JP3231887U - Spasticity release tool - Google Patents

Spasticity release tool Download PDF

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JP3231887U
JP3231887U JP2021000565U JP2021000565U JP3231887U JP 3231887 U JP3231887 U JP 3231887U JP 2021000565 U JP2021000565 U JP 2021000565U JP 2021000565 U JP2021000565 U JP 2021000565U JP 3231887 U JP3231887 U JP 3231887U
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spasticity
finger
release tool
holding portion
finger holding
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憲市 堀尾
憲市 堀尾
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憲市 堀尾
憲市 堀尾
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Abstract

【課題】簡素な構造でかつ装着するのみで痙縮を徐々に解除することができる痙縮解除具を提供する。【解決手段】痙縮解除具1は、指骨の上方において指骨の延在方向に沿って配される長尺部2と、長尺部2の先端側に設けられ指の先端側を外側に反らした状態で保持する指保持部3を有している。このため、指保持部3内に指を挿入して指が外側に反る状態で配置して痙縮解除具1を手足の指に装着するのみで痙縮を徐々に解除することができる。【選択図】図1PROBLEM TO BE SOLVED: To provide a spasticity release tool having a simple structure and capable of gradually releasing spasticity only by wearing it. SOLUTION: A spasticity release tool 1 is provided on a long portion 2 arranged above a phalange along the extending direction of the phalange, and provided on the tip side of the long portion 2 so that the tip side of the finger is bent outward. It has a finger holding portion 3 for holding in a state. Therefore, the spasticity can be gradually released only by inserting the finger into the finger holding portion 3 and arranging the finger in a state of warping outward and attaching the spasticity release tool 1 to the fingers and toes. [Selection diagram] Fig. 1

Description

本考案は、運動機能障害の一つである痙縮を解除するための痙縮解除具に関するものである。 The present invention relates to a spasticity relieving tool for relieving spasticity, which is one of motor dysfunctions.

脳で筋肉を動かそうとする場合、脳からの指令は脊髄を通って脊髄にある運動神経に伝わり、運動神経が興奮して筋肉が動作する。脳または脳から運動神経までの経路が損傷すると、筋肉が緊張し過ぎて手足が動き難くなったり、勝手に動いてしまったり、手の指が握ったまま開こうとしても開き難い、足先が足の裏側の方に曲がってしまうなどの痙縮の症状が発生する。この状態が長く続くと、筋肉が固まって関節の運動が制限されて拘縮が生じ、日常生活に支障を来す。
When trying to move muscles in the brain, commands from the brain are transmitted through the spinal cord to the motor nerves in the spinal cord, and the motor nerves are excited and the muscles move. If the brain or the pathway from the brain to the motor nerves is damaged, the muscles become too tense and the limbs become difficult to move, or the limbs move freely, or even if you try to open while holding the fingers of the hand, it is difficult to open the toes. Symptoms of spasticity such as bending toward the soles of the feet occur. If this condition continues for a long time, the muscles become stiff and the movement of joints is restricted, causing contracture and disturbing daily life.

現在、この痙縮の治療には、例えば緊張している筋肉を緩和する内服薬の服用、ボツリヌストキシンを注射して筋肉を緊張させている神経の働きを抑制するボツリヌス療法(特表2020−528879号公報)、アルコールやフェノールを、筋肉を緊張させている神経に注射して神経伝達を遮断する神経ブロック療法、または筋肉を緊張させている神経を部分的に切断したり、神経の太さを縮小する外科的療法などがある。 Currently, for the treatment of this spasm, for example, taking an internal medicine that relieves tense muscles, and botulinum therapy that suppresses the function of nerves that strain muscles by injecting botulinum toxin (Japanese Patent Publication No. 2020-528879). ), Nerve block therapy that blocks nerve transmission by injecting alcohol or phenol into nerves that are straining muscles, or partially cutting or reducing the thickness of nerves that are straining muscles There are surgical treatments.

特表2020−528879号公報Special Table 2020-528879

本願考案者は、痙縮を解除する新たな装具を想起し本考案に至ったものであり、すなわち、本考案の課題は、簡素な構造でかつ装着するのみで痙縮を解除することができる痙縮解除具を提供することにある。 The inventor of the present application recalled a new orthosis to release spasticity, that is, the subject of the present invention is to release spasticity with a simple structure and to release spasticity only by wearing it. It is to provide the ingredients.

