JP4492978B1 - Motor function recovery training device - Google Patents

Abstract

An exercise recovery training device that is effective for a wide range of functionally disabled persons from the upper limbs to the lower limbs or fingers, is inexpensive, can be used easily, and is portable.
SOLUTION: A plate-like base 1, an insertion frame having an insertion fixing part 20 attached to the upper surface of the base 1 and facing sideways or upward, and a rod-like part 31, the tip of which is the insertion fixing part. 20 and an insertion handle fixed by being inserted into 20. Alternatively, the finger extension part in which the two pillars are erected and separated from each other by a distance through which the palm passes, the circumference of each pillar is made of an elastic material, and a plurality of curved protrusions are provided on the elastic material. On the base. Alternatively, a path partitioning part in which one or a plurality of partitioning members are arranged and fixed on the board on the circuit path, and a roller handle having a holding part on one end side and a rolling element on the other end side are provided. .
[Selection] Figure 15a

Description

  The present invention relates to a motor function recovery training device used for motor function recovery training of the half body from the upper limb including the upper arm and fingers to the lower limb.

  As a conventional training instrument for the elderly and disabled persons to perform finger function recovery training, a beanbag is disclosed in which a blade is joined to a beanbag and tied one by one (for example, Patent Document 1). reference). In addition, a rotating toy that rotates a movable body with a built-in magnet by hand (see, for example, Patent Document 2) or a permanent magnet having a polarity opposite to the polarity of the wheel on the upper surface is provided, and the magnetic force of the sloping path is increased by the inclination of the swing plate. A traveling toy (see, for example, Patent Document 3) that moves a wheel while changing the direction is disclosed.

JP 11-99223 A JP 2004-33385 A JP 2003-117259 A

  However, all of the above devices are only a partial training device, and could not be used for comprehensive motor function recovery training of the half body from the upper limb to the lower limb.

  On the other hand, as a comprehensive exercise recovery training system that combines functional recovery training of various parts of the human body, it operates on a guide bar that is extended horizontally in the frame, a slider that is slidably held, and a pair of left and right extension parts of the slider There is a muscle function recovery training device for recovering rhomboid muscles and scapularis muscles, which is provided with a part, but all of the conventional general exercise recovery training systems including the muscle function recovery training device are electrically operated Is a heavy-duty or bulky integrated device that requires low cost, can be used easily at low cost, and is not portable.

  Therefore, the present invention can be used for comprehensive motor function recovery training for the half body part from the upper limb to the lower limb, and is effective and inexpensive for a wide range of functionally disabled persons from the upper limb to the lower limb or fingers. It is an object to provide an exercise recovery training device that can be used easily and portable.

(1) The motor function recovery training device of the present invention comprises:
At least a plate-like base 1 that can be placed on the work floor, an insertion tool 2 having an insertion port 2O that is fixed to the upper surface of the base 1 and whose insertion direction is fixed upward, and a telescopic rod- like portion 3S. An insertion handle 3 having a distal end thereof inserted into and fixed to the insertion tool 2 and two pillars are separated from each other by a distance through which a palm passes, and are arranged on a base 1 so as to be rotatable. A motor function recovery training device comprising: a finger extension device provided with a plurality of curved projections 6P around the body ,
In the finger extension device, each column body rotates in the opposite direction in accordance with the pulling-out operation of inserting and extracting the finger between the two column bodies, and the plurality of curved projections 6P sequentially contact the back of the hand or the palm. It can be stretched to open the hardened hand while holding it,
The insertion handle 3 is inserted into the insertion port 2O facing upward by a vertical insertion operation by standing, and is fixed on the substrate 1, and is bent from the standing position by bending / extending operation with expansion / contraction of the insertion handle 3. It is characterized by being able to perform flexion and extension exercises that become a pose .

  If it is the above, a series of operations may be performed in which the base 1 is placed on the floor or training table, the insertion handle 3 is gripped, the rod-like portion 3S is inserted into the insertion port 2O, and then removed from the insertion port 2O. it can. Thereby, the grasping operation of fingers when grasping the insertion handle 3, and the shoulder, elbow joint, waist, knee, when placing the base 1 on the floor and inserting the rod-shaped portion 3S of the insertion handle 3 into the insertion slot, The bending operation of the ankle and the stretching operation of the shoulder, elbow joint, waist, knee, and ankle can be sequentially performed when the inserted insertion handle 3 is pulled up and removed from the insertion port 2O again. These movements gradually increase the movement of each joint from small to large, and gradually increase the number of joints that can be moved, so that a series of step-by-step exercise recovery exercises without causing an excessive burden Can be performed efficiently. Further, by applying a load that is not too strong over most of the body, muscle rigidity can be prevented and circulation of blood flow throughout the body can be improved.

