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WO2010120165A1 - Appareil et procédé destinés au traitement des affections du dos et du cou - Google Patents

Appareil et procédé destinés au traitement des affections du dos et du cou Download PDF

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Publication number
WO2010120165A1
WO2010120165A1 PCT/MY2010/000057 MY2010000057W WO2010120165A1 WO 2010120165 A1 WO2010120165 A1 WO 2010120165A1 MY 2010000057 W MY2010000057 W MY 2010000057W WO 2010120165 A1 WO2010120165 A1 WO 2010120165A1
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WO
WIPO (PCT)
Prior art keywords
bed
person
traction
neck
pedestal
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/MY2010/000057
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English (en)
Inventor
Yama Zafer
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
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Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of WO2010120165A1 publication Critical patent/WO2010120165A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/009—Physiotherapeutic tables, beds or platforms; Chiropractic or osteopathic 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
    • A61H1/0218—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
    • 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
    • A61H1/0292—Stretching or bending or torsioning apparatus for exercising for the spinal column
    • A61H1/0296—Neck
    • 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
    • A61H2203/00—Additional characteristics concerning the patient
    • A61H2203/04—Position of the patient
    • A61H2203/0481—Hanging
    • A61H2203/0493—Hanging by hanging the patient upside down or inclined downwardly

Definitions

  • the present invention generally relates to an apparatus and method for the therapeutic treatment of back and neck ailments.
  • DDD degenerative disc disease
  • the outer annular fibers begin to buckle, allowing for migration of the nucleus posteriorly or posterolateral ⁇ . This migration can put pressure on the sensitive spinal cord and spinal nerve fibers. If the annular fibers tear, the nucleus can protrude even further and put an excessive amount of pressure on the spinal cord or nerve fibers.
  • This form of rehabilitative therapy increases the rate of inward diffusion of nutrients even in the presence of a degenerated disc by lowering the intradiscal pressure.
  • An increase in nutrients leads to an increase in production of disc cells that ultimately repair the degenerated and damaged discal tissue.
  • Traction or decompression methods have been in use for the therapeutic treatment of these ailments.
  • Several techniques which widen disc spaces, decompress the discs, unload the vertebrae, reduce disc protrusions, reduce muscle spasms, separate vertebrate and lengthen and stabilize the spine have been recorded in the current art.
  • Mechanical traction is the technique of applying a distractive force to relieve abnormal pressure on the spinal disc.
  • US4995378 (Dyer et al) describes a therapeutic table for providing traction in a prone position to a patient's lumbar spine.
  • a pelvic belt is rigidly anchored to the lower body section of the table. The patient lies face down on the tabletop. With arms above the head, the patient holds onto handgrips.
  • the lower body section of the table, to which the pelvic belt is attached, is then separated from an upper body section of the table for applying traction to the lumbar region of the spine.
  • the lumbar spine is put into extension, which increases pressure on the herniated disc, causing more pain and discomfort.
  • the distractive forces are reduced greatly and the therapeutic benefit is lost.
  • cervical traction devices There are various cervical traction devices already known in the current art. However, these devices have one of two cervical harnesses that aid in the traction.
  • One cervical harness is a chin-strap that wraps around the patient's chin. When a moderate distractive pull is applied, there is a strong possibility of dislocating the patient's jaw. This also causes great pain and discomfort to the patient.
  • the other cervical attachment is hard and uncomfortable pillars that press against the neck and the base of the skull. When a distractive pull is applied through this method, the attachment pillars often press excessively against the skull, producing moderate to intense pain. Furthermore, through this method, the distractive pulls are too mild (to avoid pain at the base of skull) to be of great benefit. Through these methods, the muscles surrounding the spine and disc tighten up, limiting the amount of distractive pull, and thus reducing the efficacy of the pulls.
  • None of these other devices provide for an easy and convenient way for the patient to be mounted onto the device. There is a need in the art to provide a therapeutic traction device that allows easy mounting of patients. There is also a need for a therapeutic traction device that accommodates patients that fall within large ranges of heights, weights and body sizes. There is a need for a therapeutic traction device for the neck and low back that is gentle enough so as to not cause pain and discomfort to the patient, which will reduce efficacy. There is also a need for a therapeutic traction device that can safely and effectively treat either the neck or low back conditions. There is a further need for a therapeutic traction device that is easy for an operator to use, and with a comprehensive safety and monitoring system.
  • the present invention relates to an apparatus and method for the therapeutic treatment of back ailments that secures an upper portion of the patient's body to a fixed upper portion of the device and a lower portion of the patient's body to a moveable lower portion of the device, and applies a pulling force to the lower portion of the patient's body to cause decompression of specific parts of the patient's spine.
