CN108078567B - Upper limb circumference fixed point measuring device - Google Patents

Upper limb circumference fixed point measuring device Download PDF

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CN108078567B
CN108078567B CN201611037121.9A CN201611037121A CN108078567B CN 108078567 B CN108078567 B CN 108078567B CN 201611037121 A CN201611037121 A CN 201611037121A CN 108078567 B CN108078567 B CN 108078567B
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flexible rule
upper limb
measurement
measuring device
telescopic
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CN108078567A (en
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王鹤玮
贾杰
沈莉
司文
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Huashan Hospital of Fudan University
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Huashan Hospital of Fudan University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1073Measuring volume, e.g. of limbs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1075Measuring physical dimensions, e.g. size of the entire body or parts thereof for measuring dimensions by non-invasive methods, e.g. for determining thickness of tissue layer
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02EREDUCTION OF GREENHOUSE GAS [GHG] EMISSIONS, RELATED TO ENERGY GENERATION, TRANSMISSION OR DISTRIBUTION
    • Y02E30/00Energy generation of nuclear origin
    • Y02E30/30Nuclear fission reactors

Abstract

An upper limb circumference fixed point measuring device comprises two arm supports, a hanging plate, two cantilevers, a supporting rod and a plurality of groups of measuring flexible rule components. The upper limb circumference fixed point measuring device is simple to manufacture and convenient to use. The flexible rule is fixed at intervals of 10cm, so that the complicated step of measuring and marking in the traditional measurement is omitted; the flexible nails with low elasticity ensure that the flexible rule can be attached to the skin; the flexible rule material is soft and provided with scales; the weight stretches the flexible rule by self gravity after surrounding the limb and crossing the supporting rod, so that the tension of the flexible rule on the skin is constant; the arm support enables the upper limb to be suspended for measurement, and meanwhile, the upper limb can be fixed at an ideal body position.

