JP2012254108A - Operation training mechanism - Google Patents

Operation training mechanism Download PDF

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JP2012254108A
JP2012254108A JP2011127294A JP2011127294A JP2012254108A JP 2012254108 A JP2012254108 A JP 2012254108A JP 2011127294 A JP2011127294 A JP 2011127294A JP 2011127294 A JP2011127294 A JP 2011127294A JP 2012254108 A JP2012254108 A JP 2012254108A
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wall
handrail
toilet seat
training
training mechanism
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JP2011127294A
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JP5723683B2 (en
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Hiroshi Hayakawa
宏 早川
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Sakai Medical Co Ltd
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Sakai Medical Co Ltd
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Abstract

PROBLEM TO BE SOLVED: To provide an operation training mechanism in which the training of a daily performance can be done along the feature, circumstances, and the living space or the like of a trainer.SOLUTION: The operation training mechanism 1 includes: a supporting wall 3 that installs a toilet seat 6; and a movement wall 4 that is installed in one end section of the supporting wall 3. A horizontal handrail 18 and a longitudinal handrail 20 are installed on a support plate 16 respectively in the front surface and rear surface of the movement wall 4. The support plate 16 can go up and down by one-touch by a gas spring 17 along a guide rail 14, and the longitudinal handrail 20 can be moved along the horizontal handrail 18 by one-touch making the horizontal handrail 18 be inserted in a through hole. A second concave portion that engages with a top guide member 11 is formed in a connecting member 29 installed in the end portion of an upper beam 27 of the movement wall 4, and the engaging part that engages with a bottom guide member 12 is installed in the end portion of a lower beam 28 of the movement wall 4. The movement wall 4 moves along the top guide member 11 and the bottom guide member 12 of the supporting wall 3, and the stop position of the movement wall 4 can be set up in the either side of the toilet seat 6.

Description

本発明は、例えば疾患やケガ等のために身体の一部が麻痺したり不自由になった患者や身体障害者等が日常生活を送ったり社会復帰したりするために、ADL(日常動作訓練)設備による訓練を行うことで自立したり社会復帰したりするための身体機能を回復できるようにする動作訓練機構に関する。   The present invention provides ADL (Daily Motion Training) for patients who are partially paralyzed or disabled due to diseases or injuries, etc. ) It relates to a motion training mechanism that enables the body function to recover independently or to return to society by training with equipment.

一般に、患者や身体障害者等(以下、身体障害者等という)が病院やリハビリテーション施設等でADL装置で訓練を行う場合、訓練に使用する機器は1人ずつ使用するものが多く、その間、他の身体障害者等は使用できないので順番を待たねばならなかった。
従来のADL装置では、在宅環境に合わせて、扉を開けてからトイレ室内に入って用を足すまでの一連の動作が出来る訓練機器はなく、手摺の高さ調節もノブネジ等による高さ調節が面倒であった。
In general, when a patient, a disabled person, etc. (hereinafter referred to as a disabled person) trains with an ADL device in a hospital or a rehabilitation facility, the equipment used for the training is often used one by one. Because the disabled people cannot use it, they had to wait in turn.
In the conventional ADL device, there is no training equipment that can perform a series of operations from opening the door to entering the toilet room and adding work according to the home environment, and the height adjustment of the handrail can also be adjusted by knob screws etc. It was troublesome.

特許文献1に記載されたADL装置によれば、便座の高さや左右の壁に調節可能な手摺に目盛がついており手摺の高さや位置が数値化できるようになっている。   According to the ADL device described in Patent Document 1, the height of the toilet seat and the handrail that can be adjusted on the left and right walls are graduated, and the height and position of the handrail can be quantified.

特開平10−312148号公報JP 10-31148 A

しかしながら、従来型のADL装置や実際のトイレでの日常の動作訓練では、複数の訓練者が同時に訓練することはできなかった。また、従来のADL装置では、トイレの便座に着座する等の単一の動作だけで訓練が終了することが多く、扉を開けてトイレ内で歩行して便座に着座して退去する等の一連の連続した訓練動作ができなかった。
また、従来のADL装置のこれらの設備は狭い場所にあり、しかも右利きや左利き等の患者や片麻痺の身体障害者の個々の事情を考慮した設備になっていないために、上述したADL装置は日常動作訓練を行うための訓練器具としては不十分であり、十分な社会復帰用の訓練は行えなかった。しかも、従来型のADL装置では手摺の高さ調節はノブネジで調節と固定を行うことが多く、手摺の位置調節が面倒であった。
However, in daily operation training in a conventional ADL device or an actual toilet, a plurality of trainers could not train at the same time. Also, with conventional ADL devices, training often ends only with a single operation such as sitting on the toilet seat, and a series of steps such as opening the door, walking in the toilet, sitting on the toilet seat, and leaving. The continuous training movement was not possible.
In addition, since these facilities of the conventional ADL device are in a narrow place and are not facilities that take into consideration the individual circumstances of patients who are right-handed or left-handed or who are physically handicapped, the above-mentioned ADL device Was insufficient as a training tool for daily movement training, and sufficient training for rehabilitation was not possible. Moreover, in the conventional ADL apparatus, the height of the handrail is often adjusted and fixed with a knob screw, and the position adjustment of the handrail is troublesome.

本発明は、このような実情に鑑みて、身体障害者等の特徴や事情を考慮して、そして実際の生活空間に近い状況下で日常動作の訓練を行うことのできる動作訓練機構を提供することを目的とする。   In view of such a situation, the present invention provides a motion training mechanism capable of performing daily motion training in a situation close to an actual living space in consideration of the characteristics and circumstances of persons with physical disabilities and the like. For the purpose.

