WO2006006316A1 - Cervical vertebrae traction brace and cervical vertebrate traction device - Google Patents

Cervical vertebrae traction brace and cervical vertebrate traction device Download PDF

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Publication number
WO2006006316A1
WO2006006316A1 PCT/JP2005/010065 JP2005010065W WO2006006316A1 WO 2006006316 A1 WO2006006316 A1 WO 2006006316A1 JP 2005010065 W JP2005010065 W JP 2005010065W WO 2006006316 A1 WO2006006316 A1 WO 2006006316A1
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WIPO (PCT)
Prior art keywords
cervical
traction device
cervical traction
subject
belt
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PCT/JP2005/010065
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French (fr)
Japanese (ja)
Inventor
Yuichiro Morisawa
Original Assignee
Yuichiro Morisawa
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Publication date
Application filed by Yuichiro Morisawa filed Critical Yuichiro Morisawa
Priority to JP2006528430A priority Critical patent/JP4665901B2/en
Publication of WO2006006316A1 publication Critical patent/WO2006006316A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/04Devices for stretching or reducing fractured limbs; Devices for distractions; Splints

Definitions

  • the present invention relates to a cervical traction device and a cervical traction device that fixes and leads the head and neck used for cervical spine injury, traumatic cervical syndrome and the like.
  • a cervical traction device 20 (see, for example, Patent Document 1) used for conventional cervical vertebral traction is combined with a traction machine 21, a chair 22 and the like as shown in FIG. Constitute.
  • This conventional cervical traction device 20 requires an anterior support portion for a mandibular chin portion and a posterior support portion for a occipital nodule, but the mandible has an open reflex, a mandibular reflex, a periodontal masseter reflex. There is also a mandibular reflex such as a closed mouth reflex, and it is difficult to obtain a resting state in the muscles around the cervical spine due to the pressure during traction.
  • traction of the anterior upper force is considered to be the most effective in the cervical traction direction, and peripheral muscles are used for correction of joint contracture and relaxation of nerve root compression caused by cervical vertebra traction.
  • the chair 22 of the conventional cervical traction device is difficult to specify the cervical traction direction in which the backrest part etc. exists, and has no function of resting the surrounding muscles.
  • Patent Document 1 Japanese Patent Laid-Open No. 2002-159521, FIG. 1 (B)
  • an object of the present invention is to provide a cervical arch I device and a cervical arch I device that can perform cervical traction without compressing the mandible.
  • the present invention takes the following technical means.
  • the cervical traction device 2 of the present invention is a test of sitting posture or standing posture at an appropriate angle.
  • a cervical vertebral traction device 2 having a belt 1 attached to a person's head, wherein the belt 1 is attached to the subject's cervical vertebrae near the posterior surface of the subject so that the both sides of the head are sandwiched and pulled out forward and upward. Speak.
  • the cervical traction device 2 can obtain the anterior support portion of the belt 1 mainly in the radial arch and the frontal bone and the posterior support portion mainly in the lower part of the occipital bone nodule.
  • a substantially trapezoidal ring 24 with different lengths on the left and right sides is interposed between the belts 1 on both sides of the subject, and the ring 24 is located on the upper side of the belt 1 on each side. It can be mounted such that 24c is lowered rearward and the lower side 24d is raised rearward.
  • the occipital support band 27 is provided on the belt 1, and the occipital support band 27 is a combination of the left and right temporal bone support parts 27a, 27b and the central occipital bone support part 27c, Each end of the belt 1 on both sides of the subject can be pivotally attached to the left and right temporal bone support portions 27a and 27b.
  • the cervical traction device 3 including the cervical traction device 2 and a chair 9 on which the subject sits can be configured.
  • the chair 9 tilts the subject's posture backward, and the subject's posture is the same as the traction direction of the cervical traction device 2 or has a larger angle with respect to the vertical direction than the traction direction. It can be.
  • the chair 9 may have a headrest portion 12 capable of changing the inclination angle in the front-rear direction and the protruding degree in the vertical direction.
  • the chair 9 may be capable of incorporating the cervical traction device 2.
  • the cervical traction device 2 of the present invention has the above-described configuration, and the belt 1 is mounted so that the both side heads are sandwiched from the vicinity of the rear surface of the cervical vertebra of the subject and pulled out forward and upward. Since the support part is mainly located at the lower edge of the occipital bone nodule, the subject has less discomfort and can easily obtain a resting state of the muscles around the head and neck.
  • the cervical traction device 2 is provided with a ring 24 in the middle of the belt 1 on both sides of the subject, so that it can be used at the time of use! Force in the direction in which the interval narrows), and the ability to prevent separation of the head force of the subject of belt 1 is increased. You can make it. Furthermore, by providing the occipital support band 27 on the belt 1, the stability and feeling of use of the cervical traction device 2 are improved.
  • the subject's head and neck muscles are in a resting state by tilting the backrest portion 11 backward, and further, the headrest portion 12 makes the subject's head desired.
  • the muscles around the head and neck can be in a relaxed state at any time during towing and at rest.
  • FIG. 1 is an explanatory diagram of a use state of the entire cervical traction device according to an embodiment of the present invention.
  • FIG. 2 is an explanatory diagram of a usage state of the cervical traction device of the embodiment of the present invention.
  • FIG. 3 is an explanatory diagram of a usage state of a cervical traction device according to another embodiment of the present invention.
  • FIG. 4 is a schematic diagram showing the effect on the head due to the difference in the traction direction of the cervical traction device.
  • FIG. 5 is a schematic diagram showing the effect on the head due to the difference in the length of the cervical traction device.
  • FIG. 6 is a schematic diagram showing the influence on the auricle and upper cervical spine due to the difference in the height of the headrest portion of the chair.
  • FIG. 7 is an explanatory view of a treatment state of a conventional cervical traction device.
  • FIG. 8 is an explanatory diagram of a use state of a cervical traction device according to another embodiment of the present invention.
  • FIG. 9 is a partially enlarged perspective view of a cervical traction device according to another embodiment of the present invention.
  • FIG. 10 is a partially enlarged front view of a cervical traction device according to another embodiment of the present invention.
  • FIG. 1 is an explanatory view of the entire cervical traction device 3 according to an embodiment of the present invention
  • FIG. 2 is an explanatory view of the cervical traction device 2 in use.
  • This cervical traction device 3 is a cervical traction device 2
  • the cervical traction device 2 is a cervical traction device 2 having a belt 1 attached to the head of a subject in a sitting posture or standing at an appropriate angle, and the belt 1 is a posterior cervical spine of the subject.
  • the two heads are sandwiched from the vicinity of the face so that they can be pulled forward and upward.
  • the cervical traction device 2 includes a belt 1 and a length adjusting member 10.
  • Belt 1 is a flat belt made of an appropriate material.
  • the length adjusting member 10 is a metal ring.
  • the front upper part from both heads of the subject to which the belt 1 hits is the front support part, and the vicinity of the cervical vertebra rear part is the rear support part.
  • the part that hits the front support part of the belt 1 is provided with an elastic member (not shown) that is used as a mattress material on the inside, so that the height of the front of the auricle is increased. Secured and comfortable cervical traction for the subject without crushing the pinna.
  • the cervical traction device 2 has a function of adjusting the length of the belt 1 by moving the length adjusting member 10 that has passed the belts 1 on both sides up and down. It can be freely adjusted to the size.
  • the surface of the belt 1 has a rough surface structure with irregularities, and the length adjusting member 10 can be fixed.
  • the traction direction of the cervical vertebra by the cervical traction device 2 is an arbitrary angle with respect to the vertical direction (Y) (
  • the front hook 8 and the cervical traction device 2 are arranged in a straight line along the traction direction.
  • the belt 1 passes through the aforementioned part of the subject, and the subject feels uncomfortable. It is desirable that the belt 1 has an appropriate flexibility so that it can be pulled without giving. If the width of the belt 1 is too narrow, the resting state of the muscles around the head and neck cannot be obtained due to discomfort due to concentration of traction force, and if it is too wide, the freedom of extension of the upper cervical spine is inhibited. It is desirable that the width be an appropriate width so as not to cause a problem.
  • the material of the cervical traction device 2 can be leather or cloth, it can be variously modified within a range not departing from the gist of the present invention by having appropriate softness and width such as, for example, synthetic resin. It can be implemented. The same effect can be obtained by a force using a metal ring as the length adjusting member 10 for tightening the head of the cervical traction device 2 to the head, for example, a hook, and is not limited to this configuration.
