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WO2018180400A1 - Dispositif de stimulation vibrant - Google Patents

Dispositif de stimulation vibrant Download PDF

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Publication number
WO2018180400A1
WO2018180400A1 PCT/JP2018/009387 JP2018009387W WO2018180400A1 WO 2018180400 A1 WO2018180400 A1 WO 2018180400A1 JP 2018009387 W JP2018009387 W JP 2018009387W WO 2018180400 A1 WO2018180400 A1 WO 2018180400A1
Authority
WO
WIPO (PCT)
Prior art keywords
finger
extension
fingers
vibration
load
Prior art date
Application number
PCT/JP2018/009387
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 WO2018180400A1 publication Critical patent/WO2018180400A1/fr

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Classifications

    • 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. As a result, the range of motion of the joints and the sophistication of the movement are reduced. 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 has begun to attract attention as one of the conditioning means.
  • Vibration stimulation has been reported to have a spasticity-suppressing effect after 5 minutes of treatment, and is useful for reducing conditioning time.
  • tension vibration reflex TVR
  • Non-Patent Document 1 the wrist and fingers bent due to spasticity are stretched and fixed to the device with a strap, so that stretching and vibration stimulation can be simultaneously applied.
  • the fingers are not sufficiently fixed to the vibrator, the fingers are bent when attached to the device or when the treatment is performed, and the contact surface with the vibrating body is reduced, so that vibration stimulation is reduced. There is a problem that it is difficult to obtain sufficient effects.
  • the fingers cannot be fully extended and must be worn in a bent state, so a sufficient contact surface with the vibrating body is ensured. There is a problem that it is difficult.
  • the present invention has been made in view of the above-described situation, and can sufficiently secure a contact surface with a vibrating body during treatment, and can be applied to a finger that can be applied even to a patient having a narrow range of dynamic joint motion other than the finger.
  • An object of the present invention is to provide a vibration stimulation apparatus having a function.
  • the present invention includes a vibrator that applies vibration to a user's palm, an extension operation assisting mechanism that applies a load so as to extend a finger from the user's palm side, and abuts on the finger from the user's back side
  • a vibration stimulating device including a finger stretching mechanism is provided. According to the present invention, a finger in a bent state is extended by the extension operation assisting mechanism, and a finger is reliably extended by the finger extension mechanism, thereby sufficiently securing a contact surface with a vibrating body. Is possible.
  • the vibrator is fixed to the extension operation assisting mechanism, and the extension operation assisting mechanism changes its shape so that the load can be applied while maintaining a state in which the finger extension mechanism contacts the finger and palm. It may be possible.
  • the finger extension mechanism may include a mechanism for pressing a finger against the vibrator from the back side of the hand.
  • the extension operation assisting mechanism and the finger extension mechanism apply a force so that the fingers are sandwiched from the palm side and the dorsal side, and the extension is maintained by holding the extension position. Since the finger can be securely fixed, it is possible to prevent the contact area between the finger and the vibrating body from being reduced due to bending of the finger during vibration stimulation, and to sufficiently obtain the effect of vibration stimulation.
  • the wrist can be bent to an arbitrary angle in accordance with the range of motion of the wrist for each patient by the adjustment mechanism of the wrist dorsiflexion angle.
  • a sensor may be provided that detects a load applied to the finger by at least one of the extension operation assisting mechanism and the finger extension mechanism.
  • the degree of extension is adjusted. Is possible.
  • the sensor for detecting the load of the finger extension mechanism prevents an excessive load from the back of the hand from being applied, and the extension degree can be adjusted according to the range of motion of the patient's finger.
  • the sensor that detects the load of the extension operation assisting mechanism may be a sensor that detects strain, displacement, and torque.
  • the sensor that detects the load of the finger extension mechanism may be a sensor that detects pressure, load, displacement, and torque.
  • the vibration stimulation apparatus may include a forearm stimulation unit including a vibrator that applies vibration to the user's forearm.
  • a forearm stimulation unit including a vibrator that applies vibration to the user's forearm.
