JP2015107283A - Bed device for rehabilitation - Google Patents

Bed device for rehabilitation Download PDF

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JP2015107283A
JP2015107283A JP2013252653A JP2013252653A JP2015107283A JP 2015107283 A JP2015107283 A JP 2015107283A JP 2013252653 A JP2013252653 A JP 2013252653A JP 2013252653 A JP2013252653 A JP 2013252653A JP 2015107283 A JP2015107283 A JP 2015107283A
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holding
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patient
fixing
upright
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文二 山本
Bunji Yamamoto
文二 山本
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SANMU KK
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Abstract

PROBLEM TO BE SOLVED: To achieve the recovery of functions by causing a patient to stand in a lying state together with a bed body, and to move hands and legs with help from others such as a care-giver, or by the patient himself/herself.SOLUTION: A bed body 1 on which a patient P is lying supine is tilted or erected and fixed by erecting/holding/fixing means 46 so as to cause the patient P to stand, and overturning prevention means 2 for maintaining the erection state of the standing patient P is removably connected and fixed to the front of the bed body 1. The bed body 1 is formed by consecutively connecting a head holding part 3, a back surface holding part 4, a leg holding part 5, and a foot placement part 6 fixed at the right angle to the rear end edge of the leg holding part 5, and the bed body 1 is installed on a floor surface 9 while being supported by a V-shaped support leg 7 and an erecting/fixing support leg 8.

Description

本発明は、脳出血や脳梗塞などの様々な疾病により、寝たきりとなったり、身体障害となった患者を寝たままの状態でベッドごと起立させ家族、介護者等他人の力を借りて、または患者自身が手足を動かしたりして、その機能の回復を図ることを目的とするリハビリ用ベッド装置に関するものである。 The present invention is based on various diseases such as cerebral hemorrhage and cerebral infarction. The present invention relates to a rehabilitation bed apparatus whose purpose is to restore the function of the patient by moving his / her limbs.

従来、様々な疾病により、寝たきりとなったり、身体障害となった患者の機能の回復を図る手段として、病院等において、理学療法士による施術が広く実施されている。そして、前記機能の回復を目的とする先行特許文献を遡及検索したところ、下記特許文献に記載された機器が開示されている。 2. Description of the Related Art Conventionally, treatment by physical therapists has been widely performed in hospitals and the like as means for recovering the functions of patients who are bedridden or disabled due to various diseases. And when the prior patent document aiming at the recovery | restoration of the said function was retrospectively searched, the apparatus described in the following patent document is disclosed.

特開平10−151159号公報JP-A-10-151159 特開2000−325413号公報JP 2000-325413 A

前記従来広く実施されている理学療法士による施術は、理学療法士が付添って、適宜のリハビリ器具を用いて施術するため、患者が病院に赴く必要があり、患者および家族等の介助者の負担が極めて大きいという課題があった。また特に、脳出血や脳梗塞の患者の場合、理学療法士や家族等の介助者が、患者をリハビリのため起立させると、患者は断崖の上に立ったような恐怖感を覚え、そのため、リハビリに集中できず充分なリハビリ効果を得ることができないという課題があった。 The conventional treatment by a physical therapist is performed with a physical therapist using an appropriate rehabilitation device, so the patient needs to go to the hospital. There was a problem that the burden was extremely large. In particular, in the case of patients with cerebral hemorrhage or cerebral infarction, when an assistant such as a physiotherapist or family member stands up for rehabilitation, the patient feels a fear of standing on a cliff, and therefore rehabilitation. There was a problem that it was not possible to concentrate on the system and a sufficient rehabilitation effect could not be obtained.

また、前記特許文献1記載の「介護・自立訓練用ベッド補助具」は、所要長のパイプをベッドに取付けて、介護者の介護を補助すると共に、寝たきり状態からの脱出、起立訓練、更には排泄の自立訓練など多機能を有する補助具である。しかしながら、前記特許文献1記載の補助具では、介護者を起立させることができず、従って起立させることによって訓練される筋力の回復ができないので、充分な機能回復を図ることができないという課題があった。 In addition, the "bed aid for nursing / self-reliance training" described in Patent Document 1 attaches a pipe having a required length to the bed to assist the caregiver's care, escape from bedridden state, stand-up training, It is an auxiliary device with multiple functions such as independence training for excretion. However, the assisting device described in Patent Document 1 cannot raise a caregiver, and therefore cannot recover muscle strength trained by standing, so that there is a problem that sufficient function recovery cannot be achieved. It was.

更に、前記特許文献2記載の「下肢リハビリ装置」は、駆動装置を下肢リハビリ装置の幅方向に位置変更自在に取り付け、あるいはベッドを下肢リハビリ装置の幅方向に位置変更自在に取り付けることにより、患者をベッドに載せたまま、訓練対象の脚を自由に変更できる機構、およびベッドに前記患者の上半身を自在に起倒できるリクライニング機構を設けて形成されている。しかしながら、前記特許文献2記載の装置では、患者を起立させることができないので、起立させることによって訓練される筋力の回復ができず、またリクライニング機構は電動で作動するため、機器が大がかりとなり、高価となるという課題があった。 Furthermore, the “lower limb rehabilitation device” described in Patent Document 2 is provided with a drive device that can be repositioned in the width direction of the lower limb rehabilitation device or a bed that can be repositioned in the width direction of the lower limb rehabilitation device. Is formed with a mechanism that can freely change the leg to be trained and a reclining mechanism that can freely raise and lower the upper body of the patient. However, since the apparatus described in Patent Document 2 cannot stand the patient, the muscle force trained by standing cannot be recovered, and the reclining mechanism is electrically operated, so that the equipment becomes large and expensive. There was a problem of becoming.

本発明は前記課題を解決すべくなされたものであって、寝たきりとなったり、身体障害となった患者はほとんどの場合、ベッド上に寝かしたままリハビリを行っているのが現状で、この状態では筋力が減退すると共に、平衡感覚が欠除し、患者の機能回復は非常に困難であると考え、患者を固定帯片を用いてリハビリ用ベッドに固定し、リハビリ用ベッドごと起立させて、家族、介護者等他人の力を借りて、または患者本人が自分自身のみで起立した状態で手足を動かしたり、あるいは首を動かしたりすることにより、血行促進を図ると共に、起立した状態を維持することにより、寝たままでは使わなかった筋肉の強化を図り、更に、寝たままの患者を起立させることにより、固定帯片によりリハビリ用ベッドに固定したままであるので、患者に不安感を与えることなく、寝たままのときにはなかった明るい希望を与え、リハビリに集中できるようにすることができるリハビリ用ベッド装置を提供しようとするものである。 The present invention has been made to solve the above-mentioned problems, and in most cases, patients who are bedridden or physically disabled are rehabilitated while lying on the bed. Then, muscle strength declines, lack of sense of balance, and the patient's functional recovery is considered very difficult, the patient is fixed to the rehabilitation bed using a fixed strip, and the rehabilitation bed is stood up, Promote blood circulation and maintain the standing state with the help of others such as family members and caregivers, or by moving the limbs or the neck with the patient standing alone. By strengthening the muscles that were not used while lying down, and by standing the patient who is still lying down, it remains fixed to the rehabilitation bed with a fixed strip. Without giving the anxiety in, giving a bright hope was not at the time of the remains sleeping, it is intended to provide rehabilitation for bed apparatus that can to be able to concentrate on rehabilitation.

