JP2010075628A - Cushion member for lower limb orthosis - Google Patents

Cushion member for lower limb orthosis Download PDF

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JP2010075628A
JP2010075628A JP2008250467A JP2008250467A JP2010075628A JP 2010075628 A JP2010075628 A JP 2010075628A JP 2008250467 A JP2008250467 A JP 2008250467A JP 2008250467 A JP2008250467 A JP 2008250467A JP 2010075628 A JP2010075628 A JP 2010075628A
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calf
cushion member
lower limb
pocket
fastening belt
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Yoko Otani
要子 大谷
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a cushion member, not causing swelling or pain even when a calf fastening belt touches on the calf in walking, and not fixed to a lower limb orthosis to facilitate washing or replacement of the cushion member. <P>SOLUTION: The cushion member 2 is used together with the lower limb orthosis 1 including an instep fastening belt 11 and the calf fastening belt 12. The member 2 includes: an annular knit cloth 21 with a pocket 22 applied to a part of the leg on which the calf fastening belt 12 touches; and a cushion material 23 removably put in the pocket 22. The pocket 22 is provided in a portion of the annular knit cloth 21 that covers at least the shin. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

本発明は、脹脛締付用ベルトを有する下肢装具とともに使用して、脹脛締付用ベルトが向こう脛に当る際の痛みを緩和するクッション部材に関する。   The present invention relates to a cushion member that is used together with a lower limb orthosis having a calf fastening belt to relieve pain when the calf fastening belt hits the far shin.

脳卒中や交通事故等により半身や下肢が麻痺した場合、歩行時に下肢装具を装着するのが普通である。現在種々の形状の下肢装具が市販されているが、各人の下肢の形状に成形したプラスチック製下肢装具本体を用いるのが一般的である。例えば、特開2007-7311号(特許文献1)は、足の裏及び脹脛を保持する一体的なプラスチック製装具本体と、足の甲を装具本体に固定するための甲締付用ベルトと、脹脛の上部に装着して脹脛を装具本体に固定するための脹脛締付用ベルトとを有する短下肢装具を開示している。脹脛締付用ベルトと同じ高さの装具本体の部分の内側に複数の脹脛受け部分が装着されている。   When the body and lower limbs are paralyzed due to a stroke or a traffic accident, it is common to wear lower limb orthoses during walking. Currently, various types of lower limb orthoses are commercially available, but it is common to use a plastic lower limb orthosis molded into the shape of each person's lower limb. For example, Japanese Patent Application Laid-Open No. 2007-7311 (Patent Document 1) discloses an integral plastic orthosis body that holds the sole of a foot and a calf, an upper belt for fixing an instep to the orthosis body, Disclosed is a short leg brace having a calf fastening belt for attaching the calf to the upper part of the calf and fixing the calf to the brace body. A plurality of calf receiving portions are mounted on the inner side of the portion of the appliance main body that is the same height as the calf fastening belt.

下肢装具を装着する人は体重を足首で支えられないのが普通であるので、歩行時に全体重が脹脛締付用ベルトにかかる。そのため、脹脛締付用ベルトが脛に当ると、脹脛受け部分が設けられていても、脛が腫れて著しい痛みを伴うことが分った。その上、脹脛締付用ベルトはプラスチック製の装具本体に固定されているので、ベルトに固定された脹脛受け部分を洗濯する間、下肢装具を使用できない。さらに、長期間の使用により脹脛受け部分の弾力性が劣化したときでも、簡単に交換しにくいという問題もある。
特開2007-7311号公報
Since a person wearing a lower limb orthosis usually cannot support the weight with an ankle, the entire weight is applied to the calf fastening belt during walking. For this reason, it has been found that when the calf fastening belt hits the shin, the shin is swollen and accompanied by significant pain even if the calf receiving portion is provided. In addition, since the calf fastening belt is fixed to the plastic orthosis body, the lower leg orthosis cannot be used while washing the calf receiving part fixed to the belt. Furthermore, even when the elasticity of the calf receiving part deteriorates due to long-term use, there is also a problem that it is difficult to easily replace it.
JP 2007-7311 A

従って、本発明の目的は、歩行時に脹脛締付用ベルトが脛に当たっても腫れや痛みを生じることがなく、かつ洗濯やクッション材の交換が容易なように下肢装具に固定されないクッション部材を提供することである。   Accordingly, an object of the present invention is to provide a cushion member that is not fixed to the lower limb orthosis so that it does not cause swelling or pain even when the belt for tightening the shin is in contact with the shin during walking, and is easy to wash or replace the cushioning material. That is.

