WO2002094096A1 - Diagnosing device for neuro-musculo-skeletal system and method of using it - Google Patents

Diagnosing device for neuro-musculo-skeletal system and method of using it Download PDF

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Publication number
WO2002094096A1
WO2002094096A1 PCT/JP2002/004861 JP0204861W WO02094096A1 WO 2002094096 A1 WO2002094096 A1 WO 2002094096A1 JP 0204861 W JP0204861 W JP 0204861W WO 02094096 A1 WO02094096 A1 WO 02094096A1
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Prior art keywords
measurement
capacitance
neuromusculoskeletal
site
diagnostic apparatus
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PCT/JP2002/004861
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French (fr)
Japanese (ja)
Inventor
Kenichi Yahiro
Shuuichi Yada
Original Assignee
Idemitsu Kosan Co., Ltd.
Nish Inc.
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Application filed by Idemitsu Kosan Co., Ltd., Nish Inc. filed Critical Idemitsu Kosan Co., Ltd.
Priority to JP2002590821A priority Critical patent/JPWO2002094096A1/en
Publication of WO2002094096A1 publication Critical patent/WO2002094096A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/45For evaluating or diagnosing the musculoskeletal system or teeth
    • A61B5/4519Muscles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/05Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/40Detecting, measuring or recording for evaluating the nervous system
    • A61B5/4029Detecting, measuring or recording for evaluating the nervous system for evaluating the peripheral nervous systems
    • A61B5/4041Evaluating nerves condition

Definitions

  • the present invention relates to a diagnostic apparatus for a neuromusculoskeletal system and a method for using the same, and relates to a diagnostic apparatus for a neuromusculoskeletal system used for physiotherapy, procedural therapy, and sport conditioning, and a method for using the same.
  • diagnosis of neuromusculoskeletal dysfunction is performed by a combination of posture observation, bone kinematic examination, joint kinematic examination, palpation, and the like.
  • means for measuring the capacitance of the measurement site means for measuring the capacitance of the measurement site from a phase difference of a current cycle obtained when an AC voltage is applied to the measurement site is used. be able to.
  • means for measuring the capacitance of the measurement site from the dielectric constant of the skin surface of the measurement site may be used.
  • the correspondence between the distribution pattern of the capacitance of a plurality of measurement sites and the stressed site of the neuromusculoskeletal system is checked in advance, and stored as a data table or the like.
  • a device that searches for a stressed part from the sequential distribution pattern can be used. Such a device can be appropriately configured using existing computer technology or data processing technology.
  • an abnormal site in the neuromuscular skeletal system can be easily diagnosed simply by performing an operation of measuring the capacitance of the measurement site, and thus does not require advanced technical knowledge or skill.
  • the diagnosis is made based on the capacitance of the human body, The effect of sweating is less than that based on a diagnosis based on the diagnosis, and the reliability of the diagnosis result is high.
  • the corresponding means used in the judgment it is possible to judge an abnormal part (stressed part) by comparing the capacitance between the left and right and / or front and rear measurement parts, and to determine the credibility. High diagnostic results are obtained.
  • the measurement sites include left and right oblique muscles (preferably middle oblique muscles), left and right lateral chest (preferably anterior saw muscle upper fibers), Of the tobacco fossa, left and right patella ligaments, left and right medial posterior (preferably posterior tibialis), anterior-posterior mid-chest (preferably mid-papillary) and mid-dorsal (preferably fifth thoracic vertebra) It is desirable to include at least one of them.
  • the measurement site includes left and right oblique muscles (preferably middle oblique muscles), left and right lateral chest (preferably anterior saw muscle upper fiber), left and right muscles.
  • Fistula, left and right patella ligament, left and right medial posterior malleolus (preferably posterior tibialis muscle), and the responding means can correspond to 32 types based on a comparison of the capacitance of all measurement sites. Is desirable.
  • the measurement sites are left and right side chest, left and right tobacco fossae, right and left posterior malleolus, front and rear center of the chest, and center of the back. It is desirable to be able to support 16 types based on the comparison of the capacitance of the measurement site.
  • the method of using the neuromusculoskeletal system of the present invention is a method of using the above-described diagnostic apparatus for neuromusculoskeletal system, wherein the capacitance distribution of a plurality of measurement sites at substantially symmetric positions and / or front and rear positions of the human body. Correspondence is set to the corresponding means with the stressed part of the neuromuscular skeletal system, the capacitance at the plurality of measurement parts is measured, and the arithmetic processing means based on the measurement result. The stressed part is selected from the corresponding means, the part is determined to be an abnormal part, and a result determined by the arithmetic processing means is displayed by a display means.
  • a pair of minus electrodes are attached to the substantially symmetrical position of the human body, and the plus electrode is brought into contact with a predetermined measurement site at the substantially right and left symmetrical positions and at the front and rear positions of the human body.
  • Means for calculating the capacitance between the negative electrode and the positive electrode for each measurement site, and comparing the calculated capacitance between the left and right and / or front and rear measurement sites, and storage means The result of the comparison is corresponded to the part of the neuromuscular skeletal system based on the corresponding means stored in the storage unit, and the abnormal part where the stress is applied is determined, and the result determined by the arithmetic processing means is displayed by the display means. It is characterized by
  • FIG. 1 is a diagram showing a diagnostic situation using a neuromusculoskeletal diagnostic device according to the first embodiment of the present invention.
  • FIG. 2 is an overall perspective view showing the diagnostic device of the first embodiment.
  • FIG. 3 is a block diagram showing the diagnostic device of the first embodiment.
  • FIG. 4 is a graph showing the transient current at the measurement site due to the application of the pulse voltage according to the first embodiment.
  • FIG. 5 is a diagram showing the corresponding means of the first embodiment.
  • FIG. 6 is a view showing one display mode of the first embodiment.
  • FIG. 7 is a diagram showing another display mode of the first embodiment.
  • FIG. 8 is a block diagram showing a diagnostic device according to the second embodiment of the present invention.
  • FIG. 9 is a block diagram showing a diagnostic device according to the third embodiment of the present invention.
  • FIG. 1 is a diagram showing a diagnosis situation using the neuromusculoskeletal diagnostic device 10 according to the present embodiment
  • FIG. 2 is an overall perspective view showing the diagnostic device 10
  • FIG. 3 is a diagnostic device 10.
  • a diagnostic device 10 is a device for diagnosing a stressed part in the neuromuscular skeletal system based on the capacitance at a predetermined part of the subject A, and has a substantially rectangular parallelepiped shape.
  • the apparatus includes an apparatus body 11, a pair of negative electrodes 12 and 12 connected to the apparatus body 11, and a positive electrode 13 also connected to the apparatus body 11.
  • the device body 11 includes a power switch 14 for starting the diagnostic device 10, a display screen 15 as a display means for displaying a screen for prompting measurement at the time of diagnosis, a screen of a diagnostic result after the measurement, and the like. Is provided. On the lower part of the display screen 15, there are a return button 16 to go back one step, a forward button 17 to go one step forward, a cancel button 18 to cancel the last measurement, and the whole measurement. A reset button 19 to cancel is provided, and any button 16 to 19 is selectively operated according to the measurement situation.
  • the negative electrode 12 is attached near both wrists of the subject A.
  • the negative electrode 12 is constructed by embedding a conductive metal electrode (not shown) in the adhesive pad 121 to prevent slippage.
  • the electrode portion comes into contact with the skin of the subject.
  • the positive electrode 13 has a configuration in which a conductive metal rod 13 1 is provided with an insulating section 13 2 for gripping by the operator B, and is applied to a measurement site described later by the operator B.
  • a capture electrode Before applying the plus electrode 13 to these measurement sites, a capture electrode may be attached.
  • Auxiliary electrode made of conductive gel with silver oil applied it can. By using such an auxiliary electrode, the electrical connection to the skin at the measurement site can be improved, which is convenient for performing stable measurement. Since these auxiliary electrodes are attached to the joints as described later, they can be referred to as seki electrodes.
  • the minus electrodes 12 mentioned above are attached to the non-joint parts near the wrists of subject A. Therefore, it can be called an indifferent electrode. As shown in FIG. 3, such a diagnostic apparatus 10 supplies a pulse potential (DC voltage) to the positive electrode 13 to apply it to the measurement site, and also applies a pulse potential (DC voltage) from the negative electrode 12 at that time.
  • DC voltage pulse potential
  • Pulse potential generator 21 for obtaining output
  • transient current measuring device 22 for measuring transient current from output from pulse potential generator 21, and AZD converter for converting transient current, which is analog output, to digital signal 23, and a data analysis device 24 as an arithmetic processing means of the present invention composed of an IC or the like.
  • the data analysis device 24 includes, in addition to the display screen 15 described above, the operation unit 25 including the buttons 16 to 19 described above, and data obtained by measurement (specifically, the capacitance value).
