EP0387243B1 - Apparatus for the preservative treatment of persons having pain in the lumbar region of the vertebral column - Google Patents

Apparatus for the preservative treatment of persons having pain in the lumbar region of the vertebral column Download PDF

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Publication number
EP0387243B1
EP0387243B1 EP90890069A EP90890069A EP0387243B1 EP 0387243 B1 EP0387243 B1 EP 0387243B1 EP 90890069 A EP90890069 A EP 90890069A EP 90890069 A EP90890069 A EP 90890069A EP 0387243 B1 EP0387243 B1 EP 0387243B1
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EP
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Prior art keywords
lower leg
leg support
fixing
shinbone
person
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EP90890069A
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German (de)
French (fr)
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EP0387243A2 (en
EP0387243A3 (en
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Mag. Herbert Wiesenhofer
Constanze Dr. Dennig-Staub
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    • 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
    • A61H2203/00—Additional characteristics concerning the patient
    • A61H2203/04—Position of the patient
    • A61H2203/0443—Position of the patient substantially horizontal
    • A61H2203/045—Position of the patient substantially horizontal with legs in a kneeled 90°/90°-position

Definitions

  • the invention relates to a device for the conservative treatment of people with acute and / or chronic pain in the lumbar spine, with an adjustable support part for the legs to be treated above an approximately horizontal lying surface.
  • Pain in the lumbar spine arises as a result of muscular imbalances, due to the shape of the lumbar spine, as well as being overweight and the resulting incorrect posture in the pelvic-lumbar region.
  • Normal lumbar lordosis is based on two factors.
  • the first factor consists of the skeletal anatomical structure of the lumbar spine. This is due to the shape of the sacrum, the intervertebral discs and the configuration of the individual lumbar vertebrae, especially the 5th lumbar vertebrae.
  • the second factor independent of the structure of the skeleton, concerns the total body weight and the functional state of the muscles. These two factors modify the degree of lumbar lordosis and thus the degree of hyperlordosis that is present whenever low back pain occurs.
  • the muscular balance in the pelvic-lumbar region is no longer available.
  • the muscular stabilization of the pelvis is lost primarily due to the weakness of the abdominal and gluteal muscles, the shortening of the hip flexors, the muscles on the front of the thigh and the lumbar back extensors.
  • the result is a disturbance in the external balance, i.e. the muscles are no longer able to compensate for the gravitational pull.
  • the cause of the pain symptoms is a dorsal compression of the intervertebral discs by the lumbar vertebrae in the area of maximum lordosis and hyperlordosis.
  • This constant incorrect loading of the lumbar spine and the intervertebral discs leads to signs of wear and tear of these two materials, which can subsequently trigger various forms of herniated discs.
  • US Pat. No. 3,124,126 discloses a device which has a horizontal lying surface for the upper body of the person to be treated, at one end of which a support part for the head and at the other end a support part for the raised legs is provided. Both support parts can be pivoted about axes running transversely to the longitudinal direction of the lying surface against the force of springs, the support part for the legs supporting the person to be treated in the area of the hollow of the knee.
  • the head of the person to be treated is fixed to the support part by a headband and the lower legs protruding beyond the support part for the legs are loaded by an upholstered cushion, that is, pressed down in the area of the feet.
  • the spine is bent ventrally, which, as with the other known devices, does not eliminate the existing incorrect posture of the lumbar spine in the sense of hyperlordosis, but rather increases the increased ventrally directed incorrect posture of the lumbar spine.
  • This intensified ventrally directed lumbar curvature curve therefore remains and there is no therapeutic effect in the short or long term.
  • a very similar device is shown in DE-U-8 803 739, the subject of which is outlined in the preamble of claim 1.
  • the object of the present invention is to avoid the disadvantages of the known devices and to provide a device with which regeneration of the lumbar spine and permanent therapy of pain in the lumbar spine is possible.
  • the present invention is based on the knowledge that it is possible to combat low back pain using gravity if a pelvic tilt is caused in the dorsal direction.
  • the invention proposes the measure mentioned in the characterizing part of claim 1.
  • the lying surface can also be formed by the floor of a room on which, for example, a mattress is placed and on which the lower leg support is supported.
  • the inventive design enables the removal of hyperlordosis in the lumbar region with the help of gravity.
  • the lower leg support is slidably mounted in its inclination direction and can thus be brought into a position in which this distance is present, depending on the size of the person to be treated.
  • this lower leg support is slidably guided on rails on opposite longitudinal sides, which rails are supported by a frame.
  • This frame stands up on the floor when the lying surface is formed by the floor of a room.
  • this device can be stored in a space-saving manner if, according to a further feature of the invention, the frame consists of two pairs of supports which are rotatably connected to one another, the ends of the supports of one Couple are pivotally connected to one end of the rails and the ends of the supports of the other pair are releasably attached to the other end of the rails. After loosening this attachment, the frame can be folded so that all parts are approximately in one plane, which significantly reduces the space required for storage.
  • the tibia holder expediently consists of at least one sleeve fastened to the lower leg support, the parts of which can be connected to one another by means of a Velcro fastener.
  • a Velcro fastener Such a shinbone holder is simple in construction and enables the legs of the person to be treated to be fastened and released quickly, although an additional person is required to close and open the Velcro fastener.
  • the shin holder can consist of two brackets which can be fixed to the lower leg support and are preferably connected to one another, a lateral limitation of each bracket being designed and arranged such that the legs are inserted laterally into the Ironing is made possible.
  • the brackets can be arranged in such a way, for example, that the lateral boundary ends at a distance from the lower leg support.
  • the side of the shin support facing the lower leg support is made of an elastic material, preferably provided with a foam insert.
  • This design not only provides a comfortable support for the lower legs and avoids pressure points on the lower legs, but also allows the lower legs to be inserted laterally into these brackets due to the flexibility of the elastic material when stirrups are arranged, if their lateral limit extends to the lower leg support.
  • the lower leg support can have at least one slit running in the direction of inclination, in which a fixing device for the shin bone holder is slidably guided.
  • the fixing device consists of at least one pin connected to the shin holder and passing through the slot, at the free end of which a holding member cooperating with the underside of the lower leg support can be fastened, which can preferably be screwed onto a thread of the pin.
  • FIG. 1 shows the principle of the device according to the invention in side view and FIG. 2 shows a preferred embodiment of the device according to the invention in perspective.
  • 3 shows a perspective view of the lower leg support with a specially designed shin support and
  • FIG. 4 shows a section along the line IV-IV in FIG. 3.
  • the device according to the invention has a frame which consists of two pairs of supports 1, 2 which serve to support two rails 3 arranged parallel to one another.
  • the frame stands on the floor of a room that serves as a lying surface for the person to be treated, with a mattress or the like on this floor for more convenient storage of the upper body. is provided.
  • the rails 3 are inclined in the direction of the lying surface formed by the floor, in such a way that they enclose an angle z between 120 ° and 130 ° with a vertical.
  • a lower leg support 4 is slidably guided in the rails 3. By changing the position of this lower leg support 4 in the rails 3, the position of the lower leg support 4 can be adapted to the size of the person to be treated.
  • a shin support 5 which can consist, for example, of at least one sleeve fastened to the lower leg support 4, the parts of which can be connected to one another by means of a Velcro fastener.
  • the lower leg support 4 When treating a person, the lower leg support 4 is moved along the rails 3 into a position in which the distance x between the floor and the pelvis of the person to be treated is between 10 and 30 cm, and fixed this position.
  • This distance and the aforementioned inclination of the lower leg support 4, which results in a characteristic dorsal knee angle, ensures that a maximum dorsally directed pelvic tilt occurs when the upper body of the person to be treated is positioned horizontally by gravity, as a result of which the ventrally previously aligned lumbar spine is mobilized dorsally, so that the lumbar back extensors stretch and relax and the lumbar spine is reduced. As a result, the person to be treated becomes pain-free within a short time.
  • the two supports 1 are connected at their lower ends, where these supports rest on the floor, by a cross member, whereas the upper end of the two supports 1 is pivotally connected to the rails 3 via a joint 7.
  • the two supports 2 are rotatably mounted on the associated supports 1 via an axis 8 and are connected to one another at their upper ends by means of a cross member which can be suspended in suspension devices 6 arranged on the rails 3. This design enables the device according to the invention to be folded up and thus accommodated in a space-saving manner when used at home.
  • each bracket 9 is arranged at a distance from the lower leg support 4, so that lateral insertion of the lower leg is possible and no auxiliary person is required for fixing the lower leg on the lower leg support 4.
  • the lateral insertion of the lower legs is also facilitated by the foam pad 10, which retracts due to its elasticity when the lower legs are inserted.
  • the web 11 common to the two brackets 9 is supported on the lower leg support 4 and is connected to a pin 12 which has a slot 13 in the direction of inclination of the lower leg support 4 this lower leg support passes through and is provided at its free end with a thread onto which, for example, a knurled nut 14 can be screwed.
  • a clamping device that can be pushed onto the pin 12 can also be provided. This design enables the shin support 5 to be fixed on the lower leg support 4 in different positions and thereby to be adapted to the size of the person to be treated.
  • the posture problems in the pelvic-lumbar region are also effectively improved.
  • the device can also be used sensibly for the combination of extreme lumbar spine stresses in competitive and high-performance sports.

