DEVICE FOR NEURO-ORTHOPEDIC REHABILITATION

Abstract

The invention relates to the field of medicine, specifically to neurology, and more specifically to devices for therapeutic gymnastics. A device consists of a combination of a loading system and an unloading system. Covers/pockets for pneumatic chambers of the unloading system are positioned longitudinally, in pairs and continuously, along a front surface and a rear surface of a load-bearing membrane. Support elements of a knee brace, made of two front portions and of two rear portions, interconnected by means of straps, are positioned in five sub-levels, wherein the two front portions of the brace are connected at the centers thereof by means of a linking component which is provided with an additional cushioning layer and with a half-ring in the center thereof, said half-ring serving for securing and changing the trajectories of elastic tensile components. A foot brace is removable and contains one longitudinal strap under the foot and three transverse straps which are connected to the longitudinal strap.

Claims

1-9. (canceled)

10. A device for neuro-orthopedic rehabilitation, comprising: a combination of an unloading system and a loading system, the unloading system comprising a supporting system for a user wearing the device for neuro-orthopedic rehabilitation, the unloading system providing support when engaged such that the user unable to otherwise stand is able to stand and perform rehabilitation exercises, the loading system comprising a tensile system for the user wearing the device for neuro-orthopedic rehabilitation, the loading system providing muscle training for the user, the unloading system being adjustable for strength and assistance and the loading system being adjustable for tensile force provided, as the user achieves progress in rehabilitation, and

11. The device of claim 10, wherein said unloading system is unengaged and said user is in a laying position and unloaded state.

12. The device of claim 10, further comprising: a pressure shell, the pressure shell having a fabric coverall with a plurality of pocket covers, the plurality of pocket covers comprising at least one removable elastic chamber that acts as a pneumatic chamber, the plurality of pocket covers being longitudinally disposed along a plurality of contours of the fabric coverall, the pressure shell having a front part with a central zipper, a means for adjusting the fabric coverall, the fabric coverall having a front surface and a back surface, and the pressure shell having a plurality of supporting lines that interconnect with a plurality of loading elements via a plurality of supporting elements.

13. The device of claim 12, wherein a correction of a head position is performed by a pair of pneumatic chambers, said pneumatic chambers having pocket covers that are located on a cap in a mastoid process area and in an area of a user's collarbone on the front surface of the fabric coverall.

14. The device of claim 13, wherein the cap is formed with a lacing from the back surface of the pressure shell.

15. The device of claim 12, wherein the at least one removable elastic chamber that acts as a pneumatic chamber in the plurality of pocket covers is fixed by a hook and loop clasp and strengthened by a lacing of the plurality of pocket covers.

16. The device of claim 12, wherein on the front and back surfaces of a hip of the fabric coverall and on ankles of the fabric coverall the supporting elements are strengthened by a sling with an adjusting buckle.

17. The device of claim 12, further comprising additional holes for a plurality of sling passages in the fabric coverall for a knee band's fixation, interconnecting a front and a back part of said knee band on an inner side of the fabric coverall under the plurality of pocket covers of the unloading system.

18. The device of claim 12, wherein the at least one removable elastic chamber that acts as a pneumatic chamber is connected to a pump device.

19. The device of claim 12, wherein the at least one pneumatic chamber is made so that it becomes more rigid without changing its shape when air is pumped in it, thereby the shape remains comfortable while providing additional strength and support.

20. The device of claim 12, wherein the unloading system is assembled of elements as follows: the plurality of pocket covers contain the at least one removable elastic chamber that acts as the pneumatic chamber and are located longitudinally along a front surface and a back surface of the pressure shell in pairs along with a plurality of contours in the fabric coverall from a girdle at the shoulder to the ankle, the plurality of pocket covers run along the fabric coverall on the front from a front breast position to a front inner hip position to a front inner surface of lower leg position, the plurality of pocket covers run along the fabric coverall on the back from a back center of a shoulder blade position to a back externus hip position to a back externus surface of lower leg, the pneumatic chambers are made with an additional reinforcing layer and lengths, fixing the pneumatic chambers in the plurality of pockets covers are further enhanced with a hook and loop clasp, and each element of the unloading system is removable and is adjustable for strength and assistance or tensile force provided.

