JP3479258B2 - Shoulder joint orthosis - Google Patents
Shoulder joint orthosisInfo
- Publication number
- JP3479258B2 JP3479258B2 JP2000119692A JP2000119692A JP3479258B2 JP 3479258 B2 JP3479258 B2 JP 3479258B2 JP 2000119692 A JP2000119692 A JP 2000119692A JP 2000119692 A JP2000119692 A JP 2000119692A JP 3479258 B2 JP3479258 B2 JP 3479258B2
- Authority
- JP
- Japan
- Prior art keywords
- fixed body
- fixing
- length
- shoulder joint
- fixed
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
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- Orthopedics, Nursing, And Contraception (AREA)
Description
【０００１】[0001]
【発明の属する技術分野】本発明は、肩関節の種々の障
害の治療において肩関節を治療肢位に保持するための肩
関節固定用装具に関する。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a shoulder joint fixing device for holding a shoulder joint in a therapeutic position in treating various disorders of the shoulder joint.
【０００２】[0002]
【従来の技術】肩関節の種々の障害、例えば肩腱板損
傷、上腕骨及び肩周辺の亜脱臼、脱臼、骨折等の障害
は、習慣性を有する場合もあるため、保存的にも観血的
にも数週間に亘り障害部位を治療肢位に固定することが
必要である。肩関節を固定するための従来の装具は、腕
を体に対し６０°の角度をなすように挙げる「側方挙上
６０°」、腕を水平方向に前方へ３０°だけ曲げる「水
平屈曲３０°」、肘関節を９０°曲げる「肘関節屈曲９
０°」を組合せたいわゆる機能的肢位をとるように固定
するものである。この肢位に固定するための従来の装具
には種々のものが存在している。その一つは石膏ギプス
を使用するもので、支持性が高く、初期固定角の調整が
自由であり、低コストで、障害直後の対応が可能である
が、固定関節部以外まで石膏ギプスを巻付ける必要があ
り日常の動作が制限され、通気性がなく、血管、神経へ
の圧迫が大であり、石膏ギプスは硬質のため当りが大き
く、治療段階に沿った固定角調整が不可能、重いといっ
た欠点がある。また枕状の固定体を使用するものは、固
定角の調整が自在、低コスト、障害直後の対応が可能、
洗濯が容易、血管、神経への圧迫小、硬い部材への当り
がない等の利点があるが、肩関節の内外旋固定が不可能
という欠点がある。金属支柱を利用した肩関節固定用装
具も存在し、関節部に継手を設けることにより各種固定
角の微妙な調整が可能であり、支柱により支持性が高
く、通気性を持たせることができ、血管、神経への圧迫
が小さいといった利点はあるものの、硬い部材への当り
が大きく、コストが高く、個対応のためには製作日数が
相当必要であり、重量が大きいという問題点がある。更
にパッドを使用した肩関節固定用装具があり、個対応の
必要性が小さく、装着感が良好であり、障害直後の対応
が可能、硬い部材への当りが少なく、血管、神経への圧
迫小、軽量、低コストといった利点があるものの、動作
時の関節固定性が低く、微調整は可能なものの固定角が
１つに限られる、寸法が大きくかさばるといった問題点
が存在する。以上のように、従来の肩関節固定用装具に
おいては、いわゆる機能的肢位以外の任意の肢位を簡単
に選択して上肢を固定し得るものは未だ存在していな
い。2. Description of the Related Art Various disorders of the shoulder joint, such as rotator cuff injury, subluxation of the humerus and surrounding shoulders, dislocation, and fractures, may have habits, and therefore, they are conservatively observable. In particular, it is necessary to fix the lesion site in the treatment position for several weeks. The conventional orthosis for fixing the shoulder joint is "side elevation 60 °" in which the arm is raised at an angle of 60 ° to the body, and "horizontal flexion 30" in which the arm is bent forward by 30 ° in the horizontal direction. “Elbow joint flexion 9”
It is fixed so as to take a so-called functional position in which 0 ° is combined. There are various conventional orthosis for fixing in this limb position. One of them uses gypsum plaster, which has high supportability, free adjustment of the initial fixing angle, low cost, and it is possible to respond immediately after an obstacle, but plaster plaster can be wound up to areas other than fixed joints. It is necessary to put it on, daily activities are limited, it is not breathable, pressure on blood vessels and nerves is large, plaster casts are hard to hit, it is impossible to adjust the fixed angle according to the treatment stage, heavy There are drawbacks such as. Also, those using a pillow-shaped fixed body can adjust the fixed angle freely, low cost, it is possible to respond immediately after an obstacle,
Although it has the advantages of easy washing, small pressure on blood vessels and nerves, and no contact with hard members, it has the drawback that the internal and external rotation of the shoulder joint cannot be fixed. There is also a shoulder joint fixing device that uses a metal strut, and by providing a joint in the joint part, various fixing angles can be finely adjusted, and the strut can provide high supportability and breathability, Although it has an advantage that pressure on blood vessels and nerves is small, it has a problem in that it hits hard members largely, costs are high, and that it takes a considerable number of days to manufacture it for individual handling, and it is heavy. In addition, there is a shoulder joint fixing device that uses pads, the need for individual support is small, the feeling of wearing is good, it is possible to respond immediately after an injury, there is little contact with hard members, and there is little pressure on blood vessels and nerves. Although it has advantages of light weight and low cost, it has a problem that joint fixation during operation is low and fine adjustment is possible, but the fixing angle is limited to one, and the size is large and bulky. As described above, there is no conventional shoulder joint fixing device that can easily select an arbitrary limb position other than the so-called functional limb position to fix the upper limb.
