JP6936294B2 - Support cushion for scoliosis patients - Google Patents

Support cushion for scoliosis patients Download PDF

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JP6936294B2
JP6936294B2 JP2019197946A JP2019197946A JP6936294B2 JP 6936294 B2 JP6936294 B2 JP 6936294B2 JP 2019197946 A JP2019197946 A JP 2019197946A JP 2019197946 A JP2019197946 A JP 2019197946A JP 6936294 B2 JP6936294 B2 JP 6936294B2
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清美 横尾
清美 横尾
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清美 横尾
清美 横尾
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本発明は、側彎症患者が日常の生活において仰臥位の姿勢をとる場合に、体勢を補助し、安楽な姿勢とするためのサポートクッションに関する。 The present invention relates to a support cushion for assisting a posture and making a comfortable posture when a scoliosis patient takes a supine posture in daily life.

側彎症とは脊柱側彎症とも呼ばれ、脊柱が左右に彎曲する病気で、脊柱のゆがみ(偏位)やねじれ(軸回旋)に伴い背中が隆起し、仰臥した場合に床と体背面に隙間が生じることもある。高度の側彎では胸郭が著しく変形し、そのために肺の機能が低下することも多い。
脊柱の彎曲により、骨盤と第十二肋骨間の背中の隆起しない側の脇腹にく字状に隙間が生じる場合がある。また、鎖骨と骨盤が平行ではなくねじれているため、下肢部についても変形が進み、仰臥位の姿勢をとると膝が浮いた状態となる場合もある。
骨が変形したり彎曲したりする体形を有する者やそのような高齢者が仰臥位の姿勢をとる場合に有効な体位安定補整枕が特許文献1に提案されている。
Scoliosis, also called scoliosis, is a disease in which the spinal column bends to the left and right. There may be a gap in the space. At high degrees of kyphosis, the thorax is significantly deformed, which often results in diminished lung function.
The curvature of the spinal column may create a doglegged gap between the pelvis and the twelfth ribs on the non-raised flank of the back. In addition, since the clavicle and pelvis are not parallel but twisted, the lower limbs are also deformed, and the knee may be in a floating state when the supine position is taken.
Patent Document 1 proposes a posture-stabilizing pillow that is effective when a person having a body shape in which bones are deformed or curved or such an elderly person takes a supine position.

特開2001−112599号公報Japanese Unexamined Patent Publication No. 2001-112599

しかしながら、特許文献1に記載の体位安定補整枕では、体背面全般の隙間は閉塞できるが、前記脇腹にく字状に生じる隙間を閉塞することには言及していない。また、多くの側彎症患者は鎖骨と骨盤が平行ではなくねじれているため、下肢部についても変形が進み、仰臥位の姿勢をとると膝が浮いた状態となる場合があり、膝が浮いた状態では何らかの支えが必要となるが、特許文献1には下肢部に関する記載もない。 However, in the posture-stabilizing pillow described in Patent Document 1, although the gaps on the entire back surface of the body can be closed, it is not mentioned that the gaps formed in a dogleg shape on the flanks are closed. In addition, in many patients with lateral kyphosis, the clavicle and pelvis are not parallel but twisted, so the lower limbs are also deformed, and the knee may be lifted when the supine position is taken. In this state, some kind of support is required, but Patent Document 1 does not describe the lower limbs.

本発明は、側彎症患者が仰臥位の姿勢をとる場合に身体の略半身を載置すると同時に下肢部をも載置することにより、仰臥したときに彎曲や変形した部分に生じる隙間(体背面の隆起による隙間や骨盤と第十二肋骨間の隙間)を閉塞して胸郭の緊張を緩め、胸部の呼吸運動を容易にすることができ、下半身の体重も分散して安楽な姿勢を保持できる側彎症患者用サポートクッション(以下、サポートクッションと称する)を提供することを目的とするものである。 In the present invention, when a patient with supine position takes a supine position, the lower limbs are placed at the same time as the substantially half of the body is placed, so that the gap (body) that occurs in the curved or deformed part when lying down is placed. It can close the gap due to the bulge on the back and the gap between the pelvis and the twelfth rib) to relax the tension of the chest, facilitate the respiratory movement of the chest, and distribute the weight of the lower body to maintain a comfortable posture. It is an object of the present invention to provide a support cushion for patients with kyphosis (hereinafter referred to as a support cushion).

