JP2002345907A - Walking exercising device and placing table for the same - Google Patents
Walking exercising device and placing table for the sameInfo
- Publication number
- JP2002345907A JP2002345907A JP2001155794A JP2001155794A JP2002345907A JP 2002345907 A JP2002345907 A JP 2002345907A JP 2001155794 A JP2001155794 A JP 2001155794A JP 2001155794 A JP2001155794 A JP 2001155794A JP 2002345907 A JP2002345907 A JP 2002345907A
- Authority
- JP
- Japan
- Prior art keywords
- sole
- reaction force
- heel
- presenting
- walking
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
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- Rehabilitation Tools (AREA)
Abstract
Description
【0001】[0001]
【発明の属する技術分野】この発明は、訓練者がベッド
に仰臥状態で歩行訓練を行なうための歩行訓練装置に関
するもので、特に訓練者の歩行パターン周期における踵
接地から足尖離地のタイミングにあわせて踵から爪先方
向へ順に足底の各部分に反力を与えて、知覚−運動連鎖
の回復を促進する歩行訓練装置および歩行訓練装置用載
置台に関するものである。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a walking training device for a trainee to perform walking training while lying on a bed. Also, the present invention relates to a walking training device and a mounting table for a walking training device that apply a reaction force to each portion of the sole in order from the heel to the toe to promote recovery of the perception-motor chain.
【0002】[0002]
【従来の技術】従来の歩行訓練装置としては、人間の肢
体位置を監視しながらそれを動かし、関節に過負荷がか
かる以前に対処でき、肢体の限界を考慮して可動範囲を
容易に設定でき、関節に無理な負荷をかけず、装置自体
にも安全性を持たせながら治療を行うものとして、例え
ば、本出願人の出願に係る特開平9−154900公報
に開示された肢体駆動装置が知られている。以下、同公
報に開示された肢体駆動装置について図面を用いて説明
する。図16において、101は駆動装置のアーム、1
02は肢体、103はスプリント(手先位置)、104
は力センサ、105はモータ、106は回転角検出部、
107はD/A変換器、108は変位演算処理部、10
9は逆運動学計算部、110は目標軌道設定部、111
は回転角変換回路、112はゲイン積分器、113はデ
ジタル/アナログ変換器、114はサーボアンプ、11
5は負荷推定部、116はインピーダンス定数変換部、
117は関節負荷計測センサである。以上の構成におい
て、駆動装置のアーム101において訓練パターンで肢
体102を駆動し、力センサ104においてスプリント
103にかかる負荷を計測し、負荷定数部115におい
て装置に取り付けられた肢体への負荷を常に監視し、イ
ンピーダンス定数変換部116において肢体への過負荷
付近によりインピーダンス定数を変更する。上記のよう
な肢体駆動装置の制御装置において、肢体に装着した装
置の動作によって肢体を動かす目的で、装置に取り付け
られた力センサ104または位置・角度センサのセンシ
ング情報をもとに、力制御または位置制御によって装置
の動作を制御し、肢体への過負荷設定領域に入った時点
で、肢体駆動装置の動作が持つ全自由度中のうち、ある
自由度方向のインピーダンス定数変換部116を、肢体
への負荷が大きくなるに応じて変更し、その自由度方向
の動作を仮想的にフリーにできるようになっている。2. Description of the Related Art As a conventional walking training device, a human limb can be moved while monitoring the position of the limb, so that it can be handled before an overload is applied to a joint, and the movable range can be easily set in consideration of the limit of the limb. For example, a limb drive device disclosed in Japanese Patent Application Laid-Open No. 9-154900, which is applied to the present applicant, is known as a device that performs treatment while applying unreasonable load to a joint and giving safety to the device itself. Have been. Hereinafter, the limb driving device disclosed in the publication will be described with reference to the drawings. In FIG. 16, reference numeral 101 denotes an arm of the driving device,
02 is a limb, 103 is a sprint (hand position), 104
Is a force sensor, 105 is a motor, 106 is a rotation angle detector,
107 is a D / A converter, 108 is a displacement operation processing unit, 10
9 is an inverse kinematics calculation unit, 110 is a target trajectory setting unit, 111
Is a rotation angle conversion circuit, 112 is a gain integrator, 113 is a digital / analog converter, 114 is a servo amplifier, 11
5 is a load estimator, 116 is an impedance constant converter,
117 is a joint load measuring sensor. In the above configuration, the limb 102 is driven in the training pattern by the arm 101 of the driving device, the load applied to the sprint 103 is measured by the force sensor 104, and the load on the limb attached to the device is constantly monitored by the load constant unit 115. Then, the impedance constant is changed by the impedance constant conversion unit 116 depending on the vicinity of overload on the limb. In the control device of the limb driving device as described above, for the purpose of moving the limb by the operation of the device attached to the limb, force control or force control based on the sensing information of the force sensor 104 or the position / angle sensor attached to the device. The operation of the device is controlled by the position control, and when entering the overload setting region for the limb, the impedance constant conversion unit 116 in the direction of a certain degree of freedom among all the degrees of freedom of the operation of the limb driving device is set to the limb. As the load on the device increases, the operation in the direction of the degree of freedom can be virtually freed.
【0003】また、別の訓練装置としては、多種多様な
使用者の足裏の施療ツボを的確に刺激して充分なマッサ
ージ効果を上げるための足マッサージ器がある。特開平
11−56960公報にはその足マッサージ器の1例が
記載されている。図17はこれを示すもので、以下、図
17を用いて説明する。図17において、201は足裏
刺激装置、202は本体、203は突起物、204は足
裏、205は突起物駆動手段、206は開口部、207
は足裏によって押された突起物を検知する圧力センサ、
208は信号線、209は制御回路、210は刺激パラ
メータを入力する刺激パラメータ入力部である。以上の
構成において、多数の突起物203が個別に押し下げ自
在に突設された本体202と、足裏によって押し下げら
れた突起物203を検知して足裏204形状を決定する
足裏形状決定手段と、足裏形状決定手段で決定された足
裏204形状に基づいて足裏204の施療ツボを決定す
る施療ツボ決定手段と、施療ツボ決定手段で決定された
施療ツボに対応する突起物203を作動させることによ
り足裏204に刺激を与える突起物駆動手段205とに
おいて足裏を刺激する。上記のような足裏刺激装置20
1において、多数の突起物203が個別に押し下げ自在
に突設された本体と、足裏によって押し下げられた突起
物203を検知して足裏形状を決定する足裏形状決定手
段と、足裏形状決定手段で決定された施療ツボに対応す
る突起物203を作動させることにより足裏に刺激を与
える突起物駆動手段205とを備えているから、突起物
203の上から足裏を押し付けることによって多種多様
な使用者の足裏形状の施療ツボと突起物203による刺
激位置とを適合させることができ、いかなる足裏形状に
おいても、的確に施療ツボを刺激することができるよう
になっている。[0003] As another training device, there is a foot massage device for appropriately stimulating treatment points on the soles of various users to enhance a sufficient massage effect. Japanese Patent Application Laid-Open No. 11-56960 describes an example of the foot massager. FIG. 17 illustrates this, and will be described below with reference to FIG. 17, 201 is a sole stimulator, 202 is a main body, 203 is a projection, 204 is a sole, 205 is a projection driving means, 206 is an opening, 207
Is a pressure sensor that detects protrusions pressed by the soles,
Reference numeral 208 denotes a signal line, 209 denotes a control circuit, and 210 denotes a stimulus parameter input unit for inputting a stimulus parameter. In the above configuration, a plurality of projections 203 are individually protruded so as to be able to be pushed down, and a sole shape determining means for detecting the projections 203 pushed down by the sole to determine the sole 204 shape. Activating the treatment point determining means for determining the treatment point of the sole 204 based on the sole shape determined by the sole shape determining means, and the protrusion 203 corresponding to the treatment point determined by the treatment point determining means. Then, the sole of the foot is stimulated by the protrusion driving means 205 that stimulates the sole 204. Sole stimulation device 20 as described above
1, a body in which a number of protrusions 203 are individually protruded so as to be able to be pressed down, a sole shape determining means for detecting the protrusions 203 pressed down by the sole to determine a sole shape, and a sole shape. There is provided a projection driving means 205 for stimulating the sole of the foot by operating the projection 203 corresponding to the treatment point determined by the determination means. The treatment points of various user's sole shapes and the stimulation position by the projection 203 can be matched, and the treatment points can be accurately stimulated in any sole shape.
【0004】[0004]
【発明が解決しようとする課題】PerfettiとPieroni(Pe
rfetti C,Pieroni A:La logica Dell'esercizio;Collan
a di Reabliliazion 1.Idelson Liviana,Padova,1992)
によれば、緊張した筋が体重負荷によって伸張されると
筋紡錘より情報発射が起こり、それがまた足関節の運動
制御の情報となり得る。足関節・足部における知覚−運
動連鎖は、このような複雑な構成により成り立ってい
る、と述べられている。しかしながら、第1の先願例の
肢体駆動装置の制御装置においては、歩行パターン周期
にあわせて訓練者の下肢を動作させることができるが、
歩行訓練を行っている訓練者の足底に反力を与えること
ができず、歩行訓練を行っている訓練者の歩行パターン
周期における踵接地から足尖離地のタイミングにあわせ
て踵から爪先方向へ順に足底へ反力を与えらず、知覚−
運動連鎖の回復を促進することが期待できなかった。ま
た、第2の先願例の足裏刺激装置においては、訓練者の
足底に反力を与えることができるが、歩行パターン周期
にあわせて訓練者の下肢を動作させることができず、歩
行訓練を行っている訓練者の歩行パターン周期における
踵接地から足尖離地のタイミングにあわせて踵から爪先
方向へ順に足底へ反力を与えらず、知覚−運動連鎖の回
復を促進することが期待できなかった。以上のように、
上記2つの先願例においては、歩行訓練を行っている訓
練者の歩行パターン周期における踵接地から足尖離地の
タイミングにあわせて踵から爪先方向へ順に足底へ反力
を与えらず、知覚−運動連鎖の回復を促進することがで
きない可能性があった。本発明は上記問題を解決するた
めになされたものであって、歩行訓練を行っている訓練
者の歩行パターン周期における踵接地から足尖離地のタ
イミングにあわせて踵から爪先方向へ順に足底の各部分
に反力を与えて、知覚−運動連鎖の回復を促進すること
ができる歩行訓練装置および歩行訓練装置用載置台を提
供することを目的とする。[Problems to be Solved by the Invention] Perfetti and Pieroni (Pe
rfetti C, Pieroni A: La logica Dell'esercizio; Collan
a di Reabliliazion 1.Idelson Liviana, Padova, 1992)
According to the publication, when a tense muscle is stretched due to weight load, information is emitted from the muscle spindle, which can also be information for controlling the movement of the ankle joint. It is stated that the perception-motor chain in the ankle / foot is constituted by such a complicated configuration. However, in the control device of the limb driving device of the first prior application, the lower limb of the trainee can be operated in accordance with the walking pattern cycle.
A reactive force cannot be applied to the sole of the trainee who is performing walking training, and the direction from the heel to the tip of the toe is adjusted in accordance with the timing of the heel contact and the removal of the foottip in the walking pattern cycle of the trainer performing walking training. Perceived-no reaction force to the sole
It could not be expected to promote the recovery of the motor chain. Further, in the sole stimulating device of the second prior application, a reaction force can be applied to the sole of the trainee, but the lower limb of the trainee cannot be moved in accordance with the walking pattern cycle, and To promote recovery of the perceptual-motor chain without applying a reaction force from the heel to the toe in order from the heel to the tip of the toe in accordance with the timing of the heel contact and the apex take-off of the trainee during the walking pattern cycle. Was not expected. As mentioned above,
In the above two prior applications, in response to the timing of heel contact and foot tip off in the walking pattern cycle of the trainee who is performing walking training, no reaction force is applied to the sole from the heel to the toe in order, Perception-motor chain recovery may not be able to be promoted. The present invention has been made in order to solve the above problems, the sole of the foot in order from the heel to the toe in accordance with the timing of the heel contact from the heel contact in the walking pattern cycle of the trainee performing gait training. It is an object of the present invention to provide a walking training device and a mounting table for the walking training device, which can apply a reaction force to each part of the walking training device to promote the recovery of the perception-motor chain.
