JP2004057565A - Rehabilitation equipment for upper limbs - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a rehabilitation tool for functional recovery that effectively corrects the deformation of inwardly bent upper-limb parts, e.g., shoulders, elbows and fingers, in the patients of cerebral apoplexy including those inadvanced cases. <P>SOLUTION: It is a rehabilitation tool 100 for functional recovery of upper limbs, in which a patient suffering the after effects of cerebral apoplexy, or the like repeats moving his bent and deformed upper limbs on the board thereof to correct them. The tool consists of a base board 10, a handle 20 erected thereon grasped by the patient with all his fingers of each hand except thumbs, after extending the upper limb, facing down the palm, and standing four fingers almost vertically with little finger at the base, and a lateral bar 30 provided above the handle 20 to carry the thumb apart from fingers. According to this invention, the handle 20 may consist of a plate and the patient may grasp its longitudinal end, or it may consist of a pair of plates arranged oppositely to each other, and the patient may grasp their longitudinal ends with his left- and right-hand fingers in turn. <P>COPYRIGHT: (C)2004,JPO

Description

[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a function recovery training device for correcting bending of an upper limb deformed inward due to a stroke or the like.
[0002]
[Prior art]
In recent years, the number of deaths of stroke, which is the leading cause of death, has been declining due to advances in medicine. However, in the super-aging society, the number of stroke patients is on the rise, and it is a causative disease that leaves severe sequelae (for example, hemiplegia in upper and lower limbs) that makes it impossible to live a normal daily life without some assistance. But also. Hemiplegia of the upper limb is due to the inversion of the scapula (both shoulders can be retracted and the upper limb cannot be lifted), elbow flexion (elbow flexes inward and upper limb cannot open outward), finger flexion (thumb is the little finger) It is characterized in that each part of the upper limb is bent inward, such as bending to the side (the thumb is located in the inversion position and the finger cannot be opened).
[0003]
By the way, to correct the bending deformation of the upper limb due to stroke etc. so as to be able to live daily life without hindrance, it was not possible to perform effectively without the use of functional recovery training tools, and various functional recovery training tools have been proposed conventionally. . For example, there is a function recovery training tool in which a handle is gripped while the palm is lying down, and training is performed while moving the handle by pushing or pulling on the inclined board. Further, there is a function recovery training tool in which an upper limb is placed and fixed on a long plate, and the grip is held while the palm is turned down, and the user is trained while moving on the board.
[0004]
[Problems to be solved by the invention]
However, in the training using the former function recovery training tool, the grip is pushed and pulled (the elbow bends and extends) with the palm held down (close to the inward dislocation of the thumb). Stroke patients involved training with their upper limbs flexing inward, and there was a problem that even if adduction of the scapula could be corrected, it was difficult to fully correct deformation of fingers and elbows . Also, it was difficult for a severely ill patient with severe hemiplegia to push or pull the handle on an inclined board. Further, in the training using the latter function recovery training tool, the upper limb is bent inward because the upper limb is fixed, but the grip is gripped in a state in which the palm is turned down (a state close to the inversion of the thumb) as in the former. However, there is a problem that it is difficult to sufficiently correct the deformation of the fingers and the elbow even if the adduction of the scapula can be corrected. As described above, conventionally, the correction of the bending deformation of the upper limb due to a stroke or the like is extremely difficult, and any of the functional recovery training tools proposed so far including the functional recovery training tool exemplified above can be used to improve the upper limb. In fact, it was difficult to effectively correct bending deformation of all parts of the shoulder, elbow, and fingers.
[0005]
The present invention has been made in view of the above circumstances, and provides a function recovery training tool that can more effectively correct deformation of all parts of the shoulders, elbows, and fingers of the upper limb bent inward due to a stroke, including severely ill persons. The task is to
[0006]
[Means for Solving the Problems]
The present inventor, in order to solve the above-mentioned problems, to study in more detail the characteristics of bending deformation of the upper limb due to a stroke, etc. and to verify the conventional training equipment, easy for healthy people, but not good for stroke patients. Normal posture (the shoulder joint is abducted when the shoulder blade is abducted, which is the opposite posture to the inward bending deformation, and the elbow is extended and the shoulder joint is abducted when the elbow is bent or the shoulder blade is abducted) The present invention has been found that it is possible to effectively correct the posture by repeating the training in a posture in which the thumb is in the abduction position.
