RU70125U1 - SEAT-SEAT FOR REHABILITATION OF A PATIENT WITH CEREBRAL PARALYSIS - Google Patents

Abstract

The chair seat for the rehabilitation of a patient with cerebral palsy contains a base, a back with a variable angle, sidewalls with legs on wheels on which the base rests, a footrest with a variable angle with a support for legs, armrests in the form of parallel rectangular bars, a leg divider in the form abductor, as well as a countertop, to the lower surface of which are attached two parallel bars with longitudinal rectangular grooves, which include the mentioned bars of the armrests. The seat-chair is equipped with two head holders in the form of vertically arranged pillows fixed in the horizontal slots of the back, as well as a chest holder in the form of a soft vest with straps passed through the horizontal slots of the back and equipped with adjusting buckles at the ends.

Description

The utility model relates to medicine, and more specifically to the design of chairs and chairs designed for the rehabilitation of children with all forms of cerebral palsy.

Cerebral palsy is one of the most common diseases leading to disability in children. The high incidence of cerebral palsy and the severity of damage to various systems of the body necessitates the organization of early comprehensive and staged rehabilitation of the child. Most of these children have difficulty maintaining balance even when sitting. In contrast to healthy children, they cannot use their hands to play, to independently operate a wheelchair, to perform other necessary actions, since their position is extremely unstable.

Known seat for children with cerebral palsy (see patent RU No. 1624, IPC A61G 5/00, published 02.16.1996). A known seat comprises a base with a back attached thereto, armrests of at least one on each side of the base, and means for securing the base on a wheelchair frame. The seat is equipped with a footboard with vertical posts made with through holes along the length of the posts, and a thigh support in the form of a pillow located on the base in its front area and having vertical plates with through holes for connecting wing clips with vertical struts of the footboard and horizontal plates with through holes in length for connection with wing clips with mating elements of the base equipped with similar through holes. The armrests include a L-shaped plate, one shoulder of which carries an armrest cushion, and the other is made with a longitudinal slot and is wound on the back of the back made along the length with a longitudinal slot. In addition, the seat is equipped with fixators of the feet of the patient’s feet, located in the footboard and made in the form of thrust bearings with safety belts.

The design of the known child seat allows you to adjust the position of the armrests and footrests relative to the base and backrest. A disadvantage of the known seat is the impossibility of changing the position of the base relative to the back. The well-known chair seat does not take into account effectively the particular position of the hip part of the patient, in particular, it does not provide full contact of the thigh with the surface of the seat. In addition, the seat is intended only for installation on a wheelchair frame, which narrows the scope of its use.

Known chair seat for the rehabilitation of a patient with cerebral palsy (see patent RU No. 2262914, IPC А61Н 1/00, published October 27, 2005), containing a base with a back and armrests on the sides

grounds. The armrests are mounted with the ability to adjust their position in height and the distance between the armrest cushions. The footboard in front of the base is designed to support the foot in a position that is close in the ankle joint to an angle of 90 °. The footboard is installed with the possibility of adjusting its position in height relative to the base and has the ability to rotate from a horizontal position at an angle of 120 °. In the footboard, holders of the feet are installed. The holders have the ability to move in the longitudinal and transverse directions to fix the lower limb in the breeding position up to 20 ° with an angle in the knee joint close to 90 °. An inclined pillow with an angle of inclination of the front side of 15 ° is mounted on the base with the ability to adjust its position due to a forward-backward shift. The sacral cushion for stabilizing the pelvis in the neutral position is located on the lower third of the back with the possibility of stepless adjustment of the position in the direction up from the surface of the base, and back and forth relative to the longitudinal axis of the base.

A disadvantage of the known seat-seat can be attributed to the rigid mounting of the base with backrest, which reduces its functionality.

Known chair seat for the rehabilitation of a patient with cerebral palsy (see patent RU No. 55281, IPC A61F 5/37, published 10.08.2006), coinciding with the claimed technical solution for the largest number of essential features and taken as a prototype. Known chair seat contains a base, a back with a varying angle of inclination, sidewalls with legs on wheels, on which a base rests with the possibility of lowering and raising, a footrest with a variable angle of inclination, to which is attached with the possibility of raising and lowering the leg support, equipped with fixing straps , the separator for the legs in the form of an abductor mounted on the base with the ability to move to the edge of the base or to the back. In the back of

seats up on the sides are cut out, on the back of the back there are staples to fasten the straps holding the child’s body.

