TWI716679B - Therapeutic active-motion apparatus that increases joint-electricity for improving the active motion of frozen shoulder. - Google Patents

Therapeutic active-motion apparatus that increases joint-electricity for improving the active motion of frozen shoulder. Download PDF

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TWI716679B
TWI716679B TW107112798A TW107112798A TWI716679B TW I716679 B TWI716679 B TW I716679B TW 107112798 A TW107112798 A TW 107112798A TW 107112798 A TW107112798 A TW 107112798A TW I716679 B TWI716679 B TW I716679B
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shoulder
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TW201943398A (en
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康淑美
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康淑美
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Abstract

THERAPEUTIC ACTIVE-MOTION APPARATUS THAT INCREASES JOINT-ELECTRICITY FOR IMPROVING THE ACTIVE MOTION OF FROZEN SHOULDER.
The pains and limitation in range of motion in shoulder joint caused by frozen shoulder till nowadays are still not easy to resolve. The present invention that called “Therapeutic active-motion apparatus that increases Joint-Electricity for improving the active motion of frozen shoulder” is created based on “Joint-Electricity Theory”, and its application-theory; “Using the Favorable Component for Joint-Electricity-Generation as the favorable component in motion therapy”. The said apparatus is used during active motion to provide the force toward the shoulder joint by the hand, of a therapist, or, his (her) own contralateral side. Using the present invention during the training of active motion will have the effects of reduction in shoulder pains, and improvement in the range of active motion for frozen shoulder. There will be faster improvement in the active motion for the painful shoulders caused by other pathologies if they have combined using the present invention during the period their main pathologies are eliminating.

Description

增強關節電之五十肩之主動動作治療器 Active action therapy device for 50 shoulders to enhance joint electricity

本發明之增強關節電之五十肩之主動動作治療器其新創之技術特徵乃起源於本發明人康淑美所創立之『關節電理論』及其應用理論『以產生關節電之優勢成份作為動作治療之優勢成份(Using the Favorable Component for Joint-Electricity-Generation as the favorable component in motion therapy)』。本發明為針對肩關節之動作障礙併有軟組織疼痛等問題(如五十肩、及其他類似五十肩之肩膀之動作及疼痛等問題)之動作治療器材。尤指一種於主動動作訓練中藉本動作治療器之特殊結構向肩關節施力而達到增加該肩關節之關節電,從而達到促進該肩關節之主動動作能力之動作治療器。 The 50-shoulder active therapy device for enhancing joint electricity of the present invention has its new technical characteristics originated from the "joint electricity theory" and its application theory created by the inventor Kang Shumei, which uses the superior components of joint electricity as movement therapy The advantage component (Using the Favorable Component for Joint-Electricity-Generation as the favorable component in motion therapy)". The present invention is a motion therapy device aimed at the problems of shoulder joint movement obstacles and soft tissue pain (such as fifty shoulders, and other similar fifty shoulders shoulder movements and pain problems). In particular, it refers to an action therapy device that uses the special structure of the action therapy device to apply force to the shoulder joint during active movement training to increase the joint electricity of the shoulder joint, thereby promoting the active movement ability of the shoulder joint.

五十肩又稱為冰凍肩、或粘黏性肩關節囊炎、或病因不明之肩膀僵化,其症狀主要是肩膀之疼痛併有主動動作困難,例如手臂肌肉無力及動作角度侷限,經常聽到之到診之抱怨包括手臂抬不高、無法扣背後之內衣扣,嚴重者甚至無法梳頭髮或抓背。五十肩之病因眾說紛紜,且其病 理有許多假說,文獻上之說法之主流為(1)粘黏性肩關節囊炎(adhesive capsulitis),(2)肩關節之某些相關組織纖維化、但其原因不明,故亦被稱為『病因不明之肩膀僵化(idiopathic stiff shoulder)』;(也就是說五十肩並非起始於原發之關節囊炎,若發現有關節囊炎應屬次發)。在此病理之觀念下,其治療方法之主流乃為先關節注射,然後復健治療,包括物理治療、職能治療、及居家運動,其治療之明顯改善所需時間通常超過病患之耐性,許多病患因此尋求開刀(capsular release,or release of scapulohumeral motion interface)或麻醉下之關節鬆動術(mobilization with high intensity stretch),此兩者雖然有文獻指出可得到較快速之動作幅度之改善之效果,但文獻報告又顯示許多病患產生症狀復發之問題,但病患畢竟不容易再接受又一次之關節開刀、或麻醉下之關節鬆動術。可見五十肩迄今仍是一個尚未有令人滿意之療法的病痛,且目前市面上並未有相關之主動動作治療器。 Fifty shoulders are also called frozen shoulder, viscous shoulder joint capsulitis, or shoulder stiffness of unknown etiology. The symptoms are mainly shoulder pain and difficulty in active movement, such as arm muscle weakness and limited movement angle. It is often heard The complaints include not raising the arms, not being able to buckle the underwear button behind, and even being unable to comb hair or scratch the back in severe cases. There are many opinions on the cause of the fifty shoulders, and its disease There are many hypotheses. The mainstream of the literature is (1) adhesive capsulitis, (2) fibrosis of some related tissues of the shoulder joint, but the cause is unknown, so it is also called "Idiopathic stiff shoulder with unknown etiology"; (That is to say, the fifty shoulders did not originate from the primary joint capsulitis. If the joint capsulitis is found, it should be a secondary occurrence). Under the concept of this pathology, the mainstream of the treatment method is joint injection followed by rehabilitation treatment, including physical therapy, occupational therapy, and home exercise. The time required for significant improvement of the treatment usually exceeds the patient’s patience. Patients therefore seek capsular release (or release of scapulohumeral motion interface) or mobilization with high intensity stretch (mobilization with high intensity stretch). Although there are literatures indicating that the effect of improving the amplitude of faster motion can be obtained, However, literature reports have shown that many patients have symptoms of recurrence, but after all, it is not easy for patients to undergo another joint operation or joint mobilization under anesthesia. It can be seen that Fifty Shoulders is still a pain that has not yet been treated with satisfactory treatment, and there is no related active treatment device on the market.

