JP2005058601A - Foot joint exercise apparatus - Google Patents

Foot joint exercise apparatus Download PDF

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JP2005058601A
JP2005058601A JP2003295230A JP2003295230A JP2005058601A JP 2005058601 A JP2005058601 A JP 2005058601A JP 2003295230 A JP2003295230 A JP 2003295230A JP 2003295230 A JP2003295230 A JP 2003295230A JP 2005058601 A JP2005058601 A JP 2005058601A
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foot
air
bag
air bag
ankle joint
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Eishin Iwata
英信 岩田
Takanori Higashihara
孝典 東原
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TAKAMATSU GISHI SEISAKUSHO KK
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TAKAMATSU GISHI SEISAKUSHO KK
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a small, light-weight and inexpensive foot joint exercise apparatus with which an action similar to manual foot joint dorsiflexion exercise by a physical therapist is safely carried out. <P>SOLUTION: The foot joint exercise apparatus 1 comprises: a foot fixing member 2; a foot placing member 3 rotatably provided at this foot fixing member 2; and an air bag 9 formed in the state of a double-folded belt and provided under the foot placing member 3. The air bag 9 consists of: an inner bag 10 made of an elastic body; and an outer bag 11 made of inextensible material. Deformation of the inner bag 10 is regulated by the outer bag 11. When air is supplied to an air pump 14, the air bag 9 effectively pushes up the foot placing member 3 while deforming from the double-folded state to a straight shape to realize the dorsiflexion exercise of the foot joint. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

この発明は、足関節の背屈運動を他動的に行う運動器に関するものである。 The present invention relates to an exercising device that performs dorsiflexion movement of an ankle joint in a passive manner.

足関節の拘縮は、脳卒中による片麻痺や膝関節・股関節の手術後のように高齢者が長期臥床を余儀なくされる病態で生じやすい。関節の拘縮は起こってから治療するよりも予防する方がはるかに効果的で望ましい。そこで、自力で足関節を動かすことができない者に対して、理学療法士等の医療従事者が用手的につま先を上げ下げして足関節の他動運動を行っている。しかし現実には、医療従事者の不足などの理由で足関節の拘縮をきたし、寝たきりになってしまう高齢者があとを絶たない。 Ankle contractures are likely to occur in conditions in which elderly people are forced to bed for a long time, such as after hemiplegia due to a stroke or after surgery of the knee and hip joints. It is much more effective and desirable to prevent joint contracture than to treat it after it occurs. Therefore, for those who cannot move the ankle joint by themselves, a medical worker such as a physical therapist manually moves the toe up and down to perform the passive movement of the ankle joint. However, in reality, there are many elderly people who are bedridden due to contraction of the ankle joint due to lack of medical staff.

そこで、上述の徒手足関節背屈運動を模した動作を行う足関節運動器が市販され、実際に使用されている。これは、電気モーターを駆動源として片足の足関節を背屈させる大掛かりな装置である。 Therefore, an ankle joint exercise machine that performs an action simulating the above-described manual ankle joint dorsiflexion movement is commercially available and actually used. This is a large-scale device that flexes the ankle joint of one leg using an electric motor as a drive source.

また、特許文献1には、下肢ストレッチング装置として、足をのせる傾斜板を空気圧によって回動させて足関節を背屈させる装置が提案されている。
特開平4−200481号
Further, Patent Document 1 proposes a device for bending an ankle joint by rotating an inclined plate on which a foot is put by air pressure as a lower limb stretching device.
Japanese Patent Laid-Open No. 4-200481

上述の通り、理学療法士が徒手で施行する足関節背屈運動はてまひまのかかるもので、この療法が必要なすべての者に十分に施行することは困難である。また、市販されている足関節運動器は、本体部に電気モーターを駆動源として組み込んだものであり、重たく移動に不便であるとともに高価である。 As described above, the ankle dorsiflexion exercise that is manually performed by a physical therapist is very tedious, and it is difficult to sufficiently apply it to all persons who need this therapy. In addition, a commercially available ankle joint exerciser incorporates an electric motor as a drive source in the main body, and is heavy and inconvenient for movement and expensive.

特許文献1に記載された下肢ストレッチング装置は、本件発明者の知る限りでは実用化されていないようである。この下肢ストレッチング装置は、蛇腹形状の空気袋に空気を供給して膨張させることで、足をのせた傾斜板を回動させようとするものであるが、本件発明者が本件発明を完成させるまでの検討において、このような蛇腹形状の空気袋ではうまく傾斜板を回動させることができないことが判明した。 As far as the inventors of the present invention know, the leg stretching device described in Patent Document 1 does not seem to be put into practical use. This lower limb stretching device is intended to rotate an inclined plate on which a foot is placed by supplying air to an accordion-shaped air bag and inflating it, but the present inventor completes the present invention. In the examination so far, it has been found that such an accordion-shaped air bag cannot rotate the inclined plate well.