(2) The rod-like portion 3S of the insertion handle 3 has a structure in which the inner intubation tube 31S and the outer intubation tube 32S are inserted into the inside and outside as in the embodiment described later, and the insertion amount of the inner intubation tube 31S and the outer intubation tube 32S If the amount of expansion and contraction can be adjusted, during a series of training operations, an operation for expanding and contracting the rod-shaped portion 3S, for example, an arm bending / extending operation from a sitting posture or a bending posture from a standing posture. You can incorporate actions.
Of these, the arm bending / extending operation is an operation of holding the insertion handle 3 with the insertion handle 3 being inserted into the insertion tool 2 and performing an arm bending / extending motion so that the rod-shaped portion 3S expands and contracts. As shown in FIG. 15ab, the operation is an operation in which the insertion handle 3 is held in a state where the insertion handle 3 is inserted into the insertion tool 2, and the bending-extension motion is performed in a state where the rod-shaped portion 3S stands up and down. By repeatedly performing the expansion and contraction of the muscles and the bending and stretching of the joints by these operations, the rigidity of the muscles can be prevented more efficiently and the blood circulation can be improved more efficiently.

  Further, the extendable rod-shaped portion 3S of the insertion handle 3 is provided with an expansion / contraction holding portion 33S for maintaining a predetermined expansion / contraction state, and the expansion / contraction holding portion 33S performs expansion / contraction holding / release by the screw type operation portion 34S. If it is a thing, the operation | movement of the screw rotation of the screw-type operation part 34S can be taken in in a series of training operation | movement. This rotational movement is a movement in a new direction by grasping and twisting the operation. By performing exercise recovery training further advanced from mere gripping movement, the wrist, fingers and joints around it can be moved efficiently. Can do.

  The side insertion tool 22 having an insertion port facing sideways in the training device is connected to and fixed to a standing pipe 52 which is bent sideways after standing on the base 1. It is preferable that the installation pipe 52 is fixed on the base 1 with a predetermined fixing structure so that the standing angle with respect to the upper surface of the base 1 can be varied in the inclination direction. A standing pipe of an example described later is inserted into a fixing hole 1H provided in the upper plate 11 of the base 1, and is fixed by being sandwiched between a pair of sandwiching tools 54 in the fixing hole 1H.

(3) or the motor rehabilitation instrument, to separate the two pillar a distance through which the palm rotatably upright positioned, configured at a circumferential adhesive material 61 made around the respective cylindrical body of an elastic material to together, in Rukoto such to provide a plurality of curved protrusions 6P on the peripheral adhesive material 61, open the hardened hands remain gripped by inserting the fingers and pulled it between two pillars body as On the base 1, there is provided a finger extension device that can be extended to the base 1. In this finger extension device, the pillars rotate in opposite directions in accordance with the hand pulling-out operation, and the plurality of curved projections 6P are connected to the back of the hand. Or it is preferable to contact a palm in order.

(4) Alternatively, the motor function recovery training device includes a path partition portion formed by fixing one or a plurality of partition members made of elastic resin on a board on a circuit path, and a holding portion on one end side. A roller handle provided with a rolling element on the other end side, and the rolling element comprises a roller that is coaxially and freely fixed with respect to the rod-like holding part. It is preferable that the hand holding the roller handle can be reciprocally rotated in the horizontal direction by advancing the roller handle along the path.

  By taking the above measures, it is possible to provide an exercise recovery training device that is effective for a wide range of functionally disabled persons from the upper limbs to the lower limbs or fingers, can be used easily at low cost, and can be carried.

