RU183712U1 - The simulator plate for classes on the development of motor functions of the hands in patients with a neurological clinic - Google Patents

Abstract

The utility model relates to medicine in the section of neurology and neurorehabilitation and can be used in the departments of neurorehabilitation of neurological and neurosurgical clinics when conducting classes to develop motor functions of the hands in patients with a neurological clinic with organic brain lesions of various etiologies.

The utility model includes a plastic housing (1) of a plate-shaped shape 30–40 mm high with a thickened bottom, an internal diameter of 150–250 mm and a thickness of 4–8 mm, in the center of the lower surface of which a shank (2) is made in the form of a cylinder with an outer diameter of 10-16 mm and a height of 25-35 mm, having a through hole (5), while the transition from the inner surface of the wall of the shank (2) to the upper surface of the bottom is smooth, and the end of the shank (2) is made in the form of a shoulder (3 ) round in shape, 7-10 mm high; the inner diameter of the upper part of the body (1) exceeds the internal diameter of the bottom by 20-35%, and a rounded shape (4) is made along the upper edge of the body (1), 7-10 mm high, while the surface of the body wall is outside (1 ) has a smooth transition to the surface of its bottom, on which a strap (6) is fixed, having a slot for the shank (2), while a lace (7) is drawn through the through hole in the shank (2) into the internal cavity of the housing (1), on one the end of which is fixed a ball (8) with a diameter of 30-60 mm, and the other end of the lace (7) is made in the form of loops (9), to which a stopper (10) is mounted.

Thus, the utility model allows classes on the development of motor functions of the hands of patients in a neurological clinic due to the possibility of performing simple and accessible exercises of varying degrees of difficulty with a plate simulator, as well as the ability to conveniently and quickly return the ball to the internal cavity of the plate simulator. The use of a plate simulator introduces an element of novelty into the process of rehabilitation classes, turning them into interesting and attractive training for patients.

Due to the simplicity of design and ease of use, the simulator plate can be widely used in clinical practice, allowing patients to carry out exercises to restore the motor functions of the hands both in a hospital and on their own at home.

Description

This useful model relates to medicine in the section of neurology and neurorehabilitation and can be used in the departments of neurorehabilitation of neurological and neurosurgical clinics during classes on the development of motor functions of the hands in patients of a neurological clinic.

Impairment of motor functions of the hands occurs in patients with a neurological clinic due to various organic brain lesions associated with injuries, poisoning, infections, and vascular diseases of the brain.

Currently, various simulators and devices are used for classes on the development of motor functions of the hands in patients of a neurological clinic.

So, from the existing level of technology, the “CuraMotion Exer III Plus Arm and Shoulder Trainer” is known, which is designed to develop the motor functions of the upper limbs, to strengthen the muscles of the hands, increase flexibility and mobility of the shoulder girdle (Promedik Online Store. Trainer for arms and shoulders PT22100 CuraMotion Exer III Plus, found on July 01, 2018 on the Internet at http://www.pro-medic.ru/index.php?ht=222&detail=9480).

Structurally, this simulator is a metal case, in the upper part of which there is a handle that the patient must rotate by hand, making circular movements.

The disadvantages of this simulator when using it during classes to develop motor functions of the hands in patients with a neurological clinic are:

a) mechanical repetition of the same circular motion of the hand in the same plane, without the possibility of working on the restoration of any other movements of the hand;

b) the uniformity of the movements performed by the hand, contributing to the rapid fatigue of patients;

c) the possibility of training with this simulator only if there is a horizontal surface of the table;

d) the inconvenience of practicing with this device for bed patients of a neurological clinic.

Also, from the existing level of technology, the device is known “Block for restoring the functions of the upper limbs”, which is designed to restore the functions of muscles and joints of the hands after injuries, surgery, stroke (Scientific-Production Association "HERCULES", Block for restoring the functions of the upper limbs, found 07/01/2018 on the Internet at http://royal-sport.ru/trenazhery/trenazhery-dlja-invalidov/mehanoterapija-kinezoterapija/blochok-dlja-vosstanovlenija-funk).

Structurally, this device is a steel frame fixed to the wall, on which a pair of blocks is located, through which a rope is threaded, at the ends of which there are handles. During the lessons, the patient holding the rope by the handles, performs a reciprocating movement up and down with his hands, alternately raising one arm and lowering the other.

