RU189161U1 - Training simulator for practicing the development of hand motor functions in patients of the neurological clinic - Google Patents

Abstract

The utility stick simulator for classes in the development of hand motor functions in patients of the neurological clinic refers to medicine in the neurology and neurorehabilitation section and can be used in the neurosurgical departments of the neurological and neurosurgical clinics during the development of hand motor functions in patients with neurological clinic organic lesions of the brain of various etiologies. The useful model contains a plastic construction made in the shape of a hockey stick and comprising a handle (1) of rectangular cross section, the lower part of which smoothly passes into a hook (2) in which a through hole (3) is made, the edges of which on both sides have a smooth rounded shape, and through the through hole (3) lace (7), at one end of which a washer (8) is fixed, and at the other end of the lace (7) there is a loop (9), in front of which a stop (10) is installed; at the same time, an emphasis (4) and notches (5) are made in the upper part of the handle (1), and a strap (6) is also fixed. Thus, the “stick simulator”, through its structural elements, provides an opportunity to conduct classes in developing hand motor functions based on the strengthened skills of patients with experience playing hockey, allowing you to conduct safe and comfortable classes to develop the motor functions of the hands with patients of the neurological clinic, including patients with impaired movements of the fingers and patients with impaired motor functions n og, due to the easy and convenient return of the puck to the initial position. Using the “stick simulator” introduces an element of novelty into the recovery process, turning it into an interesting and attractive training for patients.

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 01/20/2019 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 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 practicing with this simulator for bed patients of the neurological clinic.

Also, from the current level of technology known device "Simulator-blade for training on the development of motor functions of the hands of patients with a neurological clinic" (Patent RU 186559 U1, publication date 01.23.2019).

Structurally, this device is a plastic spatula consisting of a handle and a flat tray with a hole through which the cord with the ball attached to it is stretched.

One of the exercises performed with this device is that the patient holds the “treadmill” with an impaired movement, in front of which, on the floor surface, there is a ball that the patient must hit in the gates located at a certain distance. After the exercise, the patient returns the ball to its original position by pulling up the lace with the ball with his good hand, and then continues the exercise further.

This device is effective for classes with patients who have had experience in working with a shovel in the past, since, according to the principles of rehabilitation training (Tsvetkova LS, Neuropsychological rehabilitation of patients, M .; Voronezh, 2004), the recovery process should be based on the usual and automated sick activity. Along with this, it is desirable that this activity corresponds to the hobbies of the patient and arouses his interest.

Therefore, in order to increase the arsenal of devices for practicing the development of the motor functions of hands in patients with enhanced motor skills, the “Training simulator-stick for training in the development of movement functions of the arms in patients with a neurological clinic” (hereinafter referred to as the “training simulator-club”) was developed, which is intended for rehabilitation classes with patients who have previous hockey skills.

As the basis of the stated “simulator stick”, the traditional hockey stick, usual for these patients, is used, which consists of a handle with a hook located at an angle.

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

a) use as the basis of the "stick simulator" of a sports projectile, the skills of possession of which were strengthened and automated in the past experience of patients who had previously played hockey;

b) ensuring the availability of classes with a “stick simulator” for a patient at a neurological clinic with hand movement disorders due to reliable fixation of the stick stick stick in the patient's hand with a strap;

c) ensuring the possibility of conducting classes for patients of the neurological clinic with impaired motor functions of the legs, which cannot independently lift the puck from the floor and install it in the initial position in front of the hook of the stick simulator;

d) ensuring the convenience and comfort of conducting classes for all patients of the neurological clinic due to the easy and quick return of the puck to the initial position during the sessions with the “stick-trainer”;

e) the possibility of implementing exercises of varying degrees of difficulty with the “stick simulator”;

e) ensuring the safety of the use of the stick simulator for those around it due to the fact that the puck is attached to a string, which limits the area of its movement during the course of classes;

g) the simplicity of the construction of the “stick simulator”, contributing 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 realization of the possibility of conducting classes in the development of motor functions of hands based on the strengthened skills of patients with hockey experience, provided by the structural elements of the stated "stick simulator", allowing for safe and comfortable exercises on the development of motor functions hands with patients of the neurological clinic, including patients with impaired movement of the fingers and patients with impaired motor functions of the legs, due to the lung and convenient return of the puck to the starting position.

This technical result is ensured by the fact that the “stick simulator” contains a plastic-made structure having the shape of a hockey stick that includes a rectangular section handle, the lower part of which smoothly passes into the hook, in which a through hole is made, the edges of which the sides have a smooth rounded shape, and a lace is stretched through the through hole, at one end of which a washer is fixed, and at the other end of the lace there is a loop in front of which there is a stop; at the same time, an emphasis and notches are made in the upper part of the handle, and a strap is also fixed.

In the preferred embodiment of the stick simulator, the washer is made of plastic and has a cylindrical hollow shape.

In the preferred embodiment of the stick simulator, the limiter is a circular plate with a hole in the center.

In the preferred embodiment of the stick simulator, the strap is made of rubberized fabric.

The essence of the utility model "Sticker simulator for practicing the development of hand motor functions in patients at a neurological clinic" is explained in the drawings, which depict:

FIG. 1 - a general view of the stick simulator;

FIG. 2 - a type of "stick simulator" without a cord and a washer.

The claimed "training apparatus-stick" (see Fig. 1, 2) is a plastic construction made in the form of a hockey stick, including a handle (1) with a hook (2), in which a through hole (3) is made, through which is stretched lace (7) with a washer fixed on it (8).

The dimensions of this particular “stick simulator” indicated below are not signs that narrow the scope of legal protection, as they may change in the process of its creation.