【０００３】[0003]
【発明が解決しようとする課題】本発明の課題は、上述
のような従来の肩関節固定用装具の問題点を解決すると
共に、機能的肢位は勿論のこと、機能的肢位以外の種々
の肢位にも対応可能であり、個々の患者にも容易に対応
することができ、軽量で、患者の動きにも十分な固定が
得られる肩関節固定用装具を提供することにある。SUMMARY OF THE INVENTION The object of the present invention is to solve the above-mentioned problems of the conventional orthosis for fixing the shoulder joint, and, in addition to the functional limb, various other than the functional limb. The present invention is to provide a shoulder joint fixing device that can be applied to any position of the patient, can be easily applied to an individual patient, is lightweight, and can be sufficiently fixed to the movement of the patient.
【０００４】[0004]
【課題を解決するための手段】上述の課題を解決するた
め、本発明においては、底面が正方形の正角柱より側面
の一つの辺に沿って軸方向に切り取り湾曲面を形成した
固定体を備え、正角柱の底面の切り取られていない相隣
る２辺の長さはほぼ上腕長さ（肩峰・肘頭間距離）に等
しく、一部が切り取られた残る２辺の長さはそれぞれ上
腕内側長さ（腋窩・肘頭間距離）Ｌと所要の異なる側方
挙上角θ 1 、θ 2 （θ 1 ≠θ 2 ）とからそれぞれＬsinθ 1 、
Ｌsinθ 2 により定め、正角柱の高さは前腕‐手部長さ
（肘頭・手先間距離）のほぼ３分の２に定め、固定体の
いずれかの面を体表面に固定し、固定体のいずれかの面
上に上肢を固定することにより上肢を所要の肢位に保持
し得るようにしたものである。In order to solve the above-mentioned problems, the present invention comprises a fixed body in which a curved surface is formed by cutting in the axial direction along one side of a side surface of a square prism having a square bottom surface. The length of two adjacent uncut sides of the bottom of the prism is approximately equal to the length of the upper arm (distance between the acromion and olecranon), and the remaining two sides that are partially cut are the upper arms. Inner length (distance between axilla and olecranon) Lateral different from L
From the elevation angles θ 1 and θ 2 (θ 1 ≠ θ 2 ), Lsin θ 1 and
Determined by Lsinθ2 , the height of the prism is set to approximately two- thirds of the forearm-hand length (distance between elbow and hand), and one of the faces of the fixed body is fixed to the body surface. By fixing the upper limb on any surface, the upper limb can be held in a desired limb position.
【０００５】本発明において、上腕長さとは肩峰から肘
頭までの距離、上腕内側長さとは腋窩から肘頭までの距
離、前腕-手部長さとは肘頭から手指先端までの距離を
いい、通常平均的に成人男性で、上腕長さは３１７ｍ
ｍ、上腕内側長さは１９０ｍｍ、前腕-手部長さは４１
２ｍｍである。In the present invention, the upper arm length means the distance from the acromion to the olecranon, the upper arm inner length means the distance from the axilla to the olecranon, and the forearm-hand part length means the distance from the olecranon to the tip of the finger, Usually average adult male with 317m upper arm length
m, upper arm inner length 190mm, forearm-hand length 41
It is 2 mm.
【０００６】[0006]
【発明の実施の形態】本発明においては、１辺が上腕長
さにほぼ等しい正方形の底面を有する正角柱の側面の１
つの辺に沿ってほぼ円形状又は楕円形状に切り取り、切
り取った結果残った底面の一方の辺の長さがＬsinθ
1（Ｌ：上腕内側長さ、θ1：側方挙上角）、他方の辺の
長さがＬsinθ2（Ｌ：上腕内側長さ、θ2：側方挙上
角、θ2≠θ 1）、正角柱の高さが前腕-手部長さのほぼ
３分の２になるようにして固定体を形成し、この固定体
の患者の体の表面に接する面及び位置、並びに上肢を置
く固定体の面を所望の肢位が得られるように選択して固
定体、上肢を固定する。BEST MODE FOR CARRYING OUT THE INVENTION In the present invention, one side is the upper arm length.
One of the sides of a regular prism with a square base approximately equal to
Cut into almost circular or elliptical shape along one side
The length of one side of the bottom surface remaining after the removal is Lsinθ
1(L: inner arm length, θ1: Side elevation angle), on the other side
Length is Lsinθ2(L: inner arm length, θ2: Side elevation
Angle, θ2≠ θ 1), The height of the prism is almost equal to the forearm-hand length
The fixed body is formed so that it becomes two-thirds, and this fixed body is
Place the patient's body in contact with the surface and position, and place the upper limb.
The surface of the fixed body is selected and fixed so that the desired limb position is obtained.
Fix the body and upper limbs.
【０００７】固定体は、硬質発泡体を軟質発泡体で覆っ
て固定体本体を形成し、この固定体本体を面ファスナー
が係着可能な素材よりなる固定体袋で包むのが有利であ
る。硬質発泡体としては発泡スチロール、ウレタン、ポ
リエチレン、アクリロニトリル、エチレン・酢酸ビニル
共重合体、クロロプレンゴム等、軟質発泡体としてはウ
レタン、ポリエチレン、アクリロニトリル、エチレン・
酢酸ビニル共重合体、クロロプレンゴム等を使用するこ
とができる。It is advantageous that the fixed body is formed by covering a hard foam with a soft foam to form a fixed body, and the fixed body is wrapped with a fixed bag made of a material to which a surface fastener can be attached. Styrofoam, urethane, polyethylene, acrylonitrile, ethylene / vinyl acetate copolymer, chloroprene rubber, etc. as hard foam, and urethane, polyethylene, acrylonitrile, ethylene.
Vinyl acetate copolymer, chloroprene rubber and the like can be used.
【０００８】側方挙上角θとしては、０度、３０度、４
５度、６０度、９０度から適宜選定するのが好ましい。The side elevation angle θ is 0 °, 30 °, 4
It is preferable to appropriately select from 5 degrees, 60 degrees, and 90 degrees.
