DE202008012546U1 - Apparatus for the treatment of peroneus palsy - Google Patents

Abstract

contraption for the treatment of peroneus palsy, characterized in that they at least one on a holding device (1) tiltably mounted lever (2) comprising at least one footrest (20a) and / or footrest (20b) and further for load and / or force increase with a device (3) for receiving weights (30) is provided, which allows the lever (2) against a downward acting Load (4a) with at least one foot down as well up against a downward force (4b).

Description

The The present invention relates to a device for treating a Peroneal paresis (peroneal: foot lifter; paresis: limp; also Peron (a) paralysis or dorsiflexion).

A Perone paralysis is the result of damage to the peroneal nerve communis (peroneal nerve). The injury can affect the entire nerve concern or even individual shares. As a result of nerve damage comes it usually leads to paralysis the muscles that support the active foot and toe elevation allow. The paralysis of the peroneal nerve as a result of a stroke is the most common Cause of Fußheberschwäche.

to Eliminating peroneal palsy is an operational procedure possible, however mostly ineffective. Applying an orthosis, which is the sinking of the toe mechanically prevented, walking can greatly simplify. Such Orthoses come in stroke patients, mostly in the form of so-called Peroneus rails. orthoses (Short word from orthopedic and prosthesis) is a medical device that aids in restricted functioning body parts is used. It serves primarily for temporary immobilization of body parts and joint stabilization. In the therapy of a peroneus palsy can they are used concomitantly.

The Main focus is on physiotherapy to strengthen the other muscles. After the acute phase of a stroke, in a physiotherapeutic treatment of the paralyzed limbs in the Usually not necessary, however, comes the movement therapy and Restoration of basic motor skills of affected body parts the patient has an important role to play. In the first phase Therapy usually involves a passive movement of the affected limbs the therapist, in a later Phase is then, however, the conscious movement of the limbs through the patient against a resistance for the best possible rehabilitation essential. But these forms of therapy are labor-intensive and cost-intensive can therefore usually not be offered to the extent, which for one optimal rehabilitation of patients would be necessary.

Around from physiotherapeutic staff at least partially independent too be, which at least brings benefits in terms of childcare costs, there are also stationary Facilities in hospitals, with which a movement of limbs of the patient is possible. But these are complex, expensive and stationary systems, which make it necessary for the patient to be on site. A treatment of the patient with such facilities is therefore only possible in hospital or a rehabilitation center, and Again, only at certain time, since the furnishings usually for many Patients must be used.

Of the The present invention is based on the object, a device to create the optimal rehabilitation of the patient as well without a stay in a hospital or in a rehabilitation center allows.

According to the invention solved above object with the features of the protection claim 1. advantageous Embodiments of the device according to the invention are specified in subclaims.

After that is a device for treating a Peronaeusparese thereby characterized in that it comprises at least one on a holding device having tiltably mounted lever, the at least one footrest and / or foot recording and further to load and / or force increase with a device for receiving weights is provided that it allowed to use the lever against a down-acting load depress at least one foot and / or to lift up against a downward force.

Of the Perenäusmuskel forms the counterpart to the calf muscles. He moves and stretches. If this function fails out, automatically creates a malfunction of the posterior muscles of the affected lower leg. However, since the shin muscle in Basically very rare does heavy work, he is in contrast to the calf muscles weak by nature. There is such a function also in the mouth of the crocodile, which you tie with a small, weak ribbon can. The crocodile can bite but with tens of kilos of power and close his mouth.

Of the Elimination of this stimulus is still fatal, because it does not come to natural Elongation of the back muscles of the affected lower leg and the heel. The episode, the foot is coming no longer out of the typical lowered state and the Muscles in both areas, tibia, calf are receding - they shorten and the supply of nutrients and blood forms, consequently also the power and function.

As a result of the paralysis malfunctions of the musculoskeletal system, which in itself can be perfectly fine, but no proper control receives more. As a result, he is unable to move and - as inactive - loses his function completely over time. The calf muscle shortens and leads to the lowered foot, which is a normal Ge makes it impossible. This is acutely compensated by a flared leg, giving the typical giddy gait. Basically, however, this disharmony arises because there is no stretching of the calf muscle. The resulting incorrectly learned movement pattern is very persistent and therefore requires intensive, often lifelong training. However, it is important that both muscle groups, on the front and back of the lower leg, especially the peroneal muscle and the calf muscles, are trained harmoniously, otherwise there will not be an improved or even harmonious movement sequence. Only when this is achieved will the muscular functions be balanced. On the contrary, it comes to a physical and nervous constant stress that often blocks improvements lasting.

The The present device offers the possibility of both functions to learn again. It is a combination device and goes up as such the natural ones claims of the muscles. By zeroing the device is no special muscular Expected effort. On the contrary: the device can already out of the Hip out or if even this is not possible is, initially by mere relocation of body weight be operated if the neurological situation is still so damaged that a voluntary activity to raise or lower the forefoot are not or not yet possible.

