201206518 六、發明說明： 【發明所屬之技術領域】 本發明係關於對肌肉施予電氣刺激的電氣刺激裝置。 【先前技術】 緩和關節疼痛的一般的方法，已知可利用護套固定關 節，藉此防止關節痛的主要原因之關節的劇烈移動或關節 的偏移。 專利文獻1中揭示一種護套作為其一例，即使是膝的 伸展與屈曲反覆的情況’亦可保持服貼於膝關節的狀態。 緩和關節疼痛的其他方法，已知有對關節附近的肌肉 施予電氣刺激，使肌力增強的方法。 專利文獻2中揭示一種方法作為其一例，主動肌與拮 抗肌分別收縮與伸展時，施予電氣刺激，使拮抗肌收縮， 藉此使肌力增強。 專利文獻3中揭不-種方法，藉由脈衝信號執行對應 部位的加溫、肌肉的活性化、以及肌肉的緊端等，藉此使 肌力增強。 [先前技術文獻] [專利文獻] [專利文獻1]日本專利公開公報特開2〇〇7_㈣2號 [專利文獻2]日本專利公執特許第3_〇7號 [專利文獻3]日本專利公p A開公報特開2001 —333990號 201206518 【發明内容】 [發明所欲解決的問題] 然而，上述各方法係分別有如下的問題。 若依據利用護套的方法，因護套係輔助擔任保護膝等 關節的股四頭肌等的角色，若長時間持續使用時，藉由護 套輔助部分的肌力將降低。 另外，若依據施予電氣刺激使肌力增強的方法，在肌 力增強至可減輕關節疼痛的程度之前，無法充分地減輕關 節的疼痛，於日常生活中對於使用者造成極大的負擔。另 外，即使增強關節附近的肌力，使用者進行主動肌與拮抗 肌不伸縮的動作（例如下樓梯的動作）的情況時，因對關 節造成負荷而感到疼痛。 本發明係有鑑於如此的實情而完成者，其目的係提供 一種可兼顧關節固定與抑制肌力降低的電氣刺激裝置。 [解決問題的技術手段] 依據本發明的一態樣，對肌肉施予電氣刺激的電氣刺 激裝置係包含著裝部，其著裝於包含跨過關節的肌肉之關 節肌群的人體部位，以及設於此著裝部，用以將電流流通 至前述關節肌群的電極部。 [發明的效果] 若依據本發明，即可提供可兼顧關節固定與抑制肌力 降低的電氣刺激裝置。 【實施方式】 參照圖1〜圖4，說明本發明的一實施型態。又，本實 201206518 施型態中係表示分別著裝於左右下肢的護套型電氣刺激裝 置，作為將本發明具體化的一例。 圖1中表示電氣刺激裝置1的正面構造與背面構造。 電氣刺激裝置1係包含對右下肢施予電氣刺激的刺激 施予部10，對左下肢施予電氣刺激的刺激施予部（圖示省 略），以及控制各刺激施予部對於下肢的電氣刺激的施予態 樣的刺激控制部40。 右下肢的刺激施予部10係包含成為其本體的護套 20,以及複數個電極部，即第一電極部3卜第二電極部32、 及第三電極部33。護套20係設置作為著裝部（本實施型 態中係下肢著裝部）。左下肢用的刺激施予部係相當於為了 對應左下肢而將右下肢用的刺激施予部的護套的構造 及電極部31〜33的配製變更，實值上與右下肢用的刺激施 予部10係具有相同構造。因此，以下省略關於左下肢用的 刺激施予部的說明，以「刺激施予部1〇」作為右下肢用與 左下肢用的刺激施予部的統稱。 «蔓套20中设有被覆大腿正面的大腿正面部21，被覆 小腿正面的小腿正面部22,被覆大腿背面的第一大 部23，以及與第-大腿背面部23重疊的第二大腿背面部 24。另設有被覆小腿背面的第一小腿背面部乃，與第一小 腿背面部25重疊的第二小腿背面部26，以及被覆膝關節 正面的膝部27。本實施型態中，大腿正面部21、第一大腿 背面部23、以及第二大腿f面部24係設置作為著裝於包 含大腿的關節肌群的部位之第一下肢著裝部。另外，小 201206518 正面部22、第一小腿背面部25、以及第二小腿背面部％ 係没置作為著裝於包含小腿的關節肌群的部位之 著裝部。 ~ 第-大腿背面部23上係設有面絨扣的絨環面。第 二大腿背面部24上係設有面絨扣的勾面28B。第一小腿背 面部25;上係、設有面絨扣的絨環面2从。第二小腿背面部 26上係設有面絨扣的勾面29B。膝冑27上係設有使膝關節 容易彎曲的開孔27A。 大腿正面部2卜第-大腿背面部23、以及第二大腿背 面部24係藉由面絨扣的絨環面取貼合於面絨扣的勾面 28B而固定於大腿的周圍。 小腿正面部22、第-小腿背面部25、以及第二小腿背 面部26係藉由面絨扣的絨環面29A貼合於面絨扣的勾面 29B而固定於小腿。 各電極部31〜33係露出護套2〇的反面側以與使用者 的皮膚直接接觸。另外，各電極部31〜33係經由導線％ 與刺激控制部40電性連接。第—電極部31係設於大腿正 面部2卜第二電極部32係設於第二大腿背面部24。第三 電極部33係設於第二小腿背面部26。 參照圖2，說明刺激控制部4〇的構造。 刺激控制部40中設有輸出脈衝信號的脈衝產生部 51，用以切換刺激控制部40的導通與切斷的操作部52， 以及用以切換由刺激施予部1〇對於下肢的通電態樣的切 換部53。另設有將電力供給至刺激控制㉝4〇 @各構成要 201206518 件的電源部54 ’預先記憶用以控制各電極部31〜33的程 式的記憶部55 ’以及用以表示施予電氣刺激的部位及其強 度的表示資訊等的顯示部56。並且設有檢測關節移動的關 節移動檢測器41，檢測關節旋轉的關節旋轉檢測器42，以 及檢測生物體的動作狀態的動作狀態檢測器43。本實施型 態中，檢測器41係設置作為關節移動檢測部，檢測器42 係設置作為關節旋轉檢測部，檢測器43係設置作為動作狀 態檢測部。 w出控制部 ’一 „丨一 „丨小。ώ 电卿叩傅风。乃外，输出控制 部50係基於從操作部52、切換部53、關節移動檢測器41、 關節旋轉檢測器42、以及動作狀態檢測器43輸入的信號， 控制對各電極部31〜33的通電態樣。通電態樣的控制係分 別對應複數個模式，基於預先記憶的程式來進行。藉由切 的操作選擇複數個模式中的任-時，輸出控制部 係對應所選擇的模式進行各電極31〜33的通電控制。 各電極部31〜33的通電控制係藉由調整 ，來進行。本實施型態中，輸出控制部二;= 部、動作狀態控制部 '以及關節旋轉控二 ^作部52中設有將刺激控制部的電源 = 卜以及用以進行各種設定的開關與換： 中'有對應複數個模式的複數個操作位置。換。P 53201206518 VI. Description of the Invention: [Technical Field of the Invention] The present invention relates to an electrical stimulation device for applying electrical stimulation to muscles. [Prior Art] As a general method of alleviating joint pain, it is known that a sheath can be used to fix a joint, thereby preventing a sharp movement of a joint or a joint displacement of a joint cause of joint pain. Patent Document 1 discloses a sheath as an example thereof, and even in the case where the knee is stretched and the flexion is repeated, the sheath can be kept in a state of being attached to the knee joint. Other methods for alleviating joint pain are known as methods of applying electrical stimulation to muscles in the vicinity of the joint to enhance muscle strength. Patent Document 2 discloses a method in which, when the active muscle and the antagonist muscle contract and stretch, respectively, electrical stimulation is applied to contract the antagonist muscle, thereby enhancing the muscle strength. Patent Document 3 discloses a method in which the muscle strength is enhanced by performing the warming of the corresponding portion, the activation of the muscle, and the tightening of the muscle by the pulse signal. [PRIOR ART DOCUMENT] [Patent Document 1] Japanese Patent Laid-Open Publication No. Hei 2-7 (4) No. 2 [Patent Document 2] Japanese Patent Laid-Open No. Hei No. 3_7 (Patent Document 3) Japanese Patent Publication No. AOpen Publication No. 2001-333990 No. 201206518 [Disclosure] [Problems to be Solved by the Invention] However, each of the above methods has the following problems. According to the method of using the sheath, since the sheath is used as a role in protecting the quadriceps of the knee joint or the like, if the sheath is used for a long period of time, the muscle strength of the sheath assisting portion is lowered. Further, if the muscle strength is enhanced by the application of electrical stimulation, the pain of the joint cannot be sufficiently alleviated until the muscle strength is increased to the extent that the joint pain can be alleviated, which is extremely burdensome for the user in daily life. Further, even if the muscle strength in the vicinity of the joint is enhanced, and the user performs an action of the active muscle and the antagonistic muscle not expanding and contracting (for example, the action of descending the stairs), the user feels pain due to the load on the joint. The present invention has been made in view of such circumstances, and an object thereof is to provide an electrical stimulation device which can achieve both joint fixation and suppression of muscle strength reduction. [Technical means for solving the problem] According to an aspect of the present invention, an electrical stimulation device for applying electrical stimulation to a muscle includes a dressing portion that is mounted on a human body portion including a joint muscle group of a muscle that spans the joint, and The dressing portion is configured to circulate an electric current to the electrode portion of the joint muscle group. [Effects of the Invention] According to the present invention, it is possible to provide an electrical stimulation device which can achieve both joint fixation and suppression of muscle strength reduction. [Embodiment] An embodiment of the present invention will be described with reference to Figs. 1 to 4 . In addition, in the present embodiment, the sheath type electrical stimulation device which is attached to the right and left lower limbs is shown as an example of the present invention. The front structure and the back surface structure of the electrical stimulation device 1 are shown in Fig. 1 . The electrical stimulation device 1 includes a stimulation applying unit 10 that applies electrical stimulation to the right lower limb, a stimulation applying unit that gives electrical stimulation to the left lower limb (not shown), and controls electrical stimulation of the lower limbs by each stimulation applying unit. The stimulus control unit 40 is applied to the aspect. The stimulation applying portion 10 of the right lower limb includes a sheath 20 serving as a main body thereof, and a plurality of electrode portions, that is, a first electrode portion 3, a second electrode portion 32, and a third electrode portion 33. The sheath 20 is provided as a dressing portion (the lower limb dressing portion in the present embodiment). The stimulation administration part for the left lower limb