  • the position of the head and neck of the cervical traction device 2 is described in detail as a reference position, but some errors can obtain the same effect, and are not limited to this.
  • the length adjusting member 10 of the cervical traction device 2 may have a shape in which rings are arranged at both ends of a single bar having an appropriate length, as shown in FIG. In this case, the distance between the belts 1 that sandwich the head from both sides is widened, and the sense of incongruity to the auricles can be removed.
  • the traction machine 4 is driven by a motor and pulls the cervical traction orthosis 2 through the hook 8 by winding the wire 7.
  • the angle at which the cervical traction device 2 is pulled can be appropriately set by changing the position of the guide roller 6.
  • the chair 9 includes a backrest part 11, a headrest part 12, an armrest part 13, and a seat part 14, and a predetermined angle ( ⁇ ) of the cervical traction device 2 given to the vertical direction (Y). )
  • the relationship between the cervical traction device 2 and the position of the subject's head is defined, and a frictional force is generated between the cervical traction device 2 and the lower part of the subject's occipital nodule.
  • the backrest 11 is inclined backward to a predetermined angle ( ⁇ ) in consideration of cost.
  • the angle can be adjusted by the reclining means, and the cervical traction treatment can be made more comfortable by adjusting the cervical traction direction at an optimum angle corresponding to the reclining angle. It is also possible to do.
  • the headrest portion 12 is provided above the backrest portion 11 via the coupling mechanism 15.
  • the coupling mechanism 15 includes an upper support bar 16, a lower support bar 17, an upper hinge 18, and a lower hinge 19, and the upper hinge 18 is disposed between the back side of the headrest 12 and the upper end of the upper support bar 16.
  • the lower hinge 19 is disposed between the lower end portion of the upper support bar 16 and the upper end portion of the lower support bar 17 so that the degree of vertical extension of the headrest portion 12 can be changed and adjusted. Further, the lower hinge 19 is provided with a rotation adjusting function, and the headrest portion 12 is configured to be able to handle subjects of all symptoms and physiques.
  • the upper hinge 18 of the headrest portion 12 has a function of freely tilting backward to change and adjust the bending angle thereof, so that the head and neck muscles are always prevented from obstructing the extension action of the cervical spine. It is configured to ensure a resting state.
  • the armrest portion 13 makes it possible to avoid emergency discomfort during traction of the cervical spine and maintain a left-right equilibrium state with respect to the traction direction.
  • the armrest portion 13 can be easily seated and unseated by providing a rotary opening / closing function.
  • the chair 9 can be variously substituted within a range not departing from the gist of the present invention, such as a treatment chair in a dental clinic, a barber / beauty chair in a beauty salon, and the like.
  • the cervical traction device 3 can be used as an auxiliary treatment for occlusion treatment in a mandibular deviation patient who has cervical spondylosis. That is, the cervical spine is A subject who appears to be bent can correct a robust cervical curvature by performing cervical traction therapy along with occlusion.
  • the conventional cervical traction device has a problem in compressing the most important temporomandibular joint in occlusion treatment, but the cervical traction device 3 of the present invention does not have such a problem.
  • the chair 9 can be used as a treatment chair in a dental clinic, it can be used for both occlusion treatment and cervical traction therapy, and can be used particularly effectively in a dental clinic.
  • the position of the head and neck is the rearmost part of the upper cervical vertebra, which is the rearmost position.
  • the belt 1 that crosses here and extends to the left and right of the head passes through the lower part of the bilateral occipital papilla, passes through the lower part of both auricles, and exits anteriorly and upwardly, sandwiching the bilateral radial arches.
  • the belt 1 extending to the left and right passes through the length adjusting member 10 toward one place and is connected to the hook 8 at the tip of the wire 7.
  • FIGS. 4 (to (d) show the angle ( ⁇ ) of the cervical traction with the cervical traction device 2 with respect to the vertical direction (Y).
  • FIG. 4 (a) shows a resting state in which no traction force is applied to the cervical traction device 2, and the headrest portion 12 is adjusted up and down and back and forth to ensure that the subject's head and neck muscles are at rest. It can be done.
  • FIG. 4 (b) shows a case where the anterior force is pulled more than the ideal pulling direction, the head position is bent backward, and the subject's upper cervical vertebra is uncomfortable and is inappropriate.
  • FIG. 4 (c) shows an ideal case where it is pulled in the same direction as the long axis of the cervical vertebra.
  • Fig. 4 (d) shows a case where the backward force is also pulled rather than the ideal pulling direction, and the head position is bent forward, causing discomfort to the auricle and inappropriate.
  • the predetermined angle ( ⁇ ) given to the backrest 11 of the chair 9 is cervical below the axial vertebra.
  • the disc By adjusting the angle of the cervical vertebrae traction direction ( ⁇ ) Thus, the disc can be pulled without causing discomfort in the extension of the cervical spine joint.
  • FIGS. 5 (to (c) are schematic views showing changes in head position caused by the difference in length of the cervical traction device 2.
  • FIG. 5 (a) is a case where the cervical traction device 2 is shorter than the ideal cervical traction device 2, and the head position is bent back, causing discomfort on the upper cervical vertebra and unsuitable.
  • FIG. 5 (b) shows the case where the cervical traction device 2 has an ideal length. The head position does not rotate, and the cervical vertebra traction device 2 is pulled in substantially the same direction as the cervical vertebra long axis.
  • FIG. 5 (c) shows a case where the cervical traction device 2 is longer than the ideal cervical traction device 2, and the head position is bent forward, causing discomfort to the auricle and inappropriate.
  • the cervical traction device 2 adjusts the head position of the subject to enable desired comfortable traction.
  • FIGS. 6 (a) to 6 (c) are schematic diagrams showing the influence on the auricle and the upper neck by the difference in the height of the headrest portion 12 of the chair 9.
  • FIG. 6 (a) shows that the headrest portion 12 is too high, and discomfort caused by the cervical traction device 2 occurs in the auricle and is inappropriate.
  • Fig. 6 (b) shows the case where the headrest portion 12 is at an ideal height.
  • Figure 6 (c) shows that when the headrest 12 is too low, a cervical vertebral kyphosis may occur, which may worsen nerve root symptoms on the posterior surface of the cervical spine. Goodbye
  • the degree of flexion of the occipital atlanto-vertebral joint changes depending on the height of the headrest portion 12 in which the force is in the same direction at the second cervical vertebra or the like regardless of the height of the headrest portion 12.
  • the cervical traction device 2 of the present invention is mainly composed of a single belt 1 and a length adjusting member 10, and the length adjusting member 10 is moved up and down so that the traction direction and length of the cervical traction device 2 are increased.
  • the length adjusting member 10 is moved up and down so that the traction direction and length of the cervical traction device 2 are increased.
  • the cervical traction device 2 is configured as described above, and the support part of the cervical traction device 2 is not required for the lower jaw, but mainly for the lower edge of the occipital bone nodules, so there is little discomfort. The resting state of the muscles around the head and neck can be easily obtained. Therefore, the effect of cervical traction is significant. The Therefore, it is desirable to apply a weaker load than when using a conventional cervical traction orthosis. If the traction force is too strong or the pressure distribution to the front and rear support parts is wrong, the front and rear support parts will be painful. In particular, great care must be taken because compression on the pinna is painful.
  • the posterior support portion of the cervical traction device 2 is also a portion corresponding to the muscles directly under the occipital bone, and moderate compression and relaxation produce a massage effect.
  • the cervical traction device 3 has a predetermined angle (backward inclined) of the backrest 11 of the chair 9 (
  • the difference in the predetermined angle ( ⁇ ) given to 1 and backrest 11 gives the cervical traction direction.
  • surgeon's identification allows for more reliable and effective cervical traction.
  • FIG. 8 shows a further improvement of the cervical traction device 2 of the present invention.
  • the cervical traction device 2 is assumed to have a substantially trapezoidal ring 24 having different left and right side lengths as shown in FIG. 9 interposed between the belts 1 on both sides of the subject.
  • the ring 24 is parallel to the left and right sides 24a, 24b, and the upper side 24c and the lower side 24d are inclined and tapered due to the difference in length between the sides 24a, 24b.
  • the ring 24 is attached to the belt 1 on each side of the subject so that the upper side 24c is lowered rearward and the lower side 24d is raised rearward.
  • the upper and lower ends of the middle of the belt 1 to which the ring 24 is attached are folded back so that the insertion part 25 of the upper side 24c and the lower side 24d of the ring 24 is formed inside, respectively, by sewing, bonding, metal fittings 26, etc. It is fixed.
  • the upper side 24c and the lower side 24d of the ring 24 are rotatable at the insertion portion 25, respectively.
