JP6933783B1 - Oral vagal nerve stimulator and how to use it - Google Patents

Oral vagal nerve stimulator and how to use it Download PDF

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JP6933783B1
JP6933783B1 JP2021015578A JP2021015578A JP6933783B1 JP 6933783 B1 JP6933783 B1 JP 6933783B1 JP 2021015578 A JP2021015578 A JP 2021015578A JP 2021015578 A JP2021015578 A JP 2021015578A JP 6933783 B1 JP6933783 B1 JP 6933783B1
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泰三 中沖
泰三 中沖
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泰三 中沖
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Abstract

【課題】副交感神経であって口腔内の迷走神経の一部である咽頭収縮筋を刺激可能な口腔内迷走神経刺激器具及びその使用方法を提供することを課題とする。【解決手段】口腔に挿入して迷走神経を刺激する口腔内迷走神経刺激器具であって、口蓋窩を刺激可能な長さを有し、平面視で先端が丸み形状を有し、薄厚の平板状に形成した、口腔内に挿入可能な可撓性を有する口腔内挿入部と、使用者が把持し前記口腔内挿入部を操作する把持部と、を備え、前記口腔挿入部を歯で噛まずに唇で挟持可能で、前記口腔挿入部を前記口腔内に挿入した状態で前記口腔内に舌体を前上方に移動可能な空間を形成可能とする口腔内迷走神経刺激器具により課題解決できた。【選択図】 図1PROBLEM TO BE SOLVED: To provide an oral vagal nerve stimulator capable of stimulating a pharyngeal vagal muscle which is a parasympathetic nerve and is a part of an oral vagus nerve, and a method of using the same. SOLUTION: This is an intraoral stray nerve stimulator that is inserted into the oral cavity to stimulate the stray nerve, has a length capable of stimulating the palatal fossa, has a rounded tip in a plan view, and is a thin flat plate. It is provided with an intraoral insertion portion formed in a shape and having flexibility that can be inserted into the oral cavity, and a grip portion that is gripped by the user and operates the intraoral insertion portion, and the oral insertion portion is bitten by teeth. The problem can be solved by an intraoral stray nerve stimulator that can be sandwiched between the lips without having to be sandwiched between the lips and can form a space in the oral cavity where the tongue can be moved forward and upward while the oral cavity insertion portion is inserted into the oral cavity. rice field. [Selection diagram] Fig. 1

Description

本発明は、口腔内の迷走神経である咽頭収縮筋を刺激する口腔内迷走神経刺激器具及びその使用方法に関する。 The present invention relates to an oral vagal nerve stimulator that stimulates the pharyngeal vagal muscle, which is an oral vagus nerve, and a method of using the same.

特許文献1には、口腔内に挿入される口腔内挿入部と、前記口腔内挿入部に連結され口腔の外部で前記口腔内挿入部を操作する操作部と、を備え、前記口腔内挿入部が、下面を舌で押し上げて上面を上顎に押し付けることが可能な弾性部材からなる舌トレーナーと、前記舌トレーナーに連結され、使用時に歯列に沿って延在する鍔状のマウスシールドと、を有する嚥下機能訓練器が開示されている。 Patent Document 1 includes an intraoral insertion portion that is inserted into the oral cavity and an operation portion that is connected to the intraoral insertion portion and operates the intraoral insertion portion outside the oral cavity. However, a tongue trainer made of an elastic member capable of pushing up the lower surface with the tongue and pressing the upper surface against the upper jaw, and a flange-shaped mouth shield connected to the tongue trainer and extending along the dentition during use. The swallowing function training device to have is disclosed.

特許文献2には、使用者が把持する把持部と、この把持部の先端側に連設され唇内に挿入可能とされている彎曲状の保護部と、この保護部に連設され口腔内に挿入可能とされているスプーン状の刺激部とが長手方向に連接されており、前記把持部には、指を挿入可能とされた上下方向の開口が形成されており、この開口の少なくとも一方の周縁には、筒部が突設されている嚥下障害リハビリ訓練器が開示されている。 Patent Document 2 describes a grip portion to be gripped by the user, a curved protective portion connected to the tip end side of the grip portion so as to be inserted into the lips, and a curved protective portion connected to the protective portion in the oral cavity. A spoon-shaped stimulating portion that can be inserted into the lips is connected in the longitudinal direction, and the grip portion is formed with an opening in the vertical direction that allows a finger to be inserted, and at least one of the openings is formed. A dysphagia rehabilitation training device in which a tubular portion is projected is disclosed on the periphery of the dysphagia.