21. The device of claim 20, wherein the shoulder of the pressure shell has a shoulder pad and the shoulder pad has a peak that provides an additional cushion layer.

22. The device of claim 12, wherein the loading system is assembled of elements as follows: the fabric coverall has a shoulder girdle, a chest area near a third rib, a bottom corner of blades contralateral on the back, a pelvic level, a knee band with five sublevels, an ankle band, and a removable foot band, a plurality of supporting elements run between and connect the shoulder girdle, the chest area near the third rib, the bottom corner blades contralateral on the back, the pelvic level, the knee band with five sublevels, the ankle band, or the removable foot band, wherein the loading system is a tensile system for the user wearing the device for neuro-orthopedic rehabilitation which provides muscle training for the user, and each element of the loading system is removable and is adjustable for strength and assistance or tensile force provided, as the user achieves progress in rehabilitation the device for neuro-orthopedic rehabilitation can be adjusted for the user.

23. The device of claim 22, wherein the shoulder of the pressure shell has a shoulder pad and the shoulder pad has a peak that provides an additional cushion layer.

24. The device of claim 22, wherein: the removable foot band, contains one longitudinal strap located under the foot and three transverse straps connected to the one longitudinal strap, a first of the three transverse straps is located under a heel of the user and is connected with the ankle band, a second of the three transverse straps is located in a center of a foot of the user, a third of the three transverse straps is located on a fingers flexion line, and the supporting elements are placed in pairs on the fingers flexion line, in the center of the foot, in a center of a calcaneus from a backside, and with additional adjustment elements for fixing with the ankle band.

25. The device of claim 22, wherein the supporting elements are connected by a system of elastic rods with adjustable tension force at the shoulder girdle, the chest area near the third rib, the bottom corner blades contralateral on the back, the pelvic level, the knee band with five sublevels, the ankle band, or the removable foot band.

26. The device of claim 25, wherein an end of the elastic rods may comprise a hook and sling or two slings.

27. The device of claim 25, wherein said rods are made of different lengths and diameters and said rods comprise a sling or a hook at one end.

28. The device of claim 25, wherein the supporting elements are in semicircular form on a back part of the knee band and provide additional fixation points of non-lineal stroke of the elastic rods.

29. The device of claim 25, wherein supporting elements are sewn in a form of buckles along a perimeter of the ankle band, said buckles being in pairs such that one buckle is a top buckle, and another buckle is a lower buckle, said top buckles are used for fixation of the elastic rods and said lower buckles are used for fixation of slings of the foot band.

Description

[0029] Further objects and advantages of the present invention will be understood from the following detailed description of a specific exemplary embodiment thereof and the accompanying drawings, wherein:

[0030] FIG. 1—is a general front view of the device for neuro-orthopedic rehabilitation

[0031] FIG. 2—is a general back view of the device for neuro-orthopedic rehabilitation

[0032] FIG. 3—is a knee band—front view

[0033] FIG. 4—is a knee band—back view

[0034] FIG. 5—is a removable foot band—side view.

DETAILED DESCRIPTION, CONFIRMING THE INVENTION IS POSSIBLE

[0035] The device for neuro-orthopedic rehabilitation consists of the pressure shell 1 in the form of the fabric coverall (FIG. 1), four pockets covers 2 longitudinally placed along the contours of the coverall, front: breast—front, inner hip—front, inner surface of the lower leg—front; back: center of the shoulder blade—back, externus hip—back, externus surface of the lower leg—back, installed therein pneumatic chambers 3 (located under the lacing) made of an elastic material with an additional reinforcing layer, being connectable to pumping device (not indicated in the figures).

[0036] The loading system contains elastic rods 5 and supporting elements 4 for fixing them, located on the reference lines: shoulder girdle, pelvis, knee, ankle, foot level, while the supporting elements 4 may be in the form of adjustment buckles and semi-rings.