  • the belt 1 extending in the left and right direction near the upper cervical vertebral surface sandwiches the head, falls forward and upward, and is connected to the hook 8.
  • the cervical traction device 2 is provided with a occipital support band portion 27 as shown in FIG. 10 on the belt 1.
  • the occipital support band 27 is a combination of the left and right temporal bone support portions 27a, 27b and the central occipital bone support portion 27c, and each end of the belt 1 on both sides of the subject has left and right temporal bone support portions.
  • 27a and 27b are rotatably attached by metal fittings 28.
  • the temporal bone support portions 27a and 27b have a width larger than that of the belt 1, and the occipital bone support portion 27c has the same width as that of the belt 1, and the temporal bone support portions 27a and 27b have a larger area. Fits well, so the cervical traction device 2 is more stable and comfortable to use.
  • the cervical traction device 2 may be configured such that either the ring 24 or the occipital support band 27 is not provided.
  • the cervical traction device 2 can be freely combined with the length adjusting member 10 and other components as appropriate.

Abstract

A cervical vertebrate traction brace capable of drawing a cervical vertebrate without oppressing a mandible and a cervical vertebrae traction device. The traction brace (2) comprises a belt (1) fitted to the head part of a test subject in a seated posture or a standing posture at a proper angle. The belt (1) is fitted so as to hold both head side parts from near the rear face of the cervical vertebrae of the test subject and be passed in the front upper side. Also, the cervical vertebrate traction device (3) having the cervical vertebrate traction brace (2) and a chair (9) for the test subject to sit thereon can be formed.

Description

明 細 書  Specification
頸椎牽引装具及び頸椎牽引装置  Cervical spine orthosis and cervical spine traction device
技術分野  Technical field
[0001] この発明は、頸椎損傷、外傷性頸部症候群などに用いられる頭頸部を固定、介達 牽引する頸椎牽引装具及び頸椎牽引装置に関するものである。  [0001] The present invention relates to a cervical traction device and a cervical traction device that fixes and leads the head and neck used for cervical spine injury, traumatic cervical syndrome and the like.
背景技術  Background art
[0002] 従来の頸椎の介達牽引に用いられる頸椎牽引装具 20 (例えば特許文献 1参照)は 、図 7に示したように、牽引機 21、椅子 22等と組み合わされて頸椎牽引装置 23を構 成する。  A cervical traction device 20 (see, for example, Patent Document 1) used for conventional cervical vertebral traction is combined with a traction machine 21, a chair 22 and the like as shown in FIG. Constitute.
[0003] この従来の頸椎牽引装具 20は、前方支持部分を下顎オトガイ部、後方支持部分を 後頭結節に支持部分を求めているが、下顎には開口反射、下顎張反射、歯根膜咬 筋反射および閉口反射といった下顎反射があり、牽引時の圧力によって、頸椎周囲 筋に安静状態を得られにくい。  [0003] This conventional cervical traction device 20 requires an anterior support portion for a mandibular chin portion and a posterior support portion for a occipital nodule, but the mandible has an open reflex, a mandibular reflex, a periodontal masseter reflex. There is also a mandibular reflex such as a closed mouth reflex, and it is difficult to obtain a resting state in the muscles around the cervical spine due to the pressure during traction.
[0004] 特に、咬合不正から頭頸部周囲筋に疼痛を訴える被験者は、顎関節にも問題を抱 えていることがほとんどであり、下顎に支持部分を求めることによる顎関節への圧迫 は、顎関節症を悪化させる誘因となっていた。  [0004] In particular, most of the subjects who complain of pain in the muscles around the head and neck due to malocclusion also have problems with the temporomandibular joint. It was an incentive to worsen arthropathy.
[0005] また、頸椎牽引方向はやや前上方力 の牽引が最も有効とされており、さらに頸椎 の牽引によってもたらされる、関節拘縮の矯正、神経根圧迫の緩和等には、周辺筋 肉を安静にする必要があるが、従来の頸椎牽引装置の椅子 22には背もたれ部など がなぐ頸椎牽引方向を特定しにくいうえ、前記周辺筋肉を安静にする機能も有して いなかった。  [0005] In addition, traction of the anterior upper force is considered to be the most effective in the cervical traction direction, and peripheral muscles are used for correction of joint contracture and relaxation of nerve root compression caused by cervical vertebra traction. Although it is necessary to rest, the chair 22 of the conventional cervical traction device is difficult to specify the cervical traction direction in which the backrest part etc. exists, and has no function of resting the surrounding muscles.
特許文献 1 :特開 2002— 159521号公報の図 1 (B)  Patent Document 1: Japanese Patent Laid-Open No. 2002-159521, FIG. 1 (B)
発明の開示  Disclosure of the invention
[0006] そこでこの発明は、下顎骨を圧迫することなく頸椎牽引を行うことが可能な頸椎牽 弓 I装具及び頸椎牽弓 I装置を提供することを課題とする。  [0006] Accordingly, an object of the present invention is to provide a cervical arch I device and a cervical arch I device that can perform cervical traction without compressing the mandible.
[0007] 前記課題を解決するため、この発明は次のような技術的手段を講じている。 In order to solve the above problems, the present invention takes the following technical means.
[0008] この発明の頸椎牽引装具 2は、腰掛けた姿勢又は適宜の角度で立った姿勢の被験 者の頭部に装着されるベルト 1を有する頸椎牽引装具 2であって、前記ベルト 1は被 験者の頸椎後面部付近力 両側頭部を挟み込んで前上方に抜けるようにして装着さ れるちのとして ヽる。 [0008] The cervical traction device 2 of the present invention is a test of sitting posture or standing posture at an appropriate angle. A cervical vertebral traction device 2 having a belt 1 attached to a person's head, wherein the belt 1 is attached to the subject's cervical vertebrae near the posterior surface of the subject so that the both sides of the head are sandwiched and pulled out forward and upward. Speak.
[0009] 前記頸椎牽引装具 2は、ベルト 1の前方支持部分を主に頰骨弓と前頭骨に求め、 後方支持部分を主に後頭骨結節下部に求めるものとすることができる。  [0009] The cervical traction device 2 can obtain the anterior support portion of the belt 1 mainly in the radial arch and the frontal bone and the posterior support portion mainly in the lower part of the occipital bone nodule.
[0010] また、左右の辺の長さが異なる略台形状のリング 24を、被験者の両側のベルト 1の 中間にそれぞれ介在させたものとし、リング 24は、各側のベルト 1に対し、上辺 24cが 後方に向かって下がり、下辺 24dが後方に向かって上がるように取り付けられたもの とすることができる。  [0010] Further, it is assumed that a substantially trapezoidal ring 24 with different lengths on the left and right sides is interposed between the belts 1 on both sides of the subject, and the ring 24 is located on the upper side of the belt 1 on each side. It can be mounted such that 24c is lowered rearward and the lower side 24d is raised rearward.
[0011] さらに、ベルト 1に後頭支持帯部 27を設けたものとし、後頭支持帯部 27は、左右の 側頭骨支持部 27a, 27bと中央の後頭骨支持部 27cを一体にしたもので、被験者の 両側のベルト 1の各端部は、左右の側頭骨支持部 27a, 27bに回動可能に取り付け られて!ヽるちのとすることがでさる。  [0011] Furthermore, it is assumed that the occipital support band 27 is provided on the belt 1, and the occipital support band 27 is a combination of the left and right temporal bone support parts 27a, 27b and the central occipital bone support part 27c, Each end of the belt 1 on both sides of the subject can be pivotally attached to the left and right temporal bone support portions 27a and 27b.
[0012] また、前記頸椎牽引装具 2と、被験者が腰掛ける椅子 9を備えた頸椎牽引装置 3を 構成することができる。  [0012] Further, the cervical traction device 3 including the cervical traction device 2 and a chair 9 on which the subject sits can be configured.
[0013] 椅子 9は、被験者の姿勢を後方傾斜させるものであり、被験者の姿勢を頸椎牽引装 具 2の牽引方向と同じ乃至牽引方向よりも鉛直方向に対して大きな角度を有するよう にしたものとすることができる。  [0013] The chair 9 tilts the subject's posture backward, and the subject's posture is the same as the traction direction of the cervical traction device 2 or has a larger angle with respect to the vertical direction than the traction direction. It can be.
[0014] 椅子 9は、前後方向の傾斜角度及び上下方向の挺出度を変更可能なヘッドレスト 部 12を有するものとすることができる。  [0014] The chair 9 may have a headrest portion 12 capable of changing the inclination angle in the front-rear direction and the protruding degree in the vertical direction.
