JP2004036067A - Collar for treatment, and clothing with collar - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a collar for treatment enabling perfectly cutting off vicious circle caused by scratching through physically blocking direct touch of the hands of a patient of e.g. atopic dermatitis to an affected part, preventing the worsening of inflammation of the affected part and bringing early amelioration of the condition of the disease. <P>SOLUTION: The collar for treatment comprises a fan shape member formed from a thermoplastic synthetic resin-made material such as plastics and polyethylene. The collar is attached to the periphery of the neck of the patient in the shape of a bamboo hat by connecting one end of the member to the other end thereof and connecting the rim of internal circumference to the collar part of clothing. As a result of this, direct touch of the hands of the patient to the affected part is physically blocked, so the vicious circle caused by scratching is perfectly cut off, and the prevention of the worsening of inflammation and early recovery are each promoted. <P>COPYRIGHT: (C)2004,JPO

Description

[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a therapeutic device, and more particularly, to a therapeutic collar and a garment with a collar that promote early healing of atopic dermatitis and the like.
[0002]
[Prior art]
Atopic dermatitis is a type of allergic disease caused by air pollution, food pollution, house dust, mites, irritation due to mental and physical stress, and constitution including skin resistance. . The symptoms are eczema on the skin, especially those on the skin around the face and neck, with strong itching. Not only adults, but also infants and children have many symptoms, and the number has been increasing rapidly in recent years.
[0003]
In particular, as a cause of deterioration of atopic dermatitis in infants and children, scratching in a sleep state can be cited. This is because a patient unconsciously scratches an affected part with his / her finger due to an increase in itch accompanying a rise in skin temperature during sleep. This causes new skin damage to the pruritus area and causes bacterial infection such as Staphylococcus aureus resident on the skin surface, thereby causing a vicious cycle in which the inflammation further induces itching. Infants do not understand the language even if the caregiver or parent instructs them not to scratch. In the case of infants, even if they can understand the words, if they fall asleep, they will scrape the affected part unconsciously, so it is useless to give instructions.
[0004]
A glove that covers the fingers of a patient is known as a tool for preventing this scraping action. The glove is made of a cloth such as soft cotton, and prevents the affected part from being damaged as much as possible during the above-mentioned scraping action. Further, there is a glove having a structure in which fingers are covered with a double bag material (see Japanese Patent Application Laid-Open No. 9-59809). Since these inventions do not allow direct contact with nails or fingers, they can somewhat alleviate the damage to the affected area. However, since these allow the fingers to touch the affected area even through the cloth, the vicious circle due to scraping cannot be completely cut off. Therefore, its therapeutic effect was not satisfactory.
[0005]
The mechanism of the vicious circle due to scraping is as follows. When the patient scrapes the affected area, the skin condition is deteriorated, and the barrier function of the stratum corneum is reduced, thereby facilitating penetration of the stimulating factor. The invading antigens cause immune abnormalities and at the same time enhance the allergic inflammatory response. Then, the deterioration of the skin condition due to the inflammation causes the barrier function of the stratum corneum of the skin to be further reduced, and a vicious cycle is repeated. It may not be possible to alleviate atopic dermatitis without completely breaking this vicious cycle.
[0006]
[Problems to be solved by the invention]
The most important thing in the treatment of atopic dermatitis is to completely cut off the vicious circle of scraping. For this purpose, the finger and the affected part may be physically blocked so that the finger does not reach the affected part.
[0007]
An object of the present invention is to provide a therapeutic instrument that completely cuts off the vicious cycle by physically blocking the hand of the patient from directly touching the affected area, thereby preventing the inflammation of the affected area from worsening, and promptly improving symptoms. To provide.
[0008]
[Means for Solving the Problems]
The number in parentheses in the following description in which the means for solving the problem is expressed in accordance with the claims indicates at least one of a plurality of embodiments in which the matters described in the claims are described in detail below. It is shown that they correspond to members, processes, and operations of one form. However, the solution of the present invention is not to be interpreted as being limited to the members of the embodiment indicated by the numerals, and the correspondence relation is clear. It is to make it.