特許文献3には、軟質樹脂からなり、飲料容器の吸い口からなる嚥下機能訓練具であって、前端が前方へ湾出する凸湾曲面により塞がれた有蓋筒状をなすとともに前端に飲料を送出する送出孔を有して少なくとも前端側の一部が被訓練者の口蓋窩に収容される口腔内挿入部と、前記口腔内挿入部の後端に連続するとともに後方に向かって横断面が徐々に拡がる筒状に設けられる基部とを備え、前記口腔内挿入部は、厚みが最小となる方向を上下方向として、上面、及び下面の横断面が凸湾曲線をなす嚥下機能訓練具が開示されている。 Patent Document 3 describes a swallowing function training tool made of a soft resin and formed of a mouthpiece of a beverage container, which has a covered tubular shape with a front end closed by a convex curved surface protruding forward and a beverage at the front end. An intraoral insertion part having a delivery hole for sending out, at least a part of the anterior end side is housed in the palatal fossa of the trainee, and a cross section continuous with the rear end of the oral insertion part and toward the rear. The intraoral insertion part is provided with a swallowing function training tool having a convex curved line in the cross section of the upper surface and the lower surface with the direction in which the thickness is minimized as the vertical direction. It is disclosed.

特開2018−126265号公報JP-A-2018-126265 特許第4979985号公報Japanese Patent No. 4979985 国際公開WO2018/047509号公報International Publication WO2018 / 047509

特許文献1の発明は、舌体で舌トレーナーを上顎に押し付ける動作を行って舌筋等の口腔内筋力の強化を図る目的であり、舌体が前に移動するのを規制する構造をしているため舌体の前方への移動が制限されることから、口腔の奥に位置する咽頭の、迷走神経が支配している咽頭収縮筋を刺激することは難しいという問題があった。 The invention of Patent Document 1 is to strengthen the oral muscle strength such as the tongue muscle by pressing the tongue trainer against the upper jaw with the tongue body, and has a structure for restricting the movement of the tongue body forward. Therefore, there is a problem that it is difficult to stimulate the pharyngeal contractile muscles controlled by the vagus nerve in the pharynx located in the back of the oral cavity because the movement of the tongue body to the front is restricted.

特許文献2の発明は、舌体を器具で押さえて唾液の分泌を促進する技術であり、口腔の奥に位置する咽頭にある、迷走神経が支配している咽頭収縮筋を刺激することは難しいという問題があった。 The invention of Patent Document 2 is a technique of pressing the tongue body with an instrument to promote saliva secretion, and it is difficult to stimulate the pharyngeal contractile muscle controlled by the vagus nerve in the pharynx located at the back of the oral cavity. There was a problem.

特許文献3の発明は、前後方向の長さを40mm以上60mm以下、厚みを5mm以上20mm以下、幅を10mm以上27mm以下とする口腔内挿入部を口腔内に挿入し、舌体と口蓋窩の間の空間を十分に埋めて、舌体と口蓋の間の空間を幅方向についても十分に満たして、口腔内挿入部を介して口蓋窩に舌圧を加え、その反作用で舌の根元に加わる力により喉頭蓋を倒して気管を塞ぐ技術である。しかし、口腔内の空間を口腔内挿入部により埋めるため舌体が前上方に移動しにくく、そのため咽頭にある、迷走神経が支配している咽頭収縮筋を刺激することは難しいという問題があった。 In the invention of Patent Document 3, an intraoral insertion portion having a length of 40 mm or more and 60 mm or less in the anterior-posterior direction, a thickness of 5 mm or more and 20 mm or less, and a width of 10 mm or more and 27 mm or less is inserted into the oral cavity, and the tongue body and the palatal fossa are formed. The space between the tongue and the palate is sufficiently filled in the width direction, and tongue pressure is applied to the palatal fossa through the intraoral insertion part, and the reaction is applied to the base of the tongue. It is a technique that closes the trachea by tilting the palate with force. However, there is a problem that it is difficult for the tongue body to move anteriorly and upwardly because the space in the oral cavity is filled with the intraoral insertion part, and therefore it is difficult to stimulate the pharyngeal contractile muscle in the pharynx, which is controlled by the vagus nerve. ..

本発明はこうした問題に鑑み想到されたもので、副交感神経であって口腔内の迷走神経が支配する咽頭収縮筋を刺激可能な口腔内迷走神経刺激器具及びその使用方法を提供することを課題とする。 The present invention has been conceived in view of these problems, and an object of the present invention is to provide an oral vagal nerve stimulator capable of stimulating the pharyngeal vagal muscle, which is a parasympathetic nerve and is controlled by the vagus nerve in the oral cavity, and a method of using the same. do.

