RU176720U1 - Lid simulator for group exercises to restore hand movements and intellectual activity in patients with a neurological clinic - Google Patents

Abstract

The utility model “Cover simulator for group exercises on restoring hand movements and intellectual activity in patients of a neurological clinic” refers to medicine in the section of neurology and neuropsychology and can be used in neurorehabilitation departments of neurological and neurosurgical clinics when conducting group exercises on restoring movements of the hand and intellectual activity in patients of a neurological clinic with organic brain lesions of various etiologies. The utility model contains a plastic base (1) of a square shape with dimensions from 450 × 450 mm to 600 × 600 mm, a thickness of 6-8 mm, along the perimeter of which flanges (2) are made on the front and back sides, and on the surface of the front and back the sides of the base are marked with dark paint in the form of vertical and horizontal dividing lines (3) dividing them into square cells: the front side of the base (1) is divided into 9 cells of the same size, and the back of the base (1) is divided into 16 square cells of the same size at e ohms at the center of each of the front and back side of the base unit (1) is formed a cylindrical protrusion (4) with an external thread intended for screwing metal lids-chip (6). The utility model allows conducting classes aimed at the simultaneous restoration of two processes with patients of a neurological clinic: a) movements of the wrist by performing rotational movements of the wrist when screwing-unscrewing chip covers; b) intellectual activity by solving logical problems arising in the course of gaming activity. The use of the claimed utility model introduces an element of novelty into the process of rehabilitation classes with patients, turning them into interesting and attractive psychological training for patients.

Description

This useful model relates to medicine in the section of neurology and neuropsychology and can be used in the departments of neurorehabilitation of neurological and neurosurgical clinics when conducting group exercises to restore hand movements and intellectual activity in patients of a neurological clinic with organic brain lesions of various etiologies.

Of great importance for the effectiveness of restorative education are the forms of its organization, which are used during classes with patients with disorders of various mental functions.

Methods and forms of organization of restorative education should take into account the social nature of a person and create conditions for maximizing the use of all human capabilities and abilities, using the influence of the social environment and other social factors on a sick person (Tsvetkova L.S. Aphasia and restorative education. M; Moscow psychological -Social Institute of Voronezh: Publishing house NPO "MODEK", 2001, p. 81, 82).

One of the forms of organization of restorative education, which is based on the use of the social environment and other social factors, is the group form of classes, which helps to increase the efficiency of restoration of impaired mental functions, expanding and complementing individual lessons with a specialist and independent classes of patients during their stay in a neurological clinic .

Group lessons allow you to realize primarily the activity of communication and impact on the patient’s personality through the mechanisms of a small social group: interpersonal interaction, cooperation, cooperation, competition, etc. (Tsvetkova L.S. Aphasia and restorative education. M; Moscow Psychological and Social Institute Voronezh: Publishing house NPO MODEK, 2001, p. 9).

According to Marvin Shaw, a specialist in group dynamics, a small social group is a community consisting of two or more interacting and influencing individuals (Myers D. Social Psychology. - St. Petersburg: Peter, 1997).

The use of the group form of classes helps to increase the effectiveness of rehabilitation training when working on the restoration of various mental functions in patients with a neurological clinic, including intellectual activity, as well as motor functions, including hand movements.

To restore impaired hand movements in patients with a neurological clinic, various simulators are used to ensure the inclusion of the hand in various movements, one of which is the rotation of the hand of an object.

So, from the current level of technology is known "Simulator" Screw rotation "", designed to develop twisting movements of the hands. (Renax, Rehabilitation and medical equipment, Screw Rotation Simulator, found on September 20, 2017 on the Internet at http://renaks.com/shop/group_641/item_361/).

Structurally, this simulator is a base with two racks, on which a screw rod with a nut is fixed, which the patient must rotate with his hand moving from one edge of the screw rod to the other. The overall dimensions of the simulator are 400 × 200 × 200 mm.

