RU189182U1 - Simulator shoe for practicing the development of the motor functions of the legs in patients of the neurological clinic - Google Patents

Abstract

The utility model “Training device-shoe for practicing the development of the motor functions of the legs in patients of the neurological clinic” refers to medicine in the neurology and neuro-rehabilitation section and can be applied in the neuro-rehabilitation departments of the neurological and neurosurgical clinics during the development of leg motor exercises in patients with organic brain lesions of various etiologies. The useful model contains a work item fixed on the patient’s foot (1), which is made in IDE of a shoe that includes a plastic sole (2), on which a vamp is made (3), to the back of which a strap (4) is movably fixed by means of two axial connections (5), and a bracket is rigidly fixed on the nose of the sole (2) 6), which includes a flat part and an annular part of circular section, through which the cord (7) with the ball (8) attached to it is stretched, and the other end of the cord (7) is made in the form of a loop (9), in front of which there is a stop ( 10) .Thus, the "simulator-shoe" provides the ability to conduct independent yaty to develop motor functions of legs through the use of the consolidation of motor skills of patients with experience of playing in futbol.Ispolzovanie "trainer-shoes" contributes to the process of reducing employment element of novelty, turning them into an interesting and attractive for people with training. Due to the simplicity of design and ease of use, the "simulator-shoe" can be widely used in clinical practice, allowing for the rehabilitation classes of patients both in the hospital and independently, at home.

Description

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

Movement impairment of the legs 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 the present time, various simulators and devices are used for practicing the development of the motor functions of the legs in patients of the neurological clinic.

For example, pedal-type simulators are known from the prior art, for example, the T70300 Exercise Bike, designed for active-passive development of lower limbs (Topzdrav online store, Rehabilitation simulators. T70300 exercise bike, found 03/25/2019 on the Internet at http: //topzdrav.ru/products/velotrenazher-t70300).

Structurally, this simulator is a frame made of metal profiles, on which two pedals are movably mounted, which the patient must rotate with his legs.

The disadvantages of this simulator when it is used during classes on the development of the motor functions of the legs in patients of the neurological clinic are:

a) ensuring stereotypical repetition of the same circular motion, without the possibility of working on the development of any other leg movements;

b) the inability to change the degree of complexity of the exercises performed by patients.

Also, from the current level of technology known device "Simulator-foot computer mouse for classes on the restoration of the motor functions of the legs in patients of the neurological clinic" (Patent RU 166219 U1, publication date 27.06.2016).

Structurally, this device is a foot computer mouse, which is made in the form of shoes, fixed on the leg of the patient with a violation of motor functions. In the course of classes, the patient through this device manages various game programs, with the result that the leg with movement disorders is included in various movements that contribute to the development of its motor functions.

The disadvantages of this device when it is used during classes on the development of the motor functions of the legs in patients of the neurological clinic are:

a) the need for a monitor with a computer on which the appropriate game programs are installed;

b) the need for patients to have skills in working with computers and gaming programs;

C) the technical complexity of the device, which includes various electronic components.

Also, from the current level of technology known device "Simulator-blade for classes on the development of motor functions of the hands of patients with neurological clinics" (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.

In the course of training with this device, the patient holds the “treadmill” with an impaired movement, in front of the tray of which there is a ball that needs to get into the gates located at a certain distance. After the exercise, the patient returns the ball to the initial position by pulling up the lace with the ball with his good hand, after which the exercise continues.

This device is most effective for practicing patients with previous experience in working with a shovel, 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 patient’s usual activities strengthened in his past experience. At the same time, it is desirable that this activity corresponds to the hobbies of the patient and arouses his interest.

However, this device is intended for classes on the development of motor functions of the hands, and does not provide the opportunity to conduct classes on the development of motor functions of the legs in patients with a neurological clinic.

In order to overcome the above disadvantages, as well as provide opportunities to conduct classes on the development of motor functions of the legs on the basis of enhanced motor skills, a “Training simulator for training on the development of motor functions of the legs in patients with a neurological clinic” (hereinafter referred to as a “training simulator”) has been developed which is intended for rehabilitation classes with patients who have previous experience with skills related to playing football or other similar ball games.

