JPH043992B2 - - Google Patents
Info
- Publication number
- JPH043992B2 JPH043992B2 JP57132027A JP13202782A JPH043992B2 JP H043992 B2 JPH043992 B2 JP H043992B2 JP 57132027 A JP57132027 A JP 57132027A JP 13202782 A JP13202782 A JP 13202782A JP H043992 B2 JPH043992 B2 JP H043992B2
- Authority
- JP
- Japan
- Prior art keywords
- upper limb
- handle
- pronation
- supination
- training device
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
Links
- 210000001364 upper extremity Anatomy 0.000 claims description 35
- 230000005540 biological transmission Effects 0.000 claims description 5
- 230000006698 induction Effects 0.000 claims 1
- 230000033001 locomotion Effects 0.000 description 6
- 206010033799 Paralysis Diseases 0.000 description 4
- 238000011084 recovery Methods 0.000 description 4
- 230000006870 function Effects 0.000 description 2
- 210000003205 muscle Anatomy 0.000 description 2
- 208000035657 Abasia Diseases 0.000 description 1
- 206010019468 Hemiplegia Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 210000002310 elbow joint Anatomy 0.000 description 1
- 230000008450 motivation Effects 0.000 description 1
- 230000007659 motor function Effects 0.000 description 1
- 230000001538 myasthenic effect Effects 0.000 description 1
- 230000035807 sensation Effects 0.000 description 1
- 210000000323 shoulder joint Anatomy 0.000 description 1
- 210000003857 wrist joint Anatomy 0.000 description 1
Landscapes
- Rehabilitation Tools (AREA)
Description
【発明の詳細な説明】 （産業上の利用分野） 本発明は上肢の回内回外訓練器に関する。[Detailed description of the invention] (Industrial application field) The present invention relates to an upper limb pronation/supination trainer.
（従来の技術）
脳卒中等により麻痺した患側上肢の運動機能の
回復訓練を行うものとして、上肢の回内回外訓練
器がある。この訓練器は、一般には、把手が設け
られ、その把手が駆動機構によつて駆動されるよ
うになつていて、把手の回動角度（揺動角度）や
速度は予め設定できるようになつている。したが
つて、把手の回動角度や速度を設定した後、その
把手に手掌部を固定し、その把手を駆動機構によ
り駆動すれば、患側上肢の回内回外機能の回復訓
練が他動的に行えることになる。(Prior Art) An upper limb pronation/supination training device is available as a device for training to recover the motor function of an affected upper limb that has been paralyzed due to a stroke or the like. This training device is generally equipped with a handle that is driven by a drive mechanism, and the rotation angle (swing angle) and speed of the handle can be set in advance. There is. Therefore, if the rotation angle and speed of the handle are set, the palm of the hand is fixed to the handle, and the handle is driven by a drive mechanism, training to recover the pronation and supination functions of the affected upper limb can be performed passively. You will be able to do this.
（発明が解決しようとする問題点）
しかし、上記訓練器においては、予め設定する
設定回動角度や設定速度に基づき駆動機構により
把手が作動するようになつており、その設定に基
づく把手の作動が精度の高いものになつてきてい
るとは言え、駆動機構で把手を作動させるという
他動運動では、現実に作動される訓練状態は、障
害患者自身が希望する訓練状態に対して常に意識
上、異なるものとならざるを得ない。このため、
障害患者は、不快と苦痛を強いられるばかりでな
く、訓練意欲の喪失を招く虞れがある。(Problem to be Solved by the Invention) However, in the above training device, the handle is operated by a drive mechanism based on a preset rotation angle and set speed, and the handle is operated based on the settings. However, with passive movement in which the handle is operated by a drive mechanism, the actual training state that is actually operated is always consciously different from the training state that the disabled patient desires. , it has to be different. For this reason,
Patients with disabilities are not only forced to experience discomfort and pain, but also may lose their desire to train.
本発明は上記実情に鑑みてなされたもので、そ
の目的は、障害患者が希望する訓練を確実に行え
る上肢の回内回外訓練器を提供することにある。 The present invention has been made in view of the above-mentioned circumstances, and its purpose is to provide an upper limb pronation/supination training device that allows disabled patients to reliably perform the desired training.
