EA039202B1 - Device for rehabilitating verticalization of a user - Google Patents

Abstract

The invention is related to medical equipment and increases rigidity and stability of the device. The device comprises an upper frame (2) connected to opposite lower frames (3) having front and rear wheels (14, 15), and a handrail (6) adjustable in the horizontal, vertical and sagittal planes. On the upper frame (2), a user verticalizing appliance (19) is fixed that is adapted to reduce the force of pressure on the supporting surface (17). The front legs (4) of the lower frames (2, 3) are interconnected, and each front wheel (14) has a means (68) for stabilizing the direction of movement of the device, configured to be placed in two positions. In the first position, the longitudinal axis (a-a) of each means (68) is located axially to the vertical axis (A-A), and the means (68) is adapted to freely change the direction of movement; in the second position, the longitudinal axis (a-a) of each means (68) is deflected from the vertical axis (A-A), and the means (68) is adapted to stabilize the rectilinear movement.

Description

The present invention relates to medical equipment used for the rehabilitation of users by positional therapy methods, and more specifically, to a device for rehabilitation verticalization of the user.

The present invention can be used for dynamic verticalization of the user with weight unloading of the pressure force of the user's body on the supporting surface.

The present invention can be used to teach the walking skill of users with increased weight and dimensions, suffering from serious damage to the nervous system and the musculoskeletal system, that is, users with impaired function of independent movement due to disabling diseases of the nervous system and musculoskeletal system (cerebral palsy; spinal dysraphism ; consequences of acute disorders of cerebral circulation, craniocerebral and spinal cord injuries, inflammatory diseases of the brain and spinal cord; consequences of injuries, inflammatory and / or degenerative diseases of the joints of the lower extremities; consequences of injuries of the long tubular bones of the lower extremities, etc.). The problem of rehabilitation treatment of these disabled people is extremely relevant due to its social significance.

Known support frame-verticalizer RU 35220, which is a device for rehabilitation verticalization of the user and containing a base equipped with running wheels, on which the support frame is pivotally mounted with elements for fixing the user's body to it. The base is a horizontal rectangular frame containing side longitudinal beams, rigidly fastened at the edges with transverse beams. The support frame contains two lateral longitudinal sliding racks connected to each other by transverse elements movable along the racks of the support frame. A table is attached to the support frame for the implementation of fine motor skills of the hands.

This verticalizer frame has limited use and is intended only for the rehabilitation of children with a small weight, and also has a complex design that reduces the strength, rigidity, stability of the frame and limits the weight of users who can use this device.

A device for rehabilitation verticalization of the user EA 031828 is known, containing a collapsible frame having two opposite lower frames with running wheels connected to the upper frame, and a means for attaching to the frame of an orthopedic suit for fixing the user's body in a vertical position. The frame has a connecting means for connecting and disconnecting vertically mounted upper frame and lower frames, each of which is formed from two tubular elements placed at a distance, each of which is a zigzag side post having an upper, middle and lower sections. The upper sections of different zigzag side posts of each lower frame are fastened together by means of the first fastening element, and the first nodes of the connecting means are fixed at the free ends of the upper sections. The lower sections of the zigzag side posts of each lower frame are fastened by means of a second fastening element, and running wheels are fixed at the free ends of the lower sections of the lower frames, while there is no fastening of the front zigzag posts of different lower frames. The middle portions of the different zigzag side posts form the middle portion of each bottom frame in a substantially trapezoid shape with the small base facing the top frame. The upper frame is made of separate curved tubular elements fastened by means of third fastening elements and forming an arched two-pipe structure, which has an upper two-pipe section, two middle two-pipe sections and two lower two-pipe sections, at the free ends of the latter of which the second nodes of the connecting means are fixed, made with the ability to connect and disconnect with the corresponding first nodes. In addition, this device contains a handrail for supporting the user's hands, removablely fixed by end sections on different sides of the frame in a stationary position.

The design of this device makes it possible to use this device not only by children, but also by adult users. However, with a significant increase in the weight and dimensions of users, this device loses rigidity and stability, as the pressure force of the user's body on the supporting surface increases and uneven loads on the structural elements of the device increase when the user loses balance and his uncontrolled chaotic impact on different elements of the device. In addition, fixing the handrail in a stationary position complicates the ability to quickly find a support in case of a pronounced violation of the orientation and operation of the vestibular apparatus of users in case of loss of balance of users of different sizes and weights. The lack of fastening of the front zigzag racks of different lower frames creates the possibility of spreading of the front wheels, which reduces the rigidity and stability of the device and excludes the possibility of using this device by users suffering from serious damage to the nervous system and the musculoskeletal system and having significant weight and dimensions, as it increases the possibility of wobbling device during rectilinear movement and makes it difficult to select and change the direction of movement of the device in any direction.

The present invention is based on the task of creating a device for rehabilitation

- 1 039202 verticalization of the user with such features of structural elements and means that increase the rigidity and stability of the device by reducing the pressure force of the user's body on the supporting surface, reducing uneven loads on the structural elements and means of the device, providing the ability to quickly find support in case of a pronounced violation of orientation and operation the vestibular apparatus of users, eliminating the possibility of spreading the front wheels, providing the ability to select and change the direction of movement of the device in any direction, as well as creating difficulty wobbling the device during rectilinear movement, which makes it possible to use the proposed device by users suffering from serious damage to the nervous system and musculoskeletal system and having significant weight and dimensions.

This problem is solved by creating a device for the rehabilitation verticalization of the user, containing structural elements and means, including: a collapsible frame with an upper frame, a base containing two opposite lower frames, each of which has a front and rear zigzag racks, a handrail for hand support of the user, removable by its end sections on different sides of the frame, and a means for connecting and disconnecting the upper and lower frames, while the front and rear zigzag posts of the corresponding lower frame have fastened upper sections, at the free ends of each of which the first nodes of the means for connections and disconnections of the upper and lower frames, the lower sections, on which the corresponding front and rear running wheels are fixed by means of brackets, made with the possibility of rotation around the respective horizontal axes and moving the frame along the supporting surface when transferred to the running gear upper wheels of pushing force, inducing the device to move in a given direction, and middle sections, forming each lower frame essentially in the form of a trapezoid, facing the small base towards the upper frame, having an upper part, on which a means for fixing the user's body in a vertical position is fixed, connected to the orthopedic suit, and side parts placed on different sides of the upper part and having second nodes fixed at their free ends means for connecting and disconnecting the upper and lower frames, adapted for connection with the corresponding first nodes, while, according to the invention, the fixation the user's body in a vertical position is adapted to reduce the pressure force of the user's body on the supporting surface, while the handrail for supporting the user's hands is fixed using appropriate means for adjusting the position of the handrail in the horizontal, vertical and sagittal planes and fixing the handrail in selected position, each of which is located on the corresponding side of the frame near the means for connecting and disconnecting the upper and lower frames, the front zigzag racks of the latter of which are connected to each other by means of an elongated element, the end sections of which are fixed on these racks above the attachment points of the brackets of the corresponding front suspension wheels, each last of which has a means for stabilizing the movement of the device, fixed between the bracket of the corresponding front running wheel and the lower section of the corresponding front zigzag rack and made with the possibility of placing in two different positions relative to the vertical axis of the lower section of the corresponding front zigzag rack, in the first of which the longitudinal axis of the means is located axially vertical to the axis of the lower section of the corresponding front zigzag rack, and the means is adapted to freely change the direction of movement at device, in the second position, the longitudinal axis of the device is deflected from the vertical axis of the lower section of the corresponding front zigzag rack, and the tool is made with the possibility of making it difficult to change the direction of movement of the device and is adapted to stabilize the rectilinear movement of the device.

The specified design of the means for fixing the user's body in a vertical position, adapted to reduce the pressure force of the user's body on the supporting surface, the presence and location of means for adjusting the position of the handrail to support the user's hands in the horizontal, vertical and sagittal planes, the connection of the front zigzag racks, as well as the presence and the indicated design of means for stabilizing the movement of the device provide a technical result of the present invention, which consists in increasing the rigidity and stability of the device by reducing the pressure force of the user's body on the supporting surface, reducing uneven loads on the structural elements and means of the device, providing the ability to quickly find support with a pronounced violation of the orientation and functioning of the vestibular apparatus of users, eliminating the possibility of spreading the front wheels, as well as providing the opportunity to choose but also changing the direction of movement of the device in any direction and reducing the possibility of wobbling (yaw) of the device during rectilinear movement of the device, which makes it possible to use the proposed device by users suffering from serious damage to the nervous system and musculoskeletal system and having significant weight and dimensions. The design of the means for fixing the user's body in a vertical position, adapted to reduce the pressure force of the user's body on the supporting surface, allows you to get the effect of reducing the user's weight in ver.

