DE202012100105U1 - Equipment for walking and movement exercises for patients with psychoneurological disorders and diseases of the musculoskeletal system - Google Patents

Abstract

Device for walking and movement exercises for patients with psychoneurological disorders and diseases of the musculoskeletal system with a functional framework, which is formed from interconnected rigid tubular elements (1), so that the length of each rigid tubular element (1) is adjustable, whereby a first cross element (2) is rigidly fastened to the upper part of the element (1) which is arranged on the back perpendicular to the patient's spine, the ends of the first cross element (2) being located on the back opposite the shoulder joints of the patient and a second cross element (3) is rigidly attached to the lower part of the element (1) opposite the spine of the patient, the ends of the second transverse element (3) lying opposite the hip joints of the patient on the back, elements (1) being articulated on the ends of the first transverse element (2) that rest against the back of the shoulders, forearms and back of the hand ei the elements (1) are articulated together at the locations of the patient's elbow joints and proximal wrists, whereby ...

Description

The invention relates to a device for walking and movement exercises for patients with psychoneurological disorders and disorders of the musculoskeletal system according to the preamble of claim 1.

The invention can be used in medicine, in particular for devices for walking and movement exercises for patients with psychoneurological disorders and diseases of the musculoskeletal system.

Before going into the description of the prior art, the following must be emphasized. The impairment of nerves, muscle and motor activity in patients with central nervous system disorders are related to the affected areas present in the brain and spinal cord. These are due to injuries, insult, cerebral palsy, etc. In such patients, a part of the neuronal bonds closes on the affected area. Because of this, motion patterns are disturbed in the patients; which reduces or lacks the ability to focus on the execution of certain work. The nerve supply of the muscles is arbitrary. This allows the patient to perform chaotic unpredictable movements, such as in hyperkinesis or by continuous signaling to the muscles, causing their spasticity. The related disorders of motor activity increase the formation intensity of functional malformations. After the completion of the period of the formation of interneuron bonds in children, the brain and the marrow are so to say and is no longer accessible. However, stimulating a large group of synergists causes these muscles to contract to a natural behavior. The result is that the brain compulsively gets a comprehensive and spatial picture of the position of the working body muscles, because all body receptors are irritated (skin, muscle, temperature, photo, hearing receptors, etc.). These are predominantly the irritation of the interceptors, which are responsible for the extension, contraction and rotation of muscle fibers in their correct natural behavior. The intense stimulation of all receptors ensures a facilitated guidance and occlusion of nerve impulses that correspond to the correct movement. In addition, this work is followed by fibers that normally do not work. This is due to the predominant tiredness of the most strained muscle fibers. The impulse is new to the brain. As a result, new intermediate neuron bindings are activated. It should be noted that during the stimulation due to the analysis and summation, forced direct and a return-impulsation is ensured. It corresponds to the correct function of the muscles. The affected area in the brain (mark), however, is unable to provide this correct functionality. Therefore, the healthy brain areas (medullary areas) balance the affected by switching the functional reserve interneuron bonds. With each stimulation treatment, the development of correct reflexes gradually takes place step by step. New functional bindings of healthy brain areas more and more balance the affected area. Thus, the lack of movement patterns in a patient may be partially re-formed in the course of the stimulation to subsequently be used by the brain to perform motor activities / tasks.

From the prior art devices for the treatment of patients with disorders of postures and motor activity are known, for example "device for the treatment of patients with disorders of postures and motor activity" from the patent RU 2054907 (IPC A61F 5100, published on 27.02.1996). This device includes shoulder, elbow, hand, pelvic, knee and footrests which are connected together by means of securing devices. The securing devices are in the form of elastic trains and are placed over the front, side and rear surfaces of the patient's body. One end of each train is connected to the respective support and another end is via a voltage regulator.

Another device "combination for the treatment of patients with cerebral palsy and with sequelae of cranio-cerebral trauma" is in the patent RU 2131232 (IPC A61F 5/02, published on 10.06.1999). This combination represents a suit of complementary elements and contains a recliner device for the user's upper body part. The Reklinationsvorrichtung consists of several support and support bands: a support and a strap for the upper shoulder girdle and the chest part of the body in the form of a fast bandage (bandage). Its height corresponds at least to the distance from the 7th cervical vertebra to the lower edge of the shoulder blades of the user. Its width is at least equal to the distance between the vertical lines bordering the medial parts of the shoulder blades. The shoulder support and tether is in the form of a triangular solid bandage. The triangles correspond to the anthropometric dimensions of the user's shoulder and shoulder joints. A support and a strap for the cross is provided. This support and holding band is formed as a belt having a device for mutual locking with the other supporting and holding elements. Further, a support and a retaining band for the lower extremities in the form of knee and Unterkniestücke is provided. The device has additional bandages for the sections of each foot, bandages for each upper ankle and for each heel area. All components of said device are connected to each other by means of longitudinal detents, which form a flexible framework for the body and the extremities of the user. The components of the device are additionally connected by means of elastic trains. The degree of the degree of elasticity, the dimensions and the place of application of these elastic features can be changed according to the physiological and muscular synergies of the user.