本発明は、患者が仰臥できるベッド本体と、該患者がベッド本体上に仰臥したまま、該ベッド本体を起立保持固定手段により傾斜または直立して起立固定することにより、患者を起立させると共に、直立した患者の起立状態を維持する転倒防止手段が、前記ベッド本体の前方に取外し自在になるようにして連結固定して形成されたリハビリ用ベッド装置であって、
前記ベッド本体は、患者の後頭部を保持する頭部保持部と、患者の後背部から臀部にかけての背面部を保持する背面部保持部と、脚部を保持する脚部保持部と、該脚部保持部の後端縁部に直角に固定された足載置部とをそれぞれ連設して形成されると共に、前記ベッド本体は、前記背面部保持部の下面両側にそれぞれ固定された2本のV字状支脚と、前記脚部保持部の下面両側にそれぞれ回動自在に軸支された2本の三角状の起立固定用支脚とにより支持されて床面上に設置されて形成され、
前記頭部保持部は、下面方向へ折曲して、該頭部保持部の底面が前記2本のV字状支脚の各前方側支脚片に当接して、その位置で停止できるように形成され、
更に、前記脚部保持部の両側に回転自在に軸支された前記起立固定用支脚の軸支部を介して、前記ベッド本体を回動させて、該ベッド本体を床面上に傾斜または直立して起立させた状態に保持する起立保持固定手段が、前記脚部保持部と起立固定用支脚間に設置され、
前記背面部保持部の背面マット上には、患者を保持固定する上半身固定手段が設置されると共に、脚部保持部には、患者のそれぞれの脚部を保持固定する2個の脚部固定手段が設置され、
前記転倒防止手段は、凹状の支柱部の両側支柱の上端開口より高さ調整用支柱をそれぞれ挿入すると共に、該各調整用支柱の上端に保持板を水平に架け渡して固定し、更に、前記保持板上に患者の腕部を載置する腕マットを載置固定すると共に、前記保持板の先端部両側に手で握って体を支える握持棒をそれぞれ立設固定する一方、前記両側支柱と前記背面部保持部の各鉄パイプとを連結棒を介して取外し自在に連結固定して形成するという手段を採用することにより、上記課題を解決した。
The present invention relates to a bed main body on which a patient can lie up and standing upright by tilting or standing upright by the bed holding and fixing means while the patient lies on the bed main body. A rehabilitation bed device formed by connecting and fixing the fall prevention means for maintaining the standing state of the patient so as to be removable in front of the bed body,
The bed main body includes a head holding part that holds the patient's back head, a back part holding part that holds the back part from the back of the patient to the buttocks, a leg holding part that holds the leg part, and the leg part. The bed main body is formed by connecting two foot placement portions fixed at right angles to the rear end edge of the holding portion, and the bed body is fixed to both sides of the lower surface of the back portion holding portion. It is formed by being installed on the floor surface, supported by a V-shaped support leg and two triangle-like standing and fixing support legs pivotally supported on both sides of the lower surface of the leg holding part, respectively.
The head holding part is bent in the lower surface direction so that the bottom face of the head holding part comes into contact with the front support leg pieces of the two V-shaped support legs and can be stopped at that position. And
Further, the bed main body is rotated via the shaft support portions of the upright fixing support legs that are rotatably supported on both sides of the leg holding portion, so that the bed main body is inclined or upright on the floor surface. An upright holding fixing means for holding in an upright state is installed between the leg holding portion and the upright fixing support leg,
Upper body fixing means for holding and fixing the patient is installed on the back surface mat of the back surface holding section, and the leg holding section has two leg fixing means for holding and fixing each leg of the patient. Is installed,
The fall prevention means inserts the height adjustment struts from the upper end openings of the both side struts of the concave strut portion, and fixes the holding plate across the upper ends of the adjustment struts horizontally. An arm mat for placing the patient's arm on the holding plate is placed and fixed, and a holding rod for supporting the body by holding it on both sides of the distal end of the holding plate is erected and fixed. And the respective iron pipes of the back surface holding portion are connected and fixed detachably through a connecting rod to solve the above-mentioned problems.

前記構成より成る本発明によれば、患者を固定帯片を用いてリハビリ用ベッド本体に固定し、リハビリ用ベッド本体ごと起立させて、家族、介護者等他人の力を借りて、または患者本人が自分自身のみで起立した状態で手足を動かしたり、あるいは首を動かしたりすることにより、血行促進を図ると共に、起立した状態を維持することにより、寝たままでは使わなかった筋肉の強化を図り、更に、寝たままの患者を起立させることにより、固定帯片によりリハビリ用ベッド本体に固定したままではあるが、患者に寝たままのときにはなかった明るい希望を与え、リハビリに集中できるという優れた効果を奏することができる。
そして、特に、脳出血や脳梗塞の患者の場合、理学療法士や家族等の介助者が、患者をリハビリのため起立させると、患者は断崖の上に立ったような恐怖感を覚え、そのため、リハビリに集中できず充分なリハビリ効果を得ることができなかったのが、患者を固定帯片を用いてリハビリ用ベッド本体に固定することにより、前記患者の恐怖心がなくなり、安心してリハビリに専念することができるので、リハビリ効果の向上に寄与することができる。
According to the present invention having the above-described configuration, the patient is fixed to the rehabilitation bed main body using a fixing strip, and the whole rehabilitation bed main body is erected, with the help of others such as family members, caregivers, or the patient himself By moving the limbs or moving the neck while standing alone, it promotes blood circulation and maintains the standing state to strengthen muscles that were not used while lying down. In addition, by standing the patient who is asleep, it is fixed to the body of the rehabilitation bed with a fixed strip, but it gives the patient a bright hope that has not been asleep and can concentrate on rehabilitation. The effect which was able to be produced can be produced.
And, especially in the case of patients with cerebral hemorrhage or cerebral infarction, when a physical therapist or family assistant helps the patient stand up for rehabilitation, the patient feels a fear of standing on a cliff, I couldn't concentrate on rehabilitation and couldn't get enough rehabilitation, but by fixing the patient to the rehabilitation bed using a fixed strip, the patient's fear disappeared and I was able to concentrate on rehabilitation with peace of mind. Therefore, it can contribute to the improvement of the rehabilitation effect.

本発明リハビリ用ベッド装置を水平に設置した状態を示す側面図である。It is a side view which shows the state which installed the bed apparatus for rehabilitation of this invention horizontally. 本発明リハビリ用ベッド装置の骨組みを示す側面図である。It is a side view which shows the framework of the bed apparatus for rehabilitation of this invention. 本発明リハビリ用ベッド装置の骨組みを示す背面図である。It is a rear view which shows the framework of the bed apparatus for rehabilitation of this invention. 図1のA−A線の分解断面図である。FIG. 2 is an exploded sectional view taken along line AA in FIG. 1. 本発明リハビリ用ベッド装置における背面部保持部と脚部保持部との連結部分の拡大断面図である。It is an expanded sectional view of the connection part of the back part holding part and the leg part holding part in the bed device for rehabilitation of the present invention. 本発明リハビリ用ベッド装置における頭部保持部と背面部保持部との連結部分の拡大断面図である。It is an expanded sectional view of the connection part of the head holding | maintenance part and back part holding | maintenance part in the bed apparatus for rehabilitation of this invention. 本発明リハビリ用ベッド装置における起立固定手段部の要部の斜視図である。It is a perspective view of the principal part of the standing fixing means part in the bed apparatus for rehabilitation of this invention. 本発明リハビリ用ベッド装置において、ベッド本体を傾斜して起立した状態を示す側面図である。In the bed apparatus for rehabilitation of this invention, it is a side view which shows the state which inclined the bed main body and stood up. 本発明リハビリ用ベッド装置において、ベッド本体を直立して起立した状態を示す側面図である。In the bed apparatus for rehabilitation of this invention, it is a side view which shows the state which stood the bed main body upright. 本発明リハビリ用ベッド装置において、ベッド本体を直立して起立したとき、足先載置部の方から見た要部の正面図である。In the bed apparatus for rehabilitation of this invention, it is the front view of the principal part seen from the foot tip mounting part, when a bed main body stood upright. 本発明リハビリ用ベッド装置において、ベッド本体を直立して起立し、更に転倒防止手段を設置した状態を示す側面図である。In the bed apparatus for rehabilitation of this invention, it is a side view which shows the state which stood the bed main body upright, and also installed the fall prevention means. 本発明リハビリ用ベッド装置において、ベッド本体を直立して起立し、更に転倒防止手段を設置した状態を示す斜視図である。In the bed apparatus for rehabilitation of this invention, it is a perspective view which shows the state which stood the bed main body upright, and also installed the fall prevention means. 本発明リハビリ用ベッド装置の使用状態を示す斜視図である。It is a perspective view which shows the use condition of this invention rehabilitation bed apparatus.

