JP2021049260A - Oral cavity function training method - Google Patents

Oral cavity function training method Download PDF

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JP2021049260A
JP2021049260A JP2019175524A JP2019175524A JP2021049260A JP 2021049260 A JP2021049260 A JP 2021049260A JP 2019175524 A JP2019175524 A JP 2019175524A JP 2019175524 A JP2019175524 A JP 2019175524A JP 2021049260 A JP2021049260 A JP 2021049260A
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muscle
end side
oral cavity
training method
tubular body
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佳明 岡本
Yoshiaki Okamoto
佳明 岡本
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Medical Corp Yuusenkai
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Abstract

To provide an oral cavity function training method capable of achieving continuous autonomous execution of training for improvement of an oral cavity function and training for preventing reduction of the oral cavity function, in a game sensibility.SOLUTION: An oral cavity function training method comprises: an oral cavity surrounding muscle holding step of, inserting a substantially conical blowgun dart which has a hard needle part with a sharp tip and a hollow part into a cylindrical body from an opening on the other end side of the long-sized cylindrical body with a mouthpiece attached to one end side, inserting a shank part of the mouthpiece into an oral cavity, for holding the shank part by lips by biting the shank part by incisors on upper and lower jaws for holding, thereby training mainly an orbicular muscle of mouth; an oral cavity surrounding muscle stretching step of, in a state of directing a tip end being the other end side of the cylindrical body to a target in which a plurality of wide ring parts for which a different score is set for each different diameter size, is displayed concentrically, training mainly a buccinator muscle by exhaling in one breath from one end side of the cylindrical body, to inside of the cylindrical body; and a brain stimulation step of adding a score on the ring part on a target to which a dart blown from the other end side of the cylindrical body sticks, and comparing the score with a score recording of other person or a self score recording.SELECTED DRAWING: Figure 1

Description

本発明は、口腔機能が低下した症状の改善や口腔機能低下の予防に寄与する口腔機能訓練方法に関する。 The present invention relates to an oral function training method that contributes to improvement of symptoms of decreased oral function and prevention of decreased oral function.

加齢により、噛む、飲み込む、話すなどの口腔機能が低下する。これをオーラルフレイルと呼ぶ。オーラルフレイルは身体の老化のサインであり、さらに進行すると食欲低下からの栄養不足、身体活動低下や全身の機能低下であるフレイルを招き、これがすすむと要介護状態につながる可能性がある。そのため、口腔機能の改善に向けた取り組みがされている。 With aging, oral functions such as chewing, swallowing, and speaking decline. This is called an oral frailty. Oral frailty is a sign of aging of the body, and if it progresses further, it may lead to malnutrition due to loss of appetite, frailty that is a decrease in physical activity and general function, and if this progresses, it may lead to a state of long-term care. Therefore, efforts are being made to improve oral function.

例えば、口腔乾燥を防ぐために、舌下腺、顎下腺又は耳下腺のマッサージがあり、パ、タ、カ又はラの一語一語を、口を大きく開けて言うことなどがある。 For example, in order to prevent dry mouth, there is a massage of the sublingual gland, submandibular gland or parotid gland, and each word of pa, ta, ka or la may be said with the mouth wide open.

また、特許文献1には、把持部と、口腔内に挿入される挿入部とを備え、挿入部には内部に中空部を備えた可撓性を有する弾性体部が設けられており、該弾性体部は中空部と外部とを連通するスリットと、中空部と外部とを連通し、かつ前記スリットとは異なる位置に設けられた少なくとも一つ以上の孔とを備える口腔機能トレーニング器具が開示されている。 Further, Patent Document 1 includes a grip portion and an insertion portion to be inserted into the oral cavity, and the insertion portion is provided with a flexible elastic body portion having a hollow portion inside. Disclosure of an oral function training device including an elastic body portion having a slit that communicates between the hollow portion and the outside and at least one or more holes that communicate the hollow portion and the outside and is provided at a position different from the slit. Has been done.