  • Random access memory (RAM) 26 for storing and extracting the data
  • ROM read only memory
  • the data analyzer 24 calculates the capacitance at each measurement unit from the transient current converted into the digital signal. That is, as shown in FIG. 4, when a pulse voltage V (for example, about 3 V) is applied to the measurement site, a transient current occurs in the measurement site. This transient current decreases with time (for example, about lms). The integrated value of this transient current (shaded area in the figure) indicates the charge Q accumulated at the measurement site.
  • the capacitance of the measurement site can be obtained as a value obtained by dividing the charge Q by the voltage V.
  • the measurement site to which the positive electrode 13 is applied is shown in the display screen 15 of FIG.
  • the left and right patellar ligaments J and I and the left and right medial posterior L and K are 5 to 10 places. These measurement sites C to L are sites closely related to diagnosing an abnormal site in the neuromusculoskeletal system, and are sites found by the present inventors as a result of earnest studies.
  • the calculated value of the capacitance is compared between the left and right values for each of the measurement sites C to L (for example, the capacitance value of the right oblique muscle C and the oblique muscle The value is compared with the capacitance value on the left D) and stored in the RAM 26 in a predetermined permutation based on the comparison result.
  • the data analyzer 24 extracts the smaller of the capacitances from the left and right measurement sites C to L stored in the RAM 26, and determines whether this is the left site or the right site. It is determined whether or not there is, and this determination result is compared with the corresponding means in ROM 27.
  • the correspondence means is stored in the ROM 27 as a correspondence list 30 in a map format schematically shown in FIG.
  • the measurement results at the measurement sites C to L are classified into 32 types consisting of all combinations of the smaller of the left and right capacitances. For example, when comparing the left and right, if the medial malleolar right K, oblique muscle left D, tobacco fossa left H, lateral thoracic right E, and patella ligament right I are small capacitance values, respectively, the data analyzer 2 4 determines that the diagnosis result is of type “5”.
  • the correspondence list 30 shows that for each type, the part of the neuromusculoskeletal system where stress is present is known.
  • the black parts are the parts where stress is applied.
  • the neck, left shoulder, right forearm, right wrist, right lower leg, left ankle joint, right hip, right back, and left hip joint are stressed.
  • the relationship between such a site and each type was also found by the present inventors as a result of earnest research.
  • such a diagnosis result is displayed on the display screen 15 so that the stressed part can be identified.
  • the neck M, left shoulder N, right forearm 0, right wrist P, right lower leg Q, left ankle R, right hip S, right back T, and left hip joint front U are displayed together with the human body image. ing.
  • a diagnostic procedure using the diagnostic device 10 will be described.
  • the diagnostic device 10 can easily diagnose abnormalities in the neuromuscular skeletal system simply by performing capacitance measurement operations using the electrodes 12, 13 so that advanced expertise and expertise can be achieved.
  • anyone can easily diagnose without the need for training.
  • the abnormal part is determined by comparing the capacitance between the left and right measurement parts, so that a highly reliable diagnosis result is obtained.
  • the inventors have clarified that comparing the left and right capacitances at each of the measurement sites C to L is effective in diagnosing almost all abnormalities of the neuromusculoskeletal system of the human body.
  • the abnormal operation can be reliably diagnosed by the measurement operation using these measurement sites.
  • the degree of stress can be diagnosed without omission, and the diagnosis of abnormal sites can be performed.
  • the reliability can be significantly improved.
  • a screen prompting the measurement of the transient current is displayed on the display screen 15, so that the positive electrode 13 can be applied to the measurement sites C to L according to the display, and the measurement can be performed. Can be done quickly and accurately.
  • the abnormal site revealed as a result of the diagnosis is also displayed on the display screen 15 in a display form considering the visibility together with the human body image, for example, the abnormal sites M to U shown in FIG. 7. Therefore, the diagnosis result can be accurately recognized, and can be effectively used for the subsequent treatment.
  • a DC pulse voltage is applied between the electrodes 12 and 13 to measure the transient current in order to calculate the capacitance.
  • the method is not limited to this, and the capacitance may be calculated by using the shift (phase difference) of the current cycle when an AC voltage is applied.
  • a diagnostic device 1OA shown in FIG. 8 can be employed.
  • the diagnostic device 1 OA has the same configuration as the diagnostic device 10 of the first embodiment, except that a sine wave generator 21 A is installed in place of the pulse potential generator 21 of the diagnostic device 10, The difference is that a synchronous detector 22 A is installed in place of the transient current measuring device 22.
  • the sine wave generator 21 A generates a sine wave AC voltage V having opposite phases between the electrodes 12 and 13.
  • a sine wave AC voltage for example, a signal of about 1.5 V and about 20 KHz can be used.
  • a sine-wave AC current I flows between the electrodes to which the electrodes 12 and 13 are applied, but the sine-wave AC current I and the sine-wave AC voltage V A phase shift occurs between them.
  • the electric capacitance of the skin may be estimated by measuring the dielectric constant of the skin surface without being limited to the DC pulse of the first embodiment and the sine wave phase difference of the second embodiment.
  • the accuracy is slightly lowered due to the influence of the sympathetic nerve excitability and the environmental humidity. Therefore, it is necessary to consider the correction.
  • a diagnostic device 10B shown in FIG. 9 can be employed.
  • the diagnostic device 10B has the same configuration as the diagnostic device 10 of the first embodiment, except that a resonance circuit 21B is installed in place of the pulse potential generator 21 of the diagnostic device 1.0, and the transient current measuring device 22 The difference is that a frequency counter 22B is installed in place of, and a permittivity measuring electrode 13B is connected in place of the plus electrode 13 and the minus electrode 12.
  • the dielectric constant measurement electrode 13 B has a pair of electrodes 134 and 135 supported by a case 133. These electrodes 134 and 135 are separated from each other at a predetermined small interval (for example, 0.1 mm), and electrically function as capacitors. Each of the electrodes 134 and 135 is covered at its tip with a different insulating sheet 136, and is applied to the measurement site of the subject A via the insulating sheet 136. Electrodes 134 and 135 are connected to resonance circuit 21B by wiring in case 133.
  • the resonance circuit 21B is a resonance circuit using the electrodes 134 and 135 as capacitors.
  • the capacitance of the capacitor composed of the electrodes 134 and 135 changes according to the difference in the dielectric constant of the skin surface.
  • the resonance frequency of the resonance circuit 21B changes in accordance with the above-described change in capacitance. Will change.
  • the frequency counter 22B is connected to the resonance circuit 21B, and detects a change in the resonance frequency according to the above-described change in the capacitance. If this frequency can be detected, the dielectric constant of the skin can be calculated, and the capacitance of the measurement site can be calculated from the dielectric constant.
  • the present invention is not limited to the above-described embodiment, but includes other configurations that can achieve the object of the present invention, and the following modifications are also included in the present invention.
  • the measurement site to which the positive electrode 13 is applied is the left and right oblique muscles D and C, the left and right lateral chest F and E, the left and right tobacco fossae H and G, the left and right patella ligaments J and I, and the right and left posterior malleolus
  • the L and K are 5 to 10 places, and the correspondence list 30 distinguishes them into 32 types consisting of all combinations of the smaller capacitance on the left and right, but the object of the present invention was achieved.
  • the measurement sites to which the positive electrode 13 is applied are the right and left side chest, left and right tobacco fossils, right and left posterior malleolus, and the front and back and center of the chest and the center of the back.
  • the present invention is not limited to the case where the plus electrode is applied to the above-mentioned 5 to 10 places or 4 to 8 places.
  • Left and right oblique muscles preferably middle oblique muscles
  • left and right lateral chest preferably upper anterior saw muscle fibers
  • left and right tobacco fossae preferably left and right patella ligaments
  • left and right medial posterior preferably posterior
  • the present invention is included in the present invention if a positive electrode is applied to any measurement site selected from the tibialis muscle), the front and rear center of the chest (preferably the center between both papillae) and the center of the back (preferably the fifth thoracic vertebra). It is.
  • Treatment Apply massage oil to the injured area (right hamstrings area) and stressed area, and gently massage the skin to be able to walk, and return home without using a wheelchair. Thereafter, the same examination and treatment are performed once or twice a week, and light jogging becomes possible on the 10th day, and the painless running is performed on the 26th day. Is now possible.
  • the diagnostic apparatus of the present invention is effective for diagnosing abnormal parts of the neuromusculoskeletal system.
  • the present invention relates to a diagnostic apparatus for a neuromusculoskeletal system and a method for using the same, and can be used for physiotherapy, operative therapy, sport conditioning, and the like.