  • the extension of the fingers and the dorsiflexion of the wrist are performed by the extension operation assisting mechanism, the finger extension mechanism and the wrist dorsiflexion angle adjustment mechanism, so that the muscles of the forearm are simultaneously extended to the forearm. Even when vibration is applied, the effect of vibration stimulation can be sufficiently obtained in the forearm.
  • the finger can be sufficiently fixed to the vibrator, the finger is bent when the device is attached to the apparatus or when the treatment is performed, the reduction of the contact surface with the vibrating body is prevented, and the effect of vibration stimulation is obtained. You can get enough.
  • contact with the vibrating body can be achieved by applying force in the direction of extending the fingers to the fingers or the entire palm while maintaining contact with the fingers and palm. A sufficient surface can be secured.
  • the vibration stimulating apparatus 1 applies vibration stimulation to the finger part of a spastic patient in order to relieve muscle tension (spasticity) caused by cerebrovascular disorders such as cerebral infarction and cerebral hemorrhage and spinal cord injury. Used for.
  • the vibration stimulation apparatus 1 includes a forearm stimulation unit 2 that applies vibration stimulation to a forearm and a finger stimulation unit 3 that applies vibration stimulation to a finger.
  • the finger stimulating unit 3 includes a finger extension assisting unit 4 that assists the extension of the finger from the palm side, a lid unit 5 that contacts the finger or the back of the hand and extends the finger, and an extension assisting unit.
  • the vibrating body 6 for imparting vibration, the fixing tool 7 for fixing the finger to the extension assisting part, and the finger extension assisting part 4 so as not to extend the finger beyond the movable range of the finger on the side contacting the palm.
  • a sensor (not shown) for preventing an excessive load from being applied and a sensor 8 for preventing an excessive load from being applied to the finger or the back of the hand by the lid 5 are provided.
  • the finger extension assisting unit 4 can apply a force in the direction of extending the finger or the entire palm while maintaining a state in which the finger and palm of the spastic patient are in contact with each other, and is shaped in accordance with the extension of the finger. It is configured to be deformable.
  • the extension here refers to an operation of opening a finger from a state such as a fist.
  • a state in which the finger is opened may be referred to as an extended state.
  • the finger extension assisting portion 4 is formed of an air bag 9 that can be deformed by supplying air from an air inlet (not shown).
  • the end of the air bag 9 is attached to the main body 14 with a hook-and-loop fastener or a double-sided tape.
  • the air bag 9 is formed into an arc shape by an elastic body (not shown) such as an arc shape in the air bag 9. keeping.
  • the elastic body By sending air from the air inlet, the elastic body is deformed by air pressure and changes from a substantially arc shape to a substantially horizontal shape.
  • the shape of the air bag 9 before use does not necessarily need to be an arc shape and can be changed as appropriate.
  • the upper portion of the air bag 9 is made of a material having a high elastic modulus
  • the lower portion is made of a material having a low elastic modulus.
  • Two vibrating bodies 5 are fixed to the upper portion of the air bag 9, that is, a vibrating body 51 that mainly applies vibration to the fingers and a vibrating body 52 that mainly applies vibration to the palm.
  • the vibrating body 5 is a vibrating body using, for example, an eccentric motor or a piezoelectric element.
  • the number of vibrating bodies is not limited to two, but may be one or three or more.
  • the upper part of the air bag 9 may have a structure in which the vibrating body 6 does not hinder the extension of fingers by forming a recess to which the vibrating body 5 can be fixed.
  • a fixing tool 7 is attached to the upper part of the air bag 9 for fixing after the fingers and palms are installed.
  • One or a plurality of the fixtures 7 are provided in the vibration stimulating device, and are for fixing fingers and palms to the finger extension assisting unit 4.
  • the fixing tool 7 is fixed to the main body part 14 so that the position thereof does not change with respect to the displacement of the extension assisting part 4.
  • the fixing tool 7 is applied with a certain force on the fingers or the back of the fingers or fingers when the fingers or the back of the fingers extended by the finger extension assisting unit 4, which can use rubber, a hook-and-loop fastener, a belt, or the like, abuts the fixing tools 7. This force stretches the fingers or back of the hand.
  • the extension is an operation of further extending the fingers in the extended state.
  • the lid portion 5 is fixed to the main body portion 14 so as to be openable and closable so that the position thereof does not change with respect to the displacement of the finger extension assisting portion 4.
  • the lid portion 5 is provided on the upper side of the back of the hand with the lid portion 5 closed, and includes a contact surface 10 that comes into contact with a finger on the back side of the hand or the back of the hand.
