Method for walking correction with transforming paretic leg into leading one

IPC classes for russian patent Method for walking correction with transforming paretic leg into leading one (RU 2548514):

A61H3/06 - Walking aids for blind persons (replacing direct visual perception by another kind of perception A61F0009080000)

A61H1/00 - PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY (electrotherapy, magnetotherapy, radiation therapy, ultrasound therapy A61N)

A61F5/37 - Restraining devices for the body or for body parts; Restraining shirts

Another patents in same IPC classes:

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Method of restoring muscular corset of cervical spine and device for its realisation / 2548507

Group of inventions relates to medicine, vertebrology, therapeutic exercise and rehabilitology. Vector traction of the cervical spine (CS) is carried out by means of a device which contains a set of loads, an armchair for a patient rotary with respect of the vertical axis with elements for the shoulder girdle fixation and skull traction tongs, connected with a load by means of a flexible pull, slung over a pulley. An initial weight is 0.5 kg, in a sitting position with fixation of the shoulder girdle, and simultaneously with traction performed are exercises, which include head movements to the side, opposite to the load action, and back, as well as the change of position relative to the applied loading, by turning the armchair with the patient around the vertical to a specified angle. Vector traction is carried out with the traction angle of 10-30° relative to the vertical. Movements of the head to the side, opposite to the load action, are performed to the straight line with the spine. All neck muscles are made work by performing the armchair rotation with a specified discreteness within the limits of its complete 360° turn, with the rigid fixation of the armchair position after each rotation. The device pulley is placed relative to the armchair in such a way that a section of the pull between the skull traction tongs, fixed on the head of the patient, sitting in the armchair, and the pulley forms a 10-30° angle with the vertical. The armchair is provided with a stop motion mechanism, providing the rigid fixation of an angular position of the armchair with the specified discreteness within the limits of its complete 360° turn, in any direction of rotation.

Method of recovering mobility of extremity joints after traumas and operations / 2548504

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Method of purification and health improvement of human organism / 2548101

Invention relates to medicine, namely to methods of purification and health improvement of an organism. For this purpose therapeutic starvation for not fewer than 5 days in case of a 7-day programme and for not fewer than 7 days in case of a 9-day programme is carried out. The duration of a recovery period constitutes two days. Food intake is realised nine times per day each day both in the process of therapeutic starvation and in the recovery period. In the period of therapeutic starvation the first food intake includes bee products "APIGRANULES 2" in a dose of one teaspoon, "KHINAZI balm" in a dose of one teaspoon, "A-P-V" in a dose of one teaspoon, "APITOK" in a dose of one teaspoon, "Antihelm phyto" - one capsule and still mineral water - one glass. The second food intake includes a drink with ginger, lemon juice, garlic and mint, honey - one teaspoon and one glass of apple-carrot juice. The third food intake supposes an intake of bee products "APIGRANULES 2" in a dose of one teaspoon, "KHINAZI balm" in a dose of one teaspoon, "A-P-V" in a dose of one teaspoon, "Antihelm phyto" - one capsule and still mineral water - one glass. The fourth food intake includes a drink with ginger, lemon juice, garlic and mint, honey - one teaspoon and one glass of apple-carrot juice. The fifth food intake consists of tea black or green with ginger, one teaspoon of honey and one glass of apple-carrot juice. The sixth food intake consists of bee products "APIGRANULES 2" in a dose of one teaspoon, "A-P-V" in a dose of one teaspoon, "Antihelm phyto" - one capsule and one glass of still mineral water. The seventh food intake includes tea black or green with ginger, one teaspoon of honey and one glass of apple-carrot juice. The eighth food intake supposes an intake of tea black or green with ginger, one teaspoon of honey and one glass of apple-carrot juice. The ninth intake of food includes depressant tea, including mint grass, valerian root, fennel seeds, cumin seeds, epilobium or strawberry leaves and one glass of apple-carrot juice. In the recovery period in 1-st, 2-nd, 3-rd, 4-th and 6-th intakes of food the composition of products remains the same as in the process of starvation. For the fifth intake of food the patients take tea black or green with ginger, one teaspoon of honey and vegetable soup. For the seventh intake of food the patients take tea black or green with ginger, "MILK COCKTAIL WITH CHITOSAN". The eighth intake of food includes tea black or green with ginger, one teaspoon of honey, "APICAMPA" cereal. The ninth intake of food for the recovery period includes a baked apple, depressant tea. In addition, a number of procedures are carried out after each food intake during the period of therapeutic starvation and the recovery period. After the first food intake gymnastics "5 Tibetan pearls" is realised. After the second food intake exercises on training apparatuses, procedures of press-therapy, electrolypolysis and myostimulation are realised. After the third food intake exercises of therapeutic physical training or aerobics are performed. After the fourth food intake a rest in form of a walk, a halotherapy session, combined with a session of relaxation therapy are realised. After the fifth food intake a course of strip-plastic is carried out. After the sixth food intake massage by manual application with a peloid-based mixture or manual massage with honey is carried out. After the seventh food intake an infra-red sauna, shower, phytobath with medicinal herbs, honey, ginger, lemon juice is taken. After the eighth food intake a shower is taken.

