RU184519U1 - Bandage for the rehabilitation of children with cerebral palsy (cerebral palsy) - Google Patents

Abstract

A device for the rehabilitation of children with cerebral palsy (cerebral palsy) contains a sleeve / tube (1) made of elastic material, cuffs made of strips - Velcro (2). A common problem in the rehabilitation of children with cerebral palsy is their incorrect posture while sitting on the floor. This situation is very convenient for patients, as it provides good stability. At the same time, the wrong position of the joints and the wrong work of the muscles develop - the movement and balancing of the body is carried out due to the support on the inside of the foot with the knee turned inward. The inverted position of the legs “knee inward” is fixed. The feet turn out with their socks outward and reinforce the negative changes in the work of the knee and hip joints. All these factors reduce the effectiveness of rehabilitation by the most popular methods. The proposed device for the rehabilitation of children with cerebral palsy allows you to fix these shortcomings without significantly limiting the patient's mobility. The device is worn on the patient’s feet and fixed on the ankles with the help of cuffs from the strips - Velcro (2). Thus fixed on the patient’s legs, the device tends to stretch when moving. The effect of using the device is observed after the first months of use. 8 ill.

Description

The utility model relates to medicine, namely it is applicable for fixing the correct position of the hip joints, training the correct work of the leg muscles and the formation of a step reflex in children with cerebral palsy when sitting and moving on bent knees.

The problem of the prevention of cerebral palsy in young children with perinatal encephalopathy in the first months of life to this day remains almost insoluble. It is known that in children with severe encephalopathies there is a pathology of the reflex sphere, which is manifested in an increase in pathological tonic reflexes that impede the formation of physiological installation reflexes and determine the formation of pathological muscle synergies, on the basis of which contractures of the joints of the extremities develop further and FSA pathology takes place, in in particular, one of its main structures, the vestibular system, is manifested first by a delay in the formation of the vestibular system, and then, nar sheniem statics and locomotion.

Some methods of preventing cerebral palsy are known: massage, physiotherapy exercises, pharmacotherapy, physiotherapy. But when using these methods, the therapeutic effect is not always achieved. Special costumes are widely used, creating a load on one muscle group and unloading other groups.

The utility model was created for the rehabilitation treatment of patients with motor disorders of cerebral origin, which is based on the use of a device for the treatment of impaired posture and motor activity.

Devices of a similar purpose are known from the prior art.

Known jumpsuit for the treatment of patients with cerebral palsy and patients with the consequences of traumatic brain injury, containing supporting staging bandages for the shoulder girdle, chest, lower back and lower extremities, made in accordance with certain anthropometric dimensions of the user (see Patent for the invention of the Russian Federation No. 2131232, IPC A61F 5/02, publication 10.06.1999).

The main disadvantages of the known invention are the complexity of operation and the bulkiness of the structure, the large weight and the need for accurate selection in accordance with the anthropometric dimensions of a particular user. Not suitable for use in the treatment of young children.

Known medical suit for patients with cerebral palsy, consisting of tights, a shirt with long sleeves, a vest, a belt and gloves made of a tight-fitting fabric with knitted spiral-shaped strips of high density from elastic threads stretching when the patient moves in the opposite direction to the pathological hypertonicity on skeletal muscle of limbs (see Patent for utility model of the Russian Federation No. 67441, IPC A61F 13/00, published October 27, 2007).

The main disadvantages of the known utility model is the need for accurate selection of the suit in accordance with the anthropological dimensions of a particular user. The inconvenience of regular use when putting on, taking off and actually wearing this suit, which requires considerable muscular effort to stretch strips of elastic threads.

A known method for the prevention of cerebral palsy in children with perinatal encephalopathy and a device for its implementation, including the impact on the functional system of antigravity by preventing the buildup of the labyrinth, cervical symmetric and asymmetric tonic reflexes and the formation of installation reflexes, containing the pelota for the upper shoulder girdle and chest, a band for the lower back, bandages for hips, a device representing a hollow container made of elastic material that does not allow air to pass through the wall which has a hole provided with a device for airtight obturation of the container (see Patent for the invention of the Russian Federation No. 2221537, IPC А61Н 1/00, А61Н 33/00, publication January 20, 2004).

