JP5223144B2 - Ankle orthosis - Google Patents

Ankle orthosis Download PDF

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JP5223144B2
JP5223144B2 JP2008229316A JP2008229316A JP5223144B2 JP 5223144 B2 JP5223144 B2 JP 5223144B2 JP 2008229316 A JP2008229316 A JP 2008229316A JP 2008229316 A JP2008229316 A JP 2008229316A JP 5223144 B2 JP5223144 B2 JP 5223144B2
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belt
crus
cross
lower leg
fixed
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JP2010057852A (en
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浩平 窪田
智之 助川
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Alcare Co Ltd
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本発明は、足関節の各種疾患の予防または治療のために足関節に装着する医療用またはスポーツ用軟性装具に関する。
特に、麻痺によって足部が垂れ下がり不安定歩行になった容態で、いわゆる脳卒中片麻痺者を対象とし、躓きや捻りの予防、歩行時の床面からつま先までの高さ(トウクリアランス)確保補助のために足首に固定して用いられる医療用の軟性装具に関する。
The present invention relates to a medical or sports soft device worn on an ankle joint for the prevention or treatment of various diseases of the ankle joint.
In particular, in the condition where the foot hangs down due to paralysis and became unstable walking, so-called stroke hemiplegic patients are targeted for prevention of whispering and twisting, assisting in securing the height from the floor to the toe (toe clearance) during walking. Therefore, the present invention relates to a medical soft brace used by being fixed to an ankle.

足関節の疾患、障害には数々のものがある。外力による捻挫などの外傷、他の疾患(脳血管障害等)による麻痺等により足関節が不安定になってしまうことがある。このようなことの予防、治療のために多くの装具が使用されている(特許文献1参照)。   There are many ankle diseases and disorders. The ankle joint may become unstable due to trauma such as sprain due to external force or paralysis due to other diseases (such as cerebrovascular disorder). Many appliances are used for such prevention and treatment (see Patent Document 1).

しかし、足関節に簡便に装着でき、特に片手で装着できるような装具はなかった。
足関節に麻痺が発生してしまったケースでは、受傷した麻痺が比較的軽い場合、経時により麻痺度合いが回復基調やプラトーになるにつれて、硬性装具から軟性装具へ移行する。
However, there has been no orthosis that can be easily attached to the ankle joint, particularly with one hand.
In the case where the paralysis has occurred in the ankle joint, when the paralysis that has been injured is relatively light, as the degree of paralysis becomes a recovery trend or a plateau with time, a transition is made from a rigid orthosis to a soft orthosis.

このときに使用される今までの軟性装具は、一般に足関節周囲をより強固に固定するため複数のベルトを使用し、2重、3重に患部を締め付けることが行われるが、片麻痺の患者が装着する場合、基本的に片手健側での操作となるため操作が煩雑になったり、不適切な位置にベルトを固定してしまう等の不具合が発生する。また、上記以外の疾患、捻挫などの治療、予防に使用される装具でも片手で装着するのは困難であった(特許文献2、特許文献3、特許文献4参照)。   The conventional soft devices used at this time generally use a plurality of belts to more firmly fix the periphery of the ankle joint, and the affected part is clamped twice or three times. When the wearer wears, the operation is basically performed on the one-hand healthy side, which causes troubles such as complicated operation and fixing the belt at an inappropriate position. In addition, it is difficult to wear one-handed devices used for the treatment and prevention of diseases and sprains other than those described above (see Patent Document 2, Patent Document 3, and Patent Document 4).

また、装具装着の困難さというQOL面からの問題によって装具をつけなくなるため、床面から爪先までの高さが不良なままで不安定歩行が続くというリスクを伴うといった問題点があった(特許文献5参照)。   In addition, there is a problem that there is a risk that unstable walking continues with the height from the floor surface to the toe being inferior because the problem of QOL surface of difficulty in wearing the orthosis makes it impossible to wear the orthosis (patent) Reference 5).

特開2004−236811号公報(第1〜6頁、図3、図4)Japanese Patent Application Laid-Open No. 2004-236811 (Pages 1 to 6, FIGS. 3 and 4) 特開2006−305208号公報(第1〜3頁、図1)JP 2006-305208 A (pages 1 to 3, FIG. 1) 特開平11−9754号公報(第2〜3頁、図1、図2)Japanese Patent Laid-Open No. 11-9754 (pages 2 and 3, FIGS. 1 and 2) 特開平11−056940号公報(第1〜2頁、図1)Japanese Patent Laid-Open No. 11-056940 (pages 1 and 2, FIG. 1) 特開昭61−113446号公報(第1頁、図1、図2)Japanese Patent Laid-Open No. 61-113446 (first page, FIGS. 1 and 2)

本発明の課題は、装着が簡単で扱い易く、特に、片手で操作可能で、然も足関節にフィットしてしっかりと固定でき、かつ安定した歩行支援機能を有する足関節用軟性装具を提供することにある。   An object of the present invention is to provide a flexible device for an ankle joint that is easy to wear and easy to handle, in particular, can be operated with one hand, still fits and firmly fixed to an ankle joint, and has a stable walking support function. There is.

上述の課題を解決するため、本発明の足関節装具は、少なくとも足関節を被覆する筒状部材と、前記筒状部材の足底部または側部から左右に延び、足甲部上から下腿前部上で交差して下腿部分に巻き付け固定し得る2本のクロスベルトと、前記ベルトの前記交差部分において前記ベルトが隣接して保持されるよう、前記ベルトを纏める挿通手段と、を備えることを特徴とする。
なお、前記クロスベルトは、2本の独立したベルトがそれぞれ筒状部材に固定されている構造であってもよいし、また足底部では連続している1本のベルトの一部が筒状部材の例えば足底部に固定されて、そこから足部の両側にそれぞれのベルトが延びている構造であってもよい。
In order to solve the above-described problems, an ankle joint orthosis according to the present invention includes a cylindrical member that covers at least the ankle joint, and extends from the bottom or side of the cylindrical member to the left and right, and from above the instep to the front of the lower leg Two cross belts that can be crossed and fixed around the lower leg part, and insertion means for gathering the belts so that the belt is held adjacent to the cross part of the belt. And
The cross belt may have a structure in which two independent belts are respectively fixed to a cylindrical member, or a part of one belt that is continuous at the sole portion is a cylindrical member. For example, a structure may be adopted in which the belt is fixed to the sole and each belt extends from both sides of the foot.

また、前記発明の実施態様としては下記の発明が好ましい。即ち、前記挿通手段が、前記クロスベルトに設けられた貫通孔であることを特徴とする。さらに、前記挿通手段が、前記クロスベルト表面に設置された挿通部材であることを特徴とする。さらにまた、前記挿通手段が、前記筒状部材表面に設置された挿通部材であることを特徴とする。   Moreover, the following invention is preferable as an embodiment of the said invention. That is, the insertion means is a through hole provided in the cross belt. Furthermore, the insertion means is an insertion member installed on the surface of the cross belt. Furthermore, the insertion means is an insertion member installed on the surface of the cylindrical member.

さらに本発明の足関節装具は、少なくとも足関節を被覆する筒状部材と、前記筒状部材の足底部または側部から左右に延び、足甲部上から下腿前部上で交差して下腿部分に巻き付け固定し得る2本のクロスベルトと、前記クロスベルトが隣接して保持されるよう、少なくとも前記クロスベルトの一方が筒状部材の足底部および側部以外の部分と帯状または紐状の連結部材で繋がっている構造を備えることを特徴とする。   Furthermore, the ankle joint orthosis according to the present invention includes at least a cylindrical member that covers the ankle joint, and extends from the sole or side of the cylindrical member to the left and right, intersecting the upper part of the foot and the front part of the lower leg. Two cross belts that can be wound and fixed to each other, and at least one of the cross belts is connected to a portion other than the bottom and side portions of the tubular member in a band-like or string-like manner so that the cross belt is held adjacent to each other It has the structure connected with the member, It is characterized by the above-mentioned.