請求項1に記載の口腔内迷走神経刺激器具は、口腔に挿入して迷走神経を刺激する、マウスシールドを含まない口腔内迷走神経刺激器具であって、前記口腔の後方に位置する口蓋窩を刺激可能な長さを有し、平面視で先端が丸み形状を有し、薄厚の平板状に形成した、口腔内に挿入可能な可撓性を有する口腔内挿入部と、使用者が把持し前記口腔内挿入部を操作する把持部と、を備え、前記口腔挿入部を歯で噛まずに唇で挟持可能で、前記口腔挿入部を前記口腔内に挿入した状態で、前記口腔内に舌体を前上方に移動可能な空間を形成可能とし、かつ前記舌体を前記口腔挿入部の下側に押し当てながら前記舌体を使って、前記口腔挿入部の唇側を前上方に押し上げることができ、前記口腔挿入部の先端を押し上げて、前記口腔の後方に位置する前記口蓋窩に接触可能とすることを特徴とする。 The oral stray nerve stimulator according to claim 1 is an oral stray nerve stimulator that is inserted into the oral cavity to stimulate the stray nerve and does not include a mouse shield, and has a palatal fossa located behind the oral cavity. The user grips the intraoral insertion part, which has a stimulating length, has a rounded tip in a plan view, and is formed in a thin flat plate shape and has flexibility that can be inserted into the oral cavity. A grip portion for operating the intraoral insertion portion is provided, the oral cavity insertion portion can be held by the lips without being bitten by teeth, and the tongue is inserted into the oral cavity with the oral cavity insertion portion inserted into the oral cavity. It is possible to form a space in which the body can move anteriorly and upwardly , and the labial side of the oral cavity insertion portion is pushed up anteriorly and upwardly by using the tongue body while pressing the tongue body against the lower side of the oral cavity insertion portion. It is characterized in that it can push up the tip of the oral cavity insertion portion so that it can come into contact with the palatal fossa located behind the oral cavity.

請求項に記載の発明は、口腔内迷走神経刺激器具を前端部が平面視で口蓋窩のところまで届く位置まで口腔内に挿入し、歯で噛まずに唇で挟持した状態で、使用者が唾を飲み込みながら、舌体を前上方に移動させながら舌体の後部を上方に上げて口腔内迷走神経刺激器具の前端部を口蓋窩に当接させることを意識して行い、前記舌体を前上移動・後部上げ及び弛緩と、嚥下運動とを繰り返して実施する。舌体が前上方に大きく移動することにより咽頭収縮筋が弛緩し、舌体が弛緩により元に戻るときに反動により咽頭収縮筋が収縮するという、咽頭収縮筋に対する弛緩と収縮との刺激が繰り返されることによって、咽頭収縮筋から求心性に生体電気信号が脳に伝わり、脳から遠心性に全身に生体電気信号を伝わる。その結果、神経末端から神経伝達物質であるアセチルコリンが分泌され、結果的に血管が拡張し、血流が増加する。血流が増加すると体温が上がり、免疫力を司っている白血球の動きが活発化するので免疫力が高まるという有利な効果が生ずる。例えば、体温が1℃上がると免疫力が18%〜30%高まるという効果を奏する。 According to the first aspect of the present invention, the user inserts the oral stray nerve stimulator into the oral cavity to a position where the anterior end reaches the palatal fossa in a plan view, and holds the oral stray nerve stimulator between the lips without biting with the teeth. While swallowing saliva, while moving the tongue body anteriorly and upwardly, the posterior part of the tongue body is raised upward so that the anterior end of the oral stray nerve stimulator is brought into contact with the palatal fossa. Repeatedly move forward and upward, raise and relax the back, and swallow. The pharyngeal contractile muscle relaxes due to the large movement of the tongue body forward and upward, and when the tongue body returns to its original state due to relaxation, the pharyngeal contractile muscle contracts due to the reaction. As a result, the bioelectric signal is afferently transmitted from the pharyngeal contractile muscle to the brain, and the bioelectric signal is efferently transmitted from the brain to the whole body. As a result, the neurotransmitter acetylcholine is secreted from the nerve endings, resulting in dilation of blood vessels and increased blood flow. When blood flow increases, the body temperature rises and the movement of white blood cells that control immunity is activated, which has the advantageous effect of increasing immunity. For example, when the body temperature rises by 1 ° C., the immunity increases by 18% to 30%.

前記口腔内迷走神経刺激器具の挿入位置や姿勢を決めて唇で挟持した状態にすると、両手をフリー状態にして訓練ができるので、例えば料理などの種々の作業をしながら訓練ができる、すなわち、ながら訓練ができるという効果を奏する。また、マスクをつけてもかさばらず目立たないので外出時にも訓練ができるという効果を奏する。 When the insertion position and posture of the oral vagal nerve stimulator are determined and held between the lips, both hands can be freed for training, so that training can be performed while performing various tasks such as cooking, that is, It has the effect of being able to train while doing so. Also, even if you wear a mask, it is not bulky and inconspicuous, so you can train even when you go out.

本発明の口腔内迷走神経刺激器具の斜視図である。It is a perspective view of the oral vagal nerve stimulator of this invention. 本発明の口腔内迷走神経刺激器具の概要平面図である。It is a schematic plan view of the oral vagal nerve stimulator of this invention. 本発明の口腔内迷走神経刺激器具の概要右側面図である。It is the outline right side view of the oral vagal nerve stimulator of this invention. 本発明の口腔内迷走神経刺激器具を用いて舌体を前上方に移動させた状謡の説明図である。It is explanatory drawing of the chanting which moved the tongue body anteriorly and upward using the intraoral vagal nerve stimulator of the present invention. 本発明の口腔内迷走神経刺激器具を口腔内に挿入直後に状態の説明図である。It is explanatory drawing of the state immediately after inserting the oral vagal nerve stimulator of this invention into the oral cavity. 口腔内迷走神経刺激器具の使用方法のフロー図である。It is a flow chart of how to use an intraoral vagal nerve stimulator.

