JP4184509B2

JP4184509B2 - Lower limb training equipment

Info

Publication number: JP4184509B2
Application number: JP33261998A
Authority: JP
Inventors: 歩角野; 常明都築; 啓介三宅
Original assignee: オージー技研株式会社
Priority date: 1998-11-24
Filing date: 1998-11-24
Publication date: 2008-11-19
Anticipated expiration: 2018-11-24
Also published as: JP2000152968A

Description

【０００１】
【発明の属する技術分野】
本発明は、下肢の運動機能に障害を持つ者や養護老人等（以下患者という）に対して、下肢の運動機能の回復訓練を施す装置に関する。
【０００２】
【従来の技術】
従来の技術として実公平５−６９６７号公報に、駆動系ユニットと、シ−トと、スライドレ−ルと、フットプレ−トと、ロ−プと、パウダ−ブレ−キと、移動位置検出センサ−等からなる「脚伸展力による瞬発力測定装置」が開示されてい
る。
【０００３】
【発明が解決しようとする課題】
前記従来の技術のものは、患者（＝測定者）は、装置の一部位に構成されるシ−トに座って、脚を伸展させるものであるから、患者を車椅子からシ−トに移乗させるに介助手数が必要であり、不便である。
【０００４】
本発明の目的は、車椅子に座ったままの楽な訓練姿勢で下肢の機能訓練が行なえる下肢用訓練装置を提供することにある。
【０００５】
【課題を解決しようとする手段】
即ち本発明は、足を乗せる左・右ペダル（１）・（２）が本体フレ−ム（３）上に移動可能に設けられた下肢用訓練装置（４）であって、車椅子（５）に座った患者が、前記下肢用訓練装置（４）にアプロ−チし、下肢の訓練を車椅子（５）に座ったまま行なえるものであり、左・右ペダル（１）・（２）は、ペダル着脱調節機構（３７）によって着脱可能に、及び、角度の調節を可能に又は角度の変更を自在に、ペダル取付具（３５）に取着され、該ペダル取付具（３５）はスライド部（７）に設けられてなり、前記左・右ペダル（１）・（２）は、スライド方向に平行のまま、又は、傾斜したままスライド可能であり、下肢訓練時に、選択した左・右ペダル（１）・（２）を、ペダル取付具（３５）に取着しその角度を調節し、足関節に無用な負担が掛からないようにしたことを特徴とする下肢用訓練装置である。
又、足を乗せる左・右ペダル（１）・（２）が角度調節を可能にスライド部（７）に設けられ、該スライド部（７）が、本体フレ−ム（３）に傾斜状に設けられ、下肢訓練時に、ペダル取付具（３５）に取着された左・右ペダル（１）・（２）の角度を調節し、足関節に無用な負担が掛からないようにし、車椅子（５）の下方に下肢用訓練装置（４）を併置し、下肢用訓練装置４のスライド部（７）は、本体フレ−ム（３）に先方を漸高にした傾斜状に設けられ、足が固定される左・右ペダル（１）・（２）は、傾斜姿勢のスライド部（７）に沿って移動する。
更に、下肢用訓練装置（４）に、左右のフットレスト（６）を縦状に跳ね上げた車椅子（５）でアプロ−チし、更に進んで前記下肢用訓練装置（４）の上方に車椅子（５）を位置し、縦状に跳ね上げた左右のフットレスト（６）の間で下肢を移動させて下肢訓練ができる。
更に又、左・右ペダル（１）・（２）は、本体フレ−ム（３）の先端から基端にわたって設けられる交互作動機構（８）に係着され、該左・右ペダル（１）・（２）は、先端と基端の間を往復する方向に、交互に同調して移動するものでであり、交互作動機構（８）は、本体フレ−ム（３）の先部に設けられるプ−リ−（９）と、本体フレ−ム（３）の基部に設けられる交互巻取機構部（１０）と、両端部分が互いに逆方向に交互巻取機構部（１０）に巻かれ中間部分がＵタ−ン状にプ−リ−（９）に掛け回される索体（１１）とからなり、前記交互巻取機構部（１０）は、該交互巻取機構部（１０）の回動軸（２２）に連結される負荷機構部（１２）及び駆動部（１３）を有し、自動訓練と他動訓練との２種類の訓練が１台で行なえるものであり、交互巻取機構部１０は、前記索体１１の両先部を互いに逆方向に巻き取り、一方先部を巻き込む時は他方先部を放し出すものである。
又、負荷機構部（１２）は、交互巻取機構部（１０）の回転トルクを制御するものであり、前記負荷機構部（１２）は、パウダ−ブレ−キであり、患者が動かす左・右ペダル（１）・（２）により、交互巻取機構部（１０）の巻取円筒（１４）が回動するがこの回動に対して前記パウダーブレーキで抵抗負荷を加え、患者に自動訓練を施すものである。
更に、駆動部（１３）は、速度制御部（１５）で速度制御され、左・右ペダル（１）・（２）の作動開始時に摺動速度が漸増し所定速度に至り、前記左・右ペダル（１）・（２）の作動停止時に摺動速度が漸減し停止に至るよう作動するものであり、前記駆動部（１３）は、電動機であり、患者が動かす左・右ペダル（１）・（２）により、交互巻取機構部（１０）の巻取円筒（１４）が回動するがこの回動に対して前記電動機で援助をするものであり、患者に他動訓練を施す。
更に又、下肢用訓練装置（４）が脚付下肢用訓練装置（２４）であり、脚付下肢用訓練装置（２４）は脚（２３）で支持され、車椅子（５）を前記脚付下肢用訓練装置（２４）にアプロ−チし、更に車椅子（５）を進めて、車椅子（５）に係る座席（２５）とフットレスト（６）との空間に、脚付下肢用訓練装置（２４）が挿入状態に位置する。
【０００６】
【発明の実施形態】
１．本発明に係る下肢用訓練装置４に車椅子５を接近させて併置し、車椅子５に座した患者は、該車椅子５に座ったままで、足を左・右ペダル１・２に乗せたうえ固定し、該左・右ペダル１・２を本体フレ−ム３上で移動させ、下肢の訓練を行なう。
【０００７】
２．足を乗せた左・右ペダル１・２を同時に又は別々に、下肢用訓練装置４の先部と基部の間を往復移動させる方向（＝縦方向）にスライド移動させる。即ち、足を胴部に対して離間・接近方向に移動し、下肢を屈伸させる。
【０００８】
３．ペダル着脱調節機構３７は、左・右ペダル１・２をペダル取付具３５に着脱する。更に、下肢訓練時に左・右ペダル１・２を、ペダル取付具３５に取着し該左・右ペダル１・２の傾斜角度を調節する。
下肢用訓練装置４の本体フレ−ム３に設けられたスライド部７は、足が乗せられる左・右ペダル１・２を、スライド方向に平行のまま、又は傾斜姿勢のまま、スライドさせる。
【０００９】
又は、ペダル取付具３５に取着した左・右ペダル１・２は、傾斜角度が自在に変更する。
左・右ペダル１・２は、大きさや形状の異なる複数対の左・右ペダル１・２の中から好適な１対を選択し取付ける。取付けた該左・右ペダル１・２を、好適に傾斜させ、足関節に無用な負担が掛からないようにする。
【００１０】
４．下肢用訓練装置４の本体フレ−ム３に、先方を漸高にして傾斜状に設けられたスライド部７は、足が乗せられる左・右ペダル１・２をスライド部７に沿って傾斜状にスライドさせる。又は、本体フレ−ム３に、水平状に設けられたスライド部７は、左・右ペダル１・２をスライド部７に沿って水平状にスライドさせる。
【００１１】