The well-known chair seat allows it to be adjusted according to the anthropological characteristics of the child, provides conditions for positional therapy of children with severe pathology of cerebral palsy. However, the known seat chair cannot be used for games, activities and feeding the baby, which limits its functionality.

The task that the claimed utility model solves was the development of such a chair seat for the rehabilitation of a patient with cerebral palsy, which would have enhanced functionality that would not only provide conditions for positional therapy of children with severe cerebral palsy pathology, but also use it for games, various classes that develop the child's basic household skills, as well as for feeding the child.

The problem is solved in that the chair seat for the rehabilitation of a patient with cerebral palsy includes a base, a back with a varying angle of inclination, in which two vertical rows of horizontal slots are made, sidewalls with legs on castors on which the base rests, armrests mounted on the sidewalls with the possibility of raising and lowering, a footboard with a variable angle of inclination, to which is attached with the possibility of raising and lowering the leg support, equipped with fixing straps, the leg separator in the form abductor mounted on the base with possibility of movement to the edge of the base or the backrest. In the inventive chair seat, the armrests are made in the form of rectangular parallel bars. The seat is equipped with a tabletop, to the bottom surface of which are attached two parallel bars with longitudinal rectangular grooves, which include bars of the armrests for reciprocating movement of the tabletop, with two head holders in the form of vertically arranged pillows fixed in

horizontal slots of the back, and a chest holder in the form of a soft vest with straps passed through the horizontal slots of the back and equipped with adjusting buckles at the ends.

In the countertop, a semicircular cutout can be made from the back side so that the child's chest does not rest against the edge of the countertop.

Rectangular grooves in which said armrest bars are placed can be made on the inner faces of parallel bars.

Rectangular grooves in which said armrest bars are placed can be made on the outer faces of parallel bars.

The countertop can be made of wood or plastic.

The present utility model is illustrated by a specific example, which, however, is not the only possible one, but clearly demonstrates the possibility of achieving the required technical effect by the indicated combination of features.

Figure 1 - shows a perspective view of a chair seat for the rehabilitation of a patient with cerebral palsy with a removed holder of the chest;

figure 2 - shows a perspective view of the holder of the chest;

figure 3 is a bottom view of the countertop without a semicircular cutout;

figure 4 - shows a side view of the countertop shown in figure 3, with parallel bars having an L-shape in cross section, the grooves in which are facing each other;

figure 5 - shows a side view of the countertop shown in figure 3, with parallel bars having an L-shape in cross section;

Fig.6 is a bottom view of the countertop with a semicircular neckline;

in Fig.7 shows a side view of the countertop shown in Fig.6, with parallel bars having an L-shape in cross section, the grooves in which are facing outward;

on Fig - shows a side view of the countertop shown in Fig.6, with parallel bars having an L-shape in cross section, the grooves in which are facing outward;

figure 9 shows the node armrest on the side;

figure 10 shows a front view of the nodes of the two armrests and countertops;

11 shows a chair seat for the rehabilitation of a patient with cerebral palsy in a longitudinal section without a chest holder.

The inventive chair seat for the rehabilitation of a patient with cerebral palsy contains (see Fig. 1, Fig. 11) a base 1, a back 2 with a varying angle of inclination, fixed to the base with a hinge 3, in which two vertical rows of four horizontal slots 4 are made , sidewalls 5 with legs 6 on wheels 7. Base 1 is supported on sidewalls 5, and armrests 8 are mounted on them with the possibility of raising and lowering them. On the base 1, using the hinge 9 (see Fig. 11), a footboard 10 with a variable angle of inclination is secured, equipped with mounting straps 11. A footrest 12, equipped with mounting straps 13, is mounted with the possibility of raising and lowering the footboard 12. Base 1 is mounted with the possibility of movement to the edge of the base 1 or to the back 2, the leg separator is in the form of an abductor 14. In the inventive chair seat, the armrests 8 are made (see Figs. 9, 10) in the form of rectangular parallel bars. From below, vertical arms 15 are attached to the armrests 8, having through holes 16 for the wing bolt clamp 17. The seat chair is equipped with a tabletop 18 (see figure 1, figure 3), to the lower surface of which