上記目的に鑑み鋭意研究の結果、本発明者は、甲締付用ベルト及び脹脛締付用ベルトを有する下肢装具とともに、クッション材を着脱自在に収容するポケットを有する環状編布からなるクッション部材を足に装着すると、下肢装具の脹脛締付用ベルトが向こう脛に当たることによるはれや痛みを防止しつつ歩行できることを発見し、本発明に想到した。   As a result of earnest research in view of the above object, the present inventor has provided a cushion member made of an annular knitted fabric having a pocket for detachably storing a cushion material together with a lower limb orthosis having an upper belt and a calf fastening belt. It was discovered that, when worn on the foot, the belt for tightening the shin of the lower limb orthosis can walk while preventing swelling and pain caused by hitting the shin on the other side, and the present invention has been conceived.

すなわち、甲締付用ベルト及び脹脛締付用ベルトを具備する下肢装具とともに使用する本発明のクッション部材は、前記脹脛締付用ベルトが当る足の部分に装着するポケット付き環状編布と、前記ポケットに着脱自在に入れるクッション材とを具備し、前記ポケットは前記環状編布のうち少なくとも向こう脛を覆う部分に設けられていることを特徴とする。   That is, the cushion member of the present invention used together with the lower limb orthosis comprising the upper fastening belt and the calf fastening belt, the annular knitted fabric with pockets to be attached to the part of the foot against which the calf fastening belt hits, A cushioning material that is detachably inserted into the pocket, wherein the pocket is provided at a portion of the annular knitted fabric that covers at least the shin.

前記クッション材はスポンジからなるのが好ましい。前記環状編布は足に装着した状態で足からずり落ちない程度の締め付け力を有するのが好ましい。   The cushion material is preferably made of sponge. It is preferable that the annular knitted fabric has a tightening force enough to prevent the annular knitted fabric from slipping off from the foot when attached to the foot.

本発明のクッション部材は、下肢装具の脹脛締付用ベルトが当る脛の部分を覆うクッション材を有するので、歩行時にベルトが当たって脛が腫れたり痛んだりするのを防止することができる。また下肢装具とは別体であるので、複数用意しておけば洗濯の際に下肢装具が使えなくなるという不便がない。さらに、環状編布に設けたポケットにクッション材を着脱自在に収容することができるので、クッション材の弾力性が低下したときに簡単に交換できる。環状編布は片手でも簡単に足に装着することができ、かつ下肢装具の装着時にもずれないので、半身不随の人でも簡単に下肢装具の装着を行うことができる。   Since the cushion member of the present invention has a cushioning material that covers the portion of the shin against which the belt for tightening the shin of the lower limb orthosis hits, it is possible to prevent the shin from swelling or aching due to the belt hitting during walking. In addition, since it is a separate body from the lower limb orthosis, there is no inconvenience that the lower limb orthosis cannot be used when washing, if a plurality of them are prepared. Furthermore, since the cushion material can be detachably accommodated in the pocket provided in the annular knitted fabric, it can be easily replaced when the elasticity of the cushion material is lowered. Since the annular knitted fabric can be easily attached to the foot with one hand and does not slip even when the lower limb orthosis is worn, even a person who is not half-body can easily wear the lower limb orthosis.