上記課題を解決するために、本発明に係るサポートクッションは、側彎症患者が仰臥位の姿勢をとる際に背中の略半身を載置する背当部と、下肢部を載置するために背当部の第1の端部から一側方に延びる第1の側腕部からなる略L字状であることを特徴とする。 In order to solve the above problems, the support cushion according to the present invention is used to place a back rest portion on which a substantially half of the back is placed and a lower limb portion when a scoliosis patient takes a supine position. It is characterized in that it has a substantially L-shape including a first lateral arm portion extending unilaterally from the first end portion of the back rest portion.

また、本発明に係るサポートクッションは、前記背当部の第1の側腕部ともう一方の端部である第2の端部との間にあって、前記第1の側腕部と同じ側の側方に伸び、脊柱の彎曲に由来する隙間を閉塞する第2の側腕部を有する略F字状であることを特徴とする。 Further, the support cushion according to the present invention is located between the first side arm portion of the back support portion and the second end portion which is the other end portion, and is on the same side as the first side arm portion. It is characterized by a substantially F-shape having a second lateral arm extending laterally and closing a gap derived from the curvature of the spinal column.

また、本発明に係るサポートクッションは、前記第2の側腕部が前記背当部に対して着脱可能で、かつ取り付け位置が可変であることを特徴とする。 Further, the support cushion according to the present invention is characterized in that the second side arm portion is removable from the back support portion and the attachment position is variable.

前記第2の側腕部の前記背当部と反対側の先端部の、右側、左側、上側、下側の少なくとも一方の側に凸部を有することを特徴とするものである。なお、右側および左側とは幅方向、上側および下側とは厚み方向を意味する。 It is characterized by having a convex portion on at least one of the right side, the left side, the upper side, and the lower side of the tip portion of the second side arm portion opposite to the back support portion. The right side and the left side mean the width direction, and the upper side and the lower side mean the thickness direction.

さらに、本発明に係るサポートクッションは、前記側彎症患者の頭部を載置するために、前記背当部の前記第2の端部から前記第1の側腕部と同じ側の側方に伸びる第3の側腕部を有する略E字状または略コ字状であることを特徴とする。 Further, the support cushion according to the present invention is lateral to the same side as the first lateral arm portion from the second end portion of the back rest portion in order to place the head of the lateral dysfunction patient. It is characterized in that it has a substantially E-shape or a substantially U-shape having a third lateral arm portion extending to.

本発明に係るサポートクッションは、前記側彎症患者の体格や変形の程度に合わせてすべての構成の厚みを調整可能とすることを特徴とする。 The support cushion according to the present invention is characterized in that the thickness of all configurations can be adjusted according to the physique and the degree of deformation of the scoliosis patient.

側彎症患者が仰臥位の姿勢をとる場合に、背中から腰部にかけての略半身を本発明のサポートクッションの背当部に載置し、下肢部を第1の側腕部に載置することにより、脊柱のねじれに起因した体背面の隆起による隙間を背当部が閉塞し、下肢部の膝が浮いた隙間を第1の側腕部が閉塞して体重を支え、安楽な姿勢が保てる。 When a patient with lateral kyphosis takes a recumbent position, the substantially half of the body from the back to the waist is placed on the back rest of the support cushion of the present invention, and the lower limbs are placed on the first lateral arm. As a result, the back rest part closes the gap due to the bulge on the back of the body caused by the twist of the spinal column, and the first lateral arm part closes the gap where the knee of the lower limbs floats to support the weight and maintain a comfortable posture. ..

第2の側腕部は彎曲した脊柱と骨盤および第十二肋骨間の背中の隆起しない側の脇腹にく字状に生じる隙間を閉塞し、体重を分散するため、胸郭の緊張を緩め、胸部の呼吸運動を容易にする。 The second lateral arm occludes the box-shaped gap between the curved spine and pelvis and the non-raised side of the back between the twelfth ribs, and to distribute weight, relax the rib cage and chest. Facilitates respiratory movements.

第2の側腕部は、着脱可能でその取り付け位置が可変となるように、背当部に固定されるのではなく面ファスナー等で取り付けられる。これにより側彎症患者の側彎の位置や程度に合わせて第2の側腕部の位置を調節できる。 The second side arm portion is attached with a hook-and-loop fastener or the like instead of being fixed to the back support portion so that the second side arm portion can be attached and detached and its attachment position can be changed. Thereby, the position of the second lateral arm can be adjusted according to the position and degree of scoliosis of the scoliosis patient.

第2の側腕部の背当部と反対側の先端部に、右側、左側、上側、下側の少なくとも一方の側に凸部を設けることにより、第2の側腕部がより身体に密着・安定し、身体が多少動いてもしっかりと支えることができる。 By providing a convex portion on at least one of the right side, the left side, the upper side, and the lower side at the tip portion of the second side arm portion opposite to the back support portion, the second side arm portion is more closely attached to the body.・ Stable and can support firmly even if the body moves a little.

