JP4339012B2 - Swing type rehabilitation device - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention relates to an oscillating rehabilitation device that is particularly preferably used for activating physical functions by giving appropriate stimulation to a patient with disuse syndrome.
[0002]
[Prior art]
In patients who are bedridden for most of the time, they do not use or cannot use the functions that humans originally have, and this causes various mental and physical disorders. Is called the “obsolete syndrome”. Several devices have been proposed for applying appropriate stimulation to such patients to promote activation of physical functions.
[0003]
For example, in Patent Document 1 below, there is a standing upright bed that can support a bed mattress formed in a cylindrical shape with a rib-shaped frame, and can automatically rotate the bed mattress horizontally, and can also automatically rotate vertically into an upright state. It is disclosed.
[0004]
Further, in Patent Document 2 below, a reclining chair provided with a device for arbitrarily changing the inclination angle via a reduction gear and a screw rod driven by a motor, a switchback method using a second timer circuit and a third timer circuit The first timer circuit is equipped with a function to return to the reverse direction from the angle during the tilt, and automatically when an abnormality occurs during operation. Disclosed is a rehabilitation device for whole body exercise for prevention of disuse syndrome or sores of bedridden patients, etc. composed of a control circuit having an abnormal state prevention circuit to be stopped and a display lamp for displaying the operation state Has been.
[0005]
Further, in Patent Document 3 below, a pair of struts fitted with bearings are provided on both sides of the bed or futon at the position of the hip joint of the patient who is supine on the bed or futon, and a pair of struts are placed on the inner shaft of the strut. At the same time that the footrest and the manual lever are connected in a crank type, one balancer approximately equal to the weight of the foot is mounted on the outer shaft of the footrest and the manual lever, respectively. There is disclosed a manual seesaw type human body function recovery machine that is connected to the limbs and can be exercised while walking.
[0006]
[Patent Document 1]
JP-A-5-309115 [Patent Document 2]
JP 2000-342642 A [Patent Document 3]
Japanese Patent Laid-Open No. 2000-225157
[Problems to be solved by the invention]
However, in the standing upright bed shown in Patent Document 1, the patient is wrapped in a bed mattress formed in a cylindrical shape, and the bed mattress is horizontally and vertically rotated while being supported by a ribbed frame. Is likely to increase the manufacturing cost.
[0008]
Moreover, in the rehabilitation device for whole body exercise shown in the above-mentioned Patent Document 2, the tilt angle of the reclining chair is changed to give a stimulus to the patient. However, since the tilt angle of the reclining chair only changes, the stimulation is monotonous. There was a possibility that a sufficient effect could not be obtained.
[0009]
Furthermore, the manual seesaw type human body function recovery machine disclosed in Patent Document 3 has a problem that it is difficult to use unless it is a patient who can move the limbs by himself to some extent, and when the caregiver moves, only the movement of the foot is possible.
[0010]
And since all of the devices of Patent Documents 1 to 3 become a rehabilitation bed or a reclining chair, when trying to share with some patients, every time the patient is changed, the device is put on or taken down from the bed or chair. It was necessary to work.
[0011]
Accordingly, an object of the present invention is to provide a rocking type capable of effectively giving a suitable stimulus to the body of a patient with disuse syndrome, etc., and facilitating the work of putting the patient on and down the apparatus. The object is to provide a rehabilitation device.
[0012]
[Means for Solving the Problems]
In order to achieve the above object, the swing-type rehabilitation apparatus of the present invention is a swing-type rehabilitation apparatus for activating physical functions by giving an appropriate stimulus by swinging to a disused syndrome patient or the like sitting in a wheelchair. a is a base, a swing table which is swingably supported on the base, and a swinging means for swinging the swing table, the swing block, getting on and off the wheelchair And a support part for fixing the wheelchair, and the swinging means has means for swinging the swing base back and forth and means for swinging left and right, By combining the two, the swing base can be swung in the entire circumferential direction .
