JP3646261B2 - Therapeutic collar and collared clothing - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a therapeutic device, and more particularly, to a therapeutic collar and a garment with a collar that promote early healing of atopic dermatitis and the like.
[0002]
[Prior art]
Atopic dermatitis is a type of allergic disease caused by living environment such as air pollution, food pollution, house dust, mites, irritation caused by mental and physical stress, and constitutions including skin resistance. . The symptom is eczema that occurs on the skin, especially those that occur on the skin around the face and neck. Not only adults but also infants and children have many symptoms and have increased rapidly in recent years.
[0003]
In particular, as a cause of aggravation of atopic dermatitis in infants and children, scratching in sleep state can be mentioned. This is because the patient unwittingly scratches the affected area with his / her fingers due to increased itchiness associated with an increase in skin temperature during sleep. This causes new skin damage to the pruritus and causes bacterial infections such as Staphylococcus aureus that are resident on the skin surface, thus causing a vicious circle in which the inflammation further induces itching. Even if the caregiver or parent is instructed not to scratch the infant, the language itself cannot be understood. In the case of infants, even if they can understand the language, if they fall asleep, they will scratch the affected area unconsciously, so it is useless to give instructions.
[0004]
A glove that covers a patient's finger is known as a tool for countering this scratching action. This glove is made of a soft cloth such as cotton and prevents the affected part from being damaged as much as possible during the above-mentioned scratching action. Further, there is a glove having a structure in which fingers are covered with a double bag material (see JP-A-9-59809). Since these inventions do not allow direct contact with nails or fingers, damage to the affected area can be somewhat relieved. However, these allow the fingers to touch the affected area even when the cloth is cut, so that the vicious circle caused by scratching cannot be completely broken. Therefore, the therapeutic effect was not satisfactory.
[0005]
The mechanism of vicious circle due to scratching is as follows. When the patient scratches the affected area, the skin condition is deteriorated, the barrier function of the stratum corneum is lowered, and the stimulation factor can be easily invaded. Antigens that invade it cause immune abnormalities and at the same time enhance allergic inflammatory responses. And the deterioration of the skin condition due to this inflammation causes the barrier function of the horny layer of the skin to be further lowered, and the vicious circle is repeated. It can be said that it is impossible to relieve atopic dermatitis without completely breaking this vicious circle.
[0006]
[Problems to be solved by the invention]
The most important thing in the treatment of atopic dermatitis is to completely break the vicious circle caused by scratching. For this purpose, the finger and the affected part may be physically blocked so that the finger does not reach the affected part.
[0007]
An object of the present invention is to provide a therapeutic device that completely cuts off the vicious circle by physically blocking the patient's hand from directly touching the affected area, thereby preventing the inflammation of the affected area from worsening and causing early improvement of symptoms. It is to provide.
[0008]
[Means for Solving the Problems]
In the following description in which means for solving the problem is expressed corresponding to the claim, a number with () appears in at least one of a plurality of embodiments in which the description of the claim is described in detail later It is shown that it corresponds to one form of member, process, and operation, but the solution of the present invention is not intended to be construed as limited to the member of the embodiment indicated by those numerals, and the corresponding relationship is clearly shown It is for making.
[0009]
The treatment collar (1) according to the present invention has a fan-shaped shape and is made of a thermoplastic synthetic resin material such as plastic or polyethylene, and has an edge (4) whose surface is made of a cotton material on the inner periphery. It can be attached in the shape of a shade around the patient's neck by joining its end (2) to the other end (3), with two handles (19a on the rear and two on the front) , 19b, 19c, 19d), and a string-like member (20) is attached to the two rear handles (19a, 19b), respectively, and they are passed through the patient's armpits with the two front handles (19c, 19d), respectively. By joining, the therapeutic collar (1) can be attached around the patient's neck.
