JP2005066250A - Seat surface for hemiplegia - Google Patents

Seat surface for hemiplegia Download PDF

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JP2005066250A
JP2005066250A JP2003334295A JP2003334295A JP2005066250A JP 2005066250 A JP2005066250 A JP 2005066250A JP 2003334295 A JP2003334295 A JP 2003334295A JP 2003334295 A JP2003334295 A JP 2003334295A JP 2005066250 A JP2005066250 A JP 2005066250A
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seat surface
posture
hemiplegic
seat
seating surface
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Satoshi Sakuma
敏 佐久間
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a seat surface for correcting a deformed posture without the aid of another person by solving the following problem that a hemiplegic patient deforms the posture by inclining pelvis to a hemiplegic side when seated on a seat surface being horizontal with respect to a floor surface in a way being the same as that of a healthy person, so that it is difficult for the hemiplegic patient to perform an action or a work in this posture. <P>SOLUTION: The seat surface of the present invention consists of a seat surface board 1 and a bottom board 2, which are connected by hinge 3 at each one side. Each opposite side is not fixed. The height of the unfixed side is adjusted, so as to obtain inclination in the seat surface board 1. The inclined seat surface is arranged on the seat surface of a wheelchair or a chair, which is used in the daily life of the hemiplegic patient, so as to allow the inclination to be obtained at the hemiplegic side. Thus, the deformed posture is corrected without the aid of another person, so as to reduce difficulty that the patient is hard to stand up, cannot easily act or work in a seated posture, or feels some pain in a strained part. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

発明の詳細な説明Detailed Description of the Invention

本発明は、片麻痺患者が日常生活において使用する、車椅子又は椅子の座面に関するものである。  The present invention relates to a wheelchair or chair seat used by a hemiplegic patient in daily life.

既製の車椅子や椅子の座面は、床面に対して水平である。高さ調節できる座面・前後方向に傾斜をつけている座面・長時間座ることができるように座圧分散機能を目的としたクッションが従来から発明されているが、左右方向に傾斜をつけている座面は存在しない。  The seat surface of a ready-made wheelchair or chair is horizontal to the floor surface. Seats that can be adjusted in height, seats that are tilted in the front-rear direction, and cushions that have been invented for the purpose of spreading the seat pressure so that you can sit for a long time have been invented. There is no seat.

発明が解決しようとする課題Problems to be solved by the invention

現在、片麻痺患者が日常生活で座っている座面は、健常者同様、床面に対して水平である。しかし片麻痺患者の身体は健常者の身体とは異なる。麻痺側の支持性低下、麻痺側の筋の弾性力低下、麻痺側の廃用による筋萎縮という状態にある。このような状態で片麻痺患者が床面に対して水平な座面に座れば、図1のように、座面と接触している臀部の状態は、軟部組織上を坐骨が麻痺側方向へ滑っていき、骨盤が麻痺側下がりに傾いた崩れた姿勢となってしまう場合が多い。  At present, the seating surface on which a hemiplegic patient is sitting in daily life is horizontal to the floor as in a healthy person. However, the body of hemiplegic patients is different from that of healthy people. It is in a state of reduced supportability on the paralyzed side, reduced elasticity of the muscle on the paralyzed side, and muscle atrophy due to disuse on the paralyzed side. In this state, if a hemiplegic patient sits on a seating surface horizontal to the floor surface, as shown in FIG. It often slips and the pelvis is in a collapsed posture leaning toward the paralyzed side.

この崩れた姿勢を保持するために、片麻痺患者は健側上下肢を使う。そのため片麻痺患者の健側上下肢は、いつも力んだ状態となり、自由性を失う。このような状態で行う動作や作業は、片麻痺患者にとって困難性を有するものとなる。立ち上がり動作は非常に大変な動作となり、介助が必要となる場合が多い。食事・整容・更衣・車椅子駆動・趣味活動など座位姿勢で行う作業や動作はやりにくい。また崩れた姿勢で座っているということは、様々なところに負担がかかり、痛みが出現することも多い。  To maintain this collapsed posture, hemiplegic patients use the healthy upper and lower limbs. Therefore, the healthy upper and lower limbs of hemiplegic patients are always in a strong state and lose their freedom. Operations and operations performed in such a state are difficult for hemiplegic patients. The start-up operation is very difficult and often requires assistance. It is difficult to perform tasks and actions in a sitting position such as eating, dressing, changing clothes, wheelchair driving, and hobby activities. Also, sitting in a collapsed posture places a burden on various places and often causes pain.

