JP6086482B2 - Joint contracture, stiffness or spasticity simulator - Google Patents

Description

  The present invention relates to a joint contracture, stiffness or spasticity (hereinafter, sometimes referred to as joint contracture) simulator. More specifically, the present invention can be used for training in nursing or care for a person who can experience the physical inconvenience that has caused joint contracture of the upper limb and the lower limb and the joint contracture etc. The present invention relates to a simulator for joint contracture and the like that can be easily mounted and is lightweight.

Various instruments have been proposed for experiencing a decrease in physical functions and psychological changes when aged.
For example, Patent Document 1 discloses a one-piece suit having a sleeve up to a wrist and a hem up to an ankle, a weight pocket provided on each of a wrist and an ankle and capable of accommodating a weight, and both sides of a joint portion. A rod pocket that can be accommodated and fixed in the extension direction of the joint, and one end is fixed to the important part of the upper body part and the other end is fixed to the important part of the lower body part. There is disclosed a physically handicap experience suit characterized by comprising a belt whose length can be adjusted within a range of restraining the body.
In Patent Document 2, a load that causes the spine to bend forward by the elastic force of an elastic body is used in a body function lowering experience device for simulating a reduction or failure of a partial or systemic function of the body. An apparatus for experiencing bodily function lowering characterized by comprising an applied spinal weight orthosis is disclosed.

  Patent Document 3 discloses an elderly simulated experience kit that is used by being attached to a human body to simulate a decrease in physical function due to aging, and includes a pair of resin earplugs and a fluoroscopic surface. Glasses in which a yellow filter and a gray film are laminated, a load outer garment in which a weight is stored on the front surface of the outer garment body, an elbow rest member covering the vicinity of the elbow and the elbow joint, and the elbow rest member A pair of elbow fasteners having a string-like member connected to each other, a pair of wrist load band members in which weights are housed in an annular band body, and a resin-made first covering the entire hand 1 glove, a cloth-made second glove that covers the entire first glove, and a stretchable third glove that covers the second glove so as to cover up to the second joint of the finger. A pair of gloves, a knee pad covering the knee joint and the knee joint, and the knee pad A pair of knee fixtures having a string-like member connected to the material, a pair of ankle load band members that house weights in an annular band body, and the ankle joint and the ankle joint are covered. A simulated elderly experience comprising: a pair of ankle half-fixing devices having an ankle contact member and a string-like member connected to the ankle contact member; and a cane device having a plurality of refractive joints A kit is disclosed.

  The experience devices disclosed in the patent documents and the like enable healthy people to better understand the feelings of the elderly and the physically handicapped and more clearly identify problems in the current living environment. . In order to restrain the movement of the body, such an experience device wraps a heavy and thick device around the upper and lower limbs, attaches an arm to the chest, or puts a restraint tape between the abdomen and thigh. Etc. In addition, the conventional experience device can restrain the joints of the knee and elbow, but is inferior in the function of restraining the shoulder and hip joints.

JP 2002-20909 A Japanese Patent Laid-Open No. 10-149088 JP-A-8-137379

By the way, in the field of nursing or nursing, nursing or nursing such as holding a person who has joint contracture, stiffness or spasticity, changing clothes, bathing, etc. is performed. In the experience device described in the patent document, the worn device is in the way, and it is not possible to experience nursing or care such as holding, changing clothes, bathing and the like.
It is an object of the present invention to experience physical inconvenience that has caused joint contracture, stiffness or spasticity of upper and lower limbs, and to provide nursing care to a person who has suffered joint contracture, stiffness or spasticity Another object of the present invention is to provide an easy-to-wear and lightweight joint contracture, stiffness or spasticity simulator that can be used for care training.

  As a result of intensive studies to solve the above-mentioned problems, the present inventors have completed the present invention including the following forms.

[1] A jacket having a shoulder pad having a curved shape so as to be directed from the front to the back of at least one upper limbs of a person,
The upper end is attached to the shoulder pad of the jacket and bends at portions corresponding to the positions of the human shoulder joint, elbow joint and radial carpal joint, respectively, to the human shoulder, upper arm, elbow, forearm and hand. An upper limb restraint brace having a bar for an upper limb that can be disposed along the upper arm, a means for tightening a person's upper arm, forearm and finger to the bar for an upper limb;
A waistband having a waist core that is curved so that it extends from the front to the back of at least one leg side of the person,
The upper end is attached to the waistband of the waistband and can be placed along the side of the lower limb belt, the outer side of the thigh, the outer side of the knee and the outer side of the lower leg, and the lower leg of the human thigh and lower leg A joint contracture, stiffness or spasticity simulator comprising a lower limb restraint brace having means capable of being fastened to a rod-shaped body.