本発明リハビリ用ベッド装置は、脳出血や脳梗塞等の様々な疾病により、寝たきり状態となったり、身体障害となった患者Pが仰臥できるベッド本体1と、該患者Pがベッド本体1上に仰臥したまま、該ベッド本体1を起立させることにより、患者Pを起立させると共に、前記起立した患者Pが前方へ倒れることなく、起立状態を維持する転倒防止手段2が、前記ベッド本体1の前方に、取外し自在になるようにして連結固定して形成されている。なお、前記転倒防止手段2は、患者Pの症状が軽い場合、または機能がある程度回復した場合は使用しなくてもよい場合もある。 The rehabilitation bed apparatus of the present invention includes a bed main body 1 on which a patient P who is bedridden or physically disabled due to various diseases such as cerebral hemorrhage or cerebral infarction, and the patient P lies on the bed main body 1. In this state, the bed main body 1 is erected, so that the patient P is erected, and the fall prevention means 2 that maintains the erected state without the erected patient P falling forward is provided in front of the bed main body 1. It is formed by being connected and fixed so as to be removable. Note that the fall prevention means 2 may not be used when the symptoms of the patient P are mild or when the function has recovered to some extent.

前記ベッド本体1は、患者Pの後頭部を保持する頭部保持部3と、患者の後背部から臀部にかけての背面部を保持する背面部保持部4と、脚部を保持する脚部保持部5と、該脚部保持部5の後端縁部に直角に固定された足載置部6とをそれぞれ連設して形成されている。そして、前記ベッド本体1は、前記背面部保持部4の下面両側にそれぞれ固定されたV字状支脚7と、前記脚部保持部5の下面両側にそれぞれ回動自在に軸支された三角状の起立固定用支脚8とにより支持されて床面9上に設置される。 The bed body 1 includes a head holding unit 3 that holds the back of the patient P, a back holding unit 4 that holds the back of the patient from the back to the buttocks, and a leg holding unit 5 that holds the legs. And a foot placement portion 6 fixed at a right angle to the rear edge of the leg portion holding portion 5. The bed main body 1 includes a V-shaped support leg 7 fixed to both sides of the lower surface of the back surface holding portion 4 and a triangular shape rotatably supported on both sides of the lower surface of the leg portion holding portion 5. Are installed on the floor surface 9 by being supported by the upright fixing support legs 8.

前記頭部保持部3は、逆U字状に折曲した鉄パイプ10の下面に、複数枚の補強鉄板11を溶接等により連結固定して頭部保持台枠12が形成され、且つ該頭部保持台枠12の鉄パイプ10と補強鉄板11とで形成された凹部13内に、すのこ状の敷き板14を配設して、該敷き板14上に頭部マット15を載置し、フック等、適宜の固定手段により該頭部マット15を前記敷き板14上に固定して形成されている。 The head holding part 3 has a head holding frame 12 formed by connecting and fixing a plurality of reinforcing iron plates 11 by welding or the like to the lower surface of an iron pipe 10 bent in an inverted U shape. In the recess 13 formed by the iron pipe 10 and the reinforcing iron plate 11 of the part holding frame 12, a saw-like laying plate 14 is disposed, and the head mat 15 is placed on the laying plate 14, The head mat 15 is fixed on the laying plate 14 by appropriate fixing means such as a hook.

前記背面部保持部4は、間隔を有して配置した2本の鉄パイプ16の下面に、複数枚の連結鉄板17を溶接等により連結固定して背面部保持台枠18が形成され、且つ該背面部保持台枠18の鉄パイプ16と連結鉄板17とで形成された凹部19内にすのこ状の敷き板20を配設して、該敷き板20上に背部マット21を載置し、フック等、適宜の固定手段により、該背部マット21を前記敷き板20上に固定して形成されている。 The back surface holding portion 4 has a back surface holding frame 18 formed by connecting and fixing a plurality of connecting iron plates 17 by welding or the like to the lower surface of two iron pipes 16 arranged at intervals. A slat-like laying plate 20 is disposed in a recess 19 formed by the iron pipe 16 and the connecting iron plate 17 of the back surface holding frame 18, and a back mat 21 is placed on the laying plate 20. The back mat 21 is formed on the floor plate 20 by an appropriate fixing means such as a hook.

また、前記脚部保持部5は、2本の鉄パイプ22の下面に複数枚の連結鉄板23を溶接等により連結固定して脚部保持台枠24が形成され、且つ該脚部保持台枠24の鉄パイプ22と連結鉄板23とで形成された凹部25内にすのこ状の敷き板26を配設して、該敷き板26上に脚部マット27を載置し、フック等、適宜の固定手段により、該脚部マット27を前記敷き板26上に固定して形成されている。 The leg holding part 5 has a leg holding frame 24 formed by connecting and fixing a plurality of connecting iron plates 23 to the lower surfaces of two iron pipes 22 by welding or the like, and the leg holding frame. A slat-like laying plate 26 is disposed in a recess 25 formed by 24 iron pipes 22 and a connecting iron plate 23, a leg mat 27 is placed on the laying plate 26, and a hook or the like is appropriately disposed. The leg mat 27 is formed on the laying plate 26 by fixing means.

前記構成より成る脚部保持部5を構成する2本の鉄パイプ22の各前方部側開口22aより、長さ調節用の丸鋼棒28の後方部側をそれぞれ挿入して前記各鉄パイプ22に、ボルト等、適宜の固定手段29により固定すると共に、前記長さ調節用の丸鋼棒28の前方部側を露出して、該露出した前方部側を前記背面部保持部4を構成する2本の鉄パイプ16の後方部側端部開口16bより挿入して、前記各長さ調節用の丸鋼棒28の前方部側をガイドとして、前記背面部保持部4を前方または後方へ移動させて背面部保持部4と脚部保持部5間の間隔を調整し、前記各長さ調節用の丸鋼棒28を背面部保持部4の各鉄パイプ16にストッパー手段30で固定することにより、背面部保持部4と脚部保持部5間の間隔を患者Pの身長に合わせた長さに調整することができる。 Each of the iron pipes 22 is inserted by inserting the rear part side of the round steel rod 28 for adjusting the length from the front side openings 22a of the two iron pipes 22 constituting the leg holding part 5 having the above-described configuration. Further, it is fixed by a suitable fixing means 29 such as a bolt, and the front portion side of the round steel rod 28 for adjusting the length is exposed, and the exposed front portion side constitutes the back portion holding portion 4. Inserted from the rear part side end openings 16b of the two iron pipes 16 and moving the back part holding part 4 forward or backward with the front part side of each of the length adjusting round steel bars 28 as a guide The distance between the back surface holding portion 4 and the leg portion holding portion 5 is adjusted, and the length adjusting round steel rods 28 are fixed to the iron pipes 16 of the back surface holding portion 4 by the stopper means 30. Thus, the interval between the back surface holding portion 4 and the leg portion holding portion 5 is adjusted to the height of the patient P. It can be adjusted to be.

なお、前記背面部保持部4と脚部保持部5間の間隔を患者Pの身長に合わせた長さに調整することに応じて、前記背部マット21を図1に示すように、予め長めに形成することにより、長さの調整によって生ずる隙間を遮蔽し、見苦しさを防止することができる。 In addition, according to adjusting the space | interval between the said back part holding | maintenance part 4 and the leg part holding | maintenance part 5 to the length match | combined with the height of the patient P, as shown in FIG. By forming the gap, a gap generated by adjusting the length can be shielded, and unsightly can be prevented.

前記2本の長さ調節用の丸鋼棒28の前方部側を背面部保持部4の2本の鉄パイプ16に固定するストッパー手段30は、特に限定する必要はないが、好ましくは、図5に示すような構成とすることが推奨される。すなわち、図5に示すように、ストッパー手段30は、摘子31を備えたボルト32を前記各鉄パイプ16の外方向から螺挿して、該ボルト32の先端を長さ調節用の丸鋼棒28に圧着することにより、前記各長さ調節用の丸鋼棒28は前記背面部保持部4と脚部保持部5間の間隔を調整した位置において、該背面部保持部4の各鉄パイプ16に固定できるようにして形成されている。 The stopper means 30 for fixing the front part side of the two round steel rods 28 for length adjustment to the two iron pipes 16 of the back face holding part 4 is not particularly limited, but preferably, It is recommended that the configuration shown in FIG. That is, as shown in FIG. 5, the stopper means 30 includes a bolt 32 having a knob 31 screwed in from the outer direction of each iron pipe 16, and the tip of the bolt 32 is a round steel bar for length adjustment. The length-adjusted round steel bar 28 is crimped to 28 at the position where the distance between the back portion holding portion 4 and the leg portion holding portion 5 is adjusted. 16 so that it can be fixed to 16.