【0005】[0005]
【課題を解決するための手段】請求項1記載の歩行訓練
装置は、訓練者の大腿に装着して前記大腿を駆動する大
腿駆動部と、訓練者の下腿に装着して前記下腿を駆動す
る下腿駆動部と、訓練者の足関節に装着して前記足関節
を駆動する足関節駆動部と、前記大腿駆動部と前記下腿
駆動部と前記足関節駆動部とを制御する制御部を備えた
歩行訓練装置において、少なくとも2分割されてなる訓
練者の足底に反力を与える足底反力提示手段を備えたこ
とを特徴とする。請求項2記載の発明は、請求項1記載
の歩行訓練装置において、前記足底反力提示手段が、そ
れぞれ足底を前後に少なくとも2分割されてなることを
特徴とする。請求項1および2記載の歩行訓練装置によ
れば、少なくとも2分割して訓練者の足底に反力を与え
る足底反力提示手段を備えることで、足底の各部分にそ
れに見合った反力を与えることができ知覚−運動連鎖の
回復を促進することができる。請求項3記載の発明は、
請求項2記載の歩行訓練装置において、前記足底反力提
示手段が、踵付近に反力を提示する踵反力提示部と、土
踏まず付近に反力を提示するMID FOOT反力提示
部と、爪先付近に反力を提示する爪先反力提示部との足
底を前後に3分割して構成されることを特徴とする。請
求項4記載の発明は、請求項2又は3記載の歩行訓練装
置において、前記足底反力提示手段が、足底を内外に少
なくとも2分割されてなる反力提示部を含むことを特徴
とする。請求項5記載の発明は、請求項1〜4のいずれ
か1項記載の歩行訓練装置において、前記足底反力提示
手段が、訓練者の歩行パターン周期における踵接地から
足尖離地のタイミングにあわせて訓練者の踵から爪先方
向へ順に前記足底の各部分に反力を与えることを特徴と
する。請求項3〜5記載の歩行訓練装置によれば、訓練
者の歩行パターン周期における踵接地から足尖離地のタ
イミングにあわせて訓練者の踵から爪先方向へ順に前記
足底の踵とMID FOOTと爪先に反力を与えること
で、歩行訓練時の踵とMID FOOTと爪先に模擬的
に床反力を与えることができる。According to a first aspect of the present invention, there is provided a walking training device which is mounted on a trainee's thigh and drives the thigh, and which is mounted on a trainee's lower leg and drives the lower leg. A leg drive unit, an ankle drive unit that is attached to a trainee's ankle joint to drive the ankle joint, and a control unit that controls the thigh drive unit, the leg drive unit, and the ankle drive unit The walking training device is characterized in that it is provided with a sole reaction force presenting means for applying a reaction force to the sole of the trainee divided into at least two parts. According to a second aspect of the present invention, in the walking training apparatus according to the first aspect, the sole reaction force presenting means is formed by dividing a sole into at least two parts before and after. According to the walking training device of the first and second aspects, by providing a sole reaction force presenting means for dividing the at least two parts and applying a reaction force to the trainee's sole, each part of the sole has a corresponding reaction force. It can give power and promote the recovery of the sensory-motor chain. The invention according to claim 3 is
3. The walking training device according to claim 2, wherein the sole reaction force presenting unit includes a heel reaction force presenting unit that presents a reaction force near the heel, and a MID FOOT reaction force presenting unit that presents a reaction force near the arch. It is characterized in that the sole of the sole and the toe reaction force presenting unit that presents a reaction force near the toe are divided into three parts in the front and rear directions. According to a fourth aspect of the present invention, in the walking training device according to the second or third aspect, the sole reaction force presenting means includes a reaction force presenting unit formed by dividing a sole into at least two parts. I do. According to a fifth aspect of the present invention, in the walking training device according to any one of the first to fourth aspects, the sole reaction force presenting unit is configured to determine a timing of a foot-to-foot landing from a heel contact in a trainee's walking pattern cycle. The reaction force is applied to each part of the sole in order from the heel of the trainee to the toe. According to the walking training device according to claims 3 to 5, the heel of the sole and the MID FOOT are sequentially arranged in the direction from the heel of the trainee to the toe in accordance with the timing from the heel contact to the tip of the foot in the trainee's walking pattern cycle. By applying a reaction force to the toe and the toe, it is possible to simulate a floor reaction force to the heel, the MID FOOT, and the toe during walking training.
【0006】請求項6記載の発明は、請求項1〜5のい
ずれか1項記載の歩行訓練装置において、前記制御部
が、訓練者の肢体を踵接地、足底接地、立脚中期、踵離
地、足尖離地、遊脚初期および遊脚後期を繰り返す歩行
パターンで動作させるように前記大腿駆動部と前記下腿
駆動部と前記足関節駆動部と前記足底反力提示手段とを
それぞれ同期させて制御し、前記歩行パターンの踵接地
のタイミングで踵に反力を与え、前記歩行パターンの足
底接地と立脚中期のタイミングで足底全体に反力を与
え、前記歩行パターンの踵離地のタイミングで 足底の
中央部分から爪先に反力を与え、前期歩行パターンの足
尖離地のタイミングで爪先に反力を与え、遊脚初期と遊
脚後期のタイミングで足底に反力を与えないことによ
り、訓練者の歩行パターン周期における踵接地から足尖
離地のタイミングにあわせて訓練者の踵から爪先方向へ
順に前記足底の各部分に反力を与えることを特徴とす
る。請求項6記載の歩行訓練装置によれば、訓練者の歩
行パターン周期における踵接地から足尖離地のタイミン
グにあわせて訓練者の踵から爪先方向へ順に前記足底の
各部分に反力を与えることで、歩行パターンの立脚期に
同期させて足底の各部分に反力を与えることができる。
請求項7記載の発明は、請求項1〜6のいずれか1項記
載の歩行訓練装置において、前記制御部が、身長、体
重、年齢等の統計的なデータから足底に加わる反力Fz
(体重の鉛直方向力)を推定し、前記足底反力提示手段
を用いて、訓練者の歩行パターン周期における踵接地か
ら足尖離地のタイミングにあわせて訓練者の踵から爪先
方向へ順に前記足底の各部分に反力を与えることを特徴
とする。請求項7記載の歩行訓練装置によれば、前記制
御部が訓練者の身長、体重、年齢等に即した足底反力を
与えることができる。請求項8記載の発明は、請求項1
〜7のいずれか1記載の歩行訓練装置において、前記制
御部が、画像を提示する視覚提示手段、音を提示する聴
覚提示手段及び振動を提示する振動手段のいずれか1つ
以上を用いて、訓練者の歩行パターン周期における踵接
地、足底接地、立脚中期、踵離地、足尖離地、遊脚初期
および遊脚後期のタイミング、足底が接地している時間
を目的に応じて訓練者へ提示することを特徴とする。請
求項8記載の歩行訓練装置によれば、画像を提示する視
覚提示手段、音を提示する聴覚提示手段及び振動を提示
する振動手段のいずれか1つ以上を用いることで、訓練
者は自分の立位バランスを認識しつつ訓練を行うことが
できるため、立位バランスの回復を促進することができ
る。請求項9記載の歩行訓練装置の発明は、請求項1〜
8のいずれか1項記載の前記大腿駆動部と、前記下腿駆
動部と、前記足関節駆動部と、前記足底反力提示手段と
をそれぞれ2つずつ備え、両脚で同時に歩行訓練を行う
ことができることを特徴とする。請求項9記載の歩行訓
練装置によれば、両脚を用いて歩行を模擬した訓練をす
ることができる。According to a sixth aspect of the present invention, in the walking training apparatus according to any one of the first to fifth aspects, the control unit causes the limb of the trainee to touch the heel, the sole of the foot, the middle of standing, and the heel separation. The thigh drive section, the lower leg drive section, the ankle joint drive section, and the sole reaction force presenting means are synchronized with each other so as to operate in a walking pattern in which the ground, the apex separation, the swing leg initial phase and the swing phase are repeated. Control, giving a reaction force to the heel at the timing of the heel contact of the walking pattern, giving a reaction force to the sole of the foot at the time of contact with the sole of the walking pattern and the middle stage of stance, and taking off the heel of the walking pattern A reaction force is applied to the toe from the center of the sole at the timing of the toe, a reaction force is applied to the toe at the timing of the tip of the foot in the early walking pattern, and a reaction force is applied to the sole at the early stage of the free leg and the late stage of the free leg. By not giving, the trainee's walking pattern A reaction force is applied to each part of the sole in order from the heel to the toe of the trainee in accordance with the timing of the heel contact and the foot tip separation in the cycle. According to the walking training device of claim 6, a reaction force is applied to each part of the sole in order from the trainee's heel to the toe in accordance with the timing of the heel contact from the heel contact in the walking pattern cycle of the trainee. By giving, the reaction force can be given to each part of the sole in synchronization with the standing phase of the walking pattern.
According to a seventh aspect of the present invention, in the walking training apparatus according to any one of the first to sixth aspects, the control unit applies a reaction force Fz to the sole from statistical data such as height, weight, and age.
(Vertical force of body weight) is estimated, and the above-mentioned plantar reaction force presenting means is used to sequentially move from the heel to the toe of the trainee in accordance with the timing of the heel contact from the heel contact in the walk pattern cycle of the trainee. A reaction force is applied to each part of the sole. According to the walking training device of the seventh aspect, the control unit can apply a sole reaction force according to the height, weight, age, and the like of the trainee. The invention according to claim 8 is the first invention.
7. The walking training device according to any one of to 7, wherein the control unit uses at least one of a visual presentation unit that presents an image, an auditory presentation unit that presents a sound, and a vibration unit that presents vibration. Training according to the purpose of training the heel contact, sole contact, middle stance, heel takeoff, tiptoe detachment, timing of early and late swing leg, and sole contact time It is characterized by presenting to a person. According to the walking training device of the eighth aspect, by using at least one of the visual presenting means for presenting an image, the auditory presenting means for presenting a sound, and the vibration means for presenting a vibration, the trainee can use his or her own Since training can be performed while recognizing the standing balance, recovery of the standing balance can be promoted. The invention of the walking training device according to claim 9 is claim 1 to claim 1.
8. The thigh drive unit, the crus drive unit, the ankle joint drive unit, and the sole reaction force presenting unit according to any one of 8 above, each of which is provided with two, and performs walking training simultaneously with both legs. It is characterized by being able to. According to the walking training device of the ninth aspect, it is possible to perform training simulating walking using both legs.