また、前記各発明の実施態様としては下記の発明が好ましい。即ち、筒状部材の下腿後部部分または下腿前部部分に一方の端部が固定された下腿ベルトをさらに備え、前記下腿ベルトは固定された端部から下腿周径方向に一定距離離れた位置で折り返して、もう一方の端部が下腿ベルトまたは筒状部材に固定できることが好ましい。   Moreover, the following invention is preferable as an embodiment of each said invention. That is, the crus belt further includes a crus belt having one end fixed to the rear part of the crus or the front part of the crus, and the crus belt is located at a distance from the fixed end in the crus circumference direction. It is preferable that the other end can be fixed to the crus belt or the tubular member by folding.

さらに、筒状部材の下腿後部部分または下腿前部部分に一方の端部が固定された下腿ベルトをさらに備え、前記下腿ベルトは固定された端部から下腿周径方向に一定距離離れた位置で折り返して、もう一方の端部が、クロスベルトの一方に接続されていることが好ましい。   Further, the crus belt further includes a crus belt having one end fixed to the rear part of the crus or the front part of the crus, and the crus belt is located at a distance from the fixed end in the crus circumference direction. It is preferable that the other end is folded and connected to one of the cross belts.

さらに本発明の足関節装具は、伸縮性部分および難伸縮性部分を持つ筒状部材と、該筒状部材の足底部または側部に固定され、自由端の端部に面ファスナが設けられ、足甲部から下腿前部部分で交差して巻きつけられる2本のクロスベルトとを備えた足関節装具において、前記クロスベルトの少なくとも一方の部分にクロスベルトの長さ方向に沿ったスリットが設けられ、該スリットにもう一方のクロスベルト部分が通っており、筒状部材の下腿後部部分または下腿前部部分に一方の端部が固定された下腿ベルトを、固定された端部から下腿周径方向に一定距離離れた位置に設けられたカンを通して折り返し、もう一方の端部がクロスベルトの一方に接続されて、該クロスベルトと下腿ベルトが同時に引っ張れるようになっていることを特徴とする。   Furthermore, the ankle joint orthosis of the present invention is a tubular member having a stretchable part and a hardly stretchable part, and is fixed to the sole or side part of the tubular member, and a surface fastener is provided at the end of the free end, In an ankle joint orthosis comprising two cross belts that are wound in an intersecting manner from the instep part to the front part of the lower leg, a slit along the length direction of the cross belt is provided in at least one part of the cross belt The other cross belt part passes through the slit, and the lower leg belt having one end fixed to the rear lower leg part or the lower leg front part of the tubular member is connected to the lower leg circumference from the fixed end. It is folded through a can provided at a certain distance in the direction, and the other end is connected to one of the cross belts so that the cross belt and the crus belt can be pulled simultaneously. To.

また、前記各発明の実施態様としては下記の発明が好ましい。即ち、クロスベルトおよび下腿ベルトの着脱する部分とそれに対応する筒状部材または/および下腿ベルトの接合する面同士に同色の材料を用いた、または着色を施したものが好ましい。   Moreover, the following invention is preferable as an embodiment of each said invention. That is, it is preferable that the same color material is used or colored on the surface where the cross belt and the crus belt are attached and detached and the corresponding cylindrical member or / and the crus belt.

クロスベルトが常に交差状態を保持してばらばらになることがなく、筒状部材から脱落することがないので容易に片手で装着することができる。また、クロスベルトは左右で張力のコントロールが可能であるため、症状の種類やその回復の段階に的確に対応することができる。さらに、クロスベルトがばらばらにならずに交差している構造がガイドの役割を果たすので、クロスベルト片が捩れや、曲がることなく片手で適度な締め付け感を下腿に加えて装着することができる。
従って、装着が簡単で扱い易く、特に、片手で操作可能で、然も足関節にフィットしてしっかりと固定でき、かつ安定した歩行支援機能を有する足関節用軟性装具が提供できる。
Since the cross belt always maintains the crossed state and does not fall apart and does not fall off from the cylindrical member, it can be easily mounted with one hand. In addition, since the tension of the cross belt can be controlled on the left and right, it is possible to accurately cope with the type of symptoms and the stage of recovery. Furthermore, since the structure in which the cross belts are crossed without being separated serves as a guide, the cross belt piece can be worn with a moderate feeling of tightening with one hand without twisting or bending.
Accordingly, it is possible to provide an ankle joint soft brace that is easy to wear and easy to handle, in particular, can be operated with one hand, can be fitted and firmly fixed to the ankle joint, and has a stable walking support function.

図1(a)〜図8に基づき、本発明の実施形態に関し、足関節装具の実施形態1〜7、足関節装具の装着方法の実施形態、足関節装具各部材の実施形態等について以下に述べる。各実施形態の共通部分には、同じ番号を用いて説明する。   Based on FIG. 1A to FIG. 8, Embodiments 1 to 7 of an ankle joint orthosis, an embodiment of a mounting method of an ankle joint orthosis, an embodiment of each member of an ankle joint orthosis, and the like will be described below. State. The common parts of the embodiments will be described using the same numbers.

〔実施形態1〕
図1(a)〜図1(c)は、実施形態1に係るそれぞれ異なった構成の足関節装具の斜視図を示し、足関節を被覆する筒状部材1と、前記筒状部材の足底部7または側部から左右に延び、足甲部上から下腿前部上で交差して下腿部分に巻き付け固定し得る2本のクロスベルト2a,2bと、前記ベルト2a,2bの前記交差部分においてベルト2a,2bが隣接して保持されるよう、前記ベルトを纏める挿通手段とを備える実施形態を示す。
前記ベルトを纏める挿通手段として、図1(a)ではスリット11を用いた例、図1(b)においては、分割ベルト16の間に設けられたスリット11を用いた例、図1(c)においは、孔15を用いた例を示す。なお、図1(a)〜図1(c)において、5はクロスベルト固定部、6a〜6cは面ファスナ、8は踵部、9は足甲部、10は下腿前部部分、12は下腿、13は足先を示す。
Embodiment 1
Fig.1 (a)-FIG.1 (c) show the perspective view of the ankle joint orthosis of each structure which concerns on Embodiment 1 respectively, The cylindrical member 1 which coat | covers an ankle joint, and the sole part of the said cylindrical member 7 or two cross belts 2a and 2b that extend from the side to the left and right, cross over the instep and on the front of the lower leg and can be wound and fixed to the lower leg, and the belt at the intersection of the belts 2a and 2b An embodiment including insertion means for collecting the belts so that 2a and 2b are held adjacent to each other is shown.
As an insertion means for grouping the belts, an example using slits 11 in FIG. 1A, an example using slits 11 provided between the split belts 16 in FIG. 1B, and FIG. The smell shows an example using the holes 15. 1 (a) to 1 (c), 5 is a cross belt fixing portion, 6a to 6c are hook-and-loop fasteners, 8 is a buttocks, 9 is an instep, 10 is a front part of the lower leg, and 12 is a lower leg. , 13 indicates the toes.

図1(a)の実施形態によれば、足底部から左右に延びた2本のクロスベルトが分離しないように、少なくとも一方のクロスベルトにスリット11を設けガイドとし、そこに他方のクロスベルトを通して交差させる。このスリット11はクロスベルトの流れ方向に、もう一方のクロスベルトが交差して通せる十分な長さをもつ。なお、スリットは複数設けて、クロスベルトを複数のスリットに通してもよい。   According to the embodiment of FIG. 1 (a), a slit 11 is provided in at least one cross belt as a guide so that the two cross belts extending left and right from the sole do not separate from each other, and the other cross belt is passed therethrough. Cross. The slit 11 has a length sufficient to allow the other cross belt to pass through in the cross belt flow direction. A plurality of slits may be provided, and the cross belt may be passed through the plurality of slits.