Abstract

A diagnosing device (10) can measure the electrostatic capacity of a measuring location of an examinee only by measuring a transition current using respective electrodes (12, 13) to thereby diagnose an abnormal location in a neuro-musculo-skeletal system. The device allows anyone to simply diagnose without requiring sophisticated professional knowledge nor skills, and a use of the electrostatic capacity of an examinee allows diagnosing to be less affected by perspiration than conventional diagnosing based on electric resistance, thereby enhancing reliability of diagnosis results.

Description

明 細 書 神経筋骨格系の診断装置およびその使用方法 技術分野  Description: Diagnostic apparatus for neuromusculoskeletal system and method of using the same
本発明は、 神経筋骨格系の診断装置およびその使用方法に係り、 理学療法、 手 技療法、 およびスポーッコンディショニング等に用いられる神経筋骨格系の診断 装置おょぴその使用方法に関する。 背景技術  The present invention relates to a diagnostic apparatus for a neuromusculoskeletal system and a method for using the same, and relates to a diagnostic apparatus for a neuromusculoskeletal system used for physiotherapy, procedural therapy, and sport conditioning, and a method for using the same. Background art
従来、 理学療法において、 神経筋骨格系の機能異常の診断は、 姿勢の観察、 骨 運動学的検査、 関節運動学的検查、 触診等の組み合わせによって行われる。  Conventionally, in physiotherapy, diagnosis of neuromusculoskeletal dysfunction is performed by a combination of posture observation, bone kinematic examination, joint kinematic examination, palpation, and the like.
しかし、 このような診断には、 専門知識と手技の熟練を要し、 専門家であって もしばしば判断に不確実性が伴う。  However, such a diagnosis requires specialized knowledge and skill, and even an expert often has uncertainty in judgment.
身体の特定部位の皮膚電気特性を測定することで身体機能の変調を客観的に評 価する試みは、 古くから行われている。 その大部分は、 1 9 5 0年に中谷義雄博 士が提唱した 「良導絡」 の概念をベースにしており、 経絡上の測定点における直 流電圧に対する電気抵抗、 または、 交流電圧に対するインピーダンスを測定し、 身体機能の評価を行っている (特開平 1 0— 2 2 5 5 2 1号公報) 。  Attempts to objectively evaluate the modulation of bodily functions by measuring skin electrical properties of specific parts of the body have long been made. Most of them are based on the concept of "Ryodokan" proposed by Yoshio Nakatani in 1950, and the electrical resistance to the DC voltage at the measurement point on the meridian or the impedance to the AC voltage Is measured, and the body function is evaluated (Japanese Patent Application Laid-Open No. H10-2255251).
しかしながら、 前述した方法は、 精神状態 (緊張度) や発汗状態に大きく影響 されるため、 試合中のスポーツ選手等の身体機能を測定する際などには、 診断結 果の信憑性が低くなるといった問題がある。 発明の開示  However, since the above-mentioned method is greatly affected by the mental state (strain level) and the state of sweating, when measuring the physical function of a sports player or the like during a game, the credibility of the diagnosis result becomes low. There's a problem. Disclosure of the invention
本発明の目的の一つは、 高度な専門知識や熟練を要せず、 神経筋骨格系の異常 部位を正確かつ容易に診断できる神経筋骨格系の診断装置およびその使用方法を 提供することにある。 本発明の神経筋骨格系の診断装置は、 人体の略左右対称位置おょぴ または前 後位置にある複数の測定部位の静電容量の分布と神経筋骨格系のストレスがか かっている部位との対応を示す対応手段と、 前記複数の測定部位における静電容 量の測定結果に基づいて前記対応手段から前記ストレスがかかっている部位を選 択して当該部位を異常部位と判定する演算処理手段と、 前記演算処理手段で判定 した結果を表示する表示手段と、 を備えていることを特徴とする。 An object of the present invention is to provide a neuromusculoskeletal diagnostic device capable of accurately and easily diagnosing an abnormal site of the neuromusculoskeletal system without requiring high specialized knowledge and skill, and a method of using the same. is there. The diagnostic apparatus for a neuromuscular skeletal system according to the present invention is provided with a substantially bilaterally symmetric position Corresponding means for indicating the correspondence between the distribution of the capacitance of the plurality of measurement sites at the rear position and the stressed region of the neuromuscular skeletal system, based on the measurement results of the capacitance at the plurality of measurement sites An operation processing means for selecting the stressed part from the corresponding means and determining the part as an abnormal part, and a display means for displaying a result determined by the operation processing means. Features.
本発明において、 前記測定部位の静電容量を測定する手段としては、 前記測定 部位に交流電圧を印加した際に得られる電流周期の位相差から前記測定部位の静 電容量を測定する手段を用いることができる。  In the present invention, as means for measuring the capacitance of the measurement site, means for measuring the capacitance of the measurement site from a phase difference of a current cycle obtained when an AC voltage is applied to the measurement site is used. be able to.
また、 前記測定部位に直流電圧を印加した際に得られる過渡電流値から前記測 定部位の静電容量を測定する手段を用いることもできる。  It is also possible to use means for measuring the capacitance of the measurement site from a transient current value obtained when a DC voltage is applied to the measurement site.
更に、 前記測定部位の皮膚表面の誘電率から前記測定部位の静電容量を測定す る手段を用いてもよい。  Further, means for measuring the capacitance of the measurement site from the dielectric constant of the skin surface of the measurement site may be used.
本発明において、 対応手段としては、 複数の測定部位の静電容量の分布パター ン等と神経筋骨格系のストレスがかかっている部位との対応を予め調べておき、 データテーブル等として記憶しておき、 逐次分布パターンからストレス部位を検 索する装置等を利用することができる。 このような装置は、 既存のコンピュータ 技術あるいはデータ処理技術を利用して適宜構成することができる。  In the present invention, as a corresponding means, the correspondence between the distribution pattern of the capacitance of a plurality of measurement sites and the stressed site of the neuromusculoskeletal system is checked in advance, and stored as a data table or the like. In addition, a device that searches for a stressed part from the sequential distribution pattern can be used. Such a device can be appropriately configured using existing computer technology or data processing technology.
より具体的な構成としては、 例えば、 人体の略左右対称位置に取り付けられる 一対のマイナス電極と、 人体の略左右対象位置およびノまたは前後位置にある所 定の測定部位に接触させるプラス電極とを用い、 各測定部位毎の前記マイナス電 極およびプラス電極間の静電容量を算出するとともに、 算出した静電容量を左右 およびノまたは前後の前記測定部位間で比較し、 かつ比較した結果と神経筋骨格 系の部位とを対応させる対応手段に基づいてストレスがかかっている異常部位を 判定する演算処理手段と、 前記対応手段が記憶されている記憶手段と、 演算処理 手段で判定した結果を表示する表示手段と、 を備える構成とすることができる。 このような本発明によれば、 前記測定部位の静電容量を測定する操作を行うだ けで、 神経筋骨格系の異常部位が容易に診断されるので、 高度な専門知識や熟練 を要しないうえ、 人体の静電容量に基づいて診断するから、 従来の電気抵抗に基 づいた診断に比して発汗の影響が少なく、 診断結果の信頼性も高い。 しかも、 判 定に用いられる対応手段によれば、 左右および/または前後の測定部位間での静 電容量を比較することで異常部位(ストレスのかかった部位) を判定可能であり、 信憑性の高い診断結果が得られる。 As a more specific configuration, for example, a pair of minus electrodes attached to a substantially symmetric position of the human body and a plus electrode that comes into contact with a predetermined measurement site at a position substantially symmetrical to the right and left of the human body and at a predetermined or forward or backward position. The capacitance between the negative electrode and the positive electrode for each measurement site is calculated, and the calculated capacitance is compared between the left, right, left and right or front and back measurement sites, and the comparison result is compared with the nerve. An arithmetic processing means for determining an abnormal part under stress based on a corresponding means for associating a part of the musculoskeletal system; a storage means storing the corresponding means; and a result determined by the arithmetic processing means. And a display unit that performs the following. According to the present invention, an abnormal site in the neuromuscular skeletal system can be easily diagnosed simply by performing an operation of measuring the capacitance of the measurement site, and thus does not require advanced technical knowledge or skill. In addition, since the diagnosis is made based on the capacitance of the human body, The effect of sweating is less than that based on a diagnosis based on the diagnosis, and the reliability of the diagnosis result is high. Moreover, according to the corresponding means used in the judgment, it is possible to judge an abnormal part (stressed part) by comparing the capacitance between the left and right and / or front and rear measurement parts, and to determine the credibility. High diagnostic results are obtained.
以上により、従来の良導絡理論では不可能であった神経筋骨格系の診断が行え、 前記目的が達成される。 本発明の神経筋骨格系の診断装置において、前記測定部位は、左右の斜角筋(好 ましくは中斜角筋) と、 左右の側胸部 (好ましくは前鋸筋上部線維) と、 左右の たばこ窩と、 左右の膝蓋靱帯と、 左右の内果後方 (好ましくは後脛骨筋) と、 前 後の胸中央 (好ましくは両乳頭間中央) および背中央 (好ましくは第 5胸椎) と のうち、 少なくともいずれかを含んでいることが望ましい。  As described above, the diagnosis of the neuromuscular skeletal system, which was impossible with the conventional Ryodoraku theory, can be performed, and the above object is achieved. In the diagnostic apparatus for a neuromusculoskeletal system according to the present invention, the measurement sites include left and right oblique muscles (preferably middle oblique muscles), left and right lateral chest (preferably anterior saw muscle upper fibers), Of the tobacco fossa, left and right patella ligaments, left and right medial posterior (preferably posterior tibialis), anterior-posterior mid-chest (preferably mid-papillary) and mid-dorsal (preferably fifth thoracic vertebra) It is desirable to include at least one of them.
