RU2272608C2 - Unit for training and/or rehabilitation of patients being not able to crawl on all fours - Google Patents

Abstract

FIELD: medicine; physiotherapy.

SUBSTANCE: unit can be used for training patients to walk on all fours and for rehabilitation of patients with cerebral paralysis. Device has tray or cushion for breast and belly of patient. It has fittings for fixing patient's body to tray or cushion. Unit is additionally provided with two lateral transportation handles. Handles are made for selective lifting or lowering of front or back part of tray and cushion and for horizontal displacement of tray or cushion. Each handle has one end fastened to left side of tray or cushion. The other end of handle is connected to right side. Places of fitting of transportation handles are put apart at any side at longitudinal direction to front and back ends of tray or cushion.

EFFECT: widened medicinal functional possibilities; improved efficiency, safety and comfort; reduced labor input.

2 dwg

Description

The present invention relates to medicine, namely to physiotherapy, and can be used, for example, to teach walking on all fours and rehabilitation of patients with a diagnosis of cerebral palsy.

A similar device is known under the names: "Quasar" [1, p. 45 and 49], "Pony baby" [2, p. 23] and others, for transporting children in cars, which is a portable seat without a back, with short lateral "rectangular" armrests, which are also used as handles for carrying this seat. Various versions of such portable car seats are produced by several companies in the world, according to European or other standards. In physiotherapy, such a device can be used to lay the child in the “lying on his stomach” position for rest or for the initial training of the vestibular apparatus, which is carried out by two physiotherapists by lifting the device by the side handles with subsequent careful periodic lateral tilting of the device in different directions. The disadvantages of this analog device are: low functionality and unsuitability for teaching children to crawl on all fours.

A similar device is known under the name "suspension" [3, Fig. 43 on p.157], "for vestibular training and diagnosis of the condition of the vestibular analyzer" of patients who are unable to crawl on all fours, based on two corsets, under the chest and stomach lying the patient, with devices (lacing) for fixing the patient’s body to the corset, containing four slings adjustable in length, two slings from each side of the patient, suspended on a horizontal rotatable wheel, which can be moved linearly along the horizontal cable horn. By changing the length of the lines, "you can give the patient’s body various positions - vertical, head down, on his side", etc. The disadvantage of this method is the low suitability for teaching the patient to crawl on all fours.

A device analogue [4, p. 15] is known for teaching children who are unable to crawl on all fours with the ability (motor skills) to swing back and forth in a position on all fours, which is a towel placed under the patient’s chest, at the ends of which one or two physiotherapists (trainers) located on opposite sides of the patient can lift the sick child to all fours and help him swing back and forth in this position or crawl on all fours. The disadvantage of this method is the complexity and high complexity, limited functionality (the inability to put the child’s body in an upright position, the constant sliding of the towel along the patient’s body, etc.) and insufficient safety (the towel can slip out of the trainer's hands and the child can hit his face on the floor or other surface used for crawling).

A prototype device is known [5, Fig. 21.1 on p. 279] for training and rehabilitation of child patients who are not able to crawl normally on all fours, based on a board on rollers under the patient’s chest, stomach and legs, on which the patient moves in a supine position due to the active movement of the hands. A disadvantage of the known prototype device is its low efficiency and limited functionality (motor skills of only the child-patient’s hands develop, and only in some functional directions, and he cannot even get on all fours and crawl on all fours).

The technical result of the invention is the expansion of therapeutic functional capabilities of the device, increasing efficiency, safety and comfort, as well as reducing the complexity and complexity of physiotherapy for cerebral palsy.

The technical result is achieved in that the device, which is a tray or ottoman for laying a child on it, additionally, according to the invention, contains two transverse transport handles, each of which is attached at one end to the left side of the tray or ottoman, and the other end to the right side, moreover, the mounting points on each sidewall are spaced in the longitudinal direction to the front and rear, i.e. opposite ends of the tray or ottoman. In addition, the connection of the transport handles with the sides of the tray or ottoman is made on hinges.

The technical result is also achieved by the fact that the tray or ottoman consists of two platforms, upper and lower, with adjusters for the distance of lifting the front and / or rear ends of the upper platform above the lower and the angle of inclination of the upper platform to the lower. In addition, the device is equipped with wheels for its rolling, contains in the front of the tray or ottoman fixation devices for the patient’s arms straightened to the floor with stops-pads for his palms, and in the back - fixation devices for the patient’s legs in focus on the knees with stops platforms for knees, contains on the front end of the tray or ottoman an emphasis under the patient’s chin and contains in front a child’s toy on wheeled drive from its wheels to the moving parts of the toy to make the patient want to crawl to the toy.

Comparison of the claimed device with the prototype made it possible to establish that the claimed device is characterized in that it additionally contains two transverse transport handles, each of which is attached at one end to the left side of the tray or ottoman, and the other end to the right side, and the mounting points on each side are spaced in the longitudinal direction to the front and rear, i.e. opposite, the ends of the tray or ottoman, and conclude that the invention meets the criterion of "novelty." These transport handles are designed to selectively raise or lower the front or back of the tray and to move the tray horizontally.

