WO2011152756A1 - Combinaison destinée à la réhabilitation neuro-orthopédique - Google Patents

Combinaison destinée à la réhabilitation neuro-orthopédique Download PDF

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Publication number
WO2011152756A1
WO2011152756A1 PCT/RU2011/000248 RU2011000248W WO2011152756A1 WO 2011152756 A1 WO2011152756 A1 WO 2011152756A1 RU 2011000248 W RU2011000248 W RU 2011000248W WO 2011152756 A1 WO2011152756 A1 WO 2011152756A1
Authority
WO
WIPO (PCT)
Prior art keywords
overalls
jumpsuit
attached
along
joints
Prior art date
Application number
PCT/RU2011/000248
Other languages
English (en)
Russian (ru)
Inventor
Абрам БОРОДА
Сергей СНОПОК
Виталий МУГТАРУЛИН
Original Assignee
Закрытое Акционерное Общество "Медтехника"
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Закрытое Акционерное Общество "Медтехника" filed Critical Закрытое Акционерное Общество "Медтехника"
Publication of WO2011152756A1 publication Critical patent/WO2011152756A1/fr

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/012Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations inflatable

Definitions

  • RF patent Ns 2266082 on which two elastic tube-shaped chambers are installed, one of which runs along the left leg, along the left side of the back and along the left sleeve, and the other runs along the right leg, along the right side of the back and along the right sleeve.
  • the diameter of the chambers in the area corresponding to the area of the knee joints is increased at least one and a half times. According to the author, an increase in the diameter of the chambers in the area corresponding to the area of the knee joints stabilizes the joint and helps the patient maintain a vertical
  • the objective of the invention is to create a jumpsuit for neuro-orthopedic rehabilitation, in which it is possible to optimize the load exerted by the device on the knee and / or elbow joints while maintaining the stabilization function of these joints.
  • the jumpsuit for neuro-orthopedic rehabilitation on which two elastic tubular-shaped chambers are installed, one of which runs along the left leg, along the left side of the back and along the left sleeve, is additionally equipped with means of adjustable compression of the chambers in the area corresponding to the position of the knee and / or elbow joints.
  • Adjustable compression of the chambers on the site of the knee and / or elbow joints allows you to optimize the load on the elbow and / or knee joints of a particular patient, on the one hand making it easier to perform movements in the knee and / or elbow joints, and on the other hand ensuring stabilization of these joints.
  • Means of adjustable compression of the chambers can be made in the form of a strap with a buckle, covering the camera with the possibility of its tightening around this camera.
  • This embodiment of the means of controlled compression of the cameras allows you to quickly and efficiently adapt jumpsuit for the needs of a particular patient, and, therefore, expand the range of applications of the proposed jumpsuit. It is also possible to implement means for controlled compression of the chambers using a cord or tape provided with or provided with a clip for fixing the ends of the cord or tape.
  • the overalls may additionally contain a pneumatic collar, at least partially covering the neck, attached to the overalls with the possibility of removal and made with the possibility of adjusting its height and diameter of coverage.
  • the free ends of the collar are made with the possibility of mutual fixation for a more snug fit to the neck.
  • the collar is attached to the jumpsuit in such a way as to ensure quick and convenient attachment and removal of the collar from the jumpsuit, as an option with Velcro fasteners, buttons, rivets, etc. funds.
  • Each camera can be placed in a case.
  • Each cover can be attached to the jumpsuit by means of straps of jumpers, each of which covers the cover and has ends attached to the jumpsuit.
  • Each cover can also be attached to the jumpsuit by means of jumpers, covering the cover and having ends that are crossed in the area between the cover and the jumpsuit and attached to it.
  • the intersection of the ribbon jumpers allows you to more tighten the overall when pumping gas into the chambers, due to their stretching.
  • rows of holes can be made that are aligned and through which a tape is passed connecting the cover with the overalls.
  • Each cover can be attached to the jumpsuit by at least partially attaching the cover to the jumpsuit.
  • a zipper can be sewn into each camera case to make it easy to replace a damaged camera.
  • the overalls can be equipped with means for stabilizing the knee and / or elbow and / or ankle joint along its frontal axis, placed under the overalls.