[0009]
The treatment collar (1) according to the invention is made of a flexible material, which can be attached around the patient's neck by joining one end (2) to the other end (3). You can do it.
[0010]
Further, the treatment collar (1) according to the present invention has a fan shape and is made of a thermoplastic synthetic resin material such as plastic or polyethylene, and its inner peripheral portion is made of a 100% cotton material. A lip (4) is attached and can be attached in a shade around the patient's neck by joining its end (2) to the other end (3).
[0011]
When the treatment collar (1) is attached around the patient's neck, the angle between the treatment collar (1) and the horizontal plane is preferably about 30 degrees on the left and right sides, about 20 degrees on the front side, and about 60 degrees on the back side. .
[0012]
Further, it is preferable that the treatment collar (1) is formed of a transparent member. Further, the fan-shaped member of the treatment collar (1) may be provided with an air hole (10) having a diameter of about 3 mm.
[0013]
The treatment collar (1) may be provided with two handles (19a, 19b, 19c, 19d) on the rear and two handles on the front. Then, a string-shaped member (20) is attached to each of the two handles (19a, 19b) on the rear surface, and they are joined under the armpit of the patient to the two handles (19c, 19d) on the front surface, respectively. (1) may be attached around a patient's neck.
[0014]
Furthermore, the treatment collar (1) according to the present invention is characterized in that the joining member (16) is arranged on the inner peripheral edge (4) so that it can be joined to the collar portion (14) of the garment (12). Things.
[0015]
Further, the garment (12) with a collar according to the present invention is characterized in that the treatment collar (1) can be joined by disposing the joining member (15) on the collar portion (14). Here, it is desirable that the clothes (12) have a pair of strings (17a and 17b, 17c and 17d) attached to the portions under both sides, respectively.
[0016]
The treatment collar (1) and the garment (12) according to the present invention hold the distance between the lip (4) of the collar (1) and the neck of the patient at 1 to 1.5 cm. It is a feature.
[0017]
Further, the treatment collar according to the present invention is formed of two large and small fan-shaped members joined to each other, and has an inner peripheral portion of the large member (21) for joining to the collar portion (14) of the garment. By attaching the (22), the small member (25) may be detachable while the large member (21) is attached to the clothes (12).
[0018]
BEST MODE FOR CARRYING OUT THE INVENTION
Hereinafter, specific configurations of the treatment collar and the garment with the collar of the present invention will be described in detail with reference to the drawings.
[0019]
FIG. 1 is a development view of the collar 1 of the present invention. As shown in FIG. 1, the shape of the collar 1 is a sector shape. Two concave stops 5 are added to the end 2 of the collar 1. The other end 3 of the collar 1 is provided with a total of six convex stoppers 6 in three rows of two. A helicopter 4 is connected to the inner periphery of the collar. The helicopter 4 is for holding the collar 1 around the neck at an appropriate interval, and is made of a 100% cotton material on the surface in contact with the neck. The reason that the lip 4 is not connected over the entire inner peripheral portion of the collar 1 and is partially interrupted is a device for preventing pressure on the throat of the patient.
[0020]
By winding the collar 1 and overlapping its end 2 with the other end 3 and joining the stoppers 5 and 6, the collar 1 is shaped like a shade of a light bulb. FIG. 2 shows the collar 1 wrapped around the patient's neck. The three rows of the stoppers 6 are provided so that the degree of winding can be adjusted in three stages according to the thickness of the neck of the patient. Of course, these stoppers may be anything as long as they are detachable members, for example, hooks, magic tapes, strings, belts and the like. With a magic tape, it is easier to attach and detach, and a stepless fine adjustment is possible.
[0021]
The size of the collar 1 was set to three sizes of S size, M size, and L size in order to correspond to various patient's head circumference and neck circumference. The size of the S size is about 38 cm in outer diameter, about 15 cm in inner diameter, and about 11.5 cm in width. It weighs about 80 g. The size of the M size is about 44 cm in outer diameter, about 18 cm in inner diameter, and about 13 cm in width. The weight is about 90g. The size of the L size is about 54 cm in outer diameter, about 23 cm in inner diameter, and about 15.5 cm in width. The weight is about 120 g.
