JP2006341052A - Rehabilitation walking exercise apparatus - Google Patents
Rehabilitation walking exercise apparatus Download PDFInfo
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- JP2006341052A JP2006341052A JP2005198062A JP2005198062A JP2006341052A JP 2006341052 A JP2006341052 A JP 2006341052A JP 2005198062 A JP2005198062 A JP 2005198062A JP 2005198062 A JP2005198062 A JP 2005198062A JP 2006341052 A JP2006341052 A JP 2006341052A
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Description
本発明は機能回復歩行訓練装置に関し、特に偏芯輪の回転回動の上部に連接の足踏み台の揺動により、強制的な運動を送り特にアキレス腱の伸縮、筋肉、筋力の回復運動を促し、血液の循環を旺盛に成し歩行感覚を促進させる、機能回復歩行訓練装置に関する。The present invention relates to a functional recovery walking training device, and in particular, by forcing a stepping platform connected to the upper part of the rotational rotation of the eccentric wheel to send a forced motion, particularly to promote the expansion and contraction of the Achilles tendon, muscle and muscle recovery, The present invention relates to a functional recovery walking training apparatus that vigorously circulates blood and promotes walking sensation.
長期の入院患者及び身体障害者等の長いベッド生活を余儀なくされている、仰臥患者、又心臓の弱い方及び過度の肥満者などは、歩行する機会が少ないため、下半身の筋力低下、特に脚部の筋力低下が著しく、歩くことの出来ない状態になることがある、一旦低下した筋力はなかなか回復しないため、患者などは、通常退院後、社会復帰に向けて病気回復後の、自立した日常生活を考慮して、入院中から自力で脚部を動かそうと、寝ながらの屈伸運動を行い又は介護者の助けを借りて、脚部を動かし歩行機能の回復に涙ぐましい努力がなされている。Long-term hospitalized patients and persons with disabilities who are forced to live in long beds, supine patients, those with weak hearts, and those with excessive obesity have few opportunities to walk, so lower muscle strength in the lower body, especially the legs As the muscle strength of the patient is markedly reduced, it may become impossible to walk. Once the muscle strength has been reduced, it will not be easy to recover. In view of the above, in order to move the legs by themselves during hospitalization, a strenuous effort has been made to restore the walking function by moving the legs with the help of a caregiver while bending or stretching while sleeping.
しかしながら、自力で脚部の屈伸運動の出来る患者や老人などは問題とはならないが、介護者の助けを借りて猶、脚部の屈伸運動が行はれるリハビリ訓練を毎日続けるには、介助者の都合によるところに左右される事がある。このため、脚部の筋力を効果的に回復させる事が出来ず、社会復帰が遅たり、又老人の場合筋力が戻らず寝たきりの生活を、送らなければ成らないような問題があった。However, patients and elderly people who can bend and stretch their legs by themselves are not a problem, but with the help of a caregiver, to continue daily rehabilitation exercises where the legs can bend and stretch, an assistant It may be affected by the circumstances. For this reason, there was a problem that the muscle strength of the legs could not be effectively recovered, the social return was delayed, and in the case of an elderly person, the muscle strength did not return and the bedridden life had to be sent.
介護者の立場からは、患者や老人の脚部のリハビリ運動を毎日補助するには、精神的にも肉体的にも、又時間的にも大変な負担となると言う問題がある。From the caregiver's point of view, there is a problem that it is a great burden both mentally and physically and in terms of time to assist daily rehabilitation of the legs of patients and elderly people.
一方、脚部の機能を回復させる装置として、自転車状のサイクリングマシーンが一般的に知られている。かかるサイクリングマシーンは、室内に設置された状態でペダルを漕ぐことにより脚部の筋力を向上させることが出来るようになっている。然しこのサイクリングマシーンは、リハビリ用ではなく、ある程度の筋力を有している者が自力でペダルを漕ぐことによって、筋力トレーニングを行うものである。この為この装置には、筋力の弱い老人、身体障害者、病中、病後の患者等には脚部に過度の負担がかかり、かえって脚部を痛めてしまうという問題がある。On the other hand, a bicycle-like cycling machine is generally known as a device for restoring the function of the leg. Such a cycling machine can improve the muscle strength of the leg by rowing the pedal while it is installed indoors. However, this cycling machine is not used for rehabilitation, but is a technique in which a person having a certain level of muscle strength trains a pedal by himself to perform strength training. For this reason, this apparatus has a problem that the leg part is excessively burdened to the elderly person with weak muscular strength, the physically handicapped person, the ill patient, the patient after the illness and the like, and the leg part is damaged.
