UA58501C2 - Device for mechanotherapy - Google Patents

Abstract

The device for mechanotherapy consists of the spider with the sucking supports and the hinged frame with the bed for the patient. The vibration-loading device connected with the drives for feet and arms is placed between the frame and the spider. The drive for the feet consists of the connecting rod with the pedals while the drive for the arms consists of the movable hand levers mounted onto the frame. The specified vibration amplitude may be adjusted while the vibration rate is set by the rate of the movements of the feet and arms.

Description

Description of the invention

The intended invention relates to medicine and sports, in particular to devices for the prevention and 2 treatment of the musculoskeletal system and the cardiovascular system of a person by physical exertion.

A known means of treating coronary heart disease by applying a dynamic load on an exercise bike in the horizontal position of the patient lying on his back with a resistance power of the pedals of 15-20W and the height of the pedal axis above the horizontal surface from 2/3 to the full length of the thigh - See. per week for 40 min. for 1.5 months / see a.s. USSR Mo 4238758, ABITN 1/00, BY Mo 23, 1986/

The disadvantage of this invention is that there is no description of the device of the exercise bike on which it would be possible to successfully implement the proposed means of treatment.

A simulator for the exploration of the cardiovascular system of an astronaut is known, which includes a horizontally arranged frame with two guides that carry carriages with platforms for the feet and a drive that includes a flexible rod surrounding a support block with rollers and handles, as well as a waist belt, connected to the carriages by shock absorbers and handles connected to them by rods / see a.s. USSR Mo 1769906, AEZV69/18, 23/04, BY Mo 39, 1992/,

The disadvantage of this simulator is that on it the patient cannot take the pose necessary for therapeutic motor activity, and even more so change it in specified cases. For this, it does not have appropriate devices.

A chair for the effect of vibration is known, which contains an adjustable seat with a back, equipped with support elements for arms and legs, connected to the vibration mechanism and made with the possibility of adjusting their position, while the vibrator is electromagnetic /see A.s. USSR Mo 18369446, АЭ1Н23/02, BY Mo 32, 1993/.

The disadvantage of this chair is that, although it uses therapeutic vibration and provides for a change in the patient's posture, it does not contain the means of applying effort to the arms, legs, and trunk, which is necessary for mechanotherapy, and therefore cannot provide adequate dynamic physical exertion. p. 29 A device for mechanotherapy is known, which includes a base with a stand on which are installed with Ge) the possibility of movement and fixation relative to the base of the seat and a support for the hands in the form of a transverse rod, a rotation mechanism that includes a flexible traction / see A.s. Mo 2014052, Ab1Н1/00, BY Mo 11, 1994/,

The disadvantage of this device is that, although it has a convenient means for positioning the patient and a means for physical exertion of the arms, legs and trunk, the patient is not able to take the necessary positions for therapy on it, and --

You cannot feel the physical exertion associated with them, as this device does not contain the necessary equipment.

The closest in terms of technical essence is a device for vibrotherapy, which contains a horizontal base, a stand mounted on it, which carries a hinged and height-adjustable bed frame, adjustable in inclination and made in length composed of hinged elements that 35 include a headrest and supports for the cervical, thoracic and lumbar parts of the human body with means of fixing them in inclined positions, handrails and a vibrator / see a.s. USSR Mo 744068, Ab1H23/00, A6E3V21/00, BY Mo 26, 1992/.

The disadvantage of the prototype is that, although this device has a mobile means of positioning the patient and a means of providing dynamic physical load and vibrostimulation, the essence of the motor actions it provides does not meet the requirements of therapy - it does not provide physical load on the arms and legs, which is necessary for Of the 50 effects on the muscle groups of these limbs, their joints and on the functioning of the cardiovascular system. All this does not guarantee the proper effectiveness of the mechanotherapeutic effect on the human body. z" The invention is based on the task of creating, taking into account the positive and negative aspects of the design of the prototype device for vibrotherapy, a new mechanotherapeutic device that provides no more effective therapeutic and preventive effect on the patient, including dynamic physical load on his arms, legs and 45 body without vibration and with vibrostimulation in those positions that are recommended by known means of mechanotherapy. i-th The task is solved by the fact that the device has a horizontal base and is mounted on it

Ge | made along the length of a folded bed of hinged elements, which include supports for the head, cervical, thoracic and lumbar parts of the human body, supports for the hands and a vibrator, according to the provided invention, and the horizontal base is made in the form of a cross, which is installed on suction-cup supports, and the hinged bed av! 20 is installed on the cross-piece with the help of a frame hinged to it, between the frame and the cross-piece there is a vibratory loader, which has a vibrator, which includes a gentle drive connected to the vibrator.