この発明は、理学療法士による徒手足関節背屈運動に模した動作を安全に行うことができる、小型、軽量で安価な足関節運動器を提供することを目的とする。 An object of the present invention is to provide a small, lightweight, and inexpensive ankle joint exerciser that can safely perform an action simulating a limb flexion movement of a manual ankle by a physical therapist.

上述の課題を解決するため、この発明の足関節運動器は、下肢固定部材と、この下肢固定部材に回転自在に設けられた足置き部材と、足置き部材の下に設けられた二つ折りの帯状の空気袋を有し、空気袋は弾性体よりなる内袋と非伸縮性の素材からなる外袋を有するものである。 In order to solve the above-described problems, an ankle joint exercise device of the present invention includes a lower limb fixing member, a footrest member rotatably provided on the lower limb fixing member, and a two-fold structure provided below the footrest member. It has a belt-like air bag, and the air bag has an inner bag made of an elastic body and an outer bag made of a non-stretchable material.

この発明の足関節運動器は、徒手足関節背屈運動に模した動作を、安全で安価に実施できるという効果を有する。 The ankle joint exercise device of the present invention has an effect that an operation simulating a limb flexion exercise of a manual ankle can be performed safely and inexpensively.

この発明を実施するための最良の形態について、図面に基づいて説明する。図1はこの発明に係る足関節運動器の側面図で、足関節運動の静止位の状態を示し、図2は足関節運動の背屈位の状態を示す。 The best mode for carrying out the present invention will be described with reference to the drawings. FIG. 1 is a side view of an ankle joint exerciser according to the present invention, showing a state of ankle joint movement in a static position, and FIG. 2 showing a state of ankle joint movement in a dorsiflexion position.

この発明の足関節運動器1は、下肢固定部材2と、下肢固定部材2に回転自在に設けられた足置き部材3を有する。下肢固定部材2はインナーブーツ4とアウターブーツ5で構成されており、下肢の後ろ側を覆う形状に形成されている。下肢と接するインナーブーツ4は布やスポンジ等の柔らかい部材が使用されており、使用者の体に直接触れることのないアウターブーツ5は合成樹脂や金属等の比較的硬い素材で作られている。また、足置き部材3は足の裏に接する部分と足首を覆う部分とが形成されており、ほぼ外果の位置に設けられた回転支持部材6を介して、下肢固定部材2のアウターブーツ5に対して回転自在に接続されている。 The ankle joint exerciser 1 of the present invention includes a lower limb fixing member 2 and a footrest member 3 that is rotatably provided on the lower limb fixing member 2. The lower limb fixing member 2 includes an inner boot 4 and an outer boot 5 and is formed in a shape that covers the rear side of the lower limb. The inner boot 4 in contact with the lower limb uses a soft member such as cloth or sponge, and the outer boot 5 that does not directly touch the user's body is made of a relatively hard material such as synthetic resin or metal. Further, the footrest member 3 is formed with a portion in contact with the sole of the foot and a portion that covers the ankle, and the outer boot 5 of the lower limb fixing member 2 via the rotation support member 6 provided at a position of the outer fruit. Is rotatably connected to.

足置き部材3には、足首を固定するための足首固定ベルト7が設けられている。下肢固定部材2には、下肢を固定するための下肢固定ベルト8が設けられている。アウターブーツ5は、図1における下面5aが平面状になっており、この面を下にしてベッドや床面においたときに足関節運動器1が倒れないように支持できるようになっている。 The footrest member 3 is provided with an ankle fixing belt 7 for fixing the ankle. The leg fixing member 2 is provided with a leg fixing belt 8 for fixing the leg. The outer boot 5 has a flat lower surface 5a in FIG. 1, and can be supported so that the ankle exerciser 1 does not fall down when placed on a bed or a floor surface with this surface down.

