WO2018180399A1 - Dispositif de stimulation de vibration - Google Patents

Dispositif de stimulation de vibration Download PDF

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Publication number
WO2018180399A1
WO2018180399A1 PCT/JP2018/009386 JP2018009386W WO2018180399A1 WO 2018180399 A1 WO2018180399 A1 WO 2018180399A1 JP 2018009386 W JP2018009386 W JP 2018009386W WO 2018180399 A1 WO2018180399 A1 WO 2018180399A1
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WO
WIPO (PCT)
Prior art keywords
support member
forearm
vibration
upper arm
user
Prior art date
Application number
PCT/JP2018/009386
Other languages
English (en)
Japanese (ja)
Inventor
研太郎 上杉
優人 本橋
聡史 宮島
貴光 岡山
松井　淳
Original Assignee
帝人ファーマ株式会社
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 帝人ファーマ株式会社 filed Critical 帝人ファーマ株式会社
Publication of WO2018180399A1 publication Critical patent/WO2018180399A1/fr

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H23/00—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
    • A61H23/02—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive

Definitions

  • the present invention relates to a vibration stimulation device.
  • Spasticity is defined by Lance et al. As “movement disorders dependent on upper motor neurons that cause an increase in exercise-speed-dependent stretch reflex and accompanied by increased tendon reflexes”. Cerebrovascular disorders such as cerebral infarction and cerebral hemorrhage It is caused by spinal cord injury. When spasticity occurs, muscle tone is remarkably increased, resulting in a decrease in joint range of motion and a decrease in the skill of movement. During rehabilitation such as Activity of Daily Living (ADL) or physical therapy / occupational therapy It becomes an inhibitory factor.
  • ADL Activity of Daily Living
  • ADL Activity of Daily Living
  • physical therapy / occupational therapy It becomes an inhibitory factor.
  • a step is generally taken to relieve muscle tension caused by spasticity as much as possible before rehabilitation.
  • the reduction in the range of motion of the joint caused by the increased muscle tone due to spasticity is improved in the short term, and rehabilitation can be performed more effectively.
  • conditioning alone does not improve the long-term motor function, it is important to perform many rehabilitations such as physical therapy and occupational therapy in order to obtain a long-term improvement effect.
  • thermotherapy and electrical stimulation are performed as others.
  • all methods take time to achieve the effect.
  • the conditioning time performed by the therapist is also considered as a part of rehabilitation, and this time is also calculated as a medical fee (rehabilitation fee for cerebrovascular disease, etc.).
  • this medical treatment fee can be calculated in the medical insurance system (up to 9 units per day)
  • the time required for rehabilitation which is important for long-term improvement effects, is under pressure from conditioning. A sufficient amount is not secured.
  • vibration stimulation therapy has begun to attract attention as one of the conditioning means.
  • This therapy has been reported to have a spasticity-suppressing effect with 5 minutes of treatment, and is useful for reducing conditioning time.
  • vibration stimulation should be performed with the muscles stretched as much as possible in order to attenuate the increase in muscle tone due to the muscle contraction.
  • vibration stimulation can be given to a patient in the supine position in the elbow joint extended state.
  • the positional relationship between the spastic muscles of the forearm and the spastic muscles of the upper arm varies depending on the severity of the patient, the range of motion of the joint, the treatment limb position, and the like.
  • this device by separating the forearm stimulation device and the upper arm stimulation device and changing the positional relationship thereof, it is possible to cope with treatment of patients having various elbow joint movable ranges.
  • the device does not have a means for fixing the angle of the elbow joint, the device cannot maintain the stretched state as much as possible during the treatment, and the treatment effect may be reduced.
  • the vibration stimulating device is provided on at least one of a forearm support member that supports a user's forearm, an upper arm support member that supports the user's upper arm, and each of the forearm support member and the upper arm support member.
  • a vibration stimulating device having a vibrating body and a fixture for fixing a user's treatment part with respect to the vibrating body, the first rotating body having an axis in a short direction of the vibration stimulating device as a rotation axis;
  • a second rotator having a longitudinal axis of the vibration stimulating device as a rotation axis, between the forearm support member and the upper arm support member, wherein the first rotator and the second rotator are at an arbitrary angle.
  • the upper arm support member includes upper arm support member movable means for changing a distance from the rotation axis of the first rotary body, and the upper arm support member movable means arbitrarily connects the rotation axis of the first rotary body and the upper arm support member. It may be possible to fix at a distance of.
  • the vibrator on which the forearm support member is installed may be supported by the forearm vibrator support member, and the forearm vibrator support member may be movable in the longitudinal direction of the vibration stimulation device.
  • a third rotating body including at least one vibrating body and a hand supporting member having at least one fixture for fixing a finger and a palm to the vibrating body, wherein the axis of rotation in the short direction of the vibration stimulating device is a rotation axis; It may be provided between the forearm support member and the hand support member.
  • the forearm support member may include a forearm support member movable portion that is movable in the longitudinal direction of the vibration stimulation device.
  • a device capable of applying a vibration stimulus in a state in which a vibrating body is fixed to the forearm and the upper arm, the first rotating body capable of responding to an angle change of the patient's elbow joint to the elbow joint support portion;
  • the angle of the device can be adjusted arbitrarily according to the positional relationship between the patient's forearm spastic muscles and brachial spastic muscles. It becomes possible to hold the state during the treatment.
  • the vibration stimulating apparatus 1 is a vibration stimulator for a treatment part of a spastic patient as a means to relieve muscle over-tension (spasticity) caused by cerebrovascular disorder such as cerebral infarction or cerebral hemorrhage or spinal cord injury.