本發明之增強關節電之五十肩之主動動作治療器之理論根據:為本發明人康淑美所創之『關節電理論』,該理論與本發明相關之部份至少包括下列數點:(1)、關節電由『正常之關節軟骨』之具有『壓電性質』及其恆會受到關節內之有效範圍內之『動態之力』而產生。相反地,若因任何原因,其『動態之力』太大以致超出該有效範圍時當時無法產生關節電;另外,若該『動態之力』一直不夠大時其所產生之關節電之量也會不足。(2)、 『關節結構組織(joint-structure tissues)』(關節囊、韌帶、肌腱、、、)及該關節之『相關肌肉』(連接於其肌腱或緊鄰於關節軟骨或位於該關節之表層之肌肉)合稱為『該關節之相關組織』,它們必須被該關節所產生之關節電所滋潤(Joint-Electricity-nurtured)。更仔細地說該關節之部份部位(如前面部位)所產生之關節電可滋潤該關節部位(該關節之前面部位)之相關組織。前述所稱之滋潤具有維持其該部位關節結構組織及該部位關節之相關肌肉之長度及張力於正常、及準備好(get ready for)後續之該些肌肉收縮之作用。若該滋潤不足,則有疼痛、該關節之該部位之軟組織變短或張力不足、該關節之該部位之主動及被動之關節活動角度變小、該些肌肉之肌力下降,及最嚴重時出現該些局部組織之纖維化等問題。(3)、某關節之某部位之關節電之產生有障礙或不足之肢體,由於其該部位之關節結構組織及相關肌肉所能得到之關節電之滋潤不足,故該些組織之張力不足,使該關節之該部位所能獲得之關節內之動態之力之數值下降,於是更無法產生足量之關節電,如此惡性循環,使其所能得到之滋潤越來越少,其因滋潤不足所產生之問題(如(2)所述)也越來越嚴重。(4)、由於主動動作需要肌肉之收縮,且依據『關節電理論』,肌肉之收縮需先被關節電所滋潤,故如(3)所述之病患之關節之相關肌肉之主動動作,應在適當地補充關節電之後,或,以『能在動作中增強關節電之器材(如本發明)』,使其在能產生增量之關節電之情形下進行動作訓練。(5)、基於『關節電理論』所創之關節電相關理論尚包括:在同一 關節之某一部位,在其關節內之動態之力之增加未超出其有效範圍時,其動態之力較大時其所能產生之關節電乃較大於其動態之力較小時所產生者;該相對較大之動態之力且未超出其有效範圍時可稱為『產生關節電之優勢成份(Favorable Component for Joint-Electricity Generation)』。故,對於關節電之產生有障礙之關節(尤其是該關節之至少有一部位其內之動態之力數值太低者),若於動作治療之訓練時藉由其專業治療師之手或藉使用適當之器材(或裝置)來達成適當增加該關節內之該局部部位之動態之力(但不超出其有效範圍),從而達成治療該相關之動作障礙之目標,可稱為是藉著創造該關節內該部位之『產生關節電之優勢成份』來達成對該相關動作障礙治療之效果,稱為『以產生關節電之優勢成份作為動作治療之優勢成份(Using the Favorable Component for Joint-Electricity-Generation as the favorable component in motion therapy)』之理論(但對於其動態之力已經超過或即將超過其有效範圍之關節則此種增加之動態之力是有害的、更不能稱為其優勢成份)。舉例說明如下:例如,為了增加五十肩手臂之前舉之肌力,可以透過如本發明之治療器之構造,在使用者之前舉之主動動作中向該肩關節之前面部位適當施力,來增加肩關節內之前面部位之動態之力(且仍於其有效範圍之內),即,藉正確使用本發明之治療器來創造肩關節內之前面部位之『產生關節電之優勢成份』,可以達到增進該肩關節內之前面部位之關節電,從而獲得其手臂前舉之進步之主動動作之肌力及動作之幅度。此相同之原理可以用於促成該關節之其他部位之肌力及動作幅度之進步,甚至於用於 其它與關節內太低之動態之力有關之問題關節。本發明之『增強關節電之五十肩之主動動作治療器』就是上述理論應用於處理痛肩伴隨動作障礙問題之發明之一。(6)、五十肩(又稱冰凍肩、粘黏性肩關節囊炎、或、病因不明之肩膀僵化),依『關節電理論』之病理,為起因於任何可能原因造成之『關節電不足』、及、於該關節未獲補充關節電之下之日常生活動作(都是主動動作)及錯誤之自我嘗試之動作治療之惡性循環的結果;茲說明於下:五十肩之症狀屬於該肩關節之相關組織滋潤不足之問題,即,該肩關節所產生之關節電不足、使該關節之相關組織不能受到足夠之滋潤,依『關節電理論』,此時其組織應會疼痛、其肌力會減少、且若持續一段時間仍未獲關節電之補充,該些組織之長度會明顯下降、故而會有關節之主動及被動之活動範圍都變小之問題(其他詳情請參考(2)(3)(4))。又,肩關節在解剖上具有多關節且其彼此之動作必須協調,在其關節電不足而其肌肉無法自動維持其協調動作時,尤其容易因被病患自己或家屬所進行錯誤之被動運動、或勉強之自我運動(如甩高)、或日常生活活動所必須之較大角度之主動動作,造成包括肌肉過勞、組織受傷,更加疼痛之後果;許多病患之該肩關節因此變成「關節結構組織受傷或發炎之關節」、所以所謂五十肩病患去求診時,雖然病患自覺不曾受過外傷或真正的運動傷害(sports injury),已經是併有次發之關節發炎、組織粘黏等問題之關節,而關節囊之粘黏至少使關節囊增厚及粗糙,必然妨礙其動作角度、速度、甚至方向,且不利於該肩關節於 動作時之關節內動態之力的有效增加、或有效傳導到關節面,因此,所謂五十肩之關節問題至少包括動作時該關節軟骨所能受到之動態之力明顯不足之問題。(7)、五十肩之「依上述『關節電理論所推論之病理』之下之治療策略」其與本發明有關者至少包括:組織之修復需要補充關節電、且組織之長度之增加也須經過補充適當之關節電,使其所受到之滋潤增加,為本發明人康淑美所創之塑造理論內之『增進塑造理論(Sue-May Kang’s Increasing Plasticity Theory)』,因此,五十肩之主動動作之訓練必須配合適當之治療方法或適當之儀器,使其在有效增加關節電之產生之情形下主動動作,才能使其組織獲得修復及漸漸復原其長度。前述之適當之儀器包括本發明人所創之『增強關節電之五十肩之主動動作治療器』(其原理已述於(5),並將詳述於(9))。(8)、本發明之『增強關節電之五十肩之主動動作治療器』能透過應用本發明人康淑美所創之『以產生關節電之優勢成份作為動作治療之優勢成份(Using the Favorable Component for Joint-Electricity-Generation as the favorable component in motion therapy)』之理論』所設計之「施力界面部」,在目標方向之主動動作中向該患肩關節之該主要運動肌(prime mover)所在之那側之關節部位施適當之力,使該動作之主要運動肌所在之那側之關節電增加,使該些肌肉於該動作之訓練之過程中獲得較多之關節電,以使該些組織獲得較足夠之滋潤,以增加其主動動作之肌力及該主動動作之幅度。使用本發明於訓練主動動作能降低其疼痛、日漸增加其主動動作之 角度,以逐漸達到改善其日常生活之動作功能。因此本發明又稱為「增強關節電於患(affected)肩關節之主動動作訓練器」。故五十肩患者使用本發明至少可達到立即感知降低其疼痛及立即量測出來之增進其軸向(非旋轉向)主動動作幅度之效果;本發明亦可應用於配合處理其他非五十肩之痛肩,因為痛肩通常伴有動作障礙,所稱之動作障礙主要是指其主動動作之角度不足,故而可以在其主要病因去除之過程中使用本發明以幫助其主動動作之較迅速之進步。又,本發明之原理及相似結構亦可應用於其他關節,本發明之應用於肩膀只是其中之一例。(9)、本發明已經試用於五十肩之肩關節,確定能達到前述之治療作用;包括具有立即之效果(即該進步可以立即感知及量測出來),且經過持續數天(到數周)之使用本發明於主動動作之訓練,其組織之疼痛會越來越少,且其無痛之主動動作角度可明顯增加,其最大進步可達該肩關節之旋轉限制下之軸向動作幅度之最大值。(10)、另一基於『關節電理論』之本發明人康淑美之理論『角度比對等張收縮(controlled-constant-angle isometric contraction)理論』指出:定義為『控制關節角度於相同之比對等張收縮』之時間不宜超過6秒(某些人可以增到10秒,某些人比6秒少,有個別差異),該期間其關節內之『動態之力』幾乎是零,無法產生關節電;故任何動作之訓練或評估等都應避免超過時間之如同『角度比對等張收縮』之等張收縮,即使是五十肩患者之治療時間內之訓練及評估,包括使用本發明之『增強關節電之五十肩之主動動作治療器』之動 作訓練、或評估其訓練成果(如當時之最大可及角度)時都應避免之。(11)、本發明人之研究比較過有無使用施力界面部作用(有無對肩關節施力)之療效,證明了上述之『關節電理論』、『依關節電理論所推論之五十肩病理假說』、及本發明之療效、及其機制。 The theoretical basis of the 50-shoulder active therapy device for enhancing the joint electricity of the present invention: It is the "joint electricity theory" created by the inventor Kang Shumei. The part of the theory related to the present invention includes at least the following points: (1) , Joint electricity is produced by the "piezoelectric property" of "normal articular cartilage" and the "dynamic force" within the effective range of the joint. Conversely, if for any reason, its "dynamic force" is too large to exceed the effective range, joint electricity cannot be generated at that time; in addition, if the "dynamic force" is not large enough, the amount of joint electricity generated will also Will be insufficient. (2), "Joint-structure tissues" (joint capsules, ligaments, tendons, ...) and the "related muscles" of the joint (muscles connected to its tendons or adjacent to articular cartilage or located on the surface of the joint) Called "the related tissues of the joint", they must be moisturized by the joint electricity generated by the joint (Joint-Electricity-nurtured). In more detail, the joint electricity generated in part of the joint (such as the front part) can moisturize the related tissues of the joint (the front part of the joint). The aforementioned moisturizing has the function of maintaining the length and tension of the joint structure and tissue of the part and the related muscles of the joint in the normal part and getting ready for subsequent contraction of these muscles. If the moisturizing is insufficient, there will be pain, the soft tissue of that part of the joint will become shorter or lack of tension, the active and passive joint motion angle of that part of the joint will become smaller, the muscle strength of these muscles will decrease, and in the worst case Problems such as fibrosis of these local tissues occur. (3) Limbs that are obstructed or insufficient in the generation of joint electricity in a certain part of a joint, because the joint structure of the part and related muscles can get insufficient nourishment of joint electricity, so the tension of these tissues is insufficient. The value of the dynamic force in the joint that can be obtained by that part of the joint is reduced, so that it is unable to generate sufficient joint electricity. Such a vicious circle makes it less and less moisturizing because of insufficient moisturization. The resulting problems (as described in (2)) are becoming more and more serious. (4) Since the active movement requires muscle contraction, and according to the "joint electrical theory", the muscle contraction needs to be moisturized by the joint electricity first, so the active movement of the related muscles of the patient's joint as described in (3), The joint electricity should be properly supplemented, or "equipment capable of enhancing the joint electricity during movement (such as the present invention)", so that it can perform exercise training under the condition of generating increased joint electricity. (5). Theories related to joint electricity based on "theory of joint electricity" include: When the dynamic force of a certain part of the joint within the joint does not exceed its effective range, when the dynamic force is large, the joint electricity that can be generated is greater than that when the dynamic force is small ; When the relatively large dynamic force does not exceed its effective range, it can be called "Favorable Component for Joint-Electricity Generation". Therefore, for joints that are impeded in the generation of joint electricity (especially those where the dynamic force value in at least one part of the joint is too low), if you use the hands of a professional therapist or borrow it during the exercise therapy Appropriate equipment (or devices) to appropriately increase the dynamic force of the local part of the joint (but not beyond its effective range), thereby achieving the goal of treating the related movement disorder, can be called by creating the "Using the Favorable Component for Joint-Electricity-" to achieve the effect of the treatment of related movement disorders in this part of the joint is called "Using the Favorable Component for Joint-Electricity- Generation as the favorable component in motion therapy)” (but for joints whose dynamic force has exceeded or is about to exceed its effective range, this increased dynamic force is harmful, let alone its dominant component). An example is as follows: For example, in order to increase the muscle strength of the arm before the fifty shoulders, the structure of the therapeutic device of the present invention can be used to appropriately apply force to the front part of the shoulder joint during the active action of the user to increase the shoulder. The dynamic force of the anterior part of the joint (and still within its effective range), that is, by correctly using the therapeutic device of the present invention to create the "advantageous component of joint electricity generation" in the anterior part of the shoulder joint, it can be achieved Improve the joint electricity of the anterior part of the shoulder joint, so as to obtain the muscle strength and movement range of the active movement of the advancement of the arm forward. This same principle can be used to promote the improvement of muscle strength and range of motion in other parts of the joint, even for Other problems related to low dynamic forces in the joints. The "Active Action Therapy Device for Fifty Shoulders with Enhanced Joint Electricity" of the present invention is one of the inventions in which the above-mentioned theory is applied to the problem of painful shoulders accompanied by movement disorders. (6) Fifty shoulders (also known as frozen shoulder, viscous shoulder capsitis, or shoulder stiffness of unknown etiology), according to the pathology of the "electrical joint theory", it is caused by any possible cause of "insufficient electric joint" , And, the result of the vicious circle of daily life movements (both active movements) and wrong self-attempted movement therapy under the condition that the joint is not supplemented with joint electricity; hereby it is explained that the symptoms of the fifty shoulder belong to the shoulder joint The problem of insufficient moisturization of related tissues, that is, the joint electricity generated by the shoulder joint is insufficient, so that the related tissues of the joint cannot be moisturized enough. According to the "joint electrical theory", the tissues should be painful and their muscle strength will be reduced. If the joint electricity is not replenished for a period of time, the length of these tissues will be significantly reduced, so there will be a problem that the active and passive motion ranges of the joints are reduced (for other details, please refer to (2)(3) )(4)). In addition, the shoulder joint has multiple joints anatomically and their movements must be coordinated with each other. When the joints are insufficient in electricity and their muscles cannot automatically maintain their coordinated movements, they are especially vulnerable to incorrect passive movements by the patient or his family. Or reluctant self-exercise (such as throwing high), or active movements at a larger angle necessary for activities of daily living, resulting in muscle overwork, tissue injury, and more pain. The consequences of this shoulder joint in many patients become "joint Structural tissue injury or inflamed joints", so when the so-called fifty-shoulder patient goes to see a doctor, although the patient has never experienced trauma or real sports injury, it is already accompanied by secondary joint inflammation, tissue stickiness, etc. The problematic joint, and the adhesion of the joint capsule at least makes the joint capsule thicker and rough, which will inevitably hinder the angle, speed, and even direction of its action, and it is not conducive to the shoulder joint The dynamic force in the joint during movement is effectively increased or effectively transmitted to the articular surface. Therefore, the so-called joint problem of fifty shoulders at least includes the problem that the dynamic force that the articular cartilage can receive during movement is obviously insufficient. (7). The "Therapeutic Strategies Under the Pathology Deduced by the Above-mentioned "Arthrodesis Theory" of Fifty Shoulders" which are related to the present invention include at least: the repair of the tissue needs to supplement the joint electricity, and the increase in the length of the tissue must also go through Supplementing proper joint electricity to increase the moisture it receives is the "Sue-May Kang's Increasing Plasticity Theory" in the modeling theory created by the inventor Kang Shumei. Therefore, the training of the active movement of the fifty shoulders It is necessary to cooperate with appropriate treatment methods or appropriate equipment to make it actively move while effectively increasing the generation of joint electricity, so that the tissue can be repaired and gradually restored to its length. The aforementioned appropriate equipment includes the "Active Action Therapy Device for Fifty Shoulders to Enhance Joint Electricity" created by the inventor (the principle has been described in (5) and will be detailed in (9)). (8) The “Active Action Therapy Device for Fifty Shoulders to Enhance Joint Electricity” of the present invention can be created by the inventor Kang Shumei “Using the Favorable Component for Motion Therapy (Using the Favorable Component for "Joint-Electricity-Generation-Generation as the favorable component in motion therapy)" theory" designed the "force application interface", in the active action in the target direction, to the main movement muscle (prime mover) of the affected shoulder joint Appropriate force is applied to the joints on that side to increase the joint electricity of the side where the main motor muscles of the movement are located, so that these muscles can obtain more joint electricity during the exercise of the movement, so that the tissues Get enough moisture to increase the muscle strength of the active action and the range of the active action. Using the present invention to train active movements can reduce their pain and gradually increase their active movements. Angle to gradually improve the movement function of their daily life. Therefore, the present invention is also referred to as an "active exercise training device for enhancing the electrical impact of the shoulder joint". Therefore, patients with fifty shoulders can use the present invention to at least immediately perceive and reduce their pain and immediately measure the effect of increasing their axial (non-rotational) active motion range; the present invention can also be applied to cope with other painful shoulders other than fifty shoulders. Because painful shoulders are usually accompanied by movement obstacles, the so-called movement obstacles mainly refer to the lack of angle of their active movements, so the present invention can be used in the process of removing the main cause of the disease to help their active movements make faster progress. Moreover, the principle and similar structure of the present invention can also be applied to other joints, and the application of the present invention to the shoulder is just one example. (9). The present invention has been tested on the shoulder joints of fifty shoulders, and it is determined that the aforementioned therapeutic effects can be achieved; including immediate effects (that is, the progress can be immediately perceived and measured), and after several days (to several weeks) The use of the present invention in the training of active movements will reduce the pain in the tissues, and the painless active movement angle can be significantly increased, and its maximum improvement can reach the maximum axial movement amplitude under the rotation limit of the shoulder joint value. (10). Another theory of the inventor, Kang Shumei, based on the "Electrical Joint Theory", "The Theory of Controlled-Constant-Angle Isometric Contraction" points out: It is defined as "The ratio of the angle of the joint to the same Isotonic contraction should not exceed 6 seconds (some people can increase to 10 seconds, some people have less than 6 seconds, there are individual differences). During this period, the "dynamic force" in the joints is almost zero. Joint electricity is generated; therefore, any exercise training or evaluation should avoid isotonic contraction over time like "Angle Contrast Isotonic Contraction", even if it is training and evaluation within the treatment time of fifty shoulder patients, including the use of the present invention The movement of "The Active Action Therapy Device for Fifty Shoulders" It should be avoided when training or evaluating its training results (such as the maximum accessible angle at the time). (11). The inventor’s research has compared the effects with or without the use of the force application interface (with or without force on the shoulder joint), which proves the above-mentioned "joint electrical theory" and "50 shoulder pathology hypothesis deduced from the joint electrical theory ", and the curative effect of the present invention, and its mechanism.