From the patent RU 2165752 (IPC A61H 3100, published on 27.04.2001) is also a "device for the treatment of the patients with sequelae of central nervous system damage and disorders of the musculoskeletal system known. The device consists of individual modules, which are applicable separately. The first module is a recliner. It is in the form of a curved band. The first ends of the band are joined together and the other ends are secured to this band so that two shoulder straps are formed to allow placement on the shoulders of the user. The second module represents a correction corset, which is adapted for the correction of the unloaded spine posture. The third module is a lower limb correction device. It has at least a first part, at least a second part and at least a third part. The first part is a complex dressing for the thigh and the lower leg with two flexible straps for locking in each case above and below the knee joint. The second part represents a correction device for the upper ankle joint and for the toes. This correction device has two flexible straps for attachment to the ankle and to the foot. The third part represents a uniform tip sole element. The device may have a fourth module. The fourth module contains a first part and a second part. The first part is a complex dressing for the shoulder and the forearm with two flexible straps to lock each above and below the elbow joint. The second part represents a uniform correction element for the hand and the thumb.

The known from the prior art devices have a common deficiency. They do, however, make it possible to restore the mobility impairments of the patent that have been disrupted as a result of the illness or damage. However, the use of these devices is either not effective or not possible for the patients with missing movement patterns.

As a prototype of the new facility, a supportive apparatus has been chosen to treat spastic forms of cerebral palsy. The prototype is in the process according to the patent RU 2040923 (IPC A61H 3100, published on 09.08.1995). The procedure is carried out by locking the extremity in its physiological position. In the process, the predominant muscular synergy is determined beforehand. Depending on these results, the support belts are attached to the shoulder joints, hip joints, knee and ankle joints with elastic features. The body and extremities are brought into the physiological position by means of elastic features. The position reached is maintained unchanged over 3 to 8 hours. The treatments are performed daily over the course of two weeks. The whole treatment is repeated after 2-4 months.

The provided for carrying out the process support apparatus includes support members which are connected to each other by means of bindings. The apparatus is provided with shoulder, cross, knee and upper ankle support belts, with longitudinal elastic traction for the body front and back, with elastic correction trains for the upper and lower extremities and with elastic longitudinal traction for the feet. The elastic longitudinal cables are connected to the support elements arranged on the belt. The elastic features for the upper and lower extremities connect the corresponding support elements of the upper and lower extremities. The elastic longitudinal straps for the feet connect the foot support elements.

The prototype has the same shortcomings as the other prior art. The prototype device does not allow to form a missing movement pattern (walking) in a patient.

It is an object of the invention to form the missing movement patterns in the patient and to teach walking skills and movements.

The stated object is solved by the features of claim 1.

The known device for walking and movement exercises of patients with psychoneurological disorders and diseases of the musculoskeletal system has a functional framework. The functional framework is formed of rigid tubular members so that the length of each rigid tubular member is adjustable. In this case, a first transverse element is rigidly secured to the upper part of the element, which is arranged at the back side perpendicular to the spinal column of the patient. The ends of the first cross element lie opposite the shoulder joints of the patient on the back. The second cross member is rigidly attached to the lower part of the spine of the patient opposite element. The ends of the second transverse element lie opposite the hip joints of the patient on the back. At the ends of the first cross member elements are articulated, which lie on shoulder, forearm and back of the hand. The elements are hinged together at the locations of the elbow joints and proximal wrists of the patient. At the ends of the second cross member elements are articulated, which are dorsal to the thigh, lower leg and under the patient's foot. These elements are hinged together at the sites of the knee and upper ankle joints of the patient. The rigid elements of the functional framework are provided with devices for holding the body and the upper and lower extremities of the patient on the functional framework. These devices are designed in the form of elastic trains with adjustable voltage. The elastic features are attached to the rigid elements.