各測定部位での左右および Zまたは前後の静電容量を比較することが、 人体の 略全ての神経筋骨格系の異常部位を診断するのに有効であることが発明者によつ て明らかにされており、 これらの測定部位による測定操作で異常部位が確実に診 断されるようになる。  It has been clarified by the inventor that comparing left and right and Z or front and rear capacitances at each measurement site is effective in diagnosing almost all neuromusculoskeletal abnormalities in the human body. The abnormal operation is surely diagnosed by the measurement operation using these measurement sites.
本発明の神経筋骨格系の診断装置において、前記測定部位は、左右の斜角筋(好 ましくは中斜角筋) 、 左右の側胸部 (好ましくは前鋸筋上部線維) 、 左右のたば こ窩、 左右の膝蓋靱帯、 左右の内果後方 (好ましくは後脛骨筋) であり、 前記対 応手段は、 全ての測定部位の静電容量の比較に基づく 3 2通りのタイプに対応可 能であることが望ましい。  In the diagnostic apparatus for a neuromuscular skeletal system of the present invention, the measurement site includes left and right oblique muscles (preferably middle oblique muscles), left and right lateral chest (preferably anterior saw muscle upper fiber), left and right muscles. Fistula, left and right patella ligament, left and right medial posterior malleolus (preferably posterior tibialis muscle), and the responding means can correspond to 32 types based on a comparison of the capacitance of all measurement sites. Is desirable.
本発明の神経筋骨格系の診断装置において、 前記測定部位は、 左右の側胸部、 左右のたばこ窩、 左右の内果後方、 前後の胸中央および背中央であり、 前記対応 手段は、 全ての測定部位の静電容量の比較に基づく 1 6通りのタイプに対応可能 であることが望ましい。  In the diagnostic apparatus for a neuromusculoskeletal system according to the present invention, the measurement sites are left and right side chest, left and right tobacco fossae, right and left posterior malleolus, front and rear center of the chest, and center of the back. It is desirable to be able to support 16 types based on the comparison of the capacitance of the measurement site.
これらの構成ではいずれの場合でも、 神経筋骨格系の略全ての部位において、 ス トレスのかかり具合が漏れなく診断されるようになり、 診断の信頼性が格段に 向上する。 本発明の神経筋骨格系の使用方法は、 前述した神経筋骨格系の診断装置の使用 方法であって、 人体の略左右対称位置および または前後位置にある複数の測定 部位の静電容量の分布と神経筋骨格系のストレスがかかっている部位との対応を 対応手段に設定しておき、 前記複数の測定部位における静電容量を測定するとと もに、 演算処理手段により前記測定結果に基づいて前記対応手段から前記ストレ スがかかっている部位を選択して当該部位を異常部位と判定し、 表示手段により 前記演算処理手段で判定した結果を表示することを特徴とする。 In any of these configurations, in any case, almost all parts of the neuromusculoskeletal system can be diagnosed without stress, and the reliability of the diagnosis is significantly improved. The method of using the neuromusculoskeletal system of the present invention is a method of using the above-described diagnostic apparatus for neuromusculoskeletal system, wherein the capacitance distribution of a plurality of measurement sites at substantially symmetric positions and / or front and rear positions of the human body. Correspondence is set to the corresponding means with the stressed part of the neuromuscular skeletal system, the capacitance at the plurality of measurement parts is measured, and the arithmetic processing means based on the measurement result. The stressed part is selected from the corresponding means, the part is determined to be an abnormal part, and a result determined by the arithmetic processing means is displayed by a display means.
より具体的には、 例えば、 人体の略左右対称位置に一対のマイナス電極取り付 け、 人体の略左右対象位置およびノまたは前後位置にある所定の測定部位にプラ ス電極を接触させ、 演算処理手段により各測定部位毎の前記マイナス電極おょぴ プラス電極間の静電容量を算出するとともに、 算出した静電容量を左右おょぴ / または前後の前記測定部位間で比較し、 かつ記憶手段に記憶された対応手段に基 づいて前記比較した結果と神経筋骨格系の部位とを対応させてストレスがかかつ ている異常部位を判定し、 表示手段により演算処理手段で判定した結果を表示す ることを特徴とする。  More specifically, for example, a pair of minus electrodes are attached to the substantially symmetrical position of the human body, and the plus electrode is brought into contact with a predetermined measurement site at the substantially right and left symmetrical positions and at the front and rear positions of the human body. Means for calculating the capacitance between the negative electrode and the positive electrode for each measurement site, and comparing the calculated capacitance between the left and right and / or front and rear measurement sites, and storage means The result of the comparison is corresponded to the part of the neuromuscular skeletal system based on the corresponding means stored in the storage unit, and the abnormal part where the stress is applied is determined, and the result determined by the arithmetic processing means is displayed by the display means. It is characterized by
このような本発明の使用方法によれば、 前述した本発明の診断装置の作用効果 が同様に得られ、 本発明の目的が達成される。 図面の簡単な説明  According to such a method of use of the present invention, the operation and effect of the above-described diagnostic device of the present invention are similarly obtained, and the object of the present invention is achieved. BRIEF DESCRIPTION OF THE FIGURES
図 1は本発明の第一実施形態に係る神経筋骨格系の診断装置を用いた診断状況 を示す図である。  FIG. 1 is a diagram showing a diagnostic situation using a neuromusculoskeletal diagnostic device according to the first embodiment of the present invention.
図 2は前記第一実施形態の診断装置を示す全体斜視図である。  FIG. 2 is an overall perspective view showing the diagnostic device of the first embodiment.
図 3は前記第一実施形態の診断装置を示すプロック図である。  FIG. 3 is a block diagram showing the diagnostic device of the first embodiment.
図 4は前記第一実施形態のパルス電圧印加に伴う測定部位の過渡電流を示すグ ラフである。  FIG. 4 is a graph showing the transient current at the measurement site due to the application of the pulse voltage according to the first embodiment.
図 5は前記第一実施形態の対応手段を示す図である。  FIG. 5 is a diagram showing the corresponding means of the first embodiment.
図 6は前記第一実施形態の一表示形態を示す図である。  FIG. 6 is a view showing one display mode of the first embodiment.
図 7は前記第一実施形態の他の表示形態を示す図である。  FIG. 7 is a diagram showing another display mode of the first embodiment.
図 8は本発明の第二実施形態の診断装置を示すブロック図である。 図 9は本発明の第三実施形態の診断装置を示すプロック図である。 発明を実施するための最良の形態 FIG. 8 is a block diagram showing a diagnostic device according to the second embodiment of the present invention. FIG. 9 is a block diagram showing a diagnostic device according to the third embodiment of the present invention. BEST MODE FOR CARRYING OUT THE INVENTION
以下、 本発明の実施形態を図面に基づいて説明する。  Hereinafter, embodiments of the present invention will be described with reference to the drawings.
[第一実施形態] [First embodiment]
図 1は、 本実施形態に係る神経筋骨格系の診断装置 1 0を用いた診断状況を示 す図、 図 2は、 診断装置 1 0を示す全体斜視図、 図 3は、 診断装置 1 0を示すブ 口ック図である。 図 1ないし図 3において、 診断装置 1 0は、 被験者 Aの所定部位における静電 容量に基づき、 神経筋骨格系の中でストレスがかかっている部位を診断する装置 であって、 略直方体状の装置本体 1 1と、 装置本体 1 1に接続された一対のマイ ナス電極 1 2 , 1 2と、 同じく装置本体 1 1に接続されたプラス電極 1 3とを備 えている。  FIG. 1 is a diagram showing a diagnosis situation using the neuromusculoskeletal diagnostic device 10 according to the present embodiment, FIG. 2 is an overall perspective view showing the diagnostic device 10, and FIG. 3 is a diagnostic device 10. FIG. In FIG. 1 to FIG. 3, a diagnostic device 10 is a device for diagnosing a stressed part in the neuromuscular skeletal system based on the capacitance at a predetermined part of the subject A, and has a substantially rectangular parallelepiped shape. The apparatus includes an apparatus body 11, a pair of negative electrodes 12 and 12 connected to the apparatus body 11, and a positive electrode 13 also connected to the apparatus body 11.
装置本体 1 1には、 診断装置 1 0を起動させるためのパワースィッチ 1 4と、 診断時の測定を促す画面や測定後の診断結果の画面等を表示する表示手段として の表示画面 1 5とが設けられている。 また、 表示画面 1 5の下側には、 測定を一 段階戻って行う戻るポタン 1 6、 一段階進んで行う進むボタン 1 7、 直前の測定 を取り消す取消ボタン 1 8、 およぴ測定全体をキャンセルするリセットポタン 1 9を備え、 測定状況に応じて任意のボタン 1 6〜1 9が選択的に操作される。 マイナス電極 1 2は、 被験者 Aの両手首付近に取り付けられものであり、 ずれ 防止用の粘着性パッド 1 2 1に、 導電性を有する金属製の電極部 (図示略) を埋 め込んだ構成とされ、 この電極部が被験者の肌に接触するようになっている。 プラス電極 1 3は、 導電性を有する金属棒 1 3 1に、 オペレータ Bによる把持 用の絶縁部 1 3 2を備えた構成とされ、 オペレータ Bによって後述する測定部位 にあてがわれる。  The device body 11 includes a power switch 14 for starting the diagnostic device 10, a display screen 15 as a display means for displaying a screen for prompting measurement at the time of diagnosis, a screen of a diagnostic result after the measurement, and the like. Is provided. On the lower part of the display screen 15, there are a return button 16 to go back one step, a forward button 17 to go one step forward, a cancel button 18 to cancel the last measurement, and the whole measurement. A reset button 19 to cancel is provided, and any button 16 to 19 is selectively operated according to the measurement situation. The negative electrode 12 is attached near both wrists of the subject A. The negative electrode 12 is constructed by embedding a conductive metal electrode (not shown) in the adhesive pad 121 to prevent slippage. The electrode portion comes into contact with the skin of the subject. The positive electrode 13 has a configuration in which a conductive metal rod 13 1 is provided with an insulating section 13 2 for gripping by the operator B, and is applied to a measurement site described later by the operator B.