[1] 下肢装具
図1及び図2は下肢装具1の一例を示す。この下肢装具1は、各人の足に合わせて成形したプラスチック製装具本体10と、足の甲部を固定するように装具本体10に固定された甲締付用ベルト11と、脹脛部を固定するように装具本体10に固定された脹脛締付用ベルト12とを有し、各ベルト11,12の合わせ面には固定具(脹脛締付用ベルト12の固定具12a,12bのみ示す。)が設けられている。固定具12a,12bの一方は多数のループを有し、他方は多数のフックを有する。このような固定具はマジックテープ(登録商標)として市販されている。各ベルト11,12の一端は装具本体10にビス13等で固定されており、先端側はビス13と対向する装具本体10の部分に設けられた平坦なリング部材14を通って折り返すようになっている。足に装具本体10を置いた後各ベルト11,12を適当に絞めて、固定具12a,12bで固定する。
[1] Lower limb orthosis FIGS. 1 and 2 show an example of the lower limb orthosis 1. The lower limb orthosis 1 includes a plastic orthosis body 10 molded to fit each person's foot, an upper belt 11 fixed to the orthosis body 10 so as to fix the upper part of the foot, and a calf part. In addition, a calf fastening belt 12 fixed to the orthosis main body 10 is provided, and a fixture (only the fixtures 12a and 12b of the calf fastening belt 12 are shown) on the mating surfaces of the belts 11 and 12. Is provided. One of the fixtures 12a and 12b has a number of loops, and the other has a number of hooks. Such a fixture is commercially available as Velcro (registered trademark). One end of each of the belts 11 and 12 is fixed to the appliance main body 10 with a screw 13 or the like, and the tip end side is folded back through a flat ring member 14 provided in a portion of the appliance main body 10 facing the screw 13. ing. After placing the orthosis body 10 on the foot, the belts 11 and 12 are appropriately squeezed and fixed with the fixing tools 12a and 12b.

[2] クッション部材
図3は本発明のクッション部材2を示す。クッション部材2は、脹脛締付用ベルト12が当る足の部分に装着するポケット22付き環状編布21と、ポケット22に着脱自在に収容するクッション材23とを具備する。環状編布21は足に装着したときにずり落ちない程度の内径で、伸縮性を有する素材により形成されている。このような条件を満たす限り、環状編布21の素材は天然繊維でも合成繊維でも良い。また環状編布21の幅は脹脛締付用ベルト12より十分に大きければ良く、限定的ではない。
[2] Cushion Member FIG. 3 shows the cushion member 2 of the present invention. The cushion member 2 includes an annular knitted fabric 21 with a pocket 22 that is attached to a portion of the foot against which the calf fastening belt 12 hits, and a cushion material 23 that is detachably accommodated in the pocket 22. The annular knitted fabric 21 is formed of a stretchable material with an inner diameter that does not slip off when worn on the foot. As long as these conditions are satisfied, the material of the annular knitted fabric 21 may be natural fibers or synthetic fibers. Further, the width of the annular knitted fabric 21 is not limited as long as it is sufficiently larger than the calf fastening belt 12.

ポケット22は環状編布21のうち少なくとも向こう脛を覆う部分に設けられている。これは、歩行時に当る足の部分のうち向こう脛が最も痛みを感じる部分であるからである。図1から明らかなように、プラスチック製装具本体10により足の横方向の動きは規制されているので、足は踝を中心にして前後方向のみ可動である。脹脛はプラスチック製装具本体10の面全体で保持されるので、歩行時に痛くなることはない。しかし、向こう脛は脹脛締付用ベルト12だけで支持されるので、大きな力が脹脛締付用ベルト12にかかる。そのため、脹脛締付用ベルト12に当る向こう脛は、皮膚の直下に骨があることもあって、非常に痛みを感じ、腫れることも多い。従って、向こう脛と脹脛締付用ベルト12との間にクッション材23が位置するように、ポケット22は少なくとも向こう脛を覆う部分に設けられている必要がある。勿論、ポケット22を環状編布21の全体に設けても良いが、その場合でもクッション材23は向こう脛を覆う程度の長さで良い。ポケット22を含めて環状編布21は伸縮性を有する素材により形成されているので、ポケット22に蓋を設けなくてもクッション材23が脱落することはない。   The pocket 22 is provided in a portion of the annular knitted fabric 21 that covers at least the shin. This is because the far shin is the most painful part of the foot part that hits during walking. As is apparent from FIG. 1, since the lateral movement of the foot is restricted by the plastic orthosis main body 10, the foot is movable only in the front-rear direction around the heel. Since the calf is held over the entire surface of the plastic orthosis body 10, it does not hurt when walking. However, since the shin is supported only by the calf fastening belt 12, a large force is applied to the calf fastening belt 12. Therefore, the shin which hits the calf fastening belt 12 is very painful and often swelled due to bones directly under the skin. Therefore, the pocket 22 needs to be provided at least in a portion covering the shin so that the cushion member 23 is positioned between the shin and the calf fastening belt 12. Of course, the pocket 22 may be provided on the entire annular knitted fabric 21, but the cushion material 23 may be long enough to cover the shin. Since the annular knitted fabric 21 including the pocket 22 is formed of a stretchable material, the cushion material 23 does not fall off even if the pocket 22 is not provided with a lid.