本発明による動作訓練機構は、日常動作器具を設けた第一壁と、第一壁の日常動作器具に対して少なくともいずれか一方側に取り付けた第二壁とが設けられ、第一壁に設けられた日常動作器具を着脱又は跳ね上げて第二壁を第一壁に沿って任意の位置に移動可能であり、第二壁の表裏両面または日常動作器具側を向く面に手摺りが設けられていることを特徴とする。
本発明による動作訓練機構によれば、第二壁に表裏面に手摺りを設けたために、訓練者が動作訓練を行う場合、第一壁に設けた日常動作器具に対して第二壁の手摺りを伝わって日常動作器具に移動して動作訓練を行うことができる。しかも、日常動作器具に対して第二壁と反対側に介助スペースを確保できて訓練と介助を同時に行うことができる。また、第二壁の表裏両面に手摺りを設けたことで、第二壁の両側で個別に別個または同一のリハビリ等の訓練を行える。
このように、日常動作器具を取り付けた第一壁と手摺りを設けた第二壁を互いに接続することで、仮設的にしかも擬似的に室内等の構造を形成することができて、日常生活に即して各種動作や作業のリハビリテーション等を含む各種訓練を行うことができる。
The motion training mechanism according to the present invention is provided with a first wall provided with a daily motion device and a second wall attached to at least one side of the daily motion device of the first wall. The second wall can be moved to any position along the first wall by attaching / detaching or flipping up the provided daily operation equipment, and a handrail is provided on both the front and back surfaces of the second wall or the surface facing the daily operation equipment side. It is characterized by.
According to the motion training mechanism of the present invention, since the handrails are provided on the front and back surfaces of the second wall, when the trainee performs the motion training, the hand of the second wall with respect to the daily motion equipment provided on the first wall. It is possible to perform movement training by moving to the daily movement equipment through the sliding. In addition, an assistance space can be secured on the side opposite to the second wall with respect to the daily operation equipment, and training and assistance can be performed simultaneously. In addition, by providing handrails on both the front and back surfaces of the second wall, it is possible to perform separate or identical rehabilitation training on both sides of the second wall.
In this way, by connecting the first wall to which the daily operation equipment is attached and the second wall having the handrail to each other, it is possible to form a temporary and pseudo-structure such as a room. Various exercises including various operations and work rehabilitation can be performed according to the above.

また、第二壁は第一壁に設けた水平方向のガイド部材に沿って移動可能であり、第二壁の第一壁に対する停止位置を日常動作器具のいずれかの側に設定可能とすることができる。
第二壁の表裏両面に手摺りが設けられているため、第一壁に設けた日常動作器具と第二壁に設けた手摺りとの位置関係を右利き用と左利き用とで使い分けて適宜設定できる。日常動作器具に対して第二壁の手摺りと反対側のスペースを手摺り等のない介助スペースとして設定することができるから、訓練と介助のスペースを容易に確保できる。
The second wall is movable along a horizontal guide member provided on the first wall, and the stop position of the second wall with respect to the first wall can be set on either side of the daily operation equipment. Can do.
Because handrails are provided on both the front and back of the second wall, the positional relationship between the daily motion equipment provided on the first wall and the handrail provided on the second wall is properly used for right-handed use and left-handed use. Can be set. Since the space on the opposite side of the handrail of the second wall with respect to the daily operation equipment can be set as an assistance space without a handrail or the like, a space for training and assistance can be easily secured.

また、第一壁または第二壁の自由端部側に扉を装着してもよく、このような構成を採用すれば、扉の開閉動作を含めて訓練者が日常動作訓練を行うことができる。
ここで、自由端部側とは第一壁と第二壁とが互いに接続されていない側の第一壁または第二壁の端部をいう。
Moreover, a door may be attached to the free end side of the first wall or the second wall, and if such a configuration is adopted, a trainer can perform daily operation training including opening and closing operations of the door. .
Here, the free end portion side means the end portion of the first wall or the second wall on the side where the first wall and the second wall are not connected to each other.

また、扉は、扉を設けた第一壁または第二壁に対して少なくとも略90°の角度位置、略180°の角度位置、略270°の角度位置、略360°の角度位置のいずれかに選択的に設置可能としてもよい。
第一壁や第二壁に対して任意の角度で設けた扉を固定できるため、在宅環境に近い扉の位置を設定でき、日常動作訓練のバリエーションが多くなる。なお、扉を設けた第一壁または第二壁に対して略360°の角度位置に折り曲げると扉が邪魔にならないように格納できて、訓練できる。
Further, the door is at least one of an angular position of approximately 90 °, an angular position of approximately 180 °, an angular position of approximately 270 °, and an angular position of approximately 360 ° with respect to the first wall or the second wall provided with the door. It may be possible to set up selectively.
Since the door provided at an arbitrary angle with respect to the first wall or the second wall can be fixed, the position of the door close to the home environment can be set, and variations in daily exercise training increase. If the door is bent at an angle of about 360 ° with respect to the first wall or the second wall provided with the door, the door can be stored and trained so as not to get in the way.

また、手摺りは第二壁に設けた支持部材に支持されていて、支持部材を昇降可能としてもよく、支持部材を昇降させることで手摺りを一体に昇降できるため、訓練者の背の高さ等各種の状況に応じて訓練を行うことができる。   Further, the handrail is supported by a support member provided on the second wall, and the support member may be movable up and down, and the handrail can be moved up and down integrally by raising and lowering the support member. Training can be performed according to various situations.

また、日常動作器具は便座であり、便座は第一壁への取り付け高さを調整可能または格納可能としてもよく、これによって便座を利用する身体障害者等の背丈等に応じて調整できるため、訓練に便利である。   In addition, the daily operation equipment is a toilet seat, and the toilet seat may be adjustable or retractable with respect to the first wall, so that it can be adjusted according to the height of the physically handicapped who use the toilet seat, Convenient for training.

本発明による動作訓練機構によれば、第二壁に手摺りを設けたために、訓練者が動作訓練を行う場合、第一壁に設けた日常動作器具に対して第二壁の手摺りを伝わって日常動作器具に移動して動作訓練を行うことができる。しかも、日常動作器具に対して第二壁と反対側に介助スペースを確保できて訓練と介助を同時に行うことができる。
また、第二壁の両面に手摺りを設けた場合には、第二壁の両側で個別に同一または別個のリハビリ等の訓練を行える。
本発明によれば、日常動作器具を取り付けた第一壁と手摺りを設けた第二壁を互いに接続することで、仮設的にしかも擬似的に室内等の構造を形成することができて、疑似的に日常生活での各種動作や作業のリハビリテーション等を含む各種訓練を行うことができる。
According to the motion training mechanism of the present invention, since the handrail is provided on the second wall, when the trainee performs the motion training, the handrail on the second wall is transmitted to the daily motion equipment provided on the first wall. You can move to daily motion equipment and perform motion training. In addition, an assistance space can be secured on the side opposite to the second wall with respect to the daily operation equipment, and training and assistance can be performed simultaneously.
Further, when handrails are provided on both sides of the second wall, the same or separate rehabilitation training can be performed on both sides of the second wall.
According to the present invention, by connecting the first wall provided with the daily operation equipment and the second wall provided with the handrail to each other, it is possible to form a temporary and pseudo-structure such as a room, Various exercises including various operations in daily life and work rehabilitation can be performed.