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

a) ensuring the use of exercises in the development of the motor functions of the legs, based on the enhanced motor skills of patients who have experience in playing football;

b) ensuring the availability of classes with a “shoe simulator” for patients with a neurological clinic with impaired motor functions of the legs of varying severity;

c) ensuring the possibility of self-study for patients with a neurological clinic who are not able to install the ball independently in the initial position in front of the patient's foot;

d) the possibility of implementing exercises of varying degrees of difficulty with the “simulator-shoe”;

e) ensuring the convenience and comfort of conducting lessons with a “shoe simulator” due to the easy and quick return of the ball to the initial position in front of the patient's foot;

e) ensuring the safety of occupations by a “trainer-shoe” for others due to the fact that the ball is fixed on a cord, which limits the area of its movement during occupations;

g) the simplicity of the “simulator-shoe” design, contributing to its widespread introduction into practical work 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 based on the use of strengthened motor skills of patients who have experience in playing football, provided by the structural elements of the claimed “training apparatus-shoes”, which allow them to conduct independent classes in developing motor functions of the legs in patients with a neurological clinic. impaired motor functions of the legs of varying severity.

This technical result is ensured due to the fact that the "trainer-shoe" contains a work item fixed on the patient's foot, which is made in the form of a shoe that includes a plastic sole on which the vamp is made, to the back of which a strap is movably fixed by means of two axial joints , and on the nose of the sole the bracket is rigidly fixed, which includes a flat part and an annular part of circular cross section through which the cord with the ball fixed on it is stretched, and the other end of the cord is made in the form of a pet and before which the limiter is set.

In the preferred embodiment of the "simulator shoes" strap is made of elastic plastic.

In the preferred embodiment, the "simulator shoes" bracket is made of hard plastic.

In the preferred embodiment, the "simulator shoes" the ball is made of elastic plastic and is hollow.

In the preferred embodiment, the "simulator shoes" limiter is a plastic washer.

The essence of the utility model "Simulator-shoe for training on the development of the motor functions of the legs in patients with neurological clinics" is illustrated by sketches, which depict:

FIG. 1 - a general view of the "simulator shoes";

FIG. 2 - view of the “simulator shoes” without a cord and ball.

The claimed "trainer-shoe" (see Fig. 1, 2) contains a work item (1) fixed on the patient's foot, which is made in the form of a shoe, on the nose of which a bracket (6) is rigidly fixed, through which the cord (7) is stretched a ball fixed on it (8).

Work item (1) includes a plastic sole (2), in the upper part of which the vamp is made (3) (the outer part of the shoe upper covering the upper surface of the foot, https://ru.wikipedia.org/wiki/Shoes).

In the back of both sides of the vamp (3), by means of two axial connections (5), a strap (4) made of flexible plastic is movably secured to secure the working element (1) on the patient's leg during training with a “trainer-shoe”.

The following dimensions of this particular "simulator shoes" are not signs narrowing the scope of legal protection, since they can change in the process of its creation.

The total length of the sole (2) is 240-300 mm, and its thickness is 10-15 mm.

The height of the lumen between the central part of the sole (2) and the vamp (3) is 60-80 mm, which provides the convenience of putting the work item (1) on the patient's foot.

The strap (4) has a width of 15-20 mm, and its length depends on the size of the sole (2) of the working element (1).

The bracket (6) is made of hard plastic and includes flat and ring parts.

The width of the flat part of the bracket (6) is 10-15 mm, and its height is equal to the thickness of the sole (2).

The annular part of the bracket (6) has the shape of a ring with an inner diameter of 15-20 mm, which has a circular cross-section with a diameter of 7-10 mm.

In this case, the flat part of the bracket (6) is rigidly fixed (for example, by means of a screw connection) on the nose part of the sole (2) of the working element (1) so that the ring part is located above the sole (2), thus ensuring ease of slip of the lace (7 ) through the hole of the annular part of the bracket (6) on the outer surface of the vamp (3).

A ball (8) used in the course of training with a “training device-shoe” is made of flexible plastic and is hollow, and its diameter is 50-80 mm.

