JP2013169385A - Rehabilitation machine capable of measuring muscular force value of care receiver and executing rehabilitation suited to the muscular force - Google Patents

Abstract

【Task】
Conventionally, the separation point that separates those who do not squeeze and those who do not squeeze once in a wheelchair has not been clarified, and no rehabilitation method has been established to avoid squeeze that greatly reduces care effort, and knees There was a need for rehabilitation that did not put stress on the hips and knee joints in people with arthritis and low back pain.
[Solution]
The care recipient is brought into a balance state via the movable water tank and the ring with the outer ring groove, and the insufficient power when the care worker himself / herself stands up with the power of both feet is put into the movable water tank by the weight of the water of the insufficient power When the feet do not rise even when standing, standing up and lifting the knees by hanging the lifting weights on the ring with outer ring grooves attached to the knee joints, and lifting the knees The thread connected to the mounted armrest plate is entangled with the ring with outer ring groove fixed to the handrail attached to the back side of the front frame column, and the lifting weight is suspended, and these weights assist the insufficient force to raise the foot. Rehabilitation machine that can measure muscle strength that can be done [selection figure] Fig. 10

Description

  The present invention clearly expresses the physical points to be determined that it is necessary to wear the urine that is the greatest boundary between the care recipients, and the lack of muscular strength to avoid the need for urging This field aims to make the deficit value a rehabilitation goal, achieve that goal through rehabilitation, and drastically reduce care and medical care.

  Caregivers with caregivers who are wearing oximes need more than five times as much care as caregivers who are not wearing oximes. Especially when close relatives are caring at home, Oshime's caregiver suffers seriously serious damage to both the cared person and the carer. There is a very bad influence on the environment, and the rehabilitation to improve the weight shift muscle strength value makes the caregiver himself move alone from the wheelchair to the toilet and can perform the defecation movement by himself. In recent years, the proportion of elderly people who can live a comfortable home-care life is increasing.

2011 application number, Japanese Patent Application 2011-108956

 Measure the lack of muscular strength clearly so that the care recipient can move the pants with the other hand while lowering the handrail while pushing the handrail with one hand, wiping the butt, etc. A low-cost rehabilitation machine that can create a graph with the measured value as the target and perform rehabilitation toward the target was desired.

  In order to achieve the above-mentioned object, the present invention is configured by a square tube with a width that can be carried on a wheelchair and a height that is higher than the height of a person. Start up 6 connecting pipes from the component, put these connecting pipes within the inner diameter of the pillar, upright the 6 pillars, and insert the 6 connecting pipes descending from the ceiling constituent material into the inner diameter of the pillar. A Yakura consisting of a front frame, a middle frame and a rear frame was built, and a floorboard was attached to this Yakura.

  Make two sets of long angle components with four outer ring grooved rings fixed between two angle sides so that they can rotate freely. A water tank is placed on the floor between the middle frame and the rear frame in Yakura, and a movable water tank is placed directly above this water tank, with an outer ring groove fixed to two sets of short angle components located above this movable water tank. Suspend the movable water tank with a string that wraps around each ring, hang the string around each ring with outer ring grooves fixed to two sets of long angle components, and suspend a weight of the same weight as the movable water tank. The string that is lowered from each of the ring with outer ring groove that is fixed to the two long angle components directly above this movable water tank is also connected to the movable water tank and suspended. Removed from each person and connected to a human body wearing tool It has a movable water tank on the balance.

  The water supply pipe of the pump in the water tank installed on the floor sticks out the upper plate of the water tank, and the water supply pipe is installed in the inner diameter of the pipe fixed in the movable water tank located directly above. The pipe is bent at its tip in a chimney that stands upright on the upper plate of the movable water tank, and even if the movable water tank moves up and down, the water discharged from the tip of the water supply pipe is released in the chimney.

  The valve rod in the movable water tank is moved up and down with an electromagnet attached to the upper plate of the movable water tank, and the valve attached to the lower end of this valve rod is moved up and down to function the drainage and water stoppage to drain the water in the movable water tank. The switch of the electromagnet and the pump of the pump are attached to the pillar of the front frame.

  Inject the water to be placed in the movable water tank with the cared person until the cared person stands, and place a footboard under each of the feet of the cared person, and catch the footboard under each footboard The lower part of the two armrest pipes is fixed, and the upper ends of the two armrest pipes are connected by an armrest plate, and the armrest plate, the armrest pipe, the footrest plate, and the footrest receiving portion are made into a body. The upright bar that constitutes the component and puts it inside the inner diameter of the armrest pipe is made to stand upright from the floor on both sides of the cared person so that the stepping component can slide up and down, and the thread is attached to the armrest plate of the stepping component The two threads are entangled and lowered on each ring with an outer ring groove that is fixed to the handrail attached to the back of the front frame column, and a lifting weight is suspended from the lowered thread. The weight of the lifting weight Stepping on stepping components Push up the back of the care of the foot that stepped on.

  A belt is attached to each of the left and right knee joints, and the thread attached to this belt is entangled and lowered by each ring with outer ring grooves fixed to two long angle components located between the front and middle frames. The lifting weight is hung by the slack thread, and the weight of the lifting weight assists the lack of muscle strength to raise the knee.

  Stroke rods are connected and interposed in the string passing between the two angle sides constituting each of the two angle components between the front frame and the middle frame, and a hole is made in the longitudinal direction. The two rectangular bars are bolted to each of the two sets of angle components, and both ends of this stroke bar are inserted into the inner diameter of the compression coil spring, and the compression coil springs are arranged at both ends. Then, a string is connected to the head at both ends of this stroke bar, and when the movable water tank moves up and down, the stroke bar slides back and forth in the hole of the flat bar and the compression coil springs attached to both ends of the stroke bar and the head of the flat bar By hitting the end face, the upper and lower operating ranges of the movable water tank and the up and down movement of the cared person are limited by the length of the stroke bar.