Method for non-invasive treatment of legg's disease / 2547791

Orthopaedic unload is accompanied with prescribing a therapeutic diet promoting weight reduction and adequate feeding of calcium and vitamins C, D, E, K.That is combined with the oral administration of Fosamax® tablets 70 mg once a week for 6 months, Arthrodarin® capsules 50 mg in the morning and evening for 4-6 months and nasal sprayings of Miacalcic® 200 International Units/day in cycles of 2 weeks every 2 weeks for 4-6 months. What is also used is Milgamma® solution for intramuscular injections 2 ml a day, at least 10 times, with a pause of 1 day. Alflutop® 2 ml a day is injected intramuscularly daily within at least 20 days. That is combined with a therapeutic course including 8-10 therapeutic sessions each of which consists of the two stages of procedures following each other. The first of this stages involve the successive one-day abdominal decompression of the lower body from the waist down, pneumocompression massage of legs, manual and vacuum massages. The exposure segments are: hip joints - lateral surface of hips, gluteal region and paravertebral area L2-L5, cervical segment - paravertebral area C7-T1 and sacral bone. A preferred pause between the above procedures is no more than 10-15 minutes. Thereafter, the first stage of the therapeutic session is completed by conducting a hirudotherapy with the use of no more than 8 medicinal leeches per one session to be placed on the cervical paravertebral area C7-T1 and lumbar paravertebral area L2-L5, sacral bone, tail bone, abdomen within the liver, lower abdomen, painful hip segments and/or segments discoloured after the massage. Each therapeutic session is completed by successive procedures of the second stage with a pause of at least 3 days. A magnetic therapy and a barolasertherapy cover the segments: hip joints - lateral surface of hips, gluteal region and paravertebral areas L2-L5. A phonophoresis with the used of karipain gel covers the gluteal, knee and hip segments. Thereafter, 24 hours later the therapeutic session is repeated depending on the patient's state no more than 10 times. That is followed by doing therapeutic physical exercises in the swimming pool within at least 10 days. Kartalax® peptide preparation 1-2 ml in the concentration of at least 100 mcg in 1 ml diluted together with Tymalin® 10 mg is administered daily once a day for 10 days. After the injections are completed, peptide Vezugen® capsules 0.2 g are orally administered in the morning and in the evening 10-15 minutes before meals for 30 days. After the continuous and single course of Fosamax® and nasal sprayings of Miacalcic® are completed, 1-2 months later Osteogenon® tablets 830 mg are administered daily in a dose of 2-4 tablets 2 times a day, and Arthrodarin® capsules are also taken in a dose of 50 mg in the morning and in the evening for 4-6 months. The oral administration of the last-mentioned two preparations is repeated at least three months later.