[0010]
The therapeutic collar (1) according to the present invention has a fan-shaped shape and is made of a thermoplastic synthetic resin material such as plastic or polyethylene, and has an edge (4) whose surface is made of a cotton material. ) Is attached and can be attached in the shape of a shade around the patient's neck by joining its end (2) to the other end (3) and joined to the lip (4) on the inner periphery By arranging the member (16), it can be joined to the collar portion (14) of the garment (12).
[0011]
In addition, it is desirable that the therapeutic collar (1) has an angle of 30 degrees to the left and right sides, about 20 degrees on the front side, and about 60 degrees on the rear side when attached to the patient's neck. .
[0012]
The therapeutic collar (1) is preferably formed of a transparent member. Moreover, it is good also as what opened the air hole (10) about 3 mm in diameter in the fan-shaped member of the said treatment collar (1).
[0015]
The collared garment (12) according to the present invention is characterized in that the treatment collar (1) can be joined by arranging the joining member (15) on the collar portion (14). Here, it is desirable that the clothes (12) have a pair of strings (17a and 17b, 17c and 17d) attached to the parts under both sides.
[0016]
Further, the treatment collar (1) and the collared garment (12) according to the present invention are held so that the distance between the collar (1) edge (4) and the patient's neck is 1 to 1.5 cm. It is a feature.
[0017]
The treatment collar according to the present invention is formed of two large and small fan-shaped members joined to each other, and an edge for joining the collar portion (14) of the clothes to the inner peripheral portion of the large member (21). By attaching (22), the small member (25) may be detachable while the large member (21) is attached to the garment (12).
[0018]
DETAILED DESCRIPTION OF THE INVENTION
Hereinafter, specific configurations of the treatment collar and the collared clothes of the present invention will be described in detail with reference to the drawings.
[0019]
FIG. 1 is a development view of the collar 1 of the present invention. As shown in FIG. 1, the shape of the collar 1 is a fan shape. Two concave stoppers 5 are added to the end 2 of the collar 1. The other end 3 of the collar 1 is provided with two convex stoppers 6 in two rows in three rows for a total of six. A helicopter 4 is connected to the inner periphery of the collar. The helicopter 4 is used to hold the collar 1 around the neck with an appropriate interval, and the surface on the side in contact with the neck is made of 100% cotton. The lip 4 is not connected over the entire inner periphery of the collar 1 and is partially cut off to prevent pressure on the patient's throat.
[0020]
By winding the collar 1 and overlapping its end 2 with the other end 3 and joining the stoppers 5 and 6, the collar 1 becomes a light bulb shade shape. FIG. 2 shows the collar 1 wrapped around the patient's neck. The reason why there are three rows of convex stoppers 6 is that the degree of winding can be adjusted in three stages according to the thickness of the neck of the patient. Of course, these stoppers may be anything as long as they are detachable members, such as hooks, hook-and -loop fasteners , strings, belts, and the like. A hook- and- loop fastener is easier to attach and detach and allows stepless fine adjustment.
[0021]
Color 1 has three sizes, S size, M size, and L size, to correspond to the head circumference and neck circumference of various patients. The size of the S size is about 38 cm in outer diameter, about 15 cm in inner diameter, and about 11.5 cm in width. The weight is about 80g. The size of the M size is about 44 cm in outer diameter, about 18 cm in inner diameter, and about 13 cm in width. The weight is about 90g. The size of the L size is about 54 cm in outer diameter, about 23 cm in inner diameter, and about 15.5 cm in width. The weight is about 120g.
[0022]
The width of the collar 1 is a length necessary for preventing the patient's hand from reaching the affected area. By sufficiently securing this width, the collar 1 acts as a protective wall around the patient's face and does not physically allow the hand to reach the affected area, so that the scratching action can be completely blocked. Of course, other sizes may be used depending on the physique of the patient.
