RU186559U1 - Shovel simulator for classes on the development of motor functions of the hands in patients with a neurological clinic - Google Patents

Abstract

The utility model "Shovel for classes in the development of motor functions of the hands in patients of a neurological clinic" refers to medicine in the section of neurology and neurorehabilitation and can be used in neurorehabilitation departments of neurological and neurosurgical clinics when conducting classes to develop motor functions of the hands in patients of a neurological clinic with organic lesions of the brain of various etiologies. A useful model includes a construction made of plastic, including a lotto to (1), consisting of a flat rectangular base 3-5 mm thick, 140-200 mm wide and 150-220 mm long, on three sides of which a barrier wall (3) 3-5 mm thick is made, and in the lower part of the base tray (1) at a distance of 100-150 mm from its front edge, a thickening (4) of a round shape with a diameter of 40-50 mm and a height of 6-8 mm was made, in the center of which a through hole (5) with a diameter of 15-20 mm was made, the edges which on both sides have a rounded shape; while along the front edge of the base of the tray (1) and the upper edge of the barrier wall (3), a rounded shape (6) is made, 7-10 mm high, and a handle (2) is made in the center of the end part of the barrier wall (3), 250-500 mm long, at the end of which a U-shaped bracket (7) is made of a continuous section, between the lateral sides of which a transverse handle (8) is made, and the straps (9a, 9b) are fixed on the handle (2) and the transverse handle (8) and through the through hole (5) a cord (10) with a ball (11) fixed on it is drawn, the other end of the cord (10) is made in the form of a loop (12), before The limiter is installed (13). Thus, the “shoulder-blade simulator”, due to its structural elements, provides the opportunity to carry out exercises to develop the motor functions of the hands by implementing hand movements both in the vertical plane, when the ball is thrown up and in the horizontal plane, moving it on the floor surface, while ensuring the possibility of a convenient and quick return of the ball to its original position. Using the “shoulder blade trainer” introduces an element of novelty into the process of rehabilitation classes, turning them into interesting and attractive training for patients. Thanks to the simplicity of design and ease of use, the shoulder blade trainer can be widely used in clinical practice, allowing patients to carry out development classes motor functions of the hands both in a hospital and independently at home.

Description

This useful model relates to medicine in the section of neurology and neurorehabilitation and can be used in the departments of neurorehabilitation of neurological and neurosurgical clinics during classes on the development of motor functions of the hands in patients of a neurological clinic.

Impairment of motor functions of the hands occurs in patients with a neurological clinic due to various organic brain lesions associated with injuries, poisoning, infections, and vascular diseases of the brain.

Currently, various simulators and devices are used for classes on the development of motor functions of the hands in patients of a neurological clinic.

So, from the existing level of technology, the “CuraMotion Exer III Plus Arm and Shoulder Trainer” is known, which is designed to develop the motor functions of the upper limbs, to strengthen the muscles of the hands, increase flexibility and mobility of the shoulder girdle (Promedik Online Store. Trainer for arms and shoulders PT22100 CuraMotion Exer III Plus, found on September 10, 2018 on the Internet at http://www.pro-medic.ru/index.php?ht=222&detail=9480).

Structurally, this simulator is a metal case, in the upper part of which there is a handle that the patient must rotate by hand, making circular movements.

The disadvantages of this simulator when using it during classes to develop motor functions of the hands in patients with a neurological clinic are:

a) mechanical repetition of the same circular motion of the hand in the same plane, without the possibility of working on the restoration of any other movements of the hand;

b) the uniformity of the movements performed by the hand, contributing to the rapid fatigue of patients;

c) the possibility of training with this simulator only if there is a horizontal surface of the table;

d) the inconvenience of training with this simulator for bed patients of a neurological clinic.

