JP3470647B2 - Finger function recovery training device - Google Patents

Description

Description: BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to rehabilitation of a person whose finger function has deteriorated, such as an elderly person, a disabled person or a person who has been injured in an accident. Finger Function Recovery Lesson
The present invention relates to a kneading apparatus . More specifically, the present invention is not limited to the effect of simply coordinating the functions of the motor nerve and the finger. For example, it is also effective for functional recovery training for visual nerve dysfunction such as unilateral spatial agnosia. The present invention relates to a useful device that enables a person to check the results of training by himself, and also obtains objective data even for a training instructor. 2. Description of the Related Art For example, in elderly people with dementia symptoms or in persons with cerebral dysfunction due to stroke, finger function may be reduced due to mental dysfunction. In addition, a finger may be directly injured in an accident or the like, thereby deteriorating the function of the finger. In any of the above cases, it is necessary to perform rehabilitation in order to prevent the symptoms from progressing or to restore the function. [0003] There are various types of rehabilitation for restoring the function of a finger. In addition to direct training by specialists, training using a special device has been attempted in recent years. As such an instrument, for example, Japanese Utility Model Laid-Open No. 63-172
There is a training device described in US Pat. In this training device, a switch is provided for each finger, and various sounds are produced by pressing the switch. [0004] However, the training device described in the above publication has the following problems. That is, in the use of the training device, the person who trains
There is no coordination with the optic nerves, as you simply press the switch you decide. Therefore, the effect of rehabilitation is merely an effect of coordinating the functions of motor nerves and fingers, for example, a type of visual agnosia, ignoring and ignoring half of the visual space and what is there It is not expected to be effective for functional recovery training for unilateral spatial agnosia (also called unilateral neglect), which you may not notice. [0005] Further, since there is no means for quantitatively expressing the evaluation in training, no matter how much effort the user makes,
Since the results of the training (the degree of recovery) cannot be confirmed by himself / herself by numerical values or the like, it is easy to lose value and interest. In addition, even for a person who instructs the training, such as a doctor in charge, since objective data cannot be obtained, it cannot be said that the training training device is sufficient. (Object of the present invention) A first object of the present invention is to simply cooperate with the motor nerve and the function of the finger simply by effectively coordinating with the optic nerve at the time of training for restoring the function of the finger. An object of the present invention is to provide a finger function recovery training device that is effective not only for the effect of (1) but also for function recovery training for visual nerve dysfunction such as hemi-spatial agnosia. The second purpose is to allow the evaluation in the training to be quantitatively expressed, so that the user can confirm the results of the training by himself, without being less rewarding and less interested. Further, it is an object of the present invention to provide a useful finger function recovery training apparatus that can obtain objective data even for a side instructing training. [0007] Means of the present invention taken to achieve the above object are as follows. The present invention
Use to be able to represent evaluation in training
Can check the results of the training on their own
Finger recovery training device,
To the required angle range on both the left and right sides of the
The movable platen that can be fixed at the degree position and the movable platen
Push buttons provided for each finger of both hands
Tongue and movable plate
It is provided in response to a push button pressed with a finger,
The instruction means that can be visually recognized and the mode of the instruction by the instruction means
Select the mode selection switch and the top panel of the case.
And display means for displaying the score.
The selected instruction mode depends on the position of the push button.
From left to right, right to left, or center
Includes modes that can be performed in order from left to right
Characterized in that that, it is a finger function recovery training devices. [0008] The "instruction means" includes a light-emitting body which is a means that can be visually recognized and is instructed by light.
A game such as a mole-tapping game in which a doll or the like enters and exits from the surface, or a game in which a window is provided on the surface so that the color inside the window changes, is used. Not something. "Quantitatively displaying" means displaying the level so that a user or the like can visually recognize the degree. Therefore, as the display means, besides the one indicating the evaluation by the magnitude of the numerical value, for example, the one indicating the evaluation in a long and short like a bar graph, or the display unit indicating the degree of a plurality of evaluations indicates any place. There are, but are not limited to, those representing evaluation. [0010] The "means for adjusting the position of the push button" is, for example, one that allows the position of the push button to be slid, one that allows the position of the push button to be rotated, It has a structure in which the position of the push button is recognized before using the device, but is not limited thereto. The phrase "in association with an operation or operation" may be, for example, a certain time such as a start, an operation of a push button, a correct answer, an incorrect answer, or an end, or a BGM in use. It may be continuous as in Also, `` sound '' is, for example, a scale corresponding to a push button, so-called environmental music such as the sound of a river babble, or a correct answer, an incorrect answer, a stage of evaluation, etc. Examples include, but are not limited to, music or human voice. [0012] "External reward equipment" means, for example, those which display so-called reward images according to the stage of correct answer, incorrect answer, and evaluation on a television or monitor television, as well as dog toys barking or performing. And the like, but are not limited to these. ( Function ) According to the finger function recovery training apparatus of the present invention, the training can be performed by coordinating the functions of the optic nerve and the finger, so that the functions of the motor nerve and the finger are simply coordinated. It is not only effective, but also useful for functional recovery training in cases where the optic nerve is impaired. Further, of the push buttons provided corresponding to each finger of both hands, a push button to be pushed by a finger is designated by a visually recognizable means, and the evaluation as to whether or not the designated push button can be accurately pushed is determined. The user can confirm the result of the training by himself / herself, and the training can be easily continued without losing any worthwhileness or interest.