（問題点を解決するための手段、作用）
かかる目的を達成するために本発明にあつて
は、基枠に一対の回転体が所定間隔をあけて回転
可能に支持され、
前記各回転体に把手がそれぞれ設けられ、
前記一対の回転体が伝達力伝達部材を介して連
係されている、
ことを特徴とする上肢の回内回外訓練器とした構
成としてある。(Means and operations for solving the problem) In order to achieve the above object, in the present invention, a pair of rotating bodies are rotatably supported on the base frame at a predetermined interval, and each of the rotating bodies has the following steps: The upper limb pronation/supination training device is characterized in that each handle is provided, and the pair of rotating bodies are linked via a transmission force transmission member.
上述の構成により、一対の把手の一方に患側上
肢を把持させる一方、他方の把手に健側の上肢を
把持して、その健側の上肢によつて自己の意思に
基づき他方の把手を揺動させれば、一方の把手は
他方の把手の揺動に応じて揺動することになり、
患側の上肢は、自己の意思に基づく健側の上肢に
よる駆動動作によつて回内回外運動が行われるこ
とになる。このため、障害患者が希望する訓練を
確実に行えることになる。 With the above configuration, one of the pair of handles holds the affected upper limb, while the other handle holds the healthy upper limb, and the healthy upper limb swings the other handle based on the user's will. If you do so, one handle will swing in response to the swing of the other handle,
The affected side's upper limb undergoes pronation and supination movements by the driving motion of the healthy side's upper limb based on the patient's own will. Therefore, the disabled patient can reliably receive the desired training.
（実施例）
以下、本発明の実施例を図面に基づいて説明す
る。(Example) Hereinafter, an example of the present invention will be described based on the drawings.
第１図〜第４図において、３は壁面、支持板等
の支持体で、該支持体３には一対の取付部材２が
ねじ固定されており、その一対の取付部材２は上
下方向に所定間隔をあけて配設されている。この
一対の取付部材２には、該両取付部材２間に介在
されるようにして支柱１が取付けられている。支
柱１は上下方向に延びるようにして配設されてお
り、その支柱１の前面（第２図中、上面）には縦
溝６が形成されている。 In Figures 1 to 4, reference numeral 3 denotes a support such as a wall surface or a support plate, and a pair of mounting members 2 are screwed to the support 3, and the pair of mounting members 2 are fixed in a predetermined direction in the vertical direction. They are placed at intervals. A support column 1 is attached to the pair of attachment members 2 so as to be interposed between the two attachment members 2. The support column 1 is arranged to extend in the vertical direction, and a vertical groove 6 is formed in the front surface (upper surface in FIG. 2) of the support column 1.
前記支柱１には長尺な板状の基枠４が保持され
ている。この基枠４の板面には、長手方向中央に
おいてボス部５が一体的に設けられており、その
ボス部５には前記支柱１が摺動可能に嵌合されて
いる。また、このボス部５には止めねじ７が設け
られている。止めねじ７はボス部５内を通つて前
記縦溝６に向つて螺進できるようになつており、
この止めねじ７を螺合緊締することにより基枠４
を支柱１に対して所望の高さ位置で固定できるよ
うになつている。 A long plate-shaped base frame 4 is held on the support 1. A boss portion 5 is integrally provided on the plate surface of the base frame 4 at the center in the longitudinal direction, and the support column 1 is slidably fitted into the boss portion 5. Further, this boss portion 5 is provided with a set screw 7. The set screw 7 can be threaded through the boss portion 5 toward the vertical groove 6,
By screwing and tightening this setscrew 7, the base frame 4
can be fixed to the support column 1 at a desired height position.
前記基枠４には、その板面両端部において筐体
８が固定されている。筐体８は有底円筒形状とさ
れており、該筐体８は、その開口側を基枠４の板
面に向けて該基枠４にねじ９により固定されてい
る。 A housing 8 is fixed to the base frame 4 at both ends of its plate surface. The housing 8 has a cylindrical shape with a bottom, and is fixed to the base frame 4 with screws 9 with its opening side facing the plate surface of the base frame 4.