Method of treating proximal humeral injuries / 2547610

Invention refers to medicine, namely to traumatology and orthopaedics, and can be used for treating proximal humeral injuries. That is ensured by three-staged complex therapeutic actions. At the first stage, setting of fracture and reduction of humeral head dislocation is followed by immobilising an extremity by continuous twenty-four hour brace fixation of the proximal humerus with Desault's bandage for the period of 4 weeks. From the first therapeutic day, the patient does daily 30-minute therapeutic exercises, including isometric, static and ideomotor exercises to strengthen his/her arm muscles and to improve the circulation. That is combined with a complex reparative drug therapy. At the first stage, the anti-inflammatory preparation Arthrofoon is administered orally, while vasodilators improving nicotinic acid, trental or complamin microcirculation are injected intramuscularly daily for 10 days. The enzymatic preparations Wobenzyme or Flogenzyme are also administered in a dose of 3 tablets three times a day for 3-4 weeks. The second stage starting two weeks after the beginning of the treatment involves electric stimulation (ES) by exposing the collar and shoulder muscles from the involved side for 30 minutes to electric signals generated by an electric myostimulation device. The ES procedure requires the patient to perform 15-minute active motions by a healthy arm, and for the following 15 minutes the patient is expected to tense and relax alternatively the muscles from involved side. The therapeutic exercises are also done. The drug treatment regimen of the second stage implies administering the preparations Calcemin or Calcemin Advance for six months. That is combined with 10 daily intramuscular injections of the preparation Milgamma 2 ml. At the third stage 4 weeks after the beginning of the treatment, control X-ray imaging is followed by removing the brace. Accompanied by the reparative drug therapy continued, the complex therapeutic actions provide local injection therapy in number of 8-10 daily procedures. The biologically active reflex areas nearby the involved joint are pre-exposed to focused red laser light, and the mixed preparations Alflutop, or other chondroprotector, vitamin B12, Contrykal or Lidase, Lidocaine are injected in the same areas. Two weeks after the brace has been taken off, the patient keeps doing the therapeutic exercises twice a week continuously. The drug therapy and local injections are repeated six months later. The brace is further required for the following year if the patient is supposed to bear occupational or sports physical loads.

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Kinesitherapy is performed with the use of a training device having a plane with a sit support making it possible to fix a pelvis therein at the level of a gluteal fold with using a belt. The training device comprises pivots configured so that to align their rotational axis to those of hip, knee and ankle joints. The manipulation involves aligning the above rotation axis of the pivots of the training device of the joints; a screw device with a spring gage is mounted on a foot, a joint tension is preset in the joint at 25-40 kg. In the given regiment, the patient applies a force to the lower limb muscles and moves first with one, and then with the other foot. The joint motions represents bending and extension, adduction and abduction, circular rotation inwards and outwards within 10-15°. The session length is 25-35 minutes, 2-3 times a week; the therapeutic course is 15-25 procedures.

Device and method for back, legs muscles and joints extension / 2547244

Device comprises support elements and fastened belts, a plate configured to attach to a bed and having teeth on an outer side, a support with a shock absorber mounted on the plate, two identical L-shaped foot supports with horizontal and vertical portions. The outer side of the horizontal portion comprises teeth, and a fastened belt for foot fixation is attached on the outer side of to the vertical portion. The plate comprises two identical foot supports having the teeth that can be engaged with those of the plate to move the support teeth along the plate teeth. A method with using the above device involves foot traction forces. An unassisted patient lying on his/her back places his/her feet with two L-shaped supports on the plate, then protrudes one leg forward, fixes it on the plate and relaxes the extended muscles, within a given period releases the foot fixation and places it back; he/she performs the similar manipulations for the other leg; then he/she protrudes both legs forwards, fixes the feet on the plate and relaxes the extended muscles, within a given period he/she releases both feet and places them back; thereafter the patient lies down on his/her stomach with his/her arms bent at the elbows and pressed to the body and places the toes behind the supports and presses the shock absorber towards the head; within a given period the patients stops pressing, has a rest and performs the above motions again; similarly, the patient extends each leg separately.

Device for spine traction and method of its application / 2546923

Device for spine traction contains a device for the placement of the user in a lying on the back position, placed with a possibility of alternating motion on the base of an elongated shape, made with a possibility of turning in the vertical plane when the device with the user moves on it. The device has an internal cavity with, at least, one body, which moves inside the device when it turns.

Method for increasing motion activity at clinical stage of rehabilitation in geriatric patients with myocardial infarction, however suffered no coronary reperfusion and revascularisation / 2546410

Establishing the diagnosis of myocardial infarction is immediately followed by prescribing trimetazidine MB, a modified-release cardiocytoprotector trimetazidine in a dose of 35 mg 2 times a day accompanied by enhancing motion activity gradually: degree Ia activity - turning to the sides; degree Ib activity - sitting for 5-10 minutes 2-3 times a day; degree IIa activity - sitting for 20 minutes, sitting meals, changing on a chair; degree IIb activity - walking along the chamber; degree IIIa activity - coming out into the corridor, unlimited sitting; degree IIIb activity - walking along the corridor, going up the stairs one level higher; degree IVa activity - going for a walk; degree IVb activity - taking 1.0-1.5km walk. The next degree is started in accordance with the patient's chronotropic response to physical exercises providing a heart rate gain to age-specific submaximal values.

