JP2005279225A - Rehabilitation assisting utensil - Google Patents

Rehabilitation assisting utensil Download PDF

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JP2005279225A
JP2005279225A JP2004130481A JP2004130481A JP2005279225A JP 2005279225 A JP2005279225 A JP 2005279225A JP 2004130481 A JP2004130481 A JP 2004130481A JP 2004130481 A JP2004130481 A JP 2004130481A JP 2005279225 A JP2005279225 A JP 2005279225A
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rehabilitation
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compression
muscle
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JP3962869B2 (en
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Toshimasa Hamada
俊政 浜田
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a rehabilitation assisting utensil for performing an opening/closing exercise of the thighs by loading a specified resistance under a state wherein a user sits on a chair or lies on the back, opens the legs to the width of his/her shoulders, and the knees are bent at an approximately right angle. <P>SOLUTION: A stretching section equipped with an annular section 1 on both ends, and a compressing section 2 are integrally formed, thus this rehabilitation assisting utensil is assembled. The annular section 1 is attached on a section closer to the knee of the thigh section, and the compressing section 2 is pinched by both knees. Under this state, the opening/closing exercise of the thigh sections is performed. Thus, the muscular reflective disorder resulting from a difference in tension in the right and the left in muscle groups which are approximately symmetrically arranged in the body is canceled, and the rehabilitation assisting utensil can contribute to the therapies of various kinds of locomotorium disorders. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

本発明は、リハビリテーションに用いられる補助具、さらに詳しくは身体の筋肉群における、緊張と弛緩の不均衡に起因する障害を除去するために行う、リハビリテーションに用いられる補助具に関するものである。  The present invention relates to an assisting device used for rehabilitation, and more particularly to an assisting device used for rehabilitation, which is performed to remove a disorder caused by an imbalance between tension and relaxation in muscle groups of the body.

人体において、筋肉群はほぼ左右対称に配置されていて、身体の各種の運動は、それぞれの筋肉群を組織的に、緊張、弛緩させることによって実現できる。そして、左右同一筋肉の配置は殆どの場合、Vの字型に配置されている。  In the human body, muscle groups are arranged almost symmetrically, and various body movements can be realized by systematically tensioning and relaxing each muscle group. In most cases, the left and right muscles are arranged in a V shape.

一般に、健常人の健常時においても、自分で意識していない、かつ自分で制御することができない同一筋肉緊張の左右差が必ず存在する。図4は、人体における筋肉群の配置を、緊張と弛緩という観点から、模式的に示したものである。図において、実線で示した部位は緊張を、破線で示した部位は弛緩を示す。  In general, even in the normal state of a healthy person, there is always a left-right difference in the same muscle tension that is not conscious by oneself and cannot be controlled by oneself. FIG. 4 schematically shows the arrangement of muscle groups in the human body from the viewpoint of tension and relaxation. In the figure, the part indicated by a solid line indicates tension, and the part indicated by a broken line indicates relaxation.

前記のように、必ず存在する同一筋肉緊張の左右差は、通常において右利き、左利き、男女、年齢を問わず一定である。それは身体上部より、(1)右胸鎖乳突筋、(2)右広背筋、(3)左腸腰筋、(4)右大腿部内転筋(5)左下腿前脛骨筋の緊張が反対側よりも強いことが確認される。  As described above, the right-and-left difference in the same muscular tension that is always present is usually constant regardless of right-handed, left-handed, male and female, and age. From the upper part of the body, (1) right sternocleidomastoid muscle, (2) right latissimus dorsi, (3) left iliopsoas muscle, (4) right thigh adductor muscle, (5) left anterior tibial muscle on the opposite side Is confirmed to be stronger.

筋肉群における、このような緊張の左右差は身体の局所の障害、痛み、衝撃、疲れ、寒さ、無理な姿勢を長く続ける、等々いろいろな外的条件によって容易に増大する方向にシフトする、つまり局所の障害と筋肉、痛みと筋肉、衝撃と筋肉、寒さと筋肉、無理な姿勢と筋肉がダイレクトに自分の意識とは全く関係が無いところで反応してしまう。ここでは、これを筋肉反射障害と呼ぶことにする。  The left-right difference in tension in the muscle group shifts in a direction that easily increases due to various external conditions such as local disorders of the body, pain, shock, fatigue, cold, prolonged unreasonable posture, etc. Local obstacles and muscles, pain and muscles, shock and muscles, cold and muscles, unreasonable postures and muscles react where there is no direct relationship with their consciousness. Here, this is called a muscle reflex disorder.