[0022]
The width of the collar 1 is a length necessary to keep the hand of the patient from reaching the affected area. By securing this width sufficiently, the collar 1 acts as a protective wall around the patient's face and does not physically allow the hand to reach the affected area, so that the scraping action can be completely blocked. Of course, other sizes may be used depending on the physique of the patient.
[0023]
The material of the collar 1 is made of a thermoplastic synthetic resin material such as plastic or polyethylene, and its thickness is about 1 mm. This material is flexible and elastic enough to gently fit around the patient's face and neck. In addition, when the roll is rounded, it tends to return to its original state, so that a force always acts in the direction in which the inner diameter increases, and the lip 4 does not clinch the neck. Moreover, since it is lightweight, it does not burden the patient's neck. Further, by making the surface of the helicopter 4 made of 100% cotton, irritation to the skin of the patient can be reduced.
[0024]
FIG. 2 is a view when the collar 1 is worn around the neck of the patient and viewed from the front. As shown in FIG. 2, the angle between the left and right sides of the collar 1 is preferably about 30 degrees. This is an effective angle so that the patient does not reach the face even if he extends his hand and cannot touch the face.
[0025]
FIG. 3 is a view when the collar 1 is worn around the patient's neck and viewed from the side. As shown in FIG. 3, it is desirable that the angle formed by the rear side of the collar 1 is about 60 degrees and the angle formed by the front side is about 20 degrees. By maintaining this angle, an appropriate space is created between the face and the color 1, so that the color 1 does not contact the face. In addition, breathing can be sufficiently ensured even when the patient is laid in the supine position. In addition, since the vicinity of the face is sufficiently open, the expression of the patient can be seen well and the parent can easily take care of the patient.
[0026]
Further, by making the color 1 transparent, the field of view of the patient can be secured. As a result, the patient does not have a feeling of obstruction or fear because the surroundings can be seen well, and the parent's face can be seen well, so that the patient can feel relieved. In addition, both the caregiver and the parent can sufficiently observe the expression of the patient and the condition of the affected part.
[0027]
FIG. 4 is a plan view of the cover 7 attached to the collar 1. As shown in the figure, the cover 7 has a fan shape similar to that of the collar 1, but the central angle thereof may be smaller than that of the collar 1. The cover 7 is formed of a double cotton cloth whose outer peripheral edge is sewn, and has a form in which the collar 1 is wrapped from both front and rear sides. The inner periphery of the cover 7 coincides with the inner periphery of the collar 1. Each of the inner and outer surfaces of the cover 7 has a facing portion 8 having a width of 2 cm on each of the front and rear surfaces thereof. Both ends are open without sewing. It should be noted that the cover 7 may cover not only the entire area of the color 1 but also the area where the hair of the patient hits.
[0028]
The size of the cover 7 was S size, M size, and L size as in the case of the color 1. Thus, since an appropriate one can be selected in accordance with the size of the collar 1, the cover 7 can be spread on the collar 1 with appropriate tension, and wrinkles and drape can be prevented from occurring. When wrinkles or drapes occur on the cover 7, friction around the face and neck occurs, which leads to worsening of the symptoms of the affected area of eczema. Therefore, it is important that the cover 7 is stretched on the collar 1 with an appropriate tension. Another effect of attaching the cover 7 is to absorb exudates from the affected area of eczema. Furthermore, friction when the occipital region or hair of the patient comes into contact with the collar 1 can be reduced. Note that the structure in which the rubber 9 is passed through the inner peripheral side of the cover 7 facilitates the mounting operation of the cover 7.
[0029]
FIG. 5 is a view showing that an air hole 10 having a diameter of 3 mm is formed on the entire surface of the collar 1. Thus, sufficient breathing can be ensured even when the patient turns over and the nose and mouth come into direct contact with the collar 1. The reason why the diameter of the hole is set to 3 mm is to prevent the finger of the patient from accidentally entering the air hole. If it is larger than this, the finger may enter the hole and cause an injury such as cutting the fingertip. Of course, the same effect can be obtained even if the collar 1 is formed of a breathable material instead of opening these air holes 10.
