JP2019195580A - Deglutition training device - Google Patents

Abstract

To provide a deglutition training device capable of strengthening efficiently muscles around the larynx so as to be suitable for deglutition by reproducing a similar state to deglutition by normal drink, by repeating actual action of swallowing things, and capable of enhancing coordination between the muscles.SOLUTION: A deglutition training device 100 includes a linear member 30 constituted bendably, a hand side operation member 50 provided on one end or near one end of the linear member 30, and a lump part 10 for deglutition provided on the other end of the linear member 30.SELECTED DRAWING: Figure 1

Description

  The present invention relates to a training device for swallowing.

  Swallowing during feeding requires a feeding operation from the lower root to the pharynx and a feeding operation from the pharynx to the esophagus. These are performed by a comprehensive movement in which a plurality of muscles around the pharynx such as the maxillohyoid muscle, the hyoid hyoid muscle, the digastric muscle, and the pharyngeal constrictor muscle are linked.

  However, when people become elderly, so-called aspiration that causes these muscles to weaken and the muscles to collaborate and collaborate worsens swallowing during meals, makes it difficult for food to flow through the esophagus, and flows into the trachea. It becomes easy to cause. Such symptoms may also be seen in patients who have experienced cerebral infarction or the like. This aspiration can cause serious symptoms such as “aspiration pneumonia”.

  In order to improve such swallowing during meals and to prevent aspiration, it is known that strengthening the muscle strength of these hyoid bone and laryngeal muscles is effective. ing.

  The invention of the device for strengthening the muscular strength of the hyoid superior muscle group and the laryngeal elevation muscle group includes a jaw support capable of supporting an electrical stimulation pad, a chest support, and a connection support structure for connecting the jaw support and the chest support. A support structure including a support structure including a retaining strap attached to the connection support structure; a pad; a series of pads attached to the pad and disposed in parallel with a series of muscles in a patient's submandibular region A removable electrode fitted to the submandibular region of the patient, comprising a conductive element, a protective insulating cover attached to the conductive element and the pad, and an electrical lead connected to the series of conductive elements and extending from the pad; A laryngeal elevation muscle group treatment assembly has been proposed (Patent Document 1).

  Such a laryngeal elevation muscle group treatment assembly is said to perform muscle re-strengthening, regeneration and rehabilitation by applying electrical stimulation to the laryngeal elevation muscle group with electrodes attached to the patient's forehead region. Is.

  However, this laryngeal elevation muscle group treatment assembly is designed to restore muscle strength by external electrical stimulation without performing the swallowing action, so it cannot be trained as an exercise necessary for the swallowing action. There was a problem that it was not possible to train muscular strength reinforcement and muscular neural cooperation.

JP 2010-530331 A

  Therefore, the present invention has been made to solve the above-described problems, and by repeating the operation of actually swallowing an object, it can be efficiently performed by reproducing the same state as swallowing by normal eating and drinking. It is another object of the present invention to provide a training apparatus for swallowing that can strengthen muscles around the larynx so as to be suitable for swallowing and can enhance cooperation between the muscles.

  The present invention adopts the following means in order to achieve at least one of the above objects.

The training device for swallowing according to the present invention is:
A linear member configured to be freely bent;
A hand side operation member provided at one end of the linear member or near one end;
A swallow lump provided at the other end of the linear member;
It is provided with.

  By adopting such a configuration, the swallowing mass can be pulled out after passing through the pharynx and the esophagus, so that the swallowing operation can be repeated. Therefore, the state of normal eating and drinking can be reproduced, muscles around the larynx can be efficiently strengthened, and cooperation between muscles can be strengthened. In addition, a person who is prone to dysphagia may have a higher possibility of aspiration. However, according to the training device for swallowing according to the present invention, the swallowing lump can be pulled out even when it is likely to be swallowed, so that the possibility of swallowing can be reduced.

  Moreover, in the training device for swallowing according to the present invention, the swallowing lump portion may be made of metal.

  A certain amount of weight can be given to the swallowing lump part by making the swallowing lump part of the training apparatus for swallowing with a metal. Therefore, it can be made easy to swallow using gravity.

  Furthermore, in the training device for swallowing according to the present invention, the swallowing mass may be made of a flexible material such as silicon, urethane, or plastic.

  Some people have a feeling of strangeness when swallowing if the swallowing mass is hard. In such a case, such a feeling of strangeness can be reduced by using a flexible material such as silicon, urethane, or plastic.

  Furthermore, in the training device for swallowing according to the present invention, the swallowing lump portion includes a central member made of a metal material and an outer peripheral member made of a flexible material formed around the central member. It may be characterized by.

