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JP6949986B2 - Posture holding device - Google Patents
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JP6949986B2 - Posture holding device - Google Patents

Posture holding device Download PDF

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JP6949986B2
JP6949986B2 JP2019551796A JP2019551796A JP6949986B2 JP 6949986 B2 JP6949986 B2 JP 6949986B2 JP 2019551796 A JP2019551796 A JP 2019551796A JP 2019551796 A JP2019551796 A JP 2019551796A JP 6949986 B2 JP6949986 B2 JP 6949986B2
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support
head
respect
posture
person
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JPWO2019092796A1 (en
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廣平 武者
廣平 武者
義廣 浦島
義廣 浦島
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INTER REHA CO., LTD
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • A61G7/065Rests specially adapted therefor
    • A61G7/07Rests specially adapted therefor for the head or torso, e.g. special back-rests

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  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Invalid Beds And Related Equipment (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Description

本発明は、自ら所定の姿勢を維持することが困難な人の人体を、所定の姿勢に保持するための姿勢保持装置に関する。 The present invention relates to a posture holding device for holding a human body of a person who has difficulty in maintaining a predetermined posture in a predetermined posture.

上半身を所定の姿勢に保持するための姿勢保持具が、従来より知られている。姿勢保持具は、例えば、鋼材により構成された管がホースにより覆われて構成され、所定の形状に折り曲げられる。そして、折り曲げられた状態の姿勢保持具は、上体の一部、例えば、脇の下や股間を通されるように装着される。このことにより、上体が姿勢保持具によって、所定の姿勢に保持される(特許文献1参照)。 A posture holder for holding the upper body in a predetermined posture has been conventionally known. The posture holder is composed of, for example, a pipe made of a steel material covered with a hose and bent into a predetermined shape. Then, the posture holder in the bent state is worn so as to pass through a part of the upper body, for example, the armpit or the crotch. As a result, the upper body is held in a predetermined posture by the posture holder (see Patent Document 1).

特開2005−74191号公報Japanese Unexamined Patent Publication No. 2005-74191

高齢者等の、ベッドに寝たきりのベッドの使用者が食事等を行う際には、使用者は、ベッドの上に仰向けに寝た状態から、上半身を起こした状態(ギャッジアップ座位)とされる必要がある。例えば、使用者は、食事を行う際にはギャッジアップ座位とされる。 When a bedridden bed user, such as an elderly person, eats, the user is considered to be in a state where the upper body is raised (gudge-up sitting position) from the state of lying on the bed on his back. There is a need. For example, the user is placed in a gudge-up sitting position when eating.

しかし、ギャッジアップ座位では、使用者の頭部と肩甲帯はマットに沈み込み、運動学的には、使用者は、食事を臥位で行うことになる。また、ベッド上での座位保持が不安定になれば、使用者は、食事動作が極めて困難になる。このため、医療・介護の現場では、食事時間内に頻繁に使用者の姿勢を調整する必要がある。仮に、ベッド上での使用者の座位保持を安定させるために、例えば、特許文献1記載の姿勢保持具を使用しようとしても、使用者の座位保持を安定させることは困難である。 However, in the gudge-up sitting position, the user's head and shoulder girdle sink into the mat, and kinematically, the user eats in the lying position. In addition, if the sitting position on the bed becomes unstable, it becomes extremely difficult for the user to eat. Therefore, in the medical / nursing field, it is necessary to frequently adjust the posture of the user during the meal time. Even if, for example, the posture holder described in Patent Document 1 is used to stabilize the sitting position of the user on the bed, it is difficult to stabilize the sitting position of the user.

また、特許文献1記載の姿勢保持具等を用いずに、枕やクッション等を用いて、ベッド上で使用者の座位保持を行う場合には、介護等の現場では、介護士の経験に基づいて適宜、枕やクッション等をベッドと使用者との間に挿入していたため、介護士が交代すると、使用者の適切な座位を正確に再現することは困難であった。 In addition, when the user is held in a sitting position on the bed using pillows, cushions, etc. without using the posture-maintaining tool described in Patent Document 1, the field of care, etc. is based on the experience of the caregiver. Since pillows and cushions were inserted between the bed and the user as appropriate, it was difficult to accurately reproduce the proper sitting position of the user when the caregiver changed.

本発明は、所定の姿勢を安定して保持することができ、且つ、所定の姿勢を容易に再現可能な姿勢保持装置を提供することを目的とする。 An object of the present invention is to provide a posture holding device capable of stably holding a predetermined posture and easily reproducing a predetermined posture.

本発明は、自ら所定の姿勢を維持することが困難な人の人体の、少なくとも一の部分と、前記一の部分以外の前記人体の他の部分とに当接して支持し、前記一の部分に対する前記他の部分の相対的な位置関係を維持することにより前記所定の姿勢を保持する、姿勢保持装置であって、前記一の部分に当接する第1当接部と、前記他の部分に当接する第2当接部と、前記第1当接部と前記第2当接部とを連結する連結部と、前記連結部と前記第1当接部との間に介在し、前記第2当接部に対する前記第1当接部の相対的な位置を所定位置に保持可能な位置調整部と、前記第2当接部に対する前記第1当接部の相対的な位置関係を数値で示す相対位置表示部と、を備え、前記位置調整部は、前記連結部に対する前記位置調整部の相対的な位置関係である第1相対値、前記連結部に対する前記第1当接部の揺動角度である第2相対値、及び、前記位置調整部から前記一の部分に当接する前記第1当接部の当接部分までの距離である第3相対値を、可変とする可変状態と、前記第1相対値、前記第2相対値、及び、前記第3相対値を固定とする固定状態と、に切替え可能な1つの操作用つまみを有し、前記相対位置表示部は、前記第1相対値、前記第2相対値、及び、前記第3相対値を所定の方向から視認可能に表示する姿勢保持装置に関する。 The present invention abuts and supports at least one part of the human body of a person who has difficulty in maintaining a predetermined posture by itself and another part of the human body other than the one part, and supports the one part. A posture holding device that holds the predetermined posture by maintaining the relative positional relationship of the other portion with respect to the first contact portion that abuts the one portion and the other portion. The second contact portion that comes into contact with the second contact portion, the connecting portion that connects the first contact portion and the second contact portion, and the second contact portion that is interposed between the connecting portion and the first contact portion. The relative positional relationship between the position adjusting portion capable of holding the relative position of the first contact portion with respect to the contact portion at a predetermined position and the first contact portion with respect to the second contact portion is shown numerically. A relative position display unit is provided, and the position adjusting unit has a first relative value which is a relative positional relationship of the position adjusting unit with respect to the connecting portion, and a swing angle of the first contact portion with respect to the connecting portion. A variable state in which the second relative value, which is the second relative value, and the third relative value, which is the distance from the position adjusting portion to the contact portion of the first contact portion that abuts the one portion, are variable, and the above. The relative position display unit has one operation knob that can be switched between a first relative value, a second relative value, and a fixed state in which the third relative value is fixed, and the relative position display unit is the first relative value. The present invention relates to a posture holding device that visually displays a value, the second relative value, and the third relative value from a predetermined direction.