- 2 039202 tic position, which provides unloading of his joints and spine, and also reduces uneven loads on the structural elements and means of the device in case of loss of balance of the user and his uncontrolled chaotic impact on different elements of the device, which increases the rigidity and stability of the device, provides the possibility of using the proposed devices by users suffering from serious damage to the nervous system and the musculoskeletal system and having significant weight and dimensions. The presence of means for adjusting the position of the handrail in the horizontal, vertical and sagittal planes and fixing the handrail in the selected position allows you to raise or lower the handrail, extend or retract it to achieve the most comfortable position for the hands of a particular user, which provides the ability to quickly find the support in case of a pronounced violation of orientation and work vestibular apparatus, which also reduces uneven loads on the structural elements and means of the device in case of loss of balance of the user and his uncontrolled chaotic impact on different elements of the device and increases the rigidity and stability of the device, which makes it possible to use the proposed device by users suffering from serious damage to the nervous system and musculoskeletal system. motor apparatus and having significant weight and dimensions. In addition, the location of these means on the corresponding side of the frame near the means for connecting and disconnecting the upper and lower frames increases the rigidity and stability of the frame and the device as a whole, since in this case the handrail acts as an element that connects the sides of the frame and excludes their distortion during use of the device by users suffering from serious damage to the nervous system and the musculoskeletal system and having significant weight and dimensions. The presence of an elongated element, the end sections of which connect the front zigzag racks of different lower frames, significantly increases the rigidity and stability of the device, as it eliminates the possibility of spreading of the front wheels, including when using the proposed device by users suffering from serious damage to the nervous system and musculoskeletal system and having significant weight and dimensions, which makes it possible to use the proposed device by users suffering from serious damage to the nervous system and musculoskeletal system and having significant weight and dimensions. The presence of a means for stabilizing the movement of the device at each front running wheel and the implementation of this means with the possibility of being placed in two different positions provides in the first position of the means the ability to select or change the direction of movement of the device in any direction and reduces the possibility of wobbling (yawing, turning) in the second position of the means devices in a straight line. This stabilizes the movement of the device in each of the two positions, which increases the rigidity and stability of the device and makes it possible to use the proposed device by users suffering from serious damage to the nervous system and the musculoskeletal system and having significant weight and dimensions.

It is advisable that the means for fixing the user's body in a vertical position, adapted to reduce the pressure force of the user's body on the supporting surface, contains a hollow body with a removable cover and a fixed support fixed to the upper frame, having through windows and a longitudinal axis of symmetry, on different sides of which there are groups of guide bearings, the first bearings of which are fixed on the fixed support by means of the corresponding horizontal axes, the second bearings are fixed on the vertical posts located on the fixed support by means of the corresponding vertical axes, the third bearings are fixed on the suspension supports located above the fixed support by means of the corresponding vertical axes, two rope, fixed by the corresponding first ends on different sides of a fixed support, made with the possibility of moving along this support in opposite directions with a zigzag bend of each cable around the axes of the corresponding first, second and third bearings, passing the second ends of the respective cables into the corresponding windows of the fixed support and fastening with the orthopedic suit, four tension springs placed in pairs on different sides of the longitudinal axis of symmetry and fixed by the corresponding first ends of two springs on the corresponding suspension supports , and by the corresponding second ends, two springs are fixed on different sides of the suspension rod, which is located above the fixed support after the corresponding suspension supports and on which the first end of the belt is fixed between the corresponding second ends of the tension springs, the second end of which is connected to a winch fixed to the frame and having manual or electric drive, made with the possibility of adjusting the length of the belt and the tension force of the tension springs, providing regulation of the lifting forces transmitted to the orthopedic suit and reducing the pressure force of the user's body on the supports surface.

Such a design of the means for fixing the user's body in a vertical position, adapted to reduce the pressure force of the user's body on the supporting surface, allows to obtain a significant effect of reducing the user's weight, which provides unloading of his joints and spine, and also reduces uneven loads on structural elements and device devices. in case of loss of balance by the user and his uncontrolled chaotic impact

- 3 039202 on different elements of the device, which increases the rigidity and stability of the device and makes it possible to use the device by users suffering from serious damage to the nervous system and the musculoskeletal system and having significant weight and dimensions.

Advantageously, each side section of the upper frame comprises two substantially parallel vertical tubular elements, between which a corresponding means is fixed for adjusting the position of the handrail in the horizontal, vertical and sagittal planes and fixing in the selected position, while the handrail is made of a curved tubular element and removably fixed by the respective end sections in the respective means for adjusting the position of the handrail, each of which contains a connecting plate fixed between the respective vertical tubular elements of each side section of the upper frame near the placement of the second nodes of the means for connecting and disconnecting the upper and lower frames, a support disk attached to the first side on the inside of the respective connecting plate, a guide sleeve which is attached to the opposite side of the platter and in which, with the possibility of changing position in the corresponding end section of the handrail is fixed to the horizontal plane, and on the opposite sides of the connecting plate and the support disk along the periphery there are opposite annular toothed rims, made with the possibility of engaging in the selected position of the handrail, and stepped cavities are made in the center, one of which contains a compression spring , and in the other cavity a rod is placed with the possibility of movement, the first end of which is fixed on an axis, which is limited from rotation by means of a bracket and on which the first eccentric lever is located, the second end of the rod is fixed in a threaded bushing located in the central cavity of the support disk made with the possibility of moving with the help of a rod and ensuring the engagement of the corresponding ring-shaped gear rims of the corresponding opposite sides of the connecting plate and the support disk and fixing the selected position of the handrail in the vertical and sagittal planes with the help of the first eccentric lever, while between the protrusions of the guide sleeve on the axis there is a second eccentric lever adapted to fix the selected position of the handrail in the horizontal plane using the appropriate stop.

Such a design allows you to raise or lower the handrail, extend or retract it to achieve the most comfortable position of the hands of a particular user, which provides the ability to quickly find support in case of a pronounced violation of the orientation and operation of the vestibular apparatus, which reduces uneven loads on the structural elements and means of the device in case of loss of balance user and his uncontrolled chaotic impact on various elements and means of the device, increases the rigidity and stability of the device and provides the possibility of using the proposed device by users suffering from serious damage to the nervous system and musculoskeletal system and having significant weight and dimensions. In addition, the location of these means on the corresponding side of the frame near the second nodes of the means for connecting and disconnecting the upper and lower frames increases the rigidity and stability of the frame and the device as a whole, since in this case the handrail acts as an element connecting the sides of the frame and reducing them. deformation when using the device by users suffering from serious damage to the nervous system and the musculoskeletal system and having significant weight and dimensions.

Preferably, the elongated element connecting the front zigzag posts of the lower frames is a tubular spacer and has swivel bushings at the end sections, hinged on these posts with the possibility of folding the base in the disassembled state of the frame.

Such a design significantly increases the rigidity and stability of the device, as it eliminates the possibility of front wheels spreading, including when using the proposed device by users suffering from serious damage to the nervous system and musculoskeletal system and having significant weight and dimensions. In addition, it ensures the compactness of the disassembled device for carrying and transportation in any mode of transport.

It is useful that each means for stabilizing the movement of the device has a lower part fastened to the corresponding bracket of the corresponding front road wheel by means of a bearing assembly rotatable about its axis, and an upper part fastened to the lower section of the corresponding front zigzag rack with the possibility of being transferred to it. a means of support force generated by downward forced action on at least one structural element of the device, wherein the means is arranged to be placed in two different positions relative to the vertical axis of the lower section of the corresponding front zigzag rack, in the first of which there is no transmission to the means of the specified support efforts, while the longitudinal axis of the means is located axially vertical to the axis of the lower section of the corresponding front zigzag rack, and the means is made with the possibility of stabilizing free rotation of the corresponding front road wheel around the vertically located axis of the horizontally located bearing assembly, and

- 4 039202 adapted to freely change the direction of movement of the device, in the second position there is a transfer of the specified support force to the means, while the longitudinal axis of the means is deflected from the vertical axis of the lower section of the corresponding front zigzag rack, and the means is made with the possibility of hindering the free rotation of the corresponding front running wheel around the axis of the bearing assembly deviated from the vertical position, deviated from the horizontal position, and adapted to make it difficult to change the direction of movement of the device and ensure the stabilization of the rectilinear movement of the device.

Such a design in the first position of this means allows the front running wheel to freely rotate around the axis of the bearing assembly, located in a vertical position with the ability to select and change the direction of movement of the device in any direction. In the second position of this means, when the user (or his assistant) presses (impacts) on at least one structural element of the device (for example, on the handrail, or on the lower frames, or on the upper frames), the created support force is transferred down to the axis of the corresponding bearing assembly , which occupies a position deviated from the vertical, while the bearing assembly occupies a position deviated from the horizontal, which limits the free rotation of the corresponding front road wheel, makes it difficult to turn (yaw, wobble) of the device (difficulty changing the direction of movement of the device) and ensures stabilization during a straight device movement. Thus, the specified design of the means for stabilizing the movement of the device stabilizes the movement of the device in each of the two positions, which increases the rigidity and stability of the device and makes it possible to use the proposed device by users suffering from serious damage to the nervous system and the musculoskeletal system and having significant weight and dimensions. .

