JP2008194424A - Rehabilitation apparatus - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide rehabilitation apparatus which permits parts of a body, upper limbs, lower limbs or the like to be supported in restoring their movement abilities to be inexpensively and effectively provided. <P>SOLUTION: The rehabilitation apparatus has a first rotary disc 2 rotatably attached to a shaft 2a implanted on the top face of a foundation 1 and having a first grip portion 2b in the periphery, a second rotary disk 3 rotatably attached to a shaft 3a implanted on the top face of the foundation 1 and having a second grip portion 3b in the periphery, and a power transmission mechanism made up of a gear 4 attached to the reverse of the first rotary disc 2, a gear 5 rotatably attached to a shaft 5a implanted on the top face of the foundation 1, and a gear 6 attached to the reverse of the second rotary disk 3. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

  The present invention relates to a rehabilitation device that is effective for assisting recovery of a part of a body, in particular, motor ability such as an upper limb and a lower limb.

  Conventionally, as a rehabilitation apparatus effective for assisting recovery of a part of a body, particularly an exercise ability such as an upper limb, one disclosed in Patent Document 1 is known.

  In this patent document, an upper limb that can move the healthy upper limb finger actively according to the will of the patient, move the affected upper limb finger so as to be symmetrical with this movement, and recover the motor function. A hand rehabilitation system is described.

This upper limb hand rehabilitation system is attached to a healthy upper limb finger and detects a joint angle that changes with the active movement of the healthy upper limb finger. Receives joint angle data related to the movement of fingers on the upper limbs, generates control data, sends it to the recovery training device, receives control data sent from the control device, and receives the control data based on the control data It is mainly composed of a recovery training device composed of training means including a finger training unit that moves the upper limbs and fingers dynamically.
JP 2004-267254 A

  However, the upper limb hand rehabilitation system disclosed in Patent Document 1 has a complicated configuration and is expensive, and cannot easily support recovery of the motor ability of the upper limb, the lower limb, and the like.

  SUMMARY OF THE INVENTION An object of the present invention is to provide a rehabilitation device that can inexpensively and effectively support recovery of a part of a body, particularly, an exercise ability such as an upper limb and a lower limb.

  In order to achieve the above object, a rehabilitation device according to the invention of claim 1 includes a base, a first turntable rotatably supported on the base, and having a first gripping portion at a peripheral portion, and the base. A second turntable having a second gripping portion at the periphery thereof, wherein the first gripping portion and the first gripping portion are connected to the first turntable via a power transmission mechanism. The second gripping part is gripped by a part of the body and the first rotating disk and the second rotating disk are rotated to assist recovery of the body's exercise ability.

  According to a second aspect of the present invention, in the first aspect of the invention, the power transmission mechanism transmits the rotation of the first rotating disk to the second rotating disk by changing the rotation direction.

  According to a third aspect of the present invention, in the first or second aspect of the invention, the power transmission mechanism transmits the rotation of the first rotating disk to the second rotating disk by changing a rotation speed.

  According to a fourth aspect of the present invention, in any one of the first to third aspects, the first rotary disk or the second rotary disk is provided on at least one of the first rotary disk or the second rotary disk. A load-loading mechanism for changing a load required for rotation of the two rotary plates;

  According to a fifth aspect of the present invention, in any one of the first to fourth aspects of the present invention, the first rotating disk and the second rotating disk are disposed on the same plane of the base.

  According to a sixth aspect of the present invention, in any one of the first to fourth aspects, the first rotating disk and the second rotating disk are arranged to face each other with the base interposed therebetween.

  The invention according to claim 7 is the invention according to any one of claims 1 to 6, wherein the first gripping part and the second gripping part are gripped by left and right hands, respectively. By rotating the second turntable, recovery support of the exercise ability of the left and right upper limbs is performed.

  The invention according to claim 8 is the invention according to any one of claims 1 to 6, wherein left and right feet are placed on the first turntable and the second turntable, and the first turntable and the first turntable. Rotation of the 2 turntables supports recovery of the exercise ability of the left and right lower limbs.