  Caregivers who are connected to the movable aquarium in the balance state stand upright with the weight of the movable aquarium water as an auxiliary force due to the lack of muscle strength to stand on both feet, and in the upright state weigh the lifting weight and lifting weight It is possible to step on as an auxiliary force, and at the time of stepping, the armrest plate with the left and right hands is pushed down alternately with both hands so that no load is applied to the knee joint, and the weight movement muscle strength value is obtained by using both hands and both feet Rehabilitation machine that can improve rehabilitation and measure their strength values.

  When the caregiver's muscle strength is weakened and osme is used, the care effort is more than 5 times, and there is an adverse effect on the care environment as well as the family environment. Measured to make it possible to perform efficient rehabilitation by targeting the lack of muscle strength, and to enable rehabilitation that does not put a burden on people with knee arthritis or low back pain.

The perspective view which decomposed | disassembled the framework which comprises Yakura Perspective view of the framework that composes Yakura A plan view of Yakura from the top Side view of posture to try to make a cared person sitting in a chair put on a human body wearing tool with a string, grab the handrail with both hands and stand up with movable aquarium water A side view of a posture that tries to move the weight in the right direction by putting a human body wearing tool with a string on a cared person sitting in a chair and grasping the handrail with the left hand and placing the right hand on the armrest plate Side view of a posture where a cared person sitting on a chair wears a human body wearing tool with a string and tries to lift his buttocks with his right hand only Side view of a person sitting on a chair wearing a human body wearing tool with a string and putting both hands on the knee to stand up with the assistance of movable aquarium water and the person's own muscle strength Side view of the state of standing with the auxiliary power of the movable aquarium water and the strength of the cared person Side view of the state where both hands are placed on the armrests on both sides while standing with the assistance of movable aquarium water and the strength of the care recipient Side view of the cared person standing up with the balance assist force of the movable aquarium water stepping with the balance force of the lifting weight and lifting weight Side view of the aquarium and movable tank placed on the floor of Yakura from the rear Plumbing diagram of water pipe in movable water tank FIG. 12 is an enlarged view of KAK in FIG. Cross-sectional view of water stoppage with electromagnet, valve stem and drain valve attached to the upper plate of the movable water tank Sectional view of the movable water tank electromagnet activated and the drain valve opened Cross section of the drainage valve opened by the buoyancy of the air container because the water in the movable tank is too full Perspective view of armrest pipe and footboard Enlarged sectional view and parts enlarged view of armrest pipe Perspective view of weight with the same weight as the movable water tank Perspective view of lifting weight and lifting weight Perspective view of handrail attached to back side of front frame pillar and ring with outer ring groove fixed to handrail Perspective view of the stroke bar that controls the vertical range of the movable water tank Perspective view of human body wearing tools and hanging shorts Perspective view of the valve receptacle at the upper end of the drainage pipe

Hereinafter, an embodiment of the present invention will be described with reference to FIGS.
In the figure, in order to assemble Yakura, which is taller than a person's height and wider than the width of a wheelchair, a floor assembly A with a slope AS at the front end is placed on the floor. Column connecting pipe AH is fixed upright at each position where AHM, middle frame pillar AHN, and rear frame pillar AHA stand, and six of these column connecting pipes AH are put into the inner diameter of square tube pillar H and six. The square tube column H is vertically set up and fixed with bolts, and the six column connection tubes BH fixed to the ceiling component AT are inserted into the inner diameter at the upper end of the square tube column H and fixed with bolts. The floor board Y was pasted on the assembly member A to assemble the Yakura consisting of the front frame, middle frame, and rear frame.

  Between the two angle QA sides, four outer ring grooved rings 1S, 2S, 3S, 4S are rotatably fixed to make a long angle component Q, and two sets of this long angle component Q Is mounted on the ceiling component B so that it protrudes from the front and rear of the shoulder width interval, and is fixed with bolts, and the short angle component material on each of the bottom surfaces of the two long angle component materials Q between the middle frame and the rear frame The outer ring grooved ring 5S was fixed to these two sets of short angle components.

  A water tank YP with a water pump P placed on the floor plate Y is installed between the middle frame and the rear frame, and the water supply pipe PS of the pumping pump P runs straight through the top plate of the water tank YP. Bend the tip of the water supply pipe PS in the chimney ME standing on the upper plate MST of the movable water tank M by passing the water supply pipe PS through the inside diameter of the pipe PW fixed in the movable water tank M that can move up and down directly above The pipe part bent below is designed so that water can be released within the vertical range of the chimney ME even if the movable water tank M operates up and down, and this chimney ME can be pulled out and removed. it can.

  Two sets of long angle components Q are attached to the rear end of the outer ring grooved ring 4S and suspended by a string 2E to suspend a weight 4SG of the same weight as an empty movable water tank M. The two strings 2E for hanging 4SG are hung from the ring 5S with outer ring grooves fixed to two sets of short angle components QT located between the middle frame and the rear frame, and the movable water tank M is suspended. The string 1E to be lowered from each of the rings 3S with outer ring grooves fixed to the two sets of long angle components Q also suspends the movable water tank M, and this string 1E is attached to each of the front ends of the two sets of long angle components Q. It is attached to a human body wearing tool J that is entangled with a ring 1S with a fixed outer ring groove and is connected to a human body wearing tool J. The care recipient who wears this human body wearing tool J becomes the weight and balance of the water in the movable water tank M, and the water The weight helps the caregiver to stand up with his or her own leg strength. The weight of equal to the force caregiver lifts pledged hand both armpits of the care-receiver.

  The two ropes 4SG hanging from the rear end of the long angle component Q and the floor Y are connected by a wire rope 4SW, and the function of this wire rope 4SW is to prevent the movable tank M from hitting the tank YP directly below. If the movable water tank M is lowered too much, the weight 4SG will be raised too much and the wire rope 4SW will be too tight, and the weight 4SG and the movable water tank M will stop.

