RU189167U1 - Simulator-bits for classes on the development of motor functions of the hands in patients of the neurological clinic - Google Patents

Abstract

The utility model “Bit simulator for practicing the development of hand motor functions in patients of the neurological clinic” refers to medicine in the neurology and neurorehabilitation section and can be used in neurorehabilitation departments of neurological and neurosurgical clinics in conducting exercises on the development of hand motor functions in patients with neurological clinic organic brain lesions of various etiologies. The useful model includes a hollow plastic construction made of plastic sports bat, consisting of a hollow body, which includes a cylindrical base (1) with a thickened bottom and a conical transitional part (2), smoothly passing into a cylindrical holder (3), in the upper part of which an emphasis (5) is made and notches (6), and also fixed the strap; at the same time, in the bottom of the base (1) perpendicular to the central axis of the body, there is a through hole (4) with rounded smooth edges through which the cord (8) with the ball (9) fixed on it is made, and the other end of the cord (8) is hinges (10), in front of which a limiter (11) is installed. Thus, the claimed “simulator-bit”, due to its structural elements, makes it possible to conduct safe and comfortable exercises on the development of motor functions of the hands with neurological clinic patients with movement disorders fingers (due to reliable fixation of the holder in the patient's hand through the strap), as well as violation of the motor functions of the legs (due to the easy and convenient return of the ball to the initial position). Using the “simulator-bits” introduces an element of novelty into the recovery process, turning them in an interesting and attractive training for patients.

Description

This utility model relates to medicine to the section of neurology and neurorehabilitation and can be used in the departments of neurorehabilitation of neurological and neurosurgical clinics when conducting classes on the development of hand motor functions in patients with a neurological clinic.

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

At present, various simulators and devices are used for practicing the development of motor functions of the hands in patients of the neurological clinic.

So, from the current level of technology known "Simulator for arms and shoulders" CuraMotion Exer III Plus ", which is designed to develop motor functions of the upper extremities, to strengthen the muscles of the arms, increase flexibility and mobility of the shoulder girdle (online store" Promedic ". Simulator for arms and shoulders PT22100 CuraMotion Exer III Plus, found 05/02/2019 in 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 with his hand, making circular movements.

The disadvantages of this simulator when using it in the course of training on the development of motor functions of the hands in patients of the neurological clinic are:

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

b) the uniformity of 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 simulator for bed patients of the neurological clinic.

Also, from the current level of technology known device "Simulator-blade for training on the development of motor functions of the hands of patients with a neurological clinic" (Patent RU 186559 U1, publication date 01.23.2019).

Structurally, this device is a plastic spatula consisting of a handle and a flat tray with a hole through which the cord with the ball attached to it is stretched.

One of the exercises performed with this device is that the patient holds the “treadmill” with an impaired motion, in front of which there is a ball on the floor, with which the patient must get into the “gates” located at a certain distance. After the exercise, the patient returns the ball to its original position by pulling up the lace with the ball with his good hand, and then continues the exercise further.

This device is most effective for practicing patients with previous experience in working with a shovel, since according to the principles of rehabilitation training (Tsvetkova LS, Neuropsychological rehabilitation of patients, M .; Voronezh, 2004), the recovery process should be based on the patient’s usual an activity that is consolidated in his past experience. In addition, it is desirable that this activity corresponds to the hobbies of the patient and arouses his interest.

Therefore, in order to improve the efficiency of classes for developing the motor functions of the hands of patients of the neurological clinic who were previously keen on sports games, a “Simulator-bit for classes on the development of motor functions of the hands in patients with a neurological clinic” (hereinafter referred to as “simulator-bit”) was developed. it is intended for recovery occupations with the patients having skills of games with the sports bat in the experience.

As the basis of the stated “simulator-bat”, a sports equipment, which is customary for these patients, is used. It is a traditional sports bat used in games such as lapta, baseball, etc. However, unlike these sports games, the bat with patients is not carried by a moving ball , and on the ball, which is in a static state on the surface of the floor or desktop.