When studying other known solutions in the art, features identical to those distinguishing the claimed invention from the prototype were not identified, and therefore it meets the criterion of "inventive step".

The practical application of the claimed invention for the treatment of cerebral palsy provides him with the criterion of "industrial applicability".

Figure 1 shows the proposed device, where: 1 - tray under the chest and stomach of the patient; 2 and 3 - fixtures of the day of fixation to the tray or ottoman of the patient's body; 4 and 5 - rear and front transport handles.

In FIG. 2 shows the proposed device, where: 1 - tray under the chest and abdomen of the patient, consisting of the upper (1A) and lower (1b) platforms; 2 and 3 - devices for fixing to the tray or ottoman of the patient's body; 4 and 5 - rear and front transport handles on hinges 4a and 5a; 6 and 7 - adjusters of the lifting distance of the rear and front end of the upper platform; 8 - wheels; 9 - bracket with a movable toy on a wheeled drive; 10 - emphasis under the chin of the patient.

The device operates as follows.

The therapist puts the child-patient with his stomach down on the tray (or ottoman) 1 (and the chin on the stop 10), fixes his body with fixation devices 2 and 3, takes the transport handle 4 and 5 in each hand and lifts them so that make it easier for the child patient to crawl; instructs the child patient to crawl forward, and helps him crawl forward by moving the transport handles 4 and 5 in the direction of movement. The hinges 6 and 7 ensure smooth movement of the device for the transport handles 4 and 5. When the child crawls, the toy 9 moves forward on wheels and at the same time the drive parts of the toy begin to move from its wheels (rotate, wave, etc.), entertaining for the child the patient. If necessary, according to the size of the child-patient, the trainer sets the back and front of the upper platform (1a) of the tray or ottoman with the help of height regulators 6 and 7 to the required heights above the lower platform (1b).

The inventive device can be used not only for learning to crawl on all fours, but also for teaching a child how to get on his feet with all fours, walking, squats, lowering to all fours, as well as for vestibular exercises.

Thus, the proposed device allows, in comparison with the prototype device, to expand the therapeutic functional capabilities of the device, increase efficiency, safety and comfort, as well as reduce the complexity and complexity of physiotherapy for cerebral palsy. To conduct physiotherapeutic procedures using the proposed device, only one trainer-therapist is needed, and not three, as in the analogue methods. At the same time, safety for the child does not increase, but decreases (subject to the rules, cases of falling and hitting the child against the floor are completely excluded). The child patient feels not only more secure, but also more comfortable and interested, the effectiveness of training and rehabilitation is increasing, i.e. the duration of training and rehabilitation is reduced by two or more times.

Information sources

1. Catalog "Chicco Juvenile 2003-Catalog", Italia; pg. 45 and 49. www.chicco.com.

2. The catalog "@nteprima 2004", Italia, of the company "SAM il mondo del bambino"; p. 23. www.camspa.it.

5. Bortfeld S. A., Rogacheva E.I. Therapeutic physical culture and massage in cerebral palsy / L .: Medicine, 1980. P.157.

4. Early Learning Guide. / St. Petersburg: "Early Intervention", 1992. (Translated from English. "Portage Guide to Early Education", 1976. With permission from CESA No. 5 - Cooperative Educational Service Agency No. 5, USA). Page 15.

5. Finney N.R. A child with cerebral palsy: help, care, development. Book for parents. / Per. from English / - M .: Terevinf, 2001 .-- 336 p.

Claims (8)

1. A device for training and / or rehabilitation of patients unable to crawl on all fours, on the basis of a tray or ottoman under the patient’s chest and abdomen, with devices for fixing to the tray or ottoman of the patient’s body, characterized in that it contains two transverse transport handles, made to selectively raise or lower the front or back of the tray or ottoman and to horizontally move the tray or ottoman, with each handle attached at one end to the left side of the tray or ottoman, and the other end to the right second sidewall, wherein the attachment points are spaced transport handles on each sidewall in the longitudinal direction of the front and rear ends of the tray or ottoman. 2. The device according to claim 1, characterized in that the connection of the transport handles with the sides of the tray or ottoman is made on hinges. 3. The device according to claim 1, characterized in that the tray or ottoman consists of two platforms, upper and lower, with adjusters for the distance of lifting the front and / or rear ends of the upper platform above the lower and the angle of inclination of the upper platform to the lower. 4. The device according to claims 1 and 3, characterized in that it is equipped with wheels for its rolling. 5. The device according to claim 4, characterized in that it contains in the front part of the tray or ottoman fixation devices for the patient’s arms straightened to the floor with emphasis pads for his palms. 6. The device according to claim 4, characterized in that it contains in the back of the tray or ottoman fixation devices for the patient's legs in focus on the knees with stops-platforms for the knees. 7. The device according to claim 4, characterized in that it further comprises in front a children's toy on a wheeled drive, with a drive from its wheels to the moving parts of the toy, to cause the patient to desire to crawl to the toy. 8. The device according to claim 1, characterized in that it contains on the front end of the tray or ottoman emphasis under the chin of the patient.

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