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

Abstract

An apparatus for the conservative treatment of persons having acute and/or chronic pain in the lumbar region of the vertebral column has a frame consisting of two pairs of supports (1, 2) and carrying splints (3) arranged parallel to one another, in which a lower leg support is displaceably guided. The inclination of the splints (3), and hence of the lower leg support (4), is such that this lower leg support encloses an angle (z) of between 120 DEG and 130 DEG with a vertical. By adjustment of the lower leg support (4) in the splints (3), this lower leg support can be brought into position, as a function of the size of the person to be treated, in which the distance (x) of the pelvis of this person from the resting surface formed by the floor of a room is between 10 and 30 cm. The upper body (y) of the person to be treated rests on a mattress or the like (w). The lower leg of the person to be treated is secured by means of a shin restraint (5). <IMAGE>

Description

Die Erfindung betrifft eine Vorrichtung zur konservativen Behandlung von Personen mit akuten und/oder chronischen Schmerzen in der Lendenwirbelsäule, mit einem oberhalb einer etwa horizontal verlaufenden Liegefläche der verstellbar angeordneten Stützteil für die Beine zu behandelnden Person.The invention relates to a device for the conservative treatment of people with acute and / or chronic pain in the lumbar spine, with an adjustable support part for the legs to be treated above an approximately horizontal lying surface.

Schmerzen in der Lendenwirbelsäule entstehen als Folge von muskulären Dysbalancen, durch die Lendenwirbelsäulenform, sowie auch Übergewicht und der daraus resultierenden Fehlhaltung im Becken-Lenden-Bereich.Pain in the lumbar spine arises as a result of muscular imbalances, due to the shape of the lumbar spine, as well as being overweight and the resulting incorrect posture in the pelvic-lumbar region.

