Physiotherapeutic complex for underwater horizontal spinal traction

The physiotherapeutic complex for underwater horizontal dosed traction of the spine is a unit based on a large-volume bathtub, equipped with an electronic traction system and a lifting mechanism with a bed. The equipment is intended for traction in the thoracic, lumbar and cervical regions using various methods, as well as manual underwater shower massage with pressure in the hose up to 5 atm.
Underwater traction is widely used in orthopedic and neurological practice to reduce disc protrusion in discogenic pain syndromes, lumbosacral and cervicobrachial radiculitis caused by spinal osteochondrosis, initial manifestations of ankylosing spondylosis and deforming spondylosis, spinal curvature and some reflex disorders.
Underwater traction has a number of advantages over dry traction. A patient immersed in warm water reflexively improves blood circulation and, consequently, tissue trophism. In addition, in warm water the gravitational load on the musculoskeletal system decreases, a reflex decrease in muscle tone occurs, and muscle contractures are eliminated.
Thus, the procedure of underwater spinal traction is physiological and low-load, which allows it to be used for the prevention and treatment of various spinal diseases.
In sanatorium-resort institutions and health resorts located at mineral springs, the procedure for underwater spinal traction is carried out in baths with mineral water.
Sodium chloride baths increase the tone of the venous wall, helping to improve venous circulation. Such baths are indicated for patients who have venous congestion along with intervertebral disc disorders.
The underwater traction method is always used in complex treatment; the installation of underwater horizontal traction based on a bathtub with an electronic dosed load system can be equipped with the option of an underwater jet shower massage, an aeromassage and chromotherapy system. This will allow for additional relaxation of the patient’s muscles before the traction procedure, as well as for carrying out a set of independent hydrotherapy procedures on the basis of the installation. The ability to equip this equipment with additional options turns the Atlanta physiotherapy complex into a multifunctional universal hydrotherapy unit. And the compactness of the complex allows you to organize a multifunctional hydrotherapy room on an area of 20 m2.

Unique advantages of the complex:
• the ability to stretch 3 zones of the spine simultaneously (retrofitting is required), which gives more effective treatment results;
•    mobility and ease of use of all elements of the complex, both together and separately, for other procedures and purposes;
•    combining the traction procedure with full-fledged underwater shower-massage procedures;
•    reliability and safety of the complex, because it allows, if the patient is not feeling well, to quickly remove him from the bath using an autonomous lift;
•   the ability to work with sedentary patients using an autonomous lift that allows you to place and remove the patient from the bath, and also after the procedure move him directly to the couch for rest;
•    carrying out a large number of procedures per unit of time;
•    carrying out procedures in mineral water;
•    the complex is simple and easy to maintain - there are no hard-to-reach places for hygienic treatment of the bathtub. A built-in watering can and simple non-abrasive products are all that is needed to keep the complex ready for procedures.

A physiotherapeutic complex with an electronic system of underwater horizontal spinal traction in the basic configuration includes:
- large volume bath (1200/800l);
- a mechanism for electronic dosed traction of the spine, including a cable fastening system, a tension system, a digital touch display mounted on the bathtub body;
- electric lift with a single-section bed;
- a set of corsets (bandages) (chest – 2 pcs., lumbar – 2 pcs.);
- two-level step (stand);
- metal frame with height-adjustable, unscrewing legs;
- removable headrest.