Also, from the existing level of technology, the device is known “Block for restoring the functions of the upper limbs”, which is designed to restore the functions of muscles and joints of the hands after injuries, surgery, stroke (Scientific-Production Association "HERCULES", Block for restoring the functions of the upper limbs, found 09/10/2018 on the Internet at https://royal-sport.ru/trenazhery/trenazhery-dlja-invalidov/mehanoterapija-kinezoterapija/blochok-dlja-vosstanovlenija-funk/?sphrase_id=4696).

Structurally, this device is a steel frame fixed to the wall, on which a pair of blocks is located, through which a rope is threaded, at the ends of which there are handles. During the lessons, the patient holding the rope by the handles, performs a reciprocating movement up and down with his hands, alternately raising one arm and lowering the other.

The disadvantages of this device when used during classes on the development of motor functions of the hands in patients with a neurological clinic are:

a) this device provides a mechanical repetition of the same reciprocating movement, and does not allow you to work on restoring any other hand movements;

b) the uniformity of the movements performed, contributing to the rapid fatigue of patients;

c) the possibility of training with this device only in specially equipped rooms where it is mounted on the wall;

d) the impossibility of practicing with this device for bed patients of a neurological clinic.

Also, from the existing level of technology, the device "Training simulator for classes on the development of motor functions of the hands in patients of a neurological clinic" is known (Patent RU 182947 U1, publication date September 6, 2018).

Structurally, this device is a mug with a thickened bottom in the center of which a hole with a diameter of 10-15 mm with rounded edges is made, through which a cord with a ball fixed on it is drawn.

During classes with the "simulator-circle", the patient holding his hand in violation of movements, throws the ball up by moving his arm with this device, and then tries to catch it with the "simulator-circle".

If the patient could not catch the ball, then he returns it inside the "simulator-circles" by pulling the cord with the ball with his healthy hand, and then continues to carry out the exercise further.

The disadvantages of this device when used during classes on the development of motor functions of the hands in patients with a neurological clinic are:

a) this simulator provides the ability to develop motor functions of the hand by implementing movements primarily in the vertical plane;

b) the difficulty of training with this simulator for patients with severe impairment of the motor functions of the hand, due to the difficulty of catching the ball with the "simulator-mug", the diameter of the upper part of which slightly exceeds the size of the ball;

c) the difficulty of holding the "simulator-circles" for patients with impaired movements of the fingers due to the inability to fix the patient’s hands through the strap.

In order to overcome the above drawbacks, a "Shovel-simulator for classes on the development of motor functions of the hands in patients of a neurological clinic" (hereinafter referred to as the "shovel-simulator") has been developed.

As the basis of the claimed “shoulder blade trainer”, a tool familiar to many patients was chosen, which is a traditional shovel shovel (scapula), consisting of a flat tray connected to the handle, the edges of the tray which are bent upwards from three sides (https: //ru.wikipedia. org / Shovel).

Due to the experience of working with this tool, the actions of patients with it are more secure and available for implementation. Moreover, the shape of the tray of the shovel (scapula), which is an even base, bounded on three sides by the side walls, has certain properties that provide the possibility of implementing simple and accessible exercises for patients.

To ensure the possibility of conducting classes with patients in a neurological clinic, the inventive "shoulder blade trainer" is made in the form of a small plastic blade in size and weight.

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

a) use as a basis of the “shoulder blade exercise machine” a tool familiar to a number of patients, the actions with which are strengthened in past experience;

b) providing the possibility of developing the motor functions of the hand during training with the "shoulder-blade simulator" in various planes due to the implementation of its movements both in the vertical plane, when the ball is thrown up and in the horizontal plane, when the ball moves on the floor surface;

c) ensuring the availability of classes with a "shoulder-blade simulator" to patients of a neurological clinic with impaired motor functions of the hands of a pronounced degree;

d) ensuring the availability of classes with a “shoulder blade trainer” to a patient in a neurological clinic with impaired hand movements due to reliable fixation of the “shoulder blade trainer” in the patient's hand;

e) providing the possibility of implementing exercises of varying degrees of difficulty with the "shoulder-blade simulator";

f) ensuring the possibility of a convenient and quick return of the ball to its initial position during training with a “shoulder-simulator”;

g) the simplicity of the design of the “shoulder blade trainer”, which contributes to its widespread introduction into the practice of working with patients both in the clinic and when conducting independent classes at home.