Der normalen lumbalen Lordose liegen zwei Faktoren zugrunde. Der erste Faktor besteht aus der skeletteigenen anatomischen Struktur der Lendenwirbelsäule. Dafür ist die Form des Kreuzbeines, der Bandscheiben und die Konfiguration der einzelnen Lendenwirbelkörper, speziell des 5.Lendenwirbelkörpers, verantwortlich.Normal lumbar lordosis is based on two factors. The first factor consists of the skeletal anatomical structure of the lumbar spine. This is due to the shape of the sacrum, the intervertebral discs and the configuration of the individual lumbar vertebrae, especially the 5th lumbar vertebrae.

Der zweite von der Struktur des Skeletts unabhängige Faktor betrifft das Gesamtkörpergewicht und den Funktionszustand der Muskulatur. Diese zwei Faktoren modifizieren den Grad der lumbalen Lordosierung und somit das Ausmaß der Hyperlordosierung, die immer dann vorhanden ist, wenn Kreuzschmerzen auftreten.The second factor, independent of the structure of the skeleton, concerns the total body weight and the functional state of the muscles. These two factors modify the degree of lumbar lordosis and thus the degree of hyperlordosis that is present whenever low back pain occurs.

Speziell bei Hyperlordosierungen ist die muskuläre Balance im Becken-Lenden-Bereich nicht mehr vorhanden. Die muskuläre Stabilisation des Beckens geht in erster Linie durch die Schwäche der Bauch- und Gesäßmuskulatur, durch die Verkürzung der Hüftbeuger, der Muskulatur auf der Oberschenkelvorderseite und der lumbalen Rückenstrecker verloren. Die Folge ist eine Störung des äußeren Gleichgewichtes, d.h. die Muskulatur ist nicht mehr in der Lage, die Erdanziehungskraft zu kompensieren.Especially with hyperlordic dosing, the muscular balance in the pelvic-lumbar region is no longer available. The muscular stabilization of the pelvis is lost primarily due to the weakness of the abdominal and gluteal muscles, the shortening of the hip flexors, the muscles on the front of the thigh and the lumbar back extensors. The result is a disturbance in the external balance, i.e. the muscles are no longer able to compensate for the gravitational pull.

Dadurch wird eine Beckenkippung nach ventral bewirkt, die nach einiger Zeit zu einer Beckenfehlkoordination innerhalb des Gesamtbewegungsverhaltens führt und negative Anpassungsprozesse auslöst. Somit tritt eine Störung des inneren Gleichgewichts ein, d.h. es kommt zu einer Fixierung der Hyperlordosierung, wodurch die Beweglichkeit der Lendenwirbelsäule nach dorsal entscheidend eingeschränkt ist oder meistens völlig verloren geht.This causes a pelvic tilt to the ventral, which leads to pelvic mis-coordination within the overall movement behavior after some time and triggers negative adaptation processes. Thus there is a disturbance of the inner balance, i.e. there is a fixation of the hyperlordosis, whereby the mobility of the lumbar spine is limited to the dorsal or is usually completely lost.

Es hat sich gezeigt, daß Patienten je nach Ausprägungsgrad einer unphysiologischen lumbalen Krümmungskurve im Sinne eines Hohlkreuzes zeitweilig oder sogar dauernd an Kreuzschmerzen leiden.It has been shown that, depending on the degree of expression, an unphysiological lumbar curve of curvature in the sense of a hollow cross is temporary or even suffer from low back pain.

Die Ursache der Schmerzsymtomatik liegt in einer dorsalen Kompression der Bandscheiben durch die Lendenwirbelkörper im Bereich der maximalen Lordosierung und Hyperlordosierung. Diese fortwährende Fehlbelastung der Lendenwirbelsäule und der Bandscheiben führt zu Verschleißerscheinungen dieser beiden Materialien, die in weiterer Folge verschiedene Formen von Bandscheibenvorfällen auslösen können.The cause of the pain symptoms is a dorsal compression of the intervertebral discs by the lumbar vertebrae in the area of maximum lordosis and hyperlordosis. This constant incorrect loading of the lumbar spine and the intervertebral discs leads to signs of wear and tear of these two materials, which can subsequently trigger various forms of herniated discs.