Device and method for estimating thermalgetic and vibration sensitivity / 2546409

Group of inventions relates to medicine. Device for estimating thermalgetic and vibration sensitivity contains first unit for application of stimulating impact to localised points on patient's body, representing vibration and temperature changes, and second data-collecting unit. First unit contains outer case, means for vibration impact and means for creation of cold/warmth for direct impact on patient, as well as mans for switching on/switching off and control for bringing first unit into action and changing vibration intensity and temperature. Means for vibration impact and means for creation of cold/warmth are located inside outer case and move with respect to case for extending from it in the process of stimulating impact application. Second unit contains means for data input, means for data display, means for indication of different modes of first unit operation, as well as means for quantitative estimation of data, obtained from means for data input. Exchange by data between first and second units is realised by means of two-way wireless transmission. Means for vibration impact contain tuning fork with two antennae, converging in the central point. Vibration applicator, on butt end of which Teflon or polynil tip is put on, extends from said point. Applicator represents lever, deviating from the main axis of first unit by 30° angle, and is connected with outer case by means of rubber gasket. Piezoelectric element or loudspeaker with inductance coil for creation of vibration is fixed on free end of each antenna in immobile way. Cables, extending from means for vibration impact, pass through the central part of first unit case. First and second units are switched on and their self-diagnostics if carried out by the following parameters: battery charge, the environment temperature, skin temperature and state of infrared connection. Applicator is extended from one of case sides. Butt end of applicator is placed on localised part of skin of nail bed of right hallux, on second and all following toes of said foot, then procedures are repeated on left foot, and after that on upper extremities. Insulating rubber plate is placed under cushion of each examined toe/finger. Vibrations of different intensity are supplied to each toe/finger in alternating way for specified period of time. After each vibration patients presses first button of second unit, if they feel vibration, or second button, if they do not feel anything. Percentage of vibrations, felt by patient, is determined quantitatively to calculate sensitivity degree. Peltier cell is extended from one of case sides. One of Peltier cell sides is placed on localised part of skin of right foot sole, then procedure is repeated on left sole, and then on upper extremities. Cold/hot stimulating pulses are supplied to each extremity in alternating way for definite time period. After each cold/hot/pain stimulating impact patient presses first button, if they felt stimulating impact, or second button, if they do not feel anything. Percentage of changes of temperature and pain, caused by cold/hot, which patients felt, is quantitatively determined by means of second unit to calculate sensitivity degree.

Method of treating proximal humeral injuries / 2547610

FIELD: medicine.

SUBSTANCE: method provides fixing a patient's intact limb in a hip joint apparatus with a crown hinge. The fasteners are used to fix a knee joint so that to prevent its flexion. The patient's intact limb can move in the hip joint at 10-15 degrees and it is used as a support. After the fixation procedure is completed, the patient moves under the care of the instructor. The training length is 10-15 minutes; meanwhile the patient passes a distance of 20-30 metres The trainings are daily for two weeks with the distance passed to be increased to 50 metres.

EFFECT: method provides reducing the rehabilitation time, more effective recovery of the motor functions as compared to any other trainings by creating complex conditions for the intact limb motion.

2 cl, 1 ex

The invention relates to the field of rehabilitation medicine, namely to correction walking stereotype syndrome, Central post-stroke hemiparesis Genesis.

In the last decades in the practice of neurorehabilitation found use hardware (mechanized, robotic) techniques, which gives additional opportunities for training lost skills.

From robotic methods, the known methods with the inclusion of robotic devices such as arigo, Lokomat and others. These methods can simulate a walk in the absence of movements in the limbs.

A disadvantage of known methods is the inability to create the big loading on the paretic limb.

Known method of correcting walking stereotype in the syndrome of Central hemiparesis using a dynamic costumes proprioceptive correction: "Adele", "Gravistat", "Graviton", "Regent". When using these suits, the load on the lower limbs is dosed using special rods and belts (http://www.adeli-suit.com/ru/o-metode-adeli.html).

A disadvantage of known methods is the inability to redistribute the load with condition of restraint of the intact limb.