ここで、前記相対位置表示部は、前記連結部に対する前記位置調整部の相対的な位置関係を示す第1目盛りと、前記連結部に対する前記第1当接部の揺動角度を示す第2目盛りと、前記位置調整部から前記一の部分に当接する前記第1当接部の当接部分までの距離を示す第3目盛りと、を有することが好ましい。 Here, the relative position display unit has a first scale indicating the relative positional relationship of the position adjusting portion with respect to the connecting portion and a second scale indicating the swing angle of the first contact portion with respect to the connecting portion. It is preferable to have a third scale indicating the distance from the position adjusting portion to the contact portion of the first contact portion that contacts the one portion.

また、前記第2目盛りと前記第3目盛りとは、1つの指示線により指示されることにより、前記連結部に対する前記第1当接部の揺動角度と、前記位置調整部から前記一の部分に当接する前記第1当接部の当接部分までの距離との両方を読取り可能であることが好ましい。 Further, the second scale and the third scale are instructed by one instruction line, so that the swing angle of the first contact portion with respect to the connecting portion and the one portion from the position adjusting portion are described. It is preferable that both the distance to the contact portion of the first contact portion that comes into contact with the first contact portion and the distance to the contact portion can be read.

また、前記姿勢保持装置は、少なくとも人の肩甲帯を背後から支持することにより人の上体を背後から支持する上体支持部と、肩甲帯との間に配置されて用いられる嚥下姿勢保持具により構成され、前記連結部は、人の背中の部分であって左肩甲骨と右肩甲骨との間の部分に対向する位置から少なくとも後頭部に対向する位置に至るまで、脊椎骨に沿って延びる支持体により構成され、前記第2当接部は、左肩甲骨に対向配置可能な左端部と、右肩甲骨に対向配置可能な右端部と、前記左端部と前記右端部とを掛け渡す両端接続部とを有する肩甲帯支持部であって、前記支持体の一端部側の部分に固定され、人の背後において人の肩甲帯に当接して、左右の肩甲骨を前額面に対して30°以上前方へ傾けて肩甲帯を人の前側から背中側へ向かう方向へ凸となるように湾曲させる肩甲帯支持部により構成され、前記第1当接部は、前記支持体の他端部側の部分に固定され、人の後頭部に対向して配置され、後頭部に当接して頭部を前記肩甲帯支持部に対する頭部所定位置に維持するように支持する頭部支持部により構成され、前記嚥下姿勢保持具は、人の肩甲帯よりも下の部位を支持する部分を有しておらず、前記嚥下姿勢保持具のみで人の肩甲帯及び頭部を支持できず、前記肩甲帯支持部が前記上体支持部に載置され人の肩甲帯と前記上体支持部とによって前記肩甲帯支持部が挟まれることにより、前記肩甲帯支持部は人の肩甲帯を支持し前記頭部支持部は使用者の頭部を支持することが好ましい。 Further, the posture holding device is used by being arranged between the shoulder girdle and the upper body support portion that supports the person's upper body from behind by supporting at least the shoulder girdle of the person from behind. Consisting of a retainer, the connection extends along the vertebral bone from a portion of the human back that faces the portion between the left and right shoulder blades to at least a position that faces the back of the head. The second contact portion is composed of a support, and the second contact portion connects both ends of the left end portion that can be arranged to face the left shoulder blade, the right end portion that can be arranged to face the right shoulder blade, and the left end portion and the right end portion. A shoulder girdle support portion having a portion, which is fixed to a portion on one end side of the support, abuts on the shoulder girdle of a person behind the person, and the left and right shoulder blades are placed on the front face value. It is composed of a shoulder girdle support portion that is tilted forward by 30 ° or more and bends the shoulder girdle so as to be convex in the direction from the front side to the back side of the person, and the first contact portion is other than the support. By a head support that is fixed to the end-side portion, is placed facing the back of the human head, abuts on the back of the head, and supports the head so as to maintain the head in a predetermined position with respect to the shoulder girdle support. The swallowing posture holder is configured and does not have a portion that supports a portion below the shoulder girdle of the person, and the swallowing posture holder alone cannot support the shoulder girdle and the head of the person. The shoulder girdle support portion is placed on the upper body support portion, and the shoulder girdle support portion is sandwiched between the shoulder girdle of a person and the upper body support portion, so that the shoulder girdle support portion is a person. It is preferable that the shoulder girdle is supported and the head support portion supports the user's head.

また、前記位置調整部は、前記支持体に対する前記頭部支持部の固定位置を、前記支持体の延びる方向と、前記支持体から離間する方向と、前記支持体に対して前記頭部支持部が揺動する方向と、においてそれぞれ調整可能な頭部支持部位置調整部により構成されることが好ましい。 Further, the position adjusting portion sets the fixed position of the head support portion with respect to the support in the direction in which the support extends, the direction in which the head support is separated from the support, and the head support portion with respect to the support. It is preferable that the head support portion position adjusting portion is adjustable in the direction in which the head swings.

本発明によれば、所定の姿勢を安定して保持することができ、且つ、所定の姿勢を容易に再現可能な姿勢保持装置を提供することができる。 According to the present invention, it is possible to provide a posture holding device capable of stably holding a predetermined posture and easily reproducing a predetermined posture.

本発明の一実施形態による姿勢保持装置を示す前方斜視図である。It is a front perspective view which shows the posture holding device by one Embodiment of this invention. 本発明の一実施形態による姿勢保持装置を示す後方斜視図である。It is a rear perspective view which shows the posture holding device by one Embodiment of this invention. 本発明の一実施形態による姿勢保持装置の頭部支持部位置調整部を示す要部分解斜視図である。It is an exploded perspective view of the main part which shows the head support part position adjustment part of the posture holding device by one Embodiment of this invention. 本発明の一実施形態による姿勢保持装置の結合部材を示す平面図である。It is a top view which shows the coupling member of the posture holding device by one Embodiment of this invention. 本発明の一実施形態による姿勢保持装置の内側挟持部材の内側を示す斜視図である。It is a perspective view which shows the inside of the inner holding member of the posture holding device by one Embodiment of this invention. 本発明の一実施形態による姿勢保持装置の内側挟持部材の外側を示す斜視図である。It is a perspective view which shows the outside of the inner holding member of the posture holding device by one Embodiment of this invention. 本発明の一実施形態による姿勢保持装置の外側挟持部材の内側を示す斜視図である。It is a perspective view which shows the inside of the outer holding member of the posture holding device by one Embodiment of this invention. 本発明の一実施形態による姿勢保持装置の外側挟持部材の外側を示す斜視図である。It is a perspective view which shows the outside of the outer holding member of the posture holding device by one Embodiment of this invention. 本発明の一実施形態による姿勢保持装置の相対位置表示部を示す平面図である。It is a top view which shows the relative position display part of the posture holding device by one Embodiment of this invention. 本発明の一実施形態による姿勢保持装置の相対位置表示部を示す要部斜視図である。It is a main part perspective view which shows the relative position display part of the posture holding device by one Embodiment of this invention. 本発明の一実施形態による姿勢保持装置により使用者の嚥下姿勢が保たれている様子を示す側方斜視図である。It is a side perspective view which shows the state that the swallowing posture of a user is maintained by the posture holding device by one Embodiment of this invention. 本発明の一実施形態による姿勢保持装置により使用者の嚥下姿勢が保たれている様子を示す平面図である。It is a top view which shows the state that the swallowing posture of a user is maintained by the posture holding device by one Embodiment of this invention.