It is a top view of the main body board of the motor function recovery training device of Example 1 of the present invention. It is a bottom view of the main body board of the motor function recovery training device of Example 1. It is a front view of the main body board of the motor function recovery training device of Example 1. It is a rear view of the main body board of the motor function recovery training device of Example 1. It is a left view of the main body board of the motor function recovery training device of Example 1. It is a right view of the main body board of the motor function recovery training device of Example 1. It is a right view of the roller handle 8 of the motor function recovery training device of Example 1. It is a top view of the roller handle 8 of the motor function recovery training device of Example 1. It is a bottom view of the roller handle 8 of the motor function recovery training device of Example 1. It is a front view of the roller handle 8 of the motor function recovery training device of Example 1. It is a rear view of the roller handle 8 of the motor function recovery training device of Example 1. It is a use condition explanatory drawing of the roller handle 8 and the partition member 7 in the motor function recovery training device of Example 1. FIG. It is a use condition explanatory drawing of the finger extension device 6 in the motor function recovery training device of Example 1. FIG. It is a use condition explanatory drawing of the finger extension device 6 in the motor function recovery training device of Example 1. FIG. It is a use condition explanatory view of side insertion tool 22 and side insertion handle 32 in the motor function recovery training machine of Example 1. FIG. It is a use condition explanatory view of upper insertion tool 21 and upper insertion handle 31 in the motor function recovery training machine of Example 1. FIG. It is a use condition explanatory view of upper insertion tool 21 and upper insertion handle 31 in the motor function recovery training machine of Example 1. FIG. It is a top view of the motor function recovery training machine of Example 2 of the present invention.

  DESCRIPTION OF THE PREFERRED EMBODIMENTS Embodiments for carrying out the present invention will be described below with reference to FIGS. 1 to 15 (FIG. 1 to FIG. 15B) and FIG. The motor function recovery training device according to the present invention is mainly used for motor function recovery training of a partially paralyzed patient or a half accompanying person due to hemiplegia due to a sequelae of stroke or an accident. Among them, it is most suitably used for patients with paralysis of upper limbs including fingers to arms on one side of the body, patients with paralysis of lower limbs on one side of the body, and patients with paralysis from the same upper limb to lower limbs. For example, during rehabilitation training, by performing insertion training using the insertion tool 2 and the insertion handle 3 in the motor function recovery training device of the present invention, the accompanying fingers, upper limbs or lower limb joints operate in conjunction with each other, and involuntarily It can prevent hardening of each side joint and prevent muscle strength from weakening. Further, the cooperative operation of not only one joint but a plurality of joint portions can avoid an excessive burden on one joint and prevent adverse effects due to muscle hardening such as semi-dislocation of the shoulder joint.

(Basic configuration) The function recovery training device of the present invention is at least
A base 1 made of a plate-like body that can be placed on a work floor or work table, on which one or more kinds of training tools are directly or indirectly fixed;
An insertion tool 2 having one or a plurality of insertion openings 2O facing sideways or upward and fixed directly or indirectly on the base 1;
-It has the insertion handle 3 by which the rod-shaped part 3S is fixed to the front side of the holding part 3H for holding with a trainee's hand.

(Inserting tool 2)
The insertion tool 2 has an insertion opening 2O and is fixed directly or indirectly to the base 1. The insertion slot 20 is configured to face in any direction from the upper side except the lower side to the side to the diagonally lower side. In the embodiment, the insertion port 2O is composed of an upper insertion tool 21 facing upward, and the insertion tool 2O is composed of a side insertion tool 22 facing sideways.

(Insert handle 3)
The insertion handle 3 can be in a state in which the tip of the rod-like portion 3S is inserted into the insertion port 2O and inserted and fixed on the base 1. In the embodiment, it is composed of an upper insertion handle 31 for bending from an upright position and inserting into the upper insertion tool 21, and a side insertion tool 32 for inserting into the side insertion tool 22 from the sitting position.

  The insertion direction of the insertion opening 2O may be fixed, or may be changed by an operation. If at least a training tool composed of the insertion tool 2 and the insertion handle 3 is provided, a gripping operation of fingers when the insertion handle 3 is grasped, when the tip of the insertion handle 3 is carried to the insertion tool 2 as a target A series of operations such as adjusting the arm, shoulder or upper limb, pushing the arm and hand when inserting the insertion handle 3 into the insertion tool 2, and extracting the arm or upper limb when removing the inserted insertion handle are performed in order. be able to. This shifts from a small movement that moves only one or several joints to a large movement that gradually moves a plurality of joints in cooperation, and performs a comprehensive motor function recovery training.

In Examples 1 and 2, in addition to the above configuration,
A finger extension tool 6 comprising two pillars standing in close proximity to be freely rotatable, and inserting and withdrawing fingers between the pillars for extension;
A gripping tool 4 made of a substantially spherical elastic body for repeatedly crushing and releasing it,
A path partitioning portion 7 which is fixed by partitioning the plate surface of the base 1 and forms a path;
An accessory roller handle 8 that can roll on the base 1 along the path of the path partition 7 with a roller;
A holding frame 35 for holding and fixing the insertion handle detachably when not in use.