  According to the rehabilitation device of the present invention, the base, the first rotating disk supported rotatably on the base, and having the first gripping part on the periphery, and rotatably supported on the base, A second rotating disk connected to the first rotating disk via a power transmission mechanism and having a second gripping part on the periphery, the first gripping part and the second gripping part being attached to the body Since it is configured to support recovery of the physical ability of the body by rotating the first rotating disk and the second rotating disk by gripping with a part of the first rotating disk, a part of the body, particularly the upper limb In addition, it is possible to provide low-cost and effective support for recovery of exercise ability such as lower limbs.

  Embodiments of a rehabilitation apparatus according to the present invention will be described below in detail with reference to the accompanying drawings.

  1A and 1B show an embodiment of a rehabilitation apparatus according to the present invention. FIG. 1A is a plan view and FIG. 1B is a side view thereof.

  The rehabilitation device shown in FIG. 1 is rotatably attached to a shaft 2 a implanted on the upper surface of the base 1, and has a first rotating disk 2 having a first gripping portion 2 b on the periphery, and an upper surface of the base 1. The second rotating disk 3 that is rotatably attached to the planted shaft 3a and has the second gripping part 3b in the peripheral part, the gear 4 that is attached to the back surface of the first rotating disk 2, and the base 1 A power transmission mechanism including a gear 5 rotatably attached to a shaft 5a planted on the upper surface and a gear 6 attached to the rear surface of the second rotating disk 3 is provided.

  In the configuration shown in FIG. 1, when the first turntable 2 is rotated in the direction of arrow A, the gear 4 is rotated in the direction of arrow A along with this, and the rotation of the gear 4 in the direction of arrow A causes the gear 5 to move to the arrow. When the gear 5 rotates in the B direction and the gear 5 rotates in the B direction, the gear 6 rotates in the direction of the arrow C, and accordingly, the second rotating disk 3 rotates in the direction of the arrow C.

  That is, when the first turntable 2 is rotated in the direction of arrow A (clockwise), the second turntable 3 is also moved in the direction of arrow C (clockwise) by the action of the power transmission mechanism including the gears 4, 5 and 6. Around).

  Next, exercise capacity recovery support using the rehabilitation apparatus shown in FIG. 1 will be described.

  The rehabilitation apparatus shown in FIG. 1 is used by being mounted on a table, fixed to a wall, or attached to a dedicated rack.

  When the rehabilitation apparatus shown in FIG. 1 is used to support recovery of the exercise ability of the upper limb (upper arm, forearm, hand), for example, the first grip 2b of the first turntable 2 is gripped with the left hand. At the same time, the second grip 3b of the second turntable 3 is held with the right hand, and the first turntable 2 is rotated in the direction of arrow A or in the direction opposite to the direction of arrow A with the left hand. Then, along with this, the second rotating disk 3 rotates in the direction of arrow C or in the direction opposite to arrow C.

  Accordingly, the right hand holding the second holding part 3b of the second rotating disk 3 is forcibly moved in the direction of the arrow C or in the direction opposite to the arrow C.

  Similarly, when the second turntable 3 is rotated with the right hand in the direction of arrow C or in the direction opposite to the direction of arrow C, the first turntable 2 is rotated in the direction of arrow A or in the direction opposite to arrow A accordingly. The left hand holding the first holding part 2b of the first rotating disk 2 is forcibly moved in the direction of arrow A or the direction opposite to arrow A.

  For example, if the motor ability of the left upper limb is normal but the motor ability of the right upper limb is impaired, the left hand with normal exercise ability is used to move the first turntable 2 in the direction of arrow A or arrow A. Accordingly, the second turntable 3 rotates in the direction of the arrow C or in the direction opposite to the arrow C, thereby using the left upper limb with normal exercise ability. It is possible to support the recovery of the motor ability of the right upper limb with a disability, that is, rehabilitation.

  Similarly, when the motor ability of the right upper limb is normal but the motor ability of the left upper limb is impaired, the second turntable 3 is moved in the direction of arrow C or the arrow C with the right hand having normal exercise ability. When rotating in the direction opposite to the direction, the first turntable 2 rotates in the direction of arrow A or in the direction opposite to arrow A, thereby exercising using the right upper limb with normal exercise ability. It is possible to support recovery of the motor ability of the left upper limb with impaired ability, that is, rehabilitation.

