METHOD FOR TREATING AND PREVENTING PERIPHERAL CIRCULATION DISORDERS AND INVERSION TABLE FOR THE IMPLEMENTATION THEREOF

Abstract

The invention relates to medicine, and more particularly to gravitational therapy, and can be used independently or as part of a programme of treatment and rehabilitation for patients with peripheral circulation disorders. The present inversion table consists of a bed with a pivotable frame, and a support element. A treatment and prevention method involves positioning a patient on the inversion table such that they are lying on their right side with their legs bent at the knees and apart at the hips, and inclining the head portion of the table by an angle of up to 30 degrees and returning the table to its initial position by means of oscillating movements performed about the longitudinal and transverse axes with a set frequency. The frequency is set such as to be equal to the average value of the frequencies of the oscillations in the skin microcirculation with a maximum amplitude.

Claims

1. An inversion table comprising: a bed with a pivotable frame, a support element hinged to actuators providing for a bed longitudinal and transverse tilting; it has a soft-material fastening element fixed in a pelvic area; it is distinguished by a support element base shaped as a rectangular flat frame structure with hinged corners for mounting pivotable console supports which enlarge the support base; there are two support stands with struts and two support stands linked with a traverse bar near the corners on the long opposite sides of the base flat frame structure; a rocker arm is mounted with bearing on an axis linking strutted support stands, while a rocker arm drive actuator, which provides for transverse tilting, is attached to the base, and a pivotable frame drive actuator, which provides for longitudinal tilting, is attached to the rocker arm; rocker arm alidades are lined with the rocker arm and pivotable frame axes; the bed is rigidly attached to the pivotable frame with a longitudinal shift provided by the bed fasteners and bolts.

2. The inversion table according to claim 1 is distinguished by a level mounted on a bed rear side, and each console support provided with a height-adjustable stand.

3. The inversion table according to claim 1 is distinguished by a console stand locking in with a retainer plate and a star knob.

4. The inversion table according to claim 1 is distinguished by bed fastening elements: four bushings enabling installation on four pivotable frame tubes, while the bushings are drilled through and threaded on an end for bolting down the bed.

5. The inversion table according to claim 1 is distinguished by a bed fencing.

6. The inversion table according to claim 1 is distinguished by a fastening element in the pelvic area that serves as a safety belt.

7. The inversion table according to claim 6 is distinguished by an attachment of the actuator to the pivotable frame for fastening/loosening the safety belt.

8. The inversion table according to claim 1 is distinguished by a control unit with a built-in flowmeter.

9. The inversion table according to claim 1 is distinguished by the bed longitudinal shift against the pivotable frame to 180-200 mm.

10. A method for treating and preventing peripheral circulation disorders that provides for a patient placement on an inversion table in a right lateral position with legs bent in knees and spread in hip joints; a table head part inclines to an angle of 30 degrees and returns to an original position by making tilting motions around a longitudinal and transverse axes at a set frequency, is distinguished by the patient placement on the inversion table in accordance with claim 1, with legs spread apart in hip joints at 30 or 45 degrees, and the frequency is set as equal to the average maximum oscillation frequency of a cutaneous micro blood flow at a maximum amplitude.

11. The method for treating and preventing peripheral circulation disorders according to claim 9 is distinguished by the frequency of the cutaneous micro blood flow oscillation measured by a laser flowmeter in a 0.07-0.145 Hz range at four points: a right and a left supercilia, a right and a left medial epimalleolar areas.

12. The method for treating and preventing peripheral circulation disorders according to claim 9 is distinguished by a 20-minute session period.

13. The method for treating and preventing peripheral circulation disorders according to claim 12 is distinguished by a 10-minute tilting period.

Description

DETAILED DESCRIPTION OF THE PREFERRED EMBODUMENT

[0076] Basic technical characteristics of the table.

[0077] The table corresponds to the requirements of GOST 20790, technical specifications TU BY 192389051.001-2015, design drawings and documentation.

[0078] The table provides for the required operating mode with evenly distributed maximum workload of 150 kg. The table operating mode-setting time does not exceed 3 minutes. The table provides for the following operating mode: 20 minutesoperation, 10 minutespause, for at least 8 hours a day.

[0079] The table average service life is no less than 5 years. The criterion of the table marginal state is the impossibility or economic unviability of its restoration.

[0080] The table climate version is UHL 4.2 according to GOST 15150.

[0081] The table is compliant with the safety requirements of GOST 20790-93, STB MEK 60601-1-1-2005, GOST 30324.0-95, Protection Class I, Working Surface Protection Degree V.