The disadvantages of this simulator when using it during group exercises to restore hand movements in patients with a neurological clinic are:

a) the limited capabilities of this simulator when used in group classes, as it is designed for individual lessons;

b) the uniformity and monotony of the patient’s movements to move the nut along the helical shaft, which can lead to a decrease in interest in classes and fatigue of patients;

c) a screw-nut threaded pair made of metal has a sufficiently high coefficient of friction and therefore requires the application of forces that may be excessive for some patients with impaired hand movements.

Also, from the existing level of technology, the “Trainer for the development of the hand” is known (KIDDIS.RU, Production and sale of sports and gaming equipment, the Trainer for the development of the hand 5668, found September 20, 2017 on the Internet at http: // kiddis .ru / 2016/04 / trenazher-dlya-razraboki-kisti-ruk-5668 /).

Structurally, this simulator consists of a base, on one end of which there is a stand for the forearm, and on the other - a rotary handle with adjustable resistance to rotation. During classes, the patient makes rotational movements of the hand in one and the other direction, contributing to the development of movements of the wrist.

The disadvantages of this simulator when using it during group exercises to restore hand movements in patients with a neurological clinic are:

a) the limited capabilities of this simulator when used in group classes, as it is designed for individual lessons;

b) the uniformity and monotony of the movements performed by patients to rotate the handle in one or the other direction, which can lead to a decrease in interest in classes and fatigue of patients;

Also known from the prior art is the "Multifunctional developmental wall simulator", which is based on screwing-unscrewing plugs on the neck of plastic bottles (Polozova E.V. Developing simulators from waste material. A practical guide for educators and methodologists of preschool educational institutions. - Voronezh: PE Lakotsein S. S., 2009, pp. 26-30).

Structurally, this simulator is a wooden frame in which 121 holes are made (11 horizontally and 11 vertically), in which screw necks of plastic bottles are fastened, onto which standard plastic plugs are wound. The dimensions of the simulator are 650 × 700 mm.

Classes with this simulator, consisting in winding-up and unscrewing plastic plugs, contribute to the development of finger motility, as well as the formation of a number of other mental processes in children: visual-spatial perception, attention, counting operations, etc.

Unlike simulators based on a monotonous, purely mechanical rotation of the nut or the handle by the hand, the process of twisting and unscrewing plastic plugs is more effective for restoring the movements of fingers and partially the hand in patients of a neurological clinic, due to the fact that:

a) experience in performing this action is available to one degree or another in all patients, therefore this action is more strengthened and available for implementation by patients;

b) the process of winding-unscrewing traffic jams is included in the game activity, which helps to maintain the interest of patients to classes.

The disadvantages of this simulator when using it during group exercises to restore hand movements in patients with a neurological clinic are:

a) this simulator is aimed primarily at restoring fine motor skills of the fingers, but little helps restore the movements of the hand;

b) this simulator is primarily aimed at working with children, which consists in performing simple actions that contribute to the formation of spatial concepts in children, learning counting operations and is not intended for classes with adult patients.

Also, the gaming device “Tic-Tac-Toe A Simple Option” (Wood Fun, Eco-Friendly Products for Children and Their Parents, Tic-Tac-Toe A Simple Option, found on 09/20/2017 on the Internet at https: //www.woodfun is known from the prior art. .ru / arhiv-igrashek / krestiki-noliki-prostoy-variant.html)

Structurally, this device is a wooden playing field consisting of 9 (nine) cells, in which cutouts are made for placing figures made of wood in the form of "crosses" and "zeroes". The size of this gaming device is 150 × 150 mm.

The rules of the game with this device correspond to the rules of the traditional game “Tic-Tac-Toe” and are distinguished by the fact that instead of drawing “tic-tac-toe” on a piece of paper, the players alternately place the corresponding figures into the cutouts of the playing field.

Thus, a feature of this device is that it allows you to simultaneously carry out: intellectual actions related directly to the game, and actions that, to some extent, contribute to the restoration of movements of the wrist, as patients have to pick up figures and place them in cutouts playing field.

The disadvantages of this device when used during group exercises to restore hand movements and intellectual activity in patients with a neurological clinic are:

a) the process of installing figures in the cutouts of the playing field is quite simple and contributes little to the restoration of movements of the wrist;

b) the inability to change the degree of difficulty of the game, since the device includes a playing field consisting of only 9 cells.