  • These means of stabilizing the position of the knee and / or elbow and / or ankle joints may contain at least two tires, the first ends of which are connected by a hinge assembly, the axis of rotation of which is essentially parallel to the front axis of the joint, and a base having transverse tapes for fixing means stabilization of the position of the knee and / or elbow joint and / or ankle joints on the limbs and pockets to accommodate the second ends of the tires, and one of the second ends placed in the pocket may have possibility of displacement.
  • Each hinge assembly may be formed by a torsion spring.
  • torsion spring allows you to create additional load on the joint, and also helps to straighten it.
  • the hinge node of the ankle joint may contain an elastic element that is attached in front to different parts of the joint and pulls the sock up.
  • the overalls may have a rear part and a front part formed by a central plank and side parts located on two sides of the central plank, and a series of detachable fasteners located from the neckline to the bottom line of the trousers and connecting the central plank with the side parts.
  • the fastener may be a Velcro fastener.
  • the fastener may contain a tape, one end of which is attached to the side part and is provided with one part of the Velcro fastener, and the other end is passed through a half ring (square frame) attached to the central bar, and provided with a mating part of the Velcro fastener.
  • the tape may be elastic. This will ensure a tight fit for the suit, but freedom of excursion of the chest during breathing.
  • the fastener may also contain a tape, one end of which is attached to the side part, and the other end is fixed by two half rings or a buckle attached to the central strip.
  • One part of the chamber can extend to the level of the hip joints, and the other part of the chamber from this level.
  • one part of the camera can extend to the level of the shoulder girdle, and the other part of the camera from this level. Thanks to such a design of the chambers, it is possible to adjust the pressure in the chamber separately for each limb.
  • FIG. 1 depicts a front view of the proposed jumpsuit for neuro-orthopedic rehabilitation
  • FIG. 2 is a rear view of the overalls shown in FIG. one ;
  • FIG. 3 schematically depicts a case with installed means for adjustable compression of chambers
  • FIG. 4-6 schematically depict in perspective the options for connecting parts of the overalls
  • FIG. 7 schematically depicts means for controlled compression of chambers in a section corresponding to the position of the knee and / or elbow joints;
  • FIG. 8-12 schematically depict options for attaching camera cases to overalls
  • FIG. 13 depicts a side view of the means of stabilization of the elbow joint
  • FIG. 14 is a side view of stabilization means of the knee and ankle joints; and FIG. 15 schematically depicts stabilization means comprising a torsion spring.
  • the proposed jumpsuit 1 for neuro-orthopedic rehabilitation contains interconnected front part 2 (Fig. 1) and rear part 3 (Fig. 2).
  • the front part 2 is formed by a central bar 4 extending from the neckline 5 and extending to the bottom line of the trousers 6 of each of the legs.
  • the lateral parts 7 can be detached from the sides to the plank 4.
  • the fastening is carried out using a series of fasteners 8, evenly spaced along the entire length of the plank 4.
  • the fastener 8 can be made in the form of a Velcro fastener, one part 9 of which is attached to the front side of the strap 4, and the counterpart 10 (shown by a dotted line) of the fastener 8 is attached to the wrong side of the part 7.
  • the fastener 8 can be made of tape 12 (woven or rubber), one end 13 of which is attached to the part 7 and provided with one part 14 of the Velcro fastener, and the other end 15 is passed through a half ring 16, which is attached to the strap 4, and equipped with a mating part 17 of the Velcro fastener.
  • two rings 18 can perform the function of fixing the tape 12 (Fig. 5). Both rings 18 are internally enclosed by a piece of tape 51, the ends of which are folded together and stitched to the bar 4. One end 13 of the tape 12 is attached to the part 7, and the other end 15 covers both rings 18 from the inside, and then passed between the rings 18 in the opposite direction. When tightening the tape 12 it is fixed in the rings 18 due to friction.
  • a buckle 19 can be used (Fig. 6), in which the tape 12 is also fixed due to friction forces.
  • SUBSTITUTE SHEET (RULE 26) Similar fasteners 20 and 21 can be used to connect the sleeve 1 1 on the inner side seam and fasten it to parts 2 and 3 of overalls 1.
  • each of the fasteners 8 (Fig. 3-6) is made with the possibility of adjusting the relative position of the strap 4 and part 7, which allows you to fit the overalls 1 on the patient’s body.
