RU127621U1 - SUPPORT FOR SEATING AND LAYING OF THE "MACHENKA" - Google Patents

Abstract

1. Support for sitting and lying, including a seat resting on the sidewalls, with a leg splitter mounted in the form of an abductor mounted on it with the possibility of movement, a back with a varying angle of inclination, sidewalls mounted on legs with wheels, with the possibility of lowering and raising, having horizontal and arcuate guides, a footboard with a variable angle of inclination, on which, with the possibility of movement and fixation, a leg support is installed in the form of a L-shaped step, equipped with stoppers, armrests with vertical legs cramps and installed on the sidewalls, with lifting, lowering and locking the rod, passing through the sides and back, and being backrest rotation axis, to the backrest attached bars having the bottom openings mating with the back movement with arcuate guide sidewall and fixed by fastening elements; an emphasis with holes departs from the footboard, which when changing the angle of inclination of the footboard moves along the horizontal guide of the sidewall and is fixed with fasteners in the selected position, characterized in that the backrest is equipped with a headrest mounted to move along the backrest and mounted to support the body, the abductor is installed with the possibility turning around its axis, the sidewall has an additional second arcuate guide located parallel to and above the first arcuate guide, in which oruyu mounted additional fixing elements fixing the backrest bars footrest is mounted for tilting relative to the seat in the vertical plane at an angle of 0 to 90 °, with

Description

Support for sitting and lying “Mashenka” refers to means for maintaining the correct position for a child lying and sitting in the course of conducting positional therapy, for children with cerebral palsy, hydrocephalus with motor pathology, with the aim of creating opportunities for children to participate in everyday life, and as a functional bed or massage table for a rehabilitation course.

Known orthopedic seat Rifton. Rifton equipment catalog 1999-2000. P.58-59. The seat consists of legs on which the seat rests, a back with a head restraint, armrests mounted on the side plates. The seat is equipped with a removable cushion abductor and a set of soft pillows. There is a hip lock and a front lock in the form of a wide soft belt.

The disadvantages of the device:

There are no footrests and their position does not change to horizontal. The back does not deviate. The soles of the feet are not fixed in the desired position.

Known orthopedic seat Wush (Woosh), consisting of a seat and back, with a varying angle, sidewalls with legs on wheels. The backrest has an additional headrest. The back and headrest are equipped with side cushions. The seat is equipped with fixing straps for the hips. Armrests are installed on the sidewalls and a table is fixed. The height and angle of the armrests and table can be adjusted. The seat support has a footrest, which is installed with the possibility of changing the angle of inclination, in the upper part is equipped with a separator in the form of a plate for the calf of the legs. Slots are made in the footboard, in which, with the possibility of raising and lowering, leg supports are fitted with sandals and fastening straps. James Leckey Designinc 360 MERRIMACK STREET RIVERWALK, BUILDING 9 LAWRENCE catalog. MA01843.

The disadvantages of the device.

The inability to change the height of the sidewalls. This limits the possibilities for teaching a child.

The separator for the calf section of the legs is made rigid, which is inconvenient for the child, as it can cause abrasions on the body.

Supports for legs, although equipped with straps, do not completely eliminate the possibility of slipping the soles of the feet of the child from the supports.

The closest is the seating support "Little Bear" according to the patent for utility model No. 55281, IPC A61F 5/37, publ. 08/10/2006, Bull. Number 22.

The support includes a seat, a back with a varying angle of inclination, sidewalls with legs on castors, a footrest with a varying angle of inclination, with vertical slit-like slots, in which the leg support is provided with the possibility of movement, equipped with fixing straps, and a leg separator. The seat has in front of the center an oval hole in which the leg separator is mounted with the possibility of movement, in the form of an abductor. Sidewalls lower and rise concerning legs. Sidewalls have a central window. The sides have a horizontal slit in the lower front part, an arc-shaped slit in the lower back part. In the sidewalls, holes are provided for the rod, which is the axis of rotation of the backrest and for fixing the armrests. Two bars are attached to the back, reaching the bottom of the sidewalls and having holes in the lower part that are aligned when the backrest is moving with an arcuate slit-like slot of the sidewall and connected by fasteners. The armrests have vertical slit-shaped slots and are mounted on the sidewalls with the possibility of raising and lowering. An emphasis with holes at the end leaves the footboard, which when lifting the footboard moves along the horizontal slit-like slot in the lower front of the sidewall and is fastened with fasteners. The leg support is made in the form of a L-shaped step, in the vertical part of which there are vertical slit-like slots. The seat back, when rotated relative to the rod, tilts back relative to the vertical plane by an angle from 0 to 30 °. The footboard is assigned relative to the vertical plane from 0 to 45 °.

It is not possible to use support in children with poor control of the position of the head and torso.

The support makes it possible to place children in reclining positions up to 30 ° and sitting, does not expand to a horizontal position if necessary. There is no installation of a gradual tilt angle from 30 to 90, which is required for children with the most severe pathology and possible convulsive syndrome and seizures.

The objective of the utility model is to provide the best, with greater functionality, conditions for the rehabilitation of children with motor pathology in more comfortable and safer conditions, by creating a support that allows it to be used as a support for sitting in ordinary life or as a functional bed and massage table for a rehabilitation course .

The task is achieved by a support for sitting and lying, including a seat resting on the sidewalls, with a leg separator mounted on it with the possibility of movement, in the form of an abductor, a back with a varying angle of inclination, sidewalls fixed on legs with wheels, with the possibility of lowering and raising, having horizontal and arcuate guides. The support has a footrest with a variable angle of inclination, on which, with the possibility of movement and fixation, a foot support is installed in the form of a L-shaped step, equipped with stoppers. Has armrests having vertical slots and mounted on the sidewalls with the possibility of raising, lowering and fixing, a rod passing through the sidewalls and back and which is the axis of rotation of the back. Bars are attached to the back, having holes in the lower part, which are aligned when the backrest is moving with arcuate guides of the sidewalls and fixed by fasteners. An emphasis with holes departs from the footboard, which, when the angle of inclination of the footboard changes, moves along the horizontal guide of the sidewall and is fixed with fasteners in the selected position.

The backrest is equipped with a removable headrest, mounted with the possibility of movement along the backrest and mount to maintain the body. The abductor is mounted to rotate around its axis. The sides have an additional second arcuate guide located parallel to and above the first arcuate guide, in which additional fasteners are installed that fix the backrest bars. The footboard is installed with the possibility of changing the angle of inclination relative to the seat in a vertical plane by an angle from 0 to 90 °. The back is installed with the ability to change the angle of inclination when turning relative to the rod back in the vertical plane by an angle from 0 to 90 °. At an angle of 90 °, the back rests on an additional rack. A removable table is installed on the armrests. When changing the angle of the footrest and raising it upward by 90 ° and lowering the backrest back downward by an angle of 90 °, the footrest, seat and backrest are horizontal and form a support for lying down.

The seat, backrest, abductor, headrest have a soft coating.

The fasteners are made in the form of a bolt inserted into compatible holes and a lamb wound thereon.

An additional rack is made in the form of a vertical plate connecting the sidewalls.

The guides are made in the form of slit-like holes.

The abductor is made in the form of a geometric figure selected from rad, for example, an ellipse, triangle, trapezoid, rectangle.

The stoppers are in the shape of belts.

The novelty of the utility model.

- The backrest is equipped with a removable headrest installed with the ability to move along the backrest and mount to support the body. The headrest limits the movement of the head with a tendency to tilt the head back and to the side.

- The abductor is mounted to rotate around its axis. The abductor prevents hip dislocation, and also allows you to correct the position of the hip joints when turning. The abductor allows the gentle use of support in order to eliminate the cross-legs of children. The abductor is made in the form of a geometric figure, for example, an ellipse, a triangle, a trapezoid, a rectangle.

- The sides have an additional second arcuate guide located parallel to and above the first arcuate guide, in which additional fasteners are installed that fix the backrest bars. The guides are made in the form of slit-like holes. This improves the reliability of the backrest and ensures safety.

- The footboard is installed with the ability to change the angle of inclination relative to the seat in a vertical plane by an angle from 0 to 90 °. Such a lead allows you to position the child’s legs in an extended position, which expands the functionality of the support during a long rehabilitation course. It can be used for children with hip dislocation, contractures in the ankle joints.

- The back is installed with the ability to change the angle of inclination when turning relative to the rod back in a vertical plane at an angle from 0 to 90 °. When tilted 90 °, the back rests on an additional rack connecting the sidewalls and is made in the form of a plate. The strength and reliability of the design increases, greater safety is provided.

- On the armrests set a removable table. It allows the child to engage in educational activities, developmental games, develop fine motor skills of hands, etc.

- When changing the angle of inclination of the lead and raising it upward by 90 ° and lowering the backrest back downward by an angle of 90 °, the footrest, seat and backrest are horizontal and form a support for lying down. The support can be used as a functional bed or massage table. This support function can be used for children with severe forms of motor pathology, including muscular dystrophy and craniocerebral and spinal injuries. In addition, when transforming the support from the bed into the shape of a chair, you can rehabilitate the child in a sitting position. Changing the angle of inclination of the back and steps allows you to shift the center of gravity gradually, giving weight loads on the joints and muscles. In this case, the child's legs can be located in an elongated position, even in those children who have contractures in the knee joints, if the back of the support is tilted back. This function enables passive rehabilitation and correction of deformations in a gradual, painless mode.

- The seat, back, abductor, headrest have a soft coating, which increases comfort. Coatings are easy to clean, liquid is not absorbed.

The set of essential features of the utility model allows to obtain a new technical result - to adjust the position of the support elements so as to transform the support from a chair to a bed or massage table and vice versa, and place the child on a support lying or sitting in two positions. The support allows you to give the child a symmetrical correct corrective position. The support allows for a variety of rehabilitation measures in children with motor pathology, and to position children with severe pathology.

Figure 1 presents a General view of the support with the location of the blocks in the same plane in the form of a bed.

Figure 2 is a view of the support in the form of a chair with a table.

Figure 3 is a view of the support in the form of a chair, rear view.

Figure 4 photograph of the support in the form of a chair with a table, front view.

The support for sitting and lying is intended for the rehabilitation of children aged 1 year to 17 years with all forms of cerebral palsy (cerebral palsy), hydrocephalus, organic brain damage, post-traumatic lesions. It can be used for other neurological diseases characterized by impaired function of the musculoskeletal system, including in children with severe consequences of paralysis and paresis of various origins, impaired functions of the body, causing restrictions on independent movement.

The support for sitting and lying consists of a seat 1, resting on the sidewalls 2. On the seat 1 is installed, with the possibility of movement, a separator for the legs, in the form of an abductor 3. The abductor 3 moves along the slot made in the seat 1 forward to the edge of the seat and back to the back. The abductor 3 can be rotated around the axis to select the optimal position. The abductor 3 can be made in the form of a geometric figure, for example, an ellipse, a triangle, a trapezoid, a rectangle.

The support has a backrest 4 with a varying angle of inclination. Sidewalls 2 are fixed on legs 5 with wheels 6, with the possibility of lowering and raising. Wheels 6 can be equipped with brakes. The sides 2 at the edges have holes that are aligned with the holes in the legs 5, bolts are inserted into the holes on which the wings 7 are screwed. The sides 2 have guides: horizontal 8 and arcuate 9, which are made in the form of slit-like slots. The horizontal slit-shaped slot 8 is located at the front and bottom of the sidewall 2 and serves to fix the end of the stop 10 moving along it, extending from the footboard 11. The arcuate slit-shaped slot 9 is located above the slit-shaped slot 8. The support has a step 11, with a variable angle of inclination relative to the seat in the vertical plane at an angle from 0 to 90 °, on which, with the possibility of movement and fixation, leg support is installed in the form of a L-shaped step 12, equipped with stoppers 13 in the form of belts. In the vertical part of the step 11, vertical slit-shaped slots 14 are made, along which the L-shaped step 12 moves. The support has armrests 15 having vertical holes 16 and mounted on the sidewalls 2 with the possibility of raising and lowering. A rod 17 is installed in the support, which passes through the sidewalls 2 and back 4 and is the axis of rotation of the backrest 4. Two bars 18 are attached to the backrest 4 and extend to the bottom of the sidewalls 2 and have holes in the lower part that are aligned when the backrest moves with an arcuate slit-shaped slot 9 of the sidewalls and connected by fasteners 7. An emphasis with holes at the end leaves the footboard 11, which when lifting the footrest moves along the horizontal slot 8 of the sidewall 2 and is fixed by the fasteners 7 in the selected position.

The backrest 4 is provided with a removable headrest 19 that is moved along the backrest 4 and the mount 20 to support the body. Sidewall 2 has an additional second slit-like arcuate slot 21 located parallel to the first arcuate slot 9, in which additional fastening elements 7 are installed, holding the bars 18 of the back. The footrest 11 is installed with the possibility of changing the angle of inclination relative to the seat 1 in the vertical plane by an angle from 0 to 90 °. The back 4 when turning relative to the rod 17 is tilted back in a vertical plane at an angle from 0 to 90 °. When tilted 90 °, the backrest 4 rests on an additional rack 22 in the form of a plate connecting the sidewalls 2. A removable table 23 is mounted on the armrests 15. When changing the angle of inclination of the footboard 11 and raising it upward by 90 ° and lowering the backrest 4 back downward at an angle of 90 °, footrest 11, seat 1 and backrest 4 are horizontal and form a support for lying down. Moving the L-shaped step 12 allows you to adjust the length of the support for the growth of the child.

The seat, backrest, abductor, headrest have a soft coating 24.

The fasteners are made in the form of a bolt inserted into compatible holes and a wing 7 screwed onto it.

The device is used as follows.

The support allows the child to be rehabilitated while sitting when it is installed in the position of the chair, for example, for children with cerebral palsy. Remove the table 23. Unfasten the fastener 20, loosen the fastening straps 13 on the L-shaped step 12. In this case, the backrest 4 is raised vertically, the wings 7 in the slots 9 and 21 are twisted. The L-shaped step 12 is omitted, the emphasis 10 is moved along the horizontal slot 8 and is fixed by a fastening element with a wing. A child with pathological reflexes is seated on a support in the form of a chair, placing the abductor 3 between the legs, adjust its position. The body of the child is given the correct symmetrical position, the head is placed on the head restraint 19. The position of the head restraint is adjusted, depending on the height of the child, moving it relative to the back 4, and fixed in the desired position. Fix the child’s body with a mount 20. Adjust the position of the L-shaped step 12 relative to the steps 11, depending on the height of the child. If necessary, adjust the position of the steps 11 to the horizontal. The lamb is untwisted and the emphasis 10 is moved along the slot 8 forward, the step 11 turns and rises to the desired level. The child’s feet are fixed with straps 13. Finally, the fastening is 20. The removable table 23 is installed. The position of the table 23 is adjusted by changing the height of the armrests 15, which move up or down due to the slots 16, relative to the sidewalls 2. During the rehabilitation process, children do exercises and games, develop fine motor skills of the hands, gradually increasing the duration of classes from 10 to 30 minutes, depending on the adaptation of the child, distracting him from an unusual position. They also use support for the general development of the child’s intellectual and other abilities, thus correcting the child’s pathological position and developing his intelligence at the same time.

If necessary, massage the child or physiotherapy, the support is transferred to a horizontal position. To do this, loosen the wing 7 in the slots 8, 9, 21. Remove the table 23. Move the stop 10 relative to the slot 8 forward until it stops, while the step 11 rotates and rises 90 ° and occupies a horizontal position in the same plane with seat 1. Twist the wing 7 fixing the stop 10 in the slot 8. Turn the back 4 relative to the axis of rotation of the rod 17 by 90 °, while its head end goes down and down and it takes a horizontal position and is located in the same plane with seat 1. In this case, the back 4 rests on emphasis is safe 22 in the form of a plate connecting the sidewall 2. The ends of the bars 18 are moved along the slots 9 and 21 and secured by fasteners 7. The support takes the form of a massage table or bed. The child is placed on its surface. Adjust the size for the height of the child. Fasten the mount 20 and, if necessary, the straps 13 on the L-shaped step 12. If necessary, in the position of the child on the stomach, the L-shaped step 12 is removed. Perform a massage or physiotherapy.

An intermediate position of the back is possible, when the back 4 is turned not by a full angle, but by 10 ° -20 °, then the child is in a reclining position, which makes it easier to carry out rehabilitation or medical measures, for example, to relieve an attack.

A variant is possible when the child is in a sitting position, and his legs are elongated horizontally. For this position, the back 4 is placed in a vertical position and the footboard 11 is rotated and raised to 11 and it is positioned horizontally in the same plane as the seat 1. This posture is needed to eliminate leg cross, hip dysplasia, hip dislocation and subluxation, inhibition of the pathological reflexion reflex . At the same time, the angle of inclination of the back allows you to use the support for a painless gradual correction.

As the positive dynamics in the development of the child appear, the body position control improves, the head restraint 19 is removed, the body fastening 20 is loosened, then the belts 13 holding the child's feet are loosened.

The proposed support can be used for children with motor pathology in cerebral palsy, muscle atrophy, cerebrospinal hernia, paralysis of the lower extremities of various origins. The support is intended for use at home, in hospitals with the aim of correcting pathological postures in children.

The support enables transformation for the rehabilitation of the child with a symmetrical arrangement of his body lying and sitting in two positions.

Claims (7)

1. Support for sitting and lying, including a seat resting on the sidewalls, with a leg splitter mounted in the form of an abductor mounted on it with the possibility of movement, a back with a varying angle of inclination, sidewalls mounted on legs with wheels, with the possibility of lowering and raising, having horizontal and arcuate guides, a footboard with a variable angle of inclination, on which, with the possibility of movement and fixation, a leg support is installed in the form of a L-shaped step, equipped with stoppers, armrests with vertical legs cramps and installed on the sidewalls, with lifting, lowering and locking the rod, passing through the sides and back, and being backrest rotation axis, to the backrest attached bars having the bottom openings mating with the back movement with arcuate guide sidewall and fixed by fastening elements; an emphasis with holes departs from the footboard, which when changing the angle of inclination of the footboard moves along the horizontal guide of the sidewall and is fixed with fasteners in the selected position, characterized in that the backrest is equipped with a headrest mounted to move along the backrest and mounted to support the body, the abductor is installed with the possibility turning around its axis, the sidewall has an additional second arcuate guide located parallel to and above the first arcuate guide, in which additional fasteners are installed to fix the backrest bars, the footboard is installed with the possibility of changing the angle of inclination relative to the seat in the vertical plane by an angle from 0 to 90 °, the back is installed with the possibility of changing the angle of inclination when turning relative to the rod backwards in the vertical plane by an angle from 0 to 90 °, when tilted 90 °, the back rests on an additional rack, a removable table is installed on the armrests, when changing the angle of inclination of the footboard and raising it 90 ° and lowering the back back down by an angle of 90 °, the footboard, seat and backrest are horizontal and form a support for lying down. 2. The support according to claim 1, characterized in that the seat, backrest, abductor, head restraint have a soft coating. 3. The support according to claim 1, characterized in that the fastening elements are made in the form of a bolt inserted into compatible holes and a lamb wound thereon. 4. The support according to claim 1, characterized in that the additional stand is made in the form of a vertical plate. 5. Support according to claim 1, characterized in that the guides are made in the form of slit-like openings. 6. The support according to claim 1, characterized in that the abductor is made in the form of a geometric figure, such as an ellipse, triangle, trapezoid, rectangle. 7. The support according to claim 1, characterized in that the stops for the feet are in the form of belts.

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