corresponds to the structure of the sheath of the stimulation administration part for the right lower limb and the preparation of the electrode parts 31 to 33 in order to correspond to the left lower limb, and the stimulation of the right lower limb is applied in real value. The part 10 has the same structure. Therefore, the description of the stimulation administration unit for the left lower limb is omitted below, and the "stimulation administration unit 1" is collectively referred to as the stimulation administration unit for the lower lower limb and the left lower limb. The vine cover 20 is provided with a thigh front portion 21 covering the front of the thigh, a calf front portion 22 covering the front of the calf, a first large portion 23 covering the back of the thigh, and a second thigh back portion overlapping the first thigh back portion 23. twenty four. Further, a first lower leg back portion covering the back of the lower leg, a second lower leg portion 26 overlapping the first lower leg back portion 25, and a knee portion 27 covering the front surface of the knee joint are provided. In the present embodiment, the thigh front portion 21, the first thigh back portion 23, and the second thigh f portion 24 are provided as first first leg wearing portions that are attached to the joint muscle group including the thigh. Further, the small 201206518 front portion 22, the first lower leg back portion 25, and the second lower leg back portion are not placed as a wearing portion for the portion including the joint muscle group of the lower leg. ~ The first thigh back portion 23 is provided with a pile surface of a pile buckle. A hook face 28B of a velvet buckle is attached to the second thigh back portion 24. The first calf back face 25; the upper body, the pile surface 2 provided with a velvet buckle. A hook surface 29B of a velvet buckle is attached to the second lower leg back portion 26. The knee joint 27 is provided with an opening 27A for making the knee joint easy to bend. The thigh front portion 2b-thigh back portion 23 and the second thigh back portion 24 are fixed to the periphery of the thigh by a hook surface 28B attached to the pile button by a loop surface of the pile button. The calf front portion 22, the first leg lower portion 25, and the second lower leg portion 26 are fixed to the lower leg by a hook surface 29A of the surface fastener attached to the hook surface 29B of the pile fastener. Each of the electrode portions 31 to 33 exposes the reverse side of the sheath 2A to directly contact the skin of the user. Further, each of the electrode portions 31 to 33 is electrically connected to the stimulation control unit 40 via the wire %. The first electrode portion 31 is provided on the thigh front surface portion 2, and the second electrode portion 32 is attached to the second thigh back surface portion 24. The third electrode portion 33 is attached to the second lower leg portion 26. The structure of the stimulation control unit 4A will be described with reference to Fig. 2 . The stimulation control unit 40 is provided with a pulse generation unit 51 that outputs a pulse signal, an operation unit 52 for switching the conduction and disconnection of the stimulation control unit 40, and a switching power supply for the lower limb by the stimulation administration unit 1 Switching unit 53. Further, a power supply unit 55 that supplies electric power to the stimulation control 334, each of which constitutes 201206518, a memory unit 55' that preliminarily stores a program for controlling the electrode portions 31 to 33, and a portion for indicating electrical stimulation are provided. A display unit 56 that displays information such as strength. Further, a joint movement detector 41 for detecting joint movement, a joint rotation detector 42 for detecting joint rotation, and an operation state detector 43 for detecting an operation state of the living body are provided. In the present embodiment, the detector 41 is provided as a joint movement detecting unit, the detector 42 is provided as a joint rotation detecting unit, and the detector 43 is provided as an operation state detecting unit. wOut control department ‘一 „丨一 „丨小. ώ 叩 叩 叩 Fu Feng. In addition, the output control unit 50 controls the energization of the electrode portions 31 to 33 based on signals input from the operation unit 52, the switching unit 53, the joint movement detector 41, the joint rotation detector 42, and the operation state detector 43. Aspect. The control of the power-on mode corresponds to a plurality of modes, based on a pre-memory program. When any one of the plurality of modes is selected by the cutting operation, the output control unit performs energization control of each of the electrodes 31 to 33 in accordance with the selected mode. The energization control of each of the electrode portions 31 to 33 is performed by adjustment. In the present embodiment, the output control unit 2; the = part, the operation state control unit', and the joint rotation control unit 52 are provided with a power supply for the stimulation control unit and a switch for changing various settings: Medium 'has a plurality of operation positions corresponding to a plurality of modes. change. P 53
E 就通電控制的模式而言，預先準備了下述的模式A〜 201206518 模式A係設定為施予藉由使生物、 電氣刺激之模式。模式B係讯 而增強肌力的 定關節的電氣刺激之模式。、二:設群而固 的電氣刺激之模式。模式D ，予緩和疼痛 而增強肌力的電氣刺激之模式。模式體動作 測器41〜43的輸出’控制對關節肌群的通;^基於各檢 動係膝= :::::勢膝關節從—：節::: 關節旋轉檢測器42係格咖胳 向。膝關節的旋轉係如以収、㈣旋轉與旋轉方 施力於膝關節的狀態作為的情況1，以使用者未 於下肢的轴心周圍旋轉=稱立^ 從外側向内側旋轉的動作稱為「⑽7。」將膝關郎 動作狀態檢測器43係檢:目，丨4此」 的動作…如以… 物體的動作狀態。生物體 雜作兔I 所述的情況。即，以生物體直立的狀 狀態，生物體從此狀態動作因而對= k成負何的狀1、’料生物體的動作狀態。 、，旋轉檢測器、加速檢測器、屢力檢測i、以及角产檢 可設置作為動作狀態檢測器43。生物體動作時^動 生檢測膝關節的移動、膝關節的加速度、 物體的預〇卩位承受的壓力、以及四賴角度之至少一E In the mode of energization control, the following modes A to 201206518 are prepared in advance. Mode A is set to be a mode for giving biological and electrical stimulation. Mode B is a mode that enhances the electrical stimulation of the joints. Second, set the mode of electrical stimulation. Mode D, a mode of electrical stimulation that relieves pain and enhances muscle strength. The output of the mode body motion detectors 41 to 43 controls the passage of the joint muscle group; ^ based on the respective knees = ::::: potential knee joint from -: section::: joint rotation detector 42 Tie. In the case where the rotation of the knee joint is in a state in which the rotation and the rotation of the knee are applied to the knee joint, the movement of the user is not rotated around the axis of the lower limb. "(10)7." The KLK operating state detector 43 is used to check the action of the target, such as the action state of the object. Organisms The situation described in rabbit I. In other words, in the state in which the living body is erected, the living body moves from this state, and thus the state of the body 1 is negative. The rotation detector, the acceleration detector, the repeated force detection i, and the angular inspection can be set as the operation state detector 43. When the living body moves, it detects the movement of the knee joint, the acceleration of the knee joint, the pressure of the pre-clamping of the object, and at least one of the four angles.