クッション材23は十分な弾力性及び柔軟性を有する限りいかなる態様のものでも良く、例えばスポンジ、ゴム、柔軟性ゲル等からなるもので良い。しかし、フェルトは弾力性及び柔軟性が不足するので、痛みや腫れの防止に効果的でない。スポンジとしては、ウレタンフォーム、ポリプロピレンフォーム、ポリエチレンフォーム、シリコーンフォーム等が挙げられる。スポンジは単体でも良いが、高発泡のものと低高発泡のものとを組合せても良い。ゴムも弾力性だけでなく柔軟性も必要であるので、シリコーンゴムやウレタンゴムが好ましい。柔軟性ゲルは高衝撃吸収性のゲル状シリコーンであり、アルファゲル(登録商標)として市販されている。なかでも、安価であるという理由で、スポンジが好ましい。   The cushion material 23 may be of any form as long as it has sufficient elasticity and flexibility, and may be made of, for example, sponge, rubber, flexible gel or the like. However, felt is not effective in preventing pain and swelling because it lacks elasticity and flexibility. Examples of the sponge include urethane foam, polypropylene foam, polyethylene foam, and silicone foam. The sponge may be a simple substance, or may be a combination of a highly foamed one and a low highly foamed one. Since the rubber needs not only elasticity but also flexibility, silicone rubber and urethane rubber are preferable. The flexible gel is a high impact absorbing gel-like silicone and is commercially available as Alpha Gel (registered trademark). Among these, sponge is preferable because it is inexpensive.

クッション材23の弾力性は長期間の使用により低下することがある。その場合、ポケット22に収容する形式なので新しいクッション材23に簡単に交換することができる。   The elasticity of the cushion material 23 may be reduced by long-term use. In that case, since it is a form accommodated in the pocket 22, it can be easily replaced with a new cushion material 23.

図4はクッション部材2を下肢装具1とともに足に装着する手順を示す。(a) に示すように足3(骨4に近い部分が向こう脛3a)に装着する下肢装具1及びクッション部材2を準備し、先にクッション材23が向こう脛3aを覆うようにクッション部材2を足に装着する[(b)]。最後にクッション部材2の上から下肢装具1を足に装着し、脹脛締付用ベルト12の先端側をリング部材14に通して折り曲げ、固定具12a,12bでしっかり固定する。もしクッション材23の位置が最適でなければ、脹脛締付用ベルト12を開放し、クッション部材2を適当な配置に動かせば良い。   FIG. 4 shows a procedure for mounting the cushion member 2 on the foot together with the lower limb orthosis 1. As shown in (a), the lower limb orthosis 1 and the cushion member 2 to be attached to the foot 3 (the portion close to the bone 4 is the opposite shin 3a) are prepared, and the cushion member 2 is first so that the cushion material 23 covers the shin 3a. On the foot [(b)]. Finally, the lower limb orthosis 1 is mounted on the foot from above the cushion member 2, the tip end side of the calf fastening belt 12 is bent through the ring member 14, and firmly fixed by the fixing devices 12a and 12b. If the position of the cushion member 23 is not optimum, the calf fastening belt 12 may be released and the cushion member 2 may be moved to an appropriate position.