Therefore, it can be expected that the effects of the training will surely appear.
Further, since the finger function of the user is quantitatively displayed, objective data can be obtained. Therefore, it is also useful for a training instructor such as a doctor in charge, as it is easy to grasp the degree of function recovery, and is useful as a recovery training device. In the case where the instruction by the instruction means can be performed in order from the left side to the right side of the position where the push button is provided, from the right side to the left side, or from the center part to both the left and right sides, the half space loss occurs. It can be an effective device for improving symptoms of visual nerve dysfunction such as recognition. That is, by performing the training of pressing the push buttons sequentially instructed from one side on the left and right sides to the other side of the field of view, it is expected that the range that can be recognized even if it cannot be recognized initially is gradually expanded. It is also possible to obtain objective data on the extent to which the symptoms appear in the left or right visual field, or the extent to which the function has been restored by training. A device in which the indicating means gives an instruction with light can be visually recognized relatively easily even by a person with a weak visual acuity such as an elderly person, so that the device is highly completed. Also, for example,
If a light-emitting body such as a light-emitting diode is used, it can be turned on by simple control thereafter. In the case where the display means indicates the evaluation by the magnitude of the numerical value, the numerical value which is one of the most common means for displaying the degree of the object is used.
For example, even a person with a mental disability, such as an elderly person, is relatively easy to recognize, and the effect of recognition is easily obtained. In the apparatus having a means for adjusting the position of the push button, the position of the push button is changed so that training can be performed according to the user's preference or without taking an unreasonable posture or posture. be able to. [0019] In the case where sound is produced in accordance with the operation or operation, for example, by listening to sounds corresponding to various situations while using the device, it is possible to work on the training with interest and without getting tired. become able to. In addition, hearing the sound also stimulates the auditory nerve, which is particularly useful for the elderly and persons with mental disabilities. A device provided with a means for adjusting the speed or the number of instructions by the instruction means can change the difficulty of training using the device. That is, it becomes difficult to increase the speed of the instruction by the instruction means, and it becomes easy to decrease the speed. Further, it becomes difficult to increase the number of instructions by the instruction means within a certain time, and it becomes easier to decrease the number of instructions. According to this, it is possible to adjust to the most appropriate difficulty level for the symptoms of the user. Those having a means for connecting to an external reward device are used when training is highly evaluated.