【０００９】上肢を固定体上に保持し前腕の移動を防ぐ
ために上肢保持ベルトが使用される。また、前腕及び固
定体の荷重を支えるため吊り下げベルトが使用される。
これらのベルトは伸縮性素材からなり、例えばクロロプ
レンゴムの両面に丸編みのジャージをラミネートしたも
ので構成され、両端に面ファスナーを備えるのが有利で
ある。吊り下げベルトは長さを調整可能に形成するのが
好ましい。更に上肢、固定体の保持機能を高めるため、
体幹周囲に巻付け可能な固定体保持ベルトを使用するこ
とができる。この固定体保持ベルトは一方の端部を長手
方向に２つに分割して固定体の異なる位置に固定し得る
ようにするのが好ましく、例えば２つに分割した部分を
伸縮性素材のパワーネット、その他の部分を非伸縮性素
材のフレンチパイル、ポリエチレン発泡体、綿パイルの
ラミネート体で構成することができる。上肢保持ベル
ト、吊り下げベルトと同様の素材を使用することもでき
る。両端には他のベルトと同様に面ファスナーを設ける
のが有利である。上肢保持ベルト、吊り下げベルトの両
者で上肢、固定体の保持が確実であれば固定体保持ベル
トは必ずしも使用する必要はない。An upper limb holding belt is used to hold the upper limb on a fixed body and prevent movement of the forearm. Also, a hanging belt is used to support the load of the forearm and the fixed body.
These belts are made of a stretchable material, for example, they are formed by laminating circular knit jersey on both sides of chloroprene rubber, and it is advantageous to have hook-and-loop fasteners at both ends. The hanging belt is preferably formed so that its length can be adjusted. Furthermore, in order to improve the holding function of the upper limbs and fixed body,
A fixed body holding belt that can be wrapped around the trunk can be used. It is preferable that one end of the fixed body holding belt is divided into two in the longitudinal direction so that it can be fixed at different positions of the fixed body. For example, the divided two parts are a power net made of a stretchable material. The other parts can be made of a non-stretchable material such as a French pile, a polyethylene foam, and a cotton pile laminate. The same material as the upper limb holding belt and the hanging belt can be used. It is advantageous to provide hook-and-loop fasteners at both ends like other belts. If both the upper limb holding belt and the suspension belt securely hold the upper limb and the fixed body, the fixed body holding belt is not necessarily used.
【００１０】[0010]
【実施例】次に本発明を図面に示す実施例について説明
する。Embodiments of the present invention will be described below with reference to the drawings.
【００１１】図１は本発明の実施例の、ａは固定体の斜
視図、ｂは固定体の正面図、ｃは固定体の左側面図、ｄ
は固定体の右側面図、ｅは固定体の背面図、ｆは固定体
の各固定面の説明図、ｇは上肢保持ベルトの平面図、ｈ
は吊り下げベルトの平面図、ｉは固定体保持ベルトの平
面図、図２は人体の上肢と固定体との関係の説明図であ
る。FIG. 1 is a perspective view of a fixed body, b is a front view of the fixed body, c is a left side view of the fixed body, and d is an embodiment of the present invention.
Is a right side view of the fixed body, e is a rear view of the fixed body, f is an explanatory view of each fixed surface of the fixed body, g is a plan view of the upper limb holding belt, h
Is a plan view of the suspension belt, i is a plan view of the fixed body holding belt, and FIG. 2 is an explanatory view of the relationship between the upper limbs of the human body and the fixed body.
【００１２】固定体１は、底面２が正方形の正角柱から
破線で示すように、正角柱の側面の一辺３に沿って断面
がほぼ円形に切り取られ、湾曲した面４を有するように
形成される。正方形の切り取られていない２辺５、６の
長さpは上腕長さ即ち肩峰から肘頭までの距離Ｌ１（図
２参照）にほぼ等しい。正方形の部分的に切り取られた
辺７、８の長さｑ、ｒはそれぞれ上腕内側長さ即ち腋窩
から肘頭までの距離Ｌ２（図２参照）と要求される側方
挙上角θとから定められる。即ち、図２に示すように、
患者の体２１の側面２２と上腕２３との間に形成される
三角形を考え、側面２２と上腕２３とがなす角θが側方
挙上角となる。側方挙上角は通常０度、３０度、４５
度、６０度、９０度を標準としているから、そのいずれ
か２つをとり、例えば３０度と４５度を選ぶと、ｑ＝Ｌ
２sin３０°、ｒ＝Ｌ２sin４５°の式によってq、ｒの
値は定まる。また正角柱の側面の辺９の長さｓ、即ち正
角柱の高さは図２に示す前腕-手部長さ、即ち肘頭から
手指先端までの長さＬ３のほぼ３分の２に定められる。
例えば成人男性の上腕長さＬ１の平均値を３１７ｍｍ、
上腕内側長さＬ２の平均値を１９０ｍｍ、前腕-手部長
さの平均値を４１２ｍｍとすると、側方挙上角を３０
°、４５°にしたときの各辺の長さは、ｐ＝３１７ｍ
ｍ、ｑ＝９５ｍｍ、ｒ＝１３４ｍｍ、ｓ＝２７５ｍｍと
なる。以下の装着方法の説明の都合上、固定体１の上側
の底面をＡ面、辺７を含む面をＢ面、辺８を含む面をＣ
面、湾曲面をＤ面、辺６を含む面をＥ面、辺５を含む面
をＦ面、下側の底面をＧ面と称する。The fixed body 1 is formed so that the bottom surface 2 has a curved surface 4 which is cut out from a square prism having a square shape along a side 3 of the prism to have a substantially circular cross section, as shown by a broken line. It The length p of the two uncut sides 5 and 6 of the square is approximately equal to the length of the upper arm, that is, the distance L1 from the acromion to the olecranon (see FIG. 2). The lengths q and r of the partially cut sides 7 and 8 of the square are, respectively, from the inner arm length, that is, the distance L2 from the axilla to the olecranon (see FIG. 2) and the required side elevation angle θ. Determined. That is, as shown in FIG.