図1(b)の実施形態によれば、少なくとも一方のクロスベルトの一部に、該クロスベルトよりも幅の狭い複数の分割ベルト16,16を設け、もう一方のクロスベルトを複数の分割ベルトの間のスリット11を通して交差させる。分割ベルト同士は重なっていても、間隔があいていてもよい。   According to the embodiment of FIG. 1B, at least one of the cross belts is provided with a plurality of divided belts 16 and 16 having a narrower width than the cross belt, and the other cross belt is used as the plurality of divided belts. Cross through slit 11 between the two. The divided belts may overlap or may be spaced apart.

図1(c)の実施形態によれば、一方のクロスベルト上にもう一方のクロスベルトが通るような孔15を少なくとも一か所以上設け、そこにもう一方のクロスベルトを通して交差させる。   According to the embodiment of FIG. 1 (c), at least one or more holes 15 through which the other cross belt passes are provided on one cross belt, and intersect each other through the other cross belt.

上記のような構造とすることにより、クロスベルトが常に8の字状にしやすい状態を保持してばらけることがなく、クロスベルトが脱落せずにつかみやすく、スリットや孔部を通るクロスベルトの捩れや、折れを防止することができるので容易に片手で装着することができる。即ち、片手装着可能の効果が得られる。   By adopting the structure as described above, the cross belt is always held in a shape that is easy to be in the shape of figure 8, and the cross belt is easy to grasp without falling off. Since twisting and breaking can be prevented, it can be easily mounted with one hand. That is, the effect of being able to be worn with one hand is obtained.

また、装着時にスリットや孔が設けられたクロスベルトを下腿後部部分に至る方向に張力を与えるように筒状部材に巻き付け固定する際に、容易に片手で装着することができる。特に対象者が軽度片麻痺者や高齢者といった手先が不自由な人の場合は、取り扱う上で本装具の構造が有効である。   Further, when the cross belt provided with slits or holes is wound around and fixed to the tubular member so as to apply tension in the direction reaching the rear lower leg portion, it can be easily mounted with one hand. In particular, when the target person is a handicapped person such as a mild hemiplegic person or an elderly person, the structure of the present brace is effective for handling.

さらに、クロスベルトとして、弾性変形が可能な部材を用いる(詳細は後述)ことにより、歩行支援機能が得られる。具体的には、歩行中の接地時には足関節の底屈を許し、離床時から次の接地時までは、足関節の背屈が補助されて、トウクリアランスの確保に寄与する。つまり、足の底背屈の動きを過度に制限することなく、本人の下肢機能を十分に発現させた歩行が可能となる。また、ある程度の足の動きが許容されるため、足関節の背屈が僅かにでも可能な人にとっては、その機能が許容される形で歩行が行えるため、損なわれた下肢の機能回復を促すリハビリにも繋がり、自然な歩行に近づくことをサポートする。   Furthermore, a walking support function is obtained by using a member capable of elastic deformation as the cross belt (details will be described later). Specifically, it allows bottom flexion of the ankle at the time of ground contact during walking, and assists in dorsiflexion of the ankle joint from the time of getting out of bed to the next time of contact, thereby contributing to securing toe clearance. In other words, it is possible to walk with sufficient expression of the functions of the lower limbs of the person without excessively restricting the movement of the sole dorsiflexion. In addition, since a certain amount of foot movement is allowed, for those who can bend ankles even slightly, walking can be performed in a manner that allows the function of the ankle, so that the function of the damaged lower limbs can be restored. It leads to rehabilitation and supports the approach to natural walking.

更に、クロスベルトは左右で張力のコントロールが可能な構造であるため、症状の種類やその回復の段階に的確に対応することができる。強固な固定が必要な場合は、伸びにくいクロスベルトにすることも可能である。また、筒状部材にクロスベルトを仮止め可能にするよう、筒状部材、クロスベルトに面ファスナを設けると便利である。   Furthermore, since the cross belt has a structure in which the tension can be controlled on the left and right, it can appropriately cope with the type of symptoms and the stage of recovery. When strong fixation is required, it is possible to make a cross belt that is difficult to stretch. Further, it is convenient to provide surface fasteners on the cylindrical member and the cross belt so that the cross belt can be temporarily fixed to the cylindrical member.

さらにまた、前述のように、それぞれのクロスベルト先端の面ファスナに異なる色を用い、クロスベルトを固定する部分にクロスベルトの面ファスナと同色の材料を用いれば、足背部に巻き付け固定する順序と、対応する接着部材とが明確になる。また、クロスベルト先端の面ファスナとクロスベルトを固定する部分に、同じ記号やマークを施したり、番号を表示することで、クロスベルトを下腿部に巻き付け固定する順序と、対応する接着部材とを明確にすることも可能である。   Furthermore, as described above, if a different color is used for the surface fastener at the tip of each cross belt, and the same color material as the surface fastener of the cross belt is used for the portion for fixing the cross belt, the order of winding and fixing on the back of the foot is fixed. The corresponding adhesive member becomes clear. In addition, by attaching the same symbol or mark to the part that fixes the surface fastener and the cross belt at the tip of the cross belt or displaying the number, the order of winding and fixing the cross belt around the crus, and the corresponding adhesive member It is also possible to clarify.

さらに、装着した際、足底部に該当する部分の表面に滑り止め性を付与させるとよい。靴を履いても靴の中で装具がずれ難く、適切な支持、固定を保つことができる。また、靴を脱いだ状態では床面やスリッパとも滑り難くなり、不意の転倒を予防することができる。   Furthermore, it is good to give anti-slip | skid property to the surface of the part applicable to a sole part, when mounting | wearing. Even if you wear shoes, it is difficult for the brace to slip in the shoes, and you can maintain proper support and fixation. In addition, when the shoes are taken off, it becomes difficult for the floor and slippers to slip, and an unexpected fall can be prevented.

〔実施形態2〕
図2は、本発明に係る足関節装具の実施形態2の模式的斜視図であり、前記挿通手段が、クロスベルト表面に設置された挿通部材とした実施形態を示す。図2において、前記挿通部材は、ベルト通し14である。
[Embodiment 2]
FIG. 2 is a schematic perspective view of an ankle joint orthosis according to Embodiment 2 of the present invention, in which the insertion means is an insertion member installed on the surface of a cross belt. In FIG. 2, the insertion member is a belt loop 14.

図2の実施形態によれば、一方のクロスベルト2b上にもう一方のクロスベルト2aが通るようなベルト通し14を設けてガイドとし、そこにもう一方のクロスベルト2aを通して交差させる。ベルト通しは単独でも複数あってもよい。   According to the embodiment of FIG. 2, a belt loop 14 is provided on one cross belt 2b so that the other cross belt 2a passes through to be used as a guide, and crossed there through the other cross belt 2a. The belt loop may be single or plural.

〔実施形態3〕
図3は、本発明に係る足関節装具の実施形態3の模式的斜視図であり、前記挿通手段が、前記足甲部9から下腿前部部分10の表面に設置された挿通部材とした実施形態を示す。図3において、前記挿通部材は、筒状部材表面に設けたベルト通し14である。
[Embodiment 3]
FIG. 3 is a schematic perspective view of Embodiment 3 of the ankle orthosis according to the present invention, in which the insertion means is an insertion member installed on the surface of the front leg portion 10 from the instep 9. The form is shown. In FIG. 3, the insertion member is a belt loop 14 provided on the surface of a cylindrical member.

図3の実施形態によれば、筒状部材上の足甲部9から下腿前部部分10にクロスベルト2a,2bが通るようなベルト通し14を設けてガイドとし、そこに双方のクロスベルトを交差させて通す。このベルト通しは単独でも複数あってもよく、複数のベルト通しにそれぞれのクロスベルトが別々に通されてもよい。また、筒状部材にスリットを設けることによりベルト通しとしてもよい。   According to the embodiment of FIG. 3, a belt loop 14 is provided so that the cross belts 2a and 2b pass from the instep 9 on the tubular member to the front crus portion 10 to serve as a guide, and both cross belts are provided there. Cross and pass. These belt loops may be single or plural, and the respective cross belts may be separately passed through the plurality of belt loops. Moreover, it is good also as a belt loop by providing a slit in a cylindrical member.