これらの測定部位には、 プラス電極 1 3をあてがうのに先立って、 捕助電極を 貼付けておいてもよい。 補助電極としては電導ゲルに銀油を貼ったもの等が利用 できる。 このような補助電極を用いることで、 測定部位の皮膚に対する電気的接 続性を良好にすることができ、 測定を安定的に行うのに好都合である。 なお、 こ れらの補助電極は、 後述する通り関節部分に貼られるので関電極と呼ぶことがで き、 これに対し前述したマイナス電極 1 2は被験者 Aの両手首付近の関節でない 部分に貼られるため不関電極と呼ぶことができる。 このような診断装置 1 0は、 図 3に具体的に示すように、 プラス電極 1 3にパ ルス電位 (直流電圧) を供給して測定部位に印加し、 かつその時のマイナス電極 1 2からの出力を得るパルス電位発生装置 2 1と、 パルス電位発生装置 2 1から の出力から過渡電流を測定する過渡電流測定装置 2 2と、 アナログ出力である過 渡電流をデジタル信号に変換する AZD変換器 2 3と、 I C等からなる本発明の 演算処理手段としてのデータ解析装置 2 4とを備えている。 Before applying the plus electrode 13 to these measurement sites, a capture electrode may be attached. Auxiliary electrode made of conductive gel with silver oil applied it can. By using such an auxiliary electrode, the electrical connection to the skin at the measurement site can be improved, which is convenient for performing stable measurement. Since these auxiliary electrodes are attached to the joints as described later, they can be referred to as seki electrodes. On the other hand, the minus electrodes 12 mentioned above are attached to the non-joint parts near the wrists of subject A. Therefore, it can be called an indifferent electrode. As shown in FIG. 3, such a diagnostic apparatus 10 supplies a pulse potential (DC voltage) to the positive electrode 13 to apply it to the measurement site, and also applies a pulse potential (DC voltage) from the negative electrode 12 at that time. Pulse potential generator 21 for obtaining output, transient current measuring device 22 for measuring transient current from output from pulse potential generator 21, and AZD converter for converting transient current, which is analog output, to digital signal 23, and a data analysis device 24 as an arithmetic processing means of the present invention composed of an IC or the like.
データ解析装置 2 4には、 前述の表示画面 1 5や、 前述のポタン 1 6〜1 9か らなる操作部 2 5の他、測定によって得られたデータ (具体的には静電容量の値) を格納 ·抽出する R AM (random access memory) 2 6と、 診断装置 1 0自身の 作動用の各種ソフトウエアや、 後述の対応手段が記憶されている記憶手段として の R OM (read only memory) 2 7とが接続されている。  The data analysis device 24 includes, in addition to the display screen 15 described above, the operation unit 25 including the buttons 16 to 19 described above, and data obtained by measurement (specifically, the capacitance value). Random access memory (RAM) 26 for storing and extracting the data, ROM (read only memory) as a storage means for storing various software for operating the diagnostic device 10 itself, and corresponding means described later. ) 27 is connected.
そして、 データ解析装置 2 4は、 デジタル信号に変換された過渡電流から各測 定部での静電容量を計算する。 すなわち、 図 4に示すように、 測定部位にパルス 電圧 V (例えば 3 V程度) を印加すると、 測定部位には過渡電流が生じる。 この 過渡電流は時間の経過 (例えば l m s程度) に伴って減少する。 この過渡電流の 積分値 (図の斜線部分) は測定部位に蓄積される電荷 Qを示すものとなる。 ここ で、 測定部位の静電容量は電荷 Qを電圧 Vで割った値として得ることができる。 プラス電極 1 3をあてがう測定部位は、 図 6の表示画面 1 5内に人体像と共に 示すように、 左右の斜角筋 D, C、 左右の側胸部 F, E、 左右のたばこ窩 H, G、 左右の膝蓋靱帯 J , I、 左右の内果後方 L, Kの 5対 1 0ケ所である。 これらの 測定部位 C〜Lは、 神経筋骨格系の異常部位を診断するのに密接に関係する部位 であり、 本発明者が鋭意研究の結果見出した部位である。 データ解析装置 2 4において、 算出された静電容量の値は、 各測定部位 C〜L 毎に左右の値が比較され (例えば、 斜角筋右 Cの静電容量の値と、 斜角筋左 Dの 静電容量の値とが比較され) 、 その比較結果に基づいた所定の順列で R AM 2 6 に記憶される。 Then, the data analyzer 24 calculates the capacitance at each measurement unit from the transient current converted into the digital signal. That is, as shown in FIG. 4, when a pulse voltage V (for example, about 3 V) is applied to the measurement site, a transient current occurs in the measurement site. This transient current decreases with time (for example, about lms). The integrated value of this transient current (shaded area in the figure) indicates the charge Q accumulated at the measurement site. Here, the capacitance of the measurement site can be obtained as a value obtained by dividing the charge Q by the voltage V. The measurement site to which the positive electrode 13 is applied is shown in the display screen 15 of FIG. The left and right patellar ligaments J and I and the left and right medial posterior L and K are 5 to 10 places. These measurement sites C to L are sites closely related to diagnosing an abnormal site in the neuromusculoskeletal system, and are sites found by the present inventors as a result of earnest studies. In the data analyzer 24, the calculated value of the capacitance is compared between the left and right values for each of the measurement sites C to L (for example, the capacitance value of the right oblique muscle C and the oblique muscle The value is compared with the capacitance value on the left D) and stored in the RAM 26 in a predetermined permutation based on the comparison result.
さらに、 データ解析装置 2 4は、 R AM 2 6内に記憶された左右の測定部位 C 〜Lのうち、 静電容量の小さい方を抽出し、 これが左側の部位であるか、 右側の 部位であるかを判定し、 この判定結果と R OM 2 7内の対応手段と比較する。 こ こで、 対応手段は、 図 5に模式的に示すマップ形式の対応一覧 3 0として R OM 2 7内に記憶されている。  Further, the data analyzer 24 extracts the smaller of the capacitances from the left and right measurement sites C to L stored in the RAM 26, and determines whether this is the left site or the right site. It is determined whether or not there is, and this determination result is compared with the corresponding means in ROM 27. Here, the correspondence means is stored in the ROM 27 as a correspondence list 30 in a map format schematically shown in FIG.
対応一覧 3 0では、 測定部位 C〜Lでの測定結果は、 左右いずれか小さい方の 静電容量の全組み合わせからなる 3 2通りのタイプに区別されている。 例えば、 左右を比べた場合に、 内果後方右 K、 斜角筋左 D、 たばこ窩左 H、 側胸部右 E、 膝蓋靱帯右 Iがそれぞれ小さい静電容量値であれば、 データ解析装置 2 4は、 そ の診断結果をタイプ 「5」 であると判定する。  In the correspondence list 30, the measurement results at the measurement sites C to L are classified into 32 types consisting of all combinations of the smaller of the left and right capacitances. For example, when comparing the left and right, if the medial malleolar right K, oblique muscle left D, tobacco fossa left H, lateral thoracic right E, and patella ligament right I are small capacitance values, respectively, the data analyzer 2 4 determines that the diagnosis result is of type “5”.
—方、 対応一覧 3 0では、 各タイプ毎に、 神経筋骨格系でのス トレスがかかつ ている部位がわかるようになつている。 図 5において、 黒塗りされている部位が ス トレスのかかっている部位である。 つまり、 前述のタイプ 「5」 でいえば、 首、 左肩、 右前腕、 右手首、 右下腿、 左足関節、 右腰、 右背、 左股関節前面にス トレ スがかかっていることになる。 このような部位と各タイプとの関係もまた、 本発 明者が鋭意研究の結果見出したものである。  —On the other hand, the correspondence list 30 shows that for each type, the part of the neuromusculoskeletal system where stress is present is known. In Fig. 5, the black parts are the parts where stress is applied. In other words, in the case of type 5 above, the neck, left shoulder, right forearm, right wrist, right lower leg, left ankle joint, right hip, right back, and left hip joint are stressed. The relationship between such a site and each type was also found by the present inventors as a result of earnest research.
そして、 このような診断結果は、 図 7に示すように、 表示画面 1 5にス トレス のかかっている部位が識別可能に表示されるようになっている。 前述のタイプ 「5」 でいえば、 首 M、 左肩 N、 右前腕 0、 右手首 P、 右下腿 Q、 左足関節 R、 右腰 S、 右背 T、 左股関節前面 Uが人体像と共に表示されている。 以下、 診断装置 1 0を用いた診断手順を説明する。  As shown in FIG. 7, such a diagnosis result is displayed on the display screen 15 so that the stressed part can be identified. In the case of type 5 above, the neck M, left shoulder N, right forearm 0, right wrist P, right lower leg Q, left ankle R, right hip S, right back T, and left hip joint front U are displayed together with the human body image. ing. Hereinafter, a diagnostic procedure using the diagnostic device 10 will be described.
先ず、オペレータ Βは、診断装置 1 0の装置本体 1 1に設けられたパワースイツ チ 1 4を O Nにする。 すると、 表示画面 1 5には、 各電極 1 2 , 1 3を用いた静 電容量の測定を促す画面が表示される。 また、 オペレータ Bは、 被験者 Aにマイ ナス電極 1 2を取り付け、 表示画面に表示された順序でプラス電極 1 3を測定部 位 C〜 Lにあてがい、 静電容量の測定を開始する。 First, the operator ON turns on the power switch 14 provided in the apparatus main body 11 of the diagnostic apparatus 10. Then, the display screen 15 displays a screen that prompts the measurement of the capacitance using the electrodes 12 and 13. Operator B also assigns Attach the eggplant electrode 12 and apply the plus electrode 13 to the measuring units C to L in the order displayed on the display screen to start measuring the capacitance.
この際、 静電容量の測定が終了する毎に、 測定部位 C〜Lの丸マークの色が変 わるようになっており、測定操作を間違レ、なくより確実に行うことが可能である。 そして、 各部位の測定が終了する毎に、 オペレータ Bは進むボタン 1 7を押し、 順次測定部位 C〜Lの測定を終わらせる。 誤った位置で測定を行った場合や、 再 度測定をやり直す場合には、 戻るポタン 1 6や、 取消ボタン 1 8を操作すればよ レ、。  At this time, each time the measurement of the capacitance is completed, the color of the circle mark of the measurement site C to L changes, so that the measurement operation can be performed without mistake and without fail. . Then, every time the measurement of each part is completed, the operator B presses the forward button 17 to finish the measurement of the measurement parts C to L sequentially. If you take a measurement at the wrong position or restart the measurement, you can operate the return button 16 or the cancel button 18.
