RU2682292C1 - Device for non-surgical treatment of musculoskeletal system - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to medicine and can be used for the treatment and rehabilitation of patients suffering from pathologies that lead to partial immobility, impaired ability to maintain balance, for patients with muscle atrophy, contractures. Device for non-surgical treatment of the musculoskeletal system contains a mounting element under a supporting insertion for the ankle or under the patient's shoes, removable means of movement and a guide with the front and with the rear sliding elements on which the front and rear fasteners are located for connection with the means of active verticalization of people with disabilities. Mounting element is made of component parts connected in the ankle area by a hinge with a locking mechanism and has the shape of a left or right shoe. Removable drum set is installed on one of the front sliding elements.

EFFECT: technical result of the invention is to ensure maximum patient safety when the patient is moving over ice on skates or on a hard surface on roller skates and when playing hockey or football, basketball, and other games.

10 cl, 5 dwg

Description

The invention relates to medicine and can be used for the treatment and rehabilitation of patients suffering from pathologies leading to partial immobility, impaired ability to maintain balance, for patients with muscle atrophy, contractures.

Various devices and devices for roller skating are known, for example: US 5171033, US 6168172, US 6557864.

All these products are combined: the presence of a composite boot, the linear arrangement of the rollers along the boot, the presence of a hinge in the ankle, laces and / or adjustable straps with clip locks necessary to fix the boot on the skating leg.

US Pat. No. 5,171,033 proposes a shoe solution with ventilation openings in it, which is extremely necessary to avoid overheating of the legs of the skater during summer classes or classes conducted indoors, which leads to the formation of various diseases, for example, skin of the legs. In the patent US 6557864 offer the possibility of using their own skating shoes, in which it is fixed to the shoes for roller skating. Others offer various brake systems.

The closest to the claimed invention can be considered the patent US 3292940. It uses a boot on which the plate is mounted. Performing both the role of a blade for skating on ice, and the element on which the parts for skating are mounted. However, the known solution is distinguished by the complexity of the design, a large number of parts that will adversely affect the applicability and reliability of the device as a whole.

A common drawback of all of the above structures is the inability to use these devices by people with disabilities.

The technical problem to be solved was the need to create a multifunctional device that will allow people with disabilities to be trained in roller skating, ice skating, playing hockey, both on ice and on various hard surfaces, as well as playing soccer and with the ball. All these classes can be held both indoors and outdoors at any time of the year.

The technical result of the invention is to ensure maximum patient safety when moving on ice on skates or on a solid surface on roller skates and when playing hockey or soccer.

The invention is expressed in the aggregate essential features, in which a device for non-surgical treatment of the musculoskeletal system, comprising a mounting element under the support insert for the ankle or under the patient’s shoes, removable means of movement and a guide with front and rear retractable elements on which the front and rear rear fasteners for connection with means of active verticalization of people with disabilities, while the mounting element is made of composite parts The joints are connected in the ankle region by a hinge with a locking mechanism and have the shape of a left or right boot, and a removable shock attachment is installed on one of the front sliding elements.

In special cases of its implementation or use, the device may contain a telescopic guide; removable means of movement in the form of blades for moving on ice, moreover, the blades can be doubled and provided with notches for contact with ice; removable means of movement in the form of rollers, moreover, the rear rollers can be double; rollers that are installed with the possibility of one-way rotation; installation element made with ventilation; installation element made multi-dimensional and contain additional guiding movements in the form of tubes with elastic elements for parallel connection of the sliding elements of the rail associated with the left boot, with the sliding elements of the rail connected with the right boot.

The causal relationship of the above features with the technical result of the invention is expressed in the fact that the proposed device allows you to:

- create a larger footprint compared to conventional skates, and which can be changed in their geometric dimensions;

- set the direction of movement of the lower limbs of the patient and exclude the possibility of crossing his legs in motion;

- when moving on rollers - to exclude the rotation of the roller in the opposite direction from the direction of movement, thus giving the patient the opportunity to "catch" on the surface on which he moves;

- as necessary, exclude the hinge of the boot from work, thereby increasing both its rigidity and the orthopedic properties of the boot itself, as well as putting the hinge back into operation as the patient's physical condition improves.

- be able to integrate this device and the verticalizer, which is often used to create for people with disabilities additional support points and the very possibility of verticalization and movement.

- the presence of adjustments to configure the device for the individual physical characteristics of each patient.

The invention is illustrated by drawings:

in FIG. 1 shows a general view of a device for non-surgical treatment of a musculoskeletal system with a mounting element in the form of a boot with a guide mounted on it and a moving device in the form of blades for skating on ice;

in FIG. 2 guide with mounted on it a moving device in the form of rollers for riding on a solid surface, and a removable percussion unit made for playing soccer;

in FIG. 3 - an option for coupling guides with additional guides of movement in the form of elastic elements with tubes;

in FIG. 4 - direction of movement and options for coupling devices of movement by elastic elements with tubes

in Fig. 5 is a variant of the joint use of a device for non-surgical treatment of the musculoskeletal system and a device for active verticalization of people with disabilities.

