Stroke is a severe disabled disease, widespread not only in Russia, but also around the world. One of the most frequent and serious manifestations of acute insufficiency of cerebral circulation is to reduce the mobility of the finger phalanx and hands. Such violations significantly make it difficult for professional, household activities, prevent self-service. Again to ensure the possibility of movements in the muscles of the upper limb help a variety of simulators for a hand paralyzed after a stroke.

Consequences of stroke

The occurrence of a stroke is associated with the dying of the part of the cells (neurons) of the brain due to the sudden cessation of blood flow or hemorrhage into the brainstant. The severity and character of its manifestations directly depend on the volume and localization of the destroyed area. Symptoms of acute brain circulation disorders are numerous and varied:

• Pares - muscle weakness. The extreme shape of the paresis, in which active movements in the muscles are completely absent, is called;
• Hypertonus is the stress of skeletal muscles, which makes the movement in the joints. Against the background of a long-term increase in muscle tone formulate - persistent limits of mobility of joints;
• Reduction of sensitivity - skin numbness, as well as deeper tissues on a certain body section;
• , violation of shallow motility, standing, walking;
• Speech pathology - the difficulty in pronouncing or perceiving sounds;
• Reduction of memory, unstable mental state;
• Weakness of view, hearing.

There are various combinations of listed symptoms, which greatly makes it difficult to rehabilitate.

When to start training

After transferred acute brain circulation disorders, the exercise of the LFC should be started as much as possible. early deadlinesEven if the patient is in the resuscitation separation. If the patient is unconscious, then limited to passive occupations, massage, simulators are rarely used. Usually, rehabilitation activities begin with 2 days, the entire recovery period continues (up to a year), then recovery slows down and workouts are modified.

During the early reducing period (up to six months after stroke), constructive changes in the motor function are possible, removal of muscle hypertonus. If a contracture has already been formed, it will be very difficult to develop it, it will take much more time. At the late reducing stage (from 6 to 12 months), in the event of preserving non-unpretentious symptoms, visiting the gym.

The treatment of stroke is always a long, phased, since a lot of time is required so that the active brain cells assume the function of the dead structures to have formed new links between neurons.

Indications for the use of simulators

The use of technical equipment in the restorative period of acute brain circulation impairment improves the rehabilitation forecast for the muscles of the hands, legs, torso. Simulators after stroke are advisable to use with any violations of the motor sphere:

• Paralysis, paresay;
• High muscle tone, formation of contractures;
• Discordination of movements;
• Sensitive Ataxia is the uncertainty of movements in sensitive disorders when the brain "does not feel" whether his body listens.

With different variants of pathology of movements, various exercises and specific training devices are needed. In the selection of a specific technique to you.

Which simulators can be used after stroke: Types of simulators

In accordance with the severity and type of neurological manifestations, it is selected defined for classes in a medical institution or a simulator used at home.

Mehanoterapeutic

This is a very diverse group that includes mechanical means that ensure the development of joints and muscles. Such devices are driven directly by the patient's movements or an electric motor, providing passive muscle work with a rough reduction in force. Depending on which skill is required to restore, the following simulators use:

• Platforms, step and stablelatform are needed to train standing skills, walking, maintaining equilibrium;
• Gym seats form proper algorithm insertion from sitting position;
• Exercise bikes provide the mobility of all the articular elements of the lower extremities and different groups of the muscles of the legs affected after the stroke;
• Similar devices are used for training muscles;
• Gym beds, verticalizers are necessary for people with severe neurological deficit to acquire initial motor skills and providing vestibular disorders.

Helpful advice!

So that the exercise on the simulator has passed more fruitfully, it is advisable to make a massage of the limb before it so that the muscles relate to and adequately react to the load.

Mostimulators

Such devices use electrionplots of certain frequency and force to affect the affected muscle fibers. Mostimulation is necessary to remove the muscle hypertonus and returning their normal function. It, as it were, "replaces" the absence after a stroke pulsation from the brainstorm and contributes to the restoration of the reduction, extensibility, the ability of the muscles to relax. Such a procedure is recommended before starting active classes so that the high muscle tone does not interfere with the training.

Robotic machinery

This is a complex instrument that imitates the movements of the limbs to give a converted signal from the brain. With the help of the sensors, the machine perceives from the body and starts moving together with the affected limb fixed in it. Such devices doctors are recommended to be used in severe paralicles and paralymps when active movements in the muscles are practically absent.

The robot helps the "inclusion" of muscle memory, allows you to achieve an inverse impulse from the moving limb to those zones of the brain that respond to it. It activates neurons in this area, and they gradually begin to restore their function. A similar principle is called biological feedback and is widely used in rehabilitology.