  In the present invention, each of these training tools (a set of the insertion handle 3 and the insertion tool 2, a finger extension tool 6, a grip gripping tool 4, a set of the path partitioning portion and the roller handle 8) can be established independently as a training device. However, for comprehensive training step by step, it is more preferable to use a training device combining at least two of these. Hereinafter, the configuration of each embodiment and the use of each training tool will be described in detail.

  In the first embodiment, the partition member 7 of the path partition unit and the finger extension device 6 are fixed on the base 1, and the gripping tool 4 and the side insertion tool 22 are connected via the branch pipe 51 connected to the standing pipe 52. Is fixed, and the upper insertion tool having the mounting base U is fixed, and the upper insertion handle is detachably held and fixed. Moreover, the insertion port of a side insertion tool is equipped with the side insertion handle so that insertion / extraction is possible, and the main body board shown in FIGS. A roller handle 8 shown in FIGS. 7 to 11 is provided as an accessory separate from the main body board.

  By arranging and arranging them all on one base 1, from the path following training while holding the hand, the finger extension operation next to this, the grasping and releasing operation next to this, the side after this Side insertion / removal operation of the insertion handle, next removal operation of the upper insertion handle from the holding frame, screw turning operation of the screw type operation part for releasing the expansion / contraction retention of the upper insertion handle, and then upward insertion by standing position A series of training operations such as an insertion operation in the vertical direction of the handle and a bending / extension operation accompanied by expansion / contraction of the upper insertion handle can be efficiently performed.

(Base 1)
In the base 1, an upper plate 11 provided with each training tool on the upper surface of the plate and a lower plate 12 larger than the upper plate only in the width direction are surface-bonded and fixed. The lower plate 12 protrudes by the holding frame width of the upper insertion handle, and the corners are cut obliquely for easy removal. A thin side plate for reinforcement is fixed along one side of the upper surface of the upper plate 11 close to the protruding portion. A holding frame for holding the upper insertion handle when not in use is attached to the side plate 13. The upper plate 11, the lower plate 12, and the side plate 13 may all be made of a wooden plate, and at least one of the upper plate 11 or the lower plate 12 is made of a lightweight metal such as aluminum or stainless steel, or It may be composed of a hard resin.

(Use of path divider and roller handle 8)
The motor function recovery training device of the present embodiment is provided with a path partitioning part in which one or a plurality of partitioning members 7 are arranged and fixed on a circuit board on a circuit path, a holding part on one end side, and on the other end side. And a roller handle 8 provided with rolling elements. The roller handle 8 includes a roller 8R which is fixed to the lower end of the rod-shaped portion for gripping and grasping and is free to roll and coaxially rotatable with respect to the rod-shaped portion. Rolling can be advanced by 8R.

  As a path partition portion of the first embodiment, a partition member 7 constituted by a single hose-like elastic resin tube is fixed on the base 1 so as to be a circular spiral by a fixing screw 7F (FIG. 1, FIG. 12). The fixed shape of the partition member 7 and the number to be fixed are not limited to this, and various rolling training paths such as a rectangular parallel continuous formation shape and a parallel continuous formation shape of a curved continuous curve can also be adopted. In addition, the fixing screw 7F can be repeatedly attached to and detached from the base 1, and the partition member 7 is deformed so as to form a predetermined-shaped partition path on the base 1, so that the fixing hole group for the fixing screw 7F is of a predetermined shape. By arranging and forming on the board | substrate 1 according to, it can be set as the form which the partition path | route of the partition member 7 can vary.

  Further, the partition member 7 is not limited to a hose-like member as in the present embodiment, and may employ any configuration such as a polygonal column member, or a protrusion having a mountain-shaped cross section or an inverted T-shaped cross section. As the material, any material such as wood, hard resin, bendable semi-hard resin and the like can be adopted.

  As shown in FIG. 12, the path partitioning unit and the roller handle 8 are configured such that the base 1 is placed on the training table, the bar-shaped part of the roller handle 8 is gripped, and the roller along the path of the partitioning member 7 is used. By moving the handle 8 and performing path following training, the hand in the gripped state is reciprocally rotated in the horizontal direction, and the bending direction of the elbow and the upper arm are changed while gradually changing the extension direction of the upper arm as viewed from above. The reciprocating motion can be performed.