以下、本発明の実施形態による姿勢保持装置について図1〜図9Bを参照しながら説明する。姿勢保持装置は、自ら嚥下に適した姿勢を維持することが困難な人の人体の一の部分である頭部と、他の部分である肩甲帯とに当接して支持し、頭部に対する肩甲帯の相対的な位置関係を維持することにより自ら嚥下に適した姿勢を保持する。より具体的には、姿勢保持装置は、少なくとも人の肩甲帯を背後から支持することにより人の上体を背後から支持する上体支持部と、肩甲帯との間に配置されて用いられる嚥下姿勢保持具1である。
以下の説明においては、前後、左右及び上下の方向の記載は、特に明記がない限り、嚥下姿勢保持具1を使用している人(以下「使用者」とする)から見た方向に従う。また、図中において、矢印FRは、嚥下姿勢保持具1の前方を示し、矢印UPは嚥下姿勢保持具1の上方を示し、矢印LHは嚥下姿勢保持具1の左方を示す。また、左右方向における中央側を内側と定義し、その反対側を外側と定義する。
Hereinafter, the posture holding device according to the embodiment of the present invention will be described with reference to FIGS. 1 to 9B. The posture-holding device abuts and supports the head, which is one part of the human body of a person who has difficulty in maintaining a posture suitable for swallowing, and the shoulder girdle, which is the other part, and supports the head. By maintaining the relative positional relationship of the shoulder girdle, it maintains a posture suitable for swallowing. More specifically, the posture holding device is used by being arranged between the shoulder girdle and the upper body support portion that supports the person's upper body from behind by supporting at least the person's shoulder girdle from behind. It is a swallowing posture holder 1.
In the following description, the description in the front-back, left-right, and up-down directions follows the direction seen from the person using the swallowing posture holder 1 (hereinafter referred to as "user") unless otherwise specified. Further, in the figure, the arrow FR indicates the front of the swallowing posture holder 1, the arrow UP indicates the upper side of the swallowing posture holder 1, and the arrow LH indicates the left side of the swallowing posture holder 1. Further, the central side in the left-right direction is defined as the inside, and the opposite side is defined as the outside.

図1に示すように、嚥下姿勢保持具1は、連結部としての支持体10と、第2当接部としての肩甲帯支持部30と、第1当接部としての頭部支持部50と、位置調整部としての頭部支持部位置調整部70と、相対位置表示部90と、を備える。
支持体10は、マグネシウム合金製の支柱11により構成されている。支柱11の長手方向に直交する支柱11の断面形状は、図3に示すように、中空の長円形状である。支柱11の長円形状の長手方向は、左右方向に一致する位置関係を有する。
As shown in FIG. 1, the swallowing posture holder 1 includes a support 10 as a connecting portion, a shoulder girdle support portion 30 as a second contact portion, and a head support portion 50 as a first contact portion. A head support portion position adjusting portion 70 as a position adjusting portion, and a relative position display unit 90 are provided.
The support 10 is composed of columns 11 made of magnesium alloy. As shown in FIG. 3, the cross-sectional shape of the support column 11 orthogonal to the longitudinal direction of the support column 11 is a hollow oval shape. The longitudinal direction of the oval shape of the support column 11 has a positional relationship that coincides with the left-right direction.

支柱11の下端部は、前方向へ湾曲した後に直線状に延びており、当該湾曲する部分よりも下端部側は、肩甲帯支持部30に固定されている。支柱11により構成される支持体10は、使用者の背中の部分であって左肩甲骨と右肩甲骨との間の部分に対向する位置から後頭部に対向する位置よりも上方に至るまで、脊椎骨に沿って延びる。支柱11の上端部には、樹脂製の抜け止め12が着脱可能に固定されている。抜け止め12は、中空の支柱11の上端部の開口を塞ぎ、且つ、当該上端部において、支柱11の前後方向及び左右方向の幅よりも若干大きいフランジ部を構成する。また、支柱11の上端部よも下側の部分には、後述のように頭部支持部50が支柱11に対して移動可能に固定される。 The lower end portion of the support column 11 is curved in the forward direction and then extends linearly, and the lower end portion side of the curved portion is fixed to the shoulder girdle support portion 30. The support 10 composed of the struts 11 is attached to the vertebrae from a position facing the part between the left scapula and the right scapula, which is a part of the user's back, to a position above the position facing the back of the head. Extend along. A resin retaining 12 is detachably fixed to the upper end of the support column 11. The retaining 12 closes the opening at the upper end of the hollow support column 11 and constitutes a flange portion at the upper end portion that is slightly larger than the width in the front-rear direction and the left-right direction of the support column 11. Further, a head support portion 50 is movably fixed to the support column 11 at a portion below the upper end portion of the support column 11 as described later.

図1、図2に示すように、肩甲帯支持部30は、前板部31と、後板部32と、中央パッド部33と、左端部パッド部34と、右端部パッド部35とを有している。支柱11の下端は、前板部31及び後板部32の左右方向における中央部であって且つ前板部31の中央に形成された上下方向に延びる溝301に挿入されて固定されている。前板部31及び後板部32は、それぞれ略同一形状の略五角形の樹脂製の部材が一体成形されて構成されており、後方へ向かって凸となるように湾曲している。 As shown in FIGS. 1 and 2, the shoulder girdle support portion 30 includes a front plate portion 31, a rear plate portion 32, a central pad portion 33, a left end pad portion 34, and a right end pad portion 35. Have. The lower end of the support column 11 is inserted and fixed in a groove 301 extending in the vertical direction formed in the center of the front plate portion 31 and in the center of the front plate portion 31 in the left-right direction. The front plate portion 31 and the rear plate portion 32 are formed by integrally molding a substantially pentagonal resin member having substantially the same shape, and are curved so as to be convex rearward.