Description

Upper limb circumference fixed point measuring device
Technical Field
The invention relates to a medical auxiliary instrument, in particular to an upper limb circumference fixed point measuring device.
Background
Lymphedema is one of the most important problems after breast cancer surgery, not only can cause shoulder joint dysfunction and appearance change of affected limbs, but also can negatively affect the psychology and work life of patients, and the quality of life of breast cancer patients is reduced. The incidence of lymphedema varies greatly, from 5% to 56%, due to inconsistent definition and evaluation criteria. An accurate measuring tool and an effective evaluation mode are necessary means for preventing and judging the curative effect of lymphedema.
The most widely used measuring methods internationally at present include: arm circumference measurement, water displacement, blood loss meter (Perometer), bioelectrical impedance spectroscopy (Bioimpedance Spectroscopy, BIS). The water displacement method measures the volume of the upper limb through drainage, but the process is tedious and time-consuming. The Peromeer measures the upper limb volume by infrared rays, but the equipment is expensive and the measurement accuracy is not advantageous compared with the traditional girth measurement. BIS can accurately distinguish the change of intracellular fluid and extracellular fluid, is commonly used for early detection of lymphedema, but the device cannot directly measure the upper limb volume, is frequently used together with upper limb volume measuring equipment clinically, and has higher price.
The method currently recommended and widely used both internationally and domestically is the girth measurement method, by which the volume is calculated. The equipment required by the method is very simple, and a tape measure or a flexible rule can be used. The following problems still remain:
1) Before each measurement, marks are needed to be made on the patient, and the marks are measured one by using a flexible rule, so that time and labor are wasted, and the clinical efficiency is severely limited;
2) The requirements for the measuring personnel are high. Because the texture of human tissue is soft, if the pulling force applied to the tape during measurement is inconsistent before and after measurement, the measurement result difference can be caused. The existing solution is to keep the tension of the front and back measurement pair end flexible rule consistent by relying on experience of the same therapist intuitively, but the measurement re-measurement reliability is low due to the fact that unified standards and standardized equipment are not provided, and the improvement is needed;
3) For patients with lymphedema of the upper limbs, the position relationship between the upper limbs and the level has a certain influence on the upper limb volume. If the upper limb sags during measurement, the edema degree of the upper limb is aggravated and the volume is increased due to the gravity effect. Therefore, it is important to maintain a uniform measurement position before and after measurement. There is no particularly good method at present, and experienced therapists usually sit upright with the trunk bent forward and at an angle of 90 degrees to the body, and perform fixed point measurements at this position, but the above-mentioned body position is difficult to maintain for a long time during measurement.
Disclosure of Invention
The invention aims to solve the problems and provide an upper limb circumference fixed point measuring device.
In order to achieve the above purpose, the present invention is realized by the following technical scheme: an upper limb circumference spot measurement device, comprising:
the two arm supports are respectively provided with a groove matched with the upper limb of the human body;
the hanging plate is erected between the two arm supports;
the two cantilevers are respectively arranged at two ends of the hanging plate and extend outwards;
the support rod is arranged between the two cantilevers;
the multiple groups of measurement flexible rule components are uniformly arranged on the hanging plate at intervals.
The structure of the multiple groups of measurement flexible rule components is the same, and each group of measurement flexible rule components comprises a supporting tube, a telescopic nail, a low-elasticity spring, a lining plate, a flexible rule and a standard weight; the support tube is transversely arranged on the hanging plate, one end of the telescopic nail extends into the support tube, and the other end of the telescopic nail is connected with the lining plate; the low-elasticity spring is sleeved on the supporting tube between the lining plate and the hanging plate, the upper part of the flexible rule is fixed on the lining plate through the telescopic nails, and the standard weight is connected to the lower end of the flexible rule.
The grooves on the arm support adopt a structure with one side of a high groove edge and the other side of a low groove edge, and the low groove edges are positioned on the same side; the hanger plate is connected to the lower groove edges of the two arm supports, so that the grooves on the arm supports form a complete structure with equal groove edges.
The multiple groups of measurement flexible rule components are 5-10 groups.
The mass of the standard weight is 25g.
The flexible rule is provided with a length scale, the upper end point is zero, and the flexible rule is measured downwards; the telescopic nails are fixed at the quarter length of the flexible rule, so that the flexible rule has a free end with the quarter length above the telescopic nails.
The invention relates to an upper limb circumference fixed point measuring device which is economical, fixed in point, simple to operate and high in precision, an arm support with a groove is used for placing and fixing an upper limb, a hanging plate is used for fixing a measurement flexible rule assembly, the flexible rule is used for fitting the upper limb with various shapes during measurement, a low-elasticity spring ensures that the flexible rule is tightly attached to skin, and a weight with fixed weight is tied at the tail end of the flexible rule so as to ensure that the pressure of the flexible rule on the skin is constant during measurement of the circumference of the upper limb. The measurement flexible rule components are uniformly arranged at intervals to form a plurality of groups, so that the measurement flexible rule is accurate and convenient to use, and the process of measuring and marking in the traditional circumference measurement is omitted. Clinical therapists can quickly master the measurement technology through simple learning, and obtain measurement data with high retest reliability.
The upper limb circumference fixed point measuring device provided by the invention is simple to manufacture and convenient to use. The flexible rule ring is fixed at intervals of 10cm, so that the complicated step of measuring and marking in the traditional measurement is omitted; the flexible nail with low elasticity ensures that the flexible ruler ring can be attached to the skin; the flexible rule material is soft and provided with scales; the weight stretches the flexible rule by self gravity after surrounding the limb and crossing the supporting rod, so that the tension of the flexible rule on the skin is constant; the arm support enables the upper limb to be suspended for measurement, and meanwhile, the upper limb can be fixed at an ideal body position.
Drawings
FIG. 1 is a front view of the upper limb pointing device of the present invention.
Figure 2 is a side view of the upper limb pointing device of the present invention.
Fig. 3 is a partial enlarged view of fig. 2.
Detailed Description
The invention will now be described in detail with reference to the drawings and specific examples.
Referring to fig. 1, 2 and 3, the upper limb arm circumference fixed point measuring device comprises two arm supports 1, a hanger plate 2, two cantilevers 3, a support rod 4 and a plurality of groups of measuring flexible rule components. Grooves matched with upper limbs of a human body are respectively formed in the two arm supports 1, the hanging plate 2 is erected between the two arm supports, the two cantilevers 3 are respectively arranged at two ends of the hanging plate and extend outwards, and the supporting rod 4 is arranged between the two cantilevers; the structure of the multiple groups of measurement flexible rule components is the same and the multiple groups of measurement flexible rule components are uniformly arranged on the hanging plate at intervals, and each group of measurement flexible rule components comprises a supporting tube 5, a telescopic nail 8, a low-elasticity spring 6, a lining plate 8, a flexible rule 9 and a standard weight 10; the support tube is transversely arranged on the hanging plate, one end of the telescopic nail extends into the support tube, and the other end of the telescopic nail is connected with the lining plate; the low-elasticity spring is sleeved on the supporting tube between the lining plate and the hanging plate, the upper part of the flexible rule is fixed on the lining plate through the telescopic nails, and the standard weight is connected to the lower end of the flexible rule.
The grooves on the arm support adopt a structure with one side of a high groove edge and the other side of a low groove edge, and the low groove edges are positioned on the same side; the hanger plate is connected to the lower groove edges of the two arm supports, so that the grooves on the arm supports form a complete structure with equal groove edges.
The number of the multiple groups of the measurement flexible rule components is 5-10. The mass of the standard weight was 25g.
The flexible rule is provided with a length scale, the upper end point is zero, and the flexible rule is measured downwards; the telescopic nails are fixed at the quarter length of the flexible rule, so that the flexible rule has a free end with the quarter length above the telescopic nails.
The application method of the invention is described below with reference to the accompanying drawings:
a. firstly, placing the upper limb circumference fixed point measuring device on a horizontal tabletop;
b. then the wrist and the upper arm are respectively placed on the grooves of the two arm supports 1, wherein the middle point of the styloid process of the ulna of the wrist is aligned with the upper edge of the first flexible rule;
c. a flexible rule 9 is fastened on the lining plate 7 by one side pressure of the arm, and the flexible rule is pressed on the skin surface by the low-elasticity spring 6;
d. then the upper section of the first flexible rule is wound around the wrist from above;
e. the lower section of the flexible rule is wound around the wrist from the lower part of the wrist, then passes over the wrist and the support rod 4 from the upper part, and the tension is conducted through the support rod 4 under the action of the gravity of the weight 10, so that the flexible rule 9 is tensioned;
f. reading the arm circumference through the scale on the flexible rule above the arm, and recording as C 1
g. Repeating the above steps C, d, e, f to obtain different upper limb circumferences, respectively denoted as C 2 、C 3 …C n
h. The number of the flexible rule is five, the interval between each flexible rule is 10cm, and the total number of the flexible rule is 5, according to the formula:
Figure BDA0001159927160000041
to calculate the volume of the upper arm. C (C) 1 And C 2 In order to measure the arm circumference of the upper and lower points of the section, h is the length of the measurement section, namely 10cm, and the volume of the whole upper limb is the sum of the volumes of each section. Another measurement method is to measure 1 time every 4cm from the wrist, where the volume measurement formula is:. About.>
Figure BDA0001159927160000042
C is the circumference of the different measurement points.