[0015] さらに、椅子 9は、頸椎牽引装具 2を内蔵可能なものとすることができる。  [0015] Furthermore, the chair 9 may be capable of incorporating the cervical traction device 2.
[0016] この発明の頸椎牽引装具 2は、上述のような構成を有しており、ベルト 1が被験者の 頸椎後面部付近から両側頭部を挟み込んで前上方に抜けるようにして装着されるよ うにしており、支持部分を主に後頭骨結節下縁部に求めているため被験者に不快感 が少なく、頭頸部周囲筋の安静状態が得られやす 、。  [0016] The cervical traction device 2 of the present invention has the above-described configuration, and the belt 1 is mounted so that the both side heads are sandwiched from the vicinity of the rear surface of the cervical vertebra of the subject and pulled out forward and upward. Since the support part is mainly located at the lower edge of the occipital bone nodule, the subject has less discomfort and can easily obtain a resting state of the muscles around the head and neck.
[0017] また、頸椎牽引装具 2は、被験者の両側のベルト 1の中間にリング 24を設けることに より、使用時にお!、てベルト 1に被験者の前方及び内方 (被験者の両側のベルトの間 隔が狭まる方向)への力が働き、ベルト 1の被験者の頭部力もの離脱防止機能が増 すようにすることができる。さらに、ベルト 1に後頭支持帯部 27を設けることにより、頸 椎牽引装具 2の安定感や使用感が優れたものとなる。 [0017] Further, the cervical traction device 2 is provided with a ring 24 in the middle of the belt 1 on both sides of the subject, so that it can be used at the time of use! Force in the direction in which the interval narrows), and the ability to prevent separation of the head force of the subject of belt 1 is increased. You can make it. Furthermore, by providing the occipital support band 27 on the belt 1, the stability and feeling of use of the cervical traction device 2 are improved.
[0018] また、この発明の頸椎牽引装置 3は、背凭れ部 11を後方傾斜させることにより、被 験者の頭頸部周囲筋は安静な状態となり、さらに、ヘッドレスト部 12によって被験者 の頭部を所望な位置にすることにより、牽引時、休止時いかなるときも頭頸部周囲筋 をリラックスした状態にすることができる。 [0018] Further, in the cervical traction device 3 of the present invention, the subject's head and neck muscles are in a resting state by tilting the backrest portion 11 backward, and further, the headrest portion 12 makes the subject's head desired. By setting it to a proper position, the muscles around the head and neck can be in a relaxed state at any time during towing and at rest.
図面の簡単な説明  Brief Description of Drawings
[0019] [図 1]この発明の実施形態の頸椎牽引装置全体の使用状態の説明図である。 FIG. 1 is an explanatory diagram of a use state of the entire cervical traction device according to an embodiment of the present invention.
[図 2]この発明の実施形態の頸椎牽引装具の使用状態の説明図である。  FIG. 2 is an explanatory diagram of a usage state of the cervical traction device of the embodiment of the present invention.
[図 3]この発明の他の実施形態の頸椎牽引装具の使用状態の説明図である。  FIG. 3 is an explanatory diagram of a usage state of a cervical traction device according to another embodiment of the present invention.
[図 4]頸椎牽引装具の牽引方向の違いによる頭部への影響を表した模式図である。  FIG. 4 is a schematic diagram showing the effect on the head due to the difference in the traction direction of the cervical traction device.
[図 5]頸椎牽引装具の長さの違いによる頭部への影響を表した模式図である。  FIG. 5 is a schematic diagram showing the effect on the head due to the difference in the length of the cervical traction device.
[図 6]椅子のヘッドレスト部の高さの違いによる耳介および上位頸椎への影響を表し た模式図である。  FIG. 6 is a schematic diagram showing the influence on the auricle and upper cervical spine due to the difference in the height of the headrest portion of the chair.
[図 7]従来の頸椎牽引装具の治療状態の説明図である。  FIG. 7 is an explanatory view of a treatment state of a conventional cervical traction device.
[図 8]この発明の他の実施形態の頸椎牽引装具の使用状態の説明図である。  FIG. 8 is an explanatory diagram of a use state of a cervical traction device according to another embodiment of the present invention.
[図 9]この発明の他の実施形態の頸椎牽引装具の一部拡大斜視図である。  FIG. 9 is a partially enlarged perspective view of a cervical traction device according to another embodiment of the present invention.
[図 10]この発明の他の実施形態の頸椎牽引装具の一部拡大正面図である。  FIG. 10 is a partially enlarged front view of a cervical traction device according to another embodiment of the present invention.
符号の説明  Explanation of symbols
[0020] 1 ベルト [0020] 1 belt
2 頸椎牽引装具  2 Cervical traction orthosis
3 頸椎牽引装置  3 Cervical spine traction device
9 椅子  9 Chair
12 ヘッドレスト部  12 Headrest section
24 リング  24 rings
24c 上辺  24c upper side
24d 下辺  24d bottom
27 後頭支持帯部 27a, 27b 側頭骨支持部 27 Occipital support band 27a, 27b Temporal bone support
27c 後頭骨支持部  27c Occipital bone support
発明を実施するための最良の形態  BEST MODE FOR CARRYING OUT THE INVENTION
[0021] 以下、この発明の実施の好適な形態を、図面を参照して説明する。 Hereinafter, preferred embodiments of the present invention will be described with reference to the drawings.
[0022] 図 1はこの発明の実施形態の頸椎牽引装置 3全体の使用状態の説明図、図 2は頸 椎牽引装具 2の使用状態の説明図である。この頸椎牽引装置 3は、頸椎牽引装具 2FIG. 1 is an explanatory view of the entire cervical traction device 3 according to an embodiment of the present invention, and FIG. 2 is an explanatory view of the cervical traction device 2 in use. This cervical traction device 3 is a cervical traction device 2
、牽引機 4、支柱 5、ガイドローラー 6、ワイヤ 7、フック 8、椅子 9を備えたものとしてい る。 , Traction machine 4, prop 5, guide roller 6, wire 7, hook 8, chair 9.
[0023] 頸椎牽引装具 2は、腰掛けた姿勢又は適宜の角度で立った姿勢の被験者の頭部 に装着されるベルト 1を有する頸椎牽引装具 2であって、前記ベルト 1は被験者の頸 椎後面部付近から両側頭部を挟み込んで前上方に抜けるようにして装着されるよう にしている。  [0023] The cervical traction device 2 is a cervical traction device 2 having a belt 1 attached to the head of a subject in a sitting posture or standing at an appropriate angle, and the belt 1 is a posterior cervical spine of the subject. The two heads are sandwiched from the vicinity of the face so that they can be pulled forward and upward.
[0024] 頸椎牽引装具 2はベルト 1と長さ調節部材 10からなる。ベルト 1は、適宜の素材から なる平ベルトとしている。長さ調節部材 10は金属製のリングとしている。  The cervical traction device 2 includes a belt 1 and a length adjusting member 10. Belt 1 is a flat belt made of an appropriate material. The length adjusting member 10 is a metal ring.
[0025] 前記ベルト 1が当たる、被験者の両側頭部から前上方の部分を前方支持部分とし、 頸椎後面部付近を後方支持部分とする。ベルト 1の前方支持部分に当たる箇所には 、その内側にマットレス素材として使用されているような弾力性のある部材(図示せず )を添えたものとすることにより、耳介の前面に高さが確保され、耳介を押しつぶすこと なぐ被験者にとって快適な頸椎牽引を行うことができる。  [0025] The front upper part from both heads of the subject to which the belt 1 hits is the front support part, and the vicinity of the cervical vertebra rear part is the rear support part. The part that hits the front support part of the belt 1 is provided with an elastic member (not shown) that is used as a mattress material on the inside, so that the height of the front of the auricle is increased. Secured and comfortable cervical traction for the subject without crushing the pinna.
[0026] 頸椎牽引装具 2は、両側のベルト 1を通過させた長さ調節部材 10を上下に移動さ せることによってベルト 1の長さを調節する機能を有しており、被験者の頭部の大きさ に自在に合わせることができる。ベルト 1の表面は凹凸を有する粗面構造となってお り、長さ調節部材 10を固定させることを可能にしている。  [0026] The cervical traction device 2 has a function of adjusting the length of the belt 1 by moving the length adjusting member 10 that has passed the belts 1 on both sides up and down. It can be freely adjusted to the size. The surface of the belt 1 has a rough surface structure with irregularities, and the length adjusting member 10 can be fixed.