It is desirable that each means for stabilizing the movement of the device has a U-shaped body containing a bottom wall fixed on the upper part of the bracket of the corresponding front running wheel by means of an axis on which the bearing assembly is rotatably fixed, and two side walls, between which a horizontal axis is fixed , on which a core of complex geometric shape is placed with the possibility of rotation, having a core rotation limiter, containing a through elongated groove made on the periphery of the core body, inside which, with the possibility of movement, limited by the walls of the elongated groove, a latch is placed, fixed with its ends on the corresponding side walls of the housing, at the same time, in the upper region of the core body, the first cavity is made, in which the lower part of the rod is fixed, the upper part of which is fixed inside the lower section of the front zigzag post of the corresponding lower frame with the help of a curly bushing. the axis of the means for stabilizing the movement of the device in two different positions, in the first of which the axis of the bearing assembly is located axially vertical to the axis of the lower section of the corresponding front zigzag rack, the bearing assembly is placed in a horizontal position, adapted to stabilize the free rotation of the front running wheel around the axis of the bearing assembly, placed in a vertical position and freely change the direction of movement of the device, and in the second position, the lower section of the corresponding front zigzag rack is fastened with the help of a figured bushing to the upper part of the means with the possibility of transmitting the specified support force, while in the lower region of the core body a second cavity is made, in which on the axis of the bearing assembly there is a stop fixed with the help of a horizontal axis on the side walls of the housing, in the lateral region of the body of the core a third cavity is made, in the upper part of which the first adjusting screw is placed , made with the possibility of interaction through the upper end with the help of a curly sleeve with the end of the lower section of the front zigzag rack of the corresponding lower frame and interaction through the lower end with the upper end of the spring located in the lower part of the third cavity with the possibility of compression during transmission from the lower section of the corresponding front zigzag rack on the corresponding front running wheel of the specified support force and having a lower end configured to transfer this support force to the second adjusting screw located in the thrust body, which is configured to transfer this support force to the lower edge of the core wall from the inside of the second cavity, deviations from the vertical position of the axis of the bearing assembly, deviated from the horizontal position, limiting the free rotation of the core around this axis within the limits of the possible movement of the latch in the elongated groove, making it difficult for free rotation moving the front running wheel around the axis of the bearing assembly, making it difficult to change the direction of movement of the device and ensuring the stabilization of the rectilinear movement of the device.

Such a design of the means for stabilizing the movement of the device in the first position of the means provides the ability to select and change the direction of movement of the device in any direction, and in the second position of the means it reduces the possibility of wobbling (yaw) of the device during rectilinear movement, which stabilizes the movement of the device in each of two different positions means and increases the rigidity and stability of the device.

It is useful that the device contains handles, each of which has a corresponding means

- 5 039202 for adjusting the position of the corresponding handle in height and angle of inclination to the frame and fixing in the selected position, while these means are placed on different sides of the frame and fixed on the upper sections of the front and rear zigzag racks of each lower frame near the location of the first nodes of the means for connection and disconnection of the upper and lower frames, each rear wheel is equipped with a brake device kinematically connected by means of a cable with a brake lever attached to the corresponding handle.

The presence and location of these handles and means for adjusting the position of the handles in height and angle of inclination to the frame and fixing in the selected position provides the ability to quickly find the support in case of a pronounced violation of the orientation and operation of the user's vestibular apparatus, which reduces uneven loads on the structural elements and means of the device in case of loss balance of the user and his uncontrolled chaotic impact on different elements of the device and increases the rigidity and stability of the device. In addition, the presence of a braking device allows braking the proposed device when the user loses balance when the device is moving, which reduces the uncontrolled chaotic impact of the user on various elements of the device, increases the rigidity and stability of the device. All this makes it possible to use the proposed device by users suffering from serious damage to the nervous system and the musculoskeletal system and having significant weight and dimensions.

Conveniently, the upper sections of the respective front and rear zigzag legs of each lower frame comprise two essentially parallel vertical tubular elements, between which, near the location of the first nodes of the means for connecting and disconnecting the upper and lower frames, a corresponding means is placed for adjusting the position of the corresponding handle in height and angle of inclination to the frame and fixation in the selected position, wherein each handle was made bent from a tubular element and removably fixed by the corresponding end section in the corresponding means for adjusting the position of the corresponding handle, each of which contains a connecting plate fixed between the respective vertical tubular elements of each upper sections of the front and rear zigzag racks of each lower frame, a bushing, on the inner end of which the first radial gear rim is located and which is fixed on a movable axis located with the possibility horizontal axial movement in a tubular body, fastened through an intermediate support with a movable plate having a protrusion, on the outer end of which the first horizontal gear rim is made, and located inside the grooves of the vertical guide elements fixed on the connecting plate, having a through hole in which the stop is placed, having an outer surface on which a second horizontal gear rim is made, located opposite the first horizontal gear rim and configured to engage with the latter in the selected position of the corresponding handle, and a shank connected through a through hole in the connecting plate with an eccentric lever, which by means of the horizontal axis is fixed on brackets mounted on the connecting plate, while the movable axle at the first end end has a stepped protrusion and is fastened to the annular element having a second radial gear rim, made about opposite to the first radial toothed rim of the sleeve with the possibility of engaging with the latter in the selected position of the corresponding handle, and at the second end end the movable axle has a threaded hole in which the threaded part of the wing screw is placed, having a plug and a cylindrical section, which is placed inside the tubular body, moreover, between the inner end of the stepped protrusion of the movable axle and the inner end of the sleeve, on which the first radial gear rim is located, a compression spring is installed, configured to move the first and second opposed radial gear rims, respectively, of the sleeve and the annular element and change the position of the corresponding handle in height and the angle of inclination to the frame and fixation in the selected position.

Such a design of the means for adjusting the position of the corresponding handles in height and angle of inclination to the frame and fixing in the selected position allows you to raise, lower or tilt the handles to achieve the most comfortable position for the hands of a particular user, which makes it possible to quickly find support in case of a pronounced violation of the orientation and functioning of the vestibular user device. The presence and location of these means on the corresponding lateral side of the frame near the location of the first nodes of the means for connecting and disconnecting the upper and lower frames reduces uneven loads on the structural elements and means of the device in case of loss of balance of the user and his uncontrolled chaotic effect on various elements and means of the device, which increases the rigidity and stability of the frame and the device as a whole and ensures the possibility of using the proposed device by users suffering from serious damage to the nervous system and the musculoskeletal system and having significant weight and dimensions.

It is possible that each first node of the means for connecting and disconnecting the upper and lower frames contains the first pin 23, which has two cylindrical parts separated by a shoulder, the lower

- 6 039202 of which is fixed inside the corresponding end of the corresponding upper section of the corresponding zigzag rack of the corresponding lower frame, and a connecting sleeve is fixed on the upper cylindrical part of the first pin, which rests on the shoulder of the corresponding first pin and has a free cavity in its upper part, moreover, in the side wall of the corresponding bushing in the area of the corresponding free cavity, a protrusion with a hole is made, in which the axis is placed, on which the corresponding eccentric lever is fixed with the possibility of rotation, and a through hole, in which the corresponding stop is placed with the possibility of free movement along its longitudinal axis, with each second the node of the means for connecting and disconnecting the upper and lower frames contains a second pin, which has two cylindrical parts separated by a collar, the upper of which is fixed inside the corresponding end of the corresponding side two-pipe section of the upper its frame, and the lower cylindrical part of each second pin, when connecting the upper and lower frames, is inserted into the free cavity of the corresponding connecting sleeve with the possibility of interacting with the end face of the corresponding upper cylindrical part of the corresponding first pin.

Such a constructive implementation of the means 8 for connecting and disconnecting the upper and lower frames 2, 3 increases the rigidity and stability of the device, as it reduces the possibility of deformation of the sides 7 of the frame 1 when using the device by users suffering from serious damage to the nervous system and musculoskeletal system and having significant weight and dimensions.

Thus, the specified implementation of the structural elements and means of the proposed device provides the possibility of using the proposed device by users suffering from serious damage to the nervous system and the musculoskeletal system and having significant weight and dimensions. This is ensured by the design features of the proposed device, which increase the rigidity and stability of the device by reducing the pressure force of the user's body on the supporting surface, reducing uneven loads on the structural elements and means of the device, providing the ability to quickly find support in case of a pronounced violation of the orientation and operation of the vestibular apparatus of users, eliminating the possibility spreading of the front wheels, providing the ability to select and change the direction of movement of the device in any direction, as well as reducing the possibility of wobbling (yaw) of the device when the device moves in a straight line.