[2] A jacket having a shoulder pad that is curved so as to be directed from the front to the back of at least one upper limbs of a person,
The upper end is attached to the shoulder pad of the jacket and bends at portions corresponding to the positions of the human shoulder joint, elbow joint and radial carpal joint, respectively, to the human shoulder, upper arm, elbow, forearm and hand. An upper limb restraint device comprising: a bar for an upper limb that can be arranged along with a means for tightening a person's upper arm, forearm and finger to the bar.

[3] The upper limb rod-shaped body is composed of two bars, and the two bars are narrower in the shoulder joint corresponding part and the radial wrist joint corresponding part than in the elbow joint corresponding part, and in the elbow joint corresponding part. The upper limb restraint apparatus according to [2], which can store a human elbow joint between two bars.
[4] The upper limb restraint apparatus according to [3], further including an elbow pad that can surround a person's elbow, and the elbow pad is passed between two bars.
[5] The upper limb restraint device according to any one of [2] to [4], which can narrow a movable range of a human shoulder joint, elbow joint, and wrist joint.

[6] A waistband having a waist core having a curved shape so as to be directed from the front to the back of at least one side of the lower limbs of the person,
The upper end is attached to the waistband of the waistband and can be placed along the side of the lower limb belt, the outer side of the thigh, the outer side of the knee and the outer side of the lower leg, and the lower leg of the human thigh and lower leg A leg restraint orthosis having means capable of being fastened to a bar-shaped body.
[7] It further has an auxiliary rod-shaped body that can be disposed along the inner side of the thigh, the inner side of the knee, and the inner side of the lower leg,
The lower limb restraint apparatus according to [6], wherein the human thigh and lower leg can be fastened to the auxiliary bar by means capable of being fastened to the lower leg.
[8] The lower limb restraint device according to [6] or [7], which can narrow a movable range of a human hip joint and knee joint.

  The joint contracture, stiffness or spasticity simulator of the present invention is easy to wear and lightweight, and not only elbow or knee joint contracture, but also elbow and shoulder joint contracture or knee and waist joint contracture. You can experience shrinkage. When worn, the simulator does not interfere with nursing or nursing work, and nursing or nursing training such as holding, changing clothes, and bathing can be performed.

It is a figure which shows the front of the state which mounted | wore with the upper limb restraint device which concerns on one Embodiment of this invention. It is a figure which shows the right side surface of the state which mounted | wore with the upper limb restraint device which concerns on one Embodiment of this invention. It is a figure which shows the rear surface of the state which mounted | wore with the upper limb restraint device which concerns on one Embodiment of this invention. It is a figure which shows the state which removed the upper limb restraint device which concerns on one Embodiment of this invention. It is a figure which shows the state which expand | deployed the jacket used for an upper limb restraint device. It is a figure which shows the state which expand | deployed the elbow rest used for an upper limb restraint device. It is a figure which shows the state which expand | deployed the upper cover used for an upper limb restraint device. It is a figure which shows the right side surface of the state which mounted | wore the simulator (upper limb restraint device and lower limb restraint device), such as joint contracture, concerning one embodiment of the present invention. It is a figure which shows the front of the state which mounted | wore simulators (upper limb restraint device and lower limb restraint device), such as joint contracture, concerning one embodiment of the present invention. It is a figure which shows the state which removed the leg restraint device which concerns on one Embodiment of this invention. It is a figure which shows the state which expand | deployed the knee pad used for a leg restraint device. It is a figure which shows the state which expand | deployed the waist band used for a leg restraint device. It is a figure which shows the state which attached the rod-shaped body to the base of the waist core.

  A simulator for joint contracture, stiffness or spasticity according to an embodiment of the present invention will be described with reference to the drawings. However, the technical scope of the present invention is not limited to this embodiment. Embodiments in which constituent members are changed, added, and / or omitted within the scope of the present invention are also included in the technical scope of the present invention.

  A joint contracture simulator according to an embodiment of the present invention includes an upper limb restraint device and a lower limb restraint device.

  An upper limb restraint device according to an embodiment of the present invention includes a jacket 2 having a shoulder pad 3, an upper limb rod-like body 1, and fastening means. By mounting the upper limb restraint device according to one embodiment of the present invention on the upper limb of a person, the range of motion of the human shoulder joint, elbow joint, and wrist joint can be narrowed.

