Abstract:
An apparatus for performing lumbar stretching treatments comprises a supporting structure where at least one electric motor vertically moves leg supporting members. A person that needs performing lumbar stretching treatments takes the right position at the apparatus and autonomously controls it powering the vertical movement of the leg supporting means which put into traction the lower section of the person&#39;s back. The apparatus may also be installed on specific beds having a lay surface horizontally translatable in order to improve the comfortable use of the apparatus.

Description:
FIELD OF THE INVENTION 
       [0001]    The present invention concerns an apparatus for physiotherapy and postural education/reducation. 
         [0002]    In particular the invention concerns an apparatus for performing passive lumbar stretching exercises. 
       DESCRIPTION OF THE PRIOR ART 
       [0003]    Many pathologies causing more or less severe and/or chronic lumbar pain are often treated by physiokinesis therapy together with other specific therapies. 
         [0004]    Strongly recommended treatments provide assuming analgetic postures able to decompress the lumbar intervertebral disks. 
         [0005]    There are two main types of apparatus or physiotherapy devices specifically designed to perform such kind of treatments. 
         [0006]    A first type consists of beds provided with belts or other means able to restrain on one side the upper part of the body and on the other side the legs laying on the bed, the bed being able to stretch the lumbar vertebras by gradually moving away the upper and lower sections of the bed itself. 
         [0007]    In this way is obtained a passive stretching of the lumbar disks that maintained for some minutes and regularly repeated produces beneficial effects in many pathologies causing lumbar pain. 
         [0008]    Nevertheless the use of such type of beds is not always recommended: in fact, many pathologies have to be treated by assuming analgetic postures with flexion. That is the case, for instance, of many lumbar stenosis, which require treatments in which the passive stretching of the intervertebral disks is associated with a reduction of the lumbar lordosis. 
         [0009]    The apparatus known in the prior art which is able to carry on in the best way that function is the one known with the name of “analgetic lumbar positioner” that allows the decompression of the disks reducing at the same time the lumbar stenosis. 
         [0010]    The “analgetic lumbar positioner is a device substantially consisting of a vertical column rested to a base and comprising leg supporting members apt to restrain the lower part of the legs in a horizontal position at a height from the ground which can be adjusted by turning a handle mounted on top of the column and acting upon a rack. In order to perform the treatment the patient is requested to laid down close to the “analgetic lumbar positioner”, to bend its legs at an angle of 90° with respect to its body and to put the lower section of the legs on the leg supporting members of the apparatus. Once fastened the lower section of the legs the handle is turned to move up the leg supporting members until the lumbar section of the patient&#39;s back moves away from the ground of few centimetres as a result of the traction of the legs. The traction phase may lasts some minutes after that the trainer goes back to the patient and turns the handle in the opposite direction in order to move down the leg supporting members. The treatment may be repeated several times and, obviously frequent treatment sessions can be performed. 
         [0011]    Such apparatus is, in the prior art, the one normally known and used in the medic and physiotherapy sector in order to perform the above described treatments. 
         [0012]    Unfortunately the “analgetic lumbar positioner” has a limit in the fact that the treatment cannot be autonomously performed by the patient since the manual driving of the handle moving the leg supporting members implies the presence of a physiotherapist or another person in order to assist the patient during the treatment. 
         [0013]    Such limit, that is the need of a continuous assistance during the treatment, is certainly responsible for the lack of popularity of an apparatus which is particularly efficient for performing the specific kind of treatment for which it is designed. 
         [0014]    It is so clear how important is to look for solutions allowing the autonomous execution of treatments providing passive intervertebral disks decompression with reduction of the lumbar stenosis, without the need of external assistance. 
       SUMMARY OF THE INVENTION 
       [0015]    Aim of this invention is to propose a high efficient apparatus for performing passive lumbar stretching, which can be used both in physiotherapy or gym centres and in private houses. 
         [0016]    further aim of the invention is to propose an “analgetic lumbar positioner” with improved structure, enabling a completely autonomous execution of treatments providing passive intervertebral disks decompression with reduction of the lumbar stenosis. 
         [0017]    Such aims are attained through an apparatus for performing passive lumbar stretching treatments, the apparatus comprising at least a supporting structure where leg supporting members can move in a substantially vertical direction, said leg supporting members being apt to support the lower section of a person&#39;s legs, the movement of said leg supporting members being obtained thanks to effecting means which can be controlled by the person that is under treatment at the apparatus. 
         [0018]    Advantageously said leg supporting members move along said supporting structure in a direction which is inclined of about 10° with respect of a vertical line. 