  By adopting such a configuration, the weight and the flexibility of the outer peripheral portion can be made compatible, and a swallowing lump portion with a soft feel can be provided while assisting swallowing by dropping due to gravity.

  Furthermore, in the training apparatus for swallowing according to the present invention, the swallowing lump part may be made of a material that can be eaten or consumed.

  By making it with the food and drink which can be eaten and eaten, it can be set as the training device for swallowing with higher safety.

  Furthermore, in the training device for swallowing according to the present invention, the swallowing lump portion may be provided so as to be separable from the linear member.

  By adopting such a configuration, the swallowing lump can be made disposable, and a new swallowing lump can be used as needed, so that a hygienically excellent training apparatus for swallowing can be provided. .

Furthermore, in the training device for swallowing according to the present invention, the swallowing lump portion includes a housing portion formed therein, and an opening / closing portion provided to be able to open and close the housing portion,
The hand side operation member may be provided so as to be able to open and close the opening / closing part.

  By adopting such a configuration, a drug or the like can be accommodated in the swallowing mass, and the drug can be administered to the larynx and esophagus.

FIG. 1 is a perspective view of a training apparatus 100 for swallowing according to the first embodiment. FIG. 2 is a diagram illustrating a variation of the swallowing mass 10 used in the training device 100 for swallowing according to the first embodiment. FIG. 3 is a diagram showing another embodiment of the swallowing mass 10 used in the training device 100 for swallowing according to the first embodiment. FIG. 4 is a view showing another embodiment of the proximal side operation member 50 used in the swallowing training device 100 according to the first embodiment. FIG. 5 is a schematic diagram of a training apparatus 100 for swallowing according to the second embodiment. FIG. 6 is a perspective view of the training device 100 for swallowing according to the third embodiment.

  Now, embodiments of the present invention will be described in detail with reference to the above-described drawings.

(First embodiment)
FIG. 1 is a perspective view of a training apparatus 100 for swallowing according to the first embodiment.

  The training device 100 for swallowing according to the present invention is a training device used to train muscles necessary for swallowing and to strengthen the cooperation of nerves of these muscles by actually repeating the swallowing operation. .

  A training apparatus 100 for swallowing according to the first embodiment is mainly a thin string-like or wire-like linear member 30 and a swallowing mass part that is attached to the other end of the linear member 30 and actually swallows. 10 and a proximal-side operation member 50 provided at one end or the vicinity of one end of the linear member 30 opposite to the swallowing mass 10.

  The swallowing lump 10 is a lump having a size of about 1.0 mm to 20.0 mm. The size of the swallowing lump 10 is appropriately selected according to the state of swallowing ability of the patient to be used and the patient undergoing rehabilitation. Since the shape of the swallowing mass portion 10 is used for swallowing, it is prepared so as to have a smooth curved surface without having an acute angle portion or a sharp portion on the outer periphery. It is preferable to do. For example, in addition to the sphere shown in FIG. 1, as shown in FIG. 2, there are a tablet type (FIG. 2A), a capsule type (FIG. 2B), etc. Of course, it is not limited to these shapes. The material used for the swallowing lump 10 can be freely selected from a hard material to a flexible material. If it has a little weight, it can be easily swallowed by the drop of gravity, so a relatively heavy material such as metal may be used. In addition, some patients feel that it is difficult to swallow if it is too hard. In such a case, a material made of a flexible material such as silicon, urethane, or soft plastic may be used. Further, as shown in FIG. 3, a heavy metal or the like is used for the central member A, and a flexible material such as silicon, urethane, or soft plastic is provided around the central member A such as metal. You may use what provided the outer peripheral member B which coated the raw material. Of course, since it is for swallowing, it is needless to say that a material that does not adversely affect the human body is used.

  As the linear member 30, a member having flexibility that can be bent to such an extent that it can pass through the esophagus and can be pulled out is used. The material is not particularly limited, such as metal or plastic. The thickness is preferably about 0.2 mm to 1.5 mm. The length is preferably long enough to pass through the esophagus when swallowed, and may vary depending on the physique of the patient to be used, but should be approximately 20 cm to 40 cm. Moreover, the linear member 30 is not necessarily limited to what was produced by one line | wire, The twisted thread-like thing and the wire-like thing which bundled the thinner metal wire may be sufficient.

  The hand side operation member 50 is mainly a member for taking out after swallowing the swallowing lump portion 10 and includes at least a gripping portion. The grip portion may have any shape as long as it can be firmly gripped and pulled out. For example, as shown in FIG. 1, it may be a large ring shape, a spherical shape that can be gripped, or a substantially T-shaped member as shown in FIG. The shape may be easy to grasp and easy to pull out.