  • the device comprises a bed on which the patient is placed, and the bed can be adjusted, slid back and forth, tilted and rotated to provide easy placement of the patient on the bed.
  • This invention also relates to an apparatus comprising: a frame having a base; a bed attached to top of said frame, said bed having an upper bed portion, a lower bed portion and a head portion, whereby each bed portion may move independently of each other, and said bed is adapted for supporting a person, and said bed is adjustable in the following motions: slidable along the length of the bed, such that the length of the bed may be adjusted to suit the height of the person, whereby all three bed portions move as one in relation to a platform supporting the person; tiltable about an axis parallel to the width of the bed, such that the bed may be at a horizontal or a vertical tilt, and any position in between, for facilitating positioning of the person onto the bed; and rotatable about said base; an upper body securing means for securing upper body of the person to said upper bed portion; a lower body securing means for securing lower body of the person and provided with an anchor; and traction means attached to said anchor and providing traction of the person's spine by exerting
  • the present invention further relates to an apparatus and method for the therapeutic treatment of neck ailments that secures the patient's head and neck to a movable head portion of the device and the patient's body resting on a lower portion of the device, and applies a pulling force to the patient's head and neck to cause decompression of the patient's neck.
  • the device comprises a bed on which the patient is placed, and the bed can be adjusted, slid back and forth, tilted and rotated to provide easy placement of the patient on the bed.
  • This invention also relates to an apparatus for the treatment of neck related ailments comprising: a frame having a base; a bed attached to top of said frame, said bed comprising a head portion having an anchor point, an upper and a lower bed portion adapted for supporting a person, and said bed is adjustable in the following motions: slidable along the length of the bed, such that the length of the bed may be adjusted to suit the height of the person; tillable about an axis parallel to the width of the bed, such that the bed may be at a horizontal or a vertical tilt, and any position in between, for facilitating positioning of the person onto the bed; rotatable about said base; and head portion tiltable with respect to the rest of the bed; a head securing means for securing head of the person to said head portion and, said head portion provided with an anchor point; and traction means attached to said anchor point and providing traction of the person's neck by exerting a pulling force on said anchor point, said traction means able to provide said traction at a multitude of angles.
  • This invention also relates to a system for the treatment of back and neck related ailments comprising: a frame'having a base; a bed attached to top of said frame, said bed having an upper bed ' portion and a lower bed portion whereby each bed portion may move independently of each other, and said bed is adapted for supporting a person, and said bed is adjustable in the following motions: slidable along the length of the bed, such that the length of the bed may be adjusted to suit the height of the person; tiltable about an axis parallel to the width of the bed, such that the bed may be at a horizontal or a vertical tilt, and any position in between, for facilitating positioning of the person onto the bed; and rotatable about said base; an upper body securing means for securing upper body of the person to said upper bed portion; a head securing means comprising a pair of neck braces for securing head of the person to said head portion and provided with an anchor point; a lower body securing means for securing lower body of the person and provided with
  • This invention also relates to a system for the treatment of back and neck related ailments, comprising a safety switch operable with the traction means, the safety switch accessible to the person for terminating the pulling force provided by the traction means.
  • the upper body securing means comprises a pair of underarm supports carried by the bed and positionable at multiple locations for conforming to the size of the person being secured to the bed.
  • the securing means further comprises an upper body harness in combination with the pair of underarm supports.
  • the upper body harness has a strap for securing to the top of the bed.
  • the upper body harness has adjustable fastening means for fitting along the chest and shoulders of the patient.
  • a preferred embodiment includes the traction means provided on an upwardly extending support, a vertical screw carried by the upwardly extending support, and a traction unit mounted onto said vertical screw such that rotation of said vertical screw will cause traction unit to move either up or down, depending on the direction of rotation of said vertical screw.
  • the traction unit includes a pulley with a cord running over said pulley, said cord extending there from and attached to a lower body harness for providing the pulling force to the harness created by the traction unit. The angle of the axis through which the pulling force is exerted is determined by the vertical position of said pulley.
  • This invention also relates to a method of treating a patient with back ailments, comprising the steps of supporting a person in a reclined position, the bed being tiltable from a horizontal position to a vertical position and having a platform for receiving the person when the bed is in the vertical position.
  • the method further includes the steps of tilting the bed to a vertical position, attaching upper body anchoring means to the person for anchoring the upper body of the person to the upper bed portion, attaching a lower body harness to the lower body pelvic portion of the person, the lower body harness having an inflatable air bladder for positioning within the posterior cavity of the lumbar spine formed between the lower back of the person and the bed when the person is in a supine position on the bed, the air bladder enabling the local paraspinal muscles of the person to relax during a pulling force on the spine of the person, and positioning the person on the platform while facing away from the bed, the back of the person proximate the bed, for preparing the person prior to positioning in a reclining position.