  The electromagnet D attached to the upper plate of the movable water tank M moves the valve rod BB up and down by flowing electricity, and moves the drain valve B attached to the lower end of the valve rod BB up and down to provide drainage and water stop function. The water in the tank M can be drained, the switch of the electromagnet D and the switch of the pumping pump P are attached to the front frame column AHM so that the water injection and drainage to the movable tank M can be operated by the switch, and the switch is turned on. Even if it is left as it is, the floating ring UW in the movable water tank M pushes up the valve rod BB and opens the drain valve B so that the water can be drained, so that a water leak accident in the movable water tank M does not occur.

  Stroke rod R is connected in the range of outer ring grooved rings 2S and 3S with string 1E passing between the two angle QK sides constituting each of the two sets of angle component material Q, and this stroke rod R is interposed. Put it in the hole of the flat bar RH with a hole in the longitudinal direction, fix this flat bar RH to the long angle component Q with bolts, put both ends of this stroke bar R in the inner diameter of the compression coil spring RB, When the string 1E is connected to each of the heads RT attached to both ends of the stroke bar R, and the movable water tank M connected to the string 1E and the cared person move up and down, the stroke bar R connected at both ends with the string 1E is By sliding the flat bar RH hole back and forth, the head RT comes into contact with the flat bar RH via the compression coil spring RB, and the vertical movement of the movable water tank M and the cared person is restricted by hitting it. .

  A cared person who is symmetrical with the water in the movable water tank M stands up with the assisting force of the weight of the water and the power of his / her own feet, and places a footboard FT under each standing foot, and this footboard FT The receiving part FTU is fixed to the lower end part of the two armrest pipes FP, and the two upright bars FB on the left and right to stand upright from the floor Y of Yakura within the inner diameter of these two armrest pipes FP The armrest pipe FP can be slid up and down by inserting the armrest plate FE on the upper end of the two armrest pipes FP, the armrest plate FE, the armrest pipe FP, the receiving part FTU, and the footboard FT -Make a stepping component F, and the cared person places his left and right hands on the armrest plate FE, attaches the thread CE to the left and right armrest plates FE, and this thread CE is attached to the front frame pillar Entangled in each of the two outer ring grooved rings CR fixed to the handrail C attached to the back of 1H The weight of the push-up weight WTU that the lowered thread CE hangs up pulls up the stepping component F, and the stepped-up component F that is pulled up is pushed up by the weight of the weight WTU. Push up the soles of the caregivers who are stepping on the footboard FT. Also, the upright bar FB in the inner diameter of the armrest pipe FP has several grooves FBM on the circumference, and a hole FBA is made in the leaf spring FBB that is rolled up in order to place a small ball FBK in this groove FBM. The small ball FBK was inserted into the small ball FBK to maintain the position of the small ball FBK, and the sliding of the armrest pipe FP was improved by the rolling friction of the small ball.

  Attach a belt BE to the ends of the two threads 2SE, attach the belt BE to each joint of both knees, and then attach the two threads 2SE to the outer ring grooved ring located between the middle frame and the rear frame. Pull the lifting weight 2SW to lift the knee to this lowered thread 2SE to hang the knee joint and the 2SW to a balance state. The lifting weight 2SW and the lifting weight WTU Assists the shortage of muscular strength when raising a foot so that it can be stepped on, and by alternately pressing the armrest plate FE on which the left and right hands are placed while stepping on, the load on the knee joint is reduced and the weight shift muscle strength The rehabilitation which strengthens can be done.

  Fig. 4 shows how to use a rehabilitation machine. Fig. 4 shows that a cared person with a weight of 50 kg sits on a chair Z and stands while holding and holding the handrail C with both hands. Assuming that we were able to stand up, weight 50kg-10kg-weight below both knee joints (assuming 7kg) = 33kg Calculated as the sum of the force to hold with both hands and the force to stand up with both feet, and 10kg of movable aquarium water While holding the handrail C with both hands, rehabilitation such as standing or sitting from the chair is possible, and by improving the muscle strength of 10 kg or more by rehabilitation, the difference between the caregivers more than 5 times.

  Fig. 5 shows a case where a cared person with a weight of 50 kg grabs handrail C with his left hand and his right hand is standing while holding down the right armrest plate FE, and movable water tank M water can lift his waist with 9.5 kg If the lack of weight transfer muscle strength to the right side is determined to be 9.5kg, and if you hold the handrail C with your right hand and hold the armrest plate FE with your left hand, you can lift the waist with 10.5kg of movable water tank M water The lack of weight shift muscle strength to the left side was judged to be 10.5 kg, and it was considered for rehabilitation methods and arrangement of furniture.

  Fig. 6 shows that a cared person with a weight of 50 kg was able to lift his waist with 15 kg of movable water tank M water, with his left hand on his waist and trying to stand while holding the armrest plate FE only with his right hand. In order for a care recipient to sit down on a toilet bowl or wheelchair Z to lower his / her underwear or wipe his buttocks with his own power, rehabilitation of 15 kg or more is required by the measurement method of one hand holding.

  Fig. 7 shows that when a cared person with a weight of 50 kg is standing on his knees with both hands on the movable water tank M water can stand up with 20 kg, the 20 kg It is equal to the force to lift by putting your hand in, and 20 kg of movable water tank M By pulling the power of both legs from the standing state, the buttocks will fall to chair Z, stand again with the power on both legs The rehabilitation that repeats sitting and sitting is also possible, and this 20 kg display was attached to the cared person's clothes as a small button with the number of flowers and the number of petals as a reference for caregiver care.