Es sind bereits zahlreiche Vorrichtungen zur Behandlung der Wirbelsäule, und zwar auch des Bereiches der Lendenwirbelsäule, bekannt. Alle diese bekannten Vorrichtungen bewirken eine Zwangsstreckung der verschiedenen Wirbelsäulenpartien entweder in vertikaler oder in horizontaler Richtung. So offenbart die US-PS 3 124 126 eine Vorrichtung, die eine horizontal verlaufende Liegefläche für den Oberkörper der zu behandelnden Person aufweist, an deren einem Ende ein Stützteil für den Kopf und an derem anderen Ende ein Stützteil für die hochgelagerten Beine vorgesehen ist. Beide Stützteile sind um quer zur Längsrichtung der Liegefläche verlaufende Achsen entgegen der Kraft von Federn schwenkbar, wobei der Stützteil für die Beine die zu behandelnde Person im Bereich der Kniekehlen abstützt. Der Kopf der zu behandelnden Person wird durch ein Stirnband am Stützteil fixiert und die über den Stützteil für die Beine hinausragenden Unterschenkel werden durch einen aufgelegten Polster belastet, also im Bereich der Füße nach unten gedrückt. Durch diese Anordnung wird die Wirbelsäule nach ventral gebogen, wodurch, ebenso wie bei den anderen bekannten Geräten, die bereits bestehende Fehlhaltung der Lendenwirbelsäule im Sinne einer Hyperlordosierung nicht aufgehoben wird, sondern die verstärkte nach ventral gerichtete Fehlhaltung der Lendenwirbelsäule vergrößert wird. Diese verstärkte nach ventral gerichtete lumbale Krümmungskurve bleibt somit weiterhin bestehen und es stellt sich weder kurz- noch langfristig ein therapeutischer Effekt ein. Eine ganz ähnliche Vorrichtung zeigt die DE-U-8 803 739, von deren Gegenstand im Oberbegriff des Ansprüchs 1 ausgegengen wird.Numerous devices for treating the spine, including the area of the lumbar spine, are already known. All of these known devices cause a forced stretching of the different parts of the spine either in the vertical or in the horizontal direction. Thus, US Pat. No. 3,124,126 discloses a device which has a horizontal lying surface for the upper body of the person to be treated, at one end of which a support part for the head and at the other end a support part for the raised legs is provided. Both support parts can be pivoted about axes running transversely to the longitudinal direction of the lying surface against the force of springs, the support part for the legs supporting the person to be treated in the area of the hollow of the knee. The head of the person to be treated is fixed to the support part by a headband and the lower legs protruding beyond the support part for the legs are loaded by an upholstered cushion, that is, pressed down in the area of the feet. With this arrangement, the spine is bent ventrally, which, as with the other known devices, does not eliminate the existing incorrect posture of the lumbar spine in the sense of hyperlordosis, but rather increases the increased ventrally directed incorrect posture of the lumbar spine. This intensified ventrally directed lumbar curvature curve therefore remains and there is no therapeutic effect in the short or long term. A very similar device is shown in DE-U-8 803 739, the subject of which is outlined in the preamble of claim 1.

Die vorliegende Erfindung, hat sich zur Aufgabe gestellt, die Nachteile der bekannten Vorrichtungen zu vermeiden und eine Vorrichtung zu schaffen, mit welcher eine Regeneration der Lendenwirbelsäule und eine dauerhafte Therapie von Schmerzen in der Lendenwirbelsäule möglich ist. Die vorliegende Erfindung geht hiebei von der Erkenntnis aus, daß es möglich ist, Kreuzschmerzen mit Hilfe der Schwerkraft zu bekämpfen, wenn eine nach dorsal gerichtete Beckenkippung hervorgerufen wird. Zur Lösung dieser Aufgabe schlägt die Erfindung die im kennzeichnenden Teil des Anspruchs 1 genannte Maßnahme vor. Die Liegefläche kann hiebei auch vom Fußboden eines Raumes gebildet sein, auf dem beispielsweise eine Matratze aufgelegt wird, und auf dem die Unterschenkelauflage abgestützt ist.The object of the present invention is to avoid the disadvantages of the known devices and to provide a device with which regeneration of the lumbar spine and permanent therapy of pain in the lumbar spine is possible. The present invention is based on the knowledge that it is possible to combat low back pain using gravity if a pelvic tilt is caused in the dorsal direction. To achieve this object, the invention proposes the measure mentioned in the characterizing part of claim 1. The lying surface can also be formed by the floor of a room on which, for example, a mattress is placed and on which the lower leg support is supported.

Die erfindungsgemäße Ausbildung ermöglicht die Beseitigung der Hyperlordosierung im Lendenwirbelsäulenbereich mit Hilfe der Schwerkraft. Dadurch, daß nämlich lediglich die Unterschenkel der zu behandelnden Person abgestützt werden, daß die Unterschenkelauflage in Richtung zur Liegefläche unter dem angegebenen Winkel geneigt ist und daß die Beine auf dieser Unterschenkelauflage fixiert sind, wird dann, wenn der Abstand des Beckens der zu behandelnden Person von der Liegefläche zwischen 10 und 30 cm beträgt, eine maximale nach dorsal gerichtete Beckenkippung bei waagrechter Lagerung des Oberkörpers der zu behandelnden Person, der auf der Liegefläche aufliegt, sichergestellt, und eine Dehnung und eine vollkommene Entspannung der tiefen und oberflächlichen lumbalen Rückenstrecker erreicht. Dies führt zu einer Belastungsreduzierung des thorakolumbalen Überganges, der Lendenwirbelsäule und des lumbo-sakralen Überganges, wodurch eine lumbale Kyphosierungstendenz entsteht. Die zu behandelnde Person erlangt hiebei sofort oder nach wenigen Minuten völlige Schmerzfreiheit. In weiterer Folge wird bei Anwendung der erfindungsgemäßen Vorrichtung auch eine Beseitigung der dorsalen Bandscheibenkompression bewirkt, d.h., die Bandscheiben werden effektiv entlastet, wodurch sie sich schneller mit Flüssigkeit aufsaugen und somit ihre Pufferkapazität verbessert wird. Bandscheibenvorfälle im Bereich der Lendenwirbelsäule und dadurch hervorgerufene neurologische Ausfälle bilden sich wieder zurück.The inventive design enables the removal of hyperlordosis in the lumbar region with the help of gravity. The fact that only the lower leg of the person to be treated is supported, that the lower leg support is inclined towards the lying surface at the specified angle and that the legs are fixed on this lower leg support, is when the distance of the pelvis of the person to be treated from the lying surface is between 10 and 30 cm, ensures a maximum dorsal pelvic tilt when the upper body of the person to be treated lies horizontally on the lying surface, and the deep and superficial lumbar extensors are stretched and completely relaxed. This leads to a reduction in stress on the thoracolumbar transition, the lumbar spine and the lumbo-sacral transition, which results in a lumbar kyphosis tendency. The person to be treated gains complete freedom from pain immediately or after a few minutes. Subsequently, when the device according to the invention is used, the dorsal disc compression is also eliminated, i.e. the intervertebral discs are effectively relieved, which means that they absorb more quickly with liquid and thus improve their buffering capacity. Disc herniations in the area of the lumbar spine and the resulting neurological failures regress again.