[0023]
The material of the collar 1 is made of a thermoplastic synthetic resin material such as plastic or polyethylene, and its thickness is about 1 mm. This material is flexible and elastic enough to fit gently around the patient's face and neck. Moreover, since it tends to return naturally when rounded, force will always act in the direction which an internal diameter expands, and the edge 4 does not squeeze a neck. Moreover, since it is lightweight, it does not become a burden on a patient's neck. Moreover, the irritation | stimulation to a patient's skin can be reduced by making the surface of the helicopter 4 into 100% cotton.
[0024]
FIG. 2 is a view when the collar 1 is worn around the patient's neck and viewed from the front. As shown in FIG. 2, the angle formed by the left and right sides of the collar 1 is preferably about 30 degrees. This is an effective angle for preventing the patient from reaching the face even when reaching out and touching the face.
[0025]
FIG. 3 is a view when the collar 1 is similarly worn around the patient's neck and viewed from the side. As shown in FIG. 3, the angle formed by the rear side of the collar 1 is preferably about 60 degrees, and the angle formed by the front side is preferably about 20 degrees. By maintaining this angle, an appropriate space is created between the face and the color 1, so that the color 1 does not come into contact with the face. In addition, breathing can be sufficiently ensured even when placed in the supine position. Moreover, since the vicinity of the face is sufficiently open, the patient's facial expression can be seen well and the parent can easily care.
[0026]
Further, by making the collar 1 transparent, it is possible to secure the patient's field of view. This allows the patient to feel better because he / she can see the surroundings well and does not have a feeling of obstruction or fear. In addition, both the caregiver and the parent can fully observe the patient's facial expression and the state of the affected area.
[0027]
FIG. 4 is a plan view of the cover 7 attached to the collar 1. As shown in the figure, the cover 7 has a fan shape similar to that of the collar 1, but its central angle may be smaller than that of the collar 1. The cover 7 is formed of a double cotton cloth with the outer peripheral edges stitched together, and is configured to wrap the collar 1 from both the front and back surfaces. The inner peripheral part of the cover 7 coincides with the inner peripheral part of the collar 1. Each of the front and back surfaces of the inner peripheral portion of the cover 7 has a turning portion 8 having a width of 2 cm, and a rubber 9 is passed through each of them. Note that both ends are not sewn and open. Note that the cover 7 may cover not only the entire color 1 but only the area where the patient's hair is hit.
[0028]
The size of the cover 7 was set to S size, M size, and L size similarly to the color 1. Thereby, since an appropriate thing can be selected according to the size of the collar 1, the cover 7 can be developed on the collar 1 with appropriate tension, and the occurrence of wrinkles and drapes can be prevented. If the cover 7 is wrinkled or draped, friction occurs around the face and neck, which leads to worsening of the symptoms of the affected area of eczema. Therefore, it is important that the cover 7 is stretched on the collar 1 with moderate tension. Another effect of attaching the cover 7 is to absorb exudate from the affected area of eczema. Furthermore, the friction when the patient's occipital region and hair contact the collar 1 can be reduced. Since the rubber 9 is passed through the inner peripheral side of the cover 7, the cover 7 can be easily attached.
[0029]
FIG. 5 is a view showing that an air hole 10 having a diameter of 3 mm is formed on the entire surface of the collar 1. Thereby, sufficient respiration can be ensured even when the patient turns over and the nose and mouth are in direct contact with the collar 1. The reason why the diameter of the hole is 3 mm is to prevent the patient's finger from accidentally entering the air hole. If it is larger than this, a finger may enter the hole and cause injury such as cutting the fingertip. Of course, the same effect can be obtained if the collar 1 is formed of a breathable material instead of opening the air holes 10.
[0030]
FIG. 6 is a view showing that the outer edge of the collar 1 is covered and protected with a cotton tape 11. Thereby, the patient and the person in contact with the patient do not have to cut their hands. Further, the same effect can be obtained by polishing the outer edge of the collar 1 round instead of covering the outer edge with the cotton tape 11.
