Abstract:
A method and apparatus for cleaning a subject suffering from contracture provides a threaded and flexible cleaning tool for insertion between muscles joints or body parts suffering from contracture requiring no prying open of joints or minimally prying open of joints in order to facilitate cleaning of body parts otherwise obstructed by the contracture.

Description:
BACKGROUND OF THE INVENTION 
       [0001]    1. Technical Field 
         [0002]    The invention relates to a medical condition. More particularly, the invention relates to a method and apparatus for treating subjects who suffer from contracture. 
         [0003]    2. Description of the Related Art 
         [0004]    There exists a medical disorder of contracture, which results from a number of sources. For example, after a stroke or other neurological disorder, tightness of the hand muscles of an individual often lead to debilitating contracture of the fingers of the hand, resulting in a fist-like deformity. While this condition can be treated by the use of splinting, the treatment is painful and the patient is often unwilling to go through painful procedures, such as stretching and range of motion exercises, required to treat the contracture. The contracture or tightness, if not treated often becomes worse and can lead to the finger nails puncturing the flesh. Further, infection of palm and spaces between the finger and thumb often results due to difficulties in cleaning, medicating, drying or lubricating the tightly fisted hand. 
         [0005]    Health practitioners, such as occupational therapists, physical therapists, and nursing staff often try to wedge open the hand of a subject suffering from contracture to insert a folded washcloth or roll of gauze bandage. Other common means of keeping the hand open to prevent further contracture include the use of conical tubes and palm splints. Cone shaped tubes are generally made of rigid plastic and may be covered with some sort of thin material to make them more comfortable. Often lengths from four to five inches and widths tapering from three quarters of an inch to one and a half inches in diameter are used. A palm splint fits into the palm, and rests between the fingers and the palm surface, acting as a barrier to prevent the fingers from digging into the palm of the skin. In extreme cases, surgery where tendons are severed is a last, painful, and often ineffective resort. 
         [0006]    It is a particular problem with all of the known devices for treating contracture that their use requires the fingers to be pried open before inserting the device into the tightly clenched fist. This opening of the fingers is typically extremely painful and in some cases can cause dislocation of a joint, even when performed by a therapist, medical practitioner, or family caregiver. The required force exerted to pry open the fingers or to open the hand to insert a splint and/or the aforementioned cone devices is often considerable as the force required must open the hand or fingers sufficiently to insert a cone through the widest opening of the clenched fist toward the narrowest opening of the fingers. To insert even a gauze roll is typically painful and traumatic for the patient because of the necessity of prying the fingers. The prying of the fingers apart and prying to open the palm of the hand is also necessary for the simple act of cleaning of the palm and fingers with a hand towel. 
         [0007]    What is needed is a method and apparatus that facilitates cleaning of the palm and fingers of a subject suffering from contracture that does not necessitate prying open the palm of the hand and fingers of subjects suffering from contracture. 
       SUMMARY OF THE INVENTION 
       [0008]    The invention provides a method and apparatus for cleaning, e.g. the hand of, a subject suffering from contracture. More particularly, the invention provides a threaded and flexible cleaning tool for insertion between muscles joints or body parts suffering from contracture requiring no prying open of joints or minimally prying open of joints in order to facilitate cleaning of body parts otherwise obstructed by the contracture. 
     
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         [0009]      FIG. 1  provides a block diagram of an apparatus used to facilitate cleaning of body parts obstructed by contracture according to the invention. 
       
    
    