  • the bed is adjusted to suit the height of the person, the upper and lower bed portion slidable in relation to the platform on which the person stands.
  • the bed is adjusted so that a gap formed between ' the upper and lower bed portion is proximate to the waistline of the person.
  • the bed is then tilted for placing the bed and person in the horizontal position.
  • the upper body harness is then anchored to the upper bed portion.
  • a pair of underarm supports are placed on the upper bed portion, under each armpit of the person.
  • a knee support is slipped under the knees of the person to allow the knees to rest in a bent state, thus providing comfort for the person in a supine position.
  • the method further includes the steps of attaching a traction means to the lower body harness for providing a pulling force between the upper body and the lower body of the person.
  • the lower bed portion is unlocked so that it is able to slide freely in relation to the upper bed portion.
  • the traction means is then activated for providing traction to the spine of the person.
  • a pulling angle can be varied by adjusting the vertical position of the traction means on a vertical screw, to isolate the pulling force to a preselected portion of the spine.
  • This invention also relates to a method of treating a patient with neck ailments comprising the steps of supporting a person in a reclined position, the bed being tiltable from a horizontal position to a vertical position and having a platform for receiving the person when the bed is in the vertical position.
  • the method further includes the steps of tilting the bed to a vertical position, and positioning the person on the platform while facing away from the bed, the back of the person proximate the bed, for preparing the person prior to positioning in a reclining position. Then, the bed is adjusted to suit the height of the person, the upper and lower bed portion slidable in relation to the platform on which the person stands.
  • the bed is adjusted so that the person's head is resting on a head portion of the bed, and the person's neck is positioned in between a pair of neck supports.
  • the bed is then tilted for placing the bed and person in the horizontal position.
  • the pair of neck supports is then adjusted so they come into contact with the person's neck.
  • a knee support is slipped under the knees of the person to allow the knees to rest in a bent state, thus providing comfort for the person in a supine position.
  • the method further includes the steps of attaching a traction means to the head portion.
  • the traction means is then activated for providing traction to the neck of the person.
  • a pulling angle can be varied by adjusting the vertical position of the traction means on a vertical screw, to isolate the pulling force to a preselected portion of the spine.
  • This invention further relates to a computer program for administering a therapeutic treatment of back related ailments comprising: means of adding, editing and storing information regarding each person undergoing said treatment; means of adding information on person's condition; means of adding diagnostic information; means of generating treatment course based on person's information and condition; means of controlling an apparatus used in the therapeutic treatment of back related ailments; and means of generating diagnosis reports.
  • the said means of controlling an apparatus used in the therapeutic treatment of back related ailments comprises: means of controlling a traction means on said apparatus; and means of controlling the movement of a bed on the said apparatus.
  • Figure 1 shows an overall view of a therapeutic apparatus in an embodiment of this invention.
  • Figure 2 shows an exploded view of a therapeutic apparatus in an embodiment of this invention.
  • FIGS 3 and 4 show views of the bed rotation in an embodiment of this invention.
  • Figures 5 and 6 show views of the bed height adjustment in an embodiment of this invention.
  • FIGS 7 through 9 show views of the bed tilting in an embodiment of this invention.
  • Figures 10 through 12 show views of the handrail adjustment in an embodiment of this invention.
  • Figures 13 and 14 show views of the neck supports in an embodiment of this invention.
  • Figures 15 and 16 show views of the head portion tilting in an embodiment of this invention.
  • Figure 17 shows how a person is mounted onto the apparatus in an embodiment of this invention
  • Figures 18 through 20 show views of a person treated for back related ailments in an embodiment of this invention.
  • Figure 21 shows a view of the vertical support in an embodiment of this invention.
  • Figure 22 shows a manual neck support adjustment in an embodiment of this invention.
  • Figure 23 shows a mechanized neck support adjustment in an embodiment of this invention.
  • FIGS 24 through 28 show views of the software support in an embodiment of this invention.
  • an apparatus for the treatment of back and neck ailments comprises a frame (100) having a pedestal (110), said pedestal (110) being slidably attached to a pair of rail supports (120).
  • a first motorized actuator (130) is connected at one end to the said pedestal (110) and provides power for movement of said pedestal (110) together with attached frame (100) along said rail supports (120).
  • the pair of rail supports (120) are fastened onto a base (190).
  • a bed (200) is fixed to the frame (100), the bed (200) comprising an upper bed portion (220), a lower bed portion (240) and a head portion (210) movable in relation to each other.
  • a pair of underarm supports (221, 222) is removably attachable to the upper bed portion (220) for providing support to the patient's upper body.
  • the underarm supports (221, 222) include a cushion around a rigid center post for positioning the post within holes at a plurality of locations on the upper bed portion (220) for conforming to the size of the person being anchored to the bed.