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

a) use as a basis of the "simulator-bat" of a sports projectile, the skills of possession of which were strengthened and automated in the past experience of patients who had previously been engaged in sports games with bat such as lapta, baseball and others;

b) ensuring the availability of classes with a “simulator bat” for patients with a neurological clinic with impaired movements of the fingers due to the secure fixation of the handle of the “simulator bits” in the patient's hand by means of a strap;

c) ensuring the possibility of conducting classes for patients of the neurological clinic with impaired motor functions of the legs, who cannot independently lift the ball from the floor and place it in the initial position in front of the “training bat”;

d) ensuring the convenience and comfort of conducting classes due to the quick return of the ball to the initial position during the sessions with the “simulator bat”;

e) the possibility of implementing exercises of varying degrees of complexity with the “simulator bat”;

e) ensuring the safety of training with a “simulator bat” for others due to the fact that the ball is fixed on the cord, which limits the area of its movement during the training sessions;

g) simplicity of the “simulator-bits” design, which promotes its widespread introduction into the practice of working with patients both in the clinic and during self-study at home.

The technical result of the claimed utility model is the realization of the possibility of conducting classes in the development of motor functions of hands based on the strengthened skills of patients who have experience in sports with a bat, which is provided by the structural elements of the stated “simulator-bits”, allowing for safe and comfortable development exercises of the motor functions of the hands with patients of the neurological clinic, including patients with impaired movement of the fingers and patients with impaired motor functions of the legs, account easy and convenient return of the ball to its initial position.

This technical result is ensured by the fact that the “simulator-bit” contains a hollow construction made of plastic, having the shape of a sports bat, consisting of a hollow body that includes a cylindrical base with a thicker bottom and a transitional part of a conical shape that smoothly passes into the holder a cylindrical shape, in the upper part of which an emphasis and notches are made, and a strap is also fixed; at the same time in the bottom of the base, perpendicular to the central axis of the body, there is a through hole with rounded smooth edges through which the cord with the ball fixed on it is stretched, and the other end of the string is made in the form of a loop in front of which a stop is installed.

 In the preferred embodiment of the "simulator-bits" strap is made of rubberized fabric.

 In the preferred embodiment of the "simulator-bits" the ball has a round shape and is made of elastic material.

 In the preferred embodiment, the "simulator-bits" limiter is a plastic washer.

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

FIG. 1 - a general view of the "simulator-bits";

FIG. 2 - view of the “simulator bat” without a cord and ball.

The stated "bit trainer" (see Figs. 1, 2) is a plastic-made hollow structure having the shape of a sports bat consisting of a hollow body including a base (1) with a thickened bottom, a transitional part (2) and holder (3); at the same time in the bottom of the base (1) there is a through hole (4) through which the cord (8) with the ball (9) fixed on it is stretched.

The following dimensions of this particular “simulator-bits” are not signs that narrow the scope of legal protection, as they may change in the process of its creation.

The base (1) has a cylindrical shape with a diameter of 50-70 mm and a thickened bottom, with a thickness of 30-40 mm.

The transitional part (2) has a conical shape, smoothly turning into a holder (3) of a cylindrical shape with a diameter of 25-35 mm, a length of 160-200 mm, in the upper part of which an emphasis (5) and notches (6) are made, ensuring the fixation of the patient’s hand on the holder (3) in the course of training with a “simulator bat”.

The total length of the body "simulator-bits" is 500-800 mm, and the thickness of the walls of the body is the same and equal to 2-4 mm.

The stop (5) has a cylindrical shape with a height of 15-25 mm, and its diameter is 10-20 mm higher than the diameter of the holder (3).

The length of the holder area (3) on which the notches (6) are made is 100-140 mm.

At the bottom of the base (1), perpendicular to the center axis of the case, a through hole (4) with a diameter of 15-25 mm is made with rounded smooth edges, providing ease of slip of the lace (8) during the training with the “simulator bat”.

The location of the through hole (4) is determined by the thickness of the bottom of the base (1).

To provide additional fixation of the patient's hand with a violation of the movements of the fingers of the hand, a strap (7), made, for example, of rubberized fabric is fixed on the upper part of the holder (3).

The ball (9) used in the course of training with a “simulator-bat” has a round shape and is made of elastic material, for example, rubber, and its diameter is 50-100 mm (see Fig. 1).

A braided synthetic rope with a diameter of 2-4 mm, which has the property of easy sliding on a plastic surface, for example, "Twisted polyester rope" (GlobalTex-M Company, Twisted polyester rope, found 05.02.2019, can be used as a lace (8)). on the Internet at http://2029863.ru/kruchennaya-veryovka).