【0007】請求項10記載の歩行訓練装置用足載置台
の発明は、訓練者が仰臥状態で歩行訓練を行なえる歩行
訓練装置の一部に用いられる足載置台であって、足関節
駆動部と足底反力提示手段とを備えてなることを特徴と
する。請求項11記載の発明は、請求項10記載の歩行
訓練装置用足載置台において、前記足底反力提示手段
が、足底板と、前記足底板を足底と直角方向へ駆動する
足底板駆動機構と、を備えていることを特徴とする。請
求項12記載の発明は、請求項10又は11記載の歩行
訓練装置用足載置台において、前記足底板が足底を前後
に少なくとも2分割されてなることを特徴とする。請求
項13記載の発明は、請求項10〜12のいずれか1項
記載の歩行訓練装置用足載置台において、前記足底板
が、それぞれ足底を前後に3分割し、踵付近に反力を提
示する踵反力提示部と、土踏まず付近に反力を提示する
MID FOOT反力提示部と、爪先付近に反力を提示
する爪先反力提示部で構成されることを特徴とする。請
求項14記載の発明は、請求項10〜13のいずれか1
項記載の歩行訓練装置用足載置台において、前記足底板
の1つ以上が、足底を内外に少なくとも2分割されてな
ることを特徴とする。請求項15記載の発明は、請求項
10〜14のいずれか1項記載の歩行訓練装置用足載置
台において、前記足底反力提示手段が、さらに前記各足
底板の表面側全体を覆う可撓性カバーを備えてなること
を特徴とする。請求項16記載の発明は、請求項15項
記載の歩行訓練装置用足載置台において、前記可撓性カ
バーがゴム板であることを特徴とする。請求項10〜1
6記載の足載置台によれば、請求項1〜9記載の歩行訓
練装置に適した足載置台を得ることができる。請求項1
7記載の発明は、請求項11〜16のいずれか1項記載
の歩行訓練装置用足載置台において、足底板が、足裏を
刺激するための多数の突起部を表面に備えてなることを
特徴とする。請求項17記載の足載置台によれば、多数
の突起部が訓練者の足裏を刺激するので、歩行運動の回
復をいっそう促進することができる。According to a tenth aspect of the present invention, there is provided a foot training table for use in a walking training apparatus in which a trainee can perform a walking training in a supine position. And a sole reaction force presenting means. According to an eleventh aspect of the present invention, in the foot placement table for a walking training apparatus according to the tenth aspect, the sole reaction force presenting means drives a sole plate and the sole plate driving the sole plate in a direction perpendicular to the sole. And a mechanism. According to a twelfth aspect of the present invention, in the foot placement platform for a walking training device according to the tenth or eleventh aspect, the sole plate is formed by dividing a sole into at least two parts in front and rear. According to a thirteenth aspect of the present invention, in the foot placement platform for a walking training apparatus according to any one of the tenth to twelfth aspects, the sole plate divides a sole into three in a front and rear direction, and generates a reaction force near a heel. It is characterized by comprising a heel reaction force presenting section for presenting, a MID FOOT reaction force presenting section for presenting a reaction force near the arch, and a toe reaction force presenting section for presenting a reaction force near the toe. According to a fourteenth aspect of the present invention, in any one of the tenth to thirteenth aspects,
Item 1. The footrest for a walking training device according to Item 1, wherein at least one of the sole plates is formed by dividing the sole into at least two parts inside and outside. According to a fifteenth aspect of the present invention, in the footrest for a walking training device according to any one of the tenth to fourteenth aspects, the sole reaction force presenting means may further cover the entire front side of each sole plate. It is characterized by comprising a flexible cover. According to a sixteenth aspect of the present invention, in the footrest for a walking training device according to the fifteenth aspect, the flexible cover is a rubber plate. Claims 10-1
According to the footrest according to the sixth aspect, a footrest suitable for the walking training device according to the first to ninth aspects can be obtained. Claim 1
According to a seventh aspect of the present invention, in the foot placement table for a walking training device according to any one of the eleventh to sixteenth aspects, the sole plate is provided with a large number of protrusions for stimulating the sole on the surface. Features. According to the foot mounting table of the seventeenth aspect, since the large number of protrusions stimulate the sole of the trainee, the recovery of the walking motion can be further promoted.
【0008】[0008]
【発明の実施の形態】この発明の第1の実施の形態にお
ける歩行訓練装置について、図1および図4、図5を用
いて説明する。図1は第1の実施の形態における歩行訓
練装置の構成を示す図、図4は足底反力提示手段の第1
実施例の構成を示す図、図5は図4の足底反力提示手段
を用いた足底反力提示方法を示す図である。図1におい
て、1は大腿を駆動する大腿駆動部、2は下腿を駆動す
る下腿駆動部、3は足関節を駆動する足関節駆動部、4
は足底反力提示手段、5は大腿駆動部1と下腿駆動部2
と足関節駆動部3および足底反力提示手段4を制御する
制御部、6は力センサ、7は訓練者の肢体、8は大腿を
装着する大腿装着部、9は下腿を装着する下腿装着部、
30は足関節駆動部3と足底反力提示手段4とから成る
足載置台である。また、図4および図5において、11
は足底板、12はスライダー(足底板駆動機構)、13
はゴム板である。この第1の実施の形態の歩行訓練装置
を使うには、訓練者の大腿に前記大腿を駆動する大腿駆
動部1を、訓練者の下腿に前記下腿を駆動する下腿駆動
部2を、訓練者の足関節に前記足関節を駆動する足関節
駆動部3をそれぞれ装着し、制御部5が、大腿駆動部1
と下腿駆動部2と足関節駆動部3を制御して訓練者の肢
体を図2で後述する歩行パターンにしたがって動作させ
ることによって、訓練者の前記大腿駆動部1と前記下腿
駆動部2と前記足関節駆動部3の歩行訓練を行うもので
あり、しかも、これと同時に制御部5が足底反力提示手
段4を制御して訓練者の歩行パターン周期に合うように
踵接地から足尖離地のタイミングにあわせて踵から爪先
方向へ順に足底の各部分に反力を与えるようにしてい
る。足底反力提示手段4は後述するように少なくとも2
箇所以上分割しておくのがよい。このようにすることに
より、訓練者の歩行パターン周期における踵接地から足
尖離地のタイミングにあわせて訓練者の踵から爪先方向
へ順に前記足底の各部分に反力を与えることが可能とな
る。DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS A walking training device according to a first embodiment of the present invention will be described with reference to FIG. 1, FIG. 4, and FIG. FIG. 1 is a diagram showing a configuration of a walking training device according to the first embodiment, and FIG. 4 is a diagram showing a first example of a sole reaction force presenting means.
FIG. 5 is a diagram showing a configuration of an embodiment, and FIG. 5 is a diagram showing a sole reaction force presenting method using the sole reaction force presenting means of FIG. In FIG. 1, 1 is a thigh drive for driving the thigh, 2 is a thigh drive for driving the lower leg, 3 is an ankle drive for driving the ankle, 4
Is a sole reaction force presenting means, 5 is a thigh drive unit 1 and a lower leg drive unit 2
And a control unit for controlling the ankle driving unit 3 and the sole reaction force presenting means 4; 6, a force sensor; 7, a trainee's limb; 8, a thigh mounting unit, which mounts a thigh; Department,
Numeral 30 denotes a foot placing table comprising the ankle driving unit 3 and the sole reaction force presenting means 4. 4 and 5, 11
Is a sole plate, 12 is a slider (a sole plate driving mechanism), 13
Is a rubber plate. In order to use the walking training device of the first embodiment, a thigh drive unit 1 that drives the thigh on the thigh of the trainee, a thigh drive unit 2 that drives the thigh on the lower leg of the trainee, The ankle joint drive unit 3 for driving the ankle joint is attached to the ankle joint of the user, and the control unit 5 controls the thigh drive unit 1
By controlling the lower leg driving unit 2 and the ankle driving unit 3 to operate the trainee's limb according to a walking pattern described later with reference to FIG. 2, the trainer's thigh driving unit 1, the lower leg driving unit 2, and the The walking training of the ankle driving unit 3 is performed, and at the same time, the control unit 5 controls the sole reaction force presenting means 4 to separate the foottip from the heel contact so as to match the trainee's walking pattern cycle. The reaction force is applied to each part of the sole in order from the heel to the toe according to the timing of the ground. The plantar reaction force presenting means 4 has at least two
It is better to divide more than the places. By doing in this way, it is possible to apply a reaction force to each part of the sole in order from the heel of the trainee to the toe in accordance with the timing of the heel contact from the heel contact in the walk pattern cycle of the trainee. Become.
【0009】図4は第1実施例における足底反力提示手
段を示す図である。(a)は上面図、(b)は側面図で
ある。上面図から分かるように、第1の実施例による足
底反力提示手段はその足底板11を前後(以後、爪先側
を「前」、踵側を「後」と定義する。)に2分割されて
いる。すなわち、足底板11が中央部で爪先側の前部と
踵側の後部とに2分割されている。また、側面図から分
かるように、各足底板11の裏側にはスライダー12が
取り付けられている。このスライダー12は図8で詳述
の反力提示機構によって足底板11を図4(b)で矢印
方向Aに移動可能とするものである。足底板11はそれ
ぞれ互いに独立して移動可能となっている。また、ゴム
板13が全ての足底板11全体を覆うように設けられ、
足底板11の角が訓練者の足裏に当たっても痛くないよ
うに保護している。そこで、制御部5からIOポート
(図示なし)を介してスライダー12を駆動させること
によって足底板11を移動させゴム板13を介して訓練
者の足底Fに反力を与えるものである。すなわち、スラ
イダー12が上下のゴム板13をともに図で左端に移動
させている状態では訓練者の足底Fには反力が加えられ
ないが、図4(b)のようにスライダー12が上下のゴ
ム板13をともに図で右端に移動させている状態では訓
練者の足底Fには反力が与えられることとなる。FIG. 4 shows the sole reaction force presenting means in the first embodiment. (A) is a top view and (b) is a side view. As can be seen from the top view, the sole reaction force presenting means according to the first embodiment divides the sole plate 11 into front and rear parts (hereinafter, the toe side is defined as "front" and the heel side is defined as "rear"). Have been. That is, the sole plate 11 is divided into two parts at the center, a front part on the toe side and a rear part on the heel side. As can be seen from the side view, a slider 12 is attached to the back side of each sole plate 11. The slider 12 enables the sole plate 11 to move in the direction of arrow A in FIG. 4B by a reaction force presenting mechanism described in detail in FIG. The sole plates 11 are movable independently of each other. Further, the rubber plate 13 is provided so as to cover all the sole plates 11,
Even if the corner of the sole plate 11 hits the sole of the trainee, it is protected from pain. Therefore, by driving the slider 12 from the control unit 5 via an IO port (not shown), the sole plate 11 is moved to give a reaction force to the trainee's sole F via the rubber plate 13. That is, when the slider 12 moves both the upper and lower rubber plates 13 to the left end in the figure, no reaction force is applied to the sole F of the trainee, but as shown in FIG. When the rubber plate 13 is moved to the right end in the figure, a reaction force is applied to the sole F of the trainee.
【0010】図5は足底反力提示手段を用いた各種の足
底反力提示方法を示す図で、(a)は踵接地、(b)は
足底接地と立脚中期、(c)は踵離地と足尖離地、
(d)は遊脚初期と遊脚後期を示す図である。 すなわち、(a)の踵接地において、上下の足底板
12のうち下側(踵側)の足底板12を右側に移動させ
て踵に反力を与え、上側(爪先側)の足底板12は左側
に残して爪先側には反力を与えないようにしている。こ
のときの股関節、膝関節、足関節の関節運動は図3の
(a)の状態にある。これによって、図2のの踵接地
状態がシミュレートされることとなる。 次の(b)の足底接地と立脚中期において、上下の
足底板12をともに右側に移動させることにより、足底
全体に反力を与えるものである。このときの股関節、膝
関節、足関節の関節運動は図3の(b)および(c)の
状態にある。これによって、図2のおよびの状態が
シミュレートされることとなる。 さらに、(c)の踵離地と足尖離地において、
(b)の状態の上下の足底板12のうち下側(踵側)の
足底板12を左側に移動させて踵の反力を解除して足底
先端のみに反力を与えるものである。このときの股関
節、膝関節、足関節の関節運動は図3の(d)および
(e)の状態にある。これによって、図2のおよび
の状態がシミュレートされることとなる。 そして、(d)の遊脚初期と遊脚後期において、
(c)の状態から上の足底板12を左側に移動させて足
底先端の反力をも解除するものである。このときの股関
節、膝関節、足関節の関節運動は図3の(f)および
(g)の状態にある。これによって、図2のおよび
の状態がシミュレートされることとなる。このように、
制御部が、大腿駆動部、下腿駆動部、足関節駆動部、足
底反力提示手段をそれぞれ同期して制御し、踵接地、足
底接地、立脚中期、踵離地、足尖離地、遊足初期および
遊脚後期を繰り返すことにより、訓練者の歩行パターン
周期における踵接地から足尖離地のタイミングにあわせ
て訓練者の踵から爪先方向へ順に前記足底の各部分に反
力を与えることができる。この第1の実施例によれば、
訓練者の大腿と下腿と足の3カ所の関節を歩行タイミン
グで駆動制御する歩行訓練中に、訓練者の足底にも歩行
タイミングに合わせて反力を与えるようにしたので、知
覚−運動連鎖の回復を促進することができる。FIGS. 5A and 5B show various methods for presenting the sole reaction force using the sole reaction force presenting means. FIG. 5A shows the heel contact, FIG. Heel release and foot tip release,
(D) is a figure which shows a free leg early stage and a free leg late stage. That is, in (a) heel contact, the lower (heel side) sole plate 12 of the upper and lower sole plates 12 is moved to the right to apply a reaction force to the heel, and the upper (toe side) sole plate 12 The toe is left on the left side so that no reaction force is applied. At this time, the joint movements of the hip joint, the knee joint, and the ankle joint are in the state shown in FIG. Thereby, the heel contact state of FIG. 2 is simulated. In the next step (b), the sole and the sole plate 12 are moved to the right in the middle of the contact with the sole and the middle of the standing position, thereby giving a reaction force to the entire sole. At this time, the joint motions of the hip joint, the knee joint, and the ankle joint are in the states shown in FIGS. 3B and 3C. This simulates the conditions of and in FIG. Further, in the heel takeoff and the foot tip takeoff in (c),
The lower (heel side) sole plate 12 of the upper and lower sole plates 12 in the state (b) is moved to the left to release the reaction force of the heel and apply the reaction force only to the tip of the sole. At this time, the joint movements of the hip joint, the knee joint, and the ankle joint are in the states of (d) and (e) of FIG. This simulates the conditions of and in FIG. Then, in the early stage and the late stage of (d),
The upper sole plate 12 is moved to the left from the state (c) to release the reaction force at the tip of the sole. At this time, the joint movements of the hip joint, the knee joint, and the ankle joint are in the states shown in (f) and (g) of FIG. This simulates the conditions of and in FIG. in this way,
The control unit controls the thigh drive unit, the crus drive unit, the ankle joint drive unit, and the sole reaction force presenting means in synchronization with each other, and the heel contact, the sole contact, the middle standing, the heel off, the tiptoe off, By repeating the early stage of the free swing and the second half of the free swing, the reaction force is applied to each part of the sole in order from the heel of the trainee to the toe in accordance with the timing of the foot contact separation from the heel contact in the trainee's walking pattern cycle. Can be given. According to this first embodiment,
During walking training in which the trainee's thigh, lower thigh, and foot joints are drive-controlled at the walking timing, a reaction force is also applied to the trainee's sole in accordance with the walking timing. Can promote recovery.
