JP2012016376A

JP2012016376A - Brace

Info

Publication number: JP2012016376A
Application number: JP2010153777A
Authority: JP
Inventors: Katsuya Yoshikawa; 克也吉川
Original assignee: Individual
Current assignee: Individual
Priority date: 2010-07-06
Filing date: 2010-07-06
Publication date: 2012-01-26

Abstract

PROBLEM TO BE SOLVED: To provide a brace which prevents contracture of joint parts of fingers and wrists of patients who suffer acute or chronic flaccid paralysis or the like considering figurations and mobility of the joint parts of fingers and wrists, or prevents injury by bumping a bedstead or the like for protection, and to provide a brace easy to attach and detach at low cost.SOLUTION: The brace 10 includes: a base part 12 getting over from fingers to wrists or from wrists to an upper part of the wrists and connecting and fixing to a function decreased part of a palm or an internal face of the wrists to extend the function decreased fingers or wrists; a belt-shape stretchable part 14 connecting to a palm side of hands of the base part 12 and covering a back side of hands including fingers; and a belt shape body 16 connecting to the base part and at least covering the other palm side of hands which is not covered with the belt-shape stretchable part.

Description

本発明は、装具に関し、例えば人の手指及び手首等の拘縮や麻痺の状態になった、脳疾患や脳障害のある者、または介護施設等の患者及び被介護者の手指及び手首等の拘縮等を防ぎ、保護するための、装具に関するものである。 The present invention relates to a brace, such as a person with a brain disease or a brain disorder who is contracted or paralyzed, such as a person's finger or wrist, or a patient or care recipient's finger or wrist, etc. The present invention relates to a brace for preventing and protecting contracture.

本来、人間の手指は、運動するときに、曲げる、伸ばす、あるいは掴む等のさまざまな優れた機能を有する人体の一部であり、手首は、それらの運動を、より有効的に果たす役割を備えている。 Originally, human fingers are part of the human body that has various excellent functions such as bending, stretching, or grasping when exercising, and the wrist has a role to perform those exercises more effectively. ing.

しかしながら、不幸にして、脳疾患や脳障害の発症、あるいは脊髄損傷、または事故等により、手指及び手首は、著しい機能低下を及ぼす場合があり、その主たる症状として、弛緩性麻痺や手首の拘縮等が顕著である。 However, unfortunately, fingers and wrists may cause significant functional deterioration due to the development of brain diseases or brain damage, spinal cord injury, or accidents.The main symptoms are flaccid paralysis and wrist contracture. Etc. are remarkable.

従来、脳疾患や脳障害等により、手や足の指及び手首や足首の拘縮や麻痺症状を有する患者及び被介護者は、自分の意思に応じて、自由に手指や足の指や手首や足首を動かすことが出来ず、拘縮や硬直、あるいは手首の嘗屈を招く。そのことにより、患者等は、苦痛に悩まされてきた。 Conventionally, patients and caregivers who have contracted or paralyzed symptoms of the hands and toes and wrists and ankles due to brain diseases and brain disorders, etc. can freely move their fingers and toes and wrists according to their will. And unable to move the ankle, causing contracture, stiffness, or wrist cramping. As a result, patients have suffered from pain.

特に、脳疾患等による急性期患者は、意識低下の状態にあった場合に於いては、根本原因の病気の治癒を目的とした治療が施され、早期のリハビリや、拘縮予防の装具や保護具が必要である。それにもかかわらず、患者自身への適切な保護具や装具は、不足があることは否めない。また、そういった装具等は、高価であったり、医師や看護師等が有用と考える装具等は、ないという状況である。 In particular, acute patients with brain disease, etc. are treated for the purpose of healing the underlying cause of illness when they are in a state of reduced consciousness. Protective equipment is required. Nevertheless, it cannot be denied that there is a lack of appropriate protective equipment and braces for the patient himself. In addition, such devices are expensive, and there are no devices that doctors, nurses, etc. find useful.

これらの問題を解決するために、手指の硬直を防ぐ保護具（特許文献１参照）や、手のひらを保護するための握り具を有した握り具（特許文献２参照）などがある。
特開２００４−２０１９７６号公報特開２００７−２８３０１２号公報 In order to solve these problems, there are a protector (see Patent Document 1) that prevents finger stiffness, a grip tool (see Patent Document 2) that has a grip for protecting the palm, and the like.
JP 2004-201976 A JP 2007-283012 A

また、手首関節に関する手首が前屈状態の障害者用の保護具（特許文献３参照）や固定用粘着部材（特許文献３参照）等がある。
特開２００７−２５４９３１号公報特開２００６−１３０１６５号公報 In addition, there are protective equipment for disabled persons whose wrists are bent forward (see Patent Document 3), fixing adhesive members (see Patent Document 3), and the like.
JP 2007-254931 A JP 2006-130165 A

しかしながら、これらの提案（特許文献１、特許文献２）は、手のひら若しくは手指には有効であると思われるが、手首を含めた神経症状については不充分である。
また、手首が前屈状態の障害者用の保護具（特許文献３参照）などがあるが、いずれも手指に関しては不充分である。
また、特許文献３に示される背屈保持プレートを備える保護具は、有用であると考えるが、手指に関しては不充分であり、使用目的が異なっている。
手首関節に関する固定用粘着部材（特許文献４参照）は、手首関節の固定のみであり、拘縮を予防する保護具としては適していない。 However, these proposals (Patent Documents 1 and 2) seem to be effective for the palm or fingers, but are insufficient for neurological symptoms including the wrist.
Moreover, although there are protective gears for handicapped persons whose wrists are bent forward (see Patent Document 3), none of them are sufficient for fingers.
Moreover, although the protective device provided with the dorsiflexion holding plate shown by patent document 3 thinks that it is useful, it is inadequate about a finger and the intended purpose differs.
The fixing adhesive member for the wrist joint (see Patent Document 4) is only for fixing the wrist joint and is not suitable as a protective device for preventing contracture.

本発明は、上記従来の問題を解決するものであり、且つ脳疾患や脳障害あるいは事故等により、弛緩性麻痺等を負った急性期及び長期療養の患者等の手指及び手首の関節部分の形状や当該部分の運動等を考慮し、当該部分の拘縮等の機能低下を防ぎ、またはベッド柵等への打付けによる怪我等することのないようにそれを保護することができ、容易に着脱できる装具を低コストで提供するものである。 The present invention solves the above-mentioned conventional problems, and the shape of the joint parts of the fingers and wrists of patients with acute and long-term treatment who suffered from flaccid paralysis due to brain diseases, brain disorders or accidents, etc. Considering the movement of the part, etc., it can prevent the function of the part from contracting, etc., or protect it from being injured by hitting it on the bed rail, etc. The equipment which can be produced is provided at low cost.

