JP4979985B2 - Dysphagia rehabilitation training device - Google Patents

Description

  The present invention relates to a dysphagia rehabilitation exerciser that performs rehabilitation for a dysphagia person, and more particularly to a dysphagia rehabilitation exerciser in which a caregiver or the person can easily and safely perform a swallowing reflex exercise.

    In general, dysphagia is a disorder in which food cannot be recognized due to an intellectual disability such as dementia, or because it is impossible to determine what kind of property it is, and swallowing cannot be performed normally, or muscle weakness, etc. Due to the dysfunction, the orbital muscles, tongue muscles, cheek muscles, masticatory muscles, etc. are not able to act sufficiently, so that the bolus cannot be made or the bolus is successfully sent to the pharynx There is no failure.

  When such dysphagia is caused by functional disorders such as muscle weakness, training by vocalization or soft palate (especially palatal arch) is used to increase muscle strength of the orbicular muscle, tongue muscle, cheek muscle, and masticatory muscle. ), Training to induce swallowing by stimulating swallowing reflex induction sites such as tongue base and pharyngeal posterior wall.

  In addition, as a method of giving stimulation to the swallowing reflex induction site, the therapist wearing rubber gloves etc. is swallowing directly with fingers, mainly by cooling the cotton at the tip of the spoon or swab with cold water to stimulate the swallowing reflex induction site A method of stimulating a reflex induction site has been performed.

  In recent years, a dysphagia assisting device has been devised that facilitates swallowing of dysphagic persons and enables basic training of muscle strength used for swallowing.

  As an example of such a conventional dysphagia assist tool, there is a generally crescent-shaped thin plate-shaped assist tool body bent in a dentition, and a rod-like operation that protrudes from the center of the front surface of the assist tool body to the front. Some parts are integrally formed of a silicon-based elastic material.

The auxiliary tool main body has a generally thick arc-shaped lower edge on the lower edge of the auxiliary tool body. The raised part does not damage the skin or mucous membrane in the oral cavity. As such, the cross section is generally semicircular. In addition, the upper edge of the assisting device body is also rounded, and the assisting device body has no corners or edges that would damage the oral cavity as a whole, and is compatible with the silicon-based elastic material. Therefore, safety in use in the oral cavity is ensured.

  The dysphagia assisting tool is supported so that the assisting instrument body is inserted between the patient's lower lip and the lower gum and is gently sandwiched between these parts, and the operation unit is supported by the patient's mouth. It protrudes from the oral cavity. In addition, the insertion between the lower lip and the lower gum of the auxiliary tool body is performed until the lower edge reaches the bottom between the lower lip and the lower gum or until the operation unit comes into contact with the lower lip. Yes.

  In addition, the auxiliary tool body completely covers the patient's lower front teeth, and the upper edge exceeds the upper end of the lower front tooth by about 2 to 3 mm, and whether the left and right ends of the auxiliary tool body reach the patient's back teeth. There is no position. It should be noted that the mouth can be completely closed with the operation unit sandwiched between the upper and lower lips.

  As a method of using the swallowing disorder assisting device having such a configuration, first, a caregiver moves the operation unit downward, pushes down the assisting device main body together with the lower jaw of the patient, opens the patient's mouth, Carry it into the oral cavity with a spoon.

  Next, the operation unit is moved upward to push up the auxiliary tool body and close the patient's mouth. During the upward movement, the raised portion comes into contact with the lower lip of the patient and resists the auxiliary tool body from coming off from the set state.

  Moreover, since the auxiliary tool main body already closes the mouth before the mouth is completely closed, the leakage of food and saliva to the outside of the mouth is prevented.

  Next, the operation unit is appropriately moved to stimulate the patient's saliva line through the assisting device body to promote the secretion of saliva or to massage the required site in the oral cavity to promote swallowing. In addition, since the patient's cheek can be contracted or expanded in accordance with the back and forth movement of the operation unit and the auxiliary tool body, the left and right cheeks in the oral cavity of food can be eliminated and the food can be swallowed. .

  In addition, by assisting swallowing in this way, muscle strength used for swallowing can be trained (see, for example, Patent Document 1).

JP 10-2111260 A

  However, in the above-described swallowing training with the swallowing aid, the swallowing aid body is inserted between the patient's lower lip and the lower anterior teeth and lower gums, and the left and right ends of the swallowing aid body reach or reach both back teeth. Because it is positioned to a certain extent, even if the operation unit is operated arbitrarily, it cannot stimulate the swallowing reflex induction site such as the soft palate, tongue base, posterior pharyngeal wall, etc., and surely promote swallowing There was a problem that I could not.