片麻痺患者の麻痺の程度は重度から軽度まで個人によって異なる。そして麻痺の回復度合いも個人によって異なる。そのため座面と接触している臀部の軟部組織上を坐骨が麻痺側方向へ滑っていく程度は、麻痺の程度や麻痺の回復度合いによって異なる。すなわち、骨盤が麻痺側下がりに傾いた崩れた姿勢の程度は個人によって異なるものである。  The degree of paralysis in hemiplegic patients varies from individual to severe. And the degree of recovery from paralysis varies from individual to individual. Therefore, the degree to which the sciatic bone slides toward the paralysis side on the soft tissue of the buttocks that is in contact with the seating surface varies depending on the degree of paralysis and the degree of recovery of the paralysis. That is, the degree of the collapsed posture in which the pelvis is inclined to the paralyzed side is different depending on the individual.

本発明が解決しようとする課題は、座面と接触している臀部の軟部組織上を坐骨が麻痺側方向へ滑っている現象を、人の手を介することなく健側方向へ滑っていくよう修正する座面を提供する点にある。また麻痺の程度あるいは麻痺の回復度合いにより、軟部組織上を坐骨が健側方向へ滑る程度を調節できる座面を提供する点にある。  The problem to be solved by the present invention is that the phenomenon of the sciatic bone sliding on the soft tissue of the buttocks in contact with the seating surface is slid toward the healthy side without the human hand. The point is to provide a seating surface to be modified. Another object of the present invention is to provide a seating surface that can adjust the degree to which the sciatic bone slides on the soft tissue according to the degree of paralysis or the degree of recovery from the paralysis.

課題を解決するための手段Means for solving the problem

片麻痺患者が、健常者同様、床面に対して水平な座面に座れば、図1のように、軟部組織上を坐骨が麻痺側方向へ滑って、骨盤が麻痺側下がりに傾いた崩れた姿勢となる。立ち上がり動作・座位姿勢で行う作業や動作はやりにくくなり、負担部位には痛みが出現してしまう場合が多い。本発明の発明者は、片麻痺患者が日常生活で使用する車椅子や椅子の座面を、麻痺側上がりの傾斜をつけた座面とすれば、そのような欠点が軽減すると考えた。  If a hemiplegic patient sits on a seating surface that is horizontal to the floor as in a normal person, the sciatic bone slides on the soft tissue and the pelvis tilts toward the paralyzed side as shown in FIG. It becomes a posture. Work and operations performed in a standing motion or sitting posture are difficult to perform, and pain often appears at the burden site. The inventor of the present invention thought that such a drawback would be reduced if the seating surface of a wheelchair or chair used by a hemiplegic patient in daily life was a seating surface with an inclination rising to the paralysis side.

本発明に係る座面は、片麻痺患者が日常生活で使用する、車椅子又は椅子の座面上に設置する座面である。  The seating surface according to the present invention is a seating surface installed on the seating surface of a wheelchair or a chair used by a hemiplegic patient in daily life.

請求項1に係る座面は、左右の一側が高くなり反対側が低くなるように傾斜をつけたものである。片麻痺患者が日常生活で座る車椅子や椅子の座面上に、麻痺側が高く健側が低くなるように傾斜をつけた座面を設置する。この傾斜した座面に片麻痺患者が座れば、図2に示すようになる。骨盤は麻痺側上がりとなり、坐骨は重力と抗力によって健側方向へ力が加わって、座面と接触している軟部組織は座面との摩擦力によって麻痺側方向へ力が加わる。その結果、人の手を介することなく、軟部組織上を坐骨が健側方向へ滑っていくよう修正することができる。  The seating surface according to claim 1 is inclined so that one side of the left and right is higher and the other side is lower. On the seating surface of a wheelchair or chair on which a hemiplegic patient sits in daily life, a seating surface that is inclined so that the paralyzed side is high and the healthy side is low is installed. If a hemiplegic patient sits on this inclined seat, it will be as shown in FIG. The pelvis is raised to the paralyzed side, the sciatic bone is applied with a force toward the healthy side by gravity and drag, and the soft tissue in contact with the seat surface is applied with a force against the seat surface in the paralyzed side direction. As a result, it is possible to correct the sciatic bone to slide toward the healthy side on the soft tissue without the intervention of a human hand.