In the form of a two-armed connecting rod with a pedal and a manual drive, as a support for the hands, in the form of movable tubular arms connected to the connecting rod by rods, mounted on the side parts of a straight frame, which is fixed on a frame, which is kinematically connected to the axis on which it is mounted support rollers resting on the crossbar, while the vibrator is made in the form of a supporting roller placed under the bed between the support rollers, planted on this

GF) axis with the possibility of setting its eccentricity and adjusting its value.

The technical and consumer result, which is achieved with the help of a set of distinctive features of the provided device, is that due to the modification of the horizontal base and the bed, mainly due to the installation of the bed on a moving bed, which interacts with the base and with placing a vibrator on it , and 60 also the introduction of gentle and manual drives managed to solve the problem of maximally approximating the nature and initial posture of the patient of the dynamic physical load necessary for his mechanotherapy.

The essence of what is provided is explained by the drawing, where Fig. 1 shows the general view of the device when the patient is working on it in a sitting position; in Fig. 2 - the same, at the end of the movement; in Fig. 3 - the same, in the lying position; in Fig. 4 - the same, when performing movements with various hand positions /dotted line/; in Fig. 5 - apparatus, top view; for vna fig.b - the same, front view; Fig. 7 - fragments of the vibratory loader with gaps, side view /enlarged/; Fig. 8 - vibrator: a - side view, b - rear view; in Fig. 9 - the same, in an exploded view: a - the middle roller, side view, b - the same, rear view, c - axle with a key, rear view, d - the same, top view; in Fig. 10 - the scheme of moving and fixing the back while lying down for taking various poses; in Fig. 11 - some other exercises for arms, legs and body on the apparatus.

Specifically, the device has a horizontal base in the form of a crosspiece 1, mounted on suction cup supports 2, and a bed consisting of a seat fixed to it with the possibility of longitudinal movement and fixation by a hinge Z

b and a back with a headrest hinged to it b. Between the bed 4 and the longitudinal part of the crosspiece 1 /made in the form of a guide/ a vibrating loader with a vibrator 7 is placed, a gentle drive in the form of a 7/0 two-arm connecting rod 8 with pedals and a manual drive in the form of flexible rods connected to the connecting rod 10, movable tubular handles 11, planted on the side parts of the guide frame 12 fixed to the frame 4 / see Fig. 1-6/,.

The longitudinal part of the crossbar 1 - its guide has an O-shaped cross-section, which forms a longitudinal groove, on the bottom of which rests with its supporting rollers 13 a vibrating loader placed on the axis 14, which has, in particular, a supporting roller 15, which interacts with the supporting edge 16 of the frame 4 and is vibrator 7. Both rollers /5 are freely seated on the axis 14, and thanks to this axis the vibratory loader is connected to the rod 18, which has an eyelet 17, to the hinge 19 of the lower 20 arm of the connecting rod 18. Pedals 9 are fixed on the upper 21 arm of this connecting rod. Hinge 19 has an elongated axis 22, at the ends of which loops 23 for the toes of the feet are fixed and flexible rods 10 are connected to the movable handles 11. In the middle of the connecting rod 8 is a hinge 24, which connects this connecting rod to the frame 4 with the possibility of limited rotation, longitudinal movement relative to its clips 25 and fixing with the help of an insert 2o check 26, for which a series of holes 27 is made on the connecting rod / see Fig. 7, 8/. A frame 12 is attached to the bracket 25 of the hinge 24 by its front transverse part. The backrest 6 has a hingedly attached to it from the outside fixing its stop in the form of a rod 28, for the end of which a series of notches 29 is made on the frame 4, which is schematically presented in Fig. 10. The set of the apparatus also includes two rigid rods 30 (not shown separately) for connecting the handles 11 to the ends of the axes 22 when they replace the flexible rods 10. The roller 15 of the vibratory loader is mounted on the axis 14 with the possibility of forming its eccentricity and adjusting its size. For this, in the roller 15 for the axis 14, an eccentric-shaped cutout 31 with side grooves 32 is made, in which a flat key 33 is placed, which i) is installed and fixed in the axis 14, and this axis has a limiting cap for its longitudinal movement

Z4 and, on the other hand, the grip handle Z5 /see Fig. 8, 9/,

Use the device as follows. Possible movements of the patient's arms and legs from the functioning of all their joints "- zo | of the main muscle groups in a sitting, lying and standing position with an inclination. While sitting, motor actions are provided in the form of direct pedaling with legs, hands, as well as their combined actions / see fig. 1I-4/,. In particular, movements in the sitting position, which are presented in Fig. 11, and some others are also possible. At the same time, the load is provided by the forces of gravity: under the body weight of the patient sitting on the seat 5, the frame 4 goes down and, resting with its rib 16 on the roller 15, presses the vibratory loader with its rollers 13 to the guide crosspiece 1, squeezing as with 5 Scissors and squeezing forward rollers of the vibratory loader to the stop of its rod 18 in the lower shoulder of the connecting rod 8, which has limiters of its rotation /not shown/. The patient in the position shown in Fig. 1 straightens his legs, pressing on the pedal 9, and wedges the rollers 13 and 15 into the base of these scissors. The device returns to its original position arbitrarily as a result of the relaxation of the leg muscles after actively straightening them under load and subsequent bending in the hip, knee and ankle joints. During direct pedaling, the patient's feet rest on the pedals and the load is transferred to the leg muscles - hip extensors, shins, and soles of the feet. When grasping the soft loops 23 with the legs, it is possible to perform active bending of the legs: from a straightened position