Since the reward can be rewarded again by the reward device, it can be expected that the effect that the user does not lose his worth and interest and the training is easily continued becomes more remarkable. Embodiments of the present invention will be described in more detail with reference to the drawings. FIG. 1 is a schematic plan view showing an embodiment of a finger function recovery training apparatus according to the present invention, and FIG. 2 is a block diagram showing a control system of the finger function recovery training apparatus. Reference numeral T denotes a finger function recovery training device, which is provided with a case 1. On the upper surface panel 10 of the case 1, circular movable plates 2, 2a are provided on both left and right sides so as to be rotatable around a central portion within a required angle range, and can be fixed at a required angle position. The upper surfaces of the movable plates 2 and 2a are substantially flush with the upper surface of the upper panel 10. On the surface of the movable platen 2 on the left, there are five push buttons 21 (corresponding to the left thumb), 22 (corresponding to the left index finger), 23 (corresponding to the left middle finger), 24 (corresponding to the left ring finger),
25 (corresponding to the left little finger) is arranged at a position where the finger can be naturally placed. On the surface of the movable plate 2a on the right side, push buttons 21a (corresponding to the right thumb), 22a (corresponding to the right index finger), 23a (corresponding to the right middle finger), 24a (corresponding to the right ring finger), are also provided at five places. 25a (corresponding to the right little finger) is similarly arranged. In addition, each push button can give strength to a key touch or change sensitivity, so that it can flexibly respond to a user's symptoms. Push buttons 21, 22, 23, 24, 25
And push buttons 21a, 22a, 23a, 24a, 25
An indicator light 26 as an indicator is provided outside of the area a. The indicator light 26 is a light emitting diode. On the upper part of the center of the upper panel 10, a score display section 3 as a display means is provided. The score display section 3
Three-digit numbers can be displayed. Each number is
It is displayed with 7-segment liquid crystal. Reference numeral 4 is a start switch, 5 is a mode selection switch, 6 is a difficulty selection switch, and 7 is a speed selection switch. The modes that can be selected by the mode selection switch 5 include (1) a random lighting mode (lighting of the indicator light is performed at random), and (2) a scale mode (when a push button is pressed, a sound assigned to the push button in advance) ), And (3) the flow lighting mode (the order of lighting of the indicator lamps is made to flow in a required direction). In addition,
(3) The flow lighting mode further sets the flow direction of lighting,
(A) left → right, (b) left ← center → right, and (c) left ← right. It is also possible to specify the push button on the right hand side or the left hand side and instruct sequentially from the outside (the little finger side) to the inside (the thumb side) or vice versa. What can be selected by the difficulty selection switch 6 is
(1) Easy level (lighting of indicator light is small),
There are three types: (2) a normal level (the number of lightings is normal), and (3) a difficult level (the number of lightings is large). The speed selection switch 7 can select (1) a slow level (lighting time of the indicator lamp is long), (2) a normal level (lighting time is normal),
(3) There are three types of fast level (lighting time is short).
Although not shown in FIG. 1, reference numeral 8 denotes a speaker, and 9 denotes an external output terminal which is a means for connecting to an external reward device (such as a television) (both are shown in FIG. 2). By connecting this external output terminal to a television or the like, it is possible to display various images accompanying the operation or operation of the apparatus, such as a reward image at the time of a high score. (Operation) FIG. 3 is a flowchart showing a control system of the finger function recovery training apparatus, FIG. 4 is a flowchart of mode selection, FIG. 5 is a flowchart of difficulty selection, FIG. 6 is a flowchart of speed selection, and FIG. 8 is a flowchart of the scoring result, and FIG. 9 is a flowchart of the scale operation. The control system and operation of the finger function recovery training apparatus T according to the present invention will be described with reference to FIGS. First, the control system of the finger function recovery training apparatus T will be described. (1) Start (2) Demonstration lighting operation If the start button is ON, the process proceeds to the next start count lighting operation, and if OFF, the demonstration lighting operation is continued. (3) Start count lighting operation (4) Start count music Start count music flows from the speaker 8. (5) Mode selection (see FIG. 4) If the mode selection switch 5 is (1) the random lighting mode, the mode is recognized and the process proceeds to the next difficulty level selection. (2)
If it is the scale mode, it recognizes it and shifts to the scale operation. If neither (1) the random lighting mode or (2) the scale mode, it is recognized as (3) the flow lighting mode.
Lighting flow direction is (a) left → right, (b) left ← center → right,
(C) to recognize the left ← which mode of the right has been selected, the process moves to the difficulty level selection. (6) Difficulty level selection (see FIG. 5) If the difficulty level selection switch 6 is (1) easy level,
Recognizing that, we move on to the next speed selection. (2) If it is a normal level, recognize it and move to speed selection. (1)
If it is neither the easy level nor (2) the normal level, (3) it recognizes it as a difficult level and moves to speed selection. (7) Speed selection (see FIG. 6) If the speed selection switch 7 is (1) a low level, it is recognized and the operation proceeds to the next push button operation. (2) If it is a normal level, it is recognized and the operation proceeds to the push button operation. If neither (1) the slow level nor (2) the normal level, it recognizes (3) the fast level and proceeds to the push button operation. (8) Push Button Operation (See FIG. 7) The indicator light 26 is turned on, and if the push button is pressed,
Determine if it is correct. If the answer is correct, make a correct answer and add a score. If the answer is not correct, an incorrect answer is issued and the score is deducted. The score can be the same without making a difference for each finger, but the score of a finger that is hard to move (generally the ring finger or little finger, but may be another finger depending on the user) Can be set to be large. In the case where the push button is not pressed, if the lighting time of the indicator light 26 is over, the number of times of lighting is determined. If not, go back to determining if the pushbutton has been pressed. If the number of lightings is over, the process moves to the scoring result. If not, return to the place where the indicator light 26 is turned on. (9) Scoring Result (See FIG. 8) If the score is correct for all questions, music for all correct answers is sounded, and demonstration lighting of all correct answers is performed. If the score is high, the music with the high score is played, and the demonstration lighting of the high score is performed. If the score is the middle score, the music with the middle score is sounded, and the demonstration of the middle score is performed.