The technical result of the claimed utility model is the expansion of the functionality of the "Simulator-circles for classes on the development of motor functions of the hands in patients of a neurological clinic," provided by the structural elements of the claimed "simulator-shoulders", allowing classes to develop motor functions of the hands in patients of a neurological clinic by implementing hand movements both in the vertical plane, when tossing the ball up, and in the horizontal plane, when moving ball on the surface of the floor, while allowing easy and quick ball back to the starting position.

This technical result is achieved due to the fact that the "shoulder blade" contains a structure made of plastic, including a tray consisting of a flat rectangular base 3-5 mm thick, 140-200 mm wide and 150-220 mm long, three the sides of which have a barrier wall 3-5 mm thick, and in the lower part of the base of the tray at a distance of 100-150 mm from its front edge, a round thickening is made with a diameter of 40-50 mm and a height of 6-8 mm, in the center of which there is a through a hole with a diameter of 15-20 mm, the edges of which are both parties have a rounded shape; while along the front edge of the base of the tray and the upper edge of the barrier wall, a rounded shape is made, 7-10 mm high, and in the center of the end part of the barrier wall, a handle with a length of 250-500 mm is made, at the end of which a U-shaped solid bracket is made cross-section, between the sides of which a transverse handle is made, and the straps are fixed on the handle and the transverse handle, and a lace with a ball fixed on it is drawn through the through hole, the other end of the lace is made in the form of a loop, in front of which a limiter is installed.

In a preferred embodiment of the “shoulder blade”, the side of the base of the tray on the handle side is made with rounded edges.

In a preferred embodiment of the “shoulder blade” simulator, the wall-barrier consists of several parts: the end part, which is located on the side of the base of the tray with rounded edges, has a height of 40-80 mm and is made with an angle of 100-130 degrees with respect to the base of the tray, two angular parts that are a continuation of the end part and two side parts of a triangular shape, which are a continuation of the two corner parts.

In a preferred embodiment of the “shoulder blade trainer”, the handle has a U-shaped cross-section with a rounded upper part 30-35 mm high, 25-30 mm wide and 3-4 mm wall thickness.

In the preferred embodiment of the “shoulder blade”, the height of the bracket is equal to the height of the handle, the thickness is 5-8 mm, and the distance between the sides is 90-120 mm.

In a preferred embodiment of the “shoulder blade” simulator, the transverse handle has a U-shaped section with a rounded top and a wall thickness of 3-4 mm, its length is equal to the distance between the sides of the bracket, the height is equal to the height of the bracket, and the width is 25-30 mm.

In a preferred embodiment of the “shoulder blade trainer”, the ball is made of elastic plastic and is hollow, and its diameter is 50-70 mm.

In a preferred embodiment, the “shoulder blade” simulator is a plastic washer with a thickness of 3-5 mm, the inner diameter of which is equal to the diameter of the cord, and the outer diameter exceeds the diameter of the hole in the tray by 1.5-2 times.

The essence of the utility model "Shovel simulator for classes on the development of motor functions of the hands in patients of a neurological clinic" is illustrated by the drawings, which depict:

In FIG. 1 is a general view of a “shoulder blade trainer”;

In FIG. 2 is a top view of a “shoulder blade trainer” without a lace and a ball;

In FIG. 3 is a side view of a “shoulder blade trainer” without a lace and a ball;

In FIG. 4 is a sectional view of a “shoulder blade trainer".

The claimed “shoulder-blade simulator” (see Fig. 1) is a plastic structure made of plastic, including a tray (1), consisting of a flat base on three sides of which a barrier wall (3) is made, in the center of the end part of which is made a handle (2) with a transverse handle (8), and a through hole (5) is made in the base of the tray (1) through which a cord (10) with a ball (11) fixed on it is drawn.