(Use of finger extension device 6)
The motor function recovery training apparatus according to the first embodiment is configured such that two columns are separated from each other by a distance that the palm passes, and one shaft is set up on the back side and the other shaft is set on the near side. Is formed of an elastic material, and a finger extension device 6 provided with a plurality of curved projections 6P on the elastic material is provided on the base. Each column is rotatable, the surface thereof is covered with a circumferential material 61 made of an elastic body, and hard curved projections 6P protruding with curved surfaces are fixed at a plurality of positions on the surface. In the embodiment, a column body having a length about the width of the user's hand is erected on a board so as to be able to rotate, and a plurality of pan heads having curved protrusions 6P are wound around the column body. It is fixed around by screws. The pan head screws are fixed in two rows in the vertical direction along the opposite and adjacent sides of the circumferential dressing 61 wound around the column. The pan head screw's head, is securely fixed to the surface of the columnar member as a curved collision portion 6P, formation of the curved collision portion 6P also serves as the fixed circumferential attachment member 61.

First, as shown in FIG. 13a, the finger distractor 6 is placed on the training table, and the hand on the paralyzed side is sandwiched between the two pillars. Make contact with the column. Then, as shown in FIG. 13b, by pulling out the inserted hand toward the front side, it is possible to extend (distract) the hand that is hardened in the gripped state so as to open. At this time curved collision portion 6P gives an appropriate pressing stimulus to the respective back of the hand and the palm. Each pillar bodies in accordance with the hands of the withdrawal operation is rotated to the opposite direction, the plurality of curved collision portion 6P, contacts in order to the user of the back of the hand or palm. At this time, each of the curved protrusions is in circumferential contact with the back or palm of the user's hand so as to be stroked along the curved shape in order from one side of the protruding curved surface to the other side.

  Further, a cushioning material 62 made of an elastic material is attached to the corner of the side region of the base 1 closest to the attachment position of the two pillars, and the user's arm on the side inserted when the hand is inserted Is directly prevented from hitting the corner of the base 1 by the cushioning material 62 at the corner. The cushioning material 62 is a plate material made of, for example, a foaming elastic resin such as a foaming urethane resin, and it is preferable that the surface in contact with the user's hand is smoothed, such as by applying a silicon-containing resin to the surface.

(Use of gripping tool 4)
The motor function recovery training device according to the first embodiment includes a gripping tool 4 in which an elastic body such as rubber is formed in a hollow, substantially spherical shape. In the embodiment, the flat spherical gripping tool 4 formed in a substantially elliptical shape in a side view is inserted and fixed to the tip of one side of the branch pipe 51 facing sideways. Several gaps are formed in this insertion portion, and the internal air when the gripping tool 4 is crushed escapes to the outside so as to suppress the load during gripping.

  Exercises for solving the muscles of the arms and fingers and expanding the range of motion by sequentially using three kinds of training tools consisting of the path partitioning section, the roller handle 87, the finger extension tool 6, and the grip grasping tool 4. Functional recovery training can be performed. However, the order of the training tools to be used is not limited to the order described above. First, the fingers can be grasped with the grip grasping tool 4 after the fingers are first unwound with the finger unfolding tool 6, or The arm bending and stretching training may be performed with the roller handle 8 after the grip training. Of the above, the combination of the roller handle 8 and the finger extension device 6, the combination of the finger extension device 6 and the grip handle 4, or the combination of the grip handle 4 and the roller handle 8 is a plate-like combination. It is good also as a training device which can be fixed with a base | substrate or can connect with a rod-shaped connection tool and can perform two types of training.

(Fixing structure of the gripping tool 4 and the side insertion tool 22)
The standing pipe 52 is fixed on the board so that the angle can be varied and the shaft can be rotated, and the branch pipe 51 is rotatably connected to the end bent from the standing pipe 52, and the side is directed to the side branched to the branch pipe 51. A holding grip 4 and a side insertion tool 22 are provided.