下肢固定部材2のアウターブーツ5と足置き部材3の底部の間には空気袋9が設けられている。図3はこの空気袋9を広げた状態の詳細を示す断面図である。空気袋9は内袋10と外袋11の二重構造になっている。内袋10はゴム等の伸縮性のある弾性体よりなる気密袋である。空気がない状態では帯状の形状であり、その一端部に少なくとも一つの空気出入口12がある。この空気出入口12よりゴム管13が伸びており、エアポンプ14に接続されている。エアポンプ14より空気が供給されると内袋10は膨張する。一方、外袋11は布等の非伸縮性の素材でできており、空気がない状態の内袋10よりやや大きめに作られている。 An air bag 9 is provided between the outer boot 5 of the lower limb fixing member 2 and the bottom of the footrest member 3. FIG. 3 is a cross-sectional view showing details of a state in which the air bag 9 is expanded. The air bag 9 has a double structure of an inner bag 10 and an outer bag 11. The inner bag 10 is an airtight bag made of a stretchable elastic body such as rubber. When there is no air, it has a belt-like shape and has at least one air inlet / outlet 12 at one end thereof. A rubber tube 13 extends from the air inlet / outlet 12 and is connected to an air pump 14. When air is supplied from the air pump 14, the inner bag 10 expands. On the other hand, the outer bag 11 is made of a non-stretchable material such as cloth and is made slightly larger than the inner bag 10 without air.

空気袋9は中央部で二つ折りにされた状態で足関節運動器1に取付けられる。折り目部分を奥に向け、一端部を足置き部材3のつま先部付近に固定し、他端部をアウターブーツ5のつま先部付近に固定して取付けられる。図1は空気袋9に空気が入ってない状態であり、足置き部材3とアウターブーツ5のつま先部は閉じている。 The air bag 9 is attached to the ankle joint exerciser 1 in a state where the air bag 9 is folded in the center. The fold portion is directed to the back, one end is fixed near the toe portion of the footrest member 3, and the other end is fixed near the toe portion of the outer boot 5. FIG. 1 shows a state in which no air enters the air bag 9, and the toe portions of the footrest member 3 and the outer boot 5 are closed.

次に、この足関節運動器1の作用について説明する。使用者の足に足関節運動器1を履かせ、足首固定ベルト7および下肢固定ベルト8で固定する。これらのベルトに加えて、つま先部を固定するベルトを別途設けてもよい。この足関節運動器1は小型であり、使用する場所に制約がなく、たとえば普段寝ているベッド上で使用することもできる。この場合、使用者は寝た状態のままでよく、または上半身をクッション等で若干持ち上げてもよい。アウターブーツ下面5aを下にして足関節運動器1をベッド上に置き、使用者の足に着用させる。 Next, the operation of the ankle joint exerciser 1 will be described. The ankle joint exerciser 1 is put on the user's foot and fixed with the ankle fixing belt 7 and the lower limb fixing belt 8. In addition to these belts, a belt for fixing the toe portion may be provided separately. This ankle joint exerciser 1 is small in size and has no restrictions on the place where it is used, and can be used, for example, on a bed that is usually sleeping. In this case, the user may remain in a sleeping state, or the upper body may be slightly lifted with a cushion or the like. The ankle joint exerciser 1 is placed on the bed with the lower surface 5a of the outer boot down and is worn on the user's foot.

足関節運動器1の足への着用が完了したら、エアポンプ14を作動させる。このエアポンプ14としては特に制約はないが、たとえばエアマッサージ器に使用されているコントローラ付きのものが使用できる。エアマッサージ器用のエアポンプは空気の出し入れの周期や空気の圧力等を自由に設定・調整できるので便利であり、安価で入手も容易である。エアポンプ14より空気袋9へ空気が供給されるにしたがい空気袋9は膨張し、二つ折りの状態から真直な状態へと形状を変える。この空気袋9の膨張によって足置き部材3は回転支持部材6を中心に回転し、図2に示すように足置き部材3のつま先部が持ち上げらる。 When the wearing of the ankle exerciser 1 on the foot is completed, the air pump 14 is operated. Although there is no restriction | limiting in particular as this air pump 14, For example, the thing with the controller currently used for the air massager can be used. An air pump for an air massager is convenient because it can freely set and adjust the cycle of air in and out, the pressure of air, etc., and is inexpensive and easily available. As the air is supplied from the air pump 14 to the air bag 9, the air bag 9 expands and changes its shape from a folded state to a straight state. As the air bag 9 expands, the footrest member 3 rotates about the rotation support member 6 and the toe portion of the footrest member 3 is lifted as shown in FIG.