上記課題を解決するものは、指骨の上方において指骨の延在方向に沿って配される長尺部と、該長尺部の先端側に設けられ指の先端側を外側に反らした状態で保持する指保持部を有していることを特徴とする痙縮解除具である(請求項1)。前記長尺部または/および前記指保持部は、平板材にて構成されていることが好ましい(請求項2)。前記指保持部は、前記長尺部の先端に設けられた湾曲部または屈曲部と、該湾曲部または屈曲部の先端側に設けられた指裏保持部とを有していることが好ましい(請求項3)。前記指保持部は、側面視略U字型に形成されていることが好ましい(請求項4)。前記長尺部または/および前記指保持部の内側には緩衝体が設けられていることが好ましい(請求項5)。前記指保持部は、指保持用帯状部材を有していることが好ましい(請求項6) Those that solve the above problems are a long portion arranged above the phalange along the extending direction of the phalange, and a long portion provided on the tip side of the long portion and held in a state where the tip side of the finger is bent outward. It is a spasticity releasing tool characterized by having a phalange holding portion (claim 1). The long portion and / and the finger holding portion are preferably made of a flat plate material (claim 2). The finger holding portion preferably has a curved portion or a bent portion provided at the tip of the long portion and a finger back holding portion provided on the tip end side of the curved portion or the bent portion (preferably. Claim 3). The finger holding portion is preferably formed in a substantially U-shape in side view (claim 4). It is preferable that a buffer is provided inside the long portion and / and the finger holding portion (claim 5). The finger holding portion preferably has a finger holding band-shaped member (claim 6).

請求項1に記載した痙縮解除具によれば、簡素な構造でかつ装着するのみで痙縮を解除することができる。
請求項2に記載した痙縮解除具によれば、指を安定して保持できると共により良好に装着できる。
請求項3または4に記載した痙縮解除具によれば、指を外側に沿った状態でより確実に保持できる。
請求項5に記載した痙縮解除具によれば、装着による違和感や痛みを解消できる。
請求項6に記載した痙縮解除具によれば、テープ部材などを別に用意することなく指を確実に保持することができる。
According to the spasticity release tool according to claim 1, the spasticity can be released by simply wearing the device with a simple structure.
According to the antispasmodic release tool according to claim 2, the fingers can be stably held and can be worn better.
According to the antispasmodic device according to claim 3 or 4, the finger can be more reliably held along the outside.
According to the antispasmodic release tool according to claim 5, the discomfort and pain caused by wearing the device can be eliminated.
According to the antispasmodic release tool according to claim 6, the finger can be reliably held without separately preparing a tape member or the like.

本考案の痙縮解除具の一実施例の斜視図である。It is a perspective view of one Example of the spasticity release tool of this invention. 図1に示した痙縮解除具を裏側から視た斜視図である。It is a perspective view which looked at the spasticity release tool shown in FIG. 1 from the back side. 図1に示した痙縮解除具の使用状態を説明するための説明図である。It is explanatory drawing for demonstrating the use state of the spasticity release tool shown in FIG. 図1に示した痙縮解除具の使用状態を説明するための説明図である。It is explanatory drawing for demonstrating the use state of the spasticity release tool shown in FIG. 本考案の痙縮解除具の他の実施例の斜視図である。It is a perspective view of another Example of the spasticity release tool of this invention. 図5に示した痙縮解除具を裏側から視た斜視図である。It is a perspective view which looked at the spasticity release tool shown in FIG. 5 from the back side. 本考案の痙縮解除具の他の実施例の斜視図である。It is a perspective view of another Example of the spasticity release tool of this invention. 図7に示した痙縮解除具を裏側から視た斜視図である。It is a perspective view which looked at the spasticity release tool shown in FIG. 7 from the back side. 図7に示した痙縮解除具の使用状態を説明するための説明図である。It is explanatory drawing for demonstrating the use state of the spasticity release tool shown in FIG.

本考案では、指骨の上方において指骨の延在方向に沿って配される長尺部2と、長尺部2の先端側に設けられ指の先端側を外側に反らした状態で保持する指保持部3を有することで、簡素な構造でかつ装着するのみで痙縮を解除することができる痙縮解除具1を実現した。 In the present invention, the long portion 2 arranged above the phalange along the extending direction of the phalange and the finger holding provided on the tip side of the long portion 2 and holding the tip side of the finger in a state of being bent outward. By having the part 3, the spasticity release tool 1 which has a simple structure and can release the spasticity only by wearing it has been realized.

