JP2007319304A - Dysphagia rehabilitation and training device - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a dysphagia rehabilitation and training device allowing a care-giver, a therapist or a person with the dysphagia to easily and safely train the swallowing. <P>SOLUTION: This dysphagia rehabilitation and training device is provided with a grip part 10 being gripped by a user, and a tooth-row-shaped occlusion object part 30 continued to the tip side of the grip part 10 and being insertable in the oral cavity, so that, when the occlusion object part is occluded by the whole of the upper/lower tooth rows, the upper/lower gum parts are stimulated to promote the secretion of saliva and easily and safety train the swallowing. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

  The present invention relates to a dysphagia rehabilitation exerciser that performs rehabilitation for a dysphagia person, and more particularly to a dysphagia rehabilitation exerciser in which a caregiver or the person can easily and safely perform a swallowing reflex exercise.

    In general, dysphagia is a disorder in which food cannot be recognized due to an intellectual disability such as dementia, or because it is impossible to determine what kind of property it is, and swallowing cannot be performed normally, or muscle weakness, etc. Due to the dysfunction, the orbital muscles, tongue muscles, cheek muscles, masticatory muscles, etc. are not able to act sufficiently, so that the bolus cannot be made or the bolus is successfully sent to the pharynx There is no failure.

  When such dysphagia is caused by functional disorders such as muscle weakness, training by vocalization or soft palate (especially palatal arch) is used to increase muscle strength of the orbicular muscle, tongue muscle, cheek muscle, and masticatory muscle. ), Training to induce swallowing by stimulating swallowing reflex induction sites such as tongue base and pharyngeal posterior wall.

  In addition, as a method of giving stimulation to the swallowing reflex induction site, the therapist wearing rubber gloves etc. is swallowing directly with fingers, mainly by cooling the cotton at the tip of the spoon or swab with cold water to stimulate the swallowing reflex induction site A method of stimulating a reflex induction site has been performed.

  In recent years, a dysphagia assisting device has been devised that facilitates swallowing of dysphagic persons and enables basic training of muscle strength used for swallowing.

  As an example of such a conventional dysphagia assist tool, there is a generally crescent-shaped thin plate-shaped assist tool body bent in a dentition, and a rod-like operation that protrudes from the center of the front surface of the assist tool body to the front. Some parts are integrally formed of a silicon-based elastic material.

  The auxiliary tool main body has a generally thick arc-shaped lower edge on the lower edge of the auxiliary tool body. The raised part does not damage the skin or mucous membrane in the oral cavity. As such, the cross section is generally semicircular. In addition, the upper edge of the assisting device body is also rounded, and the assisting device body has no corners or edges that can damage the oral cavity as a whole, and is combined with the silicon-based elastic material. Therefore, safety in use in the oral cavity is ensured.

  The dysphagia assisting tool is supported so that the assisting instrument body is inserted between the patient's lower lip and the lower gum and is gently sandwiched between these parts, and the operation unit is supported by the patient's mouth. It protrudes from the oral cavity. In addition, the insertion between the lower lip and the lower gum of the auxiliary tool body is performed until the lower edge reaches the bottom between the lower lip and the lower gum or until the operation unit comes into contact with the lower lip. Yes.

  In addition, the auxiliary tool body completely covers the patient's lower front teeth, and the upper edge exceeds the upper end of the lower front tooth by about 2 to 3 mm, and whether the left and right ends of the auxiliary tool body reach the patient's back teeth. There is no position. It should be noted that the mouth can be completely closed with the operation unit sandwiched between the upper and lower lips.

  As a method of using the swallowing disorder assisting device having such a configuration, first, a caregiver moves the operation unit downward, pushes down the assisting device main body together with the lower jaw of the patient, opens the patient's mouth, Carry it into the oral cavity with a spoon.

  Next, the operation unit is moved upward to push up the auxiliary tool body and close the patient's mouth. During the upward movement, the raised portion comes into contact with the lower lip of the patient and resists the auxiliary tool body from coming off from the set state.

  Moreover, since the auxiliary tool main body already closes the mouth before the mouth is completely closed, the leakage of food and saliva to the outside of the mouth is prevented.

  Next, the operation unit is appropriately moved to stimulate the patient's salivary line through the auxiliary tool body to promote the secretion of saliva or to massage the required site in the oral cavity to promote swallowing. In addition, since the patient's cheek can be contracted or expanded in accordance with the back and forth movement of the operation unit and the auxiliary tool body, the left and right cheeks in the oral cavity of food can be eliminated and the food can be swallowed. .

  In addition, by assisting swallowing in this way, muscle strength used for swallowing can be trained (see, for example, Patent Document 1).

JP 10-2111260 A

  However, in the above-described swallowing training with the swallowing aid, the swallowing aid body is inserted between the patient's lower lip and the lower anterior teeth and lower gums, and the left and right ends of the swallowing aid body reach or reach both back teeth. Since it is positioned to a certain extent, it was impossible to occlude the entire upper and lower dentition composed of the front and back teeth. For this reason, there is a problem that the entire upper and lower gums cannot be stimulated and swallowing cannot be promoted with certainty.