下肢訓練時に左・右ペダル１・２を傾斜姿勢のまま、水平面及び／又は傾斜面に沿ってスライドさせる。又は、左・右ペダル１・２をスライド方向に平行な姿勢のまま、傾斜面に沿ってスライドさせる。このように左・右ペダル１・２をスライドさせることにより、患者の足関節に無用な負担が掛からないようにしながら下肢を訓練する。
【００１２】
５．本体フレ−ム３に設けられる本体角度調節機構３４は、前記本体フレ−ム３の傾斜角度を調節し、スライド部７を傾斜させ下肢訓練時に足関節に無用な負担が掛からないようにする。
【００１３】
６．フットレスト６を跳ね上げ縦状になした状態の車椅子５を移動させて下肢用訓練装置４にアプロ−チし、車椅子５の下方に下肢用訓練装置４を併置し、車椅子５に座した患者は、縦状に跳ね上げた左右のフットレスト６の間で、左・右ペダル１・２と共に足を前後に移動させて、下肢の訓練を行なう。
【００１４】
７．車椅子５に併置する下肢用訓練装置４に係る、足が乗せられ固定される左・右ペダル１・２を、フットレスト６と同高又は低位に位置せしめ、足関節や股関節や膝関節等に無用な負担が掛からないようにスライドさせ、下肢の訓練を行なう。
【００１５】
８．交互作動機構８は本体フレ−ム３の先端から基端にわたって設けられ、該交互作動機構８に係着される左・右ペダル１・２は、患者の足を縦方向に、同調して交互に移動する。
【００１６】
９．交互作動機構８に係るプ−リ−９は、該プ−リ−９に索体１１をＵタ−ン状に掛け回し、該索体１１の両端を互いに逆方向に移動させる。
交互作動機構８に係る交互巻取機構部１０は、前記索体１１の両先部を互いに逆方向に巻き取り、一方先部を巻き込む時は、他方先部を放し出す。
【００１７】
交互巻取機構部１０に連結される負荷機構部１２は、交互巻取機構部１０の巻き作動に対して抵抗するように負荷を掛け、前記交互巻取機構部１０に連結される駆動部１３は、交互巻取機構部１０の巻き作動に対して助長するように駆動力を与え、左・右ペダル１・２をスライドさせるという訓練形態であり、この訓練形態により自動訓練と他動訓練を行なう。
【００１８】
１０．負荷機構部１２は交互巻取機構部１０の回転トルクの制御を行なう。
【００１９】
１１．速度制御部１５は、駆動部１３の速度を制御する。即ち、左・右ペダル１・２はその作動開始時に摺動速度が漸増し所定速度に至り、該左・右ペダル１・２の作動停止時に摺動速度が漸減し停止に至るように制御する。
【００２０】
１２．車椅子５を下肢用訓練装置４にアプロ−チし、脚２３で支持され側面視コ字形状を呈する下肢用訓練装置４の先方を、車椅子５に係る座席２５とフットレスト６の間に挿入する。この設置状態下で患者は、左・右ペダル１・２を移動させ下肢の訓練を行なう。
【００２１】
【実施例】
図１乃至図６に示す本発明の第１実施例は、足が乗せられ固定され移動するペダル３６が本体フレ−ム３上に設けられた下肢用訓練装置４であって、車椅子５に座った患者が、前記下肢用訓練装置４にアプロ−チし、下肢の訓練を車椅子５に座ったまま行なえるものである。
【００２２】
下肢用訓練装置４にフットレスト６を縦状に跳ね上げた車椅子５でアプロ−チし、下肢用訓練装置４を跨ぐようにその上方に車椅子５を位置できる。
【００２３】
下肢用訓練装置４に係るペダル３６は、足が固定されるものであり、離間・接近方向にスライド移動するものである。ペダル３６は左・右ペダル１・２からなり、該左・右ペダル１・２に乗せた下肢を屈伸させる下肢訓練を行なうものである。
【００２４】
左・右ペダル１・２は、ペダル取付具３５を介してスライド可能にスライド部７に設けられ、該スライド部７は、本体フレ−ム３に傾斜状に設けられる。左・右ペダル１・２の傾斜、及び、スライド部７の傾斜により、下肢訓練時に足関節に無用な負担が掛からないようにしている。
尚、左・右ペダル１・２は、傾斜したままスライド可能にスライド部に設けてもよい。
【００２５】
左・右ペダル１・２は、フットレスト６と同高又は低位に車椅子５に併置され、足関節や股関節や膝関節に無用な負担が掛からないようにしている。
【００２６】
本体フレ−ム３の先端から基端にわたって交互作動機構８が設けられ、該交互作動機構８に係着される左・右ペダル１・２は、患者に対して離間・接近方向（＝縦方向）に、同調して交互に移動する。
【００２７】
交互作動機構８は、本体フレ−ム３の前部に設けられるプ−リ−９と、本体フレ−ム３の後部に設けられる交互巻取機構部１０と、両端が交互巻取機構部１０に互いに逆方向に巻かれ中間がＵタ−ン状にプ−リ−９に掛け回される索体１１とからなる。
【００２８】
前記交互巻取機構部１０は、該交互巻取機構部１０に連結される負荷機構部１２及び駆動部１３を有している。
【００２９】
前記負荷機構部１２は、具体例では、パウダ−ブレ−キであり、交互巻取機構部１０の回転トルクの制御を行なうものである。即ち、患者が動かす左・右ペダル１・２により、交互巻取機構部１０の巻取円筒１４が回動するがこの回動に対して抵抗負荷を加えるものである。実施例は患者に自動訓練を施す。
【００３０】
図６に示す前記駆動部１３は、具体例では電動機であり、患者が動かす左・右ペダル１・２により、交互巻取機構部１０の巻取円筒１４が回動するがこの回動に対して援助をするものである。実施例は患者に他動訓練を施す。
【００３１】
速度制御部１５は、駆動部１３の速度制御を行うものであり、左・右ペダル１・２の作動開始時に摺動速度が漸増し所定速度に至り、該左・右ペダル１・２の作動停止時に摺動速度が漸減し停止に至るよう駆動部１３を制御する。
【００３２】
前記速度制御部１５は、左・右ペダル１・２の位置を検出する位置検出器１６と、駆動部１３を制御するドライブ回路１７と、位置検出器１６の信号を得て所定の演算を行ないドライブ回路１７に信号を付与するコンピュ−タ−プログラミングユニット（＝ＣＰＵ）１８とからなる。
【００３３】
前記ＣＰＵ１８は、制御器１９と、位置判定機能２０と、速度制御機能２１とからなる。
位置判定機能２０は、左・右ペダル１・２の位置に係る設定値と位置検出器１６から検出した検出値とを比較し判定する機能である。
【００３４】
速度制御機能２１は、左・右ペダル１・２が作動開始時に摺動速度を漸増し所定速度に至るように制御し、該左・右ペダル１・２が作動停止時に摺動速度を漸減し停止に至るように制御する機能である。
制御器１９は、位置検出器１６の信号と位置判定機能２０の信号と速度制御機能２１の信号とを得、所定の演算を行ない、ドライブ回路１７に信号を付与するものである。
【００３５】
尚、図１中、２７は固定ベルト、２８は収納用転倒防止金具、３０は移動用キャスタ−、３１は移動用ハンドル、図２中、２９は表示パネル、図３中、２６は引っ張りバネ、３２はリモコン、３３は支持プ−リ−である。
【００３６】
第１実施例を使用する際は、該実施例を車椅子５に併置し、車椅子５に座した患者が、該車椅子５に座ったままで、足を左・右ペダル１・２に乗せたうえ固定し、該左・右ペダル１・２を本体フレ−ム３上で移動させ、下肢の訓練を行なう。
フットレスト６を跳ね上げ縦状になした状態の車椅子５の下方に下肢用訓練装置４を併置する。
【００３７】
足を固定した左・右ペダル１・２を、左右のフットレスト６の間の空間にあって、足を胴体部に対して離間・接近する方向にスライド移動させ、下肢を屈伸する。
【００３８】
下肢用訓練装置４のスライド部７は、足が固定される左・右ペダル１・２を傾斜姿勢のままスライドさせる。及び、本体フレ−ム３に先方を漸高にした傾斜状に設けられた前記スライド部７に沿って、左・右ペダル１・２を移動させる。
【００３９】