より詳細には、前板部31及び後板部32の長手方向における中央部分は、略平坦であり、前板部31、後板部32の左端部、右端部は、前方へ向かって湾曲し、左端縁、右端縁それぞれに向かって平坦状をなしている。前板部31の長手方向における中央部分の前面は、下端部から上端部に向うにつれて上側へ向うように、後板部32の長手方向における中央部分の面に対して傾斜しており、支柱11の下端部に平行に延びている。支柱11の下端部が挿入されている溝301が形成されている位置の後板部32の下面には、上下方向に略対向する位置関係で、後板溝302が形成されている。後板溝302の底部に対してねじ303が貫通しており、ねじ303は、支柱11に螺合し、支柱11を前板部31の溝301内において固定している。また、複数のねじ303のうちの1番上側に位置するねじ303には、ストラップ304が固定されている。 More specifically, the central portion of the front plate portion 31 and the rear plate portion 32 in the longitudinal direction is substantially flat, and the front plate portion 31, the left end portion and the right end portion of the rear plate portion 32 are curved forward. , The left edge and the right edge are flat. The front surface of the central portion in the longitudinal direction of the front plate portion 31 is inclined with respect to the surface of the central portion in the longitudinal direction of the rear plate portion 32 so as to face upward from the lower end portion toward the upper end portion, and the support column 11 Extends parallel to the lower end of. A rear plate groove 302 is formed on the lower surface of the rear plate portion 32 at a position where the groove 301 into which the lower end portion of the support column 11 is inserted is formed so as to be substantially opposed to each other in the vertical direction. A screw 303 penetrates the bottom of the rear plate groove 302, and the screw 303 is screwed into the support column 11 to fix the support column 11 in the groove 301 of the front plate portion 31. Further, the strap 304 is fixed to the screw 303 located on the uppermost side of the plurality of screws 303.

中央パッド部33と、左端部パッド部34と、右端部パッド部35とは、一体的に接続されており、全体で略長方形の板状をなしており、前板部31の前面の当該中央部分には、中央パッド部33が固定され、前板部31の前面の左端部の平坦状の部分には、左端部パッド部34が固定され、前板部31の前面の右端部の平坦状の部分には、右端部パッド部35が固定される。前板部31の前面の当該中央部分への中央パッド部33の固定、前板部31の前面の左端部への左端部パッド部34の固定、前板部31の前面の右端部への右端部パッド部35の固定は、スナップボタン(図示せず)により行われる。従って、中央パッド部33、左端部パッド部34、右端部パッド部35は、前板部31の前面に対して着脱可能である。 The central pad portion 33, the left end pad portion 34, and the right end pad portion 35 are integrally connected to form a substantially rectangular plate as a whole, and the center of the front surface of the front plate portion 31. The central pad portion 33 is fixed to the portion, the left end pad portion 34 is fixed to the flat portion of the left end portion of the front surface of the front plate portion 31, and the right end portion of the front surface of the front plate portion 31 is flat. The right end pad portion 35 is fixed to the portion of. Fixing the central pad portion 33 to the central portion on the front surface of the front plate portion 31, fixing the left end pad portion 34 to the left end portion on the front surface of the front plate portion 31, and right end to the right end portion on the front surface of the front plate portion 31. The portion pad portion 35 is fixed by a snap button (not shown). Therefore, the central pad portion 33, the left end pad portion 34, and the right end pad portion 35 are removable from the front surface of the front plate portion 31.

左端部パッド部34、右端部パッド部35は、中央パッド部33と比較して前板部31の前面から離間する方向へ厚みが大きい。前板部31の前面の左端部及び左端部パッド部34は、肩甲帯支持部30の左端部を構成し、左肩甲骨に対向配置されて用いられる。前板部31の前面の右端部及び右端部パッド部35は、肩甲帯支持部30の右端部を構成し、右肩甲骨に対向配置されて用いられる。また、前板部31の前面の当該中央部分及び中央パッド部33は、肩甲帯支持部30の左端部と右端部とを掛け渡し、支持体10の一端部側の部分に固定される両端接続部を構成する。肩甲帯支持部30は、ギャッジアップベッド(介護ベッド)の上体を支える部分、特に肩甲帯に対向する部分や、椅子の背もたれの肩甲帯に対向する部分と、使用者の肩甲帯との間に挟まれるようにして配置され、使用者の背後において使用者の肩甲帯に当接可能である。 The left end pad portion 34 and the right end pad portion 35 are thicker in the direction away from the front surface of the front plate portion 31 than the center pad portion 33. The left end portion and the left end portion pad portion 34 on the front surface of the front plate portion 31 form the left end portion of the scapula support portion 30, and are used so as to face the left scapula. The right end portion and the right end portion pad portion 35 on the front surface of the front plate portion 31 form the right end portion of the scapula support portion 30, and are used so as to face the right scapula. Further, the central portion and the central pad portion 33 on the front surface of the front plate portion 31 hang the left end portion and the right end portion of the shoulder girdle support portion 30 and are fixed to both ends on the one end side portion of the support body 10. Configure the connection. The shoulder girdle support portion 30 includes a portion that supports the upper body of the gudge-up bed (nursing bed), particularly a portion that faces the shoulder girdle, a portion that faces the shoulder girdle of the backrest of the chair, and a shoulder plate of the user. It is arranged so as to be sandwiched between the band and can come into contact with the user's shoulder band behind the user.

図1及び図2に示すように、頭部支持部50は、前板部51と、後板部52と、中央パッド部53と、左端部パッド部54と、右端部パッド部55とを有している。前板部51及び後板部52は、それぞれ略同一形状の長方形状の樹脂製の部材が一体成形されて構成されている。より詳細には、頭部支持部50の前板部51及び後板部52の長手方向における長さは、肩甲帯支持部30の前板部31及び後板部32の長手方向における長さよりも短く、頭部支持部50の前板部51及び後板部52の上下方向における幅は、肩甲帯支持部30の前板部31及び後板部32の上下方向における幅よりも短い。前板部51、後板部52の左端部から、前板部51及び後板部52の長手方向における中央部分、前板部51、後板部52の右端部に至るまで、前後方へ向かって凸となるように湾曲している。 As shown in FIGS. 1 and 2, the head support portion 50 includes a front plate portion 51, a rear plate portion 52, a center pad portion 53, a left end pad portion 54, and a right end pad portion 55. doing. The front plate portion 51 and the rear plate portion 52 are formed by integrally molding rectangular resin members having substantially the same shape. More specifically, the length of the front plate portion 51 and the rear plate portion 52 of the head support portion 50 in the longitudinal direction is larger than the length of the front plate portion 31 and the rear plate portion 32 of the shoulder girdle support portion 30 in the longitudinal direction. The width of the front plate portion 51 and the rear plate portion 52 of the head support portion 50 in the vertical direction is shorter than the width of the front plate portion 31 and the rear plate portion 32 of the shoulder girdle support portion 30 in the vertical direction. From the left end of the front plate 51 and the rear plate 52 to the central portion of the front plate 51 and the rear plate 52 in the longitudinal direction, and the right end of the front plate 51 and the rear plate 52, the front plate portion 51 and the rear plate portion 52 are directed toward the front and rear. It is curved so that it becomes convex.