[0037] The lock of the head position is made in the form of the cap 6, contains two pockets covers for the pneumatic chambers 8 (FIG. 1,2), in the mastoid area-pockets covers 7 and mating pockets covers 9, located on the front part of the pressure shell 1 in the area of the collarbone.

[0038] The shoulder pad 10 is made with a peak 11, which contains an additional cushioning layer and the sewed semicircle 12.

[0039] The knee bands 13 contain two front parts 14 (FIG. 3) and two back parts 16 (FIG. 4), interconnected by the strap 17 with adjustment buckles 18, wherein the front parts 14 (upper and lower) are connected by the sewed in fabric strip 15 (FIG. 3), made with an extra cushioning layer.

[0040] The knee bands 13 have five sublevels of fixing the supporting elements 4, located on the front 14 and back 16 surfaces of the knee bands 13 (FIG. 4): two levels are at the upper part 14 of the knee band, one is in the center of the strip 15 and two levels are in the lower part 14.

[0041] The foot band 19 (FIG. 5) is removable, contains one longitudinal strap 20 located under the foot and three transverse straps connected to the longitudinal strap 20, while one transverse strap 21 is located under the heel and is connected with the ankle band, the second transverse strap 22 is located in the center of the foot, and the third transverse strap 23 is located on the fingers flexion line, while on said strips the support elements 4 are placed in pairs on the fingers flexion line, in the center of the foot, in the center of the calcaneus from backside.

[0042] The foot band 19 is fixed to the lower part of the suit on the edge of the pants by using the ankle band 24 with central buckle 25 located in front. Along the perimeter of the ankle band 24 there are the supporting elements 4 in the form of adjustment buckles: two pairs on the side surfaces and one pair on the back.

[0043] The device also has a central buckle 26 in the form of zipping (FIG. 1), side lacing 27 (FIG. 1 and FIG. 2), shown by the solid line on the sides and extra lacing 28 on the back to fit the pressure shell width. The strap 29 strengthens the pelvic sling line of supporting elements.

[0044] The device for neuro-orthopedic rehabilitation can be used as follows. In the first phase the features of motor disorders of the patient a reanalyzed, the objectives of rehabilitation are determined and the necessity for additional protection of the spine and joints is identified.

[0045] Select the appropriate size of the coverall, fully reveal the central clasp 26 and means for controlling the size on length and width, set the pneumatic chambers 3 in the pockets covers 2 of the pressure shell 1, then fix the elastic rods 5 to the supporting elements 4. Said elements are adjusted in combination, needed to achieve the objectives of rehabilitation.

[0046] Put on the coverall, fasten the front clasp 26, and then adjust the length and width of the pressure shell 1 by said means. Set the shoulder pads 10, knee bands 13 in the needed position according the growth of the patient, fix them using the adjustment buckles. Set the foot bands 19 and the ankle bands 24 are fixed with the central buckle 25. The adjustment of the unloading system of the pressure shell lis effected by creating the necessary pressure in the pneumatic chambers 3, and the adjustment of the loading system is carried out by the force of the tension of the elastic rods 5 using the adjustment buckles.

[0047] If necessary, fix and/or correct the position of the head by putting on the cap 6, insert the pneumatic chambers 8 in the pockets covers 7 in the mastoid area and in mating pockets covers 9 in the front part of the coverall in the collarbone area, tighten the laces of the pockets covers 7,9 and of the cap, create the necessary pressure in the pneumatic chambers 8 to determine the vertical position of the head. The device is ready for use.

[0048] In the course of the treatment to perform certain exercises the tension of the elastic rods 5 and the pressure in the pneumatic chambers 3 may be changed to facilitate, or to create the additional exertion for certain movements.

[0049] After finish the exercises the tension of the elastic rods 5 is eased off, the air from the pneumatic chambers 3,8 is going flat, the fixation in the regulating elements of the loading system and in the means of regulating the size on the length and on the width is also eased off. The coverall is put off from the patient, all the elements of the unloading and loading systems are left on the same place. By re-using you need only tighten the adjustment elements of the loading system and fill the air in the pneumatic chambers.