本発明の第一実施形態による動作訓練機構を示す斜視図である。It is a perspective view which shows the movement training mechanism by 1st embodiment of this invention. 図1に示す動作訓練機構の移動壁側から見た正面図である。It is the front view seen from the movement wall side of the motion training mechanism shown in FIG. 支持壁に設置した便座を示す要部斜視図である。It is a principal part perspective view which shows the toilet seat installed in the support wall. 図3に示す便座のロック解除ボタンを示す斜視図である。It is a perspective view which shows the lock release button of the toilet seat shown in FIG. 図4に示す便座の係止板内に設けたロック機構を示す要部断面図である。It is principal part sectional drawing which shows the locking mechanism provided in the locking plate of the toilet seat shown in FIG. 図1に示す動作訓練機構に対して移動壁を支持壁の反対側に設置した状態の斜視図である。It is a perspective view of the state which installed the movement wall on the opposite side of a support wall with respect to the motion training mechanism shown in FIG. 本発明の第二実施形態による動作訓練機構の斜視図である。It is a perspective view of the movement training mechanism by 2nd embodiment of this invention. 図7に示す第二実施形態による動作訓練機構の平面図である。It is a top view of the movement training mechanism by 2nd embodiment shown in FIG. 図7に示す動作訓練機構の扉部分の断面図である。It is sectional drawing of the door part of the movement training mechanism shown in FIG. 図8に示す扉部分の拡大図である。It is an enlarged view of the door part shown in FIG.

以下、本発明の実施の形態について、図面に基づいて説明する。
図1乃至図6は本発明の第一実施形態による動作訓練機構1を示すものである。
動作訓練機構1は、例えば基部シート2の上に支持壁3が起立状態で支持され、支持壁3の一方の端部側に移動壁4が略直角に連結されている。そして、支持壁3には日常動作器具として例えば便座6が取り付けられ、便座6の上面には弁蓋7が開閉可能に支持されている。これにより、動作訓練機構1は訓練者として患者または身体障害者等(以下、単に身体障害者等という)が便座6に着座して排便するための動作訓練に用いられるものである。
なお、便座6は支持壁3の上側に回動(格納)可能に構成する。
Hereinafter, embodiments of the present invention will be described with reference to the drawings.
1 to 6 show a motion training mechanism 1 according to a first embodiment of the present invention.
In the motion training mechanism 1, for example, the support wall 3 is supported in an upright state on the base sheet 2, and the moving wall 4 is connected to the one end side of the support wall 3 at a substantially right angle. For example, a toilet seat 6 is attached to the support wall 3 as a daily operation device, and a valve lid 7 is supported on the upper surface of the toilet seat 6 so as to be openable and closable. Accordingly, the motion training mechanism 1 is used for motion training for a patient or a disabled person (hereinafter simply referred to as a disabled person) as a trainer to sit on the toilet seat 6 and defecate.
The toilet seat 6 is configured to be rotatable (stored) above the support wall 3.

以下、動作訓練機構1について詳述する。
図1及び図2に示す動作訓練機構1において、支持壁3は両側端部に支柱3a、3bが設けられ、各支柱3a、3bの下端には固定脚9aを設けた脚部9が支柱3に直交して固定されている。また、各支柱3a、3bには支持壁3の起立状態を補強する補強アーム10が設けられて下端が脚部9に連結されている。
そして、支持壁3において上側と便座6の下側とにはそれぞれ水平方向に延びる上部ガイド部材11と下部ガイド部材12が固定されている。
Hereinafter, the motion training mechanism 1 will be described in detail.
In the motion training mechanism 1 shown in FIGS. 1 and 2, the support wall 3 is provided with columns 3 a and 3 b at both ends, and the legs 9 with fixed legs 9 a are provided at the lower ends of the columns 3 a and 3 b. It is fixed orthogonally to. Further, each of the columns 3 a and 3 b is provided with a reinforcing arm 10 that reinforces the standing state of the support wall 3, and the lower end is connected to the leg portion 9.
An upper guide member 11 and a lower guide member 12 extending in the horizontal direction are fixed to the upper side of the support wall 3 and the lower side of the toilet seat 6, respectively.

また、移動壁4には、図1及び図2に示すように、その水平方向の両側に一対のガイドレール14、14が上下方向に固定され、このガイドレール14には、裏面に摺動可能に設けられた摺動素子(図示せず)を嵌合させることによって昇降可能な支持板16(支持部材)が設けられている。支持板16には水平方向に延びる水平手摺り18がその両端で固定されており、水平手摺り18は上下方向に延びる縦手摺り20に設けた貫通孔20aに挿通されている。縦手摺り20は貫通孔20aによって水平手摺り18に沿って水平移動可能とされている。   Further, as shown in FIGS. 1 and 2, a pair of guide rails 14 and 14 are fixed to the movable wall 4 on both sides in the horizontal direction, and the guide rail 14 can slide on the back surface. A support plate 16 (support member) is provided that can be moved up and down by fitting a sliding element (not shown) provided on. A horizontal handrail 18 extending in the horizontal direction is fixed to the support plate 16 at both ends, and the horizontal handrail 18 is inserted into a through hole 20a provided in a vertical handrail 20 extending in the vertical direction. The vertical handrail 20 can be moved horizontally along the horizontal handrail 18 through a through hole 20a.