Wie bereits erwähnt, ist es notwendig, daß der Bodenabstand des Beckens der zu behandelnden Person zur Liegefläche zwischen 10 und 30 cm beträgt, da dann für die Erzielung des angestrebten Effektes erforderliche exakt definierte Schwerkraftlagerung des Beckens gewährleistet ist. Damit dieser Abstand bei Personen verschiedener Größe eingehalten werden kann, ist die Unterschenkelauflage in ihrer Neigungsrichtung verschiebbar gelagert und kann somit der Größe der zu behandelnden Person entsprechend eine Stellung gebracht werden, in der dieser Abstand vorhanden ist.As already mentioned, it is necessary that the distance from the floor of the pelvis of the person to be treated to the lying surface is between 10 and 30 cm, since then precisely defined gravity bearing of the pelvis is required to achieve the desired effect. So that this distance can be maintained for people of different sizes, the lower leg support is slidably mounted in its inclination direction and can thus be brought into a position in which this distance is present, depending on the size of the person to be treated.

Um die Unterschenkelauflage auf einfache Weise in ihrer Neigungsrichtung verschieben zu können, ist gemäß einem weiteren Merkmal der Erfindung diese Unterschenkelauflage an einander gegenüberliegenden Längsseiten in Schienen verschiebbar geführt, welche Schienen über ein Gestell abgestützt sind. Dieses Gestell steht, wenn die Liegefläche vom Fußboden eines Raumes gebildet ist, am Fußboden auf. In diesem Fall, wenn somit die Liegefläche nicht konstruktiver Bestandteil der erfindungsgemäßen Vorrichtung ist, kann diese Vorrichtung platzsparend aufbewahrt werden, wenn gemäß einem weiteren Merkmal der Erfindung das Gestell aus zwei Stützpaaren besteht, die miteinander drehbar verbunden sind, wobei die Enden der Stützen des einen Paares mit dem einen Ende der Schienen schwenkbar verbunden sind und die Enden der Stützen des anderen Paares am anderen Ende der Schienen lösbar befestigt sind. Nach Lösen dieser Befestigung kann das Gestell zusammengeklappt werden, so daß sich alle Teile etwa in einer Ebene befinden, wodurch der Platzbedarf für die Aufbewahrung wesentlich verringert wird.In order to be able to move the lower leg support in its inclination direction in a simple manner, according to a further feature of the invention, this lower leg support is slidably guided on rails on opposite longitudinal sides, which rails are supported by a frame. This frame stands up on the floor when the lying surface is formed by the floor of a room. In this case, if the lying surface is not a structural component of the device according to the invention, this device can be stored in a space-saving manner if, according to a further feature of the invention, the frame consists of two pairs of supports which are rotatably connected to one another, the ends of the supports of one Couple are pivotally connected to one end of the rails and the ends of the supports of the other pair are releasably attached to the other end of the rails. After loosening this attachment, the frame can be folded so that all parts are approximately in one plane, which significantly reduces the space required for storage.

Die Schienbeinhalterung besteht zweckmäßig aus wenigstens einer an der Unterschenkelauflage befestigten Manschette, deren Teile durch einen Klettverschluß miteinander verbindbar sind. Eine solche Schienbeinhalterung ist einfach in ihrem Aufbau und ermöglicht eine rasche Befestigung und ein rasches Lösen der Beine der zu behandelnden Person, wobei allerdings zum Schließen und Öffnen des Klettverschlußes eine weitere Person erforderlich ist.The tibia holder expediently consists of at least one sleeve fastened to the lower leg support, the parts of which can be connected to one another by means of a Velcro fastener. Such a shinbone holder is simple in construction and enables the legs of the person to be treated to be fastened and released quickly, although an additional person is required to close and open the Velcro fastener.

Um diesen Nachteil zu vermeiden, kann gemäß einer weiteren Ausführungsform der Erfindung die Schienbeinhalterung aus zwei an der Unterschenkelauflage fixierbaren, vorzugsweise miteinander verbundenen, Bügeln bestehen, wobei jeweils eine seitliche Begrenzung jedes Bügels derart ausgebildet und angeordnet ist, daß ein seitliches Einführen der Beine in den Bügeln ermöglicht wird. Die Bügel können hiebei beispielsweise derart angeordnet sein, daß die seitliche Begrenzung in Abstand von der Unterschenkelauflage endet.In order to avoid this disadvantage, according to a further embodiment of the invention, the shin holder can consist of two brackets which can be fixed to the lower leg support and are preferably connected to one another, a lateral limitation of each bracket being designed and arranged such that the legs are inserted laterally into the Ironing is made possible. The brackets can be arranged in such a way, for example, that the lateral boundary ends at a distance from the lower leg support.

Zweckmäßig ist es jedoch, wenn zumindest die der Unterschenkelauflage zugewendete Seite der Schienbeinhalterung aus einem elastischen Material besteht, vorzugsweise mit einer Schaumstoffeinlage versehen ist. Diese Ausbildung bewirkt nicht nur ein angenehmes Abstützen der Unterschenkel und vermeidet Druckstellen an denselben, sondern ermöglicht infolge der Nachgiebigkeit des elastischen Materials bei Anordnung von Bügeln auch ein seitliches Einführen der Unterschenkel in diese Bügel, wenn deren seitliche Begrenzung bis zur Unterschenkelauflage reicht.However, it is useful if at least the side of the shin support facing the lower leg support is made of an elastic material, preferably provided with a foam insert. This design not only provides a comfortable support for the lower legs and avoids pressure points on the lower legs, but also allows the lower legs to be inserted laterally into these brackets due to the flexibility of the elastic material when stirrups are arranged, if their lateral limit extends to the lower leg support.