【0011】次に、この発明の第1の実施形態の第2の
実施例における図6および図7に基づいて説明する。図
6は本発明に係る足底反力提示手段の第2実施例の構成
を示す図で、(a)は上面図、(b)は側面図である。
また、図7は図6の足底反力提示手段を用いた足底反力
提示方法を示す図で、(a)は踵接地、(b)は足底接
地と立脚中期、(c)は踵離地、(d)は足尖離地、
(e)は遊脚初期と遊脚後期を示す図である。図6およ
び図7において、11は足底板、11Aは踵反力提示
部、11BはMID FOOT反力提示部、11Cは爪
先反力提示部、12はスライダー、13はゴム板であ
る。図6に示すように、足底反力提示手段4は足底板1
1とスライダー12とゴム板13とより構成されてお
り、足底板11は足底を前後に3分割されており、それ
ぞれ、 踵反力提示部11Aと、 MID FOO
T反力提示部11Bと、 爪先反力提示部11Cと、
から成る。スライダー12はこれらの各足底板11をそ
れぞれ図で左右方向に駆動するものである。ゴム板13
はこれら足底板11の全体を覆っている。そこで、スラ
イダー12によって各足底板11を図7のように駆動す
ることにより、訓練者の歩行パターン周期における踵接
地から爪先離地のタイミングにあわせて訓練者の踵から
爪先方向へ順に足底の踵とMID FOOTと爪先に反
力を与えるものである。Next, a description will be given of a second embodiment of the first embodiment of the present invention with reference to FIGS. FIGS. 6A and 6B are views showing the configuration of a second embodiment of the sole reaction force presenting means according to the present invention, wherein FIG. 6A is a top view and FIG. 6B is a side view.
7A and 7B are diagrams showing a sole reaction force presenting method using the sole reaction force presenting means of FIG. 6, wherein FIG. 7A shows heel contact, FIG. 7B shows sole contact and middle standing, and FIG. Heel off, (d) Foot apex,
(E) is a figure which shows a free leg early stage and a free leg late stage. 6 and 7, reference numeral 11 denotes a sole plate, 11A denotes a heel reaction force presentation unit, 11B denotes a MID FOOT reaction force presentation unit, 11C denotes a toe reaction force presentation unit, 12 denotes a slider, and 13 denotes a rubber plate. As shown in FIG. 6, the sole reaction force presenting means 4 is a sole plate 1
1, a slider 12, and a rubber plate 13, and the sole plate 11 is divided into three parts at the front and rear, and a heel reaction force presenting unit 11 A and a MID FOO are respectively provided.
T reaction force presenting section 11B, toe reaction force presenting section 11C,
Consists of The slider 12 drives each of these sole plates 11 in the left-right direction in the figure. Rubber plate 13
Covers the entire sole plate 11. Then, by driving each sole plate 11 by the slider 12 as shown in FIG. 7, the sole of the trainee is sequentially moved from the trainee's heel to the toe in accordance with the timing of the heel contact and the toe takeoff in the trainee's walking pattern cycle. It gives a reaction force to the heel, MID FOOT and toe.
【0012】図7は訓練者の歩行パターン周期における
踵接地から爪先離地のタイミングにあわせて反力を与え
る順序を示している。まず、(a)の踵接地において、
踵反力提示部11Aにより踵に大きな反力を与える。こ
のとき爪先反力提示部11Cは後退状態にあり爪先には
反力は与えない。(b)の足底接地と立脚中期におい
て、踵反力提示部11A、MID FOOT反力提示部
11B、爪先反力提示部11Cにより足底全体に反力を
与える。(c)の踵離地において、MID FOOT反
力提示部11B、爪先反力提示部11CによりMID
FOOTと爪先に反力を与える。(d)の足尖離地にお
いては、爪先反力提示部11Cにより爪先のみに反力を
与える。そして、(e)の遊脚初期と遊脚後期におい
て、踵反力提示部11A、MIDFOOT反力提示部1
1B、爪先反力提示部11Cはすべて後退位置に退いて
おり、足底全体から反力を除去する。以上のように、制
御部5(図1)が大腿駆動部1、下腿駆動部2、足関節
駆動部3を図3(a)〜(g)のように制御して訓練者
の肢体を図2の〜に沿うような歩行パターンで動作
させると共に、3分割された足底板11(11A、11
B、11C)をそれぞれ踵接地から足尖離地のタイミン
グにあわせて左右方向に移動させるようにしているの
で、訓練者の踵、MID FOOT、爪先へ順に足底の
各部分に反力を与えることができ、実際の歩行に近いき
め細かい訓練が行える。FIG. 7 shows the order in which the reaction force is applied in accordance with the timing of the heel contact and the toe takeoff in the trainee's walking pattern cycle. First, in the heel contact of (a),
A large reaction force is applied to the heel by the heel reaction force presentation unit 11A. At this time, the toe reaction force presenting unit 11C is in the retreat state, and does not apply a reaction force to the toe. In (b), during the contact with the sole and in the middle of standing, a reaction force is applied to the entire sole by the heel reaction force presentation unit 11A, the MID FOOT reaction force presentation unit 11B, and the toe reaction force presentation unit 11C. In the heel take-off of (c), the MID FOOT reaction force presenting unit 11B and the toe reaction force presenting unit 11C perform MID
Apply reaction force to FOOT and toe. In the foot tip takeoff in (d), the toe reaction force presenting unit 11C applies a reaction force only to the toe. (E) In the early stage and the late stage of the free leg, the heel reaction force presenting unit 11A and the MIDFOOT reaction force presenting unit 1 are provided.
1B, the toe reaction force presenting section 11C has all retreated to the retracted position, and removes the reaction force from the entire sole. As described above, the control unit 5 (FIG. 1) controls the thigh drive unit 1, the lower leg drive unit 2, and the ankle joint drive unit 3 as shown in FIGS. In addition, the foot plate 11 is operated in a walking pattern along the line 2 to 3 and is divided into three parts.
B, 11C) are moved in the left-right direction in accordance with the timing of the heel contact from the heel contact to the tip of the foot, so that a reaction force is applied to each part of the sole in order to the trainee's heel, MID FOOT, and toe. Can perform detailed training close to actual walking.
【0013】図8および図9は足底反力提示手段4に具
体的な反力を発生させる足底反力発生機構を示すもので
ある。図8はモータとカムとピストンによる足底反力発
生機構を示すものである。図8において、11は足底
板、13はゴム板、14はモータ、15はピストン、1
6はカムである。図8に示すように、ピストン15の一
端(図で左端)はカム16の上に摺動し、他端(図で右
端)は足載置台内の足底板11に固定されている。ピス
トン15は常時、カム16側に付勢されている。そこ
で、駆動部4(図1)に備えられたIOポート(図示な
し。)を介してモータ14を回転させてモータシャフト
に固定のカム16を回転させると、このカム16の上を
摺動するピストン15によって、このピストン15の他
端に固定の足底板11を作動し、図で右方向に位置を移
動することとなり、ゴム板13の上に足を置いている訓
練者はその足裏に反力を受けることとなる。したがっ
て、踵接地から足尖離地のタイミングにあわせて踵から
爪先方向へ順に足底の各部分に反力を与えることによ
り、実際に歩行をしているのと同じ反力を訓練者の足裏
が受けることとなる。FIGS. 8 and 9 show a sole reaction force generating mechanism for causing the sole reaction force presenting means 4 to generate a specific reaction force. FIG. 8 shows a sole reaction force generating mechanism using a motor, a cam, and a piston. 8, 11 is a sole plate, 13 is a rubber plate, 14 is a motor, 15 is a piston, 1
6 is a cam. As shown in FIG. 8, one end (the left end in the figure) of the piston 15 slides on the cam 16, and the other end (the right end in the figure) is fixed to the sole plate 11 in the footrest. The piston 15 is always urged toward the cam 16. Then, when the motor 14 is rotated through an IO port (not shown) provided in the drive unit 4 (FIG. 1) to rotate the cam 16 fixed to the motor shaft, the cam 16 slides on the cam 16. With the piston 15, the sole plate 11 fixed to the other end of the piston 15 is actuated, and the position is moved rightward in the figure, so that the trainee placing his foot on the rubber plate 13 You will receive a reaction force. Therefore, by applying a reaction force to each part of the sole in order from the heel to the toe in accordance with the timing of the heel contact and the foot tip separation, the same reaction force as actually walking can be obtained. The back will receive.
【0014】図9は空気圧による足底反力発生機構を示
すものである。図9において、11は足底板、13はゴ
ム板、17は突起部、18は空気圧チューブである。図
9に示すように、足底板11は足載置台内の空間内にそ
れぞれ配設され、空気圧チューブ18が加圧されると足
底板11はゴム板13側に付勢され、減圧されると反ゴ
ム板13側に付勢される。そこで、図9に示すように、
空気圧チューブ18に空気を送り込むと、突起部17を
備えた足底板11を作動し、図で右方向に位置を移動す
ることとなり、ゴム板13の上に足を置いている訓練者
はその足裏に反力を受けると共に突起部17による強い
刺激を受けることとなる。したがって、踵接地から足尖
離地のタイミングにあわせて踵から爪先方向へ順に足底
の各部分に反力を与えることにより、実際に歩行をして
いるのと同じ反力と刺激を訓練者の足裏が受けることと
なる。FIG. 9 shows a sole reaction force generating mechanism by air pressure. In FIG. 9, 11 is a sole plate, 13 is a rubber plate, 17 is a projection, and 18 is a pneumatic tube. As shown in FIG. 9, the sole plates 11 are respectively disposed in the spaces in the footrests, and when the pneumatic tubes 18 are pressurized, the sole plates 11 are urged toward the rubber plate 13 and when the pressure is reduced, It is urged toward the anti-rubber plate 13 side. Therefore, as shown in FIG.
When air is supplied to the pneumatic tube 18, the sole plate 11 provided with the projections 17 is actuated, and moves to the right in the figure. It receives a reaction force on the back and receives a strong stimulus from the projection 17. Therefore, by applying a reaction force to each part of the sole in order from the heel to the toe in accordance with the timing of the heel contact and the tip off, the trainee receives the same reaction force and stimulus as actually walking. Of the foot will be received.