この縦手摺り20はその長手方向途中部分に設けた摺動連結部22によって支持板16の上端縁に沿って水平方向に摺動可能とされている。そして、支持板16はその裏面または表裏面の両方に上下方向に取り付けたガススプリング17によって昇降可能とされ、任意の高さで停止するようになっている。また、図2に示すように、水平手摺り18の端部と縦手摺り20の摺動連結部22にはそれぞれ指針18a、22aが設けられており、移動壁4の支柱23及び支持板16にそれぞれ設けた高さ目盛り24,水平目盛り25との関係でその高さ位置と水平方向の位置を表示できるようになっている。
これら、ガイドレール14、支持板16,水平手摺り18及び縦手摺り20は手摺り機構21を構成しており、手摺り機構21は移動壁4の表面と裏面とにそれぞれ設けられている。なお、手摺り機構21は支持板16の片面にのみ設けてもよい。
The vertical handrail 20 is slidable in the horizontal direction along the upper end edge of the support plate 16 by a sliding connecting portion 22 provided in the middle in the longitudinal direction. The support plate 16 can be moved up and down by a gas spring 17 attached to both the back surface and the front and back surfaces in the vertical direction, and is stopped at an arbitrary height. Further, as shown in FIG. 2, pointers 18 a and 22 a are provided at the end portion of the horizontal handrail 18 and the sliding connection portion 22 of the vertical handrail 20, respectively, and the column 23 and the support plate 16 of the moving wall 4. The height position and the horizontal position can be displayed in relation to the height scale 24 and the horizontal scale 25 provided respectively.
The guide rail 14, the support plate 16, the horizontal handrail 18, and the vertical handrail 20 constitute a handrail mechanism 21, and the handrail mechanism 21 is provided on the front surface and the back surface of the moving wall 4. The handrail mechanism 21 may be provided only on one side of the support plate 16.

また、支持板16には、便座6に対応する適宜の高さ位置にペーパーホルダー26が例えばマグネットで装着されている。
また、移動壁4において、その上端部と下端部に水平方向に延びる上梁27と下梁28が設けられている。図2に示すように、上梁27の一端部には連結部29が下向きの第一凹部29aを嵌合させて固定されており、更に連結部29には支持壁3の上部ガイド部材11に係合可能な下向きの第二凹部29bが設けられている。連結部材29には第二凹部29bを上部ガイド部材11に嵌合させた状態で固定するための固定ネジ30が設けられている。
そして、図3に示すように、移動壁4の下梁28の一端部には、支持壁3の下部ガイド部材12に係合して摺動可能な断面略コの字形状の係合部32が設けられている。
In addition, a paper holder 26 is attached to the support plate 16 at an appropriate height position corresponding to the toilet seat 6 by, for example, a magnet.
Further, the upper and lower beams 27 and 28 extending in the horizontal direction are provided at the upper end and the lower end of the moving wall 4. As shown in FIG. 2, a connecting portion 29 is fixed to one end portion of the upper beam 27 by fitting a downward first concave portion 29 a to the upper guide member 11 of the support wall 3. A downward-facing second concave portion 29b that can be engaged is provided. The connecting member 29 is provided with a fixing screw 30 for fixing the second recess 29b in a state of being fitted to the upper guide member 11.
As shown in FIG. 3, at one end portion of the lower beam 28 of the moving wall 4, an engagement portion 32 having a substantially U-shaped cross section is slidable by being engaged with the lower guide member 12 of the support wall 3. Is provided.

そのため、連結部材29の固定ネジ30を緩めた状態で、支持壁3の便座6を支持板16の上側に跳ね上げることで、移動壁4の第二凹部29bと係合部32を支持壁3の上部ガイド部材11、下部ガイド部材12に沿って摺動させて、支持壁3の便座6に対して移動壁4を図1に示す右方位置または図6に示す左方位置に移動可能である。その際、図1及び図2において、移動壁4の支柱23の下端には車輪31が取り付けられ、移動壁4の移動を容易にしている。
また、図1に示すように支柱23の下部には、移動壁4の倒れを防止するための略L字形状の倒れ防止バー33が支柱23に設けた支軸回りに回動可能に設けられている。
Therefore, in the state where the fixing screw 30 of the connecting member 29 is loosened, the toilet seat 6 of the support wall 3 is flipped up to the upper side of the support plate 16, so that the second recess 29 b and the engaging portion 32 of the moving wall 4 are connected to the support wall 3. The movable wall 4 can be moved to the right position shown in FIG. 1 or the left position shown in FIG. 6 with respect to the toilet seat 6 of the support wall 3 by sliding along the upper guide member 11 and the lower guide member 12. is there. In that case, in FIG.1 and FIG.2, the wheel 31 is attached to the lower end of the support | pillar 23 of the movement wall 4, and the movement of the movement wall 4 is made easy.
As shown in FIG. 1, a substantially L-shaped fall prevention bar 33 for preventing the moving wall 4 from falling is provided at the lower part of the support 23 so as to be rotatable around a support shaft provided on the support 23. ing.

次に支持壁3に設けた便座6の高さ調整機構について図3及び図4により説明する。
図3及び図4において、支持壁3の便座6を係止する部位に、略瓢箪形の一対の係合穴34が上下方向に複数対、例えば3対設けられている。便座6の基部には略垂直に係止板36が設けられており、図5に示す係止板36の裏面に設けた一対のフック36aをいずれかの一対の係合穴34を選択して係合することで、異なる高さ位置に便座6を固定できるようになっている。
Next, the height adjustment mechanism of the toilet seat 6 provided on the support wall 3 will be described with reference to FIGS.
3 and 4, a plurality of, for example, three pairs of a pair of substantially hook-shaped engagement holes 34 are provided in the portion of the support wall 3 where the toilet seat 6 is locked. A locking plate 36 is provided substantially vertically at the base of the toilet seat 6, and a pair of hooks 36a provided on the back surface of the locking plate 36 shown in FIG. By engaging, the toilet seat 6 can be fixed at different height positions.

なお、図5に示すロック手段では、便座6のロック時には、フック36aを瓢箪形の係合穴34の大径部から小径部へ落下させることで、係止板36内に設けた略U字状のロック機構39が支持壁3に設けた便座固定用のロック軸38にコマが嵌合してロックされるように構成した。また、ロック解除時には、便座6の係止板36の側部に設けたロック解除ボタン37を押すことでロック機構39のコマが回動してロック軸38から外れて、ロックが解除される。この状態で、手動で便座6を持ち上げれば、フック36aは係合穴34から外れるため、別の段の一対の係合穴34にフック36aを係合させることで、便座6の高さを調整できる。
なお、ロック軸38とロック機構39を設けずに、フック36aと瓢箪形の係合穴34だけで便座6の高さ調整手段とロック手段を構成してもよい。
In the locking means shown in FIG. 5, when the toilet seat 6 is locked, the hook 36a is dropped from the large-diameter portion of the hook-shaped engagement hole 34 to the small-diameter portion, thereby providing a substantially U-shape provided in the locking plate 36. The lock mechanism 39 is configured such that the frame is fitted and locked to the lock shaft 38 for fixing the toilet seat provided on the support wall 3. At the time of unlocking, when a lock release button 37 provided on the side of the locking plate 36 of the toilet seat 6 is pressed, the top of the lock mechanism 39 is rotated and detached from the lock shaft 38, and the lock is released. In this state, if the toilet seat 6 is lifted manually, the hook 36a is detached from the engagement hole 34. Therefore, the height of the toilet seat 6 is increased by engaging the hook 36a with a pair of engagement holes 34 in another step. Can be adjusted.
Note that the height adjusting means and the locking means of the toilet seat 6 may be configured by only the hook 36a and the hook-shaped engagement hole 34 without providing the lock shaft 38 and the lock mechanism 39.