上述のように、下肢訓練時に左・右ペダル１・２を傾斜姿勢のままで、及び、傾斜面上に沿ってスライドさせ、患者の足関節に無用な負担が掛からないようにしながら下肢を訓練する。
【００４０】
車椅子５に併置する下肢用訓練装置４に係る、足が固定される左・右ペダル１・２を、フットレスト６と同高又は低位に位置せしめてスライドさせ、足関節や股関節や膝関節等に無用な負担が掛からないように下肢の訓練を行なう。
【００４１】
スライド部７の他の実施例として、下肢を開・閉脚する水平円軌跡方向にスライド移動させるものも有る。
【００４２】
本体フレ−ム３の先端から基端にわたって設けられた交互作動機構８に係着される左・右ペダル１・２は、患者の足を縦方向に同調して交互に移動する。
【００４３】
交互作動機構８に係るプ−リ−９は、索体１１をＵタ−ン状に掛け回し、該索体１１の両端を互いに逆方向に移動させる。
交互作動機構８に係る交互巻取機構部１０は、前記索体１１の両先部を互いに逆方向に巻き取り、一方先部を巻き込む時は他方先部を放し出す。
【００４４】
交互巻取機構部１０の回動軸２２に連結される負荷機構部１２は、交互巻取機構部１０の巻き作動に対して抵抗するように負荷を掛ける。この負荷状態下で左・右ペダル１・２をスライドさせる、という訓練形態により自動訓練が行なえる。
交互巻取機構部１０に連結される駆動部１３は、交互巻取機構部１０の巻き作動に対して助長するように駆動力を与える。この駆動力付与状態下で左・右ペダル１・２をスライドさせる、という訓練形態により他動訓練が行なえる。
【００４５】
負荷機構部１２は交互巻取機構部１０の回転トルクの制御を行なう。速度制御部１５は、駆動部１３の速度を制御する。
即ち、左・右ペダル１・２はその作動開始時に摺動速度が漸増し所定速度に至り、該左・右ペダル１・２の作動停止時に摺動速度が漸減し停止に至るように制御する。
【００４６】
図７乃至８に示す本発明の第２実施例は、第１実施例に係る下肢用訓練装置４の基方を脚２３で片持ち支持し、側面視コ字形状を呈する脚付下肢用訓練装置２４である。
【００４７】
車椅子５を、前記脚付下肢用訓練装置２４の先方からアプロ−チし、該装置２４を、車椅子５に係る座席２５とフットレスト６の空間に挿入された状態に位置させ、車椅子５に座した患者は、左・右ペダル１・２を移動させ、下肢の訓練を行なう。
【００４８】
図９に示す本発明の第３実施例は、第１実施例に係るペダル３６がペダル取付具３５にペダル着脱調節機構３７で着脱可能に取着され、更に、第１実施例に係る本体フレ−ム３の裏部に、該フレ−ム３を傾斜させる本体角度調節機構３４が設けられたものである。該本体角度調節機構３４は下端にロ−ラ−３８が設けられた進退調節可能な進退部材３９でなる。
【００４９】
サイズや形状の異なるペダル３６を複数個（図示省略）準備しその中から最適のペダル３６を選択してペダル取付具３５に取着される。ペダル着脱調節機構３７はペダル３６の傾斜角度を調節するものである。
【００５０】
ペダル着脱調節機構３７は、ペダル３６の裏面の取付片４１の穴をペダル取付具３５の穴に合わせ、両穴にノブボルト４０を貫通のうえ螺着し、ペダル３６をペダル取付具３５に取着するものである。
更に、ペダル３６は適宜な傾斜状に又は水平状にしておいて、ノブボルト４０を締めれば、ペダル３６を当該傾斜角度に調節できる。
【００５１】
ペダル３６は、スライド部７に平行状のままで、又は適宜に調節された傾斜角度のままで移動する。
スライド部７は水平状に本体フレ−ム３に取着され、本体フレ−ム３は本体角度調節機構３４で水平状に又は傾斜状に動かし固定される。
【００５２】
【発明の効果】
１．本発明は、車椅子５に座った患者が、下肢用訓練装置４にアプロ−チし、下肢の訓練を車椅子５に座ったまま行なえるものであるから、本発明を利用する患者にとっては、安全性が向上し、介助者にとっては、移乗の手間が省け、好都合である。
【００５３】
本発明に係る左・右ペダル１・２は、ペダル着脱調節機構３７によって着脱可能に、及び、角度調節を可能に又は傾斜角度変更自在に、ペダル取付具３５に取着され、該ペダル取付具３５はスライド部７に設けられる。
【００５４】
この構成によれば、下肢訓練時に、複数の左・右ペダル１・２の中から好適な左・右ペダル１・２を選択し、足とペダル３６のフィット感をよくすることができ、好適な下肢訓練を行なえ、好都合である。
【００５５】
又、取付けた左・右ペダル１・２の傾斜角度を好適な角度に設定できる。即ち、左・右ペダル１・２が、スライド方向に平行のまま、又は、傾斜したままスライド可能である。
この構成によれば、足関節に無用な負担が掛からないようにでき、下肢訓練時に足関節に無用な負担が掛からず、下肢を屈伸させる訓練を、無用の苦痛や疲労を無くして楽な姿勢で安全に行なえ、好都合である。
【００５６】
又、左・右ペダル１・２の傾斜角度を変更自在状態にでき、下肢を屈伸させる訓練を、無用の苦痛や疲労を無くして楽な姿勢で安全に行なえ、好都合である。
【００５７】
本発明は、足を乗せる左・右ペダル１・２を角度調節可能に設けたスライド部７が、本体フレ−ム３に水平状に、又は、傾斜状に設けられる。
【００５８】
この構成によれば、下肢訓練時に、左・右ペダル１・２の傾斜角度を適宜な角度に設定しておいて、スライド部７の傾斜角度を水平状になし、又はスライド部７の傾斜角度を傾斜状になして足が前方に離間する程に漸高するようにならしめ、それらの適宜選択的設定により、足関節に無用な負担が掛からないようにでき、好都合である。
【００５９】
６．本発明は、下肢用訓練装置４に、フットレスト６を縦状に跳ね上げた車椅子５でアプロ−チし、下肢用訓練装置４の上方に車椅子５を位置でき、縦状に跳ね上げた左右のフットレスト６の間で下肢を移動できるので、患者にとっては、安全性が向上し、介助者にとっては、移乗の手間が省け、好都合である。
【００６０】
本発明に係る左・右ペダル１・２は、交互作動機構８に係着され、該左・右ペダル１・２は、離間・接近方向に、同調して交互に移動する。
【００６１】
この構成によれば、左右下肢の伸展・屈曲の訓練を行ない易く、又、片麻痺患者でも、健側足で患側足の訓練ができるようになり、好都合である。
【００６２】
本発明に係る交互巻取機構部１０は、索体１１の両先部を互いに逆方向に巻き取り、一方先部を巻き込む時は他方先部を放し出すものであり、該交互巻取機構部１０に連結される負荷機構部１２及び駆動部１３を有しており、自動訓練と他動訓練との２種類の訓練が１台で行なえるので、用途が広くなり、好都合である。又、１台の装置で、自動訓練と他動訓練の訓練が行なえるので、利用上便利がよく、又、経費的にも割安であり、占有空間上でも有利であり、好都合である。
【００６３】
本発明に係る負荷機構部１２を構成するパウダーブレーキで、交互巻取機構部１０の回転トルクの制御を行なえるから、左・右ペダル１・２の動きを滑らかにし、訓練時の負担を少なくすることもでき、又、簡素な構成で実施でき、好都合である。
【００６４】
本発明に係る速度制御部１５の作用により、左・右ペダル１・２の作動開始時に摺動速度が漸増し所定速度に至り、該左・右ペダル１・２の作動停止時に摺動速度が漸減し停止に至るよう駆動部を構成する電動機が作動するので、下肢の他動訓練時に、左・右ペダル１・２の移動端での反転時に、下肢に与える衝撃を減らし不快感を与えず、安全であり、好都合である。
【００６５】
