RU2272609C2 - Device for carrying physiotherapeutic treatment out at cerebral spastic infantile paralysis due to forming child's walk motor skills - Google Patents

Abstract

FIELD: medicine; physiotherapy.

SUBSTANCE: device can be used for training patients suffering from cerebral spastic infantile paralysis to walk. Device has children's overall with left foot and right foot and adult overall. Adult overall is made with feet. Top parts of feet are fit for child's legs and are provided with aid for fixing left and right feet of children's overall. Locker for fixing like ankle of children's overall is mounted at area of each ankle of adult overall. Belts for keeping body part of children's overall upright are disposed at the area of belt of adult overall. Sleeves of children's overall are provided with external rods by means of which rods the physiotherapist, when being inside adult overall, performs manual control of pendulum-like motions of child's arms, when the child is inside children's overall.

EFFECT: widened functional abilities of the device; improved efficiency; reduced labor input.

1 dwg

Description

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

Numerous devices are known for physiotherapy of cerebral palsy by maintaining and developing motor skills of walking in a child, designed for additional support of the child in the arms when walking independently: supporting canes [1] of various sizes (single, one-leg, three and four-leg, with several high or low legs; folding canes combined with a chair for rest, such as “TO-3C”, etc.); crutches [2, Fig. 28 on p.146] ordinary, Canadian (elbow), and others; walkers for medical rehabilitation EVE) [1: 2, Fig. 28 on page 146; 3; 4, Fig. 20.20 on p. 273, Fig. 21.4-21.6 on p. 280-281. fig. 21.12 on p. 284], various sizes: baby walkers, table walkers, walker chairs, cart walkers, Koye walkers, folding walkers (on 4 wheels, on 2 wheels, without wheels, skiing, etc.); supporting, special simulators [1; 5, p. 34; 6]; simulators "Ufo Vavu Walkers", "Primipassi Babe Walkers", "Chicco Park" and others [7, p. 41-43.]; exercise machines "Giro" and "Grillo" [8]; simulators "walk n play jumper" [9, p. 57] of various designs and sizes, including spinning simulators that allow the child to spin while standing on his feet (on 8, 6 and 4 wheels; with a round, oval or rectangular bottom frame at the base, etc.).

A similar device is known under the name "suspension road" [2, Fig. 42 on p. 156] for training independent walking and training the vestibular apparatus of patients on the basis of overalls suspended by a safety belt with inguinal straps on four slings horizontally adjustable along the length a wheel suspended from a roller which, when the patient is walking, moves linearly along a horizontal cableway. By changing the length of the lines, you can give the patient's body various inclinations. The disadvantage of these analog devices is the unsuitability for walking training of those patients who are incapable of active walking, and the unsuitability for the compulsory formation of coordination of the movements of the hands accompanying the movement of the legs.

A device prototype is known [7-a; 7-b, p.23] for physiotherapy of cerebral palsy by forming the initial passive motor skills of walking in a child, containing a jumpsuit with the left foot and the right foot, in which the child is placed in the front seat-backpack, hung on the shoulders of the physiotherapist in front. Physiotherapist when walking with his hands can carry out the child synchronous forced movements of the arms or legs, characteristic of walking. The disadvantage of the prototype device is limited functionality: unsuitability for the patient to develop active motor skills of walking and motor skills of the coordinated movement of arms and legs.

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 containing the jumpsuit with the left foot and the right foot, further comprises an adult jumpsuit made with feet having upper parts for the feet of the child, and the adult jumpsuit on the upper part of each foot is equipped with a device for fixing the same, left and the right foot of the baby’s overalls, in the area of each lower leg there is a latch for attaching the same lower leg of the children's overalls, and chest straps are placed in the region of the shoulder girdle for support the arms in the straightened state of the trunk of the baby’s overalls, while the sleeves of the baby’s overalls are equipped with external rods in the wrist area, with the help of which the physiotherapist in the adult overalls manually controls the pendulum-like movement of the child’s hands in the children's overalls.

The technical result is also achieved by the fact that the sleeves of children’s overalls are equipped with devices for straightening the hands of the child, which are either a rod with fastenings for fixing the forearm and shoulder of the arm, or an inflatable cavity of the sleeve.