本第一実施形態による動作訓練機構1は上述の構成を備えているから、患者や身体障害者等が日常生活復帰のためのリハビリ等の際に、例えばトイレ動作訓練を行うものとする。
図1及び図2に示すように、例えば便座6に向かう身体障害者等の左側に不自由がある場合、便座6を取り付けた支持壁3に対して右側に移動壁4を取り付けるものとする。そして、便座6に向かう身体障害者等の右側に水平手摺り18と縦手摺り20とペーパーホルダー26が設けられており、身体障害者等は水平手摺り18や縦手摺り20に捕まりながら歩行して便座6に着座する訓練を行う。
また、便座6に着座する身体障害者等に対して移動壁4と反対側には空間があり、この介助スペースPに介助者が立って介助作業を行うことができる。
Since the motion training mechanism 1 according to the first embodiment has the above-described configuration, it is assumed that a patient, a physically handicapped person, or the like performs toilet operation training, for example, at the time of rehabilitation for returning to daily life.
As shown in FIGS. 1 and 2, for example, when the handicapped person or the like heading for the toilet seat 6 has inconvenience on the left side, the moving wall 4 is attached on the right side with respect to the support wall 3 to which the toilet seat 6 is attached. A handrail 18, a handrail 20, and a paper holder 26 are provided on the right side of a handicapped person or the like heading for the toilet seat 6, and the handicapped person walks while being caught by the handrail 18 or the handrail 20. Then, training to sit on the toilet seat 6 is performed.
In addition, there is a space on the opposite side of the moving wall 4 with respect to a physically handicapped person or the like sitting on the toilet seat 6, and an assistant can stand in the assistance space P and perform assistance work.

また、動作訓練機構1において、例えば便座6に向かう身体障害者等の右側部分に不自由がある場合、支持壁3に対する移動壁4の取付位置を反対側の端部に取り付けることが好ましい。そのため、まず便座6を支持壁3の上側に跳ね上げて、支持壁3の上部ガイド部材11に第二凹部29bが嵌合した状態で、移動壁4の上梁27に固定した連結部材29の固定ネジ30を緩める。   Further, in the motion training mechanism 1, for example, when there is inconvenience in the right part of the handicapped person or the like heading for the toilet seat 6, it is preferable to attach the attachment position of the moving wall 4 to the support wall 3 at the opposite end. Therefore, first of all, the toilet seat 6 is flipped up to the upper side of the support wall 3, and the connecting member 29 fixed to the upper beam 27 of the moving wall 4 is fitted in the upper guide member 11 of the support wall 3. Loosen the fixing screw 30.

また、下部ガイド部材12に下梁28の係合部32を係合させる。この状態で、移動壁4を支持壁3の一端側から他端側に移動させる。そして、移動壁4が便座6を越えた適宜位置で停止させ、連結部材29の固定ネジ30をねじ込んで移動壁4を支持壁3の上部ガイド部材11に固定することで、図6に示す状態になる。
この状態で、移動壁4の両面に手摺り機構21を設けているため、便座6に向かって左側に移動壁4と水平手摺り18及び縦手摺り20が位置することになる。すると、手摺り機構21は、図1における移動壁4の便座6側に向く手摺り機構21と反対側の手摺り機構21が便座6に対向する位置にあり、トイレ訓練用に用いられる。
Further, the engaging portion 32 of the lower beam 28 is engaged with the lower guide member 12. In this state, the moving wall 4 is moved from one end side of the support wall 3 to the other end side. Then, the moving wall 4 is stopped at an appropriate position beyond the toilet seat 6, and the moving wall 4 is fixed to the upper guide member 11 of the support wall 3 by screwing the fixing screw 30 of the connecting member 29, so that the state shown in FIG. become.
In this state, since the handrail mechanisms 21 are provided on both surfaces of the moving wall 4, the moving wall 4, the horizontal handrail 18, and the vertical handrail 20 are positioned on the left side toward the toilet seat 6. Then, the handrail mechanism 21 is in a position where the handrail mechanism 21 opposite to the handrail mechanism 21 facing the toilet seat 6 side of the moving wall 4 in FIG. 1 is opposed to the toilet seat 6 and is used for toilet training.

図6に示す動作訓練機構1では、身体障害者等は支持壁3の便座6に向かった状態で、例えば左手で水平手摺り18等につかまりながら便座6まで移動することで動作訓練ができる。そして、便座6に対して移動壁4とは反対側に介助スペースPが形成されることになり、介助者が介助作業を行える。   In the motion training mechanism 1 shown in FIG. 6, a physically handicapped person or the like can perform motion training by moving to the toilet seat 6 while holding the handrail 18 or the like with the left hand while facing the toilet seat 6 of the support wall 3. And the assistance space P will be formed in the opposite side to the movement wall 4 with respect to the toilet seat 6, and the assistance person can perform assistance work.