特許文献2には、口蓋部に適合する乳首状の口腔内挿入部と、この口腔内挿入部に連接され口腔外に突出するラッパ状または円筒状の口腔外突出部を有する口腔機能訓練器が開示されている。 Patent Document 2 describes an oral function training device having a nipple-shaped intraoral insertion portion that fits the palate and a trumpet-shaped or cylindrical extraoral protrusion that is connected to the intraoral insertion portion and protrudes outside the oral cavity. It is disclosed.

特開2014−54269号公報Japanese Unexamined Patent Publication No. 2014-54269 特開2013−118916号公報Japanese Unexamined Patent Publication No. 2013-118916

舌下腺、顎下腺又は耳下腺のマッサージを行い、パ、タ、カ又はラの一語一語を、口を大きく開けて言うことを一人で行うという単調な作業の繰り返しのため、持続できず中断してしまう人が多いという問題があった。また、地域で100歳体操などの健康教室を開催しても、特に地域の引きこもりの高齢者の男性は参加者率が低いという問題があった。 To repeat the monotonous work of massaging the sublingual gland, submandibular gland, or parotid gland, and saying each word of pa, ta, ka, or la with the mouth wide open. There was a problem that many people could not sustain it and interrupted it. In addition, even if health classes such as 100-year-old gymnastics are held in the area, there is a problem that the participation rate is low especially for elderly men who are withdrawn in the area.

特許文献1の発明は、袋部内にゼリーやジャム、クリーム、プリン、飴のような充填物が充填され、袋を噛むとゼリー等の充填物が流出して甘味を感じるものである。口腔機能の低下がみられる者や口腔機能低下を予防したい者は主として高齢者である。そのような高齢者は糖尿病の方もおられるので甘味のある食物は食さない方がよいと言われている。すると、特許文献1の発明は、噛めば噛むほど咀嚼力は向上するが、高齢者には糖尿病の方が少なくなく敬遠されるという問題があった。 According to the invention of Patent Document 1, a filling such as jelly, jam, cream, pudding, or candy is filled in the bag portion, and when the bag is chewed, the filling such as jelly flows out to give a sweet taste. Those who have a decline in oral function or who want to prevent a decline in oral function are mainly elderly people. It is said that such elderly people should not eat sweet foods because some of them are diabetic. Then, the invention of Patent Document 1 has a problem that the more chewed, the better the masticatory power, but the elderly people are more likely to have diabetes and are shunned.

特許文献2の発明は、口腔機能訓練器を口に挿入して噛んだりする訓練を一人で単調動作を繰り返し実施するので、一人で行うという単調な作業の繰り返しのため、持続できず中断してしまう人が多いという問題があった。 In the invention of Patent Document 2, since the training of inserting the oral function training device into the mouth and chewing is repeatedly performed by one person, the monotonous operation of performing the training by one person is repeated, so that the training cannot be sustained and is interrupted. There was a problem that many people would end up.

そこで、発明者は、特に地域の引きこもりの高齢者の男性に持続的に参加してもらえる口腔機能訓練方法はないかと模索していて、口腔機能訓練にグランドゴルフのようなゲーム感覚の要素を取り入れることができたら、地域の引きこもりの高齢者の男性が口腔機能訓練をすることに関心を寄せ、その結果として参加する回数が増加し訓練が自律的に継続されていくと考えた。そして、ゲーム感覚で口を動かす遊びとして吹矢、吹き戻し、及び、シャボン玉をリストアップし、その中で口で最も強く吹くのが吹矢であることから吹矢を口腔機能訓練に取り入れることを想到した。 Therefore, the inventor is searching for an oral function training method that allows elderly men withdrawal in the community to participate continuously, and adds a game-like element such as grand golf to oral function training. If it could be adopted, it was thought that elderly men withdrawal in the community would be interested in oral function training, and as a result, the number of participation would increase and the training would continue autonomously. Then, as a play to move the mouth like a game, we listed the blow arrow, the party horn, and the soap bubble, and since the blow arrow is the strongest blow in the mouth, we came up with the idea of incorporating the blow arrow into the oral function training. ..

本発明はこうした問題に鑑み創案されたもので、口腔機能改善や口腔機能低下予防の訓練をゲーム感覚で継続的に自律的に実施することが期待できる口腔機能訓練方法を提供することを課題とする。 The present invention was devised in view of these problems, and an object of the present invention is to provide an oral function training method that can be expected to continuously and autonomously carry out training for improving oral function and preventing oral function deterioration as if playing a game. To do.