本發明之解決先前技術之問題之技術手段:為根據本發明人康淑美所創之『關節電理論』及其應用理論『以產生關節電之優勢成份作為動作治療之優勢成份(Using the Favorable Component for Joint-Electricity-Generation as the favorable component in motion therapy)』所創之『增強關節電之五十肩之主動動作治療器』。所稱之增強關節電之五十肩之主動動作治療器之組成結構可包括一個直臂部、一條或一條以上之手臂固定帶、一個手位部、及一個或一個以上之施力界面部。所稱之直臂部,至少具有固定該手臂於伸直姿勢之作用,且具有足夠之縱向剛性及接觸於手臂面之舒適性、及足以固定目標手臂於伸直姿勢之長度;上述直臂部之技術特徵可由下述之製作方法所達成:為不等或等厚度之片狀結構所製成、可以具有或不具有通氣之設計、通氣之設計指其片狀上各種形狀之鏤空或缺口;惟,所稱之直臂部之詳細製作方法為該領域之通常之知識。所稱之手臂固定帶,具有確實固定所稱之直臂部於該使用者之伸直之患側手臂上之作用,可以外加於或直接固接於直臂部之近肩膀端、近手端、及對應於手肘之位置(可視個案情況減少之),惟,手臂固定帶之製作方法及個別個案 使用手臂固定帶之部位為手臂動作治療領域專業人士之通常之知識。所稱之手位部,至少具有固定患側之手部於本發明之主動動作治療器之作用,乃連接於直臂部之近手端,於對應於手部握持之位置,具有一手握部、其形狀可為易於被使用者之手部握持之形狀、或足以固定該手部位置之形狀,所稱之易於被使用者之手部握持之形狀可為持棒式。所稱之施力界面部,用以於主動動作時被另一隻手(其治療師之手或其健側手)操作向肩關節之施力,乃設接於所稱之直臂部之對應於手臂動作方向上之位置,所稱之施力界面部乃具有『易於以另一隻手操作向肩關節方向施力之形狀』,如直臂部上之其開口背向肩關節之外凸或外加之凹槽;惟,所稱之易於以另一隻手操作向肩關節方向施力之詳細形狀乃為熟悉施力界面領域之通常之知識』;所稱之施力界面部若為多個時,可設接於所稱之直臂部之對應於手臂之前方、及側方、及其綜合角度之位置,於主動動作時擇其位於當時之運動方向上者向肩關節方向施適當之力;當施力界面部只有一個時,所稱之施力界面部乃設接於直臂部上對應於手臂前方、或側方、或其綜合之角度之位置,於主動動作訓練時可先固定該手臂於外轉姿勢、然後選擇運動方向、使該施力界面部恰位於其運動方向上、以向肩關節方向施適當之力。五十肩患者使用本發明於主動動作訓練時至少可達到減少疼痛及增加該被施力之關節部位之相關肌肉之肌力及其主動動作幅度。本發明亦可應用於配合處理其他非五十肩之痛肩,在其主要病因去除之過程中幫助其主動動 作之較迅速之進步。又,本發明之原理及相似結構亦可應用於其他關節,本發明之應用於肩膀只是其中之一例。 The technical means of the present invention to solve the problems of the prior art: Based on the "Articulation Theory" created by the inventor Kang Shumei and its application theory "Using the Favorable Component "for Joint-Electricity-Generation as the favorable component in motion therapy)" created by "the 50-shoulder active therapy device for joint-electricity enhancement". The composition structure of the so-called active motion therapy device for the 50-shoulder that enhances joint electricity may include a straight arm, one or more arm straps, a hand position, and one or more force application interface portions. The so-called straight arm has at least the function of fixing the arm in the straight posture, and has sufficient longitudinal rigidity and comfortable contact with the arm surface, and a length sufficient to fix the target arm in the straight posture; The technical characteristics can be achieved by the following manufacturing methods: it is made of sheet-like structures of unequal or equal thickness, and can be designed with or without ventilation. The design of ventilation refers to the hollows or gaps of various shapes on the sheet; However, the detailed manufacturing method of the so-called straight arm is common knowledge in the field. The so-called arm fixation belt has the function of reliably fixing the so-called straight arm on the user’s straightened arm on the affected side. It can be added or directly fixed to the proximal shoulder, proximal end, and proximal end of the straight arm. And the position corresponding to the elbow (can be reduced depending on the situation of the case), but the method of making the arm band and individual cases The area where the arm band is used is the common knowledge of professionals in the field of arm motion therapy. The so-called hand position part has at least the function of fixing the hand of the affected side in the active action therapeutic device of the present invention. It is connected to the proximal hand end of the straight arm part and has a hand grip part corresponding to the position where the hand is held. The shape can be a shape that is easy to be held by the user's hand, or a shape sufficient to fix the position of the hand. The so-called shape that is easy to be held by the user's hand can be a stick-holding shape. The so-called force application interface is used to apply force to the shoulder joint by the other hand (the therapist’s hand or the hand of the healthy side) during active movement, and is set at the so-called straight arm Corresponding to the position of the arm in the direction of movement, the so-called force application interface has a "shape that is easy to apply force to the shoulder joint with the other hand", such as the opening on a straight arm that faces away from the shoulder joint Convex or additional grooves; however, the detailed shape that is easy to apply force to the shoulder joint with the other hand is familiar knowledge in the field of force application interface"; if the force application interface part is When there are more than one, it can be connected to the so-called straight arm that corresponds to the front and side of the arm, and its integrated angle. When active, choose the one that is located in the direction of movement at the time and apply it toward the shoulder joint. Appropriate force; when there is only one force application interface, the so-called force interface is set on the straight arm at a position corresponding to the front or side of the arm, or its combined angle, during active exercise training The arm can be first fixed in the outward turning posture, and then the direction of movement can be selected so that the force application interface is located in the direction of its movement, so as to apply appropriate force in the direction of the shoulder joint. Fifty-shoulder patients using the present invention can at least reduce pain and increase the muscle strength of the muscles of the joint to be applied and the amplitude of their active movements during active exercise training. The present invention can also be used to cope with other painful shoulders other than fifty shoulders, and help them take the initiative in the process of removing their main causes. Make faster progress. Moreover, the principle and similar structure of the present invention can also be applied to other joints, and the application of the present invention to the shoulder is just one example.

