What is a stander for children with cerebral palsy. What is a verticalizer and why is it needed? Functions of verticalizers in the rehabilitation of children with cerebral palsy

After a stroke, many patients are bedridden, and this threatens with numerous complications. Muscles become weak and shrink in volume (atrophy), stiffness in the joints (contractures) occurs, the work of the cardiovascular system is disrupted, bedsores appear on the skin, and the risk of pneumonia increases.

Stander - a device that helps to gradually and safely transfer the patient to an upright position. The patient is raised, gradually increasing the angle of inclination, over time, he begins to learn to walk.

The Yusupov hospital uses modern models of verticalizers from the best manufacturers. We use them for the rehabilitation of patients after strokes, brain and spinal cord injuries, patients with multiple sclerosis.

Classes on the verticalizer with each patient are carried out individually. Our experienced doctors take into account the severity of the disease, the age and general condition of each patient.

Stroke rehabilitation prices

*The information on the site is for informational purposes only. All materials and prices posted on the site are not a public offer, determined by the provisions of Art. 437 of the Civil Code of the Russian Federation. For exact information, please contact the clinic staff or visit our clinic. The list of paid services provided is indicated in the price list of the Yusupov hospital.

*The information on the site is for informational purposes only. All materials and prices posted on the site are not a public offer, determined by the provisions of Art. 437 of the Civil Code of the Russian Federation. For exact information, please contact the clinic staff or visit our clinic.

Mechanotherapy after a stroke, the use of a verticalizer

Verticalizer - a special device designed to gradually transfer the patient to a vertical position, prepare for standing and walking, prevent complications that occur in people who cannot get up from a wheelchair or bed on their own.

In the Yusupov hospital, classes on the verticalizer are carried out with neurological patients who have movement disorders and muscle tone of the trunk and lower extremities.

Why do you need exercises on the verticalizer?

In the course of evolution, upright posture arose in man. Being in an upright position is necessary for our body. When we get up and walk, redistribution of blood occurs in our vascular system, bones and muscles experience certain loads, send impulses to the central nervous system and receive responses. In a standing position, you can take deeper breaths due to the fact that the diaphragm goes down. Improves the work of the heart, internal organs

If a person is bedridden for a long time, then violations occur in his body:

• on the skin, in places that are constantly in contact with the bed, bedsores occur as a result of impaired blood circulation;
• muscles weaken from inactivity, decrease in volume, their atrophy develops;
• bones due to lack of stress lose calcium, bone tissue is destroyed, osteoporosis develops;
• contractures develop in the joints;
• the lungs cannot fully expand, they are worse ventilated, the risk of pneumonia increases;
• impaired renal function;
• as a result of stagnation of blood in the vessels, blood clots form - this is fraught with such a serious complication as pulmonary embolism;
• people who constantly have to lie down often become depressed, they have big psychological problems.

Classes on the verticalizer help to deal with these problems.

In what diseases is the verticalizer used in neurology?

In neurology, verticalizers are most often used in the following conditions:

• transferred;
• spinal cord injury;
• brain injury.

How are classes carried out on a verticalizer?

Verticalizers are good because with the help of them it is possible to gradually transfer the patient to a vertical position. The device is a kind of bed or couch, the angle of which can be adjusted from 0 to 80 °. This allows you to start verticalization at an early stage.

Classes are conducted by a physiotherapist. The patient is placed on a verticalizer and fixed with special straps. Under the feet is a special platform. Using the control panel, the doctor can change the angle of the verticalizer. The device, which is used in the Yusupov hospital, is equipped with special knee pads - they can move and bend the legs in turn, as if walking.

With each lesson, the doctor gradually increases the angle of inclination. Gradually, the patient "learns" to be in an upright position, to lean on his feet.

What are the types of verticalizers?

Above, we talked about how one of the types of verticalizers works. In fact, there are different designs:

• Front stander- the patient lies on his stomach.
• Rear stander- the patient lies on his back.
• Multilevel verticalizer- allows you to give the patient a vertical, horizontal, sitting, semi-sitting position.
• Static stander- one that is controlled only by a doctor using a remote control, and the patient himself cannot move.
• Mobile stander- equipped with wheels, thanks to which the patient can move.
• Active stander- the foot platform is connected to special levers: by moving them with your hands, you can train your legs.