[0027] この頸椎牽引装具 2による頸椎の牽引方向は、鉛直方向 (Y)に対して任意の角度 (  [0027] The traction direction of the cervical vertebra by the cervical traction device 2 is an arbitrary angle with respect to the vertical direction (Y) (
Θ )だけ後方に傾斜するようにしている。牽引機 4の支柱 5に設置される横腕の先端 (Θ) is inclined backward. The tip of the side arm installed on the prop 5 of the traction machine 4
1 1
部に設けられたガイドローラー 6から前方のフック 8、頸椎牽引装具 2は、前記牽引方 向に沿って一直線に並ぶようになって 、る。  From the guide roller 6 provided in the section, the front hook 8 and the cervical traction device 2 are arranged in a straight line along the traction direction.
[0028] 頸椎牽引装具 2は、ベルト 1が被験者の前記の部位を通過し、被験者に不快感を 与えることなく牽引が行われるようにするため、ベルト 1が適度な柔軟性を有するもの とすることが望ましい。また、ベルト 1の幅径は、狭すぎると牽引力の集中による不快 感により頭頸部周囲筋の安静状態が得られず、広すぎると上位頸椎の伸展作用の 自由度を阻害されるので、これらの問題が生じないように適度な幅径とすることが望ま しい。 [0028] In the cervical traction orthosis 2, the belt 1 passes through the aforementioned part of the subject, and the subject feels uncomfortable. It is desirable that the belt 1 has an appropriate flexibility so that it can be pulled without giving. If the width of the belt 1 is too narrow, the resting state of the muscles around the head and neck cannot be obtained due to discomfort due to concentration of traction force, and if it is too wide, the freedom of extension of the upper cervical spine is inhibited. It is desirable that the width be an appropriate width so as not to cause a problem.
[0029] 頸椎牽引装具 2のベルト 1によって後頭骨後面に所定の方向から適度な力が加わ ると上位頸椎連結部が伸展し、頭蓋は前屈されようとするが、頭部前面に囲堯された ベルト 1は、頰骨弓と前頭骨から、反対に頭蓋を後屈する作用が加わるため頸椎牽 引装具 2の離脱が防止される。  [0029] When an appropriate force is applied from a predetermined direction to the posterior surface of the occipital bone by the belt 1 of the cervical traction device 2, the upper cervical vertebra connection portion extends and the skull tends to be bent forward, but the front of the head is surrounded. The belt 1 is prevented from detaching the cervical tractor pulling device 2 from the radial arch and the frontal bone, which reversely bends the skull.
[0030] なお、頸椎牽引装具 2の材質は皮革や布などを使用できるが、例えば、合成樹脂 のような適度の軟性と幅を持たせることによって、この発明の要旨を逸脱しない範囲 において種々変形実施可能である。また、頸椎牽引装具 2の頭部への締め付けのた めに長さ調節部材 10として金属製のリングを使用した力 例えばホックによって同様 の効果を得ることは可能であり、この構成に限定されない。そして、頸椎牽引装具 2の 頭頸部設置位置は基準位置として詳細に記したが、多少の誤差は同様の効果を得 られ、これに限らない。  [0030] Although the material of the cervical traction device 2 can be leather or cloth, it can be variously modified within a range not departing from the gist of the present invention by having appropriate softness and width such as, for example, synthetic resin. It can be implemented. The same effect can be obtained by a force using a metal ring as the length adjusting member 10 for tightening the head of the cervical traction device 2 to the head, for example, a hook, and is not limited to this configuration. The position of the head and neck of the cervical traction device 2 is described in detail as a reference position, but some errors can obtain the same effect, and are not limited to this.
[0031] また、頸椎牽引装具 2の長さ調節部材 10は、図 3に示したように、適宜長さの 1本の 棒の両端にリングを配した形状のものとすることもできる。この場合、頭部を両側から 挟むベルト 1間の間隔が拡がり、耳介への違和感を取り除くことができる。  [0031] In addition, the length adjusting member 10 of the cervical traction device 2 may have a shape in which rings are arranged at both ends of a single bar having an appropriate length, as shown in FIG. In this case, the distance between the belts 1 that sandwich the head from both sides is widened, and the sense of incongruity to the auricles can be removed.
[0032] 牽引機 4は、モーターによって駆動されるようにしており、ワイヤ 7を巻き取ることによ り、フック 8を介して頸椎牽引装具 2を牽引する。頸椎牽引装具 2を牽引する角度は、 ガイドローラー 6の位置を変更することにより適宜設定可能である。  The traction machine 4 is driven by a motor and pulls the cervical traction orthosis 2 through the hook 8 by winding the wire 7. The angle at which the cervical traction device 2 is pulled can be appropriately set by changing the position of the guide roller 6.
[0033] 椅子 9は、背凭れ部 11、ヘッドレスト部 12、アームレスト部 13、座部 14より構成され ており、鉛直方向 (Y)に対して与えられた頸椎牽引装具 2の所定の角度( Θ )ょり大  [0033] The chair 9 includes a backrest part 11, a headrest part 12, an armrest part 13, and a seat part 14, and a predetermined angle (Θ) of the cervical traction device 2 given to the vertical direction (Y). )
1 きな角度( Θ )をあらかじめその背凭れ部 11に与え、後方傾斜させることによって、頸  1 Preliminary angle (Θ) is given to the backrest 11 and tilted backward to
2  2
椎牽引装具 2による頸椎牽引方向と被験者の頭部の位置関係を規定し、頸椎牽引 装具 2と被験者の後頭結節下部の間に摩擦力を生じさせる。  The relationship between the cervical traction device 2 and the position of the subject's head is defined, and a frictional force is generated between the cervical traction device 2 and the lower part of the subject's occipital nodule.
[0034] 頸椎牽引装具 2の支持部分を後頭結節下部のみに求めると、十分な固定が得られ ず、頸椎牽引装具 2の脱離が生じる可能性があるが、椅子 9を可撓性のあるマット材 を採用したものとすることによって、頸椎牽引装具 2の頭蓋上方への脱離を防止する ことができる。 [0034] When the support part of the cervical traction device 2 is obtained only at the lower part of the occipital nodule, sufficient fixation is obtained. However, detachment of the cervical traction device 2 may occur, but by using a flexible mat material for the chair 9, the cervical traction device 2 is prevented from being detached above the skull. be able to.
[0035] この実施形態では、背凭れ部 11は、コスト面を配慮して所定の角度( Θ )に後方傾  [0035] In this embodiment, the backrest 11 is inclined backward to a predetermined angle (Θ) in consideration of cost.
2 斜させた状態に固定しているが、リクライニング手段によって角度調整ができるように し、リクライニング角度に対応した最適な角度で頸椎牽引方向を調整することにより、 頸椎牽引治療をより快適なものにすることも可能である。  2 Although it is fixed in a slanted state, the angle can be adjusted by the reclining means, and the cervical traction treatment can be made more comfortable by adjusting the cervical traction direction at an optimum angle corresponding to the reclining angle. It is also possible to do.
[0036] ヘッドレスト部 12は、連結機構 15を介して背凭れ部 11の上方に設けられている。  The headrest portion 12 is provided above the backrest portion 11 via the coupling mechanism 15.
連結機構 15は、上部支持棒 16、下部支持棒 17、上部ヒンジ 18及び下部ヒンジ 19か らなり、上部ヒンジ 18はヘッドレスト部 12の裏側と上部支持棒 16の上端部との間に 配され、下部ヒンジ 19は上部支持棒 16の下端部と下部支持棒 17の上端部との間に 配されており、ヘッドレスト部 12の上下延出度を変更、調節可能としている。さらに、 下部ヒンジ 19は回転調節機能が設けられており、ヘッドレスト部 12をあらゆる症状、 体格の被験者に対応できるように構成されて 、る。  The coupling mechanism 15 includes an upper support bar 16, a lower support bar 17, an upper hinge 18, and a lower hinge 19, and the upper hinge 18 is disposed between the back side of the headrest 12 and the upper end of the upper support bar 16. The lower hinge 19 is disposed between the lower end portion of the upper support bar 16 and the upper end portion of the lower support bar 17 so that the degree of vertical extension of the headrest portion 12 can be changed and adjusted. Further, the lower hinge 19 is provided with a rotation adjusting function, and the headrest portion 12 is configured to be able to handle subjects of all symptoms and physiques.