S 8 201206518 變化。因此，基於動作狀態檢測器43的檢測結果，。 生物體的動作是否為對於膝關節造成負荷的動作。可確認 參照圖3，說明下肢的肌肉與各電極 里址丄、， 让邛31〜33的位 置。構成大腿60的肌肉係包含股四頭肋6 61、+ 腱肌 63、 版二頭肌64、以及半膜肌65。關於半腱肌幻、股二 64、以及半膜肌65，這些肌肉總稱為腿後肌以。:，肌 7〇的肌肉係包含腓腸肌71。 ''腿 下肢的肌肉中之股四頭肌61、腿後肌62、以及排腸 71係跨過下肢的膝關節的肌肉（關節肌群）。因此，〜 肌肉的至少一者收縮時’力量係向膝關節的移動縮小= 向作用。即，股四頭肌與腿後肌62收縮時，將膝 恢復至移動中立狀態的力量係藉由將膝關節向上側拉引而 作用。另外，腓腸肌71收縮時，將膝關節恢復至移動中立 狀態的力量係藉由將膝關節向下側拉引而作用。 關節肌群之中的股四頭肌61與腿後肌62係成為使膝 關節的旋轉的肌肉（關節旋轉肌）。因此，這些肌肉至少二 者收縮時，力量係向膝關節的旋轉縮小的方向作用。即， 股四頭肌61與腿後肌62收縮時，將膝關節從外旋的狀態 或内旋的狀態恢復至旋轉中立狀態的力量係作用。 於使用者的下肢者裝刺激施予部1 〇時，第一電極部 31的正極與負極分別保持於與股四頭肌61所對應的下肢 皮膚接觸的狀態。另外，第一電極32的正極與負極分別保 持於與腿後肌62所對應的下肢皮膚接觸的狀態。另外，第 三電極部33的正極與負極分別保持於與腓腸肌71所對應 201206518 的下肢皮膚接觸的狀態。 圖4中表示著裝有刺激施予部10的使用者的右下肢。 使用者可依下述的步驟使用電氣刺激裝置1。 (步驟1)於右下肢與左下肢著裝刺激施予部10。 (步驟2)操作操作部52將電源導通。 (步驟3)對應需求操作切換部53切換模式。 (步驟4)操作操作部52將電源切斷。 (步驟5)從右下肢與左下肢拆下刺激施予部10。 電流從第一電極部31流通至大腿60時，對股四頭肌 61施予電氣刺激。藉此，因股四頭肌61收縮而將膝關節 向上方拉引的力量係施加於膝關節。依此，與電流未從第 一電極部31流通至大腿60時相較，固定膝關節的力量增 強。股四頭肌61收縮時，特別地抑制膝關節向下方與前方 的偏移。 電流從第二電極部32流通至大腿60時，對腿後肌62 施予電氣刺激。藉此，因腿後肌62收縮而將膝關節向上方 拉引的力量係施加於膝關節。依此，與電流未從第二電極 部32流通至大腿60時相較，固定膝關節的力量增強。腿 後肌62收縮時，特別地抑制膝關節向左右方向的偏移。 電流從第三電極部33流通至小腿70時，對腓腸肌71 施予電氣刺激。藉此，因腓腸肌71收縮而將膝關節向下方 拉引的力量係施加於膝關節。依此，與電流未從第三電極 部33流通至小腿70時相較，固定膝關節的力量增強。腓 腸肌71收縮時，特別地抑制膝關節向下方與前方以及向左 201206518 右方向的偏移。 藉由第一電極部31與第三電極部33對下肢施予電氣 刺激時，將膝關節向上方拉引的力量與將膝關節向下方拉 引的力量係施加於膝關節。依此，與僅各電極部31〜33之 一者對下肢施予電氣刺激時相較，固定膝關節的力量增強。 藉由第二電極部32與第三電極部33對下肢施予電氣 刺激時，將膝關節向上方拉引的力量與將膝關節向下方拉 引的力量係施加於膝關節。依此，與僅各電極部31〜33之 一者對下肢施予電氣刺激時相較，固定膝關節的力量增強。 藉由第一電極部31、第二電極部32、以及第三電極部 33對下肢施予電氣刺激時，將膝關節向上方拉引的力量與 將膝關節向下方拉引的力量係施加於膝關節。依此，與僅 各電極部31〜33之一者或二者對下肢施予電氣刺激時相 較，固定膝關節的力量增強。 以下的（A)〜（E)表示依據刺激控制部40的刺激 施予部10的控制態樣。 (A)切換部53的操作位置設定於對應模式A的操作 位置時，刺激控制部40係交互地反覆以第一電極部31對 股四頭肌61施予電氣刺激，以及以第二電極部32對腿後 肌62施予電氣刺激。 另外，使膝關節伸展與屈曲的肌肉之主動肌（股四頭 肌61)收縮時，刺激控制部40係對伸展中的拮抗肌（腿 後肌62)施予電氣刺激。即，對應生物體的動作造成的關 節肌群的收縮，對未收縮的關節肌群施予電氣刺激，造成 11 201206518 向收縮方向的抵抗。藉此，因腿後肌62向收縮方向的抵抗 增大，可謀求肌力的增強。 (B) 切換部53的操作位置設定於對應模式B的操作 位置時，刺激控制部40係併行以第一電極部31與第二電 極部32對大腿60施予的電氣刺激，以第三電極部33對小 腿70施予的電氣刺激。藉此，因關節肌群收縮，可增強固 定膝關節的力量。 (C) 切換部53的操作位置設定於對應模式C的操作 位置時，刺激控制部40係持續以電極部31〜33的至少一 者，對大腿60或小腿70進行低頻脈衝電流的施予。此時， 從各電極部31〜33供給至大腿60或小腿70的電流大小係 較模式A時小。藉此，因持續對下肢施予微弱的電氣刺激， 可緩和疼痛。 (D) 切換部53的操作位置設定於對應模式D的操作 位置時，刺激控制部40係持續以電極部31〜33的至少一 者，對大腿60或小腿70進行電氣刺激的施予。此時，從 各電極部31〜33供給至大腿60或小腿70的電流大小係較 模式C大，而較模式A與模式B小。藉此，因持續對下肢 施予微弱的電氣刺激，下肢不動作亦可增強肌力。 (E) 切換部53的操作位置設定於對應模式E的操作 位置時，刺激控制部40係基於檢測器41〜43的地檢測結 果，對大腿60或小腿70進行電氣刺激的施予。具體地， 如以下的（E1)〜（E3)所示，進行通電控制。 (E1)刺激控制部40基於關節移動檢測器41的檢測S 8 201206518 changes. Therefore, based on the detection result of the action state detector 43, Whether the movement of the living body is an action that causes a load on the knee joint. It can be confirmed that the muscles of the lower limbs and the addresses of the respective electrodes are located at the positions of the ridges 31 to 33 with reference to Fig. 3 . The muscle system constituting the thigh 60 includes a quadric rib 6 61, a + diaphragm 63, a biceps 64, and a semimembranosus 65. With regard to the semitendinosus illusion, the femoral second 64, and the semimembranosus 65, these muscles are collectively referred to as the posterior leg muscles. : The muscle line of the muscle 7 腓 contains the gastrocnemius 71. ''The quadriceps 61, the posterior leg muscles 62, and the gut 71 in the muscles of the lower extremities cross the muscles of the knee joint of the lower extremities (joint muscles). Therefore, when at least one of the muscles contracts, the force is reduced to the movement of the knee joint = the action. That is, when the quadriceps and the posterior leg muscles 62 contract, the force that restores the knee to the mobile neutral state acts by pulling the knee joint to the upper side. In addition, when the gastrocnemius 71 contracts, the force that restores the knee joint to the mobile neutral state acts by pulling the knee joint to the lower side. The quadriceps muscle 61 and the posterior leg muscle 62 in the joint muscle group are muscles (joint rotator muscles) that rotate the knee joint. Therefore, when at least two of these muscles contract, the force acts in a direction in which the rotation of the knee joint is reduced. That is, when the quadriceps muscle 61 and the posterior leg muscle 62 contract, the knee joint is restored from the externally rotated state or the internal rotation state to the rotational neutral state. When the stimulating administration unit 1 is placed on the lower limb of the user, the positive electrode and the negative electrode of the first electrode portion 31 are respectively held in contact with the skin of the lower limb corresponding to the quadriceps muscle 61. Further, the positive electrode and the negative electrode of the first electrode 32 are maintained in contact with the skin of the lower limb corresponding to the posterior leg muscle 62, respectively. Further, the positive electrode and the negative electrode of the third electrode portion 33 are respectively held in contact with the skin of the lower limbs of 201206518 corresponding to the gastrocnemius muscle 71. The right lower limb of the user who is equipped with the stimulation applying unit 10 is shown in FIG. The user can use the electrical stimulation device 1 according to the following steps. (Step 1) The stimulation administration unit 10 is worn on the right lower limb and the left lower limb. (Step 2) The operation operation unit 52 turns on the power. (Step 3) The mode corresponding to the demand operation switching unit 53 is switched. (Step 4) The operation operation unit 52 turns off the power. (Step 5) The stimulation administration unit 10 is removed from the right lower limb and the left lower limb. When the current flows from the first electrode portion 31 to the thigh 60, electrical stimulation is applied to the quadriceps muscle 61. Thereby, the force that pulls the knee joint upward due to the contraction of the quadriceps muscle 61 is applied to the knee joint. Accordingly, the force for fixing the knee joint is enhanced as compared with when the current does not flow from the first electrode portion 31 to the thigh 60. When the quadriceps muscle 61 contracts, the knee joint is particularly restrained from shifting downward and forward. When the current flows from the second electrode portion 32 to the thigh 60, electrical stimulation is applied to the posterior leg muscles 62. Thereby, the force that pulls the knee joint upward due to the contraction of the posterior leg muscles 62 is applied to the knee joint. Accordingly, the strength of the fixed knee joint is enhanced as compared with when the current does not flow from the second electrode portion 32 to the thigh 60. When the leg muscles 62 are contracted, the shift of the knee joint in the left-right direction is particularly suppressed. When the current flows from the third electrode portion 33 to the lower leg 70, electrical stimulation is applied to the gastrocnemius 71. Thereby, the force that pulls the knee joint downward due to contraction of the gastrocnemius 71 is applied to the knee joint. Accordingly, the force