PACE SIMULATOR, PROVIDING NATURAL GAIT PATTERN, IN REHABILITATION OF PATIENTS WITH INFANTILE CEREBRAL PARALYSIS

摘要

The trainings using PS allow on the cortex level to restore and fix the continuous process of information exchange between the CNS and skeleton muscles, malfunctioning due to the local cerebral lesions. It happens at learning natural gait pattern: "heel - left foot toes, heel - right foot toes". The basic element of PS (fig. 2, 3, 4) is a wheeled tent with pneumatic fixtures, keeping the patient in a vertically stable position. Teaching gait requires boots (fig. 6), the front and back cameras of which, following the natural gait pattern, are alternately pumped with a special liquid, (fig. 7). The extremities weighting is accompanied by simultaneous sound and light effects. Step- by-step movement of PS and the patient is achieved with the help of electric motor. The creation of the new 'artificial' dominant center of upright walking in the cortex (fig. 8) will be marked by building-up stable reverse links between central departments of the motor, kinesthetic, visual and auditory analyzers. It is assumed, that it will be clinically demonstrated by improving aligning skills, better balancing, stability and coordination, developing of new motor skills and stereotypes, including walking with the stop on the heel. It is also assumed, that a new dominant center, in accordance with neurophysiologic phenomena 'competition for the common final distance' (fig. 8) and 'central relief (fig. 9) will intensify the positive influence of the other methods of physical rehabilitation. References: A. V. Bogdanov. Physiology Of The CNS And Basics Of The Common Forms Of The Adaptive Behavior. Moscow: =PoligraphMaster=,2005. NK. Lysenkov, P.I. Karuzin. Surface Anatomy. Moscow: AST =Astrel=, 2003. S. N. Popov. Physical Rehabilitation. Rostov-on-the Don: =Phoenix=, 2005. E. D. Khomskaya. Neuropsychology. Fourth edition. Moscow, St. Petersburg: =Piter=, 2005.