Useful video - Bud - Finger-Fingermer

Hand simulator after stroke

The simulator for hands, paralyzed after a stroke, allows you to quickly restore their normal mobility, adapt to household stress and regain independence in everyday life.

Hand simulator

The electrical simulator is widely used to restore movements after the "Bud" stroke. It consists of soft locks for the end phalanx and the ray-tank joint, fixed in the metal frame. The locks are put on the brush, and the device turns on, producing passive movements in small joints. The speed and amplitude of movements are programmed in advance in accordance with the functional state of the brush.

Note!

You should not use this simulator yourself and use such a simulator, since it is difficult to set the movement parameters to correctly. The use of this device is possible only after consulting a specialist.

For the restoration of elementary household skills, the Bizobord is effectively used - a special board that simulates the simple accessories around us. Switches, locks with keys and spining, door handles, zippers, shoelaces, etc. are fixed on it. The patient is trained to perform the usual everyday manipulations and serve itself in everyday life.

More simple fundsallowing you to train small, are clay or plasticine, designed for modeling, rubble cube, providing a grip chain and work of both hands.

Hand simulator

Special simulator "machine" is capable of restore and prevent the formation of contractures. It consists of three plates on wheels, which are fixed on the palm surface of the brush and. In the free state of the plate are in the palm of the corner to each other. The task of the patient is to straighten them, riding a device on the table.

Another small-sized simulator, convenient for households is. It is a ball that clamp the palm and start using the starter. The ball begins to rotate, and the patient has resistance to him, at the same time trying the circular movements of the brush to maintain rotation. If the movements of the brush are incorrect, then the expendler will stop.

Do not forget about ordinary rubber ardors, as well as on such domestic products, like a manual meat grinder or juicer. Rotation of their pens - also excellent training for the brush.

Thus, with the help of simulators, it is possible a lot faster and more fully restore motor activity after a stroke. To achieve the maximum effect, the exercise should be performed every day and combine with drugs, physiotherapy, physiotherapy and massage.

Video - Electronic Viteland Simulator for Hand Restore After Stroke

Reviews

Nikolai,
Moscow

"We have ordered a simulator in January 2015. We looked at the video on the disk, your instructor was so deftly worked. We doubted whether we would also have, but began classes. And here, her husband ... The hand rose a little, in the lying position! And before that, 9 months did not move at all! We looked at it with tears in my eyes! So, after all, the thing is effective. We are now planning to order a footbath so that it goes better.»

Wuhanova Vera Konstantinovna,
g. Vyksa

"Order the simulators" Wave Dr. "I advised me a familiar neurologist, from the rehabilitation center" Horse ". In July, I was brought by a wand truck, a foot pad, and a seat. For 4 months I will throw ... la walkers, learned to walk herself, with the help of canes. My high pressure was leveled to the norm. I recently asked Ilya's instructor to spend classes with me. For 2 hours we were able to relax hand. The hand, which forever murzal and I kept her in the glove, became hot. The main thing, I understood after classes with the simulator difference between "squeeze the fingers" and "moving my fingers."»

Elena Mikhailovna,
Korolev, Mosk. oblast

"With Anton there was a stroke after a motorcycle accident. 9 days was in a coma, then 5 months of LFK classes. Walking is good enough, but the hand did not want to obey. Fingers were filled, did not move. ... From the elbow and below - very bad, spasy, no movement. Ordered the simulator "Wave Doctor" for hand. As soon as Anton took a simulator into a healthy hand, he said "cool!". Then Alina, who brought the simulator, showed passive gymnastics, and he began to feel his fingers! Then completely broke out lock SustaHe began a little bit to move a thumb, Anton began to smile, with pleasure to do the shown exercises. At the end of the first classes (!) He had already bent his hand in the elbow, the brush relaxed, without spastic. Anton Porozovodel, cheered up. But after all, 2 days ago he was depressed, and now such a mounted for recovery!»

Mom Anton,
Moscow, South Butovo.

"Good evening! Already the 2nd time I order a simulator. At first I took the "universal" simulator, our dad to develop a hand after a stroke. Now they ordered a footbath, a transport company with ... in the door. Thank you for the troubles! Everything is in order the goods received. Keep you Lord! Thanks a lot!»