  In addition, not only when the right and left upper limbs are impaired, but also when both the right and left upper limbs have motor disabilities, use the left upper limb to restore the right upper limbs. Effective rehabilitation can be expected because the recovery of the motor ability of the left upper limb can be performed using the support and the right upper limb.

  In the configuration shown in FIG. 1, the load weighting device capable of varying the load required for the rotation of the first rotating disk 2 and the second rotating disk 3 is the first rotating disk 2 or the second rotating disk 3 or A more effective rehabilitation effect can be obtained by adopting a configuration provided in both of them.

  Here, the load weighting device can be constituted by, for example, load weighting gears 20 and 21 that are detachably attached to the shafts 20a and 20a indicated by broken lines in FIG.

  That is, when the load weight gears 20, 21 are mounted on the shafts 20a and 20b, respectively, a constant load is required for rotation. In this case, when both the load weight gears 20, 21 are not mounted, When one of 20, 21 is mounted, the load required for the rotation of the first rotating disk 2 and the second rotating disk 3 can be varied in three stages when both the load weighting gears 20, 21 are mounted. .

  In addition, as this load weighting device, a mechanism that variably applies a load caused by a frictional force to the first rotating disk 2 or the second rotating disk 3, or the first rotating disk 2 or the second rotating disk 3. It can also be realized by using a known mechanism that uses a mechanism that variably restricts rotation by an elastic body such as a spring.

  Further, if the power transmission ratio of the power transmission mechanism including the gear 4, the gear 5, and the gear 6 is appropriately changed by changing the number of teeth of the gear 4, the gear 5, and the gear 6, a more effective rehabilitation effect can be obtained. it can.

  In the rehabilitation shown in FIG. 1, the power transmission mechanism is configured using the gear 4, the gear 5, and the gear 6. However, instead of the gear 4, the gear 5, and the gear 6, a belt mechanism, a chain mechanism, or the like is used. A power transmission mechanism may be configured.

  The rehabilitation apparatus shown in FIG. 1 can be used not only to support recovery of the exercise ability of the upper limb (upper arm, forearm, hand) but also to support the recovery of the exercise ability of the lower limb (foot).

  In this case, the rehabilitation apparatus shown in FIG. 1 is mounted on a floor or attached to a dedicated rack and used, and the first gripping portion 2b of the first turntable 2 and the first turntable 2 is used. Is gripped with the left foot finger and the left foot is placed on the first turntable 2, and the second grip portion 3b of the second turntable 3 is gripped with the right foot finger to hold the right foot with the second foot. Place on the turntable 3 and turn the first turntable 2 with the left foot in the direction of arrow A or in the direction opposite to the direction of arrow A or the right foot with the second turntable 3 in the direction of arrow C or in the direction opposite to the direction of arrow C. .

  As a result, the second turntable 3 rotates in the direction of arrow C or in the direction opposite to arrow C, or the first turntable 2 rotates in the direction of arrow A or in the direction opposite to arrow A. Rehabilitation for recovery of athletic ability.

  In the above configuration, instead of the first gripping portion 2b and the second gripping portion 3b, a footrest portion is provided on the first turntable 2 and the second turntable 3, and the left and right feet are placed on the footrest. You may comprise so that it may mount on a part and the 1st turntable 2 and the 2nd turntable 3 may be rotated.

  FIG. 2 shows another embodiment of the rehabilitation apparatus according to the present invention. FIG. 2 (a) is a plan view thereof, and FIG. 2 (b) is a side view thereof.

  In the rehabilitation apparatus shown in FIG. 1, when the first turntable 2 is rotated clockwise, the second turntable 3 is also rotated clockwise. In the rehabilitation apparatus shown in FIG. 2, The gear 7, the gear 8, the gear 9, and the gear 10 are used as a power transmission mechanism, and when the first rotating disk 2 is rotated clockwise, the second rotating disk 3 rotates counterclockwise. Configured as follows.

