RU189157U1 - Training simulator for practicing the development of hand motor functions in patients with a neurological clinic - Google Patents

Abstract

The utility model “Simulator-glass for developing the motor functions of the hands in patients of the neurological clinic” refers to medicine in the neurology and neurorehabilitation section and can be used in the neurorehabilitation departments of the neurological and neurosurgical clinics when conducting exercises on the development of the hand motor functions in patients with neurological clinic. The utility model includes a body made of plastic (1), having the shape of a truncated cone, in the center of the bottom of which a hole (4) is made with a rounded margins, and on the upper edge of the body (1) there is a rounded border (3); at the same time, on the side surface of the case (1), small and large fixing straps (2a, 2b) are fixed opposite to each other, which are arranged in such a way that the small fixing strap (2a) is fixed in the upper part of the case (1) and ensures fixation of the thumb the patient, and a large locking strap (2b) ensures the fixation of four other fingers of the patient's hand; at the same time through the hole in the bottom of the case (1) the cord (5) with the ball (6) fixed on it is stretched, and the other end of the lace (5) is made in the form of a loop (7), in front of which there is a stop (8). Thus, "Simulator-glass" allows for classes on the development of motor functions of the hands in patients of the neurological clinic with impaired movements of the fingers due to convenient and reliable fixation of the "simulator-glass" case in the patient's hand. At the same time, the "simulator-glass" allows you to perform with it simple and accessible to patients exercise different degrees of difficulty, as well as the possibility of convenient and quick return of the ball inside the body of the “simulator-cup”. Using the “simulator-cup” introduces a novelty element into the recovery process, turning them into an interesting and attractive training for patients. Thanks to the simplicity of design and convenience use of the simulator-glass can be widely used in clinical practice, allowing patients to carry out classes in the restoration of the motor functions of the hands, both in the hospital and in actively at home.

Description

This utility model relates to medicine to the section of neurology and neurorehabilitation and can be used in the departments of neurorehabilitation of neurological and neurosurgical clinics when conducting classes on the development of hand motor functions in patients with a neurological clinic.

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

At present, various simulators and devices are used for practicing the development of motor functions of the hands in patients of the neurological clinic.

So, from the current level of technology known "Simulator for arms and shoulders" CuraMotion Exer III Plus ", which is designed to develop motor functions of the upper extremities, to strengthen the muscles of the arms, increase flexibility and mobility of the shoulder girdle (online store" Promedic ". Simulator for arms and shoulders PT22100 CuraMotion Exer III Plus, found 01/06/2019 in 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 with his hand, making circular movements.

The disadvantages of this simulator when using it in the course of training on the development of motor functions of the hands in patients of the neurological clinic are:

a) mechanical repetition of the same circular movement of the hand in the same plane, without the possibility of working on the restoration of 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 simulator only if there is a horizontal surface of the table;

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

Also from the current level of technology is known device "simulator-circle for classes on the development of motor functions of the hands of patients with a neurological clinic" (Patent RU 182947 U1, publication date 06.09.2018,).

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

In the course of training with the “simulator-cup”, the patient, holding his hand in violation of movements, throws the ball upwards by moving the arm with this device, and then tries to catch the ball with the “simulator-cup”.

If the patient could not catch the ball, he returns it inside the “simulator-circle” by pulling up the lace with the ball with his good hand, after which he continues the exercise further.

The disadvantage of this device when using it in the course of training on the development of motor functions of the hands in patients of the neurological clinic is the complexity and in some cases the complete impossibility of training with the “simulator-cup” for patients with impaired movements of the fingers, which is difficult and in some cases unavailable hold of this device.

In order to overcome this drawback, a “simulator-glass for training on the development of motor functions of the hands in patients at a neurological clinic” (hereinafter referred to as “simulator-glass”) has been developed.

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

a) use as a basis for a simulator a widely used everyday object, in particular a glass, the actions with which were strengthened and the past experience of patients, therefore, are more safe and accessible for implementation;

b) ensuring the availability of classes with a “simulator-glass” for patients with a neurological clinic with impaired movements of the fingers by fixing a “simulator-glass” in the patient's hand through fixing straps;

c) the possibility of implementing exercises of varying degrees of complexity with the “simulator-glass”;

d) ensuring the possibility of a convenient and quick return of the ball to the “simulator-glass” in case it was not caught by the patient;

e) simplicity of the “simulator-cup” design, which contributes to its widespread introduction into the practice of working with patients, both in the clinic and during self-study at home.

