UA57719C2 - Device for mechanotherapy - Google Patents

Abstract

The device for mechanotherapy relates to the medicine and sport, in particular to the devices used for the therapeutic exposure as well as the backbone or the bones and ligaments in the body. The device comprises the spider with the bed, the head-holder, and the loading devices for arms and legs. All the appliances are attached to her spider with the rope-and-pulley system. The loading device for arms is designed as a pair of elastic tube-like handles put onto the branches of the rope-and-pulley system. The loading device for legs is designed as a pair of pedals with the wheels and rollers capable of being displaced between the rope branches. Besides the loading device for legs comprises the vibrator containing the rod cinematically connected with the support. The rod is equipped with the wave-shaped ribs serving as the supports for the wheels of the pedals. The patient performs the active movements of the legs, the arms, the head, and the trunk in supine or sitting position under conditions of the loading, vibrostimulation and backbone extension.

Description

Description of the invention

The intended invention relates to medicine and sports, in particular, to devices for activating the functions of 2 different sections of the spine and developing the corresponding muscles in the process of therapeutic gymnastics.

A known device for stretching and fixing the cervical spine, which ..contains a frame with anti-resistance rods and a head holder connected to the frame with the help of rods, made in the form of a skull with lumbar straps and a cervical cuff connected to each other by longitudinal straps, in place connection with cuffs, longitudinal straps have loops./see a.s. USSR Mo908350, AbITN 5/04, BY Mov, 1982/. 70 The disadvantage of this analogue is that it does not contain an active muscle loader for the purpose of strength training. At the same time, the load is given only to the neck muscles, which is not enough for a comprehensive training and therapeutic effect on the patient.

A well-known stretching and bending device for therapeutic gymnastics, containing a means for positioning and fixing the patient in the form of a couch installed on a movable support at an angle to the base, consisting of 12 hinged joints from two parts - thoracic and leg, and a means of fixing the body / see . n. FRG Mo3104832, AbIN 1/02, IZR, 1983/.

Its disadvantage is that it does not contain a means that ensures the active functioning of the muscles of the patient's body in conditions that vary in form and essence of movement.

The well-known Apparatus for stretching the cervical spine, which contains a head holder, fixed with the help of flexible rods on a length-adjustable rod, which is installed on the patient's shoulders with the help of soft stops / see No. USA Mo220197, Ab1TN 1/021, 1980/.

The disadvantage of this device is that it only fixes the head and gives it a pulling load, but it does not have a loader for the neck muscles in their balance and the dynamics of strength training, and there are no means of their stimulation, which does not ensure the proper effectiveness of the mechanotherapeutic action. with

A well-known spring device for muscle development, which contains a longitudinal element, a pair of risers, on the lower ends of which a pair of telescopic tubes are fixed, inside which there are adjustable helical springs with tube movement limiters /see T.P. Yutkevich and others. Exercise machines in sports., M., FIS. 1989, p. 54/.

The disadvantage of this device is that, although it allows you to strain the muscles in the process of active movements, it does not contain the means of transmitting these movements to the muscles of the neck, and there is no stretching means and means of stimulation for the cervical spine. "--

The closest in terms of technical essence is a device for stretching and fixing the cervical spine, which contains a head holder with cuffs and a means of fixing it to a support made in the form of a chaise longue, on the back of which, on an arc, a head holder connected to a means of activating the neck muscles in the form of flexible rods with handles / see A.s. USSR Mo1801443 AbIN1T/02, BI Mo10, 1993/. 3o The shortcoming of the prototype is that this device provides activation of the neck muscles not due to their voluntary contractions, but passive movements provided by the hands acting through handles and flexible pulls, which is not enough for training and muscle development. At the same time, active pulling occurs only during hand movement, which also limits the capabilities of the device. In addition, the effect of loading and stretching is aimed only at the muscles of the neck and only with a limited load, which also reduces the effectiveness of this device in training and C 50 treatment. c The invention is based on the task, taking into account the shortcomings of the prototype - a device for stretching and fixing the cervical spine, to create another version of the device that would provide a more effective motor effect on the spine and not only on its cervical region, but also on its other links and at the same time, to make wider use of the possibilities of motor activity for applying volitional motor actions and developing the functional capabilities of the muscles of the patient's body in the conditions of increased stretching of the spine due to the use of thrusting and vibrational actions. - And all this was supposed to be achieved without the use of complex "fidgety" mechanisms, but due to the use of gravitational forces as a result of suspending the patient's body on a support - a seat with the help of a rope-block system. -k 70 The task is solved by the fact that in the device, which contains a seat mounted on a support, a head holder with cuffs and a means of creating a load, according to the proposed invention, the seat and the back are made in the form of a single bed, in the shape of the patient's body, made of elastic material , installed hinged with the possibility of changing the angle of inclination and fixation on a support made in the form of a cross, and the head holder is made dimensionless removable and such that it unfolds, its cuff has chin and parietal parts, 29 while the means of creating the load is made in the form of a rope block system, whose endless rope

GF) covers and connects the bed and the head holder with the manual and foot loader, the first of which is made in the form of a pair of elastic tubular handles: mounted on the cable, and the second in the form of a pair of movable pedals placed between the legs on the cable, and additionally contains a vibrator , made in the form of a rod kinematically connected to the support with wavy ribs, on which the pedals rest with their rollers, spring-loaded to them by a cable interacting with them.