• – Jede der Gelenkverbindungen des Funktionsgerüstes ist mit einem E-Motor ausgestattet. Der E-Motor ist kinematisch (getriebetechnisch) mit einem Gelenk und einem tiefer liegenden steifen Element verbunden. Der E-Motor führt eine Ablenkung des steifen Elements gemäß einem vorgegebenen Programm aus;
• – vor dem Gesicht des Patienten ist eine Anzeige zur Wiedergabe von Video- und Audiodaten aufgestellt. Die Anzeige zeigt die Bewegung des Patienten im virtuellen Raum gleichzeitig mit den Ablenkungen der steifen Elemente des Funktionsgerüstes an. Die steifen Elemente bilden dabei die oberen und unteren Extremitäten nach;
• – Unter den Fußspitzen und den Fersen des Patienten sind Vibratoren angeordnet;
• – Das der Wirbelsäule des Patienten gegenüberliegende senkrechte steife Element des Funktionsgerüstes ist in seiner Mitte mit einer Gelenkverbindung versehen und hat einen damit kinematisch verbundenen E-Motor. Der E-Motor stellt eine Drehung des Körpers des Patienten nach links und rechts um einen vorgegebenen Winkel sicher;
• – Die E-Motoren des Funktionsgerüstes, die Anzeige zur Wiedergabe der Video- und Audiodaten sowie die Vibratoren sind elektrisch mit einer Steuerung verbunden;
• – Die steifen Züge zum Heben des Funktionsgerüstes über die Stützoberfläche sind starr am steifen der Wirbelsäule des Patienten gegenüber liegenden, senkrechten Element des Funktionsgerüstes befestigt.

According to the invention, the device has the following characteristic features:

• - Each of the joints of the functional scaffold is equipped with an electric motor. The e-motor is kinematically (geared) connected to a joint and a lower-lying rigid element. The electric motor performs a deflection of the rigid element according to a predetermined program;
• - in front of the patient's face is a display for the reproduction of video and audio data. The display shows the movement of the patient in virtual space simultaneously with the distractions of the rigid elements of the functional framework. The stiff elements reproduce the upper and lower extremities;
• - Vibrators are placed under the toe and heel of the patient;
• - The vertebral column of the patient opposite vertical rigid element of the functional framework is provided in its center with a hinge connection and has a kinematically connected electric motor. The electric motor ensures rotation of the patient's body to the left and right by a predetermined angle;
• - The e-motors of the functional framework, the display for playback of the video and audio data and the vibrators are electrically connected to a controller;
• The rigid trajectories for lifting the functional scaffold over the support surface are rigidly attached to the rigid vertical element of the functional scaffold opposite the patient's spinal column.

In addition, on the spine and the extremities of the patient facing surfaces of the rigid elements of the functional framework soft documents constructed of a thermally insulating material.

In addition, the rigid elements of the functional framework, which simulate the upper and lower extremities, are equipped with devices for fixing elastic traction. These devices are designed as rigid half-rings, the concave surfaces of which face the extremities of the patient. These devices are attached to the rigid elements of the functional framework.

In addition, the functional framework is equipped with sensors for muscle strength monitoring for the muscles in the spastic state. These sensors are electrically connected to the controller.

In addition, the functional framework is provided with sensors embedded in the main groups of extremity muscles that participate in the walking movements. The sensors are electrically connected to the controller.

In addition, the display is equipped with a video camera. The video camera is set up in front of the patient's eyes. The video camera is electrically connected to the controller.

In addition, the functional framework is provided with a sensor for pulse monitoring in the patient. The sensor is electrically connected to the controller.

The invention is explained in more detail with reference to a device shown in the drawings for walking and movement exercises for patients with missing movement patterns. Show it:

1 a functional framework and

2 a rigid element with devices for the attachment of elastic trains.