中央パッド部53と、左端部パッド部54と、右端部パッド部55とは、一体的に接続されており、全体で略長方形の板状をなしており、前板部51の前面の当該中央部分には、中央パッド部53が固定され、前板部51の前面の左端部の平坦状の部分には、左端部パッド部54が固定され、前板部51の前面の右端部の平坦状の部分には、右端部パッド部55が固定される。前板部51の前面の当該中央部分への中央パッド部53の固定、前板部51の前面の左端部への左端部パッド部54の固定、前板部51の前面の右端部への右端部パッド部55の固定は、スナップボタン(図示せず)により行われる。従って、中央パッド部53、左端部パッド部54、右端部パッド部55は、前板部51の前面に対して着脱可能である。 The central pad portion 53, the left end pad portion 54, and the right end pad portion 55 are integrally connected to form a substantially rectangular plate as a whole, and the center of the front surface of the front plate portion 51. The central pad portion 53 is fixed to the portion, the left end pad portion 54 is fixed to the flat portion of the left end portion on the front surface of the front plate portion 51, and the right end portion on the front surface of the front plate portion 51 is flat. The right end pad portion 55 is fixed to the portion of. Fixing the central pad portion 53 to the central portion on the front surface of the front plate portion 51, fixing the left end pad portion 54 to the left end portion on the front surface of the front plate portion 51, and fixing the right end portion to the right end portion on the front surface of the front plate portion 51. The portion pad portion 55 is fixed by a snap button (not shown). Therefore, the central pad portion 53, the left end pad portion 54, and the right end pad portion 55 are removable from the front surface of the front plate portion 51.

図2等に示すように、左右方向における後板部52の中央部には、上部支柱固定板56が設けられている。上部支柱固定板56は、上下方向に平行な位置関係で後方に延びる2枚の樹脂製の板状の部材により構成されており、上部支柱固定板56の上下方向における中央位置には、それぞれ、上部支柱固定板56の延びる方向に長い長円形状の長円貫通孔56Aが形成されている。左側の長円貫通孔56Aは、左方向における開口の端部に向って僅かに拡径しており、右側の長円貫通孔56Aは、右方向における開口の端部に向って僅かに広がっている。また、左側及び右側の上部支柱固定板56の両側面には、長円貫通孔56Aを取囲むように、長円貫通孔56Aよりも一回り大きな長円形状の係合溝56Bがそれぞれ形成されている。 As shown in FIG. 2 and the like, an upper strut fixing plate 56 is provided at the center of the rear plate portion 52 in the left-right direction. The upper strut fixing plate 56 is composed of two resin plate-shaped members extending rearward in a positional relationship parallel to the vertical direction, and the upper strut fixing plate 56 is located at the center position in the vertical direction, respectively. An oval through hole 56A having an oval shape that is long in the extending direction of the upper column fixing plate 56 is formed. The oval through hole 56A on the left side slightly expands toward the end of the opening in the left direction, and the oval through hole 56A on the right side slightly expands toward the end of the opening in the right direction. There is. Further, on both side surfaces of the upper column fixing plate 56 on the left side and the right side, an oval-shaped engaging groove 56B slightly larger than the oval through hole 56A is formed so as to surround the oval through hole 56A. ing.

2枚の上部支柱固定板56の間には、頭部支持部位置調整部70が設けられている。図3に示すように、頭部支持部位置調整部70は、結合部材71と、パッキン72と、外側挟持部材73と、内側挟持部材74と、ボルト75と、平ワッシャ76と、操作用つまみ77とを備えており、支柱11に対する頭部支持部位置調整部70の位置が変えられた後に固定されることにより、肩甲帯支持部30に対する頭部支持部50の相対的な位置を所定位置に保持可能である。 A head support portion position adjusting portion 70 is provided between the two upper column fixing plates 56. As shown in FIG. 3, the head support portion position adjusting portion 70 includes a coupling member 71, a packing 72, an outer holding member 73, an inner holding member 74, a bolt 75, a flat washer 76, and an operation knob. 77, and by fixing after the position of the head support portion position adjusting portion 70 with respect to the support column 11 is changed, the relative position of the head support portion 50 with respect to the shoulder girdle support portion 30 is determined. Can be held in position.

結合部材71の左右方向における長さは、2枚の上部支柱固定板56の間の幅に等しい。結合部材71は、樹脂製であり、平面視で略C字状をなしており、結合部材71の中央に形成された空間57Aの形状は、支柱11の長手方向に直交する面で切った支柱11の外形の断面形状と略同一である。平面視で略C字状をなしている結合部材71の開口部分は、図4に示すように、結合部材71の外側から内側へ向って開口部分の3分の1程度の部分715が互いに接近し合っており、残りの開口部分の内側の3分の2程度の部分716が僅かに広がって互いに離間している。また、略C字状の結合部材71の当該Cの字の開口部分には、左右方向に貫通する貫通孔711が形成されている。貫通孔711には、ボルト75(図3参照)が貫通している。貫通孔711の周囲は、貫通孔711の貫通方向に円筒状に延びる筒状凸部712が設けられている。略C字状の結合部材71の開口部分に対する行き止まりの空間717は、長円形状を有している。空間717には、支柱11が貫通する。 The length of the connecting member 71 in the left-right direction is equal to the width between the two upper strut fixing plates 56. The connecting member 71 is made of resin and has a substantially C shape in a plan view, and the shape of the space 57A formed in the center of the connecting member 71 is a support column cut along a plane orthogonal to the longitudinal direction of the support column 11. It is substantially the same as the cross-sectional shape of the outer shape of 11. As shown in FIG. 4, the opening portion of the coupling member 71 having a substantially C-shape in a plan view is such that a portion 715 of about one-third of the opening portion approaches each other from the outside to the inside of the coupling member 71. They are in contact with each other, and about two-thirds of the inner part 716 of the remaining opening part is slightly widened and separated from each other. Further, a through hole 711 penetrating in the left-right direction is formed in the C-shaped opening portion of the substantially C-shaped connecting member 71. A bolt 75 (see FIG. 3) penetrates the through hole 711. Around the through hole 711, a cylindrical convex portion 712 extending cylindrically in the through hole 711 in the penetrating direction is provided. The dead end space 717 with respect to the opening portion of the substantially C-shaped connecting member 71 has an oval shape. The support column 11 penetrates the space 717.