本考案の痙縮解除具を図1ないし図4に示した一実施例を用いて説明する。
この実施例の痙縮解除具1は、指骨の上方において指骨の延在方向に沿って配される長尺部2と、長尺部2の先端側に設けられ指の先端側を外側に反らした状態で保持する指保持部3を有している。以下、各構成について順次詳述する。
The spasticity release tool of the present invention will be described with reference to one embodiment shown in FIGS. 1 to 4.
The spasticity release tool 1 of this embodiment has a long portion 2 arranged above the phalange along the extending direction of the phalange, and a long portion 2 provided on the tip side of the long portion 2 and the tip side of the finger is bent outward. It has a finger holding portion 3 for holding in a state. Hereinafter, each configuration will be described in detail in order.

長尺部2は、指骨の上方において、指骨の延在方向に沿って甲に配される部位であり、この実施例では、平板材にて構成されている。本考案の痙縮解除具は、この長尺部2が指保持部3を支持することにより、指の先端側を外側に反らした状態で維持できるように構成されている。 The long portion 2 is a portion above the phalange that is arranged on the instep along the extending direction of the phalange, and in this embodiment, it is made of a flat plate material. The spasticity release tool of the present invention is configured such that the long portion 2 supports the finger holding portion 3 so that the tip end side of the finger can be maintained in a state of being bent outward.

指保持部3は、指の先端側を外側(指を閉じる方向の内側の逆の方向)に反らした状態で保持するための部位であり、長尺部2の先端に一体に設けられ、湾曲部または屈曲部にて構成されている。具体的には、この実施例の指保持部3は、長尺部2の先端から外方に向かって反るように形成された湾曲部3aと、湾曲部3aの先端から屈曲されて指先を覆うように形成された屈曲部3bと、屈曲部3bの先端から屈曲または湾曲して指裏を保持するように形成された指裏保持部3cとを有している。 The finger holding portion 3 is a portion for holding the tip side of the finger in a state of being bent outward (the direction opposite to the inside in the direction of closing the finger), and is integrally provided at the tip of the long portion 2 and is curved. It is composed of a part or a bent part. Specifically, the finger holding portion 3 of this embodiment has a curved portion 3a formed so as to warp outward from the tip of the long portion 2 and a fingertip bent from the tip of the curved portion 3a. It has a bent portion 3b formed so as to cover the finger back and a finger back holding portion 3c formed so as to bend or bend from the tip of the bent portion 3b to hold the finger back.

そして、指保持部3は、図3に示すように、側面視略U字型に形成されており、略U字型の内部に指先が侵入して保持されるように構成されている。 As shown in FIG. 3, the finger holding portion 3 is formed in a substantially U-shape in side view, and is configured so that the fingertip penetrates into the substantially U-shape and is held.

なお、長尺部2および指保持部3の構成料として、金属材料、樹脂材料、木質系材料などある程度の強度を有するものであればどのような材料で構成されていてもよいが、この実施例の長尺部2および指保持部3は金属材料にて形成されている。また、長尺部2および指保持部3の内側(裏面側)には、この実施例のように、緩衝体4が設けられていることが好ましい。この緩衝体4は、痙縮解除具1を装着した際の指や甲とのクッション材として機能する部位であり、この実施例では帯状の発泡材料にて形成されている。 The constituent material of the long portion 2 and the finger holding portion 3 may be any material having a certain level of strength, such as a metal material, a resin material, and a wood-based material. The long portion 2 and the finger holding portion 3 of the example are made of a metal material. Further, it is preferable that the buffer 4 is provided on the inside (back surface side) of the long portion 2 and the finger holding portion 3 as in this embodiment. The shock absorber 4 is a portion that functions as a cushioning material with the fingers and the instep when the spasticity release tool 1 is attached, and is formed of a band-shaped foam material in this embodiment.

