JP5192173B2 - Lower limb support casts - Google Patents

Description

  The present invention relates to a support-type cast used for the treatment of fractures and the like in the lower limbs, and in particular, it is easy to attach and detach as in the case of the supporter, and does not cause a change in the mounting posture even when an external force is applied during mounting. The present invention relates to an orthosis having a cast function.

  When treating a disorder such as a fracture in the lower limbs, first, in order to keep the posture of the damaged part in a stable and normal state, a fixed treatment with a plaster cast or the like is performed to wait for the repair of the disorder. The fixed range by the cast often extends to the adjacent joints and muscles including the obstacles. Therefore, after the repair and regeneration of the damaged part has progressed to some extent by such treatment, the lower extremity can be fixed by wearing a supporter type cast to recover the decline in the motor function of the fixed joint and muscle. To reduce the load caused by

  However, the conventional supporter cast used in this case has a built-in iron support for fixing the lower limbs, so it can be worn for both men and women of all ages and with various physiques. It is not easy for anyone, and there is a difficulty that it is too heavy for people who have leg problems or weak muscles, and supporters are likely to slide down when walking There was also a problem.

  Therefore, the present invention can realize an optimal wearing state for muscle reinforcement according to the physique of each individual wearer and the state of disability, even if the wearer's physical strength or lower limb muscle function is reduced, etc. It is an object of the present invention to provide an improved lower limb supporter-type cast orthosis that can exert a therapeutic effect.

The means of claim 1 in the lower limb support type cast apparatus of the present invention is provided with a fastening belt that can be fastened to the outer periphery of the lower limb above at least the knee joint portion and wound around the lower limb so as to surround the knee joint portion. A support type cast apparatus comprising a front opening-type flexible cloth and vertical struts respectively provided on the left and right sides of the outer surface of the flexible cloth, wherein the flexible cloth is wound around a lower limb. A muscle part that is attached to the inside of the flexible fabric located in the thigh muscle above the knee joint part in the state, and that has a coupling means at both ends and a plurality of compression molding member holding means a compression belt, the formed streak portion pressure so that the surface with a removable from the compression molding members holding means is a smooth curved surface of the muscle position of the compression target formed in the muscle portion compression belt More configuration and use molding member, the lower portion of the rectus femoris hitting streak portion lower end position of the quadriceps muscle by the muscle portion compression molding members, the lower portion of the vastus lateralis, the desired lower in the lower portion of the vastus medialis The means of claim 2 is characterized in that the means of claim 2 attaches the other muscle compression belt below the muscle compression belt attached to the flexible fabric, and the other muscle portion. The muscle member compression molding member is attached to a compression belt, and the quadriceps, biceps, gastrocnemius and anterior tibial muscles are compressed.

  And the supporter type cast orthosis for lower limbs of the present invention can be placed in a tension state by pre-pressing a part of the thigh muscle by having the above-described configuration, so that the action of the biceps femoris, the quadriceps, etc. The distance will be shortened and you will be able to exert a strong force. Therefore, even a wearer whose muscle strength has become weak can easily apply a force to the leg during walking, and can easily perform a stable movement action, which can greatly improve the therapeutic effect.

  The lower limb supporter type cast device of the present invention has a fastening belt that can be fastened to the outer periphery of the lower limb below the knee joint in addition to the fastening belt above the knee joint of the flexible fabric. It can be set as the structure provided in. Further, the muscle member compression molding member is formed not only above the knee joint part of the flexible fabric but also along the inner peripheral surface below the knee joint part. It can be configured to be clamped in the pocket.

  The lower limb supporter type cast device of the present invention is a flexible fabric provided with a vertically long strut, covering a portion including the knee joint portion of the lower limb, and at least a portion of the outer periphery above the knee joint portion, More preferably, by tightening the portion below the knee joint portion from the outside with a tightening belt, the brace does not slide down even when worn and walked, and a stable and reliable cast treatment effect can be obtained. . In addition, a muscular part compression molding member for compressing the lower part of the thigh muscles, the upper part of the lower leg muscles, etc. is provided on the inner peripheral surface of the flexible fabric above the knee joint part and below the knee joint part. If each of the weakened muscle strengths is compensated, walking on its own is facilitated, and it is effective for strengthening not only the quadriceps and biceps but also the gastrocnemius and anterior tibialis.

Hereinafter, a supporter type cast orthosis for lower limbs of the present invention will be described with reference to the drawings.
FIG. 1 is a perspective view showing an external appearance of a first example of a supporter type cast device for lower limbs according to the present invention, whereas FIG. 6 includes a part of the basic structure of the cast device according to the present invention. It is a perspective view which shows the external appearance of the conventional leg supporter S. FIG. 7 is a side view showing a state in which the conventional lower limb supporter S is mounted on the lower limb L. FIG.