     DETAILED DESCRIPTION OF THE INVENTION 
       [0010]    Herein, a contracture is an abnormal often permanent shortening of a muscle or scar tissue resulting in distortion or deformity of a joint or appendage of the body. A contracture results in a permanent or long term shortening of a muscle, tendon, or scar tissue producing a deformity or distortion. A contracture is an abnormal and usually permanent contraction of a muscle. 
         [0011]    In one embodiment of the invention, a cleaning tool is attached or integrated into a flexible longitudinal translation means inserted into the narrow openings left by the contracture between the digits of the hand such as the fingers and/or thumb, and palm. The cleaning tool is preferably includes a member set of flexible or deformable cleaning elements, such as tabs, extending radially off of the longitudinal translation means. One end of the longitudinal translation means is threaded between two body parts into an area obstructed by contracture. The cleaning tool is then pulled through the obstructed area contacting the skin surface of the obstructed areas with the flexible cleaning elements thereby cleaning the hard to reach skin surface areas obstructed by the contracture. Optionally, both ends of the longitudinal translation means have means for holding allowing the cleaning tool to be translated back and forth through the obstructed region in a flossing manner allowing multiple cleaning passes on the obstructed area. 
         [0012]    Referring now to  FIG. 1 , a block diagram of an exemplary version of the cleaning apparatus is provided. The cleaning tool  101  has a longitudinal axis  102  having a first and second end. Preferably, at least one of the first and second ends has a narrow cross-section tab for facilitation of translating the cleaning tool between obstructed body parts. In  FIG. 1 , the first end  103  and second end  104  of the cleaning tool both have tabs and/or a grasping element to facilitate translation. Attached or integrated into the longitudinal translation means are radially extending cleaning surfaces  107 . Both the longitudinal axis and the radially extending cleaning elements are either deformable or flexible to facilitate pulling the cleaning tool through tight and/or curved passages formed by the contracture, such as between fingers or along the palm. The cleaning tool is illustrated at time  1  in an elongated shape and at time  2  in a curved shape to illustrate the flexibility of the tool. 
         [0013]    The elongated longitudinal axis is preferably a thin material that is both readily grasped by the person cleaning and is narrow and rigid enough for ease of threading between body parts such as fingers, toes, or a fist along the palm. Preferably, the longitudinal axis of the cleaning tool is uniform in cross-section and has a diameter of about 1/116 th , 2/16 th , 3/16 th , 4/16 th , 5/16 th , 6/16 th , 7/16 th , 8/16 th , 9/16 th , 10/16 th , 11/16 th , or 12/16 th  of and inch in its cross-sectionally compressed form. Integrated or radiating from the longitudinal axis are cleaning elements. Preferably the cleaning elements have frayed or fringed edges to maximize surface area contact and thus cleaning ability of the skin. In one example, the cleaning elements are a sponge-like material that deforms and expands during translation according to the applied pressure and gaps of the body parts, such as fingers, created by the contracture. In this manner, the cleaning tool passes through and cleans narrow openings created by contracture while at the same time expanding and cleaning larger openings within the volume created by the contracture. In a second example, the cleaning elements are a plurality of radially extending tabs  106  separated by cuts  105 . The tabs are either orthogonal to the longitudinal axis or at an angle to the longitudinal axis. The tabs are either uniform in size of are of varying size. An example of a tab is a soft terry-type cloth stitched together in multiple layers. The cloth is then snipped at intervals yielding a fringed edge. The intervals are either uniformly or non-uniformly spaced throughout the longitudinal axis or about some midpoint. Preferably, the cleaning elements extend in three-dimensions from the longitudinal axis; however, two-dimensional extensions of tabs is also useful for cleaning and/or treating smaller cavities left by contracture. 
         [0014]    In another embodiment of the invention, the radius or extension away from the center of the cleaning tool in non-uniform along the longitudinal axis. Herein, radius is used generically as the extension from the center longitudinal axis, though the cross sectional area can be of an shape and is not limited to a circular cross section. For example, the tool is tapered from a small radius, such as about 1/16 th  inch, at the first end to a larger radius, such as about 12/16 th  inch, at the second end. This allows insertion and translation until resistance thereby optimizing the cleaning cross-section of the tool in the opening formed by the contracture. In a second example, the tool has cross-sectional areas that are a step function along the longitudinal axis. For instance, one longitudinal part of the tool has a cross sectional area that is different from the cross-sectional area of a second longitudinal part of the tool. This facilitates cleaning by a pulsing force applied to the skin as the cleaning tool is translated along the skin. 
         [0015]    In yet another embodiment of the invention, the elements are coated, partially encapsulated, and/or impregnated with an agent, such as soap, lotion, or medication to assist in the cleaning, medicating, localized drug delivery, lubricating, and care of the obstructed body part, such as hands and fingers. The coating agent could be a pure component, a compound, a solution, or a mixture. Optionally, the cloth can be pure to allow for the drying of treated hands and fingers. 
         [0016]    Furthermore, the obstructed body part could also consist of an arm, upper arm, torso, leg or digit of the foot such as a toe. An obstruction could be circumferentially or partial enclosure that is either inward or outward. Optionally, the obstruction could contain blistering of the skin, sores on the skin, and/or fungal growth on the skin. 
         [0017]    In view of the different possible embodiments to which the principle of this invention may be applied, it should be recognized that the preferred embodiment described herein with respect to the drawings is meant to the illustrative only and should not be taken as limiting the scope of the invention. One skilled in the art will readily appreciate that other applications may be substituted for those set forth herein without departing from the spirit and scope of the present invention. Accordingly, the invention should only be limited by the Claims included below.