In order to overcome the above-mentioned shortcomings, a “Roof simulator for group exercises on restoring hand movements and intellectual activity in patients of a neurological clinic” was developed (hereinafter “roof simulator”).

The tasks to be solved by the claimed technical solution are:

a) providing the possibility of implementing a group form of rehabilitation classes, which helps to increase the effectiveness of rehabilitation education, by including communication activities and influencing the patient’s personality through the mechanisms of a small social group: interpersonal interaction, cooperation, cooperation, competition;

b) the actions performed by patients should be simultaneously aimed at restoring the movements of the wrist, and at restoring intellectual activity;

c) restoration of hand movements should be based on the implementation of complex rotational movements;

d) the restoration of intellectual activity should be carried out in the course of interesting and attractive gaming activities for patients;

e) restoration of intellectual activity should be carried out with the possibility of changing the degree of complexity of tasks.

The technical result of the claimed utility model is to expand the functionality of the gaming device “Tic-tac-toe a simple option”, provided by the design features of the utility model, allowing conducting classes with patients of a neurological clinic aimed at the simultaneous restoration of two processes: a) movements of the wrist through rotational movements of the brush when screwing-unscrewing the caps-chips; b) intellectual activity by solving logical problems arising in the course of gaming activity.

This technical result is ensured due to the fact that the “lid simulator” contains a square-shaped base made of plastic with dimensions from 450 × 450 mm to 600 × 600 mm, a thickness of 6-8 mm, along the perimeter of which on the front and back sides are made collars, and on the surface of the front and back sides of the base, dark paint is applied in the form of vertical and horizontal dividing lines dividing them into square cells: the front side of the base is divided into 9 cells of the same size, and the back of the base is p Cereal 16 square cells of equal size, wherein each cell in the center of the front and back side of the base is formed a cylindrical projection with an external thread intended for screwing metal lids-chips.

In a preferred embodiment of the “roof simulator”, the width of the beads is 10-16 mm, and the height is 10-14 mm on each side of the base.

In a preferred embodiment of the “cover simulator”, the diameter and thread of the cylindrical protrusion are made for one of the diameters of a standard metal cover with a diameter of 82 mm, 89 mm, 100 mm or 110 mm.

In a preferred embodiment of the “cover simulator”, the height of the cylindrical protrusion is equal to the height of the shoulders on each side of the base.

In the preferred embodiment of the “lid simulator”, standard metal lids are used as chip covers for screwing glass jars onto the necks of a diameter corresponding to the diameter of cylindrical protrusions.

In a preferred embodiment of the “cover simulator”, two brackets made of metal are mounted in the flanges of one of the sides of the base.

The essence of the utility model is illustrated by drawings, which depict:

In FIG. 1 - front (A) side of the “cover simulator” of 9 cells without chip covers;

In FIG. 2 - back (B) side of the “cover simulator” of 16 cells without chip covers;

In FIG. 3, 4 - an example of the location of the lid-chips of the “lid simulator” during the game on each of the two sides.

The inventive "cover simulator" is a (see Fig. 1, 2) made of plastic base (1) of square shape in sizes from 450 × 450 mm to 600 × 600 mm, a thickness of 6-8 mm, the perimeter of which with the front (A ) and the reverse (B) side are made of flanges (2), 10-16 mm wide and 10-14 mm high on each side, ensuring the rigidity of the base (1).

The front (A) and back (B) sides of the base (1) are made in light color, and on their surface markings in the form of vertical and horizontal dividing lines (3) are applied with dark paint, dividing them into square cells: the front (A) side of the base ( 1) is divided into 9 (nine) cells of the same size (3 (three) cells in a horizontal and vertical row), and the back (B) side of the base (1) is divided into 16 (sixteen) square cells of the same size (4 (four) ) cells in the horizontal and vertical row).

In the center of each cell of the front (A) and back (B) sides of the base (1) there is a cylindrical protrusion (4) with an external thread designed for screwing on metal chip caps (6), all cylindrical protrusions (4) of the front and back sides have the same size.