  In the rehabilitation apparatus shown in FIG. 2, a gear 7 is further attached below the gear 4, and a gear 8 that rotates in mesh with the gear 7 is rotatably attached to a shaft 8 a that is implanted in the base 1, and meshes with the gear 8. A rotating gear 9 is rotatably attached to a shaft 9 a implanted in the base 1, and a rotating gear 10 meshed with the gear 9 is further attached to F of the gear 6. Other configurations are the same as those of the rehabilitation apparatus shown in FIG.

  According to this configuration, when the first turntable 2 is rotated in the direction of arrow A, the gear 7 is also rotated in the direction of arrow A, and the gear 8 is rotated in the direction of arrow A by the rotation of the gear 7 in the direction of arrow A. The gear 9 rotates in the direction of the arrow C due to the rotation of the gear 8 in the B direction, and the gear 10 rotates in the direction of the arrow D due to the rotation of the gear 9 in the C direction. The second turntable 3 rotates in the arrow D direction.

  That is, when the first turntable 2 is rotated in the direction of arrow A (clockwise), the second turntable 3 is moved to the arrow D by the action of the power transmission mechanism including the gear 7, the gear 8, the gear 9, and the gear 10. Rotate in the direction (counterclockwise).

  For example, when recovery support for the exercise ability of the upper limbs (upper arms, forearms, and hands) is performed using the rehabilitation device shown in FIG. 2, as in the rehabilitation device shown in FIG. 2, The first gripping part 2b is gripped with the left hand, and the second gripping part 3b of the second rotating disk 3 is gripped with the right hand.

  Then, with the left hand, the first turntable 2 is rotated in the direction of arrow A or in the direction opposite to the direction of arrow A, or with the right hand, the second turntable 3 is rotated in the direction of arrow D or in the direction opposite to the direction of arrow D. Move. Accordingly, the second rotating disk 3 rotates in the direction of arrow D or the direction opposite to the arrow D, and the first rotating disk 2 rotates in the direction of arrow A or the direction opposite to the arrow A. Rehabilitation of motor ability recovery of the right and left upper limbs can be performed.

  In this case, the rotation direction of the first turntable 2 and the turn direction of the second turntable 3 are reversed, so this operation requires judgment in the brain. In addition to helping to restore the motor ability of the left upper limb, it can also be expected to help restore the command system from the brain.

  3 shows still another embodiment of the rehabilitation apparatus according to the present invention. FIG. 3 (a) is a plan view thereof, and FIG. 3 (b) is a side view thereof.

  The rehabilitation device shown in FIG. 3 is similar to the rehabilitation device shown in FIG. 1 in that when the first turntable 2 is rotated clockwise, the second turntable 3 is also rotated clockwise. In the rehabilitation apparatus shown in FIG. 3, the rotational speed of the first rotating disk 2 is different from the rotating speed of the second rotating disk 3 by using the gear 7, the gear 11, and the gear 6 as the power transmission mechanism. Configured as follows.

  That is, in the rehabilitation apparatus shown in FIG. 2, a gear 11 that rotates in mesh with a gear 7 attached under the first rotating disk 2 is rotatably attached to a shaft 11 a that is implanted in the base 1. It is configured to mesh with a gear 6 attached under the second rotating disk 3 and rotate. Other configurations are the same as those of the rehabilitation apparatus shown in FIG.

  According to this configuration, when the first turntable 2 is rotated in the direction of arrow A, the gear 7 is also rotated in the direction of arrow A, and the gear 11 is rotated in the direction of arrow A by the rotation of the gear 7 in the direction of arrow A. The gear 6 rotates in the direction of the arrow C due to the rotation of the gear 11 in the B direction, and the second rotating disk 3 rotates in the direction of the arrow C accordingly.

  In this case, due to the action of the power transmission mechanism including the gear 7, the gear 11, and the gear 6, the rotation speed of the second rotating disk 3 becomes faster than the rotation speed of the first rotating disk 2.

  According to such a configuration, it is necessary for the brain to give instructions according to the rotation speed, and in addition to supporting the recovery of the motor ability of the right upper limb and the left upper limb, it also includes advanced commands from the brain. Rehabilitation becomes possible.

  In the configuration shown in FIG. 3, the number of gears constituting the power transmission mechanism is increased by one so that the first rotating disk 2 and the second rotating disk 3 rotate in opposite directions. Also good.