  Further, in the conventional method in which the therapist directly stimulates with a finger, the reflex induced by stimulating the swallowing reflex induction site has a strong force, and there is a risk that the therapist's finger is bitten.

  The present invention has been made in view of such problems, and an object of the present invention is to provide a dysphagia rehabilitation training apparatus that allows a caregiver, a therapist, or a person with dysphagia to perform swallowing training easily and safely. Is.

  In order to achieve the above-described object, the dysphagia rehabilitation training device according to claim 1 of the present invention is characterized in that a grasping portion grasped by a user and a tip portion of the grasping portion that is connected to the distal end side of the grasping portion and can be inserted into the oral cavity. And having a dentition-like portion to be occluded. And by adopting such a configuration, the caregiver, the therapist or the dysphagia person grasps the grasping part of the dysphagia rehabilitation trainer, opens the mouth of the dysphagia person, and bites the dysphagia rehabilitation trainer. Insert the part. Then, the upper and lower gums can be stimulated by biting the occluded portion with the entire upper and lower dentition, and the secretion of saliva can be promoted.

  The feature of the dysphagia rehabilitation training device according to claim 2 of the present invention is that it further includes a curved protective portion that is formed between the grip portion and the bite portion and can be inserted into the lip. It is in. And by employ | adopting such a structure, it can prevent biting a therapist or a caregiver's finger | toe by inserting a protection part between a lip and a gum part.

  A feature of the dysphagia rehabilitation training device according to claim 3 of the present invention is that a plate-like holding portion is stretched inside the occlusal portion, and a concave portion is formed at the leading edge of the holding portion. In the point. And by employ | adopting such a structure, while being able to hold | maintain the shape of an occlusion part with a holding | maintenance part, the front end side of an occlusion part can be easily brought close to by a recessed part, and can be easily inserted in an oral cavity.

  The feature of the dysphagia rehabilitation training device according to claim 4 of the present invention is that the whole is integrally formed of an elastic material. And by employ | adopting such a structure, safety | security increases for the dysphagia person who uses a dysphagia rehabilitation training device.

  As described above, according to the dysphagia rehabilitation training device of the present invention, a caregiver, a therapist, or a person with dysphagia can easily and safely perform swallowing training.

  That is, the dysphagia rehabilitation training device of the present invention has a gripping part gripped by the user and a dentition-like occlusal part that is connected to the distal end side of the gripping part and can be inserted into the oral cavity. Therefore, the upper and lower gums can be stimulated by occlusion of the occlusal portion with the entire upper and lower dentition, and the secretion of saliva can be promoted, and swallowing training can be performed easily and safely.

  In addition, if it has a curved protective part formed between the gripping part and the bite part and made insertable into the lip, the protective part is inserted between the lip and the gum part. This prevents biting of the therapist or caregiver's finger, further increasing safety.

  Furthermore, a plate-like holding part is stretched inside the occlusal part, and a concave part is formed at the tip edge of the holding part, so that the shape of the occluded part can be held by the holding part, and the occlusal part is provided by the concave part. Can be easily inserted into the oral cavity with the distal end side thereof being brought close to each other, making handling easier.

  Furthermore, by forming the entire body integrally with an elastic material, safety is increased for a dysphagia person using a dysphagia rehabilitation training device.

  As shown in FIGS. 1 to 6, the dysphagia rehabilitation training device 1 according to the present embodiment is entirely formed of an elastic material such as silicone rubber so as to have elasticity and flexibility.

  The dysphagia rehabilitation training device 1 includes a gripping part 10 that a user grips, a curved protective part 20 that is connected to the distal end side of the gripping part 10 and can be inserted into the lip, and the protective part. 20 includes an occlusal part 30 that is connected to the distal end side of the apparatus 20 and can be inserted into the oral cavity. The gripping part 10, the protective part 20, and the occlusal part 30 described above are included in the dysphagia rehabilitation training device 1. Are connected in the longitudinal direction.

  Although the said holding part 10 is formed in the length of about 60% of the full length of the dysphagia rehabilitation training device 1 in this embodiment, it is not limited to this ratio.

  The grip portion 10 is formed in a flat plate shape having a flat upper surface 11 and a lower surface 12, and a circular opening 13 penetrating the upper surface 11 and the lower surface 12 has a width at the base end portion of the grip portion 10. It is formed at the center of the direction. Concave bent portions 14 and 14 are formed on both side surfaces on the center side of the opening 13 of the grip portion 10 in the longitudinal direction so that the fingers can be easily applied.