また、前記足載置部6は、起立した患者の足を載置するため、前記脚部保持部5の後端縁部に直角に突設して連結固定されている。前記足載置部6は、両足先を載置できる巾および長さの載置板33の上面に、多少厚め目の布片34を固定して形成されている。そして、前記足載置部6を脚部保持部5の後端縁部に連結固定する場合、特に限定する必要はないが、好ましくは図1などに示すようにして固定することが推奨される。 In addition, the foot placement portion 6 is connected and fixed to the rear end edge portion of the leg portion holding portion 5 at a right angle so as to place the standing patient's foot. The foot placement portion 6 is formed by fixing a slightly thicker cloth piece 34 on the upper surface of the placement plate 33 having a width and a length on which both feet can be placed. And when connecting and fixing the said foot mounting part 6 to the rear-end edge part of the leg part holding | maintenance part 5, although it does not need to specifically limit, It is recommended to fix as shown in FIG. .

すなわち、図1などに示すように、前記足載置部6を脚部保持部5の後端縁部に連結固定する場合、該足載置部6を構成する載置板33を鉄板により形成し、その基部側両側端縁に、前記脚部保持部5の鉄パイプ22に一体に固定するための固定板35をそれぞれ立設固定し、該各固定板35の内側面と前記各鉄パイプ22の外側面とを溶接固定35aして、前記足載置部6を脚部保持部5の後端縁部に直角に突設して連結固定されている。 That is, as shown in FIG. 1 and the like, when the foot placement portion 6 is connected and fixed to the rear end edge of the leg portion holding portion 5, the placement plate 33 constituting the foot placement portion 6 is formed of an iron plate. A fixing plate 35 for fixing to the iron pipe 22 of the leg portion holding portion 5 is fixed to the both side edges of the base portion, and the inner side surface of each fixing plate 35 and each iron pipe are fixed. The outer surface of 22 is fixed by welding 35 a, and the foot placement portion 6 is connected and fixed to the rear end edge portion of the leg holding portion 5 at a right angle.

なお、図中36は、床面9上にベッド本体1を起立したとき、前記足載置部6と床面9との間に隙間37ができて、該足載置部6が不安定となるのを防止する安定維持具である。前記安定維持具36は、特に限定する必要はないが、好ましくは、図9・図11に示すような構成とすることが推奨される。すなわち、図9・図11に示すように、前記足載置部6の載置板33の両側部に、前記床面9に接地する接地用円盤状突部38を備えたボルト39を螺挿して、適宜前記隙間37に合わせて該ボルト39を回転させて、該接地用円盤状突部38を上・下動させて、前記接地用円盤状突部38を床面9に接地させることにより、載置板33の安定性を維持する。 In the figure, 36 indicates that when the bed main body 1 is erected on the floor surface 9, a gap 37 is formed between the footrest 6 and the floor 9, and the footrest 6 is unstable. It is a stable maintenance tool that prevents becoming. The stability maintaining tool 36 need not be particularly limited, but preferably it is recommended to be configured as shown in FIGS. That is, as shown in FIGS. 9 and 11, bolts 39 having grounding disk-like protrusions 38 that are grounded to the floor surface 9 are screwed into both sides of the mounting plate 33 of the foot mounting portion 6. Then, the bolt 39 is appropriately rotated in accordance with the gap 37 to move the grounding disk-shaped protrusion 38 up and down, thereby grounding the grounding disk-shaped protrusion 38 to the floor surface 9. The stability of the mounting plate 33 is maintained.

更に、前記頭部保持部3は、下面方向へ折曲して、該頭部保持部3の底面が前記2本のV字状支脚7の各前方側支脚片7aに当接して、その位置で停止できるように形成されている。前記頭部保持部3を折曲してV字状支脚7の各前方側支脚片7aに当接して停止させる場合、特に限定する必要はないが、好ましくは、図6・図9・図11に示すような構成を採用することが推奨される。 Further, the head holding portion 3 is bent in the lower surface direction, and the bottom surface of the head holding portion 3 comes into contact with the front side support leg pieces 7a of the two V-shaped support legs 7, It is formed so that it can be stopped at. When the head holding portion 3 is bent and brought into contact with each front side supporting leg piece 7a of the V-shaped supporting leg 7 and stopped, it is not particularly limited, but preferably, FIG. 6, FIG. 9, and FIG. It is recommended to adopt the configuration shown in.

すなわち、図6・図9・図11に示すように、前記頭部保持部3の後方側の補強鉄板11aと、背面部保持部4を構成する背面部保持台枠18の前方側の連結鉄板17aとを、複数個の蝶番40で連結固定して、前記頭部保持部3が前記蝶番40を介して折曲できるように形成する一方、前記頭部保持部3を構成する逆U字状の鉄パイプ10の両端開口10aより、2本の連結用の丸鋼棒41の前方側を嵌挿すると共に、該各連結用の丸鋼棒41の後方側を前記背面部保持台枠18を構成する2本の鉄パイプ16の前方側端部開口16aより嵌挿して、前記頭部保持部3と背面部保持部4とを直線状に連結し、更に、前記頭部保持部3の両側の各鉄パイプ10の外側面に長スリット42をそれぞれ開口し、且つ前記各連結用の丸鋼棒41の前方側端部近くに該連結用の丸鋼棒41を前・後に移動させる際の摘子43を先端に突設した移動操作用突起44を前記長スリット42を貫通して突設する。 That is, as shown in FIGS. 6, 9, and 11, the reinforcing iron plate 11 a on the rear side of the head holding portion 3 and the connecting iron plate on the front side of the back portion holding frame 18 constituting the back portion holding portion 4. 17a is connected and fixed by a plurality of hinges 40 so that the head holding part 3 can be bent via the hinges 40, while the inverted U-shape constituting the head holding part 3 is formed. The front side of the two connecting round steel bars 41 is inserted through the opening 10 a at both ends of the steel pipe 10, and the rear portion holding frame 18 is connected to the rear side of each connecting round steel bar 41. The head holding part 3 and the back part holding part 4 are connected in a straight line by being inserted from the front side end openings 16a of the two iron pipes 16 to be configured. Long slits 42 are respectively opened on the outer surfaces of the steel pipes 10 and the front of the connecting round steel bars 41 The mobile operating projection 44 projecting from the tip knob 43 for moving the round steel bar 41 for the coupling near the side end portion in the front and rear through the long slit 42 to project.

そして、前記頭部保持部3を背面部保持部4に直線状に連結固定するには、前記頭部保持部3の逆U字状の鉄パイプ10の各後方側開口10aより挿入された2本の連結用の丸鋼棒41を、各移動操作用突起44の摘子43を介して後方側へ移動させて、前記各連結用の丸鋼棒41の後方端側を背面部保持台板18を構成する各鉄パイプ16の前方側開口16aより挿入し、前記各移動操作用突起44が前記各長スリット42の後方側端部42bに当接して、前記各連結用の丸鋼棒41のそれ以上の後方側への移動を阻止して、前記頭部保持部3が背面部保持部4に直線状に連結固定される。 And in order to connect and fix the said head holding | maintenance part 3 to the back surface holding | maintenance part 4 linearly, it inserted from each back side opening 10a of the reverse U-shaped iron pipe 10 of the said head holding | maintenance part 3 2 The connecting round steel bar 41 is moved rearward through the knob 43 of each moving operation projection 44, and the rear end side of the connecting round steel bar 41 is connected to the back surface holding base plate. 18 is inserted from the front side opening 16a of each iron pipe 16 constituting each of the steel pipes 16, and each of the movement operation projections 44 comes into contact with the rear side end portion 42b of each of the long slits 42, so that each of the connecting round steel bars 41 is provided. Further, the head holding part 3 is connected and fixed linearly to the back part holding part 4.