The device includes a functional framework of interconnected tubular rigid elements 1 , These may be, for example, sections of metal tubes of rectangular cross-section. The stiff elements 1 are designed so that the length of each tubular rigid element 1 is controllable, z. Thanks to a telescopic construction of each rigid element 1 with locking options in several positions (in 1 not illustrated). The vertical rigid element 1 Is arranged opposite to the spinal column of the patient. At the upper part of this vertical element 1 is a first cross element 2 rigidly attached. The ends of the first cross element 2 lie back against the shoulder joints of the patient. A second cross element 3 is at the lower part of the spine of the patient opposite element 1 rigidly attached. The ends of the second cross element 3 lie on the back against the hip joints of the patient. The cross elements 2 and 3 may be slightly curved to achieve closer contact with the patient's body. At the ends of the first cross element 2 are elements 1 hinged, which rest against shoulder, forearm and back of the hand. The Elements 1 are articulated to each other at the sites of the elbow joints and proximal wrists of the patient. connecting joints 4 are in 1 symbolically marked with circles. At the ends of the second cross element 3 are elements 1 hinged dorsally on the thigh, on the lower leg and under the patient's foot. These elements 1 are articulated with each other (connecting joints 4 in 1 ) at the sites of the knee and upper hock of the patient. The stiff elements 1 of the functional framework are provided with devices for holding the body and the upper and lower extremities of the patient on the functional framework. These devices are in the form of elastic trains 5 designed with adjustable voltage. These may be elastic bandages with buckles or with Velcro closures. These are due to the stiff elements 1 with devices, for example in the form of stiff half-rings 6 , attached. The concave surfaces of the half rings 6 are facing the extremities of the patient (s. 2 with a shown stiff element 1 and the half-rings arranged thereon 6 and elastic features 5 ). The elastic train 5 can at the half ring 6 be attached in any way, for. B. Velcro, buttons, buckles, etc.

Each of the joints of the functional scaffold is equipped with an electric motor (in 1 not illustrated). The electric motor is kinematically with a joint and a lower-lying rigid element 1 connected. The electric motor performs a deflection of the lower-lying rigid element 1 according to a given program. The kinematic connection between the electric motor and the joint 4 and the stiff element 1 can be carried out for example by means of a gear connection. Each electric motor is electric, for example with the help of a cable 7 with the controller 8th connected (in 1 is for simplicity and illustration only one cable 7 pictured showing the knee joint with the control 8th links). Each individual electric motor ensures the deflection of only one stiff element 1 the functional skeleton in accordance with the predetermined program. In front of the patient's face is an ad 9 for playing video and audio data. It shows the movement of the patient in virtual space simultaneously with the distractions of the stiff element 1 at. The stiff elements 1 At the same time, the upper and lower extremities of the patient reproduce. Baumäßig can the display 9 be formed in the form of a screen or a patch on the head of the patient helmet. In the case of a helmet, the display screen is in front of the patient's eyes and attached to the helmet. In addition, the helmet is equipped with headphones or with a speaker. The screen has video information that reflects the movements of the patient in virtual space during their virtual (apparent) walking movements, for example, in the home, in the street, and so on. As audio information, various sounds may be selected, e.g. For example: grass rustling, snowbreaks, conversation of relatives or friends of the patient, street noise, etc.

The ad 9 Can additionally with a camera (in 1 not shown). The camera 9 is placed opposite the patient's eyes to control the patient's response (depending on pupil dilation) to the video and audio information. The ad 9 is electric with the help of a cable 10 with the controller 8th connected.

Under the foot tips and heels of the patient are vibrators 11 arranged. They are used for short-term vibration effect in the apparent stepping of the heels and toe tips on the support surface 14 to create. The vibrators 11 are electric with the help of a cable 12 with the controller 8th connected.

The vertical stiff element located opposite the patient's spine 1 is formed with a hinge connection and has a kinematically connected electric motor. The electric motor ensures rotation of the patient's body to the left and right by a predetermined angle (rotations of the vertical element 1 are in 1 indicated by a circular arrow). Stiff pull rods 13 are arranged on the vertical against the spinal column of the patient stiff element 1 rigidly attached to the functional framework. The stiff drawbars 13 ensure a lifting of the functional framework over the support surface 14 (The lifting device is in 1 not illustrated). In addition, on the surfaces of the rigid elements facing the spinal column and the extremities of the patient 1 of the functional framework, soft substrates may be constructed of a heat-insulating material, for example of a porous dense-tissue-filled foamed polyethylene (in 1 not illustrated).

In addition, the physiological scaffold may be equipped with sensors for muscle strength monitoring. The sensors are embedded in the groups of muscles in the spastic state. The sensors are electrically connected to the controller 8th connected. These sensors prevent injury to the muscles of the patient due to increased muscle strain due to the patient's walking simulation (the muscle strain sensors are in 1 not illustrated).

The functional framework may additionally be equipped with sensors which are used in the main groups of the muscles involved in the walking operations. These sensors transmit the information from the patient's muscles to the controller 8th further. The control 8th processes the received information, sets the functional framework in motion, and displays the appropriate video and audio data to the display 9 further.