  Further, in the conventional method in which the therapist directly stimulates with a finger, the reflex induced by stimulating the swallowing reflex induction site has a strong force, and there is a risk that the therapist's finger is bitten.

  The present invention has been made in view of such problems, and an object of the present invention is to provide a dysphagia rehabilitation training apparatus that allows a caregiver, a therapist, or a person with dysphagia to perform swallowing training easily and safely. Is.

In order to achieve the above-described object, the dysphagia rehabilitation training device according to claim 1 of the present invention is characterized in that a gripping portion gripped by a user and a tip portion of the gripping portion that is connected to the distal end side of the gripping portion and can be inserted into the lip. The bent-shaped protective part that is connected to the protective part and the spoon-like stimulating part that can be inserted into the oral cavity are connected in the longitudinal direction, and a finger is inserted into the gripping part. An openable vertical opening is formed, and a cylindrical portion projects from at least one peripheral edge of the opening . And by adopting such a configuration, the caregiver, the therapist or the dysphagia person grasps the grip part of the dysphagia rehabilitation trainer and opens the mouth of the dysphagia person to stimulate the dysphagia rehabilitation trainer And insert the protection part. The stimulating part presses the tongue by placing the protective part between the lip and the gum part, placing the concave surface of the stimulating part on the tongue, and swinging the grip part up and down. In addition, the protective part can stimulate the lips and gums to promote saliva secretion. Further, when placing the dysphagia rehabilitation training device on a table or the like, the protective part and the stimulating part can be placed without adhering to the upper surface of the table, which is preferable in terms of hygiene.

  The feature of the dysphagia rehabilitation training device according to claim 2 of the present invention is that the whole is integrally formed of an elastic material. And by employ | adopting such a structure, safety | security increases for the dysphagia person who uses a dysphagia rehabilitation training device.

  The dysphagia rehabilitation training device according to claim 3 of the present invention is characterized in that a projection for stimulating the tongue is formed on the concave curved surface of the stimulation part. And by employ | adopting such a structure, the tongue can be further stimulated by a protrusion and the secretion of saliva can be promoted.

  As described above, according to the dysphagia rehabilitation training device of the present invention, a caregiver, a therapist, or a person with dysphagia can easily and safely perform swallowing training.

That is, the dysphagia rehabilitation training device of the present invention includes a gripping part gripped by a user, a curved protection part that is connected to the distal end side of the gripping part and can be inserted into the lip, and the protection part. Sponge-like stimulating portions that are connected to the distal end side of the mouth and can be inserted into the oral cavity are connected in the longitudinal direction, and an opening in the vertical direction in which a finger can be inserted is formed in the grip portion. Since at least one peripheral edge of the opening is provided with a cylindrical portion , by placing the concave curved surface of the stimulating portion on the tongue and swinging the gripping portion up and down, protection unit with stimulation portion to press the tongue to stimulate the lips, can promote the secretion of saliva, to be able to alleviate the symptoms of dysphagia, dysphagia rehabilitation training device the top of the table, such as Adhere the protective part to the top surface of the table when placing it on the table. Ku can placed, since the protection unit to take into the mouth can be kept clean, preferably in hygiene.

  Moreover, if the whole is integrally formed of an elastic material, safety will increase for a dysphagia person who uses a dysphagia rehabilitation training device, and swallowing training can be performed more safely.

  Furthermore, if a projection for stimulating the tongue is formed on the concave curved surface of the stimulation portion, the tongue can be further stimulated by the projection to promote saliva secretion.

  As shown in FIGS. 1 to 5, the dysphagia rehabilitation training device 1 according to the present embodiment is entirely formed of an elastic material such as silicon rubber so as to have elasticity and flexibility.

  The dysphagia rehabilitation training device 1 includes a gripping part 10 that a user grips, a curved protective part 20 that is connected to the distal end side of the gripping part 10 and can be inserted into the lip, and the protective part. 20 has a spoon-like stimulation part 30 that is connected to the distal end side and can be inserted into the oral cavity, and the gripping part 10, the protection part 20, and the stimulation part 30 described above are a dysphagia rehabilitation training device. 1 are connected in the longitudinal direction.

  Although the said holding part 10 is formed in the length of about 60% of the full length of the dysphagia rehabilitation training device 1 in this embodiment, it is not limited to this ratio.

  The grip portion 10 is formed in a flat plate shape having a flat upper surface 11 and a lower surface 12, and a circular opening 13 penetrating the upper surface 11 and the lower surface 12 has a width at the base end portion of the grip portion 10. It is formed at the center of the direction. Concave bent portions 14 and 14 are formed on both side surfaces on the center side of the opening 13 of the grip portion 10 in the longitudinal direction so that the fingers can be easily applied.