If none of the answers are correct, high score, or medium score, the system recognizes the score as low, plays music with low score, and turns on demonstration light with low score. When this is completed, return to the start. (10) Scale operation (see FIG. 9) In the above mode selection, when (2) scale mode is selected, pressing a push button causes a sound assigned in advance to each push button to be emitted. become. That is, in the present embodiment, the push button 21 has a musical scale “SO”, the push button 22 has a “FA”, the push button 23 has a “mi”, and the push button 24 has a “mi”.
“D” is assigned to “RE” and the push button 25. Also, the push button 21a has "ra", the push button 22a has "shi", the push button 23a has "do" which is one octave higher, the push button 24a has "re", and the push button 25a has Is also assigned "mi". When the push buttons are pressed, a sound is produced, and at the same time, the numbers "0" to "9" assigned to the respective push buttons are displayed on the score display section 3. I have. In the present embodiment,
Although it is not designed to score in the scale mode, for example, the indicator light 26 may indicate a melody of a pre-programmed song, and may score and evaluate how much the player can play as instructed. it can. Next, the method of use and operation of the finger function recovery training apparatus T will be described. (Usage Method 1: Random Lighting Mode) When the user or the caregiver selects the random lighting mode with the mode selection switch 5, it is used as follows. The indicator lamps 26 are turned on one after another in a pre-programmed order according to the conditions selected in the difficulty level selection and the speed selection. The user performs the training by pressing the push buttons at the locations where the indicator lights 26 are lit one after another. During the training, a sound corresponding to the correct answer and the incorrect answer is emitted each time, and the score displayed on the score display unit 3 changes accordingly, so that the user can perform the training with interest and fun. When the training is completed, the scoring is evaluated, and music is emitted according to the evaluation result. (Usage Method 2: Scale Mode) When the user or caregiver selects the scale mode with the mode selection switch 5, the following operation is performed. In the scale mode, when the push buttons are pressed, sounds assigned in advance to the respective push buttons are emitted, so that the finger function recovery training apparatus T can be used as a musical instrument. As a result, the user can make a favorite sound or play a favorite song by himself. (Usage Method 3: Flow Lighting Mode) When the user or a caregiver selects the flow lighting mode with the mode selection switch 5, the following operation is performed. In addition,
The flow lighting mode is provided mainly for the purpose of restoring the function of unilateral spatial agnosia, which is a type of visual agnosia. In the flow lighting mode, the lighting flow direction is changed from (a) left to right, (b)
Select from left ← center → right, (c) left ← right. The indicator lamps 26 are turned on one after another in a pre-programmed order according to the conditions selected in the lighting flow direction, difficulty level selection, and speed selection. The user performs the training by pressing the push buttons at the locations where the indicator lights 26 are lit one after another. For example, if the user is experiencing a symptom of left-sided half-space agnosia, the user may not respond to the lighting of the indicator light 26 on the left hand side or the response may not be stable. By turning on the lights in order, it can be expected that the recognizable range is gradually expanded. It is also possible to obtain objective data on the extent to which the symptoms appear in the left or right visual field, or the extent to which the function has been restored by training. In addition, during training, sounds according to the correct and incorrect answers are emitted each time,
The score displayed on the score display unit 3 also changes accordingly, so that the user can perform training with interest and fun as in the case of the random lighting mode. The terms and expressions used in the present specification are merely illustrative and not restrictive, and do not exclude terms and expressions equivalent to the above-mentioned terms and expressions. Further, the present invention is not limited to the illustrated embodiment, and various modifications can be made within the scope of the technical idea. The present invention has the above configuration and has the following effects. (A) According to the finger function recovery training apparatus according to the present invention, the training can be performed by coordinating the functions of the visual nerve and the finger, so that the effect is not limited to simply coordinating the functions of the motor nerve and the finger. It is also useful for functional recovery training when the optic nerve is impaired. (B) Among the push buttons provided corresponding to each finger of both hands, the push button to be pushed by a finger is indicated by a visually recognizable means, and it is evaluated whether or not the designated push button can be accurately pressed. Since the information is displayed quantitatively, the user can check the results of the training by himself, and the training can be easily continued without losing any value or