For a better understanding of the invention, specific embodiments of its implementation are given below with reference to the accompanying drawings, in which:

fig. 1 shows a device for rehabilitation verticalization of the user, made according to the invention, isometric view;

fig. 2 - means 8 for connecting and disconnecting the upper and lower frames 2, 3, made according to the invention, longitudinal section;

fig. 3 - means 19 for fixing the body of the user in a vertical position, made according to the invention, top view with the cover removed;

fig. 4 is a section IY-IY in FIG. 3;

fig. 5 - means 51 for adjusting the position of the handrail and fixing in the selected position, made according to the invention, longitudinal section;

fig. 6 - means for stabilizing the movement of the device, made according to the invention, in the first position of the means, longitudinal section;

fig. 7 - means for stabilizing the movement of the device, made according to the invention, in the second position of the means, longitudinal section;

fig. 8 - a means for adjusting the position of the handles and fixing in the selected position, made according to the invention, a side view of the handle;

fig. 9 - section IX-IX in FIG. eight;

fig. 10 is a section X-X in FIG. eight.

The proposed device for rehabilitation verticalization of the user contains structural elements and means shown in Fig. 1-10 and including: a collapsible frame 1 (Fig. 1), made of tubular elements and having an upper frame 2 and a base containing two opposite lower frames 3, each of which has front and rear zigzag racks 4, 5. In addition, the proposed device contains a handrail 6 for supporting the user's hands, made of a tubular element and removable with its curved end sections on different sides 7 of the frame 1, and means 8 (Fig. 2) for connecting and disconnecting the upper and lower frames 2, 3 (hereinafter the connecting means 8). The front and rear zigzag racks 4, 5 of the corresponding lower frame 3 have vertically located upper sections 9, vertically located lower sections 10 and inclined middle sections 11 connecting them. Vertical upper sections 9 of the front and rear zigzag racks 4, 5 of each lower frame 3 are fastened between itself and at the free ends of each upper section 9, the first nodes 12 of the connecting means 8 are fixed. On the vertical lower sections 10, by means of brackets 13,

- 7 039202 are the corresponding front and rear running wheels 14, 15, made with the possibility of rotation around the respective horizontal axes 16 and moving the frame 1 along the supporting surface 17 when transferring to the running wheels 14, 15 the pushing force generated by the application by the user (or his assistant) longitudinal forces to at least one structural element or means of the proposed device and causing the device to move in a given direction. At the same time, the middle sections 11 are made inclined and form the corresponding lower frame 3, essentially in the form of a trapezoid, facing the small base towards the upper frame 2.

By the phrase pushing force, we mean the application by the user (or his assistant) to at least one structural element or means of the proposed device of longitudinal forces, which are the driving forces for the running wheels 14, 15 and induce the wheels 14, 15 to start and continue the movement of the proposed device in given direction.

By the expression application by the user (or his assistant) of longitudinal forces to at least one structural element or means of the proposed device that causes the device to move in a given direction, we mean the creation by the user (or his assistant) of a pushing force by physical impact on at least one structural element or means of the proposed device in a given longitudinal direction, which induces the proposed device to implement a given operation algorithm.

By the term impact, we understand the action, the influence exerted by someone on something, which boils down to a purposeful transfer of movement from one participant in the interaction to another in order to achieve the desired result.

The upper frame 2 has an upper part 18, on which a means 19 (Fig. 3, 4) is fixed for fixing the user's body in a vertical position, adapted to reduce the pressure force of the user's body on the supporting surface 17 (shown schematically) and connected to the orthopedic suit 20 ( shown schematically). In addition, the upper frame has two side parts 21, placed on different sides of the upper part 18 and having second nodes 22 of the means 8 fixed at their free ends for connecting and disconnecting the upper and lower frames 2, 3, adapted for connection with the corresponding first nodes 12 this tool 8.

The upper frame 2 is made of curved tubular elements. As a rule, this frame 2 is an arched two-tube structure. The top two-tube part 18 is located essentially horizontally, and the side two-tube parts 21 at the top are curved in the direction of the top part 18, and at the bottom they are located essentially vertically and can be made integral with the two-tube top part 18 or connected to it, for example, by welding.

In other embodiments, the upper frame 2 may be a single-tube or multi-tube arch structure, structurally similar to that described above.

The connecting means 8 (Fig. 2) can be made of any known design designed to perform the specified function, for example, it can be made as described in the patent EA 031828. However, it is most effective from the point of view of achieving the specified technical result when each first node 12 of the connecting means 8 contains the first pin 23, which has two cylindrical parts separated by a shoulder 241, the lower of which is fixed (for example, with glue or mechanically) inside the corresponding end of the corresponding upper section 9 of the corresponding (front and rear) zigzag rack 4, 5 of the corresponding lower frame 3 , and on the upper cylindrical part of the first pin 23 is fixed (for example, with glue or mechanically) the connecting sleeve 25, which rests on the collar 241 of the corresponding first pin 23 and has a free cavity in its upper part. In the side wall of the corresponding sleeve 25 in the area of the corresponding free cavity, a protrusion 26 is made with a hole in which an axis 27 is placed, on which the corresponding eccentric lever 28 is fixed with the possibility of rotation, and a through hole 29, in which with the possibility of free movement along its longitudinal axis a corresponding stop 30 is placed. Each second node 22 of the connecting means 8 contains a second pin 31, which has two cylindrical parts separated by a shoulder 24 ₂ , the upper of which is fixed (for example, with glue or mechanically) inside the corresponding end of the corresponding side two-pipe section 21 of the upper frame 2, and the lower cylindrical part of each second pin 31, when connecting the upper and lower frames 2, 3, is inserted into the free cavity of the corresponding connecting sleeve 25 and interacts with the end of the corresponding upper cylindrical part of the corresponding first pin 23. When turning the corresponding eccentric x levers 28 there is a longitudinal movement of the corresponding stops 30 along its longitudinal axis, the interaction of the ends of the corresponding stops 30 with the lower cylindrical part of the corresponding second pin 31 and the mutual fixation of the upper and lower frames 2, 3. The corresponding connecting sleeves 25 and stops 30 are made to increase their strength , for example, from polyamide materials containing glass fibers.

Such a design of the means 8 for connecting and disconnecting the upper and lower frames 2, 3 increases the rigidity and stability of the device, as it reduces the possibility of deformation of the sides 7 of the frame 1 when using the device by users suffering from serious

- 8 039202 lesions of the nervous system and musculoskeletal system and having significant weight and dimensions.

The means 19 for fixing the user's body in a vertical position, adapted to reduce the pressure force of the user's body on the bearing surface 17, is a combined means 19 for fixing the user's body in a vertical position and reducing the pressure force of the user's body on the bearing surface 17, which is placed on the horizontal top section 18 of the upper frame 2. Combining two functions in one tool 19: fixing the user's body in a vertical position and reducing the pressure force of the user's body on the supporting surface 17, allows you to get a significant effect of reducing the user's weight in a vertical position, which provides unloading of his joints and spine, and also reduces uneven loads on the structural elements and means of the device in case of loss of balance of the user and his uncontrolled chaotic impact on different elements of the device, which significantly increases the rigidity and stability of the device and provides the possibility of using the proposed device by users suffering from serious damage to the nervous system and musculoskeletal system and having significant weight and dimensions.

Said means 19 can be made of any known design intended to perform similar functions, however, the most effective from the point of view of achieving the indicated technical result is the constructive implementation of the means 19 described below for fixing the user's body in a vertical position and reducing the pressure force of the user's body on the supporting surface 17.

Means 19 has a hollow body 32 with a removable cover 33 and a fixed support 34 fixed on the upper frame 2, having through windows 35 and a longitudinal axis (b-b) of symmetry, on different sides of which groups of guide bearings are mirrored. The first bearings 36 of each group are fixed on the fixed support 34 by means of the respective horizontal axes 37. The second bearings 38 of each group are fixed on the vertical posts 40 located on the fixed bearing 34 by means of the respective vertical axes 39. supports 43 located above the fixed support 34. In addition, the means 19 contains two cables 44, fixed by the corresponding first ends 45 on different sides of the fixed support 34. The cables 44 are made to move along the fixed support 34 in opposite directions with a zigzag bend of each cable 44 around the axes 37, 39, 42 of the respective first, second and third bearings 36, 38, 41, passing (threading) the second ends 46 of the respective cables 44 into the respective through windows 35 of the fixed support 34, fastening the second ends 46 of the respective cables 4 4 by using appropriate fasteners with appropriate fasteners of the orthopedic suit 20 and placing the wearer in an upright position. At the same time, the means 19 contains four tension springs 47, placed in pairs on different sides of the longitudinal axis a-a of symmetry and fixed by the corresponding first ends of two springs 47 on the corresponding suspension supports 43, and by the corresponding second ends, two springs 47 are fixed on different sides of the suspension rod 48. Suspension rod 48 is located above the fixed support 34 after the respective suspension supports 43, and on the suspension rod 48 between the respective second ends of the tension springs 47 is fixed the first end of the belt 49, the second end of which is connected to the winch 50. The winch 50 is fixed to the frame 1 and has manual or electric drive, made with the possibility of adjusting the length of the belt 49 and the tension force of the tension springs 47, providing regulation of the lifting force transmitted to the orthopedic suit 20 and reducing the pressure force of the user's body on the supporting surface 17.