身体の局所に運動器障害があると、このような筋肉反射障害と相乗的に作用して、より広範囲に亘る運動器障害を引き起こすと考えられる。そして治療に際しては、まず筋肉反射障害の解除から始めることが肝要となる。  If there is a musculoskeletal disorder locally in the body, it is considered to act synergistically with such a muscle reflex disorder and cause a wider range of musculoskeletal disorders. In the treatment, it is important to start with the cancellation of the muscle reflex disorder first.

筋肉反射障害を解除するための方法として、第一にPNF(神経筋促通法:Proprioceptive Neuromuscular Facilitation)運動療法におけるルードアプローチが考えられる。更に、本発明者は、先願において、シール貼付療法を提案している。  As a method for relieving the muscle reflex disorder, firstly, a roud approach in PNF (Proneopeptic Neurofacial Facility) exercise therapy can be considered. Furthermore, the present inventor has proposed a sticker application therapy in the prior application.

そして、更に筋肉反射障害を解除する運動療法の一つとして、両大腿部の筋肉、つまり内転筋、大腿筋膜張筋などの緊張の左右差を解除するための、補助具を装着しての自動抵抗運動が考えられる。具体的には、椅子に座り、又は仰向けに寝た状態で、両足を肩幅に開き、膝をほぼ直角に屈曲した状態で、大腿部の開閉を一定の抵抗を負荷して行うというものである。  In addition, as one of the exercise therapies for relieving muscle reflex disorder, an assistive device for releasing the left-right difference in tension between the muscles of both thighs, that is, the adductor muscles, the fascia latais, etc. All automatic resistance movements can be considered. Specifically, sitting on a chair or lying on his back, both legs are opened to the shoulder width, and the knee is bent at a substantially right angle, and the thigh is opened and closed with a certain resistance. is there.

このような運動療法を行うには、運動に対して一定の抵抗を負荷するための補助具が必要であり。従来、運動の補助具としては、各種のものが考案され実用化されている。  In order to perform such exercise therapy, an auxiliary device for applying a certain resistance to exercise is necessary. Conventionally, various kinds of exercise assisting devices have been devised and put into practical use.

例えば、特許文献1には、主として下肢のストレッチ、リハビリテーション、トレーニングなど使用する用具が開示されている。また、特許文献2には、フレームにゴムチューブを取り付けた構造で、ベッドなどで寝たまま使用できる筋力トレーニング補助具が開示されている。  For example, Patent Document 1 discloses a tool mainly used for stretching, rehabilitation, training, etc. of the lower limbs. Patent Document 2 discloses a strength training aid that can be used while sleeping on a bed or the like with a structure in which a rubber tube is attached to a frame.

実開平6−66664号公報  Japanese Utility Model Publication No. 6-66664 特開2002−52090号公報  JP 2002-52090 A

しかしながら、これらの特許文献に開示されている用具は、前記のような両大腿部の運動に用いることは、実質的に不可能である。また、前記以外で現在公知となっている補助具にも、前記のような大腿部の運動に適したものは見受けられないのが実状である。  However, it is practically impossible to use the tools disclosed in these patent documents for the movement of both thighs as described above. In addition to the above, there is actually no assistive device currently known that is suitable for the thigh movement as described above.

従って、本発明の課題は、椅子に座り、又は仰向けに寝た状態で、両足を肩幅に開き、両膝をほぼ直角に屈曲した状態で、大腿部の開閉運動を一定の抵抗を負荷して行うための、リハビリテーション補助具を提供することにある。  Accordingly, an object of the present invention is to apply a certain resistance to the opening and closing movements of the thigh while sitting on a chair or lying on his back, with both legs open to the shoulder width and both knees bent at a substantially right angle. It is to provide a rehabilitation assisting tool.