前記各筐体８には回転体としての支軸１２が設
けられている。支軸１２は、筐体８の軸心方向に
おいて該筐体８及び基枠４を貫通しており、該支
軸１２は、筐体８の底部（前部）内面に設けた軸
受１１と、基枠４の板面に設けた軸受１１′とに
回転可能に支持されている。 Each of the casings 8 is provided with a support shaft 12 as a rotating body. The support shaft 12 passes through the case 8 and the base frame 4 in the axial direction of the case 8, and the support shaft 12 has a bearing 11 provided on the inner surface of the bottom (front) of the case 8. It is rotatably supported by a bearing 11' provided on the plate surface of the base frame 4.
前記各支軸１２には、筐体８の底部よりも前方
側（第３図中、左方側）において把手１３がそれ
ぞれ固着されている。把手１３は第３図に示すよ
うに略Ｕ字形状とされており、この把手１３を把
持して傾倒（揺動）させれば、その傾倒に応じて
支軸１２が回動するようになつている。 A handle 13 is fixed to each of the support shafts 12 on the front side (left side in FIG. 3) of the bottom of the housing 8. The handle 13 is approximately U-shaped as shown in FIG. 3, and when the handle 13 is gripped and tilted (swung), the support shaft 12 will rotate in accordance with the tilt. ing.
前記各支軸１２には、基枠４よりも後方側（第
３図中、右方側）においてプーリ１４がそれぞれ
固着されている。両プーリ１４にはＶ型ベルト１
５が巻回されており、本実施例においては、ベル
ト１５は、第４図に示すように両プーリ１４間で
十字掛けされている。 A pulley 14 is fixed to each of the support shafts 12 on the rear side of the base frame 4 (on the right side in FIG. 3). Both pulleys 14 have a V-shaped belt 1
In this embodiment, the belt 15 is wound in a cross between both pulleys 14, as shown in FIG.
前記基枠４の裏面（第３図中、右面）にカバー
１６が設けられている。このカバー１６は前記プ
ーリ１４、ベルト１５を覆うようになつている。 A cover 16 is provided on the back surface (right side in FIG. 3) of the base frame 4. This cover 16 is adapted to cover the pulley 14 and belt 15.
次に、上記訓練器の作用について説明する。 Next, the operation of the above training device will be explained.
先ず、障害患者は、本訓練器の正面に向い合
い、患側上肢の手掌で一方の把手１３を握る。こ
の場合、患側上肢に筋力と感覚がないときには、
包帯その他手固定装具を利用して該患側上肢を把
手１３に固定する。 First, the disabled patient faces the front of the training device and grasps one handle 13 with the palm of the affected upper limb. In this case, if there is no muscle strength or sensation in the affected upper limb,
The affected upper limb is fixed to the handle 13 using a bandage or other hand fixation device.
次に、健側上肢で他方の把手１３を握り、その
他方の把手１３の上部を自己の意思に基づき内方
（回内）、外方（回外）に傾倒するように揺動させ
る。これにより、他方の把手１３（健側上肢が握
る把手）を内方に傾倒させると、一方の把手１３
（患側上肢が握る把手）が、ベルト１５の伝達作
用により内方に傾倒することになり、患側上肢に
ついて、自己の意思に基づき回内機能の回復訓練
が行われることになる。その一方、他方の把手１
３を外方に傾倒させると、一方の把手１３が外方
に傾倒することになり、患側上肢について、自己
の意思に基づき回外訓練が行われることになる。 Next, the patient grasps the other handle 13 with the healthy upper limb and swings the upper part of the other handle 13 so as to lean inward (pronation) or outward (supination) based on the patient's will. As a result, when the other handle 13 (the handle grasped by the healthy upper limb) is tilted inward, the one handle 13
(The handle grasped by the affected upper limb) will be tilted inward due to the transmission action of the belt 15, and training to restore the pronation function will be performed on the affected upper limb based on the patient's will. On the other hand, the other handle 1
3 is tilted outward, one of the handles 13 is tilted outward, and supination training is performed on the affected upper limb based on the user's will.