請求項1に記載の口腔機能訓練方法が、吹矢を取り入れた口腔機能訓練方法であって、一端側にマウスピースを装着した長尺状の筒状体の、他端側の開口部から、先端が尖った硬質製の針部と中空部を有する略円錐状の吹き矢を前記筒状体に挿入し、前記マウスピースのシャンク部を口腔内に挿入し、該シャンク部を上顎下顎の切歯で噛んで保持しつつ唇で挟持する口輪筋を主体とした口腔周囲筋挟持ステップと、前記口輪筋を主体とした口腔周囲筋挟持ステップ後に、前記筒状体の他端側である先端を、異なる直径の大きさごとに異なる点数を設定した複数の幅広のリング部を同心状に表示した的に向けた状態で、前記筒状体の一端側から前記筒状体の内部に一気に息を吐きだす頬筋を主体とした口腔周囲筋拡張ステップと、前記頬筋を主体とした口腔周囲筋拡張ステップ後に、前記筒状体の他端側から飛んだ矢が刺さった前記的の前記リング部の点数を加算し他者点数記録又は自己点数記録と比較する脳刺激ステップと、を備えることを特徴とする。 The oral function training method according to claim 1 is an oral function training method incorporating a blow arrow, and is a tip from an opening on the other end side of a long tubular body having a mouthpiece attached to one end side. A substantially conical blown arrow having a hard needle part and a hollow part with a sharp point is inserted into the tubular body, the shank part of the mouthpiece is inserted into the oral cavity, and the shank part is inserted with the cut teeth of the upper and lower jaws. After the perioral muscle pinching step mainly composed of the oral ring muscle and the perioral muscle sandwiching step mainly composed of the oral ring muscle while chewing and holding, the tip of the tubular body on the other end side is pressed. , With a plurality of wide ring portions set with different points for different diameters facing concentrically, breathe from one end side of the tubular body into the inside of the tubular body at once. After the perioral muscle expansion step mainly composed of the exhaling cheek muscle and the perioral muscle expansion step mainly composed of the cheek muscle, the ring portion of the target pierced by an arrow flying from the other end side of the tubular body. It is characterized by comprising a brain stimulation step of adding the scores of the above and comparing with the score recording of others or the self-scoring.

請求項2に記載の口腔機能訓練方法が、請求項1において、前記吹矢を取り入れた口腔機能訓練方法が、スポーツ吹矢を取り入れた口腔機能訓練方法であることを特徴とする。 The oral function training method according to claim 2 is characterized in that, in claim 1, the oral function training method incorporating the blow arrow is an oral function training method incorporating a sports blow arrow.

本発明の請求項1又は2に記載の口腔機能訓練方法は、一人で単調なことを繰り返す訓練ではなく、吹矢で的のより高い点数のリング部に矢を刺さそうとする意欲が高まり、矢が刺さった的のリング部の点数で喜んだり悔しがったりすることで楽しく口腔機能訓練ができる。このため口腔機能訓練に的の高い点数のリング部に矢を突き刺すために工夫をするなどによりゲーム独特の達成感があるので、口腔機能訓練を長く続けられるという今までにない効果を奏する。 The oral function training method according to claim 1 or 2 of the present invention is not a training in which a person repeats monotonous things by himself, but an arrow is motivated to pierce a ring portion having a higher target score with a blown arrow. You can enjoy oral function training by being pleased or regretted by the score of the ring part of the target that was stabbed. For this reason, there is a sense of accomplishment peculiar to the game by devising a way to pierce the ring part with a high score for oral function training, so it has an unprecedented effect of being able to continue oral function training for a long time.

また、口腔機能訓練にゲーム感覚の要素を取り入れることによって、高齢者で閉じこもり又は引きこもりの男性を引っ張り出すという効果も奏する。 In addition, by incorporating a game-like element into the oral function training, it also has the effect of pulling out a man who is withdrawn or withdrawn in the elderly.