本発明にかかる装具は、手指から手首又は手首から手首の上部にかけて架け渡され、手の掌又は手首の内側面の機能低下部位に、接し合わせ且つ固定されて、機能低下する手の指又は手首を伸展させる基礎部と、前記基礎部の手の掌側に連設され、手の指を含む手の甲側を覆う帯状伸縮性部と、前記基礎部に連設され、少なくとも前記帯状伸縮性部で覆われていない手の甲側を覆う帯状体とを含む、装具である。
本発明の請求項２にかかる装具は、前記基礎部は、拘縮する手の指の関節又は手首の内側面に固定される第３の層を含み、第３の層は、機能低下する指の関節又は手首を伸展させるように機能低下部位に固定される、請求項１に記載の装具である。
本発明の請求項３にかかる装具は、基礎部は、手の掌側にぴったり合うように形成された第２の層材と、前記第２の層材の手の掌側とは反対側に積層され、基礎部の形状を保持させるための第１の層材を含む、請求項１又は請求項２に記載の装具である。
本発明の請求項４にかかる装具は、帯状伸縮性部は、手首より指の関節部位から指側にかけて覆うために指の関節部位から指側を挿入できるように、基礎部の内側と外側とに架け渡された、請求項１ないし請求項３のいずれかに記載の装具である。
本発明の請求項５にかかる装具は、帯状体は、手首の近傍を覆うための幅と長さとを備え、手首の近傍に基礎部を固定するために基礎部の内側又は外側端縁に連設された、請求項１ないし請求項４のいずれかに記載の装具である。
本発明の請求項６にかかる装具は、前記第３の層材には、弾性率の低いエチレン−酢酸ビニル共重合樹脂（ＥＶＡ）素材からなり、前記第３の層材は、端部に向けて徐々に薄く形成され、手の掌部から手首部の長さと手首部から前腕部にかけての長さとは０．８：１〜１．５：１の比率に形成され、手の掌部が第１の層材を７５〜８５％縮小した形状とし、手首部から前腕部が方形に形成され、手首部と指のつけ根部が、他の部分より厚みを有する、請求項１ないし請求項５のいずれかに記載の装具である。
本発明の請求項７にかかる装具は、基礎部の第１の層材は、水平あるいは垂直に伸ばした人の手指先部から前腕部にかけての手の掌側の広さより、１０〜１５％大きな形態で型取りされ、弾性率の高いエチレン−酢酸ビニル共重合樹脂（ＥＶＡ）素材で、手の掌側の手指の第２関節部から手首までの部位と手首から前腕部にかけての部位とを０．８：１〜３：２の比率で成形された、請求項１ないし請求項６のいずれかに記載の装具である。
本発明の請求項８にかかる装具は、基礎部の第２の層材は、フィット感を増すためのスポンジ素材で形成され、第１の層材の手の掌側に合着された、請求項１ないし請求項７のいずれかに記載の装具である。
本発明の請求項９にかかる装具は、帯状伸縮性部は、前記基礎部の人差し指側の凡そ第一関節と第２関節部より親指のつけ根部にかけて一端が固定され、且つ小指側の凡そ第１関節と第２関節部より小指のつけ根部にかけて他端が固定され、スポンジ素材を内装された、綿、ゴム、ポリエステル等の合成繊維のシート状物からなる、請求項１ないし請求項８のいずれかに記載の装具である。
本発明の請求項１０にかかる装具は、帯状体は、前記基礎部の親指側であって、人差し指のつけ根の関節部から手首にかけて、親指のつけ根部を通す半円状の差し込み部を設けられ、手の甲から凡そ３分の２から４分の３周回する長さを有する、綿、ポリエステル等の合成繊維シート状物からなり、シート状物の内側にスポンジ素材を内装され、その自由端部には面ファスナーを付与された、請求項１ないし請求項９のいずれかに記載の装具である。
本発明の請求項１１にかかる装具は、前記基礎部は、親指側において、人指し指のつけ根の関節部から手首部にかけて、親指のつけ根部を通す半円状の差し込み部を形成された、請求項１ないし請求項１０のいずれかに記載の装具である。 The orthosis according to the present invention is stretched from the finger to the wrist or from the wrist to the upper part of the wrist, and is brought into contact with and fixed to the function-decreasing portion on the inner surface of the palm of the hand or the wrist. A base part extending from the palm side of the hand of the base part and covering the back side of the hand including the fingers of the hand, and a base part extending from the base part, and at least the belt-like elastic part A brace comprising a band that covers the back side of the hand that is not covered.
In the orthosis according to claim 2 of the present invention, the base portion includes a third layer fixed to a joint of a finger of a hand to be contracted or an inner surface of a wrist, and the third layer is a finger having a reduced function. The brace according to claim 1, wherein the brace is fixed to a reduced function site so as to extend the joint or wrist.
In the orthosis according to claim 3 of the present invention, the base portion is formed on the side opposite to the palm side of the hand of the second layer material formed so as to fit the palm side of the hand. The appliance according to claim 1 or 2, comprising a first layer material that is laminated and holds the shape of the foundation.
The orthosis according to claim 4 of the present invention is such that the belt-like stretchable part can be inserted from the wrist joint part to the finger side so that the finger side can be inserted from the wrist joint part to the finger side. The appliance according to any one of claims 1 to 3, wherein the appliance is stretched over.
In the orthosis according to claim 5 of the present invention, the band has a width and a length for covering the vicinity of the wrist, and is connected to an inner edge or an outer edge of the base to fix the base in the vicinity of the wrist. The orthosis according to any one of claims 1 to 4, which is provided.
In the orthosis according to claim 6 of the present invention, the third layer material is made of an ethylene-vinyl acetate copolymer resin (EVA) material having a low elastic modulus, and the third layer material faces the end. The length from the palm of the hand to the wrist and the length from the wrist to the forearm is formed at a ratio of 0.8: 1 to 1.5: 1. The layer material of 1 is reduced to 75 to 85%, the forearm portion is formed in a square shape from the wrist portion, and the wrist portion and the base portion of the finger are thicker than the other portions. It is an orthosis in any one.
In the orthosis according to claim 7 of the present invention, the first layer material of the base portion is 10 to 15% larger than the width of the palm side of the hand from the fingertip portion to the forearm portion of a person stretched horizontally or vertically. Molded in shape and made of ethylene-vinyl acetate copolymer resin (EVA), which has a high modulus of elasticity, and the area from the second joint part to the wrist and the part from the wrist to the forearm part of the palm on the palm side is 0 The appliance according to any one of claims 1 to 6, wherein the appliance is molded at a ratio of 8: 1 to 3: 2.
In the orthosis according to claim 8 of the present invention, the second layer material of the base portion is formed of a sponge material for increasing the fit, and is attached to the palm side of the hand of the first layer material. The appliance according to any one of claims 1 to 7.
In the orthosis according to claim 9 of the present invention, the belt-like stretchable part is fixed at one end from the first joint and the second joint part on the index finger side to the base of the thumb, and on the little finger side. 9. The method according to claim 1, wherein the other end is fixed from one joint and the second joint to the base of the little finger, and is made of a synthetic fiber sheet-like material such as cotton, rubber, polyester, etc., which is internally provided with a sponge material. It is an orthosis in any one.
In the orthosis according to claim 10 of the present invention, the band-like body is provided on the thumb side of the base portion and is provided with a semicircular insertion portion through which the base portion of the thumb passes from the joint portion of the base of the index finger to the wrist. It is made of synthetic fiber sheet material such as cotton, polyester, etc., with a length that goes around 2/3 to 3/4 times from the back of the hand, and a sponge material is embedded inside the sheet material, and at its free end Is a brace according to any one of claims 1 to 9, which is provided with a hook-and-loop fastener.
In the orthosis according to claim 11 of the present invention, the base portion is formed with a semicircular insertion portion through the base portion of the thumb from the joint portion of the base of the index finger to the wrist portion on the thumb side. The appliance according to any one of claims 1 to 10.