また麻痺の程度あるいは麻痺の回復度合いにより、軟部組織上を坐骨が健側方向へ滑っていく程度を調節するために、請求項2に係る座面のように、傾斜角度を調節できるようにする。図3に示すように、座面板1と底板2によって構成され、一側を蝶番3によって連結する。反対側は固定しない。固定していない側の座面板1と底板2の間の高さを調節することにより、傾斜角度を調節することができる。  Further, in order to adjust the degree to which the sciatic bone slides on the soft tissue according to the degree of paralysis or the recovery degree of the paralysis, the inclination angle can be adjusted as in the seating surface according to claim 2. . As shown in FIG. 3, the seat plate 1 and the bottom plate 2 are connected, and one side is connected by a hinge 3. Do not fix the other side. By adjusting the height between the seat plate 1 and the bottom plate 2 on the non-fixed side, the inclination angle can be adjusted.

傾斜角度は、麻痺の程度が重度で骨盤の麻痺側下がり角度が大きいほど、すなわち姿勢の崩れ度合いが大きいほど、傾斜角度を増大する。逆に麻痺の程度が軽度で姿勢の崩れ度合いが少ないほど、傾斜角度を小さくする。またリハビリによる麻痺の回復に合わせ、傾斜角度を小さく調整していくことにより、個人に最も適した傾斜角度を選択する。  The inclination angle increases as the degree of paralysis is more severe and the lowering angle of the pelvis side is larger, that is, the degree of posture collapse is larger. On the other hand, the inclination angle is reduced as the degree of paralysis is mild and the degree of posture collapse is small. In addition, the most suitable inclination angle for an individual is selected by adjusting the inclination angle to be small in accordance with the recovery of paralysis due to rehabilitation.

請求項1及び請求項2に示した座面は長時間座った時の臀部の耐久性を考慮していない。現在、片麻痺患者の座面には、長時間座れるように、低反発クッションをはじめとした座圧分散を目的とするクッションを処方する場合が多い。このクッションを使用したい場合は、請求項1及び請求項2の座面の上に設置して使用することになる。しかしこの場合の欠点として、別々に購入しなければならないというわずらわしさが出てくる。請求項3に係る座面は、そのわずらわしさを解消するためのものである。請求項1及び請求項2の傾斜した座面板上に圧分散機能を有するクッション部材が取り付けられている。  The seating surfaces shown in claims 1 and 2 do not consider the durability of the buttocks when sitting for a long time. At present, cushions intended to disperse sitting pressure, such as a low resilience cushion, are often prescribed on the seating surface of hemiplegic patients so that they can sit for a long time. When it is desired to use this cushion, it is used by installing it on the seating surface of claims 1 and 2. However, as a disadvantage of this case, the trouble of having to purchase separately comes out. The bearing surface according to claim 3 is for eliminating the troublesomeness. The cushion member which has a pressure dispersion function is attached on the inclined seating surface board of Claim 1 and Claim 2.

実施例1
実施例1を図3・図4・図5に基づいて説明する。図3に示すように、座面板1と底板2によって構成され、一側を蝶番3によって連結する。反対側は固定しない。図4に示すように、底板2の下面には滑り止めシート4を貼り、この座面が滑らないようにする。座面板1の上面には弾性かつ摩擦性のある部材5を取り付ける。図5に示すように、固定していない側の座面板1と底板2の間に、折りたたんだり重ねることにより高さが調節できるタオルや新聞などを詰め込むことによって、座面に傾斜をつける。タオルや新聞など折りたたんだり重ねたりする量を調節することで、傾斜角度を調節する。これを車椅子又は椅子の座面の上に設置する。この上に圧分散クッションや座布団を敷いて、片麻痺患者の座面として使用する。また座面板1の上面には弾性のある部材を取り付けているため、圧分散クッションや座布団を敷かずにそのまま単独で使用するのも良い。右側麻痺と左側麻痺では使用方向が異なるため、左右反転させることによって、麻痺側が高くなるように使用する。
Example 1
A first embodiment will be described with reference to FIGS. 3, 4, and 5. As shown in FIG. 3, the seat plate 1 and the bottom plate 2 are connected, and one side is connected by a hinge 3. Do not fix the other side. As shown in FIG. 4, a non-slip sheet 4 is attached to the lower surface of the bottom plate 2 so that the seat surface does not slip. An elastic and frictional member 5 is attached to the upper surface of the seating surface plate 1. As shown in FIG. 5, the seat surface is inclined by packing a towel or a newspaper whose height can be adjusted by folding or overlapping between the seat surface plate 1 and the bottom plate 2 on the non-fixed side. Adjust the tilt angle by adjusting the amount of towels and newspapers folded or stacked. This is placed on the wheelchair or chair seat. A pressure dispersion cushion or cushion is laid on top of this to be used as a seating surface for hemiplegic patients. Moreover, since the elastic member is attached to the upper surface of the seat surface board 1, it is good also to use as it is, without laying a pressure dispersion cushion or a cushion. Since the direction of use is different between right and left paralysis, use it so that the paralysis side becomes higher by flipping left and right.