  A circular fixing hole 1H is formed in the upper plate 11, and a pair of two symmetrical bar-shaped sandwiching tools 54 are arranged in parallel in the inside. A notch portion 54 is formed at the center position in the length direction of the sandwiching tool 54, and a pair of left and right notch portions 54 face each other, thereby forming a mortar-shaped sandwiching space whose diameter is increased upward. The lower end portion of the standing tube 52 is inserted into the sandwiching space, and the lower end portion of the standing tube 52 is sandwiched from the left and right by a pair of sandwiching tools 54 and is sandwiched and fixed so as not to come off the base 1. However, the sandwiching space formed by the notch portion 54 of the sandwiching tool 54 has a pair of substantially circular bottoms and has a substantially frustoconical shape whose diameter is opened upward. The angle can be freely changed and the shaft can be freely rotated. The covering member 53 made of a plate-like elastic body such as foamed urethane is fixed so as to cover the fixing hole 11H except for the portion of the standing pipe 52. The standing tube 52 maintains the standing angle at the time of release by the covering member 53, and as shown by the arrow a in FIG. 14, the whole fixing structure is inclined in the vertical and horizontal directions around the fixing portion of the standing shaft. Thus, the angle of the standing pipe 52 can be changed smoothly.

  Further, the standing pipe 52 is not only variable in standing angle but also rotatable around the standing axis. For this reason, as shown by the arrow b in FIG. 14, the direction of the branch gripping tool 4 and the side insertion tool 22 can be changed by rotating the entire fixing structure around the standing shaft, and the side insertion training can be performed. The degree of training freedom during gripping and gripping training can be improved. In addition, by rotating the gripping tool 4 and the side insertion tool 22 at the branch destination to an angle that does not protrude from the base 1 in FIG. 1, it does not interfere with other training such as upward insertion training from a standing position. Can be.

  Further, since the branch pipe 51 facing the side is rotatably connected to the bent end of the standing pipe 52, the branch pipe is arranged around the side axis of the bent destination as shown by an arrow c in FIG. By rotating, the left and right of the branch pipe can be switched. As a result, the branch pipe 51 can be rotated by approximately 180 degrees so that the side insertion tool 2 is arranged on the right side toward the base 1 and the gripping tool 4 is arranged on the left side toward the base 1. It is possible to respond by switching the left and right training tools at the time of side insertion training after the gripping training, or to handle both the left and right half body attendants. If necessary, the branch pipe 51 is rotated by an angle of less than 180 degrees (for example, approximately 90 degrees) to arrange the training tools in the vertical direction, and the side insertion tool 2 or the gripping tool 4 is moved upward. Can be made. Further, when one of the side insertion tool 2 or the gripping tool 4 is moved upward, the other training tool hits the base 1 and is arranged so as to be sandwiched between the base 1 and the branch pipe 51. Due to the angle variable structure of the standing pipe 52 and the elastic reaction force of the covering material 53, one of the training tools to be used can be held and fixed while facing diagonally upward. The combination of the rotational direction abc in FIG. 14 as described above increases the degree of freedom in training.

(Use of insertion tool 2 and insertion handle 3)
[Insert handle 3]
The insertion handle 3 according to the first embodiment includes an upper insertion handle 31 for inserting into the upper insertion tool 21 having an expansion / contraction mechanism, and a side insertion handle 32 for insertion into the side insertion tool 22 without an expansion / contraction mechanism. Consists of both. The insertion handle 3 has a rod-like portion 3S fixed to the lower portion of the grip portion 3H, and is inserted into either the upper insertion tool 21 or the side insertion tool 22 and fixed. The rod-like portion 3S in the upper insertion handle 31 has one or a plurality of inner intubation tubes 31S and one or a plurality of outer intubation tubes 32S, and insertion states of the inner intubation tube 31S and the outer intubation tube 32S at a predetermined insertion position. The expansion / contraction holding part 33 that can be held by the screw and the screw-type operation part 34S that locks and releases the holding state of the expansion / contraction holding part 33 by a screw operation. The expansion / contraction holding portion 33 is formed of an annular band that covers the outer periphery of the end of the outer tube and whose diameter can be expanded and contracted, and is formed with a screw hole. A fixing screw fixed to the tip of the screw-type operation unit 34S is inserted into the screw hole. A similar screw hole is also formed in the outer insertion tube 32S, and the fixing screw fixed to the screw type operation unit 34S is screwed into the screw hole by turning the holding unit of the screw type operation unit 34S. Then, it comes into contact with the outer peripheral surface of the intubation tube. At this time, the expansion / contraction holding part 33 reduces the diameter by the screwing of the fixing screw, thereby crimping the inner tube from the outer periphery. The expansion / contraction position is fixed by an arbitrary expansion / contraction amount by the press-contact fixing of the tip of the fixing screw and the compression fixing of the expansion / contraction holding portion 33. When the insertion training is not performed, the rod-shaped portion 3S is shortened to the shortest state and fixed by the screw-type operation portion 34S, and one end is fitted inside the curved portion of the holding frame fixed to the side plate 13 of the base 1. Hold and fix. The holding frame 35 is composed of one or a plurality of elastic plates curved in a substantially U shape, and can hold the rod-shaped portion 3S of the insertion handle 3 on the curved inner side.