１２．本発明に係る下肢用訓練装置４を、車椅子５に係る座席２５とフットレスト６の空間に挿入された状態に位置できる。従来装置ではシ−トに移乗する際に転倒等の危険もあったが、上記構成の本発明は車椅子５に座ったままで下肢訓練を行なえ、他のシ−トヘ移乗しなくてよく患者にとっては安全であり、介助者にとっては移乗の手数が省け、好都合である。
【図面の簡単な説明】
【図１】本発明の第１実施例に車椅子を併置した右側面図である。
【図２】本発明の第１実施例に車椅子を併置した平面図である。
【図３】本発明の第１実施例の左側面図である。
【図４】本発明の第１実施例の平面図である。
【図５】本発明の第１実施例の背面図である。
【図６】本発明の第１実施例に係る速度制御部のブロック図である。
【図７】本発明の第２実施例に車椅子を併置した右側面図である。
【図８】本発明の第２実施例に車椅子を併置した平面図である。
【図９】本発明の第３実施例の左側面図である。
【符号の説明】
１左ペダル
２右ペダル
３本体フレ−ム
４下肢用訓練装置
５車椅子
６フットレスト
７スライド部
８交互作動機構
９プ−リ−
１０交互巻取機構部
１１索体
１２負荷機構部
１３駆動部
１５速度制御部
２３脚
２５座席
３４本体角度調節機構
３５ペダル取付具
３７ペダル着脱調節機構[0001]
BACKGROUND OF THE INVENTION
The present invention relates to an apparatus for performing recovery training on the motor function of the lower limbs for persons with impaired motor function of the lower limbs, nursing elderly persons, and the like (hereinafter referred to as patients).
[0002]
[Prior art]
In Japanese Utility Model Publication No. 5-6967 as a conventional technique, a drive system unit, a sheet, a slide rail, a foot plate, a rope, a powder brake, and a moving position detection sensor are disclosed. -An "instantaneous force measuring device by leg extension force" composed of, etc. is disclosed.
[0003]
[Problems to be solved by the invention]
In the prior art, a patient (= measuring person) sits on a sheet configured in one part of the apparatus and extends a leg, so that the patient is transferred from the wheelchair to the sheet. It is inconvenient because it requires a lot of assistance.
[0004]
An object of the present invention is to provide a lower limb training apparatus that can perform functional training of the lower limbs in an easy training posture while sitting on a wheelchair.
[0005]
[Means to solve the problem]
That is, the present invention relates to a lower limb training apparatus (4) in which left and right pedals (1) and (2) on which a foot is placed are movably provided on a main body frame (3). The patient sitting on the left can approach the lower limb training device (4) and perform the lower limb training while sitting on the wheelchair (5) . The left and right pedals (1) and (2) The pedal attachment (35) is detachably attached by the pedal attachment / detachment adjustment mechanism (37), and the angle can be adjusted or the angle can be freely changed. The pedal attachment (35) is attached to the slide portion. The left and right pedals (1) and (2) provided in (7) can be slid while being parallel or inclined with respect to the sliding direction. Attach (1) and (2) to the pedal attachment (35) and adjust the angle to A lower leg exercise device, wherein the use burden is so not applied.
In addition, left and right pedals (1) and (2) for placing a foot are provided on the slide portion (7) so that the angle can be adjusted, and the slide portion (7) is inclined to the main body frame (3). Adjusting the angle of the left and right pedals (1) and (2) attached to the pedal attachment (35) during lower limb training so that an unnecessary burden is not applied to the ankle joint. ), A slide part (7) of the lower limb training apparatus 4 is provided on the main body frame (3) in an inclined shape with the tip gradually increasing, The fixed left / right pedals (1) and (2) move along the slide portion (7) in the inclined posture.