The ad 9 is additionally equipped with a video camera (in 1 not shown). The video camera is placed opposite the patient's eyes. The video camera is electrically connected to the controller 8th connected.

The functional framework can also be equipped with a sensor for pulse monitoring of the patient (in 1 not shown). The sensor is electrical with the controller 8th connected.

The control 8th is a computer with appropriate software and has a system for collecting the data from the sensors of the functional framework.

The functioning of the device is as follows:
Before, depending on the pathology of the patient, allowable values for the angular deflections of the joints of the upper and lower extremities are determined. These values are in the controller 8th entered. Thereafter, the patient is fixed to the functional scaffold by the elastic features 5 at the half rings 6 be attached (the lower and upper extremities are with at least two trains 5 on every stiff element 1 fixed). For example, the lower leg near the knee joint and upper ankle joint, the shoulder near the shoulder joint and the elbow joint, the forearm near the elbow joint and the proximal wrist are locked. The body of the patient is using the elastic features 5 fixed. The elastic features 5 be on the first cross element 2 , on the vertical stiff element arranged opposite the spinal column of the patient 1 and at the second cross member 3 attached. The above elements are equipped with devices for fixing the elastic trains 5 attached (buckles, Velcro, etc., in 1 not illustrated). After fixation of the patient in a physiological position (or close to it), the functional framework is placed in the vertical position and with the help of tie rods 13 by a certain height (for example 0.2-0.3 m) over the support surface 14 raised so that the feet of the patient stay in the air. If necessary, the muscle power monitoring sensors are placed on specific groups of muscles (predominantly on the spastic muscles). In order to monitor the exercise dynamics, sensors are placed on the main muscles involved in the walking movements which transfer the information from the muscles to the control system 8th hand off. After that, the controller 8th switched on. The control 8th sets the elements 1 with the help of the cable 7 and the E-motors in cyclic forward and reverse motion taking into account the predetermined permissible angular deviations of each of the joints. The electric motors are in the vicinity of the joints of the elements 1 arranged the functional framework. The forward and backward movement takes place under bending of the joints 4 the upper and lower extremities of the patient (each joint 4 can be bent within the permissible angle values). Simultaneously with the beginning of the movement of the functional framework, the video and audio information about the virtual movement of the patient in the room together with the corresponding visual and auditory perceptions of the controller 8th to the ad 9 by means of the cable 10 transfer. This makes it possible for the patient with missing movement patterns to recognize the phenomena which are characteristic of walking (movement of the legs, bending of the joints of the extremities, tension and relaxation of the extremity muscles). The patient also recognizes the visual and auditory perception of walking (the surrounding objects that are in the way of the walking person, the sound of shoes knocking, the rustling of fallen leaves, etc.). Muscle force monitoring ensures that unnecessary muscle strain and pain sensations are avoided. The patient's response (depending on pupil dilation) to the video and audio information offered is tracked using the video camera and pulse monitoring sensor. The vibrators 11 are located under the full tips and heels. The vibrators 11 generate by means of a signal from the controller 8th and the cable 12 short-term vibration with predetermined duration, amplitude and frequency at the time when the heel and toe of the patient touch the support surface 14 to step. Thus, the patient's feeling of actual walking is simulated. In addition, the turn of the patient's body to the left and to the right by the predetermined angle by means of a connecting joint and a geared e-motor be executed, with the electric motor in the middle of the vertical rigid element 1 the functional skeleton is arranged.

It should be noted that the walking pace, the size of the deflection angle of the joints 4 and, accordingly, the muscular load of the patient can be varied within a wide range by providing an appropriate program for control 8th is entered.

The duration of gait treatment is chosen individually for each patient according to his condition and diagnosis. Each treatment can take 25 to 45 minutes. The treatments are performed daily for 7-15 days, taking into account the adaptability of the patient to the particular stress. The entire treatment program may be repeated after 1-2 months. During treatment, two types of patient loading can be used: a time-bound and a force-bearing load. With a time-bound load, the duration of treatment is gradually extended. However, the bending angles in the joints are 4 as well as the movement speed is reduced. The force-bearing load shortens the treatment time and the bending angle in the joints 4 as well as the movement speed increases.

Thus, the use of the new device allows to gradually develop an earlier missing movement pattern in the patient, to master the basic walking skills and movements and to acquire the associated visual and auditory senses.

The technical solution according to the invention can also be used to abolish the spastic states in individual muscle groups and to eliminate the joint contractures. This testifies to the broader functionalities of the device compared to the known technical solutions.