[0013]
According to the rehabilitation device of the present invention, by operating the swinging means and tilting the swinging base so that the entrance / exit side is lowered, the wheelchair on which the patient is placed can be easily put on the swinging base from the entrance / exit. it can. Then , the wheelchair is fixed to the support part, the swinging means is operated to swing the swinging table left and right, front and rear, and the left and right swinging and the front and rear swinging are combined to swing diagonally. You can also. As a result, a patient in a wheelchair can incline in the respective directions such as left and right, front and rear, and diagonally for each wheelchair , and can give an appropriate stimulus to the entire body. In other words, when the wheelchair tilts, the body of the patient in the wheelchair is acted on to balance the tilt, stimulates various parts of the body, promotes blood circulation, Is promoted.
[0016]
In addition, the rocking table includes a spherical support shaft that protrudes downward from near the center of gravity of the lower surface thereof, and a concave seat that receives the support shaft tip installed on the base. It is preferable that the base is swingably supported.
[0017]
According to this aspect, the swing base can be tilted in any direction of the entire circumference with a relatively simple support structure.
[0018]
Further, elastic means for urging the rocking table upward or downward is arranged between the rocking table on either the left or right side and the front or back side of the rocking table. On the other of the left and right sides of the base and the other of the front and rear sides, there are provided position regulating means for regulating the height of the swing base of the part against the elastic means so that the elastic means and It is preferable that the swinging means is constituted by a position restricting means.
[0019]
According to this aspect, the left and right and front and rear inclinations of the swing base are determined by the elastic means and the position restricting means arranged on the left and right and front and rear. And the rocking | fluctuation base can be rock | fluctuated to the left-right and front-back direction by changing the support position of the position control means of the left-right and front-back direction. Further, by performing a combination of left / right swing and front / back swing, the swing base can be swung in the entire circumferential direction.
[0020]
Furthermore, it is preferable that the support part is formed of a handrail-like enclosure wall that surrounds three sides of the outer periphery of the swing table other than the entrance / exit.
[0021]
According to this aspect, since the portion other than the entrance / exit is surrounded by the handrail-like enclosure wall, the wheelchair can be firmly held. If the patient can stand by himself / herself, the above-mentioned swinging operation can be performed by holding the enclosure wall by hand and standing on the swinging base.
[0022]
DETAILED DESCRIPTION OF THE INVENTION
Hereinafter, embodiments of the present invention will be described with reference to the drawings.
[0023]
1 to 5 show an embodiment of an oscillating rehabilitation device according to the present invention. FIG. 1 is a perspective view of the apparatus. FIG. 2 is an explanatory view showing left and right swing mechanisms of the apparatus. FIG. 3 is an explanatory view showing a swing mechanism before and after the apparatus. FIG. 4 is an explanatory view showing the operation of the position regulating means used in the swing mechanism of the apparatus. FIG. 5 is a side view showing a state in which a wheelchair is placed on the swing base of the apparatus. FIG. 6 is a side view showing a state where a patient stands on the swing base of the apparatus.
[0024]
As shown in FIG. 1, the swing-type rehabilitation device 10 includes a base 20 and a swing base 30 that is swingably supported on the base 20. One side of the swing base 30 forms an entrance 31 for getting on and off a wheelchair 60 described later. A raised portion 32 is formed on a line connecting the central portion of the entrance / exit 31 of the swing base 30 and the rear central portion facing the entrance / exit 31, and a support shaft (to be described later) or the like is formed below the raised portion 32. A back-and-forth swing mechanism is disposed.
[0025]
Three sides other than the entrance / exit 31 of the swing base 30 are surrounded by handrail-shaped enclosure walls 33 and 34. The left and right surrounding walls 33 are composed of a pipe-shaped member 33a and a plate material 33b. The pipe-shaped member 33a is used to support the body by holding the wheelchair 70 with a belt or the like, or holding it by hand when the patient stands on the rocking table 30. The back wall 34 is made of a plate material.
[0026]
As shown in FIG. 2, a support shaft 35 having a spherical tip is fixed and protrudes downward near the center of gravity of the bottom surface of the oscillating base 30. A receiving seat 21 having a spherical concave portion for receiving the support shaft 35 is fixed to the central portion of the base 20. Therefore, the rocking table 30 is supported on the base 20 via the support shaft 35 and the seat 21 so as to be tiltable in the entire circumferential direction. In addition, these enclosure walls 33 and 34 comprise the support part for fixing the wheelchair in this invention.