The base of the tray (1) has the shape of a rectangle with a width of 140-200 mm, a length of 150-220 mm, one of the narrow sides of which, on the side of the handle (2), is made with rounded edges (see Fig. 2). The thickness of the base of the tray (1) is 3-5 mm.

In the lower part of the base of the tray (1), at a distance of 100-150 mm from the front edge of the base, a thickening (4) of a round shape (see Fig. 3, 4), with a diameter of 40-50 mm and a height of 6-8 mm (cm Fig. 3).

In the center of the bulge (4), a through hole (5) with a diameter of 15-20 mm is made (see Figs. 2, 4).

At the same time, the edges of the through hole (5) on both sides have a rounded shape, which makes it easy to slip the lace (10) during training with the “shoulder blade trainer”.

The base of the tray (1) made on three sides of the wall-barrier (3) has smooth transitions to the base of the tray (1) from the outside and inside.

In this case, the wall-barrier (3) has a thickness of 3-5 mm and includes several parts:

a) the end part, which is located on the side of the base of the tray (1) with rounded edges, has a height of 40-80 mm and is made with an inclination of 100-130 degrees with respect to the base of the tray (1);

b) two angular parts, which are a continuation of the end part of the wall-barrier (3) and have a rounded shape;

c) two lateral parts, which are a continuation of two angular parts, and have a triangular shape.

On the front edge of the base of the tray (1) and the upper edge of the barrier wall (3), a rounded shape (6) is made, with a height of 7-10 mm, which performs the following functions:

a) gives additional rigidity to the tray (1) of the "shoulder blade trainer";

b) provides ease of slipping of the lace (10) along the edges of the tray (1) during training with the "shoulder blade trainer".

In the center of the end part of the barrier wall (3), a handle (2) is made, 250-500 mm long, 30-35 mm high, 25-30 mm wide, which has a U-shaped section with a rounded upper part and 3- wall thickness 4 mm, and to enhance the rigidity of the handle (2), stiffening ribs are made inside it (not shown in the figures).

At the end of the handle (2), a U-shaped bracket (7) is made of a continuous section, between the sides of which a transverse handle (8) is made.

The height of the bracket (7) is equal to the height of the handle (2), the thickness is 5-8 mm, the distance between the sides is 90-120 mm.

The transverse handle (8) has a U-shaped section with a rounded top and a wall thickness of 3-4 mm, its length is equal to the distance between the sides of the bracket (7), the height is equal to the height of the bracket (7), the width is 25-30 mm, and to enhance the rigidity of the transverse handle (8), stiffeners (not shown in the figures) are made inside it.

The distance between the transverse handle (8) and the parallel side of the bracket (7) is 40-50 mm.

To ensure fixation of the patient’s hand during training with the “shoulder-blade simulator”, a strap (9a) is fixed on the handle (2), made, for example, of rubberized fabric, and another similar strap (9b) is fixed on the transverse handle (8).

The ball (11) used in the course of training with the "shoulder-blade simulator" is made of elastic plastic and is hollow, and its diameter is 50-70 mm (see Fig. 1).

As a lace (10), a braided synthetic rope with a diameter of 2-4 mm can be used, which has the property of easy sliding on a plastic surface, for example, “Twisted polyester rope” (GlobalTex-M Company, Twisted polyester rope, found on September 10, 2018 in the Internet at http://2029863.ru/kruchennaya-veryovka).

The length of the lace (10) is 2000-2500 mm, and its fastening to the ball (11) can be carried out in various ways, for example, by means of an adhesive joint.

The other end of the lace (10) is made in the form of a loop (12), which provides the convenience of holding the lace (10) with the patient’s healthy hand during training with the “shoulder blade exercise machine”.