そして逆に、前記背面部保持部4に直線状に連結固定されている頭部保持部3を、前記各両側に位置するV字状の支脚7の各前方側支脚片7aに当接させる場合は、後述するベッド本体1を直立、または傾斜させて起立した後、図9・図11に示すように、前記各移動操作用突起44の各摘子43を介して、各連結パイプ41を各長スリット42に沿って前方側へ移動させて、前記各移動操作用突起44を各長スリット42の前方側端縁部42aに当接して、該各連結パイプ41の後方側端部を背面部保持台枠18の各鉄パイプ16の前方側端部開口16aより引き上げて、前記背面部保持部4との連結状態を解除し、前記各蝶番40を介して頭部保持部3を傾動させて、前記各V字状支脚7の各前方側支脚片7aに当接させて、その位置で頭部保持部3を傾動を停止して固定できるよう形成されている。前記各V字状支脚7の各前方側支脚片7aに頭部保持部3が当接して傾めに固定されることにより、患者Pの頭部および肩部の背面側が完全に露出するのでその部位へのリハビリ施術が可能となる。 On the contrary, when the head holding portion 3 that is linearly connected and fixed to the back surface holding portion 4 is brought into contact with the front side support leg pieces 7a of the V-shaped support legs 7 that are located on the both sides. After the bed main body 1 to be described later stands upright or tilted, as shown in FIGS. 9 and 11, the connecting pipes 41 are connected to the connecting pipes 41 through the knobs 43 of the moving operation projections 44, respectively. The moving operation projections 44 are moved forward along the long slits 42, the front end edge portions 42 a of the long slits 42 are brought into contact with the rear end portions of the connection pipes 41, and the rear portions. The holding frame 18 is lifted from the front end opening 16 a of each iron pipe 16 to release the connection state with the back surface holding portion 4, and the head holding portion 3 is tilted via the hinges 40. The respective V-shaped support legs 7 are brought into contact with the respective front-side support leg pieces 7a at the positions. Is formed to a part holder 3 can be fixed to stop tilting. Since the head holding portion 3 abuts on each front side support leg piece 7a of each V-shaped support leg 7 and is tilted and fixed, the back side of the head and shoulders of the patient P is completely exposed. Rehabilitation can be performed on the site.

前記背面部保持部4に固定された各V字状支脚7は、そのV字状に上方部を拡開した前・後方側支脚片7a・7bの上端部が前記各鉄パイプ16に固定されると共に、該前・後方側支脚片7a・7bの中央部下方は連結鉄板45で連結され、且つその下端部7cが床面9への接地面となる。 Each V-shaped support leg 7 fixed to the back surface holding part 4 has the upper ends of the front and rear side support leg pieces 7a and 7b whose upper parts are expanded in the V-shape fixed to the iron pipes 16 respectively. At the same time, the lower part of the front and rear side supporting leg pieces 7a and 7b is connected by a connecting iron plate 45, and the lower end portion 7c serves as a ground contact surface to the floor surface 9.

また、脚部保持部5の両側に回動自在に軸支された各三角状の起立固定用支脚8は、その頂部8aを、該脚部保持部5を構成する2本の鉄パイプ22の軸支部46に回動自在に軸支すると共に、前記各起立固定用支脚8の底片8bは床面9への接地面となり、更に前記各起立固定用支脚8の前方側片8cは、複数枚の連結鉄板47で互いに連結固定され、且つ前記各底片8bの後端面部には、ベッド本体1を起立させたとき、その移動が容易になるよう、ローラー48がそれぞれ回転自在に設置されている。なお、前記各起立固定用支脚8の後方側片8dには連結鉄板は連結固定されていない。それは、連結鉄板で連結されていると、ベッド本体1が直立して起立したとき邪魔となるからである。 Further, each triangular upright fixing support leg 8 pivotally supported on both sides of the leg holding part 5 has its top part 8 a formed by the two iron pipes 22 constituting the leg holding part 5. While being pivotally supported on the shaft support portion 46, the bottom piece 8b of each of the standing and fixing support legs 8 serves as a ground contact surface to the floor surface 9, and a plurality of front side pieces 8c of each of the standing and fixing support legs 8 are provided. Rollers 48 are rotatably installed on the rear end surface of each bottom piece 8b so that the bed body 1 can be moved easily when the bed body 1 is erected. . The connecting iron plate is not connected and fixed to the rear piece 8d of each of the upright fixing support legs 8. This is because, when connected by a connecting iron plate, it becomes an obstacle when the bed body 1 stands upright.

一方、前記構成より成るベッド本体1を床面9上に、直立または傾斜して起立させた状態に保持する起立保持固定手段49が、前記脚部保持部5と起立固定用支脚8間に設置されている。前記起立保持固定手段49は、特に限定する必要はないが、好ましくは、図7〜図9に示す構成とすることが推奨される。すなわち、図7〜図9に示すように、前記背面部保持部4の中央近くに設置された連結鉄板23aの中央部に、複数個の係止用凹部50を凹設した長方形状ストッパー基板51の基端部を軸支する軸支部52を設置すると共に、前記ストッパー基板51の所定の係止用凹部50に挿入して係止する係止用突起53a・53bが前記起立固定用支脚8の前方側片8cの上・下方側の連結鉄板47a・47bにそれぞれ突設して形成されている。 On the other hand, an upright holding and fixing means 49 for holding the bed body 1 having the above-described structure in an upright or inclined state on the floor surface 9 is installed between the leg holding portion 5 and the upright fixing support leg 8. Has been. The upright holding and fixing means 49 need not be particularly limited, but it is recommended that the structure shown in FIGS. That is, as shown in FIG. 7 to FIG. 9, a rectangular stopper substrate 51 in which a plurality of locking recesses 50 are provided in the central portion of the connecting iron plate 23 a installed near the center of the back surface holding portion 4. The support protrusions 52 a and 53 b that are inserted into and locked to the predetermined locking recesses 50 of the stopper substrate 51 are provided on the support base 8 for the upright fixing. The upper and lower connecting iron plates 47a and 47b are formed so as to protrude from the front piece 8c.

なお、図1に示すように、ベッド本体1が床面に平行に設置されているときは、前記係止用凹部50は、下方側の連結鉄板47bに設置された下方側の係止用突起53bに係止されているが、前記係止用凹部50が、下方側の連結鉄板47bに設置された下方側の係止用突起53bに係止されることなく、垂れ下がった状態でも、ベッド本体1の自重により平行に設置される。 As shown in FIG. 1, when the bed main body 1 is installed parallel to the floor surface, the locking recess 50 is provided on the lower locking projection provided on the lower connecting iron plate 47b. Although it is locked to 53b, the locking recess 50 is not locked to the lower locking projection 53b installed on the lower connecting iron plate 47b, and the bed main body even in a suspended state. It is installed in parallel by its own weight.

前記構成より成るベッド本体1を直立または傾斜して固定する起立保持固定手段49は、ベッド本体1を傾斜して起立させる場合は、図8に示すように、前記起立固定用支脚8の軸支部46を支点として前記ベッド本体1の頭部保持部3が上方に位置するようにして回動して、係止用凹部50のうち、下方側に位置する係止用凹部50、図8においては50cに前記上方側の係止用突起53aを挿入係止することにより、ベッド本体1は床面9上に傾斜して起立する。なお、係止用凹部50のうち、前記係止用凹部50cより上方の係止用凹部50aまたは50bに前記係止用突起53を挿入係止すると、傾斜角度を前記の場合より緩やかにすることができる。 The upright holding and fixing means 49 for fixing the bed main body 1 having the above-described structure upright or inclined, as shown in FIG. 46, the head holding portion 3 of the bed body 1 is pivoted so as to be positioned upward, and the locking recess 50 located on the lower side of the locking recess 50 is shown in FIG. By inserting and locking the upper locking protrusion 53a in 50c, the bed main body 1 is inclined and stands on the floor surface 9. In addition, when the locking protrusion 53 is inserted into and locked in the locking recess 50a or 50b above the locking recess 50c in the locking recess 50, the inclination angle becomes gentler than in the above case. Can do.