That is, the first invention is a function recovery training tool that repeats the movement of the upper limb on a board and corrects bending deformation of the upper limb due to a stroke or the like. A handle portion that is gripped by four fingers other than the thumb in a state where the stretched and folded palm is erected approximately 90 degrees from the little finger as a starting point, and provided above a portion of the handle portion that is gripped by four fingers other than the thumb, And a thumb rest portion on which the thumb is placed at a position separated from the four fingers.
[0007]
According to the function recovery training tool of the above configuration, the shoulder is kept in the middle position of the shoulder inside and outside rotation, the elbow is extended, the finger is kept in the abduction position of the thumb, and the training is performed in a normal posture opposite to the bending deformation to the inside of the upper limb. Because it can be done, shoulders, elbows and fingers can all be corrected more effectively at the same time. This means that, without using the functional recovery training tool of the present invention, the palm with its upper limb extended and lying down was erected approximately 90 degrees from the little finger as a starting point, four fingers other than the thumb were held, and the thumb was further separated above the four fingers. As you can see, in this position, the shoulder joint is in the so-called mid-shoulder / external rotation, which is a form of stroke, with no internal rotation, the elbow is in a tensioned extension position, and the thumb is in the extended position. In dislocation. Therefore, if training is performed using the functional recovery training device of the present invention in such a posture, the load of the weight of the functional recovery training device is further added, and the muscular strength can be sufficiently increased in a normal posture, and thus effectively. It can correct all flexion of the upper limb.
[0008]
The second invention relates to the upper limb function recovery training tool according to the first invention, wherein the handle portion is formed of one plate body and grips one edge in the longitudinal direction thereof.
[0009]
The handle portion may be formed in a rod shape, but in the case of the bar-shaped handle portion, the fingers must be bent and the palm must be bent, whereas the handle portion has a plate shape like the function recovery training tool of the above configuration. If it consists of, only the fingers are bent at the time of grip, the palm touches the side of the plate body in a stretched state without bending, and the shoulder is more in the middle position of the shoulder inside and outside rotation, the elbow is extended, and the fingers are extended compared to the rod-shaped handle. Can maintain thumb abduction.
[0010]
A third invention is characterized in that, in the first invention, the handle portion is composed of a pair of plate bodies arranged to face each other, and grips one edge in the length direction thereof with left and right fingers. The present invention relates to a training tool for functional recovery of the upper limb. Since the handle portion is composed of a pair of plates, the function recovery training tool itself becomes heavy and bulky, so that the training can be performed while increasing the load on the patient.
[0011]
A fourth aspect of the present invention is the upper limb function recovery training tool according to the third aspect, wherein a width dimension between the pair of plate bodies disposed opposite to each other is formed slightly larger than a thickness width of the finger. About. Since the width between the plates is configured to be close to the thickness of the fingers, the fingers can be easily fixed between the plates.
[0012]
A fifth invention relates to the upper limb function recovery training tool according to the third or fourth invention, wherein a top plate is provided between a pair of opposed plate bodies. Since the top plate is provided between the pair of opposing plates, a weight is also applied to the upper part of the function recovery training tool, so that the balance of the function recovery training tool itself is improved, and training is facilitated.
[0013]
A sixth invention is directed to the training tool for functional recovery of the upper limb according to the fifth invention, wherein a weight accommodating portion is provided on the top plate. Since the weight accommodating portion is provided, a further load is applied by the function recovery training tool, and training according to the degree of bending deformation of the patient can be performed.
[0014]
A seventh invention is the upper limb according to any one of the second to sixth inventions, wherein a fixing device accommodating portion for accommodating the fixing device of the elbow is provided in a longitudinal direction of the handle portion formed of the plate body. The present invention relates to a functional recovery training tool. Since the handle portion is provided with the fixing device accommodating portion for accommodating the fixing device of the elbow, the elbow can be easily fixed.
[0015]
The eighth invention relates to the upper limb function recovery training tool according to any one of the first to seventh inventions, wherein the thumb rest portion is attached to the handle portion. Since it can be configured simply by attaching the thumb rest to the handle, the function recovery training tool can be easily configured.
[0016]
A ninth invention relates to the training tool for functional recovery of the upper limb according to any one of the first to eighth inventions, wherein a caster is provided below the base. Since the load on the patient is reduced by the casters, it can be used for the severely ill.
[0017]
A tenth invention is directed to the training tool for functional recovery of the upper limb according to the ninth invention, wherein the caster is detachable from the base. Since the casters are detachable from the base, use or non-use of the casters can be selected according to the degree of bending deformation of the patient.
[0018]
An eleventh invention relates to the upper limb function recovery training tool according to any one of the first to tenth inventions, which is combined with a finger fixing device and / or an elbow fixing device. By combining with the finger fixing device and / or the elbow fixing device, the training can be performed with the finger and / or the elbow fixed securely.