Claims (5)

1. An upper limb circumference fixed point measuring device, comprising:
the two arm supports are respectively provided with a groove matched with the upper limb of the human body;
the hanging plate is erected between the two arm supports;
the two cantilevers are respectively arranged at two ends of the hanging plate and extend outwards;
the support rod is arranged between the two cantilevers;
the multiple groups of measurement flexible rule components are uniformly arranged on the hanging plate at intervals;
the structure of the multiple groups of measurement flexible rule components is the same, and each group of measurement flexible rule components comprises a supporting tube, a telescopic nail, a low-elasticity spring, a lining plate, a flexible rule and a standard weight; the support tube is transversely arranged on the hanging plate, one end of the telescopic nail extends into the support tube, and the other end of the telescopic nail is connected with the lining plate; the low-elasticity spring is sleeved on the supporting tube between the lining plate and the hanging plate, the upper part of the flexible rule is fixed on the lining plate through the telescopic nails, and the standard weight is connected to the lower end of the flexible rule.
2. The upper limb circumference spot measuring device according to claim 1, wherein: the grooves on the arm support adopt a structure with one side of a high groove edge and the other side of a low groove edge, and the low groove edges are positioned on the same side; the hanger plate is connected to the lower groove edges of the two arm supports, so that the grooves on the arm supports form a complete structure with equal groove edges.
3. The upper limb circumference spot measuring device according to claim 1, wherein: the multiple groups of measurement flexible rule components are 5-10 groups.
4. The upper limb circumference spot measuring device according to claim 1, wherein: the mass of the standard weight is 25g.
5. The upper limb circumference spot measuring device according to claim 1, wherein: the flexible rule is provided with a length scale, the upper end point is zero, and the flexible rule is measured downwards; the telescopic nails are fixed at the quarter length of the flexible rule, so that the flexible rule has a free end with the quarter length above the telescopic nails.
CN201611037121.9A 2016-11-23 2016-11-23 Upper limb circumference fixed point measuring device Active CN108078567B (en)

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2609244A1 (en) * 1987-01-06 1988-07-08 Lotti Jacques Method and device for measuring extensions of the body using graduations and numerical counting
US5133217A (en) * 1990-11-15 1992-07-28 Jordan Donald J Tensiometer
CA2913862A1 (en) * 2013-05-30 2014-12-04 Just A New Health Device for measuring the circumference of an object, in particular a limb
CN204765648U (en) * 2015-07-29 2015-11-18 湖州市第一人民医院 Hip circumference leg encloses chi
CN205163078U (en) * 2015-11-27 2016-04-20 复旦大学附属华山医院 But chamber mirror measurement operation apparatus
CN205458693U (en) * 2016-02-29 2016-08-17 浙江省中医院 Limbs week is caliber directly

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8365421B2 (en) * 2009-11-19 2013-02-05 Drew Thomas Jones Tailoring point-to-point measurement tool
US20130023793A1 (en) * 2011-07-20 2013-01-24 Valencia Tammy L System and method for measuring mid-arm circumference of a child to determine equipment and medication for pediatric resuscitation

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2609244A1 (en) * 1987-01-06 1988-07-08 Lotti Jacques Method and device for measuring extensions of the body using graduations and numerical counting
US5133217A (en) * 1990-11-15 1992-07-28 Jordan Donald J Tensiometer
CA2913862A1 (en) * 2013-05-30 2014-12-04 Just A New Health Device for measuring the circumference of an object, in particular a limb
CN204765648U (en) * 2015-07-29 2015-11-18 湖州市第一人民医院 Hip circumference leg encloses chi
CN205163078U (en) * 2015-11-27 2016-04-20 复旦大学附属华山医院 But chamber mirror measurement operation apparatus
CN205458693U (en) * 2016-02-29 2016-08-17 浙江省中医院 Limbs week is caliber directly

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