従来の保護具は、手指のみの保護具であったり、手首から先を覆うものであったり、手首のみに限られたりと、使い勝手が限られるものであったが、本発明にかかる装具は、それらの問題を解決しうるものである。
そして、脳疾患や脳障害あるいは事故等により、弛緩性麻痺等を負った急性期及び長期療養の患者等の手指及び手首の関節部分の形状や当該部分の運動等を考慮し、当該部分の拘縮等の機能低下を防ぎ、またはベッド柵等への打付けによる怪我等することのないように人体を保護することができる。 Conventional protective equipment is protective equipment only for fingers, covers the tip of the wrist, or limited to the wrist only, but the equipment according to the present invention is limited, Those problems can be solved.
Considering the shape of the joints of the fingers and wrists and the movement of the relevant part of patients with acute or long-term treatment who suffered from flaccid paralysis, etc. due to brain disease, brain injury or accident, etc. It is possible to protect the human body from preventing functional deterioration such as shrinkage or from being injured by hitting the bed rail or the like.

本発明にかかる装具は、比較的構造が簡単で、看護師、理学療法士及び介護者等が、患者及び被介護者の手指及び手首等容易に着脱でき、また低コストで製造できるとともに、洗濯しても繰り返し使用できる。 The orthosis according to the present invention has a relatively simple structure, and nurses, physical therapists and caregivers can easily attach and detach the fingers and wrists of patients and care recipients, and can be manufactured at low cost, and can be washed. But it can be used repeatedly.

本発明の請求項５にかかる装具は、弾性率の異なるエチレン−酢酸ビニル共重合樹脂（ＥＶＡ）素材を使用し、その反発性により、手首及び指のつけ根部の拘縮を予防することができ、ゴム、スポンジ等の弾性素材を使用することで、手指の自由な運動を阻害せず、且つベッド柵等への打付けによる怪我等を予防することができる。 The orthosis according to claim 5 of the present invention uses ethylene-vinyl acetate copolymer resin (EVA) materials having different elastic moduli, and due to the resilience, contracture of the wrist and the base of the finger can be prevented. By using an elastic material such as rubber or sponge, it is possible to prevent injuries and the like caused by hitting a bed rail or the like without obstructing free movement of fingers.

一般的に、「装具」は、事故や戦争などで四肢、体幹に機能障害を負った場合において四肢体幹の機能障害の軽減を目的として使用する補助器具と言われ、「保護具」は、ａ安全を保護するプロテクター等の器具、ｂ屋内作業、工場、理科実験などで用いられる安全保護具、ｃスポーツ等で用いる防具と言われているが、本件明細書及び特許請求の範囲においては、これらを含め「装具」という。
この発明の上述の目的、その他の目的、特徴および利点は、図面を参照して行う以下の発明を実施するための形態の説明から一層明らかとなろう。 In general, "orthology" is said to be an auxiliary device that is used for the purpose of reducing dysfunction of the extremities and trunks when the extremities and trunks are damaged due to accidents or wars. It is said that it is a protective device used in equipment such as a protector that protects safety, b indoor work, factory, science experiment, etc., c protective equipment used in sports, etc., but in this specification and claims Including these, it is called “appliance.
The above-described object, other objects, features, and advantages of the present invention will become more apparent from the following description of embodiments for carrying out the invention with reference to the drawings.

本発明の一実施形態である手の装具の平面図解図である。It is a top view solution figure of a hand orthosis which is one embodiment of the present invention. 本発明の一実施形態の基材部の断面図解図である。It is a section figure solution of a substrate part of one embodiment of the present invention. 本発明の一実施形態の基材部を分解した状態における平面図解図である。It is a top view solution figure in the state which decomposed | disassembled the base material part of one Embodiment of this invention. 本発明の一実施形態にかかる装具を装着したときの側面図解図である。It is a side view solution figure when the brace concerning one embodiment of the present invention is equipped. 本発明の一実施形態にかかる装具を装着したときの平面図解図である。It is a top view solution figure when mounting the brace concerning one embodiment of the present invention. 図１Ａ−Ａ断面図解図である。It is FIG. 1A-A sectional illustration solution. 図１Ｂ−Ｂ断面図解図である。It is FIG. 1B-B sectional illustration solution. 変形例である手の装具の平面図解図である。It is a top view solution figure of the hand orthosis which is a modification. 変形例である手の装具の横断面図解図である。It is a cross-sectional illustration solution figure of the hand orthosis which is a modification. 本発明の別の実施形態である手の指の関節部位の装具の平面図解図である。It is a top view solution figure of the orthosis of the joint part of the finger of the hand which is another embodiment of the present invention. 本発明の別の実施形態である図１０図示装具を装着したときの側面図解図である。It is a side view solution figure when mounting | wearing the appliance shown in FIG. 10 which is another embodiment of this invention. 本発明の別の実施形態である図１０図示装具を装着したときの平面図解図である。It is a top view solution figure when mounting | wearing the FIG. 10 illustration brace which is another embodiment of this invention. 図１０Ｃ−Ｃ断面図解図である。It is FIG. 10C-C sectional illustration solution. 図１０Ｄ−Ｄ断面図解図である。FIG. 10D is a cross-sectional schematic view of FIG.

本発明の一実施の形態である手指及び手首の保護をする装具を、図１ないし図５に基づき説明する。
この発明に係る手指及び手首を保護するための装具１０は、図１に示されるように、手指から手首及び前腕部にかけて架け渡され、手の掌から手首の内側面の拘縮等の機能低下部位にかけて接し合わせて、固定されて、拘縮等の機能低下する手の指又は手首を伸展させる基礎部１２と、前記基礎部１２の手の掌側に連設され、手の指を含む手の甲側を覆う帯状伸縮性部１４と、前記基礎部１２に連設され、少なくとも前記帯状伸縮性部１４で覆われていない手首の近傍の甲側を覆う帯状体１６とから構成されている。 A device for protecting fingers and wrists according to an embodiment of the present invention will be described with reference to FIGS.
As shown in FIG. 1, a device 10 for protecting fingers and wrists according to the present invention is bridged from fingers to wrists and forearms, and functions such as contracture from the palm of the hand to the inner side of the wrist are reduced. A base part 12 that is fixed in contact with each other and is fixed to extend a finger or wrist of a hand with reduced function such as contracture; and a back of the hand including the finger of the hand that is connected to the palm side of the hand of the base part 12 A belt-like stretchable portion 14 that covers the side and a belt-like body 16 that is connected to the base portion 12 and covers at least the back side of the wrist not covered with the belt-like stretchable portion 14.

図１に示す基礎部１２は、手の指から手首及び手首から前腕部にかけて架け渡され、手の掌から手首の上側及び手首から前腕部にかけて内側に接し合わせて固定される部位である。基礎部１２は、手の掌側にぴったり合うように形成された第２の層材２４と、前記第２の層材２４の手の掌側とは反対側に積層され、基礎部１２の形状を保持させるための第１の層材２２を、含む。
基礎部１２は、図２に示すように、第１の層材２２、第２の層材２４、第３の層材２６を、第２の層材２４を最も手に接し合う側にして、その上に第１の層材２２、またその上に第３の層材２６という順序で積層し固着して、構成されている。
基礎部１２は、その手指部分を曲げまたは伸ばしやすいように、第１の層材２２が、弾性率の高いエチレン−酢酸ビニル共重合樹脂（ＥＶＡ）素材により構成され、第２の層材２４が、スポンジ素材により構成され、第３の層材２６が、弾性率の低いエチレン−酢酸ビニル共重合樹脂（ＥＶＡ）素材を主たる構成材として構成され、第１の層材２２と第２の層材２４と第３の層材２６とは、接し合う面を接着剤で重ね合わせ接着されている。
前記第１の層材２２の外側には、弾性率の低いエチレン−酢酸ビニル共重合樹脂（ＥＶＡ）素材からなる第３の層材２６が合着されている。 The base portion 12 shown in FIG. 1 is a portion that spans from the finger of the hand to the wrist and from the wrist to the forearm, and is fixed in contact with the palm from the palm of the hand to the upper side of the wrist and from the wrist to the forearm. The base portion 12 is laminated on the side opposite to the palm side of the hand of the second layer material 24, and is formed so as to fit the palm side of the hand. 1st layer material 22 for making it hold.
As shown in FIG. 2, the base portion 12 has the first layer material 22, the second layer material 24, and the third layer material 26, with the second layer material 24 closest to the hand, The first layer material 22 is stacked thereon and the third layer material 26 is stacked and fixed thereon in this order.
In the base portion 12, the first layer material 22 is made of an ethylene-vinyl acetate copolymer resin (EVA) material having a high elastic modulus so that the finger portion can be easily bent or stretched, and the second layer material 24 is The third layer material 26 is composed mainly of an ethylene-vinyl acetate copolymer resin (EVA) material having a low elastic modulus, and is composed of a sponge material. The first layer material 22 and the second layer material 24 and the third layer material 26 are bonded to each other by overlapping the contacting surfaces with an adhesive.
A third layer material 26 made of an ethylene-vinyl acetate copolymer resin (EVA) material having a low elastic modulus is bonded to the outside of the first layer material 22.