The lifting force generated by means 19 can be continuously adjusted in the range from 0 to 60 kgf. To appropriately reduce or increase the variation in the stretch length of the springs 47 and the smoothness of the change in lifting force, the means 19 may have more or fewer branches of zigzag bends of each cable 44 (i.e., a different number of bearings) to change the directions of each cable 44.

The combined means 19 provides the correct fixation of the user's body in a vertical position, insurance of the user from falling in case of loss of balance and reduction of the pressure force of the user's body on the supporting surface 17. At the same time, the combined means 19 provides unloading of the user's joints and spine, and also reduces uneven loads on structural elements and means of the device in case of loss of balance of the user and his uncontrolled chaotic impact on various elements of the device, which significantly increases the rigidity and stability of the device and provides the possibility of using the proposed device by users suffering from serious damage to the nervous system and musculoskeletal system and having significant weight and dimensions.

The handrail 6 for supporting the user's hands is detachably fixed with its end sections on different sides 7 of the frame 1 using appropriate means 51 (Fig. 5) for adjusting the position of the handrail 6 in the horizontal, vertical and sagittal planes and fixing the handrail 6 in

- 9 039202 selected position.

Each means 51 is located on the corresponding lateral side 7 of the frame 1 near the connecting means 8. The presence of means 51 for adjusting the position of the handrail 6 in the horizontal, vertical and sagittal planes and fixing the handrail 6 in the selected position allows you to raise or lower the handrail 6, extend or retract it for achieving the most comfortable position of the hands of a particular user, which provides the ability to quickly find a support in case of a pronounced violation of the orientation and operation of the vestibular apparatus and uncontrolled chaotic effects on various elements of the device. The presence and location of these means 51 on the corresponding side of the frame 1 near the connecting means 8 increases the rigidity and stability of the frame 1 and the device as a whole, while the handrail 6 acts as an element connecting the sides 7 of the frame 1 and reducing their deformation when the device is used by users, suffering from serious damage to the nervous system and the musculoskeletal system and having significant weight and dimensions.

The corresponding means 51 for adjusting the position of the handrail 6 in the horizontal, vertical and sagittal planes and fixing the handrail 6 in the selected position may be of any known design suitable for a similar function. However, from the point of view of achieving the specified technical result, the constructive implementation of these means 51 described below is most effective.

In this embodiment, each side section 21 of the upper frame 2 contains two essentially parallel vertical tubular elements 52, between which there is a corresponding means 51 (Fig. 5) for adjusting the position of the handrail 6 in the horizontal, vertical and sagittal planes and fixing in the selected position, while the handrail 6 is made of a curved tubular element and is removable fixed by the corresponding end sections in the corresponding means 51 for adjusting the position of the handrail 6. Each means 51 contains: a connecting plate 53 fixed between the respective vertical tubular elements 52 of each side section 21 of the upper frame 2 near the location of the second nodes 22 means 8 for connecting and disconnecting the upper and lower frames 2, 3; a platter 54 attached by the first side on the inside of the corresponding connection plate 53; guide sleeve 55, which is attached to the opposite side of the support disk 54 and in which the corresponding end section of the handrail 6 is fixed with the possibility of changing the position in the horizontal plane. with the possibility of engaging in the selected position of the handrail 6, and in the center there are stepped cavities. A compression spring 57 is placed in one cavity, and a rod 58 is movable in the other cavity. The first end of the rod 58 is fixed on the axis 59, which is limited from rotation by the bracket 60, and on which the first eccentric lever 61 is located. in a threaded bushing 62 placed in the central cavity of the olor disk 54, which can be moved with the help of a rod 58 and ensure that the corresponding ring-shaped gear rims 56 of the corresponding opposite sides of the connecting plate 53 and the support disk 54 are engaged and the selected position of the handrail 6 is fixed in the vertical and sagittal planes using the first eccentric lever 61. The second eccentric lever 63 is located between the protrusions 64 of the guide sleeve 55 on the axis 65 and is adapted to fix the selected position of the handrail 6 in the horizontal plane by means of the corresponding stop 301, similar to the stop 30 located in the through m hole 29 of the connecting means 8. The sleeve 55 is made of a polyamide material containing glass fibers.

Such a design of the means 51 for adjusting the position of the handrail 6 in the horizontal, vertical and sagittal planes and fixing the handrail 6 in the selected position makes it easy to raise or lower the handrail 6, extend or retract it to achieve the most comfortable position of the hands of a particular user, which provides the ability to quickly find supports in case of a pronounced violation of the orientation and operation of the vestibular apparatus and loss of balance of the user, as well as its uncontrolled chaotic effect on various elements of the device, which increases the rigidity and stability of the frame 1 and the device as a whole and provides the possibility of using the proposed device by users suffering from serious damage to the nervous system and musculoskeletal system and having significant weight and dimensions.

The front zigzag racks 4 of different lower frames 3 are interconnected by means of an elongated element 66, the end sections of which are fixed on these racks 4 above the attachment points of the brackets 13 of the corresponding front running wheels 14.

The presence and location of the elongated element 66 significantly increases the rigidity and stability of the device, as it excludes the possibility of front wheels spreading, including when using the proposed device by users suffering from serious damage to the nervous system and musculoskeletal system and having significant weight and dimensions.

The elongated member 66 may be of any known design suitable for an

- 10 039202 logical goals. At the same time, the most effective for achieving the specified technical result is the embodiment in which the elongated element 66 is a tubular spacer and has rotary bushings 67 at the end sections, hinged on the front zigzag racks 4 of different lower frames 3 with the possibility of folding the lower frames 3 of the base in a disassembled state of frame 1. This significantly increases the rigidity and stability of the device, as it eliminates the possibility of front wheels sprawl, including when using the proposed device by users suffering from serious damage to the nervous system and musculoskeletal system and having significant weight and dimensions. In addition, the compactness of the disassembled device is ensured for carrying and transportation in any mode of transport.

Each front running wheel 14 has means 68 (Fig. 6, 7) for stabilizing the movement of the device, which is fixed between the bracket 13 of the corresponding front running wheel 14 and the lower section 10 of the corresponding front zigzag rack 4 and can be placed in two different positions relative to the vertical axis (A-A) of the lower section 10 of the corresponding front zigzag rack 4. In the first position of the means 68, the longitudinal axis (a-a) of the means 68 is located axially vertical to the axis (AA) of the lower section 10 of the corresponding front zigzag rack 4, and the means 68 adapted to freely change the direction of movement of the device. In the second position of the means 68, the longitudinal axis (a-a) of the means 68 is deviated from the vertical axis (AA) of the lower section 10 of the corresponding front zigzag rack 4 by an angle (α), for example, 10° to 50°, and the means 68 is made with the possibility of making it difficult to change the direction of movement of the device and is adapted to stabilize the rectilinear movement of the device.

In this case, each means 68 for stabilizing the movement of the device has a lower part fastened to the corresponding bracket 13 of the corresponding front running wheel 14 by means of a bearing assembly 70 rotatable around its axis 69, and an upper part fastened to the lower section 10 of the corresponding front zigzag rack 4 with the possibility of transferring to this means 68 a support force generated by a downward forced action of the user (or his assistant) on at least one structural element or means of the device. As described above, the means 68 is configured to be placed in two different positions relative to the vertical axis (A-A) of the lower section 10 of the corresponding front zigzag rack 4, that is, the axis (A-A) located along the vertical tubular element of the lower section 10 of the corresponding front zigzag rack 4 and perpendicular to the supporting surface 17. At the same time, in the first position of the means 68, there is no transfer of the specified support force to this means 68, and the longitudinal axis (a-a) of the means 68 is located axially vertical to the axis (AA) of the lower section 10 of the corresponding front zigzag rack 4, while the means 68 is made with the possibility of stabilizing the free rotation of the corresponding front running wheel 14 around the vertically located axis 69 of the horizontally located bearing assembly 70 and adapted to freely change the direction of movement of the device. In the second position of the means 68, there is a transfer of the specified support force to this means 68, and the longitudinal axis (a-a) of the means 68 is deflected from the vertical axis (AA) of the lower section 10 of the corresponding front zigzag rack 4, while the means 68 is configured to the difficulty of free rotation of the corresponding front running wheel 14 around the axis 69 of the bearing unit 70 deviated from the vertical position, deviated from the horizontal position, and is adapted to make it difficult to change the direction of movement of the device and ensure the stabilization of the rectilinear movement of the device.

Under the expression support force created by means of a downward forced action on at least one structural element or device means, we mean the application by the user (or his assistant) of downward vertical forces with a downward forced action on at least one structural element or device device .

By the term impact, we understand the action, the influence exerted by someone on something, which boils down to a purposeful transfer of movement from one participant in the interaction to another in order to achieve the desired result.