  • the underarm supports are adapted to comfortably fit within the underarms of the patient.
  • a pair of handrails (271, 272) is adjustably fixed to the sides of the bed (200) to allow the patient some degree of self support, if necessary.
  • An upper body harness is provided for securing the upper body of the patient to the upper bed portion (220).
  • the upper body harness has a rear strap for anchoring to the bed (200).
  • the harness has adjustable fastening means for fitting along the chest and shoulders of the patient.
  • the pedestal (110) is telescopically operable for raising and lowering the bed (200), useful for placing the bed at a height convenient for an operator.
  • a traction means (400) is mounted onto a vertical screw located within the vertical support such that rotation of said vertical screw will cause the traction means (400) to move either up or down, depending on the direction of rotation of said vertical screw.
  • the traction means (400) includes a pulley with a cord running over said pulley, said cord extending there from and attached to a lower body harness, securing a lower body of a person, for providing the pulling force to the harness created by the traction means (400).
  • the angle of the axis through which the pulling force is exerted is determined by the vertical position of said pulley.
  • a pedestal (110) comprising a circular plate (113) rotatably fixed on top of a rectangular plate (112). It is the rectangular plate (112) that is slidably attached at two of its sides to the aforementioned rail supports (120). Li this fashion, a top portion of the pedestal (110) is rotatable in relation to a bottom portion.
  • the circular plate (113) comprises a plurality of holes (114) arranged at regular intervals around the circumference, said holes (114) matching to holes located on the bottom rectangular plate (112) such that a bolt (116) passed through a matching hole (114) will lock the circular plate (113) to the rectangular plate (112) and disallow any rotation between said plates, hi this manner, an operator wishing to rotate the bed (200) will disengage the bolt (116) by lifting up a connected lever (118), thus releasing the bolt (116) from a locked position, and allowing the pedestal ( ⁇ 10) and hence th_e frame (100) and bed (200) to rotate in relation to the base (190). The operator then manually rotates the bed (200) to a desired position before sliding the bolt (116) down through a suitable hole (114) to lock the bed (200) from further rotation.
  • FIG. 2 there is shown a first motorized actuator used to power the sliding motion of the entire bed (200), frame (100) and pedestal (110) assembly along a pair of rail supports (120).
  • a second motorized actuator (140) powers the sliding motion of the bed (200) in relation to the frame (100). This is useful during adjustment of the bed in a vertical position to accommodate persons of varying heights.
  • Figures 3 and 4 show the rotation of the bed (200) about the pedestal (110).
  • Figures 5 and 6 show the sliding motion of the bed (200) in relation to the frame (100).
  • a second motorized actuator powers this sliding motion. This is useful during adjustment of the bed in a vertical position to accommodate persons of varying heights.
  • the lever (244) used by an operator to unlock the lower bed portion (240) from the rest of the bed (200), thus allowing the lower bed portion (240) to slide in relation to the upper bed portion (220) and head portion (210). This is necessary during treatment of the back when the traction means (400) exerts a traction force on the lower body of the person.
  • the freely sliding lower bed portion (240) facilitates this by providing a smooth free moving support for the lower body of the person.
  • the second motorized actuator (140) is shown in Figure 7.
  • Figures 7 through 9 show the tilting of the bed (200) between a horizontal and a vertical state for facilitating positioning of the patient onto the bed (200).
  • a platform (260) rotatably attached to a frame (100) for receiving the patient when the bed is in the vertical position, as shown in Figures 7 and 9.
  • a tilting means which comprises a third motorized actuator (150) in a preferred embodiment is used to affect tilting of the bed (200).
  • the tilting means works independently of the pedestal (110), thus allowing independent tilting and rotation of the bed (200).
  • a person may be mounted onto the bed (200) in a vertical position, have the bed tilt into a horizontal position, then have an operator rotate the bed (200) so that the head of the person is closer to the vertical support (170) for a neck treatment, or so that the legs of the person is closer to the vertical support (170) for a back treatment.
  • Each side handrail (271, 272) includes a gripping bar (273) which is where the patient will normally grip.
  • a pair of support bars (274, 275) connects both ends of the gripping bar (273) to the bed (200).
  • the pair of support bars (274, 275) are fastened to the sides of the bed (200) by a pair of clamps (276, 277), said clamps can be loosened to allow adjustment of the heights of each support bar (274, 275).
  • FIG. 13 and 14 there is shown a pair of neck supports (214, 215) designed to grip the neck region of the patient such that it is able to transfer traction force onto the neck when the head portion (210) to which the neck supports (214, 215) are attached is pulled away from the bed (200).
  • Figures 15 and 16 show how the head portion (210) tilts in relation to the bed (200).