The handle (1) is hollow and has a rectangular cross-section, the dimensions of which are 15-25x25-35 mm, and the wall thickness is 2-4 mm.

The total length of the handle (1) is 600-1500 mm.

The lower part of the handle (1) smoothly passes into the hook (2) of a solid section, which is located at an angle of 130-140 degrees relative to the handle (1) and has a length of 160-300 mm, a height of 40-70 mm and a thickness of 8-12 mm .

In the center of the hook (2) there is a through hole (3) with a diameter of 15-20 mm, the edges of which on both sides have a smooth rounded shape, which ensures the ease of sliding of the lace (7) during training with a "stick simulator".

In the upper part of the handle (1), an emphasis (4) and notches (5) ensure the patient's hands are fixed on the handle (1) in the course of training with the “stick-type simulator”.

The stop (4) extends beyond the handle (1) by 5-10 mm from each of its sides, and the height of the stop (4) is 10-20 mm.

The length of the handle area (1) on which the notches (5) are made is 100-150 mm.

To ensure additional fixation of the patient’s hand with disturbed finger movements, a strap (6), made for example of rubberized fabric, is fixed on the upper part of the handle (1).

The washer (8) used in the course of training with the “stick simulator” is made of plastic, has a cylindrical shape with a diameter of 60-80 mm and a height of 15-25 mm (see Fig. 1).

To ensure occupational safety, the washer (8) is hollow and has a wall thickness of 1-2 mm.

A braided synthetic rope with a diameter of 2-4 mm, which has the property of easy sliding on a plastic surface, for example, "Twisted polyester rope" (GlobalTex-M Company, Twisted polyester rope, found 01/30/2019, can be used as a lace (7)) on the Internet at http://2029863.ru/kruchennaya-veryovka).

The length of the lace (7) is 2000-3000 mm, and its fastening to the washer (8) may be carried out in various ways, for example, by means of adhesive bonding.

The other end of the lace (7) is made in the form of a loop (9), which provides the convenience of holding the lace (7) with the healthy hand of the patient during the lessons with the “stick simulator”.

To prevent accidental slipping of the loop (9) through the through hole (3) in the hook (2) during the lessons with the “stick trainer”, a limiter (10) is installed on the cord (7) in front of the loop (9), which is a round plate 3-5 mm with a central hole, the diameter of which is equal to the diameter of the lace (7), and the outer diameter of the plate exceeds the diameter of the through hole (3) in the hook (2) 1.5-2 times.

The work with the “Training Stick for lessons on the development of motor functions of the hands in patients with a neurological clinic” is carried out as follows.

During a class with a “stick simulator”, the patient is standing or sitting, and his arm with movement disorders is fixed on the handle (1) of the stick simulator by means of a strap (6). At the same time in a healthy hand of the patient there is a loop (9) of a lace (7).

Before starting the exercises, the washer (8) is located on the floor surface, at a distance of 100-300 mm from the hook (2) of the stick simulator, and so-called at a certain distance from the patient (700 mm or more). “gates” (formed from two improvised objects, the distance between which is 300 mm or more), into which the patient must hit the puck (8) by performing a hand movement with a “stick simulator”.

After performing the exercise, the patient returns the washer (8) to the initial position by tightening the lace (7) in the loop (9) with a healthy hand, after which the exercise continues further.

As the patient achieves positive results in the development of hand movements, the complexity of the exercises performed with the “stick trainer” is realized by gradually reducing the width of the so-called “gates” and their gradual removal from the patient.

Thus, the design features of the stick simulator make it possible to perform simple and accessible exercises for the patient, with the possibility of gradually increasing the degree of their complexity.

At the same time, the design features of the stick simulator make it possible to quickly return the washer (8) to the initial position by tightening the cord (7) in a loop (9), which provides not only the convenience of practicing patients with the stick simulator, but also the possibility of occupations of patients with impaired motor functions of the legs.

The importance of the stick simulator lies in the fact that working with it causes interest and positive emotions in patients, since the movements performed are not mechanical and of the same type, but have a playful character that helps to keep patients interested in the exercises.

After mastering the use of the “stick simulator” 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 development of the motor functions of the hands in patients of the neurological clinic, the stick simulator can also be effectively used in the development of the motor functions of the hands impaired as a result of various other diseases, such as injuries, the effects of surgical operations, etc.

Thus, the "stick simulator", due to its structural elements, provides the opportunity to conduct classes in the development of motor functions of hands based on the strengthened skills of patients with hockey experience, allowing you to conduct safe and comfortable exercises on the development of motor functions of hands with patients neurological clinic, including patients with impaired movement of the fingers and patients with impaired motor functions of the legs, due to the easy and convenient return of the puck to the initial position.

The use of a “stick simulator” 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 design and ease of use, the stick simulator can be widely used in clinical practice, allowing patients to carry out classes in the development of motor functions of the hands both at the hospital and independently at home.

Claims (4)

1. Simulator-stick for practicing the development of the motor functions of the hands in patients of the neurological clinic, characterized by the fact that it contains a plastic structure made in the form of a hockey stick, which includes a rectangular handle, the lower part of which smoothly passes into the hook in which it is made a through hole, the edges of which on both sides have a smooth round shape, and a lace is stretched through the through hole, at one end of which a washer is fixed, and at the other end of the lace there is a loop in front of the cat Roy set the limiter; at the same time, an emphasis and notches are made in the upper part of the handle, and a strap is also fixed. 2. The simulator-club under item 1, characterized in that the washer is made of plastic and has a cylindrical hollow shape. 3. The simulator-club under item 1, characterized in that the limiter is a round plate with a hole in the center. 4. Simulator-club under item 1, characterized in that the strap is made of rubberized fabric.

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