  On the other hand, the rod-like portion 3S in the side insertion handle 32 is formed of a solid cylinder having no expansion / contraction function, and has a shape in which the tip is recessed into a substantially hemispherical shape. The rod-shaped portion 3S is shorter than the most contracted rod-shaped portion 3S of the upper insertion handle 31, and has a smaller diameter than the rod-shaped portion 3S of the upper insertion handle 31.

[Insert 2]
The insertion tool 2 has a mounting surface facing the floor surface at the lower end, and an insertion port 2O that opens from the side to the upper side.

  This prevents joint stiffness, muscle stiffness, bedsores, etc., and also improves blood flow, allowing the ankle to flex and stretch naturally.

  The motor function recovery training device according to the first embodiment includes an upper insertion port 20 facing upward and a side insertion port 2O facing sideways on the base 1, and each upper insertion tool 2 and / or It has an upper / side insertion handle that is inserted into the side insertion tool 2 and fixed on the base 1. The insertion handle may be inserted only into any one of the upper and side insertion openings, and may be a combination tool that can be inserted into both by selection as in Example 2 described later.

(Use of the upper insertion handle 31)
The bending / extending movement of FIG. 15ab in a state of being bent from a standing position repeats contraction and relaxation of the soleus and gastrocnemius muscles while receiving vertical pressure on the ankle joint, knee joint, hip joint and lumbar spine. From the above, not only the improvement of blood flow and the hardening of each joint, but also the exercise of the linkage of each joint from the upper limb to the lower limb and the linkage of each muscle from the upper limb to the lower limb can be performed as a step in the recovery of the walking function. . The present invention focuses on this point and is provided with an upper insertion handle. Furthermore, in the examples, the movement of finger unfolding moves to the circular movement following movement of the lightly loaded arm and the contraction movement of the fingers. All in the board. As a result, it can be used for comprehensive motor function recovery training of the half body from fingers and upper limbs to lower limbs through reasonable rehabilitation, and is effective for a wide range of functionally disabled people from upper limbs to lower limbs or fingers. In addition, the exercise recovery training device can be used easily at a low cost.

  In the second embodiment, compared to the first embodiment, an upper oblique insertion tool 23 is attached instead of the upper insertion tool 21, and one insertion handle is used instead of the upper insertion handle 31 and the side insertion handle 32. 3, the curved protrusion 6P of the finger unfolding tool 6 protrudes outward from the outer shape of the peripheral dressing 61 of each cylindrical body, and is evenly disposed on the entire circumference, and the route partition It differs in the point of the number of the part 7, the point of a partition path | route shape, and the point provided with the lowering string 9 (FIG. 16). Other configurations and usage methods not specifically mentioned are the same as those in the first embodiment.

  The insertion handle 3 of the second embodiment has an outer shape in which the tip of the outer insertion tube 32S on the front side of the rod-shaped portion 3S can be inserted into either the side insertion tool 22 or the upper oblique insertion tool 23. The side insertion tool 22 is made of a pipe joint having a different diameter, and the inner diameter of the insertion port 2O is an insertion diameter corresponding to the outer diameter of the outer insertion pipe 32S. Thus, the insertion handle 3 is a dual-purpose part that can be inserted not only into the upper oblique insertion tool 23 but also into the lateral insertion tool 22.

The upper oblique insertion tool 23 according to the second embodiment has two insertion openings, that is, an insertion opening facing vertically upward and an insertion opening facing obliquely upward along the curved convex surface of the mounting base 2U. During training, you can insert it into any insertion port, but according to the degree of motor function recovery, perform horizontal insertion, diagonal insertion, and upward insertion drills, and further insert the insertion handle It is also possible to perform reciprocating movements of the gripping hand to extend and contract, bending and stretching movements of the upper limbs or lower limbs, and movements to warp and lean the upper body.
Further, the branch pipe 51 of the second embodiment rotates around the horizontal axis (in the direction of the arrow c in FIG. 16) at the connection portion with the bent pipe 52 before branching, and is bent to the front side at both sides of the branch destination. The connecting portions with the gripping and gripping tool 4 and the side insertion tool 22 can also rotate around the horizontal axis (in the direction of the arrow d in FIG. 16). In addition to the tilt movable a, the rotation b around the standing shaft, and the rotation c around the horizontal axis of the first embodiment, the gripping tool 4 and the side insertion tool 22 can be rotated around the horizontal axis d. It becomes a training tool with a higher degree of freedom in setting the direction.