測定部位 C〜Lでの測定を終えた後、 進むボタン 1 7を押すと、 データ解析装 置 2 4は、 前述したようにして診断結果を判定し、 図 7に示すように、 診断結果 を表示画面 1 5に表示する。  After finishing the measurement at the measurement sites C to L, when the forward button 17 is pressed, the data analysis device 24 judges the diagnosis result as described above, and as shown in FIG. Display on display screen 15.
この後は、 表示された異常部位に、 マッサージ、 湿布、 スプレー、 テーピング などの適宜な処置を行えばよい。 このような本実施形態によれば、 以下のような効果がある。  After that, appropriate treatment such as massage, compress, spray, taping, etc. may be performed on the displayed abnormal site. According to this embodiment, the following effects can be obtained.
( 1 )診断装置1 0では、 各電極 1 2, 1 3を用いた静電容量の測定操作を行う だけで、 神経筋骨格系の異常部位を容易に診断できるので、 高度な専門知識や熟 練を必要とせず、 誰でも簡単に診断できる。  (1) The diagnostic device 10 can easily diagnose abnormalities in the neuromuscular skeletal system simply by performing capacitance measurement operations using the electrodes 12, 13 so that advanced expertise and expertise can be achieved. Anyone can easily diagnose without the need for training.
( 2 )また、 被験者 Aの静電容量を算出することで診断するので、 従来の電気抵 抗に基づいた診断に比して発汗の影響が少なく、 体を動かした直後のスポーツ選 手などを診断した場合でも、 診断結果の信頼性が高い。  (2) In addition, since the diagnosis is made by calculating the capacitance of the subject A, the influence of sweating is less than that of the diagnosis based on the conventional electric resistance, and the sports athlete immediately after moving the body can be used. Even if a diagnosis is made, the reliability of the diagnosis result is high.
( 3 )しカゝも、 判定に用いられる対応一覧 3 0によれば、 左右の測定部位間での 静電容量を比較することで異常部位を判定するので、 信憑性の高い診断結果を得 ることができる。  (3) According to the correspondence list 30 used for the determination, the abnormal part is determined by comparing the capacitance between the left and right measurement parts, so that a highly reliable diagnosis result is obtained. Can be
( 4 )各測定部位 C〜Lでの左右の静電容量を比較することが、 人体の略全ての 神経筋骨格系の異常部位を診断するのに有効であることが発明者によって明らか にされており、これらの測定部位による測定操作で異常部位を確実に診断できる。  (4) The inventors have clarified that comparing the left and right capacitances at each of the measurement sites C to L is effective in diagnosing almost all abnormalities of the neuromusculoskeletal system of the human body. The abnormal operation can be reliably diagnosed by the measurement operation using these measurement sites.
( 5 )さらに、 各測定部位 C〜Lの全てについて、 左右の静電容量を比較するか ら、 ストレスのかかり具合が漏れなく診断されるようになり、 異常部位の診断の 信頼性を格段に向上させることができる。 (5) Furthermore, since the left and right capacitances are compared for all of the measurement sites C to L, the degree of stress can be diagnosed without omission, and the diagnosis of abnormal sites can be performed. The reliability can be significantly improved.
( 6 )診断装置 1 0では、 過渡電流の測定を促す画面が表示画面 1 5に表示され るので、 その表示に従って順次測定部位 C〜Lにプラス電極 1 3をあてがえばよ く、 測定を迅速かつ正確に行える。  (6) In the diagnostic device 10, a screen prompting the measurement of the transient current is displayed on the display screen 15, so that the positive electrode 13 can be applied to the measurement sites C to L according to the display, and the measurement can be performed. Can be done quickly and accurately.
( 7 )また、 測定した部位は、 人体像と共に表示された丸マークが色変わりする ので、 再度同じ部位を測定するのを有効に防止でき、 診断装置 1 0の使い勝手を 向上させることができる。  (7) Further, since the circle mark displayed together with the human body image changes color at the measured site, it is possible to effectively prevent the same site from being measured again, and the usability of the diagnostic apparatus 10 can be improved.
( 8 )さらに、 診断の結果明らかになった異常部位も、 例えば図 7に示す異常部 位 M〜Uのように、 人体像と共に視認性を考慮した表示形態で表示画面 1 5に表 示されるから、 診断結果を正確に認識でき、 後の処置に有効に活用できる。  (8) In addition, the abnormal site revealed as a result of the diagnosis is also displayed on the display screen 15 in a display form considering the visibility together with the human body image, for example, the abnormal sites M to U shown in FIG. 7. Therefore, the diagnosis result can be accurately recognized, and can be effectively used for the subsequent treatment.
[第二実施形態] [Second embodiment]
前記第一実施形態の診断装置 1 0では、静電容量を算出するために、電極 1 2 , 1 3間に直流のパルス電圧を印加して過渡電流を測定したが、 静電容量の測定方 法としてはこれに限定されるものではなく、 交流電圧を印加した時の電流周期の ずれ (位相差) を利用して静電容量を算出してもよい。  In the diagnostic device 10 of the first embodiment, a DC pulse voltage is applied between the electrodes 12 and 13 to measure the transient current in order to calculate the capacitance. The method is not limited to this, and the capacitance may be calculated by using the shift (phase difference) of the current cycle when an AC voltage is applied.
具体的には、 図 8に示す診断装置 1 O Aを採用することができる。  Specifically, a diagnostic device 1OA shown in FIG. 8 can be employed.
診断装置 1 O Aは、前記第一実施形態の診断装置 1 0と同様な構成を有するが、 診断装置 1 0のパルス電位発生装置 2 1に替えて正弦波発生装置 2 1 Aが設置さ れ、 過渡電流測定装置 2 2に替えて同期検波器 2 2 Aが設置されている点が異な る。  The diagnostic device 1 OA has the same configuration as the diagnostic device 10 of the first embodiment, except that a sine wave generator 21 A is installed in place of the pulse potential generator 21 of the diagnostic device 10, The difference is that a synchronous detector 22 A is installed in place of the transient current measuring device 22.
正弦波発生装置 2 1 Aは、 電極 1 2, 1 3間にそれぞれ逆相の正弦波交流電圧 Vを発生させる。 この正弦波交流電圧としては、例えば 1. 5V、 20K H z程度の信 号が利用できる。  The sine wave generator 21 A generates a sine wave AC voltage V having opposite phases between the electrodes 12 and 13. As the sine wave AC voltage, for example, a signal of about 1.5 V and about 20 KHz can be used.
電極 1 2および電極 1 3があてがわれた被験者には両電極間に正弦波交流電流 Iが流れるが、 被験者の身体のコンデンサ成分のため、 正弦波交流電流 Iと正弦 波交流電圧 Vとの間には位相のすれが生じる。 この時、 被験者の測定部位間の部 分はコンデンサと抵抗とが直列に接続された等価回路と見なすことができ、 正弦 波交流電圧 Vは、 正弦波交流電流 Iと同位相の V r (抵抗の両端電圧) および正 弦波交流電流 Iより位相が 90度遅れた V c (コンデンサの両端電圧) をべタト ル合成したものとなる。 そこで、 同期検波器 22Aにより Vcを検出すると、 コ ンデンサの静電容量 Cは I =C (d V c/d t) の関係から導き出すことができ る。 A sine-wave AC current I flows between the electrodes to which the electrodes 12 and 13 are applied, but the sine-wave AC current I and the sine-wave AC voltage V A phase shift occurs between them. At this time, the portion between the measurement sites of the subject can be regarded as an equivalent circuit in which a capacitor and a resistor are connected in series, and the sine wave AC voltage V is the same phase as the sine wave AC current I Voltage between both ends) and positive It is a solid composite of Vc (voltage across the capacitor), which is 90 degrees out of phase with the sinusoidal alternating current I. Therefore, when Vc is detected by the synchronous detector 22A, the capacitance C of the capacitor can be derived from the relationship of I = C (dVc / dt).
このような診断装置 1 OAによっても、 被験者 Aの神経筋骨格系の異常部位を 容易に診断することができ、前記第一実施形態と同様な効果を得ることができる。  Even with such a diagnostic apparatus 1OA, it is possible to easily diagnose an abnormal site of the neuromuscular skeletal system of the subject A, and to obtain the same effect as that of the first embodiment.
[第三実施形態] [Third embodiment]
更に、 前述した第一実施形態の直流パルス、 第二実施形態の正弦波の位相差に 限らず、 皮膚表面の誘電率を測定することで皮膚の電気容量を推定してもよい。 なお、 誘電率の測定では、 交感神経の興奮状態や環境湿度の影響を受け易く精度 がやや低くなるので、 補正を行う等の配慮が必要である。  Further, the electric capacitance of the skin may be estimated by measuring the dielectric constant of the skin surface without being limited to the DC pulse of the first embodiment and the sine wave phase difference of the second embodiment. In the measurement of permittivity, the accuracy is slightly lowered due to the influence of the sympathetic nerve excitability and the environmental humidity. Therefore, it is necessary to consider the correction.
具体的には、 図 9に示す診断装置 1 0Bを採用することができる。  Specifically, a diagnostic device 10B shown in FIG. 9 can be employed.
診断装置 10 Bは、前記第一実施形態の診断装置 1 0と同様な構成を有するが、 診断装置 1.0のパルス電位発生装置 21に替えて共振回路 21 Bが設置され、 過 渡電流測定装置 22に替えて周波数カウンタ 22 Bが設置され、 更にプラス電極 1 3およびマイナス電極 1 2に替えて誘電率測定電極 1 3 Bが接続されている点 が異なる。  The diagnostic device 10B has the same configuration as the diagnostic device 10 of the first embodiment, except that a resonance circuit 21B is installed in place of the pulse potential generator 21 of the diagnostic device 1.0, and the transient current measuring device 22 The difference is that a frequency counter 22B is installed in place of, and a permittivity measuring electrode 13B is connected in place of the plus electrode 13 and the minus electrode 12.
