脳卒中片麻痺の上肢障害分類とポリプロピレン型クレンザック肘継手式上肢装具の試み

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Generally, the crevat and and sling have been used for shoulder articulation, subluxation, pair, edema, shoulder-hand syndrome, etc. Which are equally attributable to hemiplegia due to cerebral apoplexy. However, since immobilization of the upper limbs not only promotes secondary disorders such as poor limb level and articular contracture but also badly affects gait, the compatibility of equipment has become a topic of descussion. The development of the "Functional Arm Sling Brace" has solved these problems to some extent, however, depending on the severity limb disturbance, it is necessary to fully adjust an elbow joint. Thus, we have classified upper limb disturbances in (1) flacoid, (2) flexer synegy, (3) extensor synergy and (4) mixing synergy types, and used Klenzak elbow joint system arm brace for the upper limbs in 10 typical cases. As a result, extension of the width of the rubber used improved articulation, subluxation pain, etc. The adjustment of the flexor and extensor directions of polypropylene type elbow joint system arm brace prevented co-movement of the upper limbs and the tonicity of cervical and pectoralis major muscle. Moreover, ipsilateral and contralateral association responses were successfully blocked. We also improved not only posture but also gait to a certain extent. However, despite the shoulder joints being in a normal condition, an arm brace is required when a patient is highly spasmodic. It is necessary to adjust the whole of the upper limbs by elbow pad, hand-finger splint, etc. and to enhibit spasmodic conditions by using the arm leg braces.
1983-08-25

脳卒中片麻痺の上肢障害分類とポリプロピレン型クレンザック肘継手式上肢装具の試み

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