筒状凸部712の周面には、周面の直径位置の部分から筒状凸部712の直径方向外側へ突出する、一対の外周凸部713が設けられている。また、筒状凸部712の基部には、円盤形状のパッキン72が筒状凸部712の基部を取り巻くように、筒状凸部712と同軸的に配置されている。
円盤形状のパッキン72の内側面は、結合部材71の側面に当接しており、パッキン72の外側面は、内側挟持部材74の内側面に当接している。操作用つまみ77を一の方向へ回転させることにより、パッキン72が、結合部材71の側面と内側挟持部材74の内側面とにより挟まれる圧力は高くなる。これにより、パッキン72と結合部材71の側面との静止摩擦係数、及び、パッキン72と内側挟持部材74の内側面との静止摩擦係数が高くなり、結合部材71に対して内側挟持部材74が相対的に回転できなくなり固定されるように構成されている。
A pair of outer peripheral convex portions 713 are provided on the peripheral surface of the tubular convex portion 712 so as to project outward in the radial direction of the tubular convex portion 712 from the portion of the peripheral surface at the diameter position. Further, at the base of the tubular convex portion 712, a disk-shaped packing 72 is arranged coaxially with the tubular convex portion 712 so as to surround the base of the tubular convex portion 712.
The inner surface of the disk-shaped packing 72 is in contact with the side surface of the coupling member 71, and the outer surface of the packing 72 is in contact with the inner surface of the inner holding member 74. By rotating the operation knob 77 in one direction, the pressure at which the packing 72 is sandwiched between the side surface of the coupling member 71 and the inner surface surface of the inner holding member 74 increases. As a result, the coefficient of static friction between the packing 72 and the side surface of the coupling member 71 and the coefficient of static friction between the packing 72 and the inner surface of the inner holding member 74 become higher, and the inner holding member 74 is relative to the coupling member 71. It is configured so that it cannot rotate and is fixed.

内側挟持部材74は、樹脂製であり、図5B等に示すように、略長円形状の略板状を有している。内側挟持部材74の長手方向における一端寄りの、内側挟持部材74の外側面には、平行な位置関係で配置された一対のリブ741が設けられている。リブ741は、それぞれ内側の係合溝56Bに係合している。これにより、操作用つまみ77が回転させられて、パッキン72が結合部材71の側面と内側挟持部材74の内側面とにより挟まれる圧力が低い状態のときに、内側挟持部材74は、上部支柱固定板56と一体で、結合部材71に対して回動可能である。 The inner holding member 74 is made of resin and has a substantially oval-shaped substantially plate shape as shown in FIG. 5B and the like. A pair of ribs 741 arranged in a parallel positional relationship are provided on the outer surface of the inner holding member 74, which is closer to one end in the longitudinal direction of the inner holding member 74. The ribs 741 are respectively engaged with the inner engaging groove 56B. As a result, when the operating knob 77 is rotated and the pressure at which the packing 72 is sandwiched between the side surface of the coupling member 71 and the inner surface surface of the inner sandwiching member 74 is low, the inner sandwiching member 74 is fixed to the upper support column. It is integral with the plate 56 and is rotatable with respect to the coupling member 71.

内側挟持部材74の略中央部には、内側部材貫通孔742が形成されている。内側部材貫通孔742には、筒状凸部712が貫通する。内側挟持部材74の長手方向における内側部材貫通孔742の部分には、内側部材貫通孔742の半径方向内方へ突出する回転阻止凸部744が、直径位置に一対設けられている。回転阻止凸部744の先端部は円弧形状を有しており、この円弧形状の半径は、筒状凸部712の半径と略同一である。また、回転阻止凸部744が設けられていない内側部材貫通孔742の部分の半径は、筒状凸部712の外周凸部713の最大径と略同一である。これにより、外周凸部713が内側部材貫通孔742の周方向における一対の回転阻止凸部744の間で移動可能な範囲で、内側挟持部材74は、結合部材71に対して回転可能に構成されている。 An inner member through hole 742 is formed in a substantially central portion of the inner holding member 74. A cylindrical convex portion 712 penetrates through the inner member through hole 742. A pair of rotation blocking protrusions 744 protruding inward in the radial direction of the inner member through hole 742 are provided at a diameter position in the portion of the inner member through hole 742 in the longitudinal direction of the inner holding member 74. The tip of the rotation blocking convex portion 744 has an arc shape, and the radius of this arc shape is substantially the same as the radius of the cylindrical convex portion 712. Further, the radius of the portion of the inner member through hole 742 in which the rotation blocking convex portion 744 is not provided is substantially the same as the maximum diameter of the outer peripheral convex portion 713 of the tubular convex portion 712. As a result, the inner holding member 74 is configured to be rotatable with respect to the coupling member 71 within a range in which the outer peripheral convex portion 713 can move between the pair of rotation blocking convex portions 744 in the circumferential direction of the inner member through hole 742. ing.

内側挟持部材74の外側面であって一対の回転阻止凸部744が設けられている内側部材貫通孔742の近傍には、それぞれ内側挟持部材74の外側面から突出する第1外側凸部746と、第2外側凸部747とが設けられている。第1外側凸部746は、内側部材貫通孔742の貫通方孔視で略長方形状を有しており、内側部材貫通孔742に隣接する側面7462は、回転阻止凸部744の形状に倣ったギザギサの形状を有している。第1外側凸部746の中央には、第1外側凸部746の内部空間を二分する区画壁7461が設けられている。第2外側凸部747は、内側挟持部材74の外側面から三角形状に突出している。 In the vicinity of the inner member through hole 742 which is the outer surface of the inner holding member 74 and is provided with the pair of rotation blocking convex portions 744, there is a first outer convex portion 746 protruding from the outer surface of the inner holding member 74, respectively. , A second outer convex portion 747 is provided. The first outer convex portion 746 has a substantially rectangular shape in terms of the through hole of the inner member through hole 742, and the side surface 7462 adjacent to the inner member through hole 742 follows the shape of the rotation blocking convex portion 744. It has a jagged shape. At the center of the first outer convex portion 746, a partition wall 7461 that divides the internal space of the first outer convex portion 746 into two is provided. The second outer convex portion 747 projects in a triangular shape from the outer surface of the inner holding member 74.