two parallel L-shaped bars 19 are attached (see FIG. 4, FIG. 7) or two parallel L-shaped bars 20 (see FIG. 5, FIG. 8) with longitudinal rectangular grooves 21, which include the arms 8 for reciprocating movement of the countertop 18. Two holders 22, 23 of the head in the form of vertically arranged pillows are fixed in the horizontal slots 4 of the back 2 with wing clips 24 (see Fig. 11). The seat chair is also equipped (see figure 2) with a chest holder 25 in the form of two halves 26, 27 of a soft vest with straps 28, 29, 30, 31, 32, 33, passed through the horizontal slots 4 of the backrest 2 and provided at the ends adjusting buckles 34, 35, 36, 37, 38, 39. The base 1 and back 2 can be equipped with pillows 40, 41 of elastically deformable filler, respectively. A varying angle of inclination of the backrest 2 can be provided (see Fig. 11), for example, by attaching to it by means of a hinge 42 a strap 43 with comb grooves 44, in one of which a bolt of the wing clamp 45 mounted on a horizontal bar 46 is fixed, fixed in in turn, on the cross member 47 connecting the two rear legs 6. The change in the angle of inclination of the footboard 10 can be carried out by a similar mechanism consisting of a hinge 48, strap 49, with comb grooves 50, in one of which a bolt of the wing clamp 51 mounted on an inclined stand 52, fixed, in turn, on a cross member 53 connecting the two front legs 6. The possibility of raising and lowering the leg support 12 can be, for example, provided by the execution in the step 10 of the vertical grooves 54, for placement in them fixed in the support 12 bolts of wing clips 55. The table top 18 from the back 2 can have a semicircular cutout 56. Two halves 26, 27 of a soft vest can be connected (see figure 2) using adhesive strips 57, 58. The ability to move to the edge of the base 1 or to the back 2 of the abductor 14 can be ensured (see Fig. 11) by making a longitudinal row of holes 59, into one of which the bolt of the wing clamp 60 is passed .

The inventive chair seat for the rehabilitation of a patient with cerebral palsy is used as follows. Having previously removed the tabletop 18, the sick child is seated on the base 1, the back 2, the step 10 and the abductor 14 are installed in the required position, the support 12 is adjusted in height by moving the bolts of the wing clips 55 in the vertical grooves 54, fix the legs and feet with the straps 11, 13, respectively , connect the two halves 26, 27 of the soft vest with adhesive strips 57, 58, pass the belts 28, 29, 30, 31, 32, 33 through the horizontal slots 4 of the back 2 and fix them with adjusting buckles 34, 35, 36, 37, 38 , 39. Install two holders 22, 23 in the required position heads and fix them in horizontal slots 4 of the back 2 with wing clamps 24. Install the countertop 18 on the armrests 8, pushing them, for example, into the grooves 21. In this form, the chair seat allows you to teach patients how to properly sit with impaired neck, back and lower muscles limbs, as well as to develop the correct posture when sitting in patients with torticollis, kyphoscoliosis, contractures of the hip, knee, ankle joints, combining this with games, exercises and feeding the child.

Claims (6)

1. A chair seat for the rehabilitation of a patient with cerebral palsy, including a base, a back with a variable angle, in which there are two vertical rows of horizontal slots, sidewalls with legs on wheels on which the base rests, armrests in the form of parallel rectangular bars mounted on the sidewalls with the possibility of raising and lowering, a countertop, to the lower surface of which are attached two parallel bars with longitudinal rectangular grooves, which include the mentioned bars armrest nikov, for reciprocating movement of the countertop, a footrest with a variable angle of inclination, to which a leg support is attached with the possibility of raising and lowering, equipped with fastening straps, a leg separator in the form of an abductor mounted on the base with the ability to move to the edge of the base or to the back , two head holders in the form of vertically arranged pillows, fixed in the aforementioned horizontal slots of the back, chest holder in the form of a soft vest with straps passed through the horizontal e slotted backrests and fitted with adjustment buckles at the ends. 2. The seat chair according to claim 1, characterized in that a semicircular cutout is made in the countertop from the back side. 3. The chair seat according to claim 1, characterized in that the said rectangular grooves are made on the inner faces of the parallel bars. 4. The chair seat according to claim 1, characterized in that the said rectangular grooves are made on the outer faces of the parallel bars. 5. The chair seat according to claim 1, characterized in that the countertop is made of wood. 6. The chair seat according to claim 1, characterized in that the countertop is made of plastic.