A braided synthetic rope with a diameter of 2-4 mm, which has the property of easy sliding on a plastic surface, such as "Twisted polyester rope" (GlobalTex-M Company, Twisted polyester rope, found 03/25/2019, can be used as a lace (7)). Internet at http://2029863.ru/kruchermaya-veryovka).

The length of the lace (7) is 1500-2500 mm, and its attachment to the ball (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) by the hand of the patient during the sessions with the “training device-shoe”.

To prevent accidental slipping of the loop (9) through the hole in the ring part of the bracket (6) during the sessions with the “training device-shoe”, a limiter (10) is installed on the cord (7) in front of the loop (9), which is a 3-5–5 plastic washer mm, the inner diameter of which is equal to the diameter of the lace (7), and the outer diameter exceeds the diameter of the hole in the annular part of the bracket (6) 1.5-2 times.

The work with the "Training shoe for classes on the development of the motor functions of the legs in patients with a neurological clinic" is carried out as follows.

In the course of conducting classes with the use of "simulator-shoes" the patient is in a sitting position, and the work item (1) is fixed on the leg of the patient with a violation of movements, through the strap (4). At the same time, a loop (9) of a lace (7) is located in the patient's hand.

Before starting the exercises with the “simulator-shoe”, the ball (8) is located on the floor surface, 100-300 mm away from the patient’s foot with the work element (1), and at a certain distance from the patient’s foot (from 700 mm or more) ) set the so-called "gate" (formed from two scrap items, the distance between which is 300 mm or more), into which the patient must hit the ball (8) by performing a foot movement with the work element (1).

After performing the exercise, the patient returns the ball (8) to the initial position in front of his foot with the work element (1) by tightening the lace (7) with his hand over the loop (9), after which the exercise continues further.

As the patient achieves positive results in the development of the motor functions of the leg by means of a “trainer-shoe,” the exercise is complicated, consisting in the gradual reduction of the width of the so-called “gate” and their removal from the patient.

Thus, the design features of the “simulator-shoes” provide the ability to perform simple and accessible to patients exercises aimed at developing impaired motor functions of the legs with the possibility of a gradual increase in the degree of complexity of the exercises performed by patients.

At the same time, the design features of the “simulator-shoe” make it possible to quickly return the ball (8) to the initial position by pulling the cord (7) in a loop (9), which makes it possible to conduct independent occupations of patients.

The importance of the “trainer-shoe” also lies in the fact that working with it causes interest and positive emotions in patients, since the movements performed with the “trainer-shoe” are not mechanical, but are game-like, contributing to maintaining the interest of patients in the movements performed. .

After mastering the use of the “simulator shoes” under the guidance of a specialist, patients receive the opportunity to conduct independent classes with him both in the clinic and at home.

Along with the activities on the development of the motor functions of the legs in patients of the neurological clinic, the "trainer-shoe" can also be effectively used in the development of the motor functions of the legs that are disturbed due to various other diseases, such as injuries, the effects of surgical operations, etc.

Thus, the "simulator-shoe" provides the ability to conduct independent classes on the development of the motor functions of the legs based on the use of the strengthened motor skills of patients in a neurological clinic who have experience playing football.

The use of a “trainer-shoe” introduces a novelty element into the process of recovery classes, turning them into an interesting and attractive training for patients. Due to the simplicity of design and ease of use, the "simulator-shoe" can be widely used in clinical practice, allowing for the rehabilitation classes of patients both in the hospital and independently, at home.

Claims (5)

1. Simulator-shoe for practicing the development of the motor functions of the legs in patients of the neurological clinic characterized by the fact that it contains a work item fixed on the patient's leg, which is made in the form of a shoe that includes a plastic sole on which the vamp is made, to the back of which two axial joints are movably attached to the strap, and on the nose of the sole there is a rigidly fixed bracket, which includes a flat part and an annular part of circular cross section, through which a cord with a fixed n he has a ball and the other end of the lace is made in the form of a loop, in front of which there is a stop. 2. The simulator shoe according to claim. 1, characterized in that the strap is made of elastic plastic. 3. The simulator shoe according to claim. 1, characterized in that the bracket is made of hard plastic. 4. The simulator shoe according to claim. 1, characterized in that the ball is made of flexible plastic and is hollow. 5. The simulator shoe under item 1, characterized in that the stopper is a plastic washer.

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