外側挟持部材73は樹脂製であり、外側挟持部材73の外形は略長円形状を有している。外側挟持部材73の外側面は、頭部支持部位置調整部70の外側に向って凸状に湾曲する曲面を有しており、湾曲する内側面の中央部には、内側面から突出する、後述の貫通孔733の貫通孔方向視で略長方形状に突出する中央係合筒部731が設けられている。中央係合筒部731には、中央係合筒部731の内部空間を二分する区画壁7311が設けられている。二分された中央係合筒部731の内部空間の一方の空間は、第1外側凸部746と略同一形状を有しており、第1外側凸部746が係合する。二分された中央係合筒部731の内部空間の他方の空間は、内側部材貫通孔742と同一の形状を有しており、中央に貫通孔733が形成されており、内側部材貫通孔742を貫通した筒状凸部712が挿入され係合する。 The outer holding member 73 is made of resin, and the outer shape of the outer holding member 73 has a substantially oval shape. The outer surface of the outer holding member 73 has a curved surface that curves convexly toward the outside of the head support portion position adjusting portion 70, and the central portion of the curved inner surface projects from the inner surface. A central engaging cylinder portion 731 that protrudes in a substantially rectangular shape when viewed in the direction of the through hole 733, which will be described later, is provided. The central engaging cylinder portion 731 is provided with a partition wall 7311 that divides the internal space of the central engaging cylinder portion 731 into two. One of the internal spaces of the bisected central engaging cylinder portion 731 has substantially the same shape as the first outer convex portion 746, and the first outer convex portion 746 engages with the first outer convex portion 746. The other space of the internal space of the bisected central engaging cylinder portion 731 has the same shape as the inner member through hole 742, and the through hole 733 is formed in the center, so that the inner member through hole 742 is formed. The penetrating tubular convex portion 712 is inserted and engaged.

また、他方の空間を形成している中央係合筒部731の部分であって、一方の空間から最も離れた部分には、第2外側凸部747が係合する三角形状に窪んだ三角形状凹部734が形成されている。前述のように、他方の空間は、内側部材貫通孔742と同一の形状を有しているため、外側挟持部材73は、内側挟持部材74と一体で、外周凸部713が内側部材貫通孔742の周方向における一対の回転阻止凸部744の間で、移動可能な範囲で、筒状凸部712に対して相対的に回転可能に構成されている。 Further, the portion of the central engaging cylinder portion 731 forming the other space, and the portion farthest from one space, has a triangular shape recessed in a triangular shape with which the second outer convex portion 747 engages. A recess 734 is formed. As described above, since the other space has the same shape as the inner member through hole 742, the outer holding member 73 is integrated with the inner holding member 74, and the outer peripheral convex portion 713 has the inner member through hole 742. It is configured to be rotatable relative to the cylindrical convex portion 712 within a movable range between the pair of rotation-blocking convex portions 744 in the circumferential direction of the above.

中央係合筒部731の基部は、中央係合筒部731が広がる形状の部分735を有しており、この部分735は、前述の左側の長円貫通孔56Aの拡径している開口の部分、右側の長円貫通孔56Aの拡径している開口の部分の形状に倣った形状を有している。湾曲する外側挟持部材73の外側面を形成している壁部の内側面の内側には、中央係合筒部731を中心とする放射状に放射状リブ736が複数設けられている。複数の放射状リブ736の内側の端面は、全て面一の位置関係を有している。外側挟持部材73の長手方向における一端寄りの、外側挟持部材73の内側面には、平行な位置関係で配置された一対のリブ737が、放射状リブ736の端面よりも突出して設けられている。リブ737は、それぞれ外側の係合溝56Bに係合している。これにより、操作用つまみ77が回転させられて、パッキン72が結合部材71の側面と内側挟持部材74の内側面とにより挟まれる圧力が低い状態のときに、内側挟持部材74は、上部支柱固定板56と一体で、結合部材71に対して回動可能である。 The base of the central engaging cylinder portion 731 has a portion 735 having a shape in which the central engaging cylinder portion 731 expands, and this portion 735 is an opening having an enlarged diameter of the oval through hole 56A on the left side described above. The portion has a shape that follows the shape of the portion of the enlarged opening of the oval through hole 56A on the right side. A plurality of radial ribs 736 are provided radially around the central engaging cylinder portion 731 inside the inner surface of the wall portion forming the outer surface of the curved outer holding member 73. The inner end faces of the plurality of radial ribs 736 all have a flush-to-plane positional relationship. A pair of ribs 737 arranged in a parallel positional relationship are provided on the inner surface of the outer holding member 73, which is closer to one end in the longitudinal direction of the outer holding member 73, so as to project from the end face of the radial rib 736. The ribs 737 are respectively engaged with the outer engaging groove 56B. As a result, when the operating knob 77 is rotated and the pressure at which the packing 72 is sandwiched between the side surface of the coupling member 71 and the inner surface surface of the inner sandwiching member 74 is low, the inner sandwiching member 74 is fixed to the upper support column. It is integral with the plate 56 and is rotatable with respect to the coupling member 71.

外側挟持部材73の外側面の貫通孔733の周囲には、六角形のボルト75の頭部が係合する六角形状凹部7301が形成されている。六角形状凹部7301の周囲には平ワッシャ76が係合可能な平ワッシャ係合凹部7302が形成されている。中央係合筒部731が長円貫通孔56Aを貫通して、上部支柱固定板56を外側挟持部材73と内側挟持部材74との間に挟んだ状態で、ボルト75(図3参照)の先端は、外側挟持部材73の貫通孔733、内側挟持部材74の内側部材貫通孔742、パッキン72の貫通孔721、結合部材71の貫通孔711、パッキン72の貫通孔721、内側挟持部材74の内側部材貫通孔742、外側挟持部材73の貫通孔733、平ワッシャ76の貫通孔761を貫通し、操作用つまみ77に形成された雌ねじ771に螺合する。 A hexagonal recess 7301 with which the head of the hexagonal bolt 75 engages is formed around the through hole 733 on the outer surface of the outer holding member 73. A flat washer engaging recess 7302 to which the flat washer 76 can be engaged is formed around the hexagonal recess 7301. The tip of the bolt 75 (see FIG. 3) with the central engaging cylinder portion 731 penetrating the oval through hole 56A and sandwiching the upper strut fixing plate 56 between the outer sandwiching member 73 and the inner sandwiching member 74. The through hole 733 of the outer holding member 73, the inner member through hole 742 of the inner holding member 74, the through hole 721 of the packing 72, the through hole 711 of the coupling member 71, the through hole 721 of the packing 72, and the inside of the inner holding member 74. It penetrates the member through hole 742, the through hole 733 of the outer holding member 73, and the through hole 761 of the flat washer 76, and is screwed into the female screw 771 formed on the operation knob 77.