Considering a triangle formed between the side surface 22 of the patient's body 21 and the upper arm 23, the angle θ formed by the side surface 22 and the upper arm 23 is the side elevation angle. Side elevation is usually 0 °, 30 °, 45
Since degrees, 60 degrees, and 90 degrees are standard, if either two of them are taken and 30 degrees and 45 degrees are selected, q = L
The values of q and r are determined by the equation of 2sin 30 ° and r = L2sin 45 °. Further, the length s of the side 9 of the side face of the regular prism, that is, the height of the regular column is set to approximately two-thirds of the forearm-hand portion length shown in FIG. 2, that is, the length L3 from the olecranon to the tip of the finger. .
For example, the average value of the upper arm length L1 of an adult man is 317 mm,
If the average value of the upper arm inner length L2 is 190 mm and the average value of the forearm-hand part length is 412 mm, the side elevation angle is 30.
The length of each side when the angle is 45 ° is p = 317m
m, q = 95 mm, r = 134 mm, s = 275 mm. For convenience of explanation of the mounting method below, the bottom surface on the upper side of the fixed body 1 is the A surface, the surface including the side 7 is the B surface, and the surface including the side 8 is the C surface.
The surface and the curved surface are referred to as a D surface, the surface including the side 6 is referred to as an E surface, the surface including the side 5 is referred to as an F surface, and the lower bottom surface is referred to as a G surface.
【００１３】固定体１は、発泡倍率１５０倍の硬質発泡
スチロールを心材とし、その周りを発泡倍率８０倍のウ
レタンフォームで覆うようにして形成した固定体本体
を、パイル生地で外表面が面ファスナーと係着可能な素
材からなる固定体袋に挿入して構成される。固定体の各
辺は適度のアールをつけて感触をよくするのが好まし
い。The fixed body 1 is made of a hard polystyrene foam having a foaming ratio of 150 times as a core material and is covered with a urethane foam having a foaming ratio of 80 times. It is constructed by inserting into a fixed body bag made of a material that can be attached. It is preferable that each side of the fixed body has a proper radius to improve the feel.
【００１４】上肢保持ベルト１０は固定体上に上肢を固
定保持するものであるからそれ程長いものを必要とせ
ず、例えば長さ３５０ｍｍ、幅５０ｍｍに形成され、伸
縮性の素材、例えばクロロプレンゴムの両面に丸編みの
ジャージーをラミネートしたもので作られ、両端にそれ
ぞれ面ファスナー１１、１２が設けられている。この上
肢ベルトは必要に応じ複数本使用してもよい。吊り下げ
ベルト１３は装着者の首に懸けて固定体を吊り下げるも
のであり、要求される肢位によって固定体の保持位置が
様々で、且つ装着者の体の大きさによって必要な長さも
異なるから、幾分長く形成して長さを調整可能にするの
が好ましく、例えば長さ１３００ｍｍ、幅５０ｍｍに形
成され、上肢保持ベルトと同様に伸縮性素材、例えばク
ロロプレンゴムの両面に丸編みのジャージーをラミネー
トしたものから作られ、両端にそれぞれ面ファスナー１
４、１５を有する。固定体保持ベルト１６は固定体の保
持性を高める機能を有し、やや幅広のベルトを使用し、
一端１７は先端に行くに従い幅が狭く、他端１８は長手
方向に２つに分割され、この他端１８をそれぞれ固定体
の異なる位置に係着し得るようにするのが有利であり、
例えば全長は１０００ｍｍ、幅２００ｍｍで、一端１７
の幅が次第に狭くなる部分の長さは３００ｍｍ、他端１
８の分割された部分の長さは５００ｍｍ、幅はそれぞれ
１００ｍｍに形成され、分割された部分はパワーネッ
ト、それ以外の部分はフレンチパイル、ポリエチレン発
泡体、綿パイルのラミネート体で形成することができ
る。この固定体保持ベルトも上肢保持ベルトや吊り下げ
ベルトと同様の素材で構成することもでき、その場合は
伸縮性が高いから上記の値より全体的に短く形成するこ
とができる。固定体保持ベルトの各端部にはそれぞれ面
ファスナー１９、２０が取り付けられている。各ベルト
はその面ファスナーによって固定体の表面、即ち固定体
袋の表面の任意の個所に係着可能である。Since the upper limb holding belt 10 is used to fix and hold the upper limb on the fixed body, it does not need to be so long. For example, the upper limb holding belt 10 is formed to have a length of 350 mm and a width of 50 mm and is made of a stretchable material such as chloroprene rubber. It is made by laminating a circular knit jersey, and has hook-and-loop fasteners 11 and 12 at both ends. If necessary, a plurality of upper limb belts may be used. The hanging belt 13 hangs around the wearer's neck to suspend the fixed body, and the holding position of the fixed body varies depending on the required limb position, and the required length also differs depending on the size of the wearer's body. Therefore, it is preferable to form it to be a little longer so that the length can be adjusted. For example, the length is 1300 mm and the width is 50 mm. Like the upper limb holding belt, a stretch knitted jersey on both sides of a stretchable material such as chloroprene rubber is used. It is made from a laminated product and has a surface fastener 1 on each end.
4 and 15. The fixed body holding belt 16 has a function of enhancing the holding ability of the fixed body, and uses a slightly wider belt,
It is advantageous that one end 17 becomes narrower toward the tip, and the other end 18 is divided into two in the longitudinal direction so that the other end 18 can be attached to different positions of the fixed body.
For example, the total length is 1000 mm, the width is 200 mm, and one end 17
The width of the part is 300 mm, the other end 1
The divided parts of 8 are formed to have a length of 500 mm and a width of 100 mm, and the divided parts may be formed of a power net, and the other parts may be formed of a laminate of French pile, polyethylene foam, and cotton pile. it can. This fixed body holding belt can also be made of the same material as the upper limb holding belt or the hanging belt. In that case, since it has high elasticity, it can be formed shorter than the above value as a whole. Surface fasteners 19 and 20 are attached to the respective ends of the fixed body holding belt. Each belt can be attached to the surface of the fixed body, that is, the surface of the fixed body bag by the surface fastener.