A device for non-surgical treatment of the musculoskeletal system, contains a mounting element 1 under the support insert for the ankle or under the patient’s shoes, which is equipped with a latch 2 with a lock and lacing 3. The mounting element 1 is made of components connected in the ankle region by a hinge 4 with a hinge locking mechanism 5 and has fasteners 12 and the shape of a left or right boot.

The guide 6 is provided with a front sliding element 10 and a rear sliding element 11. On the front sliding element 10 and on the rear sliding element 11, a rear fastening element 7 and a front fastening element 8. A rear fastening element 7 and a front fastening element 8 are made for connection by tubes 16 with elastic elements 19 with active verticalization of people with disabilities. Removable moving means can be made in the form of blades 9 for skating on ice or in the form of rear rollers 13 and front rollers 14. A removable shock attachment 25 is mounted on one of the sliding elements 10 or 11 made for playing soccer and has an overlay 26.

The design of the device for non-surgical treatment of the musculoskeletal system also includes a stopper with a lock of the retractable element 15, fasteners 17 rollers 13 and 14, fasteners 18 of the blades 9 for ice-skating, a belt with elastic elements 21, fasteners of the cross member 22, holes 23 for fastening the rollers 13 and 14 and fasteners 24.

A device for actively verticalizing people with disabilities is shown at 20 (FIG. 5).

The latches 2 with locks and lacing 3 allow you to fix the user's foot both in his own shoes and without it. In the case when the user does not use his own shoes, an ankle support insert is inserted into the installation element 1 in the form of a boot, made, for example, in the form of a standard soft felt boot, which provides comfort to the legs and eliminates its direct contact with the boot. The boot is also equipped with a mechanism 5 for locking the hinge 4, which allows the hinge 4 to be involved in the work being in the “in” position or the “open” position, or to be excluded from it - Pos. “A” in the “closed” position. The “closed” position function allows you to change the stiffness of the boot in the ankle region, increasing both its orthopedic properties and injury safety, which can be extremely necessary in the presence of contractures or spasticity in the patient, and excludes the work of his ankle, preventing injuries to the patient himself. The position is “open” - allows the patient to fully use the ankle, if this does not contradict his physical condition.

The boot may be multi-sized. This reduces the amount needed to cover the entire size range of legs and reduces the investment of the institution that will use them when working with people with disabilities.

A guide 6 is attached to the shoe with fasteners 12, equipped with sliding elements 10 and 11, which ensure the telescopicity of the guide itself. They also mounted moving means, made in the form of either blades 9 for skating on ice, fixed with fasteners 18, or in the form of front 14 and rear rollers 13, fixed by fasteners 17 (Fig. 2). The front sliding element 10 of the guide 6 is equipped with a front fastener 8, designed for coupling with the device of the direction of movement. In addition, a removable percussion unit 25 is made on it, made for playing soccer with a lining 26.

The rear sliding element of the guide 11 is also equipped with fasteners 7 for coupling with the device of the direction of movement. The position of the sliding elements 10 and 11 relative to the guide 6 is fixed by using a stopper with a lock of the sliding element 15. This product is standardized. On the sliding elements 10 and 11 of the guide 6 are installed or blades 9 for skating on ice or rollers 13 14 for skating on a hard surface. Thus, means of movement are formed. Installation and fixation is done with standard fasteners. For the purpose of convenience in operation, it is allowed to change the entire guide 6 in assembled form and by means of movement and adapted either for skating on ice or on rollers. The guide may not be telescopic.

In FIG. 1 shows an embodiment for ice-skating. It is recommended to apply small directed notches on the blades, which can help the patient “cling” to the ice during movement and to prevent slipping of the legs back. This is due to the fact that many people with disabilities cannot move forward while pushing off the ice with their "herringbone" legs. At the initial stage, it is recommended to use double blades. This design gives good lateral stability to the ankle.

In FIG. Figure 2 shows a design for roller skating and playing soccer with a ball. Recommended design: in front there is one wide roller equipped with a mechanism that allows its rotation only in one direction. Such a mechanism may be a ratchet mechanism or an overrunning clutch. At the back, installation of 2 rollers, both free rotation and equipped with freewheels, is recommended. This design gives good stability.