The length of the lace (8) is 2000-3000 mm, and its attachment to the ball (9) can be carried out in various ways, for example, by means of adhesive bonding.

The other end of the lace (8) is made in the form of a loop (10), which provides the convenience of holding the lace (8) with the healthy hand of the patient during the sessions with the “trainer bat”.

To prevent accidental slipping of the loop (10) through the hole (4) in the bottom of the base (1) during the sessions with the “training bat”, a limiter (11) is installed on the cord (8) in front of the loop (10), which is a plastic washer 3-5 mm, the inner diameter of which is equal to the diameter of the lace (8), and the outer diameter exceeds the diameter of the hole (4) in the bottom of the base (1) 1.5-2 times.

The work with “Simulator bat for classes on the development of motor functions of the hands in patients of the neurological clinic” is carried out as follows.

During the session with the “simulator-bat”, the patient is in a sitting position, and his arm with movement disorders is fixed on the holder (3) of the “simulator-bits” by means of a strap (7). At the same time in a healthy hand of the patient there is a loop (10) of a lace (8).

Before starting the exercises, the ball (9) is located on the floor surface or the surface of the working table, at a distance of 100-300 mm from the base (1) of the "simulator bits", and at a certain distance from the patient (700 mm or more) are the so-called “gates” (formed of two improvised objects, the distance between which is 300 mm or more), into which the patient must hit the ball (9) by performing a hand movement with a “bat-trainer”.

After performing the exercise, the patient returns the ball (9) to the initial position by pulling up the lace (8) with the loop (10) with a healthy hand, after which the exercise continues further.

As the patient achieves positive results in the development of hand movements, the complexity of the exercises performed with the “simulator bat” is achieved by gradually reducing the width of the so-called “gates” and their gradual removal from the patient.

Thus, the design features of the “simulator-bits” provide the ability to perform simple and accessible to the patient exercises with a gradual increase in the degree of their complexity.

At the same time, the design features of the simulator-bits provide the ability for the ball (9) to quickly return to its initial position by pulling the cord (8) over the loop (10), which provides not only the convenience of practicing patients with the bat-simulator, but the possibility of self-study of patients with impaired motor functions of the legs.

The importance of a “simulator-beat” also lies in the fact that working with it arouses interest and positive emotions in patients, since the movements performed are not mechanical and of the same type, but are game-like, contributing to maintaining the interest of the patients in the exercises.

After mastering the use of the "simulator-bits" 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 the exercises on the development of the motor functions of the hands in patients of the neurological clinic, the “beat simulator” can also be effectively used in the development of the motor functions of the hands that are impaired due to various other diseases, such as injuries, the effects of surgical operations, etc.

Thus, the claimed “simulator-bit” at the expense of its structural elements ensures the possibility of conducting safe and comfortable exercises for the development of motor functions of the hands with patients of the neurological clinic who have movement disturbances of the fingers (due to reliable fixation of the holder (3) in the patient’s hand through the strap (7)), as well as violations of the motor functions of the legs (due to the easy and convenient return of the ball (9) to the initial position).

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

Due to the simplicity of design and ease of use, the “simulator-bit” can be widely used in clinical practice, allowing patients to carry out classes in the development of the motor functions of the hands both in the hospital and at home.

Claims (4)

1. A simulator bit for practicing the development of the motor functions of the hands in patients of the neurological clinic, characterized by the fact that it contains a hollow construction made of plastic, having the shape of a sports bat, consisting of a hollow body that includes a cylindrical base with a thickened bottom and a transitional part a conical shape, smoothly turning into a cylindrical holder, in the upper part of which an emphasis and notches are made, and a strap is also fixed; at the same time in the bottom of the base, perpendicular to the central axis of the body, there is a through hole with rounded smooth edges through which the cord with the ball fixed on it is stretched, and the other end of the string is made in the form of a loop in front of which a stop is installed. 2. The simulator-bit under item 1, characterized in that the strap is made of rubberized fabric. 3. The simulator-bit under item 1, characterized in that the ball has a round shape and is made of elastic material. 4. The simulator-bit under item 1, characterized in that the limiter is a plastic washer.

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