背当部の第2の端部から第1の側腕部と同じ側に伸びる第3の側腕部を設けることにより、側彎症患者の頭部を載置することができ、別に枕を用意する必要がなくなり、一体として使用できる。また、サポートクッション全体として身体の体重を分散して胸郭の緊張を緩めて安楽な状態を保持して呼吸が容易になる。 By providing a third lateral arm extending from the second end of the backrest to the same side as the first lateral arm, the head of a scoliosis patient can be placed, and a separate pillow can be placed. There is no need to prepare it, and it can be used as a unit. In addition, the support cushion as a whole distributes the body weight, relaxes the tension of the thorax, maintains a comfortable state, and facilitates breathing.

すべての構成要素すなわち、背当部、第1の側腕部、第2の側腕部、第3の側腕部、第2の側腕部先端の凸部の厚みはそれぞれ調整することにより、側彎症患者の体格や、骨の変形により生じた隙間の大きさに応じて隙間を閉塞し、体重を分散して安楽な姿勢を保ち、呼吸を容易にする。 By adjusting the thickness of all the components, that is, the backrest, the first side arm, the second side arm, the third side arm, and the convex part at the tip of the second side arm, respectively. It closes the gap according to the physique of the patient with scoliosis and the size of the gap created by the deformity of the bone, distributes the weight, maintains a comfortable posture, and facilitates breathing.

サポートクッションの使用状態を示す胸郭部分の断面図 Cross-sectional view of the thorax showing the usage of the support cushion 第1の実施形態に係るサポートクッションの平面図(a)、正面図(b)、右側面図(c)、左側面図(d)、底面図(e)、背面図(f) Plan view (a), front view (b), right side view (c), left side view (d), bottom view (e), rear view (f) of the support cushion according to the first embodiment. 第1の実施形態に係るサポートクッションの使用状態を示す平面図 Top view showing the usage state of the support cushion according to the first embodiment. 第2の実施形態に係るサポートクッションの平面図(a)、正面図(b)、右側面図(c)、左側面図(d)、底面図(e)、背面図(f) Plan view (a), front view (b), right side view (c), left side view (d), bottom view (e), rear view (f) of the support cushion according to the second embodiment. 第2の実施形態に係るサポートクッションの使用状態を示す平面図 A plan view showing a usage state of the support cushion according to the second embodiment. 第3の実施形態に係るサポートクッションの平面図(a)、正面図(b)、右側面図(c)、左側面図(d)、底面図(e)、背面図(f) Plan view (a), front view (b), right side view (c), left side view (d), bottom view (e), rear view (f) of the support cushion according to the third embodiment. 第3の実施形態に係るサポートクッションの使用状態を示す平面図 A plan view showing a usage state of the support cushion according to the third embodiment. 第2の側腕部の位置が可変であることを示す平面図 Top view showing that the position of the second side arm is variable 第2の側腕部の先端部の右側に設けられた凸部を示す平面図(a)、左側面図(b)、右側面図(c) A plan view (a), a left side view (b), and a right side view (c) showing a convex portion provided on the right side of the tip end portion of the second side arm portion. 第2の側腕部5の先端部の左側に設けられた凸部7を示す平面図(a)、左側面図(b)、右側面図(c) A plan view (a), a left side view (b), and a right side view (c) showing a convex portion 7 provided on the left side of the tip end portion of the second side arm portion 5. 第2の側腕部5の先端部の右側および左側に設けられた凸部7を示す平面図(a)、左側面図(b)、右側面図(c) A plan view (a), a left side view (b), and a right side view (c) showing the convex portions 7 provided on the right side and the left side of the tip portion of the second side arm portion 5. 第2の側腕部5の先端部の上側に設けられた凸部7を示す平面図(a)、左側面図(b)、右側面図(c) A plan view (a), a left side view (b), and a right side view (c) showing a convex portion 7 provided on the upper side of the tip portion of the second side arm portion 5. 第2の側腕部5の先端部の下側に設けられた凸部7を示す平面図(a)、左側面図(b)、右側面図(c) A plan view (a), a left side view (b), and a right side view (c) showing a convex portion 7 provided on the lower side of the tip end portion of the second side arm portion 5. 第2の側腕部5の先端部の上側および下側に設けられた凸部7を示す平面図(a)、左側面図(b)、右側面図(c) Top view (a), left side view (b), right side view (c) showing the convex portions 7 provided on the upper and lower sides of the tip portion of the second side arm portion 5. 第2の側腕部5の先端部の右側および上側に設けられた凸部7を示す平面図(a)、左側面図(b)、右側面図(c) A plan view (a), a left side view (b), and a right side view (c) showing the convex portions 7 provided on the right side and the upper side of the tip portion of the second side arm portion 5. 第2の側腕部5の先端部の左側および上側に設けられた凸部7を示す平面図(a)、左側面図(b)、右側面図(c) A plan view (a), a left side view (b), and a right side view (c) showing the convex portions 7 provided on the left side and the upper side of the tip portion of the second side arm portion 5. 第2の側腕部5の先端部の右側、左側および上側に設けられた凸部7を示す平面図(a)、左側面図(b)、右側面図(c) A plan view (a), a left side view (b), and a right side view (c) showing the convex portions 7 provided on the right side, the left side, and the upper side of the tip portion of the second side arm portion 5. 第2の側腕部5の先端部の右側および下側に設けられた凸部7を示す平面図(a)、左側面図(b)、右側面図(c) A plan view (a), a left side view (b), and a right side view (c) showing the convex portions 7 provided on the right side and the lower side of the tip portion of the second side arm portion 5. 第2の側腕部5の先端部の左側および下側に設けられた凸部7を示す平面図(a)、左側面図(b)、右側面図(c) A plan view (a), a left side view (b), and a right side view (c) showing the convex portions 7 provided on the left side and the lower side of the tip portion of the second side arm portion 5. 第2の側腕部5の先端部の右側、左側および下側に設けられた凸部7を示す平面図(a)、左側面図(b)、右側面図(c) A plan view (a), a left side view (b), and a right side view (c) showing the convex portions 7 provided on the right side, the left side, and the lower side of the tip portion of the second side arm portion 5. 第2の側腕部5の先端部の右側、上側および下側に設けられた凸部7を示す平面図(a)、左側面図(b)、右側面図(c) A plan view (a), a left side view (b), and a right side view (c) showing the convex portions 7 provided on the right side, upper side, and lower side of the tip portion of the second side arm portion 5. 第2の側腕部5の先端部の左側、上側および下側に設けられた凸部7を示す平面図(a)、左側面図(b)、右側面図(c) A plan view (a), a left side view (b), and a right side view (c) showing the convex portions 7 provided on the left side, the upper side, and the lower side of the tip portion of the second side arm portion 5. 第2の側腕部5の先端部の右側、左側、上側および下側に設けられた凸部7を示す平面図(a)、左側面図(b)、右側面図(c) Top view (a), left side view (b), right side view (c) showing convex portions 7 provided on the right side, left side, upper side, and lower side of the tip portion of the second side arm portion 5. 凸部7を有するサポートクッションの使用状態を示す平面図 Top view showing the usage state of the support cushion having the convex portion 7.