Um die Lage der Schienbeinhalterung an verschiedene Beingrößen anpassen zu können, kann diese auf der Unterschenkelauflage in Neigungsrichtung derselben verschiebbar und fixierbar angeordnet sein. Hiezu kann die Unterschenkelauflage wenigstens einen in Neigungsrichtung derselben verlaufenden Schlitz aufweisen, in dem eine Fixiereinrichtung für die Schienbeinhalterung verschiebbar geführt ist.In order to be able to adapt the position of the shin holder to different leg sizes, it can be arranged on the lower leg support so that it can be moved and fixed in the inclination direction. For this purpose, the lower leg support can have at least one slit running in the direction of inclination, in which a fixing device for the shin bone holder is slidably guided.

Gemäß einer bevorzugten Ausführungsform der Erfindung besteht die Fixiereinrichtung aus wenigstens einem mit der Schienbeinhalterung verbundenen, den Schlitz durchsetzenden Stift, an dessem freien Ende ein mit der Unterseite der Unterschenkelauflage zusammenwirkendes Halteglied befestigbar ist, das vorzugsweise auf ein Gewinde des Stiftes aufschraubbar ist.According to a preferred embodiment of the invention, the fixing device consists of at least one pin connected to the shin holder and passing through the slot, at the free end of which a holding member cooperating with the underside of the lower leg support can be fastened, which can preferably be screwed onto a thread of the pin.

In der Zeichnung ist die Erfindung an Hand eines Ausführungsbeispieles schematisch veranschaulicht. Fig 1 zeigt das Prinzip der erfindungsgemäßen Vorrichtung in Seitenansicht und Fig.2 eine bevorzugte Ausführungsform der erfindungsgemäßen Vorrichtung in perspektiver Darstellung. Fig.3 zeigt in perspektiver Darstellung die Unterschenkelauflage mit einer besonders ausgebildeten Schienbeinhalterung und Fig.4 stellt einen Schnitt nach der Linie IV - IV in Fig.3 dar.In the drawing, the invention is illustrated schematically using an exemplary embodiment. 1 shows the principle of the device according to the invention in side view and FIG. 2 shows a preferred embodiment of the device according to the invention in perspective. 3 shows a perspective view of the lower leg support with a specially designed shin support and FIG. 4 shows a section along the line IV-IV in FIG. 3.

Die erfindungsgemäße Vorrichtung weist ein Gestell auf, das aus zwei Stützpaaren 1,2 besteht, die zur Abstützung von zwei zueinander parallel angeordneten Schienen 3 dienen. Das Gestell steht am Fußboden eines Raumes, der als Liegefläche für die zu behandelnde Person dient, wobei zur bequemeren Lagerung des Oberkörpers derselben auf diesem Fußboden eine Matratze w od.dgl. vorgesehen ist. Die Schienen 3 sind in Richtung zur vom Fußboden gebildeten Liegefläche geneigt ausgebildet, und zwar derart, daß sie mit einer Vertikalen einen Winkel z zwischen 120° und 130° einschließen. In den Schienen 3 ist eine Unterschenkelauflage 4 verschiebbar geführt. Durch Veränderung der Lage dieser Unterschenkelauflage 4 in den Schienen 3 kann eine Anpassung der Stellung der Unterschenkelauflage 4 an die Größe der zu behandelnden Person vorgenommen werden. Die Unterschenkel der zu behandelnden Person werden auf der Unterschenkelauflage 4 durch eine Schienbeinhalterung 5 fixiert, die beispielsweise aus zumindest einer an der Unterschenkelauflage 4 befestigten Manschette bestehen kann, deren Teile durch einen Klettverschluß miteinander verbindbar sind.The device according to the invention has a frame which consists of two pairs of supports 1, 2 which serve to support two rails 3 arranged parallel to one another. The frame stands on the floor of a room that serves as a lying surface for the person to be treated, with a mattress or the like on this floor for more convenient storage of the upper body. is provided. The rails 3 are inclined in the direction of the lying surface formed by the floor, in such a way that they enclose an angle z between 120 ° and 130 ° with a vertical. A lower leg support 4 is slidably guided in the rails 3. By changing the position of this lower leg support 4 in the rails 3, the position of the lower leg support 4 can be adapted to the size of the person to be treated. The lower legs of the person to be treated are fixed on the lower leg support 4 by a shin support 5, which can consist, for example, of at least one sleeve fastened to the lower leg support 4, the parts of which can be connected to one another by means of a Velcro fastener.

Bei der Behandlung einer Person wird die Unterschenkelauflage 4 entlang der Schienen 3 in eine Lage verschoben, in welcher der Abstand x zwischen dem Boden und dem Becken der zu behandelnden Person zwischen 10 und 30 cm beträgt, und dieser Lage fixiert. Durch diesen Abstand und durch die erwähnte Neigung der Unterschenkelauflage 4, durch welche sich ein charakteristischer dorsaler Kniewinkel ergibt, wird erreicht, daß durch die Schwerkraft eine maximale nach dorsal gerichtete Beckenkippung bei waagrechter Lagerung des Oberkörpers der zu behandelnden Person eintritt, wodurch die vorher nach ventral ausgerichtete Lendenwirbelsäule nach dorsal mobilisiert wird, so daß eine Dehnung und Entspannung der lumbalen Rückenstrecker und eine Belastungsreduzierung der Lendenwirbelsäule erfolgt. Die zu behandelnde Person wird dadurch innerhalb kurzer Zeit schmerzfrei.When treating a person, the lower leg support 4 is moved along the rails 3 into a position in which the distance x between the floor and the pelvis of the person to be treated is between 10 and 30 cm, and fixed this position. This distance and the aforementioned inclination of the lower leg support 4, which results in a characteristic dorsal knee angle, ensures that a maximum dorsally directed pelvic tilt occurs when the upper body of the person to be treated is positioned horizontally by gravity, as a result of which the ventrally previously aligned lumbar spine is mobilized dorsally, so that the lumbar back extensors stretch and relax and the lumbar spine is reduced. As a result, the person to be treated becomes pain-free within a short time.