for fixing the knee joint is enhanced as compared with when the current does not flow from the third electrode portion 33 to the lower leg portion 70. When the iliac muscle 71 contracts, the knee joint is particularly restrained from shifting downward and forward and to the left in the right direction of 201206518. When the first electrode portion 31 and the third electrode portion 33 are electrically stimulated to the lower limbs, the force for pulling the knee joint upward and the force for pulling the knee joint downward are applied to the knee joint. Accordingly, the strength of the fixed knee joint is enhanced as compared with the case where only one of the electrode portions 31 to 33 applies electrical stimulation to the lower limb. When the second electrode portion 32 and the third electrode portion 33 are electrically stimulated to the lower limb, the force for pulling the knee joint upward and the force for pulling the knee joint downward are applied to the knee joint. Accordingly, the strength of the fixed knee joint is enhanced as compared with the case where only one of the electrode portions 31 to 33 applies electrical stimulation to the lower limb. When the first electrode portion 31, the second electrode portion 32, and the third electrode portion 33 are used to apply electrical stimulation to the lower limb, the force for pulling the knee joint upward and the force for pulling the knee joint downward are applied to Knee joint. Accordingly, the strength of the fixed knee joint is enhanced as compared with the case where only one of the electrode portions 31 to 33 or both of them apply electrical stimulation to the lower limb. The following (A) to (E) show the control aspect of the stimulation applying unit 10 in accordance with the stimulation control unit 40. (A) When the operation position of the switching unit 53 is set at the operation position of the corresponding mode A, the stimulation control unit 40 alternately applies the first electrode portion 31 to the electric stimulation of the quadriceps muscle 61 and the second electrode portion. 32 applies electrical stimulation to the posterior leg muscles 62. Further, when the knee joint is stretched and the muscle of the flexor muscle (the quadriceps muscle 61) is contracted, the stimulation control unit 40 applies electrical stimulation to the antagonistic muscle (post-leg muscle 62) that is stretching. That is, the contraction of the joint muscle group caused by the action of the living body imparts electrical stimulation to the uncontracted joint muscle group, resulting in resistance to the contraction direction in 201206518. Thereby, the resistance of the posterior leg muscles 62 to the contraction direction is increased, and the muscle strength can be enhanced. (B) When the operation position of the switching unit 53 is set to the operation position of the corresponding mode B, the stimulation control unit 40 performs the electrical stimulation applied to the thigh 60 by the first electrode portion 31 and the second electrode portion 32 in parallel with the third electrode. The electrical stimulation of the lower leg 70 by the portion 33. Thereby, the strength of the fixed knee joint can be enhanced by contraction of the joint muscle group. (C) When the operation position of the switching unit 53 is set to the operation position of the corresponding mode C, the stimulation control unit 40 continues to apply the low-frequency pulse current to the thigh 60 or the lower leg 70 by at least one of the electrode portions 31 to 33. At this time, the magnitude of the current supplied from the electrode portions 31 to 33 to the thigh 60 or the lower leg 70 is smaller than that in the mode A. In this way, pain can be alleviated by continuing to give weak electrical stimulation to the lower extremities. (D) When the operation position of the switching unit 53 is set to the operation position of the corresponding mode D, the stimulation control unit 40 continues to perform electrical stimulation of the thigh 60 or the lower leg 70 with at least one of the electrode portions 31 to 33. At this time, the magnitude of the current supplied from the electrode portions 31 to 33 to the thigh 60 or the lower leg 70 is larger than that of the mode C, and is smaller than the mode A and the mode B. In this way, due to the continued weak electrical stimulation of the lower extremities, the lower extremities do not move to enhance muscle strength. (E) When the operation position of the switching unit 53 is set to the operation position of the corresponding mode E, the stimulation control unit 40 performs electrical stimulation of the thigh 60 or the lower leg 70 based on the ground detection results of the detectors 41 to 43. Specifically, the energization control is performed as shown in the following (E1) to (E3). (E1) The stimulation control unit 40 detects based on the joint movement detector 41
S 12 201206518 關為^即的移動小於敢量時，即，預測到膝 的、1雷又的負何小時’不進行由電極部31〜33對關節肌群 4广另t面’刺激控制部40基於關節移動檢測器 、’則結果’判定為膝關節的移動相同或大於預定量 :P預測到膝關節承受的負荷大時，刺激控制部40係 :由電極部31〜33的至少一者，進行對關節肌群的通電。 」激控制σ[5 40可隨著膝關節的移動量增大而增大各電極 4 31〜33的電流供給量，或者’亦可不依據膝關節的移動 量而供給的電流，以作為此時的通電態樣。 (Ε2)刺激控制部40基於關節旋轉檢測器42的檢測 結果’判定為膝關節的旋轉小於預定量時，_，預測到膝 關節承夂的負荷小時，不進行由電極部31、32對關節旋轉 肌的通電。另一方面，刺激控制部40基於關節旋轉檢測器 42的檢測結果，判定為膝關節的旋轉相同或大於預定量 時，即，預測到膝關節承受的負荷大時，藉由電極部3 1、 32的至少一者，進行對關節旋轉肌的通電。刺激控制部40 可隨著膝關節的旋轉量增大而增大各電極部31、32的電流 供給量，或者，亦可不依據膝關節的旋轉量而供給一定的 電流’以作為此時的通電態樣。 (Ε3)刺激控制部40基於動作狀態檢測器43的檢測 結果’判定為使用者未進行使膝關節承受負荷的動作時， 不進行由電極部31〜33對關節肌群的通電。另一方面，刺 激控制部40基於動作狀態檢測器43的檢測結果，判定為 使用者進行使膝關節承受負荷的動作時，藉由電極部31〜 13 3/+的6^—者’崎㈣節肌鮮的通電 負何的動作，可舉例如步行、 電。又，膝關節承受 以及就座的動作。 卜摟梯的動作、起立的動作、 若依據本實施型態 ⑴電氣刺激裝置1中設的作用效果。 體部位的護套2〇，以及，钟 、於包含關節肌群的人 至關節肌群的複數個電極=3!〜=套2 0 ’用以將電流流通 節肌群。因關節^群I藉由對關節肌群流通電流，刺激關 肌群的自又到刺激時，同肌肉收縮，對應關節 裝置移動。藉此，使_裝電氣刺激 定膝_的；寺，與未供給電流時相較，因固 藉由對關節肌群: 給電；降:膝:節的偏移。另外，因可 未供终雷0*1 m 6 進仃如此的膝關節的固定，與 者的肌力;'低&膝關節的型態之護套相較，可抑制使用 的護（2)電氣翁裝置1中設有著裝於大腿 60與小腿70 6〇 . 2〇作為刺激施予部丨〇。護套20係包含著裝於大腿 部23包含關筇肌群的部位之大腿正面部21、第一大腿背面 裝於、以及第二大腿背面部24。另外，護套20係包含著 一腿70中包含關節肌群的部位之小腿正面部22、第 J聰背面部25、以及第二小腿背面部26。 轉由此構成，可將電流流通至大腿60以及小腿70的 —郎机群，因此，與將電流流通至大腿60與小腿70之任 量者的關節肌群的構成相較，可更增強固定膝關節的力 。轉此，可更提高降低膝關節的偏移的效果。S 12 201206518 When the movement of the ^ is less than the amount of dare, that is, the hour of the knee, and the negative of the 1st thunder are predicted, 'the stimulation part of the joint muscle group 4 is not performed by the electrode parts 31 to 33. 