  In these drawings, 1 is a front-opening type flexible fabric, and the left and right end edges 1a, 1a are turned forward so as to surround the knee joint portion from the back of the knee, and are wound around the lower limbs so as to face each other. However, notches 1b and 1b are formed between the left and right edges 1a and 1a so that the patella portion C can be exposed. And the vertical support | pillar pockets 1c and 1c are provided in the right-and-left both-sides position of the flexible fabric 1 wound around the leg in this way, and the flat vertical support | pillars 2 and 2 are inserted in each, respectively. In addition to limiting the flexion and extension of the knee joint, it acts to support the weight of the wearer.

  Furthermore, the starting end of the tightening belt 3 for fastening and fixing the flexible fabric 1 to the outer periphery of the lower limb is coupled to one outer surface position of the support pockets 1c and 1c on both the left and right sides of the flexible fabric 1, A floating ring 4 through which the tightening belt 3 can be inserted projects outwardly from the outer surface position of the other support pocket 1c. Such a set of the tightening belt 3 and the idle ring 4 needs to be provided at a height position at which it can be fastened to the outer periphery of the lower limb at least above the knee joint, but in addition to a height position as desired. It is desirable to provide a plurality of pieces so that they can be tightened. For example, they can be suitably provided at a position immediately below the knee joint, a position near the upper end of the flexible fabric 1, or a position near the lower end.

  The starting end of the tightening belt 3 in the lower limb supporter S described above is coupled to the position of the support pocket 1c on the outer surface of one side of the flexible fabric 1, but a surface such as Velcro (not shown) is provided on the surface of the tip. A zigzag fastener is provided so that it can be coupled and fixed to the surface of the tightening belt 3 itself. When the lower limb supporter S is worn on the lower limb, the left and right edges 1a and 1a of the flexible fabric 1 are brought into contact with each other, and then the tightening belt 3 is rotated from the front to the opposite side along the outer surface of the flexible fabric 1. The front end of the tightening belt 3 is inserted into the floating ring 4 and folded, and the front end of the tightening belt 3 is tightened toward the starting end, and is then coupled and fixed to the upper surface of the tightening belt 3 by a planar fastener. All the tightening belts 3 are tightened in sequence to complete the wearing.

  The lower limb supporter-type cast orthosis according to the present invention is such that a muscle compression member is provided on the inner surface of the flexible fabric 1 using the known lower limb supporter S as described above. However, the shape, size, and position of the molded part for muscle compression are designed according to the prescription based on the doctor's diagnosis for the wearer, and are produced as a cast device dedicated to a specific wearer. Used to treat disorders.

  Therefore, as a first embodiment of the lower limb supporter type cast device of the present invention, the structure of a cast device suitable for strengthening the quadriceps muscle will be described with reference to FIGS.

  A feature of the cast orthosis of the present invention shown in FIG. 1 is that a muscle compression belt 5 is attached to the inner surface of the flexible fabric 1. That is, the desired position of the outer surface of the muscle compression belt 5 having a length that can be wound around the thigh is set to the inner surface position above the knee joint portion in the middle of the support pockets 1c and 1c of the flexible fabric 1. Combined, divided into two left and right wing pieces, and provided with a surface fastener such as Velcro at the end of one wing piece of the muscle portion compression belt 5, and overlapped with the outer surface of the other wing piece. For example, an appropriate coupling means 5a is configured so that a belt ring corresponding to the circumference of the lower leg or the like can be formed. Further, a desired number of compression molding member holding means 5b such as pockets, for example, can be inserted and held on the inner surface side of the muscle compression belt 5 forming the ring. It is.

  The above-mentioned muscle compression member 6 is designed in accordance with a doctor's prescription as described above. Since this example is a cast orthosis for the purpose of reinforcing the quadriceps muscle, For example, a metal plate or a semi-rigid synthetic resin so that the lower part of the rectus femoral muscle, the lower part of the outer vastus muscle, the lower part of the inner vastus muscle, etc. It is preferably a pillow-shaped molded body or the like formed by using an appropriate molding material so as to have a smooth curved surface by a method such as pressing or molding. The muscle compression molding member 6 prepared to fit the wearer is inserted into each compression molding member holding means 5b, and the lower limb supporter type cast of the present invention as shown in FIG. A brace is obtained.