本発明の口腔内迷走神経刺激器具1は、図4又は図5に示すように、口腔内に挿入し唾を飲み込むときに舌体10を前上方に移動させながら前記口腔内迷走神経刺激器具1の先端部を口蓋窩12に接触させるまで押し上げて唾を飲み込み、舌体10を弛緩させるという動作を繰り返し行うことで免疫力を高めることができる器具である。 As shown in FIG. 4 or 5, the oral vagal maneuver 1 of the present invention is the oral vagal maneuver 1 while moving the tongue body 10 forward and upward when inserted into the oral cavity and swallowing saliva. It is a device that can enhance immunity by repeatedly performing the operation of pushing up the tip of the tongue until it comes into contact with the palatal fossa 12, swallowing saliva, and relaxing the tongue body 10.

本発明の口腔内迷走神経刺激器具1は、図1〜図3に示すように、口腔5に挿入して迷走神経を刺激する口腔内迷走神経刺激器具1であって、口蓋窩12を刺激可能な長さを有し、平面視で先端が丸み形状を有し、薄厚の平板状に形成した、口腔5内に挿入可能な可撓性を有する口腔内挿入部2と、使用者が把持し前記口腔内挿入部を操作する把持部3と、を備え、前記口腔挿入部2を歯16で噛まずに唇15で挟持可能で、前記口腔挿入部2を前記口腔内に挿入した状態で前記口腔5内に舌体10を前上方に移動可能な空間を形成可能である。 As shown in FIGS. 1 to 3, the oral stray nerve stimulator 1 of the present invention is an oral stray nerve stimulator 1 that is inserted into the oral cavity 5 to stimulate the stray nerve and can stimulate the palatal fossa 12. The user grips the intraoral insertion portion 2 which has a long length, has a rounded tip in a plan view, and is formed in a thin flat plate shape and has flexibility that can be inserted into the oral cavity 5. a gripping portion 3 for operating the intraoral insertion portion 2, provided with, the oral cavity insertion portion 2 can be clamped by the lip 15 without chewing teeth 16, the oral cavity insertion portion 2 in a state of being inserted into the oral cavity It is possible to form a space in the oral cavity 5 in which the tongue body 10 can be moved forward and upward.

口腔内迷走神経刺激器具1は、図1〜図3に示すように、口腔5に挿入する部分である口腔内挿入部2と、使用者が把持し前記口腔内挿入部2を操作する把持部3と、前記口腔内挿入部2が誤って喉奥深く挿入しないように、唇15で挿入を阻止する挿入阻止部4を備えている。 As shown in FIGS. 1 to 3, the intraoral stray nerve stimulator 1 includes an intraoral insertion portion 2 which is a portion to be inserted into the oral cavity 5, and a grip portion which is gripped by the user and operates the intraoral insertion portion 2. 3 and an insertion blocking portion 4 for blocking the insertion with the lip 15 are provided so that the intraoral insertion portion 2 is not accidentally inserted deep into the throat.

前記口腔内迷走神経刺激器具1は、可撓性を有する材質、例えばシリコンで一体的に成形して造られ、厚みを変えることにより撓む量の程度を変えることができる。例えば、口腔5内に挿入する前記口腔内挿入部2は厚みを約2〜3mmにして撓みやすくし、唇15から外側の前記挿入阻止部4や前記把持部3は厚みを約4〜5mmにして少し硬めにして把持やすく挿入操作しやすくしている。 The oral vagal nerve stimulator 1 is integrally molded from a flexible material such as silicon, and the degree of bending can be changed by changing the thickness. For example, the intraoral insertion portion 2 to be inserted into the oral cavity 5 has a thickness of about 2 to 3 mm to facilitate bending, and the insertion blocking portion 4 and the grip portion 3 outside the lip 15 have a thickness of about 4 to 5 mm. It is made a little stiff to make it easier to grip and insert.

前記把持部3は、薄板の平板状であり、指で摘まみやすくでき、口腔内挿入部2を傾斜させる等の操作を容易にできる。前記把持部3の形態は、平板状に限定されず、口腔5内の挿入した前記口腔内挿入部2の向きや挿入長さを操作可能な形態であればいずれの形態でもよい。 The grip portion 3 has a flat plate shape of a thin plate, can be easily picked by a finger, and can be easily operated such as tilting the intraoral insertion portion 2. The form of the grip portion 3 is not limited to a flat plate shape, and any form may be used as long as the orientation and insertion length of the inserted intraoral insertion portion 2 in the oral cavity 5 can be manipulated.