With each patient, classes are carried out according to an individual program - it is prescribed by a doctor, depending on the severity of the violations and the general condition of the patient.

Standing exercises are part of rehabilitation treatment, which is very important for many neurological patients. Proper rehabilitation using modern means helps to restore impaired functions faster and more fully, restore the patient's ability to self-service and improve his quality of life. In our clinic, these issues are given increased attention.

Bibliography

• ICD-10 (International Classification of Diseases)
• Yusupov hospital
• Clinical neurology with the basics of medical and social expertise. St. Petersburg: Medline-Media LLC, 2006.
• Shirokov, E. A. Stroke, heart attack, sudden death. Theory of vascular catastrophes / E.A. Shirokov. - M.: Quorum, 2010. - 244 p.
• Vilensky, B.S. Stroke: prevention, diagnosis and treatment / B.S. Vilensky. - Moscow: Higher School, 1999. - 336 p.

Fixing the body of a patient with disorders in the functioning of the musculoskeletal system in a standing position is very important for its effective rehabilitation.

After all, a long stay in a horizontal position negatively affects human health: the respiratory volume of the lungs decreases, gas exchange in the tissues worsens, the diaphragm rises.

To avoid such changes in the body, it is important to buy a verticalizer for the disabled. It is a device that allows you to change the position of a person with disabilities from a horizontal to a vertical state.

Benefits of using equipment

The verticalizer contributes to the effective rehabilitation of a bedridden patient. It functions like a trainer. The load on the skeleton helps prevent the development of osteoporosis and other complications in the work of the musculoskeletal system.

The use of the verticalizer allows the patient to:

• improve breathing;


• prevent bone thinning;


• eliminate the risk of muscle atrophy;


• prevent the formation of blood clots;


• avoid bedsores;


• improve blood circulation;


• increase the tone of the vascular walls;


• normalize the work of the digestive organs (improves motility and functions of the gastrointestinal tract);


• increase the respiratory volume of the lungs;


• prevent the development of renal failure;


• minimize the risk of inflammation in the urinary tract.

As a rule, bedridden patients lose heart. The use of a verticalizer improves the psychological state of a person with disabilities. With a sense of self-esteem, the patient begins to actively communicate with others, which, of course, contributes to recovery. Regular exercises on such a simulator provide an increase in the volume of "speech inspiration" - optimal conditions are created for the development of speech.

Equipment types

For passive verticalization of patients, various models of verticalizers are used. There are such types of equipment as:

• support device. In its design, a stable and strong frame is distinguished, which securely fixes the body of a disabled person in a standing position. Due to the possibility of height adjustment, support models are used for the rehabilitation of both adults and children. These verticalizers are classified into front and rear support. And also there are universal models. The latter allow you to transfer the body of a person with disabilities from one position to another;


• dynamic design. Such a stander is equipped with manual levers so that the patient can train his arms and legs. The main goal of the exercises is to regain lost motor skills;


• inclined model. Such a device provides a gradual adaptation of a person with disabilities to a vertical position and regular loads. Allocate models for adults and children;


• verticalizer-rack. This model is mainly used for the rehabilitation of people with cerebral palsy. Side supports and knee clamp allow you to securely fix the human body. The design is equipped with small wheels with a brake system, so if necessary, it can be rolled to another room.

The verticalizer will be useful for patients with various diagnoses: cerebral palsy, muscle diseases, trauma to the brain or spinal cord, genetic syndromes with pronounced paresis of the limbs. Exercises on such equipment are part of the therapeutic course, so a person with disabilities must strictly adhere to the recommendations of the attending physician.

Standers are special devices made specifically for children with cerebral palsy and other diseases that limit the ability to independently take a vertical position - myopathies, spinal hernias, etc.

These devices can be selected according to height: children, teenagers, adults. Standers are used in the process of rehabilitation, for children with severe conditions, ordinary strollers are used.

