Devices for movement and possibilities of their improvement
Main Article Content
Abstract
The presence of a large number of limb injuries, including gunshot wounds, fractures, trauma, other neurological and orthopedic pathologies, force us to look for more effective ways to restore motor functions, mobility, self-care, etc. Particular attention should be paid to designs and devices that enable movement or facilitate walking. Crutches primarily perform this function, improving the quality of life of people with lower limb injuries and have not changed significantly over the course of their 5,000 years of use. The authors describe the main types of mobility devices. Their classification, advantages and disadvantages are given. The article presents modern designs of crutches and presents the developed design, which is patented in Ukraine (Patent of Ukraine for Utility Model No. 150986. Stakhanov M.V., Stoyanov O.M., Stoyanov A.O., Turchin M.I. et al. Device for a crutch as a support during movement. Bulletin No. 20 of 22.05). There is no need for complex equipment to manufacture the device, and a standard crutch is used. The free position of the leg in the knee joint area allows using the device in the presence of plaster casts, additional orthopedic structures, etc.
Article Details
References
Nagasaki T, Kato H, Arizono H, Chijimatsu H, Chijiwa N, Wada K. Analysis of crutch position in the horizontal plane to evaluate the stability of the axillary pad in the axilla during single crutch walking. J Phys Ther Sci. 2014 Nov; 26 (11): 1753-6. DOI: https://doi.org/10.1589/jpts.26.1753
Joyce BM, Kirby RL Canes, crutches and walkers. Am Fam Physician. 1991 Feb;43(2):535-42. PMID: 1990737.
Козьолкін О.А., Дарій В.І., Сікорська М.В., Візір І.В Фізична терапія в нейрореабілітації – навчально-методичний посібник для викладачів. Запоріжжя, ЗДМУ, 2020. 234 с.
Невелика А.В., Козін С.В. Методичні рекомендації до самостійної роботи з дисципліни «Основи кінезіології» : метод. рек. для студентів НФаУ спеціальності 227 «Фізична терапія, ерготерапія». Х. : НФаУ, 2021. 27 с.
Тещук В.Й., Тещук Н.В., Руських О.О. До питання ускладнень післятравматичних ушкоджень периферійних нервів у військовослужбовців збройних сил України. Медичний форум. Науковий журнал, 26(26) 2022; 20–23
Тещук В.Й., Тещук Н.В., Руських О.О., Максютов О.О. Ушкодження периферійних нервів у військовослужбовців збройних сил України. Вісник морської медицини. 3(96); 2022: 37–42.
Ghidelli, M.; Nuzzi, K.; Crenna, F.; Lancini, M. Validation of weight bearing and shoulder load assessments using instrumented crutches. Sensors 2023, 23, 6213. https://doi.org/10.3390/s23136213 DOI: https://doi.org/10.3390/s23136213
Segura A, Piazza SJ. Mechanics of movement on standard and spring-loaded crutches. Archives of Physical Medicine and Rehabilitation. 2007; 88 (9): 1159-1163 doi:10.1016/j.apmr. 2007.05.026. DOI: https://doi.org/10.1016/j.apmr.2007.05.026
Seeley MK, Hunter I, Bateman T, Roggia A, Larson BJ, Draper DO. Kinematic comparison of spring-loaded and traditional crutches. Journal of Sports Rehabilitation. 2011;20 (2):198-206 doi:10.1123/jsr.20.2.198. DOI: https://doi.org/10.1123/jsr.20.2.198
Manocha RHK, MacGillivray MK, Eshraghi M, Sawatzky BJ. Injuries Associated with Crutch Use: A Narrative Review. PM R. 2021 Oct;13(10):1176-1192. doi: 10.1002/pmrj.12514. Epub 2020 Dec 8. PMID: 33094912. DOI: https://doi.org/10.1002/pmrj.12514