         [0019]    The supporting structure is advantageously provided with at least a base and at least a substantially vertical column. 
         [0020]    According to a preferred embodiment the supporting structure is bound at a longitudinal end of a bed comprising a frame and a lay surface supporting the body of the person under treatment, said lay surface being able to horizontally, longitudinally translate with respect to said frame. 
         [0021]    The horizontal translation is obtained thanks to the fact that the frame of the bed is provided with one or more longitudinal guides along which move wheels integral to the bottom of the lay surface. 
         [0022]    Alternatively, according to a preferred embodiment, a lay surface supporting the person&#39;s back is hinged to the base, said lay surface being rotatable from a position in which it is substantially horizontal to a closed position in which it is substantially vertical, so minimizing the overall dimensions of the apparatus. 
         [0023]    Advantageously, near the end where it is hinged, said lay surface provides revolving members freely rotating around an horizontal axis, said revolving members being arranged and sized so that when the lay surface is in the horizontal position said revolving members don not touch the ground, whilst, when the lay surface is in the vertical position, said revolving members touch the ground and the base is supported by said revolving members. 
         [0024]    Advantageously the leg supporting members move along the supporting structure thanks to at least one vertical worm screw integral to the supporting structure and turned by an electric motor, said worm screw being coupled with a nut integral to the leg supporting members. 
         [0025]    Alternatively the leg supporting members vertically move along the supporting structure thanks to at least one linear actuator or a pneumatic or hydraulic cylinder acting between the supporting structure and the leg supporting members. 
         [0026]    Advantageously the effecting means vertically moving the leg supporting members are controlled by switch means arranged in a position easily reachable by the person under treatment. 
         [0027]    Advantageously the leg supporting members comprise at least a member for supporting the lower section of the legs between the calf and the internal part of the knee and members supporting and restraining the ankles. 
         [0028]    Advantageously the apparatus comprises an electronic unit apt to control the effecting means moving the leg supporting members, said electronic unit being able to acquire and store end positions of said leg supporting members and/or other working parameters of said effecting means. 
         [0029]    From the above described characteristics are clear the advantages related to the use of an apparatus for performing passive lumbar stretching treatments according to the invention which allows the completely autonomous execution of physiotherapy treatments specifically intended to decompress the lumbar/sacral section of the vertebras, whose efficiency is scientifically demonstrated. The fact that the apparatus can be used by a person on his own renders it recommended not only in physiotherapy centres but also in private houses. 
     
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         [0030]    However, for a better understanding of the above-mentioned advantages and characteristics of the present invention, this will now be described by way of embodiment examples, with reference to the accompanying drawings, in which: 
           [0031]      FIG. 1  shows a perspective view of an apparatus for performing lumbar stretching treatments according to the invention; 
           [0032]      FIG. 2  shows a side view of the apparatus of  FIG. 1  in a specific working configuration; 
           [0033]      FIG. 3  shows a side view of the apparatus of  FIG. 1  in a different working configuration; 
           [0034]      FIG. 4  shows a perspective view of a different embodiment of an apparatus for performing lumbar stretching treatments according to the invention; 
           [0035]      FIG. 5  shows a further embodiment, in partial section, of an apparatus according to the invention; 
           [0036]      FIG. 6  shows a perspective view of a further embodiment of an apparatus according to the invention; 
           [0037]      FIG. 7  shows a perspective view of the apparatus of  FIG. 6  in a different working configuration. 
       
    
    
     DESCRIPTION OF PREFERRED EMBODIMENTS 
       [0038]    Referring to  FIG. 1 , it is labelled, as a whole, with  10 , an apparatus for performing passive lumbar stretching treatments comprising a supporting structure,  11 , comprising a vertical column,  12 , and a base,  13 , provided with foots,  14 , and wheels,  15 , apt to stabilize the position of the apparatus on the ground and to allow its easy transfer. 
         [0039]    Through the end section,  16 , the column  12  is firmly bound to the base  13  by welding, even if it could bound in a detachable way through screw means. 
         [0040]    A vertical guide member,  18 , is integral to the column, and at the ends of said guide, still integral to the column, there are clamp means,  19 , provided with a hole, where are housed, and supported by radial bearings, the ends of a worm screw,  20 . 
         [0041]    At the lower end of the worm screw  20  is mounted a gear motor,  21 , bound to a plate,  22 , integral to the column  12 . Between the plate  22  and the clamp  19  there is a thrust bearing,  23 , transferring the force acting upon the worm screw to the plate  22 . The output rod of the gear motor  21  is coaxial to the worm screw  20  and is connected to it so that it put into rotation the worm screw when it is powered. 