Bei der in Fig.2 dargestellten bevorzugten Ausführungsform, bei welcher die Schienbeinhalterung zwecks besserer Übersichtlichkeit weggelassen ist, sind die beiden Stützen 1 an ihrem unteren Ende, wo diese Stützen am Fußboden aufruhen, durch einen Querteil miteinander verbunden, wogegen das obere Ende der beiden Stützen 1 über ein Gelenk 7 mit den Schienen 3 schwenkbar verbunden ist. Die beiden Stützen 2 sind über eine Achse 8 an den zugehörigen Stützen 1 drehbar gelagert und an ihren oberen Enden über einen Querteil miteinander verbunden, der in an den Schienen 3 angeordneten Einhängeeinrichtungen 6 eingehängt werden kann. Diese Ausbildung ermöglicht ein Zusammenklappen der erfindungsgemäßen Vorrichtung und damit ein platzsparendes Unterbringen derselben beim Heimgebrauch.In the preferred embodiment shown in FIG. 2, in which the shin support is omitted for the sake of clarity, the two supports 1 are connected at their lower ends, where these supports rest on the floor, by a cross member, whereas the upper end of the two supports 1 is pivotally connected to the rails 3 via a joint 7. The two supports 2 are rotatably mounted on the associated supports 1 via an axis 8 and are connected to one another at their upper ends by means of a cross member which can be suspended in suspension devices 6 arranged on the rails 3. This design enables the device according to the invention to be folded up and thus accommodated in a space-saving manner when used at home.

Die Fig. 3 und 4 zeigen eine spezielle Ausführungsform der auf der Unterschenkelauflage 4 befestigten Schienbeinhalterung 5. Diese besteht aus zwei miteinander verbundenen Bügeln 9, an deren der Unterschenkelauflage 4 zugewendeten Seite eine Schaumstoffauflage 10 befestigt ist, deren Form der Form der Unterschenkel angepaßt ist und diese bequem auf der Unterschenkelauflage hält. Wie aus der Zeichnung ersichtlich ist, ist die seitliche Begrenzung jedes Bügels 9 in Abstand von der Unterschenkelauflage 4 angeordnet, sodaß ein seitliches Einführen der Unterschenkel möglich ist und für die Fixierung der Unterschenkel auf der Unterschenkelauflage 4 keine Hilfsperson erforderlich ist. Das seitliche Einführen der Unterschenkel wird auch durch die Schaumstoffauflage 10 erleichtert, die infolge ihrer Elastizität beim Einführen der Unterschenkel zurückweicht.3 and 4 show a special embodiment of the tibia support 5 fastened on the lower leg support 4. This consists of two interconnected brackets 9, on the side facing the lower leg support 4 a foam support 10 is fastened, the shape of which is adapted to the shape of the lower leg and holds it comfortably on the lower leg support. As can be seen from the drawing, the lateral boundary of each bracket 9 is arranged at a distance from the lower leg support 4, so that lateral insertion of the lower leg is possible and no auxiliary person is required for fixing the lower leg on the lower leg support 4. The lateral insertion of the lower legs is also facilitated by the foam pad 10, which retracts due to its elasticity when the lower legs are inserted.

Der beiden Bügeln 9 gemeinsame Steg 11 stützt sich auf der Unterschenkelauflage 4 ab und ist mit einem Stift 12 verbunden, der einen in Neigungsrichtung der Unterschenkelauflage 4 verlaufenden Schlitz 13 in dieser Unterschenkelauflage durchsetzt und an seinem freien Ende mit einem Gewinde versehen ist, auf das beispielsweise eine Rändelmutter 14 aufschraubbar ist. Anstelle der Rändelmutter kann auch eine auf den Stift 12 aufschiebbare Klemmeinrichtung vorgesehen sein. Diese Ausbildung ermöglicht eine Fixierung der Schienbeinhalterung 5 auf der Unterschenkelauflage 4 in verschiedenen Lagen und dadurch eine Anpassung an die Beingröße der zu behandelnden Person.The web 11 common to the two brackets 9 is supported on the lower leg support 4 and is connected to a pin 12 which has a slot 13 in the direction of inclination of the lower leg support 4 this lower leg support passes through and is provided at its free end with a thread onto which, for example, a knurled nut 14 can be screwed. Instead of the knurled nut, a clamping device that can be pushed onto the pin 12 can also be provided. This design enables the shin support 5 to be fixed on the lower leg support 4 in different positions and thereby to be adapted to the size of the person to be treated.

Mit dem Einsatz der erfindungsgemäßen Vorrichtung wird effektiv auch die Haltungsproblematik in der Becken-Lenden-Region verbessert.With the use of the device according to the invention, the posture problems in the pelvic-lumbar region are also effectively improved.