さらに、吹矢を行うことで、活動量・運動量が増加して食欲増進につながり、並びに、口腔機能の改善・向上により食欲増進にもつながるという効果を奏する。 Furthermore, by performing a blow arrow, the amount of activity and the amount of exercise are increased, which leads to an increase in appetite, and the improvement and improvement of oral function leads to an increase in appetite.

本発明の口腔機能訓練方法は、地域の引きこもりの高齢者の男性のみならず、老若男女、子供から高齢者、健常者や障害者も、すべての人の口腔機能訓練に適用できて効果を期待できる。 The oral function training method of the present invention can be applied to oral function training for all people, not only elderly men withdrawal in the community, but also men and women of all ages, children to the elderly, healthy people and persons with disabilities. You can expect it.

本発明のフロー図である。It is a flow chart of this invention. 本発明の口腔機能訓練方法の実施状況の説明図である。It is explanatory drawing of the implementation state of the oral function training method of this invention. 車椅子を使用したときの本発明の口腔機能訓練方法の実施状況の説明図である。It is explanatory drawing of the implementation state of the oral function training method of this invention when using a wheelchair. 本発明の口腔機能訓練方法に使用する用具の説明図で、(a)は筒状体とマウスピースの1例の説明図で、(b)が矢の1例の説明図である。It is explanatory drawing of the tool used for the oral function training method of this invention, (a) is the explanatory view of one example of a tubular body and a mouthpiece, and (b) is the explanatory view of one example of an arrow.

噛む、飲み込む、話すなどの口腔機能が低下すると、固い食べ物を噛みにくい、軽いむせがでる、滑舌の悪化、口の中が乾くなどの症状が現れる。そこで、前記症状に関与する筋の説明と吹矢で使用する筋の説明をする。 When oral function such as chewing, swallowing, and speaking deteriorates, symptoms such as difficulty in chewing hard food, slight swelling, deterioration of smooth tongue, and dry mouth appear. Therefore, the muscles involved in the symptom and the muscles used in Fukiya will be explained.

まず、噛むという口腔機能については、下顎を上げる機能であり、咬筋、側頭筋、外側翼突筋、内側翼突筋の4種類からなる咀嚼筋が該当する。口腔内が乾燥していると食べ物がうまく噛めない。 First, the oral function of chewing is a function of raising the lower jaw, and corresponds to four types of masticatory muscles: masseter muscle, temporal muscle, lateral pterygoid muscle, and medial pterygoid muscle. If the oral cavity is dry, food cannot be chewed well.

次に、飲み込むという口腔機能については、食べ物を口の中に入れるための口輪筋が該当し、口腔内で食べ物をうまくまとめたり、うまく飲み込むための唾液を出すのは大唾液腺である舌下腺、顎下腺、耳下腺及び多数の小唾液腺が該当し、舌背に載せて中咽頭に送り込むときは、顎舌骨筋、舌骨舌筋等の舌骨上筋群が働き、後咽頭から食道への送り込みは甲状舌骨筋が喉頭蓋を閉じ気道に食べ物が入るのを防ぐ。 Next, regarding the oral function of swallowing, the muzzle muscle for putting food in the mouth corresponds, and it is the submandibular gland that produces salivary glands to organize food well in the oral cavity and swallow it well. Glands, submandibular glands, submandibular glands and many minor salivary glands are applicable, and when they are placed on the back of the tongue and sent to the mesopharynx, the supraclavicular muscles such as the maxillofacial muscles and lingual tongue muscles work, and the posterior Delivery from the pharynx to the esophagus prevents the thyroid muscles from closing the laryngoscope and allowing food to enter the airways.

次に、話すという口腔機能については、発音を変えるのに唇を閉じたり開いたり縮めたり、舌の形を変えたりするときに働く口輪筋を主体にした口腔周囲筋、外舌筋及び内舌筋が該当し、唾液を出す大唾液腺である舌下腺、顎下腺、耳下腺及び多数の小唾液腺が該当する。口腔内が乾燥すると会話がしにくくなり、口輪筋を主体とした口腔周囲筋が衰えると発音が聞き取れにくくなる。 Next, regarding the oral function of speaking, the perioral muscles, the external tongue muscles, and the inner muscles, which are mainly the muzzle muscles that work when closing, opening, contracting, and changing the shape of the tongue to change the pronunciation. The muscles of tongue are applicable, and the sublingual glands, submandibular glands, parotid glands, and many minor salivary glands, which are large salivary glands that produce salivary glands, are applicable. When the oral cavity becomes dry, it becomes difficult to talk, and when the perioral muscles, mainly the orbicularis oris muscle, weaken, it becomes difficult to hear the pronunciation.