[0031]
FIG. 7 is a front view of the garment 12 of the present invention. The garment 12 provides a suitable foundation for attaching the collar 1 around the patient's neck. This will be described in detail with reference to the drawings.
[0032]
The garment 12 is a front raglan sleeve type, and fasteners 13 are attached to the front and the top of the garment 12. A concave stopper 15 is attached to the turning portion 14 of the collar. On the other hand, as shown in FIG. 8, a convex stopper 16 is attached to the helicopter 4 on the inner periphery of the collar 1. By joining these stops together, the collar 1 can be attached around the patient's neck with a suitable spacing. The appropriate interval here means a gap of about 1 to 1.5 cm. The detailed state is shown in FIG. By maintaining this interval, it is possible to ensure safe breathing of the patient and to prevent the entry of the patient's finger. Individual differences in neck thickness due to the age and physique of the patient are absorbed by selecting a color 1 of an appropriate size.
[0033]
Further, the collar 1 can be prevented from rotating around the patient's neck by joining the collar 1 to the garment 12 with the fasteners 15 and 16. This eliminates unnecessary irritation to the affected area.
[0034]
Further, since the collar 1 and the garment 12 are not integrated but can be attached and detached, the degree of freedom increases, and the garment 12 can be easily washed. Of course, these stoppers may be anything as long as they are detachable members, for example, hooks, hook-and -loop fasteners , strings, fasteners, and the like. The hook- and- loop fastener makes it easier to attach and detach the collar 1 and the garment 12.
[0035]
FIG. 10 is a perspective view when the collar 1 is attached to the garment 12. Two strings 17a and 17b and 17c and 17d having a length of about 17 cm are attached to both lower portions of the garment 12 at intervals of about 15 cm. By tying these strings 17a and 17b and 17c and 17d under both sides, tension is generated in the fabric around the neck of the garment 12, and the occurrence of sagging around the neck is suppressed. As a result, it is possible to prevent the neck 1 from being compressed when the collar 1 moves. In addition, it is possible to adjust the slack of the trunk of the garment 12 caused by the patient's physique difference.
[0036]
The treatment collar 1 and the collar portion of the garment 12 may be stitched together and integrated with the garment. In this case, it is possible to prevent biting around the neck without using the strings 17a and 17b and 17c and 17d under both sides, so that sufficiently safe breathing can be secured.
[0037]
The opening / closing means of the garment 12 may be a button, hook, hook-and -loop fastener , clip, string or the like in addition to the fastener 13, but the fastener is simple for nursing operation. Moreover, since the patient usually wears underwear and sleepwear as innerwear, the clothes 12 are worn from above. Therefore, a raglan sleeve type having a large size is optimal for the garment 12. The material of the garment 12 is preferably made of 100% cotton, which is less irritating to the patient's skin.
[0038]
The garment 12 is not only a raglan sleeve type, but pajamas with independent upper and lower garments, a sleeping garment that overlaps the bottom of the neck, a garment with sleeves worn from the head side, a romper integrated with the upper and lower garments, and a night garment Applies to all forms of clothing, such as those used instead. In any case, the collar 1 can be attached to the circumference of the neck at an appropriate interval and can be anything that is loose on the patient's body.
[0039]
FIG. 11 is an external view showing a state in which a hood 18 is sewn on the outer side of the neckline of the garment 12. The hood 18 has a width of 28 cm and a depth of about 37 cm, and the folded portion of the outer edge of about 15 cm has a double structure. The string of the hood 18 is about 60 cm long. The size of the hood is compatible with any of the S size, M size, and L size of the color 1. Of course, the hood 18 may be removable from the clothes 12.
[0040]
FIG. 12 is an external view showing a state in which the collar 1 is attached to the garment 12 and the outside is covered with the hood 18. By doing so, the strange appearance of the collar 1 can be concealed when the patient goes out, and the parent's shame can be eased.
