RU185378U1 - Device for accelerated rehabilitation and adaptation of persons with musculoskeletal disorders - Google Patents

Abstract

The utility model relates to medical simulators, traumatology, orthopedics, physiotherapy exercises and is intended for the recovery and rehabilitation of athletes after injuries of limbs and patients with disorders of the musculoskeletal system.

The technical result of the proposed utility model is the development and consolidation of proprioception of the lower, upper limbs and the whole body due to the gradual formation and development of walking skills, training of the vestibular apparatus, adaptation to the upright position and the exclusion of patient injuries when walking or conducting rehabilitation after operations or diseases associated with violation of the functions of the musculoskeletal system.

A comprehensive device for accelerated rehabilitation and adaptation of persons with disorders of the musculoskeletal system, containing a frame with an integrated system of vertical human retention, mounted in the upper part of the frame on two runners and equipped with suspension elements in the form of a corset for fixing the patient. This device is additionally equipped with a bed with a horizontal lifting mechanism, asymmetric and vertical stairs, a removable handrail for supporting the patient during movement, removable drawers for filling objects of fine motor development, two shields for fastening household items, weighted bracelets. 13 ill .; 2 videos.

Description

FIELD OF THE INVENTION

The utility model relates to medical simulators, traumatology, orthopedics, physiotherapy exercises and is intended for the recovery and rehabilitation of athletes after injuries of limbs and patients with disorders of the musculoskeletal system.

The technical result of the proposed utility model is the development and consolidation of proprioception of the lower, upper limbs and the whole body due to the gradual formation and development of walking skills, training of the vestibular apparatus, adaptation to the upright position and the exclusion of patient injuries when walking or conducting rehabilitation after operations or diseases associated with violation of the functions of the musculoskeletal system.

A comprehensive device for accelerated rehabilitation and adaptation of persons with disorders of the musculoskeletal system, containing a frame with an integrated system of vertical human retention, mounted in the upper part of the frame on two runners and equipped with suspension elements in the form of a corset for fixing the patient. Also, the complex device is additionally equipped with a bed with a horizontal lifting mechanism, asymmetric and vertical stairs, a removable handrail for supporting the patient during movement, removable drawers for filling objects of fine motor development, two shields for fastening household items, weighted bracelets. 13 ILL, 2 VIDEO.

State of the art

The utility model relates to medical simulators, traumatology, orthopedics, physiotherapy exercises, and is intended for the recovery and rehabilitation of athletes after injuries of limbs and patients with disorders of the musculoskeletal system.

A device (1) is known for moving and teaching walking disabled people, containing two U-shaped frames with wheel supports fixed to each other in the upper part by two horizontal uprights (2015139617/14, 09/17/2015). A disadvantage of the known device is that the patient only simulates movement when walking on a treadmill;

Analogue (2) for verticalization and unloading of a student’s body weight with cerebral palsy during walking training. The known device is designed to move a child with the help of staff. A disadvantage of the known device is that there is no possibility of independent movement of the patient (RU 170298 U1, 04/12/2016).

The proposed utility model relates to devices for developing walking skills in patients with the help of an assistant and / or on their own; rehabilitation and adaptation, after suffering strokes, injuries of diseases of the extremities, to help children with cerebral palsy, athletes, as well as violations of the vestibular apparatus. The purpose of this utility model is to restore the lost motor functions of a person, to provide training with an increase in the effectiveness of exposure to muscles due to the development of proprioception, load management during classes.

The meaning, the totality of the main properties of this model is achieved by the fact that, in contrast to the known technical solution, the device contains a vertical human retention system for self-movement of the patient, having a 180 ° turn, which allows you to feel the position of the parts of your own body relative to each other and in space. Thus, patients develop proprioception - a muscle feeling, i.e. sensation of the position of the parts of one’s own body relative to each other and in space. Any restriction of limb movements due to diseases or injuries, as with a lack of physical activity, is manifested by muscle hypotrophy and a decrease in motor sensitivity - proprioception. Proprioreceptors collect and transmit data on active and passive muscle contractions and loads on the skeleton, due to which the muscles stabilize the joints during movements. In this regard, an important task of training limbs is the development of speed-strength capabilities of the neuromuscular apparatus and endurance in controlling motor load.

The technical result of this utility model is achieved using:

- fastening the patient with the help of an assistant in a corset that is adjustable in height and fullness, a vertical retention system for developing skills and the ability to walk independently;

- a block of the vertical human retention system, with a swivel bracket that allows the patient to rotate 180 ° and move in the opposite direction;

- the stability of the position of the person in the suspension elements and the corset, which is achieved by adjusting the length of the circumference of the leg rings and the length of the straps thrown over the patient’s shoulders, adjustable buckle buckles, adjusting the length of the rubber twine, using metal clamps;

- an asymmetric, folding ladder at the base of the frame, consisting of cells of different sizes, in each of which there are orthopedic, massage mats designed to prevent flat feet and stimulate blood circulation in the feet;

- a vertical ladder built into the side wall of the frame for exercise.