The disadvantages of this device when used during classes on the development of motor functions of the hands in patients with a neurological clinic are:

a) this device provides a mechanical repetition of the same reciprocating, and does not allow you to work on the restoration of any other hand movements.

b) the uniformity of the movements performed, contributing to the rapid fatigue of patients;

c) the possibility of training with this device only in specially equipped rooms where it is mounted on the wall;

d) the impossibility of practicing with this device for bed patients of a neurological clinic.

Also, the Catch Ball-1 gaming device is known from the prior art, which is designed to develop coordination of movements, dexterity, and eye measurement (My-Shop.ru online store. The Catch Ball-1 game, found July 1, 2018 d. on the Internet at https://my-shop.ru/shop/products/2208577.html?b45=2_1).

Structurally, this device is a wooden bowl, on the lower surface of the bottom of which there is a handle with a wooden ball tied to it through a lace.

In the course of training with this device, the person who is engaged needs to throw the ball attached to the handle by moving the hand holding the device by the handle, calculating the throwing force so that it is caught in a wooden bowl.

The disadvantages of this device when used during classes on the development of motor functions of the hands in patients with a neurological clinic are:

a) this device is intended for healthy people, and therefore it is practically inaccessible to patients in a neurological clinic with impaired motor functions of the hands;

b) since most patients did not have the skill to work with this device in their previous experience, this activity is unusual for them, which causes additional difficulties.

In order to overcome the above drawbacks, a "simulator plate for training on the development of motor functions of the hands in patients of a neurological clinic" (hereinafter referred to as a simulator plate) was developed.

The tasks to be solved by the claimed technical solution are:

a) using, as a basis for the simulator, a household item familiar to patients, in particular a plate, the actions of which are strengthened by the past experience of all patients, therefore they are more secure and accessible for sale by patients;

b) ensuring the availability of classes with a simulator plate to patients of a neurological clinic with impaired motor functions of the hand of varying severity;

c) the possibility of implementing exercises of various degrees of difficulty with the simulator plate;

d) ensuring the possibility of a convenient and quick return of the ball to the internal cavity of the simulator-plate in case it was not caught;

e) providing the possibility of training with a simulator plate in various conditions in the absence of a horizontal surface of the desktop;

e) the simplicity of the design of the simulator plate, contributing to its widespread adoption in the practice of working with patients both in the clinic and in independent studies at home.

The technical result of the claimed utility model is to expand the functionality of the device "Catch the ball-1", provided by the structural elements of the claimed simulator plates, allowing classes to develop motor functions of the hands of patients in a neurological clinic due to the possibility of performing simple and accessible to patients with a simulator plate exercises of varying degrees of difficulty, as well as the possibility of a convenient and quick return of the ball to the internal cavity of the simulator plate .

This technical result is achieved due to the fact that the simulator plate contains a plastic plate-shaped body 30-40 mm high with a thickened bottom, an internal diameter of 150-250 mm and a thickness of 4-8 mm, in the center of the lower surface of which a shank is made in the form a cylinder with an outer diameter of 10-16 mm and a height of 25-35 mm, having a through hole, while the transition from the inner surface of the shank wall to the upper surface of the bottom is smooth, and the end of the shank is made in the form of a rounded shoulder the one 7-10 mm; the inner diameter of the upper part of the body exceeds the inner diameter of the bottom by 20-35 percent, and a rounded shape is made on the upper edge of the body, with a height of 7-10 mm, while the outside the surface of the wall of the body has a smooth transition to the surface of its bottom, on which is fixed a strap having a slit for the shank, while a lace is drawn through the through hole in the shank into the internal cavity of the case, a ball with a diameter of 30-60 mm is fixed at one end, and the other end of the lace is made in the form of a loop in front of the cat Roy set the limiter.

In a preferred embodiment, the simulator plate, the wall thickness of the housing is 2-3 mm.

In a preferred embodiment, the simulator plate, the wall thickness of the shank is 2-4 mm

In a preferred embodiment, the simulator plate, the strap is made of rubberized fabric and has a width of 40-50 mm

In a preferred embodiment of the simulator plate, a braided synthetic rope with a diameter of 2-3 mm and a length of 1200-1500 mm can be used as a lace.

In a preferred embodiment, the simulator-plate, the ball is made of elastic plastic and is hollow.

In a preferred embodiment, the simulator plate, the limiter is a plastic washer with a thickness of 3-5 mm, the inner diameter of which is equal to the diameter of the cord, and the outer diameter exceeds the diameter of the hole in the shank by 1.5-2 times.