To prevent accidental slipping of the loop (12) through the hole (5) in the tray (1) during training with the “trowel-simulator”, a stopper (13) is installed on the cord (10) in front of the loop (12), which is a plastic washer 3 thick -5 mm, the inner diameter of which is equal to the diameter of the lace (10), and the outer diameter exceeds the diameter of the hole (5) in the tray (1) by 1.5-2 times.

Work with the "Shovel-simulator for classes on the development of motor functions of the hands in patients of a neurological clinic" is carried out by two methods:

a) the first method is aimed at developing hand movements in a vertical plane, which is ensured by performing exercises consisting in tossing the ball upwards with the help of a “shoulder blade” and its subsequent capture;

c) the second method is aimed at the development of hand movements in the horizontal plane, which is ensured by performing exercises consisting in moving the ball with the help of a “shoulder blade” simulator on the floor surface.

When working with the first method, the patient may be in a sitting or standing position.

 Before starting exercises based on the first method, the handle (2) of the “shoulder blade exercise machine” is fixed with a strap (9a) in the patient’s hand with impaired movement, and the ball (11) is located on the surface of the base of the tray (1) of the shoulder blade exercise machine ".

At the same time, the loop (12) of the cord (10) is located in the healthy arm of the patient, and the healthy arm of the patient is located near the arm with a “shoulder blade trainer”.

The exercises performed with the “shoulder-paddle machine” include the following movements:

a) toss the ball (11) up to a small height, by moving the hand holding the “shoulder blade trainer”;

b) catch the ball (11) with a “trowel-simulator” so that it is on the surface of the base of the tray (1).

In the event that after performing the above steps the ball (11) was on the surface of the base of the tray (1) of the "shoulder blade trainer", then the patient continues to perform the exercises further.

If the ball (11) has not been caught, the patient returns the ball (11) to the surface of the base of the tray (1) of the “shoulder blade trainer” by pulling the cord (10) with a healthy hand over the loop (12), after which the exercise continues Further.

As patients achieve positive results in the development of hand movements in the horizontal plane, the exercises are complicated by gradually increasing the height of the ball tossing.

When working with the second method, aimed at the development of hand movements in a horizontal plane, the patient is in a sitting position, and the “shoulder blade trainer” can be held in two ways:

a) by the handle (2), with fixing the patient’s hand by means of a strap (9a) located on the handle (2);

b) by the transverse handle (8), with the patient’s hand being fixed by means of a strap (9b) located on the transverse handle (8).

At the same time, a loop (12) of lace (10) is located in the patient’s healthy hand, and the patient’s healthy hand is located near the arm with a “shoulder blade”.

Before starting the exercises, the ball (11) is located on the floor surface, at a distance of 100-200 mm from the tray (1) of the "shoulder blade trainer", and so-called are located at a certain distance from the patient (700 mm or more). “gates” (formed from two improvised objects, the distance between which is 500 mm or more), into which the patient must get a ball with the help of a hand movement with a “shoulder-blade exercise machine” (11).

After performing a hand movement with a “shoulder blade trainer”, the patient returns the ball (11) to its original position by pulling the cord (10) with the healthy hand by the loop (12), after which the exercise continues.

As the patient achieves positive results in the development of arm movements in the horizontal plane, the exercises performed with the “shoulder-simulator” are complicated by gradually reducing the width of the so-called “gates” and gradually removing them from the patient.

Thus, the design features of the “shoulder-blade simulator” provide the ability to perform simple and accessible exercises for the patient, ensuring the implementation of the arm movement process in the vertical and horizontal planes, with a gradual increase in the degree of complexity of the exercises.

Moreover, the design features of the “shoulder blade trainer” provide the ability to quickly return the ball (11) to its initial position by pulling the cord (10) by the loop (12), which provides not only the convenience of patients with the shoulder blade trainer, but the possibility of independent studies of patients.

