EP0247684B1 - Apparatus for executing lumbar tractions - Google Patents

Apparatus for executing lumbar tractions Download PDF

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Publication number
EP0247684B1
EP0247684B1 EP87200944A EP87200944A EP0247684B1 EP 0247684 B1 EP0247684 B1 EP 0247684B1 EP 87200944 A EP87200944 A EP 87200944A EP 87200944 A EP87200944 A EP 87200944A EP 0247684 B1 EP0247684 B1 EP 0247684B1
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Prior art keywords
belt
traction
thoracal
belts
girdle
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EP87200944A
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German (de)
French (fr)
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EP0247684A3 (en
EP0247684A2 (en
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Hendrikus Cornelis Willem Van Zuilichem
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Individual
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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
    • A61H1/0218—Drawing-out devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/1628—Pelvis
    • A61H2201/163—Pelvis holding means therefor

Definitions

  • the invention relates to a combination of belts for physiotherapeutic treatment on the lumbar part of the spine.
  • US-A-4,361,322 describes a device which is intended for the tightening of muscles and ligaments on joints and which has to be clamped between two opposing walls, consisting of two U-shaped parts which are fastened with straps on belts which are around the waist and upper body part of a person lying on his back.
  • DE-A-2 000 045 describes a device for stretching the active pillar, consisting of a pelvic girdle with handles.
  • a device was used to make this treatment less painful and more expedient for the patient.
  • the lumbar traction system according to the present invention is a physiotherapeutic aid to enable manual traction on the lumbar spine in a simple and convenient manner in one, two or three-dimensional direction, taking into account the possibilities for the patient and the objectives of the treating therapist, in any desired mass from lordosis to kyphosis.
  • the device according to the invention can be used on a normal massage table, the height of which is adjustable.
  • the particular advantage is that the accessories of this device are adjustable so that they can be adapted to any physique.
  • the fixation of the patient is optimal.
  • the device according to the invention comprises a supporting part in the form of a wedge, a fixing thoracic belt with a broadened chest part and an extension part which can be fastened around the lying surface, and a lumbar belt consisting of a lumbar part and a belly band, connected with tension belts for guidance along the legs
  • a connecting rod a connecting rod
  • a holding cord being attached in the middle of the connecting rod for optional manual, mechanical or motorized stretching
  • the pull straps are provided with handles at the foot end and pass into a folding strap
  • the straps passing through Velcro straps can be strapped and the supporting wedge can be attached to the required places on the bed or on the straps with Velcro straps.
  • the thoracic fixation belt is placed on the underside of the thorax and the pelvic traction belt, which can be adjusted according to the body size, is placed around the patient's loins.
  • the belly band part of the same can also be adjusted according to the body circumference and secured by means of ends with Velcro, which consists of a loop and hook band.
  • Figure 1 shows schematically the position of the patient with the belts of the inventive device.
  • FIG. 2 shows a view from above of the device according to the invention.
  • (1) is the thoracic fixation belt with a wider part (2) and an extension part (3).
  • Part (4) is the pelvic traction belt, which consists of a lumbar part (5), the belly band (6), the handlebars (7) and the lanyard (8).
  • the system mainly consists of a thoracic fixation belt, a pelvic traction belt, a free-hanging extension part for the thoracic fixation belt and a separate traction accessory for the pelvic traction belt, with hook, bar (9) and cord (10).
  • the material for the straps is twill weave canvas, which is embroidered on both sides and is wider where body contact takes place.
  • the material is hemmed along the entire length.
  • the metal temples are galvanized and upholstered on the body side with soft leather cladding.
  • the wide belly band of the thoracic fixation belt must be put on below the lower costal arch with the buckle on the left side of the patient.
  • the narrow part of the band runs under the plate of the treatment table and is held in place by means of a Velcro fastener that is pulled through a bracket.
  • the broad part of the ligament is anatomically shaped, therefore it supports the thorax with little angulation and does not hinder abdominal and flank breathing.
  • the spine is now fixed to the base at the level of the thoracolumbar transition.