De la Fuente, S., Neira, A., Torres, G., Silvestre, R., Roby, M., Yañez, R., Herrera, S., Martabit, V., Mackay, I., and Karpes, F.P. (2022) Effect of elbow crutch movement on gluteus medius muscle activation during stair climbing. Front. Bioeng. Biotechnology. 10:890004. doi: 10.3389/fbioe.2022.890004 DOI: https://doi.org/10.3389/fbioe.2022.890004
Rasouli, F. and Reed, K.B. (2020). Walking assistance with crutches: a contemporary review. J. Biomechanics 98, 109489. doi:10.1016/j.jbiomech.2019.109489. DOI: https://doi.org/10.1016/j.jbiomech.2019.109489
Hui Li, Hongliu Yu, Yingwei Chen, Qing Du, Duojin Wang, Qiaoling Meng, Design of a crutch-exoskeleton assisted gait for reducing upper extremity loads. Mechatronics, Volume 80, 2021, 102680, https://doi.org/10.1016/j. mechatronics. 2021.102680. DOI: https://doi.org/10.1016/j.mechatronics.2021.102680
iWALK HFC30303 3.0 Hands Free Crutch User Guidehttps://manuals.plus/m/a12c2992a4ff8671359f89f03bc274166874560 cc7abd68297862fb4ebdc663e_optim.pdf
Ipaki, B., Saadat-Ramz, Z., Molenbroek, J., & Ali Fareg, S. (2023). Morphological analysis of ergonomic design reconfiguration to ensure versatility of a crutch in a use environment. Ergonomics in Design, 0 (0). https://doi.org/10.1177/10648046231197338 DOI: https://doi.org/10.1177/10648046231197338
United States Patent Application. Publication Msefere Onger. US 2016/0287.464 A1. Mobility Designed, LLC, A6IH 3/02 (2006.01) Kansas City, MO (US)
European Patent Application EP 0 004 761 A2, Fowler, Ivan Anthony. Billingshurst West Sussex (GB) A61H 3/02, 17.10.1979 Bulletin 1979/21
Guardian Aluminum Crutches 300 lb. Capacity, Adult. https://www.bettymills.com/guardian-aluminum-crutches-with-300-lb-capacity-tall-adult-mdsv80534
United States Patent No: 2009/0058036A1 US 11, 602, 672 B2. KNEE WALKER. John M. Hoepner, (US), Ching-Hsu Lin, (TW) A63 G 5 /02 (2006. 01). Date of Patent : Mar. 05, 2009.
Patent No 2012315. МПК А61Н 3/02. Crutches. // Babukha V.A. Publ. 05.15.94
Patent No 2642283. МПК А61Н 3/02. Three-legged bone. // Tsarev D.N. Publ. 01/24/2018
United States Patent No: US 11, 602, 672 B2. MOBILITY DEVICE R.I.Emmert (US) A63 B 25 /00 (2019 . 01 Date of Patent: Mar. 14, 2023
United States Patent No: US 2009/0058036 A1 KNEE WALKER John M. Hoepner, Orlando, FL; Ching-Hsu Lin, ; A63 B 25 /06; 25/02 Date of Patent: Mar. 05, 2009
United States Patent No: US 2009/0114257 A1 HANDLE AND A WALKING AID NCORPORATING THE SAME Stephen George Sutton (GB); A63 B 25 /06; 25/02 Date of Patent: May. 07, 2020
United States Patent No: US 2022/0305343 Joe Lin, Missouri City , TX (US); BRIAN LIU, HOUSTON, TX (US) A63 B 25 /06, 25/02 Date of Patent: Sep. 29, 2022
United States Patent No: US 6494919B1 CRUTCH DEVICE. Lance Matthews. Current assignee – Canadaleg Inc.; A63 B 25 /06; 25/02 Date of Patent: Dec. 17, 2002
Patent na korysnu model № 150986. Stakhanov M.V., Stoyanov A.O., Turchyn M.I., Sereda D.I., Haidarzhy I.T., Stoianov O.M., Haidarzhy O.I. Prystrii dlia mylytsi yak opora pry peresuvanni. Biul. № 20 vid 18.05.2022 (in Ukrainian).
Haidarzhy I.T., Haidarzhy O.I., Teshchuk V.Y. Modyfikatsiia mylytsi pry vohnepalnomu urazhenni dystalnykh viddiliv nyzhnoi kintsivky u viiskovosluzhbovtsiv. Ukrainskyi visnyk psykhonevrolohii. 2022; 30, 3 (112): 14–15 (in Ukrainian).