PECULIARITIES:
- The traction control system is carried out using an electronic control unit. The program allows you to remember and perform complex sequences of tension, alternating with relaxation, according to specified parameters.
- In the bath you can carry out full-fledged underwater shower-massage procedures.
- The large usable volume of the bath allows the procedure to be performed on people of any size.
- The procedure for underwater spinal traction is physiological and low-load, which allows it to be used for the prevention and treatment of various diseases of the spine.
- Due to the large length of the bed, PDM procedures can be performed both while lying on your back and lying on your stomach.
- The Complex includes a lift specially designed for underwater horizontal traction procedures, which ensures a smooth immersion and comfortable placement of the patient in the bath immediately before the procedure. The lift is equipped with an electric drive and a battery for autonomous operation, as well as a moisture-resistant bed. It is possible to modify the lift from stainless steel (for baths with low-mineralized water).
- It is possible to modify the lift from stainless steel (for baths with low-mineralized water).
- The bathtub is equipped with handrails made of stainless steel, which are attached to the sides. They provide more comfortable placement for the patient during hydrotherapeutic procedures.
- The Bathtub is equipped with a special headrest, fixed with fasteners on the handrails, which moves and allows you to select a position according to the patient’s height, which ensures more comfortable procedures.
- A pneumatic bulb is provided as a safety measure. When pressed, in case of poor health, the patient can urgently stop the procedure; the corresponding inscription is displayed on the display.
The body of the large-capacity bathtub is made of high-strength fiberglass, resistant to aggressive environments, including highly mineralized waters. The bath is filled using hot and cold water taps, and the temperature of the filling water is regulated using a thermometer located on the control panel.
To carry out the traction procedure, the patient must be put on a thoracic and lumbar corset and placed on the lift bed. Then the lift is moved to the bathtub, the lift bed with the patient is lowered into a bathtub filled with water at the required temperature. Corsets are fixed to the side of the bathtub and to the traction cable.
The lift bed is in the water at a certain angle, which is adjusted using a support chain fixed to the side rails of the bathtub.
The traction process is carried out due to the fact that the patient’s chest belt is statically fixed, and the load is applied to the lower belt due to the traction cable.
In the process of programming a therapeutic procedure, the operating mode of the system is selected - constant or variable.
When choosing a constant load mode, the following parameters are set: traction force, tension speed (duration of load growth from zero level to the specified value), total duration of the procedure.
When choosing a variable traction mode, the following parameters are set: traction force, tension speed, holding time of the load “maximum”, the amount of load to which is reduced (the tension is weakened “minimum”), the speed of weakening (how long it takes to reach the “minimum”) and the weakening time (how long it lasts load at the “minimum” value, as well as the total duration of the procedure. In total, up to 20 individual traction programs can be stored in the unit.
For traction of the cervical spine, it is possible to install a cervical traction system (Gleason loop), which is a special fastener on the side of the bath at the head of the bath to fix the straps of a corset worn around the neck and distributing an even load on the spine. Traction of the cervical spine is performed using a mechanical system (use of weights). Weights weighing 1, 3 and 5 kg are included in the kit.
Due to the reflex decrease in muscle tone that occurs under the influence of warm water, in the process of underwater horizontal traction, less loads are used in comparison with methods of dry traction of the spine.
After completing the traction procedure, the patient needs horizontal rest for 45-60 minutes. minimum.
For additional muscle relaxation, the bath can be equipped with an underwater shower-massage system and an air massage system.
The underwater shower-massage system allows you to carry out an underwater hydromassage procedure with a pressure in the supply hose of up to 5 atm. The kit includes 4 interchangeable jet nozzles of different diameters. Additionally, you can order a crevice and/or rain nozzle. All nozzles are made of lightweight polymer material that does not scratch or damage the coating of the bathtub bed, and the flexible opaque hose for underwater shower massage makes the equipment highly aesthetic.

The air massage system includes 16 air nozzles located at the bottom of the bath. This option allows you to carry out a relaxation aeromassage procedure as a preparatory stage for underwater hydromassage or a traction procedure, or as an independent procedure.
The WaterLight lighting system, which performs the function of chromotherapy, includes 32 LEDs built around the perimeter of the entire bath and has 2 operating modes: a mode of smooth transition of light from one to another and a mode of monochrome radiation of one of 5 primary colors (blue, red, yellow, green, white).
To adapt the bath to the patient's height during underwater shower-massage procedures, a movable hanging headrest is used, fixed to the bath rails. It ensures comfortable procedures for the patient lying in the bath, both on his back and on his stomach, and the large usable volume of the bath allows procedures to be performed on people of any size.
A convenient and intuitive control panel allows medical personnel to easily control the operating modes of the bath and ensures safety during operation.

Overall dimensions of the complex with a lift: 2600x1250x1900
Overall dimensions of the complex without a lift: 2600x1010x1050
Internal dimensions of the bath (LxWxH), mm    2100x800x620
Total bath volume, l    1200±5%
Useful volume of the bath, l    800±5%
Hot and cold water connection    3/4" pipe
Bath filling time, min. At a water pressure in the supply pipe of 4.5 bar. 9±1
Bath drain time, min 6-7
“Quick drain” function, min 2.5
Drain hole diameter, mm 50
Deviation of thermometer readings from the actual water temperature, °C    ±2
Maximum height and weight of the patient during the traction procedure is 195 cm 135 kg
Spine traction force, kg    from 7 to 60
Weight of standard bathtub, kg.
Attention: the weight of the bathtub may vary depending on the configuration 200
Lift weight, kg 85
Pressure in the PDM hose, bar    from 0.4 to 4.8 (on a nozzle with a smaller diameter)
Rated voltage, V 220-240
Nominal power consumption of the hydraulic pump for load-bearing motors*, W    up to 1100
Nominal power consumption of aero compressor, W 700
Noise level, dBA    55
Pump power ("Quick drain" function, W 500
Nominal power consumption of chromotherapy lamps, W    up to 150
Deviation of the readings of the built-in pressure gauge from the actual pressure in the PDM hose, bar    ± 0.1