  • Attachment and treatment take place by laying the widened part (2) of the thoracic fixation belt (1) on the patient lying down, pulling the thoracic fixation belt under the treatment bed surface, fastening the end with hook and loop surfaces of the Velcro strap, and the lumbar part (5 ) around the loins and the belly band part (6) over the abdomen, the end, which runs through one of the temples, pulls it in and fastens it, whereby the rod (9) will lie between the legs and the traction band is placed around the therapist's hips , and one exercises traction with the lanyard (8) and with the hand on the cord (10).
  • Figure 3 also shows the wedge (11).
  • a manipulation wedge (11) with a Velcro strap can be attached to the inside of the part of the pelvic traction belt (4) located on the lower thoracic vertebra.
  • the wedge (11) is placed with the lower edge on the spinosis process from the upper height and fixed between the tension belt (4) and the patient's back, creating an air space between the couch, the wedge edge and the patient's back.
  • the patient can automatically adjust the fixation during traction.
  • the pelvic traction belt should be put on like a pair of trousers with the wide, adjustable belly band on the front, the two metal brackets covered with leather on both sides and the lumbar part of the traction belt sliding through it on the back.
  • the whole must be attached to the two cristae.
  • the belt fixes itself on the pelvis, depending on the mass by which the traction is exerted.
  • the therapist stands at the foot of the treatment table, climbs into the band and places the broad loin part on his sacrum.
  • the traction is exerted by the therapist's body weight, whereby control with the hands is made possible by reaching into the designated brackets.
  • the length of the traction belt can be adjusted by means of the Velcro fastener, which releases through a bracket.
  • the band can be shortened to the maximum.
  • the length of the belly belt can be adjusted by means of a Velcro fastener, which runs through a bracket and which makes it possible to set a pelvic tilt from maximum lordosis to maximum kyphosis.
  • the patient can also readjust the belly band during traction.
  • traction can be exercised in the back, stomach or side position.
  • the belt grips the pelvis directly with a perfect, self-adapting fixation, which makes it possible to straighten the pelvis and straighten the lumbar spine.
  • the belt also offers the option of practicing traction from above with the pelvis as a fixed point and the thorax as a movable point.
  • the traction is exercised jointly.
  • the belt can be turned for obese patients.
  • the belt must be turned through 180 °, or the traction belts should be crossed before doing this, possibly in combination with raising the couch.
  • the treatment can include continuous traction, intermittent traction, oscillating and stabilizing effects (in total or possibly in segments).
  • the position in which the lumbar spine is placed is determined by the indication, the resilience of the tissue and the patient's position, and the measure of the pelvic setting can be provided with the belly band (6) of the pelvic traction belt.
  • the straps of the pelvic traction belt can be used to apply the force acting on the pelvis and the lumbar spine both symmetrically and asymmetrically.
  • the system was developed for manual use.
  • traction belt by means of a galvanized steel bracket to, for example, an electrically controlled traction device (intermittent / continuous) or to a pulley system (continuously).
  • the steel bar is then fastened to the two traction belts by hooking into the two loops, which are located near each knee.
  • the traction device with pulley consists of two pulley wheels and a non-stretchable plastic line.
  • One roll is hooked in the middle of the steel bracket and the other has to be fastened with a band to the foot end of the deck frame.
  • the line in the rear pulley can be attached.
  • the therapist To end the traction, the therapist must again stand in the traction belt, take over the traction manually, loosen the line and weaken the traction very gradually.
  • Lying with a bare torso on the table top is preferred.
  • the thoracic fixation belt must be fastened.
  • the fixation must correspond to the intensity of traction.
  • the degree of lordosis / kyphosis, the duration, intensity, rhythm and direction depend on the intended goal.
  • the patient After the end of the traction, the patient should always remain on the couch for some time in the position in which traction was used, after which some exercises should follow (build-up of tone, gravity, etc.). Breathing must be physiological (especially when getting up from the couch).

Abstract

The unit is for physiotherapy of the lumbar portion of the spinal column by traction. It comprises a fixing belt (1) with widened portion (2) for the thorax and an extension (3), together with a pelvic traction belt (4). The belt has a lumbar portion (5), a stomach belt (6), a grip handle (7) and a traction belt (8), together with a hook, bar (9) and holding rope (10). The belts can be of canvas, with hook-clasp portions at the ends.

Description

Die Erfindung bezieht sich auf eine Zusammenstellung von Gurten zur physiotherapeutischen Behandlung am Lumbalteil der Wirbelsäüle.The invention relates to a combination of belts for physiotherapeutic treatment on the lumbar part of the spine.