  The shape of the jacket is not particularly limited as long as it can be worn on a human upper body. The jacket 2 shown in the figure has a bolero-like shape. That is, the jacket 2 shown in FIG. 5 is formed of a cloth covering the left front shoulder (around the left clavicle), the left shoulder, the back (around the left and right scapula), the right shoulder, and the right front shoulder (around the right clavicle). In addition, striate bodies 20 and 21 that can be connected from the back side through the armpits in front of the chest are provided. The fabric used for the jacket is not particularly limited. For example, it can be a fabric with a jersey on one or both sides and a sponge inside. The filaments 20 and 21 are not particularly limited by their thickness, and can be, for example, string-like or belt-like. The illustrated striatum is a belt that can be tied with a buckle. Further, instead of the illustrated striate body, a jacket, a snap, a zip fastener, a hook-and-loop fastener or the like may be used so that the jacket can be securely worn on the upper body. The striatum may be supported by the triangular ring 22.

  The illustrated jacket has, for example, a pocket on the right shoulder so that the shoulder pad 3 can be stored. The shoulder pad 3 includes a portion 31 and a pedestal 32 that are curved so as to be addressed from the front to the back of the upper limb belt (dotted line in FIG. 5). The shoulder pad can be made of a rigid material such as aluminum or fiber reinforced resin, for example. In the present embodiment, the rod-like body mounting base 32 is installed at substantially the top (the part corresponding to the vicinity of the shoulder ridge) of the curved part of the shoulder pad. As shown in FIG. 5, the pedestal is installed so that the rod-like body extends obliquely backward, that is, from the vicinity of the shoulder ridge to the scapula side (lower right in FIG. 5). The size of the shoulder pad is not particularly limited as long as it is large enough to limit the range of motion of the shoulder joint. For example, the portion 31 having a curved shape that extends from the front to the back of the upper limbs may have a size that extends from the right shoulder to the left shoulder through the back of the neck.

  The upper end of the upper limb rod-like body is attached to the shoulder pad. In this embodiment, the upper limb rod-like body is sandwiched between the pedestal and the suppressor and tightened with screws, but is attached by other means such as welding, pinning, and screwing. May be. When a removable means such as a screw is used to attach the upper limb rod-like body, the length of the upper limb rod-like body can be adjusted according to the physique of the subject. The upper limb rod-shaped body 1 shown in the figure is composed of two bars. The two bars may be connected in a U shape at both ends as shown in FIG. The rod is preferably a tube for weight reduction. The tube can be made of a rigid material such as aluminum or fiber reinforced resin. By constituting with two rods, it is possible to increase the resistance against twisting and to adjust the length by sliding in the longitudinal direction of the pedestal.

  The upper limb rod-like body 1 is bent at portions corresponding to positions of a human shoulder joint, elbow joint, and radial carpal joint. The rod-shaped body shown in the figure is inward (downward with respect to the shoulder ridge) at the shoulder joint corresponding part, inward (direction in which the arm is bent) at the elbow joint corresponding part, and outward at the radial carpal joint corresponding part. Although it is bent on the back side of the hand, the bending mode is not limited to this. The upper limbs can be placed along a person's shoulder, upper arm, elbow, forearm, and hand, preferably from the acromion to the triceps, elbow, total extensor and fingers. be able to.

  The tightening means 7, 9, 10, 11 can tighten the upper arm, the forearm, the wrist, and the fingers to the upper limb bar. Although the illustrated fastening means is a tape to which a hook-and-loop fastener (velcro) is attached, the fastening means is not limited to this as long as it can fasten the forearm, upper arm, wrist and fingers to the rod for upper limb.

  The upper limb restraint device according to an embodiment of the present invention preferably further includes an elbow rest 8 and / or an upper rest 12. The elbow rest 8 can surround a person's elbow (the part that becomes the outside when the arm is bent), and the upper rest 12 can surround the back of the person's hand. The fabric used for the elbow pads and the upper cover is not particularly limited. For example, it can be a fabric with a jersey on one or both sides and a sponge inside.

  The upper and elbow pads may be physically separated, or one that can surround the elbow, forearm and upper, that is, the shape of the upper (armor) -like It may be. The upper limb rod-like body 1 is passed through the cylindrical portions 81 and 82 of the elbow pad 8 shown in FIG. 6, and the cloth for the elbow pad is passed across the two bars. The central part 83 of the elbow rest is not cylindrical, and the upper limb bar is exposed to the outside so that the elbow rest central part 83 can be moved back and forth and left and right relative to the upper limb bar. It has become. Further, the upper limb rod-like body 1 is accommodated in the bag portion 121 of the upper cover 12. When two bars use a rod-like body whose ends are connected in a U-letter shape as shown in FIG. 13, problems such as breaking through the bag portion 121 at the corner of the rod-like body end can be reduced.

