Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
  • A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
  • A61H1/02—Stretching or bending or torsioning apparatus for exercising
  • A61H1/0218—Drawing-out devices
  • A61H1/0222—Traction tables
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
  • A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
  • A61H1/02—Stretching or bending or torsioning apparatus for exercising
  • A61H1/0292—Stretching or bending or torsioning apparatus for exercising for the spinal column
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
  • A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
  • A61H1/02—Stretching or bending or torsioning apparatus for exercising
  • A61H1/0218—Drawing-out devices
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
  • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
  • A61H2201/12—Driving means
  • A61H2201/1207—Driving means with electric or magnetic drive
  • A61H2201/1215—Rotary drive
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
  • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
  • A61H2201/16—Physical interface with patient
  • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
  • A61H2201/1623—Back
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
  • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
  • A61H2201/16—Physical interface with patient
  • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
  • A61H2201/1628—Pelvis
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
  • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
  • A61H2201/16—Physical interface with patient
  • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
  • A61H2201/1635—Hand or arm, e.g. handle
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
  • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
  • A61H2201/16—Physical interface with patient
  • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
  • A61H2201/1635—Hand or arm, e.g. handle
  • A61H2201/1638—Holding means therefor
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
  • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
  • A61H2201/16—Physical interface with patient
  • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
  • A61H2201/164—Feet or leg, e.g. pedal
  • A61H2201/1642—Holding means therefor
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
  • A61H2203/00—Additional characteristics concerning the patient
  • A61H2203/04—Position of the patient
  • A61H2203/0443—Position of the patient substantially horizontal
  • A61H2203/0456—Supine
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
  • A61H2205/00—Devices for specific parts of the body
  • A61H2205/08—Trunk
  • A61H2205/081—Back

