WO2004069112A1

WO2004069112A1 - Appliance for fixing upper-body in good limb position

Info

Publication number: WO2004069112A1
Application number: PCT/JP2003/001395
Authority: WO
Inventors: Koichi Yoshino
Original assignee: Yoshino, Kenichi; Yoshino, Naomi
Priority date: 2003-02-10
Filing date: 2003-02-10
Publication date: 2004-08-19
Also published as: AU2003207045A8; JPWO2004069112A1; AU2003207045A1

Abstract

An appliance for fixing the upper-body in good limb position, which makes it possible to support and cure the five points, wherein an angle with a line extending from a scapula to the spine holds a good position in the dorsal decubitus, a good limb position is held for the shoulder joints and elbow joints, the upper limbs are held in their raised position, and a neck position as a relative position of the kyphosis and spine is adjustable.

Description

Specification

Upper body good posture fixture

Technical field

The present invention relates to a method for recognizing pain in the upper limb due to pain or swelling due to swelling and swelling due to swelling after trauma or surgery on the upper limb. The purpose of the present invention is to provide a holder that can easily provide the most suitable upper limb position of an individual in a supine position while maintaining rest of the upper body for prevention and treatment, and can treat each symptom. Background art

When the cast is immobilized after upper limb surgery or trauma or for this reason, blood congestion due to pain or swelling is always observed.

In general, blood pumped out of the heart is pumped through the arteries to the peripheral fingers, where the blood is pumped by the movement of the muscles by moving the fingers and upper limbs and the venous valve structure. Sending blood back to the heart.

However, during trauma pain and swelling, or when a cast is immobilized through a fracture or surgery, muscle movement, the function that returns peripheral blood to the heart, is impeded. This causes swelling of the hands and marked congestion. It has been confirmed that this pain and swelling occurs in all cases such as the above-mentioned trauma, infection, inflammation, metabolic disease and nervous system disease. This swelling gradually begins to swell due to muscle movements and venous valves when movement of fingers and upper limbs begins to occur due to a state of movement such as painlessness.

In addition, patients undergoing cast fixation squeezed nerves with marked swelling, and as shown in Fig. 1, irreversible paralysis due to casting (“Volkmman contractures”). May be made. Emergency surgery is often required. At present, for the above disorders of upper limbs, a triangle band is used when getting up to prevent blood congestion so that the fingers are not lowered as much as possible (Fig. 2). In addition, those who can squeeze and open the fingers of the hands can prevent blood congestion by exercising the fingers.

However, when sleeping on the bed, the fingers are not moved, and this prevention method is useless. At the hospital, as shown in Fig. 3, (A) and (B) use pillows and (C) raise their fingers as high as possible by lifting, preventing blood congestion, For a long time, complaining of stiff shoulders and other discomfort. A stretching aid for the shoulder joint is proposed in Japanese Patent No. 2858105, but since it is intended to move the upper limb, it cannot be used in the case of a cast upper limb. The optimal holding angle of the upper limb differs depending on the angle, but it did not correspond to such angle adjustment. In addition, the invention according to the above patent is not easy to assemble, so it is difficult to carry it, and it was not possible to carry it at home or on the go and set it easily.

The present invention has been made in view of such conventional problems. In particular, the scapula surface from the spine to the scapula shown in Fig. 4 gradually increases in angle from the upper limb elevation of 30 degrees and reaches a peak at 90 degrees. This is because stress is applied to the front of the shoulder joint and the back in the supine position. The shoulder blade surface becomes smaller from 120 degrees to 150 degrees, and becomes the smallest at 150 degrees. The limb position in which the humeral axis and the scapula spine are in a straight line is called the zero position as the most natural and comfortable elevating limb position, the running of the muscles around the shoulder joint is almost in line, and the rotation of the humerus is Least, very stable. Therefore, after surgery for rotator cuff tear, reduction of proximal humeral fracture, scapula fracture, and part of clavicle fracture. ■ Useful for immobilization, shoulder periarthritis, shoulder joint contracture, etc. is there. The elbow joint is a good limb position at about 90 degrees flexion. Considering these fixtures that can easily secure the good limb position, furthermore, it can be applied to the positional relationship between the torso and the head, that is, the position where there is no pain. It is the present invention to provide a fixture for five upper limbs in the upper body.

