JP4049530B2 - Therapeutic instrument - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a therapeutic instrument, and more particularly to a therapeutic instrument used for treatment of a patient who has a difficulty in moving a part such as a limb.
[0002]
[Prior art]
Conventionally, various exercise equipment for performing rehabilitation or the like for a patient with a disorder in a part such as a limb has been proposed.
[0003]
[Problems to be solved by the invention]
However, in the exercise apparatus as described above, the apparatus itself is large, and is often mechanically controlled or forced to exercise independently of the intention of the patient.
[0004]
In other words, the conventional exercise apparatus is not intended to assist the movement of the part based on the intention of the patient to be treated or to treat the patient by giving an appropriate force to the person to be treated. Furthermore, a treatment instrument that can be easily used by the person to be treated has been desired.
[0005]
The present invention has been made to solve the above-described problems, and an object of the present invention is to provide a therapeutic instrument that can appropriately assist the rehabilitation exercise of the patient.
[0006]
[Means for Solving the Problems]
[0012]
In order to achieve the above object, the invention according to claim 1 is a therapeutic instrument used for the treatment for the purpose of movement and recovery of each site to be treated of a subject, comprising a rod-like support, A rod-like orthogonal body connected to one end of the support body and extending in at least one direction in a direction substantially orthogonal to the axial direction of the support body, and a cylindrical shape attached to the outer surface of the orthogonal body. A rotating grip or the like that is rotatable about a direction is provided.
[0013]
If comprised in this way, a rotation grip is free to rotate with respect to an orthogonal body.
[0014]
According to a second aspect of the present invention, in the configuration of the first aspect of the present invention, the cap is attached to the end portion of the orthogonal body and is attached near the other end portion of the support body to prevent the rotating grip from falling off. And a fixed grip fixed.
[0015]
If comprised in this way, there will be no possibility that a rotation grip may fall out and it will become easy to apply force to a supporter via a fixed grip.
[0016]
According to a third aspect of the present invention, in the configuration of the second aspect of the present invention, a ring attached to the cap is further provided.
[0017]
If comprised in this way, it will become easy to hang a string etc. on a ring.
[0018]
【The invention's effect】
[0021]
As described above, in the first aspect of the invention, since the rotary grip is rotatable, when the force is applied to the support while the rotary grip is held by hand, it is impossible for the hand, arm, etc. More effective treatment is possible because no additional force is applied.
[0022]
In addition to the effects of the invention described in claim 1, the invention described in claim 2 is free from the risk of the rotary grip falling off, and can easily apply force to the support to facilitate treatment in a more stable state. Become.
[0023]
In addition to the effect of the invention of claim 2, the invention of claim 3 can be used by the patient himself / herself while holding the string hung on the ring, so that the treatment is performed in a stable state. Can do.
[0024]
DETAILED DESCRIPTION OF THE INVENTION
FIG. 1 is a view showing the external shape of a treatment instrument according to the first embodiment of the present invention, and FIG. 2 is a cross-sectional view taken along line II-II in FIG.
[0025]
Referring to these drawings, a treatment instrument 11 is a metal rod that is connected to one end of a support 15 having a round bar shape made of, for example, a metal tube, and extends in a direction substantially orthogonal to the axial direction of the support 15. It is mainly configured by a round bar-like orthogonal body 16 made of a tube and a rotating grip 17 having a cylindrical shape attached to an outer surface of a portion extending in one direction with respect to the support body 15 of the orthogonal body 16.
[0026]
As shown in FIG. 2, the rotary grip 17 includes a cylindrical body 25 made of a metal tube attached to an outer surface of the orthogonal body 16 so as to be rotatable about its axial direction, and an outer surface of the cylindrical body 25. And a cover made of synthetic resin. Accordingly, the rotary grip 17 is rotatable with respect to the orthogonal body 16 about its axial direction.
[0027]
A cap 18 is attached to the closing plate 28 at the outer end of the orthogonal body 16, and the cap 18 is fixed to the end of the orthogonal body 16 by screwing a fixing bolt 20 into the closing plate 28. . Accordingly, in this state, the rotation grip 17 is prevented from moving leftward in FIG. 1 by the support body 15, and is prevented from moving rightward by the cap 18, thereby preventing the rotation grip 17 from falling off from the orthogonal body 16. Has been.