〔実施形態4〕
図4は、本発明に係る足関節装具の実施形態4の模式的斜視図であり、前述のように、少なくとも足関節を被覆する筒状部材と、前記筒状部材の足底部または側部から左右に延び、足甲部上から下腿前部上で交差して下腿部分に巻き付け固定し得る2本のクロスベルト2a,2bと、前記クロスベルトが隣接して保持されるよう、少なくとも前記クロスベルトの一方が筒状部材の足底部および側部以外の部分と帯状または紐状の連結部材19,19で繋がっている構造を備える足関節装具の実施形態を示す。
[Embodiment 4]
FIG. 4 is a schematic perspective view of Embodiment 4 of the ankle joint orthosis according to the present invention, and as described above, from the cylindrical member covering at least the ankle joint, and the sole or side portion of the cylindrical member. Two cross belts 2a, 2b that extend from side to side and cross from the upper instep to the front of the lower leg and can be wound around and fixed to the lower leg, and at least the cross belt so that the cross belt is held adjacently 1 shows an embodiment of an ankle joint orthosis having a structure in which one of them is connected to portions other than the sole and side portions of a tubular member by belt-like or string-like connecting members 19, 19.

図4の実施形態によれば、クロスベルト2aと筒状部材における下腿後部部分18とを帯状または紐状の連結部材19でつなぎ、クロスベルト2bと筒状部材における下腿前上部18aとを帯状または紐状の連結部材19でつなぐ例を示す。なお、クロスベルトとつなぐ筒状部材は足甲部9、下腿前部部分10であってもよい。また、クロスベルト同士が同様に繋がれていてもよい。   According to the embodiment of FIG. 4, the cross belt 2a and the lower crus portion 18 of the tubular member are connected by a belt-like or string-like connecting member 19, and the cross belt 2b and the crus front upper portion 18a of the tubular member are joined or An example of connecting with a string-like connecting member 19 is shown. The tubular member connected to the cross belt may be the instep portion 9 and the lower leg front portion 10. Further, the cross belts may be similarly connected.

上記図2〜4の実施形態によれば、図1(a)〜図1(c)の実施形態の足関節装具と同様に、片手で操作可能で、然も足関節にフィットしてしっかりと固定でき、かつ安定した歩行支援機能を有するものが得られる。   According to the embodiment of FIGS. 2 to 4, similar to the ankle joint orthosis of the embodiment of FIGS. 1 (a) to 1 (c), it can be operated with one hand, but still fits firmly to the ankle joint. What can be fixed and has a stable walking support function is obtained.

〔実施形態5〕
図5は、本発明に係る足関節装具の実施形態5の模式的斜視図であり、前述のように、筒状部材の下腿後部部分18に一方の端部が固定された下腿ベルト4をさらに備え、前記下腿ベルト4は固定された端部から下腿周径方向に一定距離離れた位置で折り返して、もう一方の端部が下腿ベルトまたは筒状部材(図5では下腿後部部分18)に固定できるようにした足関節装具の実施形態を示す。
[Embodiment 5]
FIG. 5 is a schematic perspective view of Embodiment 5 of the ankle orthosis according to the present invention. As described above, the crus belt 4 having one end fixed to the crus rear portion 18 of the tubular member is further provided. The crus belt 4 is folded back at a fixed distance from the fixed end in the crus circumference direction, and the other end is fixed to the crus belt or a tubular member (the crus rear part 18 in FIG. 5). Fig. 3 shows an embodiment of an ankle orthosis made possible.

上記図5の実施形態によれば、下腿ベルト4は伸縮性の基材を用いたベルト(詳細後述)で、筒状部材の下腿周径方向が固定される。下腿ベルト4は一方の端部が下腿後部部分18に固定され、下腿周径方向に一定距離離れた位置にカン3が設けられ、下腿ベルト4はカン3を通り、そのまま、固定された端部とは逆の方向に延びるか、または、カン3で折り返して、固定されている端部の方向に延ばされ、その自由端は下腿後部部分18または下腿ベルト4に固定される。なお、図5において、カン3は、下腿前上部18aにおいて、カン接合部17により接続されている。また、下腿ベルトの折り返し部分は筒状部材に設けた孔、筒状部材上に設けた帯状または紐状部材などを用いてもよい。   According to the embodiment of FIG. 5 described above, the crus belt 4 is a belt (described later in detail) using a stretchable base material, and the crus circumference direction of the tubular member is fixed. One end of the crus belt 4 is fixed to the crus rear part 18, and the can 3 is provided at a position separated by a certain distance in the crus circumference direction. The crus belt 4 passes through the can 3 and is fixed as it is. It extends in the opposite direction, or is folded back by the can 3 and is extended in the direction of the fixed end, and its free end is fixed to the lower leg rear portion 18 or the lower leg belt 4. In FIG. 5, the can 3 is connected to the front lower leg upper portion 18 a by a can joint portion 17. Further, the folded portion of the crus belt may use a hole provided in the tubular member, a belt-like or string-like member provided on the tubular member, or the like.

下腿ベルトはクロスベルトよりも弱い力で伸縮できる基材を用いると、下腿により的確にフィットするので有利である。また、下腿ベルトが、カン等に通されていることで、カン等がガイドの役割を果たすので、ベルト片が捩れや、曲がることなく片手で適度な締め付け感を下腿に加えて装着することができる。特に本装具の対象者は、軽度片麻痺者や高齢者といった手先が不自由な方が多いため、この構造は有効である。   It is advantageous to use a base material that can expand and contract with a lower force than the cross belt, because the lower leg belt fits more accurately into the lower leg. In addition, since the lower leg belt is passed through the can, etc., the can etc. can serve as a guide, so the belt piece can be worn with one hand with moderate tightening feeling without twisting or bending. it can. In particular, this structure is effective because the subject of this brace has many handicapped people, such as those with mild hemiplegia and elderly people.

〔実施形態6〕
図6は、本発明に係る足関節装具の実施形態6の模式的斜視図であり、前述のように、筒状部材の下腿後部部分に一方の端部が固定された下腿ベルト4をさらに備え、前記下腿ベルト4は固定された端部から下腿周径方向に一定距離離れた位置で折り返して、もう一方の端部が、クロスベルトの一方2aに接続されている足関節装具の実施形態を示す。
[Embodiment 6]
FIG. 6 is a schematic perspective view of Embodiment 6 of the ankle orthosis according to the present invention, and further includes the crus belt 4 having one end fixed to the rear part of the crus of the tubular member as described above. In the embodiment of the ankle orthosis, the crus belt 4 is folded back at a fixed distance from the fixed end in the crus circumference direction, and the other end is connected to the cross belt 1a. Show.

下腿ベルト4の一端をクロスベルトの片方2aに固定することで、下腿ベルト4とクロスベルトの片方2aは、一緒に固定できるため、装着手順の簡略化につながる。   By fixing one end of the crus belt 4 to one side 2a of the cross belt, the crus belt 4 and one side 2a of the cross belt can be fixed together, which leads to simplification of the wearing procedure.