The technical result of the claimed utility model is the expansion of the functionalities of the “Training Circle for practicing the development of motor functions of the hands in patients of the neurological clinic”, provided by the structural elements of the claimed “simulator-glass”, which allow to carry out the exercises on the development of the motor functions of the hands of patients of the neurological clinic with the violation of the movements of the fingers of the hand, while providing the ability to perform with the "simulator-glass" simple and accessible to patients exercise Different degrees of complexity, as well as convenient and quick return of the ball inside the “simulator-glass”.

This technical result is ensured by the fact that the "simulator-glass" contains a body made of plastic, having the shape of a truncated cone, in the center of the bottom of which a hole is made with rounded edges, and a round shape is made on the upper edge of the body; at the same time, on the side surface of the case, small and large fixing straps are fixed opposite each other, which are arranged so that the small fixing strap is fixed in the upper part of the case and fixes the patient’s thumb, and the large fixing strap fixes the other four fingers of the patient’s hand; at the same time through the hole in the bottom of the case the cord with the ball fixed on it is stretched, and the other end of the lace is made in the form of a loop, in front of which a stop is installed.

In the preferred embodiment of the simulator-cup, the height of the body is 100-120 mm, and its wall thickness is 2-4 mm.

In the preferred embodiment of the simulator-cup, the inner diameter of the bottom of the case is 40-60 mm, its thickness is 7-10 mm, and the diameter of the hole made in the bottom is 10-20 mm.

In the preferred embodiment of the simulator-glass, the small and large fixing straps are made of an elastic material, for example, rubber.

In the preferred embodiment of the “simulator-cup” the ball is made of flexible plastic and is hollow, and its diameter is 10-20 mm smaller than the internal diameter of the bottom of the case.

In the preferred embodiment of the simulator-stack, the limiter 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 bottom 1.5-2 times.

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

FIG. 1 - a general view of the "simulator-glass" with a cord and a ball;

FIG. 2 - view of the “simulator-glass” without lace and ball;

FIG. 3 - view of the “simulator-glass” in the section.

The stated "simulator-glass" (see Fig. 1, 2) is a plastic case (1), which has the shape of a truncated cone with two fixing straps fixed on it (2a, 2b), while in the bottom of the case (1 ) a hole (4) is made through which the cord (5) is stretched with a ball (6) attached to it.

The inner diameter of the bottom of the case (1) is 40-60 mm, and its thickness is 7-10 mm.

In the center of the bottom there is a hole (4) with a diameter of 10-20 mm (see Fig. 3), with rounded edges, providing ease of sliding of the lace (5) during the sessions with the “simulator-cup”.

The height of the body (1) is 100-120 mm, its wall thickness is 2-4 mm, and the inner diameter of the upper part of the body (1) is 15-30 percent higher than the inner diameter of the bottom.

Along the upper edge of the body (1), there is a rim (3) of round shape, 7–10 mm high, which performs the following functions:

a) gives additional rigidity to the body (1) of the “simulator-glass”;

b) due to the rounded shape, it ensures the ease of sliding of the lace (5) along the upper edge of the case (1) during the sessions with the “simulator-glass”.

On the side surface of the body (1), small and large fixing straps (2a, 2b) are fixed opposite each other, which are made of elastic material, for example, rubber, and provide convenient fixation of the “simulator-cup” in the patient's hand with impaired finger movements due to that:

a) a small fixing strap (2a) is fixed in the upper part of the case (1) and is intended for fixing the patient's thumb;

b) a large fixing strap (2b) is designed to fix the four other fingers of the patient’s hand.

The upper edges of the small and large fixing straps (2a, 2b) are at the same level, and they are attached to the body (1), for example, by means of glue or riveted connection (not shown in the figures).

The clearance between the small fixing strap (2a) and the wall of the case (1) is 20–25 mm in height, and 20–25 mm in width.

The clearance between the large fixing strap (2b) and the wall of the case (1) is 70-90 mm in height, and 20-25 mm in width.

The width of the fixing straps (2a, 2b) is the same and is 15-20 mm, and the thickness is 3-4 mm.

The ball (6) used during training with the “simulator-cup” is made of flexible plastic and is hollow, and its diameter is 10-20 mm smaller than the internal diameter of the bottom of the case (1).

A braided synthetic rope with a diameter of 2-3 mm, which has the property of easy sliding on a plastic surface, such as "Twisted polyester rope" (GlobalTex-M Company, Twisted polyester rope, found on 01/06/2019, can be used as a lace (5)). Internet at http://2029863.ru/kruchennaya-veryovka).