The specified forced action is a downward vertical load, for example, pressing, when the user (or his assistant) leans on at least one structural element or means of the device with a force of, for example, 0.5 to 10 kg, the transfer of forces generated from this load down to the corresponding means 68 for stabilizing the movement of the device, providing a change in the position of the vertical axis 69 of the corresponding bearing assembly 70 and prompting the proposed device to implement the specified operation algorithm.

Each means 68 for stabilizing the movement of the device may be of any known design suitable for the specified function. However, the most effective from the point of view of achieving the specified technical result is the constructive implementation of the specified means 68 described below.

Each means 68 for stabilizing the movement of the device has a U-shaped body 71 (Fig. 6, 7),

- 11 039202 contains a bottom wall 72, fixed on the upper part of the bracket 13 of the corresponding front road wheel 14 by means of an axis 69, on which the bearing assembly 70 is rotatably fixed, and two side walls 73. Between the side walls 73, a horizontal axis 74 is fixed, on which a core 75 of complex geometric shape is placed with the possibility of rotation. The core 75 has a limiter 76 for the rotation of the core 75, containing a through elongated groove 77 made on the periphery of the body of the core 75, inside which, with the possibility of movement, limited by the walls of the elongated groove 77, a latch 78 is placed, fixed with its ends on the corresponding side walls 73 of the housing 71. in the upper region of the body of the core 75, the first cavity 79 is made, in which the lower part of the rod 80 is fixed, the upper part of which, with the help of a curly bushing 81, is fixed inside the lower section 10 of the front zigzag rack 4 of the corresponding lower frame 3 with the possibility of placing the means 68 in two different positions. In the first position of the means 68, the axis 69 of the bearing assembly 70 is placed axially vertical to the axis (AA) of the lower section 10 of the front zigzag rack 4, the bearing assembly 70 is placed in a horizontal position, adapted to stabilize the free rotation of the front running wheel 14 around the axis 69 of the bearing assembly 70 placed in a vertical position, and freely change the direction of movement of the device. In the second position of the means 68, the lower section 10 of the corresponding front zigzag post 4 is fastened with the help of a curly sleeve 81 to the upper part of the means 68 with the possibility of transmitting the specified support force. At the same time, a second cavity 82 is made in the lower region of the core body 75, in which a stop 83 is placed on the axis 69 of the bearing assembly 70, fixed with the help of a horizontal axis 84 on the side walls 73 of the housing 71. In the lateral region of the core body 75, a third cavity 85 is made, in the upper part of which the first adjusting screw 86 is placed, made with the possibility of interaction through the upper end with the help of a curly sleeve 81 with the end of the lower section 10 of the front zigzag rack 4 of the corresponding lower frame 3 and interaction through the lower end with the upper end of the spring 87, located in the lower part of the third cavity 85 with the possibility of compression during transmission from the lower section 10 of the corresponding front zigzag rack 4 to the corresponding front road wheel 14 of the specified support force. In this case, the spring 87 has a lower end 88, configured to transfer this support force to the second adjusting screw 89, placed in the stop body 83, which is configured to transfer this support force to the lower edge of the wall 90 of the core 75 from the inside of the second cavity 82, deviations from the vertical position of the axis 69 of the bearing assembly 70, deviated from the horizontal position, limiting the free rotation of the core 75 around this axis 69 within the limits of the possible movement of the latch 78 in the elongated groove 77, making it difficult for the free rotation of the front running wheel 14 around the axis 69 of the bearing assembly 70, making it difficult to change the direction of movement of the device and ensuring the stabilization of the rectilinear movement of the device. Rotary bushings 67, curly bushings 81, cores 75 and stops 83 are made of polyamide materials.

The presence of these means 68 for stabilizing the movement of the device and their design and location provides the ability to select and change the direction of movement of the device in any direction in the first position of the means 68, and also reduces the possibility of wobbling (yawing, turning) of the device during rectilinear movement in the second position of the means ( 68), which retains its rigidity and stability, including when used by users suffering from serious damage to the nervous system and musculoskeletal system and having significant weight and dimensions.

An embodiment of the proposed device is possible, in which the proposed device contains handles 91 (Fig. 8, 9, 10), each of which has a corresponding means 92 for adjusting the position of the corresponding handle 91 in height and angle to the frame 1 and fixing in the selected position. These means 92 are located on different sides 7 of the frame 1 and are fixed on the respective upper sections 9 of the front and rear zigzag racks 4, 5 of each lower frame 3 near the placement of the first nodes 12 of the connecting means 8. Moreover, each rear wheel (15) is equipped with a brake 93, kinematically connected by means of a cable 122 with a brake lever 121 attached to the corresponding handle 91. Grips are placed on the supporting sections of the handles 91 for comfortable operation by the user (to prevent the user's hands from slipping).

The presence and location of these handles 91 and means 92 for adjusting the position of the handles 91 in height and angle of inclination to the frame 1 and fixing in the selected position provides the ability to quickly find support in case of a pronounced violation of the orientation and operation of the user's vestibular apparatus and loss of balance of the user, as well as his uncontrolled chaotic impact on different elements of the device, which increases the rigidity and stability of the frame 1 and the device as a whole, and also provides the possibility of using the proposed device by users suffering from serious damage to the nervous system and musculoskeletal system and having significant weight and dimensions.

Each means 92 for adjusting the position of the corresponding handle 91 may have any

- 12 039202 known design, suitable for the implementation of the specified function. However, the most effective from the point of view of achieving the specified technical result is the constructive implementation of the specified means 92 described below.

The upper sections 9 of the respective front and rear zigzag racks 4, 5 of each lower frame 3 contain two essentially parallel vertical tubular elements 94, between which there is a corresponding means 92 for adjusting the position of the corresponding handle 91 in height and angle to the frame 1 and fixing in the selected position. Each handle 91 is made of a curved tubular element and is removably fixed by the corresponding end section in the corresponding means 92 for adjusting the position of the corresponding handle 91. Each means 92 includes a connecting plate 95 fixed between the respective vertical tubular elements 94 of each upper sections 9 of the front and rear zigzag racks 4 , 5 each lower frame 3; sleeve 96, on the inner end of which the first radial gear rim 97 is made and which is fixed on the movable axle 98, located with the possibility of horizontal axial movement in the tubular body 99, fastened through the intermediate support 100 with the movable plate 101. The movable plate 101 has a protrusion 102, on the outer end of which is made the first horizontal gear rim 103, while the movable plate 101 is located inside the grooves of the vertical guide elements 104, mounted on the connecting plate 105, having a through hole in which the stop 106 is placed. The stop 106 has an outer surface on which a second horizontal a ring gear 107 located opposite the first horizontal gear rim 103 and configured to engage with the latter in the selected position of the corresponding handle 91, and a shank 108 connected through a through hole in the connecting plate 95 with an eccentric lever 109, which 110 is fixed on brackets 111 mounted on a connecting plate 95 by means of a horizontal axis 110. At the same time, the movable axis 98 at the first end end has a stepped protrusion 112 and is fastened to an annular element 113 having a second radial gear rim 114, made opposite to the first radial gear rim 97 sleeve 96 with the possibility of engagement with the latter in the selected position of the corresponding handle 91. At the second end end of the movable axle 98 has a threaded hole, which houses the threaded part of the wing screw 115 having a plug 116 and a cylindrical section 117, which is placed inside the tubular body 99. Between the inner end 118 of the stepped protrusion 112 of the movable axle 98 and the inner end 119 of the sleeve 96, on which the first radial gear rim 97 is located, a compression spring 120 is installed, configured to move the first and second opposed radial gear rims 97, 114, respectively, of the sleeve 96 and ring element 113, changing the position of the corresponding handle 91 in height and angle of inclination to the frame 1 and locking in the selected position. The guide elements 104 are made of polyamide materials.

The specified design of the means 92 for adjusting the position of the corresponding handle 91 in height and angle of inclination to the frame 1 and fixing in the selected position allows you to raise or lower the handles 91 to achieve the most comfortable position for the hands of a particular user, which provides the ability to quickly find the support with a pronounced violation of orientation and the functioning of the vestibular apparatus and the loss of balance of the user, as well as his uncontrolled chaotic effects on various elements of the device. The presence and location of these means 92 on the corresponding lateral side 7 of the frame 1 near the means 8 for connecting and disconnecting the upper and lower frames 2, 3 increases the rigidity and stability of the frame 1 and the device as a whole, and also makes it possible to use the proposed device by users suffering from serious injuries. nervous system and musculoskeletal system and having significant weight and dimensions.

As an orthopedic suit, an orthopedic suit 20, shown to a specific user in accordance with his diseases, can be used. For example, an orthopedic suit 20 can be used, described in patent EA031828, which also describes a winch 50 suitable for the proposed device, fasteners and other structural elements and means that can be used in the proposed device for rehabilitation verticalization of the user.