〔実施形態7〕
本発明に係る足関節装具の実施形態7の模式的斜視図を図7(a)に示す。また、図7(a)の足関節装具を90°異なる方向から観た模式的斜視図を図7(b)に示す。図7(a)および図7(b)は、前述のように、伸縮性部分および難伸縮性部分を持つ筒状部材1と、該筒状部材の足底部7または側部に固定され、自由端の端部に面ファスナが設けられ、足甲部から下腿前部部分で交差して巻きつけられる2本のクロスベルト2a,2bとを備えた足関節装具において、前記クロスベルト2a,2bの一方2bにクロスベルトの長さ方向に沿ったスリット11が設けられ、該スリットにもう一方のクロスベルト部分2aが通っており、筒状部材の下腿後部部分18に一方の端部が固定された下腿ベルト4を、固定された端部から下腿周径方向に一定距離離れた位置に設けられたカン3を通して折り返し、もう一方の端部がクロスベルトの一方2aに接続されて、該クロスベルトと下腿ベルト4とが同時に引っ張れるようになっている足関節装具の実施形態を示す。
[Embodiment 7]
A schematic perspective view of Embodiment 7 of the ankle orthosis according to the present invention is shown in FIG. Moreover, the typical perspective view which looked at the ankle joint orthosis of Fig.7 (a) from the direction 90 degrees different is shown in FIG.7 (b). 7 (a) and 7 (b), as described above, the tubular member 1 having the stretchable part and the hardly stretchable part, and the sole 7 or the side part of the tubular member are fixed and free. In the ankle joint orthosis provided with two cross belts 2a and 2b that are provided with hook-and-loop fasteners at the end of the end and are wound around the instep and the front of the lower leg, the cross belts 2a and 2b A slit 11 along the length direction of the cross belt is provided on one side 2b, and the other cross belt portion 2a passes through the slit, and one end is fixed to the lower leg rear portion 18 of the tubular member. The crus belt 4 is folded back through a can 3 provided at a fixed distance from the fixed end in the crus diameter direction, and the other end is connected to one of the cross belts 2a. Pull the lower belt 4 at the same time It shows an embodiment of the ankle brace that is Harel way.

なお、図7(a)に示す実施形態は、図6に示した実施形態と殆ど同じであるが、図7(a)の場合、下腿ベルト4に面ファスナ6dがある点で異なる。これにより、後述するように、クロスベルト2aの面ファスナ6aを下腿ベルト4の面ファスナ6dに仮止めすることにより、装着がより容易となる利点がある。   The embodiment shown in FIG. 7 (a) is almost the same as the embodiment shown in FIG. 6, but the embodiment shown in FIG. 7 (a) is different in that the lower belt 4 has a hook-and-loop fastener 6d. As a result, as will be described later, there is an advantage that the mounting becomes easier by temporarily fixing the surface fastener 6a of the cross belt 2a to the surface fastener 6d of the crus belt 4.

ここで、図7(a)に基づいて、各種面ファスナ6a〜6dについて、その構成や接続関係等について述べる。6a,6bの面ファスナは、それぞれ、クロスベルト2a,2bの裏面にオス状に形成される。6cの面ファスナは、クロスベルト2aの表面にメス状に形成される。6dの面ファスナは、下腿ベルト4の表面にメス状に形成される。
上記により、クロスベルト2aの面ファスナ6aは下腿ベルト4の面ファスナ6dに接続可能となる。また、クロスベルト2bの面ファスナ6bは、クロスベルト2bを筒状部材上部後面20を回して、クロスベルト2aの面ファスナ6cに接続可能となる。なお、下腿後部部分18の生地をメス状としておくことにより、クロスベルト2aの面ファスナ6aは、下腿後部部分18に接続可能となる。
Here, based on Fig.7 (a), the structure, connection relationship, etc. are described about the various surface fasteners 6a-6d. The surface fasteners 6a and 6b are formed in a male shape on the back surfaces of the cross belts 2a and 2b, respectively. The surface fastener 6c is formed in a female shape on the surface of the cross belt 2a. The 6d hook and loop fastener is formed in a female shape on the surface of the crus belt 4.
As described above, the surface fastener 6a of the cross belt 2a can be connected to the surface fastener 6d of the crus belt 4. Further, the surface fastener 6b of the cross belt 2b can be connected to the surface fastener 6c of the cross belt 2a by turning the cross belt 2b around the upper rear surface 20 of the tubular member. In addition, the surface fastener 6a of the cross belt 2a can be connected to the crus rear part 18 by making the cloth of the crus rear part 18 into a female shape.

〔装着方法の実施形態〕
次に、図7(a)および図7(b)に示した足関節装具を例として、足関節装具の装着方法について、以下に述べる(図7(a)〜図7(e)参照)。
[Embodiment of mounting method]
Next, taking the ankle joint orthosis shown in FIGS. 7A and 7B as an example, a method for mounting the ankle orthosis will be described below (see FIGS. 7A to 7E).

図7(a)および図7(b)に示した足関節装具では、踵部8を多方向に伸びる伸縮性生地、足甲部9から下腿前部部分10、ならびに下腿後部部分を一方向が伸縮性で直交する方向が難伸縮性生地、足底部7を難伸縮性生地で構成した筒状部材1に、クロスベルト2a,2bの一部が足底部7の内側で筒状部材1とクロスベルト固定部5で固定され、足底部7を通り足部の外側に設けられたベルト通し14a(図7(b)参照)を通り、一方のクロスベルト2bに設けられた該クロスベルトの長さ方向に沿ったスリット11を通り、双方のクロスベルトが足甲部9から下腿前部部分10で交差ししている。筒状部材1の下腿前部部分10には、一方の端部が固定された下腿ベルト4が、固定された端部から下腿周径方向に一定距離離れた位置に設けられたカン3を通して折り返され、もう一方の端部が下腿ベルト4が固定されている側に延びているクロスベルト2aに接続されて、該クロスベルトと下腿ベルト4とが同時に引っ張れるようになっている。   In the ankle joint orthosis shown in FIG. 7 (a) and FIG. 7 (b), the stretchable fabric that extends the heel part 8 in multiple directions, the instep part 9 to the lower leg front part 10, and the lower leg rear part in one direction The tubular member 1 in which the direction perpendicular to the stretch is hardly stretchable and the sole 7 is made of the hardly stretchable fabric, and the cross belts 2 a and 2 b are crossed with the tubular member 1 inside the sole 7. The length of the cross belt provided on one of the cross belts 2b, which is fixed by the belt fixing portion 5, passes through the sole 7 and passes through a belt loop 14a (see FIG. 7B) provided outside the foot. Both cross belts cross from the instep part 9 at the front part 10 of the lower leg through the slit 11 along the direction. In the crus front part 10 of the tubular member 1, a crus belt 4 with one end fixed is folded back through a can 3 provided at a fixed distance from the fixed end in the crus circumference direction. The other end is connected to the cross belt 2a extending to the side on which the crus belt 4 is fixed, so that the cross belt and the crus belt 4 are pulled simultaneously.

これを用いた装着方法は、以下のとおりである。
(1)全ての面ファスナを接着されていない状態にする(図7(a)、図7(b))。但し、下腿ベルト4が接続されている側のクロスベルト2aの面ファスナ6aは、下腿ベルト4の面ファスナ6dに仮止めをしておくと装着し易くなる。
(2)次に、図7(b)、図7(c)に示すように、ループ状の部材21を持ち、足関節装具に足を挿入する。
(3)次に、図7(d)に示すように、下腿ベルト4が接続されている側のクロスベルト2aを、下腿後部部分18に至る方向に張力を与えるように筒状部材1に巻き付けて面ファスナを接続する。
(4)最後に、図7(e)に示すように、スリット11が設けられている側のクロスベルト2bを、下腿後部部分18に至る方向に張力を与えるように筒状部材1に巻き付けて、クロスベルト2aの面ファスナ6cに、クロスベルト2bの面ファスナ6bを接続する。
The mounting method using this is as follows.
(1) All surface fasteners are not bonded (FIGS. 7A and 7B). However, the surface fastener 6a of the cross belt 2a on the side to which the crus belt 4 is connected can be easily mounted if the surface fastener 6d of the crus belt 4 is temporarily fixed.
(2) Next, as shown in FIGS. 7B and 7C, the loop member 21 is held, and the foot is inserted into the ankle joint orthosis.
(3) Next, as shown in FIG. 7 (d), the cross belt 2a to which the crus belt 4 is connected is wound around the tubular member 1 so as to apply tension in the direction reaching the crus rear part 18. Connect the hook-and-loop fastener.
(4) Finally, as shown in FIG. 7 (e), the cross belt 2 b on the side where the slits 11 are provided is wound around the tubular member 1 so as to apply tension in the direction reaching the crus rear part 18. The surface fastener 6b of the cross belt 2b is connected to the surface fastener 6c of the cross belt 2a.