  FIG. 4 shows still another embodiment of the rehabilitation apparatus according to the present invention.

  The rehabilitation device of this embodiment is configured such that the first rotating disk 2 is rotatably attached to the shaft 2a implanted in the base 1, and the second rotating disk 3 is rotatably attached to the shaft 3a implanted in the base 1. Takes the same configuration as the rehabilitation device shown in FIGS. 1 to 3, but in the rehabilitation device of this embodiment, a plurality of gears 30, 31, 32, 40, 50, 60, 70, constituting a power transmission mechanism, The shafts 30a, 31a, 32a, 40a, 50a, 60a, 70a, 71a, 72a in which the 71, 72 are planted on the base 1 and the load weight gears 80, 81, 82, 83 constituting the load weighting device are the base 1 is configured so as to be attachable to the shafts 80a, 81a, 82a, 83a, and the gears 30, 31, 32, 40, 50, 60, 70, 71, 72 and the load weighting gears 80, 8 are configured. By mounting the 83 appropriate, and enables a variety of rehabilitation.

  That is, the plurality of gears 30, 31, 32, 40, 50, 60, 70, 71, 72 are the first set of gears 30, 31, 32, the second set of gears 30, 40, and the second set of gears 50. 3 sets, gears 60, 72 constitute the fourth set, gears 70, 71, 72 constitute the fifth set, and when only the first set gears 30, 31, 32 are mounted, The first rotating disk 2 and the second rotating disk 3 rotate in the same direction at a first rotation ratio determined by the gears 30, 31 and 32.

  When only the second set of gears 30 and 40 is mounted, the first rotating disk 2 and the second rotating disk 3 rotate in the opposite directions at the second rotation ratio controlled by the gears 30 and 40. To do.

  Further, when only the third set of gears 50 is mounted, the first rotating disk 2 and the second rotating disk 3 rotate in the same direction at a third rotation ratio determined by the gear 50.

  When only the fourth set of gears 60 and 72 is mounted, the first rotating disk 2 and the second rotating disk 3 rotate in the opposite directions at the fourth rotation ratio determined by the gears 60 and 72. To do.

  Further, when only the fifth set of gears 70, 71, 72 is mounted, the first rotating disk 2 and the second rotating disk 3 have a fifth rotation ratio determined by the gears 70, 71, 72. Rotate in the same direction.

  Further, when all of the gears 30, 31, 32, 40, 50, 60, 70, 71, 72 are removed, the first rotating disk 2 and the second rotating disk 3 can freely rotate.

  Thus, in the rehabilitation apparatus of this embodiment, six types of rehabilitation can be performed by appropriately attaching the gears 30, 31, 32, 40, 50, 60, 70, 71, 72 in units of sets.

  Further, the load weighting gears 80, 81, 82, 83 are configured to apply a certain load to the first rotating disk 2 and the second rotating disk 3, respectively, when mounted on the shafts 80a, 81a, 82a, 83a. In this case, the load required for the rotation of the first turntable 2 and the second turntable 3 can be varied in five stages by appropriately attaching the load weighting gears 80, 81, 82, 83.

  Therefore, in the rehabilitation apparatus shown in FIG. 4, 6 × 5 = 30 types can be obtained by appropriately installing the gears 30, 31, 32, 40, 50, 60, 70, 71, 72 and the load weighting gears 80, 81, 82, 83. Rehabilitation.

  FIG. 5 shows still another embodiment of the rehabilitation apparatus according to the present invention.

  In the embodiment shown in FIGS. 1 to 4, the first turntable 2 and the second turntable 3 are configured to be provided in the same plane on the base 1, but the rehabilitation device shown in FIG. The first turntable 2 and the second turntable 3 are disposed to face each other with the base 1 interposed therebetween.

  The first turntable 2 is connected to a power transmission mechanism 12 provided on the base 1 and disposed on the left side of the base 1, and the second turntable 3 is a power transmission mechanism provided on the base 1. 12 is disposed on the right side of the base 1.

  Here, the power transmission mechanism 12 is configured by using gears, chains, belts, and the like, and secondly transmits the rotation of the first rotating disk 2 to the rotating disk 3 in the same direction, different directions, different rotational speeds, and the like. Is.