[0037] 一方、ヘッドレスト部 12の上部ヒンジ 18は、自在に後方傾斜させその屈曲角度を変 更、調節する機能を備えることによって、頸椎の伸展作用を阻害することなぐ常時、 頭頸部周囲筋が安静状態を確保できるように構成されて 、る。  [0037] On the other hand, the upper hinge 18 of the headrest portion 12 has a function of freely tilting backward to change and adjust the bending angle thereof, so that the head and neck muscles are always prevented from obstructing the extension action of the cervical spine. It is configured to ensure a resting state.
[0038] アームレスト部 13は、頸椎牽引時の違和感に対する緊急回避と牽引方向に対する 左右平衡状態の維持を可能にする。また、アームレスト部 13に回転式開閉機能を設 けることによって、着座、脱座を容易にすることも可能である。  [0038] The armrest portion 13 makes it possible to avoid emergency discomfort during traction of the cervical spine and maintain a left-right equilibrium state with respect to the traction direction. In addition, the armrest portion 13 can be easily seated and unseated by providing a rotary opening / closing function.
[0039] さらに、上部ヒンジ 18にてヘッドレスト部 12を自在に後方傾斜させる手段として、上 述の説明では、 2つのヒンジを取り付けたものとし、頭頸部周囲筋の安静状態を得ら れるようにしている力 3つのヒンジを取り付けることによつても、同様の効果を得ること も可能であり、ヘッドレスト部 12の構造はこれに限らない。  [0039] Further, in the above description, it is assumed that two hinges are attached as means for freely tilting the headrest portion 12 at the upper hinge 18, so that a resting state of the muscles around the head and neck can be obtained. The same effect can be obtained by attaching three hinges, and the structure of the headrest portion 12 is not limited to this.
[0040] なお、椅子 9は、歯科医院における治療用椅子、美容院における理美容椅子等、 その他この発明の要旨を逸脱しない範囲において種々代用実施可能である。  [0040] It should be noted that the chair 9 can be variously substituted within a range not departing from the gist of the present invention, such as a treatment chair in a dental clinic, a barber / beauty chair in a beauty salon, and the like.
[0041] また、頸椎症を併発した下顎偏位症患者における咬合治療の補助的な治療として この頸椎牽引装置 3を用いることができる。すなわち、下顎の偏位が原因で頸椎が彎 曲していると思われる被験者には、咬合治療とともに、頸椎牽引療法を施術すること によって、頑強な頸椎彎曲を是正することが可能である。従来の頸椎牽引装置では、 前述の通り、咬合治療において最も重要な顎関節を圧迫していることに問題があつ たが、この発明の頸椎牽引装置 3によればそのような問題はない。し力も、椅子 9は歯 科医院における治療用椅子とすることができるので、咬合治療と頸椎牽引療法の双 方に利用可能であり、特に歯科医院において極めて有効に利用することができる。 [0041] In addition, the cervical traction device 3 can be used as an auxiliary treatment for occlusion treatment in a mandibular deviation patient who has cervical spondylosis. That is, the cervical spine is A subject who appears to be bent can correct a robust cervical curvature by performing cervical traction therapy along with occlusion. As described above, the conventional cervical traction device has a problem in compressing the most important temporomandibular joint in occlusion treatment, but the cervical traction device 3 of the present invention does not have such a problem. Since the chair 9 can be used as a treatment chair in a dental clinic, it can be used for both occlusion treatment and cervical traction therapy, and can be used particularly effectively in a dental clinic.
[0042] さらに、椅子 9の座部 14の下に牽引機 4や頸椎牽引装具 2等を内蔵させられるよう にしたスペースを設け、ここに不使用時にコンパクトにできるようにすることも可能であ る。 [0042] Furthermore, it is possible to provide a space in which the traction machine 4, the cervical traction device 2 and the like can be built under the seat 14 of the chair 9 so that the space can be made compact when not in use. The
[0043] 次に、この頸椎牽引装置 3の使用時における被験者の状態について説明する。  Next, the state of the subject when using the cervical traction device 3 will be described.
[0044] 図 1、図 2に示したように、頸椎牽引装具 2のベルト 1を被験者の頭部に装着すると き、その頭頸部設置位置は最後方である上位頸椎後面部付近で、ベルト 1はここを 横断し、頭部の左右にそれぞれ延びるベルト 1は、両側後頭骨乳頭部後面通過後、 両側耳介の下部を通し、両側頰骨弓を挟み込むようにして前上方へ抜ける。そして、 左右にそれぞれ延びるベルト 1は一箇所に向かい長さ調節部材 10を通過し、ワイヤ 7の先端のフック 8に連結する。 [0044] As shown in Figs. 1 and 2, when the belt 1 of the cervical traction device 2 is worn on the subject's head, the position of the head and neck is the rearmost part of the upper cervical vertebra, which is the rearmost position. The belt 1 that crosses here and extends to the left and right of the head passes through the lower part of the bilateral occipital papilla, passes through the lower part of both auricles, and exits anteriorly and upwardly, sandwiching the bilateral radial arches. The belt 1 extending to the left and right passes through the length adjusting member 10 toward one place and is connected to the hook 8 at the tip of the wire 7.
[0045] 図 4( 〜 (d)は、頸椎牽引装具 2による頸椎牽引方向の鉛直方向 (Y)に対する角 度( Θ ) [0045] FIGS. 4 (to (d) show the angle (Θ) of the cervical traction with the cervical traction device 2 with respect to the vertical direction (Y).
1 の違 、による頭位の変化を表した模式図である。  It is a schematic diagram showing the change in head position due to the difference of 1.
[0046] 図 4 (a)は、頸椎牽引装具 2に牽引力を加えてない休止状態であり、ヘッドレスト部 12を上下、前後に調整することにより、被験者の頭頸部周囲筋の安静状態を確保す ることがでさる。  [0046] FIG. 4 (a) shows a resting state in which no traction force is applied to the cervical traction device 2, and the headrest portion 12 is adjusted up and down and back and forth to ensure that the subject's head and neck muscles are at rest. It can be done.
[0047] 図 4 (b)は、理想的な牽引方向よりも前方力も牽引された場合で、頭位は後屈し、被 験者の上位頸椎後面に不快感が生じ、不適切である。  [0047] FIG. 4 (b) shows a case where the anterior force is pulled more than the ideal pulling direction, the head position is bent backward, and the subject's upper cervical vertebra is uncomfortable and is inappropriate.
[0048] 図 4 (c)は、理想的に牽引された場合で、頸椎の長軸と同方向に牽引される。 [0048] FIG. 4 (c) shows an ideal case where it is pulled in the same direction as the long axis of the cervical vertebra.
[0049] 図 4 (d)は、理想的な牽引方向よりも後方力も牽引された場合で、頭位は前屈し、耳 介への不快感生じ、不適切である。 [0049] Fig. 4 (d) shows a case where the backward force is also pulled rather than the ideal pulling direction, and the head position is bent forward, causing discomfort to the auricle and inappropriate.
[0050] 椅子 9の背凭れ部 11にあら力じめ付与された所定の角度( Θ )は、軸椎以下の頸 [0050] The predetermined angle (Θ) given to the backrest 11 of the chair 9 is cervical below the axial vertebra.
2  2
椎長軸とほぼ同様な角度であり、前記頸椎牽引方向の角度( Θ )を調節することによ つて、頸椎関節の伸長に不快感を与えることなく椎間板を牽引することを可能にして いる。 By adjusting the angle of the cervical vertebrae traction direction (Θ) Thus, the disc can be pulled without causing discomfort in the extension of the cervical spine joint.
[0051] 図 5( 〜(c)は、頸椎牽引装具 2の長さの違いによっておこる、頭位の変化を表し た模式図である。  FIGS. 5 (to (c) are schematic views showing changes in head position caused by the difference in length of the cervical traction device 2.
[0052] 図 5(a)は頸椎牽引装具 2が理想的な頸椎牽引装具 2の長さよりも短い場合で、頭 位は後屈し上位頸椎後面に不快感が生じ、不適切である。  [0052] FIG. 5 (a) is a case where the cervical traction device 2 is shorter than the ideal cervical traction device 2, and the head position is bent back, causing discomfort on the upper cervical vertebra and unsuitable.
[0053] 図 5 (b)は頸椎牽引装具 2が理想的な長さの場合で、頭位は回転せず、頸椎長軸と ほぼ同方向に牽引される。 FIG. 5 (b) shows the case where the cervical traction device 2 has an ideal length. The head position does not rotate, and the cervical vertebra traction device 2 is pulled in substantially the same direction as the cervical vertebra long axis.