40 based on the joint movement detector, the 'result result' is determined to be the same or greater than the predetermined amount of movement of the knee joint: P predicts that the load on the knee joint is large, and the stimulation control unit 40 is: at least one of the electrode portions 31 to 33 , energize the joint muscles. The excitation control σ [5 40 can increase the current supply amount of each of the electrodes 4 31 to 33 as the amount of movement of the knee joint increases, or the current that can be supplied without depending on the amount of movement of the knee joint, as this time Powered state. (Ε2) When the stimulation control unit 40 determines that the rotation of the knee joint is less than a predetermined amount based on the detection result of the joint rotation detector 42, _, it is predicted that the load of the knee joint is small, and the joints by the electrode portions 31 and 32 are not performed. Power on the rotator. On the other hand, when the stimulation control unit 40 determines that the rotation of the knee joint is the same or larger than the predetermined amount based on the detection result of the joint rotation detector 42, that is, when the load on the knee joint is predicted to be large, the electrode portion 31 is At least one of 32 performs energization of the joint rotator muscle. The stimulation control unit 40 can increase the current supply amount of each of the electrode portions 31 and 32 as the amount of rotation of the knee joint increases, or can supply a constant current without depending on the amount of rotation of the knee joint. Aspect. (Ε3) When the stimulation control unit 40 determines that the user has not performed the operation of loading the knee joint based on the detection result of the operation state detector 43, the energization of the joint muscle group by the electrode portions 31 to 33 is not performed. On the other hand, the stimulation control unit 40 determines that the user performs the operation of loading the knee joint based on the detection result of the operation state detector 43, and the electrode portion 31 to 13 3/+ For example, walking, electricity, and the like. In addition, the knee joint is subjected to the action of seating. According to the present embodiment (1) the action and effect of the electric stimulation device 1 according to the operation of the dip ladder and the operation of the standing. The sheath of the body part 2〇, and the clock, the plurality of electrodes from the person including the joint muscle group to the joint muscle group=3!~=set 2 0 ' is used to flow the current to the muscle group. Since the joint group I circulates the current to the joint muscle group, the muscles of the muscle group are stimulated, and the muscles contract, and the joint device moves. In this way, the electric stimulation is set to the knee _; the temple is compared with the unsupply current, because the joint muscle group is: the power is supplied; the lower: the knee: the offset of the knot. In addition, because the knee joint can be fixed without the final lightning 0*1 m 6 , the muscle strength of the knee joint can be restrained compared with the muscle strength of the 'low & knee joint type (2 The electric appliance device 1 is provided with a thigh 60 and a lower leg 70 6〇. 2〇 as a stimulation applying unit. The sheath 20 includes a thigh front portion 21 attached to a portion where the thigh portion 23 includes a muscle group, a first thigh back surface, and a second thigh back portion 24. Further, the sheath 20 includes a calf front portion 22, a J-cone back portion 25, and a second lower leg portion 26 in a portion of the leg 70 including the joint muscle group. According to this configuration, current can be distributed to the thighs 60 and the calf 70, so that the knee can be more reinforced than the configuration of the joint muscles that distribute current to the thighs 60 and the lower legs 70. The force of the joint. By this, the effect of lowering the offset of the knee joint can be further improved.
S 14 201206518 (3)電氣刺激裝置i中設有檢測關節的 關節移動的關節移動檢測器41，以乃，知… ^ 役制由各雷搞q ] 〜33對生物體的通電態樣的輸出控制部％ ! 50係基於關節移動檢測器41的檢測結果， 31〜33對關節肌群的通電態樣。 : 電極 一般地，對肌肉施予電氣刺激時，肌 生反應，提高肌肉的活動程度。但因速肌纖維容易疲= 過度施予電氣刺激時，對於人體的負擔大。另一方面， 關節所承受的負擔係對應膝關節的移動而相異，並且，腺 關節於移動中立狀態時，最難以承受負擔。”、，、 若依據上述（3)的構成，輸出控制部5〇基於關節移 動檢測器41的檢測結果控制通電態樣，因而可於不必固— 關節時，停止對膝關節的通電，藉以減輕速肌纖維的疲勞, 另外，於睡眠中等使用者無意識時，即使因通電而導致 肌纖維疲勞的可能性低，因此，使用者無意識時，可藉由 通電進行膝關節的固定。藉此，可更提高降低膝關節^偏 移的教要。 (4)電氣刺激裝置i中财檢測生物體動作狀態的動 作狀態檢測器43，以及控制各電極部31〜33對生物體的 通電態樣的輸出控制部5〇。輸出控制部5Q係基於動作狀 態檢測器43的檢測絲，改變各電極部31〜33對 群的電流的通電態樣。 例如，使用者下樓梯時，膝關節於移動中立狀態，關 卽肌群未活動。因此，體重承載於單腳的膝時產生膝痛。 15 201206518 另外，因關節肌群 地掌握膝關節的動作’檢測肌肉的狀態並無法適當 例如’使:檢測使用者的動作狀態， 立狀態時，可預先掌握膝關節二:::倉膝關節於移動中 流流過關節肌群，膝關節受到固定此，因電 的偏移的效果。 了更提尚降低膝關節 (5)電氣刺激裝置i中今右 旋轉檢測器42,以及控制各檢咖節旋轉的關節 通電態樣的輸出控制部5〇。：=31〜33,生物體的 轉檢測器42的檢測沾果，4 / |J〇P 50係基於關節旋 轉肌的電流的通電各電極31〜33對關節旋 大腿6〇的關節旋轉肌構成，可將電流流通至 節的旋轉造成的疼痛。將關㈣定，因而可降低膝關 (6)電氣刺激裝置1 增強肌力的電氣刺激之丁施予藉由使生物體動作而 固疋關郎的電氣刺激之模式 的模式。若依據此構成，#由^乍為對人體施予電氣刺激 使肌力增強。另外，藉由模式b， 將電流流通至關節肌群而進行膝關節的固定，因而可降低 膝的疼痛。 ⑺電氣刺激裝置1可執行施予緩和疼痛的電氣刺激 之模式C，以及施予不使生物體動作而增強肌 激之模式D’作騎生物艘施予電氣刺激的模式。若^ 201206518 此構成’藉由模式C，可藉由施予低頻脈衝電流而緩和疼 痛另外’藉由模式D，藉由持續施予電氣刺激，即使使 用者不運動下肢，亦可謀求肌力的增強。 (其他的實施型態） 又，本發明的實施型態不限於上述實施型態，例如， 亦可如以下所示地變化而實施。另外，以下的各變化例並 非僅適用於上述實施型態，而亦可互相組合相異變 實施。 •上述實施型態中，第二電極部32係可對於構成腿後 肌62的半腱肌63、股二頭肌64、以及半膜肌65的全部流 通電流而構成，但亦可如下地變化。#，亦可將第二電極 32構成僅對於半腱肌63、股二頭肌64、以及半膜肌65之 一者或二者流通電流。 •上述實施型態係分別對應股四頭肌6丨、腿後肌62、 以及腓腸肌71而設置第一電極部31〜第三電極部33，但 亦可省略電極部31〜33中之一個或二個。 •上述實施型態係設置用以固定膝關節的複數個電極 部31〜33,但如以下的（Α)〜（D)所示，亦可設置用以 固疋膝關郎以外的關郎的電極部。下述的各電極可取代電 極部31〜33的全部’或者取代電極部31〜33中之任一個 或二個，或者於電極部31〜33之外，另附加設置。 (A)如圖5所示，亦可設置用以固定踝關節的第四 電極部。例如可設置對應小腿背面的圖5 (a)的電極部 34A，對應小腿正面的圖5 (b)的電極部34B，以及對應 17 201206518 小腿正面的圖5⑷的電極部3化之至少—個作為第四電 極部。圖5⑴的電極部34A係設置作為心將電流流通 至包含腓腸肌的複數小腿屈曲肌群72的電極部。圖5⑴ 的電極部3 4 B係設置作為用以將電流流通至小腿伸肌群7 3 的電極部。圖5(e)的電極部34C係設置作為用以將電流 流通至小㈣肌群74的電極部。又，複數小腿屈曲肌群 72、小腿伸肌群73、以及小腿腓肌群74皆為踩關節的關 節肌群。 (B) 如圖6所示，亦可設置用以固定股關節的第五電 極部。例如可設置對應大腿正面的圖6(a)的電極部ΜΑ， 對應大腿背面的圖6 (b)的電極部35B，對應臀部的圖6 (c)的電極部35C，以及對應骨盤正面的圖6⑷的電極 邛5D之至少一個作為第五電極部。圖6( a )的電極部3 $ a 係5又置作為用以將電流流通至股内收肌群66的電極部。圖 6 (b)的電極部35B係設置作為用以將電流流通至腿後肌 62f電極部。圖6(c)的電極部35C係係設置作為用以將 電流流通至臀大肌67的電極部。圖6 (d)的電極部 係設置作為用以將電流流通至股屈曲肌群68的電極部。 又，股内收肌群66、腿後肌62、臀大肌67、股屈曲肌群 68皆為股關節的關節肌群。 (C) 如圖7所示，亦可設置用以固定肘關節的第六電 極部。例如可設置對應上臂侧面的圖7(a)的電極部36、a， 對應上臂正面的圖7 (b)的電極部36B，對應前臂外侧的 圖7 (<〇的電極部36C，以及對應前臂側面的圖7 (d)的 201206518 電極部36D之至少-個作為第六電極部。圖7(a)的電極 β 36A係没置作為用以將電流流通至屈肘肌群8丨的電極 部。圖7(b)的電極部363係設置作為用以將電流流通至 伸肘肌群82的電極部。圖7 (c)的電柽部36C係設置作 為用以將電流流通至伸指肌群91的電極部。圖7 (d)的 電極。卩36D係设置作為用以將電流流通至屈指肌群％的 電極部。又，屈肘肌群8卜伸肘肌群82、伸指肌群Μ、 以及屈指肌群92皆為肘關節的關節肌群。亦即，圖7的實 施型態中，圖1的刺激施予部1〇之護套2〇等的著裝部係 發揮上肢著裝部的機能^此時，上肢著裝部係與圖」的構 成中的第-下肢著裝部（21、23、24)及第二下肢著裝部 (22、25、26)相同地，包含著裝於包含上臂的關節肌群 (8卜82)部位的第—上肢著裝部，以及著裝於包含前臂 的關節肌群（91、92)部位的第二上肢著裝部。 (D)如圖8所示，亦可設置用以固定肩關節的第七 電極部。第〖電極部係由對應僧帽肌的負，電極37A、對應 肩關節正面肌肉的正極37B、對應肩關節内侧下方肌肉二' 正極37C、以及對應肩關節背面肌肉的正極37D所構成。 另外，第七電極部係設置作為對於肩上舉旋轉肌群1〇〇的 正面側流通電流的電極部。又，肩上舉旋轉肌群1〇〇係肩 關節的關節肌群。 •上述實施型態中，刺激控制部4〇係藉由關節移動檢 測器41直接檢測關節的移動，但亦可另外設置用以間接檢 測關節的移動的裝置或用以取代同檢測器4卜其—例可舉 201206518 例如計測肌電圖的肌電圖計測裝置。若依據設置肌電圖計 測裝置的構成，則刺激控制部40係可基於肌電圖計測裝置 所計測的肌電圖，預測肌肉的活動狀態，基於其預測的肌 肉的活動狀態，判定關節的移動。 •上述實施型態中，由右下肢用的刺激施予部10與左 下肢的刺激施予部個別進行的電氣刺激的施予係藉由輸出 控制部50來進行，但亦可具備由使用者選擇所使用的刺激 施予部的機能。其一例可舉例如於操作部52設置用以選擇 所使用的刺激施予部的按鍵的構成。 •上述實施型態係將關節移動檢測器41、關節旋轉檢 測器42、以及動作狀態檢測器43設於刺激控制部40中， 但亦可省略這些檢測器中的至少一個。 •上述實施型態中，刺激控制部40基於關節移動檢測 器41的檢測結果，判定為膝關節的負擔小時，停止對關節 肌群的電流供給，但亦可如下地變化。亦即，判定為膝關 節的負擔小時，刺激控制部40亦可將較判定為膝關節的負 擔大時少量的電流，供給至關節肌群。 上述實施型態中，基於各檢測器41〜43檢測結果的通 電態樣的控制（模式E)與依據模式A〜D的通電態樣的 控制係獨立地進行，但基於各檢測器41〜43檢測結果的控 制與模式A〜D的控制亦可併行。亦即，模式A〜D之任 一控制的執行中，發生必需基於各檢測器41〜43檢測結果 而通電的情況時，可暫時地保留模式A〜D之任一的通電 控制，而進行基於各檢測器41〜43檢測結果的通電控制。 201206518 •上述實施型態中，刺激 #燄拄，#f Μ筋A 搜制部40係於檢測出膝關節 方疋轉時，對關即肌群中的關飴始 .Brt ^ -g ^ ^ , 即叙轉机之股四頭肌61以及腿 後肌62流通電流，但亦可更料 ηΛ . τ於關節旋轉肌以外的關節肌 群之腓腸肌71流通電流。 •上述實施型態中設有從大趟60經由膝關節而至小 腿70的著裝型態的構件作為刺激施予部1〇，但亦可各別 地形成對應大腿60.的部分與對應小腿7〇的部分。 •上述實施型態中設有著裝於下肢型態的構件作為刺 激施予部10，但亦可另外設置著裝於上肢型態的刺激施予 部或用以取代。另外，具備著裝於下肢的刺激施予部與著 裝於上肢的刺激施予部之至少一側的電氣刺激裝置中，亦 可附加以下的（Α)〜（D)的變化。 (Α)將下肢用的刺激施予部變更為僅著裝於大腿60 的型態。 (Β)將下肢用的刺激施予部變更為僅著裝於小腿7〇 的型態。 80 (C)將上肢用的刺激施予部變更為僅著裂於上臂 的型態 (D)將上肢用的刺激施予部變更為僅著襄於前臂％ 的型態 •包含著裝於上肢的刺激施予部的構成中，亦可各別 地形成對應上臂80與前臂90的部位。 •上述實施型態係以分別著裝於左右下肢的護套型構 件構成刺激施予部10，但亦可變更為包含襠部與對應左右S 14 201206518 (3) The electrical stimulation device i is provided with a joint movement detector 41 for detecting the joint movement of the joint, so that it is known that the output of the living body by the respective mines q] to 33 The control unit %! 50 is based on the detection result of the joint movement detector 41, and the energization pattern of the joint muscle group from 31 to 33. : Electrodes Generally, when electrical stimulation is applied to the muscles, the muscles react and increase the degree of muscle activity. However, because the fast muscle fiber is prone to fatigue = excessive electrical stimulation, the burden on the human body is large. On the other hand, the burden on the joint differs depending on the movement of the knee joint, and the gland joint is most difficult to bear when moving in a neutral state. According to the configuration of the above (3), the output control unit 5 controls the energization pattern based on the detection result of the joint movement detector 41, so that the energization of the knee joint can be stopped when the joint is not required, thereby reducing In addition, when the user is unconscious, the possibility of fatigue of the muscle fiber due to energization is low, so that the user can unconsciously fix the knee joint by energization. (4) The operation state detector 43 for detecting the operation state of the living body in the electrical stimulation device i, and the output control unit 5 for controlling the energization state of each of the electrode portions 31 to 33 to the living body The output control unit 5Q changes the energization state of the currents of the group by the electrode portions 31 to 33 based on the detection wire of the operation state detector 43. For example, when the user goes down the stairs, the knee joint is in a neutral state of movement, The muscles are not active. Therefore, when the weight is carried on the knee of one foot, knee pain occurs. 15 201206518 In addition, the movement of the knee joint is mastered by the joint muscles 'Detecting the state of the muscles It is not appropriate to, for example, 'make: detect the user's action state, and when the state is up, the knee joint can be grasped in advance::: The knee joint is flowing through the joint muscle group during the movement, and the knee joint is fixed by the electric offset. The effect of reducing the knee joint (5) the right-and-right rotation detector 42 in the electrical stimulation device i, and the output control portion of the joint energization pattern for controlling the rotation of each inspection section is: =31~33, The detection of the biobody's rotation detector 42 is dilute, 4 / |J〇P 50 is based on the current of the joint rotator, and the electrodes 31 to 33 are connected to the joint rotator muscle of the joint of the thigh 6 ,, and the current can be circulated to The pain caused by the rotation of the knot. It will be closed (4), so the knee can be lowered. (6) Electrical stimulation device 1 Electrical stimulation of the muscle strength is applied. The electrical stimulation mode of the body is stabilized by the action of the organism. According to this configuration, #由 is used to apply electrical stimulation to the human body to enhance muscle strength. In addition, by mode b, current is flown to the joint muscle group to fix the knee joint, thereby lowering the knee. Pain. (7) Electrical stimulation device 1 can be implemented Mode C for imparting electrical stimulation to alleviate pain, and mode of giving stimulation to the muscles that do not cause the organism to move, D' is used as a model for riding electrical stimulation. If ^ 201206518, this constitutes 'by mode C, By applying a low-frequency pulse current to alleviate the pain, "by means of mode D, by continuously applying electrical stimulation, even if the user does not move the lower limbs, the muscle strength can be enhanced. (Other embodiments) The embodiment of the invention is not limited to the above-described embodiment, and may be implemented, for example, as described below. Further, the following modifications are not only applicable to the above-described embodiment, but may be implemented in combination with each other. In the above embodiment, the second electrode portion 32 may be configured to flow all of the semitendinosus muscle 63, the biceps muscle 64, and the semimembranosus muscle 65 constituting the posterior leg muscle 62, but may be configured as follows. Variety. #, The second electrode 32 may also constitute a current flow only for one or both of the semitendinosus 63, the biceps muscle 64, and the semimembranosus 65. In the above embodiment, the first electrode portion 31 to the third electrode portion 33 are provided corresponding to the quadriceps muscles 6, the posterior leg muscles 62, and the gastrocnemius muscles 71, but one of the electrode portions 31 to 33 may be omitted or Two. The above embodiment is provided with a plurality of electrode portions 31 to 33 for fixing the knee joint, but as shown in the following (Α) to (D), it may be provided to fix the Klang other than the Kwan Kwan Lang. Electrode part. Each of the electrodes described below may be provided in place of or in place of all of the electrode portions 31 to 33 or in addition to the electrode portions 31 to 33. (A) As shown in Fig. 5, a fourth electrode portion for fixing the ankle joint may be provided. For example, the electrode portion 34A of Fig. 5 (a) corresponding to the back surface of the lower leg, the electrode portion 34B of Fig. 5 (b) corresponding to the front surface of the lower leg, and at least one of the electrode portions 3 of Fig. 5 (4) corresponding to the front surface of the 17 201206518 calf can be provided. The fourth electrode portion. The electrode portion 34A of Fig. 5 (1) is provided with an electrode portion that flows a current as a heart to a plurality of calf flexion muscle groups 72 including gastrocnemius muscle. The electrode portion 3 4 B of Fig. 5 (1) is provided as an electrode portion for circulating a current to the calf extensor group 7 3 . The electrode portion 34C of Fig. 5(e) is provided as an electrode portion for circulating a current to the small (four) muscle group 74. Further, the plurality of calf flexion muscle groups 72, the calf extensor group 73, and the calf muscle group 74 are all joint muscle groups of the joints. (B) As shown in Fig. 6, a fifth electrode portion for fixing the hip joint may be provided. For example, the electrode portion 图 of Fig. 6(a) corresponding to the front surface of the thigh, the electrode portion 35B of Fig. 6(b) corresponding to the back surface of the thigh, the electrode portion 35C of Fig. 6(c) corresponding to the buttocks, and the figure