本願発明の口腔機能訓練方法1は、図1〜図3に示すように、吹矢を取り入れた口腔機能訓練方法1であって、一端側にマウスピース6を装着した長尺状の筒状体5の、他端側の開口部から、先端が尖った硬質製の針部7aと中空部7bを有する略円錐状の吹き矢7を前記筒状体5に挿入し、前記マウスピース6のシャンク部6aを口腔内に挿入し、該シャンク部6aを上顎下顎の切歯で噛んで保持しつつ唇で挟持する口輪筋を主体とした口腔周囲筋挟持ステップ2と、前記口輪筋を主体とした口腔周囲筋挟持ステップ2後に、前記筒状体5の他端側である先端を、異なる直径の大きさごとに異なる点数を設定した複数の幅広のリング部8a、8b、8cを同心状に表示した的8に向けた状態で、前記筒状体5の一端側から前記筒状体5の内部に一気に息を吐きだす頬筋を主体とした口腔周囲筋拡張ステップ3と、前記頬筋を主体とした口腔周囲筋拡張ステップ3後に、前記筒状体5の他端側から飛んだ矢7が刺さった前記的8の前記リング部8a、8b、8cの点数を加算し他者点数記録又は自己点数記録と比較する脳刺激ステップ4と、を備える。 As shown in FIGS. 1 to 3, the oral function training method 1 of the present invention is the oral function training method 1 incorporating a blow arrow, and is a long tubular body 5 having a mouthpiece 6 attached to one end side. A substantially conical blow arrow 7 having a hard needle portion 7a with a sharp tip and a hollow portion 7b is inserted into the tubular body 5 from the opening on the other end side of the mouthpiece 6, and the shank portion 6a of the mouthpiece 6 is inserted. And the perioral muscle sandwiching step 2 mainly consisting of the perioral muscle sandwiching the shank portion 6a with the lips while chewing and holding the shank portion 6a with the cut teeth of the upper and lower jaws, and the mouth ring muscle as the main body. After the perioral muscle sandwiching step 2, a plurality of wide ring portions 8a, 8b, and 8c in which different points are set for different sizes of diameters are displayed concentrically at the tip of the tubular body 5 on the other end side. The perioral muscle expansion step 3 mainly consisting of the cheek muscles that exhale at once from one end side of the tubular body 5 into the inside of the tubular body 5 in a state toward the target 8 and the cheek muscles are mainly After the perioral muscle expansion step 3, the points of the ring portions 8a, 8b, and 8c of the target 8 pierced by the arrow 7 flying from the other end side of the tubular body 5 are added to record the score of another person or self. It comprises brain stimulation step 4 for comparison with score recording.

そして、前記吹矢を取り入れた口腔機能訓練方法1が、スポーツ吹矢を取り入れた口腔機能訓練方法1であってもよい。 Then, the oral function training method 1 incorporating the blow arrow may be the oral function training method 1 incorporating the sports blow arrow.

的8のリング部8a、8b、8cを狙って矢7を飛ばすには、図2や図3に示すように、訓練対象者10が、長尺状の筒状体5の一端側に装着したマウスピース6のシャンク部6aの中間くらいまでを口腔内に挿入して、前記シャンク部6aを上顎下顎の切歯で噛んで保持しつつ、口輪筋を主体とした口腔周囲筋で挟持する、すなわち唇でしっかり挟む。そして、訓練対象者10が、頬を膨らませ口腔内に貯まった空気を一気に強く吐き出す。これにより矢7は的8に向かって飛んで的8に突き刺さる。 In order to shoot the arrow 7 aiming at the ring portions 8a, 8b, 8c of the target 8, as shown in FIGS. 2 and 3, the trainee 10 was attached to one end side of the elongated tubular body 5. The mouthpiece 6 is inserted into the oral cavity up to about the middle of the shank portion 6a, and the shank portion 6a is held by the incisors of the maxilla and mandible while being sandwiched by the perioral muscles mainly composed of the orbicularis oris muscle. That is, firmly pinch it with your lips. Then, the trainee 10 inflates his cheeks and expels the air accumulated in the oral cavity at once. As a result, the arrow 7 flies toward the target 8 and pierces the target 8.