上述のように本実施形態による動作訓練機構1によれば、移動壁4の両面に手摺り機構21を設けたために、支持壁3の便座6に対して左右いずれの側に移動壁4を取り付けたとしても、トイレ訓練を行う際に便座6に対して一方に移動壁4の各手摺り18、20を設け、他方に介助スペースPを確保できて訓練と介助を行い易い。
しかも、移動壁4の両面に手摺り機構21を設けたから、移動壁4の両側で個別に同一または別個のリハビリ等の訓練を行える。また、支持壁3に設けた便座6に対して移動壁4をその両側に移動可能としたことで、訓練者の障害の状態や住宅等の構造に応じた左側と右側とで適切なトイレ訓練が行える。
更に、移動壁4を支持壁3の上下部ガイド部材11、12に沿って移動可能で位置調整可能としたから、便座6と移動壁4及び手摺り機構21との距離を調整することができ、自宅等の住宅の構造や環境に適合した空間設定を行えるため、実用性が高い。
As described above, according to the motion training mechanism 1 according to the present embodiment, since the handrail mechanism 21 is provided on both surfaces of the moving wall 4, the moving wall 4 is attached to either the left or right side of the toilet seat 6 of the support wall 3. Even when the toilet training is performed, the handrails 18 and 20 of the moving wall 4 are provided on one side with respect to the toilet seat 6 and the assistance space P can be secured on the other side, so that training and assistance are easy to perform.
In addition, since the handrail mechanism 21 is provided on both surfaces of the moving wall 4, the same or separate rehabilitation training can be performed on both sides of the moving wall 4. In addition, by making the moving wall 4 movable to both sides of the toilet seat 6 provided on the support wall 3, appropriate toilet training on the left and right sides according to the state of obstacles of the trainer and the structure of the house, etc. Can be done.
Furthermore, since the movable wall 4 is movable along the upper and lower guide members 11 and 12 of the support wall 3 and can be adjusted in position, the distance between the toilet seat 6 and the movable wall 4 and the handrail mechanism 21 can be adjusted. It is highly practical because it can set the space suitable for the structure and environment of the house such as home.

また、水平手摺り18の高さ調整はガススプリング17による支持板16の昇降動作によって行え、縦手摺り20の水平方向の位置調整は水平手摺り18をガイドにして移動可能であるから、各手摺り18,20の位置調整が容易である。
更に支持壁3に取り付けた便座6の高さも簡単に調整可能であり、ペーパーホルダー26もマグネットによって支持板16上で任意の位置に取り付けできる。
また、支持壁3に対して移動壁4の取り付け位置を変更する場合でも、便座6を上方に回動させるだけで支持壁3から移動壁4を取り外すことなく、左右方向に移動させて位置調整可能である。
Further, the height of the horizontal handrail 18 can be adjusted by moving the support plate 16 up and down by the gas spring 17, and the horizontal position of the vertical handrail 20 can be adjusted using the horizontal handrail 18 as a guide. Position adjustment of the handrails 18 and 20 is easy.
Further, the height of the toilet seat 6 attached to the support wall 3 can be easily adjusted, and the paper holder 26 can be attached to any position on the support plate 16 by a magnet.
Even when the mounting position of the moving wall 4 is changed with respect to the support wall 3, the position is adjusted by moving the toilet seat 6 in the left-right direction without removing the moving wall 4 from the support wall 3 only by rotating the toilet seat 6 upward. Is possible.

以上、本発明の第一の実施形態による動作訓練機構1について説明したが、本発明は上記した実施の形態に限定されるものではなく、その趣旨を逸脱しない範囲内で適宜変更可能である。次に本発明の他の実施形態について説明するが、上述の実施形態と同一または同様な部分、部材には同一の符号を用いて説明を省略する。
次に本発明の第二の実施形態による動作訓練機構50について、図7乃至図10により説明する。
図7に示す第二の実施形態による動作訓練機構50において、第一の実施形態による動作訓練機構1との相違点は、移動壁4の支持壁3側とは反対側の端部に支持枠52を介して扉51を設けた点であり、その余の構成は第一の実施形態と同一である。
The motion training mechanism 1 according to the first embodiment of the present invention has been described above. However, the present invention is not limited to the above-described embodiment, and can be appropriately changed without departing from the scope of the present invention. Next, although other embodiment of this invention is described, the description is abbreviate | omitted using the same code | symbol for the part and member which are the same as that of the above-mentioned embodiment, or a member.
Next, an operation training mechanism 50 according to a second embodiment of the present invention will be described with reference to FIGS.
The motion training mechanism 50 according to the second embodiment shown in FIG. 7 is different from the motion training mechanism 1 according to the first embodiment in that a support frame is provided at the end of the movable wall 4 opposite to the support wall 3 side. The door 51 is provided via 52, and the rest of the configuration is the same as in the first embodiment.

図7及び図8に示す動作訓練機構50において、移動壁4の支柱23に支持枠52が着脱可能に連結されている。図9及び図10において、支持枠52には主回転軸53が上下方向に設けられ、主回転軸53の上部には同軸に円形プレート54が主回転軸53周囲のカバー部材55に連結されている。カバー部材55と円形プレート54は回転しないで静止保持される。そして、円形プレート54には、表面に所定間隔、例えば90°間隔で係止凹部56が周方向に3つまたは4つ形成されている(図10参照)。
そして、円形プレート54の上部には主回転軸53と一体に回転可能なフレーム58が形成されている。このフレーム58には主回転軸53の中心から外れた位置に係止凹部56に嵌合可能なピンを進退可能に設けたプランジャー60が設置されている。フレーム58は一方向に延びるアーム部58aを介して扉51の支軸63に回転可能に連結されている。
In the motion training mechanism 50 shown in FIG.7 and FIG.8, the support frame 52 is connected with the support | pillar 23 of the moving wall 4 so that attachment or detachment is possible. 9 and 10, the support frame 52 is provided with a main rotating shaft 53 in the vertical direction, and a circular plate 54 is coaxially connected to a cover member 55 around the main rotating shaft 53 at the upper portion of the main rotating shaft 53. Yes. The cover member 55 and the circular plate 54 are held stationary without rotating. The circular plate 54 has three or four locking recesses 56 formed in the circumferential direction at a predetermined interval, for example, 90 ° intervals on the surface (see FIG. 10).
A frame 58 that can rotate integrally with the main rotary shaft 53 is formed on the circular plate 54. The frame 58 is provided with a plunger 60 provided with a pin that can be engaged with the locking recess 56 so as to be able to advance and retract at a position off the center of the main rotating shaft 53. The frame 58 is rotatably connected to the support shaft 63 of the door 51 via an arm portion 58a extending in one direction.