【００１５】次に図３〜図１０について本発明の装具を
種々の肢位に保持するための装着方法について説明す
る。なお図の例は右肩が患側であるものとする。Next, with reference to FIGS. 3 to 10, a mounting method for holding the orthosis of the present invention in various limb positions will be described. In the example in the figure, the right shoulder is on the affected side.
【００１６】図３ａ、ｂは側方挙上０度、水平屈曲０度
の肢位状態を正面、側面から見たものを示す。固定体１
のＥ又はＦ面のどちらか一方（図ではＥ面）を腹部に、
残り一方（図ではＦ面）を患部前腕部に接するように置
き、患側上肢を２本の上肢保持ベルト１０により把持し
固定し、長さを調節した吊り下げベルト１３を健側肩に
かけながら背後に回し固定体１に固定する。図３ｃ、ｄ
は固定体の安定性を高めるため更に固定体保持ベルトを
使用した例で、固定体保持ベルト１６の分割していない
側の一端１７を固定体１の例えばＤ面上に固定し、分割
した他端１８の一方をＡ面に、他方をＦ面に固定し、腹
部および腰部を覆った形で固定体１と結合する。各ベル
トと固定体とは相互に面ファスナーにより固定される。FIGS. 3a and 3b show a limb position state with a side elevation of 0 degrees and a horizontal flexion of 0 degrees as seen from the front and side. Fixed body 1
One of the E or F faces of E (face E in the figure) on the abdomen,
Place the other one (face F in the figure) so as to contact the affected forearm, hold and fix the affected upper limb with the two upper limb holding belts 10, and hang the hanging belt 13 whose length is adjusted on the healthy shoulder. Then, it is fixed to the fixed body 1. 3c, d
Is an example in which a fixed body holding belt is further used to improve the stability of the fixed body. One end 17 of the non-divided side of the fixed body holding belt 16 is fixed on, for example, the D surface of the fixed body 1 and divided. One of the ends 18 is fixed to the A surface and the other is fixed to the F surface, and the ends 18 are joined to the fixed body 1 in a form covering the abdomen and the waist. Each belt and the fixed body are fixed to each other by a surface fastener.
【００１７】図４ａ、ｂは側方挙上３０度、水平屈曲０
度の肢位状態を正面、側面から見たものを示す。固定体
１のＤ面を腹部に向け、辺７を肘頭と体側部に挟み込
み、Ｆ面に上肢を置き、２本の上肢保持ベルト１０によ
り固定される。また長さを調節した吊り下げベルト１３
を健側肩にかけながら背部に回し、固定体１に固定す
る。患者に不安定感が残る場合には固定体保持ベルト１
６を使用し、腹部及び腰部を覆った形で固定体に固定す
る。各ベルトと本体とは相互に面ファスナーにより固定
される。4a and 4b show a side elevation of 30 degrees and a horizontal bend of 0.
Shown from the front and side of the degree position. The D surface of the fixed body 1 is directed to the abdomen, the side 7 is sandwiched between the olecranon and the body side portion, the upper limb is placed on the F surface, and the two upper limb holding belts 10 fix the body. In addition, the hanging belt 13 whose length is adjusted
While being hung on the healthy shoulder, rotate to the back and fix to the fixed body 1. Fixed body holding belt 1 if the patient remains unstable
6 is used and fixed to the fixed body while covering the abdomen and waist. Each belt and the main body are fixed to each other by a surface fastener.
【００１８】図５ａ、ｂは側方挙上４５度、水平屈曲０
度の肢位状態を正面、側面から見たものを示す。固定体
のＤ面を腹部に向け、辺８を肘頭と体側部に挟み込み、
Ｅ面に上肢を置き、２本の上肢保持ベルト１０により固
定される。また吊り下げベルト１３を健側肩にかけなが
ら背部に回し、固定体１に固定する。患者に不安定感が
残る場合には固定体保持ベルト１６を使用し、腹部及び
腰部を覆った形で固定体に固定する。各ベルトと固定体
とは相互に面ファスナーにより固定される。5a and 5b show a side elevation of 45 degrees and a horizontal bend of 0.
Shown from the front and side of the degree position. The D surface of the fixed body is directed to the abdomen, and the side 8 is sandwiched between the olecranon and the side of the body,
The upper limb is placed on the E side and is fixed by the two upper limb holding belts 10. Further, the hanging belt 13 is hung around the shoulder on the healthy side and is rotated around the back to be fixed to the fixed body 1. If the patient feels unstable, the fixing body holding belt 16 is used to fix the abdomen and waist in the fixing body. Each belt and the fixed body are fixed to each other by a surface fastener.
【００１９】図６ａ、ｂは側方挙上６０度、水平屈曲０
度の肢位状態を正面、側面から見たものを示す。固定体
のＤ面を腹部に向け、図５の側方挙上４５度にて利用し
た辺８を肘頭と体側部に挟み込み、Ｅ面に上肢を置き、
２本の上肢保持ベルト１０により固定される。このとき
装着高さは、図５の側方挙上４５度の際の固定体１のの
上面即ち面Ａが、この位置から腋窩までの高さの１／２
だけ上方（腋下方向）の位置にくるようにする。また吊
り下げベルト１３を健側肩にかけながら背部に回し、固
定体１に固定する。患者に不安定感が残る場合には固定
体保持ベルト１６を使用し、腹部及び腰部を覆った形で
固定体に固定する。各ベルト及び固定体は相互に面ファ
スナーにより固定される。FIGS. 6a and 6b show side elevation of 60 degrees and horizontal bending of 0.
Shown from the front and side of the degree position. The D surface of the fixed body is directed to the abdomen, and the side 8 used at the side elevation of 45 degrees in FIG. 5 is sandwiched between the olecranon and the side part of the body, and the upper limb is placed on the E surface.
It is fixed by two upper limb holding belts 10. At this time, the mounting height is ½ of the height from this position to the axilla when the upper surface, that is, the surface A of the fixed body 1 at the time of the side elevation of 45 degrees.