  • the contact surface 10 is fixed to the lower surface of the lid 5.
  • the finger or the back of the hand extended by the finger extension assisting unit 4 abuts against the abutment surface 10 so that a constant force of the finger or the back of the hand is applied. This force stretches the fingers or back of the hand.
  • the shape of the finger 10 on the dorsal side of the lid 5 or the contact surface 10 to the back of the lid 5 is, for example, a planar shape as shown in FIG.
  • the finger extension assisting unit 4 adjusts the degree of extension according to the range of movement of the user's finger so as not to extend the finger excessively. Therefore, a sensor for detecting the load on the finger is provided. It is provided inside or on the surface. The maximum stretchable amount by which the fingers can be extended varies depending on the patient's condition, and applying a load in the direction of extending the fingers beyond that can be painful for the patient. In the present embodiment, when the finger extension assisting unit 4 extends the patient's finger in a bent state, it is applied to the patient's finger so as not to apply a load in the direction in which the finger extends beyond the maximum extendable amount of the patient. The load is measured by a sensor.
  • the sensor may be, for example, a sensor that detects strain or displacement of the finger extension assisting unit 4, or may be a sensor that detects torque applied to the finger extension assisting unit 4. Since the range of finger movement varies depending on the user's symptoms and body shape, it is preferable that the degree of finger extension by the finger extension assisting unit 4 can be made according to the user. For example, by adjusting the amount of air supplied to the air bag 9 while the therapist confirms the strain, displacement, and torque detected by the sensor, an appropriate degree of progress corresponding to the patient is adjusted. Even if the air is automatically supplied, the sensor detects the preset values such as strain, displacement, and torque, and the degree of extension is adjusted by automatically adjusting the air supply. Good.
  • the sensor 8 for detecting the load applied to the finger of the lid 5 is applied to the finger or the back of the lid 5 as shown in FIGS. 3 and 4 in order to prevent an excessive load from the dorsal side. It is arranged at the position where it touches.
  • the sensor 8 that detects the load applied to the finger of the lid 5 is, for example, a pressure sensor or a load sensor. Based on the detected information, it is possible to adjust the load applied to the finger from the back of the hand or to apply a constant load.
  • the finger stimulating device 3 includes an angle adjusting mechanism 11 at a connection portion with the forearm stimulating unit 2 for stimulating the forearm as shown in FIG.
  • the angle adjustment mechanism 11 is provided for the connection between the finger stimulating unit 3 and the forearm stimulating unit 2 and the dorsiflexion of the wrist.
  • the angle adjustment mechanism 11 includes a pedestal 12 and a plurality of adjustment holes 13 that are circumferentially provided in the pedestal 12 at predetermined intervals.
  • the main body portion 14 includes a fixed shaft 15 and a hole through which the fixed shaft 15 passes. By passing the fixing shaft 15 through a hole (not shown) provided in the adjustment hole 13 and the main body part 14, the main body part 14 and the base part 12 can be fixed at a predetermined angle.
  • the angle adjustment mechanism 11 is provided with an adjustment hole 13 at a constant angle between 0 ° and 90 °, for example, and can rotate and fix the finger stimulating unit 3 around a predetermined rotation axis.
  • the dorsiflexion angle can be adjusted quantitatively according to the range of flexion.
  • FIGS. 3 A usage example of the vibration stimulation apparatus according to the present embodiment will be described with reference to FIGS.
  • the finger and palm are brought into contact with the air bag 9 of the vibration stimulating device with the lid 5 in an open state before the shape deformation.
  • the finger and palm are fixed to the air bag 9 by the fixing tool 7.
  • the lid 5 is closed. Then, by operating the finger extension assisting unit 4, a load is applied in the direction in which the fingers extend with respect to the fingers, and the fingers are extended.
  • the load applied to the fingers is, for example, a load generated in the process of supplying air to the arc-shaped air bag 9 shown in FIGS.
  • the air bag expands while the shape of the air bag is deformed, so that the hand is extended with the air bag in contact with the finger and palm, and at the same time, the contact surface 10 of the lid 5 and The finger on the back side of the hand and the back of the hand abut on the fixture 7, and a load is applied to the finger and the back of the hand from the finger extension part 4.
  • the abutment surface 10 of the lid 5 and the fixture 7 can obtain a stretching effect by being brought into contact with the joint between the fingers and the back of the hand.
  • a load is applied to a wider range of the fingers on the dorsal side and the back of the hand, which facilitates extension.