Definitions

• the present invention relates to a device for effecting a stretching of the spine of a person, particularly the lower back, in particular to relieve and / or prevent back pain.
• the present invention more particularly relates to a device for performing relaxation of the pelvis and effective stretching of the lower back.
• a stretching and traction device comprising a table for supporting a person lying on their back, and a traction system comprising at least one cable, fastening means for connecting said cable at the feet of the person and traction means acting on the cable to effect traction on the legs to stretch the legs and spine.
• the person who is lying on the table with the legs hanging tends to contract, which significantly reduces the effect sought by stretching.
• heating means integrated with the table to heat the muscles surrounding the column and thus attempt to reduce the tensions in these muscles before and during the stretching. Such localized heating is tricky to . enforce. Moreover, the person remaining static, such heating does not allow effective relaxation of the pelvis and thus has little impact on the effectiveness of stretching.
• the present invention relates to a device for effecting a stretching of the spine of a person, particularly the lower back, comprising a table for supporting a person lying on the back, which table is equipped with a traction system comprising at least one cable, fastening means for connecting said cable to the feet of the person and traction means acting on the cable to effect traction on the legs in order to stretch the legs and the spine; which device is characterized in that it further comprises oscillation means acting on said cable to obtain lateral oscillation movements of the two legs on either side of the axis of the vertebral column of the person, said pulling means and 'said oscillating means being adapted to be controlled by a control unit for combining lateral oscillation movements of the legs and movement of traction on the legs.
• the device comprises oscillation means for obtaining lateral oscillation movements of the legs.
• This device can be used in particular to perform lateral oscillation movements to obtain muscle relaxation in the pelvis and lumbar region, and thus make the subsequent stretching more effective, especially at the lower back.
• the device according to the invention also provides a relaxing effect and a sense of comfort.
• said traction means and said oscillation means are adapted to be controlled by the control unit to perform lateral oscillation movements prior to one or more traction movements.
• said traction means and said oscillation means are able to be controlled by the control unit to simultaneously perform lateral oscillation movements of the legs and one or more traction movements to stretch the lower back , preferably after performing lateral oscillation movements alone. So after • legs of oscillation movements to prepare stretching, stretching can be performed with or without oscillation.
• the traction system comprises at least one pulley, mounted on a cross member which is assembled transversely to the table, and on which said cable passes, said oscillation means being suitable. transversely displacing said pulley on said cross member to effect said lateral oscillation movements.
• Said oscillation means may comprise a cam system interposed between the drive shaft of a motor and said pulley for transforming the rotational movement of 1- shaft into a movement back and forth of 'the pulley on either side of the longitudinal plane of the table, said motor being controlled in rotation by said control unit.
• the device comprises two cables
• the traction system then comprises two pulleys mounted on the same cross member assembled transversely to the table, with a cable passing over each pulley, and said oscillation means are able to move transversely.
• the said pulleys on the said crossbeam advantageously comprise a bar to which the cables are connected, the feet of the person being assembled to the bar between the fixing points of the two cables on the bar, 1 'spacing between said fixing points substantially corresponding to that of the two pulleys on the cross.
• the device further comprises lifting means for lifting the legs at a determined angle relative to the axis of the column during oscillation movements and (s) movement (s) traction.
• the traction system comprises two uprights fixed to the table and carrying in the upper part said crossbar above the table, and possibly said oscillation motor, said traction means, formed for example of a winch, then serving as means of lifting the legs.
• the device then comprises an angle detection system for detecting the angle of the cable between the pulley and the fixing means, said detection system being connected to the control unit for controlling the traction means and the oscillation means.
• said oscillation means are able to be controlled by the control unit, and / or to be modified, in order to vary the frequency, the amplitude and / or the duration of the oscillation movements, as a function notably of the size, weight, age and / or sex of the person, and / or said traction means are able to be controlled by the control unit, and / or to be modified, to vary the duration and / or the tensile force of each traction movement, and / or the number of successive traction movements, depending in particular on the size, weight, age and / or sex of the person.
• FIG. 1 shows a schematic perspective view of a device according to the invention for- particular a relaxation of the pelvis and a stretch of the lower back;
• FIG. 2 and 3 respectively show a side view and a rear view of the device of the figure in the absence of protective covers;
• FIG. 4 represents an enlarged perspective view of an upper part of the device of FIG. 1, in the absence of a cowling, illustrating the oscillation system;
• FIG. 5 represents a perspective view of a lower part of the device of FIG. 1, in the absence of a cowling, illustrating in particular the traction means;
• the device according to the invention comprises a table 1 comprising a plate or horizontal frame 11 supported substantially horizontally on a frame 12.
• the frame comprises two front legs 121 and two rear legs 122 equipped with ends of skates 123 adjustable in height, whereby said frame rests on the ground.
• the upper plate is equipped with a mattress 13 comprising a transverse protuberance 131 which defines a bearing surface 132 for the buttocks of the person.
• the device includes a traction system for pulling on the legs to stretch the legs and back, by means of at least one cable-type connection attached to the legs.
• the traction system comprises a cable 21 passing over an upper pulley 22 disposed above the rear end of the table.
• the cable is fixed by a first end to a winch 23 and a second end to a fastening system 24 for connecting the cable to the two legs of a person.
• the pulley is mounted between two vertical uprights 25a, 25b assembled at the ends of the rear legs 122 of the frame and the rear edge 111 of the plate.
• the pulley is mounted movable in translation between the two uprights to allow lateral oscillation movements, as described below. In the present embodiment, according to FIGS.
• the pulley is mounted free to rotate on a slider 26.
• This slider is slidably mounted on a fluted horizontal tubular cross member 27 which is assembled between the two uprights, the slider comprising ribs being housed in the longitudinal grooves of the cross member to ensure its locking in rotation.
• the fixing system comprises two chutes 241 for receiving the legs, connected parallel to each other by a central support 242 to which the cable 21 is fixed.
• Each chute is equipped with two straps 243 for clamping the chute around a leg, above the foot, at the ankle and calf.
• the winch 23 comprises a motor 231 assembled to a support beam 232 mounted between the two uprights, under the plate 11.
• the drive shaft the motor arranged horizontally and perpendicular to the uprights, carries a drum 233 on which is fixed and wound the cable 21.
• the winch motor is controlled by a control unit parameterizable, and can drive the drum in a first direction, for example the clockwise, to unroll the drum cable, and in the opposite direction to wind the cable around the drum.
• the control unit 3 is in the form of a housing disposed on a support 31 which is assembled to the frame 12 by an articulated connecting arm 32 for orienting the housing.
• a safety system is provided to limit the winding of the cable in case of a malfunction of the winch or the control unit, and thus protect the device and the person.
• This system comprises a plate 234, fixed to the rear edge ill of the plate, provided with a transverse slot 234a for the passage of the cable.
• This plate serves as a stop for a safety pad 211, of greater dimension than that of the slot, fixed on the cable portion between the pulley and said stop plate.
• the device further comprises a 'oscillation system 4 mounted between the uprights under the pulley, adapted to displace the pulley on its crosspiece on either side of a reference position wherein the pulley is disposed substantially according the longitudinal plane of the table, equidistant from the two uprights.
• the oscillation system comprises a motor 41, said oscillation, assembled to a support beam 42 mounted under the pulley between the two uprights, and the drive shaft 411 is disposed in parallel to the amounts.