The main disadvantages of the known invention are the violent effect for maximum abduction of the shoulders back and fixing them in this position for up to 20-30 minutes, as well as the maximum abduction of the child's hips to the side with the help of a special device, which causes the child significant discomfort and pain, which deprives him mobility for the duration of the procedure.

The task to which the claimed utility model is directed is to create a device that can more effectively eliminate pathological tonic reflexes in children with encephalopathy, followed by the development of installation reflexes, statics and locomotion, as well as increase efficiency and facilitate existing rehabilitation programs: such as BOBAT , Vojta therapy, exercise therapy massage, pharmacotherapy, physiotherapy.

The technical result achieved by the implementation of the claimed utility model consists in the manufacture of a device that allows, in the course of the rehabilitation procedure, to withstand the feet of a patient with cerebral palsy in a physiologically correct position.

The specified result is achieved by the fact that, according to a utility model, a device for the rehabilitation of children with cerebral palsy (Cerebral Palsy) includes a sleeve / tube made of elastic material with cuffs sewn along the edges on both sides of the strips, the device being made with the possibility of dressing on the feet and fixing it on the ankles of the child. The utility model is illustrated by drawings:

in FIG. 1 - a device for the rehabilitation of children with cerebral palsy, a general view;

in FIG. 2 - a device for the rehabilitation of children with cerebral palsy, a device on one leg;

in FIG. 3 - presents a device for the rehabilitation of children with cerebral palsy, a device in working position on both legs;

in FIG. 4 - presents a device for the rehabilitation of children with cerebral palsy, the position of the patient with the device sitting in a pose "on his knees", side view;

in FIG. 5 - presents a device for the rehabilitation of children with cerebral palsy, the position of the patient with the device sitting in a pose "on his knees", rear view;

in FIG. 6 - presents a device for the rehabilitation of children with cerebral palsy, the position of the patient with cerebral palsy with the device in motion;

in FIG. 7 - shows a device for the rehabilitation of children with cerebral palsy, a typical position of a patient with cerebral palsy without a device, top view;

in FIG. 8 - a device for the rehabilitation of children with cerebral palsy, a typical position of a patient with cerebral palsy without a device sitting on the floor.

A device for the rehabilitation of children with cerebral palsy contains a sleeve / pipe 1 made of elastic material, cuffs from strips - Velcro 2.

A device for the rehabilitation of children with cerebral palsy is as follows.

A common problem in the rehabilitation of children with cerebral palsy is their incorrect posture while sitting on the floor (see Fig. 7, 8). This situation is very convenient for patients, as it provides good stability. This can be observed in most patients. At the same time, the wrong position of the joints and the wrong work of the muscles develop - the movement and balancing of the body is carried out due to the support on the inside of the foot with the knee turned inward. The inverted position of the legs “knee inward” is fixed. The feet turn out with their socks outward and reinforce the negative changes in the work of the knee and hip joints. All these factors reduce the effectiveness of rehabilitation by the most popular methods.

The proposed device for the rehabilitation of children with cerebral palsy can correct these shortcomings without significantly limiting the patient's mobility. The device is worn on the patient’s feet and secured to the ankles with the help of cuffs from strips - Velcro 2 (see Fig. 2; Fig. 3; Fig. 4; Fig. 5 and Fig. 6). Thus fixed on the patient’s legs, the device tends to stretch when moving.

At the same time, a positive effect is achieved, including:

- fixing the correct position of the joints and muscle work, the feet are turned with their socks inward, knees outward, the emphasis when moving forward is on the support knee.

- activation of alternate use of the legs when moving forward on all fours with the knees out, with the toes of the feet inward.

- training of the stepper muscles responsible for lifting the leg up.

- facilitation of further rehabilitation measures.

The proposed utility model is effective if the patient prefers a sitting position and is in it for a long time during the day. The device is worn on the patient’s feet for the first week daily for an hour. Further, the duration of wearing increases for the entire time of sitting. When changing position, the device is removed from one of the legs, or removed at all. The effect of using the device is observed after the first months of use.

The proposed utility model can be used to train the proper functioning of the leg muscles and eliminate pathological tonic reflexes in children.

Claims (1)

A device for the rehabilitation of children with cerebral palsy (Cerebral Palsy), characterized in that it includes a sleeve / tube made of elastic material with cuffs of Velcro fasteners sewn around the edges on both sides, while the device is made to be worn on the feet and fixing it on the ankles of a child.

Images