Utility Model Essence

The essence of the utility model is illustrated in Figure 0001 [p] _tif of FIG. 1 - integrated device in axonometric projection; 0002 [p] _tif FIG. 2 - a system of vertical retention of a person; 0003 [p] _tif FIG. 3 - mechanism for horizontal bed raising; 0004 [p] _tif FIG. 4 - movement of a person using a vertical retention system; 0005 [p] _tif FIG. 5 - exercises performed by a person holding a ladder while standing; 0006 [p] _tif FIG. 6 - mobile unit of the vertical human retention system (side view); 0007 [p] __ tif FIG. 7 - block mobile system of vertical retention of a person (top view); 0008 [p] _tif FIG. 8 - a block of a mobile system of vertical retention of a person (view with a carbine, rubber twine); 0009 [p] _tif FIG. 9 - a person lies on a bed - rest between exercises; 0010 [p] _tif FIG. 10 - bracket rotated 180 °; 0011 [p] _tif FIG. 11 - weighted bracelets for arms, legs; 0012 [p] _tif FIG. 12 - hanging elements; 0013 [p] _tif FIG. 13 - oval carbine.

The complex device for accelerated rehabilitation and adaptation of persons with disorders of the musculoskeletal system (0001 [p] _tif Fig. 1) consists of a frame 1 made of a rectangular metal pipe, of a person’s vertical retention system containing a mobile unit 15, consisting of 2- x interconnected metal corners with integrated ball bearings moving along two horizontal guides 9, of the suspension elements-corset 3. The system of vertical human retention consists of a transfer unit 15 other made of stainless corners, interconnected by M12 bolts, in the form of a rectangle divided by two corners, in the middle, superimposed on each other and connected by rivets to give additional strength. Bottom to these corners is attached a 180 ° rotatable bracket 8, to which, with the help of rubber twine 2 and an oval carabiner 7 (0013 [p] _tif Fig. 13), a system of adjustable suspension elements-corset 3 (Fig. 12) is attached, which ensures human retention in a vertical state (Fig. 2) with the ability to move along the guides 9 (Fig. 2) and block 15 (Fig. 2, 6, 7). Bearing fastening: ball, radial, single row bearings with an outer diameter of 20 mm and a depth of 10 mm that move along the rails 9 are mounted on the bolts. The bearings are located on 4 sides of the rails and provide free and easy movement of the block 15.

In addition, an asymmetric folding ladder 4 (Fig. 1) is built into the base of the frame, consisting of cells of different sizes, in each of which material of different stiffness is laid. On the bottom of the bed 14 (Fig. 1), equipped with a mechanism for horizontal lifting of the bed (Fig. 3), shields 11 are made of plywood, with fixed household items for adaptation of the patient. On the left side of the simulator is a vertical ladder 5 for exercise. On the outside of the right side, retractable, removable drawers 10 are attached with different contents for the development of human motility.

The implementation of the invention

The complex device comprises a frame (1), a vertical patient retention system consisting of a block (15) of a vertical retention system for a person moving along guides (9). The vertical patient retention system also consists of rubber twine (2), suspension elements (Fig. 12), corset (3), contains a swivel bracket (7), an oval carbine (8), an asymmetric folding ladder (4), and a vertical ladder (5 ), a bed (14) with a horizontal lifting mechanism, removable drawers with filling for the development of fine motor skills (10), two shields with household items (11), heavy bracelets (12), a removable handrail to support the patient while practicing walking skills (13) .

The device works as follows: the assistant puts on the patient the suspension elements of the corset 3, fastens with rubber twine 2 to the block 15. The suspension elements of the corset 3 are mounted with a swivel bracket 7 and a mounting oval carabiner 8, which allows the patient to turn around 180 ° and move in the opposite direction. Block 15, which is part of the vertical holding system, moves along the guides 9, helping the patient to maintain stability. The proposed method includes training proprioception, both by moving with the help of a vertical retention system, and by alternating physical exercises on an asymmetric staircase 4, vertical staircase 5, using weighted bracelets 12, removable drawers with different filling for the development of fine motor skills 10, exercises with household items fixed on two wooden shields on the outside of the bottom of the bed 11.

Adjusting the suspension elements of the corset 3 by changing the length of the tension of the rubber twine 2 allows you to change the load on the lower extremities, which is very important for the safety of the patient, as well as reduce the load on the patient or increase, depending on the physiological condition of the patient. Gradually changing the load on the limbs, walking skills and lower limb support skills are developed and developed.