"The trouble happened to me in September 2013, paralyzed left. I began to walk badly, and the hand was generally immobilized, hung like a whip. In November 2013, I learned about the Agashin simulator, I ordered ... and we are an average simulator, for training hands and legs. The hand began to move gradually and I can raise it myself without help. Thank you very much specialist who designed this simulator, and those who sent it. I am doing every day. Now I can't do without it.»

sokolov Alexander,
pensioner, Krasnoyarsk

"For a month, how much I work as a nurse from Alexandra, (and I have long been working with a nurse and saw many) - it's just a giant progress! And, I can say no massage with this simulator will compare ... "

Laura
the nurse under the stroke., Moscow.

"I want to say that we were very struck by those striking changes that occurred with Andrei's hand. When you give him a team: "Andrew, I am lifted!", Which did not rise at all, did not listen. And he is ... wait: "I can't". And he is so, with tension takes, and at the chest level, so, and he himself does not believe either her eyes or feelings. This is true, a great shock, and it happened literally for the week, from the past classes.
Ilya showed us exercises, and Andrei turns out. And the daughter asked: "Dad, show us!" And he takes his hand with tension, and it can be seen as thought from the head goes into hand! Right in front of her! And the daughter and son are looking, and their eyes do not believe. And before Andrey, even touched his hand did not give, she was sick.
This is a miracle, of course! And he tries, and he turns out. Thank you so much!»

Larisa H.,
wife undergoing stroke., Moscow

"We obsessed your methodology, revised the video on the site, and decided to try it with a conventional stick. Shake hand, and she relaxed a little. We realized that this technique was effective, decided ... order simulators. And with them, of course, even more fun and more interesting to do :)) Please place on your site there are even more video results of people restored with the simulator with their stories and dates!»

Kitayev's family
52 years old, 3 years after stroke, frequent. Paralysis, spasy hand., Moscow

Give feedback

Simulator for hand after stroke - "machine". Development of brushes and fingers and forearm

• Conscious Training Muscles of Elevative Palms and Fingers in Voltage-Relaxation Mode
• Improves the mobility of the elbow and shoulder joints
• Improves coordination and increases the volume of hand movements
• Improves blood circulation
• Prevention of contact

Price: 9900 rub.

TO ORDER

Purpose

The machine "machine" is intended for:

• conscious training of muscle extensors of the palm and fingers in voltage-relaxation mode,
• improve the mobility of the elbow and shoulder joints.
• Improves coordination and increases the volume of hand movements.
• Improves blood circulation.

The "machine" simulator has an inertial movement, unlike cubes, pyramids and other toys used to restore fine motility after stroke.

Work on the simulator is carried out at the expense conscious muscular effortsIn contrast to the simulators for passive hand development, such as the Bud simulator.

Device

The machine "machine" consists of two working and one auxiliary plates, a spring mechanism, a stopper, four rollers and two fasteners on velcro for a brush (palm) and forearm.
All plates are interconnected using hinges. Two rollers are coaxially located on the working plates.

Rollers provide a combination of a simulator by the support surface of the table.
Work plates are designed to install fingers and palms in the working position.
Auxiliary plate is designed to fix the forearm.
Velcro fasteners fix the palm and forearm.

The spring mechanism secured between the work plates prevents the opening of the hand in the initial position, and when pressed on them, the palm disclosure resistance has and includes the work of the muscle of the forearm responsible for the opening of the palm.
Ergonomic simulator - various arms sizes are taken into account.

With the maximum disclosure of the palm, the working surfaces rest in the stopper, which prevents palm offsetting.

Range of change of disclosure angle from 90 to 180 degrees.

Inertial movement is possible only when the muscles are involved in the muscles of the extensors, otherwise the simulator will not move (if it does not press the simulator slightly, he will not be able to move on the surface).

Pressing the simulator can be damaged, healthy and two hands.

Exercises

The simulator "machine" needs to be engaged:

Healthy hand
. hand paralyzed after stroke
. Both hands (healthy helps the sick move).

The hand is placed in the simulator and fixed with velcro fasteners. Palm should fit tightly to the surface of the working plate.

The simulator is placed on a flat horizontal surface (table) palm down on four support wheels. In the future, as the skills improve it is possible to use a vertical surface (wall) for training.

BUT). The patient rhythmically presses one or two hands on the working plates, trying to bring them to the position parallel to the supporting surface (reach an angle of 180 degrees between them).

(!) It is important to consciously keep rhythm and amplitude, gradually increase the number of repetitions.

B). The patient presses the simulator, spreading the working plates to the angle of 180 degrees and rolls the simulator with one hand or two hands in various directions on a flat working surface (on the table, over the wall).

(!) It is important to learn to consciously choose the trajectory of movement. Control speed and smooth movement. Achieve maximum amplitudes. As motor skills develop and coordinate it is important to complicate and diversify the trajectories of the movement.