[0041]
The collar 1 may not be joined to the garment 12 as long as the collar 1 can be held around the neck with an appropriate interval. The details are shown in FIG. Four handles 19a, 19b, 19c, and 19d are attached to the collar 1, and a rubber belt 20 is attached to the rear handles 19a and 19b. The rubber belt 20 is attached to the front handles 19c and 19d through the armpit from the back of the patient. By doing so, the collar 1 can be attached around the neck with a proper interval. Thereby, the original purpose of preventing scratching can be achieved without processing the patient's clothes.
[0042]
In addition, the collar 1 may be formed of two large and small fan-shaped members as shown in FIG. 14 instead of a single member. This will be described in detail with reference to FIG. A lip 22 is attached to the inner periphery of the large member 21. A convex stopper 23 is attached to the edge 22 for joining to the concave stopper 15 in the collar portion 14 of the garment 12. In addition, two convex stoppers 24 are attached to one end of the large member 21, and six in three rows, two each, to the other end.
[0043]
On the other hand, two concave stoppers 26 are attached to both ends of the small member 25 at positions corresponding to the convex stoppers 24 of the large member 21. Of course, these stoppers may be anything as long as they are detachable members, such as hooks, hook-and -loop fasteners , strings, belts, and the like. A hook- and- loop fastener makes it easier to attach and detach each member, and allows stepless fine adjustment.
[0044]
Like the collar 1, the material of the large member 21 and the small member 25 is made of a thermoplastic synthetic resin material such as plastic or polyethylene, and the thickness thereof is about 1 mm. This material is flexible and elastic enough to fit gently around the patient's face and neck. Moreover, since it will return naturally when rounded, force will always act in the direction which an internal diameter expands, and the edge 22 does not squeeze the neck. Moreover, since it is lightweight, it does not become a burden on a patient's neck. Moreover, the irritation | stimulation to a patient's skin can be reduced by making the surface of the helicopter 22 into 100% cotton.
[0045]
The patient wears the garment 12, the convex stopper 23 of the large member 21 is joined to the concave stopper 15 of the garment 12, and the convex stopper 24 of the large member 21 is joined to the concave stopper 26 of the small member 25. The large member 21 and the small member 25 are attached in the shape of a light bulb around the neck so as to prevent scratching as in the case of the treatment collar 1. Further, by removing the small member 25 from the large member 21 in this state, the front part of the patient's face can be opened. The details are shown in FIG. By adopting such a configuration, it is possible to achieve a special effect that care work such as a meal becomes easy.
[0046]
[Clinical experiment]
A clinical experiment was conducted in a case where the collared clothes of the present invention were worn day and night.
[0047]
[Target subjects]
Six patients (aged from 3 months to 12 months old) who were diagnosed as “atopic dermatitis” by a dermatologist and had skin symptoms with or without treatment were used as subjects.
[0048]
【Investigation period】
4 weeks from the start date of use. However, those who showed adverse side effects or sudden deterioration were immediately discontinued.
[0049]
[About improvement of skin symptoms]
At the start of the survey, parents were given a survey report form and filled in with the status of skin symptoms associated with atopic dermatitis.
[0050]
The skin symptoms at the start of the survey and the skin symptoms 4 weeks after the start of the survey were evaluated in five levels: “very improved”, “improved”, “no change”, “aggravated”, and “very worse”. The above was conducted with the consent of the parents after fully explaining the purpose of this survey to the parents.
[0051]
As a result of the above-mentioned clinical experiment, it was reported that the cases of all six subjects were “very improved”.
[0052]
【The invention's effect】
According to the present invention, since the patient's hand can be physically blocked from directly touching the affected part, the act of scratching the affected part is completely prevented. As a result, symptoms of atopy can be improved early.
[0053]
Moreover, by comprising this invention from several members, the front part of a patient's face can be open | released, attaching a big member to clothes. Thereby, the special effect that care work, such as a meal, becomes easy can be produced.
[Brief description of the drawings]
FIG. 1 is a developed view showing a treatment collar of the present invention.