また、患者等が介護者の手を借りることなく、脚部の筋力の回復させる事が出来る、脚部機能回復装置として、運動器に設けられた座部と、運動器の座部の前面、下方に設けられ、両足をそれぞれ載置可能に構成されると共に座部に対して接離可能の一対のペダルと、本体部内に設けられ一対のペダルを交互に接離運動させる駆動機構とを備えた「図5a1」記載の他社の運動器が提案されているIn addition, as a leg function recovery device that allows patients to recover muscle strength of the legs without helping caregivers, a seat part provided on the exercise device, and a front surface of the exercise unit seat, A pair of pedals provided below and configured so that both feet can be placed on each other and capable of coming into contact with and separating from the seat; and a drive mechanism provided in the body for alternately moving the pair of pedals toward and away from each other. The other company's exercise machine described in "Fig. 5a1" has been proposed.
さらに完全麻酔状態の患者、高齢者などの歩行がまったく困難な老人等の下肢を半強制的に歩行運動させ、早期の社会復帰のためのリハビリテーション効果を促進させ得る、歩行訓練装置として、枠体に取り付けられた座席部と、座席部の下方位置に設けられて患者等が、座席部に乗架した状態でその足部を載置させて受けるペダルと、側面視前進方向を先鋭端とし後部側袋部を基点とする涙状の軌跡を移動するようにペダル支持体にそれぞれ一端をペダル支持体のループ移動を行わせる、複数の操作アームを含む機構部とにより構成するもので、「図5a2」に記載の、人の疑似歩行運動に近い軌道の、運動器でペダルを駆動させる構成を有する機の歩行訓練装置が提案されている。Furthermore, as a gait training device that can semi-forcibly gait the lower limbs of elderly people, such as patients who are completely anesthetized, elderly people who are difficult to walk, and promote the rehabilitation effect for early social rehabilitation. A seat part attached to the seat, a pedal provided at a lower position of the seat part and placed on the seat part by the patient, and a rear part with a sharp forward end in a side view. Each of the pedal supports is configured to include a plurality of operation arms that cause the pedal support to perform a loop movement of the pedal support so as to move along a tear-like trajectory starting from the side bag portion. 5a2 ", a walking training apparatus for a machine having a configuration in which a pedal is driven by an exerciser in a trajectory close to a person's pseudo walking movement.
しかしながら、前記の先行技術に示される機能回復装置にあっては、長期の入院患者や病弱な老人、高齢である使用者は、座席に座乗する事が必要であり、かかる行為は、前述する運動機能の低下した患者が装置を使用するための最初の難関となり、この為に介護者の介助を必要とし、介護者の極めて肉体的な負担を必要とすると共に、介助の為の人的資源が大きく費やされる。However, in the function recovery device shown in the above-mentioned prior art, long-term hospitalized patients, sickly elderly people, and elderly users need to sit on the seat, and such actions are described above. Patients with reduced motor function become the first challenge to use the device, which requires the caregiver's assistance, requires a very physical burden on the caregiver, and human resources for assistance Is spent heavily.
本発明は、前述する 諸問題に鑑み成されたものであり、患者等が自立姿勢による自己体重を支持できない弱者の機能回復に、「図4」記載、ベッド上に位置する時から足部の屈伸運動をはじめる必要にあります。起立姿勢での訓練は過激すぎて筋肉に負担がかかる問題がおき、足首を動かす事によって、屈伸運動により筋肉を癒し、血流を促し、足のムクミの予防になる。特にパーキンソン病患者は朝動きにくい、足が出にくい、介護者の手助けによる介護マッサージ及び、屈伸運動が成されている、前記の介護者による人的資源援助に「図4」記載の仰向けの姿勢での自力での回復訓練の必要性がある。The present invention has been made in view of the above-mentioned problems. In order to recover the function of a weak person who cannot support his / her own body weight due to a self-supporting posture, the description of FIG. It is necessary to start bending and stretching exercises. Training in a standing posture is too radical and strains the muscles, and by moving the ankle, the muscles are healed by flexion and extension exercises, blood flow is promoted, and Mukumi of the foot is prevented. In particular, Parkinson's disease patients are difficult to move in the morning, difficult to get out of their feet, care massage with caregiver assistance, and bending and stretching exercises are performed. There is a need for recovery training on their own.