前記挿入阻止部4は、誤って口腔5内の奥まで突っ込み過ぎないように安全確保のために設けたストッパーである。形状は、例えば、唇15の外形に沿うようにかつ唇15で把持しやすいように、唇15の外周面のほぼ円弧状の大きさに近似する大きさの円弧状であり、前記把持部3側に凸形状部を、前記口腔内挿入部2側に凹形状部を形成している。前記挿入阻止部4の形態は口腔5内の口蓋窩12までの挿入を可能にする形態であればいずれの形態でもよい。 The insertion blocking portion 4 is a stopper provided for ensuring safety so that the insertion blocking portion 4 is not accidentally pushed too far into the oral cavity 5. The shape is, for example, an arc shape having a size close to a substantially arc shape of the outer peripheral surface of the lips 15 so as to follow the outer shape of the lips 15 and to be easily gripped by the lips 15, and the grip portion 3 A convex portion is formed on the side, and a concave portion is formed on the side of the intraoral insertion portion 2. The form of the insertion blocking portion 4 may be any form as long as it allows insertion to the palatal fossa 12 in the oral cavity 5.

前記口腔内挿入部2は、口蓋窩12を刺激可能な長さを有し、平面視で先端が丸み形状を有し、薄厚の平板状に形成した、口腔5内に挿入可能にした形態をしている。先端部を丸み形状にすることにより、挿入行為により口腔5内の部位に先端部が当たったときに人体に損傷が生じないようにしている。また、形状の変化部位は角を形成させずにすべて丸み形状にして、挿入行為により口腔5内の部位に先端部が当たったときに人体に損傷が生じないようにしている。 The intraoral insertion portion 2 has a length capable of stimulating the palatal fossa 12, has a rounded tip in a plan view, and is formed in a thin flat plate shape so as to be insertable into the oral cavity 5. doing. By making the tip portion rounded, the human body is prevented from being damaged when the tip portion hits a portion in the oral cavity 5 due to the insertion action. In addition, the shape-changing parts are all rounded without forming corners so that the human body is not damaged when the tip portion hits the part in the oral cavity 5 by the insertion action.

前記口腔内挿入部2を約2〜3mmの薄くて可撓性を有する平板状にしたことにより、前記口腔内挿入部2を口腔5内に挿入しても大きな空間を確保することができ、前上方に移動させる舌体10で容易に前記口腔内挿入部2を前上方に撓ませることができ、さらに、唇15側に舌体10の前上方への移動の妨げとなる大きな構成体がなく薄板のみであることから、舌体10を前上方に大きく移動させることができる。また、舌体10の前上方への移動と戻しの運動がしやすいので唾を飲み込むときの嚥下運動の妨げになりにくい。 By forming the intraoral insertion portion 2 into a thin and flexible flat plate having a thickness of about 2 to 3 mm, a large space can be secured even if the intraoral insertion portion 2 is inserted into the oral cavity 5. The intraoral insertion portion 2 can be easily flexed anteriorly and upwardly by the tongue body 10 which is moved anteriorly and upwardly, and a large structure which hinders the anteriorly upward movement of the tongue body 10 is further formed on the lip 15 side. Since it is only a thin plate, the tongue body 10 can be largely moved forward and upward. In addition, since the tongue body 10 is easily moved forward and upward and returned, it is unlikely to interfere with the swallowing movement when swallowing saliva.

また、前記口腔内挿入部2を歯16で噛まずに唇15で挟持可能にできることから、前記口腔内挿入部2を歯16で噛んだときの口腔5内の前側における高さ方向の長さより、前記口腔内挿入部2を上下方向の歯16間の間隔を設けて唇15のみで挟持したときの口腔5内の前側における高さ方向の長さの方が長い。これにより、口腔5内の前側における高さ方向の長さを長くすることができ、口腔5内の前側に大きな空間を形成でき、舌体10を前上方に大きく移動させることができる。 Further, since the oral insertion portion 2 can be sandwiched between the lips 15 without being bitten by the teeth 16, the length in the height direction in the front side of the oral cavity 5 when the oral insertion portion 2 is bitten by the teeth 16 When the intraoral insertion portion 2 is sandwiched only by the lips 15 with a space between the teeth 16 in the vertical direction, the length in the height direction on the anterior side in the oral cavity 5 is longer. As a result, the length in the height direction on the anterior side in the oral cavity 5 can be lengthened, a large space can be formed on the anterior side in the oral cavity 5, and the tongue body 10 can be largely moved forward and upward.

さらに、舌体10の後部を大きく前上方に移動させながら舌体10で前記口腔内挿入部2を押し上げやすくでき、押し上げ時に口蓋窩12の下面の形状に沿いやすくできることから痛みを感じることがなく、舌体10の後部を口蓋窩12の下面に直接に接触させることは難しいが、前記口腔内挿入部2を介して行うことにより口蓋窩12の下面を押すことができる。 Further, the intraoral insertion portion 2 can be easily pushed up by the tongue body 10 while the rear part of the tongue body 10 is largely moved forward and upward, and the shape of the lower surface of the palatal fossa 12 can be easily pushed up, so that no pain is felt. Although it is difficult to bring the posterior portion of the tongue body 10 into direct contact with the lower surface of the palatal fossa 12, the lower surface of the palatal fossa 12 can be pushed by performing the process via the intraoral insertion portion 2.