So that it is only in the upper (armpit) direction. Further, the hanging belt 13 is hung around the shoulder on the healthy side and is rotated around the back to be fixed to the fixed body 1. If the patient feels unstable, the fixing body holding belt 16 is used to fix the abdomen and waist in the fixing body. Each belt and the fixed body are fixed to each other by a surface fastener.
【００２０】図７ａ、ｂは側方挙上９０度、水平屈曲０
度の肢位状態を正面、側面から見たものを示す。固定体
のＥ面又はＦ面のどちらか一方（図ではＥ面）を体側部
に、残り一方（図ではＦ面）を患側上肢に接するように
置き、患側上肢を２本の上肢保持ベルト１０により把持
し、固定する。最後に吊り下げベルト１３により健側肩
にかけながら背部に回し、固定体１に固定する。患者に
不安定感が残る場合には固定体保持ベルト１６を使用
し、腹部及び腰部を覆った形で固定体に固定する。各ベ
ルトと固定体とは面ファスナーにより固定される。7a and 7b show a side elevation of 90 degrees and a horizontal bend of 0.
Shown from the front and side of the degree position. One of the E surface and the F surface (E surface in the figure) of the fixed body is placed on the side of the body, and the other (F surface in the figure) is placed in contact with the affected upper limb, and the upper arm of the affected side is provided with two upper limb holding belts 10. Hold and fix with. Finally, it is hung on the healthy shoulder by the hanging belt 13 and turned around on the back side to be fixed to the fixed body 1. If the patient feels unstable, the fixing body holding belt 16 is used to fix the abdomen and waist in the fixing body. Each belt and the fixed body are fixed by a surface fastener.
【００２１】図８ａ、ｂは側方挙上３０度、水平屈曲３
０度の肢位状態を正面、側面から見たものを示す。図４
と同様に固定体１を設置し、腹部に沿って健側に向かっ
て回転させることにより水平屈曲を行わせ、上肢及び固
定体を２つの上肢保持ベルト１０、吊り下げベルト１３
により固定する。8a and 8b show a side elevation of 30 degrees and a horizontal bend 3
Shown are the front and side views of the 0 degree limb position. Figure 4
In the same manner as above, the fixed body 1 is installed, and horizontal flexion is performed by rotating the fixed body 1 toward the healthy side along the abdomen, and the upper limb and the fixed body are provided with two upper limb holding belts 10 and suspension belts 13.
Fixed by.
【００２２】図９ａ、ｂは側方挙上４５度、水平屈曲３
０度の肢位状態を異なる方向の側面から見たものを示
す。図５と同様に固定体を設置し、腹部に沿って健側に
向かって固定体を３０度回転させることにより水平屈曲
を行わせ、上肢及び固定体を２本の上肢保持ベルト１
０、吊り下げベルト１３により固定する。9a and 9b show a side elevation of 45 degrees and a horizontal bend 3
The figure shows the 0 degree limb position viewed from the side in different directions. As in FIG. 5, a fixed body is installed, and the fixed body is horizontally bent by rotating the fixed body by 30 degrees toward the healthy side along the abdomen, so that the upper limb and the fixed body have two upper limb holding belts 1.
0, fixed by the hanging belt 13.
【００２３】図１０ａ、ｂは側方挙上６０度、水平屈曲
３０度の肢位状態を異なる方向の側面から見たものを示
す。図６と同様に固定体を設置し、腹部に沿って健側に
向かって固定体を３０度回転させることにより水平屈曲
を行わせ、２本の上肢保持ベルト１０、吊り下げベルト
１３により固定する。FIGS. 10a and 10b show limb postures with a side elevation of 60 degrees and a horizontal flexion of 30 degrees, as viewed from the side in different directions. A fixed body is installed in the same manner as in FIG. 6, and horizontal bending is performed by rotating the fixed body by 30 degrees toward the healthy side along the abdomen, and is fixed by two upper limb holding belts 10 and hanging belts 13. .
【００２４】上述の例は各側方挙上角に対する装着方法
の一例に過ぎないものであり、同じ側方挙上角に対して
も固定体の使用する面の選択、体に対する固定体の位置
の調整によって、種々の装着方法が可能であり、この点
が本発明の特徴の一つである。The above-mentioned example is merely one example of the mounting method for each side elevation angle, and even for the same side elevation angle, the surface to be used by the fixed body is selected, and the position of the fixed body with respect to the body. Various mounting methods are possible by adjusting the above, and this is one of the features of the present invention.
【００２５】また上述の実施例では、固定体の正角柱の
一部を切り取って形成する辺の長さを決定するための側
方挙上角として３０度と４５度との組合せを選んだもの
について説明したが、他の角０度、６０度、９０度の任
意の組合せをして固定体の正角柱の片の長さを定めるこ
とが可能で、対象となる患者の症状に応じて最適の値の
組合せをとることができる。In the above embodiment, a combination of 30 ° and 45 ° is selected as the side elevation angle for determining the length of the side formed by cutting out a part of the regular prism of the fixed body. However, it is possible to determine the length of the prismatic piece of the fixed body by using any combination of other angles 0 degrees, 60 degrees, and 90 degrees, and it is optimal according to the symptoms of the target patient. Can take any combination of values.