The length of the lace (5) is 1200-1500 mm, and its attachment to the ball (6) may be carried out in various ways, for example, by means of adhesive bonding.

The other end of the lace (5) is made in the form of a loop (7), which provides the convenience of holding the lace (5) with the healthy hand of the patient during the sessions with the “simulator-glass”.

To prevent accidental slipping of the loop (7) through the hole (4) in the bottom of the body (1) during the sessions with the “simulator-cup”, a limiter (8) is installed on the cord (5) in front of the loop (7), which is a plastic washer 3-5 mm, the inner diameter of which is equal to the diameter of the lace (5), and the outer diameter exceeds the diameter of the hole (4) in the bottom 1.5-2 times.

Work with the "simulator-glass for classes on the development of motor functions of the hands in patients with a neurological clinic" is carried out as follows.

Before the start of the lesson, the ball (6) is placed inside the body (1) of the “simulator-cup”, and the patient's arm with movement disorders is fixed on the body (1) of the “simulator-cup” as follows:

a) the patient's thumb is fixed with a small locking strap (2a);

b) four other fingers of the patient's hand are fixed with a large fixing strap (2b).

Thus, the fixing straps (2a, 2b) provide the possibility of fixing the patient's fingers on the surface of the body (1) of the “simulator-cup” in a natural position, similar to the position of the fingers of a healthy person’s hand holding the cup.

At the same time, the patient’s healthy hand holds a loop (7) of the lace (5), and the patient’s healthy hand holding the loop (7) is located close to the hand with the “exercise machine-cup”.

The exercise performed by the patient with the “simulator-glass” includes the following movements:

a) to throw the ball (6) upward to a small height, by moving the arm with the “simulator-glass”;

b) catch the ball (6) with a “simulator-glass” so that it is inside its body (1).

If after performing the above actions, the ball (6) is inside the body (1) of the “simulator-glass”, then the patient continues to perform the exercise further.

If the ball (6) is outside the body (1) of the “simulator-cup”, the patient returns the ball (6) into the body (1) by pulling the cord (5) with the healthy hand for the loop (7), after which The exercise continues on.

Thus, the use of a “simulator-glass” causes interest and positive emotions in patients, since the movements performed with it are not mechanical, but are game-like, contributing to maintaining interest in the exercises.

As the patient achieves positive results in the development of the motor functions of the arm, the exercises become more complex through a gradual increase in the height of the ball toss (6).

After mastering the use of "simulator-glass" 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 the exercises on the development of the motor functions of the hands in patients of the neurological clinic, the “simulator-glass” can also be effectively used in the development of the motor functions of the hands impaired due to various other diseases, for example, hand injuries, the effects of surgical operations, etc.

Thus, the "simulator-glass" allows for classes to develop the motor functions of the hands in patients of the neurological clinic with impaired movements of the fingers due to convenient and reliable fixation of the body (1) of the "simulator-glass" in the patient's hand.

At the same time, the “simulator-glass” provides the ability to perform simple and accessible exercises for patients of various degrees of complexity, as well as the possibility of convenient and quick return of the ball (6) into the body (1) of the “simulator-glass”.

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

Due to the simplicity of the design and ease of use, the simulator-glass can be widely used in clinical practice, allowing patients to carry out exercises to restore the motor functions of the hands, both in the hospital and independently at home.

Claims (5)

1. A simulator-cup for practicing the development of motor functions of the hands in patients of a neurological clinic, characterized by the fact that it contains a plastic-made body having the shape of a truncated cone, in the center of the bottom of which a hole with rounded edges is made, and on the upper edge of the body there is a round edging forms; at the same time, on the side surface of the case, small and large fixing straps are fixed opposite each other, which are arranged so that the small fixing strap is fixed in the upper part of the case and fixes the patient’s thumb, and the large fixing strap fixes the other four fingers of the patient’s hand; at the same time through the hole in the bottom of the case the cord with the ball fixed on it is stretched, and the other end of the lace is made in the form of a loop, in front of which a stop is installed. 2. The simulator glass according to claim. 1, characterized in that the height of the body is 100-120 mm. 3. The simulator glass according to claim. 1, characterized in that the small and large locking straps are made of an elastic material, such as rubber. 4. The simulator-cup according to claim 1, characterized in that the ball is made of elastic plastic and is hollow. 5. The simulator glass according to claim. 1, characterized in that the limiter is a plastic washer.

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