  The rehabilitation device shown in FIG. 5 is fixed to a wall, a dedicated rack or the like. When the rehabilitation device is used to support recovery of the exercise ability of the upper limb (upper arm / forearm / hand), for example, The first grip 2b of the turntable 2 is gripped with the left hand, and the second grip 3b of the second turntable 3 is gripped with the right hand.

  Then, the first rotating disk 2 is rotated with the left hand, or the second rotating disk 3 is rotated with the right hand. As a result, the second turntable 3 or the first turntable 2 is rotated accordingly, and rehabilitation for recovering the right and left upper limbs can be performed.

  In this case, unlike the rehabilitation apparatus shown in FIGS. 1 to 4, a more effective rehabilitation effect can be expected from the use form of muscles required for the exercise of the right and left upper limbs.

  The rehabilitation device of the present invention can be used for assisting recovery of exercise ability of a part of the body, particularly the upper limb and the lower limb. According to this rehabilitation device, the base, the first rotating disk that is rotatably supported on the base, and has the first gripping portion at the periphery, and the base is rotatably supported on the base. And a second rotating disk having a second gripping part at the periphery, and the first gripping part and the second gripping part are connected to one part of the body. Since it is configured to support the recovery of the physical ability of the body by rotating the first rotating disk and the second rotating disk by gripping with a part, it is possible to inexpensively and effectively support upper limbs, lower limbs, etc. Can support athletic ability recovery.

  It is a figure which shows one Example of the rehabilitation apparatus concerning this invention.   It is a figure which shows another Example of the rehabilitation apparatus concerning this invention.   It is a figure which shows another Example of the rehabilitation apparatus concerning this invention.   It is a figure which shows another Example of the rehabilitation apparatus concerning this invention.   It is a figure which shows another Example of the rehabilitation apparatus concerning this invention.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Base 2 1st rotating disk 2a Shaft 2b 1st holding part 3 2nd rotating disk 3a Axis 3b 2nd holding part 4, 5, 6, 7, 8, 9, 10, 11 Gears 5a, 8a, 9a, 11a Shaft 12 Power transmission mechanism 20, 21 Load weighting gear 20a, 21a Shaft 30, 31, 32, 40, 50, 60, 70, 71, 72 Gear 30a, 31a, 32a, 40a, 50a, 60a, 70a, 71a, 72a shaft 80, 81, 82, 83 load weight gear 80a, 81a, 82a, 83a shaft

Claims (8)

The foundation,
A first turntable rotatably supported on the base and having a first gripping portion on the periphery;
A second turntable supported rotatably on the base, connected to the first turntable via a power transmission mechanism, and having a second gripping portion on the periphery;
Supporting the recovery of physical ability of the body by gripping the first gripping part and the second gripping part with a part of the body and rotating the first rotating disk and the second rotating disk. Rehabilitation device to perform. The power transmission mechanism is
The rehabilitation apparatus according to claim 1, wherein the rotation of the first rotating disk is transmitted to the second rotating disk while changing the rotation direction. The power transmission mechanism is
The rehabilitation apparatus according to claim 1 or 2, wherein the rotation of the first rotating disk is transmitted to the second rotating disk while changing a rotation speed.   The load weight mechanism provided in at least one of the said 1st turntable or the said 2nd turntable, and changing the load required for rotation of the said 1st turntable or the said 2nd turntable is provided. The rehabilitation device according to any one of 1 to 3. The first turntable and the second turntable are:
The rehabilitation device according to any one of claims 1 to 4, wherein the rehabilitation device is disposed on the same plane of the base. The first turntable and the second turntable are:
The rehabilitation device according to any one of claims 1 to 4, wherein the rehabilitation device is disposed so as to face each other across the base.   Supporting the recovery of the exercise ability of the left and right upper limbs by gripping the first gripping part and the second gripping part with left and right hands, respectively, and rotating the first rotating disk and the second rotating disk The rehabilitation device according to any one of claims 1 to 6.   The left and right legs are placed on the first turntable and the second turntable, respectively, and the first turntable and the second turntable are rotated to support recovery of the exercise ability of the left and right lower limbs. The rehabilitation device according to any one of claims 1 to 6.

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