Further, the lower limb training apparatus (4) is approached with a wheelchair (5) in which the left and right footrests (6) are vertically jumped up, and further advanced to the upper part of the lower limb training apparatus (4). 5) is positioned, and the lower limbs can be trained by moving the lower limbs between the left and right footrests (6) that are flipped up vertically.
Furthermore, the left and right pedals (1) and (2) are engaged with an alternating operation mechanism (8) provided from the front end to the base end of the main body frame (3), and the left and right pedals (1).・ (2) is one that moves in synchronism alternately in the direction of reciprocation between the tip and the base, and the alternate operation mechanism (8) is provided at the front part of the main body frame (3). The pulley (9) to be wound, the alternate winding mechanism (10) provided at the base of the main body frame (3), and both ends are wound around the alternate winding mechanism (10) in opposite directions. The intermediate portion is formed of a cord (11) wound around the pulley (9) in a U-turn shape, and the alternate winding mechanism portion (10) includes the alternate winding mechanism portion (10). the loading mechanism portion connected to the pivot shaft (22) (12) and the drive unit has a (13), two types of training with automatic training and passive exercise can be performed ones in one There, alternating winding mechanism 10 takes up the both front portion of the rope 11 in opposite directions, whereas when involving the previous section are those out release the other tip portion.
The load mechanism section (12) controls the rotational torque of the alternate winding mechanism section (10), and the load mechanism section (12) is a powder brake, which is moved by the patient. The winding cylinder (14) of the alternate winding mechanism (10) is rotated by the right pedals (1) and (2). A resistance load is applied to the rotation by the powder brake, and the patient is automatically trained. Is to be applied.
Further, the drive unit (13) is speed-controlled by the speed control unit (15), and when the operation of the left and right pedals (1) and (2) starts, the sliding speed gradually increases to reach a predetermined speed. When the operation of the pedals (1) and (2) is stopped, the sliding speed is gradually reduced to the stop. The drive unit (13) is an electric motor, and the left and right pedals (1) that the patient moves The winding cylinder (14) of the alternate winding mechanism (10) is rotated by (2), but the motor is used to assist the rotation, and the patient is given passive training.
Furthermore, the lower limb training device (4) is a legged lower limb training device (24), the legged lower limb training device (24) is supported by the leg (23), and the wheelchair (5) is attached to the legged leg. Approach to the training device (24) for the leg, further advance the wheelchair (5), and the training device for the leg with leg (24) in the space between the seat (25) and the footrest (6) according to the wheelchair (5) Is in the inserted state.
[0006]
DETAILED DESCRIPTION OF THE INVENTION
1. A wheelchair 5 is placed close to the lower limb training apparatus 4 according to the present invention, and a patient sitting on the wheelchair 5 is seated on the wheelchair 5 and fixed with the feet on the left and right pedals 1 and 2. The left and right pedals 1 and 2 are moved on the main body frame 3 to train the lower limbs.
[0007]
2. The left and right pedals 1 and 2 on which the feet are placed are slid in the direction (= vertical direction) to reciprocate between the front part and the base part of the lower limb training apparatus 4 simultaneously or separately. That is, the legs are moved away from and approaching the torso, and the lower limbs are bent and stretched.
[0008]
3. The pedal attachment / detachment adjusting mechanism 37 attaches / detaches the left / right pedals 1, 2 to / from the pedal attachment 35. Furthermore, the left and right pedals 1 and 2 are attached to the pedal attachment 35 during lower limb training, and the inclination angle of the left and right pedals 1 and 2 is adjusted.
The slide portion 7 provided in the main body frame 3 of the lower limb training apparatus 4 slides the left and right pedals 1 and 2 on which the feet are placed while being parallel to the sliding direction or in an inclined posture.
[0009]
Alternatively, the left and right pedals 1 and 2 attached to the pedal attachment 35 can be freely changed in inclination angle.
For the left and right pedals 1 and 2, a suitable pair of left and right pedals 1 and 2 having different sizes and shapes is selected and attached. The attached left and right pedals 1 and 2 are preferably inclined so that an unnecessary burden is not applied to the ankle joint.
[0010]
4). The slide part 7 provided on the main body frame 3 of the lower limb training apparatus 4 in an inclined shape with the tip gradually increasing is inclined along the slide part 7 with the left and right pedals 1 and 2 on which feet are placed. Slide to. Alternatively, the slide portion 7 provided horizontally on the main body frame 3 slides the left and right pedals 1 and 2 horizontally along the slide portion 7.
[0011]
The left and right pedals 1 and 2 are slid along the horizontal plane and / or the inclined plane while maintaining the inclined posture during lower limb training. Alternatively, the left and right pedals 1 and 2 are slid along the inclined surface while maintaining a posture parallel to the sliding direction. By sliding the left and right pedals 1 and 2 in this manner, the lower limbs are trained while avoiding unnecessary burden on the patient's ankle joint.
[0012]
5. The main body angle adjusting mechanism 34 provided in the main body frame 3 adjusts the inclination angle of the main body frame 3 to incline the slide portion 7 so that an unnecessary load is not applied to the ankle joint during lower limb training.
[0013]
6). A patient who sits in a wheelchair 5 by moving the wheelchair 5 in a vertical state with the footrest 6 flipped up and approaching the lower limb training apparatus 4, and placing the lower limb training apparatus 4 below the wheelchair 5 The legs are moved back and forth with the left and right pedals 1 and 2 between the left and right footrests 6 that are lifted up vertically, and the lower limbs are trained.
[0014]
7). The left and right pedals 1 and 2 on which the foot is placed and fixed according to the lower limb training device 4 placed in the wheelchair 5 are positioned at the same height or low as the footrest 6 and are not used for the ankle joint, hip joint, knee joint, etc. Slide so that no heavy burden is applied, and train the lower limbs.
[0015]
8). The alternate operation mechanism 8 is provided from the distal end to the proximal end of the main body frame 3, and the left and right pedals 1 and 2 engaged with the alternate operation mechanism 8 are alternately synchronized with the patient's foot in the vertical direction. Move to.
[0016]
9. The pulley 9 according to the alternate operation mechanism 8 hangs the cord body 11 around the pulley 9 in a U-shape, and moves both ends of the cord body 11 in opposite directions.
The alternate winding mechanism portion 10 according to the alternate operation mechanism 8 winds both the tip portions of the cable body 11 in the opposite directions, and releases the other tip portion when the one tip portion is wound.
[0017]
The load mechanism unit 12 coupled to the alternate winding mechanism unit 10 applies a load so as to resist the winding operation of the alternate winding mechanism unit 10, and the driving unit 13 coupled to the alternate winding mechanism unit 10. Is a training form in which a driving force is applied to assist the winding operation of the alternate winding mechanism 10 and the left and right pedals 1 and 2 are slid. Automatic training and passive training are performed by this training form. Do.
[0018]
10. The load mechanism unit 12 controls the rotational torque of the alternate winding mechanism unit 10.
[0019]
11. The speed control unit 15 controls the speed of the drive unit 13. That is, the left and right pedals 1 and 2 are controlled so that the sliding speed gradually increases when the operation starts and reaches a predetermined speed, and when the left and right pedals 1 and 2 stop operating, the sliding speed gradually decreases and stops. .