  • a rigid, telescopic connecting arm (213) is attached at one end to a top part of the head portion (210) and at the other end to a cover (405) of the traction means (400). As the traction means (400) moves up and down, the connecting arm (213) guides the head portion (210) into corresponding angles. In this way, the angle of the pulling force on the neck is determined.
  • Figure 17 shows how a person is mounted onto the apparatus in an embodiment of this invention.
  • the person may be first fitted with an upper body (320) and a lower body (340) harness before being made to stand atop a platform (260).
  • an upper body (320) and a lower body (340) harness For neck related treatments, it is not necessary for the person to wear any harnesses.
  • the person's back is positioned against a vertically inclined bed (200), for preparing the person prior to positioning in a reclining position. Still in the vertical, the bed (200) is adjusted by sliding in relation to a frame (100) and the platform (260) so that the waist of the person is aligned proximate to a gap formed between the upper bed portion (220) and lower bed portion (240).
  • a pair of handrails (271, 272) is adjusted to allow the person to grip it for additional support.
  • the bed (200) is then lowered to a horizontal position.
  • a person to be treated is first fitted with an upper body harness (320) and a lower body harness (340) prior to placement on a platform (260), as described above and with reference to Figure 17.
  • the lower body harness (340) having an inflatable air bladder for positioning within the posterior cavity of the lumbar spine formed between the lower back of the person and the bed when the person is in a supine position on the bed, the air bladder enabling the local paraspinal muscles of the person to relax during a pulling force on the spine of the person.
  • the upper body harness (320) is secured to a head portion (210) of the bed (200).
  • a pillow (211) is placed on the head portion (210) to further support the person's tiead.
  • a pair of underarm supports (221, 222) is fitted onto the upper bed portion (220) to further support the person's upper body.
  • a knee support (241) is slipped under the knees of the person to allow the knees to rest in a bent state, thus providing comfort for the person in a supine position.
  • a traction means (400) is attached to the lower body harness (340) for providing a pulling force between the upper body and the lower body of the person.
  • the lower bed portion (240) is unlocked so that it is able to slide freely in relation to the upper bed portion (220).
  • the traction means (400) is then activated for providing traction to the spine of the person.
  • a pulling angle can be varied by adjusting the vertical position of the traction means (400) on a vertical screw, to isolate the pulling force to a preselected portion of the spine.
  • a person to be treated is placed on a platform (260) rotatably attached to a frame (100).
  • the person is positioned on the platform while facing away from the bed (200), the back of the person proximate the bed (200), for preparing the person prior to positioning in a reclining position.
  • the bed (200) is adjusted by sliding in relation to a frame (100) and the platform (260) so that the person's head is resting on a head portion of the bed, and the person's neck is positioned in between a pair of neck supports (214, 215).
  • a pair of handrails (271, 272) is adjusted to allow the person to grip it for additional support.
  • the bed (200) is then lowered to a horizontal position.
  • the pair of neck supports (214, 215) is then adjusted so they come into contact with the person's neck.
  • a knee support (241) is slipped under the knees of the person to allow the knees to rest in a bent state, thus providing comfort for the person in a supine position.
  • a traction means (400) is attached to the head portion (210). The traction means (400) is then activated for providing traction to the neck of the person.
  • a pulling angle can be varied by adjusting the vertical position of the traction means (400) on a vertical screw, to isolate the pulling force to a preselected portion of the spine.
  • a traction means (400) is mounted along the vertical support (170) and carried within a track of a vertical screw (172) located within the vertical support such that rotation of said vertical screw (172) will cause the traction means (400) to move either up or down, depending on the direction of rotation of said vertical screw (172).
  • the rotation of the vertical screw (172) is powered by a motor (175).
  • the traction means (400) includes a pulley with a cord running over said pulley, said cord extending therefrom and attached to a lower body harness, securing a lower body of a person, for providing the pulling force to the harness created by the traction means (400).
  • the angle of the axis through which the pulling force is exerted is determined by the vertical position of said pulley and traction means (400).
  • the traction means (400) is vertically movable along the vertical support (170) from a position generally along an axis of the bed (200) to a vertically displaced position for pulling at an angle to the axis of the bed (200). By providing such an angle, the pulling force is isolated to a pulling force on a preseFected portion of the spine.
  • a neck support adjustment of this invention that is manually operated.
  • a head portion (210) having a pair of seats (2142, 2152) designed to accommodate a pair of neck supports (214, 215), said neck supports adjustable for moving closer and further with respect to each other.
  • Each neck support (214, 215) is connected to an arm (not shown, 2153). The arm
  • the rotation of the torsion rod (2154) is effected by a geared connection at one end to a perpendicularly positioned central torsion rod (216).
  • the left neck support (214) is connected in a similar but mirrored fashion to the central torsion rod (216).