Thus, the front (A) side of the base (1) contains 9 (nine) cylindrical protrusions (4), and the back (B) side of the base (1) contains 16 (sixteen) cylindrical protrusions (4).

The height of the cylindrical protrusion (4) is equal to the height of the flanges (2) on each side of the base (1), which provides additional rigidity when the base (1) of the “roof simulator” is located on a horizontal or vertical surface.

The diameter and thread of the cylindrical protrusion (4) are made for one of the diameters of a standard metal cover (82 mm, 89 mm, 100 mm or 100 mm in diameter, see links below) for screwing glass jars onto the neck.

To increase the range of movements of the wrist when screwing the chip caps (6) onto the cylindrical protrusions (4), the angle of inclination of the thread helix on the cylindrical protrusions (4) may be slightly smaller than the standard angle of inclination of the thread screw on the necks of glass jars.

As caps-chips (6) (see Fig. 3, 4) in work with the “cap simulator”, standard metal caps are used for screwing glass jars onto the necks, the diameter of which corresponds to the diameter of the cylindrical protrusions (4).

When working with the “lid simulator” as chip caps (6), the following can be used:

a) covers with a diameter of 82 mm (Glass containers, Twist-off caps with a diameter of 82, found on September 20, 2017 on the Internet at http: //steklobanka-kryshka.rf/magazin-2/product/kryshki-tvist-off-diametr -82);

b) caps with a diameter of 89 mm (Glass containers, Twist-off caps with a diameter of 89, found on September 20, 2017 on the Internet at http://steklobanka-kryshka.rf/magazin-2/product/kryshka-tvist-off-diametr -89);

c) lids with a diameter of 100 mm (Glass containers, Twist-off lids with a diameter of 100 monocots, found on September 20, 2017 on the Internet at http: //steklobanka-kryshka.rf/magazin-2/product/kryshka-tvist-off- diametr-100-monocvet);

d) lids with a diameter of 110 mm (Glass containers, Twist-off lids with a diameter of 110 monocots, found on 09/20/2017 on the Internet at http://steklobanka-kryshka.rf/magazin-2/product/kryshka-tvist-off- diametr-110-monocvet).

For direct use in working with the “roof simulator”, standard metal covers are finalized by applying to their surface (for example, dark-colored paint) images “X” (cross) and “O” (toe).

Another option is to use chip covers (6) in two colors, such as white and black, during classes with the “lid simulator”.

The total number of chip caps (6) included in the package of the “roof simulator” is 16 (sixteen) pieces, of which half contains the image “X” and the other half - the image “O”.

To fix the “roof simulator” on a vertical surface, two brackets made of metal (5) are mounted in the flanges (2) of one of the sides of the base (1).

The “Lid simulator for group exercises on restoring hand movements and intellectual activity in patients of a neurological clinic” works as follows:

Before starting a group lesson, patients twist the chip caps (6) (if they were previously wound) from the cylindrical protrusions (4) (restoring the movements of the wrist) and divide them equally among themselves: for one patient, chip caps (6) with the image “ X ”, to another patient - cap-tokens (6) with the image“ О ”.

Next, patients install a “cover simulator” on the surface of the desktop or some other horizontal surface, placing it face up (A) or reverse (B) depending on the instructions of the specialist.

A simpler option for restoring intellectual activity is the use of the front (A) side of the base (1) of the “roof simulator” containing 9 (nine) cylindrical protrusions (4), and the more difficult is the use of the reverse (B) side of the base (1) containing 16 (sixteen) cylindrical protrusions (4).

Next, one of the patients winds the cap-chip (6) with the image “X” on one of the cylindrical protrusions (4), after which the other patient carries out the next move, screwing the cap-chip (6) with the image “O” on the other cylindrical protrusion ( 4) etc.

Thus, in the process of the game, each patient first thinks out the move he makes (restoration of intellectual activity), and then makes this move by screwing the chip cover (6) onto the corresponding cylindrical ledge (4) (restoring the movements of the wrist).