[0019]
A twelfth invention is directed to the training tool for functional recovery of the upper limb according to the eleventh invention, which is combined with a board having an inclined surface. By combining a board having an inclined surface, training can be performed under a high load condition against gravity, which is suitable for a patient whose deformation has been corrected little by little.
[0020]
BEST MODE FOR CARRYING OUT THE INVENTION
Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.
[First Embodiment]
As shown in FIGS. 1 and 2, the upper limb function recovery training tool 100 according to the present embodiment includes a base 10, and a grip portion 20 formed of a pair of opposed plate members erected on the base 10. , And a thumb rest portion 30 attached to the handle portion 20.
[0021]
The base 10 is a rectangular flat plate made of a rigid material such as synthetic resin, metal, or wood, and four casters 11 are arranged in parallel on the lower surface side of each of the two casters 11 so as to be detachable. Is provided. The caster 11 is detachable by screwing a female screw formed inside the perforation 13 below the base 10 and a male screw formed in the mounting portion 12 extending to the wheel support portion of the caster. I have. The caster 11 is not limited to the above-described configuration in which the male screw and the female screw are screwed, and may have any configuration as long as it is detachable.
[0022]
The handle portion 20 is composed of a pair of rectangular flat plate members formed of a rigid material such as synthetic resin, metal, or wood. The pair of plate members are arranged to face each other, and a top plate 22 is formed between the plate members. The width dimension between the pair of plate bodies arranged opposite to each other is formed slightly larger than the thickness width of the finger. In addition, a finger holding recess 21 corresponding to the form of a finger is formed below one edge in the length direction of each plate so that it can be gripped by four fingers other than the thumb. The handle 20 and the top plate 22 may be integrally formed in a U-shape, and the open end side may be erected on a base. Further, without forming the finger holding concave portion 21, a portion of the grip portion 20 gripped by at least four fingers other than the thumb may be formed in a round shape such as an arc shape. Further, when the plate body is not formed in a flat plate shape, it is preferable that at least the surface side in contact with the palm is a flat surface.
[0023]
Above the finger holding concave portion 21, a thumb rest portion 30 made of a rigid material such as synthetic resin, metal, or wood is attached. The thumb mounting portion 30 is formed in a round bar shape, and both ends thereof are fixed to a concave portion formed at one edge of the plate so as to be parallel to the base 10, and the thumb is separated from four fingers other than the thumb. It can be placed at the position. In addition, as long as the thumb is located above the part to be gripped by four fingers and is separated from the four fingers, the thumb rest part 30 is formed so as to be located forward from one edge of the plate body, and is located behind. (In FIG. 1, formed inside the plate), or may be formed flush with one edge of the plate. Further, the thumb rest portion 30 may not be attached to the handle portion 20 but may be separately erected on the base 10 at the front position of the handle portion 20. In this case, the thumb rest part 30 is formed in a U-shape, the open end side is erected on the base 19, the finger holding concave part 21 is formed in the thumb rest part 30, and the thumb rest is held together with the plate. You may comprise. Alternatively, a configuration may be adopted in which the thumb mounting portion 30 is not formed with the finger holding concave portion 21 but is formed in a round shape such as an arc shape, and is gripped together with the plate body.
[0024]
Hereinafter, a method of using the upper limb function recovery training tool 100 configured as described above will be described. As shown in FIG. 2, when training bending deformation of the left upper limb, the upper limb is stretched and the prone palm is placed on the base 10 in a state of standing about 90 degrees from the little finger as a starting point, and further on a horizontal board such as a table. Place was functional inserted between a pair of plate bodies recovery trainer 100, part 30 placing the thumb thumbs h ₂ while grip the finger holding recess 21 of the handle portion 20 with the thumb h ₂ other 4 fingers h ₁ Put on. Since the width dimension between the pair of plate bodies is formed slightly larger than the thickness width of the finger, it can be fixed by the grip portion 20 so as to sandwich the inserted finger. Then, in such a posture, the training is performed by repeatedly moving the function recovery training tool 100 on the board in the left and right directions or in an X-shape.