図２に示す、基礎部１２の第１の層材２２と第３の層材２６とを合わせた厚さは、６ｍｍ以下が好ましく、但し、特に拘縮の起きやすい指のつけ根の関節部と手首部は、他の領域より厚く形成されることが好ましく、第１の層材２２は、厚さ３ｍｍ程度が好ましい。また第２の層材２４のスポンジ素材は、厚さ８ｍｍ以下が好ましい。
基礎部１２の第１の層材２２と第２の層材２４と第３の層材２６とを合わせた厚さは、手の掌の厚さと同等であることが好ましい。
基礎部１２には、手の指、手の掌、手首及び前腕部の幅に沿った幅を備えている。 The total thickness of the first layer material 22 and the third layer material 26 of the base portion 12 shown in FIG. 2 is preferably 6 mm or less, provided that the joint portion of the base of the finger that is particularly prone to contracture The wrist is preferably formed thicker than other regions, and the first layer material 22 is preferably about 3 mm thick. The sponge material of the second layer material 24 preferably has a thickness of 8 mm or less.
The total thickness of the first layer material 22, the second layer material 24, and the third layer material 26 of the base portion 12 is preferably equal to the thickness of the palm of the hand.
The base 12 has a width along the width of the finger, palm of the hand, wrist, and forearm.

基礎部１２を構成する第１の層材２２は、手首をまっすぐにして水平あるいは垂直に伸ばした手指先部から前腕部にかけての手の掌側部位の広さより、１０〜１５％大きな形態で型取りされ、その手の掌側の領域が手の掌に対応した円形であり、手首から前腕部に至る領域が手首から前腕部の形状に対応した方形又は台形である。 The first layer material 22 constituting the base portion 12 has a shape that is 10 to 15% larger than the width of the palm side portion of the hand from the fingertip portion to the forearm portion with the wrist straight and extending horizontally or vertically. The region on the palm side of the hand is a circle corresponding to the palm of the hand, and the region from the wrist to the forearm is a square or trapezoid corresponding to the shape of the wrist to the forearm.

第１の層材２２と第２の層材２４とは、略々同一の形状であり、且つ第３の層材２６は第２の層材２４より一廻り小さい。なお、第１の層材２２は、最も大きく、第２の層材２４は第１の層材２２より一廻り小さくしてもよい。
基礎部１２は、全体的に、手の掌部から手首部までの長さと、手首部から前腕部にかけての長さとは５：３の比率に成形されている。
第３の層材２６は、拘縮を防ぐために、端部に向けて徐々に薄く形成され、手の掌部から手首部までの長さと、手首部から前腕部にかけての長さとは０．８：１〜１．５：１の比率に成形されている。特に、この実施の形態においては、指の根元から手首までの長さＬ₁と手首部から前腕部にかけての長さＬ₂を１：１の比率に成形されている。
そして、第３の層材２６は、手の掌部が第１の層材２２を７５〜８５％縮小した形状とし、手首部から前腕部が第１の層材２２の２分の１から５分の２の長さの方形とし、手首部と指のつけ根部は、他の部分より厚みを有する。 The first layer material 22 and the second layer material 24 have substantially the same shape, and the third layer material 26 is slightly smaller than the second layer material 24. The first layer material 22 may be the largest, and the second layer material 24 may be slightly smaller than the first layer material 22.
As a whole, the length of the base portion 12 from the palm portion to the wrist portion and the length from the wrist portion to the forearm portion is formed at a ratio of 5: 3.
In order to prevent contracture, the third layer material 26 is gradually formed thin toward the end, and the length from the palm part to the wrist part of the hand and the length from the wrist part to the forearm part are 0.8. : 1 to 1.5: 1 ratio. In particular, in this embodiment, the length L ₁ from the base of the finger to the wrist and the length L ₂ from the wrist to the forearm are formed at a ratio of 1: 1.
The third layer material 26 has a shape in which the palm portion of the hand is reduced by 75 to 85% of the first layer material 22, and the forearm portion from the wrist portion is ½ to 5 of the first layer material 22. It is a square with a length of two minutes, and the wrist and the base of the finger are thicker than the other parts.

第１の層材２２と第３の層材２６とは、弾性率が異なるエチレン−酢酸ビニル共重合樹脂（ＥＶＡ）が使用されており、その反発性により、手首及び指のつけ根部の拘縮を予防するように形成されている。
第２の層材２４は、ゴム、スポンジ等の弾性素材を使用することで、手指の自由な運動を阻害せず、且つベッド柵等への打付けによる怪我等を予防することができるように構成されている。
第２の層材２４は、手の掌にフィットするようにするために、弾性率が高く適宜な厚みを有している。 The first layer material 22 and the third layer material 26 use ethylene-vinyl acetate copolymer resin (EVA) having different elastic moduli, and due to the resilience, contraction of the wrist and the base of the finger. Is shaped to prevent.
The second layer material 24 is made of an elastic material such as rubber or sponge so that it does not hinder free movement of fingers and can prevent injuries and the like caused by striking the bed rail or the like. It is configured.
The second layer material 24 has a high elastic modulus and an appropriate thickness so as to fit the palm of the hand.

第３の層材２６は、前記第２の層材２４を約８０％に縮小した平面形状であって、第２の層材２４と相似形である。
第３の層材２６は、拘縮を予防するために、比較的弾性率が低く、手指部が前端にかけて徐々に薄く形成され、約０．２ｍｍ厚さとしている。 The third layer material 26 has a planar shape obtained by reducing the second layer material 24 to about 80%, and is similar to the second layer material 24.
In order to prevent contracture, the third layer material 26 has a relatively low elastic modulus, the finger part is gradually formed thin toward the front end, and has a thickness of about 0.2 mm.

基礎部１２は、手の掌側の領域の親指側において、人指し指のつけ根の関節部から手首部にかけて親指のつけ根部を通すための半円状の差し込み部２８が形成されている。 The base portion 12 is formed with a semicircular insertion portion 28 for passing the root portion of the thumb from the joint portion of the base of the index finger to the wrist on the thumb side of the palm side region of the hand.