The technical result, which is achieved by using a set of distinguishing features of the proposed device, is that due to the suspension of the bed with the help of a rope-block system on a cross-shaped support, it was possible to create loaders for the muscles of the neck, arms, legs and trunk of the patient, to provide vibration stimulation of them without the use of any traditional mechanisms such as hydro-, pneumatic, etc., using the forces of gravity, while providing a wider range of physical exertion and physical exercises in the conditions of stretching the spine in its various departments.

The essence of the proposed invention is explained by the drawing, where the general view of the mechanotherapeutic device is given in fig. in Fig. 2 - the same, front view; in Fig. 3 - the same, with possible exercises with lateral bending of the spine; in Fig. 4 - the same, top view; in Fig. 5 - the same, in axonometry, with the head holder removed; in fig.b - the assembly of the bed on the support: a - rear view, b - side view; Fig. 7 - leg loader, top view; in Fig. 8 - the same, side view; in Fig. 9 - a load converter: a - during vibrostimulation; b - in the absence of vibration; in Fig. 10 - loader installation unit "for legs on a support, /0 Side view; in Fig. 11 - loading handle: a - in the initial position; b - with a load for legs on a support, side view; in Fig. 11 - loading handle: a - in the initial position, b - with a load; in Fig. 12, - the head holder in the unfolded form.

Specifically, the device contains a base in the form of a cross and on which, with the help of two nodes: the bed installation node 2 at the foot loader installation node 3 - a cable-block system connecting the 15 specified nodes with the neck muscle loaders - head holder 4, under is connected to the bed with the help of an arc-shaped bracket 5 and carries a manual loader 6.

Crosspiece I has longitudinal and lumbar frames mounted on rubber-covered stops. The unit for installing the bed 2 and the installation unit for the foot loader Z are fixed on the crosspiece I. The unit 2 is on the arched rack 7, on the end of which is fixed the folded hinge 8 and the bed with the possibility of its tilt and fixation with the help of clips 9 2o Relative to two axes - lumbar and longitudinal. Node C on the arc-shaped rack 10, which has a fixing hole I.

A foot loader is installed on it, which has a bracket 12, mounted with the possibility of oscillation on a rack and a load transducer 13 fixed on it, consisting of a T-shaped bracket 14, which has rollers 15 on the sides - a vibration sensor in the form of a longitudinal rotary rod 16 with handle 17 and with ribs made diametrically opposite to it - straight 18 and wavy 19. The ribs 18 and 19 are joined by sliders 20, which have support rollers 21, on which pedals 22 are fixed, which have eyelets 23 with rollers 24 and with toes 25 and heel 26 loops / belts / see fig. 1, 2, 3, 4, 5. (8)

The bed 2 is made of elastic material bent to the shape of the patient's spine and pelvis, fixed on the hinge 8 with the help of a crossbar 27, at the ends of which there are eyelets 28, a hanging roller 29 from the bottom-front, and removable shoulder rests 30 on the sides. To the back of the bed rigidly arched bracket 5 is attached to its crossbar 27, Ge! at the ends of which a roller 31 is installed and a head holder 5 is fixed /see Fig. 5, 4/.

The head holder 4 is made in the form of a shaped flexible plate 32 with a soft lining 33 and with Velcro 34 at its ends, has a length that allows you to cover the patient's head and fasten it with the specified M Velcro. To fix the plate 32 on the head vertically, a strap 35 with a chin rest 36 and a parietal fixator 37 in the form of a loop is fixed on it with the possibility of adjustment according to the size of the head, with the help of it and a flexible rod 38 with a strap 39, the head holder is attached to the end of the arcuate bracket 5, and with the help of side loops 40 to the cable 41 of the cable-block system / see fig. 4, 5, 12/.

The hand loader is made in the form of a pair of handles 42, each of which has a flexible elastic tube inside which contains two diametrically opposite blocks 43 with wavy inner surfaces, which are fixed from turning inside the tubes with the help of end fixing guide plates 45. Both handles are mounted on a cable 41 , made in the form of an endless closed ring that forms the basis of the three-block c system, which, in addition to the indicated rollers 15, 24, 29, 31, includes rollers 24 and eyelets 28 of shoulder rests 30. For . of the cable in the blocks 43, grooves 45 are made /see Fig. 11/, and? Use the device in this way. The patient sits down, and then lies down on the bed 2, placing shoulder rests 30 under the shoulders, legs, socks are inserted into the toe loops 25, resting with the Achilles tendon on the heel loops 26, which support the legs on the pedals 22. In this position, the patient fixes the head restraint 9 , covers the head with it and connects the velcro 34, having previously installed its fastening according to its height, for which, using the lanyard 39, shortens or lengthens the flexible traction 38. ш- It is assumed that the following exercises are performed - with hands, legs, torso and head, as well as the combination of these -I movements:

Hands: alternating or simultaneous movement of the handles 42 along the cable 41; - - retracting and retracting these handles in different radial directions relative to cable 41;

Ge - action on the rope with the help of handles, tilting the body forward, back, right, left;

Legs: alternating or simultaneous pedaling in a lying, half-lying, sitting position; - abduction and adduction of the legs with support of the hips on the handles 42 in lying, semi-lying and sitting positions; - the same, acting on the pedal.