[0028]
Further, a ring 19 is attached to the side wall surface of the cap 18 with respect to their opposing positions. The ring 19 is used to prevent the therapeutic instrument 11 from falling off by hanging a string or the like when the therapeutic instrument 11 is used by the patient himself / herself. Also, a synthetic resin fixing grip 23 is fixed to the outer surface of the support 15 near the other end of the support 15.
[0029]
The treatment instrument 11 is composed of the above-described components. Next, a treatment method performed using the treatment instrument 11 will be described.
[0030]
The treatment method performed using this treatment instrument 11 is not in the conventional exercise therapy using the exercise apparatus, and both the treatment person and the treated person do not give pain at the time of treatment, and the site where there is a failure is not forced. It is a therapy that allows you to move and move.
[0031]
First, at the time of exercise therapy, there are cases where the purpose is to adjust the body by normalizing the muscle strength (relaxation), and cases where the purpose is to restore the function of each part and increase the strength. And for the purpose of functional recovery, the part common to the effect of functional recovery for brain injury and traumatic disorder depends on how the patient is willing to move the site. .
[0032]
In addition, in the upper limb, the recovery force varies depending on whether or not there is a gripping force by the hand, and in the lower limb, it depends on whether or not the ankle dorsiflexion or the sole dorsiflexion of the heel.
[0033]
Therefore, first, the features of the upper limb in terms of functional recovery will be described.
[0034]
There are finger joints, wrist joints, elbow joints, shoulder joints, and scapula joints in the upper limbs, but if the shoulder joints are moved while holding an object in the hand, pain during exercise is reduced or eliminated. Therefore, the range of motion of the shoulder joint during exercise is expanded, and the therapeutic effect can be further enhanced.
[0035]
That is, the muscles that pass through the shoulder joint include the deltoid muscle, the latissimus dorsi, the supraspinatus, the subspinous muscle, the subscapular muscle, the great circular muscle, the small circular muscle, the upper arm bilateral muscle, the upper arm third muscle, the bird mouth There are arm and pectoral muscles. Therefore, when a grip having a diameter of 30 to 35 mm such as the rotary grip 17 of the treatment instrument 11 is gripped and exercised, these muscles are relaxed, and the large and small rhomboid muscles of the scapula part, the scapular muscles, and partly the latitudinal muscles As a result, the range of motion of the shoulder joint is increased.
[0036]
Further, when a force is applied to the support body in the direction in which the rotary grip 17 is separated from the body while the therapeutic instrument 11 is gripped by hand, for example, the pulling in the distal direction as well as the movable range becomes possible. . Since it can exercise as it is in this state, the therapeutic effect is further enhanced. For example, when the shoulder joint itself deteriorates, the gap between the head and the fossa of the shoulder joint is generally narrow. Therefore, a good therapeutic effect can be obtained by exercising simultaneously with the traction of the hand and arm in the distal direction.
[0037]
In addition, since the gap between the elbow joints is often small because of the narrow gap between the joints, the therapeutic effect can be obtained if the joints are similarly pulled in the distal direction. Obtainable.
[0038]
Further, also in the wrist joint, traction in the peripheral direction enhances the therapeutic effect, and the portion to which the muscular force generated in the palm flexion exercise is applied is greatly different from the portion to which the muscular force generated during the ulcer exercise is applied. During palmar flexion exercises, the large muscles of the shoulders move around.
[0039]
By the way, even in the ulcer flexion movement, the supraspinatus, subspinous, subscapular, and small circular muscles with small muscles move around. Conversely, if these muscles are injured, it will not be enough to perform the crutch movement. For this reason, strengthening the crutch movement using the therapeutic instrument 11 changes these four muscles to a normal state.
[0040]
On the other hand, with regard to the lower limbs, the movement of the ankle joint can bring about normal muscle tension with respect to the lumbar region, and the movement of the hip joint can adjust the knee joint. Since the state of the ankle joint often directly affects the knee joint, these can be returned to normal using the treatment instrument 11.
[0041]
Next, some examples of the treatment method using the treatment instrument 11 described above will be briefly described with reference to the drawings.
[0042]
FIG. 3 is a diagram showing an example of a treatment method using the treatment instrument 11 according to the first embodiment of the present invention.
[0043]
Referring to the drawing, as shown in FIG. 3 (1), the patient 31 grasps the rotary grip 17 of the treatment instrument 11 with the left hand 32 with the left arm 33 extended. On the other hand, the therapist 40 grasps the fixed grip 23 of the treatment instrument 11 with the right hand 42 and holds it with the left hand 41 supporting the vicinity of the portion of the support 15 of the treatment instrument 11 to which the rotating grip 17 is attached.