以下、図に基づいて本発明のサポートクッションに係る実施形態を説明する。 Hereinafter, embodiments of the support cushion of the present invention will be described with reference to the drawings.

図1は、側彎症患者が仰臥位の姿勢で本発明のサポートクッションの背当部2に身体の略半身を載置している状態の断面図である。脊柱のゆがみにより胸郭も変形し、仰臥した状態でも体背面がベッドまたは床との隙間αを有しているが、本発明のサポートクッションで閉塞することができる。 FIG. 1 is a cross-sectional view of a scoliosis patient in a supine position with a substantially half of the body resting on the back support portion 2 of the support cushion of the present invention. The thorax is also deformed due to the distortion of the spinal column, and the back of the body has a gap α with the bed or the floor even when lying on its back, but it can be blocked by the support cushion of the present invention.

図2は本発明の第1の実施形態を示す六面図であり、(a)は平面図である。略L字状のサポートクッション1は、背当部2と背当部2の第1の端部3から一側方に伸びる第1の側腕部4から構成される。図3は同じく第1の実施形態の使用状態を示し、側彎症患者が仰臥位で身体の右体背面を載置している平面図である。背当部2は前述のように体背面とベッドまたは床との隙間を閉塞する。第1の側腕部4は、骨盤のねじれに起因する膝14が浮いた状態を支え、下半身の体重も分散して安楽な姿勢を保持することができる。なお、側彎の方向が逆で、体背面の左側を背当部2に載置する場合は前記サポートクッション1を表裏逆にして使用する。 FIG. 2 is a six-view view showing the first embodiment of the present invention, and FIG. 2A is a plan view. The substantially L-shaped support cushion 1 is composed of a back support portion 2 and a first side arm portion 4 extending unilaterally from the first end portion 3 of the back support portion 2. FIG. 3 also shows the usage state of the first embodiment, and is a plan view in which a scoliosis patient rests the back of the right body in the supine position. The back support portion 2 closes the gap between the back surface of the body and the bed or floor as described above. The first lateral arm portion 4 supports a state in which the knee 14 is floating due to the twist of the pelvis, and the weight of the lower body is also dispersed to maintain a comfortable posture. When the scoliosis direction is opposite and the left side of the back surface of the body is placed on the back rest portion 2, the support cushion 1 is used upside down.