前記口腔内挿入部2を用いて口蓋窩12の下面に向かって下方から押すときに舌体10の後部を上げるが、その反作用によって喉頭蓋が気管を塞ぐので誤嚥を防ぐことができる。前記口腔内迷走神経刺激器具1を使用するときには、唾を飲み込むので誤嚥防止は必要である。また、口蓋窩12を押し上げるように舌体10を前上方に移動させる動きは誤嚥防止にもつながる。 When the intraoral insertion portion 2 is used to push the posterior portion of the tongue body 10 toward the lower surface of the palate fossa 12 from below, the posterior portion of the tongue body 10 is raised, but the epiglottis blocks the trachea due to the reaction, so that aspiration can be prevented. When the intraoral vagal nerve stimulator 1 is used, it is necessary to prevent aspiration because it swallows saliva. In addition, the movement of moving the tongue body 10 forward and upward so as to push up the palatal fossa 12 also leads to prevention of aspiration.

図5に示すように、舌体10が下方に位置し口蓋窩12の下面に何も接触したものがない状態で口腔5内に前記口腔内挿入部2を挿入して、図4に示すように、舌体10を矢印A方向に前上方に大きく移動させながら、矢印B方向に口蓋窩12の下面に前記口腔内挿入部2を接触させるまで押し上げるように移動させることは、舌体10の動きを思いっきり前上方に移動させることになる。これにより、舌根11が前上方に引っ張られ、これに伴って咽頭収縮筋13が弛緩して拡張し、次に前記舌体10を弛緩させて元に戻すときに咽頭収縮筋13が反動で収縮し元に戻る。 As shown in FIG. 5, the intraoral insertion portion 2 is inserted into the oral cavity 5 in a state where the tongue body 10 is located below and there is nothing in contact with the lower surface of the palatal fossa 12, and as shown in FIG. In addition, while moving the tongue body 10 forward and upward in the direction of arrow A, moving the tongue body 10 in the direction of arrow B so as to push up the intraoral insertion portion 2 until it comes into contact with the lower surface of the palatal fossa 12 is the tongue body 10. The movement will be moved forward and upward as much as possible. As a result, the tongue base 11 is pulled forward and upward, and the pharyngeal contractile muscle 13 relaxes and expands accordingly, and then when the tongue body 10 is relaxed and returned to its original position, the pharyngeal contractile muscle 13 contracts in reaction. Return to the original.

前記咽頭収縮筋13を収縮させ弛緩させるというサイクルを意識しながら繰り返すためには、舌体10を大きく前上方に移動させることが必要であり、本発明の前記口腔内迷走神経刺激器具1の前記口腔挿入部2の薄厚の平板状の形態は、舌体10を大きく前上方への移動させるときの妨げにならないので大いに適した形態である。すなわち、前記口腔挿入部2を歯16で噛まずに上下の歯16間の間隔を大きくして唇15のみで挟持するので口腔5内の空間の高さを高くでき、かつ前記口腔挿入部2が可撓性を有する薄厚の平板状なので前記舌体10の力で前記口腔挿入部2を容易に前上方に撓ませることができるので、前記舌体10を大きく前上方に移動させることができる。 In order to repeat while being aware of the cycle of contracting and relaxing the pharyngeal contractile muscle 13, it is necessary to move the tongue body 10 significantly forward and upward, and the oral vagal nerve stimulator 1 of the present invention. The thin, flat plate-shaped form of the oral insertion portion 2 is a highly suitable form because it does not interfere with the large anterior-upward movement of the tongue body 10. That is, since the oral cavity insertion portion 2 is not bitten by the teeth 16 but is sandwiched only by the lips 15 by increasing the distance between the upper and lower teeth 16, the height of the space in the oral cavity 5 can be increased, and the oral cavity insertion portion 2 can be increased. Since the tongue body 10 has a flexible and thin flat plate shape, the oral cavity insertion portion 2 can be easily bent forward and upward by the force of the tongue body 10, so that the tongue body 10 can be largely moved forward and upward. ..

咽頭収縮筋13が弛緩し収縮するという正常な活動をすることによって迷走神経が賦活される。迷走神経は全身に分布しているので、前記咽頭収縮筋13から求心性に脳に生体電気信号が伝わり、脳から遠心性に全身に生体電気信号を伝える。その結果、全身の神経末端からアセチルコリンが分泌され、結果的に全身の血管が拡張し、全身に亘って血流が増加する。 The vagus nerve is activated by the normal activity of the pharyngeal contractile muscle 13 relaxing and contracting. Since the vagus nerve is distributed throughout the body, the pharyngeal contractile muscle 13 afferently transmits a bioelectric signal to the brain, and the brain efferently transmits a bioelectric signal to the whole body. As a result, acetylcholine is secreted from nerve endings throughout the body, resulting in dilation of blood vessels throughout the body and increased blood flow throughout the body.

全身に亘って血流が増加すると体温が上がり免疫力を司っている白血球の動きが活発化するので免疫力が高まる。例えば、体温が1℃上がると免疫力が18%〜30%高まる。 When blood flow increases throughout the body, the body temperature rises and the movement of white blood cells that control immunity is activated, so immunity increases. For example, when the body temperature rises by 1 ° C., the immunity increases by 18% to 30%.