[0082] The table corresponds to the electromagnetic compatibility requirements of STB MEK 60601-1-2-2006.

[0083] The key loadbearing metal structures are made of 20202 and 40402 pipes according to GOST 136630-86 of steel V-St08kp5, GOST 10706-76.

Table Structure and Operating Modes

[0084] The table consists of base 1 (FIG. 1) and movable platform that serves as the patient's lying surfacebed 32 (FIG. 6). The lying surface is limited with backboards 30 (FIG. 6) at two adjacent side, providing for the patient's comfort and safety. Orthopedic mattress 33 (FIG. 7) made of a shape-memory material provides comfort during the procedure. Waist bandage 31 (FIG. 6) is also included to attach the patient to the safety belt with weight-driven traction. The table layout and configuration are shown on FIG. 1-6.

[0085] The table has three actuators with a minimum lifting capacity of 600 kg each.

[0086] Actuator 11 (FIG. 2) fixed between base 1 (FIG. 1) and rocker arm 12 (FIG. 2) provides for the bed movement around the table transverse axis.

[0087] Actuator 21 (FIG. 3) fixed between rocker arm 12 (FIG. 2) and bed pivotable frame 18 (FIG. 3) provides for the bed movement around the table longitudinal axis.

[0088] Actuator 19 (FIG. 3) fixed on bed pivotable frame 18 (FIG. 3) provides for fastening/loosening the patient restraint belt.

[0089] The table loadbearing structure is made of steel pipes of various cross-sections, covered with top-grade powdered paint ensuring its harmless use. There is an electronic power supply and control unit in the lower part of the table base.

[0090] The electronic circuit diagram of the inversion table control unit is based on modern highly stable electronic components. That ensures high reliability, safety, small dimensions and weight, and the ease of use of the inversion table, accordingly.

[0091] Inversion table control panel 26 (FIG. 4) is located on the bed front/foot part.

[0092] The table set includes a mattress. In addition, several soft pads (fencing) are placed on the mattress along the bed long and short sides for the patient's comfort.

[0093] The patient's thigh-spreading fixtures are tetrahedron-shaped, which provides for the patient's thigh spreading at a 30- or 45-degree angle, and they are made with non-traumatic materials preventing from compression of major neurovascular braids.

[0094] Operating mode (parameters of the bed base movements): [0095] the table operates continuously, at a set cycle, in a see-saw motion. The mini-cycle bed base rotation to the right and left against the longitudinal axis is repeated up to a 30-degree tilt against the transverse axis. After the 30-degree tilt, the motion cycle is resumed in reverse order until the bed returns to the original horizontal position. [0096] the full operating cycle of the bed base motions (to 30 degrees and back to the horizontal position) takes 20 minutes.

[0097] The table is operated as follows [0098] the table is automatically calibrated after the power connection is made, and the on/off button (ON/OFF) on the control panel (FIG. 7) is pressed. When the auto-calibration is over, the table bed will automatically assume its horizontal position. [0099] the patient is on the bed lying surface with their head on the pillow, in the right lateral position, with their lower extremities bent in hip and knee joints, and the patient is secured with the safety belt to prevent them from shifting. [0100] the thigh-spreading fixture (the tetrahedron) is placed between the thighs providing for the thigh-spreading angle of 30 or 45 degrees: 45 degrees for patients under 40 years of age, 30for patients over 40 years of aged, or for children [0101] after the patient is properly positioned, and the table is turned on by drives/actuators, the bed will commence the motion cycle in two planes. The bed is tilted and lifted phase-by-phase in longitudinal and transverse directions. as a result of a ten-minute cycle of such motions, the bed gradually tilts the patient head down to an angle of 30 degrees, after that it will perform similar motion cycles to return them to the original/horizontal position also taking ten minutes.

EXAMPLE 1

[0102] Female patient, 82 years. Diagnosis: 5.sup.th degree chronic lymphovenous insufficiency of the lower extremities, trophic ulcer of the left shin for 3 years.

EXAMPLE 2

[0103] Patient, 58 years. 1.5-year history of ischemic-type acute cerebrovascular event in the area of the right medial cerebral artery, left-sided hemiparesis.

EXAMPLE 3

[0104] Patient, 48 years. Diagnosis: obliterating atherosclerosis of the lower extremity vessels, dystonic form.

EXAMPLE 4

[0105] Patient, 67 years. Diagnosis: varix of the lower extremities, third-degree chronic venous insufficiency. Examination findings: edema in the shin and foot area, more expressed in the area of the left lower extremity.