吹矢の一連の動作とその働きをする筋肉との関連を説明する。まず、口輪筋を主体とした口腔周囲筋挟持ステップ2である。一端側にマウスピース6を装着した長尺状の筒状体5の、他端側の開口部から、先端が尖った硬質製の針部7aと中空部7bを有する略円錐状の矢7を前記筒状体5に挿入し、前記マウスピース6のシャンク部6aの中間くらいまでを口腔内に挿入し、上顎下顎の切歯で噛んで保持しつつ口輪筋を主体とした口腔周囲筋で前記シャンク部6aを挟む動きをする。 I will explain the relationship between the series of movements of Fukiya and the muscles that perform the movements. First, it is the perioral muscle sandwiching step 2 mainly composed of the orbicularis oris muscle. A substantially conical arrow 7 having a hard needle portion 7a with a sharp tip and a hollow portion 7b is inserted from an opening on the other end side of a long tubular body 5 having a mouthpiece 6 mounted on one end side. It is inserted into the tubular body 5, and the middle part of the shank portion 6a of the mouthpiece 6 is inserted into the oral cavity, and the perioral muscles mainly composed of the orbicularis oris muscle are used while being chewed and held by the incisors of the maxilla and mandible. It moves to sandwich the shank portion 6a.

前記マウスピース6を口で挟むときに口を開けて閉じるために口輪筋を主体とした口腔周囲筋が働き、同時に下顎を上げる方向に動かすので噛む動作と同じ動作となり、咬筋、側頭筋、外側翼突筋、内側翼突筋の4種類からなる咀嚼筋が働く。 When the mouthpiece 6 is pinched by the mouth, the perioral muscles, mainly the orbicularis oris muscle, work to open and close the mouth, and at the same time, the mandible is moved in the direction of raising, so that the movement is the same as the chewing movement, and the masseter muscle and temporal muscle , The lateral pterygoid muscle, and the medial pterygoid muscle work.

咬筋、側頭筋、外側翼突筋、内側翼突筋の4種類からなる咀嚼筋が働くことは、噛むという口腔機能の訓練に貢献することがわかる。また、口輪筋を主体とした口腔周囲筋が働くことは、食べ物を口の中に入れ、保持する訓練に貢献する。 It can be seen that the action of the four types of masticatory muscles, the masseter muscle, the temporal muscle, the lateral pterygoid muscle, and the medial pterygoid muscle, contributes to the training of the oral function of chewing. In addition, the work of the perioral muscles, mainly the orbicularis oris muscle, contributes to training to put and hold food in the mouth.

次に、頬筋を主体とした口腔周囲筋拡張ステップ3である。前記筒状体5の他端側である先端を、異なる直径の大きさごとに異なる点数を設定した複数の幅広のリング部8a、8b、8cを同心状に表示した的8に向けた状態で、前記筒状体5の一端側から前記筒状体5の内部に一気に息を吐きだす。 Next, there is a perioral muscle expansion step 3 mainly consisting of the buccinator muscle. With the tip of the other end of the tubular body 5 facing the target 8 in which a plurality of wide ring portions 8a, 8b, 8c in which different points are set for different sizes of diameters are displayed concentrically. , Exhale at once from one end side of the tubular body 5 into the inside of the tubular body 5.