Traktion geschieht bei dieser Behandlung manuell durch den Physiotherapeuten um Rückenbeschwerden zu verringern.With this treatment, traction is done manually by the physiotherapist to reduce back problems.

Dies ist sehr anstrengend, und es können Hilfsmittel angewandt werden, welche dem Körperbau des Patienten angepasst werden.This is very tiring and aids can be used which are adapted to the physique of the patient.

Die Abweichungen an der Wirbelsäule und die Behandlung derselben sind beschrieben in Kremer, "Intervertebral Disc Diseases", Thieme, Göttingen-New-York, 1980.The deviations in the spine and the treatment thereof are described in Kremer, "Intervertebral Disc Diseases", Thieme, Goettingen-New-York, 1980.

U.S.-A- 4,361,322 beschreibt ein Gerät, welches gedacht ist zur Straffung von Muskeln und Bändern an Gelenken, welches zwischen zwei einander gegenüberliegenden Wänden eingespannt werden muss, bestehend aus zwei U-förmigen Teilen,die mit Bändern an Gurten befestigt sind, die um Hüfte und Oberkörperteil einer auf dem Rücken liegenden Person befestigt werden.US-A-4,361,322 describes a device which is intended for the tightening of muscles and ligaments on joints and which has to be clamped between two opposing walls, consisting of two U-shaped parts which are fastened with straps on belts which are around the waist and upper body part of a person lying on his back.

In DE-A- 2 000 045 is ein Gerät zur Streckung der Wirkelsäule beschrieben, bestehend aus einem Beckengürtel mit Handgriffen.DE-A-2 000 045 describes a device for stretching the active pillar, consisting of a pelvic girdle with handles.

Es wurde nach einer Vorrichtung gestreht, mit welcher diese Behandlung für den Patienten weniger schmerzhaft und zweckmässiger ausgeführt werden kann.A device was used to make this treatment less painful and more expedient for the patient.

Das Lumbaltraktionssystem gemäss der vorliegenden Erfindung ist ein physiotherapeutisches Hilfsmittel um manuelle Traktionen an der lumbalen Wirbelsäule auf einfache und bequeme Art zu ermöglichen in ein -, zwei- oder dreidimensionaler Richtung, wobei den Möglichkeiten für den Patienten und den Zielsetzungen des behandelnden Therapeuten Rechnung getragen wird, in jedem gewünschten Masse von Lordosierung bis Kyphosierung.The lumbar traction system according to the present invention is a physiotherapeutic aid to enable manual traction on the lumbar spine in a simple and convenient manner in one, two or three-dimensional direction, taking into account the possibilities for the patient and the objectives of the treating therapist, in any desired mass from lordosis to kyphosis.

Die erfindungsgemässe Vorrichtung kann auf einer normalen Massageliege, deren Höhe einstellbar ist, angewendet werden.The device according to the invention can be used on a normal massage table, the height of which is adjustable.

Der besondere Vorteil besteht darin, dass die Zubehörteile dieser Vorrichtung so verstellbar sind dass sie jeglichem Körperbau angepasst werden können.The particular advantage is that the accessories of this device are adjustable so that they can be adapted to any physique.

Die Fixierung des Patienten is dabei optimal.The fixation of the patient is optimal.

Die erfindungsgemässe Vorrichtung umfasst einen stützenden Teil in Form eines Keils, einen fixierenden Thoraxgurt mit einem verbreiterten Brustteil und einen Verlängerungsteil, der um die Liegefläche befestigbar ist, und einen Lendengurt bestehend aus einem Lendenteil und einem Bauchband, verbunden mit Zuggurten zur Führung an den Beinen entlang, welche Zuggurte mittels einer Verbindungsstange beweglich miteinander verbunden sind, wobei in der Mitte der Verbindungsstange eine Haltekordel zu wahlweiser Hand-, mechanischer oder motorischer Streckung angebracht ist, und die Zuggurte am Fussende mit Handgriffen versehen sind und in ein Umlegeband übergehen, wobei die Gurte durch Klettenbänder geschnallt werden können und der unterstützende Keil an den erforderlichen Stellen der Liege oder an den Gurten durch Klettenbänder befestigt werden kann.The device according to the invention comprises a supporting part in the form of a wedge, a fixing thoracic belt with a broadened chest part and an extension part which can be fastened around the lying surface, and a lumbar belt consisting of a lumbar part and a belly band, connected with tension belts for guidance along the legs Which pull straps are movably connected to one another by means of a connecting rod, a holding cord being attached in the middle of the connecting rod for optional manual, mechanical or motorized stretching, and the pull straps are provided with handles at the foot end and pass into a folding strap, the straps passing through Velcro straps can be strapped and the supporting wedge can be attached to the required places on the bed or on the straps with Velcro straps.