Selection of the necessary device

Without examining the patient and consulting a doctor, the selection of the necessary model is impossible. When choosing, the disease is evaluated in relation to physical capabilities, and only then the required type of device is selected.

The patient must definitely take part in the selection - especially if he is already in his teens, as he knows his needs and correctly assesses the possibilities.

For patients with enhanced physical abilities, mechanical chairs-verticalizers are purchased, with limited ones - completely electric.

For a constantly moving person, it is advisable to purchase a special stroller. For children with cerebral palsy, they are made in mixed versions - an electric drive and a mechanical stander.

Fixture size

The main criterion for choosing a device is size. The main overall parameters of the verticalizer, as well as any mechanical device, are height, length and width. It is necessary to estimate the dimensions of the room in advance in order to choose the correct dimensions, because the person in the device should not feel squeezed.

The patient is also measured, to select the device, you need to know the weight, height, hip width, foot size, chest volume and width, the distance from the feet to the knees, hips and chest.

During measurements, the patient should be dressed in the same way as he will be dressed in the future when using the stander.

Correct measurements:

• hip width - from the ilium;
• chest - from one edge to the other in the widest part;
• from the feet to the knees - from the sole of the shoe to the middle of the kneecap;
• from the knees to the hips - from the middle of the patella to the ilium;
• from the feet to the chest - from the soles to the nipples.

Choosing a device for children

Children get up on their feet from 10 months, so you should not buy a verticalizer earlier.

It may be better to purchase special walkers for children with cerebral palsy - you should definitely consult a doctor.

Children can stay in walkers for a longer period of time, in verticalizers - especially at first - up to 20 minutes a day. But walkers are designed so that the patient can rely on himself. Therefore, it all depends on the individual condition.

When selecting walkers, certain measurements are also taken.

In the verticalizer, which will be used in the future for the prevention of contractures, a table with a limited rim must be provided. The angle of the table should change. The child will have to spend a significant amount of time in the device in the future, and he should not experience inconvenience.

When a history of a child with cerebral palsy indicates epilepsy or convulsive readiness as a concomitant disease, all hard parts of the device are upholstered with soft material.

The nuances of fitting the device

In children with cerebral palsy, asymmetry of the pelvis may be observed - in this case, a rigid device should be provided in the stander to fix this area.

Due to the different lengths of the legs or when eversion of the feet, the patient has to be put on orthopedic shoes. In this case, the foot cups should be enlarged.

The patient himself is not able to control the position of the body - it is imperative to choose a device with a rigid latch that secures the body in the desired position, and the belts are located in several areas - at the level of the chest, waist, pelvis. Otherwise, the baby will just hang, and he will be uncomfortable.

Correction should occur gradually - especially the pelvis and lower extremities. First, the child must stand a little, then, depending on the position that he takes, his position is corrected. Again they wait for the tension in the muscles to weaken, and correct again. You can not immediately fix in the desired position. In this case, muscle tension will increase the tone, and muscle injury may occur.

Choosing a stander for adults

Standers for adults have to be purchased if there are spinal injuries. They can also improve the quality of life in people with disabilities with dysfunction of the cardiovascular system.

It should be borne in mind that adults will have to use the device without outside help, so they will have to switch from a stroller to a verticalizer according to the following algorithm:

• drive close to him;
• put the front wheels on the brake;
• move the legs to the supply;
• fix the feet;
• knees should rest firmly on the knee pads;
• then the buttocks are fixed.

If the unit is equipped with a seat, the height of the seat must be adjusted. When landing, the knees should be at a right angle, only one finger of an adult should pass from them to the inside of the edge of the seat.

Belts should not squeeze the body, otherwise blood circulation will be disturbed.

The first 2-3 classes are held only under the supervision of a specialist, with constant monitoring of blood pressure.

The indicator is measured first before being placed in the verticalizer, and then during classes.

It is especially important to monitor the training of patients with lower limb joint contractures and skeletal deformities. For them, the angle of elevation is determined individually, full verticalization is excluded.

Adults and children start training from 5 minutes, constantly increasing the time. Their duration is further brought up to 5 hours. The exception is children under one year old, the maximum time for classes for them is up to 30 minutes a day.