次に、口腔内迷走神経刺激器具の使用方法20について説明する。前記口腔内迷走神経刺激器具の使用方法20は、図6に示すように、口蓋窩12を刺激可能な長さを有し、平面視で先端が丸み形状を有し、薄厚の平板状に形成した、口腔5内に挿入可能な可撓性を有する口腔挿入部2を、口腔5内に挿入し歯16で噛まずに唇15で挟持する挟持ステップ21と、舌体10を前方かつ上方に突き出しながら、舌体10の後部で前記口腔挿入部2を口蓋窩12に当接するまで押し上げ、その後に舌体10を弛緩させる一連の動作と、同時並行で唾を飲み込む嚥下動作とのサイクルを繰り返し実施する舌体移動ステップ22と、を備える。 Next, a method 20 of using the intraoral vagal nerve stimulator will be described. As shown in FIG. 6, the method 20 of using the intraoral stray nerve stimulator has a length capable of stimulating the palatal fossa 12, has a rounded tip in a plan view, and is formed in a thin flat plate shape. The sandwiching step 21 in which the flexible oral insertion portion 2 that can be inserted into the oral cavity 5 is inserted into the oral cavity 5 and sandwiched between the lips 15 without being bitten by the teeth 16 and the tongue body 10 are moved forward and upward. While protruding, the oral insertion portion 2 is pushed up at the rear part of the tongue body 10 until it comes into contact with the palatal fossa 12, and then a series of operations of relaxing the tongue body 10 and a swallowing operation of swallowing saliva are repeated in parallel. The tongue body moving step 22 to be performed is provided.

前記ステップ21において、前記口腔挿入部2を歯16で噛まずに唇15で挟持することは、口腔5内の空間を歯16で噛んだときより大きく確保することができるから、舌体10の移動を大きくすることができる。前記舌体10を前上方に大きく移動させることにより、前記咽頭収縮筋13は引っ張られて弛緩して拡張する。 In the step 21, holding the oral cavity insertion portion 2 between the lips 15 without being bitten by the teeth 16 can secure a larger space in the oral cavity 5 than when the teeth 16 are bitten, and thus the tongue body 10. The movement can be increased. By moving the tongue body 10 forward and upward, the pharyngeal contractile muscle 13 is pulled, relaxed and expanded.

舌体10を大きく前上方に移動させた後に、舌体10を元位置に戻すように弛緩させると、前記咽頭収縮筋13は反動で収縮する。 When the tongue body 10 is largely moved forward and upward and then relaxed so as to return the tongue body 10 to its original position, the pharyngeal contractile muscle 13 contracts in reaction.

前記挟持ステップ21を実施した後に前記舌体移動ステップ22のみを、30秒で6回繰り返すことを3分間〜5分間継続して行った。その結果を表1に示す。表1において、実施時間は前記舌体移動ステップ22を実施する時間を意味し、体表の温度とは体表の温度をサーモグラフィで検知した結果を示す。 After performing the pinching step 21, only the tongue body moving step 22 was repeated 6 times in 30 seconds continuously for 3 to 5 minutes. The results are shown in Table 1. In Table 1, the implementation time means the time to execute the tongue body movement step 22, and the body surface temperature indicates the result of detecting the temperature of the body surface by thermography.

Figure 0006933783
Figure 0006933783

表1から、人によって変わるが、口腔内迷走神経刺激器具の使用方法20の舌体移動ステップ22を3〜5分実施すれば、1℃〜2℃又は2℃〜3℃体表の温度が上昇することが得られた。実施した人は全員しばらく、例えば人によって体感が変わるが約30分〜約1時間、身体がぽかぽかした状態が継続した。 From Table 1, although it varies depending on the person, if the tongue body movement step 22 of the method 20 of using the oral vagal nerve stimulator 20 is carried out for 3 to 5 minutes, the temperature of the body surface becomes 1 ° C. to 2 ° C. or 2 ° C. to 3 ° C. It was obtained to rise. For a while, for example, the experience changed depending on the person, but the body remained warm for about 30 minutes to about 1 hour.

一般的に白血球は温度37℃〜38℃のときに活性化し、体内の酵素も37℃のときに活性化することから、人の平均体温は36.5℃であるので、本発明の口腔内迷走神経刺激器具の使用方法20を実践することにより、白血球を活性化させ酵素も活性化させることになる。白血球が活性化すると免疫力が高まる。 In general, leukocytes are activated when the temperature is 37 ° C to 38 ° C, and enzymes in the body are also activated when the temperature is 37 ° C. Therefore, the average body temperature of a person is 36.5 ° C. By practicing the method 20 of using the vagal nerve stimulator, leukocytes are activated and enzymes are also activated. When white blood cells are activated, immunity increases.