  • this embodiment of the fastener provides a full opening of the overalls for the convenience of putting it on both in the standing position and in the supine position.
  • Overalls 1 can also be equipped with a lacing 22 located in the center of part 3 (Fig. 2) and made from the neckline to the waistline.
  • lacing 23 can be performed on each shoulder, and lacing 24 can be performed on each leg of part 3 from the knee to the bottom line 6.
  • Lacing 22, 23 and 24 are designed to drag the overalls on the patient's body until the body is snug and uniformly wrapped around the body with the overalls and legs.
  • covers 25 On overalls 1 in covers 25 mounted two independent elastic tubular chambers. Since these cameras are in cases, they themselves are not visible in the drawings. In accordance with the arrangement of the covers 25, one said chamber extends along the left leg, along the left side of the back and along the left sleeve, and the other passes along the right leg, along the right side of the back and along the right sleeve. Due to this position of the cameras, when wearing overalls, they pass over the junction of the antagonist muscles (muscles acting simultaneously or alternately in two opposite directions). Each of the cameras is equipped with means for connecting the camera to the pump, made in the form of a nipple, the end of which 31 comes out from the cover 25 (Fig. 1).
  • the nipple can be located in any convenient place on the camera.
  • a variant, not shown in the drawings, is also possible, in which the cameras communicate with each other, for example by means of a tubular bridge extending across the back at the waist level. In this case, it is enough to equip the means of connecting the camera to the pump with only one camera.
  • the proposed jumpsuit contains means for adjustable compression of the chambers, made in the form of two straps 26, covering covers 25 with the cameras placed on them in the area corresponding to the position of the knee and elbow joints (Fig. 1 and 2).
  • the width of the strap is 5-7 cm.
  • Each strap 26 is equipped with a buckle 29, allowing its tightening around this camera.
  • the strap 26 can be formed by fabric tape 27 (Fig. 7), and the buckle is made in the form of two rings 29.
  • One end 28 of the tape 27 covers both rings 29 from the inside and is attached to the tape 27, and its other end 30 covers both rings from the inside 29, and then passed between the rings 29 in the opposite direction.
  • the offset of the end 30 relative to the end 28 leads to a decrease in the circumference of the strap 26, which allows you to tighten the camera and thereby compress it, causing its deformation with a decrease in its cross section.
  • the compression of the chambers compensates for the pressure exerted by the chambers, as a result of which the load on the knee and elbow joints is reduced, and thereby their mobility is increased and greater freedom of movement in the area of these joints is ensured. At the same time, the stabilizing effect on the knee and elbow joints is preserved.
  • Possible embodiments of the jumpsuit in which the strap 26 is used only on the site of the knee joints or only on the site of the elbow joints.
  • the choice of execution of overalls depends on the needs of a particular patient.
  • the chambers may have a diameter exceeding the diameter of the chamber for the rest of the length. Due to this, the corsetry effect of the overalls in the back is enhanced.
  • YI IST RULE 26 The covers 25 are attached directly to the jumpsuit 1. The fastening can be accomplished, for example, by means of jumper ribbons 32 covering the cover 25, as shown in FIG. 8 and 9, and attached at their ends to the jumpsuit 1, moreover, from the middle of the thigh to the middle of the shoulder of the tape-jumper 32 is preferably made with a cross 33 (Fig. 8).
  • the intersection 33 of the jumper ribbons 32 allows you to more tighten the jumpsuit when it is pulled, and, therefore, perform a more accurate fit on the patient’s body, which is especially important in the area from the middle of the thigh to the middle of the shoulder.
  • fasteners 8 and 20, as well as lacing 24, to fit the overalls therefore, the cameras can be fastened with jumper ribbons 32 without intersection, as shown in FIG. 9, because an overly tight fit of the suit throughout the body can cause an increase in blood pressure.
  • the fastening of the covers 25 to the overalls 1 can be performed using the tape 34, which is passed through the machined holes 35 made on the covers 25 and on the overalls 1, as shown in FIG. 10.
  • the fastening of the covers 25 can be carried out by means of fasteners 36 (stitching on small segments) (Fig. 1 1).
  • the covers 25 can also be attached by attaching them (shown by a dotted line) to the jumpsuit 1 along the entire length of the cover 25 (Fig. 12).