図4は本発明の第2の実施形態を示す六面図であり、(a)は平面図である。略F字状のサポートクッション1は、背当部2と背当部2の第1の端部3から一側方に伸びる第1の側腕部4、背当部2の第1の端部3ともう一方の端部である第2の端部6との間にあって第1の側腕部4と同じ側の側方に伸び、脊柱の彎曲に由来する隙間を閉塞する第2の側腕部5から構成される。図5は同じく第2の実施形態の使用状態を示し、側彎症患者が仰臥位で身体の左体背面を載置している平面図である。背当部2は前述のように体背面とベッドまたは床との隙間を閉塞する。第1の側腕部4は、骨盤のねじれに起因する膝14が浮いた状態を支え、下半身の体重も分散して安楽な姿勢を保持することができる。第2の側腕部5は彎曲した脊柱と骨盤および第十二肋骨15間の背中の隆起しない側の脇腹にく字状に生じる隙間16を閉塞し、体重を分散するため、胸郭の緊張を緩め、胸部の呼吸運動を容易にする。なお、側彎の方向が逆で、体背面の右側を背当部2に載置する場合は前記サポートクッション1を表裏逆にして使用する。 FIG. 4 is a six-view view showing a second embodiment of the present invention, and FIG. 4A is a plan view. The substantially F-shaped support cushion 1 includes a first side arm portion 4 extending unilaterally from a back support portion 2 and a first end portion 3 of the back support portion 2, and a first end portion of the back support portion 2. A second arm that extends laterally between 3 and the other end, the second end 6, on the same side as the first lateral arm 4 and closes the gap resulting from the curvature of the spinal column. It is composed of part 5. FIG. 5 also shows the usage state of the second embodiment, and is a plan view in which the back of the left body of the body is placed in the supine position of the scoliosis patient. The back support portion 2 closes the gap between the back surface of the body and the bed or floor as described above. The first lateral arm portion 4 supports a state in which the knee 14 is floating due to the twist of the pelvis, and the weight of the lower body is also dispersed to maintain a comfortable posture. The second lateral arm 5 occludes the curved gap 16 between the curved spine and pelvis and the non-raised side of the back between the twelfth ribs 15 and distributes the weight, thus reducing the tension in the thorax. Loosen and facilitate chest breathing movements. When the scoliosis direction is opposite and the right side of the back surface of the body is placed on the back rest portion 2, the support cushion 1 is used upside down.

図6は本発明の第3の実施形態を示す六面図であり、(a)は平面図である。略E字状のサポートクッション1は、背当部2と背当部2の第1の端部3から一側方に伸びる第1の側腕部4、背当部2の第1の端部3ともう一方の端部である第2の端部6との間にあって第1の側腕部4と同じ側の側方に伸び、脊柱の彎曲に由来する隙間を閉塞する第2の側腕部5および、側彎症患者の頭部を載置するために第2の端部6から第1の側腕部4と同じ側の側方に伸びる第3の側腕部8から構成される。図7は同じく第3の実施形態の使用状態を示し、側彎症患者が仰臥位で身体の右体背面を載置している平面図である。背当部2は前述のように体背面とベッドまたは床との隙間を閉塞する。第1の側腕部4は、骨盤のねじれに起因する膝14が浮いた状態を支え、下半身の体重も分散して安楽な姿勢を保持することができる。第2の側腕部5は前述のように前記脇腹にく字状に生じる隙間16を閉塞し、体重を分散するため、胸郭の緊張を緩め、胸部の呼吸運動を容易にする。さらに、第3の側腕部8は、側彎症患者の頭部を載置し、サポートクッション全体として身体の体重を分散して胸郭の緊張を緩めて安楽な状態を保持して呼吸を容易にする。なお、側彎の方向が逆で、体背面の左側を背当部2に載置する場合は前記サポートクッション1を表裏逆にして使用する。 FIG. 6 is a six-view view showing a third embodiment of the present invention, and FIG. 6A is a plan view. The substantially E-shaped support cushion 1 includes a first side arm portion 4 extending unilaterally from a back support portion 2 and a first end portion 3 of the back support portion 2, and a first end portion of the back support portion 2. A second arm that extends laterally between 3 and the other end, the second end 6, on the same side as the first lateral arm 4 and closes the gap resulting from the curvature of the spinal column. It is composed of a portion 5 and a third lateral arm portion 8 extending laterally from the second end portion 6 to the same side as the first lateral arm portion 4 for placing the head of a patient with kyphosis. .. FIG. 7 also shows the usage state of the third embodiment, and is a plan view in which the back of the right body of the body is placed in the supine position of the scoliosis patient. The back support portion 2 closes the gap between the back surface of the body and the bed or floor as described above. The first lateral arm portion 4 supports a state in which the knee 14 is floating due to the twist of the pelvis, and the weight of the lower body is also dispersed to maintain a comfortable posture. As described above, the second lateral arm portion 5 closes the gap 16 formed in a dogleg shape on the flank and distributes the body weight, so that the tension of the thorax is relaxed and the respiratory movement of the chest is facilitated. Further, the third lateral arm 8 rests the head of the patient with lateral kyphosis, distributes the weight of the body as a whole support cushion, relaxes the tension of the thorax, maintains a comfortable state, and facilitates breathing. To. When the scoliosis direction is opposite and the left side of the back surface of the body is placed on the back rest portion 2, the support cushion 1 is used upside down.