• a cam link 43 is fixed to the shaft and carries at its free end a parallelepiped cam pad 44.
• the cam shoe is pivoted on said link, about a vertical axis, and sliding in a guide rail 45 of U cross section which is integral with the slide and disposed perpendicular to the corrugated cross.
• the rotation of the pad 44 by the oscillation motor 41 causes the pulley to move back and forth on either side of its reference position.
• the motor shaft is offset from the longitudinal plane so that the pulley moves an identical distance on either side of its reference position when the pad makes a complete turn.
• the motor is rotated by the control unit.
• the control unit is connected to a position sensor 46 to ensure that the pulley stops in its reference position after an oscillation phase. In the illustrated embodiment, this position sensor is mounted on the support beam 42 and detects a position of the cam link 43 corresponding to the reference position of the pulley.
• An angle detection system 5 makes it possible to detect the angle of the cable downstream of the pulley, and therefore the angle of the legs connected to said cable with respect to the horizontal.
• This detection system comprises a rod support 51, pivotally mounted on the slide 45 about a vertical axis, which carries a front horizontal rod 52 and a rear horizontal rod 53 between which the cable passes.
• a position sensor 54 makes it possible to detect a reference position of the rod support in which the rods are arranged parallel to the crosspieces 42 and 27, this reference position corresponding to the desired cable angle. This sensor is connected to the control unit for controlling the winch motor.
• the pulley and its associated oscillation system are adjustable in height between the two amounts.
• the uprights 25a, 25b are formed of hollow tubes, the pulley cross-member 27 and the support cross-member 42 of the oscillation motor pass into longitudinal slots 251 of the uprights and are assembled in end to tubes or mounting plates 28 which slide in the amounts.
• Locking means such as a screw system 29
• the table is further equipped with a system of straps 6 to retain a person lying in the armpits.
• this strap system comprises two rings 61 intended to be threaded on the arms to the armpits, each ring is connected to first and second straps 62, 63.
• the first strap 62 passes through a pulley 64 fixed on the front edge 112 of the tray, and the tightening of the two straps is achieved by attaching the free ends of the two straps to each other by a fastening system 65, velcro type for example.
• the device advantageously comprises means connected to the control unit.
• these means for detecting tightening of the straps comprise contactors against which the first straps 62 in the tight position come to bear.
• the winch is protected by a removable lower cowling 71 provided on the upper face with a transverse slot (not visible) for the passage of the cable.
• the upper pulley and the oscillation system are housed in an upper cowling 72, its rear face 721 being provided with a transverse slot (not visible), and its front face 722 of a T slot, referenced 721a, for the passage of the cable during the lifting phases and phases of oscillation of the legs described below.
• the device according to the invention operates in the following manner.
• the person lies on the table with his pelvis placed in a reference position defined by pressing the buttocks against the bearing surface 132 of the mattress.
• the cable 21 is fixed to the feet of the person via the troughs 241, the cable being sufficiently unwound from the winch to allow the chucking of the chutes around the dowels.
• the person is attached by placing the rings 61 in the armpits and tightening the straps 62, 63.
• the control unit 3 is then activated, for example by actuating an activation button, to initiate a preprogrammed control cycle.
• the pulley is initially in its reference position, substantially along the axis of the spine of the person lying down.
• the control unit controls the winch motor 231 to wind the cable and thus pull on the legs to lift them.
• the cable bears against the rear rod 53 of the angle sensor 5, which keeps the rod support 51 away from its reference position.
• the control unit stops the winch motor.
• the control unit triggers an oscillation phase in which it controls the start of the oscillation motor 41 over a determined period of time to perform lateral oscillation movements of the two legs in order to relax the pelvis and lumbar area.
• control unit controls the stopping of the oscillation motor as soon as the position sensor 46 detects the cam link 43, so that the pulley is in the axis of the oscillation motor. table and therefore along the axis of the spine.
• the control unit then triggers a traction phase of controlling the winch motor to effect additional traction on the legs, in the axis of the column, to stretch the column, especially the lower back.
• the winch motor is stopped, the traction is maintained for a fixed period of time and then the control unit controls the motor in the opposite direction to unwind the cable in order to stop this additional traction.
• the control unit then controls the winch motor to unroll the cable to bring the legs back on the mattress. . If a lack of clamping is detected by one of the clamp sensors 66 during a control cycle, the control unit interrupts the cycle and controls the winch to unwind the cable.
• the control unit triggers a so-called traction / oscillation phase, in which the control unit controls the winch for additional traction while by keeping it on oscillation motor to maintain the lateral oscillation movements of the legs during stretching, this traction / oscillation phase is maintained for a determined period of time and possibly repeated after a new oscillation phase.
• control unit triggers several successive traction or traction / oscillation phases, possibly between two oscillation phases, or triggers several successive sequences of oscillation phase followed by traction phase or traction / oscillation.
• the control unit may comprise different preprogrammed cycles, selected for example by actuating external buttons.
• Each cycle can be set to vary: the speed of rotation of the winch; the time of activation of the winch during the traction or traction / oscillation phase, ie the length of the wound cable and therefore the traction force; the traction time; the speed of the motor and therefore the frequency of the oscillations; the duration of the oscillations. Cycles can be manually set via external control buttons.
• the pulley will be adjusted in height to vary the inclination of the legs between 20 and 50 degrees relative to the horizontal, for example of the order of 40 degrees, the oscillation phase is maintained during 10 to 60 seconds, the amplitude of the oscillations is for example 20 degrees on either side of the axis of the column, the speed of rotation of the motor (oscillation frequency) is between 40 and 120 rpm the traction or traction / oscillation phase is maintained for 1 to 30 seconds.
• the device may include a set of cam links of different lengths to vary the amplitude of the oscillations of 5 to 30 degrees on either side of the column.
• control cycles can be selected and / or set automatically from data of the person entered in the control unit, such as, for example, the age, sex, height and weight of the person.
• the device may comprise oscillating means acting not on the pulley but directly on a portion of said cable located between the pulley and the feet of the person.
• the table is fixed and the traction system serves as means for raising the legs.
• the device comprises a table having a movable rear portion for tilting the legs relative to the spine, the pulley and the oscillation system being mounted at the end of this rear portion.
• the traction system comprises two cables each passing on an upper pulley, the two pulleys being offset transversely of each other on the cross member.
• the two pulleys are rotatably mounted on the same slide, the latter being slidably mounted on the cross member and cooperating with an oscillation system to move the two pulleys together in a back and forth motion.
• Each cable is connected by a first end to a winch, the same winch can be used for both cables.
• the first ends of the cables are advantageously fixed to a bar which is connected to the single winch by a third cable.
• the second ends of the cables are fixed to the ends of a rigid bar, the spacing between the attachment points of said cables on the bar being substantially equal to the spacing between the two pulleys. Fixing the legs to the bar is performed by means of two leg reception chutes, which will be assembled to the bar, substantially perpendicular thereto, between the two cable attachment points.
• the device comprises a single cable, a sway of the legs around the cable attachment point may occur during the oscillation phases. This device with two cables makes it possible to limit or avoid this phenomenon of swaying of the legs.
• each pulley described above for the passage of a cable is replaced by two pulleys, of smaller diameter, offset from each other in the longitudinal direction of the device.
• the two pulleys are mounted as previously on a slide, and are arranged on either side of the crossbar.