上記弱者の機能回復訓練に関する運動機は軽量にて設計、移動も容易で「請求項1」記載の偏芯輪に「図2」記載の揺動板をセットなしその回転、回動に足部を固定、載置するものであり、ベッド上で仰向けの姿勢のままで足部に本発明の歩行回復訓練機を設置、両足を載置、「図4」記載の調整器により、強弱段階の回転による屈伸機能回復運動に入り、全身の血行を促進また、ベッドに座れる患者はベッドの足下に機能回復訓練機を設置、膝の交互上下運動に伴いアキレス腱、膝及び足先の屈伸筋力、筋肉の伸縮運動を促し継続的な訓練により腰部、脊髄可動、足関節、足裏面にトッキ部を施設土踏まずの押し圧、且つ揺動板の他力回転による強制的の回転運動により、血行を促進又車椅子騎乗の患者は車椅子に座位のまま、歩行訓練機に乗り入れ、其の儘の姿勢で脚部の訓練に入る。訓練機の回転回動運動は∞型の軌跡を画き、エンドレス回転回動を安全にコントロールされ、スムーズな回転運動により、バランス感覚を増大成し、転倒防止を図り併せて歩行感覚に芽生え、廃用症候群患者等に活性化を与える事を、目的とする機能回復歩行訓練装置を提供。The exercise machine for functional recovery training for the weak is lightweight and easy to design and move. The eccentric wheel described in claim 1 is not set with the swing plate described in FIG. The walking recovery training machine of the present invention is installed on the foot while keeping the posture in the supine position on the bed, both feet are placed, and the adjuster described in FIG. Rotation flexion / extension function recovery exercise, promotes blood circulation throughout the body.Also, patients who can sit in the bed are equipped with a function recovery training machine under the bed's feet. Achilles tendon, knee and toe flexion / extension strength, muscles with alternating vertical movement of the knee Continuing exercises to promote blood circulation through continuous exercise, such as pressing the lower part of the lumbar region, spinal cord movement, ankle joint, and the toe part on the sole of the foot, and forcing the rotational movement of the swinging plate to rotate the other force. Wheelchair mounted patients remain sitting in wheelchairs, walking training machines Fly, into the training of the legs in the attitude of its as one likes. The rotation rotation movement of the training machine has an ∞-type trajectory, the endless rotation rotation is controlled safely, the smooth rotation movement increases the balance sensation, and the fall sensation is sprouted and abolished. Providing a functional recovery walking training device aimed at providing activation to patients with medical syndromes.
本発明は原動機の回転軸に偏芯輪を軸架成し、「図2」記載、一方行の偏芯輪前輪の回転を左回転と成し、上方前面に回転、下方に回動、同軸の後部偏芯輪は右回転と成し、上方後面、下方に回転回動運動を成し∞型軌跡をエンドレスに作動。反對方向の偏芯輪の回転回動は同軸にベベルギヤーの連接で「図2」記載の逆回転回動運動に装備成し、前記揺動板を上部に連接、「図2」記載揺動板の先端部及び後端部の各々先鋭端を半円形のカバーを施設、偏芯輪回転アームの外周を沿い、回動偏芯輪外周をカバー其のカバーの内側に摺動用メタルを設置成し、スムーズな回転、揺動運動を促し、且つ安全に配慮、シンプルな設計にての回動による機械音も発さず、堅牢で軽量で、何処に設置する事も可能で、静かな運動機能を発揮出来得る、機能回復歩行訓練装置を提供。In the present invention, an eccentric wheel is formed on the rotation shaft of the prime mover, and the rotation of the front wheel of the eccentric wheel in one row is the left rotation as described in FIG. The rear eccentric wheel rotates rightward, and rotates and rotates in the upper rear and lower direction. The rotating rotation of the eccentric wheel in the ruminant direction is coaxially connected to a bevel gear and equipped with the reverse rotating rotation movement described in “FIG. 2”, the above-mentioned swing plate is connected to the upper part, and the swing plate described in “FIG. 2” The tip end and rear end of each of these are provided with a semi-circular cover, along the outer periphery of the eccentric wheel rotation arm, the outer periphery of the rotating eccentric wheel, and the sliding metal is installed inside the cover. Smooth rotation and swinging motion, safety considerations, no mechanical noise due to rotation with a simple design, robust and lightweight, can be installed anywhere, quiet motion function A function recovery walking training device that can demonstrate