  The supporter type cast orthosis for lower limbs of the present invention created as described above is a cast orthosis prepared to fit the wearer's physique and the state of disability. As shown in FIG. 3, the flexible fabric 1 of the cast orthosis is applied so as to surround the back side of the knee joint part, and the muscle part compression planned position above the knee joint part, that is, the lower position of the quadriceps muscle, It is surrounded by left and right wing pieces of the muscle part compression belt 5 and tightened by the coupling means 5a. Thereafter, the flexible fabric 1 wraps the lower limb portion including the knee joint portion and abuts the left and right edges 1a and 1a, and then uses the tightening belt 3 and the floating ring 4 provided outside the flexible fabric 1. Fasten and fix the entire cast orthosis around the lower limbs L.

  As described above, the state where the lower limb supporter type cast device of the present invention is mounted on the lower limb of the wearer is shown in the side view of FIG. 4, the muscle portion holding the muscle compression molding member 6 on the back side. The compression belt 5 is tightened at a position where the compression target position under the quadriceps can be accurately pressed, the flexible fabric 1 is wound around the outer side, and the tightening belt 3 and the floating ring are further wound thereon. 4 and the structure tightened.

  The supporter type cast device for lower limbs of the present invention is the cast device for strengthening the quadriceps muscle in the first embodiment described above. Therefore, as a second embodiment, a cast orthosis that can strengthen different muscles will be described with reference to FIG.

  FIG. 5 shows a situation in which the flexible fabric 1 of the cast device of the second embodiment is expanded and the structure of the inner surface thereof is viewed from the front. The difference from the first embodiment is as follows. Further, another muscle compression belt 5 different from that of the first embodiment is further provided at the inner side surface position below the knee joint. That is, the muscle compression belt 5 added in the second embodiment is configured to hold a muscle compression molding member 6 for compressing the upper part of the lower leg muscle, gastrocnemius muscle, anterior tibial muscle, or the like. The structure of the muscle compression belt 5 and the connection structure with the inner surface of the flexible fabric 1 are basically the same as those of the muscle compression belt 5 of the first embodiment. Therefore, the cast orthosis of the second embodiment can be used for strengthening the gastrocnemius and anterior tibial muscles as well as strengthening the quadriceps and biceps.

  The lower limb supporter type cast device of the present invention utilizes the function of fixing the knee joint part of a conventional supporter, and is used as a cast device that is easy to attach and detach. It is used to support treatments such as walking exercise, but it can be easily handled by making fine adjustments to individual differences in the degree of functional deterioration of the lower limb muscles, and can be used in a wide range of treatment stages It is.

It is a perspective view which shows the structure of the 1st example of the supporter type cast orthosis for lower limbs of this invention. It is a front view which shows the state which the cast orthosis of said 1st example spread. It is explanatory drawing of the state which starts mounting | wearing a leg with the cast orthosis of said 1st example. It is a side view of the state where the cast orthosis of said 1st example was mounted | worn with the leg. It is a front view which shows the state which extended the 2nd example of the supporter type cast apparatus for lower limbs of this invention. It is a perspective view which shows the structure of the example of the supporter for conventional legs. It is a side view in the state where the above-mentioned lower limb supporter was attached to the lower limb.

Explanation of symbols

S Lower limb supporter L Lower limb C Patella part 1 Flexible fabric 1a Left and right edges 1b Notch 1c Strut pocket 2 Vertically long strut 3 Fastening belt 4 Free ring 5 Muscle compression belt 5a Joining means 5b Compression molding member Holding means 6 Molded member for muscle compression

Claims (2)

A front opening-type flexible fabric that includes a fastening belt that can be fastened to the outer periphery of the lower limb above at least the knee joint, and can be wound around the lower limb so as to surround the knee joint; A supporter type cast orthosis composed of vertically long posts provided on the left and right sides of the outer surface,
In the state where the flexible fabric is wound around the lower limb, the flexible fabric is attached to the inside of the flexible fabric located on the thigh muscles above the knee joint, and a coupling means is formed at both ends and a plurality of compressions are used. A muscular portion compression belt formed with a molded member holding means;
A muscular part compression molding member that can be inserted into and removed from the squeeze molding member holding means at the muscular position of the compression target formed on the muscular part compression belt, and is shaped so that the surface has a smooth curved surface ;
More constitutes the bottom of the rectus femoris hitting streak portion lower end position of the quadriceps muscle by the muscle portion compression molding members, the lower portion of the vastus lateralis, to compress the desired lower in the lower portion of the vastus medialis Supporter type cast orthosis for lower limbs.   The other muscle part compression belt is attached below the muscle part compression belt attached to the flexible fabric, and the muscle part compression molding member is attached to the other muscle part compression belt, The supporter type cast device for lower limbs according to claim 1, wherein the quadriceps, biceps, gastrocnemius and anterior tibial muscles are compressed.