[0027]
A bracket 41 is attached to one of the left and right surrounding walls 33, and a first tension coil spring 40 is stretched between the bracket 41 and the base 20. Further, a support column 42 erected from the base 20 is disposed outside the other left and right surrounding walls 33, and a drive unit 44 is attached to an arm 43 provided on the support column 42. A first presser bar 45 extending vertically is inserted in the drive unit 44 so as to be able to move up and down, and the lower end of the first presser bar 45 is installed in a part extending to one side of the swing base 30. It is in contact with the concave receiving seat 36. That is, the swing base 30 is biased by the first tension coil spring 40 so as to incline to the left in FIG. 2, but the first presser bar 45 resists the biasing force of the swing base 30. Left and right tilt angles are regulated.
[0028]
As shown in FIG. 4, a rack gear 45a is formed along the longitudinal direction of the first presser bar 45, and a pinion gear 46 that is rotated by a motor (not shown) is disposed in the drive unit 44. It meshes with the rack gear 45a. Therefore, when the pinion gear 46 is rotated as indicated by an arrow A in the drawing by a motor (not shown), the first pressing rod 45 is slid in the axial direction as indicated by an arrow B in the drawing. As a result, the position of the lower end of the first presser bar 45 shown in FIG. 2 changes, and the swing base 30 swings left and right as shown by the arrow C in FIG.
[0029]
As shown in FIG. 3, the support shaft 35 is disposed at the center of the lower surface of the raised portion 32 of the swing table 30, and the swing table 30 is arranged in the front-rear direction via the support shaft 35 and the seat 21. Is also swingable. A second tension coil spring 50 is stretched between the front lower surface of the swing table 30 and the base 20. Further, a support column 52 erected from the base 20 is disposed outside the rear wall 34, and a drive unit 54 is attached to an arm 53 provided on the support column 52. A second presser bar 55 extending vertically is inserted into the drive unit 54 so as to be movable up and down, and the lower end of the second presser bar 55 is installed in a portion extending to the back side of the swing base 30. It is in contact with the concave receiving seat 37. In other words, the rocking table 30 is biased so as to be tilted forward by the second tension coil spring 50, but the tilt angle of the rocking table 30 before and after the second pressing bar 55 resists the biasing force. It is regulated.
[0030]
The drive unit 54 has the same structure as that shown in FIG. 4, and the second pressing bar 55 can be slid up and down by a motor (not shown). Swing back and forth as shown by.
[0031]
The first tension coil spring 40, the drive unit 44, the first presser bar 45, the second tension coil spring 50, the drive unit 54, the second presser bar 55, and the like constitute the swinging means in the present invention. .
[0032]
Next, a method for using the swing type rehabilitation apparatus 10 will be described.
FIG. 5 shows a state in which the wheelchair 60 is placed on the rocking table 30. The wheelchair 60 includes a seat portion 62 formed by a frame 61, a footrest portion 63, a backrest portion 64, an assistant handle portion 65, small wheels 66 attached to both front sides, and both rear sides. And a large ring 67 attached thereto. The patient sits on the seat 62, puts his / her foot on the footrest 63, and is fixed to the wheelchair 60 by a seat belt (not shown).
[0033]
When the wheelchair 60 is put on the rocking table 30, the second presser bar 55 is slid upward to tilt the rocking table 30 forward. Then, while the assistant pulls the handle 65, the wheelchair 60 on which the patient is placed rides on the rocking table 30 from the front 31. When the wheelchair 60 is on the swing base 30, the second presser bar 55 is slid downward to return the swing base 30 to the horizontal state. In this state, the wheelchair 60 is fixed on the rocking table 30 by fixing a portion E where the frame 61 of the wheelchair 60 and the pipe-shaped member 33a of the left and right surrounding walls 33 overlap with a belt (not shown).
[0034]
After the wheelchair 60 is fixed in this way, when the motor (not shown) is operated and the first pressing rod 45 is slid up and down, the swing base 30 swings left and right as shown by an arrow C in FIG. Further, when the second presser bar 55 is slid up and down, the swing base 30 swings back and forth as indicated by an arrow D in FIG. Further, it can be swung obliquely by combining left and right swing and front and back swing. These swinging operations are repeated according to a predetermined program, such as repeated in each direction such as left, right, front, back, and diagonal, or kept in a tilted state for a certain period of time and then tilted in another direction again for a certain period of time. be able to.