帯状伸縮性部１４は、手首より指側の部位に挿入して、例えば親指の根もとの近傍から指の関節にかけて覆うために、基礎部１２の内側と外側とに架け渡され、基礎部１２の左右端部に縫合されている。
帯状伸縮性部１４は、前記基礎部１２の、人差し指側の凡そ第一関節と第２関節部より親指のつけ根部にかけて一端が固定され、小指側の凡そ第１関節と第２関節部より小指のつけ根部にかけて他端が固定されている。 The belt-like stretchable part 14 is inserted into the finger side of the wrist and is bridged between the inner side and the outer side of the base part 12 in order to cover, for example, from the vicinity of the base of the thumb to the joint of the finger. 12 are sewn to the left and right ends.
One end of the belt-like stretchable part 14 is fixed from the first joint and the second joint part of the base part 12 to the base of the thumb, and the little finger from the first joint and the second joint part on the little finger side. The other end is fixed to the base of the base.

帯状伸縮性部１４は、図６に示すように、手首から前腕部にかけての形状が、半楕円形状をなして、真円の高さより少なくとも５分の２から、２分の１までの高さを有する形状とする。 As shown in FIG. 6, the belt-like stretchable portion 14 has a semi-elliptical shape from the wrist to the forearm, and is at least two-fifths to one-half the height of the perfect circle. A shape having

帯状伸縮性部１４は、表側の綿、ゴム、ポリエステル等の合成繊維からなる布又はシート状物４２ａと、裏側の綿、ゴム、ポリエステル等の合成繊維からなる布又はシート状物４２ｂとの間すなわち内側に、スポンジ等の弾性素材４４を内装しているので、帯状伸縮性部１４は、柔らかく着装できる。 The belt-like stretchable portion 14 is formed between a cloth or sheet-like material 42a made of synthetic fiber such as cotton, rubber or polyester on the front side and a cloth or sheet-like material 42b made of synthetic fiber such as cotton, rubber or polyester on the back side. That is, since the elastic material 44 such as sponge is housed inside, the belt-like stretchable portion 14 can be worn softly.

帯状伸縮性部１４は、図４及び図５に示すように、手指の凡そ第２関節部分までは被覆せず、また被着者の自由な手指の運動を、阻害しないものとする。
そのために、帯状伸縮性部１４は、ゴム又はアクリル、ポリエステル等の伸縮性合成繊維素材から構成され、手指を強く締めず、褥瘡等ができない素材とする。 As shown in FIGS. 4 and 5, the belt-like stretchable portion 14 does not cover the second joint portion of the finger and does not inhibit the movement of the free finger of the wearer.
Therefore, the belt-like stretchable portion 14 is made of a stretchable synthetic fiber material such as rubber, acrylic, polyester, or the like, and is made of a material that does not tightly tighten fingers and cannot cause pressure ulcers.

帯状体１６は、図７に示すように、手首の近傍を覆うための幅と長さとを備え、手首の近傍に基礎部１２に固定するために基礎部１２の内側又は外側端縁に連設されている。
帯状体１６は、表側の伸縮性を有する、綿、ポリエステル等の合成繊維からなる布又はシート状物６６ａと、裏側の伸縮性を有する、綿、ポリエステル等の合成繊維からなる布又はシート状物６６ｂとの間すなわち内側に、スポンジ等の弾性素材６８を内装したものからなり、その自由端部の上面には面ファスナー６４を付与されている。
帯状体１６は、綿、ゴム、ポリエステル等の合成繊維等の伸縮性を有する素材で形成され、図１に示すように、基礎部１２の手の掌とは反対側面に、短い端縁を縫合され、内側から基礎部１２と直交する方向に向けて延設されている。
帯状体１６は、手の甲から凡そ３分の２から４分の３周回する長さを有する。
帯状体１６の長さは、人の手首の周囲を凡そ４分の３周程度廻る長さが、好ましく、その幅は手指のつけ根から前腕部に亘る長さが好ましい。 As shown in FIG. 7, the belt-like body 16 has a width and a length for covering the vicinity of the wrist, and is continuously provided on the inner edge or the outer edge of the base portion 12 in order to be fixed to the base portion 12 near the wrist. Has been.
The belt-like body 16 is a cloth or sheet-like material 66a made of synthetic fibers such as cotton or polyester having stretchability on the front side, and a cloth or sheet-like material made of synthetic fibers such as cotton or polyester having stretchability on the back side. An elastic material 68 such as a sponge is provided between the inner side and the inner side of 66b, and a hook-and-loop fastener 64 is provided on the upper surface of the free end.
The strip 16 is formed of a stretchable material such as synthetic fiber such as cotton, rubber, polyester, etc., and a short edge is sewn on the side opposite to the palm of the hand of the base 12 as shown in FIG. It extends from the inside toward the direction orthogonal to the base portion 12.
The belt-like body 16 has a length that goes around two-thirds to three-quarters from the back of the hand.
The length of the band-like body 16 is preferably about 3/4 round around the wrist of a person, and the width is preferably the length from the base of the finger to the forearm.

帯状体１６は、前記基礎部１２の親指側であって、人差し指のつけ根の関節部から手首にかけて、親指のつけ根部を通す半円状の差し込み部６２を設けられている。
帯状体１６の差し込み部６２は、前記基礎部１２の差し込み部２８とつながっている。 The band-like body 16 is provided on the thumb side of the base portion 12 and is provided with a semicircular insertion portion 62 that passes through the base portion of the thumb from the joint portion of the base of the index finger to the wrist.
The insertion portion 62 of the strip 16 is connected to the insertion portion 28 of the base portion 12.

帯状体１６は、基礎部１２側とは反対側の端部に、面ファスナー６４を付着されているので、手の掌、手首及び前腕部の周囲に帯状体１６を周回させて、帯状体１６の外表面に該面ファスナー６４を係止させることができ、装具１０の着脱を容易にすることができる。 Since the belt-like body 16 has a hook-and-loop fastener 64 attached to the end opposite to the base portion 12 side, the belt-like body 16 is made to circulate around the palm, wrist and forearm of the hand. The hook-and-loop fastener 64 can be locked to the outer surface of the device, and the appliance 10 can be easily attached and detached.

帯状体１６は、表側の伸縮性を有する、綿、ポリエステル等の合成繊維からなる布又はシート状物６６ａと裏側の伸縮性を有する、綿、ポリエステル等の合成繊維からなる布又はシート状物６６ｂとの間すなわち内側に、スポンジ等の弾性素材６８を内装しているので、帯状体１６は、柔らかく着装できる。 The belt-like body 16 includes a cloth or sheet-like material 66a made of synthetic fiber such as cotton or polyester having stretchability on the front side and a cloth or sheet-like material 66b made of synthetic fiber such as cotton or polyester having stretchability on the back side. Since the elastic material 68 such as sponge is provided between the inside and the inside, the belt-like body 16 can be worn softly.

この発明の実施の形態によれば、手の掌部については親指の脱臼等を考慮し、親指のつけ根部を半円形切り取る形状とし、また手指部及び前腕部の先端部は曲げやすいよう、あるいは褥瘡等を予防するために、手の掌屈側に向けてアールを付与するように構成されている。 According to the embodiment of the present invention, considering the dislocation of the thumb for the palm of the hand, the base of the thumb is formed in a semicircular shape, and the tips of the finger and forearm are easily bent, or In order to prevent pressure ulcers and the like, it is configured to give a radius toward the palmar side of the hand.

基礎部１２は、図９に示すように、綿、ポリエステル等の合成繊維素材からなる布又はシート状物７０で、その外表面の全体を表装されてもよい。 As shown in FIG. 9, the base portion 12 may be a cloth or sheet-like material 70 made of a synthetic fiber material such as cotton or polyester, and the entire outer surface thereof may be displayed.