本発明は、前記の問題解決のため、新規な構造のリハビリテーション補助具を検討した結果なされたものである。  The present invention has been made as a result of studying a rehabilitation aid having a novel structure in order to solve the above problems.

即ち、本発明は、柱状の形状の圧縮部と、両端に環状部を備えた帯状または紐状の形状の伸張部を有するリハビリテーション補助具であって、前記伸張部の長さ方向の中央部が、前記圧縮部の長さ方向に設けられた貫通孔に挿通され、前記環状部が前記圧縮部の両端面に露出してなることを特徴とするリハビリテーション補助具である。  That is, the present invention is a rehabilitation aid having a columnar compression portion and a belt-like or string-like extension portion having an annular portion at both ends, wherein a central portion in the length direction of the extension portion is provided. The rehabilitation aid is inserted into a through hole provided in the length direction of the compression part, and the annular part is exposed at both end faces of the compression part.

また、本発明は、前記圧縮部の長さが、10cm〜20cmであり、前記伸張部の長さが、前記環状部を含め、30cm〜80cmであることを特徴とする、前記のリハビリテーション補助具である。  Further, the present invention provides the above-mentioned rehabilitation aid, wherein the compression part has a length of 10 cm to 20 cm, and the extension part has a length of 30 cm to 80 cm including the annular part. It is.

また、本発明は、前記圧縮部及び伸張部のヤング率が、1〜8×10−4Paであることを特徴とする、前記のリハビリテーション補助具である。In addition, the present invention provides the rehabilitation aid described above, wherein Young's modulus of the compression part and the extension part is 1 to 8 × 10 −4 Pa.

また、本発明は、前記圧縮部が、発泡エラストマーからなることを特徴とする、前記のリハビリテーション補助具である。  Moreover, this invention is the said rehabilitation assistance tool characterized by the said compression part consisting of a foamed elastomer.

本発明のリハビリテーション補助具は、椅子に座り、又は仰向けに寝た状態で、両足を肩幅に開き、両膝をほぼ直角に屈曲し、両膝の間に圧縮部を挟み、伸張部の両端に設けられた環状部を、大腿部の膝に近い部分に挿通して用いることができる。つまり、両膝を閉じる内旋運動を行う際には、圧縮部が抵抗を負荷するように機能し、両膝を開く外旋運動を行う際には、伸張部が抵抗を負荷するように機能する。  The rehabilitation aid of the present invention sits on a chair or lies on its back, opens both legs to the shoulder width, bends both knees at a substantially right angle, sandwiches a compression part between both knees, and extends to both ends of the extension part. The provided annular portion can be used by being inserted into a portion of the thigh close to the knee. In other words, the compression part functions to load resistance when performing an internal rotation movement that closes both knees, and the extension part functions to load resistance when performing an external rotation movement that opens both knees. To do.

内旋運動により、自分の意思で左右内転筋を同時に同程度緊張させることになるが、その際に柱状の形状の圧縮部が抵抗として働く。それによって、内転筋の筋肉緊張のリセット効果が発現すると解される。  Due to the internal rotation, the left and right adductor muscles are simultaneously strained to the same extent by one's own intention, but at that time, the columnar compression portion acts as a resistance. As a result, it is understood that a reset effect of the muscle tone of the adductor muscle is exhibited.

また、外旋運動により、自分の意思で左右大腿筋膜張筋を同時に同程度緊張させることになるが、その際に帯状の伸張部が抵抗として働く。それによって、大腿筋膜張筋の筋肉緊張のリセット効果が発現すると解される。  In addition, by external rotation, the left and right thigh fascia latae muscles are simultaneously tensioned to the same extent by one's own intention, but at that time, the belt-like extension works as a resistance. As a result, it is understood that the effect of resetting the muscle tone of the thigh fascia latae muscle appears.