Der Thoraxfixierungsgurt wird an die Unterseite des Thorax angelegt, und der Beckentraktionsgurt, der dem Körperumfang entsprechend einstellbar ist, wird um die Lenden des Patienten gelegt.The thoracic fixation belt is placed on the underside of the thorax and the pelvic traction belt, which can be adjusted according to the body size, is placed around the patient's loins.

Der Bauchbandteil desselben ist gleichfalls dem Körperumfang entsprechend einstellbar und durch Enden mit Klettenband, das aus Schlaufen- und Hakenband besteht, fest zu machen.The belly band part of the same can also be adjusted according to the body circumference and secured by means of ends with Velcro, which consists of a loop and hook band.

Am Beckentraktionsgurt befinden sich zwei einstellbare Traktionsbänder, die der Therapeut, der am Füssende steht, um seinen Körper spannt und mit zwei Handgriffen festhält.There are two adjustable traction straps on the lap traction belt, which the therapist standing at the foot of the foot tightens around his body and holds with two hand movements.

Die Erfindung wird weiter erklärt an Hand der beigefügten Figuren 1,2 und 3.The invention is further explained on the basis of the attached FIGS. 1, 2 and 3.

Figur 1 zeigt schematisch die Position des Patienten mit den angelegten Gurten der erfindungsgemässen Vorrichtung.Figure 1 shows schematically the position of the patient with the belts of the inventive device.

Figur 2 zeigt eine Ansicht von oben der erfindungsgemässen Vorrichtung.FIG. 2 shows a view from above of the device according to the invention.

In diesen Figuren ist (1) der Thoraxfixierungsgurt mit einem breiteren Teil (2) und einem Verlängerungsteil (3).In these figures, (1) is the thoracic fixation belt with a wider part (2) and an extension part (3).

Der Teil (4) ist der Beckentraktionsgurt, welcher aus einem Lendenteil (5), dem Bauchband (6), den Handgriffbügeln (7) und dem Umlageband (8) besteht.Part (4) is the pelvic traction belt, which consists of a lumbar part (5), the belly band (6), the handlebars (7) and the lanyard (8).

Das System besteht also hauptsächlich aus einem Thoraxfixierungsgurt, einem Beckentraktionsgurt, einem freihängenden Verlängerungsteil für den Thoraxfixierungsgurt und einem separaten Traktionszubehör für den Beckentraktionsgurt, mit Haken, Stange (9) und Haltekordel (10).The system mainly consists of a thoracic fixation belt, a pelvic traction belt, a free-hanging extension part for the thoracic fixation belt and a separate traction accessory for the pelvic traction belt, with hook, bar (9) and cord (10).

Das Material für die Gurte ist Kanvasgewebe in Köperbindung, welches doppelseitig zusammengestickt ist, und das breiter ist, wo Körperberührung stattfindet.The material for the straps is twill weave canvas, which is embroidered on both sides and is wider where body contact takes place.

Ueber die gesamte Länge ist das Material umsäumt.The material is hemmed along the entire length.

Die Metallbügel sind galvanisiert und zur Körperseite hin gepolstert mit weicher Lederverkleidung.The metal temples are galvanized and upholstered on the body side with soft leather cladding.

Der breite Bauchband des Thoraxfixierungsgurtes muss unterhalb des unteren Rippenbogens angelegt werden mit der Schnalle an der linken Seite des Patienten.The wide belly band of the thoracic fixation belt must be put on below the lower costal arch with the buckle on the left side of the patient.

Der schmale Teil des Bandes verläuft unter der Platte der Behandlungsliege und wird mittels Klettenbandschluss,der durch einen Bügel gezogen ist, festgehalten.The narrow part of the band runs under the plate of the treatment table and is held in place by means of a Velcro fastener that is pulled through a bracket.