Although there were more orthoses that could secure the lower limb position after surgery (see Figure 3D), the scapula surface after the upper limb operation, the shoulder joint, the elbow joint, and the right limb position after the operation At present, there is no orthosis capable of maintaining the resting limb position and the relative head position particularly in the supine position, and it is an object of the present invention to provide these fixing devices. BRIEF DESCRIPTION OF THE FIGURES

FIG. 1 is an explanatory view showing a state in which a cast causes a neurovascular disorder, and FIG. 2 is an explanatory view showing a state in which a triangle band is used when the user wakes up. FIG. 3 is an explanatory diagram illustrating a method for preventing congestion of the upper limbs and lower limbs in a hospital. FIG. 4 is an explanatory diagram showing the relationship between the scapula surface and upper limb elevation. FIG. 5 is a plan view of the first embodiment of the present invention, and FIG. 6 is an explanatory diagram of a case where the mesh portion of FIG. FIG. 7 is a use state diagram of the first embodiment. FIG. 8 is a plan photograph of a fixture for upper body good limb position in Example 2 of the present invention. FIG. 9 is an exploded view of FIG. FIG. 10 is an explanatory diagram showing a use state of the third embodiment of the present invention. FIG. 11 is a plan view for explaining a fourth embodiment of the present invention. FIG. 12 is an explanatory diagram for explaining a use state of the fourth embodiment. FIG. 13 is an explanatory diagram for explaining a change in a use state of the fifth embodiment. FIG. 14 is an explanatory diagram for explaining a change in the use state of the fifth embodiment of the present invention. BEST MODE FOR CARRYING OUT THE INVENTION

The present invention can prevent or treat the following symptoms during sleep or in the supine position.

1. Hand '' finger surgery '' trauma, congestion due to infection, etc.

2.Forearm, elbow, upper limb trauma 'infection' Prevents congestion after surgery and maintains good limb position 3, Shoulder joint inflammation-fifty shoulders' Prevents congestion such as calcified periarthritis of the shoulder and improves pain and contracture, etc.

4. Peripheral neuropathy due to cervical disc herniation, resulting in radiation from similar parts to upper limb

5) Patients who cannot be supine due to multiple compression fractures of the elderly such as the back

6. Congestion due to peripheral neuropathy due to metabolic disease (such as diabetes)

7. Diseases induced by decreased blood flow, such as cerebral ischemic infarction

8. Lung disease (effective because it does not interfere with chest movement during breathing) 9. Damage to shoulders, hands, elbows, etc. of people who overuse their upper limbs in sports etc. The material used in the present invention is From the viewpoint of securing the cushioning property and portability, materials that can be held softly, that is, nets, rubber, leather, new materials, plastics, iron, aluminum, and the like are preferable. Also, because it is intended to be carried around, it may be possible to assemble it into four and five parts. In particular, by using a net for the holding part of the upper limb, it is possible to provide a margin for the holding part of the upper limb, and it becomes possible to place a thicker limb by casting or the like. In addition, nets are light in weight and low in bulk, making them easy to carry.

In addition, in the case of the one-piece molded type made of cushion rubber, the upper limb holding portion is stable, which is particularly convenient during sleep. This type is cervical spondylosis It is effective for patients suffering from pain.

In addition, reclining sheets that can maintain these good limb positions manually or electrically can be considered. For example, the present invention can be applied to car seats and indoor chairs. That is, an arm may be added to a normal chair as an accessory, or the arm may be changed so that a good limb position can be held by electric power when necessary. .

In addition, regardless of the type, a massage function or a heating / cooling function may be added.Each part can be disassembled, and the difference in size due to humans and the adjustment angle due to symptoms can be handled. In order to achieve this, various adjustment functions are provided.

"Example 1"

One embodiment of the present invention will be described with reference to FIGS. This embodiment is particularly designed for casting, and is foldable and portable.

FIG. 5 is a plan view of the upper body posture fixing device of the present invention. FIG. 6 is an exploded view showing the state of disassembling and folding the upper body position fixing device of the present invention, and FIG. 7 is a use state diagram.

In FIGS. 5 and 6, (1) is the upper body and leg support fixture of the present invention. Upper body placing part (2) for placing the upward upper body, upper limb holding part (3) for placing the upper limb in the upper limb position, and support pole (4) for securing the height of the upper limb holding part from the floor surface It is composed of

Here, the upper limb holding portion (3) includes a pipe frame (3a) defining the outer shape of the holding portion, and a holding surface (3b) which is locked to the pipe frame and directly holds the upper limb. In this embodiment, the pipe frame is made of steel and the holding surface is made of a net made of a reinforced material. And the pipe frame is the best at the elbow, It is configured to maintain 90 degrees. In addition, this elbow angle can be changed to a flexible material for the pipe at that part, or the pipe at the moving part is eliminated, the angle can be rotated only with the net, or the function that can be adjusted at the elbow part is added. May be. Also, it is a matter of course that this adjustment function may be provided for each joint as well as the elbow joint.