誘電率測定電極 1 3 Bは、 ケース 1 33に支持された一対の電極 1 34, 1 3 5を有する。 これらの電極 1 34, 1 35は所定の僅かな間隔 (例えば 0. lmm) をおいて隔てられ、電気的にコンデンサとして機能するようになっている。また、 電極 1 34, 1 35は各々の先端を一違の絶縁シート 1 36で覆われ、 この絶縁 シート 1 36を介して被験者 Aの測定部位にあてがわれるようになつている。 電 極 1 34, 1 3 5はケース 1 33内の配線により共振回路 21 Bに接続されてい る。  The dielectric constant measurement electrode 13 B has a pair of electrodes 134 and 135 supported by a case 133. These electrodes 134 and 135 are separated from each other at a predetermined small interval (for example, 0.1 mm), and electrically function as capacitors. Each of the electrodes 134 and 135 is covered at its tip with a different insulating sheet 136, and is applied to the measurement site of the subject A via the insulating sheet 136. Electrodes 134 and 135 are connected to resonance circuit 21B by wiring in case 133.
共振回路 2 1 Bは、 前述した電極 1 34, 1 35をコンデンサとする共振回路 となっている。 電極 1 34, 1 35を被験者 Aの測定部位にあてがった際には、 皮膚表面の誘電率の相違に応じて電極 1 34, 1 3 5で構成されるコンデンサの 容量が変化する。 共振回路 21 Bは、 前述した容量の変化に応じて共振周波数が 変化することになる。 The resonance circuit 21B is a resonance circuit using the electrodes 134 and 135 as capacitors. When the electrodes 134 and 135 are applied to the measurement site of the subject A, the capacitance of the capacitor composed of the electrodes 134 and 135 changes according to the difference in the dielectric constant of the skin surface. The resonance frequency of the resonance circuit 21B changes in accordance with the above-described change in capacitance. Will change.
周波数カウンタ 2 2 Bは、 共振回路 2 1 Bに接続され、 前述した前述した容量 の変化に応じた共振周波数の変化を検出する。 この周波数が検出できれば、 皮膚 の誘電率を計算することができ、 この誘電率から測定部位の静電容量を計算する ことができる。  The frequency counter 22B is connected to the resonance circuit 21B, and detects a change in the resonance frequency according to the above-described change in the capacitance. If this frequency can be detected, the dielectric constant of the skin can be calculated, and the capacitance of the measurement site can be calculated from the dielectric constant.
[変形例] [Modification]
なお、 本発明は、 前記実施形態に限定されるものではなく、 本発明の目的を達 成できる他の構成等を含み、 以下に示すような変形等も本発明に含まれる。 すなわち、 プラス電極 1 3をあてがう測定部位を、 左右の斜角筋 D, C、 左右 の側胸部 F, E、 左右のたばこ窩 H, G、 左右の膝蓋靱帯 J , I、 左右の内果後 方 L, Kの 5対 1 0ケ所とし、 対応一覧 3 0では、 左右いずれか小さい方の静電 容量の全組み合わせからなる 3 2通りのタイプに区別していたが、 本発明の目的 を達成するためには、 プラス電極 1 3をあてがう測定部位を、 左右の側胸部、 左 右のたばこ窩、 左右の内果後方、 前後の胸中央および背中央の 4対 8ケ所とし、 対応一覧としては、 各対の小さい方の静電容量の全組み合わせからなる 1 6通り のタイプに区別したものを用いてもよい。  The present invention is not limited to the above-described embodiment, but includes other configurations that can achieve the object of the present invention, and the following modifications are also included in the present invention. In other words, the measurement site to which the positive electrode 13 is applied is the left and right oblique muscles D and C, the left and right lateral chest F and E, the left and right tobacco fossae H and G, the left and right patella ligaments J and I, and the right and left posterior malleolus The L and K are 5 to 10 places, and the correspondence list 30 distinguishes them into 32 types consisting of all combinations of the smaller capacitance on the left and right, but the object of the present invention was achieved. To do so, the measurement sites to which the positive electrode 13 is applied are the right and left side chest, left and right tobacco fossils, right and left posterior malleolus, and the front and back and center of the chest and the center of the back. However, it is also possible to use one of 16 types composed of all combinations of the smaller capacitance of each pair.
さらに、 本発明は、 前述した 5対 1 0ケ所や、 4対 8ケ所にプラス電極をあて がう場合に限定されない。 すなわち、 左右の斜角筋 (好ましくは中斜角筋) 、 左 右の側胸部 (好ましくは前鋸筋上部線維) 、 左右のたばこ窩、 左右の膝蓋靱帯、 左右の内果後方 (好ましくは後脛骨筋) 、 前後の胸中央 (好ましくは両乳頭間中 央) および背中央 (好ましくは第 5胸椎) の中から、 選択された任意の測定部位 にプラス電極をあてがえば、 本発明に含まれる。 ただし、 プラス電極をあてがう 測定部位として、 前述の 5対 1 0ケ所や、 4対 8ケ所を選択すれば、 より確実な 診断が行えるので、 そうすることが望ましい。 以下、 前記第一実施形態の診断装置 1 0を用いて診断した症例について説明す る。  Further, the present invention is not limited to the case where the plus electrode is applied to the above-mentioned 5 to 10 places or 4 to 8 places. Left and right oblique muscles (preferably middle oblique muscles), left and right lateral chest (preferably upper anterior saw muscle fibers), left and right tobacco fossae, left and right patella ligaments, left and right medial posterior (preferably posterior) The present invention is included in the present invention if a positive electrode is applied to any measurement site selected from the tibialis muscle), the front and rear center of the chest (preferably the center between both papillae) and the center of the back (preferably the fifth thoracic vertebra). It is. However, if the above-mentioned 5 to 10 or 4 to 8 points are selected as the measurement sites to which the positive electrode is applied, more reliable diagnosis can be made, so it is desirable to do so. Hereinafter, a case diagnosed using the diagnostic device 10 of the first embodiment will be described.
〔症例 1〕 6 0歳女性:以前より日常生活において、 両膝に原因不明の痛みがあり、 知人 のすすめでウォーキングを始める。 痛みを我慢して行っていたが、 痛みは軽減さ れず、 1ヶ月後には正常歩行困難、 膝関節屈曲不能となった。 (Case 1) 60-year-old woman: In her daily life, she has unexplained pain in her knees and starts walking at the advice of an acquaintance. She was patient with pain, but the pain was not reduced. One month later, she was unable to walk normally and was unable to flex the knee joint.
本診断装置 1 0での診断結果によるストレスがかかっている部位:右前腕、 右 股関節、右下腿、右足関節、左腰、左背、左股関節前面:タイプ 2 4 (図 5参照)。 処置:ストレスがかかっている部位にマッサージオイルを塗布し、 皮膚を軽く マッサージしたところ、 膝関節の屈曲が可能になった。 以降、 同様の検査と処置 を毎週 1回、 計 3回行った時点で、 痛みも完全に消失。 ウォーキングも再開でき た。  Stressed part based on the result of diagnosis by this diagnostic device 10: right forearm, right hip, right lower leg, right ankle, left hip, left back, left hip front: type 24 (see Fig. 5). Treatment: Apply massage oil to the stressed area and gently massage the skin, and the knee joint can flex. After that, the same test and treatment were performed once a week, for a total of three times, and the pain completely disappeared. Walking was resumed.
〔症例 2〕  (Case 2)
5 5歳男性:健康維持と肩こりの緩和を目的に、 週 3回スポーツジムに通って いたが、腰痛が出始めたので、 トレーニングを中止した。 その後も腰痛が悪化し、 日常生活に支障をきたすようになった。  5 5-year-old man: I went to a gym three times a week to maintain my health and alleviate stiff shoulders, but stopped training because my back pain began to appear. Later, her back pain worsened, and she began to hinder her daily life.
本診断装置 1 0での診断結果によるストレスがかかっている部位:右前腕、 右 股関節、 左下腿、 右足関節、 右横腹、 右股関節前面:タイプ 2 9 (図 5参照) 。 処置:ストレスがかかっている部位にマッサージオイルを塗布し、 皮膚を軽く マッサージしたところ、 腰の疼痛が軽減された。 以降、 同様の検査と処置を毎週 1回、 計 3回行った時点で、 疼痛が完全に消失。 5回行った時点で、 長年の肩こ りも消失した。  Stressed part based on the diagnosis result of this diagnostic device 10: right forearm, right hip joint, left lower leg, right ankle joint, right flank, right hip joint front: type 29 (see Fig. 5). Treatment: Apply massage oil to the stressed area and gently massage the skin to reduce lower back pain. After that, when the same tests and treatments were performed once a week for a total of three times, the pain completely disappeared. By the time he had gone five times, his long-standing stiffness had disappeared.
〔症例 3〕  (Case 3)
高校 2年、 女子:陸上競技 4 0 O m練習にて全力疾走中、 負傷 (右ハムストリ ングス肉離れ) 、 直ちに歩行困難となる。 歩行困難のため、 車椅子にて移動。 右 股関節屈曲 3 0度、 右膝関節屈曲 3 0度で固定され、 伸展不能。  High school 2nd year, girl: Athletics At 40 Om practice, running sprinting, injured (right hamstrings away from meat), and immediately has difficulty walking. Moved in a wheelchair due to difficulty walking. Right hip flexion 30 degrees, right knee flexion 30 degrees fixed, unable to extend.
本診断装置 1 0での診断結果によるストレスがかかっている部位:右肩関節、 左股関節、 右下腿、 左足関節、 左腰:タイプ 1 9 (図 5参照) 。  Stressed part based on the diagnosis result of this diagnostic device 10: right shoulder joint, left hip joint, right lower leg, left ankle joint, left hip: type 19 (see Fig. 5).
処置:受傷部位 (右ハムストリングス部) およびストレスがかかっている部位 に対して、 マッサージオイルを塗布し、 皮膚を軽くマッサージすることで歩行可 能となり、 車椅子を使用せずに帰宅。 以後、 同様の検査と処置を週 1〜 2回行い、 1 0日目には軽いジョギングが可能となり、 2 6日目には痛みがない状態でラン ニングが可能になった。 Treatment: Apply massage oil to the injured area (right hamstrings area) and stressed area, and gently massage the skin to be able to walk, and return home without using a wheelchair. Thereafter, the same examination and treatment are performed once or twice a week, and light jogging becomes possible on the 10th day, and the painless running is performed on the 26th day. Is now possible.
以上の各症例 1〜 3により、 本発明の診断装置が神経筋骨格系の異常部位を診 断するのに有効であると認められる。 産業上の利用可能性  From the above cases 1 to 3, it is recognized that the diagnostic apparatus of the present invention is effective for diagnosing abnormal parts of the neuromusculoskeletal system. Industrial applicability
本発明は、 神経筋骨格系の診断装置およびその使用方法に係り、 理学療法、 手 技療法、 およびスポーッコンディショニング等に利用することができる。  INDUSTRIAL APPLICABILITY The present invention relates to a diagnostic apparatus for a neuromusculoskeletal system and a method for using the same, and can be used for physiotherapy, operative therapy, sport conditioning, and the like.