  • the vibration stimulation device 1 used to give The vibration stimulation device 1 according to the present embodiment includes a forearm support member 2 for supporting the forearm, an upper arm support member 3 for supporting the upper arm, a forearm vibrating body 4 for applying vibration to the forearm, An upper arm vibrating body 5 for applying vibration to the upper arm, a forearm fixing tool 6 for fixing the user's forearm to the forearm vibrating body, an upper arm fixing tool 7 for fixing the upper arm of the user to the upper arm vibrating body, A first rotating body 8 and a second rotating body 9 are provided.
  • a hand support member 10 for supporting the user's hand, a hand vibrating body 11 for applying vibration to the user's finger, a hand vibrating body 12 for applying vibration to the user's palm, and the hand vibration You may provide the finger fixing tool 13 which fixes a user's finger to a body, and the palm fixing tool 14 which fixes a user's palm to the said palm vibration body.
  • the vibrating body is a vibrating body using, for example, an eccentric motor or a piezoelectric element.
  • the number of forearm vibrators 4 and upper arm vibrators 5 is not limited to one, and may be two or more.
  • the number of finger vibrating bodies 11 and palm vibrating bodies 12 is not limited, and may be two or more, or vibration may be applied to fingers and palms with one vibrating body.
  • One or more forearm fixtures 6, upper arm fixtures 7, finger fixtures 13, and palm fixtures 14 are provided in the vibration stimulation device, and are used to fix each treatment portion to each vibrator. It uses rubber, hook-and-loop fasteners, belts, etc. These can be adjusted according to the size of the user's treatment area.
  • the first rotating body 8 rotates with the axis in the short direction of the apparatus as a rotation axis 15.
  • the first rotating body includes a fixing means 16.
  • the fixing means 16 is, for example, a plunger, and the rotation is fixed by inserting a pin of the plunger into a hole 17 of the first rotating body (not shown).
  • the upper arm support member includes the upper arm support member moving means 18 that slides in the longitudinal direction on the first rotating body, so that the upper arm vibrating body 5 can be adjusted to an arbitrary position in the length direction of the upper arm. is there.
  • the upper arm support member moving means 18 has a fixing means 19, whereby the vibrating body can be fixed at an adjusted position.
  • the upper arm vibrating body 5 is fixed to the upper arm fixture 7.
  • hook and loop fasteners are attached to both ends of the upper arm fixture 7, and by removing both ends of the upper arm fixture 7, it is possible to adjust the position of the upper arm vibrating body 5 in the radial direction.
  • the second rotator 9 rotates with the axis in the short direction of the apparatus as a rotation axis 20.
  • the second rotating body 9 includes a fixing means 21.
  • the fixing means 21 is, for example, a plunger or the like, and the rotation is fixed by inserting a pin of the plunger into a hole 22 of the second rotating body (not shown).
  • the forearm vibrating body 4 is fixed to the forearm vibrating body support member 24.
  • the forearm vibrating body support member 24 can be slid in the longitudinal direction on the forearm support member 2, whereby the forearm vibrating body 4 can be adjusted to an arbitrary position in the length direction of the user's forearm. is there.
  • the forearm vibrator 4 can be fixed to an arbitrary position on the forearm vibrator support member 24 with a hook-and-loop fastener or the like so that the position of the user's forearm in the radial direction can be adjusted. good.
  • the forearm support member 2 has a forearm support member movable portion 25.
  • the forearm support member movable portion 25 can adjust the length of the forearm support member 2 according to the length of the user's forearm by sliding in the longitudinal direction as shown in FIG.
  • the forearm support member movable portion 25 is provided with a fixing means 26.
  • the fixing means 26 is, for example, a plunger.
  • the hand support member 10 has a third rotating body 28 having a rotation axis 27 in the short direction of the apparatus.
  • the third rotating body 28 is provided with a fixing means 29.
  • the fixing means 29 is, for example, a plunger or the like, and the rotation is fixed by inserting a pin of the plunger into a hole 30 of the third rotating body (not shown).
  • each vibrating body 31 (the forearm vibrating body 4, the upper arm vibrating body 5, and the finger vibrating body 11) may be attached on the vibrating body pressing means 32.
  • the vibrating body pressing means 32 is for adjusting the vibration energy applied to the user by pressing the vibrating body against the user's treatment part, and is, for example, an air bag. By supplying air, the air bag expands as shown in FIG. 14, and the vibrating body can be pressed with the intended pressure.
  • FIGS. 13 and 14 A usage example of the vibration stimulation apparatus according to the present embodiment will be described with reference to FIGS.
  • the user's elbow joint is aligned with the rotary shaft 15, and the first rotating body 8 is rotated and fixed in accordance with the maximum elbow extension angle that the user can take.
  • the upper arm support member moving means 18 is moved so that the upper arm vibrating body 5 is in contact with the treatment target muscle, and the upper arm fixture 7 is attached to the upper arm of the user.
  • the forearm support member movable portion 25 is slid, and the length of the forearm support member 2 is adjusted and fixed so as to match the length of the user's forearm. Further, the position of the forearm vibrating body support member 24 is adjusted so that the forearm vibrating body 4 contacts the treatment target muscle of the user's forearm. In this state, the user's wrist joint is aligned with the rotation shaft 27, the forearm is placed on the apparatus, and the forearm is fixed by the forearm fixture 6.
  • the user's palm and fingers are fixed to the apparatus by the finger fixing tool 13 and the palm fixing tool 14, the third rotating body 28 is rotated, and the wrist is bent to the maximum wrist joint movable range that the user can take.
  • the air is supplied to the air bag 34, and vibration is started in a state where the vibrating bodies 4, 5, 11, and 12 are pressed against the user's treatment unit.
  • the user's limb during stimulation may be in the supine position as shown in FIGS. 16 and 17 or may be in the sitting position as shown in FIG.
  • the first rotating body capable of responding to the change in the angle of the user's elbow joint and the second rotating body capable of responding to the change in the extending direction of the user's elbow joint at the elbow joint support portion By effectively adjusting the angle of the device according to the positional relationship between the forearm treatment target muscle and the upper arm treatment target muscle of the user and maintaining the state during treatment, effective vibration against spasticity Stimulation therapy can be provided.