  • the torsion rod is then connected to a manually operable crank (217) such that rotation of the crank (217) in one direction causes the neck supports (214, 215) to move towards each other and rotation of the crank (217) in the opposite direction causes the neck supports (214, 215) to move away from each other.
  • FIG. 23 there is shown a neck support adjustment of this invention that is motorised.
  • a head portion (210) having a pair of seats (2142, 2152) designed to accommodate a pair of neck supports (214, 215), said neck supports adjustable for moving closer and further with respect to each other.
  • Each neck support (214, 215) is connected to an arm (not shown, 2153).
  • the arm (2153) connected to the right neck support (215) is in turn connected to a right torsion rod
  • a controlling unit (500) is operable with the tension means (400) for controlling the angle and magnitude of the pulling force.
  • the controlling unit (500) is carried by the vertical support (170), as illustrated with reference to Figure 1.
  • An operator uses the controlling unit (500) to control the angle and magnitude of the pulling force, and also to select one of any predetermined therapeutic programs that may be programmed into the controlling unit (500).
  • a safety switch is provided for allowing the patient to terminate the treatment at any time.
  • a safety switch is also provided on the controlling unit (500) for activated by an operator.
  • the treatment may also be terminated by an authorized person via a remote connection via a local area network, internet, wireless network or wireless mobile network.
  • a fourth safety measure is built into the computer program controlling the treatment.
  • the computer program will terminate any pulling forces whenever any of a predetermined set of undesirable conditions occur, such as a spiking in the pulling forces caused by muscle spasms of the person being treated.
  • a computer program for administering a therapeutic treatment of back related ailments comprising: means of adding, editing and storing information regarding each person undergoing said treatment; means of adding information on person's condition; means of adding diagnostic information; means of generating treatment course based on person's information and condition; means of controlling an apparatus used in the therapeutic treatment of back related ailments; and means of generating diagnosis reports.
  • the said means of controlling an apparatus used in the therapeutic treatment of back related ailments comprises: means of controlling a traction means on said apparatus; and means of controlling the movement of a bed on the said apparatus.
  • One embodiment of this invention is a means to monitor and control the therapeutic traction device from a remote area as well as from the therapeutic traction device directly.
  • the remote monitoring and control should allow the health care practitioner to increase or decrease the amount of pull, lengthen or shorten the session duration, change the angle of pull, stop and start the machine from the practitioner's office, reception desk and the nurse's station. In this manner, more than one person can continuously monitor the patient and all aspects of the treatment in real-time. This would allow the health care worker to multitask as needed and still provide a safer and more efficient therapy on the traction device.
  • One embodiment of this invention is a therapeutic traction device that has a sophisticated computer capable of calculating the therapy based on pertinent information entered by the health care provider and derived through a series of complex formulas.
  • the pertinent information includes: patient's height, weight, age, neck size, symptoms, severity of symptoms, chronicity of symptoms, examination findings, diagnosis, mobility pre- and post- pain and imaging (X-ray and MRI) results.
  • the software should be able to configure: the amount of weight on each pull (ideal pulling weight for specific patient), the amount of weight on each rest (ideal resting weight between two pulling sessions), the angle in which it pulls, the duration of each pull and the duration of each rest, number of cycles, the duration of each cycle, how long it takes to reach the ideal pulling weight upon start of each session, how long it takes to reach the ideal resting weight and how long it takes to go from the ideal pulling weight to zero weight at the end of the therapy session.
  • the pertinent information is not only to be inputted by the health care provider at the beginning of the first session, but at the beginning of each and every therapeutic session.
  • This computer program is an IT-based system that helps physicians and health care workers. control and manage patient's treatment sessions.
  • the treatment settings are generated and stored based on pertinent patient information, pain and diagnosis that are inputted into the system by the physician or health care worker.
  • It uses client/server architecture so that it can be installed and used on multiple PCs by different types of users with different access permissions.
  • the system is intended for three types of target users as follows: a. Physician
  • the main purpose of the system is to manage patient, pain and diagnosis information, and generate a valid treatment setting according to the given information.
  • the output of the system will be generated using some protocols and formulas defined by the project owner.
  • the software obtains patient, pain and diagnosis information and produces treatment setting values based on the defined protocols.
  • the information outputted in the system will be used as database records. However, the system will be developed in a way to be capable of passing outputs through other ports to the PLC machine in the future.
  • each patient can only have one problem inputted at a time, and the diagnosis info will be added for each pain setting entered into the system.
  • the treatment setting will be generated according to the latest and most severe pain and diagnosis of the patient that were entered into the system. It is to be understood that other embodiments may allow for more than one problem to be inputted at a time.
  • the application can be installed and executed in a PC with the following minimum hardware specifications:
  • Figure 18 shows a process flow of this computer program.