  • the wrist of the hand in the extended holding state is rotated and held between 0 ° and 90 ° by the angle adjusting mechanism 11 to hold the dorsiflexion at a certain angle.
  • Can do
  • vibration stimulus is applied by the vibrating body 5 in the finger extended position and the wrist dorsiflexion state.
  • This vibration stimulating device stretches fingers and dorsiflexes the wrist by the extension operation assisting portion 4, the lid portion 5 and the angle adjusting mechanism 11, so that the forearm muscle also has a stretching effect as shown in FIG. Obtainable. Therefore, by providing the forearm stimulation unit 2 with the vibrating body, the forearm fixture, and the vibrator pressing mechanism, it is possible to apply vibration while stretching the muscles in the forearm. Further, by stretching the forearm, it is possible to obtain the same effect as a stretch generally performed as a condition for spasticity, and it is possible to further obtain an effect of relieving muscle tension of the forearm.
  • the fingers can be sufficiently fixed to the vibrator, the fingers bend when attached to the device or when the treatment is performed, the contact surface with the vibrating body is prevented from being reduced, and the effect of vibration stimulation is improved. You can get enough.
  • contact with the vibrating body can be achieved by applying force in the direction of extending the fingers to the fingers or the entire palm while maintaining contact with the fingers and palm. A sufficient surface can be secured.
  • the finger extension assisting unit 4 may be formed from a joint driver 16 having a plurality of joints, for example.
  • the joint driver 16 has an arc shape before use, but can be changed into various shapes by driving a plurality of joints.
  • the upper part of the joint driving body 16 may have a structure in which the vibrating body 5 does not hinder the extension of fingers by forming a recess to which the vibrating body 5 can be fixed.
  • a fixture 7 for fixing the finger and palm after the finger and palm are installed is attached to the upper part of the joint driver 16.
  • the fingers and palm After the fingers and palm are placed on the joint driver 16 and restrained by the fixing tool 7, the fingers can be extended while maintaining the state in which the fingers and palm are in contact with each other. Moreover, since it has a plurality of joints, it can be adjusted according to the patient's range of motion.
  • the load that the finger receives from the contact portion is a load that is generated in a process in which the joint driving body 16 having a plurality of joints changes from an arc shape to a horizontal shape.
  • the shape of the finger 10 on the back side of the lid 5 or the contact surface 10 to the back of the lid 5 may be a curved surface as shown in FIG. In this case, there is an effect that a load for extending the finger more reliably can be applied to the finger or the back of the hand.
  • the shape of the finger 10 on the dorsal side of the lid 5 or the contact surface 10 to the back of the hand may be a plurality of protrusion shapes as shown in FIG. In this case, there is an effect that a load for extending the fingers more reliably can be applied to the fingers on the dorsal side or a plurality of locations on the back of the hands.
  • the lid portion 5 is located on the upper side of the back of the hand and includes a contact portion on the dorsal side of the finger or the back of the hand, and the contact surface 10 can move up and down as shown in FIGS. It may be configured such that a certain force can be applied so that the finger or the back of the hand extended by the finger extension assisting unit 4 contacts the contact surface 10. For example, as shown in FIGS. 13 and 14, when air is not put between the lid and the contact surface 10, a flat air bag 17 is installed and the air bag 17 is inflated to thereby contact the contact surface 10. Can be movable.
  • the lid portion 5 is lowered, and the contact surface 10 of the lid portion 5 is moved between the fingers on the dorsal side and the palm of the hand. , The load is applied from the lid 5 to the fingers and the dorsal side of the dorsal side. As a result, the fingers are held in the extended position.
  • the finger extension assisting unit 4 includes, for example, a step 22 for changing the height of the finger part and the palm part, and an air bag 9 is provided in each of the finger part and the palm part. Good.
  • the finger part can be positioned higher than the palm when the air bag 9 is inflated. By placing the finger part higher than the palm, it is possible to extend the finger part.
  • the fixture 7 and the contact surface 10 are in contact with the fingers and the back of the hand from the back of the hand, so that a load is applied to the fingers and the back of the hand from the finger extension portion 4.
  • the fixture 7 includes a sensor 8.
  • it can also be set as the structure which only the cover part 5 contact
  • FIG. According to these structures, compared with the case where both the cover part 5 and the fixing tool 7 are used, an apparatus can be simplified.

