or tension springs.

The guide rollers, implemented with the possibility of performing longitudinal traction through them along the axis of the body by means of a stretching system, are located at different distances from the longitudinal axis of the table.

The pelvic and/or thoracic belt of the girth system and the frame of the bed are provided with guide elements for asymmetric orientation of the patient's body in the frontal plane on the table bed.

The table is equipped with armrests.

The table is equipped with foot pedals for controlling the level of raising and lowering the bed, connected to the drives for raising and lowering the frame of the bed.

The essence of the invention is illustrated by drawings.

In FIG. 1 (A, B) shows a functional diagram of the proposed device, A - top view; B - top view, the frame of the bed is equipped with guide elements for asymmetric orientation of the patient's body in the frontal plane.

In FIG. 2 (A, B) shows a functional diagram of the proposed device, A - side view, table in the raised state; B - side view, table in the lowered state.

In FIG. 3 (A, B) - a functional diagram of the proposed device, A - end view, from the side of the legs; B - end view, from the side of the head.

A table for massage, manual therapy and spinal traction (Fig. 1-3) contains a base 1 with four adjustable supports 2 installed on the floor surface, a bed 3, including the head 4 and torso 5 parts, the bed frame 6 and the lifting-lowering drive 7 the frame of the bed, while the frame of the bed 6 is pivotally connected to the base by two pairs of racks 8. Adjustable supports 2 are used for stable leveling of the table on an uneven floor surface.

Two pairs of removable rails 9 are inserted into the bed frame 6 from the side of the end at the head and foot ends, on which three pairs of height-adjustable vertical racks 10 are installed, at the upper end of which there are guide rollers 11 through which the stretching system 12 passes. The stretching system 12 is attached , on the one hand, to the parts of the body with the help of a system of coverage 13 and, on the other hand, to the base of the table 1.

The tension system 12 includes elastic elements 14. These elastic elements 14 may be made of silicone bands and/or tension springs. Elastic elements 14 are necessary for a smoother transfer of tension to the patient's spine through the stretching system 12 and, if necessary, creating different forces on the lumbar and cervical spine while stretching them.

The girth system 13 consists of a pelvic girdle 15, a chest girdle 16 and a Glisson-type loop 17. For the manufacture of elements of the stretching system 12, a cable or cord can be used, which are connected to the elastic elements 14.

The guide rollers 11, through which, by means of the tension system 12, longitudinal traction along the axis of the body is performed, are located at different distances from the longitudinal axis of the table. This is necessary for a more optimal orientation of the traction axis, in order to reduce the size of the device and more directed application of forces.

The pelvic girdle 15 and/or the chest girdle 16 of the wrapping system 13 and the frame of the bed 6 are provided with guide elements for the asymmetric orientation of the patient's body in the frontal plane 18 on the bed of the table 5. The guide elements 18 are necessary to create asymmetric traction forces on the spine during its traction.

The table can be equipped with armrests 19 for more comfortable positioning of the patient in various positions (on the stomach or on the back).

The table is equipped with foot pedals for controlling the level of raising and lowering the bed, connected to the drives for raising and lowering 7 of the frame of the bed 6. Using the pedals, a specialist or the patient himself (with the help of his hands) can control the traction force applied to the spine.

Device operation.

Table for massage, manual therapy and spinal traction is used as follows. In the initial position, all four adjustable supports 2 are on the floor surface. The patient is positioned on the bed of the table 3. The patient can be positioned on the back or on the stomach, based on the generally accepted requirements of the position of the patient. For a more comfortable position of the patient, armrests 19 can be used. The table is in the lowered position. If necessary, the patient can be given a position on the table with bent legs. The system of coverage 13 is placed and fixed on the patient, from which the stretching system 12 departs. The stretching system 12 is attached to the components of the coverage system 13 and to the base of the table 1, passing through the guide rollers 11, which are attached to the frame of the bed by means of removable guides 9 and vertical racks 10 . The position of the guide rollers 11 can be corrected by the position of the uprights 10 in the vertical and/or frontal plane to give the desired direction of the traction forces.

After fixing the patient on the table, the table is raised (Fig. 2A-B), while the distance H between the frame of the bed 6 and its base 1 increases (H is the height between the base of the table 1 and the frame of the bed 6 with the table lowered - Fig. 2A, H1 - a large height between the base of the table 1 and the frame of the bed 6 with the table raised - Fig. 2B), which transfers tension through the tension system 12 to the system of coverage 13 and the spine is stretched.

If it is necessary to give the patient's body an asymmetric position, for example, a position with a lateral inclination in the lumbar spine, guide elements for the asymmetric orientation of the patient's body 18 should be used.

The table can be controlled by a specialist or by the patient himself (with the help of hands) by adjusting the height of the table with the help of the control pedals for the level of raising and lowering the bed. After the end of the spinal traction procedure, the bed of the table 3 is lowered, and the patient is released from the coverage system 13.

From the foregoing, it follows that the proposed design of the table has wider possibilities for practical use than the prototype, as it allows, by means of a simple technical modification, to perform spinal traction on the most common types of tables for manual therapy, equipped with a lift-lower drive. At the same time, the modernization of existing tables for manual therapy with a drive for lifting and lowering into the proposed device is technically not difficult and uses commonly available components.

The device is convenient in operation both for the operator (medical worker) and for the patient. It allows for smooth dosed traction of the spine.

The proposed table for massage, manual therapy and spinal traction does not cause difficulties in manufacturing and can be industrially mastered. For the manufacture of the table, we used the massage table Heliox F1E2 as the basis (any other table for massage or manual therapy that meets the conditions of the prototype can also be used).

The prototype of the table was tested by the applicant for three months in operation and proved to be excellent in practical application.

Claims (6)

1. A table for massage, manual therapy and spinal traction, consisting of a base with adjustable supports, a bed including the head and torso parts, a bed frame and a drive for raising and lowering the bed frame, while the bed frame is pivotally connected to the base by two pairs of racks, which differs in that the frame of the bed at the head and foot ends contains two pairs of removable horizontal guides, on which three pairs of height-adjustable vertical racks are installed, at the upper end of which there are guide rollers, implemented with the possibility of performing longitudinal traction through them along the axis of the body by means of a tension system attached to parts of the body with the help of a system of coverage and to the base of the table, by increasing the distance between the frame of the bed and the base of the table with the help of a drive for raising and lowering the frame of the bed, while the system of coverage consists of a pelvic girdle, a chest girdle and a Glisson-type loop. 2. Table according to claim. 1, characterized in that the system of tension elements includes elastic elements such as silicone bands and/or tension springs. 3. The table according to claim 1, characterized in that the guide rollers, implemented with the possibility of performing longitudinal traction through them along the axis of the body by means of a stretching system, are located at different distances from the longitudinal axis of the table. 4. The table according to claim 1, characterized in that the pelvic and/or chest belt of the coverage system and the frame of the bed are provided with guide elements for the asymmetric orientation of the patient's body in the frontal plane on the bed of the table. 5. Table according to claim 1, characterized in that it is equipped with armrests. 6. The table according to claim 1, characterized in that it is equipped with foot pedals for controlling the level of raising and lowering the bed, connected to the drive for raising and lowering the frame of the bed.

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