図8に示す第2の側腕部5は着脱可能で、その取り付け位置が可変となるように、背当部2に固定されるのではなく面ファスナー等の連結具17、18で取り付けられる。連結具17は背当部2側に設置され、連結具18は第2の側腕部側に設置される。取り付け方法は、面ファスナーに限らず、紐、ボタンなどの留め具、スナップボタンなど公知のものが使用できる。これにより側彎症患者の側彎の程度に合わせてその位置を調節できる。なお、連結具は対となる形式ではなく、安全ピンやクリップ等公知の連結具も使用できる。 The second side arm portion 5 shown in FIG. 8 is removable, and is attached by connecting tools 17 and 18 such as a hook-and-loop fastener instead of being fixed to the back support portion 2 so that the attachment position thereof can be changed. The connecting tool 17 is installed on the back support portion 2 side, and the connecting tool 18 is installed on the second side arm portion side. The attachment method is not limited to the hook-and-loop fastener, and known ones such as strings, fasteners such as buttons, and snap buttons can be used. Thereby, the position can be adjusted according to the degree of scoliosis of the scoliosis patient. In addition, the connecting tool is not a pair type, and a known connecting tool such as a safety pin or a clip can be used.

図9〜23は第2の側腕部5の、背当部2と反対側の先端部に設けられた凸部7を示す平面図(a)、左側面図(b)および右側面図(c)である。凸部7は前記先端部の右側、左側、上側、下側の少なくともいずれか一方の側に突出する。図9中に示す通り右側および左側とは幅方向、上側および下側とは厚み方向を意味する。図24は凸部7を有するサポートクッションの使用状況を示す。この凸部7により、第2の側腕部5が前記脇腹にく字状に生じる隙間16を閉塞するに際して位置を安定させ、身体が多少動いてもしっかりと隙間を閉塞することができる。 9 to 23 are a plan view (a), a left side view (b), and a right side view (a) showing a convex portion 7 provided on the tip portion of the second side arm portion 5 opposite to the back support portion 2. c). The convex portion 7 projects to at least one of the right side, the left side, the upper side, and the lower side of the tip portion. As shown in FIG. 9, the right side and the left side mean the width direction, and the upper side and the lower side mean the thickness direction. FIG. 24 shows the usage status of the support cushion having the convex portion 7. The convex portion 7 stabilizes the position when the second side arm portion 5 closes the gap 16 formed in a dogleg shape on the flank, and can firmly close the gap even if the body moves a little.

なお、本発明に係るサポートクッション1は、外側を天然繊維や合成繊維、皮革等のように従来公知の生地材で形成し、内側に綿等の天然素材や、スポンジ、ポリウレタンフォーム、ポリスチレンフォーム、ポリプロピレンフォーム、ポリエチレンフォーム等の弾性を有する各種発泡体、合成樹脂やゴム等の弾性変形可能な成形体、その他従来公知の各種素材を塊状、粒状等形状を問わずクッション材として内包して構成される。 The support cushion 1 according to the present invention is formed of a conventionally known fabric material such as natural fiber, synthetic fiber, leather, etc. on the outside, and a natural material such as cotton, sponge, polyurethane foam, polystyrene foam, etc. on the inside. It is composed of various elastic foams such as polyurethane foam and polyethylene foam, elastically deformable molded bodies such as synthetic resin and rubber, and various other conventionally known materials as cushioning materials regardless of their shapes such as lumps and granules. NS.