[0054] 図 5 (c)は頸椎牽引装具 2が理想的な頸椎牽引装具 2の長さよりも長い場合で、頭 位は前屈し、耳介への不快感が生じ、不適切である。 FIG. 5 (c) shows a case where the cervical traction device 2 is longer than the ideal cervical traction device 2, and the head position is bent forward, causing discomfort to the auricle and inappropriate.
[0055] 頸椎牽引装具 2は、長さを適切に調整することにより、被験者の頭位を調節し所望 する快適な牽引を可能にする。 [0055] By appropriately adjusting the length, the cervical traction device 2 adjusts the head position of the subject to enable desired comfortable traction.
[0056] 図 6(a)〜(c)は、椅子 9のヘッドレスト部 12の高さの違いによる耳介および上位頸 推への影響を表した模式図である。 FIGS. 6 (a) to 6 (c) are schematic diagrams showing the influence on the auricle and the upper neck by the difference in the height of the headrest portion 12 of the chair 9.
[0057] 図 6(a)はヘッドレスト部 12が高すぎた場合で、頸椎牽引装具 2による不快感が耳介 に生じ、不適切である。  [0057] FIG. 6 (a) shows that the headrest portion 12 is too high, and discomfort caused by the cervical traction device 2 occurs in the auricle and is inappropriate.
[0058] 図 6 (b)はヘッドレスト部 12が理想的な高さのときである。 [0058] Fig. 6 (b) shows the case where the headrest portion 12 is at an ideal height.
[0059] 図 6 (c)はヘッドレスト部 12が低すぎたときで、頸椎の過後彎の状態が生じ、頸椎後 面にある神経根症状を悪ィ匕させる可能性があり、特に注意しなければならな 、。  [0059] Figure 6 (c) shows that when the headrest 12 is too low, a cervical vertebral kyphosis may occur, which may worsen nerve root symptoms on the posterior surface of the cervical spine. Goodbye
[0060] つまり、ヘッドレスト部 12の高さによらず第 2頸椎以下は同方向である力 ヘッドレス ト部 12の高さによって後頭骨環椎関節の屈曲度が変化する。  [0060] That is, the degree of flexion of the occipital atlanto-vertebral joint changes depending on the height of the headrest portion 12 in which the force is in the same direction at the second cervical vertebra or the like regardless of the height of the headrest portion 12.
[0061] この発明の頸椎牽引装具 2は、主に一本のベルト 1と長さ調節部材 10によって構成 されており、長さ調節部材 10を上下動させ、頸椎牽引装具 2の牽引方向と長さを任 意に設定することによって、前後支持部分への圧力を分配させ、被験者のあらゆる症 状、頭部の大きさに対応できるので、操作性がよく簡便に使用することができる。  [0061] The cervical traction device 2 of the present invention is mainly composed of a single belt 1 and a length adjusting member 10, and the length adjusting member 10 is moved up and down so that the traction direction and length of the cervical traction device 2 are increased. By arbitrarily setting the length, it is possible to distribute the pressure to the front and rear support parts and respond to all symptoms and the size of the head of the subject, so that the operability can be easily and easily used.
[0062] この頸椎牽引装具 2は、以上のように構成されており、頸椎牽引装具 2の支持部分 を下顎に求めず、主に後頭骨結節下縁部に求めているために不快感は少なぐ頭頸 部周囲筋の安静状態が得られやすい。そのために、頸椎牽引による効果は大きくな る。したがって、従来の頸椎牽引装具を使用する場合より弱い荷重を力けるほうが望 ましい。牽引力が強すぎたり、前後支持部分への圧力の分配を誤ると前後支持部分 に痛みを生じる。特に、耳介への圧迫は痛みを伴いやすいので細心の注意を払わな ければならない。 [0062] The cervical traction device 2 is configured as described above, and the support part of the cervical traction device 2 is not required for the lower jaw, but mainly for the lower edge of the occipital bone nodules, so there is little discomfort. The resting state of the muscles around the head and neck can be easily obtained. Therefore, the effect of cervical traction is significant. The Therefore, it is desirable to apply a weaker load than when using a conventional cervical traction orthosis. If the traction force is too strong or the pressure distribution to the front and rear support parts is wrong, the front and rear support parts will be painful. In particular, great care must be taken because compression on the pinna is painful.
[0063] さらに、頸椎牽引装具 2の後方支持部分は、後頭骨直下筋群に相当する部位でも あり、適度の圧迫、弛緩はマッサージ効果を生む。  [0063] Further, the posterior support portion of the cervical traction device 2 is also a portion corresponding to the muscles directly under the occipital bone, and moderate compression and relaxation produce a massage effect.
[0064] また、前記頸椎牽引装置 3は、椅子 9の背凭れ部 11の後方傾斜した所定の角度( [0064] The cervical traction device 3 has a predetermined angle (backward inclined) of the backrest 11 of the chair 9 (
Θ )によって、被験者の頭頸部周囲筋が安静な状態となり、さらに、ヘッドレスト部 12 Θ) brings the subject's head and neck muscles to a resting state, and the headrest 12
2 2
によって被験者の頭部を所望な位置にすることにより、牽引時、休止時いかなるときも 頭頸部周囲筋はリラックスした状態となる。また、頸椎牽引装具 2の所定の角度( Θ )  By placing the subject's head in the desired position, the head and neck muscles are in a relaxed state at any time during towing and resting. In addition, a predetermined angle (Θ) of the cervical traction device 2
1 と背凭れ部 11に与えられた所定の角度( Θ )の差異によって、頸椎の牽引方向を施  The difference in the predetermined angle (Θ) given to 1 and backrest 11 gives the cervical traction direction.
2  2
術者が特定することは、より確実で効果的な頸椎牽引を可能とする。  The surgeon's identification allows for more reliable and effective cervical traction.
[0065] 図 8は、この発明の頸椎牽引装具 2をさらに改良したものである。この頸椎牽引装具 2は、図 9に示したような、左右の辺の長さが異なる略台形状のリング 24を、被験者の 両側のベルト 1の中間にそれぞれ介在させたものとして 、る。  FIG. 8 shows a further improvement of the cervical traction device 2 of the present invention. The cervical traction device 2 is assumed to have a substantially trapezoidal ring 24 having different left and right side lengths as shown in FIG. 9 interposed between the belts 1 on both sides of the subject.
[0066] 前記リング 24は、左右の辺 24a, 24b力平行で、この辺 24a, 24bの長さの相違に より、上辺 24cと下辺 24dが傾斜を有しテーパー状になっている。リング 24は、被験 者の各側のベルト 1に対し、上辺 24cが後方に向かって下がり、下辺 24dが後方に向 力つて上がるように取り付けられている。リング 24を取り付けるベルト 1の中間の上下 の各端部は折り返されて、それぞれ内側にリング 24の上辺 24cと下辺 24dの挿入部 25が形成されるようにして、縫製、接着、金具 26等により固定されている。リング 24の 上辺 24cと下辺 24dは、それぞれ前記挿入部 25において回動可能になっている。  [0066] The ring 24 is parallel to the left and right sides 24a, 24b, and the upper side 24c and the lower side 24d are inclined and tapered due to the difference in length between the sides 24a, 24b. The ring 24 is attached to the belt 1 on each side of the subject so that the upper side 24c is lowered rearward and the lower side 24d is raised rearward. The upper and lower ends of the middle of the belt 1 to which the ring 24 is attached are folded back so that the insertion part 25 of the upper side 24c and the lower side 24d of the ring 24 is formed inside, respectively, by sewing, bonding, metal fittings 26, etc. It is fixed. The upper side 24c and the lower side 24d of the ring 24 are rotatable at the insertion portion 25, respectively.
[0067] 図 1〜図 3に表れているように、上位頸椎後面部付近力 左右にそれぞれ延びるベ ルト 1は、頭部を挟み込み、前上方へ抜け、そして、フック 8に連結しており、被験者 の正面からみると、上方に狭まるテーパー状となる力 被験者の両側のベルト 1の中 間にリング 24を設けたことにより、ベルト 1に被験者の頭部の前方及び内方 (頭部の 両側のベルト 1の間隔が狭まる方向)へ向かおうとする力が働き、ベルト 1の被験者の 頭部からの離脱防止機能が増すようになって!/、る。 [0068] また、この頸椎牽引装具 2には、ベルト 1に、図 10に示したような後頭支持帯部 27 を設けたものとしている。後頭支持帯部 27は、左右の側頭骨支持部 27a, 27bと中央 の後頭骨支持部 27cを一体にしたもので、被験者の両側のベルト 1の各端部は、左 右の側頭骨支持部 27a, 27bに金具 28により回動可能に取り付けられている。 [0067] As shown in FIG. 1 to FIG. 3, the belt 1 extending in the left and right direction near the upper cervical vertebral surface sandwiches the head, falls forward and upward, and is connected to the hook 8. A taper-shaped force that narrows upward when viewed from the front of the subject.Because the ring 24 is provided between the belts 1 on both sides of the subject, the belt 1 has front and inner sides of the subject's head (both sides of the head). The force to move the belt 1 in the direction in which the distance between the belts 1 is reduced) increases the function of preventing the belt 1 from detaching from the subject's head! /. Further, the cervical traction device 2 is provided with a occipital support band portion 27 as shown in FIG. 10 on the belt 1. The occipital support band 27 is a combination of the left and right temporal bone support portions 27a, 27b and the central occipital bone support portion 27c, and each end of the belt 1 on both sides of the subject has left and right temporal bone support portions. 27a and 27b are rotatably attached by metal fittings 28.