よって、本発明の口腔内迷走神経刺激器具1を使用した訓練を、日々実施して咽頭収縮筋13への刺激を繰り返すことによって咽頭収縮筋13を正常に機能させることができる。したがって、外出前とか帰宅時とかに前記訓練を行えば、例えば種々の菌に対して免疫力で予防的効果を得ることができる。 Therefore, the pharyngeal contractile muscle 13 can be made to function normally by repeatedly performing the training using the oral vagal nerve stimulator 1 of the present invention and repeatedly stimulating the pharyngeal contractile muscle 13. Therefore, if the training is performed before going out or when returning home, for example, a preventive effect can be obtained by immunity against various bacteria.

また、前記咽頭収縮筋13は副交感神経でもある迷走神経に支配されているので、リラックス効果も得ることができる。よって、例えば、面接や発表会などの緊張する事態を控えたときは、その前に本発明の口腔内迷走神経刺激器具1を使用した訓練を実施してリラックスして事態に臨むことができる。 Further, since the pharyngeal contractile muscle 13 is controlled by the vagus nerve, which is also a parasympathetic nerve, a relaxing effect can be obtained. Therefore, for example, when refraining from a tense situation such as an interview or a presentation, training using the oral vagal nerve stimulator 1 of the present invention can be carried out before that to relax and face the situation.

1 口腔内迷走神経刺激器具
2 口腔内挿入部
3 把持部
4 挿入阻止部
5 口腔
10 舌体
11 舌根
12 口蓋窩
13 咽頭収縮筋
15 唇
16 歯
20 口腔内迷走神経刺激器具の使用方法
21 挟持ステップ
22 舌体移動ステップ
1 Oral stray nerve stimulator 2 Oral insertion part 3 Grip part 4 Insertion prevention part 5 Oral cavity 10 Tongue body 11 Tongue base 12 Palate fossa 13 Pharyngeal contractile muscle 15 Lips 16 Teeth 20 How to use the oral stray nerve stimulator 21 Holding step 22 Tongue movement step

Claims (1)

口腔に挿入して迷走神経を刺激する、マウスシールドを含まない口腔内迷走神経刺激器具であって、
前記口腔の後方に位置する口蓋窩を刺激可能な長さを有し、平面視で先端が丸み形状を有し、薄厚の平板状に形成した、口腔内に挿入可能な可撓性を有する口腔内挿入部と、
使用者が把持し前記口腔内挿入部を操作する把持部と、を備え、
前記口腔挿入部を歯で噛まずに唇で挟持可能で、前記口腔挿入部を前記口腔内に挿入した状態で、前記口腔内に舌体を前上方に移動可能な空間を形成可能とし、かつ前記舌体を前記口腔挿入部の下側に押し当てながら前記舌体を使って、前記口腔挿入部の唇側を前上方に押し上げることができ、前記口腔挿入部の先端を押し上げて、前記口腔の後方に位置する前記口蓋窩に接触可能とすることを特徴とする口腔内迷走神経刺激器具。
An intraoral vagal stimulator that does not include a mouse shield and is inserted into the oral cavity to stimulate the vagus nerve.
A flexible oral cavity that has a length that can stimulate the palatal fossa located behind the oral cavity, has a rounded tip in a plan view, is formed in a thin flat plate shape, and can be inserted into the oral cavity. Inner insertion part and
A grip portion that the user grips and operates the intraoral insertion portion is provided.
The oral cavity insertion portion can be pinched by the lips without being bitten by the teeth, and with the oral cavity insertion portion inserted into the oral cavity, a space in which the tongue body can be moved forward and upward can be formed in the oral cavity . Moreover, the labial side of the oral cavity insertion portion can be pushed forward and upward by using the tongue body while pressing the tongue body against the lower side of the oral cavity insertion portion, and the tip of the oral cavity insertion portion is pushed up to obtain the above. An intraoral stray nerve stimulating device characterized in that it can come into contact with the palatal fossa located behind the oral cavity.
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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006288953A (en) * 2005-04-14 2006-10-26 Takashi Akihiro Tool for training orbicular muscle of mouth and tongue muscle
JP2013118916A (en) * 2011-12-07 2013-06-17 Toshiaki Hirose Oral function training device
JP2014110821A (en) * 2011-02-17 2014-06-19 Jms Co Ltd Device for training of oral function
JP2016510620A (en) * 2013-03-15 2016-04-11 マイオロフェイス・アクチボラゲットMYoroface AB A device for training the muscles of the face, lips and throat
JP2018126265A (en) * 2017-02-07 2018-08-16 株式会社New Century Japan Deglutition function training apparatus

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006288953A (en) * 2005-04-14 2006-10-26 Takashi Akihiro Tool for training orbicular muscle of mouth and tongue muscle
JP2014110821A (en) * 2011-02-17 2014-06-19 Jms Co Ltd Device for training of oral function
JP2013118916A (en) * 2011-12-07 2013-06-17 Toshiaki Hirose Oral function training device
JP2016510620A (en) * 2013-03-15 2016-04-11 マイオロフェイス・アクチボラゲットMYoroface AB A device for training the muscles of the face, lips and throat
JP2018126265A (en) * 2017-02-07 2018-08-16 株式会社New Century Japan Deglutition function training apparatus

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