The importance of the “shoulder blade trainer” lies in the fact that working with it arouses interest and positive emotions in patients, since the movements performed with the shoulder blade trainer are not mechanical and of the same type, but are playful in nature, which helps to maintain the interest of patients to exercises performed.

After mastering the use of a “shoulder blade trainer” under the guidance of a specialist, the patient gets the opportunity to conduct independent classes with him both in the clinic and at home.

Along with classes on the development of motor functions of the hands in patients with a neurological clinic, the “shoulder-simulator” can also be effectively used in the development of motor functions of the hands that are impaired due to various other diseases, for example, injuries, consequences of surgical operations, etc.

In addition to the use of the "shoulder blade exercise machine" in clinical practice, it can be widely used in the sports and fitness field, for example, when conducting classes with children.

Thus, the "shoulder blade" due to its structural elements provides the possibility of classes on the development of motor functions of the hands by implementing hand movements both in the vertical plane, tossing the ball up and in the horizontal plane, when moving it on the floor surface, providing at the same time, the ability to conveniently and quickly return the ball to its initial position.

The use of a “shoulder-blade simulator” introduces an element of novelty into the process of rehabilitation classes, turning them into interesting and attractive training for patients.

Due to the simplicity of design and ease of use, the "shoulder blade" can be widely used in clinical practice, allowing patients to carry out classes on the development of motor functions of the hands both in a hospital and on their own at home.

Claims (9)

1. The shoulder blade trainer for classes in the development of motor functions of the hands of patients in a neurological clinic, characterized in that it contains a plastic structure made of plastic, including a tray consisting of a flat rectangular base, a barrier wall is made on three sides, and a lower wall part of the base of the tray is made thickening of a round shape, in the center of which a through hole is made, the edges of which are rounded on both sides; at the same time, a rounded shape is made along the front edge of the base of the tray and the upper edge of the barrier wall, and a handle is made in the center of the end part of the barrier wall, at the end of which a U-shaped bracket of continuous section is made, between the sides of which there is a transverse handle, straps are fixed on the handle and transverse handle, and a lace with a ball fixed on it is pulled through a through hole, the other end of the lace is made in the form of a loop, in front of which a limiter is installed. 2. The shoulder blade trainer according to claim 1, characterized in that the base of the tray has a thickness of 3-5 mm, a width of 140-200 mm, a length of 150-220 mm, and the side of the base of the tray on the handle side is made with rounded edges. 3. The shoulder blade trainer according to claim 1, characterized in that the wall-barrier has a thickness of 3-5 mm and consists of several parts: the end part, which is located on the side of the base of the tray with rounded edges, has a height of 40-80 mm and is made with a slope of 100-130 degrees with respect to the base of the tray, two corner parts that are a continuation of the end part and two side parts of a triangular shape, which are a continuation of two corner parts. 4 The shoulder blade trainer according to claim 1, characterized in that the round thickening is made at a distance of 100-150 mm from the front edge of the tray and has a diameter of 40-50 mm and a height of 6-8 mm, and the diameter of the through hole made therein is 15 -20 mm. 5 The shoulder blade trainer according to claim 1, characterized in that the round edging has a height of 7-10 mm. 6. The shoulder blade trainer according to claim 1, characterized in that the handle has a length of 250-500 mm and a U-shaped section with a rounded upper part 30-35 mm high, 25-30 mm wide and 3-4 mm wall thickness. 7. The shoulder blade trainer according to claim 1, characterized in that the staple height is equal to the height of the handle, the thickness is 5-8 mm, and the distance between the sides is 90-120 mm. 8. The shoulder blade trainer according to claim 1, characterized in that the transverse handle has a U-shaped section with a rounded top and a wall thickness of 3-4 mm, its length is equal to the distance between the sides of the bracket, the height is equal to the height of the bracket, and the width is 25-30 mm. 9. The shoulder blade trainer according to claim 1, characterized in that the ball is made of elastic plastic and is hollow, and its diameter is 50-70 mm.

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