  Figure 8 shows that when a cared person with a weight of 50 kg stands with 20 kg of movable water tank M water, the load on both knee joints is 23 kg (50-20-7 (weight below both knee joints)). , If you can not lift up your feet by placing your hands on the left and right armrests from this state.

  If the foot does not rise in the state of Fig. 8, if the right lifting weight 2TU is put on the right lifting weight WTU as shown in Fig. 9 and the right foot still does not rise, the right lifting weight 2SW is overlapped with 2SW. It is assumed that the right foot is lifted by 6SW lifting weight 2SW. This is a lifting weight WTU and lifting weight 2SW for a total weight of 8kg (2 + 6). The right leg is raised with the assist force of the limb, and the muscle strength to raise the right leg of the cared person is 2 kg (10-8), and when lowering the right leg, the right hand placed on the armrest plate FE with a force of 2 kg or more By pushing down, the load on the right foot joint becomes zero, but the load on the left foot knee joint while the right foot is going up is 13 kg, and in order to reduce this 13 kg load as much as possible to the left armrest plate FE Reduce the load on the left knee joint by holding down the weight However, in order to prevent the cared person from standing upright and stepping on the knee joint so that no load is applied to the knee joint, it is necessary to hold both hands alternately and constantly pressing the armrest plate FE. Stepping and moving is a good rehabilitation method for both legs and both muscles to improve weight transfer muscular strength, and does not require urging (reduced care and medical effort), does home care and does not require wheelchair Z ( (Use a cane or use a cane and a wheelchair) The measured value of the lack of muscular strength is displayed in a graph to live, and the rehabilitation aimed at the measured value is shown to the cared person while showing the graph that changes in rehabilitation is necessary.

  The person to be cared for wearing the human body wearing tool J is connected to the empty movable water tank M connected by the string 1E until the cared person raises the water, and the person being cared for is supported by the weight of the water in the movable water tank. A rehabilitation machine that can measure and improve muscle strength and weight transfer muscle strength that can stand with its own leg strength, and can be stepped on with the aid of the weight of the lifting weight WTU and lifting weight 2SW in that state.

AS slope at the front edge of the floor
A Floor construction material
AHM front frame pillar
AHN Middle frame pillar
AHA Rear frame pillar
AH Pillar joint pipe standing from the floor
AT ceiling components
ATH Pillar joint pipe descending from ceiling components
FBN Holes for standing upright bars built from floor construction materials
FB upright bar
YK floor
P pumping pump
PS water pipe
MH drain pipe
Y weld
DJ electromagnet parts
D electromagnet
MU movable tank
ME Chimney that stands upright and can be removed from the movable tank
MS movable water tank bottom plate
Water pipe fittings fixed to the bottom plate of the PWB movable tank
PP packing
Nut to attach a water pipe to the lower plate of the PWN movable water tank
B valve
BB valve stem
UW floating
KC packing
KP packing
Nut welded to bottom plate of KN movable water tank
External thread for KH drain pipe installation
Hexagonal part to turn the external screw for installing the KHR drain pipe
1E string
2E string
QA Long angle
Q Long angle component
1S Ring with outer ring groove fixed to the front end of long angle component
2S Ring with outer ring groove fixed to long angle component between front frame and middle frame
3S Ring with outer ring groove fixed to long angle component between middle frame and rear frame
Ring with outer ring groove fixed to the rear end of 4S long angle component
Ring with outer ring groove fixed to 5S short angle seat
4SW wire rope
HC Holding channel material for attaching the handrail fixed to the back of the front frame column
HCK Groove in holding channel material that determines the height of the handrail
CN Star knob to fix the handrail
CR ring with outer ring groove fixed to handrail
C handrail
Thread or string descending from outer ring grooved ring fixed to CE handrail
FB Upright sticks standing upright from floor building materials
FE armrest
FP armrest pipe
FBM carved on the circumference of an upright bar
Small ball placed in FBB groove
Hole in a pipe-shaped leaf spring that holds the position of the FBA globule
FBE Pipe-shaped leaf spring
R Stroke bar
RB compression coil spring arranged on the outer diameter of both ends of the stroke rod
The head part with the connection part of the string fixed to the end of the RT stroke rod
RTN Stroke rod end with a detachable string connection at the end
RH Flat bar with stroke rod in the longitudinal hole
4SG Weight same as empty movable water tank
Wire rope connecting GW weight and floor assembly
Weight for GPK adjustment
Pipe for inserting weight for GP adjustment
FEW Push-up weight with a hole in the center
2SW Lifting weight with a hole in the center
Circular plate to catch the weight of WPE
WP A hanging pipe standing in the center of a circular plate that catches the weight
WM Groove removed from the center hole to the outer diameter of the weight, wider than the thread and narrower than the hanging pipe
FT footboard
FTU footboard receiving part
J Human equipment
JU Shorts for human suspension

  The present invention clearly expresses the physical points to be determined that it is necessary to wear the urine that is the greatest boundary between the care recipients, and the lack of muscular strength to avoid the need for urging This field aims to make the deficit value a rehabilitation goal, achieve that goal through rehabilitation, and drastically reduce care and medical care.

  Caregivers with caregivers who are wearing oximes need more than five times as much care as caregivers who are not wearing oximes. Especially when close relatives are caring at home, Oshime's caregiver suffers seriously serious damage to both the cared person and the carer. There is a very bad influence on the environment, and the rehabilitation to improve the weight transfer muscle strength value makes it possible to reduce the care effort even a little by allowing the care recipient to move alone from the wheelchair to the toilet and perform the bowel movement alone. Therefore, it is desired to reduce the labor of home caregivers who provide care while working.

Patent application 2011-108956

When the cared person performs a bowel movement, the lack of muscular strength that can be used to lower the pants with the other hand while pushing down the handrail with one hand, lift it, or wipe the buttocks is measured, and the measured value An inexpensive rehabilitation machine that can create a graph with the goal and rehabilitate toward the goal was desired.