[0035]
As a result, since the body of the patient riding on the wheelchair 60 is tilted at every wheelchair 60, front and rear, left and right, and further obliquely, appropriate stimulation is given to the entire body, and physical functions are enhanced. In addition, since the patient can be put on the rehabilitation apparatus 10 while being put on the wheelchair 60, the patient can easily move and care can be facilitated.
[0036]
FIG. 6 shows a usage method for a patient who can stand by himself / herself. That is, the patient P rides on the rocking table 30 and supports the body by holding the pipe-shaped members 33a of the left and right surrounding walls 33 with both hands H. In this state, as described above, the first presser bar 45 and the second presser bar 55 are slid up and down at a predetermined timing, and the swinging table 60 is swung in each direction such as left and right, front and rear, and diagonally. The patient P's body can be stimulated to activate. Since the back side of the patient is supported by the enclosure wall 34 and the left and right sides are supported by the enclosure wall 33, the patient can be safely placed on the rocking table 30 during the rocking motion.
[0037]
The swing type rehabilitation device 10 of the present invention is not limited to the swing means described above, and various swing mechanisms can be employed. In addition, a wheel stopper or the like may be provided on the swing base 30 in order to prevent the wheelchair 60 from sliding down toward the entrance 31.
[0038]
【The invention's effect】
As described above, according to the present invention, a patient sitting in a wheelchair is placed on a rocking table for each wheelchair, and the rocking table is rocked back and forth, left and right, diagonally, etc. Can stimulate the motor function, circulatory function, and psychopsychological function. Therefore, it is suitable as a rehabilitation device for enhancing physical functions of, for example, patients with disuse syndrome, and thereby improving and preventing the injury.
[Brief description of the drawings]
FIG. 1 is a perspective view showing an embodiment of an oscillating rehabilitation device according to the present invention.
FIG. 2 is an explanatory view showing left and right swing mechanisms of the apparatus.
FIG. 3 is an explanatory view showing a swing mechanism before and after the apparatus.
FIG. 4 is an explanatory view showing an operation of a position restricting means used in the swing mechanism of the apparatus.
FIG. 5 is a side view showing a state in which a wheelchair is placed on a swinging table of the apparatus.
FIG. 6 is a side view showing a state where a patient stands on the swinging table of the apparatus.
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 10 ... Swing type rehabilitation device 20 ... Base 21 ... Seat 30 ... Swing stand 31 ... Entrance / exit 32 ... Raised part 33, 34 ... Enclosure wall 33a ... Pipe-shaped member 35 ... Spindle 40 ... 1st tension coil spring 42 ... post 43 ... arm 44 ... drive 45 ... first presser bar 45a ... rack gear 46 ... pinion gear 52 ... post 53 ... arm 54 ... drive 55 ... second presser bar 55a ... rack gear 56 ... pinion gear

Claims (4)

An oscillating rehabilitation device for activating physical functions by giving moderate stimulation by swaying to patients with disuse syndrome sitting in a wheelchair. And a swing means for swinging the swing base. The swing base is provided with an entrance for getting on and off the wheelchair and a support part for fixing the wheelchair. The swinging means has a means for swinging the swing base back and forth and a means for swinging left and right, and by combining them, the swing base swings in the entire circumferential direction. An oscillating rehabilitation device configured to be capable of performing The oscillating table includes a base having a spherical tip projecting downward from the vicinity of the center of gravity of the lower surface thereof, and a concave receiving seat for receiving the tip of the shaft installed on the base. 2. The swing type rehabilitation device according to claim 1 , wherein the swing type rehabilitation device is swingably supported on the top. Elastic means for urging the rocking table upward or downward is arranged between the rocking table and either the left or right and the front or back of the rocking table. Position control means is provided on the other of the left and right sides and the other of the front and rear sides to restrict the height of the swing base of the portion against the elastic means. 3. The swing type rehabilitation apparatus according to claim 1, wherein said swing means is constituted by means. The support portion is oscillating rehabilitation apparatus according to any one of claims 1 to 3 comprising a handrail-like enclosure wall surrounding three sides other than the entrance of the swing table periphery.

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