Der breite Teil des Bandes ist anatomisch geformt, er unterstützt daher den Thorax unter geringer Anwinkelung und behindert dadurch nicht die Bauch-und Flankenatmung.The broad part of the ligament is anatomically shaped, therefore it supports the thorax with little angulation and does not hinder abdominal and flank breathing.

Die Wirbelsäule ist nun an der Höhe des thorakolumbalen Uebergangs auf der Unterlage fixiert.The spine is now fixed to the base at the level of the thoracolumbar transition.

Das Anbringen und die Behandlung finden statt, in dem man auf den liegenden Patienten den verbreiterten Teil (2) des Thoraxfixierungsgurtes (1) legt, den Thoraxfixierungsgurt unter die Behandlungsliegefläche durchzieht, das Ende mittels Haken- und Schlaufenflächen des Klettenbandes festmacht, den Lendenteil (5) um die Lenden und den Bauchbandteil (6) über den Bauch führt, das Ende, welches durch einen der Bügel läuft, anzieht und festmacht, wobei die Stange (9) zwischen den Schenkeln liegen wird un das Traktionsband um die Hüften des Therapeuten gelegt wird, und man Traktion mit dem Umlegeband (8) und mit der Hand an der Haltekordel (10) ausübt.Attachment and treatment take place by laying the widened part (2) of the thoracic fixation belt (1) on the patient lying down, pulling the thoracic fixation belt under the treatment bed surface, fastening the end with hook and loop surfaces of the Velcro strap, and the lumbar part (5 ) around the loins and the belly band part (6) over the abdomen, the end, which runs through one of the temples, pulls it in and fastens it, whereby the rod (9) will lie between the legs and the traction band is placed around the therapist's hips , and one exercises traction with the lanyard (8) and with the hand on the cord (10).

Figure 3 zeigt ferner den Keil (11).Figure 3 also shows the wedge (11).

Zum Zwecke einer tief-thorakalen oder mittenthorakalen Traktionsbehandlung kann ein Manipulierungskeil (11) mit Klettenband an der Innenseite des an dem unteren Brustwirbel liegenden Teils des Beckentraktionsgurtes (4) befestigt werden.For the purpose of deep-thoracic or mid-thoracic traction treatment, a manipulation wedge (11) with a Velcro strap can be attached to the inside of the part of the pelvic traction belt (4) located on the lower thoracic vertebra.

Der Keil (11) wird mit dem unteren Rand auf den Processus Spinosis von der oberen Höhe her gelegt und fixiert zwischen dem Zuggurt (4) uns dem Rücken des Patienten, wodurch ein Luftraum entsteht zwischen der Liege, dem Keilrand und dem Rücken des Patienten.The wedge (11) is placed with the lower edge on the spinosis process from the upper height and fixed between the tension belt (4) and the patient's back, creating an air space between the couch, the wedge edge and the patient's back.

Während der Traktion kann der Patient falls erwünscht selbsttätig die Fixierung nachstellen.If desired, the patient can automatically adjust the fixation during traction.

Der Beckentraktionsgurt soll wie eine "Hose" angezogen werden mit dem breiten einstellbaren Bauchband an der Vorderseite, den beiden mit Leder umkleideten Metallbügeln an den beiden Seiten und dem dadurchgleitenden Lendenteil des Traktionsgurtes an der Hinterseite.The pelvic traction belt should be put on like a pair of trousers with the wide, adjustable belly band on the front, the two metal brackets covered with leather on both sides and the lumbar part of the traction belt sliding through it on the back.

Das Ganze muss auf den beiden Cristae anliegend angebracht werden. Der Gurt fixiert sich selbst auf dem Becken, abhängig von dem Masse indem die Traktion ausgeübt wird.The whole must be attached to the two cristae. The belt fixes itself on the pelvis, depending on the mass by which the traction is exerted.

Der Therapeut steht am Fussende der Behandlungsliege, steigt in das Band und legt den breiten Lendenteil auf sein Sacrum.The therapist stands at the foot of the treatment table, climbs into the band and places the broad loin part on his sacrum.

Die Traktion wird mittels des Körpergewichtes des Therapeuten ausgeübt, wobei Steuerung mit den Händen ermöglicht wird,indem in die dazu bestimmten Bügel gefasst wird.The traction is exerted by the therapist's body weight, whereby control with the hands is made possible by reaching into the designated brackets.