実施例2
実施例2を図6・図7・図8・図9・図10・図11に基づいて説明する。座面に傾斜をつける機構及び座面の傾斜角度を調節する機構を、以下に示すようにする。他の構成は実施例1と同様にする。図6に示すような溝A・B・C・Dを有する部品6を、図10に示すように底板2の上面に取り付ける。図7・図8・図9に示すような可動する部品7を、図10に示すように座面板1の下面に取り付ける。図11に示すように、部品7を部品6の溝A・B・C・Dのいずれかに引っかけることで、座面に傾斜をつける。部品6の溝A・B・C・Dの位置を変えることにより、座面傾斜角度を調節する。実施例1と同様に使用する。
Example 2
A second embodiment will be described with reference to FIGS. 6, 7, 8, 9, 10, and 11. FIG. A mechanism for tilting the seat surface and a mechanism for adjusting the tilt angle of the seat surface are as follows. Other configurations are the same as those in the first embodiment. A component 6 having grooves A, B, C, and D as shown in FIG. 6 is attached to the upper surface of the bottom plate 2 as shown in FIG. A movable component 7 as shown in FIGS. 7, 8, and 9 is attached to the lower surface of the seat plate 1 as shown in FIG. As shown in FIG. 11, the seat surface is inclined by hooking the component 7 into any of the grooves A, B, C, and D of the component 6. The seat surface inclination angle is adjusted by changing the positions of the grooves A, B, C, and D of the component 6. Used in the same manner as in Example 1.

実施例3
実施例3を図12・図13・図14・図15に基づいて説明する。座面に傾斜をつける機構及び座面の傾斜角度を調節する機構を、以下に示すようにする。他の構成は実施例2と同様にする。実施例2で使用した部品7の変わりに、図12・図13・図14に示すような部品8を用いる。図15のように取り付ける。図16に示すように、部品8の長さを変えることにより座面傾斜角度を調節する。実施例1と同様に使用する。
Example 3
A third embodiment will be described with reference to FIGS. 12, 13, 14, and 15. FIG. A mechanism for tilting the seat surface and a mechanism for adjusting the tilt angle of the seat surface are as follows. Other configurations are the same as those in the second embodiment. Instead of the part 7 used in the second embodiment, a part 8 as shown in FIGS. 12, 13, and 14 is used. Attach as shown in FIG. As shown in FIG. 16, the seat surface inclination angle is adjusted by changing the length of the component 8. Used in the same manner as in Example 1.

実施例4
実施例4を図17に基づいて説明する。実施例1・実施例2・実施例3の座面板1の上面は、弾性かつ摩擦性のある部材5である。この部分を圧分散機能を有する低反発クッション部材のものとする。
Example 4
A fourth embodiment will be described with reference to FIG. The upper surface of the seating surface plate 1 of the first embodiment, the second embodiment, and the third embodiment is an elastic and frictional member 5. This portion is made of a low resilience cushion member having a pressure dispersion function.

発明の効果The invention's effect

本発明の請求項1・請求項2・請求項3すべてに係る傾斜をつけた座面を、姿勢が崩れてしまう片麻痺患者が日常生活の中で使用すれば、崩れた姿勢を人の手を介することなく修正することができる。また、本発明の請求項2・請求項3に係る傾斜角度を調節することができる座面を使用すれば、麻痺の程度あるいは麻痺の回復度合いにより、傾斜角度を調節することができる。その結果、崩れた座位姿勢を保持するために活動していた健康側上下肢の自由性が獲得され、以下に示す効果が得られる。立ち上がり動作の介助量が軽減する、あるいは自立度が向上する。食事・整容・更衣・車椅子駆動・趣味活動など座位姿勢で行う作業や動作がやりやすくなる。負担のかかっている部位のストレスが軽減する。  If a hemiplegic patient whose posture collapses in daily life uses the inclined seating surface according to claims 1, 2, and 3 of the present invention, the collapsed posture is used by human hands. It can be corrected without going through. Moreover, if the seat surface which can adjust the inclination | tilt angle which concerns on Claim 2 and Claim 3 of this invention is used, an inclination | tilt angle can be adjusted with the grade of paralysis or the recovery | restoration degree of paralysis. As a result, the freedom of the healthy upper and lower limbs that have been active to maintain the collapsed sitting posture is acquired, and the following effects are obtained. The assistance amount of the rising motion is reduced or the degree of independence is improved. Work and movements in a sitting position such as eating, dressing, changing clothes, wheelchair driving and hobby activities become easier. Reduces stress on the burdened part.