この空気袋9の膨張において外袋11が重要な役割を果たす。空気袋9が弾性体の内袋10のみで構成されているとすると、空気の供給によって内袋10は拘束されていない方向、すなわち、足関節運動器1の横方向へ向いてふくらむのみで、足置き部材3のつま先部を持ち上げる方向へは十分に膨張しない。しかし、この発明においては、非伸縮性の外袋11が設けらていることにより内袋10の横方向へのふくらみは規制される。そのため、供給される空気が入るだけの容積を得るために空気袋9は二つ折りの状態から真直な状態へと向かうような変形をせざるをえず、図2に示すような足置き部材3のつま先部を持ち上げる運動が実現される。特許文献1に記載された蛇腹形状の空気袋では変形を規制するような外袋を設けることができない。したがって、その空気袋に空気を供給しても、蛇腹は横方向へ膨張するのであって、蛇腹が開いて足をのせた傾斜板を回動させるというような作用は起こらない。 The outer bag 11 plays an important role in the inflation of the air bag 9. Assuming that the air bag 9 is composed of only the elastic inner bag 10, the inner bag 10 is not restricted by the supply of air, that is, only inflates in the lateral direction of the ankle exerciser 1. It does not expand sufficiently in the direction of lifting the toe portion of the footrest member 3. However, in this invention, the non-stretchable outer bag 11 is provided, so that the bulging of the inner bag 10 in the lateral direction is restricted. Therefore, in order to obtain a volume enough for the supplied air to enter, the air bag 9 must be deformed from a folded state to a straight state, and the footrest member 3 as shown in FIG. A movement to lift the toe of the toe is realized. The bellows-shaped air bag described in Patent Literature 1 cannot provide an outer bag that restricts deformation. Therefore, even if air is supplied to the air bag, the bellows expands in the lateral direction, and the bellows is not opened and the action of rotating the inclined plate on which the foot is placed does not occur.

つま先が十分に上がったら次は空気袋9から空気を出す。これによって、空気袋9は図1に示す二つ折り状態に戻り、つま先が下がる。この動作を繰り返すことによって足関節の背屈運動が反復され、足関節の拘縮を予防することができる。また、足関節の運動に伴ってフクラハギの筋肉を伸縮させるので、下肢の血液循環をよくする効果も生じる。 When the toes are sufficiently raised, the air is discharged from the air bag 9 next. As a result, the air bag 9 returns to the half-folded state shown in FIG. 1, and the toes are lowered. By repeating this operation, the dorsiflexion motion of the ankle joint is repeated, and contraction of the ankle joint can be prevented. Moreover, since the muscles of the larvae are expanded and contracted with the movement of the ankle joint, an effect of improving the blood circulation of the lower limbs is also produced.

この発明の足関節運動器は空気圧を駆動源としているので、使用者に過大な力がかかるおそれが小さい。何らかの理由で強い力が加わりそうになっても、空気圧は抵抗の弱い方向にかかるので、使用者が足に力を入れて抗えば、足置き部材3のつま先部は上がらなくなる。また、エアポンプの出力を制御することは、電気モーターの機械的な力を制御することに比べて容易であり、センサー等をエアポンプ側に設ければよいので、足関節運動器自体が複雑化・大型化することはない。 Since the ankle joint exerciser of the present invention uses air pressure as a driving source, there is little possibility that an excessive force is applied to the user. Even if a strong force is likely to be applied for some reason, the air pressure is applied in the direction of weak resistance. Therefore, if the user puts a force on the foot and resists it, the toe portion of the footrest member 3 will not rise. Also, controlling the output of the air pump is easier than controlling the mechanical force of the electric motor, and sensors and the like need only be provided on the air pump side. There is no increase in size.

足関節運動器1は1基のみを用いて片足のみ、また片足ずつ使用することができるが、足関節運動器1を2基同時に両足に装着してもよい。この発明の足関節運動器1は小型であるために、2基をベッド上に乗せても邪魔にならない。両足に装着する場合には、左右の足関節運動器を交互に作動させることで、歩いている状態に近い自然な運動を再現することができる。 The ankle joint exerciser 1 can be used by using only one unit and only one leg or each leg, but two ankle joint exercisers 1 may be attached to both feet simultaneously. Since the ankle exerciser 1 of the present invention is small in size, it does not get in the way even if two units are placed on the bed. When worn on both feet, the left and right ankle joint exerciser can be operated alternately to reproduce a natural motion close to a walking state.

この発明の足関節運動器1は図1に示す例でも十分にコンパクトで保管に便利であるが、アウターブーツ5を二つ折り構造にして、使用しないときは折りたたむようにすればさらに保管に便利になる。この場合、回転支持部材6の近くに折りたたみのための接続部を設けて、その接続部を中心に回転させて上部をインナーブーツ4とともに折りたたむようにすればよい。また、上下に分割されたアウターブーツ5の接続の角度を調整して固定できるように構成することにより、足関節背屈運動の静止位を任意に設定し、背屈運動の範囲(つま先の上げ下げの角度範囲)を調整することも可能である。 The ankle joint exerciser 1 of the present invention is sufficiently compact and convenient for storage even in the example shown in FIG. 1, but it is more convenient for storage if the outer boot 5 is folded in two and folded when not in use. Become. In this case, a connecting portion for folding may be provided near the rotation support member 6, and the upper portion may be folded together with the inner boot 4 by rotating around the connecting portion. In addition, by configuring the connection of the outer boot 5 divided vertically so that it can be fixed, the rest position of the ankle dorsiflexion movement can be set arbitrarily, and the range of dorsiflexion movement (toe up and down) It is also possible to adjust the angle range).