  And in order to achieve the above-mentioned object, the present invention is configured by a square tube with a width that allows a wheelchair to ride on and a height higher than the height of a person. Start up 6 connecting pipes from the material, put these connecting pipes within the inner diameter of the pillar, upright the 6 pillars, and insert the 6 connecting pipes descending from the ceiling component into the inner diameter of this pillar. A Yakura consisting of a frame, a middle frame and a rear frame was built, and a floorboard was attached to this Yakura.

Make two sets of long angle components with four outer ring grooved rings fixed between two angle sides so that they can rotate freely. In Yakura, a water tank is placed on the floor assembly material between the middle frame and the rear frame, a movable water tank is placed directly above this water tank, and fixed to two sets of short angle components located directly above this movable water tank. hanging the movable water tank with a string lowered by only one each groove of the outer ring threaded ring, down the strap two pairs of Placing in the outer threaded ring each groove fixed to the end portion of the long angle configuration material movably and hanging a weight of the same weight as the water tank, even hanging movable aquarium cord down from each groove of the outer ring threaded ring fixed to the two sets of elongated angle constituting material directly above the other movable aquarium, this cord grooves of the outer ring grooved ring foremost in two pairs of elongated angle constituting material it Connect to the human body mounting tool is down and about to be, it was tied with a string and the cared person and the movable water tank sitting in a wheelchair.

Water supply pipe water pumps in the water tank which is placed on a floor set configuration material protrudes upward from the upper plate of the water tank, the water supply pipe is a pipe in the inner diameter of the pipe that is fixed within a movable water tank located directly above, this The tip of the water pipe is bent in a round shape in the chimney upright on the upper plate of the movable water tank, and the water discharged from the tip of the water pipe is discharged in the chimney.

To be able to operate the valve rod in the movable water tank up and down in an electromagnet attached to the movable water tank top plate, a valve attached to the lower end of the valve stem can drainage and water stop of water in the movable water tank by being vertically look like in, was fitted with a switch of the switch and pump of this electromagnet a pillar of the front frame.

Water to be poured into the movable water tank in the balance with the cared person is poured until the cared person stands, and a footboard is placed under each of the feet of the cared person, and each of the footboards is placed on the footboard receiving frame. This footrest frame is fixed to the lower part of the two armrest pipes, and an armrest plate is attached to the upper ends of the two armrest pipes. This armrest plate, armrest pipe, footboard and footboard receiving frame configure the foot structure material was Tooｰembodied, the upright bars placed in the inner diameter of the armrests pipe upright from Yukakumi construction material of both legs outside the side of the caregivers, the stepping structure material an upright rod to allow slide up and down, attached the thread armrest plate of the two sets of foot structure material, it lowered toward the respective grooves of the outer ring threaded ring fixed to the handrail attached to the back side of the front frame post thread of the two, Suspend the lifting weight on the lowered thread, The weight of the lifting weight pushes up the sole of the care recipient who is stepping on the foot plate of the foot component.

A belt is attached to each of the left and right knee joints, and the thread attached to the belt is lowered and lowered over the grooves of the outer ring grooved ring fixed to the two long angle components located between the front and middle frames. The hoist hangs the lifting weight, and the weight of the lifting weight and the lifting weight assists the lack of muscular strength to raise the knee.

Stroke rods are connected to the strings passing between the two angle sides that make up each of the two angle components between the front frame and the middle frame, and the stroke rods are inserted into holes like pipes. into the holes of the perforated flat rectangular bar, the two rectangular bar was bolted to each 2 pairs of angle constituting material, place the compression coil spring to the outer diameters both ends of the stroke rod, the stroke rod A string is connected to both ends, and when the movable water tank moves up and down, the stroke bar slides back and forth in the hole of the flat bar, and the compression coil springs and heads arranged at both ends of the stroke bar hit the end face of the flat bar and stop. In this way, the vertical range of the movable water tank and the vertical movement of the care recipient are limited by the length of the stroke bar.

Caregivers sitting in a wheelchair connected to a movable aquarium with a string stand upright with the weight of the movable aquarium water as an auxiliary force due to the lack of muscle strength to stand on both feet, and the weight of the lifting weight and lifting weight in the upright state As an auxiliary force, it is possible to step on both feet, and when the foot is stepped on, the armrest on which the left and right hands are placed is pushed down alternately with the left and right hands to reduce the load on the knee joint, measure the muscle strength, and the cared person himself Rehabilitation machine that can be rehabilitated according to muscle strength .

When the caregiver's muscle strength is weakened and osme is used, the care effort is more than 5 times, and there is an adverse effect on the care environment as well as the family environment. Was measured, and a graph was created to target the lack of muscle strength, enabling efficient rehabilitation so that rehabilitation can be performed without burdening people with knee arthritis or back pain.

The perspective view which decomposed | disassembled the framework which comprises Yakura Perspective view of the framework that composes Yakura A plan view of Yakura from the top Side view of posture to try to make a cared person sitting in a chair put on a human body wearing tool with a string, grab the handrail with both hands and stand up with movable aquarium water A side view of a posture that tries to move the weight in the right direction by putting a human body wearing tool with a string on a cared person sitting in a chair and grasping the handrail with the left hand and placing the right hand on the armrest plate Side view of a posture where a cared person sitting on a chair wears a human body wearing tool with a string and tries to lift his buttocks with his right hand only Side view of a person sitting on a chair wearing a human body wearing tool with a string and putting both hands on the knee to stand up with the assistance of movable aquarium water and the person's own muscle strength Side view of the state of standing with the auxiliary power of the movable aquarium water and the strength of the cared person Side view of the state where both hands are placed on the armrests on both sides while standing with the assistance of movable aquarium water and the strength of the care recipient Side view of the cared person standing up with the balance assist force of the movable aquarium water stepping with the balance force of the lifting weight and lifting weight Side view of the aquarium and movable tank placed on the floor of Yakura from the rear Plumbing diagram of water pipe in movable water tank Sectional view of the connection part to the bottom plate of the movable water tank in the piping of the water pipe Cross-sectional view of water stoppage with electromagnet, valve stem and drain valve attached to the upper plate of the movable water tank Sectional view of the movable water tank electromagnet activated and the drain valve opened Cross section of the drainage valve opened by the buoyancy of the air container because the water in the movable tank is too full Perspective view of armrest pipe and footboard Enlarged sectional view and parts enlarged view of armrest pipe Perspective view of weight with the same weight as the movable water tank Perspective view of lifting weight and lifting weight Perspective view of handrail attached to back side of front frame pillar and ring with outer ring groove fixed to handrail Perspective view of the stroke bar that controls the vertical range of the movable water tank Perspective view of human body wearing tools and hanging shorts Perspective view of the valve receptacle at the upper end of the drainage pipe