【0015】次に、踵接地から足尖離地以降までのタイ
ミングについて、図2および図3に基づいて説明する。
図2は健常者の歩行周期の股関節、膝関節および足関節
の関節運動と歩行パターンを示す図、図3は本実施例の
歩行パターンの実現を示す図である。図2において、健
常者の歩行周期は、通常、踵接地、足底接地、立
脚中期、踵離地、足尖離地、遊脚初期、および
遊脚後期の股関といったように、関節運動と歩行パター
ンを示す。 踵接地において、股関節は最大屈曲位となり以後伸展
していき、膝関節はほぼ完全伸展し以後屈曲していき、
足関節は背屈位から底屈していく。 足底接地において、股関節は伸展していき、膝関節は
屈曲していき、足関節は底屈位(約10°)となる。 立脚中期において、股関節は伸展していき、膝関節は
立脚期での最大屈曲位(約20°)となり、足関節は背
屈していく。 踵離地において、股関節は最大伸展位(約10°)と
なり、膝関節は伸展から屈曲に変わっていき、足関節は
最大背屈位(約10°)となり以後は底屈していく。 足尖離地において、股関節は屈曲に向かい、膝関節は
屈曲に向かい、足関節は最大底屈位(約20°)とな
る。 遊脚初期において、股関節は加速しながら屈曲してい
き、膝関節は最大約60°まで屈曲していき、足関節は
背屈していく。 遊脚後期において、股関節は減速しながら屈曲してい
き、膝関節は伸展していき、足関節は背屈位を保つ。 このように、健常者の歩行時には、上記踵接地、足底接
地、立脚中期、踵離地、足尖離地、遊脚初期および遊脚
後期が繰り返される。Next, the timing from when the heel touches the ground to when the foot is separated from the foot will be described with reference to FIGS.
FIG. 2 is a diagram showing the joint movements and walking patterns of the hip, knee, and ankle joints in the walking cycle of a healthy person, and FIG. 3 is a diagram showing the realization of the walking pattern of the present embodiment. In FIG. 2, the walking cycle of a healthy person is usually joint movement with heel contact, sole contact, middle stance, heel off, apex off, early swing, and hip swing in late swing. 3 shows a walking pattern. At heel contact, the hip joint becomes the maximum flexion position and extends thereafter, and the knee joint almost completely extends and flexes thereafter,
The ankle joints flex from the dorsiflexion position. When the sole touches the ground, the hip joint extends, the knee joint flexes, and the ankle joint is in a plantar flexion position (about 10 °). In the middle of the stance phase, the hip joint extends, the knee joint reaches the maximum flexion position (about 20 °) in the stance phase, and the ankle joint dorsiflexes. At heel takeoff, the hip joint is in the maximum extension position (approximately 10 °), the knee joint is changing from extension to flexion, and the ankle joint is in the maximum dorsiflexion position (approximately 10 °) and thereafter flexes plantarflexion. At an apex takeoff, the hip joint is toward flexion, the knee joint is toward flexion, and the ankle joint is in maximum plantar flexion (about 20 °). In the early stage of the free leg, the hip joint accelerates and bends, the knee joint bends up to about 60 °, and the ankle joint dorsiflexes. In the latter half of the swing leg, the hip joint flexes while decelerating, the knee joint extends, and the ankle maintains a dorsiflexion position. As described above, when a healthy person walks, the above-mentioned heel contact, sole contact, middle stance, heel takeoff, foot tip takeoff, early swing and late swing are repeated.
【0016】図3は制御部が、大腿駆動部、下腿駆動
部、足関節駆動部を制御し上記歩行パターンを実現した
図である。(a)は踵接地、(b)は足底接地、(c)
は立脚中期、(d)は踵離地、(e)は足尖離地、
(f)は遊脚初期、(g)は遊脚後期を実現した図であ
る。そこで、図1の歩行訓練装置を用いる訓練者は、そ
の大腿駆動部1を装着し、その下腿に下腿駆動部2を装
着し、その足関節に足関節駆動部3を装着すると、足関
節駆動部3の裏側に設けられた足底反力提示手段4が訓
練者の足底に所定のタイミングで図3に記載の反力を与
えることができるようになる。歩行訓練時において、制
御部が大腿駆動部、下腿駆動部、足関節駆動部を制御
し、踵接地、足底接地、立脚中期、踵離地、足尖離地、
遊脚初期および遊脚後期を繰り返す。また、力センサに
より訓練者の発生する力を検出し、制御部が大腿駆動部
と下腿駆動部をメカニカルインピーダンス制御して、歩
行訓練時に訓練者に無理な負荷がかからないようにす
る。この実施の形態によれば、前記制御部5が、訓練者
の肢体7を踵接地、足底接地、立脚中期、踵離地、足尖
離地、遊脚初期、遊脚後期を繰り返す歩行パターンで動
作させるように前記大腿駆動部1と前記下腿駆動部2と
前記足関節駆動部3と前記足底反力提示手段4とをそれ
ぞれ同期させて制御し、前記歩行パターンの踵接地のタ
イミングで踵に反力を与え、前記歩行パターンの足底接
地と立脚中期のタイミングで足底全体に反力を与え、前
記歩行パターンの踵離地のタイミングで足底の中央部分
から爪先に反力を与え、前期歩行パターンの足尖離地の
タイミングで爪先に反力を与え、遊脚初期と遊脚後期の
タイミングで足底に反力を与えないことにより、訓練者
の踵接地、足底接地、立脚中期、踵離地、足尖離地、遊
脚初期および遊脚後期を繰り返す歩行パターン周期にお
ける踵接地から足尖離地のタイミングにあわせて訓練者
の踵から爪先方向へ順に前記足底の各部分に反力を与え
ることで、知覚−運動連鎖の回復を促進することができ
る。FIG. 3 is a diagram in which the control unit controls the thigh drive unit, the crus drive unit, and the ankle joint drive unit to realize the above-described walking pattern. (A) is heel contact, (b) is sole contact, (c)
Is the middle stance, (d) is the heel off, (e) is the apex off,
(F) is a diagram which realized the early stage of the free leg, and (g) is a diagram which realized the second stage of the free leg. Therefore, a trainee using the walking training apparatus shown in FIG. 1 wears the thigh drive unit 1, the lower leg drive unit 2 and the ankle joint drive unit 3, and the ankle joint drive unit. The sole reaction force presenting means 4 provided on the back side of the part 3 can apply the reaction force shown in FIG. 3 to the trainee's sole at a predetermined timing. At the time of walking training, the control unit controls the thigh drive unit, the lower leg drive unit, the ankle joint drive unit, the heel contact, the sole contact, the middle stance, the heel off, the tiptoe off,
The early swing stage and the late swing stage are repeated. Further, the force sensor detects the force generated by the trainee, and the control unit controls the thigh drive unit and the lower leg drive unit with mechanical impedance so that an unreasonable load is not applied to the trainee during walking training. According to this embodiment, the control unit 5 causes the limb 7 of the trainee to repeat the heel contact, the sole contact, the middle stance, the heel off, the heel off, the free swing initial, and the late free swing. The thigh drive unit 1, the crus drive unit 2, the ankle joint drive unit 3, and the sole reaction force presenting means 4 are controlled in synchronization with each other so as to operate at the timing of the heel contact of the walking pattern. A reaction force is applied to the heel, a reaction force is applied to the entire sole at the timing of the foot contact with the foot of the walking pattern and the middle stage of the standing, and a reaction force is applied to the toe from the center of the sole at the timing of the heel take-off of the walking pattern. Giving a reaction force to the toe at the timing of the foot-to-foot separation in the first-half walking pattern, and not giving a reaction force to the sole at the timing of the initial and later stages of the swing leg, so that the trainer's heel contact and sole contact , Middle stance, heel off, foot apex, early swing and late swing By applying a reaction force to each part of the sole in the direction from the heel of the trainee to the toe in accordance with the timing of the heel contact and the tip off from the heel in the repetitive walking pattern cycle, to promote the recovery of the perception-motor chain. Can be.
【0017】次に、この発明の歩行訓練装置において、
身長、体重、年齢等の統計的なデータから足底に加わる
反力Fz(体重の鉛直方向力)を推定する足底反力提示
手段4について、図10〜図13に基づいて説明する。
この実施の形態の歩行訓練装置は、前記制御部5が、身
長、体重、年齢等の統計的なデータから足底に加わる反
力Fz(体重の鉛直方向力)を推定し、前記足底反力提
示手段4を用いて、訓練者の歩行パターン周期における
踵接地から足尖離地のタイミングにあわせて訓練者の踵
から爪先方向へ順に前記足底の各部分に反力を与えるこ
とである。図10は、健常者が歩行した場合の代表的床
反力の時間推移パターン例(体重の鉛直方向の床反力)
を示す図である。床反力は体重で基準化されている。図
10において、例えばRは右足、Lは左足の受ける反力
である。右足Rに体重がのっている間は左足Lには体重
がのらず、その移行時に徐々に右足Rから左足Lに体重
が移動する様子が分かる。また、右足Rについて見てみ
ると、右足Rに体重が移行した直後の0.2秒の時体重
の1.20倍もの最高反力を右足Rが受けることが分か
る。そして、右足Rに体重が移行した後の0.4秒の
時、体重の0.80倍の反力となり、その0.2秒後に
体重の1.00倍の反力となった後、急減する様子が分
かる。これはまた、左足についても、同じ傾向があるこ
とが分かる。Next, in the walking training device of the present invention,
The sole reaction force presenting means 4 for estimating the reaction force Fz (vertical force of body weight) applied to the sole from statistical data such as height, weight, and age will be described with reference to FIGS.
In the walking training device according to this embodiment, the control unit 5 estimates the reaction force Fz (vertical force of weight) applied to the sole from statistical data such as height, weight, and age, and Using the force presenting means 4 to apply a reaction force to each part of the sole in order from the heel of the trainee to the toe in accordance with the timing of the heel contact and the foot tip separation in the trainee's walking pattern cycle. . FIG. 10 is an example of a temporal transition pattern of a typical floor reaction force when a healthy person walks (vertical floor reaction force of body weight).
FIG. Floor reaction force is normalized by body weight. In FIG. 10, for example, R is a reaction force received by the right foot and L is a reaction force received by the left foot. While the weight is on the right foot R, the left foot L has no weight, and it can be seen that the weight gradually shifts from the right foot R to the left foot L during the transition. Looking at the right foot R, it can be seen that the right foot R receives a maximum reaction force of 1.20 times the weight at 0.2 seconds immediately after the weight shifts to the right foot R. Then, at 0.4 seconds after the weight shifts to the right foot R, the reaction force becomes 0.80 times the body weight, and 0.2 seconds later, the reaction force becomes 1.00 times the body weight, and suddenly decreases. You can see how it works. It can also be seen that the same tendency exists for the left foot.
【0018】図11は、人間の足跡図に歩行時の作用点
軌跡を重ねた図である。図において、右足Rに体重が移
行した直後の0.1秒で踵(HEEL)部に作用点があ
り、0.2秒で土踏まず(MID FOOT)部下端
に、0.3秒でMID FOOT部中央に、0.4秒で
MID FOOT部上端に、その後0.5秒〜0.8秒
でMP部の外側から内側に移り、爪先へと移行すること
が分かる。このように、図11からは右足Rに体重が移
行した後の何秒後に右足のどの部分に作用点があるかが
分かるので、これと図10とを組み合わせることによ
り、どの時点で足裏のどの部分にどの位の反力を与えれ
ば、歩行と同じ状態をシミュレートできるかが分かるこ
ととなる。すなわち、右足Rに体重が移行した直後の
0.1秒で踵(HEEL)部に体重の0.5倍を与え、
0.2秒で土踏まず(MID FOOT)部下端に体重
の1.20倍を与え、0.3秒でMID FOOT部中
央に体重の0.8倍を与え、0.5秒でMP部の外側に
体重の1.0倍を与えればよいことが分かる。FIG. 11 is a diagram in which a locus of action point during walking is superimposed on a human footprint. In the figure, there is an action point in the heel (HEEL) portion at 0.1 second immediately after the weight shifts to the right foot R, an arch (MID FOOT) lower end at 0.2 second, and a MID FOOT portion at 0.3 second. It can be seen that at the center, the upper part of the MID FOOT part is moved in 0.4 seconds, then from the outside to the inner part of the MP part in 0.5 to 0.8 seconds, and then to the toe. In this way, from FIG. 11, it is possible to know which part of the right foot has an action point after the shift of the weight to the right foot R, and by combining this with FIG. It will be understood how much reaction force is applied to which part to simulate the same state as walking. That is, 0.5 times the weight is given to the heel (HEEL) part 0.1 seconds immediately after the weight shifts to the right foot R,
Give 0.20 times the weight to the bottom of the (MID FOOT) part in 0.2 seconds, give 0.8 times the weight to the center of the MID FOOT part in 0.3 seconds, and outside the MP part in 0.5 seconds It is understood that it is only necessary to give 1.0 times the body weight to.