本發明之另一特徵為所稱之增強關節電之五十肩之主動動作治療器之組成結構亦可以更包括一滑行部,於治療早期(或其關節電很少、或關節之可活動角度很有限、或其肌肉易疲勞等病情嚴重時期)之動作訓練時,可以藉其末端之滑行於某固定表面(如牆壁)以減輕來自手臂及該治療器之重量之負擔;所稱之滑行部,可為從手位部向遠端延伸出去或從直臂部之適當位置連接出去之一段長度,且其末端具有低摩擦以易於滑行之設計,例如光滑、小、而且具有圓弧之形狀,惟,末端之低摩擦之設計方法乃該領域之通常之知識;所稱之滑行部可以直接固接於手位部或直臂部,或以連接裝置連接於手位部或直臂部、不用時可以拿下來;所稱之連接裝置例如螺絲,惟,連接裝置之種類為該領域之通常之知識。 Another feature of the present invention is that the component structure of the so-called 50-shoulder active therapy device with enhanced joint electricity can also include a sliding part, which can be used in the early stage of treatment (or the joint electricity is low, or the movable angle of the joint is very limited , Or its muscles are prone to fatigue and other serious illnesses) during exercise training, the end can be used to slide on a fixed surface (such as a wall) to reduce the weight of the arm and the treatment device; the so-called sliding part can be It is a length that extends from the hand position to the distal end or is connected to the appropriate position of the straight arm, and its end has a low friction design for easy sliding, such as smooth, small, and circular arc shape, but, The low-friction design method of the tip is common knowledge in this field; the so-called sliding part can be directly fixed to the hand position or straight arm, or connected to the hand position or straight arm with a connecting device. Take it down; the so-called connection device is for example a screw, but the type of connection device is common knowledge in the field.