The essence of the utility model "simulator plate for classes on the development of motor functions of the hands of patients in a neurological clinic" is illustrated by the drawings, which depict:

In FIG. 1 is a general view of a plate simulator with a cord and a ball;

In FIG. 2 is a side view of a simulator plate without a lace and a ball;

In FIG. 3 is a sectional view of a simulator plate without a lace and a ball;

In FIG. 4 is a bottom view of a simulator-plate without a lace and a ball.

The claimed simulator-plate (see Fig. 1) is a plastic-shaped case (1) with a thickened bottom, in the center of the lower surface of which a shank (2) is made with a through hole (5) through which the cord (7) is stretched with a ball fixed on it (8), placed in the internal cavity of the housing (1).

 The inner diameter of the bottom of the housing (1) is 150-250 mm, and its thickness is 4-8 mm (see Fig. 2-4).

The shank (2) is made in the form of a cylinder with an outer diameter of 10-16 mm, a height of 25-35 mm, and a wall thickness of 2-4 mm, while the transition from the inner surface of the wall of the shank (2) to the upper surface of the bottom of the housing (1) is made smooth, to ensure ease of sliding of the lace (7) during training with the simulator plate (see Fig. 3).

The end of the shank (2) is made in the form of a ridge (3) of a rounded shape with a height of 7-10 mm, to ensure ease of sliding of the lace (7) inside the through hole (5).

The height of the body (1) of the simulator plate is 30-40 mm, the inner diameter of the upper part of the body (1) exceeds the inner diameter of the bottom by 20-35 percent, and the wall thickness of the body (1) is 2-3 mm.

On the upper edge of the housing (1), a rounded shape (4) is made, 7-10 mm high, which performs the following functions:

a) add additional rigidity to the body (1) of the simulator plate;

b) due to the rounded shape provides ease of sliding of the lace (7) along the upper edge of the body (1) during classes with a simulator plate.

The outer surface of the wall of the housing (1) has a smooth transition to the lower surface of its bottom.

An elastic strap (6) 40-50 mm wide, made of rubberized fabric, is fixed to the bottom surface of the bottom of the body (1), in the center of which a slot for the shank (2) is made (see Figs. 2, 4). Thus, the shank (2) allows the lace (7) to slide inside the hole (5) when the patient’s hands are fixed with a strap (6) under the lower surface of the body bottom (1).

The ball (8) used during exercises with the simulator-plate is made of elastic plastic and is hollow, and its diameter is 30-60 mm (see Fig. 1)

As a lace (7), a braided synthetic rope with a diameter of 2-3 mm can be used, which has the property of easy sliding on a plastic surface, for example, “Twisted polyester rope” (GlobalTex-M Company, Twisted polyester rope, found on July 1, 2018 in the Internet at http://2029863.ru/kruchennaya-veryovka).

The length of the lace (7) is 1200-1500 mm, and its fastening to the ball (8) can be carried out in various ways, for example, by gluing.

The other end of the lace (7) is made in the form of a loop (9), which provides the convenience of holding the lace (7) with the patient’s healthy hand during training with a plate simulator.

To prevent accidental slipping of the loop (9) through the hole (5) in the shank (2) during training with the simulator plate, a stopper (10) is installed on the cord (7) in front of the loop (9), which is a 3-5 mm thick plastic washer mm, the inner diameter of which is equal to the diameter of the lace (7), and the outer diameter exceeds the diameter of the hole (5) in the shank (2) by 1.5-2 times.

Work with the "simulator plate for classes on the development of motor functions of the hands in patients with a neurological clinic" is as follows.

Before the start of the lesson, the ball is placed in the inner cavity of the body (1) of the simulator plate, and the patient holds the "simulator plate" with his hand in violation of movements in one of two ways:

1. By the side of the housing (1), similar to holding a regular plate by hand. This method is used with the safe movement of the fingers, which is available to capture and hold the simulator plate;

2. With the palm of a hand fixed by a strap (6) under the lower surface of the bottom of the body (1). This method is used for violation of the movements of the fingers of the patient’s hand, which does not allow holding the “simulator plate” by the side of the case (1). In the case of holding the simulator plate in this way, the shank (2) is located between the middle and ring fingers of the patient’s hand.

At the same time, a loop (9) of a cord (7) is located in a healthy hand of a patient, and a healthy hand of a patient holding a loop (9) is located near a hand with a simulator plate.