矢7を勢いよくまっすぐに飛ばすためには、唇をすぼめて舌を後方に引いてかつすぼめた状態をつくりながら頬をすぼめながら肺に空気を吸込んで、その後に頬を膨らませながら空気を一気に強く吐き出す過程においては、空気を大きく吸込むときに、唇をすぼめる口輪筋を主体とした口腔周囲筋が働き、舌を後方に引いて、縮める外舌筋及び内舌筋が働き、頬をすぼめる頬筋を主体とした口腔周囲筋が働き、次に頬を膨らませる頬筋を主体とした口腔周囲筋が働く。 In order to fly the arrow 7 vigorously and straight, inhale air into the lungs while purging the cheeks while purging the lips and pulling the tongue backwards to create a pursed state, and then inflate the cheeks and inflate the air at once. In the process of exhaling, when a large amount of air is inhaled, the perioral muscles, mainly the muzzle muscles that squeeze the lips, work, and the outer and inner tongue muscles that pull the tongue backward and contract, work, and the cheeks are squeezed. The perioral muscles, which are mainly the cheek muscles, work, and then the perioral muscles, which are mainly the cheek muscles that inflate the cheeks, work.

口輪筋や舌筋が働くことは、話すという口腔機能の訓練に貢献する。また、舌筋が働くことは、強く関連する舌骨上筋群及び舌骨下筋群に属する顎舌骨筋や舌骨舌筋や甲状舌骨筋なども少なからず動かしており、食べ物を舌背に載せて中咽頭に送り込み、後咽頭から食道へと送り込むという飲み込みの口腔機能の訓練に貢献する。さらに、口輪筋、舌筋、咀嚼筋を働かせると生理的に唾液が舌下腺や顎下腺などから出てくるので、前記唾液の働きにより、噛む、飲み込む、話すなどの口腔機能の訓練に貢献する。 The work of the orbicularis oris and tongue muscles contributes to the training of oral function of speaking. In addition, the work of the tongue muscles also moves the mylohyoid muscles, the suprahyoid muscles, and the thyroid tongue muscles, which belong to the strongly related suprahyoid muscles and infrahyoid muscles, to eat food. It contributes to the training of oral function of swallowing by placing it on the back and sending it to the mesopharynx and then sending it from the posterior pharynx to the esophagus. Furthermore, when the orbicularis oris muscle, tongue muscle, and muscles of mastication are activated, saliva is physiologically discharged from the sublingual gland and submandibular gland. Contribute to.

次に、脳刺激ステップ4である。前記筒状体5の他端側から飛んだ矢7が刺さった前記的8の前記リング部8a、8b、8cの点数を暗算で加算し、他者点数記録又は自己点数記録と比較することにより、次はこうしようという考えと意欲が湧いてきて次を行う意欲が湧き、さらにグループを結成すると仲間意識や競争意識が一層芽生えて訓練が継続するという効果が期待できる。高齢者向けスポーツの一つであるグランドゴルフのように楽しくプレーする感覚で訓練することができる。暗算で点数を加算することにより脳の刺激がなされるという効果がある。 Next is brain stimulation step 4. By adding the points of the ring portions 8a, 8b, 8c of the target 8 pierced by the arrow 7 flying from the other end side of the tubular body 5 by mental arithmetic and comparing with the other person's score record or the self-scoring record. The idea and motivation to do this next will be motivated, and if a group is formed, a sense of fellowship and a sense of competition will grow further, and the effect of continuing training can be expected. You can train with the feeling of having fun playing like ground golf, which is one of the sports for the elderly. There is an effect that the brain is stimulated by adding points by mental arithmetic.

以上の口輪筋を主体とした口腔周囲筋挟持ステップ2、頬筋を主体とした口腔周囲筋拡張ステップ3、脳刺激ステップ4を含む口腔機能訓練方法1は、図2に示すように立った姿勢で行ってもよく、図3に示すように車椅子や椅子に座った姿勢で行ってもよい。 The oral function training method 1 including the above-mentioned perioral muscle sandwiching step 2 mainly composed of the orbicularis oris muscle, perioral muscle expansion step 3 mainly composed of the buccinator muscle, and brain stimulation step 4 stood as shown in FIG. It may be performed in a posture, or may be performed in a posture of sitting on a wheelchair or a chair as shown in FIG.