〔筒状部材の実施形態〕
次に、筒状部材の実施形態に関し、図8に基づいて述べる。図8は、図5もしくは図7(a)に係る足関節装具の筒状部材を示し、カン3を取り付けた状態を示す。
(Embodiment of cylindrical member)
Next, an embodiment of the cylindrical member will be described with reference to FIG. FIG. 8 shows the tubular member of the ankle joint orthosis according to FIG. 5 or FIG. 7 (a), and shows a state where the can 3 is attached.

筒状部材は、まっすぐな筒状でもよいが、L字型になっていると好ましい。踵部、足関節前面部など一部に開いている部分があってもよい。   The cylindrical member may be a straight cylindrical shape, but is preferably L-shaped. There may be a part that is open in part, such as the buttocks and the front part of the ankle joint.

筒状部材は、天然繊維、化学繊維よりなる織布、編布、不織布、パイル生地や、フォーム材料などを単独または任意に選択組み合わせて形成することができる。その具体的な素材としては、例えば、綿、毛、ウール、レーヨン、アクリル、ポリアミド、ポリエステル、ポリウレタン、ポリ塩化ビニリデン等の繊維を適宜組み合わせてなる、経編みまたは緯編み布のジャージ生地、パワーネットのような弾性糸混紡編物、ダブルラッシェル生地の立体編物等がある。さらに、これらの生地とゴム発泡体(クロロプレンゴム、天然ゴム、ブチルゴム、スチレン・ブタジエンゴム 、イソプレンゴム等)、ウレタン発泡体(圧縮ウレタン)等のフォーム材料を積層した複合材料を用いることができる。   The cylindrical member can be formed of woven fabrics, knitted fabrics, non-woven fabrics, pile fabrics, foam materials, or the like made of natural fibers or chemical fibers, alone or arbitrarily selected and combined. Specific examples of the material include warp knitted fabric or weft knitted fabric jersey fabric, power net, which is formed by appropriately combining fibers such as cotton, wool, wool, rayon, acrylic, polyamide, polyester, polyurethane, and polyvinylidene chloride. There are elastic yarn blended knitted fabrics, double raschel fabric solid knitted fabrics, and the like. Furthermore, composite materials obtained by laminating foam materials such as these fabrics and rubber foams (chloroprene rubber, natural rubber, butyl rubber, styrene / butadiene rubber, isoprene rubber, etc.) and urethane foams (compressed urethane) can be used.

また、表面生地がポリアミド、ポリエステル、ポリ塩化ビニリデン等の素材でパイル状にしたものは面ファスナとして利用でき、筒状部材同士または筒状部材と他の部材間での着脱やそれらの位置調節に有利である。   In addition, surface fabric made of a material such as polyamide, polyester, polyvinylidene chloride, and the like can be used as a hook and loop fastener, and can be used for attaching and detaching between cylindrical members or between a cylindrical member and other members and adjusting their positions. It is advantageous.

筒状部材は上述のような素材を連続した1枚の生地から形成することができるが、適当な大きさに裁断したものを縫製や接着によりつなぎ合わせて形成することもできる。   The cylindrical member can be formed from a single continuous cloth made of the above-mentioned materials, but can also be formed by stitching or cutting them into an appropriate size by sewing or bonding.

特に、足関節は凹凸の多い部位であるため、体表面との追従性が必要であり、適度な圧迫性や操作性を向上させるために、伸縮性生地、難伸縮性生地を、部位の特徴や用途に合わせて適宜組み合わせて用いるのが好ましい。伸縮性生地は、一方向に伸びるものや、多方向に伸びるものが使用できる。難伸縮性生地は、何れの方向にも伸びにくい生地である。   In particular, since the ankle joint is a site with many irregularities, it must be able to follow the body surface, and in order to improve moderate compression and operability, stretch fabric, hard stretch fabric, It is preferable to use it in combination as appropriate according to the application. The stretchable fabric can be stretched in one direction or stretched in multiple directions. The hardly stretchable fabric is a fabric that does not easily stretch in any direction.

踵部8は、凹凸が多い部位で体表面との追従性が必要であることから、伸縮性生地を用いるとよい。好ましくは、多方向に伸びる伸縮性生地が、ズレや浮きの発生を抑制することができるため好適である。また、強い固定性が要求される場合には、一方向だけに伸縮性である生地、難伸縮性生地などを用いる。踵部8には、開口部を設けてもよい。   Since the heel part 8 needs to follow the body surface at a site with many irregularities, it is preferable to use a stretchable fabric. Preferably, a stretchable fabric that extends in multiple directions is preferable because it can suppress the occurrence of displacement and floating. In addition, when strong fixability is required, a fabric that is stretchable only in one direction, a hardly stretchable fabric, or the like is used. The collar 8 may be provided with an opening.

足甲部9から下腿前部部分10は、対象者の身体的特性に対して柔軟に適応可能にするため、一方向が伸縮性で、直交する方向が難伸縮性生地を用いるとよい。好ましくは、足甲部9から下腿前部部分10の周径方向に伸縮性がある方向を、タテ方向に難伸縮性の方向を持ってくる。
また、上記構成に代えて、周径方向にもタテ方向にも伸縮性がある生地を用いるが、周径方向よりタテ方向の方が伸び難いものを用いるようにしてもよい。
前記のような構成を用いることで、さまざまな足甲や下腿の周径に対して柔軟に適応可能であり、サイズ展開を最小限にとどめることができる。更に、靴下を履く如く容易に筒状部材に足を通すことができるといったメリットもある。
In order to flexibly adapt to the physical characteristics of the subject, the instep part 9 to the lower leg front part 10 may be made of stretchable fabric in one direction and hardly stretchable fabric in the orthogonal direction. Preferably, a direction having elasticity in the circumferential direction from the instep portion 9 to the front part 10 of the lower leg is brought in a direction having difficulty in stretching in the vertical direction.
Further, instead of the above-described configuration, a fabric that is stretchable in both the circumferential direction and the vertical direction is used, but a fabric that is less likely to extend in the vertical direction than the circumferential direction may be used.
By using the above-described configuration, it is possible to flexibly adapt to various insteps and lower leg circumferences, and size development can be minimized. Further, there is an advantage that the legs can be easily passed through the tubular member as if wearing socks.