Surveying a healthy hand is activated by the motor skill - the brain understands: "How it is done."
Movement of the patient with hand at the beginning of classes can be quite weak, but the simulator will start moving, will give the minimum burden on the extension. When skating, I will drag your hand with an opportunity to conscious movement.

How to deal

Smirnova Olga Leonidovna

Neuropathologist, Education: First Moscow State Medical University named after I.M. Sechenov. Work experience of 20 years.

Posted articles

Stroke striking more and more people. Daily this figure increases. And the cost of such patients is very large. After all, this is about medicinal support, therapeutic and on special medical techniques. Let's figure it out that they give simulators for, and how effective they are.

Exercises: Do you need and what do they give?

Each limb of our body, any organ is programmed to perform certain functions. And so that, for example, lead in the movement of the foot, you need to obtain an appropriate signal from the brain by activating the nerve pulses along the spent scheme. So children learn, keep pens and other items. And this is the result of their stubborn and long-term labor.

For a person who suffered a stroke, restore the performance of his hands or legs is a paramount task, but it is difficult to cope with it, because it is daily and painstaking work. The human body consists of two types of muscles: cross-striped and smooth.

And if it is impossible to influence the latter, then simulators for arms and feet after stroke affect the cross-striped muscles. Thanks to them, our body can bend, blend, spin and grab. In the afterlord period, damaged brain structures do not transmit traffic signals. Therefore, rehabilitation activities are aimed at restoring them.

Important! If long-term transverse-striped muscles are immobilized, they will start atrophy and cannot fully function.

Technique for rehabilitation

Recovery simulators are divided into two main types:

• mechanical;
• robotic.

After the stroke at home, mechanical apparatus uses mechanical apparatus, helping the restoration of the lost function of functions. Each type requires more detailed consideration.

Mechanical therapeutic apparatus

The simulator after a stroke is most often a special apparatus having an engine and a program that is directed to certain movements. They are all supplied with special sensors that help the device adapt to the patient's movement. Such an inverse biological connection allows the patient faster and safer to recover.

Simulators after and in stroke are as follows:

The simulator for legs or hands aimed at active work due to the muscles of the patient. Most often used for people who only partially lost the function of movement. They are:

• in the form of a seat, so that the patient develops the skill of lifting and lowering the body;
• in the form of a platform to develop walking;
• exercise bikes for both hands and legs individually or together.

Apparatuses with passive-active work, which independently imitate the movement of the patient. Most often used for lying patients to imitate walking and movement of hands. This is usually special beds and exercise bikes.

To restore after stroke, especially seriously ill patients, it is customary to use not only the training of muscle systems, but also to the articulated. Therefore, along with the above-mentioned simulators, devices for joints are used:

• legs: hip, knee and ankle;
• hands: Brushes, elbow, shoulder and ray-taking joint.

It is the devices for the operation of the joints most often help to rehabilitate at home. The simulator for the fingers of the hands after a stroke helps again learn how to bend them and blend, others - to rotate shoulder. And this is a daily work that is able to return the person to normal life.

There is also an apparatus that affects muscles by myo-and electrostimulation. These useful impulses remove pain and in a more gentle mode, they train the muscular system, if compared with the above-mentioned simulators.

Interesting! Manufacturers of such simulators are actively improving their shake, so the face between robots and mechanisms will be completely erased.

Robotic simulators

This is a technique that is similar to a person with any limb and helps him rehabilitate her. All models are equipped with virtual platforms, which helps to perform all exercises, taking into account the change in external conditions. Most often, they are entrusted with the functions of doctors, and they are aimed at providing a sick assistance in properly performing certain movements.

It is such a goal that the developers of these robots put themselves - the full replacement of a physiotherapist doctor. Machines can manipulate any limb and receive a program under each patient. There will be clear control not only for the right performing movements, but also behind their frequency and total.

Thanks to a clear diagram of repetitions and identity, movements form new ways from the brain to the limbs, and the person can move again. A number of experiments confirmed the high efficiency of the application of robots to restore patients after a stroke.

How does the robot help? Its work is based on the analysis of actions that a person conducts both conscious and vision. And all because the eyes are cranial nerves and part of the Central nervous system. And all that they saw, perceived, sent to the brain, where everything is already analyzed, remembered. The reaction appears, and the brain sends an inverse impulse. Effective effect is achieved due to the fact that a person sees the actions of his own body on the screen. Such a clear-applied effect speeds up rehabilitation.