  • the covers 25 are provided with a corset lacing formed by a cord 36 threaded into hooks or loops 37.
  • the covers 25 can be equipped with a zipper (not shown), which facilitates the replacement of damaged cameras.
  • Overalls 1 can also be equipped with a removable pneumatic collar 38, which covers the neck by about 60-90% of the circumference of the neck (Fig. 1 and 2).
  • the fastening of the collar 38 to the jumpsuit 1 can be carried out, for example, by means of a Velcro fastener (not shown) or other devices providing its installation with the possibility of removal.
  • SUBSTITUTE SHEET (RULE 26) representing, for example, a tape with Velcro fastener, which allows you to pull the collar to the desired volume.
  • the proposed jumpsuit is used as follows. For the simultaneous approximation of the patient’s muscles in the process of exercises or outside of them, the overalls are put on the patient in size, fastening it on the fasteners 8 and adjusting the fit of the overalls on the body. In addition, the fitting of the overalls is further controlled by lacing 22, 23 and 24.
  • the chambers are filled with air through a nipple by means of a pump, for example, an automobile.
  • the jumper ribbons 32 are pulled by themselves and pulled on the jumpsuit 1, providing universal compression and a peculiar corsetization of the patient’s trunk and limbs.
  • the pressure on the muscles and joints may vary depending on the pressure created in the chambers.
  • corset lacing is performed by passing the cord 36 through hooks or loops 37 and tightening it.
  • the chambers are squeezed in the region of the knee and / or elbow joints by the required amount, shifting the end 27 of the tape 26 relative to the end 29 along the length of the tape 26 and fixing the ends 27 and 29 with each other in the desired position. Due to the adjustable compression of the chambers in the area of the knee and elbow joints, their cross section is reduced to the required value, as a result of which the knee and elbow joints experience less pressure, which increases their mobility, but at the same time some optimal pressure is maintained, so that the joints are stabilized. Thus, the optimization of the load exerted by the device on the knee and / or elbow joints is ensured, while maintaining the stabilization function of these joints.
  • the compression of the chambers is additionally regulated in accordance with the requirements of the treatment process.
  • Mechanical compression of the trunk and extremities causes stretching of the muscles, ligaments and articular apparatus, while proprioceptive irritation intensifies, the ⁇ - ⁇ -motor-neuronal system is activated at all levels of the central nervous system and neurophysiological prerequisites are created for recovery
  • SUBSTITUTE SHEET (RULE 26) impaired posotonic control.
  • the patient recovers walking skills, improves coordination, as well as praxis and speech skills.
  • the overalls can be additionally equipped with means 40 for stabilizing the position of the elbow (Fig. 13), means 41 for stabilizing the position of the knee and / or means 42 for stabilizing the position of the ankle joints (Fig. 14), worn under the overalls 1.
  • Means 40, 41 and 42 allow you to stabilize the position of the joint in its frontal plane.
  • the means for stabilizing the elbow joint contain at least two tires 43 and 44 in the form of plates connected to each other by a hinge assembly 45 in the form of a rotational pair, and two bases 46 located before and after the joint and having transverse belts 47 for fixing means 40 on limbs. Pockets 48 are made on each base 46 to accommodate tires 43 and 44 in them. Moreover, the tire 43 is moveable in pocket 48, so that means 40 do not shift along the limb when it is bent and extended. Pairs of tires 43 and 44 can be located either on only one side of the joint (internal or external), or on both sides.
  • the means 42 may further comprise an elastic band 49, the ends of which are pivotally attached to the base 46.
  • the elastic band is designed to raise the foot.
  • a torsion spring 50 may be used, as shown in FIG. 15. By selecting a spring with a certain stiffness of the material, the force exerted by the patient to make movement can be varied.
  • each of the chambers can be made of two insulated parts, each of which is equipped with a nipple.
  • a blind bridge may be installed in the chamber, dividing the chamber into two isolated sections.
  • the jumper may be located, for example, at the level of the hip joints or at the level of the shoulder girdle.
  • each chamber can be made of two chambers, one of which extends to the level of the hip joints and / or level shoulder girdle, and the other from the level of the hip joints and / or the level of the shoulder girdle.