The exercise performed by the patient with the simulator-plate includes the following movements:

a) toss the ball (8) up to a small height, by moving the arm with a simulator plate;

b) catch the ball (8) with the simulator plate so that it is in the inner cavity of the body (1) of the simulator plate.

In the event that after performing the above steps the ball (8) is in the inner cavity of the body (1) of the simulator plate, then the patient continues the exercise further.

If the ball (8) is outside the simulator plate, then the patient returns the ball (8) to the inner cavity of the body (1) of the simulator plate by pulling the cord (7) with a healthy hand around the loop (9), after which exercise continues further.

As patients achieve positive results in the development of motor functions of the arm, the exercises performed with the simulator-plate are complicated by gradually increasing the height of the ball tossing (8).

Thus, the design features of the plate simulator provide the ability to perform simple and accessible exercises for the patient due to the fact that the ball (8) is thrown directly from the internal cavity of the body (and not from the position when it hangs on the lace from the bottom), and the patient can gradually increase the height of its toss, thereby complicating the exercises.

At the same time, the design features of the plate simulator provide the ability to quickly return the ball (8) to the internal cavity of the body (1) of the plate simulator by pulling the cord (7) by the loop (9), which ensures the convenience of patients with the plate simulator.

The importance of the simulator plate lies in the fact that working with it causes interest and positive emotions in patients, since the movements performed with the simulator plate are not mechanical and monotonous, but are of a playful nature, helping to maintain interest in the movements performed.

After mastering the use of a simulator plate under the guidance of a specialist, the patient gets the opportunity to conduct independent classes with him both in the clinic and at home.

Along with classes on the development of motor functions of the hands of patients in a neurological clinic, the simulator plate can also be effectively used in the development of motor functions of the hands that are impaired due to various other diseases, for example, hand injuries, the consequences of surgical operations, etc.

In addition to using the simulator plate in clinical practice, it can be widely used in the sports and fitness field, for example, when conducting classes with children.

Thus, the simulator plate allows classes to develop motor functions of the hands of patients in a neurological clinic due to the possibility of performing simple and accessible exercises for patients of varying difficulty with the simulator plate, as well as the ability to conveniently and quickly return the ball to the internal cavity of the simulator plate.

The use of a plate simulator introduces an element of novelty into the process of rehabilitation classes, turning them into interesting and attractive training for patients.

Due to the simplicity of design and ease of use, the simulator-plate can be widely used in clinical practice, allowing patients to carry out exercises to restore the motor functions of the hands both in a hospital and on their own at home.

Claims (7)

1. The simulator plate for classes on the development of motor functions of the hands of patients in a neurological clinic, characterized in that it contains a plastic plate-shaped body 30-40 mm high with a thickened bottom, an inner diameter of 150-250 mm and a thickness of 4-8 mm, in the center of the lower surface of which a shank is made in the form of a cylinder with an outer diameter of 10-16 mm and a height of 25-35 mm, having a through hole, while the transition from the inner surface and the wall of the shank to the upper surface of the bottom is smooth, and the end tovika designed as a rounded rib 7-10 mm in height; the inner diameter of the upper part of the case exceeds the inner diameter of the bottom by 20-35%, and a round-shaped fringing 7-10 mm high is made along the upper edge of the case, while the outside the surface of the wall of the case has a smooth transition to the surface of its bottom, on which the strap is fixed having a slot for the shank, while through the through hole in the shank into the inner cavity of the housing a cord is drawn, at one end of which a ball with a diameter of 30-60 mm is fixed, and the other end of the cord is made in the form of a loop, in front of which detecting limiter. 2. The simulator plate according to claim 1, characterized in that the wall thickness of the housing is 2-3 mm. 3. The simulator plate according to claim 1, characterized in that the wall thickness of the shank is 2-4 mm. 4. The simulator plate according to claim 1, characterized in that the strap is made of rubberized fabric and has a width of 40-50 mm. 5. The simulator plate according to claim 1, characterized in that a braided synthetic rope with a diameter of 2-3 mm and a length of 1200-1500 mm can be used as a lace. 6. The simulator plate according to claim 1, characterized in that the ball is made of elastic plastic and is hollow. 7. The simulator plate according to claim 1, characterized in that the limiter is a plastic washer 3-5 mm thick, the inner diameter of which is equal to the diameter of the lace, and the outer diameter exceeds the diameter of the hole in the shank by 1.5-2 times.

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