【００２６】[0026]
【発明の効果】本発明によれば、固定体を底面正方形の
正角柱に形成し、その側面の１辺に沿い軸方向に切り取
って湾曲面を形成し、一部が切り取られた２辺の長さを
異なる側方挙上角に対応して異なる長さに定めることに
より、２つの異なる側方挙上角の固定を得ることがで
き、更に固定体を装着者の体に対し上下、前後、左右に
移動させることによりそれ以外の種々の側方挙上角にも
対応することができる。また、固定体を形成する正角柱
の底面の辺の長さ、高さを装着者の上肢、体幹の形状に
相応して製作することも容易である。また本発明のよう
な全体的に装着者の体に対し当りの柔らかい構成にも拘
らず、肩関節の内外旋固定が可能である。According to the present invention, the fixed body is formed into a square prism having a square bottom surface, and is cut along one side of the side surface in the axial direction to form a curved surface. Two different side elevation angles can be fixed by setting the lengths to different lengths corresponding to different side elevation angles. By moving to the left and right, various other side elevation angles can be accommodated. In addition, it is easy to fabricate the length and height of the side of the bottom surface of the regular prism that forms the fixed body according to the shape of the upper limb and trunk of the wearer. In addition, the shoulder joint can be fixed to the inner and outer rotations in spite of the soft structure of hitting the wearer's body as in the present invention.
【図１】本発明の実施例の、ａは固定体の斜視図、ｂは
固定体の正面図、ｃは固定体の左側面図、ｄは固定体の
右側面図、ｅは固定体の背面図、ｆは固定体の固定面の
説明斜視図、ｇは上肢保持ベルトの平面図、ｈは吊り下
げベルトの平面図、ｉは固定体保持ベルトの平面図であ
る。1 is a perspective view of a fixed body, b is a front view of the fixed body, c is a left side view of the fixed body, d is a right side view of the fixed body, and e is a fixed body of the embodiment of the present invention. A rear view, f is an explanatory perspective view of a fixing surface of a fixed body, g is a plan view of an upper limb holding belt, h is a plan view of a suspension belt, and i is a plan view of a fixed body holding belt.
【図２】本発明の実施例の、装着者の上肢と側方挙上角
との関係の説明図である。FIG. 2 is an explanatory diagram of a relationship between an upper limb of a wearer and a side elevation angle according to the embodiment of this invention.
【図３】本発明の実施例の、側方挙上０度、水平屈曲０
度の肢位に対する装着方法の一例の説明図である。FIG. 3 is a side elevation of 0 ° and horizontal bending of 0 according to the embodiment of the present invention.
It is explanatory drawing of an example of the mounting method with respect to the degree position.
【図４】本発明の実施例の、側方挙上３０度、水平屈曲
０度の肢位に対する装着方法の一例の説明図である。FIG. 4 is an explanatory diagram of an example of a mounting method for a limb position with a side elevation of 30 degrees and a horizontal flexion of 0 degrees according to an embodiment of the present invention.
【図５】本発明の実施例の、側方挙上４５度、水平屈曲
０度の肢位に対する装着方法の一例の説明図である。FIG. 5 is an explanatory diagram of an example of a mounting method for a limb position having a side elevation of 45 degrees and a horizontal flexion of 0 degrees according to an embodiment of the present invention.
【図６】本発明の実施例の、側方挙上６０度、水平屈曲
０度の肢位に対する装着方法の一例の説明図である。FIG. 6 is an explanatory diagram of an example of a mounting method for a limb position having a side elevation of 60 degrees and a horizontal flexion of 0 degrees according to the embodiment of the present invention.
【図７】本発明の実施例の、側方挙上９０度、水平屈曲
０度の肢位に対する装着方法の一例の説明図である。FIG. 7 is an explanatory diagram of an example of a mounting method for a limb position with a side elevation of 90 degrees and a horizontal flexion of 0 degrees according to an embodiment of the present invention.
【図８】本発明の実施例の、側方挙上３０度、水平屈曲
３０度の肢位に対する装着方法の一例の説明図である。FIG. 8 is an explanatory diagram of an example of a mounting method for a limb position with a side elevation of 30 degrees and a horizontal flexion of 30 degrees according to the embodiment of the present invention.
【図９】本発明の実施例の、側方挙上４５度、水平屈曲
３０度の肢位に対する装着方法の一例の説明図である。FIG. 9 is an explanatory diagram showing an example of a mounting method for a limb position having a side elevation of 45 degrees and a horizontal flexion of 30 degrees according to the embodiment of the present invention.
【図1０】本発明の実施例の、側方挙上６０度、水平屈
曲３０度の肢位に対する装着方法の一例の説明図であ
る。FIG. 10 is an explanatory diagram of an example of a method of wearing the embodiment of the present invention with respect to a limb position with side elevation of 60 degrees and horizontal flexion of 30 degrees.