The width of the pipe is designed to be wide enough to cope with the cast, and the inside of the pipe frame has a net-like surface. Further, in this embodiment, a support pipe is used to keep the tip of the arm higher than the floor surface. With this configuration, the weight of the entire apparatus can be significantly reduced. And can be disassembled. The height of the pipe is adjustable.

In this example, this device was used to treat swelling due to finger congestion in an elderly patient who had to wear casts and braces for 3 months due to pseudoarticular symptoms after a complex fracture of the arm. For a patient who was aware of nocturnal pain due to pain and shoulder pain due to the same posture for a long period of time, after one week of use, there was no congestion in the arm and marked swelling of the fingertips and Pain has resolved. The symptom could be eliminated only by using the device of the present invention. .

"Example 2"

A second embodiment of the present invention will be described with reference to FIGS. In the present embodiment, it is formed integrally with a cushion material, and can be disassembled into various parts as shown in FIG. Since it is not a simple structure consisting only of a skeleton as in the first embodiment, it has excellent stability and cushioning properties. Furthermore, it is made of lightweight material, so it is convenient to carry, but it is not suitable for raising arms that require large capacity due to casting. As shown in FIG. 9, this device is composed of an upper limb holding section (5), a head holding section (6), and an upper body holding section (7). The fingertip rest (5a) is set at a height of about 20 cm above the ground. Naturally, the contact part (5b) of the elbow joint is formed so that the angle of 90 ° can be maintained. The angle and height can be adjusted by various known techniques such as levers.

By using such a device for fixing the upper limb position, the shoulder can be held at the zero position without binding the body to a bet or the like. Regardless of the holding state, the upper limb position fixing device of the present invention is inserted between the patient's upward upper body and the bed, and the upper limb, upper body, and head are placed on the respective holding sections. It is convenient because the same condition can be easily held and fixed just by placing it. In addition, it is possible to use only the necessary parts by using only some of the fixed fixtures. Also, when the fixing device of the present invention is used, the cervical plexus of the cervical vertebra is relaxed by raising the upper limb while the peripheral nerve is compressed for some reason at the cervical vertebra site from the clavicle to the upper neck. be able to. There is a brachial plexus between the pectoralis minor muscle and the muscles extending to the shoulder (axillary) on the upper arm, and fat. When both arms are in the shape of tens of thousands of years, they may compress and cause neurological symptoms. As a result, there is a disease (a type of thoracic outlet syndrome) in which arm stiffness occurs, and the use of the present invention may improve the situation.

This device is used during sleep for patients with cervical spondylosis, cervical intervertebral disc herniation, stenosis of the intervertebral foramen, and nerve extension difficulties, and insomnia and nighttime pain in the upper limb. In the experiment, it was found that lifting the arm relaxed the nerves and reduced the neural pain from the first time, resulting in a good night's sleep and a very effective effect. "Example 3"

In the present embodiment, an apparatus applicable to a person with a tortoiseshell will be described with reference to FIG.

Tortoise dorsum is a normal human vertebral body that is rectangular when viewed from the side, but is deformed due to compression fracture or congenital disease. Characteristically, she cannot sleep in the supine position.

However, in any of Embodiments 1 and 2, since the shoulder position is located above the bet (ground) surface, even a person with a gurus can use the device. More specifically, as shown in Fig. 10, if the space between the bed and the patient's back surface (8) is a fixture that can be just supported and buried, such Resting position of the upper limb becomes possible. In this case, even a person with a tortoise can sleep upward. By devising the height and shape of the pillow part and the fixing device in this way, patients with various diseases can be used.

"Example 4"

In this embodiment, a ring-shaped point fixing device will be described with reference to FIGS.

Fig. 11 shows an embodiment of the point fixing device, in which each block fixing device is connected to a ring-shaped connecting device (11a) to form a forearm block. (11b), elbow block (11c), shoulder block