Example 1

[0050] Male patient M., 9. Diagnosis: infantile cerebral paralysis, Little disease, advanced residual stage, medium severity, cerebellar deficiency syndrome, pseudobulbar dysarthria syndrome, planovalgus deformity. By verticalization rough flexion stand occurs in the hip and knee joints, there is no footing. Problem at the moment to keep balance while standing, formation the correct stereotype of walk.

[0051] Installing two rear pneumatic chambers along the entire length of the covers-pockets in the contours of the coverall on the level from the shoulder girdle to the ankles, from to the center of the blade—rear, outer hip—rear, the outer surface of the lower leg—rear, fixing with the lacing. For extension of the hip and knee joints four long rods are fastened to the supporting elements, an upper elastic rod is passed through the right semicircle strip of the knee band, thus encircle the knee joint from the outside and the inside, passing through the semicircle of the rear upper part of the knee band and securing the tips of the sling to the buckles on the sacrum to the right, while stretching the knee as well as hip joints. Wrap around the lower elastic rod from the semicircle strip of the knee band the knee joint on the outside and on the inside, passing through the semicircles of the rear part of the knee band, fixing to the upper ankle straps buckles on both sides. Repeat the steps on the left side.

[0052] In a prone position put on the suit on the patient, control the fullness and length according the main algorithm, fixed the shoulder pad, fix the knee band, fix the foot band on the shoes of the patient, tighten the heel strap of the foot band on the inside, creating a moderate varus position of the foot. Inflate the pneumatic chambers to two atmospheres, pull elastic rods, verticalize the patient. For the shoulders dilution pass the elastic rod through the semicircle of the scapular protective peak and pull.

[0053] The child is standing on straight legs by gravity, the movement in the joints are possible, let's begin the exercises.

[0054] 25 sessions were held in the coverall with the following results: a significant reduction in spasticity in flexor and adductor muscles thigh, walking on his knees independent, self-standing, walking with support with one hand.

Example 2

[0055] Female patient V., 5. Diagnosis: infantile cerebral paralysis, atonic-astatic form, late residual stage, mild, kyphoscoliosis of thoracic and lumbar spine, dysplasia of the left hip joint. The child walks on their own, the configuration of walk is broken, limping on his left leg, recurvation of the knee joints.

[0056] Install two rear pneumatic chambers: the right to the level of the sacrum, left—to mid-hip (unload the spine and left hip). To eliminate hyperextension in the knee joints four long rods are fixed to the supporting elements, while the upper elastic rod with the center in the popliteal fossa of the right leg is passed through the upper part of the semicircles of the front knee band inside and outside and is attached to the supporting elements of the pelvic reference line to the right in the front, making it easy to bend knee and to remove the hip.

[0057] The lower elastic rod of the popliteal fossa encircle the knee joint from both sides, it is passed through the semicircles in the lower front part of the knee band and is attached to the upper ankle strip buckles from both sides. Repeat all the steps on the left. Put on the coverall according the main algorithm. For this form of infantile cerebral paralysis the tension of the elastic rods performed with mild to moderate force.

[0058] 14 forty minutes sessions were held in the coverall with the following result: improving the removal of the hip, matching the tone of the antagonist muscles, strengthening the muscles of the back, a significant decrease in limping.

[0059] Thus, said device for neuro-orthopedic rehabilitation through a combination of loading and unloading systems, correcting posture and motion path, can create individual rehabilitation facility that meets the specific objectives of rehabilitation and takes into account the nature of the disease and the possibility of the patient at a certain stage, that can significantly extend the application of said device in neuro-orthopedic rehabilitation and facilitate its use, excluding the possibility of complications and traumatism in the course of treatment, so that the unit is universal for all forms and degrees of motor disorders, providing the widest range of rehabilitative opportunities—from helping in verticalization to workout the exact trajectory of motion while improving the convenience of its use.