The structural elements of the frame 1, handrail 6, elongated element 66, handles 91 and the main elements of these tools 8, 19, 51, 68 are made of metal, for example, from an aluminum alloy selected from the group AMg-4, AMg-5, AD-31 or from titanium alloy, for example VT-6, VT-8.

Thus, it is possible to use the proposed device by users suffering from serious damage to the nervous system and musculoskeletal system and having significant weight and dimensions. This is ensured by the design features of the proposed device, which increase the rigidity and stability of the device by reducing the force of the user's body pressure on the supporting surface and uneven loads on the structural elements of the device, providing the ability to quickly find support in case of a pronounced violation of the orientation and operation of the vestibular apparatus of users, eliminating the possibility of spreading of the front running gear. wheels,

- 13 039202 providing the possibility of selecting and changing the direction of movement of the device in any direction, as well as reducing the possibility of wobbling (yaw) of the device during rectilinear movement of the device.

The proposed device for rehabilitation verticalization of the user is used as follows.

The user is put on an orthopedic suit 20 designed for a specific user in accordance with his pathologies. The proposed suit 20 is put on the user's clothing, for example, in the sequence described in the patent EA 031828. The orthopedic suit 20 is connected with the fasteners 70 of the belt system 67 to the corresponding fasteners of the second ends 46 of the cables 44. Using a manual drive or an electric drive panel ( not shown in the drawing) winches 50 adjust the length of the belts of the winch 50, taking into account the height and weight of the user, and carry out rehabilitation verticalization of the user and his weight loss (reducing the weight of the user in the vertical position) using a means 19 for fixing the user's body in a vertical position, adapted to reduce the force pressure of the user's body on the supporting surface 17. After that, the user is ready for classes with a methodologist or self-study, for example, on the supporting surface 17 of the floor. The user (or his assistant) applies pushing forces to at least one structural element or means of the proposed device, that is, longitudinal forces that are driving forces for the running wheels 14, 15 and induce the wheels 14, 15 to start moving the proposed device in a given direction along supporting surface 17 of the floor. With the means 68 placed in the first position, the user selects any direction to continue moving. With the help of the means 68 placed in the second position, the user (or his assistant) creates a support force by means of a downward forced action on at least one structural element or means of the device, makes it difficult for the front running wheels 14 to rotate freely, makes it difficult to change the direction of movement of the device and provides stabilization of the rectilinear movement of the device.

Claims (9)