Comparison of the claimed device with the prototype made it possible to establish that the claimed device is characterized in that it additionally contains an adult jumpsuit made with feet having upper parts for the feet of the child, and the adult jumpsuit on the upper part of each foot is equipped with a device for fixing the same name, left and right, feet of children’s overalls, a latch is mounted in the area of each leg for fastening the same leg of the child’s overalls, and chest straps are placed in the shoulder girdle for support the arms in the straightened state of the trunk of the baby’s overalls, while the sleeves of the baby’s overalls are equipped with external rods in the wrist area, with the help of which the physiotherapist in the adult overalls performs manual control of the pendulum-like movement of the child’s arms in the children's overalls.

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 is an adult jumpsuit made with feet; 2 - jumpsuit with left foot and right foot; 3 - a holding device on the upper part of the foot of an adult overalls for fixing the same name, left and right, feet of a children's overalls; 4 - retainer on the lower leg of an adult jumpsuit for attaching the same lower leg of a children's jumpsuit; 5 - a chest belt of an adult overalls for support in a straightened state of the trunk of a children's overalls; 6 - outer, in the wrist region, rods of children's overalls for manual control of the pendulum-like movement of the child’s hands in children's overalls.

The device operates as follows.

The therapist puts on adult jumpsuit 1, and on child-patient jumpsuit 2, puts the child in the jumpsuit with his back to his feet and legs in the holding devices 3 on the upper part of the feet of the adult jumpsuit, using the clamps 4 fixes the lower legs of the jumpsuit to the lower legs adult overalls, chest straps 5 adult overalls fastens to the torso of the children's overalls, takes in their hands the outer rods 6 control the pendulum-like movement of the child’s hands, gives a warning command to go in ed, and begins to move forward, taking appropriate precautions by moving your feet baby's feet and coordinated (agreed) for the outer rods 6 bodys moves its hands of the same hand of the child.

The proposed device allows, in comparison with the prototype device, to expand the therapeutic functionality of the device, increase efficiency, safety and comfort, as well as reduce the complexity and complexity of physiotherapy for cerebral palsy. The child patient feels not only more secure, but also more comfortable and interested, the effectiveness of education and / or rehabilitation increases. In contrast to known devices, the proposed method allows to develop motor skills of coordinated movements of arms and legs, while ensuring synchronized movement of opposing arms and legs. Training can be conducted for a long time or continuously or cyclically, with stops for a break. When stopping, when the child-patient is resting, standing in limbo on the chest straps 5 of an adult overalls, the trainer-therapist can release the rods 6 from his hands and perform other necessary work with his free hands. There is also the possibility of making long comfortable walks, providing the child patient with an overview of the panorama of the world. The child patient feels not only more secure, but also more comfortable and interested, the effectiveness of education and / or rehabilitation increases.

Information sources

1. Product catalog of the company "Nadezhda". 2003 .; www.nadezda.ru.

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

3. The catalog of the company "Beka Hospitec" -2003; www.beka.ru.

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

5. CHICCO Tdution 2002-Catalog n. 54, p. 34.

6. Catalog of Kazan CJSC Medkomplekt -2003. www.medcomplekt.ru.

7. a) RU 2131232 C1 of 06/10/1999;

b) Chicco. Juvenile 2003 Collection. P.23. (Product Catalog).

8. The catalog "@nteprima 2004" of the Italian company "CAM il mondo del bambino";

9. Catalog of the Italian company "Peg-Perego-2003"; www.pegperego.com.

Claims (4)

1. A device for physiotherapy of cerebral palsy by forming motor skills of walking in a child, comprising a jumpsuit with a left foot and a right foot, characterized in that it further comprises an adult jumpsuit made with feet having upper parts for the child’s legs, and an adult jumpsuit on the upper part of each foot is equipped with a device for fixing the foot of the same name, left or right, in the area of each lower leg there is a latch for attaching the same sloth baby jumpsuit, and in the zone placed straps for support in erect state of the trunk of the baby jumpsuit, with sleeves rompers equipped outdoor in the rods of the wrist, by which a physical therapist in adult overalls manually control the pendulum motion of the hands of a child in a children's overalls. 2. The device according to claim 1, characterized in that the sleeves of the children's overalls are equipped with devices for straightening the arms of the child. 3. The device according to claim 2, characterized in that the device for straightening the child’s hands is a rod with fasteners for fixing the forearm and shoulder part of the hand. 4. The device according to claim 2, characterized in that the device for straightening the child’s hands is an inflatable sleeve cavity.