corresponding to the front surface of the pelvis can be provided. At least one of the electrodes 邛 5D of 6 (4) serves as a fifth electrode portion. The electrode portion 3$a5 of Fig. 6(a) is again provided as an electrode portion for circulating a current to the femoral adductor group 66. The electrode portion 35B of Fig. 6(b) is provided as an electrode portion for circulating a current to the posterior leg muscle 62f. The electrode portion 35C of Fig. 6(c) is provided as an electrode portion for circulating a current to the gluteus maximus 67. The electrode portion of Fig. 6(d) is provided as an electrode portion for circulating a current to the femoral flexion muscle group 68. In addition, the femoral muscle group 66, the posterior leg muscle 62, the gluteus maximus muscle 67, and the femoral flexion muscle group 68 are the joint muscle groups of the femoral joint. (C) As shown in Fig. 7, a sixth electrode portion for fixing the elbow joint may be provided. For example, the electrode portions 36 and a of Fig. 7(a) corresponding to the side of the upper arm, the electrode portion 36B of Fig. 7(b) corresponding to the front surface of the upper arm, and the electrode portion 36C corresponding to the outer side of the forearm can be provided, and corresponding At least one of the electrode portions 36D of Fig. 7(d) of the front arm side is the sixth electrode portion. The electrode β 36A of Fig. 7(a) is not provided as an electrode for circulating current to the flexor elbow muscle group 8丨. The electrode portion 363 of Fig. 7(b) is provided as an electrode portion for circulating a current to the elbow muscle group 82. The electric port portion 36C of Fig. 7(c) is provided to flow current to the extension finger. The electrode portion of the muscle group 91. The electrode of Fig. 7(d). The 卩36D system is provided as an electrode portion for circulating a current to the flexor muscle group. Further, the elbow muscle group 8 is extended to the elbow muscle group 82, and the extension finger Both the muscle group and the flexor muscle group 92 are the joint muscle groups of the elbow joint. That is, in the embodiment of Fig. 7, the dressing portion of the sheathing unit 2 such as the stimulation applying portion of Fig. 1 functions as the upper limb. The function of the dressing unit ^ at this time, the first-limb dressing portions (21, 23, 24) and the second lower-limb dressing portions (22, 25, 26) in the configuration of the upper limb dressing system and the figure" In the same place, the first upper limb wearing portion attached to the joint muscle group (8b 82) including the upper arm and the second upper limb wearing portion mounted on the joint muscle group (91, 92) including the forearm are included. As shown in Fig. 8, a seventh electrode portion for fixing the shoulder joint may be provided. The electrode portion is composed of a negative corresponding to the cap muscle, an electrode 37A, a positive electrode 37B corresponding to the frontal joint muscle, and a corresponding inner side of the shoulder joint. The muscle 2' positive electrode 37C and the positive electrode 37D corresponding to the back muscle of the shoulder joint are formed. The seventh electrode portion is provided as an electrode portion that flows current to the front side of the rotator muscle group 1 肩. The joint muscle group of the rotator cuff 1 〇〇 shoulder joint. In the above embodiment, the stimulation control unit 4 directly detects the movement of the joint by the joint movement detector 41, but may be additionally provided for indirect detection. The device for moving the joint or the device for replacing the same can be used as an example. For example, an electromyogram measuring device for measuring an electromyogram can be used. For example, according to the configuration of the electromyogram measuring device, the stimulation control unit 40 can be used. base The electromyogram measured by the electromyogram measurement device predicts the activity state of the muscle, and determines the movement of the joint based on the predicted activity state of the muscle. In the above embodiment, the stimulation administration unit 10 for the right lower limb is used. The administration of the electrical stimulation performed by the stimulation administration unit of the left lower limb is performed by the output control unit 50. However, the function of the stimulation administration unit to be used by the user may be provided. An example of the operation may be, for example, an operation. The part 52 is provided with a configuration for selecting a button of the stimulation applying unit to be used. • In the above embodiment, the joint movement detector 41, the joint rotation detector 42, and the operation state detector 43 are provided in the stimulation control unit 40. However, at least one of these detectors may also be omitted. In the above-described embodiment, the stimulation control unit 40 determines that the load of the knee joint is small and stops the supply of current to the joint muscle group based on the detection result of the joint movement detector 41, but may change as follows. In other words, when it is determined that the burden of the knee joint is small, the stimulation control unit 40 can supply a small amount of current larger than the load that is determined to be the knee joint to the joint muscle group. In the above embodiment, the control (mode E) of the energization pattern based on the detection results of the detectors 41 to 43 is performed independently of the control system according to the energization patterns of the modes A to D, but based on the respective detectors 41 to 43 The control of the detection result and the control of the modes A to D can also be performed in parallel. In other words, in the execution of any of the modes A to D, when it is necessary to energize based on the detection results of the respective detectors 41 to 43, the energization control of any of the modes A to D can be temporarily retained, and based on Each of the detectors 41 to 43 detects the energization control of the result. 201206518 • In the above embodiment, the stimulating #拄拄,#f ΜA search unit 40 is used to detect the knee joint, and the closing of the muscle group is started.Brt ^ -g ^ ^ That is, the quadriceps 61 and the posterior leg muscles 62 of the revolving machine flow current, but it is also expected that ηΛ. τ is the current flowing through the gastrocnemius muscle 71 of the joint muscles other than the joint rotator. In the above embodiment, a member of the dressing type from the big knee 60 to the lower leg 70 is provided as the stimulation applying portion 1 , but the portion corresponding to the thigh 60 and the corresponding lower leg 7 may be separately formed. The part of the cockroach. In the above embodiment, a member attached to the lower limb type is provided as the stimulation applying portion 10, but a stimulation applying portion attached to the upper limb type may be additionally provided or replaced. Further, in the electrical stimulation device including the stimulation applying portion attached to the lower limb and the stimulation applying portion mounted on the upper limb, the following changes (Α) to (D) may be added. (Α) The stimulation administration unit for the lower limbs is changed to the type in which only the thighs 60 are attached. (Β) The stimulation administration unit for the lower limbs is changed to the type of the lower leg 7〇. 80 (C) The stimulation administration unit for the upper limb is changed to the type in which only the upper arm is broken (D) The stimulation administration unit for the upper limb is changed to the type of only the forearm %. In the configuration of the stimulation applying portion, portions corresponding to the upper arm 80 and the forearm 90 may be formed separately. In the above embodiment, the stimulation applying portion 10 is configured by sheath-type members respectively attached to the left and right lower limbs, but may be changed to include the crotch portion and the corresponding left and right sides.