[0044]
From this state, as shown in FIG. 3 (2), the patient 31 applies a force to bend the left arm 33 and pull the rotary grip 17 toward the front by the left hand 32. On the other hand, the therapist 40 applies force to the support 15 with the left hand 41 and the right hand 42 in order to assist the pulling motion by the left arm 33 of the patient 31.
[0045]
In this way, since the patient 31 performs the bending and stretching exercises of the left arm 33 while holding the rotary grip 17, it is possible to relax the muscles involved in this exercise and further enhance this exercise effect. Further, since the rotary grip 17 is rotatable with respect to the treatment instrument 11, when the rotary grip 17 is pulled from the state (1) in FIG. 3 to the state (2), the support of the treatment instrument 11 is supported. Even if the position of the body 15 changes as shown in the figure, the force accompanying the change does not directly apply to the left hand 32 or the left arm 33. Therefore, even when the therapist 40 assists the movement of the patient 31 via the support 15, the force does not cause an excessive force on the left hand 32 and the left arm 33 of the patient 31.
[0046]
In this way, the left arm 33 is basically bent and stretched according to the intention of the patient 31, and it is possible for the therapist 40 to give the patient 31 the force that is insufficient for the exercise while adjusting the force. It becomes. As a result, the effect of bending and stretching the left arm 33 of the patient 31 can be increased without difficulty.
[0047]
FIG. 4 is a view showing another example of a treatment method using the treatment instrument 11.
[0048]
Referring to the drawing, as shown in FIG. 4 (1), first, the left grip 32 of the treatment instrument 11 is grasped with the left hand 32 in a state where the left arm 33 of the patient 31 is stretched substantially straight. On the other hand, the therapist 40 supports the fixed grip 23 of the treatment instrument 11 from below with the right hand 42 and supports the portion of the support 15 on the rotating grip 17 side from below with the left hand 41.
[0049]
Next, from this state, the patient 31 rotates the left arm 33 so as to twist the left hand 32 inward as shown in FIG. On the other hand, the therapist 40 assists by applying a force to twist the support 15 of the treatment instrument 11 via the left hand 41 and the right hand 42 in order to assist the twisting motion of the left arm 33 of the patient 31. In this case, since the rotary grip 17 is rotatable, the left arm 33 is twisted from the state in which the rotary grip 17 in FIG. 4A is gripped with the left hand 32 to the state in FIG. 4B. It becomes easy.
[0050]
In this way, the person to be treated 31 exercises to twist the left arm 33 by his / her own intention, and the therapeutic effect is further enhanced since the caregiver 40 appropriately assists the force lacking in the exercise. In addition, unlike a mechanical device, the therapist 40 can adjust the power to be assisted while looking at the condition of the patient 31, so appropriate assistance can be provided according to changes in the symptoms and exercise effects of the patient 31. This is easily possible via the treatment instrument 11.
[0051]
FIG. 5 is a view showing still another example of the treatment method using the treatment instrument 11.
[0052]
In this example, a treatment method for a symptom in which the shoulder 31 of the person to be treated 31 has a disorder and the left hand 32 cannot be lifted by himself is shown.
[0053]
First, the patient 31 holds the fixed grip 23 of the support 15 with the left arm 33 while the left hand 32 is lowered. In this state, the therapist 40 applies a force to the support body 15 while holding the fixed grip 23 with the left hand 41 to lift the position of the fixed grip 23 upward. Since the person to be treated 31 is holding the fixed grip 23, the left hand 32 is raised upward as the treatment instrument 11 moves.
[0054]
By repeating this up-and-down movement with the assistance of the therapist 40, the shoulder joint and other disorders of the patient 31 are gradually recovered. Then, as the force to lift the left hand 32 upward increases due to the recovery of the patient 31, the therapist 40 may gradually decrease the force applied to the treatment instrument 11. Eventually, the left hand 32 can be raised upward only by the patient 31 itself, and the shoulder joint and other disorders of the patient 31 are recovered.
[0055]
In this example, the treatment instrument 11 is supported by the therapist 40. However, if there is no obstacle in the right arm or the like of the patient 31, the patient 31 holds the therapy instrument 11 with his / her right hand. It is also possible to apply the force to the above motion. And since the treatment instrument 11 is compact, since this exercise can be performed by one person at home or anytime, it is a convenient treatment instrument.