  The training apparatus 100 for swallowing thus produced is used as follows. First, the patient includes the swallowing mass 10 in the mouth while firmly grasping the hand side operation member 50. From this state, the swallowing mass 10 is swallowed. When the swallowing lump 10 reaches the esophagus, the swallowing lump 10 is pulled out to the mouth by pulling the proximal-side operation member 50. Such an operation is repeated several times to several tens of times a day. By such training, the operation of feeding the swallowing mass portion 10 to the pharynx by the movement of the tongue and the feeding operation to the esophagus by the swallowing reflex are repeated a plurality of times. Strengthening muscle strength of muscle groups and the neural coordination of these muscles. Further, even if the swallowing mass 10 is accidentally entered on the trachea side, it can be pulled out immediately, so that aspiration can be prevented.

(Second Embodiment)
A training apparatus 100 for swallowing according to the second embodiment is shown in FIG. The training apparatus 100 for swallowing according to the second embodiment is different from the first embodiment in that the swallowing lump 10 is detachable by an operation by the hand side operation member 50.

  The swallowing lump 10 according to the second embodiment is made of a material that does not have any problem even if it is consumed. For example, capsules that are liquefied over time, such as candy, capsules containing drugs, drugs themselves, and the like are used. The linear member 30 is provided with a hook 31 at the tip, and the hook 31 is operated by an operating portion (not shown) of the proximal side operating member 50 via an operating wire 33 provided along the linear member 30. It is connected to. Therefore, by operating the operation unit, the hook 31 is opened, and the swallowing lump 10 can be separated.

  In addition, the mechanism in which the lump 10 for swallowing cut | disconnects from the linear member 30 mentioned above is an example, and is not limited to this.

  By using the training apparatus 100 for swallowing according to the second embodiment as described above, the swallowing lump 10 is disposable, so that the swallowing lump 10 can be kept hygienic. In addition, if a capsule containing a medicine is used, the medicinal effect can be expected by swallowing it as it is. Furthermore, when the drug itself is used, the drug can be applied to the pharynx and esophagus during swallowing training.

(Third embodiment)
A training apparatus 100 for swallowing according to the third embodiment is shown in FIG. The training apparatus 100 for swallowing according to the third embodiment has a housing portion 13 in the swallowing lump portion 10, and the housing portion 13 is provided with an opening / closing portion 15 that can be opened and closed. The opening / closing part 15 is biased in the closing direction and is in a closed state when not operated. The opening / closing part 15 is coupled to the proximal side operation member 50 via an operation wire 34 provided along the linear member 30. Therefore, the opening / closing part 15 can be opened by operating the hand side operation member 50.

  By using the training device 100 for swallowing according to the third embodiment as described above, if a medicine or the like is inserted into the housing part 13, the medicine is applied to the pharynx and esophagus by opening the opening / closing part 15 during the swallowing training. Can be administered.

  In addition, this invention is not limited to the structure of embodiment, In the range which does not deviate from the summary of this invention, it can change suitably.

  As shown in the embodiment described above, it can be used as a training device for swallowing.

DESCRIPTION OF SYMBOLS 10 ... Swallow lump part, 13 ... Storage part, 15 ... Opening / closing part, 30 ... Linear member, 31 ... Hook, 33 ... Operation wire, 34 ... Operation wire, 50 ... Hand side operation member, 54 ... Opening / closing operation Part, 100 ... training equipment for swallowing

Claims (7)

A linear member configured to be freely bent;
A hand side operation member provided at one end of the linear member or near one end;
A swallow lump provided at the other end of the linear member;
A training device for swallowing, characterized by comprising:   The swallowing training device according to claim 1, wherein the swallowing lump is made of metal.   The swallowing training apparatus according to claim 1, wherein the swallowing lump is made of a flexible material such as silicon, urethane, or plastic.   2. The swallowing mass portion according to claim 1, wherein the swallowing mass portion includes a central member made of a metal material and an outer peripheral member made of a flexible material formed around the central member. Training equipment.   The swallowing training apparatus according to any one of claims 1 to 4, wherein the swallowing lump portion is made of a material capable of eating and drinking.   The swallowing training apparatus according to any one of claims 1 to 5, wherein the swallowing lump portion is provided so as to be separable from the linear member. The swallowing lump portion includes an accommodating portion formed inside, and an opening / closing portion provided to be able to open and close the accommodating portion,
The swallowing training device according to any one of claims 1 to 6, wherein the hand side operation member is provided so as to be able to open and close the opening / closing part.

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