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• Health & Medical Sciences (AREA)
• Public Health (AREA)
• General Health & Medical Sciences (AREA)
• Veterinary Medicine (AREA)
• Rehabilitation Therapy (AREA)
• Epidemiology (AREA)
• Pain & Pain Management (AREA)
• Animal Behavior & Ethology (AREA)
• Life Sciences & Earth Sciences (AREA)
• Physical Education & Sports Medicine (AREA)
• Biomedical Technology (AREA)
• Orthopedic Medicine & Surgery (AREA)
• Engineering & Computer Science (AREA)
• Neurology (AREA)
• Orthopedics, Nursing, And Contraception (AREA)
• Rehabilitation Tools (AREA)

Applications Claiming Priority (2)

Publications (1)

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Family Applications (1)

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• 2006
  • 2006-07-19 FR FR0606594A patent/FR2903886B1/fr not_active Expired - Fee Related
• 2007
  • 2007-07-09 US US12/374,370 patent/US20090259253A1/en not_active Abandoned
  • 2007-07-09 EP EP07823268A patent/EP2054006A1/de not_active Withdrawn
  • 2007-07-09 WO PCT/FR2007/001175 patent/WO2008009793A1/fr not_active Ceased
  • 2007-07-09 CA CA002657923A patent/CA2657923A1/fr not_active Abandoned
  • 2007-07-09 RU RU2009105671/14A patent/RU2009105671A/ru not_active Application Discontinuation

Non-Patent Citations (1)

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