Trunk: flexion and extension of the trunk forward and back and to the sides, acting with the head on the head holder 4; (F, - the same, without a head holder. ka With the head: - tilt the head forward, back, left, right; - turn the head to the right and left; 60 - turn the head clockwise and counterclockwise.

Combinations are various, for example, imitation of rowing. In all cases, exercises can be performed without load and with load, without vibration and with vibration, in conditions of stretching the spine and without stretching.

The load is given by the patient's own weight, which pulls the cable, which creates its elasticity and resistance, which was overcome by the patient acting on it with the specified body parts. So, for example, when pedaling with the feet, such resistance and the load associated with it is created due to the wedging of the pedals 22 between the branches of the cable 41. During active movements - pressing the pedals, the load increases, and when the legs are passively returned to the starting position, it is weakened and removed . The same happens with other exercises for the legs, as well as the head when moving the head holder 4 and when radially moving the handles 42. During the longitudinal movements of these handles, the load arises due to the force of clamping the cable between their blocks 44 when the hands are squeezed in active movements, and the weakening and knowledge of this resistance occurs when the compressive muscles of the hand are relaxed.

To create vibration and vibrostimulation, which is transmitted to the patient's body, they act with their feet - perform pedaling. Pre-switch the load converter 13, turn its rod 16 with the help of the handle 17 so that the wavy ribs 19 come into contact with the rollers 21, /see Fig. 7, 9/. It is possible to increase vibration stimulation simultaneously by pedaling. Vibration removal is carried out by turning the same rod 7/0 with flat rectilinear 18 ribs in contact with these rollers.

Stretching of the spine is ensured along its entire length - in all departments, sacral, lumbar, thoracic and cervical. To remove tension from the cervical spine, remove the head holder 4, disconnect the Velcro 34 and release the strap 35.

To remove strains from other parts of the spine, detach the removable shoulder supports 30.

Node 24 hinge 8 is used to increase the amplitude of movements when bending and extending the trunk forward, backward, right, left, that is, longitudinally! Lumbar planes relative to the patient. For lumbar movements, this hinge is secured with a catch 9 located behind, and for longitudinal movements - located on the side, see Fig. 1, 6/.

Node C is used to fix the movement along the height of the foot loader 3, which is necessary for some methods of functional treatment with barely raised legs, which facilitates the suction function of the heart. This is achieved by moving the clip 12 along the rack 10 and fixing it with a check / not marked / in the holes 11. When the legs are raised higher and when they are bent in a sitting / and lying position /, the legs are released from the loops 25 and 26 / see Fig. 1 , 3/.

Thus, the advantage of the proposed device in comparison with the prototype is that it was possible to achieve countless exercises for all parts of the patient's body under conditions of power load and without it in a sitting, half-lying and lying position / if standing, then you can do without the device/ , with vibration and without i) it, thereby expanding the range of movement possibilities both with the legs down and with the legs raised. At the same time, all of the above were loaded, all sources of load are reduced to one - the use of "free" force - the force of gravity, which releases from the need to use complex and metal-intensive Ge! zo mechanisms and devices, makes the device light, elegant, low-metal consumption, transformable (4 transportable. -

We believe that such a device will find wide use in modern conditions of general economy, both in M stationary conditions of medical and preventive institutions, and well-known in personal use. Cha

Zo

Claims (1)

The formula of the invention is a Mechanotherapeutic device, which includes a seat, a back, a head holder with a cuff and a means of creating a load, which is set in a stop, which is distinguished by the fact that the seat and the back are made in the form of a single, elastic bed capable of taking the shape of the patient's back, which is hinged with with the possibility of changing the angle of 7-3 s tilt and fixation on a support made in the form of a cross, and the head holder is made dimensionless and its cuff has chin and parietal parts, while the means of creating the load is made in the form of a "z" cable-block system containing an endless cable , the manual loader is made in the form of a pair of tubular elastic handles, placed on the sides of the bed on the branches of the cable, the foot loader is made in the form of a pair of movable pedals, which contain rollers and rollers, which are placed between the branches of the cable and rest on them with rollers, cables covers the bed and headstock and connects them with hand and foot loaders, and additionally contains a vibrator made in in the form of a rod with wavy ribs kinematically connected to the support, which interact with the rollers of the pedals. -I - 50 iChe) F) name) 60 b5