Hereinafter, an embodiment of the present invention will be described with reference to FIGS.
In the figure, in order to assemble Yakura, which is taller than a person's height and wider than the width of a wheelchair, a floor assembly A with a slope AS at the front end is placed on the floor. The column connection pipe AH is fixed upright at the respective positions where the AHM, the middle frame pillar AHN, and the rear frame pillar AHA stand upright, and six of the column connection pipes AH are put into the inner diameter of the square tube pillar H to form six corners. make a tubular column H perpendicularly bolted, bolted pledged six pillars connecting pipe BH fixed to the ceiling structure material aT within the square tubes at the upper end of the square tube columns H, bed sets The floor board Y was pasted on the component A, and the Yakura consisting of the front frame, middle frame, and rear frame was assembled.

Four long ring components 1Q, 2S, 3S, and 4S are rotatably fixed between the two angle QA sides to make a long angle component Q. Mount on the ceiling component B so that it protrudes from the front and rear of the shoulder component at the interval of the shoulder width and fix it with bolts, and attach the short angle component material to the lower surface of the two long angle component materials Q between the middle frame and the rear frame. The outer ring grooved ring 5S was fixed to the two sets of short angle components.

A water tank YP with a water pump P placed on the floor plate Y is installed between the middle frame and the rear frame, and the water supply pipe PS of the pumping pump P runs straight through the top plate of the water tank YP. , right above in through the water supply pipe PS within the inner diameter of the pipe PW fixed to the movable water tank M to Ru is movable up and down, the tip of the water supply pipe PS in chimney ME stood on the top plate MST of the movable water tank M bending to allow water discharge downwardly, the tip portion of the water supply pipe PS bent to the bottom Yes to allow release of water in the upper and lower range of chimney ME be movable water tank M is vertically operated, and chimney ME is It can be pulled out and removed.

String 2E lowering the two sets of over the outer threaded ring 4S respective groove attached to the rear end portion of the long angle constituting material Q is linked to the weigh 4SG the same weight as the empty movable aquarium M, the weigh The two strings 2E for hanging 4SG are hung on the groove of the ring 5S with outer ring groove fixed to two sets of short angle components QT located between the middle frame and the rear frame, and the movable water tank M is suspended, In addition, the string 1E to be lowered over the grooves of the ring 3S with the outer ring groove fixed to the two sets of the long angle component material Q also suspends the movable water tank M, and this string 1E is the front end portion of the two sets of the long angle component material Q. Connected to a human body wearing tool J that is lowered over the groove of the ring 1S with an outer ring groove fixed to each, and the cared person wearing this human body wearing tool J and sitting on a chair uses the weight and string of the water in the movable water tank M as a balance. The weight of the water is the weight that can support the lack of power when the cared person stands with his own leg strength Ri, the weight of the water at this time is equal to the force caregiver lifts pledged hand both armpits of the care-receiver.

Two sets of the hanging drop weigh 4SG the floor plate Y from the rear end of the long angle constituting material Q wire rope 4SW Detsuna tool, tank beneath the intended use of the wire rope 4SW is lowered movable aquarium M Before the YP hits, the wire rope 4SW connecting the weight 4SG and the floor board Y is stretched to stop the lifting of the weight 4SG, and the descent of the movable water tank M connected by the weight 4SW and the string 2E is stopped.

The electromagnet D attached to the upper plate of the movable water tank M moves the valve rod BB up and down by flowing electricity, and moves the drain valve B attached to the lower end of the valve rod BB up and down to provide drainage and water stop function. to be able to drain the water in the water tank M, to be able to operate the drainage and water injection into the movable water tank M switch the switch is mounted in the switch and pump P of the electromagnet D before the frame pillars AHM, also in misjudgment Even when the switch is turned on, the floating ring UW in the movable water tank M pushes up the valve rod BB to open the drain valve B so that the water can be drained.

Stroke rod R is connected to string 1E in the range of outer ring grooved ring 2S and 3S with string 1E passing between the two angles QK constituting each of the two sets of angle components Q, and this stroke Insert the rod R into the hole of a rectangular rod RH with a hole like a square pipe , fix this rectangular rod RH to the long angle component Q with bolts, and compress it to the outer diameter of both ends of the stroke rod R A coil spring RB is arranged, and a string 1E is connected to each of the heads RT attached to both ends of the stroke rod R. When the movable water tank M connected to the string 1E and the cared person move up and down, both ends are connected to the string 1E. The stroke rod R connected in (1) slides back and forth through the hole of the flat bar RH, the head RT hits the end surface of the flat bar RH via the compression coil spring RB, and the movable water tank M and the care recipient can move up and down. Limited.