【0019】図12(a)は、歩行中の足底を8分割し
たそれぞれの部位の最大ピーク足底圧の平均値と標準偏
差を示す図で、縦軸は圧力(g/cm2)で、横軸は8
分割部位である。図を見れば、足底を8分割したそれぞ
れの部位にどれくらいの足底圧を与えればよいかが分か
る。例えば、HEEL部は400〜600(g/c
m 2)の圧力がかかり、その平均値は500(g/c
m2)であり、標準偏差は100(g/cm2)である。
図12(b)は足底の8分割の具体例である。図におい
て、足の長さ方向に踵部から爪先に向けて順に、HEE
L(踵)部、MIT FOOT(土踏まず)部、MP
部、足指(足趾)部と、大きく4分割され、さらに、M
P部、足指部につき、内側・中間・外側と3分割され、
合計で8分割されている。図12(c)は図12(b)
の足底の8分割に合わせて足底に配置された足底板であ
る。図において、HはHEEL部の足底板、MFはMI
T FOOTの足底板、MPIはMP部内側の足底板、
MPMはMP部中間の足底板、MPOはMP部外側の足
底板、FIは足指部内側の足底板、FMは足指部中間の
足底板、FOは足指部外側の足底板を表している。これ
らの各足底板に、図12(a)で示されているそれぞれ
の圧力を図11で示されているそれぞれのタイミングで
与えるようにすればよい。FIG. 12 (a) shows that the sole during walking is divided into eight parts.
Mean peak sole pressure and standard deviation
In the figure showing the difference, the vertical axis represents the pressure (g / cmTwo) And the horizontal axis is 8
It is a division site. If you look at the figure, each of the soles is divided into eight
Know how much sole pressure you need to apply to these areas
You. For example, the HEEL part is 400 to 600 (g / c).
m Two) Is applied, and the average value is 500 (g / c).
mTwo) And the standard deviation is 100 (g / cmTwo).
FIG. 12B shows a specific example of dividing the sole into eight parts. Figure smell
HEE in order from the heel to the toe along the length of the foot
L (heel) part, MIT FOOT (arch) part, MP
Part, toe (toe) part, is roughly divided into four parts.
For the P part and toe part, it is divided into 3 parts inside, middle and outside,
It is divided into eight in total. FIG. 12C shows FIG.
A sole plate placed on the sole according to the eight divisions of the sole
You. In the figure, H is the sole plate of the HEEL part, MF is MI
T FOOT sole plate, MPI is the sole plate inside the MP part,
MPM is the sole in the middle of the MP, MPO is the foot outside the MP
Bottom plate, FI is the sole plate inside the toe, FM is the middle of the toe
The sole plate and FO represent the sole plate outside the toe. this
Each of the sole plates shown in FIG.
At the respective timings shown in FIG.
You should give it.
【0020】図13は20歳代(a)と70歳代(b)
の裸足歩行における典型的な床反力波形例(体重の鉛直
方向の床反力)である。時間、床反力は各々の歩行の1
周期と体重で基準化されている。図13(a)におい
て、Rは例えば20歳代の若者の右足、Lは左足の受け
る反力である。右足Rについて見てみると、右足Rに体
重が移行した後の歩行周期15%辺りで体重の1.20
倍近くの最高反力を右足Rが受け、30%秒で、体重の
0.80倍の反力となり、その後45%辺りで体重の
1.10倍の反力となった後、急減する様子が分かる。
これはまた、左足についても、同じ傾向があることが分
かる。一方、70歳代の人の(b)において、右足R
は、右足Rに体重が移行した後の歩行周期15%辺りで
体重の1.0倍近くの最高反力を右足Rが受けその後あ
まり大きな変動なく推移したあと急減する様子が分か
る。これはまた、左足についても、同じ傾向があること
が分かる。このように、年齢によって足底の受ける反力
が変化することが分かる。そこで、制御部が、上記訓練
者の身長、体重、年齢等の統計的なデータ、歩行時の代
表的床反力の時間推移パターン例、および人間の足跡図
に歩行時の作用点軌跡を重ねた図を基に、足底に加わる
反力Fz(体重の鉛直方向力)を推定し、足底が前後に
少なくとも2分割された(図6では3分割された)踵反
力提示部11A、MID FOOT反力提示部11B、
爪先反力提示部11Cから構成された足底反力提示手段
を用いて、訓練者の歩行パターン周期における踵接地か
ら足尖離地のタイミングにあわせて訓練者の踵、MID
FOOT、爪先へ順に反力を与えることで、歩行パタ
ーンの踵接地、足底接地、立脚中期、踵離地および足尖
離地にあわせて訓練者に適した足底反力を与えることが
できることとなる。この実施の形態によれば、訓練者の
身長、体重、年齢等に応じた最適な歩行パターンに従っ
た足底反力を訓練者の足底に与えることができる。FIG. 13 shows a person in his twenties (a) and a person in his seventies (b).
5 is a typical floor reaction force waveform example (vertical floor reaction force of body weight) in barefoot walking. Time, floor reaction force is one of each walking
It is normalized by cycle and weight. In FIG. 13 (a), R is a right foot of a young person in his twenties, and L is a reaction force received by a left foot. Looking at the right foot R, the weight is 1.20 of the walking cycle around 15% after the weight is transferred to the right foot R.
The right foot R receives almost twice the maximum reaction force, and in 30% seconds, the reaction force becomes 0.80 times the body weight, and then after 45%, the reaction force becomes 1.10 times the body weight, and then drops sharply. I understand.
It can also be seen that the same tendency exists for the left foot. On the other hand, in FIG.
It can be seen that the right foot R receives a maximum reaction force of nearly 1.0 times the body weight in a walking cycle of about 15% after the weight is transferred to the right foot R, and thereafter changes without much change, and then rapidly decreases. It can also be seen that the same tendency exists for the left foot. Thus, it can be seen that the reaction force received by the sole changes depending on the age. Therefore, the control unit superimposes the action point trajectory during walking on the statistical data of the height, weight, age, etc. of the trainee, an example of a time transition pattern of a typical floor reaction force during walking, and a human footprint map. The reaction force Fz (vertical force of body weight) applied to the sole is estimated based on the figure, and the sole is divided into at least two parts (the three parts in FIG. 6) of the heel reaction force presenting unit 11A, MID FOOT reaction force presenting unit 11B,
Using the sole reaction force presenting means constituted by the toe reaction force presenting unit 11C, the trainee's heel, MID,
By applying the reaction force to the FOOT and the toe sequentially, it is possible to provide a plantar reaction force suitable for the trainer in accordance with the walking pattern of the heel contact, the sole contact, the middle stance, the heel off, and the apex off. Becomes According to this embodiment, a plantar reaction force according to an optimal walking pattern according to the height, weight, age, etc. of the trainee can be applied to the trainee's sole.
【0021】この発明の第2の実施形態における歩行訓
練装置について図14に基づいて説明する。図14にお
いて、1は大腿を駆動する大腿駆動部、2は下腿を駆動
する下腿駆動部、3は足関節を駆動する足関節駆動部、
8は大腿を装着する大腿装着部、9は下腿を装着する下
腿装着部、4は足底反力提示手段、6は力センサ、7は
訓練者の肢体、5は大腿駆動部1、下腿駆動部2、足関
節駆動部3、および足底反力提示手段4を制御する制御
部、11は足底板、11Aは踵反力提示部、11BはM
ID FOOT反力提示部、11Cは爪先反力提示部、
12はスライダー、13はゴム板、19は視覚提示手
段、20は聴覚提示手段、21は振動提示手段である。
視覚提示手段19はCRTデイスプレィや液晶デイスプ
レィなどであり、ここに訓練者の歩行パターン周期にお
ける踵接地、足底接地、立脚中期、踵離地、足尖離地、
遊脚初期および遊脚後期のタイミング、足底が接地して
いる時間を表示するものである。聴覚提示手段20は音
声表示装置、ブザー、音楽、チャイムなどであり、同じ
く、訓練者の歩行パターン周期における踵接地、足底接
地、立脚中期、踵離地、足尖離地、遊脚初期および遊脚
後期のタイミング、足底が接地している時間を音声で伝
えたり、ブザーや音楽、チャイムの音色・断続周期・音
の高低など予め決められたとおりにしたがって、鳴動さ
せるものである。振動手段21は振動発生器を用いるも
ので、同じく、訓練者の歩行パターン周期における踵接
地、足底接地、立脚中期、踵離地、足尖離地、遊脚初期
および遊脚後期のタイミング、足底が接地している時間
を振動の断続周期・振幅の高低など予め決められたとお
りにしたがって振動させるものである。そこで、前記制
御部5が、画像提示する視覚提示手段19、音を提示す
る聴覚提示手段20及び振動を提示する振動手段21の
いずれか1つ以上を用いて、訓練者の歩行パターン周期
における踵接地、足底接地、立脚中期、踵離地、足尖離
地、遊脚初期および遊脚後期のタイミング、足底が接地
している時間を訓練者へ提示するようにするので、訓練
者が自分の立位バランスを認識しつつ訓練を行うことが
できるため、立位バランスの回復を促進することができ
る。A walking training device according to a second embodiment of the present invention will be described with reference to FIG. In FIG. 14, 1 is a thigh drive unit that drives the thigh, 2 is a lower leg drive unit that drives the lower leg, 3 is an ankle drive unit that drives the ankle joint,
Reference numeral 8 denotes a thigh mounting portion for mounting a thigh; 9, a lower leg mounting portion for mounting a lower leg; 4, a sole reaction force presenting means; 6, a force sensor; 7, a limb of a trainee; 5, a thigh driving unit 1; A control section for controlling the section 2, the ankle driving section 3, and the sole reaction force presenting means 4; 11, a sole plate; 11A, a heel reaction force presenting section;
ID FOOT reaction force presenting section, 11C is a toe reaction force presenting section,
12 is a slider, 13 is a rubber plate, 19 is visual presentation means, 20 is auditory presentation means, and 21 is vibration presentation means.
The visual presentation means 19 is a CRT display, a liquid crystal display, or the like, and includes a heel contact, a sole contact, a middle stance, a heel off, a heel off, and a heel contact in a trainee's walking pattern cycle.
The timing of the early stage and the late stage of the free leg, and the time during which the sole touches the ground are displayed. The auditory presentation means 20 is a voice display device, a buzzer, music, a chime, and the like. Similarly, the heel contact, the sole contact, the middle stance, the heel off, the heel off, the apex release, and The timing of the latter half of the swing leg and the time during which the sole touches the ground are communicated by voice, and the buzzer, music, and chime are sounded according to a predetermined color such as timbre, intermittent cycle, and pitch. The vibration means 21 uses a vibration generator, and similarly, the timing of the heel contact, the sole contact, the middle stance, the heel off, the tiptoe off, the free leg early and the late free leg in the trainee's walking pattern cycle, The time during which the sole is in contact with the ground is vibrated in accordance with a predetermined period such as the intermittent period of vibration and the amplitude. Therefore, the control unit 5 uses at least one of the visual presenting means 19 for presenting an image, the auditory presenting means 20 for presenting a sound, and the vibrating means 21 for presenting a vibration, and the heel in the trainee's walking pattern cycle. The trainee should be presented with the ground contact, sole contact, middle stance, heel off, apex off, timing of early and late swing, and time of sole contact. Since training can be performed while recognizing the standing balance, recovery of the standing balance can be promoted.