下腿後部部分18は、足甲部9から下腿前部部分10と同様に、対象者の身体的特性に対して柔軟に適応可能にするため、一方向が伸縮性で、直交する方向が難伸縮性生地を用いるとよい。好ましくは、下腿後部部分10の周径方向に伸縮性がある方向を、タテ方向に難伸縮性の方向を持ってくるとよい。
また、上記構成に代えて、周径方向にもタテ方向にも伸縮性がある生地を用いるが、周径方向よりタテ方向の方が伸び難いものを用いるようにしてもよい。
前記のような構成を用いることで、さまざまな下腿の周径に対して柔軟に適応可能であり、サイズ展開を最小限にとどめることができる。更に、タテ方向が伸びにくいので、挫屈せずに装着が可能となる。また、一方向が伸縮性で、直交する方向が難伸縮性または相対的に伸縮しにくい生地を、装着時に手で持った際に筒状形態が保持される程度の剛軟性を有した生地にする、筒状部材の上端部またはその近傍に、周径方向に沿って、補助部材を付加するなどを行うと、筒状部材の上部に開口部分が保持され、足先が入り易くなって好適である。
上記の補助部材としては、種々の基材、プラスチックや金属のシートまたは線状物、樹脂(塗布または含浸)、流体を入れたチューブまたはパック、などを用いることができる。
Like the instep part 9 to the crus front part 10, the crus rear part 18 is flexible in one direction and stretchable in one direction and hardly stretched in the orthogonal direction. It is recommended to use sex cloth. Preferably, a direction having elasticity in the circumferential direction of the lower leg rear portion 10 and a direction having difficulty in elasticity in the vertical direction may be brought.
Further, instead of the above-described configuration, a fabric that is stretchable in both the circumferential direction and the vertical direction is used, but a fabric that is less likely to extend in the vertical direction than the circumferential direction may be used.
By using the configuration as described above, it is possible to flexibly adapt to various circumferences of the lower leg, and the size development can be minimized. Furthermore, since the vertical direction is difficult to extend, it can be mounted without buckling. In addition, a fabric that has elasticity such that the cylindrical shape is retained when the fabric is stretched in one direction and hardly stretched or stretched relatively in the orthogonal direction by hand when worn. When an auxiliary member is added along the circumferential direction in the upper end portion of the cylindrical member or in the vicinity thereof, the opening portion is held on the upper portion of the cylindrical member, so that the foot tip can easily enter. It is.
As the auxiliary member, various substrates, plastic or metal sheets or linear objects, resins (application or impregnation), tubes or packs containing fluid, and the like can be used.

足底部7は、トウクリアランス確保をサポートする目的から、難伸縮性生地を用いるとよい。トウクリアランス確保は主にクロスベルトが担っているが、難伸縮性生地を用いることで、比較的重い足重量を支えながら、トウクリアランス確保をサポートするといった効果を発揮し得る。好ましくは、非伸縮性生地であり、トウクリアランス確保のサポートにより効果的である。   The sole 7 is preferably made of a hardly stretchable fabric for the purpose of supporting toe clearance. Although the cross belt is mainly used to secure the toe clearance, the use of a hardly stretchable fabric can exert an effect of supporting the toe clearance while supporting a relatively heavy foot weight. Preferably, it is a non-stretchable fabric and is more effective for supporting toe clearance.

筒状部材1の上部後面の上方には、ベロのような凸部、ループ状の部材、孔などを設けると、装着するときに指で掴んだり、指を引っ掛けたりしやすい。ループ状の部材、孔を設けた場合には、直接指を掛けられない場合でも、フック、紐などを掛けて引っ張ることができる。また、一般の靴が履けることも考慮すると用いる生地の最厚は5mm以下が好ましい。さらに、筒状部材を構成する上で、装着快適性を考慮すると通気性部材の生地を選択することが好ましい。さらにまた、足底部7の表面に滑り止め性を付与させるとよい。靴を履いても靴の中で装具がずれ難く、適切な支持、固定を保つことができる。また、靴を脱いだ状態では床面やスリッパとも滑り難くなり、不意の転倒を予防することができる。   If a convex portion such as a tongue, a loop-shaped member, a hole, or the like is provided above the upper rear surface of the cylindrical member 1, it is easy to grip with a finger or to hook a finger when wearing it. When a loop-shaped member or hole is provided, even when a finger cannot be directly hung, it can be pulled with a hook or string. Further, considering that ordinary shoes can be worn, the maximum thickness of the fabric used is preferably 5 mm or less. Furthermore, when composing the tubular member, it is preferable to select a fabric for the breathable member in consideration of wearing comfort. Furthermore, it is good to give non-slip property to the surface of the sole 7. Even if you wear shoes, it is difficult for the brace to slip in the shoes, and you can maintain proper support and fixation. In addition, when the shoes are taken off, it becomes difficult for the floor and slippers to slip, and an unexpected fall can be prevented.

〔クロスベルト及び下腿ベルトの実施形態〕
クロスベルト、下腿ベルトは、弾性糸を入れた織物で伸縮性織りベルト、ポリウレタン、SIS等の不織布、ポリウレタン、合成ゴム(SBR、IR、アクリルゴム、シリコンゴム等)、天然ゴム等のゴム状弾性体等を使用した帯状、シート状、糸状のもので形成することができる。特に好ましくは、帯状のベルト部材を設置する方法で、ベルト部材の先端に面ファスナ等の係合手段を取り付け筒状部材と着脱自在にすることで、圧迫や固定の力を調節ができるようになる。
クロスベルトの、足関節部へのフィット性をよくするために、クロスベルトの設置を以下のようにすると好ましい。
(1)クロスベルト固定部において、筒状部材の足部の周径方向に対してクロスベルトの延ばす方向(下腿部分への方向)に角度をつけて設置する。または、筒状部材の足部の周径方向に対してクロスベルトを平行に延ばし、クロスベルト固定部の固定ラインをベルト幅方向に対して角度をつけてV字状とし、クロスベルトの伸縮する部分の幅方向に対して外側が長くなるようにする。即ち、V字の閉じた方を外側、開いた方を内側とする。
また、(2)クロスベルト端部に難伸縮性の部材を設ける、または、難伸縮性になるような加工を施し、クロスベルトの幅方向に対して外側の伸縮部分が長くなるようにしてもよい。さらに、(3)上記(1)と(2)を組み合わせて用いてもよい。
装着する足関節部の状態などにより、上記のうち適する手段を用いることができる。
また、クロスベルトの先端部にループ状の部材、孔などを設けると、装着するときに指を引っ掛けることで操作しやすくなる。また、直接指を掛けられない場合でも、フック、紐などを掛けて引っ張ることができる。
[Embodiments of cross belt and lower leg belt]
Cross belts and crus belts are elastic woven fabrics, elastic woven belts, non-woven fabrics such as polyurethane and SIS, elastic rubbers such as polyurethane, synthetic rubber (SBR, IR, acrylic rubber, silicone rubber, etc.), natural rubber, etc. It can be formed in a band shape, a sheet shape, or a thread shape using a body or the like. Particularly preferably, the belt or belt member is installed, and an engaging means such as a hook-and-loop fastener is attached to the front end of the belt member so as to be detachable from the tubular member so that the compression and fixing force can be adjusted. Become.
In order to improve the fit of the cross belt to the ankle joint, it is preferable to install the cross belt as follows.
(1) The cross belt fixing portion is installed with an angle in the direction in which the cross belt extends (direction toward the lower leg) with respect to the circumferential direction of the foot portion of the cylindrical member. Alternatively, the cross belt is extended in parallel to the circumferential direction of the leg portion of the cylindrical member, and the fixing line of the cross belt fixing portion is angled with respect to the belt width direction so as to be V-shaped so that the cross belt expands and contracts. The outside is made longer with respect to the width direction of the part. That is, the V-shaped closed side is the outside and the open side is the inside.
Also, (2) providing a cross-stretchable member at the end of the cross belt, or applying a process that makes it difficult to stretch so that the outer stretchable part becomes longer with respect to the width direction of the cross belt. Good. Further, (3) (1) and (2) may be used in combination.
A suitable means among the above can be used depending on the state of the foot joint part to be worn.
In addition, when a loop member, hole, or the like is provided at the tip of the cross belt, it is easy to operate by hooking a finger when wearing the cross belt. Even when a finger cannot be directly hung, it can be pulled with a hook or string.