また、ベッド本体1を床面9上に直立して起立させる場合、図9に示すように、前記起立固定用支脚8の軸支部46を支点として前記ベッド本体1の頭部保持部3が上方に位置するようにして回動して、係止用凹部50のうち、最下段に位置する係止用凹部50dに前記上方側の係止用突起53aを挿入係止することにより、図9に示すようにベッド本体1は床面9上に直立して起立する。なお、図7においては、係止用凹部50は4個設けられているが、これに限定されるものではない。 Further, when the bed main body 1 is erected on the floor surface 9 as shown in FIG. 9, the head holding portion 3 of the bed main body 1 is moved upward with the shaft support portion 46 of the standing fixing support leg 8 as a fulcrum as shown in FIG. 9 and the upper locking projection 53a is inserted into and locked to the locking recess 50d located at the bottom of the locking recess 50. As shown, the bed body 1 stands upright on the floor surface 9. In FIG. 7, four locking recesses 50 are provided, but the present invention is not limited to this.

一方、前記起立したベッド本体1上に仰臥した患者Pの安全を確保するため、背面部保持部4の背面マット21には、患者Pを保持固定する患者の上半身固定手段54・55が設置されている。前記上半身固定手段54・55は、特に限定する必要はないが、好ましくは、図12に示すような構成とすることが推奨される。すなわち、図12に示すように、上半身固定手段54・55は、患者Pの胸部および腰部をそれぞれ上方より押さえて、接合固定するための固定帯片56・57の基部がそれぞれ対になるようにして、前記背面部保持部4の背面マット21上に固着されると共に、該各固定帯片56・57の各先端部には、患者Pを上方より押さえて、接合固定するための面ファスナー雄片(図示省略)と面ファスナー雌片(図示省略)をそれぞれ備えて形成されている。 On the other hand, in order to ensure the safety of the patient P who is supine on the standing bed body 1, the patient's upper body fixing means 54 and 55 for holding and fixing the patient P are installed on the back surface mat 21 of the back surface holding unit 4. ing. The upper body fixing means 54 and 55 need not be particularly limited, but it is recommended that the upper body fixing means 54 and 55 be configured as shown in FIG. That is, as shown in FIG. 12, the upper body fixing means 54 and 55 hold the chest and waist of the patient P from above so that the base portions of the fixing strips 56 and 57 for bonding and fixing each become a pair. The hook-and-loop fastener male for fixing the patient P to the distal end portion of each of the fixing strips 56 and 57 from above and bonding and fixing to the rear mat 21 of the rear portion holding portion 4. A piece (not shown) and a hook-and-loop female piece (not shown) are provided.

また、脚部保持部5には、患者Pの脚部を保持固定する脚部固定手段58が設置されている。前記脚部固定手段58は、特に限定する必要はないが、好ましくは、図12に示すような構成とすることが推奨される。すなわち、図12に示すように、脚部固定手段58は、患者Pの左右の脚部を別々に上方より押さえて、接合固定するための固定帯片59・60の基部がそれぞれ対になるようにして、前記背面部保持部4上に固着されると共に、該各固定帯片59・60の各先端部には、患者Pの脚部を上方より押さえて、接合固定するための面ファスナー雄片(図示省略)と面ファスナー雌片(図示省略)をそれぞれ備えて形成されている。なお、前記脚部固定手段58が患者Pの左右の脚部ごとに別々に形成されているのは、左右の脚部がそれぞれ別々に機能回復の運動ができるようにするためである。 Further, the leg holding unit 5 is provided with leg fixing means 58 for holding and fixing the leg of the patient P. The leg fixing means 58 is not particularly limited, but it is recommended that the leg fixing means 58 be configured as shown in FIG. That is, as shown in FIG. 12, the leg fixing means 58 is configured so that the base portions of the fixing strips 59 and 60 for bonding and fixing the left and right legs of the patient P separately from above are paired. The surface fastener male for being fixed on the back surface holding part 4 and for fixing the legs of the patient P to the distal ends of the fixing strips 59 and 60 by pressing them from above. A piece (not shown) and a hook-and-loop female piece (not shown) are provided. The reason why the leg fixing means 58 is formed separately for the left and right legs of the patient P is to allow the left and right legs to perform function recovery exercises separately.

更に、ベッド本体1に仰臥した患者Pは、該ベッド本体1が直立して起立した場合、前記上半身固定手段54・55および脚部固定手段58のみでは不安を感じるので、その不安を解消するため、前記直立して起立したベッド本体1の前面に起立状態を維持する転倒防止手段2が取り外し自在に設置されている。前記転倒防止手段2は、特に限定する必要はないが、好ましくは、図11〜図13に示すような構成とすることが推奨される。すなわち、図11〜図13に示すように、転倒防止手段2は鉄パイプにより、両側支柱61の下方に補強パイプ62を接合固定して凹状の支柱部63を設け、且つ該支柱部63の両側支柱61の上端開口64より全体の高さを調整する調整用支柱65をそれぞれ挿入すると共に、該各調整用支柱65の上端に保持板66を水平に架け渡して固定し、更に、前記保持板66上に患者Pの腕部を載置する腕マット67を載置固定すると共に、前記保持板66の先端部両側に手で握って体を支える握持棒68をそれぞれ立設固定する一方、前記支柱部63の両側支柱61の上端開口64より挿入して全体の高さを調整した調整用支柱65を固定するストッパー69を設け、且つ前記支柱部63の両側支柱61と前記背面部保持部4の各鉄パイプ16とを連結棒70を介して取外し自在に連結固定して、転倒防止手段2の離脱を阻止するよう形成されている。 Furthermore, the patient P who is supine on the bed main body 1 feels anxiety only with the upper body fixing means 54 and 55 and the leg fixing means 58 when the bed main body 1 stands upright. The fall prevention means 2 for maintaining the standing state on the front surface of the bed body 1 standing upright is detachably installed. The fall prevention means 2 need not be particularly limited, but preferably it is recommended to have a configuration as shown in FIGS. That is, as shown in FIG. 11 to FIG. 13, the fall prevention means 2 is an iron pipe, and a reinforcing pipe 62 is joined and fixed below the both side pillars 61 to provide concave pillar parts 63, and both sides of the pillar parts 63 are arranged. An adjustment column 65 for adjusting the overall height is inserted from the upper end opening 64 of the column 61, and a holding plate 66 is horizontally stretched and fixed to the upper end of each adjustment column 65. Further, the holding plate While the arm mat 67 for placing the arm portion of the patient P on the 66 is placed and fixed, the holding rods 68 that support the body by gripping with the hand on both sides of the distal end portion of the holding plate 66 are fixed upright. A stopper 69 is provided to fix the adjustment strut 65 inserted through the upper end openings 64 of both struts 61 of the strut portion 63 to adjust the overall height, and both the struts 61 of the strut portion 63 and the back surface holding portion are provided. 4 each steel pipe 16 The coupling rod 70 is fixedly connected to freely remove through, are formed so as to prevent disengagement of the anti-tip means 2.

前記ストッパー69、特に限定する必要はないが、好ましくは、図13に示すような構成とすることが好ましい。すなわち、図13に示すように、ストッパー69は、固定ボルト71を両側支柱61の外側より螺挿して、その先端を調整用支柱65の外周面に圧着して固定できるよう形成されている。 The stopper 69 is not particularly limited, but preferably has a configuration as shown in FIG. That is, as shown in FIG. 13, the stopper 69 is formed so that the fixing bolt 71 can be screwed in from the outside of the both-side struts 61 and the tip thereof can be crimped and fixed to the outer peripheral surface of the adjustment strut 65.

更に、前記直立して起立したベッド本体1の前面に、前記転倒防止手段2を連結固定する連結棒70は、特に限定する必要はないが、好ましくは図13に示すような構成とすることが推奨される。すなわち、図13に示すように、連結棒70は金属棒により先端を折曲して鉤部72を設けて形成され、且つ該連結棒70の基端部を前記両側支柱61に回動自在に軸支73すると共に、前記鉤部72を脚部保持部5を構成する2本の鉄パイプ22に突設された各掛止部74に掛止して、前記転倒防止手段2がベッド本体1に連結固定される。 Further, the connecting rod 70 for connecting and fixing the fall prevention means 2 to the front surface of the bed body 1 standing upright is not particularly limited, but is preferably configured as shown in FIG. Recommended. That is, as shown in FIG. 13, the connecting rod 70 is formed by bending a distal end with a metal rod to provide a flange 72, and the base end portion of the connecting rod 70 can be pivoted to the both side columns 61. While supporting the shaft 73, the collar portion 72 is hooked on the hook portions 74 projecting from the two iron pipes 22 constituting the leg portion holding portion 5, so that the fall prevention means 2 is the bed main body 1. It is fixed to the link.