[0020]
12 The wheelchair 5 is approached to the lower limb training apparatus 4, and the tip of the lower limb training apparatus 4 that is supported by the legs 23 and has a U-shape in side view is inserted between the seat 25 and the footrest 6 of the wheelchair 5. Under this installation state, the patient moves the left and right pedals 1 and 2 to perform training of the lower limbs.
[0021]
【Example】
The first embodiment of the present invention shown in FIGS. 1 to 6 is a lower limb training apparatus 4 in which a pedal 36 on which a foot is placed, fixed and moved is provided on a main body frame 3, and is seated on a wheelchair 5. The patient can approach the lower limb training apparatus 4 and perform the lower limb training while sitting on the wheelchair 5.
[0022]
The lower leg training apparatus 4 can be approached with a wheelchair 5 in which the footrest 6 is flipped up vertically, and the wheelchair 5 can be positioned above the lower leg training apparatus 4 so as to straddle it.
[0023]
The pedal 36 according to the lower limb training apparatus 4 is for fixing a foot and slidingly moves in the separation / approach direction. The pedal 36 includes left and right pedals 1 and 2 and performs lower limb training for bending and stretching the lower limbs placed on the left and right pedals 1 and 2.
[0024]
The left and right pedals 1 and 2 are slidably provided on the slide portion 7 via a pedal attachment 35, and the slide portion 7 is provided on the main body frame 3 in an inclined manner. The inclination of the left and right pedals 1 and 2 and the inclination of the slide portion 7 prevent an unnecessary burden on the ankle joint during lower limb training.
The left and right pedals 1 and 2 may be provided on the slide portion so as to be slidable while being inclined.
[0025]
The left and right pedals 1 and 2 are juxtaposed to the wheelchair 5 at the same height or lower level as the footrest 6 so as not to apply an unnecessary burden on the ankle joint, hip joint and knee joint.
[0026]
An alternating operation mechanism 8 is provided from the front end to the base end of the main body frame 3, and the left and right pedals 1 and 2 engaged with the alternating operation mechanism 8 are separated and approached to the patient (= vertical direction). ) And move alternately in synchronization.
[0027]
The alternating operation mechanism 8 includes a pulley 9 provided at the front portion of the main body frame 3, an alternating winding mechanism portion 10 provided at the rear portion of the main body frame 3, and an alternating winding mechanism portion 10 at both ends. The cord 11 is wound around the pulley 9 in the U-turn shape and wound in opposite directions.
[0028]
The alternate winding mechanism unit 10 includes a load mechanism unit 12 and a drive unit 13 connected to the alternate winding mechanism unit 10.
[0029]
In the specific example, the load mechanism unit 12 is a powder brake, and controls the rotational torque of the alternate winding mechanism unit 10. That is, the winding cylinder 14 of the alternate winding mechanism unit 10 is rotated by the left and right pedals 1 and 2 that are moved by the patient, but a resistance load is applied to the rotation. The example provides automatic training for the patient.
[0030]
The drive unit 13 shown in FIG. 6 is an electric motor in a specific example, and the winding cylinder 14 of the alternate winding mechanism unit 10 is rotated by the left and right pedals 1 and 2 moved by the patient. Help. In the embodiment, the patient is passively trained.
[0031]
The speed control unit 15 controls the speed of the drive unit 13, and when the operation of the left and right pedals 1 and 2 starts, the sliding speed gradually increases to reach a predetermined speed, and the operation of the left and right pedals 1 and 2 is performed. The drive unit 13 is controlled so that the sliding speed is gradually reduced when stopping.
[0032]
The speed control unit 15 obtains signals from the position detector 16 that detects the positions of the left and right pedals 1 and 2, a drive circuit 17 that controls the drive unit 13, and the position detector 16, and performs a predetermined calculation. It comprises a computer programming unit (= CPU) 18 for giving a signal to the drive circuit 17.
[0033]
The CPU 18 includes a controller 19, a position determination function 20, and a speed control function 21.
The position determination function 20 is a function for comparing and determining a set value relating to the positions of the left and right pedals 1 and 2 and a detection value detected from the position detector 16.
[0034]
The speed control function 21 controls the left and right pedals 1 and 2 to gradually increase the sliding speed at the start of operation to reach a predetermined speed, and gradually decreases the sliding speed when the left and right pedals 1 and 2 stop operating. This is a function to control to stop.
The controller 19 obtains a signal from the position detector 16, a signal from the position determination function 20, and a signal from the speed control function 21, performs a predetermined calculation, and gives a signal to the drive circuit 17.
[0035]
In FIG. 1, 27 is a fixing belt, 28 is a storage fall prevention bracket, 30 is a moving caster, 31 is a moving handle, 29 in FIG. 2, 29 is a display panel, 26 in FIG. 3, 26 is a tension spring, Reference numeral 32 is a remote controller, and 33 is a support pulley.
[0036]
When using the first embodiment, the patient is seated in the wheelchair 5 while the patient is seated in the wheelchair 5 and his / her feet are placed on the left and right pedals 1 and 2 and fixed. Then, the left and right pedals 1 and 2 are moved on the main body frame 3 to train the lower limbs.
The lower limb training apparatus 4 is juxtaposed below the wheelchair 5 in a state where the footrest 6 is flipped up and formed into a vertical shape.
[0037]
The left and right pedals 1 and 2 with their feet fixed are in a space between the left and right footrests 6, and the feet are slid and moved in a direction to move away from and approach the torso, and the lower limbs are bent and stretched.
[0038]
The slide part 7 of the lower limb training apparatus 4 slides the left and right pedals 1 and 2 to which the foot is fixed in an inclined posture. Then, the left and right pedals 1 and 2 are moved along the slide portion 7 provided in the main body frame 3 in an inclined shape with the tip gradually increased.
[0039]
As mentioned above, the left and right pedals 1 and 2 are kept in the tilted posture during the lower limb training, and are slid along the tilted surface to train the lower limb while preventing unnecessary burden on the patient's ankle joint. To do.
[0040]
The left and right pedals 1 and 2 to which the foot is fixed are placed at the same height as or lower than the footrest 6 and are slid to the ankle joint, hip joint, knee joint, etc. Exercise the lower limbs to avoid unnecessary burdens.
[0041]
As another example of the slide unit 7, there is one that slides in the direction of a horizontal circular locus that opens and closes the lower limbs.
[0042]
The left and right pedals 1 and 2 engaged with the alternate operation mechanism 8 provided from the distal end to the proximal end of the main body frame 3 move alternately in synchronism with the patient's foot in the vertical direction.
[0043]
The pulley 9 according to the alternate operation mechanism 8 hangs the cable body 11 in a U-turn shape and moves both ends of the cable body 11 in opposite directions.
The alternate winding mechanism portion 10 according to the alternate operation mechanism 8 winds both the tip portions of the cable body 11 in the opposite directions, and releases the other tip portion when the one tip portion is wound.