  • Figure 19 shows a data model of this computer program.
  • Patient Holds patient's information such as name, date of birth, contact info, weight and height.
  • Pain Holds information about the patient's pain. This entity has a relation with the patient entity through patient ID as a foreign key.
  • Diagnosis This entity keeps information regarding diagnosis for each pain complaint entered. Each pain might have one or more diagnosis information but each diagnosis is related to one and only one pain.
  • Radiculitis Is a part of the information the physician or health care worker enters along with the diagnosis info; a pain entry can be related to one or more radiculitis entry.
  • Session Each record represents a treatment session and contains treatment settings for the session.
  • Figure 20 shows a case diagram of this computer program.
  • Figure 21 shows a class diagram of this computer program.
  • reception is the uppermost class in the hierarchal model as shown above.
  • This class includes following data members and implements functions that are listed below:
  • Patient is an object of patient class
  • PatinetUpdate() Updates a patient's information in the system.
  • Therapist is subclass of Reception class and super class of Admin class. Therapist inherits all functionality of Reception class. Besides, Therapist is allowed to view pain and diagnosis information of the patients.
  • Therapist class has following data members:
  • Pain is an object of pain class, contains patient's condition information
  • Diagnosis is an object of Diagnosis class, contains diagnosis information
  • Session is an object of session class, contain treatment setting parameters that are generated by the system. This info will be sent to the PLC machine.
  • Admin Class is an object of session class, contain treatment setting parameters that are generated by the system. This info will be sent to the PLC machine.
  • Admin is the most powerful class of the system that contains most functionality of the system. This class is subclass of the Therapist class. Admin has all functionality of reception and therapist classes together plus its own functionalities. Admin class includes following methods:
  • InsertDegenerativeDisc () inserts multiple degenerative discs related into diagnosis info
  • InsertDiscBulg () inserts multiple discBulg related into diagnosis info
  • UpdateSessionIsDefault() updates default field of session table if it is a default setting for the patient
  • Protocol class All protocols given by system owner are coded in Protocol class. System uses methods of this class to generate treatment setting parameters:
  • CalculateMaxForLumbar() This method calculates maximum load for lumbar and returns a double value as Maximum Load.

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

Abstract

La présente invention concerne un appareil et un procédé destinés au traitement thérapeutique des affections du dos et du cou qui fixe une première partie du corps du patient à une partie fixe du dispositif et une deuxième partie du corps du patient à une partie mobile du dispositif et applique une force de traction à la partie mobile du corps du patient pour provoquer une décompression de parties spécifiques de la colonne vertébrale du patient. Le dispositif comprend un lit (200) sur lequel le patient est placé ; le lit peut être réglé, coulissé vers l'arrière et vers l'avant, incliné et pivoté pour faciliter le placement du patient sur le lit (200).
PCT/MY2010/000057 2009-04-16 2010-04-15 Appareil et procédé destinés au traitement des affections du dos et du cou Ceased WO2010120165A1 (fr)

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Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103083128A (zh) * 2011-11-03 2013-05-08 南阳理工学院 全自动可升降液压牵引床
WO2013087019A1 (fr) * 2011-12-13 2013-06-20 Beijing Ryzur Axiom Medical Investment Co., Ltd Système de détermination des angles de traitement d'un dispositif de décompression vertébrale
CN103251471A (zh) * 2013-05-28 2013-08-21 成都中医药大学附属医院 新型颈椎牵引床