また、前記クッション材は、不定形状のものや粒状のものを略L字状、略F字状、略E字状、略コ字状に縫製された生地材内部に充填してもよいし、生地と同形状に成型された板状のものを内包してもよい。さらに、クッション材を充填するのではなく、エアマットのように主にゴムやビニール製の生地材を気密に成形し、空気などの気体を封入してもよい。 Further, the cushion material may be filled with an irregular shape or a granular material inside a fabric material sewn in a substantially L-shape, a substantially F-shape, a substantially E-shape, or a substantially U-shape. A plate-shaped material molded into the same shape as the dough may be included. Further, instead of filling the cushion material, a fabric material mainly made of rubber or vinyl such as an air mat may be airtightly molded to enclose a gas such as air.

前記サポートクッション1のすべての構成の厚みは、クッション材の充填量や板状のクッション材の厚みを変えることや、前記気体の封入量を加減することにより調整できる。サポートクッション1の厚みを簡単に変えるためには、クッション材の量を調整するため、生地材を全周にわたり縫製するのではなく一部をファスナー等で簡単に開閉できるようにしてもよい。 The thickness of all the configurations of the support cushion 1 can be adjusted by changing the filling amount of the cushion material and the thickness of the plate-shaped cushion material, and adjusting the filling amount of the gas. In order to easily change the thickness of the support cushion 1, in order to adjust the amount of the cushion material, a part of the fabric material may be easily opened and closed with a fastener or the like instead of being sewn over the entire circumference.

なお、前記サポートクッション1は生地材でクッション材を包み込まず、成型された板状クッション材だけの構成でもよい。この場合にサポートクッション1の厚みを変えるには板状クッション材の厚みを変えるとよい。 The support cushion 1 may be composed of only a molded plate-shaped cushion material without wrapping the cushion material with a fabric material. In this case, in order to change the thickness of the support cushion 1, it is preferable to change the thickness of the plate-shaped cushion material.

前記サポートクッション1は身体の体背面の左右どちらの半身を載置するかによって、表裏逆に使用する。 The support cushion 1 is used upside down depending on whether the left or right half of the back of the body is placed.

前記サポートクッション1の大きさや厚みは、使用する側彎症患者9の身長により決定されるが、背当部2は長さ100〜150cm、幅25cm程度であり、第1の側腕部および第3の側腕部は長さ30〜50cm、幅30cm程度である。また、第2の側腕部は長さ10〜30cm、幅25cm程度であり、凸部7は左右方向に10cm程度、上下方向に5cm程度突出する。さらに、通常厚みは10cm程度あれば隙間を閉塞することができる。なお、サポートクッション1は身体が載置されると変形するため、寸法は厳密でなくてもよい。 The size and thickness of the support cushion 1 are determined by the height of the kyphosis patient 9 to be used, but the back support portion 2 has a length of 100 to 150 cm and a width of about 25 cm, and the first lateral arm portion and the first portion The side arm portion of No. 3 has a length of about 30 to 50 cm and a width of about 30 cm. The second side arm has a length of 10 to 30 cm and a width of about 25 cm, and the convex portion 7 projects about 10 cm in the left-right direction and about 5 cm in the vertical direction. Further, if the thickness is usually about 10 cm, the gap can be closed. Since the support cushion 1 deforms when the body is placed on it, the dimensions do not have to be exact.

実施形態1、2および3に示すサポートクッション上に側彎症患者を仰臥状態で載置した場合(それぞれ、図3、5、7に相当)と、サポートクッションを使用せずに床に直接仰臥した場合の呼吸状態を比較した。
呼吸状態は、コヴィディエンジャパン株式会社製NELLCORパルスオキシメーターN−BSJ(NELLCORは登録商標)にて、経皮的動脈血酸素飽和度(SPO2)と心拍数を測定して評価した。
表1にその結果を示す。サポートクッションを使用した場合の方が使用しない場合に比べて酸素飽和度は高く、呼吸を容易にする効果が認められた。また、心拍数も低くなっているため、ストレスが低減されている。
サポートクッションは、背当部が長さ100cm、幅25cm、第1の側腕部および第3の側腕部は長さ40cm、幅30cm、第2の側腕部は長さ25cm、幅20cm、各構成要素の厚みは10cmのものを使用した。