(lid), back block (11e), and head holding part (6) ₍ in order to block each part in this manner, the arm must be closed as in Examples 1 and 2). It is not always necessary for the entire length to be supported by the fixtures. In any case, if only the points that need to be supported and fixed can be fixed (blocked), the desired good limb position can be maintained. In terms of overall weight, In terms of ease of transportation and operation of the equipment, a fixture with only these points is very convenient. Fig. 12 shows the state of use, and it can be seen that the limb position is sufficiently maintained even with a few fixed points. As the point, in the forearm block (11b), the shape of the block is preferably such that the forearm does not enter the inside. The shape of the point fixing device may be only a part of the support as shown in FIG. 12 or may be a semicircular shape having a recess in a cross section. Regardless of the shape, it is only necessary that the point can be supported and fixed. Especially for elbow prongs, as shown in Fig. 11, a recess (c) is provided on the inside of the elbow so that it can fit the curve of the elbow, If it is a lock, make adjustments such as shaping it to the shape of the shoulder curve. Each proc may be capable of being disassembled into a few parts. By disassembling in this way, the number of parts can be reduced even for people of different sizes or for small persons such as children. It becomes applicable by preparing. In addition, the method of preparing the size includes each block and ring.

May be a joint type such as a universal joint, or the ring may be configured to be extendable and contractible. In addition, additional parts may be installed between blocks as needed.

The head holding part (6) can be attached with an option so that the positions of the back and the like can be finely adjusted. If an angle from the bed is required for each part, adjust the angle and height by inserting a reinforcing pad under each part.

In this embodiment, only the necessary points can be fixed, which makes it easier to use than a large-scale device. "Example 5"

The present embodiment is an embodiment in which the upper body good limb position fixing device can be attached to the reclining sheet either electrically or manually.

In general, it is considered that such a fixture for upper body posture in the driver's seat of a car is very effective for long-distance drivers, etc., for recovery from fatigue.

More specifically, even if the chair is automatically lowered to become an upper body support when the chair is lowered (Fig. 13), the chair is lowered and the arms (E) and (F) stored separately are taken out. Therefore, a configuration that can be attached to the existing driver's seat (Fig. 14) may be used.

In the case of the electric type, the upper half (13a to l3c) of the back of the seat itself is divided so that it can be electrically driven. The motorized configuration, such as that the part (13a) and (13b) extend upward while rotating slightly inside, and the head holder (13c) can be set to a suitable height for the user. And

Such a chair may be applied not only to a driver's seat of a car but also to a chair in a general home, or may be applied to a waiting room or a consultation chair in a hospital or the like. Of course, it is not limited to chairs, but may be incorporated into reclining beds. Industrial applicability

According to the present invention, pain due to finger surgery, trauma, infection, forearm << trauma to elbows and upper limbs, infection, and post-surgery, inflammation of shoulder joints (fifty shoulders, calcified periarthritis of the shoulder, etc.). Peripheral neuropathy due to contractures, cervical disc herniation, radiation pain from the neck to the upper limb, multiple compression fractures of the elderly such as the dorsum, unable to lie in a supine position, metabolic disorders (eg diabetes Prevention and treatment in supine position for overuse of hands, fingers, elbows, and shoulders caused by reduced blood flow, such as cerebral ischemic infarction, and congestion due to peripheral neuropathy due to Is possible.

Almost all of the above diseases have already proven effective in experimental use. I was pleased that the pain disappeared immediately after use and the swelling of the fingers (swelling) was clearly improved, especially when used in patients who had pain in radiation and could not sleep due to nighttime pain.

In the current situation where there is no orthosis for the above-mentioned diseases, such as after surgery, the present invention can improve the symptoms only by sleeping many people upward, and better daily life It seems possible to operate.

Claims

The scope of the claims

1. Prevents upper limb congestion during sleep or supine position by having upper body mounting part and upper limb holding part connectable to the upper body mounting part, sleeping on supine and placing upper limb on the upper limb holding part Alternatively, an upper body good limb position fixing device characterized in that upper body pain can be reduced.

2. The upper limb position fixing device according to claim 1, wherein the upper limb holding portion is constituted by a net and a frame.

3. The upper body and limb position fixing device according to claim 1, wherein the angle of each joint can be adjusted according to the condition.

4. The upper body posture fixing device according to claim 1, wherein the upper body posture fixing device comprises an upper limb holding portion, a pillow portion and an upper body holding portion, and each member is integrally formed.

5.This is an upper body and limb position fixing device that can fix each point of the forearm, elbow joint, shoulder joint, back and neck, and has at least a fixing part and / or adjustment mechanism for each point. An upper body and leg support fixture characterized by the following.

6. A reclining seat, characterized in that the reclining sheet is provided with a fixing device for fixing the upper limb to a good limb position either electrically or manually.

7. Upper body upper body fixture that can be attached to the driver's seat.

8. The upper body and limb position fixing device according to claim 1, wherein a massage mechanism, a heating and cooling device, an ultrasonic device, or the like is provided as the fixing portion itself or as an attached mechanism.