If the game is carried out on the front (A) side of the base (1), then in accordance with the rules of the game “Tic-tac-toe” the patient wins, who will be the first to make a row (horizontal, vertical or diagonal) of three identical chip caps (6 ) wound onto cylindrical protrusions (4) (see Fig. 3).

If the game is played on the back (B) side of the base (1), then in accordance with the rules of the game “Tic-tac-toe” the patient wins, who will be the first to make a row (horizontal, vertical or diagonal) of four identical chip caps (6 ) (see Fig. 4).

The reverse (B) side of the base (1) is also used for variants of the game “Tic-Tac-Toe” with complicated rules, for example, the game “Tic-Tac-Toe of Silverman”.

In this case, patients also alternately wind cap-chips (6) with images “X” and “O” on cylindrical protrusions (4), but the task changes. The task of the player with caps-tokens (6) with images “X” is that on the surface of the base (1) there is a row of four caps-tokens (6) with images “X” or four caps-tokens (6) with images “O” ". The task of the player with caps-tokens (6) with images “O” is the opposite: to prevent complete rows of neither caps-tokens (6) with images “X”, nor caps-tokens (6) with images “O”.

Thus, the front (A) side of the base (1) provides the possibility of implementing the simplest version of the game “Tic-Tac-Toe” during group exercises with patients, and the back (B) side of the base (1) provides the possibility of implementing more complex options.

After the completion of each game, patients twist all the cap-chips (6) from the cylindrical protrusions (4) (work on restoring the movements of the wrist) and the entire game process is repeated in a similar sequence the number of times specified by the specialist.

Along with conducting classes at the table, a “lid simulator” with sets of appropriate chip caps (6) can be mounted in an upright position using brackets (5) on the walls of chambers or corridors of the neurological department, allowing patients to carry out classes in various situations, for example, when waiting queues for procedures, etc.

The effectiveness of using the inventive “cover simulator” during group exercises to restore hand movements and intellectual activity in patients of a neurological clinic is connected with the fact that social factors affecting the mental sphere of patients through the mechanisms of a small social group are included in the training process: interpersonal interaction, cooperation, cooperation, competition. In addition, it is important that, in the case of a lack of motivation for classes in one patient, he is prompted to study by another patient.

Thus, the “cap simulator” allows you to conduct classes aimed at the simultaneous restoration of two processes with patients of the neurological clinic: a) movements of the wrist by performing rotational movements of the wrist while screwing-unscrewing the chip caps; b) intellectual activity by solving logical problems arising in the course of gaming activity.

The “lid simulator” introduces an element of novelty into the process of rehabilitation classes with patients, turning them into interesting and attractive psychological training for patients.

Claims (6)

1. The lid simulator for group exercises to restore hand movements and intellectual activity in patients with a neurological clinic, characterized in that it contains a square base made of plastic with sizes from 450 × 450 mm to 600 × 600 mm, thickness 6-8 mm, the perimeter of which on the front and back sides are made of collars, and on the surface of the front and back sides of the base markings are applied with dark paint in the form of vertical and horizontal dividing lines dividing them into square cells: I side of the base is divided into 9 cells of the same size, and the back side of the base is divided into 16 square cells of the same size, while in the center of each cell of the front and back sides of the base there is a cylindrical protrusion with an external thread designed for screwing metal caps-chips. 2. The roof simulator according to claim 1, characterized in that the width of the shoulders is 10-16 mm, and the height is 10-14 mm on each side of the base. 3. The roof simulator according to claim 1, characterized in that the diameter and thread of the cylindrical protrusion are made for one of the diameters of a standard metal cover with a diameter of 82 mm, 89 mm, 100 mm or 110 mm. 4. The lid simulator according to claim 1, characterized in that the height of the cylindrical protrusion is equal to the height of the flanges on each side of the base. 5. The lid simulator according to claim 1, characterized in that standard metal lids are used as chip caps in the work with the “lid simulator” for screwing glass jars onto the neck, the diameter of which corresponds to the diameter of the cylindrical protrusions. 6. The lid simulator according to claim 1, characterized in that two brackets made of metal are mounted in the flanges of one of the sides of the base.

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