[0030]
FIG. 6 is a view showing that the outer edge of the collar 1 is covered with the cotton tape 11 and protected. This prevents the patient and the person in contact with the patient from cutting their hands. The same effect can be obtained by rounding the outer edge of the collar 1 instead of covering the outer edge with the cotton tape 11.
[0031]
FIG. 7 is a front view of the clothes 12 of the present invention. The garment 12 provides a suitable base for attaching the collar 1 around the patient's neck. The details will be described below with reference to the drawings.
[0032]
The garment 12 is a front-opened raglan sleeve type, and a fastener 13 is attached to the front surface of the garment 12 at the top and bottom. A concave stopper 15 is attached to the facing portion 14 of the collar. On the other hand, as shown in FIG. 8, a convex stopper 16 is attached to the helicopter 4 on the inner peripheral portion of the collar 1. By joining these stops to each other, the collar 1 can be mounted at a suitable interval around the patient's neck. The appropriate spacing here means a gap of about 1 to 1.5 cm. The detailed state is shown in FIG. By maintaining this interval, safe breathing of the patient can be ensured, and the intrusion of the patient's finger can be prevented. Individual differences in neck thickness depending on the age and physique of the patient are absorbed by selecting a color 1 having an appropriate size.
[0033]
In addition, by joining the collar 1 to the garment 12 with the fasteners 15 and 16, the collar 1 can be prevented from rotating around the patient's neck. This avoids unnecessary stimulation of the affected area.
[0034]
In addition, since the collar 1 and the clothes 12 are made detachable instead of being integrated, the degree of freedom of each is increased, and washing of the clothes 12 becomes easy. Of course, these stoppers may be anything as long as they are detachable members, for example, hooks, magic tapes, strings, fasteners and the like. With the magic tape, the attachment and detachment of the collar 1 and the clothes 12 become easier.
[0035]
FIG. 10 is a perspective view when the collar 1 is attached to the clothing 12. Two straps 17a and 17b and 17c and 17d each having a length of about 17 cm are attached to the lower part of both sides of the garment 12 at intervals of about 15 cm. By tying the strings 17a and 17b and 17c and 17d under both sides, tension is applied to the cloth between the neck of the garment 12 and the occurrence of slack in the neck area is suppressed. This can prevent the pressure on the neck when the collar 1 moves. In addition, it is possible to adjust the slack of the trunk of the garment 12 caused by the difference in body size of the patient.
[0036]
The treatment collar 1 and the collar of the garment 12 may be sewn together to be integrated with the garment. In this case, it is possible to prevent biting around the neck without using the cords 17a and 17b and 17c and 17d under both sides, and thus it is possible to secure sufficiently safe breathing.
[0037]
The opening and closing means of the clothes 12 may be buttons, hooks, magic tapes, clips, strings, or the like, other than the fasteners 13, but the fasteners are convenient for care operation. In addition, since the patient usually wears underwear and sleepwear as innerwear, the clothes 12 are worn over them. Therefore, a raglan sleeve type having a large size is most suitable for the clothes 12. The material of the clothes 12 is desirably made of 100% cotton, which causes little irritation to the patient's skin.
[0038]
The garment 12 is not only a raglan sleeve type, but also pajamas with separate upper and lower garments, a sleepwear with a layered under collar, sleeved sleeves worn over the head side, a rompers with integrated upper and lower garments, sleepwear All forms of clothing, such as those used instead, are covered. In any case, the collar 1 can be attached to the circumference of the neck at an appropriate interval, and may be anything as long as it is loose on the patient's body.
[0039]
FIG. 11 is an external view showing a state in which the hood 18 is sewn to the outside of the collar of the garment 12. The size of the hood 18 is about 28 cm in width and about 37 cm in depth, and the folded portion of about 15 cm on the outer edge has a double structure. The string of the hood 18 is about 60 cm long. The size of the hood can correspond to any of the S, M, and L sizes of the color 1. Of course, the hood 18 may be detachable from the clothes 12.