interest. Therefore, it can be expected that the effects of the training will surely appear. Further, since the finger function of the user is quantitatively displayed, objective data can be obtained. Therefore, it is also useful for a training instructor such as a doctor in charge, as it is easy to grasp the degree of function recovery, and is useful as a recovery training device. (C) If the instruction by the instruction means can be sequentially performed from the left side to the right side of the position where the push button is provided, from the right side to the left side, or from the center to both the left and right sides, It can be an effective device for improving symptoms of visual nerve dysfunction such as lateral spatial agnosia. That is, by performing the training of pressing the push buttons sequentially instructed from one side on the left and right sides of the field of view to the other side, it can be expected that the range that can be recognized even if it is not initially recognized is gradually expanded. It is also possible to obtain objective data on the extent to which the symptoms appear in the left or right visual field, or the extent to which the function has been restored by training. (D) Since the means for instructing by means of light can be visually recognized relatively easily even by a person with poor visual acuity such as an elderly person, the degree of perfection as a device is high. Further, for example, if a light-emitting body such as a light-emitting diode is used, it can be turned on by simple control thereafter. (E) When the display means indicates the evaluation by the magnitude of the numerical value, the numerical value which is one of the most common means for displaying the degree of the object is used. However, even a person with a mental disability, such as an elderly person, is relatively easy to recognize and easily obtain an effect due to recognition. (F) If the push button is provided with a means for adjusting the position of the push button, the push button can be trained according to the user's preference or without taking an unreasonable posture or posture. You can change the position. (G) In the case where sound is produced in accordance with the operation or operation, for example, by listening to sounds corresponding to various scenes during use of the apparatus, it is possible to train with interest and without getting bored. You will be able to work on it. Also,
Listening to the sound also stimulates the auditory nerve, which is particularly useful for the elderly and those with mental disabilities. (H) A device provided with means for adjusting the speed or the number of instructions by the instruction means can change the difficulty of training using the device. That is, it becomes difficult to increase the speed of the instruction by the instruction means, and it becomes easy to decrease the speed. Further, it becomes difficult to increase the number of instructions by the instruction means within a certain time, and it becomes easier to decrease the number of instructions. According to this, it is possible to adjust to the most appropriate difficulty level for the symptoms of the user.

BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a schematic plan view showing an embodiment of a finger function recovery training apparatus according to the present invention. FIG. 2 is a block diagram showing a control system of the finger function recovery training apparatus. FIG. 3 is a flowchart showing a control system of the finger function recovery training apparatus. FIG. 4 is a flowchart of mode selection. FIG. 5 is a flowchart of difficulty selection. FIG. 6 is a flowchart of speed selection. FIG. 7 is a flowchart of a lighting push button operation. FIG. 8 is a flowchart of a scoring result. FIG. 9 is a flowchart of a musical scale operation. [Description of Signs] T Finger Function Recovery Training Apparatus 1 Case 10 Top Panel 2 Movable Board 21, 22, 23, 24, 25 Push Button 2a Movable Board 21a, 22a, 23a, 24a, 25a Push Button 26 Indicator Light 3 Score Display Part 4 start switch 5 mode selection switch 6 difficulty selection switch 7 speed selection switch 8 speaker 9 external output terminal

Continuation of front page (56) References JP-A-11-285485 (JP, A) JP-A-2000-14827 (JP, A) JP-A 62-111050 (JP, U) JP-A 63-172430 (JP, A) U) Shokai 52-135262 (JP, U) JP 7-22212 (JP, Y2) Registered utility model 3022813 (JP, U) (58) Fields investigated (Int. Cl. ⁷ , DB name) A63B 23/16 A61H 5/00

Claims (1)

(57) [Claims] [Claim 1] An evaluation in training can be expressed.
In this way, the user can check the results of the training on his own.
This is a finger function recovery training device that can be turned around the left and right sides of the top panel of the case within a required angle range.
Movable and can be fixed at the required angular position
It is provided on the moving platen and movable platen, and is arranged corresponding to each finger of both hands.
And the push buttons provided on the movable platen.
Provided, indicating push button to be pressed with finger, visible
And a mode selection switch for selecting a mode of instruction by the instruction means.
And a display on the top panel of the case to display the score.
Includes a stage, a mode indication to be selected, position the pushbutton is provided
From left to right, right to left, or center
Includes modes that can be performed in order from left to right
A finger function recovery training device, characterized in that: