RU130499U1 - TRAINING COMPLEX - Google Patents

Abstract

1. The training complex used for training the muscles of the lower limbs of the patient by physiological modeling of the patient getting up from the "sitting on a chair" position, containing a frame mounted on wheel supports, patient fixation tools, foot platforms, and patient fixation tools contain at least at least one tool selected from the group comprising fastenings for feet, knees, an emphasis for the pelvis, characterized in that it is equipped with a lift consisting of an additional frame having docking units with a frame simulator, a vertical telescopic rack, on which a support is mounted with the possibility of rocking in the form of a rocker arm in a vertical direction, swinging at one end of which is fixed to the axis of rotation of the support for the patient seat, fixed in the knee supports and stop holders, and the other end of which is connected by an elastic rod to an additional frame or with the frame of the simulator, while the seat has removable sidewalls made in the form of handrails, and an elastic traction is connected with a swinging support or a vertical telescopic rack. 2. The training complex according to claim 1, characterized in that on the vertical rack there is a movement stopper for the patient. 3. The training complex according to claim 1, characterized in that a removable support that acts as a seatback is attached to the simulator frame on a telescopic support. The training complex according to claim 1, characterized in that wheel supports with brakes are attached to the simulator frame from below, with the possibility of sliding back and to the side for stability of the device. The training complex according to claim 1, characterized in that it is equipped with a T-shaped belt, secured

Description

The utility model relates to medicine and is intended for comprehensive sequential rehabilitation of patients with paralysis after traumatic brain injuries, spinal injuries, strokes or diseases, including in patients with cerebral palsy.

From the prior art, the Dikul simulator is known, consisting of a support frame with knees, rollers for suspension of loads, chest support. However, the disadvantage of the Dikul simulator is that it lacks devices for reproducing the step mechanism both in the stationary simulator and in dynamics - when the patient moves with the simulator, there are also no devices for modeling squats of paralyzed patients and no mechanism for reproducing inclines paralyzed patients, which dramatically reduces the effectiveness of training, especially the lower back muscles and the lower limb belt. Also, the Dikul simulator and other similar devices lack a soft T-shaped belt for fixing the pelvis and preventing hip dislocations. The load roller in the Dikul simulator is mounted at the top, which does not allow it to be used effectively for lifting the patient and fixing the patient's pelvis in an upright position.

The disadvantage of this simulator is not enough efficiency, due to the fact that this simulator allows for limited types of movements for patients with impaired musculoskeletal system functions.

There are various types of lifts (US 6440046 B1, IPC A61G 5/14; A61H 1/02, publ. 08/27/2002; US 2010224841 A1, IPC A61G 7/10, publ. 09/09/2010), Their construction is quite complicated. They are intended mainly to facilitate verticalization, and do not allow you to train the muscles of the lower extremities. Their work is based on hydraulic or pneumatic shock absorbers. Their lack in low speed of rise and (or) lowering. Therefore, their effectiveness for training is low.

This useful model is aimed at achieving a technical result consisting in increasing efficiency by expanding the range of possible movements for patients while restoring the functions of the musculoskeletal system of the patient.

The specified technical result is achieved in that the training complex containing the frame mounted on the wheel supports, means for fixing the patient, platform for the feet, and means for fixing the patient contain at least one tool selected from the group comprising mounts for the feet, knees, emphasis for the pelvis, the thoracic support, is equipped with a lift consisting of an additional frame having docking units with a simulator frame and on which vertically is fixed with the possibility of swinging like a rocker arm in the vertical direction teal telescopic stand, on one end of which a support for the patient seat is fixed on the axis of rotation, fixed in the knee supports and stop holders, and the other end of which is connected by an elastic rod to the additional frame or to the simulator frame, while the seat has removable side panels made in the form of handrails and elastic traction associated with a swinging support or a vertical telescopic stand.

The indicated technical result is also achieved by the fact that the training complex consists of a frame on which, with the possibility of rocking like a rocker, in the vertical direction a vertical telescopic stand is fixed, at one end of which a support for the patient seat is fixed on the axis of rotation, and the other end of which is elastic the rod is connected to an additional frame or to the simulator frame, while the seat has removable side panels made in the form of handrails and an elastic rod is connected to a swinging vertical telescopic rack d.

These features are significant and are interconnected with the formation of a stable set of essential features sufficient to obtain the desired technical result.

This useful model is illustrated by specific examples of execution, which, however, are not the only possible ones, but clearly demonstrate the possibility of achieving the desired technical result.

Figure 1 - General view of the simulator, side view;

According to this utility model, the design of a universal training complex used to restore the functions of the musculoskeletal system of a patient is considered.

The lift is designed for training the muscles of the lower limbs of the patient by physiological modeling of standing on the legs from the “sitting on a chair” position with the speed and intensity of loads necessary for this stage of rehabilitation. At the same time, the minimum load on the hands is important.

This complex contains a frame mounted on wheel supports, means for fixing the patient, platforms for the feet, and means for fixing the patient contain at least one agent selected from the group consisting of mounts for the feet, knees, an emphasis for the pelvis, an emphasis on the chest, characterized in that it is equipped with a lift, consisting of an additional frame, having docking units with the simulator frame and on which a vertical telescopic rack is fixed with the possibility of swinging like a beam in the vertical direction, for one the end of which is fixed on the axis of rotation of the support for the patient’s seat, fixed in the knee supports and stop holders, and the other end of which is connected by an elastic rod to an additional frame or to the simulator frame, while the seat has removable side panels made in the form of handrails and an elastic rod connected to the swinging vertical telescopic stand.

Below are examples of the simulator complex.

The complex (Fig. 1) consists of a rectangular, cross-shaped or fork-shaped support frame - base 1 with one or two vertical support legs 2 with removable knees 3, height-adjustable width and front-rear direction, platforms for stop holders 4, adjustable in width, and front-back direction.

Stop holders 4 can be mounted on a straight transverse axis to the consoles, but can be fixed and eccentric.

On the supporting frame 1 and the uprights 2 there are docking units for sequential connection of additional devices: emphasis for the pelvis 5, the pelvic lift 6

In relation to the complex, the task is to create a universal device for training the muscles of the lower limbs of the patient by physiological modeling of the patient standing on his feet from the "sitting on a chair" position, which can be used in the comprehensive rehabilitation of patients with paralysis.

The device (Fig. 1) consists of a telescopic cross-shaped, rectangular or fork-shaped frame - base 1, made of durable metal or plastic. One or two vertical posts 2 are located on the frame. Removable elbows 3 are mounted to the vertical post 2, adjustable in height, width and in the longitudinal direction. And to the lower rear longitudinal part are fixed on straight axes or eccentrically removable platforms for feet and stop holders 4, adjustable in width and in the longitudinal direction.

Platforms for feet are made in the form of platforms perpendicular to the racks. Stop holders, adjustable in width and in the longitudinal direction, are attached to the platforms for feet. In the rear part, the stop holders have brace stops for the heels on the top, in the middle part on the top there are soft mounts for the feet made of dense fabric.

On the vertical rack there is a mount, to which can be attached to the left and right removable longitudinal handrails 7, adjustable in height. On the front parts of the handrails, removable height-adjustable vertical posts 8 for the roller 9 located on the transverse axis of rotation can be attached. Then the patient’s hands with tetraplegia are attached to the handrails with the help of H-shaped gloves. Rod 10 with load 11 is thrown through the roller. The other end of the rod is attached to the patient’s T-shaped belt

The device allows you to exercise the muscles of the lower limbs of the patient by physiological modeling of the patient getting up from his "sitting on a chair" position.

Knee supports 3 are attached to the vertical strut 2, and stop holders 4 are attached to the longitudinal strut of the main frame and adjusted to suit a particular patient. By extending the limiters for the heels, the ratio of the position of the knees and feet relative to each other and the pelvic stop 5 is adjusted so that the patient's pelvis is inclined slightly forward. After installing the patient in the device, the knees prevent the knee joints from bending, the heel stops do not allow the patient's feet to move.

A T-shaped belt is necessary for the prevention of dislocations with a weak ligamentous muscular apparatus of the hip joints during verticalization, for fixing the pelvis of paralyzed patients in an upright position when exercising on the simulator, and to facilitate verticalization from a sitting position.

A T-shaped belt is sewn of dense matter in the form of the letter T. The upper part is wide, the lower perpendicular part is narrow.

When using the T-shaped belt, its upper part is wrapped around the patient's hip joints and buttocks so that the upper tape passes over the hip joint and the lower tape passes under the hip joint. In front, at the level of the pubic articulation of the pelvis, the free ends are fastened together by a Velcro tape. The lower perpendicular part extends between the legs from back to front and is attached to the free ends of the upper part interconnected by Velcro Velcro. The lower perpendicular part is necessary to prevent the upper transverse part from sliding up the patient’s body. Thus, fixation of the pelvis, in general, and of the hip joints, in particular, is achieved.

For classes using the T-shaped belt, removable handrails are attached to the main part of the device, to which a roller is attached on the front axle at the transverse axis at the level of the pelvic stop. A rod is thrown through the roller, one end of which is connected to the load, and the other is attached to the T-shaped belt of the sitting patient. The load at the free end of the rod thrown over the roller pulls down, the force is transmitted to the patient's pelvis and facilitates its translation into an upright position. By selecting the load, a certain unstable equilibrium state is achieved, allowing the patient to get up and sit down himself.