The cared person who is connected with the weight of the water in the movable water tank M with the string 1E stands up with the power of his own feet with the weight of the water as an auxiliary force, and places the footboard FT under both standing feet, The receiving frame FTU for receiving the footboard FT below is fixed to the lower end portions of the two armrest pipes FP, and the two armrest pipes FP are placed on the inner diameter of each of the two armrest pipes FP. An upright bar FB is inserted so that the armrest pipe FP can be slid up and down, and the armrest plate FE is fixed to the upper ends of the two armrest pipes FP, the armrest plate FE, the armrest pipe FP, the receiving frame FTU, and the footboard FT The foot care component F is formed and the cared person places his left hand and right hand on the armrest plate FE, attaches the thread CE to the armrest plate FE on both the left and right sides, and this thread CE lowering toward each groove of the two outer threaded ring CR fixed to the handrail C attached to the back side of the frame pillar 1H, Weight of the push-up for the weigh WTU that clogs yarn CE is hung to pull up the foot structure material F, the back of the care of the foot that stepped on the foot plate FT of foot structure material F which is pulled is pushed up. In addition, the upright bar FB in the inner diameter of the armrest pipe FP has a groove FBM with several streaks around the circumference, and a hole FBA is made in the leaf spring FBB that is rolled up in order to place a small ball FBK in this groove FBM. A small ball FBK was put in the FBA and attached to the groove FBM of the upright bar FB, and the sliding of the armrest pipe FP was improved by the rolling friction of this small ball.

A belt BE is attached to the ends of the two threads 2SE, these two belts BE are attached to the joints of both knees, and each of the two threads 2SE is a ring with an outer ring groove positioned between the middle frame and the rear frame. 2S is lowered to the 2S groove , and the lifting weight 2SW that lifts the knee to this lowered thread 2SE is suspended to the knee joint, 2SW is in a balance state, the lifting weight 2SW and the lifting weight WTU are covered. The caregiver can assist with the lack of muscular strength when raising the foot so that it can be stepped on, and the armrest plate FE with the left and right hands placed on the foot is pressed alternately to reduce the load on the knee joint. Rehabilitation to strengthen weight transfer muscle strength was made possible.

While the care of Figure 4 is of 50kg body weight as use of rehabilitation machine seat Ri hands on the chair Z that is about to stand up on two feet while holding grabbing handrail C, and water 10kg into the movable water tank M Assuming that you were able to stand up, put weight 50kg-10kg-Weight under both knee joints (assuming 7kg) = 33kg is calculated as the sum of the force pressed by both hands and the power to stand up with both feet, 10kg movable water tank strive to while holding the handrail C with both hands while putting water in the rehabilitation of standing or sitting from a chair with both feet there is no water in the 10kg in the moving water tank is moved under its own power by the force of the wheelchair Z and both hands and both feet To be able to .

Fig. 5 shows a case where a cared person with a weight of 50 kg grabs handrail C with his left hand and his right hand is standing while holding down the right armrest plate FE, and movable water tank M water can lift his waist with 9.5 kg It was judged that the lack of weight transfer muscle strength on the right side was 9.5 kg, and further, the movable aquarium M water was able to float up with 10.5 kg while holding the handrail C with the right hand and holding the armrest plate FE with the left hand. In this case, it was determined that the lack of weight transfer muscle strength to the left side was 10.5 kg, and this rehabilitation method was taken into consideration for the arrangement of furniture and the like.

Fig. 6 shows that a cared person with a weight of 50 kg was able to lift his waist with 15 kg of movable water tank M water, with his left hand on his waist and trying to stand while holding the armrest plate FE only with his right hand. in the measurement of the strength of the caregiver or wipe your ass or increase down the underwear with your left hand while holding the armrest plate FE with the right hand, by a measurement method of this one hand holding to the caregiver not to wear a diaper is It is necessary to squeeze until 15 kg of water in the movable tank is exhausted .

Figure 7 shows that a cared person with a weight of 50 kg is trying to stand both hands on the knees, and if the water in the movable water tank can rise up to 20 kg, the 20 kg equal to the above is that power has pledged to hand in both armpits, also ass that pull out the power of the legs from the state stood to put the water of the movable water tank M of 20kg will fall in a chair Z, on both feet again Standing put the force, that Ki de rehabilitation to repeat the standing or sitting, also the number of the number and the petals of the flower display of this 20kg represented by a small button, by attaching the button to the garment of the caregivers The caregiver was able to reduce back pain as a reference for moving the cared person's weight .

Figure 8 shows a cared person with a weight of 50 kg, and when the water in the movable water tank stands at 20 kg, the load on both knee joints is 23 kg (50-20-7 (weight below both knee joints)) If you cannot lift your feet by placing your hands on the left and right armrests from this state.

If the foot does not rise in the state of Fig. 8, if the right lifting weight 2TU is put on the right lifting weight WTU as shown in Fig. 9 and the right foot still does not rise, the right lifting weight 2SW is overlapped with 2SW. It is assumed that the right foot is lifted by 6SW lifting weight 2SW. This is a lifting weight WTU and lifting weight 2SW for a total weight of 8kg (2 + 6). The right leg is raised with the assist force of the limb, and the muscle strength to raise the right leg of the cared person is 2 kg (10-8), and when lowering the right leg, the right hand placed on the armrest plate FE with a force of 2 kg or more By pushing down, the load on the right foot joint becomes zero, but the load on the left foot knee joint while the right foot is going up is 13 kg, and in order to reduce this 13 kg load as much as possible to the left armrest plate FE Reduce the load on the left knee joint by holding down the weight However, in order to prevent the cared person from standing upright and stepping on the knee joint so that no load is applied to the knee joint, it is necessary to hold both hands alternately and constantly pressing the armrest plate FE. Stepping and moving is a good rehabilitation method for both legs and both muscles to improve weight transfer muscle strength, and does not require urging (reduced care and medical effort), enables home care life, In order to live a life that does not need (use a cane or use a cane and a wheelchair), the measurement value of the lack of muscular strength is displayed in a graph, and the measurement value is targeted while showing the graph that changes in rehabilitation to the care recipient Rehabilitation is necessary.