[0040]
FIG. 12 is an external view showing a state in which the collar 1 is attached to the clothing 12 and the outside thereof is covered with the hood 18. By doing so, the strange appearance of the collar 1 can be hidden when the patient goes out, and the parent's shame can be alleviated.
[0041]
Note that the collar 1 does not have to be joined to the clothing 12 as long as it can be held around the neck at an appropriate interval. FIG. 13 shows the details. Four handles 19a, 19b, 19c and 19d are attached to the collar 1, and a crossed rubber belt 20 is attached to the rear handles 19a and 19b. This rubber belt 20 is attached to the front handles 19c and 19d by passing under the armpits from the back of the patient. By doing so, the collar 1 can be mounted around the neck at an appropriate interval. As a result, the original purpose of preventing scraping can be achieved without processing the patient's clothing.
[0042]
Note that the collar 1 may be formed of two large and small fan-shaped members as shown in FIG. 14 instead of one member. This will be described in detail with reference to FIG. A lip 22 is attached to the inner periphery of the large member 21. The lip 22 is provided with a convex stopper 23 for joining to the concave stopper 15 on the collar 14 of the garment 12. Also, two convex stoppers 24 are attached to one end of the large member 21, and two stoppers 24 are attached to the other end of the large member 21.
[0043]
On the other hand, two concave stoppers 26 are attached to both ends of the small member 25 at positions corresponding to the convex stoppers 24 of the large member 21. Of course, these stoppers may be anything as long as they are detachable members, for example, hooks, magic tapes, strings, belts and the like. With a velcro tape, each member can be easily attached and detached, and fine adjustment can be performed steplessly.
[0044]
Like the collar 1, the large member 21 and the small member 25 are made of a thermoplastic synthetic resin material such as plastic or polyethylene, and have a thickness of about 1 mm. This material is flexible and elastic enough to gently fit around the patient's face and neck. In addition, since the rolls naturally return to the original state, a force always acts in the direction in which the inner diameter increases, and the lip 22 does not clinch the neck. Moreover, since it is lightweight, it does not burden the patient's neck. Further, by making the surface of the helicopter 22 made of 100% cotton, irritation to the skin of the patient can be reduced.
[0045]
The patient wears the garment 12, the convex stopper 23 of the large member 21 is joined to the concave stopper 15 of the garment 12, respectively, and the convex stopper 24 of the large member 21 is connected to the concave stopper 26 of the small member 25. Respectively, the large member 21 and the small member 25 are attached in the shape of a light bulb around the neck, and have the effect of preventing scraping as in the case of the treatment collar 1. Further, by removing the small member 25 from the large member 21 in that state, the front part of the patient's face can be opened. FIG. 15 shows the details. With such a configuration, it is possible to achieve a special effect that the care work such as a meal becomes easy.
[0046]
[Clinical experiment]
A clinical experiment was performed on a case where the colored clothing of the present invention was worn day and night.
[0047]
[Target subjects]
Six patients (3 months old to 12 months old) who had been diagnosed as “atopic dermatitis” by a dermatologist and had skin symptoms accompanied by pruritus with or without treatment.
[0048]
【Investigation period】
4 weeks from the start date of use. However, those who experienced adverse side effects or sudden deterioration were discontinued immediately.
[0049]
[About the degree of improvement of skin symptoms]
At the start of the survey, parents were given a survey report form and asked them to fill out the skin symptoms associated with atopic dermatitis.
[0050]
The skin symptoms at the start of the study and the skin symptoms 4 weeks after the start of the study were rated on a five-point scale of “extremely improved”, “improved”, “unchanged”, “exacerbated”, and “extremely exacerbated”. The above was conducted with the consent of the parents after fully explaining the purpose of the survey to the parents.
[0051]
As a result of the above clinical experiment, "very much improved" was reported in all six subjects.
[0052]
【The invention's effect】
According to the present invention, since the hand of the patient can be physically blocked from directly touching the affected part, the action of scraping the affected part is completely prevented. As a result, the symptoms of atopy can be improved at an early stage.