[0044]
The load mechanism unit 12 connected to the rotating shaft 22 of the alternate winding mechanism unit 10 applies a load so as to resist the winding operation of the alternate winding mechanism unit 10. Automatic training can be performed by a training mode in which the left and right pedals 1 and 2 are slid under this load condition.
The drive unit 13 connected to the alternate winding mechanism unit 10 provides a driving force so as to assist the winding operation of the alternate winding mechanism unit 10. Passive training can be performed by a training form in which the left and right pedals 1 and 2 are slid under this driving force application state.
[0045]
The load mechanism unit 12 controls the rotational torque of the alternate winding mechanism unit 10. The speed control unit 15 controls the speed of the drive unit 13.
That is, the left and right pedals 1 and 2 are controlled so that the sliding speed gradually increases when the operation starts and reaches a predetermined speed, and when the left and right pedals 1 and 2 stop operating, the sliding speed gradually decreases and stops. .
[0046]
The second embodiment of the present invention shown in FIGS. 7 to 8 is a training for legs with legs which cantilever-supports the base of the lower limb training apparatus 4 according to the first embodiment with the legs 23 and exhibits a U-shape in side view. Device 24.
[0047]
The wheelchair 5 is approached from the front of the legged lower limb training device 24, the device 24 is positioned in a state where it is inserted into the space between the seat 25 and the footrest 6 related to the wheelchair 5, and is seated on the wheelchair 5. The patient moves the left and right pedals 1 and 2 to perform lower limb training.
[0048]
In the third embodiment of the present invention shown in FIG. 9, the pedal 36 according to the first embodiment is detachably attached to the pedal attachment 35 by the pedal attachment / detachment adjusting mechanism 37, and the body frame according to the first embodiment is further attached. A body angle adjusting mechanism 34 for inclining the frame 3 is provided on the back of the frame 3. The main body angle adjusting mechanism 34 includes an advancing / retracting member 39 having a roller 38 at the lower end and capable of advancing / retracting.
[0049]
A plurality of pedals 36 (not shown) having different sizes and shapes are prepared, and an optimum pedal 36 is selected from the pedals 36 and attached to the pedal attachment 35. The pedal attachment / detachment adjustment mechanism 37 adjusts the inclination angle of the pedal 36.
[0050]
The pedal attachment / detachment adjusting mechanism 37 aligns the hole of the attachment piece 41 on the back surface of the pedal 36 with the hole of the pedal attachment 35, penetrates the knob bolt 40 through both holes and screws them, and attaches the pedal 36 to the pedal attachment 35. To do.
Furthermore, the pedal 36 can be adjusted to the inclination angle by tightening the knob bolt 40 while keeping the pedal 36 in an appropriate inclination or horizontal shape.
[0051]
The pedal 36 moves while being parallel to the slide portion 7 or with an appropriately adjusted inclination angle.
The slide portion 7 is attached to the main body frame 3 horizontally, and the main body frame 3 is moved and fixed horizontally or inclined by the main body angle adjusting mechanism 34.
[0052]
【The invention's effect】
1. In the present invention, since a patient sitting in a wheelchair 5 can approach the lower limb training apparatus 4 and perform training of the lower limbs while sitting in the wheelchair 5, it is safe for a patient using the present invention. This improves convenience and saves time and effort for the caregiver.
[0053]
The left and right pedals 1 and 2 according to the present invention are attached to a pedal attachment 35 so as to be attachable / detachable by a pedal attachment / detachment adjusting mechanism 37 and to enable angle adjustment or change of an inclination angle. 35 is provided in the slide part 7.
[0054]
According to this configuration, it is possible to select a suitable left / right pedal 1/2 from among a plurality of left / right pedals 1/2 during lower limb training, and to improve the fit between the foot and the pedal 36. It is convenient to perform lower limb training.
[0055]
In addition, the inclination angle of the attached left and right pedals 1 and 2 can be set to a suitable angle. That is, the left and right pedals 1 and 2 can be slid while being parallel or inclined with respect to the sliding direction.
According to this configuration, it is possible to prevent an unnecessary burden from being applied to the ankle joint, so that an unnecessary burden is not applied to the ankle joint during training of the lower limbs, and training that flexes and stretches the lower limbs, eliminating unnecessary pain and fatigue. It is safe and convenient.
[0056]
Moreover, the inclination angle of the left and right pedals 1 and 2 can be freely changed, and training for bending and stretching the lower limbs can be safely performed in an easy posture without unnecessary pain and fatigue, which is convenient.
[0057]
In the present invention, the slide portion 7 provided with the left and right pedals 1 and 2 on which a foot is placed so as to be adjustable in angle is provided on the main body frame 3 horizontally or in an inclined manner .
[0058]
According to this configuration, the left and right pedals 1 and 2 are inclined at an appropriate angle during lower limb training, and the inclination angle of the slide portion 7 is made horizontal, or the inclination angle of the slide portion 7 is set. The foot is inclined so that the foot gradually rises toward the front, and by appropriately setting them appropriately, it is possible to prevent an unnecessary burden from being applied to the ankle joint.
[0059]
6). In the present invention, the lower limb training apparatus 4 can be approached with a wheelchair 5 in which the footrest 6 is flipped up vertically, and the wheelchair 5 can be positioned above the lower limb training apparatus 4 so Since the lower limbs can be moved between the footrests 6, safety is improved for the patient, and it is convenient for the care assistant to save time and effort for transfer.
[0060]
The left and right pedals 1 and 2 according to the present invention are engaged with an alternate operation mechanism 8, and the left and right pedals 1 and 2 move alternately in synchronization with each other in the separation / approach direction.
[0061]
According to this configuration, it is easy to perform extension / flexion training of the left and right lower limbs, and even a hemiplegic patient can train the affected side foot with the healthy side foot, which is advantageous.
[0062]
The alternate winding mechanism unit 10 according to the present invention winds both ends of the cable body 11 in opposite directions, and unwinds the other tip when winding one end, and the alternate winding mechanism unit. 10 has a load mechanism unit 12 and a drive unit 13 coupled to 10 and can perform two types of training, ie, automatic training and passive training, by one unit, so that the application is wide and convenient. Moreover, since automatic training and passive training can be performed with one device, it is convenient for use, is inexpensive in terms of cost, and is advantageous in terms of occupied space.
[0063]
Since the powder brake constituting the load mechanism unit 12 according to the present invention can control the rotational torque of the alternate winding mechanism unit 10, the movement of the left and right pedals 1 and 2 is made smooth, and the burden during training is reduced. It can also be implemented with a simple configuration, which is convenient.
[0064]
By the action of the speed control unit 15 according to the present invention, the sliding speed gradually increases when the operation of the left / right pedals 1 and 2 starts and reaches a predetermined speed, and when the operation of the left / right pedals 1 and 2 stops, the sliding speed increases. Since the motor that constitutes the drive unit operates so as to gradually decrease and stop, the lower limb's movement training reduces the impact on the lower limb during reversal at the moving end of the left and right pedals 1 and 2 without causing discomfort Safe, convenient.