21 201206518 下肢部位的底褲型或長褲型構件。 【圖式簡單說明】 圖1係關於本發明一實施型態的電氣刺激裝置，（a) 係表示其正面構造的正面圖，（b)表示其背面構造的背面 圖0 圖2係表示同實施型態的電氣刺激裝置構成的方塊 圖。 圖3係關於同實施型態的電氣刺激裝置，（a)係表示 股四頭肌與電極部的位置關係的大腿正面圖，（b)係表示 腿後肌與電極部的位置關係的大腿背面圖，（c)係表示腓 腸肌與電極部的位置關係的小腿背面圖。 圖4係關於著裝同實施型態的電氣刺激裝置的刺激施 予°卩的使用者下肢，（a)係表示其正面構造的正面圖，（b) 係表示其背面構造的背面圖。 ^圖5係關於本發明其他實施型態的電氣刺激裝置，（a) 係表不小腿屈曲肌群與電極部的位置關係的背面圖，（b) 係表不小腿伸肌群與電極部的位置關係的正面圖，（c)係 表示小腿腓肌群與電極部的位置關係的正面圖。 ,圖6係關於本發明其他實施型態的電氣刺激裝置，（a) 係表示股内收肌群與電極部的位置關係的正面圖，（b)係 表不腿後肌與電極部的位置關係的正面圖，（c)係表示臀 大肌與電極部的位置關係的背面圖，⑷係表示股屈曲肌 群與電極部的位置關係的正面圖。21 201206518 Pants-type or trouser-type components for lower limbs. BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is an electric stimulation device according to an embodiment of the present invention, wherein (a) is a front view showing a front structure thereof, (b) is a rear view showing a back structure thereof, and FIG. 2 is a same embodiment. A block diagram of a type of electrical stimulation device. Fig. 3 is a view showing the electric stimulation device of the same embodiment, wherein (a) is a front view of the thigh showing the positional relationship between the quadriceps and the electrode portion, and (b) is a rear view of the thigh showing the positional relationship between the posterior leg muscle and the electrode portion. Fig. (c) is a rear view of the lower leg showing the positional relationship between the gastrocnemius muscle and the electrode portion. Fig. 4 is a front view of the user's lower limb in which the stimulation of the electrical stimulation device of the same embodiment is applied, (a) showing a front view of the front structure, and (b) showing a rear view of the back structure. Fig. 5 is a rear view showing the positional relationship between the flexion muscle group of the lower leg and the electrode portion, and (b) showing the positional relationship between the extensor muscle group and the electrode portion of the lower leg, relating to the electric stimulation device according to another embodiment of the present invention. The front view of the positional relationship, and (c) is a front view showing the positional relationship between the calf muscle group and the electrode portion. Fig. 6 is a view showing an electric stimulation device according to another embodiment of the present invention, wherein (a) is a front view showing a positional relationship between a femoral adductor group and an electrode portion, and (b) is a position showing a posterior leg muscle and an electrode portion; The front view of the relationship, (c) is a rear view showing the positional relationship between the gluteus maximus and the electrode portion, and (4) is a front view showing the positional relationship between the femoral flexor muscle group and the electrode portion.
S 22 201206518 ,圖7係關於本發明其他實施型態的電氣刺激裝置，（a) 係表不屈肘肌群與電極部的位置關係的侧面圖，（b)係表 =伸肘肌群與電極部的位置關係的背面圖，（e)係表示伸 才曰肌群與電極部的位置關係的正面圖，⑷係表示屈指肌 群與電極部的位置關係的側面圖。 ,圖8係關於本發明其他實施型態的電氣刺激裝置，（a) 係表不肩上舉旋轉肌群與電極部的位置關係的正面圖，（匕） 係表不肩上舉旋轉肌群與電極部的位置關係的侧面圖。 【主要元件符號說明】 1 :電氣刺激裝置 10 :刺激施予部 20 :護套 21 ·大腿正面部 22 :小腿正面部 23 :第一大腿背面部 24 :第二大腿背面部 25 :第一小腿背面部 26 :第二小腿背面部 27 :膝部 27A :開孔 28A :絨環面 28B .勾面 29A :絨環面 29B :勾面 31 :電極部 32 :電極部 33 :電極部 34A :電極部 34B :電極部 34C :電極部 35A :電極部 35B :電極部 35C :電極部 35D :電極部 36A :電極部 36B :電極部 36C :電極部 23 201206518 36D 37B 37D 40 ： 42 ： 50 ： 52 ： 54 ： 56 ： 61 ： 63 ： 65 ： 67 ： 70 ·· 72 ： 74 ： 81 ： 90 ： 92 ： :電極部 37A :負極 :正極 37C :正極 :正極 39 ： 導線 刺激控制部 41 ： 關節移動檢測器 關節旋轉檢測器 43 ： 動作狀態檢測器 輸出控制部 51 ： 脈衝產生部 操作部 53 ： 切換部 電源部 55 ： 記憶部 顯示部 60 ： 大腿 股四頭肌 62 ： 腿後肌 半腱肌 64 ： 股二頭肌 半膜肌 66 · 股内收肌群 臀大肌 68 ： 股屈曲肌群 小腿 71 ·· 腓腸肌 小腿屈曲肌群 73 ： 小腿伸肌群 小腿腓肌群 80 ： 上臂 屈財肌群 82 ： 伸肘肌群 前臂 91 ： 伸指肌群 屈指肌群 100 :肩上舉旋轉肌群 sS 22 201206518, FIG. 7 is a side view showing the positional relationship between the elbow muscle group and the electrode portion according to another embodiment of the present invention, and (b) the table table = the elbow muscle group and the electrode The rear view of the positional relationship of the parts, (e) is a front view showing the positional relationship between the stretch muscle group and the electrode portion, and (4) is a side view showing the positional relationship between the flexor muscle group and the electrode portion. Fig. 8 is a front view showing the positional relationship between the rotational muscle group and the electrode portion of the other embodiment of the present invention, and (a) showing the positional relationship between the rotational muscle group and the electrode portion. Side view of the positional relationship with the electrode portion. [Main component symbol description] 1 : Electrical stimulation device 10 : Stimulation administration portion 20 : Sheath 21 · Thigh front portion 22 : Lower leg front portion 23 : First thigh back portion 24 : Second thigh back portion 25 : First calf Back portion 26: second lower leg back portion 27: knee portion 27A: opening 28A: pile surface 28B. hook surface 29A: pile surface 29B: hook surface 31: electrode portion 32: electrode portion 33: electrode portion 34A: electrode Portion 34B: electrode portion 34C: electrode portion 35A: electrode portion 35B: electrode portion 35C: electrode portion 35D: electrode portion 36A: electrode portion 36B: electrode portion 36C: electrode portion 23 201206518 36D 37B 37D 40 : 42 : 50 : 52 : 54 : 56 : 61 : 63 : 65 : 67 : 70 · · 72 : 74 : 81 : 90 : 92 : : Electrode part 37A : Negative electrode : Positive electrode 37C : Positive electrode : Positive electrode 39 : Wire stimulation control unit 41 : Joint movement detector Joint rotation detector 43 : Operation state detector output control unit 51 : Pulse generation unit operation unit 53 : Switching unit power supply unit 55 : Memory unit display unit 60 : Thigh quads 42 : Leg muscles half muscle 64 : Stock Biceps Semi-membrane muscle 66 · Femoral adductor muscle gluteus maximus 68 : Femoral flexor muscle group calf 71 ·· Gastrocnemius calf flexion muscle group 73 : Calf extensor group calf muscle group 80 : Upper arm flexor muscle group 82 : Elbow muscle Group Forearm 91 : Extensor Muscles Flexor Muscles 100 : Shoulder Lifting Rotating Muscles s