The complex device can be used in the rehabilitation of patients with impaired motor functions (cerebral palsy, the consequences of strokes, etc.) and reliably keeps the patient in an upright position, while allowing him to move and turn around 180 °. When the patient moves, the entire vertical holding system occurs (i.e., block 15, rubber twine 2, oval carabiner 8), the patient does not rest on his hands, only uses a removable handrail 13 to maintain it, and therefore injuries are eliminated. When using the utility model, step reflexes are developed and fixed, the patient is prepared for walking, body movements are trained, movements of the legs and joints develop, muscles are strengthened, in the central nervous system the vestibular apparatus adapts to the vertical position of the body. The effectiveness of adaptation, rehabilitation is increased, while injuries are excluded. Therefore, the features of the utility model are in a causal relationship with the claimed technical result and are significant.

The proposed utility model is shown in operation in figures 1, 2, 4, 5, 9 with a patient placed therein undergoing rehabilitation. This confirms the industrial applicability of the proposed utility model. In addition, the manufacture of a utility model in the factory, in the workshop will make it possible to obtain a device at a cost significantly lower than imported analogues, which plays an important role in the context of import substitution policy. Materials for the manufacture of the proposed device are available and have a low cost. In addition, the use of conventional woven materials increases the comfort of using the proposed utility model. It is also possible to manufacture the device to order of the client, taking into account his individual wishes. Rehabilitation centers will receive the device at a price lower than their foreign counterparts, but not inferior to them in efficiency. The device can be made in the conditions of small enterprises of small business, which will positively affect the economy of the region.

Exercises are performed with the help of an assistant. The main part of the exercises is done by the patient, fixed in a corset 3, relating to the vertical retention system. After performing any exercise, they return to a neutral position near the left or right side of the frame 1, which is taken as a starting position.

1. Walking on an asymmetric staircase 4.

Rule of execution: to step on the elements of the coating - massage mat, following the steps.

Purpose: massage of the feet, stimulation of muscle tissue and nerve endings of the legs, improving blood circulation in the limbs. The patient passes by stepping into the step of the asymmetric staircase 4, i.e. distance between steps / rungs. Passing in one direction, turns around 180 ° and moves in the opposite direction. This turn is feasible thanks to the swivel bracket 7 with a mounting hook 8, attached to the corset 3 and block 15.

Upon reaching the opportunity to complete a full pass with 3 approaches, with 8-12 repetitions, they proceed to the next exercise.

2. A passage with weighted bracelets 12, worn on the ankles of the legs, wrists, weight 0.5, 1.0 and 2.0 kg. When during exercises with weighting bracelets weighing 0.5 kg, the number of approaches increases to 5, with 8-12 repetitions, go to exercises with weighting bracelets weighing 1.0 kg. Accordingly, when reaching 5 approaches with 8-12 repetitions, they proceed to classes with a weighting bracelet weighing 2.0 kg. During classes pass, stepping into a step of an asymmetric staircase, as shown in figure 2.

3. Standing alternately on each leg.

Rule of execution: stand alternately on the left and on the right legs.

Goal: development of the ability to maintain balance.

4. Turns.

Rule of execution: to fix the person in a corset, independently or with the help of an assistant, turn the body left and right.

Purpose: development of the body, improvement of movements in the joints.

5. Hanging on a vertical staircase.

Rule of execution: grab the highest crossbar with your hands and

Hang (Fig. 5). Exercise time depends on the physical condition of the patient.

Purpose: stretching the spine, prevention of curvature of the spine;

development of skills of an upright body position.

6. Manipulations with household appliances:

- closing-opening of door latches;

- closing-opening of overhead, mortise, padlocks;

- closing-opening of door heck, gate valves;

- closing-opening of various types of water taps;

- loosening-tightening nuts, bolts of different sizes;

- work with accounts "Abacus".

Purpose: the development of household skills, the development of fine motor skills of the hands.

7. Manipulations with massage elements for hands: massage balls, su-jok massagers, expanders.

Goal: development of hand sensitivity, development of fine motor skills, development of arm muscles.

A comprehensive device for accelerated rehabilitation and adaptation of persons with disorders of the musculoskeletal system by performing: 1. movements, which include exercises aimed at sequential training of limb muscles with impaired function, with alternate weighting 2, increased load on the muscles of the limbs of the body, differing the fact that the system of vertical patient retention has the ability to turn 180 °, which makes it possible to move in the opposite direction 3. movements, not simulating walking, but act You can move independently, and during the U-turn, exercise 4. Proprioception is performed by keeping the vertical retention system in the corset, and alternate the exercises for muscle weights with heavy bracelets 2. In this case, each movement is performed with weights, starting to perform exercises from 3 approaches with 5 repetitions, then in the absence of a patient’s state of fatigue, the number of repetitions of exercises is increased by 1, and in the case of a state of fatigue, the number of repetitions in the approach is reduced by 1, and if the patient performs the number of repetitions less than 5 times, then the number of approaches is reduced by 1, and when 8 repetitions are achieved in one approach, the number of approaches is increased by 1, during the exercise, the burden created by the corresponding weighted bracelets is gradually increased or reduced, under the control of the patient's ability to perform the achieved number of repetitions and approaches with the previous weight of the burden.