前記のように構成された本発明リハビリ用ベッド装置の作用について説明する。先ず、頭部保持部3、背面部保持部4および脚部保持部5を直線上に連結固定してV字状支脚7と起立固定用支脚8を介して床面9上に設置されたベッド本体1上に患者Pを仰臥させ、その後患者Pの胸部および腰部を上半身固定手段54・55により固定すると共に、患者Pの両脚部または一方の脚部を脚部固定手段58により固定し、患者Pをベッド本体1上に固定する。 The operation of the rehabilitation bed apparatus of the present invention configured as described above will be described. First, the bed installed on the floor surface 9 through the V-shaped support leg 7 and the upright fixing support leg 8 by connecting and fixing the head holding part 3, the back face holding part 4 and the leg part holding part 5 in a straight line. The patient P is laid on the body 1, and then the chest and waist of the patient P are fixed by the upper body fixing means 54 and 55, and both legs or one leg of the patient P is fixed by the leg fixing means 58. P is fixed on the bed body 1.

前記ベッド本体1上に患者Pを固定した後、前記床面9上にV字状支脚7と起立固定用支脚8を介して設置されたベッド本体1を、頭部保持部3が上方に位置するように、前記起立固定用支脚8の軸支部48を支点として回動させた後、停止用凹部50のうち、最下段に位置する係止用凹部50dに係止用突起53を挿入係止することにより、ベッド本体1は床面9上に直立して起立する。 After the patient P is fixed on the bed main body 1, the head holding unit 3 is positioned above the bed main body 1 installed on the floor surface 9 via the V-shaped support legs 7 and the upright fixing support legs 8. As described above, after the shaft support portion 48 of the standing and fixing support leg 8 is rotated as a fulcrum, the locking protrusion 53 is inserted and locked into the locking recess 50d of the lowermost recess portion of the stopping recess 50. By doing so, the bed main body 1 stands upright on the floor surface 9.

そして、前記患者Pをベッド本体1上に固定して、足載置部6に足を載置すると共に、直立して起立させた後、該ベッド本体1の前面に転倒防止手段2を連結棒70でベッド本体1と一体に連結固定して、患者Pが腕マット67を腕で抱き込むことができるようにして、上下半身部の移動を阻止して、患者Pのリハビリの準備を完了する。 Then, the patient P is fixed on the bed main body 1 and the foot is placed on the foot placing portion 6, and after standing upright, the fall prevention means 2 is connected to the front surface of the bed main body 1 with a connecting rod. 70. The patient P is connected and fixed integrally with the bed body 1 so that the patient P can embrace the arm mat 67 with the arm, and the movement of the upper and lower body parts is prevented, and the preparation for rehabilitation of the patient P is completed. .

患者Pのリハビリはその症状に応じて適宜の方法を用いることができる。例えば、脚部の筋力の回復を目的とする場合、前記一方の脚部固定手段58を解除して、一方の脚部の上下運動を繰返し、所定の運動量が終了すると、前記一方の脚部固定手段58により一方の脚部を固定した後、他方の脚部固定手段58を解除して、他方の脚部の上下運動を繰返して脚部の筋力を回復することができると共に、握持棒68を握ったり、離したりすることにより、握力の増強を図ることができる。 The rehabilitation of the patient P can use an appropriate method according to the symptom. For example, when the purpose is to restore the muscle strength of the leg, the one leg fixing means 58 is released, the vertical movement of one leg is repeated, and when the predetermined momentum is finished, the one leg fixing is performed. After one leg is fixed by the means 58, the other leg fixing means 58 is released, and the vertical movement of the other leg can be repeated to restore the muscle strength of the leg. The grip strength can be increased by grasping or releasing the.

また、患者Pが両腕を回動させたり、あるいは上下に振ったりすることもできるし、また頭部保持部3を後方側へ折曲してV字状支脚7の前方側支脚片7aの上に当接して固定することにより、患者Pの頭部、首部および肩部が露出するため、家族や介護者により前記部位のマッサージやリハビリが可能となる。 In addition, the patient P can turn both arms or swing up and down, and the head holding portion 3 is bent rearward so that the front support leg piece 7a of the V-shaped support leg 7 is bent. Since the head, neck and shoulders of the patient P are exposed by abutting and fixing on the top, massage and rehabilitation of the part can be performed by a family member or caregiver.

前記構成より成る本発明リハビリ用ベッド装置の最大の特徴は、今迄にベッド上に寝たままの状態の患者を直立して起立させることにより、寝たままの状態では全く使用されなかった筋肉が使用されるので、これらの筋力の回復を図ることができると共に、寝たきりの患者を起立させることにより、患者に今迄と違った印象を与え、機能回復への希望を与えることができる。 The greatest feature of the bed apparatus for rehabilitation of the present invention having the above-described configuration is that the muscles that have not been used in the state of lying down by standing upright on the patient who has been lying down on the bed so far Therefore, these muscle strengths can be restored, and by standing a bedridden patient, the patient can have a different impression and hope for functional recovery.

なお、前記は患者Pをベッド本体1上に直立して起立した場合についての説明であるが、図8に示すように、起立保持固定手段49の係止用凹部50の上方部に係止用突起53を挿入係止することにより、ベッド本体1を傾斜して起立させることができる。前記ベッド本体1を直立して起立させるか、あるいは傾斜して起立させるかは、患者Pの希望やリハビリの方法等により、適宜採用することができる。 The above description is about the case where the patient P stands upright on the bed main body 1. However, as shown in FIG. 8, as shown in FIG. By inserting and locking the protrusion 53, the bed main body 1 can be tilted and erected. Whether the bed body 1 is erected upright or inclined can be appropriately adopted depending on the wish of the patient P, the method of rehabilitation, and the like.