つぎに、本考案の痙縮解除具1の使用方法について説明する。
痙縮解除具1の使用に際しては、例えば親指のみである場合は、図3に示すように、指保持部3の略U字型内に親指を挿入して親指が外側(図3中上側)に反る状態として指の基端部にテープ部材(例えば医療用テープまたはスポーツ用テープなど)10にて巻回して親指を指保持部3の略U字型内に配置し、さらに、長尺部2の基端側をテープ部材10にて腕に巻回して痙縮解除具1を装着する。また、5本の指全部に痙縮解除具1をそれぞれ装着する場合は、図4に示すように、指保持部3の略U字型内に各指をそれぞれ挿入して各指が外側に反る状態として各指をテープ部材10にて巻回して指保持部3の略U字型内に配置すると共に、長尺部2の基端側を束ね、テープ部材10にて腕に巻回して痙縮解除具1を装着する。このような状態で1日2〜3時間装着すると、約1ケ月〜2月程度で痙縮が解除され元の指の状態に戻る。なお、痙縮解除具1を装着する指は、使用者の痙縮状態によって適宜選択決定される。
Next, a method of using the spasticity release tool 1 of the present invention will be described.
When using the convulsive release tool 1, for example, when only the thumb is used, as shown in FIG. 3, the thumb is inserted into the substantially U-shape of the finger holding portion 3 and the thumb is on the outside (upper side in FIG. 3). As a warped state, a tape member (for example, medical tape or sports tape) 10 is wound around the base end of the finger, and the thumb is placed in a substantially U-shape of the finger holding portion 3, and a long portion is further formed. The base end side of 2 is wound around the arm with the tape member 10, and the convulsive release tool 1 is attached. When the spasticity release tool 1 is attached to all five fingers, as shown in FIG. 4, each finger is inserted into the substantially U-shape of the finger holding portion 3, and each finger is bent outward. Each finger is wound around the tape member 10 and placed in a substantially U-shape of the finger holding portion 3, and the base end side of the long portion 2 is bundled and wound around the arm by the tape member 10. Wear the spasticity release tool 1. If it is worn for 2 to 3 hours a day in such a state, the spasticity is released and the original finger state is restored in about 1 month to February. The finger on which the spasticity release tool 1 is attached is appropriately selected and determined according to the spasticity state of the user.

さらに、図5または図6に示した本考案の痙縮解除具の他の実施例について説明する。
この実施例の痙縮解除具20と前述した痙縮解除具1との相違点は、痙縮解除具20の指保持部3が指保持用帯状部材21を有している点である。痙縮解除具1と同様の構成部分については同一符号を付し説明を省略する。
Furthermore, another embodiment of the antispasticity release tool of the present invention shown in FIG. 5 or FIG. 6 will be described.
The difference between the spasticity release tool 20 of this embodiment and the above-mentioned spasticity release tool 1 is that the finger holding portion 3 of the spasticity release tool 20 has a finger holding band-shaped member 21. The same components as those of the spasticity release tool 1 are designated by the same reference numerals, and the description thereof will be omitted.

具体的には、この実施例の指保持用帯状部材21は、一端部が指保持部3に取り付けられた帯状の面ファスナーにて構成されている。そして、指保持部3の略U字型内に指を挿入して指が外側に反る状態として指保持用帯状部材21にて巻回して、指が指保持部3の略U字型内に配置するようにして使用する。これにより、テープ部材10などの別部材が不要となる。 Specifically, the finger-holding strip-shaped member 21 of this embodiment is composed of a strip-shaped hook-and-loop fastener whose one end is attached to the finger-holding portion 3. Then, the finger is inserted into the substantially U-shape of the finger holding portion 3 and wound around the finger holding band-shaped member 21 in a state where the finger is warped outward, and the finger is inside the substantially U-shape of the finger holding portion 3. It is used by arranging it in. This eliminates the need for a separate member such as the tape member 10.

さらに、図7ないし図9に示した本考案の痙縮解除具の他の実施例について説明する。
この実施例の痙縮解除具30と前述した痙縮解除具1との基本的な相違点は、痙縮解除具1が手の指に装着される痙縮解除具であるのに対して、痙縮解除具30は足の指に装着される痙縮解除具である点であり基本構造は痙縮解除具1と同様である。
Furthermore, other examples of the antispasticity release tool of the present invention shown in FIGS. 7 to 9 will be described.
The basic difference between the spasticity release tool 30 of this embodiment and the above-mentioned spasticity release tool 1 is that the spasticity release tool 1 is attached to the fingers of the hand, whereas the spasticity release tool 30 Is a spasticity release tool attached to the toes, and the basic structure is the same as that of the spasticity release tool 1.