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  • Health & Medical Sciences (AREA)
  • Vascular Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nursing (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Rehabilitation Tools (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Professional, Industrial, Or Sporting Protective Garments (AREA)

Abstract

La présente invention concerne la médecine et notamment des combinaisons destinées à la réhabilitation de malades neurologiques présentant des troubles moteurs. La combinaison comporte deux chambres élastiques de forme tubulaire dont une est posée le long de la jambe gauche, le long du côté gauche du dos et de la manche gauche, et l'autre est posée le long de la jambe droite, le long du côté droit du dos et de la manche droite. La combinaison comprend en outre un moyen de compression réglable des chambres au niveau d'une zone correspondant à la position des articulations du genou et/ou du coude. Le résultat technique, dans cette combinaison, est d'assurer la possibilité d'optimisation de la charge exercée par le dispositif sur les articulations du genou et/ou du coude tout en préservant la fonction de stabilisation de ces articulations.
PCT/RU2011/000248 2010-04-15 2011-05-03 Combinaison destinée à la réhabilitation neuro-orthopédique WO2011152756A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
EA201000672A EA201000672A1 (ru) 2010-04-15 2010-04-15 Комбинезон для нейроортопедической реабилитации
EA201000672 2010-04-15

Publications (1)

Publication Number Publication Date
WO2011152756A1 true WO2011152756A1 (fr) 2011-12-08

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PCT/RU2011/000248 WO2011152756A1 (fr) 2010-04-15 2011-05-03 Combinaison destinée à la réhabilitation neuro-orthopédique

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EA (1) EA201000672A1 (fr)
WO (1) WO2011152756A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2022195366A1 (fr) * 2021-03-16 2022-09-22 Neures Sp. Z O.O. Combinaison pour compression destinée à être utilisée dans le traitement de troubles neurologiques ou psychiatriques

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2015171012A1 (fr) * 2014-05-05 2015-11-12 Виктория Геннадьевна РЫБЧИНСКАЯ Dispositif de rémission neuro-orthopédique
RU205351U1 (ru) * 2021-01-11 2021-07-12 Анатолий Филимонович Шевцов Нейроортопедический пневмокостюм

Citations (3)

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Publication number Priority date Publication date Assignee Title
US5074285A (en) * 1989-11-20 1991-12-24 Wright Linear Pump, Inc. Thermal applicator method
RU2161474C2 (ru) * 1996-07-16 2001-01-10 Книжник Генрих Соломонович Пневмомассажный костюм
RU2266082C1 (ru) * 2004-12-10 2005-12-20 Аверьянов Андрей Анатольевич Устройство для нейро-ортопедической реабилитации

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US4922551A (en) * 1988-10-31 1990-05-08 George Anthes Overalls for crawling and slithering
SU1621919A1 (ru) * 1989-02-17 1991-01-23 Всесоюзный научно-исследовательский и конструкторско-технологический институт по спортивным изделиям По с-корсет
RU2131232C1 (ru) * 1998-09-15 1999-06-10 Аверьянов Андрей Игоревич Комбинезон для лечения больных детским церебральным параличом и больных с последствиями черепно-мозговой травмы
KR101291439B1 (ko) * 2004-01-23 2013-07-31 알러간, 인코포레이티드 해제가능하게 고정할 수 있는 일체형의 조절가능한 위밴드
RU88956U1 (ru) * 2009-07-30 2009-11-27 Анатолий Филимонович Шевцов Нейроортопедический пневмокостюм

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5074285A (en) * 1989-11-20 1991-12-24 Wright Linear Pump, Inc. Thermal applicator method
RU2161474C2 (ru) * 1996-07-16 2001-01-10 Книжник Генрих Соломонович Пневмомассажный костюм
RU2266082C1 (ru) * 2004-12-10 2005-12-20 Аверьянов Андрей Анатольевич Устройство для нейро-ортопедической реабилитации

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2022195366A1 (fr) * 2021-03-16 2022-09-22 Neures Sp. Z O.O. Combinaison pour compression destinée à être utilisée dans le traitement de troubles neurologiques ou psychiatriques

Also Published As

Publication number Publication date
EA014998B1 (ru) 2011-04-29
EA201000672A1 (ru) 2011-04-29

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