基礎部１２は、図９に示すように、通気性と清潔性を保つために、シート状物７０又は第２の層材２４の手の掌側部分に、ナイロンメッシュ素材からなるシート状物７２を添着されて表装されてもよい。 As shown in FIG. 9, the base portion 12 has a sheet-like material 72 made of a nylon mesh material on the palm-side portion of the hand of the sheet-like material 70 or the second layer material 24 in order to maintain air permeability and cleanliness. May be attached and displayed.

図８に示すように、基礎部１２の親指と人差し指のつけ根部分には、親指と人差し指との間を開くようにするための半円球状の発泡体やポリウレタン等の指拡開部８０を付与したほうが好ましい。 As shown in FIG. 8, a finger-opening portion 80 such as a semi-spherical foam or polyurethane is provided at the base of the thumb and forefinger of the base portion 12 so as to open between the thumb and forefinger. Is preferable.

本発明の別の実施の形態である手指及び手首の保護をする装具を、図１０ないし図１４に基づき説明する。
この発明に係る手指及び手首を保護するための装具１１０は、図１０に示されるように、手指から手首にかけて架け渡され、手の指の関節の内側面の拘縮等の機能低下部位に接し合わせて、固定されて、拘縮等の機能低下する手の指の関節を伸展させる基礎部１１２と、前記基礎部１１２の手の掌側に連設され、手の指を含む手の甲側を覆う帯状伸縮性部１１４と、前記基礎部１１２に連設され、少なくとも前記帯状伸縮性部１１４で覆われていない手首の近傍の甲側を覆う帯状体１１６とから構成されている。 A device for protecting fingers and wrists according to another embodiment of the present invention will be described with reference to FIGS.
The device 110 for protecting fingers and wrists according to the present invention, as shown in FIG. 10, is stretched from the fingers to the wrist and touches a function-reducing site such as contracture on the inner surface of the joint of the finger of the hand. In addition, the base part 112 that is fixed and extends the joints of the fingers of the hand whose function is reduced, such as contracture, is connected to the palm side of the hand of the base part 112 and covers the back side of the hand including the fingers of the hand The belt-like stretchable portion 114 and the belt-like body 116 that is connected to the base portion 112 and covers at least the back side of the wrist that is not covered with the belt-like stretchable portion 114.

図１０に示す基礎部１１２は、手の指から手首及び手首から前腕部にかけて架け渡され、手の掌から手首の上側及び手首から前腕部にかけて内側に接し合わせて固定される部位である。基礎部１１２は、手の掌側にぴったり合うように形成された第２の層材１２４と、前記第２の層材１２４の手の掌側とは反対側に積層され、基礎部１１２の形状を保持させるための第１の層材１２２を、含む。
基礎部１１２は、図１３に示すように、第１の層材１２２、第２の層材１２４、第３の層材１２６を、第２の層材１２４を最も手に接し合う側にして、その上に第１の層材１２２、またその上に第３の層材１２６という順序で積層し固着して、構成されている。
基礎部１１２は、その手指の関節部分を曲げまたは伸ばしやすいように、第１の層材１２２が、弾性率の高いエチレン−酢酸ビニル共重合樹脂（ＥＶＡ）素材により構成され、第２の層材１２４が、スポンジ素材により構成され、第３の層材１２６が、弾性率の低いエチレン−酢酸ビニル共重合樹脂（ＥＶＡ）素材を主たる構成材として構成され、第１の層材１２２と第２の層材１２４と第３の層材１２６とは、接し合う面を接着剤で重ね合わせ接着されている。
前記第１の層材１２２の外側には、弾性率の低いエチレン−酢酸ビニル共重合樹脂（ＥＶＡ）素材からなる第３の層材１２６が合着されている。 The base portion 112 shown in FIG. 10 is a portion that spans from the finger of the hand to the wrist and from the wrist to the forearm, and is fixed in contact with the palm from the palm of the hand to the upper side of the wrist and from the wrist to the forearm. The base portion 112 is laminated on the side opposite to the palm side of the hand of the second layer material 124 so as to fit the palm side of the hand, and the shape of the base portion 112 is laminated. 1st layer material 122 for making it hold.
As shown in FIG. 13, the base 112 has the first layer material 122, the second layer material 124, and the third layer material 126, with the second layer material 124 closest to the hand, The first layer material 122 is stacked thereon, and the third layer material 126 is stacked and fixed thereon in this order.
In the base portion 112, the first layer material 122 is made of an ethylene-vinyl acetate copolymer resin (EVA) material having a high elastic modulus so that the joint portion of the finger can be easily bent or extended. 124 is composed of a sponge material, and the third layer material 126 is composed mainly of an ethylene-vinyl acetate copolymer resin (EVA) material having a low elastic modulus, and the first layer material 122 and the second layer material 126 The layer material 124 and the third layer material 126 are bonded to each other by overlapping the contacting surfaces with an adhesive.
A third layer material 126 made of an ethylene-vinyl acetate copolymer resin (EVA) material having a low elastic modulus is bonded to the outside of the first layer material 122.

図１３に示す、基礎部１１２の第１の層材１２２と第３の層材１２６とを合わせた厚さは、６ｍｍ以下が好ましく、但し、特に拘縮の起きやすい指のつけ根の関節部は、他の領域より厚く形成されることが好ましく、第１の層材１２２は、厚さ３ｍｍ程度が好ましい。また第２の層材１２４のスポンジ素材は、厚さ８ｍｍ以下が好ましい。
基礎部１１２の第１の層材１２２と第２の層材１２４と第３の層材１２６とを合わせた厚さは、手の掌の厚さと同等であることが好ましい。
基礎部１１２は、手の指、手の掌及び手首に沿う幅を備え、手の指側は、手の指の間の股に沿った凹凸形状を備えている。 The total thickness of the first layer material 122 and the third layer material 126 of the base portion 112 shown in FIG. 13 is preferably 6 mm or less. However, the joint portion at the base of the finger where contracture easily occurs is particularly preferable. The first layer material 122 is preferably about 3 mm thick. The sponge material of the second layer material 124 is preferably 8 mm or less in thickness.
The total thickness of the first layer material 122, the second layer material 124, and the third layer material 126 of the base 112 is preferably equal to the thickness of the palm of the hand.
The base 112 has a width along the fingers of the hand, the palm of the hand, and the wrist, and the finger side of the hand has an uneven shape along the crotch between the fingers of the hand.

基礎部１１２を構成する第１の層材１２２は、手首をまっすぐにして水平あるいは垂直に伸ばした手指先部から手首部にかけての手の掌側部位の広さより、１０〜１５％大きな形態で型取りされ、その手の掌側の領域が手の掌に対応した円形であり、手首近傍の領域が手首近傍の形状に対応した方形又は台形である。 The first layer material 122 constituting the base portion 112 is shaped in a form that is 10 to 15% larger than the width of the palm side portion of the hand from the fingertip portion to the wrist portion, which is horizontally or vertically extended with the wrist straight. The area on the palm side of the hand is a circle corresponding to the palm of the hand, and the area near the wrist is a square or trapezoid corresponding to the shape near the wrist.

第１の層材１２２と第２の層材１２４とは、略々同一の形状に形成され、且つ第３の層材１２６は第２の層材１２４より一廻り小さい。
第３の層材１２６は、手の指の関節の拘縮を防ぐために、端部に向けて徐々に厚く形成され、手の掌部が第１の層材１２２を７５〜８５％縮小した形状とし、手の指のつけ根部は、他の部分より厚みを有する。
この実施の形態においては、第３の層材１２６は、手の掌から手の指の関節部分に広がる第１の領域部１２６ｂと指の関節部分に形成された第２の領域部１２６ａとの２層からなるが、第２の領域部１２６ａと第１の領域部１２６ｂとは、一体に形成されてもよい。 The first layer material 122 and the second layer material 124 are formed in substantially the same shape, and the third layer material 126 is slightly smaller than the second layer material 124.
The third layer material 126 is formed so as to gradually increase in thickness toward the end in order to prevent contraction of the finger joint of the hand, and the shape of the palm portion of the hand is reduced by 75 to 85% from the first layer material 122. And the base of the finger of the hand is thicker than the other parts.
In this embodiment, the third layer material 126 includes a first region portion 126b extending from the palm of the hand to the joint portion of the finger of the hand and a second region portion 126a formed at the joint portion of the finger. Although composed of two layers, the second region 126a and the first region 126b may be formed integrally.