使用本發明之增強關節電之五十肩之主動動作治療器之方法如下,該使用者之手臂伸直、並以所稱之手臂固定帶將直臂部固定於該伸直之手臂,該患側之手部可握著(或以固定帶適當固定於)所稱之手位部;然後於該手臂之主動動作之訓練進行中,由該使用者之動作治療師的手藉著一個位於當時運動方向上之所稱之施力界面部向該肩關節施適當之力,或其專業治療師確認該個案已學會時可允許該個案之健側手向該肩關節以相同方法施力;注意:所稱之『施適當之力』並不是向該患手臂之主動動作方 向施力,而是向著肩關節方向施力,同時也要避免其施力太大超出該個案當時該關節內之動態之力之有效範圍,惟其施力之數值為個別化之值,該值因個案之不同之病情嚴重度、復原階段、上臂之重量而有不同,其專業之動作治療師可依前述及其臨床經驗,在治療過程之每一次為該個案決定當時之最適量之個別化之數值。另外,為使治療早期之主動動作之訓練能更輕鬆進行,

Figure 107112798-A0305-02-0013-4
必要時,可加上使用滑行部,將其末端滑行於某固定於該使用者之前方或側方之物體之表面(如牆壁),以減輕來自手臂及該治療器之重量之負擔。所稱主動動作之訓練,為該患側手臂主動之運動並且企圖增強其主動動作之角度,如前舉高(shoulder flexion)、側舉高(shoulder abduction))、平面側舉(shoulder horizontal abduction))、及其綜合角度之動作等軸向(非旋轉向)動作,但不包括甩手;且為了配合肩關節之特殊解剖構造,前述舉高於超過120度以後應同時漸增手臂之外轉、故可以一開始就先固定其手臂姿勢於可能之最大外轉角度於所稱之直臂部,然後進行前述之舉高動作之訓練;使用本發明於動作治療時應選用位於當時手臂運動方向上之施力界面部,以進行該動作中之對肩關節之施力,當其主動動作為前舉時,可以選用當時位於手臂前方之施力界面部,當其主動動作為平面側舉時,可以選用位於當時手臂該側方之施力界面部,當其主動動作為其綜合之角度之舉高時,可以選用位於當時手臂運動方向之施力界面部,當其主動動作為側舉高時,可以將手臂儘量外轉並選用位於當時手臂運動方向之 施力界面部(如果其外轉角度足夠的話其實是手臂前方之施力界面部)。 The method of using the 50-shoulder active therapy device of the invention is as follows. The user's arm is straightened, and the straight arm is fixed to the straightened arm with the so-called arm fixing band, and the hand of the affected side The part can be held (or suitably fixed to the hand position part with a fixing band); then during the active movement training of the arm, the user’s movement therapist's hand is positioned in the direction of movement at the time The so-called force application interface can apply appropriate force to the shoulder joint, or the professional therapist can allow the patient’s healthy hand to apply force to the shoulder joint in the same way when the case has been confirmed; The "appropriate force" is not to apply force to the active direction of the affected arm . , But to apply force toward the shoulder joint. At the same time, it should be avoided that the force is too large to exceed the effective range of the dynamic force in the joint at the time of the case. However, the value of the force is an individualized value, which varies from case to case. The severity of the illness, the stage of recovery, and the weight of the upper arm are different. The professional movement therapist can determine the most appropriate individualized value for the case at each time in the treatment process based on the foregoing and its clinical experience. In addition, in order to make the training of active movements in the early stage of treatment easier,
Figure 107112798-A0305-02-0013-4
If necessary, a sliding part can be added to slide its end on a surface (such as a wall) fixed to the front or side of the user to reduce the weight of the arm and the treatment device. The so-called active movement training refers to the active movement of the affected arm and the attempt to enhance the angle of its active movement, such as shoulder flexion, shoulder abduction, and shoulder horizontal abduction) , Axial (non-rotational) movements such as movements with comprehensive angles, but excluding hand throwing; and in order to match the special anatomical structure of the shoulder joint, the aforesaid lifts above 120 degrees should also gradually increase the outward rotation of the arm. You can fix the arm posture at the maximum possible outward rotation angle in the so-called straight arm at the beginning, and then perform the aforementioned lifting exercise training; when using the present invention, the arm movement direction should be selected in the direction of the arm movement. The force application interface part is used to apply force to the shoulder joint in the action. When the active action is forward lift, the force application interface part located in front of the arm can be selected. When the active action is flat side lift, you can Choose the force interface part located on the side of the arm at that time. When the active action is the lifting of the integrated angle, you can choose the force interface part located in the direction of the arm movement at that time. When the active action is side elevation, The arm can be turned outward as much as possible and the force application interface part located in the direction of arm movement at the time (if its outward rotation angle is sufficient, it is actually the force application interface part in front of the arm).