  A circular opening 15 having a diameter larger than that of the opening 13 and penetrating through the upper surface 11 and the lower surface 12 is formed in the central portion in the width direction on the side of the protection unit 20 from the bent portions 14 and 14. An obliquely cut cylinder 16 as an example of a cylindrical part protrudes from the periphery of the opening 15 in the upper surface 11, and the obliquely cut cylinder 16 is formed so as to be higher toward the protective part 20 side. Has been. The obliquely cut cylinder 16 is provided to prevent the protection unit 20 and the stimulation unit 30 from contacting the table surface when the gripping unit 10 is placed on a table or the like so that the upper surface 11 of the gripping unit 10 faces downward. . A cylindrical portion such as the obliquely cut cylinder 16 may protrude from the lower surface 12 of the gripping portion 10 or may protrude from only the lower surface 12.

  On both side surfaces between the opening 15 and the protective portion 20, concave bent portions 17 and 17 are formed, respectively, for easy finger placement.

  The protection part 20 is a part located between the lip and the gum part. For this reason, the protection part 20 is bent in the left-right direction so as to follow the curved shape of the gum part, and is closer to the stimulation part 30 toward both ends. In addition, it is formed to be relatively thin so as not to feel a sense of incongruity when it is located between the lips and the gums.

  The stimulation part 30 is connected to the central part on the left and right sides of the protection part 20 and can be inserted into the oral cavity. The stimulating unit 30 includes a flat plate-like shaft portion 31 projecting from the protection portion 20 and a spoon body 32 connected to the tip of the shaft portion 31.

  The spoon body 32 is formed in a curved surface with a convex upper surface 33 and a concave lower surface 34, and a projection 35 for stimulating the tongue is provided on the lower surface 34. In the present embodiment, the protrusion 35 has a shape similar to a dragonfly, but is not particularly limited to such a shape, and various shapes can be selected.

  Next, the operation of the present embodiment having the above-described configuration will be described.

The grasping part 10 of the dysphagia rehabilitation training device 1 of this embodiment is grasped by a dysphagia person, a caregiver or a therapist, and the protection part 20 is positioned between the lip and the gum part, and the spoon body of the stimulating part 30 It is inserted into the mouth of a dysphagia person so that 32 is located on the tongue. In this case the protection unit 20 is configured to prevent the stimulation portion 30 from being inserted in the back of the oral cavity than necessary, when the caregiver or therapist is grasping the grip portion 10, dysphagia therapists Can be prevented from being bitten.

  Then, by swinging the gripping part 10 up and down, the force for swinging the gripping part 10 is transmitted to the protection part 20 and the stimulation part 30, and the protection part 20 slides with respect to the lip and gum part, respectively. It will irritate the lips and gums.

  On the other hand, the force that swings the gripping part 10 is transmitted to the stimulating part 30, and the lower surface 34 that is a concave curved surface of the stimulating part 30 presses the tongue. At this time, since the protrusion 35 is provided on the lower surface 34 of the stimulating unit 30, the tongue can be pressed more satisfactorily.

  In this manner, saliva secretion can be promoted by stimulation of the lips and gums by the protection unit 20 and stimulation of the tongue by the stimulation unit 30. In addition, it is possible to train so that a series of swallowing operations can be performed smoothly by training the movements of the lips, gums, and tongue.

  Further, as described above, the presence of the protection unit 20 can prevent an accident.

  Furthermore, a dysphagia person can use easily at home, and a caregiver and a therapist can use it safely.

  In addition, this invention is not limited to embodiment mentioned above, A various change is possible as needed.

The perspective view which shows embodiment of the dysphagia rehabilitation training device which concerns on this invention Bottom view of FIG. Right side view of FIG. Sectional view taken along line IV-IV in FIG. End view of FIG.

Explanation of symbols

1 Rehabilitation training device for dysphagia 10 Grasping part 11 Upper surface 12 Lower surface
13, 15 Opening 14, 17 Curved part 16 Slope-cut cylinder 20 Protection part
30 Stimulating part 31 Shaft part 32 Spoon body 33 Upper surface 34 Lower surface 35 Projection

Claims (3)

A gripping part gripped by the user, a curved protective part that is connected to the distal end side of the gripping part and can be inserted into the lip, and a protective part that is connected to the protective part and can be inserted into the oral cavity And a spoon-shaped stimulating part connected in the longitudinal direction, and the grip part is formed with an opening in the vertical direction in which a finger can be inserted. A dysphagia rehabilitation training device characterized in that a part is projected .   The dysphagia rehabilitation training device according to claim 1, wherein the entire device is integrally formed of an elastic material.   The dysphagia rehabilitation training device according to claim 1, wherein a protrusion that stimulates the tongue is formed on the concave curved surface of the stimulation unit.

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