The object of the invention is the provision of learning to walk and movements of a patient with the syndrome Central�tion hemiparesis post-stroke Genesis by fixing the torso and limbs intact in the apparatus for a hip joint with a locking hinge.

The technical result is that the method provides a reduction of the time of rehabilitation, improving the efficiency of recovery of motor function compared with the trainings, by creating challenging conditions for the movement of the intact limb.

This is due to the fact that in the method of correcting the walking stereotype of a patient with the syndrome of Central post-stroke hemiparesis Genesis by fixing the patient in an upright position in the functional device according to the invention, the intact limb of a patient with the syndrome of Central hemiparesis is fixed in the apparatus for a hip joint with a locking hinge; wherein the fasteners fix a knee joint and flexion it is impossible; the patient intact limb may make a motion in the hip joint 10-15 degrees and uses it only as a crutch; after fixation, the patient is moved under the supervision of the instructor; the lesson is 10-15 minutes during this time the patient is 20-30 meters, classes are conducted daily for two weeks; and gradually the distance is increased to 50 meters. In an apparatus for a hip joint with a locking hinge can be used for dynamic suit proprioceptive correction: "Adele".

JV�FDS is as follows.

Given the patient's complaints, anamnesis data, the results of neurological examination, these neuroimaging methods (if any) exhibited clinical diagnosis, assess the severity of hemiparesis, renal function of distance.

A method performed by the apparatus for a hip joint with a locking hinge, for example, dynamic costume proprioceptive correction: "Adele".

Example 1.

Patient G., aged 68. The diagnosis of stroke in ischemic type in BISMA from 01.06.2012 with a pronounced Central right-sided hemiparesis, right hemihypesthesia, extrapyramidal, pseudobulbar dysarthria, early the recovery period.

After suffering a stroke in June 2012 took courses in neurorehabilitation. In September 2013 he enrolled in a second course of neurorehabilitation. At the time of inspection in the neurological status was established: the syndrome of the Central right-sided hemiparesis.

In complex restorative treatment the patient received medical therapy, physiotherapy, massage, kinesiotherapy, classes in suit "Adeli" and the proposed "method of correcting walk with the transformation of the paretic leg in the lead". During classes using the "method of correcting distance with the transformation of the paretic leg in a leading intact limb of a patient with the syndrome �centralnego hemiparesis was observed in the apparatus for a hip joint with a locking hinge. The mounts were fixed knee joint and flexion. Thus, the patient's intact limb could make movement in the hip joint 10-15 degrees and uses it only as a prop.

After fixation, the patient is moved under the supervision of a trainer. This fixation causes the patient to rely on the paretic limb and load it to a greater extent. The session lasted 10-15 minutes, during this time the patient is 20-30 meters. Classes were held daily for two weeks. Gradually the distance is increased to 50 meters.

As a result of treatment noted positive dynamics: improved function of distance, bearing on the paretic limb increased. Walking the patient was evaluated before and after a course of rehabilitation treatment by laser analyzer kinematic parameters of walking LA-1 and using scales Dynamic Gait Index, Berg Balance Scale. Obtained statistically significant results after treatment.

Using the proposed method of correction of walk with the transformation of the paretic leg in the lead in the syndrome of Central hemiparesis has the following advantages:

- the possibility of correcting the walking stereotype software functional tests available, mobile way;

- the possibility of applying this method in outpatient conditions�x to maintain made in the hospital of complex restorative treatment.

In the invention shows the advantage of the method of correction of walk with the transformation of the paretic leg in the lead with respect to traditional rehabilitation.

1. The method of correcting the walking stereotype of a patient with the syndrome of Central post-stroke hemiparesis Genesis, including the fixation of the patient in a functional unit, characterized in that the intact limb of a patient with the syndrome of Central hemiparesis fixed in the apparatus for a hip joint with a locking hinge; wherein the fasteners fix a knee joint and flexion it is impossible; the patient intact limb may make a motion in the hip joint 10-15 degrees and uses it only as a crutch; after fixation, the patient is moved under the supervision of the instructor; the lesson is 10-15 minutes, during this time the patient is 20-30 meters, classes are conducted daily for two weeks; and gradually the distance is increased to 50 meters.

2. The method of correcting the walking stereotype of a patient with the syndrome of Central post-stroke hemiparesis Genesis according to claim 1, characterized in that the apparatus for a hip joint with a locking hinge can be applied to dynamic suit proprioceptive correction: "Adele".