1. A device for rehabilitation verticalization of the user, containing structural elements and means, including: a collapsible frame (1) having an upper frame (2), a base containing two opposite lower frames (3), each of which has a front and rear zigzag racks (4, 5), a handrail (6) for supporting the user's hands, removablely fixed with its end sections on different sides (7) of the frame (1), and means (8) for connecting and disconnecting the upper and lower frames (2, 3), while the front and rear zigzag racks (4, 5) of the corresponding lower frame (3) have fastened upper sections (9), at the free ends of each of which the first nodes (12) of the means (8) for connecting and disconnecting the upper and lower frames (2, 3), lower sections (10), on which, by means of brackets (13), the corresponding front and rear running wheels (14, 15) are fixed, made with the possibility of rotation around the respective horizontal axes (16) and movement of the frame (1) along the supporting surface (17) when the pushing force is transferred to the running wheels (14, 15), which causes the device to move in a given direction, and the middle sections (11) that form each lower frame (3) along essentially in the form of a trapezoid, turned with a small base towards the upper frame (2), having an upper part (18), on which a means (19) is fixed for fixing the user's body in a vertical position, connected to an orthopedic suit (20), and side parts ( 21), placed on different sides of the upper part (18) and having second nodes (22) fixed at their free ends, means (8) for connecting and disconnecting the upper and lower frames (2, 3), adapted for connection with the corresponding first nodes (12 ), characterized in that the means (19) for fixing the user's body in a vertical position is adapted to reduce the pressure force of the user's body on the supporting surface (17), while the handrail (6) for supporting the user's hands is fixed using appropriate means (51) for adjusting the position of the handrail (6) in the horizontal, vertical and sagittal planes and fixing the handrail (6) in the selected position, each of which is located on the corresponding side (7) of the frame (1) near the means (8 ) for connecting and disconnecting the upper and lower frames (2, 3), the front zigzag racks (4) of the last of which are connected to each other by means of an elongated element (66), the end sections of which are fixed on these racks (4) above the attachment points of the brackets (13 ) of the respective front running wheels (14), each last of which has means (68) for stabilizing the movement of the device, fixed between the bracket (13) of the respective front running wheel (14) and the lower section (10) of the respective front zigzag rack (4) and made with the possibility of placing in two different positions relative to the vertical axis (A-A) of the lower section (10) of the corresponding front zigzag shaped rack (4), in the first of which the longitudinal axis (a-a) of the means (68) is located axially vertical to the axis (AA) of the lower section (10) of the corresponding front zigzag rack (4), and the means (68) is adapted for free change in the direction of movement of the device, in the second - 14 039202 position, the longitudinal axis (a-a) of the means (68) is deviated from the vertical axis (AA) of the lower section (10) of the corresponding front zigzag rack (4), and the means (68) is made with the possibility of making it difficult to change the direction of movement of the device and adapted to stabilize the rectilinear movement of the device. 2. The device according to claim 1, characterized in that the means (19) for fixing the user's body in a vertical position, adapted to reduce the pressure force of the user's body on the supporting surface (17), comprises a hollow body (32) with a removable cover (33) and a fixed support (34) fixed on the upper frame (2), having through windows (35) and a longitudinal axis (b-b) of symmetry, on different sides of which groups of guide bearings (36, 38, 41) are mirrored, the first bearings ( 36) of which are fixed on the fixed support (34) by means of the corresponding horizontal axes (37), the second bearings (38) are fixed on the vertical posts (40) located on the fixed support (34) by means of the corresponding vertical axes (34), the third bearings (41 ) by means of the corresponding vertical axes (42) are fixed on the suspension supports (43) located above the fixed support (34), two cables (44), fixed by the corresponding first ends (45) from different sides not under of the movable support (34), made with the possibility of moving along this support (34) in opposite directions with a zigzag bend of each cable (44) around the axes (37, 39, 42) of the corresponding first, second and third bearings (36, 38, 41) , passing the second ends (46) of the respective cables (44) into the corresponding windows (35) of the fixed support (34) and fastening with the orthopedic suit (20), four tension springs (47) placed in pairs on different sides of the longitudinal axis (b-b ) symmetry and fixed by the respective first ends of two springs (47) on the respective suspension supports (43), and by the corresponding second ends fixed by two springs (47) on different sides of the suspension rod (48), which is located above the fixed support (34) after of the respective suspension supports (43) and on which, between the respective second ends of the tension springs (47), the first end of the belt (49) is fixed, the second end of which is connected to the winch (50) fixed to the frame (1) and having a manual or electric drive, made with the possibility of adjusting the length of the belt (49) and the tension force of the tension springs (47), providing control of the lifting forces transmitted to the orthopedic suit (20) and reducing the pressure force of the user's body on the supporting surface (17). 3. The device according to claim 1, characterized in that each side section (21) of the upper frame (2) contains two essentially parallel vertical tubular elements (52), between which a corresponding means (51) is fixed for adjusting the position of the handrail (6) in the horizontal, vertical and sagittal planes and fixation in the selected position, while the handrail (6) is made of a curved tubular element and is removablely fixed by the corresponding end sections in the corresponding means (51) for adjusting the position of the handrail (6), each of which contains a connecting plate (53), fixed between the respective vertical tubular elements (52) of each side section (21) of the upper frame (2) near the location of the second nodes (22) of the means (8) for connecting and disconnecting the upper and lower frames (2, 3), support disk (54) attached with the first side on the inside of the corresponding connecting plate (53), the guide sleeve (55) which is attached the opposite side of the support disk (54) and in which, with the possibility of changing the position in the horizontal plane, the corresponding end section of the handrail (6) is fixed, and on the opposite sides of the connecting plate (53) and the support disk (54), opposite annular gears are placed along the periphery rims (56) made with the possibility of engagement in the selected position of the handrail (6), and stepped cavities are made in the center, one of which contains a compression spring (57), and the rod (58) is movable in the other cavity, the first end of which is fixed on the axis (59), which is limited from rotation by means of the bracket (60) and on which the first eccentric lever (61) is located, the second end of the rod (58) is fixed in the threaded bushing (62) located in the central cavity of the support disk (54) movable by means of a rod (58) and ensuring the engagement of the corresponding annular gears ovs (56) of the corresponding opposite sides of the connecting plate (53) and the support disk (54) and fixing the selected position of the handrail (6) in the vertical and sagittal planes using the first eccentric lever (61), while between the protrusions (64) of the guide sleeve ( 55) on the axis (65) there is a second eccentric lever (63) adapted to fix the selected position of the handrail (6) in the horizontal plane using the corresponding stop (30i). 4. The device according to claim 1, characterized in that the elongated element (66), connecting the front zigzag racks (4) of the lower frames (3), is a tubular spacer and has swivel bushings (67) at the end sections, hinged on these racks (4) with the possibility of folding the base in the disassembled state of the frame (1). 5. The device according to claim 1, characterized in that each means (68) for stabilizing the movement of the device has a lower part fastened to the corresponding bracket (13) of the corresponding front running wheel (14) by means of a bearing assembly (70) configured to - 15 039202 rotation around its axis (69), and the upper part, fastened to the lower section (10) of the corresponding front zigzag rack (4) with the possibility of transferring to this means (68) the support force generated by the downward forced action of at least at least one structural element of the device, and the means (68) is made with the possibility of placing in two different positions relative to the vertical axis (A-A) of the lower section (10) of the corresponding front zigzag rack (4), in the first of which there is no transfer to the means ( 68) of the specified support force, while the longitudinal axis (a-a) of the means (68) is located axially vertical to the axis (AA) of the lower section (10) of the corresponding front zigzag rack (4), and the means (68) is made with the possibility of stabilizing free rotation of the corresponding front running wheel (14) around a vertically located axis (69) of a horizontally located bearing assembly (70) and adapted to freely change the direction of movement of the device, in the second position there is a transfer to the means (68) of the specified support force, while the longitudinal axis (a-a) of the means (68) is deflected from the vertical axis (AA) of the lower section (10) of the corresponding of the front zigzag rack (4), and the means (68) is made with the possibility of impeding the free rotation of the corresponding front running wheel (14) around the axis (69) deviated from the vertical position of the bearing assembly (70), deviated from the horizontal position, and adapted to hinder the change the direction of movement of the device and ensure the stabilization of the rectilinear movement of the device. 6. The device according to claim 5, characterized in that each means (68) for stabilizing the movement of the device has a U-shaped body (71) containing a bottom wall (72) fixed on the upper part of the bracket (13) of the corresponding front road wheel ( 14) by means of an axis (69), on which a bearing assembly (70) is rotatably fixed, and two side walls (73), between which a horizontal axis (74) is fixed, on which a core (75) of complex geometric shape is rotatably placed , having a limiter (76) for turning the core (75), containing a through elongated groove (77) made on the periphery of the core body (75), inside which, with the possibility of movement, limited by the walls of the elongated groove (77), a latch (78) is placed, fixed with its own ends on the respective side walls (73) of the housing (71), while in the upper region of the body of the core (75) the first cavity (79) is made, in which the lower part of the rod (80) is fixed, the upper part of which o with the help of a curly bushing (81) is fixed inside the lower section (10) of the front zigzag rack (4) of the corresponding lower frame (3) with the possibility of placing means (68) for stabilizing the movement of the device in two different positions, in the first of which the axis (69 ) of the bearing assembly (70) is placed axially to the vertical axis (A-A) of the lower section (10) of the front zigzag rack (4), the bearing assembly (70) is placed in a horizontal position, adapted to stabilize the free rotation of the front running wheel (14) around the axis (69) of the bearing unit (70) placed in a vertical position and free change in the direction of movement of the device, and in the second position, the lower section (10) of the corresponding front zigzag rack (4) is fastened to the upper part of the means ( 68) with the possibility of transmitting the specified support force, while in the lower region of the body of the core (75) a second cavity (82) is made, in which on the axis (69) the bearing The stop (83) is placed in the bow assembly (70), fixed with the help of a horizontal axis (84) on the side walls (73) of the housing (71), in the lateral region of the core body (75) a third cavity (85) is made, in the upper part of which there is the first adjusting screw (86), made with the possibility of interaction through the upper end with the help of a curly sleeve (81) with the end of the lower section (10) of the front zigzag rack (4) of the corresponding lower frame (3) and interaction through the lower end with the upper end of the spring ( 87) located in the lower part of the third cavity (85) with the possibility of compression during transmission from the lower section (10) of the corresponding front zigzag rack (4) to the corresponding front running wheel (14) of the specified support force and having a lower end (88) made with the possibility of transferring this support force to the second adjusting screw (89) located in the stop body (83), which is configured to transfer this support force to the lower edge of the stack anchors (90) of the core (75) on the inside of the second cavity (82), deviations from the vertical position of the axis (69) of the bearing assembly (70) deviated from the horizontal position, restrictions on the free rotation of the core (75) around this axis (69) in within the limits of possible movement of the latch (78) in the elongated groove (77), making it difficult for the free rotation of the front running wheel (14) around the axis (69) of the bearing assembly (70), making it difficult to change the direction of movement of the device and ensuring stabilization of the rectilinear movement of the device. 7. The device according to claim 1, characterized in that it contains handles (91), each of which has a corresponding means (92) for adjusting the position of the corresponding handle (91) in height and angle to the frame (1) and fixing in the selected position , while these means (92) are placed on different sides (7) of the frame (1) and fixed on the upper sections (9) of the front and rear zigzag racks (4, 5) of each lower frame (3) near the placement of the first nodes (12 ) means (8) for connecting and disconnecting the upper and lower frames (2, 3), with each rear wheel (15) equipped with a brake device (93), kinematically connected with a cable (122) to the brake - 16 039202 lever (121) attached to the appropriate handle (91). 8. The device according to claim 7, characterized in that the upper sections (9) of the respective front and rear zigzag racks (4, 5) of each lower frame (3) contain two essentially parallel vertical tubular elements (94), between which, near the placement the first nodes (12) of the means (8) for connecting and disconnecting the upper and lower frames (2, 3) there is a corresponding means (92) for adjusting the position of the corresponding handle (91) in height and angle of inclination to the frame (1) and fixing in the selected position, wherein each handle (91) is made of a curved tubular element and is removably fixed by the corresponding end section in the corresponding means (92) for adjusting the position of the corresponding handle (91), each of which contains a connecting plate (95) fixed between the respective vertical tubular elements (94) of each upper sections (9) of the front and rear zigzag racks (4, 5) of each lower frame (3), a bushing (96), on the inner end of which th is the first radial gear rim (97) and which is fixed on the movable axle (98), located with the possibility of horizontal axial movement in the tubular body (99), fastened through the intermediate support (100) with a movable plate (101) having a protrusion (102 ), on the outer end of which the first horizontal toothed rim (103) is made, and located inside the grooves of the vertical guide elements (104) fixed on the connecting plate (105), having a through hole in which the stop (106) is placed, having an outer surface, on which the second horizontal gear rim (107) is made, located opposite the first horizontal gear rim (103) and made with the possibility of engaging with the latter in the selected position of the corresponding handle (91), and the shank (108) connected through a through hole in the connecting plate (105) with an eccentric lever (109), which is fixed to the bracket with the help of a horizontal axis (110) ynax (111) mounted on the connecting plate (105), while the movable axle (98) at the first end end has a stepped protrusion (112) and is fastened to the annular element (113) having a second radial gear rim (114) made opposite to the first radial toothed rim (97) of the bushing (96) with the possibility of engaging with the latter in the selected position of the corresponding handle (91), and at the second end end the movable axle (98) has a threaded hole in which the threaded part of the wing screw (115) is placed ) having a plug (116) and a cylindrical section (117), which is placed inside the tubular body (99), and between the inner end (118) of the stepped protrusion (112) of the movable axle (98) and the inner end (119) of the sleeve (96) , on which the first radial gear rim (97) is located, a compression spring (120) is installed, configured to move the first and second opposed radial gear rims (97, 114), respectively, the bushing (96) and ring element (113) and changing the position of the corresponding handle (91) in height and angle to the frame (1) and fixing in the selected position. 9. The device according to claim 1, characterized in that each first node (12) of the means (8) for connecting and disconnecting the upper and lower frames (2, 3) contains the first pin (23), which has two separated shoulder (241) cylindrical parts, the lower of which is fixed inside the corresponding end of the corresponding upper section (9) of the corresponding zigzag rack (4, 5) of the corresponding lower frame (3), and on the upper cylindrical part of the first pin (23) a connecting sleeve (25) is fixed, which rests on the shoulder (241) of the corresponding first pin (23) and in its upper part has a free cavity, and in the side wall of the corresponding sleeve (25) in the area of the corresponding free cavity there is a protrusion (26) with a hole in which the axle (27) is placed , on which the corresponding eccentric lever (28) is fixed with the possibility of rotation, and a through hole (29), in which the corresponding stop (30), wherein each second node (22) of the means (8) for connecting and disconnecting the upper and lower frames (2, 3) contains a second pin (31), which has two cylindrical parts separated by a shoulder (24 ₂ ), the upper of which is fixed inside the corresponding end of the corresponding side two-pipe section (21) of the upper frame (2), and the lower cylindrical part of each second pin (31) when connecting the upper and lower frames (2, 3) is inserted into the free cavity of the corresponding connecting sleeve (25) with the possibility of interaction with the end face of the corresponding upper cylindrical part of the corresponding first pin (23).