具体的には、この実施例の痙縮解除具30は、指骨の上方において延在方向に沿って配される長尺部31と、長尺部31の先端側に設けられ指の先端側を外側(図9中上側)に反らした状態で保持する指保持部32を有している。長尺部31および指保持部32の裏側には、痙縮解除具1と同様に緩衝体33,34がそれぞれ貼設されている。指保持部32は、長尺部31の先端から外方に向かって反るように形成された湾曲部32aと、湾曲部32aの先端から屈曲されて形成され指先を覆う屈曲部32bと、屈曲部32bの先端から屈曲または湾曲して指裏を保持するように形成された指裏保持部32cとを有している。 Specifically, the spasticity release tool 30 of this embodiment has a long portion 31 arranged above the phalange along the extending direction, and is provided on the tip side of the long portion 31 so that the tip side of the finger is on the outside. It has a finger holding portion 32 that holds the finger holding portion 32 in a warped state (upper side in FIG. 9). Like the spasticity release tool 1, buffers 33 and 34 are attached to the back sides of the long portion 31 and the finger holding portion 32, respectively. The finger holding portion 32 is bent by a curved portion 32a formed so as to warp outward from the tip of the long portion 31 and a bent portion 32b formed by being bent from the tip of the curved portion 32a to cover the fingertip. It has a finger back holding portion 32c formed so as to bend or bend from the tip of the portion 32b to hold the finger back.

そして、この実施例の痙縮解除具30を使用する場合は、図9に示すように、指保持部32の略U字型内に足の指を挿入して足の指が外側に反る状態にして装着する。このような状態で、1日2〜3時間程度装着すると、約1ケ月〜2月で痙縮が解除され元の指の状態に戻る。なお、痙縮解除具1を装着する指は使用者の痙縮状態によって適宜選択決定される。 Then, when the spasticity release tool 30 of this embodiment is used, as shown in FIG. 9, the toes are inserted into the substantially U-shape of the finger holding portion 32, and the toes are warped outward. And attach it. In such a state, if it is worn for about 2 to 3 hours a day, the spasticity is released and the original finger state is restored in about 1 month to February. The finger on which the spasticity release tool 1 is attached is appropriately selected and determined according to the spasticity state of the user.

このように、本考案の痙縮解除具は、手の指のみならず、足の指に装着するものも本考案の範疇に包含される。また、図9に示した使用例では、一本の足指のみに使用しているが、複数の足の指に使用してもよい。さらに、単数、複数の足の指に使用した場合、長尺部31の基端側をテープ部材で巻回して使用してもよい。さらに、図9に示した使用例では、靴下の上から装着しているが、素足に直接装着してもよい。 As described above, the antispasmodic release tool of the present invention includes not only the fingers of the hand but also those worn on the toes of the present invention within the scope of the present invention. Further, in the usage example shown in FIG. 9, although it is used only for one toe, it may be used for a plurality of toes. Further, when used for a single or a plurality of toes, the base end side of the long portion 31 may be wound with a tape member for use. Further, in the usage example shown in FIG. 9, although it is worn from above the socks, it may be worn directly on bare feet.

1 痙縮解除具
2 長尺部
3 指保持部
4 緩衝体
1 Spasticity release tool 2 Long part 3 Finger holding part 4 Buffer

Claims (6)

指骨の上方において指骨の延在方向に沿って配される長尺部と、該長尺部の先端側に設けられ指の先端側を外側に反らした状態で保持する指保持部を有していることを特徴とする痙縮解除具。 It has a long portion that is arranged above the phalange along the extending direction of the phalange, and a finger holding portion that is provided on the tip side of the long portion and holds the tip side of the finger in a bent outward state. A spasticity release tool characterized by being present. 前記長尺部または/および前記指保持部は、平板材にて構成されている請求項1に記載の痙縮解除具。 The spasticity release tool according to claim 1, wherein the long portion and / and the finger holding portion are made of a flat plate material. 前記指保持部は、前記長尺部の先端に設けられた湾曲部または屈曲部と、該湾曲部または屈曲部の先端側に設けられた指裏保持部とを有している請求項1または2に記載の痙縮解除具。 The finger holding portion has a curved portion or a bent portion provided at the tip of the long portion and a finger back holding portion provided on the tip end side of the curved portion or the bent portion. The spasticity release tool according to 2. 前記指保持部は、側面視略U字型に形成されている請求項1ないし3のいずれかに記載の痙縮解除具。 The spasticity release tool according to any one of claims 1 to 3, wherein the finger holding portion is formed in a substantially U-shape in lateral view. 前記長尺部または/および前記指保持部の内側には緩衝材が設けられている請求項1ないし4のいずれかに記載の痙縮解除具。 The spasticity release tool according to any one of claims 1 to 4, wherein a cushioning material is provided inside the long portion and / and the finger holding portion. 前記指保持部は、指保持用帯状部材を有している請求項1ないし5のいずれかに記載の痙縮解除具。 The spasticity release tool according to any one of claims 1 to 5, wherein the finger holding portion has a finger holding band-shaped member.
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