以上、急性疾患で入院中の者の足関節拘縮予防のための適用を例に説明したが、この発明の足関節運動器の適用範囲はこれに限定されない。小型・安価な装置であり、使用方法も簡単なので、家庭での虚弱高齢者の介護にも使用できる。足部の血行をよくする効果もあるので、下肢の血栓形成を防ぐことができ、血栓が肺に運ばれて呼吸障害を起こすいわゆるエコノミークラス症候群を防止する装置としても適用可能である。 As described above, the application for preventing ankle contracture of a person hospitalized for an acute disease has been described as an example, but the application range of the ankle joint exercise device of the present invention is not limited to this. It is a small, inexpensive device that is easy to use, so it can be used to care for the frail elderly at home. Since there is also an effect of improving blood circulation in the foot, it is possible to prevent the formation of thrombus in the lower limbs, and it can be applied as a device for preventing so-called economy class syndrome in which the thrombus is carried to the lungs and causes respiratory disorder.

この発明の足関節運動器は、徒手足関節背屈運動に模した動作を安全に行うことができるものであり、急性疾患で入院中の者や家庭で介護を受ける者のためのリハビリテーションの補助具等として利用できるものである。 The ankle exercise apparatus of the present invention can safely perform an action simulating a limb flexion movement of a manual ankle, and assists in rehabilitation for those who are hospitalized for acute diseases or who receive care at home. It can be used as a tool.

足関節運動器の側面図であり、静止位(つま先が下がった状態)を示す。It is a side view of an ankle joint exercise machine, and shows a rest position (state where a toe fell). 足関節運動器の側面図であり、背屈位(つま先が上がった状態)を示す。It is a side view of an ankle joint exercise machine, and shows a dorsiflexion position (state where the toe is raised). 空気袋の詳細を示す断面図である。It is sectional drawing which shows the detail of an air bag.

符号の説明Explanation of symbols

1.足関節運動器
2.下肢固定部材
3.足置き部材
4.インナーブーツ
5.アウターブーツ
6.回転支持部材
7.足首固定ベルト
8.下肢固定ベルト
9.空気袋
10.内袋
11.外袋
12.空気出入口
13.ゴム管
14.エアポンプ
1. 1. Ankle articulator 2. Lower limb fixing member 3. Foot rest member Inner boot 5. Outer boots6. 6. Rotation support member Ankle fixation belt8. Lower limb fixation belt9. Air bag 10. Inner bag 11. Outer bag 12. Air inlet / outlet 13. Rubber tube 14. air pump

Claims (1)

下肢固定部材と、この下肢固定部材に回転自在に設けられた足置き部材と、足置き部材の下に設けられた二つ折りの帯状の空気袋を有し、空気袋は弾性体よりなる内袋と非伸縮性の素材からなる外袋を有するものである足関節運動器。

A lower limb fixing member, a footrest member rotatably provided on the lower limb fixing member, and a folded belt-shaped air bag provided under the footrest member, the air bag being an inner bag made of an elastic body And an ankle joint exerciser having an outer bag made of a non-stretchable material.

JP2003295230A 2003-08-19 2003-08-19 Foot joint exercise apparatus Pending JP2005058601A (en)

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JP2005058601A true JP2005058601A (en) 2005-03-10

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2012236092A (en) * 2012-09-11 2012-12-06 Family Co Ltd Chair type massage machine
CN111544250A (en) * 2019-03-20 2020-08-18 华中科技大学同济医学院附属协和医院 Electric inflatable ankle pump exercise assisting device
KR102178576B1 (en) * 2020-05-15 2020-11-13 서울대학교병원 Ankle joint rehabilitation device and intermittent pneumatic compression with ankle movement using the same

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2012236092A (en) * 2012-09-11 2012-12-06 Family Co Ltd Chair type massage machine
CN111544250A (en) * 2019-03-20 2020-08-18 华中科技大学同济医学院附属协和医院 Electric inflatable ankle pump exercise assisting device
KR102178576B1 (en) * 2020-05-15 2020-11-13 서울대학교병원 Ankle joint rehabilitation device and intermittent pneumatic compression with ankle movement using the same

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