Die Länge des Traktionsgurtes ist mittels des Klettenbandschlusses, der durch einen Bügel läüft, einstellbar.The length of the traction belt can be adjusted by means of the Velcro fastener, which releases through a bracket.

Wenn das Band jeweils durch den folgenden Bügel gezogen wird, kann das Band maximal verkürzt werden.If the band is pulled through the following bracket, the band can be shortened to the maximum.

Die Länge des bauchgurtes ist einstellbar mittels Klettenbandschluss, welcher durch einen Bügel verläuft und wodurch es ermöglicht wird ein beckenkippen ein zu stellen von maximaler Lordosierung bis zur maximalen Kyphosierung.The length of the belly belt can be adjusted by means of a Velcro fastener, which runs through a bracket and which makes it possible to set a pelvic tilt from maximum lordosis to maximum kyphosis.

Die Position des unteren bügelpunktes hinsichtlich der Transversalachse, die durch beide Häften verläuft, bestimmt die Lage des beckens in saggitaler Richtung.The position of the lower temple point with respect to the transverse axis, which runs through both sides, determines the position of the pelvis in the sagittal direction.

Während der Traktion kann auch des bauchband durch den Patienten selbst nachgestellt werden.The patient can also readjust the belly band during traction.

In jeder gewünschten Ausgangsposition kann Traktion ausgeübt werden in Rücken-, bauch- oder Seitenlage.In any desired starting position, traction can be exercised in the back, stomach or side position.

Der Gurt erfasst das becken direkt mit einer perfekten sich selbst anpassenden Fixierung, wodurch es möglich wird, das becken und die lumbale Wirbelsäule zu richten.The belt grips the pelvis directly with a perfect, self-adapting fixation, which makes it possible to straighten the pelvis and straighten the lumbar spine.

Der Gurt bietet auch die Möglichkeit von oben her Traktion aus zu üben mit dem Becken als Fixpunkt und dem Thorax als beweglichen Punkt.The belt also offers the option of practicing traction from above with the pelvis as a fixed point and the thorax as a movable point.

Dabei verbleibt die Möglichkeit optimalen Kontaktes mit dem Patienten.This leaves the possibility of optimal contact with the patient.

Die Traktion wird gemeinschaftlich ausgeübt.The traction is exercised jointly.

Für korpulente Patienten kann der Gurt gedreht werden.The belt can be turned for obese patients.

Wenn bei kyphosierender Traktion an sehr schmalem Becken der Lendengurt abrutschen sollte,muss der Gurt um 180° gedreht werden, oder die Traktionsgurte sollten gekreuzt werden,bevor man dies tut, eventuell in Kombination mit Hochstellung der Liege.If the lumbar belt slips off in a very narrow pelvis during kyphosing traction, the belt must be turned through 180 °, or the traction belts should be crossed before doing this, possibly in combination with raising the couch.

Infolge der bequemen Anpassung und der geringen körperlichen Belastung kann Traktion mit diesem System lange durchgehalten werden (15-30 Min).Due to the comfortable adjustment and the low physical exertion, traction can be maintained with this system for a long time (15-30 minutes).

Durch Einhaltung unterschiedlicher Beinlagen wird eine Verstärkung der initiierten Traktionsrichtung erreicht.By maintaining different leg positions, the initiated traction direction is strengthened.

Die behandlung kann kontinuierliche Traktion, intermittierende Traktion oszillierende und stabilisierende Wirkung (insgesamt oder eventuell Segmentsweise) umfassen.The treatment can include continuous traction, intermittent traction, oscillating and stabilizing effects (in total or possibly in segments).

Die Position, in welche die lumbale Wirbelsäule gestellt wird,ist festgelegt durch die Indikation, die belastungsfähigkeit des Gewebes und durch das befinden des Patienten, und das Mass der Beckeneinstellung kann mit dem bauchband (6) des beckentraktionsgurtes beigestellt werden.The position in which the lumbar spine is placed is determined by the indication, the resilience of the tissue and the patient's position, and the measure of the pelvic setting can be provided with the belly band (6) of the pelvic traction belt.

Durch die Bänder des beckentraktionsgurtes kann die auf das becken und die Lendenwirbelsäule einwirkende Kraft mittels Handsteuerung sowohl symmetrisch als auch asymmetrisch angebracht werden.The straps of the pelvic traction belt can be used to apply the force acting on the pelvis and the lumbar spine both symmetrically and asymmetrically.