そのため、扉51は支軸63を中心に開閉回転可能とされている。フレーム58に設けたプランジャー60を引き上げてピンを係止凹部56から離脱することで、扉51及びフレーム58が主回転軸53と一体に回転可能であり、プランジャー60を離してピンを任意の係止凹部56に係合させることでフレーム58は係止可能とされている。そのため、図8に示すように、扉51及びフレーム58は扉51が移動壁4と直角をなす支持壁3に対向する位置(角度90°)、移動壁4の延長線上の位置(角度180°)、そして支持壁3とは反対側で移動壁4に直角をなす位置(角度270°)、移動壁4の裏面に平行に折り曲げられた位置(角度360°)とを選択的にとることができる。扉51には両面に取っ手62が取り付けられている。   Therefore, the door 51 can be opened and closed about the support shaft 63. By pulling up the plunger 60 provided on the frame 58 and releasing the pin from the locking recess 56, the door 51 and the frame 58 can rotate together with the main rotating shaft 53, and the plunger 60 can be separated to freely connect the pin. The frame 58 can be locked by engaging with the locking recess 56. Therefore, as shown in FIG. 8, the door 51 and the frame 58 are positioned at a position where the door 51 faces the support wall 3 perpendicular to the moving wall 4 (angle 90 °), and a position on the extension line of the moving wall 4 (angle 180 °). ), And a position perpendicular to the moving wall 4 on the opposite side of the support wall 3 (angle 270 °) and a position bent in parallel to the back surface of the moving wall 4 (angle 360 °). it can. A handle 62 is attached to both sides of the door 51.

そして、本第二実施形態による動作訓練機構50では、図7及び図8に示すように、支持壁3と移動壁4と扉51及び支持枠52等によって平面視略コの字形状に形成されている。この状態で、身体障害者等がトイレの扉51を開いて中に入って、移動壁4に設けた水平手摺り18及び縦手摺り20につかまりながら便座6まで移動する。そして、便座6から水平手摺り18及び縦手摺り20につかまって扉51を開いて外へ出るという、連続したトイレ動作訓練を行うことができる。   In the motion training mechanism 50 according to the second embodiment, as shown in FIGS. 7 and 8, the support wall 3, the moving wall 4, the door 51, the support frame 52, and the like are formed in a substantially U shape in plan view. ing. In this state, a handicapped person or the like opens the toilet door 51 and enters inside, and moves to the toilet seat 6 while being held by the horizontal handrail 18 and the vertical handrail 20 provided on the moving wall 4. Then, continuous toilet operation training can be performed in which the toilet 51 is held by the horizontal handrail 18 and the vertical handrail 20 to open the door 51 and go outside.

また、自宅等における、便座6と扉51の位置関係によっては、扉51を移動壁4の延長面上に保持して訓練してもよい。この場合、図8において、移動壁4に扉51が直交する90°の位置から、プランジャー60を引き上げてピンを係合凹部56から外し、主回転軸53回りに扉51及びフレーム58を一体に回動させ、移動壁4に延長線上の180°の位置まで回動させてプランジャー60のピンを係合凹部56に係止させて固定してもよい。
また、訓練において、扉51が便座6から離間している場合や扉51を使用しない場合等には、扉51とフレーム58を、移動壁4に扉51が直交する90°の位置から、180°反対側の位置や、270°で移動壁4の反対側に折れ曲がった位置まで回動させて停止させるとよい。
Further, depending on the positional relationship between the toilet seat 6 and the door 51 at home or the like, the door 51 may be held on the extended surface of the moving wall 4 for training. In this case, in FIG. 8, the plunger 60 is pulled up from the 90 ° position where the door 51 is orthogonal to the moving wall 4 to remove the pin from the engaging recess 56, and the door 51 and the frame 58 are integrated around the main rotation shaft 53. The pin of the plunger 60 may be locked to the engaging recess 56 and fixed to the moving wall 4 to a position of 180 ° on the extension line.
In the training, when the door 51 is separated from the toilet seat 6 or when the door 51 is not used, the door 51 and the frame 58 are moved 180 ° from the 90 ° position where the door 51 is orthogonal to the moving wall 4. It may be stopped by rotating to a position on the opposite side or a position bent to the opposite side of the moving wall 4 at 270 °.

上述のように、本第二実施形態による動作訓練機構50によれば、支持壁3または移動壁4の自由端部側に扉51を取り付けたことで、扉51の開閉動作を含めて身体障害者等が日常動作訓練を行うことができる。しかも、扉51は、移動壁4に対して少なくとも90°の角度位置、180°の角度位置、270°の角度位置、360°の角度位置のいずれかに選択的に設置可能としたから、支持壁3や移動壁4に対して適宜の角度で設けた扉51を設定できるため、日常動作訓練のバリエーションが多くなる。   As described above, according to the motion training mechanism 50 according to the second embodiment, the door 51 is attached to the free end side of the support wall 3 or the moving wall 4, so that the obstacle including the opening / closing operation of the door 51 is included. The person etc. can perform daily motion training. In addition, the door 51 can be selectively installed at any one of an angular position of at least 90 °, an angular position of 180 °, an angular position of 270 °, and an angular position of 360 ° with respect to the moving wall 4. Since the door 51 provided at an appropriate angle with respect to the wall 3 and the moving wall 4 can be set, variations in daily exercise training increase.

なお、上述した各実施形態では、支持壁3のいずれか一方に移動壁4を設けて動作訓練機構1,50を構成したが、本発明はこれに限定されることなく支持壁3の両側に移動壁4を設けてもよい。また、移動壁4は1枚である必要はなく複数枚を連結して設けてもよい。
また、上述の説明では、各実施形態による動作訓練機構1,50において、日常動作器具として便座6を使用したトイレ使用の日常動作訓練について説明したが、本発明はこれに限定されることなく各種の日常動作器具を用いた日常動作訓練に使用できる。例えば日常動作器具として、椅子やベッドや浴槽等を用いた着座及び起立訓練や就寝及び起床訓練や入浴訓練等、各種の日常動作器具について使用できる。
In each of the above-described embodiments, the motion training mechanism 1 or 50 is configured by providing the moving wall 4 on either one of the support walls 3. However, the present invention is not limited to this and is provided on both sides of the support wall 3. A moving wall 4 may be provided. Moreover, the moving wall 4 does not need to be one, and a plurality of the moving walls 4 may be connected.
In the above description, in the motion training mechanism 1, 50 according to each embodiment, the daily motion training for using the toilet using the toilet seat 6 as a daily motion device has been described. However, the present invention is not limited to this, It can be used for daily motion training using the daily motion equipment. For example, various daily motion devices such as sitting and standing training using a chair, a bed, a bathtub, etc., sleeping, wake-up training, and bathing training can be used as the daily motion devices.