Dies geschieht durch eine aktive Zustandsänderung der Muskulatur, da die lumbalen Rückenstrecker einer funktionellen passiven Dehnung und die Wirbelkörper der Lendenwirbelsäule einer passiven dorsalen Mobilisation ausgesetzt sind, wodurch eine Beschleunigungseffekt in der Regeneration und im Therapieverlauf von Kreuzschmerzen ausgelöst wird.This happens through an active change in the state of the muscles, since the lumbar back extensors are subjected to functional passive stretching and the vertebral bodies of the lumbar spine are subjected to passive dorsal mobilization, which triggers an acceleration effect in the regeneration and therapy process of lower back pain.

Durch diese positiven Anpassungsreize kann das Gerät auch sinnvoll für die Kombination von extremen Lendenwirbelsäulenbeanspruchungen im Leistungs- und Hochleistungssport eingesetzt werden.Due to these positive adaptation stimuli, the device can also be used sensibly for the combination of extreme lumbar spine stresses in competitive and high-performance sports.

Claims (9)

  1. Apparatus for the conservative treatment of persons having acute and/or chronic pains in the lumbar vertebral column, comprising a lower leg support (4) adjustably disposed above a substantially horizontally extending rest surface (w) for the person to be treated, said lower leg support abutting the lower legs of the person to be treated and being provided with a shinbone fixing (5) for fixing the lower legs, characterized in that the lower leg support (4) is so inclined downwardly in direction towards the rest surface (w) that it includes with the vertical direction an angle (z) between 120° and 130°, and that the lower leg support is shiftably supported in its inclination direction.
  2. Apparatus according to claim 1, characterized in that the lower leg support (4) is shiftably guided in rails (3) on longitudinal edges opposing each other, said rails (3) being abutted by means of a frame (1,2).
  3. Apparatus according to claim 1 or 2, characterized in that the frame consists of two support pairs (1,2) rotatably connected to each other (at 8), the ends of the supports (1) of the one pair being pivotally connected to the one end of the rails (3) and the ends of the supports (2) of the other pair being detachably connected to the other end of the rails (3).
  4. Apparatus according to claim 1, 2 or 3, characterized in that the shinbone fixing consists of at least one sleeve (5) connected to the lower leg support (4), the elements of said sleeve being connectable with each other by means of a velcro fastener.
  5. Apparatus according to claim 1, 2 or 3, characterized in that the shinbone fixing (5) consists of two bows (9) fixable to the lower leg support (4) and preferably connected to each other, one lateral delimitation of each bow (9) being so constructed and/or disposed that the legs can be inserted into the bows from the side.
  6. Apparatus according to any of claims 1 to 5, characterized in that at least that side of the shinbone fixing (5) that faces the lower leg support (4) consists of resilient material, preferably is provided with a cover (10) of foamed material.
  7. Apparatus according to any of claims 1 to 6, characterized in that the shinbone fixing (5) is shiftably and fixably disposed on the lower leg support (4) in inclination direction thereof.
  8. Apparatus according to claim 7, characterized in that the lower leg support (4) comprises at least one slot (13) extending in inclination direction thereof, a fixing means (12,14) for the shinbone fixing (5) being shiftably guided in the slot.
  9. Apparatus according to claim 8, characterized in that the fixing means consists of at least one pin (12) that is connected to the shinbone fixing (5) and penetrates through the slot (13), a fixing member (14) cooperating with the bottom side of the lower leg support (4) being connectable to the free end of the pin and being preferably screwable onto threads of the pin (12).
EP90890069A 1989-03-09 1990-03-09 Apparatus for the preservative treatment of persons having pain in the lumbar region of the vertebral column Expired - Lifetime EP0387243B1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
AT0053289A ATA53289A (en) 1989-03-09 1989-03-09 DEVICE FOR THE CONSERVATIVE TREATMENT OF PERSONS WITH PAIN IN THE LUMBAR SPINE
AT532/89 1989-03-09

Publications (3)

Publication Number Publication Date
EP0387243A2 EP0387243A2 (en) 1990-09-12
EP0387243A3 EP0387243A3 (en) 1991-03-27
EP0387243B1 true EP0387243B1 (en) 1993-08-25

Family

ID=3493114

Family Applications (1)

Application Number Title Priority Date Filing Date
EP90890069A Expired - Lifetime EP0387243B1 (en) 1989-03-09 1990-03-09 Apparatus for the preservative treatment of persons having pain in the lumbar region of the vertebral column

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EP (1) EP0387243B1 (en)
AT (2) ATA53289A (en)
DE (1) DE59002417D1 (en)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE19531356C1 (en) * 1995-08-25 1997-07-24 Olaru Nicolae Dipl Univ Med Treatment device for use in physical therapy

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3124126A (en) * 1964-03-10 spinks
GB996694A (en) * 1963-05-24 1965-06-30 Zimmermann Hans Improvements in or relating to apparatus for enabling maximum flexion in the region of the lumbar vertebral column
US4182511A (en) * 1978-07-20 1980-01-08 Camp Hope H Jr Exerciser device
US4566693A (en) * 1982-06-07 1986-01-28 Stretch Forming Corporation Gravity traction apparatus
DE8803739U1 (en) * 1988-03-19 1988-09-01 Richter, Volker, Dipl.-Med., 8192 Geretsried Foldable extension stool for the treatment of lumbar spine and hip joint diseases
DE3812542A1 (en) * 1988-04-15 1989-10-26 Thereg Fa Abdominal muscle training apparatus

Also Published As

Publication number Publication date
ATA53289A (en) 1994-05-15
ATE93381T1 (en) 1993-09-15
EP0387243A2 (en) 1990-09-12
EP0387243A3 (en) 1991-03-27
DE59002417D1 (en) 1993-09-30

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