         [0042]    The rotation of the worm screw causes the vertical movement of leg supporting members,  24 , thanks to the fact that these lasts comprise a prismatic element,  25 , provided with a hole where is housed a nut coupled with the worm screw  20 , and it is also provided with a sliding element, not showed as it is of known technique, coupled with the guide  18 . 
         [0043]    At the sides of the prismatic element  25  are fixed supporting frames,  26 , provided with upholstered means,  27 , where rest the calfs of the person under treatment and further upholstered rollers,  28 , supporting the lower section of the ankles. The upholstered means  27  are longitudinally movable along the frame  26  so that the leg supporting member is made suitable to people of any height. Rods,  29 , bound to the end of the frames  26  mount further upholstered rollers,  30 , adjustable in height thanks to longitudinal grooves made in the rods  29 , said rollers  30  being apt to keep in touch with the upper part of the ankles in order to restrain them. 
         [0044]    The gear motor  21  can be fed by rechargeable batteries integral to the apparatus or by means of the standard power supply network through a supply cable,  31 , and/or possible power suppliers or transformers. The gear motor can be controlled by switch means,  32 , which can be kept in hand by the person under treatment thanks to the presence of a connecting cable,  33 . 
         [0045]    As shown in  FIGS. 2 and 3  the way of using the apparatus is extremely simple. 
         [0046]    The person requiring treatments for the passive decompression of the intervertebral disks with reduction of lumbar stenosis lays on his back close to the apparatus and keeping his legs at angle of about 90° with respect to his body rests his legs on the upholstered means  27  of the leg supporting members  24 . After inserting the ankles between the lower rollers  28  and the upper rollers  30 , the legs are restrained and the person is ready to begin the treatment. 
         [0047]    Pressing the three positions switch  32  the person power on the gear motor  21  which, thanks to the above described mechanism, move the leg supporting member  24  upwards along the column  12 . The lower section of the legs raises so causing moving away the pelvis from the ground and putting under traction the lumbar vertebras. Arrived in the position of  FIG. 3  the button of the switch  32  is released, the apparatus stops and the reached position is maintained. 
         [0048]    You can notice that thanks to the fact that the leg supporting members can be automatically lowered until they are close to the ground, it is possible to take the right initial position at the apparatus even with the legs almost completely extended, letting the apparatus move up the legs. 
         [0049]    That is particularly useful and advantageous when the lumbar pain is particularly acute during flexion movements. 
         [0050]    Once passed the amount of time required by the treatment, or when the person wishes to interrupt it, he needs just press the switch  32  in the opposite position in order to move down the leg supporting members  24  to the configuration of  FIG. 2  thanks to the reverse side rotation of the gear motor  21 . 
         [0051]    Obviously, many changes may be carried out, still keeping safe the advantages and the characteristics of the apparatus for performing passive lumbar stretching treatments above described. 
         [0052]    In  FIG. 4 , for instance, is shown an embodiment of the invention in which the apparatus  10 ′ has no base  13 . By the end section  16  and suitable screw means the apparatus can be anywhere fastened, that is directly to the ground or to many types of medic beds normally on the market. 
         [0053]    In fact, in  FIG. 5  is shown a further embodiment of the invention in which the apparatus  10 ″ is integral to a special bed,  40 . 
         [0054]    The bed has a frame,  41 , provided with foots,  42 , on the frame being fastened the base  13 . The frame  41  is also provided with longitudinal guides,  43 , where move wheels,  44 , integral to a second frame,  45 , of an upholstered lay surface,  46 . 
         [0055]    Thanks to the guides  43  and the wheels  44  the lay surface is able to longitudinally translate, obviously in a range determined by end elements, in order to render more comfortable the access to the apparatus. 
         [0056]    The presence of the translatable lay surface is particularly suitable when accessing the apparatus with the leg supporting members completely lowered and then with the legs almost completely extended; in fact when the leg supporting members  24  are moving upwards the lay surface  46  get closer to the column  12  so favouring the natural movement of the legs. 
         [0057]    On one side of the frame  41 , in a easy to reach position there is the switch  32 ″. 
         [0058]    Handles  47 , also bound to the frame  41 , are comprised in the apparatus  10 ″. 