A specification sheet is being prepared in the context of the development of the facility and a plan for the research is being drafted. The device can be manufactured using known materials and the equipment and application of modern computer technology.

QUOTES INCLUDE IN THE DESCRIPTION

This list of the documents listed by the applicant has been generated automatically and is included solely for the better information of the reader. The list is not part of the German patent or utility model application. The DPMA assumes no liability for any errors or omissions.

Cited patent literature

• RU 2054907 [0004]
• RU 2131232 [0005]
• RU 2165752 [0006]
• RU 2040923 [0008]

Claims (7)

Device for walking and exercising exercises for patients with psychoneurological disorders and diseases of the musculoskeletal system with a functional framework consisting of interconnected rigid tubular elements ( 1 ) is formed so that the length of each rigid tubular element ( 1 ), wherein a first transverse element ( 2 ) at the upper part of the element perpendicular to the backbone of the patient ( 1 ) is rigidly fixed, wherein the ends of the first transverse element ( 2 ) are located opposite the shoulder joints of the patient on the back and a second transverse element ( 3 ) at the lower part of the element opposite the spine of the patient ( 1 ) is rigidly fixed, wherein the ends of the second transverse element ( 3 ) are opposite the hip joints of the patient on the back, wherein at the ends of the first transverse element ( 2 ) Elements ( 1 hinged to the shoulder, forearm and back of the hand, the elements ( 1 ) are hingedly connected to one another at the locations of the elbow joints and the proximal wrists of the patient, wherein at the ends of the second transverse element ( 3 ) Elements ( 1 hinged on the backs of the thigh, lower leg and under the foot of the patient, these elements ( 1 ) are hinged together at the sites of the patient's knee and ankle joints, the rigid elements ( 1 ) of the functional scaffold are equipped with devices for holding the body and the upper and lower extremities of the patient on the functional scaffold, these devices being in the form of elastic features ( 5 ) are designed with adjustable tension, and wherein the elastic trains ( 5 ) on stiff elements ( 1 ), characterized in that each of the articulated joints of the functional skeleton is equipped with an electric motor, wherein the electric motor kinematically with a joint ( 4 ) and a lower-lying rigid element ( 1 ) that the electric motor is a deflection of the rigid element ( 1 ) according to a predetermined program that in front of the patient's face an indication ( 9 ) for playback of video and audio data, the display ( 9 ) the movement of the patient in the virtual space simultaneously with the distractions of the stiff elements ( 1 ) of the functional framework indicates that the rigid elements ( 1 ) simulate upper and lower extremities, that under the foot tips and the heels of the patient vibrators ( 11 ) are arranged such that the vertical stiff element opposite the spine of the patient ( 1 ) of the functional framework in the mute with a hinge connection ( 4 ) and having a kinematically connected electric motor therewith, wherein the electric motor ensures the turn of the body of the patient to the left and right by the predetermined angle that the electric motors of the functional framework, the display ( 9 ) for playing video and audio data as well as the vibrators ( 11 ) electrically with the controller ( 8th ) and that on the first rigid cross member ( 2 ) of the functional framework rigid tie rods ( 13 ) for lifting the functional skeleton over the support surface ( 14 ) are rigidly attached. Device according to claim 1, characterized in that on the surfaces of the rigid elements facing the spine and the extremities of the patient ( 1 ) of the functional framework soft documents are constructed of a thermally insulating material. Device according to claim 1, characterized in that the rigid elements ( 1 ) of the functional framework simulate upper and lower extremities and with devices for attachment of trains ( 5 ) are provided that these devices as stiff half rings ( 6 ) are formed, whose concave surfaces are facing the extremities of the patient and that these devices on the rigid elements ( 1 ) of the functional framework are attached. Device according to claim 1, characterized in that the functional framework is equipped with sensors for muscular force monitoring for the muscles in the spastic state, these sensors being electrically connected to the control ( 8th ) are connected. Device according to claim 1, characterized in that the functional framework is provided with sensors which are arranged in the main groups of limb muscles which participate in the walking movements, and in that the sensors are electrically connected to the control ( 8th ) are connected. Device according to claim 1, characterized in that the display ( 9 ) is equipped with a video camera which is constructed opposite the eyes of the patient and electrically connected to the controller ( 8th ) connected is. Device according to claim 1, characterized in that the functional framework is provided with a sensor for pulse monitoring in the patient, wherein the sensor is electrically connected to the control ( 8th ) connected is.

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