以上のように、口腔機能の訓練に吹矢を取り入れる口腔機能訓練方法1は、発明者が初めて想到したものであり、ゲーム感覚で訓練が自発的に持続するという際立つ効果が期待できる。また、スポーツ吹矢を口腔機能訓練方法とした場合は、礼儀も身に着けるため生活習慣が良い方向になり口腔内の清潔度も高まることも期待でき、トータルとしてさらに口腔機能が改善されると期待できる。 As described above, the oral function training method 1 that incorporates Fukiya into the training of oral function was first conceived by the inventor, and it can be expected to have a remarkable effect that the training is spontaneously continued as if it were a game. In addition, if sports Fukiya is used as an oral function training method, it can be expected that the lifestyle will be improved and the cleanliness of the oral cavity will be improved because of the good manners, and it is expected that the oral function will be further improved as a whole. it can.

1 口腔機能訓練方法
2 口輪筋を主体とした口腔周囲筋挟持ステップ
3 頬筋を主体とした口腔周囲筋拡張ステップ
4 脳刺激ステップ
5 筒状体
6 マウスピース
6a シャンク部
7 矢
7a 針部
7b 中空部
8 的
8a リング部
8b リング部
8c リング部
10 訓練対象者
11 車椅子

1 Orbicularis function training method 2 Perioral muscle pinching step mainly composed of orbicularis oris muscle 3 Perioral muscle expansion step mainly composed of buccinator muscle 4 Brain stimulation step 5 Cylindrical body 6 Mouthpiece 6a Shank part 7 Arrow 7a Needle part 7b Hollow part 8 target 8a ring part 8b ring part 8c ring part 10 Trainee 11 Wheelchair

Claims (2)

吹矢を取り入れた口腔機能訓練方法であって、
一端側にマウスピースを装着した長尺状の筒状体の、他端側の開口部から、先端が尖った硬質製の針部と中空部を有する略円錐状の吹き矢を前記筒状体に挿入し、前記マウスピースのシャンク部を口腔内に挿入し、該シャンク部を上顎下顎の切歯で噛んで保持しつつ唇で挟持する口輪筋を主体とした口腔周囲筋挟持ステップと、
前記口輪筋を主体とした口腔周囲筋挟持ステップ後に、前記筒状体の他端側である先端を、異なる直径の大きさごとに異なる点数を設定した複数の幅広のリング部を同心状に表示した的に向けた状態で、前記筒状体の一端側から前記筒状体の内部に一気に息を吐きだす頬筋を主体とした口腔周囲筋拡張ステップと、
前記頬筋を主体とした口腔周囲筋拡張ステップ後に、前記筒状体の他端側から飛んだ矢が刺さった前記的の前記リング部の点数を加算し他者点数記録又は自己点数記録と比較する脳刺激ステップと、を備えることを特徴とする口腔機能訓練方法。
It is an oral function training method that incorporates Fukiya.
From the opening on the other end side of a long tubular body with a mouthpiece attached to one end side, a substantially conical blow arrow having a hard needle part with a sharp tip and a hollow part is attached to the tubular body. Insert, insert the shank part of the mouthpiece into the oral cavity, and hold the shank part with the incisors of the maxilla and mandible while holding it with the lips.
After the perioral muscle sandwiching step mainly consisting of the orbicularis oris muscle, the tip on the other end side of the tubular body is concentrically formed with a plurality of wide ring portions having different points set for different sizes of diameters. A perioral muscle expansion step mainly consisting of the buccinator muscle, which exhales at once from one end side of the tubular body to the inside of the tubular body in the indicated target state.
After the perioral muscle expansion step mainly composed of the buccinator muscle, the score of the ring portion of the target pierced by the arrow flying from the other end side of the tubular body is added and compared with the score record of others or the self-scoring record. An oral function training method characterized by including a brain stimulation step to be performed.
前記吹矢を取り入れた口腔機能訓練方法が、スポーツ吹矢を取り入れた口腔機能訓練方法であることを特徴とする請求項1に記載の口腔機能訓練方法。 The oral function training method according to claim 1, wherein the oral function training method incorporating the blow arrow is an oral function training method incorporating a sports blow arrow.
JP2019175524A 2019-09-26 2019-09-26 Oral cavity function training method Pending JP2021049260A (en)

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