Das System wurde zur manuellen Anwendung entwickelt.The system was developed for manual use.

Es ist jedoch auch möglich,den Traktionsgurt mittels eines galvanisiertstählernen Bügels an zum Beispiel eine elektrisch gesteuerte Traktionsvorrichtung (intermittierend/ kontinuierlich) oder an eine Flaschenzugtraktionsvorrichtung (kontinuierlich) an zu schliessen.However, it is also possible to connect the traction belt by means of a galvanized steel bracket to, for example, an electrically controlled traction device (intermittent / continuous) or to a pulley system (continuously).

Der Stahlbügel wird dann an den beiden Traktionsgurten festgemacht durch einhaken in die beiden Schlaufen, welche sich in der Nähe jedes Knies befinden.The steel bar is then fastened to the two traction belts by hooking into the two loops, which are located near each knee.

Wenn eine elektrisch angetriebene Traktionsvorrichtung verwendet wird, kann eine Leine angehakt werden.If an electrically powered traction device is used, a line can be hooked on.

Die Traktionsvorrichtung mit Flaschenzug besteht aus zwei Flaschenzugrollen und einer nicht-dehnbaren Kunststoffleine.The traction device with pulley consists of two pulley wheels and a non-stretchable plastic line.

Die eine Rolle ist in der Mitte der Stahlbügel angehakt und die andere muss mit einem Band am Fussende des Liegegerüsts befestigt werden.One roll is hooked in the middle of the steel bracket and the other has to be fastened with a band to the foot end of the deck frame.

Nach etwa 15 Minuten manueller Traktionsanwendung kann die Traktion durch Zug an der Leine fortgesetzt werden.After approximately 15 minutes of manual traction application, traction can be continued by pulling on the leash.

Die Leine in der hinteren Flaschenzugrolle kann festgemacht werden.The line in the rear pulley can be attached.

Nach etwa 15 Minuten tritt maximale Entspannung der Lumbalstrukturen auf, wobei die Intensität der Traktion nach dem Festmachen-nicht rückläufig sein kann.Maximum relaxation of the lumbar structures occurs after about 15 minutes, and the intensity of the traction after the mooring cannot decrease.

Zum Beenden der Traktion muss der Therapeut sich wiederum in den Traktionsgurt stellen, die Traktion manuell übernehmen, die Leine lösen und die Traktion sehr allmählich abschwächen.To end the traction, the therapist must again stand in the traction belt, take over the traction manually, loosen the line and weaken the traction very gradually.

Man sollte immer zuerst den Beckentraktionsgurt anlegen und Traktion anwenden, ohne dass der Thoraxfixierungsgurt befestigt ist, um störungsfreie physiologischer Atmung zu gewährleisten.You should always first put on the pelvic traction belt and apply traction without the thoracic fixation belt attached to ensure trouble-free physiological breathing.

Liegen mit nacktem Oberkörper auf der Platte der Liege ist zu bevorzugen.Lying with a bare torso on the table top is preferred.

Wenn infolge zu grosser Traktionskraft die Fixierung ungenügend ist, muss man den Thoraxfixierungsgurt festmachen.If the fixation is insufficient due to excessive traction, the thoracic fixation belt must be fastened.

Die Fixierung muss der Intensität Wer Traktion entsprechen.The fixation must correspond to the intensity of traction.

Das Mass der Lordose/Kyphose, die Dauer, Intensität, Rhytmus und Richtung hängen ab von dem beabsichtigten Ziel.The degree of lordosis / kyphosis, the duration, intensity, rhythm and direction depend on the intended goal.

Nach Ende der Traktion sollte der Patient stets einige Zeit auf der Liege verbleiben in der Position in welcher Traktion angewendet wurde, wonach einige Uebungen folgen sollten (Tonus-aufbauen, Schwerkraft usw.). Die Atmung muss physiologisch verlaufen (insbesondere beim Aufstehen von der Liege).After the end of the traction, the patient should always remain on the couch for some time in the position in which traction was used, after which some exercises should follow (build-up of tone, gravity, etc.). Breathing must be physiological (especially when getting up from the couch).