【0022】この発明の第3の実施形態における歩行訓
練装置について図15に基づいて説明する。図15にお
いて、1は大腿を駆動する大腿駆動部、2は下腿を駆動
する下腿駆動部、3は足関節を駆動する足関節駆動部、
8は大腿を装着する大腿装着部、9は下腿を装着する下
腿装着部、4は足底反力提示手段、6は力センサ、7は
訓練者の肢体、5は大腿駆動部1、下腿駆動部2、足関
節駆動部3、および足底反力提示手段4を制御する制御
部、11は足底板、12はスライダー、13はゴム板で
ある。前記大腿駆動部1と、前記下腿駆動部2と、前記
足関節駆動部3と、前記足底反力提示手段4とをそれぞ
れ2つずつ備え、両脚で歩行訓練を行い、訓練者の歩行
パターン周期における踵接地から足尖離地のタイミング
にあわせて訓練者の踵から爪先方向へ順に前記足底の各
部分に反力を与えるものである。制御部5が大腿駆動部
1、下腿駆動部2、足関節駆動部3、および足底反力提
示手段4とをそれぞれ2つずつ制御して訓練者の肢体を
歩行パターン10で動作させ、かつ訓練者の歩行パター
ン周期において、制御部に備えられたIOポートを介し
て足底反力提示手段を作動し、踵接地から足尖離地のタ
イミングにあわせて踵から爪先方向へ順に足底の各部分
に反力を与える。この実施の形態の歩行訓練装置によれ
ば、前記大腿駆動部1と、前記下腿駆動部2と、前記足
関節駆動部3と、前記足底反力提示手段4とをそれぞれ
2つずつ備え、両脚で歩行訓練を行い、訓練者の歩行パ
ターン周期における踵接地から足尖離地のタイミングに
あわせて訓練者の踵から爪先方向へ順に前記足底の各部
分に反力を与えることで、両脚を用いて歩行を模擬した
訓練を同時にすることができる。A walking training device according to a third embodiment of the present invention will be described with reference to FIG. In FIG. 15, 1 is a thigh drive unit that drives the thigh, 2 is a lower leg drive unit that drives the lower leg, 3 is an ankle drive unit that drives the ankle joint,
Reference numeral 8 denotes a thigh mounting portion for mounting a thigh; 9, a lower leg mounting portion for mounting a lower leg; 4, a sole reaction force presenting means; 6, a force sensor; 7, a limb of a trainee; 5, a thigh driving unit 1; A control unit that controls the unit 2, the ankle joint driving unit 3, and the sole reaction force presenting means 4, 11 is a sole plate, 12 is a slider, and 13 is a rubber plate. The thigh driving unit 1, the lower leg driving unit 2, the ankle driving unit 3, and the sole reaction force presenting unit 4 are provided two each, and a walking training is performed with both legs, and a trainee's walking pattern A reaction force is applied to each portion of the sole in order from the heel of the trainee to the toe in accordance with the timing of the heel contact with the foot to the ground in the cycle. The control unit 5 controls the thigh drive unit 1, the lower leg drive unit 2, the ankle joint drive unit 3, and the sole reaction force presenting means 4 by two each so that the limb of the trainee operates in the walking pattern 10, and In the walking pattern cycle of the trainee, the sole reaction force presenting means is operated via the IO port provided in the control unit, and the sole of the sole is sequentially moved from the heel to the toe in accordance with the timing of the heel contact and the foot tip separation. Apply a reaction force to each part. According to the walking training device of this embodiment, the thigh drive unit 1, the crus drive unit 2, the ankle drive unit 3, and the sole reaction force presenting means 4 are provided two each. By performing walking training with both legs, by applying a reaction force to each part of the sole in order from the heel of the trainee to the toes in accordance with the timing of the heel contact and foot tip separation in the trainee's walking pattern cycle, The training which simulates walking can be performed at the same time.
【0023】[0023]
【発明の効果】以上のように、請求項1〜5記載の歩行
訓練装置によれば、少なくとも2分割して訓練者の足底
に反力を与える足底反力提示手段4を備えることで、に
よれば、訓練者の歩行パターン周期における踵接地から
足尖離地のタイミングにあわせて訓練者の踵から爪先方
向へ順に前記足底の踵とMID FOOTと爪先に反力
を与えることで、歩行訓練時の踵とMID FOOTと
爪先に模擬的に床反力を与えることができる。請求項6
記載の歩行訓練装置によれば、訓練者の歩行パターン周
期における踵接地から足尖離地のタイミングにあわせて
訓練者の踵から爪先方向へ順に前記足底の各部分に反力
を与えることで、歩行パターンの立脚期に同期させて足
底の各部分に反力を与えることができる。請求項7記載
の歩行訓練装置によれば、前記制御部5が訓練者の身
長、体重、年齢等に即した足底反力を与えることができ
る。請求項8記載の歩行訓練装置によれば、画像を提示
する視覚提示手段19、音を提示する聴覚提示手段20
及び振動を提示する振動手段21のいずれか1つ以上を
用いることで、訓練者は自分の立位バランスを認識しつ
つ訓練を行うことができるため、立位バランスの回復を
促進することができる。請求項9記載の歩行訓練装置に
よれば、両脚を用いて歩行を模擬した訓練を同時にする
ことができる。As described above, according to the walking training apparatus according to the first to fifth aspects, the plantar is provided with the sole reaction force presenting means 4 for applying a reaction force to the sole of the trainee by dividing the at least two parts. According to the above, by applying a reaction force to the heel of the sole, the MID FOOT, and the toe in order from the heel of the trainee to the toe in accordance with the timing of the heel contact and the tiptoe takeoff in the trainee's walking pattern cycle. The floor reaction force can be imitated to the heel, the MID FOOT, and the toe during walking training. Claim 6
According to the walking training device described, by applying a reaction force to each portion of the sole in order from the heel of the trainee to the toe in accordance with the timing of the foot heel contact from the heel contact in the trainee's walking pattern cycle. In addition, a reaction force can be applied to each part of the sole in synchronization with the standing phase of the walking pattern. According to the walking training device of the seventh aspect, the control unit 5 can give a sole reaction force according to the height, weight, age, etc. of the trainee. According to the walking training device of the eighth aspect, the visual presenting means 19 for presenting an image and the auditory presenting means 20 for presenting a sound.
By using any one or more of the vibration means 21 for presenting the vibration and the vibration, the trainee can perform the training while recognizing his or her standing balance, and thus the recovery of the standing balance can be promoted. . According to the gait training device according to the ninth aspect, it is possible to simultaneously perform training simulating walking using both legs.
【図1】本発明の第1の実施の形態における歩行訓練装
置の構成を示す図である。である。FIG. 1 is a diagram illustrating a configuration of a walking training device according to a first embodiment of the present invention. It is.
【図2】健常者の歩行周期の股関節、膝関節および足関
節の関節運動と歩行パターンを示す図である。FIG. 2 is a diagram showing a joint motion and a walking pattern of a hip joint, a knee joint, and an ankle joint in a walking cycle of a healthy person.
【図3】本発明による歩行パターンの実現を示す図であ
る。FIG. 3 is a diagram showing the realization of a walking pattern according to the present invention.
【図4】本発明による足底反力提示手段の第1実施例を
示す図である。FIG. 4 is a view showing a first embodiment of a sole reaction force presenting means according to the present invention.
【図5】図4の足底反力提示手段を用いた足底反力提示
方法を示す図である。FIG. 5 is a diagram showing a sole reaction force presenting method using the sole reaction force presenting means of FIG. 4;
【図6】本発明による足底反力提示手段の第2実施例を
示す図である。FIG. 6 is a view showing a second embodiment of a sole reaction force presenting means according to the present invention.
【図7】図6の足底反力提示手段を用いた足底反力提示
方法を示す図である。FIG. 7 is a diagram showing a sole reaction force presenting method using the sole reaction force presenting means of FIG. 6;
【図8】足底反力提示手段4に反力を発生させる足底反
力発生機構の第1実施例を示すものである。FIG. 8 shows a first embodiment of a sole reaction force generating mechanism for generating a reaction force in the sole reaction force presenting means 4;
【図9】足底反力提示手段4に反力を発生させる足底反
力発生機構の第2実施例を示すものである。FIG. 9 shows a second embodiment of a sole reaction force generating mechanism for generating a reaction force in the sole reaction force presenting means 4;
【図10】健常者が歩行した場合の代表的床反力の時間
推移パターン例を示す図である。FIG. 10 is a diagram showing an example of a temporal transition pattern of a representative floor reaction force when a healthy person walks.
【図11】人間の足跡図に歩行時の作用点軌跡を重ねた
図である。FIG. 11 is a diagram in which an action point trajectory during walking is superimposed on a human footprint map.
【図12】歩行中の足底を8分割したそれぞれの部位の
最大ピーク足底圧の平均値と標準偏差を示す図である。FIG. 12 is a diagram showing the average value and the standard deviation of the maximum peak plantar pressure of each part obtained by dividing the plantar during walking into eight parts.
【図13】20歳代(a)と70歳代(b)の裸足歩行
における典型的な床反力波形例を示す図である。FIG. 13 is a diagram showing a typical floor reaction force waveform example in barefoot walking in the twenties (a) and the seventies (b).
【図14】本発明の第2の実施形態における歩行訓練装
置の構成を示す図である。FIG. 14 is a diagram illustrating a configuration of a walking training device according to a second embodiment of the present invention.
【図15】本発明の第3の実施形態における歩行訓練装
置の構成を示す図である。FIG. 15 is a diagram illustrating a configuration of a walking training device according to a third embodiment of the present invention.
【図16】従来例の肢体駆動装置の制御装置の回路構成
を示す図である。FIG. 16 is a diagram showing a circuit configuration of a control device of a conventional limb driving device.
【図17】従来例の足マッサージ器を示す図である。FIG. 17 is a view showing a conventional foot massager.
1 大腿駆動部 2 下腿駆動部 3 足関節駆動部 4 足底反力提示手段 5 制御部 6 力センサ 7 訓練者の肢体 8 大腿装着部 9 下腿装着部 10 歩行パターン 11 足底板 11A 踵反力提示部 11B MID FOOT反力提示部 11C 爪先反力提示部 12 スライダー 13 ゴム板 14 モータ 15 ピストン 16 カム 17 突起部 18 空気圧チューブ 19 視覚提示手段 20 聴覚提示手段 21 振動提示手段 101 駆動装置のアーム 102 肢体 103 スプリント(手先位置) 104 力センサ 105 モータ 106 回転角度検出部 107 アナログ/デジタル変換器 108 変位演算処理部 109 逆運動学計算部 110 目標軌道設定部 111 回転角変換回路 112 ゲイン積分器 113 デジタル/アナログ変換器 114 サーボアンプ 115 負荷推定部 116 インピーダンス定数変換部 117 関節負荷計測センサ 118 インピーダンス定数変換部 119 肢体位置計測センサ 201 足マッサージ器 202 本体 203 突起物 204 足裏 205 突起物駆動手段 206 開口部 207 圧力センサ 208 信号線 209 制御回路 210 刺激パラメータ入力部 REFERENCE SIGNS LIST 1 thigh drive unit 2 lower leg drive unit 3 ankle drive unit 4 sole reaction force presenting means 5 control unit 6 force sensor 7 trainer's limb 8 thigh mounting unit 9 lower leg mounting unit 10 walking pattern 11 sole plate 11A presenting heel reaction force Part 11B MID FOOT reaction force presenting part 11C Toe reaction force presenting part 12 Slider 13 Rubber plate 14 Motor 15 Piston 16 Cam 17 Projecting part 18 Pneumatic tube 19 Visual presentation means 20 Auditory presentation means 21 Vibration presentation means 101 Arm of driving device 102 Limb 103 Sprint (hand position) 104 Force sensor 105 Motor 106 Rotation angle detection unit 107 Analog / Digital converter 108 Displacement calculation processing unit 109 Inverse kinematics calculation unit 110 Target trajectory setting unit 111 Rotation angle conversion circuit 112 Gain integrator 113 Digital / Analog converter 114 Servo un Step 115 Load estimation unit 116 Impedance constant conversion unit 117 Joint load measurement sensor 118 Impedance constant conversion unit 119 Limb position measurement sensor 201 Foot massager 202 Main body 203 Projection 204 Foot sole 205 Projection drive unit 206 Opening 207 Pressure sensor 208 Signal Line 209 control circuit 210 stimulus parameter input unit
Claims (17)
する大腿駆動部(1)と、 訓練者の下腿に装着して前記下腿を駆動する下腿駆動部
(2)と、 訓練者の足関節に装着して前記足関節を駆動する足関節
駆動部(3)と、 前記大腿駆動部(1)と前記下腿駆動部(2)と前記足
関節駆動部(3)とを制御する制御部(5)を備えた歩
行訓練装置において、 少なくとも2分割されてなる訓練者の足底に反力を与え
る足底反力提示手段(4)を備えたことを特徴とする歩
行訓練装置。1. A thigh drive unit (1) mounted on a trainee's thigh to drive the thigh; a lower leg drive unit (2) mounted on a trainee's thigh and driving the lower thigh; Control for controlling the ankle drive unit (3) mounted on the ankle joint to drive the ankle joint; controlling the thigh drive unit (1), the crus drive unit (2), and the ankle drive unit (3) A walking training device comprising a part (5), comprising a sole reaction force presenting means (4) for giving a reaction force to a sole of a trainee, which is divided into at least two parts.