WO2015007008A1 (fr) * 2013-07-16 2015-01-22 He Shaodun Lit coulissant du type pliant
CN104800043A (zh) * 2015-04-27 2015-07-29 上海璟和技创机器人有限公司 一种下肢康复训练机器人
EP2790616A4 (fr) * 2011-12-13 2015-12-16 Beijing Ryzur Axiom Medical Invest Co Ltd Système d'ajustement dynamique de l'angle de traitement sous traction permettant de s'adapter aux variations de la morphologie rachidienne
CN105853148A (zh) * 2016-05-30 2016-08-17 哈尔滨天愈康复医疗机器人有限公司 一种肘膝关节牵引康复机器人及其绳索防缠绕结构
CN105877895A (zh) * 2016-05-30 2016-08-24 哈尔滨天愈康复医疗机器人有限公司 一种肘膝关节牵引康复机器人及其固定带快卸机构
CN106420137A (zh) * 2016-11-03 2017-02-22 张腾宇 家庭用颈椎牵引机
CN109431671A (zh) * 2018-12-31 2019-03-08 蔡明杰 骨外科治疗用牵引装置
US10413470B2 (en) 2015-04-27 2019-09-17 Jimho Robot (Shanghai) Co., Ltd. Lower limb rehabilitation training robot
EP3560472A4 (fr) * 2016-12-23 2020-08-12 Ivanov, Alexandr Urievich Lit d'hôpital multifonction pour la rééducation se transformant en verticaliseur
CN112294516A (zh) * 2020-10-30 2021-02-02 甘肃中医药大学附属医院 中医骨科腰椎牵引装置
CN112999530A (zh) * 2021-02-24 2021-06-22 广州医科大学附属肿瘤医院 一种人体颈肩放疗定位辅助器及其使用方法
US20210244597A1 (en) * 2016-06-20 2021-08-12 Homero Sepulveda Spine Alignment and Decompression Systems
CN114948587A (zh) * 2022-05-06 2022-08-30 武汉大学 一种基于多传感器融合的柔性智能颈椎牵引装置

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6152950A (en) * 1998-03-31 2000-11-28 Cluster Technology Corp. Apparatus for therapeutic treatment of low back pain
US7189214B1 (en) * 2002-01-22 2007-03-13 The Saunders Group, Inc. Multi-axis cervical and lumbar traction table
US20080167684A1 (en) * 2003-04-15 2008-07-10 Cuccia David F Treatment table with calf/foot assembly and method of use

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6152950A (en) * 1998-03-31 2000-11-28 Cluster Technology Corp. Apparatus for therapeutic treatment of low back pain
US7189214B1 (en) * 2002-01-22 2007-03-13 The Saunders Group, Inc. Multi-axis cervical and lumbar traction table
US20080167684A1 (en) * 2003-04-15 2008-07-10 Cuccia David F Treatment table with calf/foot assembly and method of use

Cited By (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103083128B (zh) * 2011-11-03 2015-02-11 南阳理工学院 全自动可升降液压牵引床
CN103083128A (zh) * 2011-11-03 2013-05-08 南阳理工学院 全自动可升降液压牵引床
WO2013087019A1 (fr) * 2011-12-13 2013-06-20 Beijing Ryzur Axiom Medical Investment Co., Ltd Système de détermination des angles de traitement d'un dispositif de décompression vertébrale
EP2790616A4 (fr) * 2011-12-13 2015-12-16 Beijing Ryzur Axiom Medical Invest Co Ltd Système d'ajustement dynamique de l'angle de traitement sous traction permettant de s'adapter aux variations de la morphologie rachidienne
CN103251471A (zh) * 2013-05-28 2013-08-21 成都中医药大学附属医院 新型颈椎牵引床
WO2014190805A1 (fr) * 2013-05-28 2014-12-04 成都中医药大学附属医院 Lit de traction de vertèbre cervicale
WO2015007008A1 (fr) * 2013-07-16 2015-01-22 He Shaodun Lit coulissant du type pliant
US10413470B2 (en) 2015-04-27 2019-09-17 Jimho Robot (Shanghai) Co., Ltd. Lower limb rehabilitation training robot
CN104800043A (zh) * 2015-04-27 2015-07-29 上海璟和技创机器人有限公司 一种下肢康复训练机器人
CN105853148A (zh) * 2016-05-30 2016-08-17 哈尔滨天愈康复医疗机器人有限公司 一种肘膝关节牵引康复机器人及其绳索防缠绕结构
CN105877895A (zh) * 2016-05-30 2016-08-24 哈尔滨天愈康复医疗机器人有限公司 一种肘膝关节牵引康复机器人及其固定带快卸机构
US20210244597A1 (en) * 2016-06-20 2021-08-12 Homero Sepulveda Spine Alignment and Decompression Systems
CN106420137A (zh) * 2016-11-03 2017-02-22 张腾宇 家庭用颈椎牵引机
EP3560472A4 (fr) * 2016-12-23 2020-08-12 Ivanov, Alexandr Urievich Lit d'hôpital multifonction pour la rééducation se transformant en verticaliseur
CN109431671A (zh) * 2018-12-31 2019-03-08 蔡明杰 骨外科治疗用牵引装置
CN112294516A (zh) * 2020-10-30 2021-02-02 甘肃中医药大学附属医院 中医骨科腰椎牵引装置
CN112294516B (zh) * 2020-10-30 2022-08-30 甘肃中医药大学附属医院 中医骨科腰椎牵引装置
CN112999530A (zh) * 2021-02-24 2021-06-22 广州医科大学附属肿瘤医院 一种人体颈肩放疗定位辅助器及其使用方法
CN112999530B (zh) * 2021-02-24 2023-02-24 广州医科大学附属肿瘤医院 一种人体颈肩放疗定位辅助器
CN114948587A (zh) * 2022-05-06 2022-08-30 武汉大学 一种基于多传感器融合的柔性智能颈椎牵引装置
CN114948587B (zh) * 2022-05-06 2023-07-18 武汉大学 一种基于多传感器融合的柔性智能颈椎牵引装置

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