したがつて、上記訓練器を用いれば、患側上肢
の麻痺や回復の程度、苦痛の程度に応じて、健側
上肢による他方の把手１３の作動により、自己の
意識の下、随意的に一方の把手１３の揺動角度や
その速度を調整できることになり、、障害患者が
希望する訓練状態を確実に得ることができること
になる。このため、障害患者の訓練意欲を維持で
きることになる。 Therefore, if the above-mentioned training device is used, depending on the degree of paralysis and recovery of the affected arm, and the degree of pain, one can voluntarily and consciously move one of the arms by operating the other handle 13 with the unaffected arm. Since the swing angle and speed of the handle 13 can be adjusted, the disabled patient can reliably obtain the desired training condition. Therefore, the motivation of the disabled patient to train can be maintained.
また、本実施例においては、支軸１２に摩擦力
を負荷せず、訓練器自体は無抵抗運動をするよう
になつている。このため、未だ筋力を発揮できな
い筋無力状態の患側上肢について、無抵抗運動か
ら徐々に機能回復訓練を行うことができ、上記患
側上肢の機能回復訓練に有効に役立つことにな
る。 Further, in this embodiment, no frictional force is applied to the support shaft 12, and the training device itself moves without resistance. Therefore, it is possible to gradually perform functional recovery training starting with non-resistance exercise for the affected upper limb, which is still in a myasthenic state and cannot exert its muscle strength, and is effectively useful for the above-mentioned functional recovery training of the affected upper limb.
さらに、本実施例においては、健側上肢の駆動
動作により、健側及び患側上肢が同時的に回内運
動又は回外運動をなすことになり、患側上肢が回
復したときには、両上肢は極めて、巧緻性を備え
たものとなる。 Furthermore, in this example, due to the drive movement of the healthy side upper limb, the healthy side and the affected side upper limb perform pronation or supination movements simultaneously, and when the affected side upper limb recovers, both upper limbs are extremely Becomes sophisticated.
またさらに、本訓練器においては一対の把手１
３が全く同一構造のものとなつており、障害患者
は左右何れの側の上肢が麻痺していても機能回復
訓練をなすことができる。このため、多数の片麻
痺障害患者を収容した施設や病院にとつては極め
て利用価値が大きい。 Furthermore, in this training device, a pair of handles 1
3 have exactly the same structure, and disabled patients can perform functional recovery training even if their upper limbs are paralyzed on either the left or right side. Therefore, it is extremely useful for facilities and hospitals that accommodate a large number of hemiplegia patients.
加えて、本訓練器において、両上肢を伸長した
状態では訓練すれば、手関節、肘関節、肩関節の
回内回外訓練運動を同時的になすことができ、そ
の揺動角度範囲も大きくすることができるなど多
くの有益な効果を有する。 In addition, with this training device, if you train with both upper limbs extended, you can simultaneously perform pronation/supination training movements of the wrist, elbow, and shoulder joints, and the swing angle range is also wide. It can have many beneficial effects.
以上実施例について説明したが本発明にあつて
は、本訓練器を台車に載せるようにしてもよい。
これにより、本訓練器が移動自在となり、未だ、
歩行不能で病座居状態の障害患者に対しても、病
床上で訓練することができることになる。 Although the embodiments have been described above, in the present invention, the training device may be placed on a trolley.
As a result, this training device can be moved freely, and still
This means that even patients with disabilities who are unable to walk and are in a sitting position can be trained on their hospital beds.
（発明の効果）
本発明は以上述べたように、障害者が希望する
訓練を確実に行える上肢の回内回外訓練器を提供
できる。(Effects of the Invention) As described above, the present invention can provide an upper limb pronation/supination training device that allows a disabled person to reliably perform desired training.
また、障害患者が左右何れの側の上肢が麻痺し
ていても、機能訓練をなすことができる。 In addition, functional training can be performed even if a disabled patient is paralyzed in either the left or right upper limb.