れ足底を前後に少なくとも2分割してなることを特徴と
する請求項1記載の歩行訓練装置。2. The walking training device according to claim 1, wherein the sole reaction force presenting means (4) divides the sole into at least two parts in the front and rear directions.
に反力を提示する踵反力提示部(11A)と、土踏まず
付近に反力を提示するMID FOOT反力提示部(1
1B)と、爪先付近に反力を提示する爪先反力提示部
(11C)との足底を前後に3分割して構成されること
を特徴とする請求項2記載の歩行訓練装置。3. The sole reaction force presenting means (4) includes a heel reaction force presenting unit (11A) for presenting a reaction force near the heel, and a MID FOOT reaction force presenting unit (4) for presenting a reaction force near the arch. 1
3. The walking training device according to claim 2, wherein the sole of the toe reaction force presenting section (11C) for presenting a reaction force in the vicinity of the toe is divided into three front and rear parts.
内外に少なくとも2分割してなる反力提示部(11A、
11B、11C)を含むことを特徴とする請求項2又は
3記載の歩行訓練装置。The sole reaction force presenting means (4) includes a reaction force presenting unit (11A,
11B, 11C), the walking training device according to claim 2 or 3, wherein
の歩行パターン周期における踵接地から足尖離地のタイ
ミングにあわせて訓練者の踵から爪先方向へ順に前記足
底の各部分に反力を与えることを特徴とする請求項1〜
4のいずれか1項記載の歩行訓練装置。5. The plantar reaction force presenting means (4) sequentially moves from the trainee's heel to the toe in accordance with the timing of the heel contact and the tip-off from the heel in the trainee's walking pattern cycle. A reaction force is applied to the portion.
The walking training device according to any one of claims 4 to 7.
(7)を踵接地、足底接地、立脚中期、踵離地、足尖離
地、遊脚初期および遊脚後期を繰り返す歩行パターンで
動作させるように前記大腿駆動部(1)と前記下腿駆動
部(2)と前記足関節駆動部(3)と前記足底反力提示
手段(4)とをそれぞれ同期させて制御し、前記歩行パ
ターンの踵接地のタイミングで踵に反力を与え、前記歩
行パターンの足底接地と立脚中期のタイミングで足底全
体に反力を与え、前記歩行パターンの踵離地のタイミン
グで足底の中央部分から爪先に反力を与え、前期歩行パ
ターンの足尖離地のタイミングで爪先に反力を与え、遊
脚初期と遊脚後期のタイミングで足底に反力を与えない
ことにより、訓練者の歩行パターン周期における踵接地
から足尖離地のタイミングにあわせて訓練者の踵から爪
先方向へ順に前記足底の各部分に反力を与えることを特
徴とする請求項1〜5のいずれか1項記載の歩行訓練装
置。6. The walker in which the control section (5) repeats the trainee's limb (7) in heel contact, sole contact, middle stance, heel takeoff, foot tip takeoff, early swing phase and late swing phase. The thigh drive section (1), the lower leg drive section (2), the ankle drive section (3), and the sole reaction force presenting means (4) are controlled in synchronization with each other so as to operate in a pattern, A reaction force is applied to the heel at the timing of the heel contact of the walking pattern, and a reaction force is applied to the entire sole at the timing of the sole contact of the walking pattern and the middle stage of the stance. By giving a reaction force to the toe from the center part of the toe, giving a reaction force to the toe at the timing of the foot tip off of the early walking pattern, and not giving a reaction force to the sole at the timing of the initial swing and the late swing leg, Taimin from heel contact to foot tip off during trainee walking pattern cycle The walking training device according to any one of claims 1 to 5, wherein a reaction force is applied to each portion of the sole in order from the heel of the trainee to the toe in accordance with the gag.
の統計的なデータの1つ以上に基づいて足底に加わる反
力Fz(体重の鉛直方向力)を推定し、前記足底反力提
示手段(4)を用いて、訓練者の歩行パターン周期にお
ける踵接地から足尖離地のタイミングにあわせて訓練者
の踵から爪先方向へ順に前記足底の各部分に反力を与え
ることを特徴とする請求項1〜6のいずれか1項記載の
歩行訓練装置。7. The control unit (5) estimates a reaction force Fz (vertical force of weight) applied to the sole based on at least one of statistical data of height, weight, and age, and Using the sole reaction force presenting means (4), a reaction force is applied to each part of the sole in order from the heel of the trainee to the toes in accordance with the timing of the heel contact and the tip off of the foot in the trainee's walking pattern cycle. The walking training device according to any one of claims 1 to 6, wherein the walking training device is provided.
覚提示手段(19)、音を提示する聴覚提示手段(2
0)及び振動を提示する振動手段(21)のいずれか1
つ以上を用いて、訓練者の歩行パターン周期における踵
接地、足底接地、立脚中期、踵離地、足尖離地、遊脚初
期および遊脚後期のタイミング、足底が接地している時
間を目的に応じて訓練者へ提示することを特徴とする請
求項1〜7のいずれか1記載の歩行訓練装置。8. The control unit (5) comprises: a visual presentation unit (19) for presenting an image; and an auditory presentation unit (2) for presenting a sound.
0) and any one of vibration means (21) for presenting vibration
Using one or more, the heel contact, sole contact, middle stance, heel takeoff, foot apex, timing of the early and late swing leg, and the time the sole touches down in the trainee's walking pattern cycle The walking training device according to any one of claims 1 to 7, wherein is presented to the trainee according to the purpose.
大腿駆動部(1)と、前記下腿駆動部(2)と、前記足
関節駆動部(3)と、前記足底反力提示手段(4)とを
それぞれ2つずつ備え、両脚で同時に歩行訓練を行うこ
とができることを特徴とする歩行訓練装置。9. The thigh drive (1) according to any one of claims 1 to 8, the lower leg drive (2), the ankle drive (3), and the sole reaction force. A walking training device comprising two presentation means (4) each, and capable of simultaneously performing walking training with both legs.
る歩行訓練装置の一部に用いられる足載置台(30)で
あって、足関節駆動部(3)と足底反力提示手段(4)
とを備えてなることを特徴とする歩行訓練装置用足載置
台。10. A footrest (30) used as a part of a walking training device that allows a trainee to perform walking training in a supine position, comprising an ankle joint drive unit (3) and a sole reaction force presenting means ( 4)
And a footrest for a walking training device.
板(11)と、前記足底板(11)を足底に対して直角
方向へ駆動する足底板駆動機構と、を備えていることを
特徴とする請求項10記載の歩行訓練装置用足載置台。11. The sole reaction force presenting means (4) includes a sole plate (11), and a sole plate driving mechanism for driving the sole plate (11) in a direction perpendicular to the sole. The footrest for a walking training device according to claim 10, wherein:
少なくとも2分割されてなることを特徴とする請求項1
0又は11記載の歩行訓練装置用足載置台。12. The sole plate according to claim 1, wherein the sole is divided into at least two parts.
12. The footrest for a walking training device according to 0 or 11.
を前後に3分割し、踵付近に反力を提示する踵反力提示
部(11A)と、土踏まず付近に反力を提示するMID
FOOT反力提示部(11B)と、爪先付近に反力を
提示する爪先反力提示部(11C)で構成されることを
特徴とする請求項10〜12のいずれか1項記載の歩行
訓練装置用足載置台。13. The sole plate (11) divides the sole into three parts in the front and back, and presents a heel reaction force presenting section (11A) for presenting a reaction force near the heel, and a MID for presenting a reaction force near the arch.
The walking training device according to any one of claims 10 to 12, comprising a FOOT reaction force presenting unit (11B) and a toe reaction force presenting unit (11C) for presenting a reaction force near the toe. Foot mounting table.
を内外に少なくとも2分割されてなることを特徴とする
請求項10〜13のいずれか1項記載の歩行訓練装置用
足載置台。14. The footrest for a walking training device according to claim 10, wherein the soleplate (11) is formed by dividing a sole into at least two parts inside and outside.
に前記各足底板の表面側全体を覆う可撓性カバーを備え
てなることを特徴とする請求項10〜14のいずれか1
項記載の歩行訓練装置用足載置台。15. The plantar reaction force presenting means (4) further comprises a flexible cover for covering the entire front side of each plantar plate.
Item 10. The footrest for a walking training device according to the above item.
であることを特徴とする請求項15項記載の歩行訓練装
置用足載置台。16. The flexible cover comprises a rubber plate (13).
The foot placement table for a walking training device according to claim 15, wherein:
るための多数の突起部(17)を表面に備えてなること
を特徴とする請求項11〜16のいずれか1項記載の歩
行訓練装置用足載置台。17. The sole plate according to claim 11, wherein the sole plate has a plurality of projections on its surface for stimulating the sole. Footrest for walking training device.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2001155794A JP2002345907A (en) | 2001-05-24 | 2001-05-24 | Walking exercising device and placing table for the same |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2001155794A JP2002345907A (en) | 2001-05-24 | 2001-05-24 | Walking exercising device and placing table for the same |
Publications (1)
Publication Number | Publication Date |
---|---|
JP2002345907A true JP2002345907A (en) | 2002-12-03 |
Family
ID=18999914
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2001155794A Abandoned JP2002345907A (en) | 2001-05-24 | 2001-05-24 | Walking exercising device and placing table for the same |
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JP (1) | JP2002345907A (en) |
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JP2006239086A (en) * | 2005-03-02 | 2006-09-14 | Matsushita Electric Works Ltd | Walking sensation generating device |
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JP2011502663A (en) * | 2007-11-16 | 2011-01-27 | エムエルエス ラニー ゲゼルシャフト ミット ベシュレンクテル ハフツング | Device for training and / or analyzing a user's musculoskeletal system |
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2001
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Publication number | Priority date | Publication date | Assignee | Title |
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JP2005074063A (en) * | 2003-09-02 | 2005-03-24 | Yaskawa Electric Corp | Gait training apparatus |
JP2007520309A (en) * | 2004-02-05 | 2007-07-26 | モトリカ インク | Music rehabilitation |
JP2006239086A (en) * | 2005-03-02 | 2006-09-14 | Matsushita Electric Works Ltd | Walking sensation generating device |
JP2011502663A (en) * | 2007-11-16 | 2011-01-27 | エムエルエス ラニー ゲゼルシャフト ミット ベシュレンクテル ハフツング | Device for training and / or analyzing a user's musculoskeletal system |
JP2010075213A (en) * | 2008-09-23 | 2010-04-08 | Honda Motor Co Ltd | Rehabilitation apparatus and method for controlling the same |
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JP2010104397A (en) * | 2008-10-28 | 2010-05-13 | Toyota Motor Corp | Walking assist device |
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CN112656642A (en) * | 2020-12-17 | 2021-04-16 | 杭州华移技术有限公司 | Postoperative leg rehabilitation training device |
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