１ 固定体 ２ 固定体の底面 ３ 固定体の側面の一辺 ４ 湾曲した面 ５ 固定体の底面の辺 ６ 固定体の底面の辺 ７ 固定体の底面の辺 ８ 固定体の底面の辺 ９ 固定体の側面の辺 １０ 上肢保持ベルト １１ 面ファスナー １２ 面ファスナー １３ 吊り下げベルト １４ 面ファスナー １５ 面ファスナー １６ 固定体保持ベルト １７ 固定体保持ベルトの一端 １８ 固定体保持ベルトの他端 １９ 面ファスナー ２０ 面ファスナー ２１ 患者の体 ２２ 患者の体の側面 ２３ 上腕 ｐ 正角柱の辺の長さ ｑ 正角柱の切り取られた辺の長さ ｒ 正角柱の切り取られた辺の長さ ｓ 正角柱の高さ Ｌ１ 上腕長さ Ｌ２ 上腕内側長さ Ｌ３ 前腕-手部長さ 1 fixed body 2 Bottom of fixed body 3 One side of the fixed body 4 curved surface 5 Bottom side of the fixed body 6 Bottom side of the fixed body 7 Bottom side of fixed body 8 Bottom side of fixed body 9 Sides of the fixed body 10 Upper limb holding belt 11 hook-and-loop fastener 12 hook-and-loop fastener 13 Hanging belt 14 hook-and-loop fastener 15 hook-and-loop fastener 16 Fixed body holding belt 17 One end of fixed body holding belt 18 The other end of the fixed body holding belt 19 hook-and-loop fastener 20 hook-and-loop fastener 21 patient's body 22 Side of patient's body 23 upper arm p Side length of prism q Length of cut side of regular prism r Length of cut side of regular prism s height of prism L1 upper arm length L2 upper arm inner length L3 Forearm-Hand length
───────────────────────────────────────────────────── フロントページの続き (56)参考文献 特開 平３−155856（ＪＰ，Ａ) 特開 平10−5257（ＪＰ，Ａ) 実開 平１−119626（ＪＰ，Ｕ) 米国特許4598701（ＵＳ，Ａ) 米国特許3284817（ＵＳ，Ａ) 米国特許4270235（ＵＳ，Ａ) 西独国特許出願公開3517343（ＤＥ, Ａ１) (58)調査した分野(Int.Cl.7，ＤＢ名) A61F 5/40 A61F 5/01 A61F 5/37 ─────────────────────────────────────────────────── ─── Continuation of the front page (56) Reference JP-A-3-155856 (JP, A) JP-A-10-5257 (JP, A) JP-A-1-112626 (JP, U) US Patent 4598701 (US) , A) US Patent 3284817 (US, A) US Patent 4270235 (US, A) West German Patent Application Publication 3517343 (DE, A1) (58) Fields searched (Int.Cl. 7 , DB name) A61F 5/40 A61F 5/01 A61F 5/37
Claims (7)
辺に沿って軸方向に切り取り湾曲面を形成した固定体を
備え、正角柱の底面の切り取られていない相隣る２辺の
長さはほぼ上腕長さ（肩峰・肘頭間距離）に等しく、一
部が切り取られた残る２辺の長さはそれぞれ上腕内側長
さ（腋窩・肘頭間距離）Ｌと所要の異なる側方挙上角θ
1 、θ 2 （θ 1 ≠θ 2 ）とからそれぞれＬsinθ 1 、Ｌsinθ 2
により定め、正角柱の高さは前腕‐手部長さ（肘頭・手
先間距離）のほぼ３分の２に定め、固定体のいずれかの
面を体表面に固定し、固定体のいずれかの面上に上肢を
固定することにより上肢を所要の肢位に保持することを
特徴とする肩関節固定用装具。1. A rectangular parallelepiped base having a fixed body axially cut along one side of a side surface to form a curved surface, and the length of two adjacent non-cut sides of the bottom surface of the regular prism. Is approximately equal to the length of the upper arm (distance between the acromion and the olecranon), and the length of the remaining two sides that have been cut off is different from the inner length of the upper arm (distance between the axilla and the olecranon) L Angle of elevation θ
1, theta 2 respectively from (θ 1 ≠ θ 2) and Lsinθ 1, Lsinθ 2
The determined height of the positive prism forearm - defined nearly two-thirds of the hand portion length (olecranon-hand distance), fixing the one surface of the fixed body to the body surface, either of the fixed body An orthosis for fixing a shoulder joint, characterized in that the upper limb is held in a desired limb position by fixing the upper limb on the surface of the shoulder.
って断面ほぼ円形状に切り取られて形成されることを特
徴とする請求項１記載の肩関節固定用装具。2. The shoulder joint fixing device according to claim 1, wherein the fixing body is formed by cutting out a substantially circular cross section along one side of the side surface of the regular prism.
って断面ほぼ楕円形状に切り取られて形成されることを
特徴とする請求項１記載の肩関節固定用装具。3. The orthosis for fixing the shoulder joint according to claim 1, wherein the fixing body is formed by cutting out a substantially elliptical cross section along one side of the side surface of the regular prism.
った固定体本体と固定体本体を包む固定体袋とからなる
ことを特徴とする請求項１記載の肩関節固定用装具。4. The orthosis for fixing the shoulder joint according to claim 1, wherein the fixed body comprises a fixed body main body in which a hard foam is covered with a soft foam and a fixed body bag wrapping the fixed body.
材で形成されていることを特徴とする請求項４記載の肩
関節固定用装具。5. The shoulder joint fixing orthosis according to claim 4, wherein the fixing body bag is made of a material to which a surface fastener can be attached.
トと、固定体の荷重を受ける吊り下げベルトとを使用す
ることを特徴とする請求項１記載の肩関節固定用装具。6. The shoulder joint fixing orthosis according to claim 1, wherein an upper limb holding belt for fixing the upper limbs on the fixed body and a suspension belt for receiving the load of the fixed body are used.
体保持ベルトを使用することを特徴とする請求項１記載
の肩関節固定用装具。7. The shoulder joint fixing device according to claim 1, wherein a fixed body holding belt is used to fix and hold the fixed body to a human body.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2000119692A JP3479258B2 (en) | 2000-04-20 | 2000-04-20 | Shoulder joint orthosis |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2000119692A JP3479258B2 (en) | 2000-04-20 | 2000-04-20 | Shoulder joint orthosis |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JP2001299789A JP2001299789A (en) | 2001-10-30 |
| JP3479258B2 true JP3479258B2 (en) | 2003-12-15 |
Family
ID=18630620
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2000119692A Expired - Fee Related JP3479258B2 (en) | 2000-04-20 | 2000-04-20 | Shoulder joint orthosis |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JP3479258B2 (en) |
Families Citing this family (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2004261531A (en) | 2003-01-08 | 2004-09-24 | At Lab:Kk | Device for shoulder joint luxation acute phase fixation |
| US7563236B2 (en) * | 2003-09-15 | 2009-07-21 | Djo, Llc | Shoulder sling with support pillow and pouch |
| JP4566582B2 (en) * | 2004-03-02 | 2010-10-20 | 栄二 井樋 | Shoulder joint orthosis |
| JP4469240B2 (en) * | 2004-07-22 | 2010-05-26 | 直 五十嵐 | Shoulder health equipment |
| EP2501345A4 (en) | 2009-11-18 | 2017-12-06 | Cradle Medical, Inc. | Shoulder immobilizer and fracture stabilization device |
-
2000
- 2000-04-20 JP JP2000119692A patent/JP3479258B2/en not_active Expired - Fee Related
Also Published As
| Publication number | Publication date |
|---|---|
| JP2001299789A (en) | 2001-10-30 |
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