Figure 0006936294
When the scoliosis patient is placed in the supine position on the support cushions shown in the first, second, and third embodiments (corresponding to FIGS. 3, 5, and 7, respectively), the patient lies directly on the floor without using the support cushion. The respiratory status of the patients was compared.
The respiratory condition was evaluated by measuring percutaneous arterial oxygen saturation (SPO2) and heart rate with a NELLCOR pulse oximeter N-BSJ (NELLCOR is a registered trademark) manufactured by Covidien Japan Co., Ltd.
The results are shown in Table 1. The oxygen saturation was higher when the support cushion was used than when it was not used, and the effect of facilitating breathing was observed. Also, since the heart rate is low, stress is reduced.
The support cushion has a back support portion of 100 cm in length and a width of 25 cm, a first side arm portion and a third side arm portion having a length of 40 cm and a width of 30 cm, and a second side arm portion having a length of 25 cm and a width of 20 cm. The thickness of each component was 10 cm.
Figure 0006936294

本発明のサポートクッションを使用することにより、側彎症患者の体重を分散して胸郭の緊張を緩めて安楽な状態を保持して呼吸を容易にできる。 By using the support cushion of the present invention, it is possible to disperse the weight of the scoliosis patient, relax the tension of the thorax, maintain a comfortable state, and facilitate breathing.

1 サポートクッション
2 背当部
3 第1の端部
4 第1の側腕部
5 第2の側腕部
6 第2の端部
7 凸部
8 第3の側腕部
9 側彎症患者
10 ベッドまたは床
11 変形した胸郭
12 脊柱
13 肋骨
14 膝
15 第十二肋骨
16 脇腹にく字状に生じる隙間
17 連結具(背当部側)
18 連結具(第2の側腕部側)
α 脊柱のねじれに起因した体背面隆起による隙間
1 Support cushion 2 Back rest 3 First end 4 First side arm 5 Second side arm 6 Second end 7 Convex 8 Third side arm 9 Side kyphosis patient 10 Bed Or floor 11 deformed thorax 12 spine 13 ribs 14 knees 15 twelfth ribs 16 flank gaps 17 connectors (back rest side)
18 Connector (second arm side)
α Gap due to bulge on the back of the body due to twisting of the spinal column

Claims (5)

側彎症患者が仰臥位の姿勢をとる際に、身体の一部を載置して使用するためのサポートクッションであって、背中の略半身を載置する背当部と、下肢部を載置するために背当部の第1の端部から一側方に延びる第1の側腕部、および前記背当部の第1の側腕部ともう一方の端部である第2の端部との間にあって、前記第1の側腕部と同じ側の側方に伸び、脊柱の彎曲に由来する隙間を閉塞する第2の側腕部を有する略F字状の側彎症患者用サポートクッション。 It is a support cushion for placing a part of the body and using it when a patient with lateral kyphosis takes a recumbent position. A first lateral arm extending unilaterally from the first end of the backrest for placement, and a second end that is the first lateral arm and the other end of the backrest. For patients with substantially F-shaped kyphosis, which is between the parts and has a second side arm that extends laterally on the same side as the first side arm and closes the gap derived from the curvature of the spinal column. Support cushion. 前記第2の側腕部が前記背当部に対して着脱可能で、かつ取り付け位置が可変である請求項記載の側彎症患者用サポートクッション。 It said second side arm is detachable from said backrest, and scoliosis patient support cushion according to claim 1, wherein the mounting position is variable. 前記第2の側腕部の前記背当部と反対側の先端部の右側、左側、上側、下側の少なくとも一方の側に凸部を有する請求項または記載の側彎症患者用サポートクッション。 The support for a scoliosis patient according to claim 1 or 2, which has a convex portion on at least one of the right side, the left side, the upper side, and the lower side of the tip portion of the second lateral arm portion opposite to the back rest portion. cushion. 前記側彎症患者の頭部を載置するために、前記背当部の前記第2の端部から前記第1の側腕部と同じ側の側方に伸びる第3の側腕部を有する請求項1ないしのいずれかに記載の側彎症患者用サポートクッション。 It has a third lateral arm extending laterally from the second end of the back cushion to the same side as the first lateral arm for mounting the head of the scoliosis patient. The support cushion for a scoliosis patient according to any one of claims 1 to 3. 前記側彎症患者の体格に合わせてすべての構成の厚みを調整可能な請求項1ないしのいずれかに記載の側彎症患者用サポートクッション。 The support cushion for a scoliosis patient according to any one of claims 1 to 4 , wherein the thickness of all configurations can be adjusted according to the physique of the scoliosis patient.
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