Convenient model

One of the most convenient verticalizers for children is the verticalizer brand.

This stand is designed for a child from 2 to 6 years old, adjusted for height - height, designed for a disabled person who is not able to independently stand in an upright position.

The length in the verticalizer is regulated by the length of the lower frame, the chassis is extended, the inclination of the rack changes.

The child can play and eat in the device, as a table is built into it.

The verticalizer wheels rotate, and - which is very convenient - they are equipped with brakes that work almost instantly.

Bicycle for children with cerebral palsy

It is advisable for a child whose physical capabilities are expanded to purchase a special tricycle.

A verticalizer for the disabled is a special device that helps people with disabilities to take a vertical position of the body.

Why do people with disabilities need a verticalizer?

Many people with disabilities are deprived of the opportunity to move independently due to atrophy or damage to the lower extremities.

There are also people who are completely immobilized due to serious illnesses or persons who can only partially move. It is extremely undesirable for such people to constantly be in a horizontal position.

The first reason is psychological. The inability to participate in many processes morally depresses a person, he loses interest in life, slowly sinks into depression.

With the help of a verticalizer (stender), people with disabilities have a chance to lead a completely different lifestyle.

The second reason for using a stander is medical. The thing is that in a horizontal position, many processes in the body slow down, which leads to negative consequences such as: pulmonary and renal failure, bedsores, osteoporosis, lowering blood pressure, slowing blood circulation.

Fixing a person in a verticalizer allows you to adjust the functioning of the body and thereby avoid negative consequences.

The verticalizer is also prescribed during the period of rehabilitation after operations or treatment of complex diseases that temporarily cause a person to be unable to move.

Typically, a stander is needed for people who suffer from such ailments as: spinal cord injury, cerebral palsy (cerebral palsy), spinal column splitting, muscular dystrophy, stroke or multiple sclerosis.

The stander helps to train the function of balance when standing or moving, to exercise self-care skills.

Verticalizer classification

The verticalizer for the disabled is a device with fixing straps.

A sick person is placed in a stander and fastened to maintain balance, the belts allow you to hold the human body without putting a load on the lower limbs.

In other words, fixing devices fix all immobilized parts of the human body.

The design of the stander provides fixators for the torso, pelvis, knee supports and feet.

Today there is an abundance of verticalizers made of various materials: wood, metal, polymer.

Dynamic

The dynamic stander is a verticalizer for adults with disabilities for independent movement.

It is equipped with large wheels, so a person acting on them with the force of his hands can move.

Static

A static stander is a device that allows you to move around the room using small wheels on the device.

These devices can only be moved with the help of unauthorized persons.

Front

The front stander for adults and children is a stander in which a person leans on his stomach.

Such devices are assigned to people who can independently hold their heads.

Rear

The rear stander is a device with a built-in back for a sick person, that is, a person leans with his back on a support and is fixed to it with straps.

In such devices, the lifting of the body is carried out gradually from a prone position.

Such standers are necessary for people who cannot hold their head on their own.

Usually these devices are used by persons who have serious disorders of the musculoskeletal system.

strollers

There are also standers built into wheelchairs. They help to take an upright position from a sitting position.

Stander functions

The main function of this device is to fix a person while standing and provide a stimulating effect on the muscles.

During the rehabilitation period, it is used to activate the musculoskeletal function by stimulating the support load on the human feet.

Thanks to the use of a verticalizer, a person improves:

• The function of the cardiovascular system.
• Lung ventilation.
• Intestinal peristalsis.
• Joint mobility.

Benefits of using:

1. Prevention of muscle degeneration.
2. Prevention of congestion in the urinary system.

Children's standers help:

• Properly develop muscles, joints and skeletal system.
• Improve coordination of movements.
• Stimulate psychomotor development.

Standers for children with cerebral palsy help prevent the destruction of limb bones and strengthen muscles.

Factors to consider when choosing

The choice of stander should be given special attention.

Before buying, it is worth measuring the following parameters of the patient:

1. Height.
2. Hip width.
3. Foot size.
4. Chest width.
5. Chest volume.
6. Distance from foot to knee.
7. Distance from foot to hip.
8. Distance from foot to chest.