  When the rod for the upper limb is composed of the two bars as described above, the distance between the two bars in the shoulder joint corresponding part and the radial wrist joint corresponding part is narrower than the distance between the two bars in the elbow joint corresponding part. It is preferable that a human elbow joint can be accommodated between the two bars in the elbow joint counterpart. And it is preferable to pass an elbow pad and an armor pad so that it may straddle between two bars. With such a configuration, the elbow that fits between the two bars can be received by the central portion 83 of the elbow rest. With such a configuration, it is possible to cope with subjects of various physiques to some extent with one size upper limb restraint device by adjusting the degree of tightening by the expansion and contraction of the elbow pads and the tightening means.

  A lower limb restraint device according to another embodiment of the present invention includes a waistband 16 having a waist core, a lower limb rod-shaped body 18 and a fastening means. By mounting the lower limb restraint device according to one embodiment of the present invention on the lower limb, the range of motion of a human hip joint and knee joint can be narrowed.

  The shape of the waistband 16 is not particularly limited as long as it can be worn around a person's lower limb band. The waistband shown in the figure has a girdle-like shape. The waistband can be worn on the lower limbs with hook-and-loop fasteners, buttons, hooks, snaps, etc. (17), but is not limited to this. For example, the waistband may have a pant-type shape. The fabric used for the waistband is not particularly limited. For example, it can be a fabric with a jersey on one or both sides and a sponge inside.

  The illustrated waistband is provided with, for example, a pocket on the right side of the subject so that the waist core 19 can be stored. The waist core 19 has a curved shape so that it extends from the front to the back of the side of the lower limbs. The waist core 19 may be, for example, a plate shaped as shown in FIG. The waist core can be made of a rigid material such as aluminum or fiber reinforced resin. A rod-like body mounting base 20 is installed at substantially the top of the curved portion of the waist core (the portion corresponding to the vicinity of the side end of the hipbone). The pedestal 20 is installed so that the rod-like body 18 extends almost straight down, that is, from the vicinity of the lateral end of the hipbone to the greater trochanter. The size of the waist core is not particularly limited as long as it is large enough to limit the range of motion of the hip joint.

  The upper end of the lower limb rod-shaped body 18 is attached to the waist core. In the present embodiment, the lower limb rod-like body is sandwiched between the pedestal and the holding tool and tightened with screws, but may be attached by other means such as welding, pinning, or screwing. . When a removable means such as a screw is used for attaching the lower limb bar-like body, the length of the lower limb bar-like body can be adjusted according to the physique of the subject. The lower limb rod-shaped body shown in the figure consists of two bars. The two bars may be connected in a U shape at both ends as shown in FIG. The rod is preferably a tube for weight reduction. The tube can be made of a rigid material such as aluminum or fiber reinforced resin. By comprising two rods, the resistance against twisting can be increased, and the length can be adjusted by sliding in the longitudinal direction of the pedestal. The lower limb rod-shaped body may be bent at portions corresponding to the positions of the hip joint and the knee joint. For example, the lower limb rod-shaped body is inward (an angle corresponding to the bulge of the greater trochanter relative to the hipbone and femur) in the hip joint, and outward (in relation to the long axis of the femur) in the knee joint. The tibial long axis can be bent at an angle corresponding to the outward bending of about 5 degrees. In this manner, the lower limb rod-shaped body can be disposed along the lower limb belt side, the outer thigh, the outer knee, and the outer lower leg.

  The tightening means 13 and 14 can tighten the thigh and the lower leg to the lower limb bar-shaped body. Although the illustrated fastening means is a tape to which a hook-and-loop fastener (velcro) is attached, the present invention is not limited to this as long as it can fasten the thigh and the lower leg to the lower limb bar.

  The lower limb restraint device according to an embodiment of the present invention may be provided with an auxiliary rod-shaped body 218 (dotted line in FIG. 11) that can be disposed along the inner side of the thigh, the inner side of the knee, and the inner side of the lower leg. The auxiliary bar 218 may be composed of two bars. The two bars may be connected in a U shape at both ends as shown in FIG. The rod is preferably a tube for weight reduction. The tube can be made of a rigid material such as aluminum or fiber reinforced resin. By constituting with two rods, the resistance against twisting can be increased. The auxiliary rod-shaped body may be bent at a portion corresponding to the position of the knee joint. For example, the auxiliary rod-like body can be bent outward (an angle corresponding to the fact that the tibia long axis is bent outward by about 5 degrees with respect to the femoral long axis) at the knee joint corresponding portion. In this way, the auxiliary rod-like body can be arranged along the inner thigh, the inner knee, and the inner lower leg. The range of motion of the knee joint can be more reliably narrowed by tightening the thigh and the lower leg to the auxiliary bar. The fastening means is not particularly limited. For example, the means 13 and 14 capable of fastening to the lower limb bar can tighten the thigh and the lower leg to both the auxiliary bar and the lower limb bar.