FIG. 2 is a front view showing the angle of the treatment collar of the present invention.
FIG. 3 is a side view showing the angle of the treatment collar of the present invention.
FIG. 4 is a top view of the therapeutic collar cover of the present invention.
FIG. 5 is a top view showing an air hole of the treatment collar of the present invention.
FIG. 6 is a top view showing a cotton tape on the outer edge of the treatment collar of the present invention.
FIG. 7 is a front view showing a garment according to the present invention.
FIG. 8 is a top view of the therapeutic collar stop of the present invention.
FIG. 9 is a detailed view showing the joining of the treatment collar and the garment of the present invention.
FIG. 10 is a perspective view showing a garment with a treatment collar according to the present invention.
FIG. 11 is a front view of the garment hood of the present invention sewn on the garment.
FIG. 12 is a front view showing a state where the hood of the garment with a collar for treatment of the present invention is attached.
FIG. 13 is a front view showing an application of the therapeutic collar of the present invention.
FIG. 14 is a developed view showing another treatment collar of the present invention.
FIG. 15 is a perspective view showing another garment with a treatment collar according to the present invention.
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 1 ... Collar 2 ... End part 3 ... The other end part 4 ... Helicopter 5 ... Concave stopper 6 ... Convex stopper 7 ... Cover 8 ... Cover turning part 9 ... Rubber 10 ... Air hole 11 ... Cotton tape 12 ... Clothes 13 ... Fastener 14 ... Collar turning portion 15 ... Concave stop 16 ... Convex stop 17a, 17b, 17c, 17d ... String 18 ... Hood 19a, 19b, 19c, 19d ... Handle 20 ... Rubber belt 21 ... Large member 22 ... Hel 23 ... Convex stop 24 ... Convex stop 25 ... Small member 26 ... Concave stop

Claims (9)

It is fan-shaped, formed of thermoplastic synthetic resin material, a lip made of cotton material is attached to the inner periphery of the fan-shaped, and one end of the fan-shaped is joined to the other end Can be attached around the patient's neck in a shade.
Two handles on the rear surface and two handles on the front surface are attached to the fan shape, and a string-like member is attached to each of the two handles on the rear surface, and the two handles on the front surface are passed through the armpit of the patient. A therapeutic collar characterized in that it can be attached around the patient's neck by joining with each other. It is fan-shaped, formed of thermoplastic synthetic resin material, a lip made of cotton material is attached to the inner periphery of the fan-shaped, and one end of the fan-shaped is joined to the other end Can be attached around the patient's neck in a shade.
A treatment collar characterized in that a joining member is arranged on the edge and can be joined to a collar portion of clothes. The therapeutic collar of claim 1 or claim 2 ,
A treatment collar characterized in that the angle formed by the fan shape and the horizontal plane when attached around the patient's neck is about 30 degrees on the left and right sides, about 20 degrees on the front side, and about 60 degrees on the rear side. In the treatment collar according to any one of claims 1, 2, and 3 ,
A therapeutic collar, wherein the fan-shaped is formed of a transparent member. In the treatment collar according to any one of claims 1, 2, 3, and 4 ,
A therapeutic collar, wherein an air hole having a diameter of about 3 mm is formed in the fan shape. A collared garment, wherein a joining member is arranged on a collar portion, and the treatment collar according to claim 2 can be joined. The colored garment according to claim 6 ,
A collared garment characterized in that a pair of strings are attached to the parts under both sides. The therapeutic collar and colored garment of claim 2 or claim 6 ,
A therapeutic collar and a garment with a collar, wherein the collar and the neck of the patient are attached while being held at 1 to 1.5 cm. The therapeutic collar of claim 2 or claim 8 ,
Two large and small fan-shaped members joined to each other, and a lip for joining to the collar portion of the garment is attached to the inner periphery of the large member, so that the large member remains attached to the garment. A treatment collar characterized in that a small member is removable.

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