[0065]
12 The lower limb training apparatus 4 according to the present invention can be positioned in a state of being inserted into the space between the seat 25 and the footrest 6 according to the wheelchair 5. In the conventional apparatus, there is a risk of falling or the like when transferring to the sheet. However, the present invention having the above-described configuration can perform lower limb training while sitting on the wheelchair 5, and does not need to transfer to another sheet. It is safe, and it is convenient for the caregiver because it eliminates the need for transfer.
[Brief description of the drawings]
FIG. 1 is a right side view in which a wheelchair is juxtaposed with a first embodiment of the present invention.
FIG. 2 is a plan view in which a wheelchair is juxtaposed to the first embodiment of the present invention.
FIG. 3 is a left side view of the first embodiment of the present invention.
FIG. 4 is a plan view of the first embodiment of the present invention.
FIG. 5 is a rear view of the first embodiment of the present invention.
FIG. 6 is a block diagram of a speed control unit according to the first embodiment of the present invention.
FIG. 7 is a right side view in which a wheelchair is juxtaposed to the second embodiment of the present invention.
FIG. 8 is a plan view in which a wheelchair is juxtaposed to the second embodiment of the present invention.
FIG. 9 is a left side view of a third embodiment of the present invention.
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 1 Left pedal 2 Right pedal 3 Main body frame 4 Lower leg training apparatus 5 Wheelchair 6 Footrest 7 Slide part 8 Alternate action mechanism 9 Pulley
DESCRIPTION OF SYMBOLS 10 Alternate winding mechanism part 11 Cable body 12 Load mechanism part 13 Drive part 15 Speed control part 23 Leg 25 Seat 34 Main body angle adjustment mechanism 35 Pedal attachment tool 37 Pedal attachment / detachment adjustment mechanism

Claims

The left and right pedals (1) and (2) for placing a foot on the lower limb training device (4) provided to be movable on the main body frame (3), and a patient sitting in a wheelchair (5) The lower limb training device (4) is approached, and the lower limb training can be performed while sitting on the wheelchair (5),
The left and right pedals (1) and (2) are attached to the pedal attachment (35) so that they can be attached / detached by the pedal attachment / detachment adjustment mechanism (37) and the angle can be adjusted or the angle can be changed. The pedal attachment (35) is provided on the slide portion (7),
The left and right pedals (1) and (2) can be slid while being parallel to or inclined with respect to the sliding direction, and the selected left and right pedals (1) and (2) can be used during lower limb training. A lower limb training apparatus characterized by being attached to a pedal attachment (35) and adjusting its angle so that an unnecessary burden is not applied to the ankle joint.

The left and right pedals (1) and (2) for placing a foot on the lower limb training device (4) provided to be movable on the main body frame (3), and a patient sitting in a wheelchair (5) The lower limb training device (4) is approached, and the lower limb training can be performed while sitting on the wheelchair (5),
The left and right pedals (1) and (2) for placing a foot are provided on the slide portion (7) so that the angle can be adjusted, and the slide portion (7) is provided on the main body frame (3) in an inclined manner. ,
Adjust the angle of the left and right pedals (1) and (2) attached to the pedal attachment (35) during lower limb training so that unnecessary load is not applied to the ankle joint. With the lower limb training device (4)
The slide part (7) of the lower limb training apparatus 4 is provided on the main body frame (3) in an inclined shape with the tip gradually raised, and the left and right pedals (1) and (2) to which the foot is fixed are The lower limb training apparatus, which moves along the sliding portion (7) in an inclined posture.

The left and right pedals (1) and (2) for placing a foot on the lower limb training device (4) provided to be movable on the main body frame (3), and a patient sitting in a wheelchair (5) The lower limb training device (4) is approached, and the lower limb training can be performed while sitting on the wheelchair (5),
The lower limb training device (4) is approached by a wheelchair (5) in which the left and right footrests (6) are flipped vertically, and the wheelchair (5) is further advanced above the lower limb training device (4). The lower limb training apparatus is characterized in that the lower limbs can be trained by moving the lower limbs between the left and right footrests (6) that are positioned in the vertical direction.

The left and right pedals (1) and (2) for placing a foot on the lower limb training device (4) provided to be movable on the main body frame (3), and a patient sitting in a wheelchair (5) The lower limb training device (4) is approached, and the lower limb training can be performed while sitting on the wheelchair (5),
The left and right pedals (1) and (2) are engaged with an alternating operation mechanism (8) provided from the front end to the base end of the main body frame (3), and the left and right pedals (1) and (2) ) Moves in synchronism alternately in the direction of reciprocation between the tip and the base,
The alternate operation mechanism (8) includes a pulley (9) provided at the front portion of the main body frame (3) and an alternate winding mechanism portion (10) provided at the base of the main body frame (3). And a cable body (11) in which both end portions are wound around the alternate winding mechanism (10) in opposite directions and the intermediate portion is wound around the pulley (9) in a U-turn shape,
The alternate winding mechanism unit (10) has a load mechanism unit (12) and a drive unit (13) connected to the rotating shaft (22) of the alternate winding mechanism unit (10), and is capable of automatic training. Two types of training, such as passive training, can be performed with one machine,
The alternate winding mechanism (10) winds both ends of the cord (11) in opposite directions, and releases the other tip when one tip is wound. Training equipment.

The load mechanism unit (12) controls the rotational torque of the alternate winding mechanism unit (10).
The load mechanism (12) is a powder brake, and the winding cylinder (14) of the alternate winding mechanism (10) is rotated by the left and right pedals (1) and (2) that are moved by the patient. 5. The lower limb training apparatus according to claim 4 , wherein the patient is automatically trained by applying a resistance load with the powder brake against the rotation .

The drive unit (13) is speed-controlled by the speed control unit (15), and when the operation of the left and right pedals (1) and (2) starts, the sliding speed gradually increases to reach a predetermined speed, and the left and right pedals (1 ) When the operation is stopped in (2), the sliding speed gradually decreases and the operation is stopped.
The drive unit (13) is an electric motor, and the winding cylinder (14) of the alternate winding mechanism unit (10) is rotated by the left and right pedals (1) and (2) moved by the patient. 5. The lower limb training apparatus according to claim 4, wherein the electric motor is used to assist the patient and the patient undergoes passive training.

The left and right pedals (1) and (2) for placing a foot on the lower limb training device (4) provided to be movable on the main body frame (3), and a patient sitting in a wheelchair (5) The lower limb training device (4) is approached, and the lower limb training can be performed while sitting on the wheelchair (5),
The lower limb training device (4) is a legged lower limb training device (24), the legged lower limb training device (24) is supported by a leg (23), and a wheelchair (5) is trained for the legged leg. Approach the device (24), further advance the wheelchair (5), and insert the legged leg training device (24) into the space between the seat (25) and the footrest (6) of the wheelchair (5). A lower limb training apparatus characterized by being positioned in a state .