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  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Percussion Or Vibration Massage (AREA)

Abstract

La présente invention concerne un dispositif de stimulation de vibration qui comporte : un élément de support d'avant-bras qui soutient un avant-bras d'un utilisateur ; un élément de support de bras supérieur qui soutient un bras supérieur de l'utilisateur ; des corps vibrants, dont au moins un est installé dans chacun de l'élément de support d'avant-bras et de l'élément de support de bras supérieur ; et un dispositif de fixation qui fixe une partie à traiter de l'utilisateur par rapport aux corps vibrants. Le dispositif de stimulation de vibration comporte, entre l'élément de support d'avant-bras et l'élément de support de bras supérieur, un premier corps rotatif ayant un axe transversal du dispositif de stimulation de vibration en tant qu'axe de rotation ; et un deuxième corps rotatif ayant un axe longitudinal du dispositif de stimulation de vibration en tant qu'axe de rotation, le premier corps rotatif et le deuxième corps rotatif pouvant être fixés à des angles arbitraires.
PCT/JP2018/009386 2017-03-29 2018-03-12 Dispositif de stimulation de vibration WO2018180399A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
JP2017064770 2017-03-29
JP2017-064770 2017-03-29

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WO2018180399A1 true WO2018180399A1 (fr) 2018-10-04

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109820690A (zh) * 2019-03-11 2019-05-31 贵阳市第四人民医院 一种穿戴式肘关节康复训练系统

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006346108A (ja) * 2005-06-15 2006-12-28 Kagoshima Univ 振動刺激療法装置及びその使用方法
JP2016054803A (ja) * 2014-09-05 2016-04-21 学校法人早稲田大学 装具用のフレーム連動機構
WO2016205356A1 (fr) * 2015-06-15 2016-12-22 Myomo, Inc. Dispositif orthétique motorisé et son procédé d'utilisation

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006346108A (ja) * 2005-06-15 2006-12-28 Kagoshima Univ 振動刺激療法装置及びその使用方法
JP2016054803A (ja) * 2014-09-05 2016-04-21 学校法人早稲田大学 装具用のフレーム連動機構
WO2016205356A1 (fr) * 2015-06-15 2016-12-22 Myomo, Inc. Dispositif orthétique motorisé et son procédé d'utilisation

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109820690A (zh) * 2019-03-11 2019-05-31 贵阳市第四人民医院 一种穿戴式肘关节康复训练系统

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