When choosing a device, always consult a doctor!

When choosing a stander for children with cerebral palsy, consider the asymmetry of the pelvis. Choose verticalizers with rigid clamps. The straps should fit snugly against the body, otherwise the baby will simply hang on them.

When choosing a device for an adult, pay attention to its appearance. If a person cannot hold his head on his own, then get the back one, but if everything is fine with the support of the head, then the front one is also suitable for rehabilitation.

DIY verticalizer

Today, verticalizers are very expensive, so not everyone can afford to buy one.

But this device is simply necessary for rehabilitation, and without it, the recovery process will go much worse.

If a person does not have the opportunity to buy a factory one, then try to make a verticalizer for the disabled with your own hands.

For manufacturing, it is better to choose a tree. This material is easier to work with than metal. Before manufacturing, it is worth deciding on the design and purpose of its application.

If it is necessary for rehabilitation, then it is better to make a statistical rear stander. They are more comfortable for adults and are the easiest to make.

Initially, you will need to make a podium, to which 4 small wheels are screwed. This is necessary to move the device. Then it is worth making a support on the back.

It is worth remembering that before manufacturing it is necessary to take measurements from the patient in order to know what width and height to do.

Required measurements:

1. Man's height.
2. The distance from the pelvis to the foot.
3. Distance from pelvis to head.
4. Foot width.
5. Pelvis width.

After the back of the future fixture is made, it is necessary to fasten the supports to the wooden layer on the sides for greater stability. The next step is to drill two vertical holes in the board that serves as the back.

When drilling, consider the width of the patient's pelvis, because then wooden bases will be attached to these openings to support the pelvis.

Then you need to make 3 blocks moving along the height: the first is designed to support the knees, the second to support the pelvis, the third to fix the chest. Moving blocks are very easy to make.

Each block is made of two wooden plates, which are connected to each other in openings (drilled in the middle).

They are made moving so that it is possible to adjust the height in case, for example, if the child grows up.

If the device is made for an adult, then the blocks are fixed in advance at the height of the head, pelvis and legs of the patient.

Then the middle block (for the pelvis) is equipped with sidewalls to support the pelvis. This can be done using special metal brackets.

Then a metal long support cuts into the lower block and is well fixed with bolts. A wooden block the width of a human body is attached to this support. This block serves as a support for the knees.

Then the bases for the feet are made. The required distance is measured, and each place for the foot is made from two wooden blocks. Make sure that at the base the leg fits snugly at the sides.

Instead of such bases, you can attach special shoes for foot correction. These shoes have a hard heel and a high instep, and thanks to the abundance of fasteners, it will fix the foot well.

Then all blocks should initially be covered with foam rubber (3-4 cm is enough) and fabric for an attractive appearance.

The upper block (for the sternum or head) is equipped with clasps with regulators to fix the body. This completes the manufacture of the stander with your own hands.

Conclusion

Standers significantly improve the quality of life of people with disabilities. They help take care of themselves.

These devices help to cope with depression against the background of immobilization of the body, and children in such devices learn to stand correctly, maintain balance and eat independently.

Video: Video review of the SHIFU OCEANM stander

Verticalizer (stender)- this is an auxiliary device that allows people with disabilities and patients during the rehabilitation period after an injury to take a vertical position in order to prevent the negative consequences of prolonged sitting and lying down (pulmonary and renal failure, bedsores, osteoporosis, depression).

It is prescribed for patients with the following diagnoses: spinal cord injury, physical brain injury, cerebral palsy, spina bifida, muscular dystrophy, multiple sclerosis, stroke, etc.

Types of verticalizers:

Front stander- a verticalizer, being in which the patient leans on the stomach. Most verticalizers are of the front type.

Rear stander- a verticalizer, being in which the patient is fixed on a support under the back and gradually rises from the prone position. It is prescribed for patients with serious disorders of the musculoskeletal system, as well as those who are not able to hold their heads on their own.

Write a review on the article "Verticalizer"

Notes

An excerpt characterizing the Verticalizer