第１の層材１２２と第３の層材１２６とは、弾性率が異なるエチレン−酢酸ビニル共重合樹脂（ＥＶＡ）が使用されており、その反発性により、手の指のつけ根部の拘縮を予防するように形成されている。
第２の層材１２４は、ゴム、スポンジ等の弾性素材を使用することで、手指の自由な運動を阻害せず、且つベッド柵等への打付けによる怪我等を予防することができるように構成されている。
第２の層材１２４は、手の掌にフィットするようにするために、弾性率が高く適宜な厚みを有している。 The first layer material 122 and the third layer material 126 use ethylene-vinyl acetate copolymer resin (EVA) having different elastic moduli, and due to the resilience, the contraction of the base of the finger of the hand Is shaped to prevent.
The second layer material 124 is made of an elastic material such as rubber or sponge so that it does not hinder free movement of fingers and can prevent injuries and the like caused by striking the bed rail or the like. It is configured.
The second layer material 124 has a high elastic modulus and an appropriate thickness so as to fit the palm of the hand.

第３の層材１２６は、前記第２の層材１２４を約８０％に縮小した平面形状であって、第２の層材１２４と相似形である。
第３の層材１２６は、手の指の関節の拘縮を予防するために、比較的弾性率が低く、手指部が前端にかけて徐々に薄く形成され、約０．２ｍｍ厚さとしている。 The third layer material 126 has a planar shape obtained by reducing the second layer material 124 to about 80%, and is similar to the second layer material 124.
The third layer material 126 has a relatively low elastic modulus to prevent contraction of the finger joints of the hand, the finger part is gradually formed thinly toward the front end, and has a thickness of about 0.2 mm.

基礎部１１２は、手の掌側の領域の親指側において、人指し指のつけ根の関節部から手首部にかけて親指のつけ根部を通すための半円状の差し込み部１２８が形成されている。 The base portion 112 is formed with a semicircular insertion portion 128 for passing the base of the thumb from the joint portion of the base of the index finger to the wrist on the thumb side of the palm side region of the hand.

帯状伸縮性部１１４は、手首より指側の部位に挿入して、例えば親指の根もとの近傍から指の関節にかけて覆うために、基礎部１１２の内側と外側とに架け渡され、基礎部１１２の左右端部に縫合されている。
帯状伸縮性部１１４は、前記基礎部１１２の、人差し指側の凡そ第一関節と第２関節部より親指のつけ根部にかけて一端が固定され、小指側の凡そ第１関節と第２関節部より小指のつけ根部にかけて他端が固定されている。 The belt-like stretchable part 114 is inserted into the finger side of the wrist and is bridged between the inner side and the outer side of the base part 112 to cover, for example, from the vicinity of the base of the thumb to the joint of the finger. The left and right ends of 112 are stitched.
One end of the belt-like stretchable part 114 is fixed from the first and second joints of the base part 112 to the base of the thumb from the index finger side, and the little finger from the first and second joints on the little finger side. The other end is fixed to the base of the base.

帯状伸縮性部１１４は、図１０に示すように、手首から前腕部にかけての形状が、半楕円形状をなして、真円の高さより少なくとも５分の２から、２分の１までの高さを有する形状とする。 As shown in FIG. 10, the belt-like stretchable portion 114 has a semi-elliptical shape from the wrist to the forearm, and has a height of at least two-fifths to one-half the height of the perfect circle. A shape having

帯状伸縮性部１１４は、表側の綿、ゴム、ポリエステル等の合成繊維からなる布又はシート状物１４２ａと、裏側の綿、ゴム、ポリエステル等の合成繊維からなる布又はシート状物１４２ｂとの間すなわち内側に、スポンジ等の弾性素材１４４を内装しているので、帯状伸縮性部１１４は、柔らかく着装できる。 The belt-like stretchable portion 114 is formed between a cloth or sheet-like material 142a made of synthetic fibers such as cotton, rubber, and polyester on the front side and a cloth or sheet-like material 142b made of synthetic fibers such as cotton, rubber, and polyester on the back side. That is, since the elastic material 144 such as sponge is provided inside, the belt-like stretchable portion 114 can be worn softly.

帯状伸縮性部１１４は、図１１及び図１２に示すように、手指の凡そ第２関節部分までは被覆せず、また被着者の自由な手指の運動を、阻害しないものとする。
そのために、帯状伸縮性部１１４は、ゴム又はアクリル、ポリエステル等の伸縮性合成繊維素材から構成され、手指を強く締めず、褥瘡等ができない素材とする。 As shown in FIGS. 11 and 12, the belt-like stretchable portion 114 does not cover the second joint portion of the finger and does not inhibit the movement of the free finger of the wearer.
Therefore, the belt-like stretchable portion 114 is made of a stretchable synthetic fiber material such as rubber, acrylic, or polyester, and is made of a material that does not tightly tighten fingers and does not allow pressure ulcers or the like.

帯状体１１６は、図１４に示すように、手首の近傍を覆うための幅と長さとを備え、手首の近傍に基礎部１１２に固定するために基礎部１１２の内側又は外側端縁に連設されている。
帯状体１１６は、表側の伸縮性を有する、綿、ポリエステル等の合成繊維からなる布又はシート状物１６６ａと、裏側の伸縮性を有する、綿、ポリエステル等の合成繊維からなる布又はシート状物１６６ｂとの間すなわち内側に、スポンジ等の弾性素材１６８を内装したものからなり、その自由端部の上面には面ファスナー１６４を付与されている。
帯状体１１６は、綿、ゴム、ポリエステル等の合成繊維等の伸縮性を有する素材で形成され、図１４に示すように、基礎部１１２の手の掌とは反対側面に、短い端縁を縫合され、内側から基礎部１１２と直交する方向に向けて延設されている。
帯状体１１６は、手の甲から凡そ３分の２から４分の３周回する長さを有する。
帯状体１１６の長さは、人の手首の周囲を凡そ４分の３周程度廻る長さが、好ましく、その幅は手指のつけ根から前腕部に亘る長さが好ましい。 As shown in FIG. 14, the belt-like body 116 has a width and a length for covering the vicinity of the wrist, and is connected to the inner edge or the outer edge of the base portion 112 in order to fix the base portion 112 to the vicinity of the wrist. Has been.
The belt-like body 116 is a cloth or sheet-like material 166a made of synthetic fiber such as cotton or polyester having stretchability on the front side, and a cloth or sheet-like material made of synthetic fiber such as cotton or polyester having stretchability on the back side. The elastic material 168 such as a sponge is provided between the inner side and the inner side of 166b, and a hook-and-loop fastener 164 is provided on the upper surface of the free end portion.
The belt-like body 116 is formed of a stretchable material such as cotton, rubber, polyester, or other synthetic fiber. As shown in FIG. 14, a short edge is sewn on the side surface opposite to the palm of the hand of the base portion 112. And extends from the inside toward the direction orthogonal to the base portion 112.
The belt-like body 116 has a length that goes around two-thirds to three-fourths from the back of the hand.
The length of the belt-like body 116 is preferably about 3/4 round around the wrist of a person, and the width is preferably the length from the base of the finger to the forearm.