[0056]
FIG. 6 is a view showing still another example of the treatment method using the treatment instrument 11.
[0057]
First, as shown in FIG. 6 (1), the patient 31 lies on his back, while the patient 40 has the rotating grip 17 of the treatment instrument 11 on the sole of the left foot 35 of the patient 31. The support 15 is supported by the left hand 41 along the outer side of the left foot of the person 31 to be treated. From this state, the patient 31 applies a force to pull the left foot to bend the left knee 36.
[0058]
On the other hand, the therapist 40 supports the support 15 and the left foot of the patient 31 with the left hand 41, and applies a force to pull the support 15 with the right hand (not shown). As a result, a force that assists this movement is applied to the left foot 35 of the patient 31 via the rotary grip 17 of the treatment instrument 11, and the patient 31 can easily perform the pulling movement of the left foot.
[0059]
In this case, since the rotating grip 17 is rotatable, the therapist 40 can smoothly pull the left foot and move the therapeutic instrument 40 even if the direction of the sole surface of the left foot 35 is not constant. 11 can be assisted. Even in this exercise, the therapist 40 can easily adjust the assisting force according to the symptom of the patient 31, so that the therapeutic effect is further enhanced.
[0060]
It should be noted that many other treatment methods other than the treatment methods described above can be performed using the treatment instrument according to the first embodiment of the present invention.
[0061]
It is also possible to use this therapeutic instrument for traction of the joint in the distal direction. For example, as a pulling movement of the shoulder joint, the rotary grip 17 of the treatment instrument 11 is applied to the armpit of the patient to be supported, and in this state, the patient applies a force to pull the hand of the patient to be pulled. Just do it. In this case, since the rotary grip 17 is rotatable, the pressed state is maintained regardless of the change in the position of the support 15, so that unnecessary pain is less likely to be given to the patient.
[0062]
Further, in the above-described embodiment, the treatment instrument shown in FIG. 1 is used as the treatment method. However, instead of this treatment instrument, a rotation-grip 17 may be fixed using a so-called stick-like treatment instrument. Is possible.
[0063]
Furthermore, in the above embodiment, the support 15 and the orthogonal body 16 are formed into a hollow round bar shape, but these may be a square bar shape or a solid body. In this case, it is necessary to adopt a structure in which the rotary grip 17 is rotatable with respect to the rectangular bar-like orthogonal body 16.
[0064]
Further, in the above-described embodiment, the orthogonal body 16 extends on both sides with respect to the support body 15, but may have a structure extending only on the side to which the rotating grip is attached.
[0065]
Furthermore, in the above-described embodiment, the fixed grip 23 is attached to an inner position from the end portion of the support 15, but may be attached to the end portion itself. Any of these positions is included in the concept of a position near the end.
[Brief description of the drawings]
FIG. 1 is a diagram showing a schematic structure of a treatment instrument according to a first embodiment of the present invention.
FIG. 2 is a cross-sectional view taken along line II-II in FIG.
FIG. 3 is a diagram showing an example of a treatment method using the treatment instrument of FIG. 1;
4 is a view showing another example of a treatment method using the treatment instrument of FIG. 1. FIG.
5 is a view showing still another example of a treatment method using the treatment instrument of FIG. 1. FIG.
6 is a view showing still another example of a treatment method using the treatment instrument of FIG. 1; FIG.
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 11 ... Treatment instrument 15 ... Support body 16 ... Orthogonal body 17 ... Rotating grip 18 ... Cap 19 ... Ring 23 ... Fixed grip 31 ... Treated person 40 ... Treatment person In addition, the same code | symbol shows the same or an equivalent part in each figure.

Claims (3)

A therapeutic instrument used for treatment aimed at the movement and recovery of each site to be treated by the subject,
A rod-shaped support;
A rod-like orthogonal body connected to one end of the support and extending in at least one direction in a direction substantially orthogonal to the axial direction of the support;
A therapeutic instrument having a cylindrical shape attached to an outer surface of the orthogonal body, and a rotatable grip that is rotatable about an axial direction of the orthogonal body. A cap attached to an end of the orthogonal body to prevent the rotary grip from falling off;
The treatment instrument according to claim 1, further comprising a fixing grip attached and fixed near the other end of the support.   The treatment device of claim 2, further comprising a ring attached to the cap.

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