本発明は長期間ベッド生活を余儀なくされる患者、身体障害者、手術後の老人弱者、不慮の災害に依る事故等怪我による下肢筋力の低下、過度の運動不足に伴う極端な筋肉の衰えを癒し、復活を図り早期社会復帰に向けての、機能回復歩行訓練装置である、他力による半強制的に「図3」記載の筋力、脚力の回復を図る訓練機を患者のベッド上、足元に設置仰向けの位置にて訓練でき得る事で、介護者の手を離れる事により自立の意識を高陽、ベッドに座位姿勢の儘の下肢運動にはベッド足下に設置成し運動又は、車椅子騎乗の患者の膝及び足首、アキレス腱、運動にも足下に設置。立ち姿勢での訓練にはベッドサイドに訓練機を設置ベッドの枠等を利用、平衡バランス感覚を養い、足首の屈伸、太腿部、アキレス腱の伸縮、筋肉筋力等の鍛錬により血流を促進、リハビリ訓練運動による一日も早い社会復帰を促す、機能回復歩行訓練装置を提供。The present invention heals a patient who is forced to live in bed for a long period of time, a disabled person, an elderly person who is weak after surgery, a decrease in muscle strength of the lower limb due to an accident such as an accident caused by an accident, and an extreme muscle weakness due to excessive lack of exercise. , A functional recovery walking training device aimed at reviving and returning to society early, using a training machine that attempts to restore muscle strength and leg strength as described in “Fig. By being able to train in the position on the back of the installation, the caregiver's hand can be lifted and the self-awareness can be established in Goyang. Knees and ankles, Achilles tendons, exercises are also placed under the feet. For training in standing posture, set up a training machine on the bedside, use a frame of the bed, etc., cultivate a sense of balance, promote blood flow by training such as bending and stretching of the ankle, stretching of the thigh, Achilles tendon, muscle strength, Provide a functional recovery walking training device that encourages rehabilitation exercises to return to society as soon as possible.
1・偏芯器
2・環状カラーリング
3・メタル
4・偏芯輪カバー
5・軸
6・キー
7・クッション
8・揺動板
9・足部止めカバー
10・ベルト
11・原動機
12・歯車
13・カップリング
14・車椅子
15・揺動板
16・ベッド
17・シャフト
18・軸受け1. Eccentricator 2.
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Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN101411661B (en) * | 2007-10-16 | 2011-12-07 | 财团法人工业技术研究院 | Bearing table device |
CN102488603A (en) * | 2011-12-15 | 2012-06-13 | 杨红春 | Ankle three-dimensional force training device |
CN109106557A (en) * | 2018-08-28 | 2019-01-01 | 常州市第人民医院 | A kind of ankle joint rehabilitation training device and operating method |
CN110237501A (en) * | 2018-03-09 | 2019-09-17 | 北京力泰克科技有限公司 | Ankle-joint trains adapter, rehabilitation training equipment and its Training Control method |
CN112370304A (en) * | 2020-11-10 | 2021-02-19 | 皖南医学院第一附属医院(皖南医学院弋矶山医院) | Neurological cerebral apoplexy rehabilitation medical device and rehabilitation method |
-
2005
- 2005-06-09 JP JP2005198062A patent/JP2006341052A/en active Pending
Cited By (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN101411661B (en) * | 2007-10-16 | 2011-12-07 | 财团法人工业技术研究院 | Bearing table device |
CN102488603A (en) * | 2011-12-15 | 2012-06-13 | 杨红春 | Ankle three-dimensional force training device |
CN102488603B (en) * | 2011-12-15 | 2013-10-02 | 浙江体育科学研究所 | Ankle three-dimensional force training device |
CN110237501A (en) * | 2018-03-09 | 2019-09-17 | 北京力泰克科技有限公司 | Ankle-joint trains adapter, rehabilitation training equipment and its Training Control method |
CN110237501B (en) * | 2018-03-09 | 2024-04-02 | 极智医疗器械(河北)有限公司 | Ankle joint training adapter and rehabilitation training device |
CN109106557A (en) * | 2018-08-28 | 2019-01-01 | 常州市第人民医院 | A kind of ankle joint rehabilitation training device and operating method |
CN112370304A (en) * | 2020-11-10 | 2021-02-19 | 皖南医学院第一附属医院(皖南医学院弋矶山医院) | Neurological cerebral apoplexy rehabilitation medical device and rehabilitation method |
CN112370304B (en) * | 2020-11-10 | 2022-04-19 | 皖南医学院第一附属医院(皖南医学院弋矶山医院) | Neurological cerebral apoplexy rehabilitation medical device and rehabilitation method |
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