片麻痺患者が、床面に対して水平な座面に座った時の、臀部と座面の断面図である。  It is sectional drawing of a buttocks and a seat surface when a hemiplegic patient sits on a seat surface horizontal with respect to a floor surface. 片麻痺患者が、麻痺側が高く健側が低くなるように傾斜をつけた座面に座った時の、臀部と座面の断面図である。  It is sectional drawing of a buttocks and a seat surface when a hemiplegic patient sits on the seat surface inclined so that the paralysis side may be high and the healthy side may become low. 実施例1を示す斜視図である。  1 is a perspective view showing Example 1. FIG. 実施例1の正面図である。  1 is a front view of Example 1. FIG. 実施例1を示す斜視図である。  1 is a perspective view showing Example 1. FIG. 部品6を示す斜視図である。  FIG. 6 is a perspective view showing a component 6. 部品7を示す斜視図である。  FIG. 6 is a perspective view showing a component 7. 部品7の正面図である。  FIG. 6 is a front view of a part 7. 部品7の側面図である。  FIG. 6 is a side view of the part 7. 実施例2を示す斜視図である。  FIG. 6 is a perspective view showing Example 2. 実施例2の正面図である。  6 is a front view of Example 2. FIG. 部品8を示す斜視図である。  FIG. 6 is a perspective view showing a component 8. 部品8の正面図である。  FIG. 6 is a front view of a component 8. 部品8の側面図である。  FIG. 6 is a side view of the component 8. 実施例3を示す斜視図である。  10 is a perspective view showing Example 3. FIG. 実施例3の正面図である。  6 is a front view of Example 3. FIG. 実施例4の正面図である。  10 is a front view of Example 4. FIG.

符号の説明Explanation of symbols

1 座面板
2 底板
3 蝶番
4 滑り止めシート
5 弾性かつ摩擦性のある部材
6 部品
7 部品
8 部品
9 低反発クッション部材
DESCRIPTION OF SYMBOLS 1 Seat surface plate 2 Bottom plate 3 Hinge 4 Anti-slip sheet 5 Elastic and frictional member 6 Component 7 Component 8 Component 9 Low rebound cushion member

Claims (3)

車椅子又は椅子に設置するための、左右の一側が高くなり反対側が低くなるように傾斜をつけた座面。A seating surface that is inclined so that one side of the left and right is higher and the other side is lower for installation in a wheelchair or chair. 傾斜角度を調節する手段を設けた、請求項1記載の座面。The seating surface according to claim 1, further comprising means for adjusting an inclination angle. 座圧分散機能を有する、請求項1又は請求項2記載の座面。The seating surface according to claim 1 or 2, which has a seating pressure dispersion function.
JP2003334295A 2003-08-21 2003-08-21 Seat surface for hemiplegia Pending JP2005066250A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
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US11052005B2 (en) 2017-09-19 2021-07-06 Stryker Corporation Patient support apparatus with handles for patient ambulation
US11116680B2 (en) 2017-09-19 2021-09-14 Stryker Corporation Patient support apparatus for controlling patient ingress and egress
US11160705B2 (en) 2017-10-20 2021-11-02 Stryker Corporation Adjustable patient support apparatus for assisted egress and ingress

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11052005B2 (en) 2017-09-19 2021-07-06 Stryker Corporation Patient support apparatus with handles for patient ambulation
US11116680B2 (en) 2017-09-19 2021-09-14 Stryker Corporation Patient support apparatus for controlling patient ingress and egress
US11723821B2 (en) 2017-09-19 2023-08-15 Stryker Corporation Patient support apparatus for controlling patient ingress and egress
US11160705B2 (en) 2017-10-20 2021-11-02 Stryker Corporation Adjustable patient support apparatus for assisted egress and ingress
US11806290B2 (en) 2017-10-20 2023-11-07 Stryker Corporation Adjustable patient support apparatus for assisted egress and ingress

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