本発明に係る足関節装具の実施形態1の模式的斜視図。1 is a schematic perspective view of Embodiment 1 of an ankle orthosis according to the present invention. 図1(a)とは異なる構成の実施形態1に係る足関節装具の模式的斜視図。The typical perspective view of the ankle joint orthosis concerning Embodiment 1 of composition different from Drawing 1 (a). 図1(a)とはさらに異なる構成の実施形態1に係る足関節装具の模式的斜視図。The typical perspective view of the ankle joint orthosis concerning Embodiment 1 of the structure still different from Fig.1 (a). 本発明に係る足関節装具の実施形態2の模式的斜視図。The typical perspective view of Embodiment 2 of the ankle joint orthosis which concerns on this invention. 本発明に係る足関節装具の実施形態3の模式的斜視図。The typical perspective view of Embodiment 3 of an ankle joint orthosis concerning the present invention. 本発明に係る足関節装具の実施形態4の模式的斜視図。The typical perspective view of Embodiment 4 of the ankle joint orthosis concerning this invention. 本発明に係る足関節装具の実施形態5の模式的斜視図。The typical perspective view of Embodiment 5 of the ankle joint orthosis concerning this invention. 本発明に係る足関節装具の実施形態6の模式的斜視図。The typical perspective view of Embodiment 6 of the ankle joint orthosis concerning this invention. 本発明に係る足関節装具の実施形態7の模式的斜視図。The typical perspective view of Embodiment 7 of the ankle joint orthosis concerning this invention. 図7(a)の足関節装具を90°異なる方向から観た模式的斜視図。The typical perspective view which looked at the ankle joint orthosis of Fig.7 (a) from a 90-degree different direction. 図7(a)および図7(b)に示した足関節装具を例として、足関節装具の装着手順を説明する図。The figure explaining the mounting | wearing procedure of an ankle-joint apparatus by taking the ankle-joint apparatus shown to Fig.7 (a) and FIG.7 (b) as an example. 図7(c)の次の装着手順を説明する図。The figure explaining the following mounting | wearing procedure of FIG.7 (c). 図7(d)の次の装着手順を説明する図。The figure explaining the following mounting | wearing procedure of FIG.7 (d). 本発明に係る足関節装具の筒状部材の実施形態の模式的斜視図。The typical perspective view of embodiment of the cylindrical member of the ankle orthosis which concerns on this invention.

符号の説明Explanation of symbols

1:筒状部材、2a,2b:クロスベルト、3:カン、4:下腿ベルト、5:クロスベルト固定部、6a〜6d:面ファスナ、7:足底部、8:踵部、9:足甲部、10:下腿前部部分、11:スリット、12:下腿、13:足先、14,14a:ベルト通し、15:孔、16:分割ベルト、17:カン接合部、18:下腿後部部分、18a:下腿前上部、19:連結部材、20:筒状部材上部後面、21:ループ状の部材。   1: cylindrical member, 2a, 2b: cross belt, 3: can, 4: crus belt, 5: cross belt fixing portion, 6a to 6d: hook-and-loop fastener, 7: sole, 8: buttocks, 9: instep Part, 10: front part of lower leg, 11: slit, 12: lower leg, 13: foot tip, 14, 14a: belt loop, 15: hole, 16: split belt, 17: can joint part, 18: rear part of lower leg, 18a: front upper part of lower leg, 19: connecting member, 20: upper rear surface of tubular member, 21: loop-shaped member.

Claims (8)

少なくとも足関節を被覆する筒状部材と、
前記筒状部材の足底部または側部から左右に延び、足甲部上から下腿前部上で交差して下腿部分に巻き付け固定し得る2本のクロスベルトと、
前記ベルトの前記交差部分において前記ベルトが隣接して保持されるよう、前記ベルトを纏める挿通手段と、
を備え
前記挿通手段は、前記クロスベルトに設けられている足関節装具。
A cylindrical member covering at least the ankle joint;
Two cross belts extending from the sole or side of the tubular member to the left and right, crossing from the upper part of the foot to the front of the lower leg and being wound around and fixed to the lower leg part;
Insertion means for bundling the belts so that the belts are held adjacent to each other at the intersection of the belts;
Equipped with a,
The insertion means, ankle brace that provided in the cross belt.
前記挿通手段が、前記クロスベルトに設けられた貫通孔である請求項1記載の足関節装具。   The ankle joint orthosis according to claim 1, wherein the insertion means is a through hole provided in the cross belt. 前記挿通手段が、前記クロスベルト表面に設置された挿通部材である請求項1記載の足関節装具。   The ankle joint orthosis according to claim 1, wherein the insertion means is an insertion member installed on the surface of the cross belt. 少なくとも足関節を被覆する筒状部材と、前記筒状部材の足底部または側部から左右に延び、足甲部上から下腿前部上で交差して下腿部分に巻き付け固定し得る2本のクロスベルトと、前記クロスベルトが隣接して保持されるよう、少なくとも前記クロスベルトの一方が筒状部材の足底部および側部以外の部分と帯状または紐状の連結部材で繋がっている構造を備える足関節装具。   A cylindrical member that covers at least the ankle joint, and two crosses that extend from the sole or side of the cylindrical member to the left and right, cross over the instep and the front of the lower leg, and can be wound around and fixed to the lower leg A leg having a structure in which at least one of the cross belts is connected to a portion other than the sole and side portions of the tubular member by a belt-like or string-like connecting member so that the belt and the cross belt are held adjacent to each other. Joint orthosis. 筒状部材の下腿後部部分または下腿前部部分に一方の端部が固定された下腿ベルトをさらに備え、前記下腿ベルトは固定された端部から下腿周径方向に一定距離離れた位置で折り返して、もう一方の端部が下腿ベルトまたは筒状部材に固定できる、請求項1乃至のいずれか1項に記載の足関節装具。 The crus belt further includes a crus belt having one end fixed to the crus rear part or the crus front part of the tubular member, and the crus belt is folded back at a certain distance from the fixed end in the crus circumference direction. The ankle joint orthosis according to any one of claims 1 to 4 , wherein the other end can be fixed to a crus belt or a cylindrical member. 筒状部材の下腿後部部分または下腿前部部分に一方の端部が固定された下腿ベルトをさらに備え、前記下腿ベルトは固定された端部から下腿周径方向に一定距離離れた位置で折り返して、もう一方の端部が、クロスベルトの一方に接続されている請求項1乃至のいずれか1項に記載の足関節装具。 The crus belt further includes a crus belt having one end fixed to the crus rear part or the crus front part of the tubular member, and the crus belt is folded back at a certain distance from the fixed end in the crus circumference direction. , the other end, ankle brace according to any one of claims 1 to 4 is connected to one of the cross belt. 伸縮性部分および難伸縮性部分を持つ筒状部材と、該筒状部材の足底部または側部に固定され、自由端の端部に面ファスナが設けられ、足甲部から下腿前部部分で交差して巻きつけられる2本のクロスベルトとを備えた足関節装具において、前記クロスベルトの少なくとも一方の部分にクロスベルトの長さ方向に沿ったスリットが設けられ、該スリットにもう一方のクロスベルト部分が通っており、筒状部材の下腿後部部分または下腿前部部分に一方の端部が固定された下腿ベルトを、固定された端部から下腿周径方向に一定距離離れた位置に設けられたカンを通して折り返し、もう一方の端部がクロスベルトの一方に接続されて、該クロスベルトと下腿ベルトが同時に引っ張れるようになっている足関節装具。   A tubular member having a stretchable part and a hardly stretchable part, fixed to the bottom or side of the tubular member, and provided with a hook-and-loop fastener at the end of the free end, from the instep part to the front part of the lower leg In an ankle joint orthosis comprising two cross belts wound in a crossing manner, a slit along the length of the cross belt is provided in at least one portion of the cross belt, and the other cross is provided in the slit. A lower leg belt with one end fixed to the rear lower leg part or the lower lower leg part of the tubular member is provided at a position away from the fixed end by a certain distance in the circumference direction of the lower leg. An ankle-joint orthosis in which the cross belt and the crus belt are pulled simultaneously, with the other end connected to one of the cross belts. クロスベルトおよび下腿ベルトの着脱する部分とそれに対応する筒状部材または/および下腿ベルトの接合する面同士に同色の材料を用いた、または着色を施した請求項1乃至のいずれか1項に記載の足関節装具。
Using Partial cylindrical member and / or the same color of the material to the bonding surfaces between the lower leg belt corresponding thereto to attachment and detachment of the cross belt and leg belt, or in any one of claims 1 to 7 was subjected to colored The ankle orthosis described.
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