         [0059]    Another embodiment of the apparatus of the invention is labelled with  10 ′″ in  FIG. 6 . In this embodiment a parson&#39;s back lay surface,  41 ′″, is hinged at one end to the base  13 ′″. The lay surface  41 ′″ is provided with a cushion,  48 , foots,  14 ′″, and lateral handles  47 ′″. 
         [0060]    The column  12 ′″, provided with carters,  49 , protecting the various electro-mechanical parts, is bound to the base  13 ′″, through a plane,  50 , inclined of about 10° with respect to an horizontal plane, so that the leg supporting members,  24 ′″, move along a line inclined of about 10° with respect to a vertical axis. Thanks to such little inclination during the lifting of the person&#39;s legs, the upper section of the legs is carried in a substantially vertical position without the need of translating the person&#39;s back towards the column  12 ′″, so further increasing the comfortableness of the apparatus. 
         [0061]    The frames  26 ′″ are inclined with respect to an horizontal plane, the upholstered members  27  are replaced with upholstered rollers  27 ′″, and the lower upholstered rollers  28  are not present. In that way the lower part of the legs rests on the rollers  27 ′″, acting between the calf and the internal section of the knee, while the upholstered rollers  30 ′″ contrast, pressing against the upper section of the ankle, the aptitude to rotate of the knee&#39;s articulation which would take place during the upwards movement of the leg supporting members  24 ′″. 
         [0062]    In  FIG. 7  is shown the apparatus  10 ′″ in a non-use configuration. The lay surface  41 ′″ is rotated of about 90° through an handle,  51 , that can be used also to unlock the lay surface from the in-use position of  FIG. 6 , and it is carried in a substantially vertical position where it is automatically locked thanks to proper means located, for instance, in correspondence to the hinged end of the lay surface. Such configuration renders minimum the overall dimensions on the ground of the apparatus and it is particularly suitable when the apparatus is not being used. Furthermore, during the rotation of the lay surface  41 ′″, a roller,  52 , integral to the lay surface itself and freely rotatable around its axis, is moved down towards the ground, enters in touch with the ground and move away from the ground the foots  14 ′″ placed in correspondence to the same end of the base  13 ′″. When the apparatus  10 ′″ has to be transferred to a different location it simply needs to handle it from the handle  51  and, inclining the base  13 ″ to let it be supported only by the roller  52 , to easily pull it that is subject only to the rolling friction of the roller  52 . 
         [0063]    Certainly many more changes may be carried out to the apparatus of the invention both at the simple versions of  FIGS. 1 to 4  and to the more complete versions of  FIGS. 5 to 7 ; in particular many parts may be replaced with parts having a similar function. 
         [0064]    For instance the vertical movement of the leg supporting members  24  may be obtained through the gear motor  21  using different kinematic mechanisms which are apt to obtain substantially vertical movements of the leg supporting members  24 . In different embodiments the movement could be obtained by linear actuators acting between the plate  22  and the prismatic element  25 ; even pneumatic or hydraulic cylinders could be used, changing, in this last option, the energy supply means. In any case the switch means  32  or  32 ″ may be located on a remote control in order to render even more comfortable the use of the apparatus. 
         [0065]    The supporting structure  11  could be different from the one described and disclosed in the appended figures, both as regards the base  13  and the column  12 . This last, in particular, could also be made of two or more substantially vertical columns properly connected each other and to the base  13 . 
         [0066]    The column/s, could be shaped ad to directly act as a guide for the leg supporting members  24 , so becoming unnecessary the guide  18 . 
         [0067]    The leg supporting members  24  could have a structure and could comprise parts even much different from the ones described, remaining the same the function of supporting and restraining the lower section of the legs and maintaining them in a substantially horizontal position. For instance, in cheaper versions of the apparatus, the upholstered means  27  could be replaced with bands horizontally stretched between the sides of the frame  26 , while proper belts could replace the upholstered rollers  28  and  30 . 
         [0068]    The roller  47  of the embodiment of  FIGS. 6 and 7  could be replaced by two or more wheels properly spaced. 
         [0069]    The effecting means, no matter what kind of propulsive force they use and no matter the kinematic mechanism used, could be controlled and powered by an electronic unit. 
         [0070]    Thanks to the adoption of the electronic the apparatus could be provided with many further functions such as the possibility of setting various end positions of the leg supporting members  24 , or the possibility of setting their speed, or even the possibility of acquiring and/or storing anthropometric parameters of the user so that specific treatment programmes could be created. 
         [0071]    These and more modifications may be carried out to the apparatus for performing passive lumbar stretching treatments according to the invention, anyway, within the ambit of protection of the following claims.