このように、本発明では、便座6等の日常動作器具を取り付けた支持壁3を第一壁とし、移動壁4を第二壁として互いに接続することで、擬似的に室内等の構造を形成して日常生活での各種動作や作業のリハビリテーション等を含む各種訓練を行うことができる。
なお、上述した本発明の実施形態では、支持壁3と移動壁4とを組み立てて支持壁3に便座6等の日常生活の各種動作を行うための日常動作器具を設けることとしたが、支持壁と移動壁とはその意味に基本的に差異がなく両者は互いの機能を交換して持たせることも可能である。例えば、移動壁4に便座6等の日常動作器具を設けてもよく、この場合には移動壁4が第一壁であり、支持壁3が第二壁を構成する。このような発明も本発明に含まれる
As described above, in the present invention, the support wall 3 to which the daily operation equipment such as the toilet seat 6 is attached is used as the first wall, and the movable wall 4 is connected as the second wall to form a pseudo indoor structure. Thus, various exercises including various operations in daily life and work rehabilitation can be performed.
In the above-described embodiment of the present invention, the support wall 3 and the moving wall 4 are assembled, and the daily operation equipment for performing various daily activities such as the toilet seat 6 is provided on the support wall 3. There is basically no difference in meaning between the wall and the moving wall, and both can exchange their functions. For example, a daily operation instrument such as a toilet seat 6 may be provided on the moving wall 4. In this case, the moving wall 4 is the first wall and the support wall 3 constitutes the second wall. Such an invention is also included in the present invention.

1、50 動作訓練機構
3 支持壁
4 移動壁
6 便座
11 上部ガイド部材
12 下部ガイド部材
14 ガイドライン
16 支持板
17 ガススプリング
18 水平手摺り
20 縦手摺り
21 手摺り機構
23 支柱
26 ペーパー
27 上梁
28 下梁
29 連結部材
32 係合凹部
34 係合穴
36 係止板
60 プランジャー
DESCRIPTION OF SYMBOLS 1,50 Motion training mechanism 3 Support wall 4 Moving wall 6 Toilet seat 11 Upper guide member 12 Lower guide member 14 Guideline 16 Support plate 17 Gas spring 18 Horizontal handrail 20 Vertical handrail 21 Handrail mechanism 23 Post 26 Paper 27 Upper beam 28 Lower beam 29 Connecting member 32 Engaging recess 34 Engaging hole 36 Locking plate 60 Plunger

Claims (6)

日常動作器具を設けた第一壁と、該第一壁の日常動作器具に対して少なくともいずれか一方側に取り付けた第二壁とが設けられ、前記第一壁に設けられた日常動作器具を着脱又は跳ね上げて前記第二壁を第一壁に沿って任意の位置に移動可能であり、該第二壁の表裏両面または日常動作器具側を向く面に手摺りが設けられていることを特徴とする動作訓練機構。   A first wall provided with a daily operation instrument, and a second wall attached to at least one of the first wall with respect to the daily operation instrument of the first wall, and the daily operation instrument provided on the first wall The second wall can be moved to any position along the first wall by attaching or detaching or flipping up, and a handrail is provided on both the front and back surfaces of the second wall or the surface facing the daily operation equipment side. Feature motion training mechanism. 前記第二壁は前記第一壁に設けた水平方向のガイド部材に沿って移動可能であり、前記第二壁の前記第一壁に対する停止位置を前記日常動作器具のいずれかの側に設定可能とした請求項1に記載された動作訓練機構。   The second wall is movable along a horizontal guide member provided on the first wall, and a stop position of the second wall with respect to the first wall can be set on either side of the daily operation equipment. The motion training mechanism according to claim 1. 前記第一壁または第二壁の自由端部側に扉を取り付けた請求項1または2に記載された動作訓練機構。   The motion training mechanism according to claim 1 or 2, wherein a door is attached to a free end side of the first wall or the second wall. 前記扉は、該扉を取り付けた前記第一壁または第二壁に対して少なくとも略90°の角度位置、略180°の角度位置、略270°の角度位置、略360°の角度位置のいずれかに選択的に設置可能とした請求項3に記載された動作訓練機構。   The door is at least approximately 90 ° angular position, approximately 180 ° angular position, approximately 270 ° angular position, or approximately 360 ° angular position with respect to the first wall or the second wall to which the door is attached. The motion training mechanism according to claim 3, wherein the motion training mechanism can be selectively installed. 前記手摺りは前記第二壁に設けた支持部材に支持されていて、該支持部材を昇降可能とした請求項1乃至4のいずれか1項に記載された動作訓練機構。   The motion training mechanism according to any one of claims 1 to 4, wherein the handrail is supported by a support member provided on the second wall, and the support member can be moved up and down. 前記日常動作器具は便座であり、該便座は第一壁への取り付け高さを調整可能または格納可能とした請求項1乃至5のいずれか1項に記載された動作訓練機構。

The motion training mechanism according to any one of claims 1 to 5, wherein the daily motion equipment is a toilet seat, and the height of the toilet seat is adjustable or retractable.

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JP2017093902A (en) * 2015-11-26 2017-06-01 トヨタ自動車株式会社 Walking training device

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KR101823895B1 (en) * 2015-12-29 2018-01-31 윤창대 Educational deluxe taxi apparatus

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JPH1097188A (en) * 1996-09-20 1998-04-14 Toto Ltd Toilet simulation device
JPH10312148A (en) * 1997-05-14 1998-11-24 Sakai Medical Co Ltd Rehabilitation system
JP2003208088A (en) * 2002-01-16 2003-07-25 Sakai Medical Co Ltd Rehabilitation equipment
JP2006345987A (en) * 2005-06-14 2006-12-28 Yazaki Ind Chem Co Ltd Rehabilitation apparatus

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JPH1097188A (en) * 1996-09-20 1998-04-14 Toto Ltd Toilet simulation device
JPH10312148A (en) * 1997-05-14 1998-11-24 Sakai Medical Co Ltd Rehabilitation system
JP2003208088A (en) * 2002-01-16 2003-07-25 Sakai Medical Co Ltd Rehabilitation equipment
JP2006345987A (en) * 2005-06-14 2006-12-28 Yazaki Ind Chem Co Ltd Rehabilitation apparatus

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2017093902A (en) * 2015-11-26 2017-06-01 トヨタ自動車株式会社 Walking training device

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