  A circular opening 15 having a diameter larger than that of the opening 13 and penetrating through the upper surface 11 and the lower surface 12 is formed in the central portion in the width direction on the side of the protection unit 20 from the bent portions 14 and 14. An obliquely cut cylinder 16 as an example of a cylindrical part protrudes from the periphery of the opening 15 in the upper surface 11, and the obliquely cut cylinder 16 is formed so as to be higher toward the protective part 20 side. Has been. The obliquely cut cylinder 16 is provided to prevent the protective portion 20 and the bite portion 30 from coming into contact with the table surface when the upper surface 11 of the grip portion 10 is placed on a table or the like so as to face downward. is there. A cylindrical portion such as the obliquely cut cylinder 16 may protrude from the lower surface 12 of the gripping portion 10 or may protrude from only the lower surface 12.

  On both side surfaces between the opening 15 and the protective portion 20, concave bent portions 17 and 17 are formed, respectively, for easy finger placement.

  The protection part 20 is a part located between the lip and the gum part. For this reason, the protection part 20 is bent in the left-right direction so as to follow the curved shape of the gum part, and is closer to the occlusal part 30 toward both ends. Furthermore, it is formed to be relatively thin so as not to feel a sense of incongruity when it is located between the lips and the gums.

  The occlusal part 30 is connected to the central part on the left and right sides of the protection part 20 and can be inserted into the oral cavity. The occlusal part 30 has a flat shaft part 31 projecting from the protection part 20 and an occlusal part main body 32 connected to the tip of the shaft part 31.

  The to-be-occluded part main body 32 is formed in a substantially U shape so as to form a dentition as a whole, and a central part in the longitudinal direction is connected to the shaft part 31, and is bent to extend from side to side. . The occlusal part main body 32 has a flat upper surface 33 and a lower surface 34, and the upper surface 33 and the lower surface 34 are easily bitten by teeth.

  A thin plate-like holding portion 35 is integrally stretched on the inner side of the occlusal portion main body 32 so as to bulge upward. A concave portion 37 having a shape is formed. The holding part 35 is for holding the shape of the occlusal part main body 32, and the recesses 37 of the holding part 35 make the both end sides of the occluded part main body 32 easily approach each other. For easy insertion into the oral cavity.

  Next, the operation of the present embodiment having the above-described configuration will be described.

  The grasping part 10 of the dysphagia rehabilitation training device 1 according to the present embodiment is grasped by a dysphagia person, a caregiver or a therapist, and the protection part 20 is positioned between the lip and the gum part so as to be covered by the occlusal part 30. It is inserted into the mouth of the dysphagia person so that the occlusal part main body 32 is located between the upper and lower dentition of the dysphagia person. At this time, the protective unit 20 prevents the bite 30 from being inserted more deeply into the oral cavity than necessary, and when the caregiver or therapist is gripping the grip 10, the dysphagia is Can be prevented from being bitten.

  In such a state, a dysphagic person can stimulate saliva secretion by stimulating the upper and lower gums by engaging the occlusal part of the dysphagia rehabilitation training device 1 with the entire upper and lower dentition. And swallowing training can be performed safely. Moreover, by biting the to-be-occluded part main body 32, the to-be-occluded part main body 32 deform | transforms, and the protection part 20 will move a little by this deformation | transformation. Therefore, this protective part 20 will stimulate the lip and gum part by sliding with respect to the lip and gum part, respectively.

  Thus, secretion of saliva can be promoted by stimulation of the lips and gums by the protection unit 20 and stimulation of the gums by the bite unit 30.

  Further, as described above, the presence of the protection unit 20 can prevent an accident.

  Furthermore, a dysphagia person can use easily at home, and a caregiver and a therapist can use it safely.

  In addition, this invention is not limited to embodiment mentioned above, A various change is possible as needed.

The top view which shows embodiment of the dysphagia rehabilitation training device which concerns on this invention Left side view of FIG. Sectional view taken along line III-III in FIG. Sectional view taken along line IV-IV in FIG. End view from the front end side of FIG. End view from the base end side of FIG.

Explanation of symbols

1 Rehabilitation training device for dysphagia 10 Grasping part 11 Upper surface 12 Lower surface
13, 15 Opening 14, 17 Bent part 16 Slope cut cylinder 20 Protection part
DESCRIPTION OF SYMBOLS 30 Occluded part 31 Shaft part 32 Occluded part main body 33 Upper surface 34 Lower surface 35 Holding part 36 Tip edge 37 Recessed part

Claims (4)

A dysphagia rehabilitation training characterized by having a gripping part gripped by a user and a dentition-like occlusal part that is connected to the distal end side of the gripping part and can be inserted into the oral cavity vessel. 2. The dysphagia rehabilitation training device according to claim 1, further comprising a bent protection portion formed between the gripping portion and the bite portion and inserted into the lip. The swallow according to claim 1 or 2, wherein a plate-like holding portion is stretched inside the occluded portion, and a concave portion is formed at a distal end edge of the holding portion. Disability rehabilitation training device. The dysphagia rehabilitation exerciser according to any one of claims 1 to 3, wherein the whole is integrally formed of an elastic material.

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