[0025]
As described above, the palm face down stretched upper extremity little finger is raised approximately 90 ° starting from the, thumb h ₂ while grip the handle portion 20 by 4 fingers h ₁ other than the thumb h ₂ above the grip portion 20 by placing the thumb mounting portion 30 which is formed, thumb h ₂ is bent little finger side (the thumb is on the inner dislocation) normal posture and finger flexion weak patient such as stroke (thumb outer dislocation state it is possible to train in), it is possible to increase the strength of the fingers at the outer dislocation of the thumb h _2, can be corrected more effectively hand bend. In addition, since the same patient as above can improve muscle strength of the upper limb while maintaining the extension of the elbow and the middle position of the inside and outside rotation of the shoulder in the weak position (normal posture opposite to the inward bending deformation), stroke The upper limb cannot be raised due to the inversion of the scapula due to, for example, or the inward bending of the elbow can be corrected more effectively.
[0026]
When the bending deformation of the upper limb is severe, the operation of inserting the upper limb into the function recovery training tool 100 and gripping the handle portion 20 can be performed with assistance. In addition, especially for severely ill persons, since the muscle strength of the upper limb is severely reduced, the training can be performed in combination with a finger fixing device and / or an elbow fixing device. The finger fixing device may have any configuration as long as the finger holding the grip portion can be fixed so as not to come off from the grip portion, and a commercially available finger may be used. As such a finger fixing device 40, four fingers are covered with a belt 41 as shown in FIG. 3 made of a flexible and stretchable material such as elastomer or rubber, and attached to both ends of the belt 41. The hook-and-loop fastener 42 may be configured to engage with hook-and-loop fasteners 43 attached to both side surfaces of the handle portion 20 shown in FIG. Alternatively, the center of a long belt (not shown) provided with hook-and-loop fasteners at both ends may be wound around the elbow in the same manner as described above, and then one end may be passed between the plate members and engaged with the hook-and-loop fastener at the other end. . The elbow fixing device may have any configuration as long as the extended upper limb can be fixed so as not to be bent by the elbow, and a commercially available elbow may be used. As such an elbow fixing device 50, a fixing plate 52 for fixing the elbow from the inside as shown in FIG. 4 formed of a flexible and elastic material such as elastomer or rubber is attached to a supporter 51 made of cloth. It is good also as a structure provided. In addition, when used by being housed in the fixture housing portion of the third embodiment described later, an elbow fixture 55 composed of only a plate body as shown in FIG. 5 may be used.
[0027]
Since the casters 11 are detachably provided on the base 10, the casters 11 can be removed for training depending on the degree of bending deformation of the patient. Since the frictional resistance between the board and the base 10 is increased by removing the casters 11 in this manner, the load when moving the functional recovery training tool 100 is increased, and it can be used for patients whose correction has advanced.
[0028]
In addition, in order to train a patient who has advanced correction while increasing the load, it can be used in combination with a board (not shown) having an inclined surface.
[0029]
When the functional recovery training device 100 according to the present embodiment was repeatedly used on a trial basis for various patients whose bending deformation was mild to severe, not only mild patients but also severe patients who were difficult to correct conventionally. Was also effective in correcting the
[0030]
[Second embodiment]
The function recovery training tool 110 according to the second embodiment is the same as the function recovery training 100 according to the first embodiment, except that the weight accommodating portion 23 is formed on the top plate. As shown in FIG. 6, the weight accommodating portion 23 is constituted by a concave fitting portion formed on the top plate 22, and can accommodate a weight therein. Further, a lid 24 is provided so that the stored weight does not drop when the function recovery training tool 110 is moved on the board. When the weight is accommodated in the function recovery training tool 110 in this manner, the function recovery training tool 110 itself is heavier and the load at the time of training of a patient whose deformation is corrected little by little is increased, thereby more effectively improving the bending deformation of the upper limb. It becomes possible to correct it. In FIG. 6, the same reference numerals are used for the same components as those in the first embodiment, but the same applies to the following embodiments.
[0031]
[Third embodiment]
The function recovery training tool 120 according to the third embodiment is the same as the function recovery training tool 100 according to the first embodiment, except that a fixture housing for accommodating a fixture for an elbow in the longitudinal direction of the grip 20 made of a rectangular flat plate. A part 25 is provided. As shown in FIG. 7, a hollow portion is formed in a part of each of the opposed plate members, and a plate-like elbow fixture 55 as shown in FIG. 5 is accommodated therein. With such a configuration, the elbow can be easily fixed.
[0032]
[Fourth embodiment]
In the function recovery training tool 130 according to the fourth embodiment, as shown in FIG. 8, the handle portion 20 is formed of a single plate. The base 10 can be configured in the same manner as the function recovery training tool 100 described in the first embodiment. Therefore, the configuration of the handle 20 and the thumb rest 30 will be mainly described below.