以上の通り、図面を参照して本発明のクッション部材を説明したが、本発明はそれに限定されず、その趣旨を変更しない限り種々の変更を加えることができる。例えば、ポケット22に蓋を設けても良い。クッション部材のサイズ等(幅、ポケット22の大きさ及び位置等)は、現在使用されているいかなる形状の下肢装具1にも対応できるように適当に決めれば良い。   As described above, the cushion member of the present invention has been described with reference to the drawings. However, the present invention is not limited thereto, and various modifications can be made without changing the gist thereof. For example, the pocket 22 may be provided with a lid. The size and the like of the cushion member (width, size and position of the pocket 22) may be appropriately determined so as to be compatible with any shape of the lower limb orthosis 1 currently used.

本発明のクッション部材を用いる下肢装具の一例であって、甲締付用ベルト及び脹脛締付用ベルトが開いた状態を示す斜視図である。It is an example of the lower limb orthosis using the cushion member of this invention, Comprising: It is a perspective view which shows the state in which the upper belt and the calf fastening belt were opened. 本発明のクッション部材を用いる下肢装具の一例であって、甲締付用ベルト及び脹脛締付用ベルトが閉じた状態を示す斜視図である。It is an example of the lower limb orthosis using the cushion member of this invention, Comprising: It is a perspective view which shows the state in which the upper belt and the calf fastening belt were closed. 本発明のクッション部材を示す斜視図である。It is a perspective view which shows the cushion member of this invention. 本発明のクッション部材及び下肢装具を足に装着する手順を示す断面図である。It is sectional drawing which shows the procedure which equips a leg | foot with the cushion member and lower limbs orthosis of this invention.

符号の説明Explanation of symbols

1・・・下肢装具
10・・・プラスチック製装具本体
11・・・甲締付用ベルト
12・・・脹脛締付用ベルト
2・・・クッション部材
21・・・環状編布
22・・・ポケット
23・・・クッション材
1 ... Lower limb orthosis
10 ... Plastic brace body
11 ... Casting belt
12 ... Belt for tightening calves 2 ... Cushion member
21 ... Annular knitted fabric
22 ... Pocket
23 ・ ・ ・ Cushion material

Claims (3)

甲締付用ベルト及び脹脛締付用ベルトを具備する下肢装具とともに使用するクッション部材であって、前記脹脛締付用ベルトが当る足の部分に装着するポケット付き環状編布と、前記ポケットに着脱自在に入れるクッション材とを具備し、前記ポケットは前記環状編布のうち少なくとも向こう脛を覆う部分に設けられていることを特徴とするクッション部材。 A cushion member for use with a lower limb orthosis comprising an upper belt and a calf belt, and an annular knitted fabric with a pocket to be attached to a leg portion against which the calf belt is hit, and a detachable attachment to the pocket A cushion member characterized by comprising: a cushion material that can be freely inserted; and the pocket is provided in a portion of the annular knitted fabric that covers at least the shin. 請求項1に記載のクッション部材において、前記クッション材がスポンジからなることを特徴とするクッション部材。 The cushion member according to claim 1, wherein the cushion material is made of sponge. 請求項1又は2に記載のクッション部材において、前記環状編布は足に装着した状態で足からずり落ちない程度の締め付け力を有することを特徴とするクッション部材。 3. The cushion member according to claim 1, wherein the annular knitted fabric has a tightening force enough to prevent the annular knitted fabric from slipping off from the foot when attached to the foot.
JP2008250467A 2008-09-29 2008-09-29 Cushion member for lower limb orthosis Pending JP2010075628A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2015228938A (en) * 2014-06-04 2015-12-21 学校法人大阪医科大学 Sternum deformation prevention equipment
JP2016526945A (en) * 2013-05-16 2016-09-08 ミレー イノベーション Proprietary orthopedic device for supporting joints
CN113081797A (en) * 2021-03-27 2021-07-09 上海工程技术大学 Multifunctional leg beating device

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2016526945A (en) * 2013-05-16 2016-09-08 ミレー イノベーション Proprietary orthopedic device for supporting joints
JP2015228938A (en) * 2014-06-04 2015-12-21 学校法人大阪医科大学 Sternum deformation prevention equipment
CN113081797A (en) * 2021-03-27 2021-07-09 上海工程技术大学 Multifunctional leg beating device
CN113081797B (en) * 2021-03-27 2023-08-29 上海工程技术大学 Multifunctional leg beating device

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