Positive effect when using an integrated device:

1. development of walking skills;

2. reducing the load during the development of movements and strengthening the musculoskeletal system of a person;

3. prevention of flat feet and stimulation of the blood circulation of the feet;

4. fitness of the simulator elements to the features of the user's motor function;

5. development of general and fine motor skills, restoration of domestic skills. The simulator for accelerated rehabilitation and adaptation of persons with disorders of the musculoskeletal system can be made of the following materials: ferrous metal, stainless steel, wood, plywood.

Sources of information taken into account:

1. The device 2015139617 / 14.17.09.2015;

2. RU 170298 U1, 04/12/2016;

Brief Description of the Drawings

The essence of the utility model is illustrated in FIG. 1 - integrated device in axonometric projection; FIG. 2 - a system of vertical retention of a person; FIG. 3 - mechanism for horizontal bed raising; FIG. 4 - movement of a person using a vertical retention system and a handrail; FIG. 5 - exercises performed by a person holding a ladder while standing; FIG. 6 - mobile unit of the vertical human retention system (side view); FIG. 7 - a mobile unit of the vertical human retention system (top view); FIG. 8 - a mobile unit of the vertical human retention system (view with a carbine, rubber twine); FIG. 9 - a person lies on a bed resting between exercises; FIG. 10 - bracket rotated 180 °; FIG. 11 - weighted bracelets for arms, legs; FIG. 12 - hanging elements; FIG. 13 - oval carbine.

A comprehensive device for accelerated rehabilitation and adaptation of persons with disorders of the musculoskeletal system (Fig. 1) consists of a frame 1 made of a metal rectangular pipe, and also contains rubber twine 2, hanging elements of a corset 3, an asymmetric folding ladder 4, a vertical ladder 5 , box for auxiliary items 6, swivel bracket 7, oval carabiner 8, horizontal guides 9 in the amount of 2 pcs., removable drawers 10 with filling for the development of fine motor skills, shields 11 with household items and for adaptation, weighted bracelets 12, a removable handrail 13, a bed 14 with a horizontal lifting mechanism, a mobile unit 15, consisting of 2 interconnected metal corners with integrated ball bearings.

The vertical human retention system consists of a mobile unit 15 made of stainless corners, interconnected by M12 bolts, in the form of a rectangle divided by two corners, in the middle, superimposed on each other and connected by rivets to give additional strength. Bottom to these corners is attached a 180 ° bracket 7, to which, using rubber twine 2 and an oval carabiner 8 (Fig. 11), adjustable suspension elements of the corset 3 (Fig. 1) are attached to ensure that the person is held upright (Fig. 2 ) with the ability to move with the help of horizontal guides 9 (Fig. 4) and a movable block 15 (Fig. 6, 7, 8). The bearings are mounted as follows: on the bolts with a diameter of 10 mm, ball, radial, single row bearings with an inner diameter of 10 mm, an outer diameter of 20 mm and a depth of 10 mm are mounted, which move along horizontal guides 9. The bearings are located on 4 sides of the guides 9 and provide free and easy movement of the mobile unit 15.

In addition, an asymmetric folding ladder 4 (Fig. 1) is built into the base of the frame, consisting of cells of different sizes, in each of which material of different stiffness is laid. On the outside of the bottom of the bed 14 (Fig. 1), equipped with a mechanism for horizontal lifting of the bed (Fig. 3), shields 11 are made of plywood, with fixed household items for adaptation of the patient. On the left side of the simulator is a vertical ladder 5 for exercise. On the outside of the right side, retractable, removable drawers 10 are attached with different contents for the development of human motility.

Claims (6)

A device for accelerated rehabilitation and adaptation of persons with disorders of the musculoskeletal system, containing: a frame made of a rectangular metal pipe and having, in the upper part, two horizontal guides; vertical patient retention system, including the possibility of movement along horizontal guides; a block consisting of 2 interconnected metal corners, into which ball bearings are rotated 180 °, connected to the corners, an arm to which, with the help of rubber twine and an oval carabiner, a corset is attached; asymmetric folding ladder built into the base of the frame, consisting of cells of different sizes, in each of which material of different stiffness is laid; a vertical ladder built into the side wall of the frame for exercises.

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