本發明之增強關節電之五十肩之主動動作治療器之使用注意事項:對於肩關節之主動動作之幅度不足且疼痛之患者(如五十肩),其使用本發明以進行主動動作之訓練時,應在其專業治療師(經過此種理論之課程及使用本發明之方法之訓練之職能治療師或物理治療師)之指導(supervise)及協助之下使用(或學會使用)。又由於肩關節其實包括多個關節,其動作角度之增加過程(尤其是120到180度之間)需軸向及旋轉向之動作之配合,故其專業治療師應於一開始就教育該兩動作之配合;且使用前應將所稱之直臂部正確而適當地固定於其患側之伸直之手臂,若未正確固定即開始使用,將不容易控制正確之施力方向,若施力方向不正確則會有不良之作用;並應注意不同方向之舉高時須選用各該運動方向之施力界面部(詳情如【0006】所述);又本發明之『增強關節電之五十肩之主動動作治療器』具有施力界面部用以向肩關節施適當之力,例如以其專業治療師之手或病患之健側手,藉所稱之施力界面部向肩關節施力而達成增強關節電之機制,此時應注意要確保施力之方向正確及大小適當,從而避免其施力之偏斜及/或施力太大超出該個案當時該關節內之動態之力之有效範圍;且於前述之動作治療時應有「小幅度漸進及分成多次訓練(每次訓練之反覆舉高次數不宜太多)以避免疲勞」之觀念;且在每次動作之到達最大角度時不要『太努力(over effort)』,即,不要在該同一角度繼續用力企圖增加角度、(但其實並無法增加角度), 反而造成如同『角度比對等張收縮』(如【0003】之(10)所述)之等張收縮,若其超過該極限時間(6秒左右,各個案可能不同)可能會有不良後果,某些患者對『角度比對等張收縮』之耐受力更低,可能在更短時間即產生該不良後果。其專業治療師於確定該病患已學會前述正確使用及注意事項後可允許病患買(或租)一個適當之(個別化如下一段所述)本發明之『增強關節電之五十肩之主動動作治療器』在其家裡使用並以同法訓練之。 Precautions for the use of the 50-shoulder active treatment device for enhancing joint electricity of the present invention: For patients with insufficient active motion of the shoulder joint and pain (such as fifty-shoulder), when using the present invention for active exercise training, they should It can be used (or learned to use) under the guidance (supervise) and assistance of its professional therapist (functional therapist or physiotherapist trained in such theoretical courses and using the method of the present invention). Since the shoulder joint actually includes multiple joints, the increase in the angle of movement (especially between 120 and 180 degrees) requires the coordination of axial and rotational movements. Therefore, the professional therapist should educate these two joints at the beginning. Cooperate with the action; and before use, the so-called straight arm should be properly and properly fixed to the straight arm of the affected side. If it is not properly fixed, start using it. It will not be easy to control the correct direction of force. If the direction is not correct, it will have a bad effect; and it should be noted that when lifting in different directions, the force application interface of each direction of movement must be selected (details are as described in [0006]); The active action therapeutic device" has a force application interface for applying appropriate force to the shoulder joint, for example, with the hand of a professional therapist or the patient’s healthy hand, the so-called force application interface is used to apply force to the shoulder joint To achieve the mechanism of enhancing the joint electricity, care should be taken to ensure that the direction of the force is correct and the size is appropriate, so as to avoid the deflection of the force and/or the force that exceeds the effective range of the dynamic force in the joint at the time of the case. ; And in the aforementioned motion therapy, there should be a concept of "small and gradual training and divided into multiple trainings (the number of repeated lifts for each training should not be too many) to avoid fatigue"; and do not when each movement reaches the maximum angle "Over effort", that is, do not continue to try to increase the angle at the same angle (but it does not actually increase the angle), Instead, it causes isotonic shrinkage like "Angle Comparison Isotonic Shrinkage" (as described in [0003] (10)). If it exceeds the limit time (about 6 seconds, each case may be different), there may be undesirable consequences. Some patients have a lower tolerance to "Angle than Isotonic Contraction", and this adverse effect may occur in a shorter time. After confirming that the patient has learned the correct use and precautions, the professional therapist may allow the patient to buy (or rent) an appropriate (individualized as described in the following paragraph) of the present invention "The 50-shoulder active movement to enhance joint electricity The treatment device is used in his home and trained in the same way.

本發明之增強關節電之五十肩之主動動作治療器之個別化設計:本發明可依個案之上肢之長度、胖瘦等提供其個別且適合之直臂部之長度寬度或形狀,及依其個別之手之形狀大小及握持力等個別差異提供適合之手握部之大小及形狀及其與該直臂部之對應位置。 The individualized design of the 50-shoulder active therapy device of the present invention to enhance the joint electricity: the present invention can provide individual and suitable length, width or shape of the straight arm according to the length, fat and thinness of the upper limbs of the case, and according to the individual The individual differences in the shape and size of the hand and the holding power provide the appropriate size and shape of the hand grip and its corresponding position with the straight arm.

本發明之增強關節電之五十肩之主動動作治療器之效用比之於先前技術:使用本發明於主動動作之訓練具有下列之進步性:本發明乃依關節電理論所研創,可以藉該器材之助,於主動動作時獲得關節電之有效補充,使該相關肌肉獲得更充足之滋潤,不但降低其原有之疼痛,且使其主動動作之動作幅度進步;使用本發明於主動動作之訓練,有其立即之效果(即該進步可以立即感知及量測出來),且經過持續數天(到數周)之使用本發明於主動動作之訓練,其組織之疼痛會漸漸減少,且其無痛之主動動作角度可明顯增加。由於藉助本發明之器材可較快速達成明顯之治療效果,實際上大為減省其治療師之體力之消耗及各種醫療成本,並較快速改善病 患之生活品質及日常生活動作之功能。 The utility of the 50-shoulder active therapy device of the present invention to enhance joint electricity is better than that of the prior art: the use of the present invention in active exercise training has the following advancements: the present invention is developed based on the theory of joint electricity and can be assisted by this device , To obtain effective supplementation of joint electricity during active movement, so that the relevant muscles can get more sufficient moisture, not only reduce its original pain, but also improve the movement range of active movement; using the present invention in active movement training has Its immediate effect (that is, the progress can be immediately sensed and measured), and after several days (to several weeks) using the present invention in active movement training, the pain of the tissue will gradually decrease, and its painless initiative The angle of action can be significantly increased. Because the device of the present invention can achieve obvious therapeutic effects more quickly, it actually greatly reduces the physical consumption and various medical costs of the therapist, and improves the disease more quickly. The quality of life and the function of daily life movements.

為便 貴審查委員能對本發明目的、技術特徵及其功效,更進一 步之了解及認識,茲舉數實施例配合圖式,詳細說明如下: For your convenience, the reviewer can further understand the purpose, technical features and efficacy of the present invention. For the understanding and understanding of the steps, here are a few examples in conjunction with the diagrams, and the detailed description is as follows:

1:直臂部 1: Straight arm

2:手臂固定帶 2: Arm strap

3:手位部 3: Hand position

31:手握部 31: Hand grip

4:施力界面部 4: Force application interface

5:滑行部 5: Taxiing Department

6:連接裝置 6: Connect the device

第1圖係本發明之增強關節電之五十肩之主動動作治療器之一實施例之後面示意圖;第2圖係本發明之第1圖之實施例(其施力界面部為一個時)之側面示意圖;及第3圖係使用本發明之第1圖之實施例(其施力界面部為一個以上時)之側面示意圖。 Figure 1 is a schematic back view of an embodiment of the active action therapy device for 50 shoulders with enhanced joints of the present invention; Figure 2 is a side view of the embodiment of Figure 1 of the present invention (when the force application interface is one) Schematic diagram; and Figure 3 is a schematic side view of the embodiment of Figure 1 of the present invention (when there are more than one force application interface portions).