With tetraplegia, the patient’s hands are attached to the handrails with the help of H-shaped gloves. H-shaped gloves are a strip of dense matter, cut (made) in the form of buva "N". Velcro ribbons are sewn on the vertical parts. During the work of H-shaped gloves, one vertical part covers the wrist and is fixed with a Velcro tape. The transverse part passes through the rear of the hand and fingers of the patient and, together with the fingers, grabs the handrail and, with the help of the second vertical part, is fixed to the first vertical part with Velcro tapes, also wrapping around the wrist. By pulling the adjusting tapes, they achieve a stronger attachment to the handrails or to the T-shaped arm for hands.

Lift 6 is used as a device for modeling squats. The elevator 6 consists of a basic supporting rectangular, cross-shaped or fork-shaped frame 12, which has docking nodes with the main frame of the simulator 1.

A vertical telescopic stand 13 is mounted on the support frame, at the top of which a support 14 is fixed on the axis of rotation, swinging like a beam.

On the back of this swinging support 14 there are fasteners for elastic rods 15, the second ends of which are attached to a vertical strut 13.

On the front of the swinging support 14, on the axis of rotation, a short support 16 for the seat 17 is fixed, which also sways like a rocker arm, the front end of which is connected by elastic rods 18 to the support 14 and / or to the main vertical strut 13 of the device, and the rear end is free.

The seat 17 has removable side panels made in the form of handrails. On a vertical rack there is a chair movement stopper (not shown in fig).

A removable support can be attached to the main frame on the telescopic support, which acts as the seatback (not shown in the figure).

Wheel supports with brakes can be attached to the main frame from below, with the ability to extend back and to the side for the stability of the device (not shown in the figure).

When using the lift, the support 16 of the seat 17 is fixed in the initial position by means of a stopper, horizontally to the floor surface. Remove the side rail. A patient is transferred from a wheelchair to the seat of the device. Put back the side rail. The patient is taken to the main unit. They are fixed in the knee supports 3, stop holders 4. The seat stop is removed. The patient bends forward. The center of gravity shifts and the elastic traction, rotating the supports 14 and 16, translates the seat 17 into a vertical position. The seat 17 pushes the patient's pelvis up and forward, thereby facilitating the rise. If necessary, you can additionally use a T-shaped belt with a load - a counterweight to facilitate lifting and greater stability of the patient.

By turning the pelvis back, the patient presses his buttocks on the seat and sits down, shifting the center of gravity. The elastic rods 15, 18 are pulled. And the counterweight rises.

Through numerous squats and lifts, as well as changes in the number of elastic traction, the muscles of the legs and positonic reflexes of the patient are trained, as the patient is forced to flex and unbend, while training the back muscles and other muscles necessary for verticalization.

The lift can be used as a stand-alone device, consisting of a main rectangular, cross-shaped or fork-shaped frame, to which removable and adjustable back-and-forth and wide platforms for feet, knees, handrails can be attached.

The main device may include removable wheel bearings on the axles or half shafts. One of the pairs of wheels can have reverse and forward brakes and / or brakes can independently block the reverse gear of the device. The device may have steered brakes and brake control levers. The brake control levers can be connected to the wheel brakes using a brake cable (not shown in the figure).

Claims (5)

1. The training complex used for training the muscles of the lower limbs of the patient by physiological modeling of the patient getting up from the "sitting on a chair" position, containing a frame mounted on wheel supports, patient fixation tools, foot platforms, and patient fixation tools contain at least at least one tool selected from the group comprising fastenings for feet, knees, an emphasis for the pelvis, characterized in that it is equipped with a lift consisting of an additional frame having docking units with a frame simulator, a vertical telescopic stand, on which a support is mounted with the possibility of rocking in the form of a rocker arm in a vertical direction, swinging at one end of which is fixed to the axis of rotation of the support for the patient seat, fixed in knee supports and stop holders, and the other end of which is connected by an elastic rod to an additional frame or with the frame of the simulator, while the seat has a removable sidewall, made in the form of handrails, and elastic traction is associated with a swinging support or a vertical telescopic stand. 2. The training complex according to claim 1, characterized in that on the vertical rack there is a movement stopper for the patient. 3. The training complex according to claim 1, characterized in that a removable support, which acts as a seatback, is attached to the simulator frame on a telescopic support. 4. The training complex according to claim 1, characterized in that the wheel frame with brakes with the ability to extend back and to the side for stability of the device are attached to the simulator frame from below. 5. The training complex according to claim 1, characterized in that it is equipped with a T-shaped belt fixed in the pelvic region of the patient and a rod thrown through the block on the simulator frame, connected with the load used as a counterweight to facilitate lifting of the patient.

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