Vice versa gets through at the back the top plate hinged Counterweights significantly assist the lifting function when a certain training condition is reached. Especially this feature is very important to get back to to regain normal walking by stretching the heel.

Of the clear and novel difference lies in the fact that that the movement therapy practically in the second phase, So before you can gain your own muscular abilities. It does not require any kind of conscious movement the foot muscles yourself. The therapy becomes possible if the person in question is capable of using the body or its Weight pressure - then will the device move in the print function - and the training begins. This approach is clearly supported by a null function in the work to be done. To move is So no extra weight. This comes very close to the possibilities of the injured person contrary, because every additional weight restricts the use of equipment Beginning of therapy clearly.

Further Aims, features, advantages and applications of the device for the treatment of a Peronaeusparese emerge from the following Description of an embodiment based on the drawings. In this case, all described and / or depicted features alone or in any combination the subject matter of the invention, regardless of the abstract in individual claims or their relationship.

In show the drawings

1 an advantageous embodiment of the device according to the invention, in perspective view,

2 the device as in 1 , where the lever 2 towards the footrest 20a and / or foot recording 20b is panned,

3 the device as in 1 , with an additional footrest plate 22 ,

How out 1 can be seen, is the holding device 1 preferably with a base plate 10 Mistake. At the base plate 10 are side brackets 11a ; 11b arranged at the upper ends of the axis 12 for fixing the lever 2 runs.

The device 3 for receiving weights 30 is in a preferred embodiment about the axis 32 pivotally designed so that they depend on the orientation of the device 3 a downward force 4b or load 4a on the lever 2 and thus on the footrest 20a or foot recording 20b exercises. In 1 is the device 3 for picking up the weights 30 pivoted to the rear, so that or the weight / e 30 one-sided a load 4a on the lever load arm 21a exercise and the lever arm 21b on the opposite side of the axle 12 or the pivot point 12 is pushed upwards by means of the leverage. At least one foot of the patient is now being used on the footrest 20a at the lever arm 21b filed and the lever 2 unilaterally pressed down against the leverage.

By pivoting the device 3 for picking up the weights 30 - like it 2 illustrated - now acts the force 4b directly on the lever arm 21b , In this embodiment, the patient's foot rests on the foot 20b preferably below the Hebelkraftarms 21b , The lever 2 can now oppose the force acting on him 4b be pushed up by the patient. To ensure that the lever 2 not too far to the base plate 10 tilts, is at the holding device 1 in an advantageous embodiment, a reversible locking 13 provided to allow the patient at least one foot below the lever 2 at the foot 20b can arrange.

As 1 to 3 show, the device exists 3 preferably from a guide 31 , one or more weights 30 are arranged displaceably. By moving the weights 30 on the leadership becomes the burden 4a and / or force 4b raised or lowered. The weight can be fixed at the set position by means of a locking device. The advantage of this embodiment lies in the stepless adjustability of the load 4a and strength 4b on the lever 2 acts.

As 3 shows that the device with an additional footrest plate 22 be equipped.

The inventive device limited in their execution not to the preferred embodiments given above. Rather, a variety of design variations are conceivable which of the illustrated solution also in principle different type of execution Make use.

1

holder

2

lever

3

Facility

4a

load

4b

force

10

baseplate

11a; 11b

brackets

12

Axis / pivot

13

lock

20a

footrest

20b

foot receptacle

21a

Hebelkraftarm

21b

Hebellastarm

22

additional Fußablageplatte

30

weights

31

guide

32

axis

Claims (6)

Device for the treatment of peroneus palsy, characterized in that it comprises at least one holding device ( 1 ) tiltable lever ( 2 ), the at least one footrest ( 20a ) and / or foot recording ( 20b ) and further for load and / or force increase with a device ( 3 ) for receiving weights ( 30 ), which allows the lever ( 2 ) against a downward-acting load ( 4a ) with at least one foot depress and against a downward force ( 4b ) to lift up. Device according to claim 1, characterized in that it comprises a base plate ( 10 ), at the side mounts ( 11a ; 11b ) are arranged at the upper ends of an axis ( 12 ) for fixing the lever ( 2 ) runs. Device according to claims 1 to 2, characterized in that the device ( 3 ) for receiving weights ( 30 ) around the axis ( 32 ) is pivotable so that it depends on the orientation of the device ( 3 ) a downward force ( 4b ) or load ( 4a ) on the lever ( 2 ) and thus on the footrest ( 20a ) or foot image ( 20b ) exercises. Device according to one or more of the preceding claims, characterized in that on the holding device ( 1 ) in an advantageous embodiment, a reversible locking ( 13 ) is provided so that the patient at least one foot below the lever ( 2 ) at the foot ( 20b ) can order. Device according to one or more of the preceding claims, characterized in that the device ( 3 ) from a guided tour ( 31 ), one or more weights ( 30 ) are slidably arranged so that load ( 4a ) and force ( 4b ), which on the lever ( 2 ) act steplessly adjustable. Device according to one or more of the preceding claims, characterized in that it comprises an additional footrest plate ( 22 ) having.