本發明之解決先前技術之問題之技術手段。為根據本發明人康淑美所創之『關節電理論』及其相關應用理論『以產生關節電之優勢成份於作為動作治療之優勢成份(Using the Favorable Component for Joint-Electricity-Generation as the favorable component in motion therapy)』所創之『增強關節電之五十肩之主動動作治療器』,該動作治療器之技術特徵主要為在主動動作訓練中藉本動作治療器之特殊結構向該肩關節施力,尤其是向該肩關節之關聯於當時動作之主要動作肌之部位施力、而達到增加 該肩關節部位之關節電、從而增進該動作之主動動作幅度之動作治療器。所稱之增強關節電之五十肩之主動動作治療器之組成可包括一個直臂部1、一條或一條以上之手臂固定帶2、一個手位部3、及一個或一個以上之施力界面部4。所稱之直臂部1,至少具有固定該手臂於伸直姿勢之作用,具有足夠之縱向剛性及接觸於手臂面之舒適性、及足以固定目標手臂於伸直姿勢之長度(例如其長度可括及前臂之上半部、手肘、及上臂之下半部,但視施力界面部之數量、及/或自行維持手肘伸直之能力而可以更長或更短,當施力界面部之數量愈多時該直臂部之長度應越長(如第3圖之直臂部比第2圖者長),當患者之自行維持伸直之能力越低時該直臂部之長度亦應越長;惟,該依自行維持伸直之能力之個別情況所決定之長度為手臂動作治療專業領域之通常知識);上述直臂部之技術特徵可由下述之製作方法所達成:為不等或等厚度之片狀結構所製成(如第1圖、第2圖、第3圖所示)、可以具有或不具有通氣之設計、通氣之設計指其片狀上各種形狀之鏤空或缺口;惟,所稱之直臂部之詳細製作方法為該領域之通常之知識。所稱之手臂固定帶2,乃具有確實固定所稱之直臂部1於該使用者之伸直之患側手臂上之作用,可以外加於或直接固接於直臂部1之近肩膀端、近手端、及對應於手肘之位置(如第3圖所示),但可視個案情況減少之,例如當該個案可自行維持手臂之伸直時(如單純之五十肩病患),對應於手肘者可不必用(如第1圖及第2圖所示);惟,所稱之手臂固定帶之製作方法及個別個案使用手臂 固定帶之部位為該領域之通常之知識。所稱之手位部3至少具有固定患側之手部於本發明之主動動作治療器之作用,乃連接於直臂部1之近手端,於對應於手部握持之位置,具有一手握部31、其形狀可為易於被使用者之手部握持之形狀、或足以固定該手部位置之形狀,所稱之易於被使用者之手部握持之形狀可為持棒式(如第1圖、第2圖及第3圖所示意)。所稱之施力界面部4,用以於主動動作時被另一隻手(其治療師之手或其健側手)操作向肩關節之施力,乃設接於所稱之直臂部之對應於手臂動作方向之位置;所稱之施力界面部乃具有『易於以另一隻手操作向肩關節方向施力之形狀』,如直臂部上之其開口背向肩關節之外凸或外加之凹槽(如第2圖及第3圖所示意);惟,所稱之易於以另一隻手操作向肩關節方向施力之詳細形狀乃為熟悉施力界面領域之通常之知識;所稱之施力界面部4若為一個以上時,可設接於所稱之直臂部之對應於手臂之前方、及側方、及其綜合角度之位置(如第3圖所示意)、用以於主動動作時擇其動作方向上者向肩關節方向施適當之力;當施力界面部4只有一個時,所稱之施力界面部4乃設接於直臂部上對應於手臂前方(如第2圖所示意)、或側方、或其綜合角度之位置,於主動動作訓練時可先固定該手臂於外轉之姿勢、然後選擇運動方向、使該施力界面部恰位於其運動方向上、以向肩關節方向施適當之力;並可購用多個其施力界面部在不同位置之本發明之動作治療器。五十肩患者使用本發明於主動動作之訓練時至少可達到減少疼痛及增加該被施力關節部位 之相關肌肉之肌力及其主動動作幅度之效果。本發明亦可應用於配合處理其他非五十肩之痛肩,在其主要病因去除之過程中幫助其主動動作之較迅速之進步。又,本發明之原理及相似結構亦可應用於其他與『關節內動態之力太低』有關之問題關節,本發明之應用於肩膀只是其中之一例。 The technical means of the present invention to solve the problems of the prior art. Based on the "Joint Electricity Theory" created by the inventor Kang Shumei and its related application theory "Using the Favorable Component for Joint-Electricity-Generation as the favorable component" "In motion therapy)" created "The 50-shoulder active motion therapy device with enhanced joint electricity". The technical feature of the motion therapy device is mainly that the special structure of this motion therapy device applies force to the shoulder joint during active motion training. In particular, apply force to the main action muscles of the shoulder joint that are related to the movement at the time to increase A motion therapy device for electric joints of the shoulder joints, thereby enhancing the active motion range of the motion. The composition of the so-called 50-shoulder active treatment device for enhancing joint electricity can include a straight arm 1, one or more arm straps 2, a hand position portion 3, and one or more force application interface portions 4 . The so-called straight arm 1 has at least the function of fixing the arm in the straight posture, has sufficient longitudinal rigidity and comfortable contact with the arm surface, and is sufficient to fix the length of the target arm in the straight posture (for example, its length can be Including the upper half of the forearm, the elbow, and the lower half of the upper arm, but it can be longer or shorter depending on the number of force interface parts and/or the ability to maintain the elbow straightening by itself. The more the number of parts, the longer the length of the straight arm should be (for example, the straight arm in Figure 3 is longer than that in Figure 2). When the patient’s ability to maintain straightness is lower, the length of the straight arm should be lower It should also be longer; however, the length determined by the individual circumstances of the ability to maintain straightness by itself is the general knowledge in the professional field of arm motion therapy); the technical characteristics of the straight arm can be achieved by the following production method: It is made of sheet-like structures of unequal or equal thickness (as shown in Figure 1, Figure 2, and Figure 3), which can be designed with or without ventilation. The design of ventilation refers to the hollows of various shapes on the sheet. Or gaps; however, the detailed manufacturing method of the so-called straight arm is the usual knowledge in the field. The so-called arm fixing band 2 has the function of reliably fixing the so-called straight arm 1 on the user’s straightened arm on the affected side. It can be attached or directly fixed to the proximal shoulder of the straight arm 1. The near hand and the position corresponding to the elbow (as shown in Figure 3), but it can be reduced according to the situation of the case. For example, when the case can maintain the straight arm by itself (such as a simple fifty-shoulder patient), it corresponds to Those with elbows don’t need to use them (as shown in Figure 1 and Figure 2); however, the so-called arm strap manufacturing method and the use of arms in individual cases The position of the fixing belt is the general knowledge in the field. The so-called hand position 3 has at least the function of fixing the hand of the affected side in the active action therapeutic device of the present invention, and is connected to the proximal end of the straight arm 1 and has a hand grip at the position corresponding to the hand grip The shape of the portion 31 can be a shape that is easy to be held by the user's hand, or a shape sufficient to fix the position of the hand. The so-called shape that is easy to be held by the user's hand can be a stick-holding type (such as Figure 1, Figure 2, and Figure 3 are shown). The so-called force application interface part 4 is used to apply force to the shoulder joint by the other hand (the therapist's hand or the hand of the healthy side) during active action, and is set at the so-called straight arm It corresponds to the position of the arm movement direction; the so-called force application interface has a "shape that is easy to use the other hand to apply force to the shoulder joint", such as the opening on the straight arm that faces away from the shoulder joint Convex or additional grooves (as shown in Figures 2 and 3); however, the so-called detailed shape that is easy to use the other hand to apply force to the shoulder joint is the usual familiarity in the field of force application interface Knowledge; if there is more than one force application interface part 4, it can be connected to the so-called straight arm part corresponding to the front and side of the arm, and its integrated angle position (as shown in Figure 3) ). It is used to choose the direction of action to apply appropriate force to the shoulder joint direction during active action; when there is only one force application interface portion 4, the so-called force application interface portion 4 is set on the corresponding straight arm At the front of the arm (as shown in Figure 2), or the side, or its comprehensive angle position, during active exercise training, you can first fix the posture of the arm in the outward rotation, and then select the direction of movement to make the force application interface It is located in the direction of its motion to apply appropriate force to the shoulder joint direction; and multiple motion therapeutic devices of the present invention with the force application interface at different positions can be purchased. Fifty-shoulder patients can at least reduce pain and increase the force-applied joint position when using the present invention in active exercise training. The muscle strength of the related muscles and the effect of active motion range. The present invention can also be used to cope with other painful shoulders other than fifty shoulders, and help them to make more rapid progress in their active actions in the process of removing their main causes. In addition, the principle and similar structure of the present invention can also be applied to other problematic joints related to "the dynamic force in the joint is too low". The application of the present invention to the shoulder is just one example.