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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 est caractérisée en ce qu'elle comprend: un vibreur qui applique une vibration à la paume d'un utilisateur; un mécanisme d'assistance à l'action d'extension qui applique une charge de manière à étendre un doigt à partir du côté paume de l'utilisateur; et un mécanisme d'étirement de doigt qui vient en contact avec le doigt à partir de l'arrière du côté main de l'utilisateur.
PCT/JP2018/009387 2017-03-29 2018-03-12 Dispositif de stimulation vibrant WO2018180400A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
JP2017064768 2017-03-29
JP2017-064768 2017-03-29

Publications (1)

Publication Number Publication Date
WO2018180400A1 true WO2018180400A1 (fr) 2018-10-04

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ID=63677249

Family Applications (1)

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PCT/JP2018/009387 WO2018180400A1 (fr) 2017-03-29 2018-03-12 Dispositif de stimulation vibrant

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WO (1) WO2018180400A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115267520A (zh) * 2022-07-26 2022-11-01 国网安徽省电力有限公司电力科学研究院 考虑振动工况的gis触指电接触劣化模拟试验系统及方法

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2004097453A (ja) * 2002-09-09 2004-04-02 Toru Nagano ハンドマッサージ機
JP3123204U (ja) * 2006-04-26 2006-07-06 北川商事株式会社 ハンドケアマッサージ器
JP2008067852A (ja) * 2006-09-13 2008-03-27 Gifu Univ 上肢手指機能回復訓練装置
JP2008536527A (ja) * 2005-01-24 2008-09-11 キネティキュア リミテッド 関節に振動をかける器具及び方法

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2004097453A (ja) * 2002-09-09 2004-04-02 Toru Nagano ハンドマッサージ機
JP2008536527A (ja) * 2005-01-24 2008-09-11 キネティキュア リミテッド 関節に振動をかける器具及び方法
JP3123204U (ja) * 2006-04-26 2006-07-06 北川商事株式会社 ハンドケアマッサージ器
JP2008067852A (ja) * 2006-09-13 2008-03-27 Gifu Univ 上肢手指機能回復訓練装置

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115267520A (zh) * 2022-07-26 2022-11-01 国网安徽省电力有限公司电力科学研究院 考虑振动工况的gis触指电接触劣化模拟试验系统及方法

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