[0053]
In addition, when the present invention includes a plurality of members, the front part of the patient's face can be opened while the large members are attached to the clothes. As a result, a special effect that care work such as eating becomes easy can be achieved.
[Brief description of the drawings]
FIG. 1 is a developed view showing a treatment collar of the present invention.
FIG. 2 is a front view showing the angle of the treatment collar of the present invention.
FIG. 3 is a side view showing the angle of the treatment collar of the present invention.
FIG. 4 is a top view showing the cover of the treatment collar of the present invention.
FIG. 5 is a top view showing an air hole of the treatment collar of the present invention.
FIG. 6 is a top view showing the cotton tape on the outer edge of the treatment collar of the present invention.
FIG. 7 is a front view showing a garment of the present invention.
FIG. 8 is a top view showing the stopper of the treatment collar of the present invention.
FIG. 9 is a detailed view showing the connection between the treatment collar of the present invention and clothing.
FIG. 10 is a perspective view showing the clothing with a treatment collar of the present invention.
FIG. 11 is a front view of the hood of the garment of the present invention sewn to the garment.
FIG. 12 is a front view showing a state in which the hood of the clothing with a treatment collar according to the present invention is attached.
FIG. 13 is a front view showing an application of the therapeutic collar of the present invention.
FIG. 14 is an exploded view showing another treatment collar of the present invention.
FIG. 15 is a perspective view showing another clothing with a treatment collar according to the present invention.
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 1 ... Collar 2 ... End 3 ... The other end 4 ... Helicopter 5 ... Concave stopper 6 ... Convex stopper 7 ... Cover 8 ... Cover back part 9 ... Rubber 10 ... Air hole 11 ... Cotton tape DESCRIPTION OF SYMBOLS 12 ... Clothes 13 ... Fastener 14 ... Collar facing part 15 ... Concave stopper 16 ... Convex stopper 17a, 17b, 17c, 17d ... String 18 ... Hood 19a, 19b, 19c, 19d ... Handle 20 ... Rubber belt 21 ... Large member 22 ... rim 23 ... convex stopper 24 ... convex stopper 25 ... small member 26 ... concave stopper

Claims (11)

A therapeutic collar made of a flexible material that can be attached around the patient's neck by joining one end to the other. It is a fan-shaped, made of thermoplastic synthetic resin material, and the inner periphery is fitted with a lip made of 100% cotton material, and one end is joined to the other end. Therapeutic collar that can be mounted in a shade around the neck. In claim 2,
A therapeutic collar, wherein the angle formed by the fan and the horizontal plane is about 30 degrees on the left and right sides, about 20 degrees on the front side, and about 60 degrees on the back side when attached around the patient's neck. In claim 2 and claim 3,
The therapeutic collar, wherein the fan is formed of a transparent member. In claim 2, claim 3, and claim 4,
A therapeutic collar wherein an air hole having a diameter of about 3 mm is formed in the fan shape. In claim 2, claim 3, claim 4, and claim 5,
The fan shape has two handles on the rear and two handles on the front, two string-shaped members are attached to the two handles on the rear, respectively, and the two strings on the front are passed through the respective string-shaped members under the patient's armpits. Therapeutic collar characterized in that it can be attached around the patient's neck by joining with each other. In claim 2, claim 3, claim 4, and claim 5,
A treatment collar, wherein a joining member is arranged on the rim and can be joined to a collar portion of clothes. In claim 7,
A garment with a collar, wherein a joining member is arranged on the collar portion, and the treatment collar can be joined. In claim 8,
A garment with a collar, characterized in that a pair of straps are attached to the lower part of each side. In claims 7 and 8,
A therapeutic collar and a garment with a collar, wherein the collar is attached while being held at a distance of 1 to 1.5 cm between the rim and a patient's neck. In Claim 7 and Claim 10,
The large member is formed of two large and small fan-shaped members joined to each other, and an inner peripheral portion of the large member is provided with a lip for joining to a collar portion of clothes. A therapeutic collar characterized in that small members can be attached and detached.

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