第１図は本発明の全体斜視図、第２図は第１図
の一部切欠平面図、第３図は筐体とカバーを切欠
して内部を示す側面図、第４図はカバーを取外し
てベルトをプーリに巻回した状態を示す背面図で
ある。
４…基枠、１２…支軸、１３…把手、１５…ベ
ルト。
Fig. 1 is an overall perspective view of the present invention, Fig. 2 is a partially cutaway plan view of Fig. 1, Fig. 3 is a side view showing the inside with the housing and cover cut away, and Fig. 4 is with the cover removed. FIG. 3 is a rear view showing a state in which the belt is wound around the pulley. 4... Base frame, 12... Support shaft, 13... Handle, 15... Belt.
Claims (1)
可能に支持され、 前記各回転体に把手がそれぞれ設けられ、 前記一対の回転体が伝達力伝達部材を介して連
係されている、 ことを特徴とする上肢の回内回外訓練器。 ２ 特許請求の範囲第１項記載において、前記基
枠が、上下方向に延びる支柱に位置調整可能に取
付けられている、 ことを特徴とする上肢の回内回外訓練器。 ３ 特許請求の範囲第１項または第２項記載にお
いて、前記伝達力伝達部材がベルトとされ、該ベ
ルトが前記一対の回転体に対して十字掛けされて
いる、 ことを特徴とする上肢の回内回外訓練器。 ４ 特許請求の範囲第２項記載において、前記支
柱が取付部材を介して支持体に取付けられてい
る、 ことを特徴とする上肢の回内回外訓練器。 ５ 特許請求の範囲第２項記載において、前記支
柱が台車上に起立されている、 ことを特徴とする上肢の回内回外訓練器。 ６ 特許請求の範囲第１項記載において、前記把
手が略Ｕ字形状に形成されている、 ことを特徴とする上肢の回内回外訓練器。[Scope of Claims] 1. A pair of rotating bodies are rotatably supported on a base frame at a predetermined interval, each of the rotating bodies is provided with a handle, and the pair of rotating bodies are connected to each other via a transmission force transmitting member. An upper limb pronation/supination trainer characterized in that: 2. The upper limb pronation/supination training device according to claim 1, wherein the base frame is attached to a post extending in the vertical direction so that its position can be adjusted. 3. The upper limb rotation according to claim 1 or 2, wherein the transmission force transmitting member is a belt, and the belt is crisscrossed around the pair of rotating bodies. Induction/supination trainer. 4. The upper limb pronation/supination training device according to claim 2, wherein the strut is attached to a support via an attachment member. 5. The upper limb pronation/supination training device according to claim 2, wherein the support is erected on a trolley. 6. The upper limb pronation/supination training device according to claim 1, wherein the handle is formed in a substantially U-shape.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP13202782A JPS5922563A (en) | 1982-07-30 | 1982-07-30 | Exerciser for rotating limb to left and right directions |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP13202782A JPS5922563A (en) | 1982-07-30 | 1982-07-30 | Exerciser for rotating limb to left and right directions |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JPS5922563A JPS5922563A (en) | 1984-02-04 |
| JPH043992B2 true JPH043992B2 (en) | 1992-01-24 |
Family
ID=15071784
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP13202782A Granted JPS5922563A (en) | 1982-07-30 | 1982-07-30 | Exerciser for rotating limb to left and right directions |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JPS5922563A (en) |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP7068689B2 (en) * | 2018-01-26 | 2022-05-17 | 学校法人 川崎学園 | Exercise equipment for the trunk |
Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPS5341160B2 (en) * | 1975-01-28 | 1978-10-31 | ||
| JPS5628550A (en) * | 1979-08-17 | 1981-03-20 | Nec Corp | Direct telephone connection system |
Family Cites Families (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPS5341160U (en) * | 1976-08-14 | 1978-04-10 | ||
| JPS5759165Y2 (en) * | 1980-12-16 | 1982-12-17 |
-
1982
- 1982-07-30 JP JP13202782A patent/JPS5922563A/en active Granted
Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPS5341160B2 (en) * | 1975-01-28 | 1978-10-31 | ||
| JPS5628550A (en) * | 1979-08-17 | 1981-03-20 | Nec Corp | Direct telephone connection system |
Also Published As
| Publication number | Publication date |
|---|---|
| JPS5922563A (en) | 1984-02-04 |
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