The ability to move elements 10 and 11 creates not only a telescopic effect. Pulling or deepening them into the guide 6, you can change the area of the support for the patient. Thus, it is possible to help the patient go from simple to complex, make the vestibular apparatus work together with the muscles responsible for balancing his entire body, strengthen them to such an extent that the patient is able to completely abandon the use of the proposed design, and switch to using ordinary roller skates or ice skates. In FIG. Figure 2 shows the proposed range of adjustment of the distance between the fulcrum. In the proposed case, it ranges from a minimum value of 350 mm to 600 mm., And can vary both in the direction of increase and decrease. This parameter is very important in terms of user growth. For example, it may not be convenient for children to use too long guides, and adults to start exercises with too short guides. The minimum center distance parameter, for example, 350 mm, reduces the area of support and, accordingly, creates such conditions for the patient under which he will be forced to be in a tensed muscular state, thereby increasing the load and training of both the muscles and the vestibular apparatus. This is especially necessary for patients who suffer from muscular hypotension and impaired vestibular function. In the case of using a 600 mm center distance, the area of the support increases, and accordingly, the patient will need less effort to maintain equilibrium. This eliminates muscle strain, which is especially necessary for patients who suffer from muscle hypertonicity. On the front of the drawer install a removable percussion unit 25, made for playing soccer. The removable shock attachment 25 has an overlay 26.

With it, the patient can hit the ball. The design also allows the user to move around with the ball in his hands and throw it, for example, into a basketball hoop.

In FIG. Figure 3 shows a variant of connecting devices made in the form of left and right boots with the help of directional devices. The directional devices consist of a tube 16 through which the elastic element 19 passes. Due to the elasticity, the patient can move his legs. Due to the stiffness of the tubes 16, the patient's legs cannot cross and provoke a fall. Another important factor of such coupling is the creation of a reference rectangle of variable area, the center of gravity of which lies at the intersection of its diagonals, as well as the possibility of transforming it into a parallelogram of FIG. 4 Pos. A coupling option is possible as in FIG. 4 Pos “d”.

As the patient's physical indicators improve, it is advisable to abandon the directional devices. They performed their function.

In some cases, when additional support points are necessary for verticalization of the user, it is possible to use transformable skates for people with disabilities with a verticalizer. In FIG. 5 presents such an option. As a verticalizer, you can use "Device for active verticalization of people with disabilities" (patent No. 176903). In FIG. 5 shows an embodiment of the hitch of transformable skates with a verticalizer. In this case, an option for roller skating is presented. The option for ice skating differs only in the presence of blades instead of rollers both on the verticalizer and on the transforming skates. Tubes 16 and elastic elements 19 connect the transformable skates with the fasteners of the cross member of the verticalizer, adjusting the direction of movement of the patient's legs. Simultaneous use of belts with elastic elements is also possible. As the user's physical condition improves, it is advisable to refuse all of these auxiliary devices and devices. It is understood that all these devices and devices provide a large gamut of adjustments necessary for organizing work with patients of various and widest gammas of the complexity of their physical condition. This means not only verticalizing various people, but also giving them the opportunity to socialize, have fun, skating, playing hockey and football, basketball, other games, and gain strength physically and mentally.

The developed device was tested on 36 individuals (20 people aged 25 to 48 years and 16 people from 5 to 18 years old), suffering from pathologies leading to partial immobility, impaired ability to maintain balance, for patients with muscle atrophy, contractures. In 94%, there was complete safety of the subject's movements on skates / rollers. The study was conducted for 14 sessions, lasting 40 minutes. At the same time, 24 examinees performed normal / standard movements during the session, and 12 subjects played hockey. The rest of the subjects had a fall more than 3 times in 40 minutes of skating for 8 sessions, and the subjects noted instability on skates / rollers. The data obtained suggest that the developed device ensures the achievement of the technical result, which was discussed above.

Claims (10)

1. A device for non-surgical treatment of the musculoskeletal system, comprising a mounting element under the supporting insert for the ankle or under the patient’s shoes, removable moving means and a guide with front and rear sliding elements, on which the front and rear fasteners are located to connect with active verticalization people with disabilities, while the installation element is made of components connected in the ankle region by a hinge with a locking mechanism, and has the shape of the left or right boot, and on one of the front sliding elements a removable shock attachment is installed. 2. The device according to p. 1, characterized in that the guide is made telescopic. 3. The device according to p. 1, characterized in that the removable means of movement are made in the form of blades for moving on ice. 4. The device according to p. 3, characterized in that the blades are double and provided with notches for contact with ice. 5. The device according to p. 1, characterized in that the removable means of movement are made in the form of rollers. 6. The device according to p. 5, characterized in that the rear rollers are made double. 7. The device according to p. 5, characterized in that the rollers are mounted with the possibility of one-sided rotation. 8. The device according to p. 1, characterized in that the installation element is made with ventilation. 9. The device according to p. 1, characterized in that the installation element is made multi-dimensional. 10. The device according to p. 1, characterized in that it contains additional guiding movements in the form of tubes with elastic elements for parallel connection of the sliding elements of the rail associated with the left boot, with the sliding elements of the rail connected with the right boot.

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