(Other embodiments)
In addition, the present invention is not limited to the above-described embodiments, and the shape and position such as extraction, recombination, replacement with an alternative element, aspect ratio of each component, etc., as appropriate, without departing from the spirit of the present invention. Changes such as range adjustment are possible. As an extraction or recombination mode of the elements, for example, an insertion training device provided with the insertion tool 2 and the insertion handle 3, or a gripping tool 4, the insertion tool 2, and the insertion handle 3 provided with the insertion handle 3 that can be fixed at a predetermined position. A handgrip training device, a tabletop hand extension training device provided with only a hand extension device, or a table finger extension training device provided with a hand extension device and a gripping device 4, or a path divider 7; A path following trainer equipped with a roller handle 8 may be mentioned. In addition to the plate-like shape, the base 1 may have a cubic shape with each training tool on the side, a rod-shaped shape with each functional tool at the end of the protruding rod-shaped portion, or a column shape with a polygonal cross section. It is done.

1 Base 1
11 Upper plate 11H Fixing hole 12 Lower plate 13 Side plate 2 Insert 2O Insert 2U Mounting base 21 Upper insert 22 Side insert 23 Upper oblique insert 3 Insert handle 31 Upper insert handle 32 Side insert handle 3H Grasping part 3S Rod-shaped portion 31S Inner tube 32S External tube 33S Expansion / retraction unit 34S Screw-type operation unit 35 Holding frame 4 Grasping tool 51 Branch tube 52 Standing tube 53 Covering material 54 Clamping tool 54C Notch 6 Finger extension device 61 Circumference Dressing material 61P Curved projection 62 Buffer material 7 Partition member 7F Fixing screw 8 Roller handle 8R Roller 9 Lowering string

Claims (4)

At least a plate-like base that can be placed on the work floor, an insertion tool that has an insertion port that is fixed to the upper surface of the base and has an insertion direction fixed upward, and has a telescopic rod- like portion. Is inserted and fixed in the insertion tool, and the two columnar bodies are separated from each other by a distance through which the palm passes and arranged on the base 1 so as to be rotatable, and a plurality of curved surfaces are provided around each columnar body. A motor function recovery training device comprising a finger extension device provided with a protrusion ,
The finger spreader is configured such that each column rotates in the opposite direction in accordance with the pulling-out operation of inserting and pulling fingers between the two columns, and the plurality of curved protrusions contact the back of the hand or the palm in order. It can be stretched to open the hardened hand while holding it in
Further, the insertion handle is inserted into the insertion port facing upward by the vertical insertion operation by standing, and is fixed on the substrate, and then bent from the standing position by the bending operation with expansion and contraction of the insertion handle. A motor function recovery training device characterized by being able to perform flexion and extension exercises in a posture . It has a standing pipe fixed on the base so that the angle can be varied and the shaft can be rotated, and a side insertion port facing sideways is provided at a point bent from the standing pipe. The insertion handle is inserted,
2. The motor function according to claim 1 , wherein the standing pipe is sandwiched and fixed so that a lower end portion inserted into a mortar-shaped pinching space formed on the base is sandwiched from the left and right sides so as not to come off the base. Recovery trainer. 3. The exercise function recovery training according to claim 1 , wherein the finger stretching device comprises a circumferential dressing material made of an elastic material around each column body and a plurality of curved protrusions provided on the circumferential dressing material. vessel. A path partition portion in which one or a plurality of partition members made of elastic resin are arranged and fixed on a board on a circular path, and a roller having a holding portion on one end side and a rolling element on the other end side A rolling element is composed of a roller fixed to a rod-shaped holding portion so as to be coaxially freely rotatable, and by holding the holding portion and moving the roller handle along the path of the path partitioning portion , The motor function recovery training device according to any one of claims 1 to 3, wherein the hand holding the roller handle can be reciprocally rotated in the horizontal direction .

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