Claims (2)

1. A device for physiotherapeutical practice of lumbar tractions upon a reclining table with the aid of girdles and traction belts as well as grips, with a thoracal belt and a pelvical girdle, characterized in that the device comprises an additional supporting part,shaped as a wedge (11), that the thoracal belt (1) with a widened thoracal part (2) and an extension piece (3) can be fastened around the reclining plane, that the pelvical girdle, consisting of a pelvical part (5), and an abdominal belt (6) is connected with traction belts (4) extending along the legs, said traction belts (4) being connected with each other by means of a movable connection rod (9), that in the middle of said connection rod (9) a catching rope (10) is placed for exercising a stretching motion, optionally by manual, mechanical or motor drive, that the traction belts (4) are supplied with handle clamps (7) at the foot-end and are lengthened as a circumfering girdle (8), while the belts are clasped with tangle ties,and the body-supporting wedge (11) can be fastened at the appropriate spots of the table or at the belts by means of tangle ties.
2. A method for the application of a device according to claim 1, characterized in that the widened thoracal belt part (2) of the thoracal fixation belt (1) is laid upon the recumbent patient the thoracal fixation belt (1) which its extension piece is led along the underside of the reclining table, the ends are fastened by means of the tangle ties, the pelvical part (5) is laid around the pelvis and the abdominal belt (6) is laid over the abdomen, the traction belts (4) are drawn along to the foot-end, such that the connection rod (9) is laying between the legs of the patient, and the circumfering girdle (8) is laid around the hips of the therapeutist.
EP87200944A 1986-05-28 1987-05-20 Apparatus for executing lumbar tractions Expired - Lifetime EP0247684B1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AT87200944T ATE73319T1 (en) 1986-05-28 1987-05-20 DEVICE FOR EXECUTING LUMBAR TRACTION.

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
NL8601360A NL192776C (en) 1986-05-28 1986-05-28 Pelvic traction device.
NL8601360 1986-05-28

Publications (3)

Publication Number Publication Date
EP0247684A2 EP0247684A2 (en) 1987-12-02
EP0247684A3 EP0247684A3 (en) 1989-04-12
EP0247684B1 true EP0247684B1 (en) 1992-03-11

Family

ID=19848079

Family Applications (1)

Application Number Title Priority Date Filing Date
EP87200944A Expired - Lifetime EP0247684B1 (en) 1986-05-28 1987-05-20 Apparatus for executing lumbar tractions

Country Status (4)

Country Link
EP (1) EP0247684B1 (en)
AT (1) ATE73319T1 (en)
DE (1) DE3777243D1 (en)
NL (1) NL192776C (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8486068B2 (en) 2006-09-15 2013-07-16 Board Of Regents, The University Of Texas System System, kit and apparatus for attachment of external fixators for bone realignment

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB8910616D0 (en) * 1989-05-09 1989-06-21 Myers Harold A traction device

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3522802A (en) * 1966-12-07 1970-08-04 Walter Morton Traction apparatus
US3472222A (en) * 1967-07-03 1969-10-14 Cyril L Aplin Therapeutic apparatus
DE2000045C3 (en) * 1970-01-02 1974-05-30 Fa. Wilhelm Julius Teufel, 7000 Stuttgart Device for stretching the spine
US3960146A (en) * 1975-03-03 1976-06-01 Donald Albrecht Traction belt
DE2622255A1 (en) * 1975-09-13 1977-11-24 Pondeljak Geb Filipovic Margit Appts. conveying measurable pulling forces on e.g. backbone - consists of U-shaped support with bands, ropes or belt attached at top for controlled extending forces
US4361322A (en) * 1981-05-15 1982-11-30 Wells David L Body stretching exerciser

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8486068B2 (en) 2006-09-15 2013-07-16 Board Of Regents, The University Of Texas System System, kit and apparatus for attachment of external fixators for bone realignment
US11684391B2 (en) 2006-09-15 2023-06-27 Board Of Regents, The University Of Texas System System, kit and apparatus for attachment of external fixators for bone realignment

Also Published As

Publication number Publication date
NL192776C (en) 1998-02-03
ATE73319T1 (en) 1992-03-15
NL192776B (en) 1997-10-01
EP0247684A3 (en) 1989-04-12
EP0247684A2 (en) 1987-12-02
DE3777243D1 (en) 1992-04-16
NL8601360A (en) 1987-12-16

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