[0033]
The handle portion 20 erected on the base 10 is formed of a rectangular flat plate made of a rigid material such as synthetic resin, metal, or wood. A finger holding recess 21 corresponding to the form of a finger is formed below one edge in the length direction of the plate so that it can be gripped by four fingers other than the thumb.
[0034]
Above the finger holding concave portion 21, a thumb rest portion 30 made of a rigid material such as synthetic resin, metal, or wood is provided. The thumb rest 30 is formed in a round bar shape, and the center of the thumb rest 30 is fixed to a concave portion formed at one edge of the plate so as to be parallel to the base 10 on the handle 20. Project right and left from both sides of the handle portion 20.
[0035]
The function recovery training tool 130 configured as described above can be used in the same manner as the function recovery training tool 100 described in the first embodiment. , And the thumb is used by placing it on the protruding portion of the thumb rest 30.
[0036]
【The invention's effect】
According to the functional recovery training tool of the present invention, the palm with its upper limb extended and lying down is raised approximately 90 degrees with the little finger as a starting point, and the grip is gripped by four fingers other than the thumb, and at a position where the thumb is separated above the four fingers As you train, you can increase the strength of the upper limb with a normal posture opposite to the bending deformation inward of the upper limb while maintaining the shoulder in the middle position of the shoulder inside and outside rotation, the elbow extension position, the fingers in the thumb abduction position, It can effectively correct all bending deformations of fingers, elbows and shoulders due to stroke etc. regardless of mild or severe cases, and thus bring great gospel for medical or nursing care.
[Brief description of the drawings]
FIG. 1 is a perspective view of a function recovery training tool according to a first embodiment.
FIG. 2 is a front view of the functional recovery training tool according to the first embodiment with a finger inserted.
FIG. 3 is a perspective view of a finger fixing device.
FIG. 4 is a perspective view of a fixture for an elbow.
FIG. 5 is a perspective view of another form of an elbow fixture.
FIG. 6 is a perspective view of a function recovery training tool according to a second embodiment.
FIG. 7 is a front view of a function recovery training tool according to a third embodiment.
FIG. 8 is a perspective view of a function recovery training tool according to a fourth embodiment.
[Explanation of symbols]
REFERENCE SIGNS LIST 10 base 11 caster 20 handle portion 21 finger holding recess 22 top plate 23 weight receiving portion 25 fixing device receiving portion 30 thumb rest portion 40 finger fixing device 50 elbow fixing device 55 elbow fixing device h ₁ other than thumb 4 Finger h ₂ Thumb 100 Function recovery training tool 110 Function recovery training tool 120 Function recovery training tool 130 Function recovery training tool

Claims (12)

It is a function recovery training tool that repeats the movement of the upper limb on the board and corrects the bending deformation of the upper limb due to stroke etc.
A base,
A handle portion which is erected on the base, and which holds the folded palm with its upper limb stretched out with its four fingers other than the thumb in a state where the palm is raised approximately 90 degrees starting from the little finger;
A thumb rest portion provided above a portion of the handle portion to be gripped by four fingers other than the thumb, and for placing the thumb at a position separated from the four fingers;
A training tool for functional recovery of the upper limb, comprising: The upper limb function recovery training tool according to claim 1, wherein the handle portion is formed of a single plate, and grips one edge in the longitudinal direction. 2. The functional recovery of the upper limb according to claim 1, wherein the grip portion is composed of a pair of plate bodies arranged opposite to each other, and grips one edge in the length direction alternately with left and right fingers. Training tools. The upper limb function recovery training tool according to claim 3, wherein a width dimension between the pair of plate bodies arranged opposite to each other is formed slightly larger than a thickness width of the finger. The upper limb function recovery training device according to claim 3 or 4, wherein a top plate is provided between a pair of opposed plate members. The upper limb function recovery training tool according to claim 5, wherein a weight accommodation portion is provided on the top plate. 7. The upper limb function recovery training tool according to any one of claims 2 to 6, further comprising a fixing device accommodating portion for accommodating an elbow fixing device in a longitudinal direction of the handle portion formed of a plate body. The function recovery training tool for an upper limb according to any one of claims 1 to 7, wherein the thumb rest portion is attached to the handle portion. The function recovery training tool for an upper limb according to any one of claims 1 to 8, wherein a caster is provided on a lower surface side of the base. The upper limb function recovery training tool according to claim 9, wherein the caster is detachable from the base. 11. The upper limb function recovery training tool according to any one of claims 1 to 10, wherein the tool is combined with a finger fixing tool and / or an elbow fixing tool. The upper limb function recovery training tool set according to claim 11, which is combined with a board having an inclined surface.

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