P 患者、 1 ベッド本体、 2 転倒防止手段、 3 頭部保持部3、 4 背面部保持部、 5 脚部保持部、 6 足載置部、 7 V字状支脚、 7a V字状支脚の前方側支脚片、 7b V字状支脚の後方側支脚片、 7c V字状支脚の下端部、 8 起立固定用支脚、 8a 起立固定用支脚の頂部、 8b 起立固定用支脚の底片、 8c 起立固定用支脚の前方側片、 8d 起立固定用支脚の後方側片、 9 床面、 10 鉄パイプ、 10a 鉄パイプの後方側開口、 11 補強鉄板、 11a 補強鉄板、 12 頭部保持台枠、 13 凹部、 14 敷き板、 15 頭部マット、 16 鉄パイプ、 16a 鉄パイプの前方側端部開口, 16b 鉄パイプの後方部側端部開口、 17 連結鉄板、 17a 前方側の連結鉄板、 18 背面部保持台枠、 19 凹部、 20 敷き板、 21 背部マット、 22 鉄パイプ、 22a 鉄パイプの前方部側開口、 23 連結鉄板、 23a 連結鉄板、24 脚部保持台枠、 25 凹部、 26 敷き板、 27 脚部マット、 28 長さ調節用の丸鋼棒、 29 固定手段、 30 ストッパー手段、 31 摘子、 32 ボルト、 33 載置板、 34 布片、 35 固定板、 35a 溶接固定、 36 安定維持具、 37 隙間、 38 接地用円盤状突部、 39 ボルト、 40 蝶番、 41 連結用の丸鋼棒、 42 長スリット、 42a 長スリットの前方側端縁部、 42b 長スリットの後方側端縁部、 43 摘子、 44 移動操作用突起、 45 連結鉄板、 46 軸支部、 47 連結鉄板、 47a 上方側の連結鉄板、
47b 下方側の連結鉄板、 48 ローラー、 49 起立保持固定手段、 50 係止用凹部、 50a・50b・50c・50d 係止用凹部、 51 ストッパー基板、 52 軸支部、 53 係止用突起、 53a 上方側の係止用突起、 53b 下方側の係止用突起、 54・55 上半身固定手段、 56・57 固定帯片、 58 脚部固定手段、 59・60 固定帯片、 61 両側支柱、 62 補強パイプ、 63 支柱部、 64 上端開口、 65 調整用支柱、 66 保持板、 67 腕マット、 68 握持棒、 69 ストッパー、 70 連結棒、 71 固定ボルト、72 鉤部、 73 軸支、 74 掛止部。
P patient, 1 bed main body, 2 fall prevention means, 3 head holding part 3, 4 back part holding part, 5 leg holding part, 6 foot resting part, 7 V-shaped supporting leg, 7a front of V-shaped supporting leg Side support leg piece, 7b Rear side support leg piece of V-shaped support leg, 7c Lower end part of V-shaped support leg, 8 Standing fixing support leg, 8a Top part of standing fixing support leg, 8b Bottom piece of standing fixing support leg, 8c Standing fixing Front side piece of supporting leg, 8d Rear side piece of standing support leg, 9 Floor surface, 10 Iron pipe, 10a Opening of rear side of iron pipe, 11 Reinforced iron plate, 11a Reinforced iron plate, 12 Head holding base frame, 13 Recessed part, 14 Laying plate, 15 Head mat, 16 Iron pipe, 16a Front end opening of the iron pipe, 16b Rear end opening of the iron pipe, 17 Connection iron plate, 17a Connection iron plate on the front side, 18 Back support stand Frame, 19 recesses, 20 laying plate, 2 Back mat, 22 Iron pipe, 22a Front opening of iron pipe, 23 Linked iron plate, 23a Linked iron plate, 24 Leg holding frame, 25 Recess, 26 Laying plate, 27 Leg mat, 28 Round for length adjustment Steel rod, 29 fixing means, 30 stopper means, 31 knob, 32 bolt, 33 mounting plate, 34 cloth piece, 35 fixing plate, 35a welding fixing, 36 stability maintaining tool, 37 clearance, 38 discoid protrusion for grounding , 39 bolt, 40 hinge, 41 round steel bar for connection, 42 long slit, 42a front edge of the long slit, 42b rear edge of the long slit, 43 knob, 44 projection for moving operation, 45 Connecting iron plate, 46 shaft support, 47 connecting iron plate, 47a connecting iron plate on the upper side,
47b Lower connecting iron plate, 48 rollers, 49 Standing holding and fixing means, 50 Locking recess, 50a / 50b / 50c / 50d Locking recess, 51 Stopper board, 52 Shaft support, 53 Locking protrusion, 53a Upper Side locking projections, 53b downward locking projections, 54 and 55 upper body fixing means, 56 and 57 fixing strips, 58 leg fixing means, 59 and 60 fixing strips, 61 both-side struts, 62 reinforcing pipes , 63 column, 64 upper end opening, 65 adjustment column, 66 holding plate, 67 arm mat, 68 gripping rod, 69 stopper, 70 connecting rod, 71 fixing bolt, 72 collar, 73 shaft support, 74 latching unit .

Claims (1)

患者が仰臥できるベッド本体と、該患者がベッド本体上に仰臥したまま、該ベッド本体を起立保持固定手段により傾斜または直立して起立固定することにより、患者を起立させると共に、直立した患者の起立状態を維持する転倒防止手段が、前記ベッド本体の前方に取外し自在になるようにして連結固定して形成されたリハビリ用ベッド装置であって、
前記ベッド本体は、患者の後頭部を保持する頭部保持部と、患者の後背部から臀部にかけての背面部を保持する背面部保持部と、脚部を保持する脚部保持部と、該脚部保持部の後端縁部に直角に固定された足載置部とをそれぞれ連設して形成されると共に、前記ベッド本体は、前記背面部保持部の下面両側にそれぞれ固定された2本のV字状支脚と、前記脚部保持部の下面両側にそれぞれ回動自在に軸支された2本の三角状の起立固定用支脚とにより支持されて床面上に設置されて形成され、
前記頭部保持部は、下面方向へ折曲して、該頭部保持部の底面が前記2本のV字状支脚の各前方側支脚片に当接して、その位置で停止できるように形成され、
更に、前記脚部保持部の両側に回転自在に軸支された前記起立固定用支脚の軸支部を介して、前記ベッド本体を回動させて、該ベッド本体を床面上に傾斜または直立して起立させた状態に保持する起立保持固定手段が、前記脚部保持部と起立固定用支脚間に設置され、
前記背面部保持部の背面マット上には、患者を保持固定する上半身固定手段が設置されると共に、脚部保持部には、患者のそれぞれの脚部を保持固定する2個の脚部固定手段が設置され、
前記転倒防止手段は、凹状の支柱部の両側支柱の上端開口より高さ調整用支柱をそれぞれ挿入すると共に、該各調整用支柱の上端に保持板を水平に架け渡して固定し、更に、前記保持板上に患者の腕部を載置する腕マットを載置固定すると共に、前記保持板の先端部両側に手で握って体を支える握持棒をそれぞれ立設固定する一方、前記両側支柱と前記背面部保持部の各鉄パイプとを連結棒を介して取外し自在に連結固定して形成したことを特徴とするリハビリ用ベッド装置。
A bed main body on which the patient can lie up, and while the patient is lying on the bed main body, the bed main body is tilted or standing upright by an upright holding and fixing means to stand upright, and the patient stands up and the upright patient stands up. A rehabilitation bed device formed by connecting and fixing the fall prevention means for maintaining the state so as to be removable in front of the bed body,
The bed main body includes a head holding part that holds the patient's back head, a back part holding part that holds the back part from the back of the patient to the buttocks, a leg holding part that holds the leg part, and the leg part. The bed main body is formed by connecting two foot placement portions fixed at right angles to the rear end edge of the holding portion, and the bed body is fixed to both sides of the lower surface of the back portion holding portion. It is formed by being installed on the floor surface, supported by a V-shaped support leg and two triangle-like standing and fixing support legs pivotally supported on both sides of the lower surface of the leg holding part, respectively.
The head holding part is bent in the lower surface direction so that the bottom face of the head holding part comes into contact with the front support leg pieces of the two V-shaped support legs and can be stopped at that position. And
Further, the bed main body is rotated via the shaft support portions of the upright fixing support legs that are rotatably supported on both sides of the leg holding portion, so that the bed main body is inclined or upright on the floor surface. An upright holding fixing means for holding in an upright state is installed between the leg holding portion and the upright fixing support leg,
Upper body fixing means for holding and fixing the patient is installed on the back surface mat of the back surface holding section, and the leg holding section has two leg fixing means for holding and fixing each leg of the patient. Is installed,
The fall prevention means inserts the height adjustment struts from the upper end openings of the both side struts of the concave strut portion, and fixes the holding plate across the upper ends of the adjustment struts horizontally. An arm mat for placing the patient's arm on the holding plate is placed and fixed, and a holding rod for supporting the body by holding it on both sides of the distal end of the holding plate is erected and fixed. And a rehabilitation bed device, wherein the iron pipe of the back surface holding portion is detachably connected and fixed via a connecting rod.
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US11052005B2 (en) 2017-09-19 2021-07-06 Stryker Corporation Patient support apparatus with handles for patient ambulation
US11116680B2 (en) 2017-09-19 2021-09-14 Stryker Corporation Patient support apparatus for controlling patient ingress and egress
US11723821B2 (en) 2017-09-19 2023-08-15 Stryker Corporation Patient support apparatus for controlling patient ingress and egress
US11160705B2 (en) 2017-10-20 2021-11-02 Stryker Corporation Adjustable patient support apparatus for assisted egress and ingress
US11806290B2 (en) 2017-10-20 2023-11-07 Stryker Corporation Adjustable patient support apparatus for assisted egress and ingress
CN108030639A (en) * 2018-01-22 2018-05-15 深圳达芬奇创新科技有限公司 A kind of wearable surgery health multiplex medical instruments
CN109833177A (en) * 2019-03-25 2019-06-04 佛山市高明区人民医院 A kind of operating table
CN109833177B (en) * 2019-03-25 2024-04-26 佛山市高明区人民医院 Operating table
CN112168551A (en) * 2020-11-06 2021-01-05 宁波奥达智能家居有限公司 Shank rehabilitation device and nursing bed

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