And the legs are bent, pulled up to the chest, and then, with relaxed muscles, the apparatus is lowered into the starting position (not shown)/.

Hands are passive when working with legs. They are located either on the handles 11, or on the patient's hips, or in other positions and are not subjected to load. c When the arms are loaded, on the contrary, the legs are passive /are on the pedals or on the floor/, and the patient actively acts with the hands - bends them, moving them back and moves the rollers by stretching the flexible rods 10 /or variable - rigid 30/ with the help of the influence on the handles 11. Arm stretching movements are also possible. In this case, the handles are moved forward from the starting position - fig. 2 to the position - fig. 4, for which they use hard 30 pulls. The return of 5or to the original position 16 is also arbitrary when the muscles of the hands are relaxed. o Coordination of movements with hands and feet is performed in the position of Fig. 1 with active interaction on both the lower and upper shoulders of the connecting rod, respectively tensing and relaxing the muscles.

The posture of the body and the inclination of the body are set by moving and fixing the backrest b on the frame 4, as shown in the diagram of Fig. 10.

Other movements are possible, including movements in a standing position with the execution of a "pull" - stretching the trunk from a bent position, as shown in Fig. 11. (F, This is how smooth movements of the arms, legs and body are performed, the effectiveness of this can be increased due to vibration. To do this, turn on the vibrator 7 - set the specified eccentricity value of the roller 15 of the vibratory loader. After removing the load, move the key 33 from the center of this roller to one of the pairs groove 32 because cut 31, previously moved axis 14 to the right and released the roller down, lifting up rod 18 and turning axis 14 to the initial position, acting on its handle 35. With the above-mentioned active and passive movements interacting with rib 16, roller 15 will turn and in the presence of eccentricity will cause oscillatory movements of the mattress 4, the seat 5 and the backrest with the headrest b, which will create the required vibration stimulation of the patient's body - his musculoskeletal system and all the organs of his body system. The vibration effect can be adjusted according to the amplitude b5 by installing the key ZZ3 in different grooves 32, rink 15 and by frequency - by changing the speed of movements of the ends.

The advantage of the proposed 16 in comparison with the prototype is that it was possible to ensure the movement and loading of the patient's legs, arms and trunk in various positions required for mechanotherapy - lying down, sitting and standing without using all kinds of traditional loading devices in the form of springs, packages in loads, ictions, dampers, etc., and realizing the natural forces of nature for loading - its gravity, which

K-4 TSI K-4 "and provides a high economic effect of the production and operation of this device. At the same time, compliance of the physical load with the requirements of mechanotherapy has been achieved and its effectiveness of therapeutic action has been increased by ensuring the regulation of vibration parameters, also creating without the use of any complex devices, traditionally used for similar purposes. 70 We think that the proposed mechanotherapeutic device will find wide use not only in medical and preventive institutions, but also in the personal use of citizens, as it can be very light, mobile and relatively inexpensive, which is very important in modern economic conditions.

Claims (2)

The formula of the invention 1. Mechanotherapeutic apparatus, which contains a horizontal base and is mounted on it, made along the length folded, a bed of hinged elements, which include supports for the head, cervical, thoracic and lumbar parts of the human body, a support for the hands and a vibrator, which differs the fact that the horizontal base 2r is made in the form of a cross-piece, which is installed on suction-cup supports, and the bed is hingedly installed on the cross-piece with the help of a bed fixed to it, a vibrating loader with a vibrator is placed between the bed and the cross-piece, which includes a foot drive connected to the vibrator in in the form of a two-armed connecting rod with pedals and a manual drive as a support for the hands in the form of movable tubular handles connected to the connecting rod by rods, mounted on the side parts of the guide frame, which is fixed on the bed, and it has the possibility of kinematic interaction with the vertical axis, on which the supporting rollers are mounted , resting on the crossbar. 2. Mechanotherapeutic apparatus according to claim 1, which is characterized by the fact that the vibrator is made in the form (o) of a supporting roller placed under the bed coaxially with the support rollers, which is mounted on a common axis with the possibility of setting and adjusting the eccentricity value. "- "c) IF) (ee) And c) - and? 1 (ee) 1 («c) - name) 60 b5