  The lower limb restraint device according to an embodiment of the present invention preferably further includes a knee pad 15. The knee pad is preferably one that can be surrounded from the back (flexion) side of the person's knee. The cloth used for the knee pads is not particularly limited. For example, it can be a fabric with a jersey on one or both sides and a sponge inside. The knee pad shown in FIG. 11 is provided with a bag portion so that the lower limb rod-shaped body can be stored along the left side edge from the top to the bottom. Moreover, the bag part may be provided so that the auxiliary rod-shaped body can be accommodated along the right edge of the root of the fastening means 13 and 14 from the top to the bottom. The lower limb rod-like body 18 and the auxiliary rod-like body 218 are preferably coupled by a bendable member 219 such as a flat plate. The bendable member 219 can be made of a material such as aluminum or fiber reinforced resin, for example. In the elbow rest shown in FIG. 11, a member 219 (a dotted line in FIG. 11) that can be bent can be accommodated along the upper edge and the lower edge thereof.

  Although this embodiment shows a simulator for joint contracture, etc. that can be worn on the right upper limb and lower limb, another simulator for joint contracture, etc., which has a symmetrical structure with this embodiment, shows the left upper limb and lower limb. It can be easily understood that it can be attached to the.

  In addition, since the upper limb and the lower limb in the state of wearing the joint contracture simulator of the present invention are not so different from the unworn state, a holding experience and a change-over experience are easily performed in the state of wearing the simulator. be able to. In addition, the fabric with a jersey on one or both sides and a sponge inside is a fabric used in wet suits, and the rod-shaped body made of aluminum or fiber reinforced resin has excellent water resistance. You can have a bathing experience with a simulator.

Claims (6)

A jacket having a shoulder pad that is curved so that it extends from the front to the back of at least one upper limb of a person;
The upper end is attached to the shoulder pad of the jacket and bends at portions corresponding to the positions of the human shoulder joint, elbow joint and radial carpal joint, respectively, to the human shoulder, upper arm, elbow, forearm and hand. An upper limb restraint brace having a bar for an upper limb that can be disposed along the upper arm, a means for tightening a person's upper arm, forearm and finger to the bar for an upper limb;
A waistband having a waist core that is curved so that it extends from the front to the back of at least one leg side of the person,
The upper end is attached to the waistband of the waistband and can be placed along the side of the lower limb belt, the outer side of the thigh, the outer side of the knee and the outer side of the lower leg, and the lower leg of the human thigh and lower leg A joint contracture, stiffness or spasticity simulator comprising a lower limb restraint brace having means capable of being fastened to a rod-shaped body. A jacket having a shoulder pad that is curved so that it extends from the front to the back of at least one upper limb of a person;
The upper end is attached to the shoulder pad of the jacket and bends at portions corresponding to the positions of the human shoulder joint, elbow joint and radial carpal joint, respectively, to the human shoulder, upper arm, elbow, forearm and hand. An upper limb restraint device comprising: a bar for an upper limb that can be disposed along; and a means for tightening a person's upper arm, forearm and finger to the bar for an upper limb.   The rod for the upper limb is composed of two rods, and the two rods are narrower in the shoulder joint corresponding part and the radial wrist joint corresponding part than in the elbow joint corresponding part. The upper limb restraint device according to claim 2, wherein a human elbow joint can be accommodated between the bars.   The upper limb restraint apparatus according to claim 3, further comprising an elbow rest that can surround a human elbow, wherein the elbow rest is passed between two bars. A waistband having a waist core that is curved so that it extends from the front to the back of at least one leg side of the person,
The upper end is attached to the waistband of the waistband and can be placed along the side of the lower limb belt, the outer side of the thigh, the outer side of the knee and the outer side of the lower leg, and the lower leg of the human thigh and lower leg A leg restraint orthosis having means capable of being fastened to a bar-shaped body. It further has an auxiliary rod-shaped body that can be arranged along the inner side of the person's thigh, the inner side of the knee, and the inner side of the lower leg,
The lower limb restraint device according to claim 5, wherein the human thigh and lower leg can be fastened to the auxiliary bar by means capable of being fastened to the lower leg.

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