このように、自分の意志の元に左右対称の自動抵抗運動を同時に行うと、筋肉反射障害という、自分で意識することができない、かつ自分で制御することができない、左右の筋肉緊張の左右差が解消できる。そして両大腿部の緊張の左右差を解消できると、それが全身に波及して全、身の筋肉の緊張左右差がなくなる。つまり筋肉反射障害が解除されることになる。  In this way, if you perform a symmetric automatic resistance exercise at the same time based on your will, muscle reflex disorder, a difference in left and right muscle tension that you cannot be aware of and you cannot control yourself. Can be resolved. And if the left-right difference in tension between both thighs can be eliminated, it will spread to the whole body, and there will be no difference in tension between all muscles. That is, the muscle reflex disorder is canceled.

本発明のリハビリテーション補助具は、前記のような方法で使用することから、その大きさや、運動の抵抗の程度を決定するヤング率には、適正な範囲がある。つまり、使用する人の体格にもよるが、圧縮部の長さは、10cm〜20cmが望ましい。その理由は、長さが10cm未満では、両膝を閉じる際に、十分な抵抗が負荷されず、長さが20cmを超えると、両膝を開く際の膝の移動量が不十分になるからである。  Since the rehabilitation aid of the present invention is used in the above-described manner, the Young's modulus that determines the size and the degree of resistance to exercise has an appropriate range. That is, although it depends on the physique of the user, the length of the compression part is desirably 10 cm to 20 cm. The reason is that when the length is less than 10 cm, sufficient resistance is not applied when closing both knees, and when the length exceeds 20 cm, the amount of movement of the knee when opening both knees becomes insufficient. It is.

また、環状部を含めた伸張部の長さは、30cm〜80cmが望ましい。その理由は、長さが30cm未満では、装着自体が困難となり、長さが80cmを超えると、両膝を開く際に十分な抵抗が負荷されないからである。  Further, the length of the extended portion including the annular portion is desirably 30 cm to 80 cm. The reason is that if the length is less than 30 cm, the wearing itself becomes difficult, and if the length exceeds 80 cm, sufficient resistance is not applied when opening both knees.

また、圧縮部及び伸張部のヤング率は、1〜8×10−4Paが望ましい。その理由は、1×10−4Pa未満のヤング率では、抵抗が小さ過ぎて十分な効果が期待できないからであり、8×10−4Paを超えるヤング率では、抵抗が大き過ぎて、筋肉に新たな障害を生じさせる虞があるからである。Moreover, as for the Young's modulus of a compression part and an expansion | extension part, 1-8x10 <-4> Pa is desirable. The reason is that when the Young's modulus is less than 1 × 10 −4 Pa, the resistance is too small and a sufficient effect cannot be expected, and when the Young's modulus exceeds 8 × 10 −4 Pa, the resistance is too large and the muscle This is because there is a risk of causing a new failure.

伸張部の抵抗の大きさの調整は、用いる材料の断面積で容易に行えるが、圧縮部の場合は、膝の間に挟んで用いることから、一定以上の断面積が必要となる。従って、圧縮部には、発泡ポリウレタンや、発泡シリコーンゴムのような、発泡エラストマーを用いることが望ましい。つまり、材料の発泡の程度の調整で、両膝を閉じる際の抵抗を調整することができる。  Adjustment of the resistance of the stretched part can be easily made by the cross-sectional area of the material used, but in the case of the compressed part, the cross-sectional area of a certain level or more is required because it is sandwiched between the knees. Therefore, it is desirable to use a foamed elastomer such as foamed polyurethane or foamed silicone rubber for the compression part. That is, the resistance at the time of closing both knees can be adjusted by adjusting the degree of foaming of the material.

次に、図を参照して、本発明の実施するための形態を説明する。  Next, a mode for carrying out the present invention will be described with reference to the drawings.

図1は、本発明の実施の形態に係る、リハビリテーション補助具の一例を示す図で、図1(a)は斜視図、図1(b)は正面図である。図において、1は、伸張部に設けられた環状部、2は圧縮部、3は圧縮部の端面を大腿部に嵌合させるための凹部である。また、図2は、図1における圧縮部を示す斜視図であり、図3は図1における伸張部を示す斜視図である。  1A and 1B are diagrams showing an example of a rehabilitation aid according to an embodiment of the present invention, in which FIG. 1A is a perspective view and FIG. 1B is a front view. In the figure, 1 is an annular portion provided in the extension portion, 2 is a compression portion, and 3 is a recess for fitting the end face of the compression portion to the thigh. 2 is a perspective view showing the compression section in FIG. 1, and FIG. 3 is a perspective view showing the extension section in FIG.