Put the water to be put into the empty movable water tank M connected with the cared person wearing the human body wearing tool J with the string 1E until the cared person raises it, and the weight of the water in the movable water tank M is used as an auxiliary power The patient is standing with his / her own leg strength, and in that state, the weight of the push-up weight WTU and the weight of the lift weight 2SW can be stepped on, and the muscular strength can be measured and rehabilitation matched to the muscular strength. rehabilitation machine as possible.

AS slope at the front edge of the floor
A Floor construction material
AHM front frame pillar
AHN Middle frame pillar
AHA Rear frame pillar
AH Pillar joint pipe standing from the floor
AT ceiling components
ATH Pillar joint pipe descending from ceiling components
FBN Holes for standing upright bars built from floor construction materials
FB upright bar
YK floor
P pumping pump
PS water pipe
MH drain pipe
Y weld
DJ electromagnet parts
D electromagnet
MU movable tank
ME Chimney that stands upright and can be removed from the movable tank
MS movable water tank bottom plate
Water pipe fittings fixed to the bottom plate of the PWB movable tank
PP packing
Nut to attach a water pipe to the lower plate of the PWN movable water tank
B valve
BB valve stem
UW floating
KC packing
KP packing
Nut welded to bottom plate of KN movable water tank
External thread for KH drain pipe installation
Hexagonal part to turn the external screw for installing the KHR drain pipe
1E string
2E string
QA Long angle
Q Long angle component
1S Ring with outer ring groove fixed to the front end of long angle component
2S Ring with outer ring groove fixed to long angle component between front frame and middle frame
3S Ring with outer ring groove fixed to long angle component between middle frame and rear frame
Ring with outer ring groove fixed to the rear end of 4S long angle component
Ring with outer ring groove fixed to 5S short angle seat
4SW wire rope
HC Holding channel material for attaching the handrail fixed to the back of the front frame column
HCK Groove in holding channel material that determines the height of the handrail
CN Star knob to fix the handrail
CR ring with outer ring groove fixed to handrail
C handrail
Thread or string descending from outer ring grooved ring fixed to CE handrail
FB Upright sticks standing upright from floor building materials
FE armrest
FP armrest pipe
FBM carved on the circumference of an upright bar
Small ball placed in FBB groove
Hole in a pipe-shaped leaf spring that holds the position of the FBA globule
FBE Pipe-shaped leaf spring
R Stroke bar
RB compression coil spring arranged on the outer diameter of both ends of the stroke rod
The head part with the connection part of the string fixed to the end of the RT stroke rod
RTN Stroke rod end with a detachable string connection at the end
RH Flat bar with stroke rod in the longitudinal hole
4SG Weight same as empty movable water tank
Wire rope connecting GW weight and floor assembly
Weight for GPK adjustment
Pipe for inserting weight for GP adjustment
FEW Push-up weight with a hole in the center
2SW Lifting weight with a hole in the center
Circular plate to catch the weight of WPE
WP A hanging pipe standing in the center of a circular plate that catches the weight
WM Groove removed from the center hole to the outer diameter of the weight, wider than the thread and narrower than the hanging pipe
FT footboard
FTU footboard support frame
J Human equipment
JU Shorts for human suspension

Claims (1)

Yakura is built by combining the floor-building component, ceiling component, front frame column, middle frame column, and rear frame column, and a water tank with a water pump is placed on the floor of the middle frame and the rear frame of this frame. A movable aquarium is placed right above the base, and two sets of long angle components are installed on this Yakura at a shoulder width interval, and the bottom surface of each of the two sets of long angle components is directly above the movable aquarium. Hangs an empty movable water tank with a string that lowers the short angle component, and lowers it from the ring with an outer ring groove that is fixed to the two sets of short angle components, and the string is attached to the rear end of the two long angle components. A weight of the same weight as the movable water tank is hung from the ring with the outer ring groove fixed to the section, and a wire rope hanging from this weight is connected to the floor to prevent the movable water tank from falling excessively. , Ring ring with outer ring groove fixed to a long angle component directly above the movable water tank The straps to be lowered from each also hang the movable water tank, and this string is lowered from each ring with outer ring grooves fixed to the front end of two long angle components, to the care recipient who wears human body wearing tools Connect the cared person and the empty movable water tank to a balance state, and the weight of the water to enter the movable water tank assists the lack of leg strength of both feet when the cared person stands, The foot plate, the foot plate receiving part, the two armrest pipes, and the armrest plate that are placed under the left and right feet of the cared person standing together are made into a footstep material, and the footstep material is cared for. By placing two upright rods on the left and right sides of the armrest pipe that is placed on the left and right sides of the person and standing upright from the floor inside the armrest pipe that makes up the stepping component, the stepping component can slide up and down , Attached to the upper end of the stepping component The thread connected to the tip of the armrest plate is entangled with a ring with an outer ring groove attached to a handrail fixed to the back side of the front frame column, and the thread is lowered, and the lowered thread suspends the lifting weight. A ring with an outer ring groove that pushes up the foot placed on the stepping plate of the foot structure material with the weight of the foot, and further fixes the thread connected to the two belts attached to both knee joints to the two long angle components The weights for lifting are suspended from each other, and the lifting weights are suspended by the lowered thread. The lifting weights lift both knee joints. As described above, the weight of the water in the movable water tank rises with both feet. Assists the lack of muscle strength at the time, and the weights for lifting and pushing up each other assist the lack of muscular strength when raising the foot by stepping motion, using the weight of water and weight Measure muscle strength and step on A rehabilitation machine that avoids overloading the knee joint by alternately pushing down the left and right armrests with both hands, and rehabilitates the movement of both hands and both feet to improve weight transfer muscle strength.

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