本發明之另一特徵為所稱之增強關節電之五十肩之主動動作治療器之組成結構亦可以更包括一滑行部5,於治療早期、或其關節電很少、或關節之可活動角度很有限、或其肌肉易疲勞等病情嚴重時期之動作訓練時,可以藉其末端之滑行於某固定表面(如牆壁)以減輕來自手臂及該治療器之重量之負擔;所稱之滑行部5,可為從手位部向遠端延伸出去或從直臂部之適當位置連接出去之一段長度,且其末端具有低摩擦以易於滑行之設計,例如光滑、小、而且具有圓弧之形狀,惟,末端之低摩擦之設計方法乃該領域之通常之知識;所稱之滑行部可以直接固接於手位部或直臂部,或以連接裝置6連接於手位部3(如第2圖及第3圖所示意)或直臂部1、不用時可以拿下來;所稱之連接裝置例如螺絲,惟,所稱之連接裝置之種類為該領域之通常之知識。 Another feature of the present invention is that the component structure of the so-called 50-shoulder active treatment device with enhanced joint electricity may further include a sliding part 5, which can be used in the early stage of treatment, or the joint electricity is low, or the movable angle of the joint is very high When the movement training is limited, or when the muscles are prone to fatigue and other serious illnesses, the end can be used to slide on a fixed surface (such as a wall) to reduce the weight of the arm and the treatment device; the so-called sliding part 5, It can be a length that extends from the hand position to the distal end or is connected to the appropriate position of the straight arm, and the end has a low friction design for easy sliding, such as smooth, small, and circular arc shape, but , The design method of low friction at the end is common knowledge in this field; the so-called sliding part can be directly fixed to the hand position or straight arm part, or connected to the hand position 3 by the connecting device 6 (as shown in Figure 2 And as shown in Figure 3) or straight arm 1, which can be taken off when not in use; the so-called connecting device is for example a screw, but the type of the so-called connecting device is common knowledge in the field.

按,以上所述,僅係本發明之部分實施例,惟,本發明所主張之權利範圍並不侷限於此,按凡熟悉該項技藝人士,依據本申請書所揭露之內容,可輕易思及之等效變化,均應屬不脫離本發明之保護範圍。 According to, the above are only partial embodiments of the present invention. However, the scope of rights claimed by the present invention is not limited to this. Anyone familiar with the art can easily think about it based on the content disclosed in this application. And the equivalent changes shall fall within the protection scope of the present invention.

1:直臂部 1: Straight arm

2:手臂固定帶 2: Arm strap

3:手位部 3: Hand position

31:手握部 31: Hand grip

4:施力界面部 4: Force application interface

5:滑行部 5: Taxiing Department

6:連接裝置 6: Connect the device

Claims (2)

一種增強關節電之五十肩之主動動作治療器,其技術特徵主要為在主動動作訓練中藉本動作治療器之特殊結構向該肩關節施力,尤其是向該肩關節之關聯於當時動作之主要動作肌之部位施力、而達到增加該肩關節部位之關節電、從而增進該動作之主動動作幅度之動作治療器;該動作治療器之組成構造乃包括:一個直臂部,所稱之直臂部,乃具有固定該手臂於伸直姿勢之作用,具有足夠之縱向剛性及接觸於手臂面之舒適性、及足以固定目標手臂於伸直姿勢之長度,上述直臂部之技術特徵可由下述之製作方法所達成:為不等或等厚度之片狀結構所製成、可以具有或不具有通氣之設計、通氣之設計指其片狀上各種形狀之鏤空或缺口;一條或一條以上之手臂固定帶,所稱之手臂固定帶,具有確實固定所稱之直臂部於該使用者之伸直之患側手臂上之作用,可以外加於或直接固接於直臂部之近肩膀端、近手端、及對應於個案手肘之位置;一個手位部,具有固定患側之手部於本發明之主動動作治療器之作用,所稱之手位部乃連接於直臂部之近手端,於對應於手部握持之位置,具有一手握部、其形狀可為易於被使用者之手部握持之形狀、或足以固定該手部位置之形狀;及一個或一個以上之施力界面部,所稱之施力界面部,用以於主動動作 中被另一隻手(其治療師之手或其健側手)操作向肩關節方向之施力,乃設接於所稱之直臂部之對應於手臂動作方向之位置,具有『易於以另一隻手操作向肩關節施力之形狀』,如直臂部上之其開口背向肩關節之外凸或外加之凹槽;本發明之使用方法為在主動動作治療之訓練時,使用者之患側臂伸直、並藉所稱之手臂固定帶將所稱之直臂部固定於該伸直之手臂、該側之手部握著(或固定於)所稱之手位部、並藉著位於當時手臂動作方向上之所稱之施力界面部向肩關節方向施適當之力。 A 50-shoulder active therapy device with enhanced joint electricity. Its technical feature is mainly to apply force to the shoulder joint by the special structure of the motion therapy device during active motion training, especially to the main body of the shoulder joint related to the movement at the time. A motion therapy device that exerts force on the part of the action muscle to increase the joint electricity of the shoulder joint part, thereby enhancing the active motion range of the action; the composition structure of the motion therapy device includes: a straight arm, so-called straight The arm has the function of fixing the arm in the straight posture, has sufficient longitudinal rigidity and comfortable contact with the arm surface, and is long enough to fix the target arm in the straight posture. The technical characteristics of the straight arm can be The production method mentioned above is achieved: it is made of sheet-like structures of unequal or equal thickness, with or without ventilation design. The ventilation design refers to the hollows or gaps of various shapes on the sheet; one or more The arm strap, the so-called arm strap, has the function of surely fixing the so-called straight arm on the user’s straightened arm on the affected side. It can be added or directly fixed to the shoulder near the straight arm, The proximal hand and the position corresponding to the elbow of the case; a hand position has the function of fixing the hand of the affected side in the active action therapeutic device of the present invention. The hand position is the near hand connected to the straight arm The end, corresponding to the position where the hand is held, has a hand grip, the shape of which can be easily held by the user's hand, or a shape sufficient to fix the position of the hand; and one or more implementations Force interface, so-called force interface, used for active action The force applied in the direction of the shoulder joint by the other hand (the therapist’s hand or the uninhibited hand) is set at the position of the so-called straight arm corresponding to the direction of the arm movement. Use the other hand to apply force to the shoulder joint", such as the opening on the straight arm that faces outward from the shoulder joint or a groove; the method of use of the present invention is to use it during active movement therapy training The affected side arm of the person is straightened, and the so-called straight arm is fixed to the straight arm by the so-called arm strap, the hand of the side is holding (or fixed to) the so-called hand position, and Appropriate force is applied to the shoulder joint by the so-called force application interface located in the direction of arm movement at that time. 如第1項所述之增強關節電之五十肩之主動動作治療器,其組成亦可以更包括一滑行部,於動作訓練時,可以藉其末端之滑行於某固定表面(如牆壁)以減輕來自手臂及該治療器之重量之負擔;所稱之滑行部,可為從手位部向遠端延伸出去或從直臂部之適當位置連接出去之一段長度,且其末端光滑、小、而且具有圓弧之形狀以易於滑行;所稱之滑行部可以直接固接於手位部或直臂部,或以連接裝置連接於手位部或直臂部、不用時可以拿下來。 As described in item 1, the active motion therapy device for 50 shoulders with enhanced joints can also include a sliding part. During exercise training, the end can be used to slide on a fixed surface (such as a wall) to relieve The weight of the arm and the treatment device; the so-called sliding part can be a length extending from the hand position to the distal end or connected to the appropriate position of the straight arm, and its end is smooth, small, and has The arc shape makes it easy to slide; the so-called sliding part can be directly fixed to the hand position or straight arm part, or connected to the hand position or straight arm part by a connecting device, and can be taken off when not in use.
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TW200946095A (en) * 2008-05-09 2009-11-16 Univ Nat Taiwan Rehabilitating and training device and controlling method thereof
TWI549671B (en) * 2014-12-30 2016-09-21 上銀科技股份有限公司 Upper limb rehabilitation device and methods
CN106132359A (en) * 2013-12-03 2016-11-16 S·M·赛森斯基 Resistance support

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Publication number Priority date Publication date Assignee Title
TW200946095A (en) * 2008-05-09 2009-11-16 Univ Nat Taiwan Rehabilitating and training device and controlling method thereof
CN106132359A (en) * 2013-12-03 2016-11-16 S·M·赛森斯基 Resistance support
TWI549671B (en) * 2014-12-30 2016-09-21 上銀科技股份有限公司 Upper limb rehabilitation device and methods

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