帯状体１１６は、前記基礎部１１２の親指側であって、人差し指のつけ根の関節部から手首にかけて、親指のつけ根部を通す半円状の差し込み部１６２を設けられている。
帯状体１１６の差し込み部１６２は、前記基礎部１１２の差し込み部１２８とつながっている。 The band-like body 116 is provided on the thumb side of the base portion 112 and is provided with a semicircular insertion portion 162 through which the base of the thumb passes from the joint of the base of the index finger to the wrist.
The insertion portion 162 of the belt-like body 116 is connected to the insertion portion 128 of the base portion 112.

帯状体１１６は、基礎部１１２側とは反対側の端部に、面ファスナー１６４を付着されているので、手の掌、手首及び前腕部の周囲に帯状体１１６を周回させて、帯状体１１６の外表面に該面ファスナー１６４を係止させることができ、装具１０の着脱を容易にすることができる。 Since the band-shaped body 116 has a hook-and-loop fastener 164 attached to the end opposite to the base portion 112 side, the band-shaped body 116 is made to circulate around the palm, wrist, and forearm of the hand. The hook-and-loop fastener 164 can be locked to the outer surface of the device, so that the appliance 10 can be easily attached and detached.

帯状体１１６は、表側の伸縮性を有する、綿、ポリエステル等の合成繊維からなる布又はシート状物１６６ａと裏側の伸縮性を有する、綿、ポリエステル等の合成繊維からなる布又はシート状物１６６ｂとの間すなわち内側に、スポンジ等の弾性素材１６８を内装しているので、帯状体１１６は、柔らかく着装できる。 The belt-like body 116 has a cloth or sheet-like material 166a made of synthetic fibers such as cotton and polyester having stretchability on the front side and a cloth or sheet-like material 166b made of synthetic fibers such as cotton and polyester having stretchability on the back side. Since an elastic material 168 such as a sponge is provided between the inside and the inside, the belt-like body 116 can be worn softly.

本発明は、医療技術分野では、手指及び手首の拘縮や麻痺を負った、脳疾患ある脳障害、または介護施設等の、患者及び被介護者の手指及び手首の拘縮を防ぎ保護するための、保護具に利用できる。 In the medical technical field, the present invention prevents and protects the contraction of the fingers and wrists of patients and care recipients such as brain disorders with brain disease or nursing care facilities that suffer from contraction or paralysis of fingers and wrists. Available for protective equipment.

１０装具
１２基礎部
１４帯状伸縮性部
１６帯状体
２２第１の層材
２４第２の層材
２６第３の層材
２８差し込み部
４２ａ，４２ｂシート状物
４４弾性素材
６２差し込み部
６４面ファスナー
６６ａ，６６ｂシート状物
６８弾性素材
７０，７２シート状物
８０指拡開部
１１０装具
１１２基礎部
１１４帯状伸縮性部
１１６帯状体
１２２第１の層材
１２４第２の層材
１２６第３の層材
１２６ａ第２の領域部
１２６ｂ第１の領域部
１２８差し込み部
１４２ａ，１４２ｂシート状物
１４４弾性素材
１６２差し込み部
１６４面ファスナー
１６６ａ，１６６ｂシート状物
１６８弾性素材 DESCRIPTION OF SYMBOLS 10 Equipment 12 Base part 14 Band-shaped elastic part 16 Band-shaped body 22 1st layer material 24 2nd layer material 26 3rd layer material 28 Insertion part 42a, 42b Sheet-like thing 44 Elastic material 62 Insertion part 64 Surface fastener 66a , 66b Sheet-like material 68 Elastic material 70, 72 Sheet-like material 80 Finger spread portion 110 Equipment 112 Base portion 114 Strip-like stretchable portion 116 Strip-like body 122 First layer material 124 Second layer material 126 Third layer material 126a 2nd area | region part 126b 1st area | region part 128 Insertion part 142a, 142b Sheet-like thing 144 Elastic material 162 Insertion part 164 Hook fastener 166a, 166b Sheet-like object 168 Elastic material

Claims

A base that extends from the finger to the wrist or from the wrist to the upper part of the wrist, touches and is fixed to the function-reducing part of the palm or the inner surface of the wrist, and extends the functioning finger or wrist of the hand.
A belt-like stretchable part that is connected to the palm side of the hand of the base and covers the back side of the hand including the fingers of the hand;
A band-shaped body that is connected to the base portion and covers at least the back side of the hand that is not covered with the band-shaped elastic portion;
Brace.

The foundation includes a third layer secured to the inner surface of a finger joint or wrist to contract;
The brace according to claim 1, wherein the third layer is fixed to the function-reduced site so as to extend the functioning finger joint or wrist.

The base portion is a second layer material formed to fit the palm side of the hand,
The orthosis according to claim 1 or 2, further comprising a first layer material that is laminated on a side opposite to the palm side of the hand of the second layer material and holds the shape of the base portion.

The belt-like stretchable part is stretched between the inside and outside of the base part so that the finger side can be inserted from the finger joint part to cover from the wrist to the finger side from the wrist joint part. Item 4. The brace according to any one of Items 3 to 4.

The band-shaped body has a width and a length for covering the vicinity of the wrist, and is connected to an inner edge or an outer edge of the base portion in order to fix the base portion in the vicinity of the wrist. The orthosis according to any of the above.

The third layer material is made of an ethylene-vinyl acetate copolymer resin (EVA) material having a low elastic modulus,
The third layer material is gradually formed thin toward the end, and the length from the palm part of the hand to the wrist part and the length from the wrist part to the forearm part is 0.8: 1 to 1.5: 1. The palm part of the hand is shaped by reducing the first layer material by 75 to 85%, the forearm part is formed in a square shape from the wrist part, and the wrist part and the base part of the finger are more than the other parts. The brace according to any one of claims 1 to 5, which has a thickness.

The first layer material of the base part is molded in a form 10% to 15% larger than the width of the palm side of the hand from the fingertip part to the forearm part of a person stretched horizontally or vertically, and has a high elastic modulus. -It is a vinyl acetate copolymer resin (EVA) material, and the ratio from the second joint part of the finger on the palm side of the hand to the wrist and the part from the wrist to the forearm is 0.8: 1 to 3: 2. The orthosis according to any one of claims 1 to 6, which is molded.

The second layer material of the base portion is formed of a sponge material for increasing the fit, and is bonded to the palm side of the hand of the first layer material. Brace.

One end of the belt-like stretchable part is fixed from the first and second joints on the index finger side of the base part to the base of the thumb, and the little finger is attached to the first finger and the second joint part on the little finger side. The orthosis according to any one of claims 1 to 8, comprising a sheet-like material made of synthetic fiber such as cotton, rubber, polyester, etc., having the other end fixed to the root portion and having a sponge material inside.

The band-like body is provided on the thumb side of the base portion and is provided with a semicircular insertion portion through the base of the thumb from the joint portion of the base of the index finger to the wrist, and approximately 2/3 to 4 minutes from the back of the hand. A synthetic fiber sheet-like material such as cotton or polyester having a length of 3 turns, a sponge material is embedded inside the sheet-like material, and a hook-and-loop fastener is attached to the free end thereof. The orthosis according to any one of claims 9 to 10.

11. The base part according to claim 1, wherein the base part is formed with a semicircular insertion part through the base part of the thumb from the joint part of the base of the index finger to the wrist part on the thumb side. Brace.