[0069] 側頭骨支持部 27a, 27bは幅がベルト 1より大きぐ後頭骨支持部 27cは幅がベルト 1と同じ程度で、側頭骨支持部 27a, 27bの面積が大きくなつており、被験者によくフ イットするため、より頸椎牽引装具 2の安定感や使用感が優れたものとなる。  [0069] The temporal bone support portions 27a and 27b have a width larger than that of the belt 1, and the occipital bone support portion 27c has the same width as that of the belt 1, and the temporal bone support portions 27a and 27b have a larger area. Fits well, so the cervical traction device 2 is more stable and comfortable to use.
[0070] なお、頸椎牽引装具 2は、前記リング 24と後頭支持帯部 27のいずれかを設けない 構成とすることができる。また、この頸椎牽引装具 2は、長さ調節部材 10や、その他の 構成部材との組み合わせを適宜自由に行うことができる。  [0070] The cervical traction device 2 may be configured such that either the ring 24 or the occipital support band 27 is not provided. The cervical traction device 2 can be freely combined with the length adjusting member 10 and other components as appropriate.

Claims

請求の範囲 The scope of the claims
[1] 腰掛けた姿勢又は適宜の角度で立った姿勢の被験者の頭部に装着されるベルト( 1)を有する頸椎牽引装具 (2)であって、前記ベルト(1)は被験者の頸椎後面部付近 力 両側頭部を挟み込んで前上方に抜けるようにして装着されることを特徴とする頸 椎牽引装具 (2)。  [1] A cervical traction device (2) having a belt (1) attached to the head of a subject in a sitting or standing posture at an appropriate angle, the belt (1) being a cervical posterior surface of the subject Neighboring force A cervical traction orthosis (2) characterized by being mounted so that both heads are sandwiched and pulled out forward and upward.
[2] 前記ベルト(1)の前方支持部分を主に頰骨弓と前頭骨に求め、後方支持部分を主 に後頭骨結節下部に求めるものとしている請求項 1記載の頸椎牽引装具 (2)。  [2] The cervical traction device (2) according to claim 1, wherein the anterior support portion of the belt (1) is mainly found in the radial arch and the frontal bone, and the posterior support portion is mainly found in the lower part of the occipital bone nodule. .
[3] 左右の辺の長さが異なる略台形状のリング(24)を、被験者の両側のベルト(1)の 中間にそれぞれ介在させたものとし、リング(24)は、各側のベルト(1)に対し、上辺( 24c)が後方に向力つて下がり、下辺(24d)が後方に向力つて上がるように取り付けら れて 、る請求項 1又は 2記載の頸椎牽引装具 (2)。  [3] A substantially trapezoidal ring (24) with different lengths on the left and right sides is interposed between the belts (1) on both sides of the subject, and the ring (24) The cervical traction device (2) according to claim 1 or 2, wherein the cervical traction device (2) is attached such that the upper side (24c) is lowered rearward and the lower side (24d) is raised rearward with respect to 1).
[4] ベルト(1)に後頭支持帯部(27)を設けたものとしており、後頭支持帯部(27)は、 左右の側頭骨支持部(27a) (27b)と中央の後頭骨支持部(27c)を一体にしたもの で、被験者の両側のベルト(1)の各端部は、左右の側頭骨支持部(27a) (27b)に回 動可能に取り付けられている請求項 1、 2又は 3記載の頸椎牽引装具 (2)。  [4] The belt (1) is provided with a occipital support band (27), and the occipital support band (27) consists of left and right temporal bone supports (27a) (27b) and a central occipital bone support. (27c) are integrated, and each end of the belt (1) on both sides of the subject is rotatably attached to the left and right temporal bone supports (27a) (27b). Or the cervical spine orthosis according to 3, (2).
[5] 請求項 1、 2、 3又は 4記載の頸椎牽引装具 (2)と、被験者が腰掛ける椅子 (9)を備 えたことを特徴とする頸椎牽引装置 (3)。  [5] A cervical traction device (3) comprising the cervical traction device (2) according to claim 1, 2, 3 or 4, and a chair (9) on which a subject sits.
[6] 椅子 (9)が、被験者の姿勢を後方傾斜させるものであり、被験者の姿勢を頸椎牽引 装具 (2)の牽引方向と同じ乃至牽引方向よりも鉛直方向に対して大きな角度を有す るようにしたものである請求項 5記載の頸椎牽引装置(3)。  [6] The chair (9) tilts the subject's posture backward, and the subject's posture is the same as the traction direction of the cervical traction orthosis (2) or has a larger angle relative to the vertical direction than the traction direction. The cervical traction device (3) according to claim 5, wherein the cervical traction device (3) is configured as described above.
[7] 椅子 (9)が、前後方向の傾斜角度及び上下方向の挺出度を変更可能なヘッドレス ト部(12)を有している請求項 5又は 6記載の頸椎牽引装置(3)。  [7] The cervical traction device (3) according to claim 5 or 6, wherein the chair (9) has a headrest part (12) capable of changing an inclination angle in the front-rear direction and a protruding degree in the vertical direction. .
[8] 椅子 (9)が頸椎牽引装具 (2)を内蔵可能である請求項 5、 6又は 7記載の頸椎牽引 装置 (3)。  [8] The cervical traction device (3) according to claim 5, 6 or 7, wherein the chair (9) can incorporate the cervical traction device (2).
PCT/JP2005/010065 2004-07-12 2005-06-01 Cervical vertebrae traction brace and cervical vertebrate traction device WO2006006316A1 (en)

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JP2015217231A (en) * 2014-05-20 2015-12-07 ミナト医科学株式会社 Cervical traction device
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CN104161615A (en) * 2014-08-15 2014-11-26 赵百华 Cervical traction frame
CN104622614A (en) * 2015-02-05 2015-05-20 徐州工业职业技术学院 Automatic cervical traction chair structure
JP2017170102A (en) * 2016-03-24 2017-09-28 中原大學 Seated-type cervical traction device and angle detection method therefor
CN105943221B (en) * 2016-05-21 2018-08-14 王娟 Neck adjusts draft gear manually
CN105877892A (en) * 2016-05-21 2016-08-24 王娟 Manual-adjustment type leg traction bed
CN105943221A (en) * 2016-05-21 2016-09-21 王娟 Manually-adjusted neck traction device
CN106073968A (en) * 2016-05-21 2016-11-09 王娟 Cervical region is automatically adjusted extension table
CN105877892B (en) * 2016-05-21 2018-10-09 王娟 Leg adjusts traction table manually
CN105877893A (en) * 2016-05-21 2016-08-24 王娟 Auto-adjustment type neck traction device
CN105877893B (en) * 2016-05-21 2018-10-09 王娟 Neck automatically adjusts draft gear
CN105877891A (en) * 2016-05-21 2016-08-24 王娟 Auto-adjustment type leg traction bed
CN105877891B (en) * 2016-05-21 2018-07-06 王娟 Leg automatically adjusts traction table
CN106073968B (en) * 2016-05-21 2018-08-10 王娟 Neck automatically adjusts traction table
CN107913126A (en) * 2016-10-05 2018-04-17 曾翊 Cervical vertebra, thoracic vertebrae, lumbar tractor
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CN107802391A (en) * 2017-09-07 2018-03-16 上海飞链医疗科技有限公司 A kind of convenient equipment for spinal cord,traction
CN109498238A (en) * 2018-12-18 2019-03-22 张建美 A kind of Orthopaedic nursing traction support device
CN112587288A (en) * 2020-12-14 2021-04-02 西安市红会医院 Electric cervical vertebra traction chair
CN112587288B (en) * 2020-12-14 2023-03-21 西安市红会医院 Electric cervical vertebra traction chair

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