Claims

請 求 の 範 囲 The scope of the claims
1 . 人体の略左右対称位置および/または前後位置にある複数の測定部位の静 電容量の分布と神経筋骨格系のストレスがかかっている部位との対応を示す対応 手段と、 1. Correspondence means for indicating the correspondence between the distribution of capacitance of a plurality of measurement sites at substantially symmetrical positions and / or the front and rear positions of the human body and the stressed sites of the neuromuscular skeletal system,
前記複数の測定部位における静電容量の測定結果に基づいて前記対応手段から 前記ストレスがかかっている部位を選択して当該部位を異常部位と判定する演算 処理手段と、  An arithmetic processing unit that selects the stressed site from the corresponding unit based on the capacitance measurement results of the plurality of measurement sites and determines the site as an abnormal site;
前記演算処理手段で判定した結果を表示する表示手段と、  Display means for displaying a result determined by the arithmetic processing means;
を備えていることを特徴とする神経筋骨格系の診断装置。  A diagnostic device for a neuromusculoskeletal system, comprising:
2 . 請求項 1に記載の神経筋骨格系の診断装置において、 前記測定部位に直流 電圧を印加した際に得られる過渡電流値から前記測定部位の静電容量を測定する 手段を有することを特徴とする神経筋骨格系の診断装置。  2. The diagnostic apparatus for a neuromusculoskeletal system according to claim 1, further comprising: means for measuring a capacitance of the measurement site from a transient current value obtained when a DC voltage is applied to the measurement site. Neuromusculoskeletal diagnostic device.
3 . 請求項 1に記載の神経筋骨格系の診断装置において、 前記測定部位に交流 電圧を印加した際に得られる電流周期の位相差から前記測定部位の静電容量を測 定する手段を有することを特徴とする神経筋骨格系の診断装置。  3. The diagnostic apparatus for a neuromuscular skeletal system according to claim 1, further comprising: means for measuring a capacitance of the measurement site from a phase difference of a current cycle obtained when an AC voltage is applied to the measurement site. A diagnostic apparatus for a neuromusculoskeletal system, characterized in that:
4 . 請求項 1に記載の神経筋骨格系の診断装置において、 前記測定部位の皮膚 表面の誘電率から前記測定部位の静電容量を測定する手段を有することを特徴と する神経筋骨格系の診断装置。  4. The diagnostic apparatus for a neuromusculoskeletal system according to claim 1, further comprising means for measuring a capacitance of the measurement site from a dielectric constant of a skin surface of the measurement site. Diagnostic device.
5 . 人体の略左右対称位置に取り付けられる一対のマイナス電極と、 5. A pair of negative electrodes attached at substantially symmetric positions of the human body,
人体の略左右対象位置および/または前後位置にある所定の測定部位に接触さ せるプラス電極と、  A plus electrode for contacting a predetermined measurement site substantially at the left / right target position and / or the front / back position of the human body;
各測定部位毎の前記マイナス電極およびプラス電極間の静電容量を算出すると ともに、算出した静電容量を左右および zまたは前後の前記測定部位間で比較し、 かつ比較した結果と神経筋骨格系の部位とを対応させる対応手段に基づいてスト レスがかかっている異常部位を判定する演算処理手段と、  The capacitance between the negative electrode and the positive electrode for each measurement site is calculated, and the calculated capacitance is compared between the left and right and z or front and rear measurement sites, and the comparison result is compared with the neuromusculoskeletal system. Arithmetic processing means for determining an abnormal part in which stress is applied based on corresponding means for making the part correspond to
前記対応手段が記憶されている記憶手段と、  Storage means for storing the corresponding means,
演算処理手段で判定した結果を表示する表示手段と、  Display means for displaying a result determined by the arithmetic processing means;
を備えていることを特徴とする神経筋骨格系の診断装置。 A diagnostic device for a neuromusculoskeletal system, comprising:
6 . 請求項 1から請求項 5までの何れかに記載の神経筋骨格系の診断装置にお いて、 前記測定部位は、 左右の斜角筋と、 左右の側胸部と、 左右のたばこ窩と、 左右の膝蓋靱帯と、 左右の内果後方と、 前後の胸中央および背中央とのうち、 少 なくともいずれかを含んでいることを特徴とする神経筋骨格系の診断装置。6. The diagnostic apparatus for a neuromusculoskeletal system according to any one of claims 1 to 5, wherein the measurement site includes left and right oblique muscles, left and right side chests, and left and right tobacco fossae. A diagnostic apparatus for a neuromusculoskeletal system, comprising at least one of the left and right patella ligaments, the left and right posterior medial malleolus, and the front and rear mid-chest and mid-back.
7 . 請求項 1から請求項 5までの何れかに記載の神経筋骨格系の診断装置にお いて、 前記測定部位は、 左右の斜角筋、 左右の側胸部、 左右のたばこ窩、 左右の 膝蓋靱帯、 左右の内果後方であり、 前記対応手段は、 全ての測定部位の静電容量 の比較に基づく 3 2通りのタイプに対応可能であることを特徴とする神経筋骨格 系の診断装置。 7. The diagnostic apparatus for a neuromusculoskeletal system according to any one of claims 1 to 5, wherein the measurement site includes left and right oblique muscles, left and right side chests, right and left tobacco fossae, and left and right tobacco fossae. Patella ligament, left and right posterior medial malleolus, and the corresponding means is capable of responding to 32 types based on comparison of capacitances of all measurement sites, characterized in that it is a diagnostic apparatus for neuromusculoskeletal system. .
8 . 請求項 1から請求項 5までの何れかに記載の神経筋骨格系の診断装置にお いて、 前記測定部位は、 左右の側胸部、 左右のたばこ窩、 左右の内果後方、 前後 の胸中央おょぴ背中央であり、 前記対応手段は、 全ての測定部位の静電容量の比 較に基づく 1 6通りのタイプに対応可能であることを特徴とする神経筋骨格系の  8. The diagnostic apparatus for a neuromusculoskeletal system according to any one of claims 1 to 5, wherein the measurement site includes left and right lateral chest, left and right tobacco fossae, left and right posterior malleolus, and front and rear. The center of the chest, the center of the back, and the corresponding means is capable of responding to 16 types based on a comparison of the capacitances of all measurement sites.
9 . 請求項 1ないし請求項 5のいずれかに記載の神経筋骨格系の診断装置の使 用方法であって、 9. A method for using the diagnostic apparatus for a neuromusculoskeletal system according to any one of claims 1 to 5,
人体の略左右対称位置おょぴ Zまたは前後位置にある複数の測定部位の静電容 量の分布と神経筋骨格系のストレスがかかっている部位との対応を対応手段に設 定しておき、  The correspondence between the distribution of the capacitance of the multiple measurement sites at the approximately symmetrical position Z or the front and back position of the human body and the stressed site of the neuromusculoskeletal system is set as the corresponding means,
前記複数の測定部位における静電容量を測定するとともに、  While measuring the capacitance at the plurality of measurement sites,
演算処理手段により前記測定結果に基づいて前記対応手段から前記ストレスが かかっている部位を選択して当該部位を異常部位と判定し、  The processing part selects the part where the stress is applied from the corresponding part based on the measurement result, and determines the part as an abnormal part,
表示手段により前記演算処理手段で判定した結果を表示することを特徴とする 神経筋骨格系の診断装置の使用方法。  A method of using a neuromusculoskeletal diagnostic device, wherein a display unit displays a result determined by the arithmetic processing unit.
1 0 . 請求項 1ないし請求項 5のいずれかに記載の神経筋骨格系の診断装置の 使用方法であって、  10. A method of using the neuromusculoskeletal diagnostic device according to any one of claims 1 to 5,
人体の略左右対称位置に一対のマイナス電極取り付け、  Attach a pair of negative electrodes at approximately symmetric positions of the human body,
人体の略左右対象位置および または前後位置にある所定の測定部位にプラス 電極を接触させ、 演算処理手段により各測定部位毎の前記マイナス電極およびプラス電極間の静 電容量を算出するとともに、 算出した静電容量を左右おょぴ Zまたは前後の前記 測定部位間で比較し、 かつ記憶手段に記憶された対応手段に基づいて前記比較し た結果と神経筋骨格系の部位とを対応させてス トレスがかかっている異常部位を 判定し、 A plus electrode is brought into contact with a predetermined measurement site at approximately the right and left target positions and / or the front and rear positions of the human body, The arithmetic processing means calculates the capacitance between the negative electrode and the positive electrode for each measurement site, compares the calculated capacitance between the left and right Z or the front and rear measurement sites, and stores The result of the comparison is associated with the site of the neuromuscular skeletal system based on the corresponding means stored in the storage unit to determine the abnormal site where stress is applied,
表示手段により演算処理手段で判定した結果を表示する、  Displaying the result determined by the arithmetic processing means by the display means,
ことを特徴とする神経筋骨格系の診断装置の使用方法。  A method for using a diagnostic apparatus for a neuromusculoskeletal system, characterized in that:
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Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2007002993A1 (en) * 2005-07-01 2007-01-11 Impedimed Limited Monitoring system
US8103337B2 (en) 2004-11-26 2012-01-24 Impedimed Limited Weighted gradient method and system for diagnosing disease
US8233974B2 (en) 1999-06-22 2012-07-31 Impedimed Limited Method and device for measuring tissue oedema
US8761870B2 (en) 2006-05-30 2014-06-24 Impedimed Limited Impedance measurements
US9149235B2 (en) 2004-06-18 2015-10-06 Impedimed Limited Oedema detection
US9392947B2 (en) 2008-02-15 2016-07-19 Impedimed Limited Blood flow assessment of venous insufficiency
US9504406B2 (en) 2006-11-30 2016-11-29 Impedimed Limited Measurement apparatus
US9585593B2 (en) 2009-11-18 2017-03-07 Chung Shing Fan Signal distribution for patient-electrode measurements
US9615766B2 (en) 2008-11-28 2017-04-11 Impedimed Limited Impedance measurement process
US9615767B2 (en) 2009-10-26 2017-04-11 Impedimed Limited Fluid level indicator determination
US9724012B2 (en) 2005-10-11 2017-08-08 Impedimed Limited Hydration status monitoring
JP2017527344A (en) * 2014-08-06 2017-09-21 ヴェリリー ライフ サイエンシズ エルエルシー Single electrode sharing in skin resistance and capacitance measurements
US10307074B2 (en) 2007-04-20 2019-06-04 Impedimed Limited Monitoring system and probe
US11737678B2 (en) 2005-07-01 2023-08-29 Impedimed Limited Monitoring system

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS59148855A (en) * 1983-02-15 1984-08-25 I Bii S Kk Measuring device for conductance of epidermal horny layer
JPH10225521A (en) * 1997-02-17 1998-08-25 Heiwa Denshi Kogyo Kk Physiological balance inspecting judging device and low frequency wave treatment device
JP2001070273A (en) * 1999-09-03 2001-03-21 Tanita Corp Method for measuring of biological electric impedance and body composition measuring device
JP2001128949A (en) * 1999-11-01 2001-05-15 Sekisui Chem Co Ltd Electric characteristic measuring device

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP3234094B2 (en) * 1994-03-28 2001-12-04 ヒロセ電機株式会社 Measuring device for skin impedance

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS59148855A (en) * 1983-02-15 1984-08-25 I Bii S Kk Measuring device for conductance of epidermal horny layer
JPH10225521A (en) * 1997-02-17 1998-08-25 Heiwa Denshi Kogyo Kk Physiological balance inspecting judging device and low frequency wave treatment device
JP2001070273A (en) * 1999-09-03 2001-03-21 Tanita Corp Method for measuring of biological electric impedance and body composition measuring device
JP2001128949A (en) * 1999-11-01 2001-05-15 Sekisui Chem Co Ltd Electric characteristic measuring device

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
EDITED BY NIPPON SHINKYU RYODORO IGAKUKAI GAKUJUTSUBU: "Ryodoro jiritsu shinkei chosei ryoho <<Kisohen>>", 1 April 1993, TOSHOSHUPPAN NANIWASHA, XP002956670 *

Cited By (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8233974B2 (en) 1999-06-22 2012-07-31 Impedimed Limited Method and device for measuring tissue oedema
US9149235B2 (en) 2004-06-18 2015-10-06 Impedimed Limited Oedema detection
US8103337B2 (en) 2004-11-26 2012-01-24 Impedimed Limited Weighted gradient method and system for diagnosing disease
US11737678B2 (en) 2005-07-01 2023-08-29 Impedimed Limited Monitoring system
JP2008544777A (en) * 2005-07-01 2008-12-11 インぺディメッド リミテッド Monitoring system
JP2012106143A (en) * 2005-07-01 2012-06-07 Impedimed Ltd Monitoring system
AU2006265763B2 (en) * 2005-07-01 2012-08-09 Impedimed Limited Monitoring system
WO2007002993A1 (en) * 2005-07-01 2007-01-11 Impedimed Limited Monitoring system
US9724012B2 (en) 2005-10-11 2017-08-08 Impedimed Limited Hydration status monitoring
US11612332B2 (en) 2005-10-11 2023-03-28 Impedimed Limited Hydration status monitoring
US8761870B2 (en) 2006-05-30 2014-06-24 Impedimed Limited Impedance measurements
US9504406B2 (en) 2006-11-30 2016-11-29 Impedimed Limited Measurement apparatus
US10307074B2 (en) 2007-04-20 2019-06-04 Impedimed Limited Monitoring system and probe
US9392947B2 (en) 2008-02-15 2016-07-19 Impedimed Limited Blood flow assessment of venous insufficiency
US9615766B2 (en) 2008-11-28 2017-04-11 Impedimed Limited Impedance measurement process
US9615767B2 (en) 2009-10-26 2017-04-11 Impedimed Limited Fluid level indicator determination
US9585593B2 (en) 2009-11-18 2017-03-07 Chung Shing Fan Signal distribution for patient-electrode measurements
JP2017527344A (en) * 2014-08-06 2017-09-21 ヴェリリー ライフ サイエンシズ エルエルシー Single electrode sharing in skin resistance and capacitance measurements

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