Fingers and their movements

Thanks to the coordinated work of the brush, the fingers can perform accurate movements. Their work is incredibly important, and all because such familiar movements, like dressing, washing, cleaning the teeth without them are impossible. And the person who has lost it, wants to restore it all. The inability to perform even the simplest movements is a serious psychological trauma For a person. That is why doctors begin with the restoration of the functionality of the brush and fingers in rehabilitation. For this use:

1. Clamps that straighten coarse fingers or brushes.
2. Equipment aimed at the development of shallow motility, as well as dexterity and strength of fingers.
3. Apparatuses increasing the muscular body of hands and brushes.

At home, it is not necessary to make a "vegetable" from the patient. He must also close shoes, play with designers to capture small details. Be sure to hold the morning exercise in the fresh air, and do it every day until the body starts to function normally, and the disease will remain only in your memory.

There are documented cases when the patients who doctors have ended the sentence "the impossibility of restoring the motor functions of the limbs" with their will and character began to walk and move.

Rehabative simulators - These are simulators that allow making movements to load those parts of the body that need to restore the motor function, the physical form, which was to the disease or injury. Currently, the industry has specially developed and implemented special simulators for rehabilitation after surgery or injuries. Also, simulators are used to prevent a number of diseases, having physiotherapeutic effects, is included in the course of the course of therapeutic physical culture.

Simulators for rehabilitation are divided into types, depending on the impact, which is in part of the body: back, limbs (upper, lower), complex, etc. It also provides for various regulators - considering the age of the user.

Choosing rehabilitation simulators, consult with a specialist!

Exercise glasses Recommended for removing fatigue and eye stress after a long visual load, with eye diseases, etc. In addition, as protection against sunlight, flying particles (hot metal).
Computer users continuously (for a long time) It is advisable to use the simulator glasses for five to seven minutes during each hour of operation. Restoration of visual acuity, preferably under the supervision of an ophthalmologist.

Choosing an exercise glasses, consult with a specialist!

Plant "Hercules" produces simulators for rehabilitation after stroke.

One of the most common neurological diseases is a stroke. Rehabilitation at home after resuscitation and hospital is aimed at partial or complete restoration of the functions of neurons and muscles.

Simulators for rehabilitation after stroke are designed to restore motion functions, reduce muscle hypertonus, strengthening of weak muscle tissues, recovery of blood circulation, coordination of movements, improvement of the psychological state.

Home rehabilitation simulators after stroke are two species:

· Cyclic, which are carried out by mechanotherapy (development of the joints of the arms and legs);

· To simulate walking, lifting the stairs, twisting cycling pedals.

Before purchasing, it is worth consulting with a doctor who will tell you exactly what kind of type of simulator is necessary in each case.

By type of impact, several types of simulators distinguish:

1. To strengthen and restore the spine and the whole organism. Used in diseases of intervertebral disks, deformed joints, arthritis, etc.

2. To restore legs. They are used not only to restore feet function, but also to prevent muscle atrophy and normalization of blood circulation.

3. To restore hands. Most often used after heart attacks to normalize the tone of the muscles of the hands.

4. Universal simulators - are used to prevent or restore the functions of the hands and legs.

Restoring the functions of the hands

Restoring the functions of the brush and hand development is an important part of prevention. Without regular loads, the muscles are "stuck", and the joints are becoming less flexible. Finger simulator after stroke will help start restoring lost functions. To teach the implementation of the usual household tasks, a special stand for the development of motility is useful. To strengthen weak muscles and joints, simulators are used for the fingers of the hands after a stroke with special traction. To restore the nervous conductivity, a simulator is used for hand after stroke and injuries in the shape of a steering wheel. With the help of simple devices, you can achieve good results in rehabilitation after stroke and injuries at home.

Restoring feet functions

Therapeutic physical culture for patients undergoing stroke or lower limb injury is one of the most important stages of rehabilitation. To improve blood circulation and strengthen the leg muscles apply different types Simulators:

· Verticalizers;

· Walkers;

· Special slides;

· Brux for walking;

· Walking simulators (steppers).

Foot simulator after stroke is important not only for maintaining muscles in tone. When the first results appear, a positive emotional attitude appears in a patient and classes are held with greater return and effectiveness.

For patients with injuries of the upper and lower extremities in rehabilitation centers, the simulator is used after a stroke for legs and hands. For example, the manuspeed exercise bike or stepper with e-junctions for hands.

Where to buy simulators for recovery after stroke

The rehabilitation of patients with stroke is a continuous and difficult task that requires the patient's efforts and its loved ones. Even in the case of the complete restoration of motor functions, the patient is necessary and the cardion loads are necessary: \u200b\u200bclasses on the treadmill, exercise bike, stepper. The treadmill must be necessarily with the handrails, with low starting speeds, with the control of heart rate control (in order to prevent tachycardia and pressure lifting).