圧縮部には、例えばマットレスやスポンジとして市販されている、発泡ポリウレタンを用いることができる。この塊状の材料を加工して図2のような形状としてもよいし、シート状の発泡ポリウレタンを適当な幅に切断し、これを巻き付けて粘着テープを巻き付けるという方法で作製してもよい。  For the compression part, for example, foamed polyurethane, which is commercially available as a mattress or sponge, can be used. The bulk material may be processed into a shape as shown in FIG. 2, or may be produced by cutting a sheet-like foamed polyurethane into a suitable width, winding it and winding an adhesive tape.

また、伸張部には、帯状のゴムを接着剤を用いて図3のような形状として用いてもよいし、ゴム弾性を有する一対の環状材料を繋ぎ合せて作製してもよい。  Further, a belt-like rubber may be used as the shape as shown in FIG. 3 using an adhesive for the extension part, or a pair of annular materials having rubber elasticity may be joined together.

以上に説明したように、本発明によれば、簡便な構造を有し、適当な抵抗を負荷した状態で両膝の開閉運動を行えるリハビリテーション補助具を提供することができる。  As described above, according to the present invention, it is possible to provide a rehabilitation assisting device that has a simple structure and can open and close both knees with appropriate resistance loaded.

本発明のリハビリテーション補助具の一例を示す図。図1(a)は斜視図。図1(b)は正面図。  The figure which shows an example of the rehabilitation assistance tool of this invention. FIG. 1A is a perspective view. FIG. 1B is a front view. 圧縮部を示す斜視図。  The perspective view which shows a compression part. 伸張部を示す斜視図  Perspective view showing extension part

符号の説明Explanation of symbols

1 環状部
2 圧縮部
3 凹部
1 annular portion 2 compression portion 3 recess

Claims (4)

柱状の形状の圧縮部と、両端に環状部を備えた帯状または紐状の形状の伸張部を有するリハビリテーション補助具であって、前記伸張部の長さ方向の中央部は、前記圧縮部の長さ方向に設けられた貫通孔に挿通され、前記環状部が前記圧縮部の両端面に露出してなることを特徴とするリハビリテーション補助具。  A rehabilitation assisting device having a columnar compression portion and a belt-like or string-like extension portion having annular portions at both ends, wherein the central portion of the extension portion in the length direction is the length of the compression portion. A rehabilitation aid that is inserted into a through-hole provided in a vertical direction and the annular part is exposed at both end faces of the compression part. 前記圧縮部の長さは、10cm〜20cmであり、前記伸張部の長さは、前記環状部を含め、30cm〜80cmであることを特徴とする、請求項1に記載のリハビリテーション補助具。  The rehabilitation aid according to claim 1, wherein a length of the compression part is 10 cm to 20 cm, and a length of the extension part is 30 cm to 80 cm including the annular part. 前記圧縮部及び伸張部のヤング率は、1〜8×10−4Paであることを特徴とする、請求項1または請求項2に記載のリハビリテーション補助具。The rehabilitation aid according to claim 1 or 2, wherein Young's modulus of said compression part and extension part is 1-8x10 <-4> Pa. 前記圧縮部は、発泡エラストマーからなることを特徴とする、請求項1ないし請求項3に記載のリハビリテーション補助具。  The rehabilitation aid according to any one of claims 1 to 3, wherein the compression portion is made of a foamed elastomer.
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100146949A1 (en) * 2006-09-25 2010-06-17 The University Of Sussex Vehicle power supply system
JP6461417B1 (en) * 2018-09-28 2019-01-30 有限会社音吉 Exercise equipment

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100146949A1 (en) * 2006-09-25 2010-06-17 The University Of Sussex Vehicle power supply system
JP6461417B1 (en) * 2018-09-28 2019-01-30 有限会社音吉 Exercise equipment
JP2020049121A (en) * 2018-09-28 2020-04-02 有限会社音吉 Exercise tool

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