相対位置表示部90は、第1目盛り91と第2目盛り92と第3目盛り93とを有しており、肩甲帯支持部30に対する頭部支持部50の相対的な位置関係を数値で示す。
第1目盛り91は、支柱11に対する結合部材71の相対的な位置関係を示す。第1目盛り91により示される数値は、第1相対値に相当する。具体的には、第1目盛り91は、図8等に示すように、左右方向における支柱11の中央の前面に支柱11の延びる方向に沿って設けられている。例えば、結合部材71の上端縁に対向する第1目盛り91の数値が、支柱11に対する結合部材71の相対的な位置関係を示している。
The relative position display unit 90 has a first scale 91, a second scale 92, and a third scale 93, and numerically indicates the relative positional relationship of the head support portion 50 with respect to the shoulder girdle support portion 30. ..
The first scale 91 shows the relative positional relationship of the connecting member 71 with respect to the support column 11. The numerical value indicated by the first scale 91 corresponds to the first relative value. Specifically, as shown in FIG. 8 and the like, the first scale 91 is provided on the front surface of the center of the support column 11 in the left-right direction along the extending direction of the support column 11. For example, the numerical value of the first scale 91 facing the upper end edge of the connecting member 71 indicates the relative positional relationship of the connecting member 71 with respect to the support column 11.

第2目盛り92は、支柱11に対する頭部支持部50の揺動角度を示す。第2目盛り92により示される数値は、第2相対値に相当する。具体的には、第2目盛り92は、図7に示すように、結合部材71の上面であって、左右方向における結合部材71の両端に設けられている。また、第2目盛り92における数値を示す指示線95が、内側挟持部材74の上面に設けられている。 The second scale 92 indicates the swing angle of the head support portion 50 with respect to the support column 11. The numerical value indicated by the second scale 92 corresponds to the second relative value. Specifically, as shown in FIG. 7, the second scale 92 is the upper surface of the connecting member 71, and is provided at both ends of the connecting member 71 in the left-right direction. Further, an indicator line 95 indicating a numerical value on the second scale 92 is provided on the upper surface of the inner holding member 74.

第3目盛り93は、頭部支持部位置調整部70から頭部に当接する頭部支持部50の当接部分までの距離を示す。第3目盛り93により示される数値は、第3相対値に相当する。具体的には、第3目盛り93は、図7に示すように、上部支柱固定板56の延びる方向に沿って上部支柱固定板56の上面に設けられている。また、第2目盛り92における数値を示す指示線95が、第3目盛り93における数値をも示しており、指示線95を見ることにより、第2目盛り92における数値と第3目盛り93における数値との両方を読取り可能である。
第2目盛り92と第3目盛り93とは、上述のように1つの指示線95により指示されることにより、支柱11に対する頭部支持部50の揺動角度と、頭部支持部位置調整部70から頭部に当接する頭部支持部50の当接部分までの距離との両方を同時に読取り可能である。また、これらの第1目盛り91の数値、第2目盛り92の数値、及び、第3目盛り93の数値は、図8に示される角度で嚥下姿勢保持具1を見た場合に、即ち、嚥下姿勢保持具1の斜め前方左側上方から見た場合に、又は、斜め前方右側上方から見た場合に、視線を殆ど移動せずに容易に視認可能であり読取り可能である。
The third scale 93 indicates the distance from the head support portion position adjusting portion 70 to the contact portion of the head support portion 50 that abuts on the head. The numerical value indicated by the third scale 93 corresponds to the third relative value. Specifically, as shown in FIG. 7, the third scale 93 is provided on the upper surface of the upper strut fixing plate 56 along the extending direction of the upper strut fixing plate 56. Further, the indicator line 95 indicating the numerical value on the second scale 92 also indicates the numerical value on the third scale 93, and by looking at the indicator line 95, the numerical value on the second scale 92 and the numerical value on the third scale 93 can be seen. Both are readable.
The second scale 92 and the third scale 93 are instructed by one indicator line 95 as described above, so that the swing angle of the head support portion 50 with respect to the support column 11 and the head support portion position adjusting portion 70 It is possible to simultaneously read both the distance from the head to the contact portion of the head support portion 50 that abuts on the head. Further, the numerical values of the first scale 91, the numerical values of the second scale 92, and the numerical values of the third scale 93 are obtained when the swallowing posture holder 1 is viewed at the angle shown in FIG. 8, that is, the swallowing posture. When viewed from diagonally forward left upper side or diagonally forward right upper side of the holder 1, it is easily visible and readable with almost no movement of the line of sight.

以上のような構成の嚥下姿勢保持具1において、ボルト75に対して操作用つまみ77を回転させることにより、ボルト75の頭部は六角形状凹部7301に係合していることから、ボルト75の頭部に対して操作用つまみ77が進退し、ボルト75の頭部と操作用つまみ77との間において、外側挟持部材73、内側挟持部材74、パッキン72、結合部材71、パッキン72、内側挟持部材74、外側挟持部材73、平ワッシャ76が締付けられたり、緩められたりするように構成されている。 In the swallowing posture holder 1 having the above configuration, the head of the bolt 75 is engaged with the hexagonal recess 7301 by rotating the operation knob 77 with respect to the bolt 75. The operation knob 77 advances and retreats with respect to the head, and between the head of the bolt 75 and the operation knob 77, the outer holding member 73, the inner holding member 74, the packing 72, the coupling member 71, the packing 72, and the inner holding member 77. The member 74, the outer holding member 73, and the flat washer 76 are configured to be tightened or loosened.

具体的には、ボルト75と操作用つまみ77とによって、これらの間に配置された外側挟持部材73、内側挟持部材74、パッキン72、結合部材71、パッキン72、内側挟持部材74、外側挟持部材73、平ワッシャ76が締付けられた状態、即ち、支柱11に対する結合部材71の相対的な位置関係と、支柱11に対する頭部支持部50の揺動角度と、頭部支持部位置調整部70から頭部に当接する頭部支持部50の当接部分までの距離と、がそれぞれ固定された状態から、操作用つまみ77を回転させてゆく。すると、先ず、パッキン72に当接している部分、即ち、パッキン72が間に挟まっている結合部材71と内側挟持部材74とが相対的に回動可能(1)となり、これにより支柱11に対して頭部支持部50が揺動可能となる。 Specifically, the outer holding member 73, the inner holding member 74, the packing 72, the connecting member 71, the packing 72, the inner holding member 74, and the outer holding member arranged between the bolt 75 and the operation knob 77. 73, in a state where the flat washer 76 is tightened, that is, from the relative positional relationship of the connecting member 71 with respect to the support column 11, the swing angle of the head support portion 50 with respect to the support column 11, and the head support portion position adjusting portion 70. The operation knob 77 is rotated from a state in which the distance to the contact portion of the head support portion 50 that comes into contact with the head and the contact portion are fixed. Then, first, the portion that is in contact with the packing 72, that is, the connecting member 71 in which the packing 72 is sandwiched and the inner holding member 74 becomes relatively rotatable (1), thereby making it relatively rotatable (1) with respect to the support column 11. The head support portion 50 can swing.

更に、操作用つまみ77を回転させて緩めてゆくと、次に、樹脂同士が当接し合う部分、即ち、外側挟持部材73及び内側挟持部材74と上部支柱固定板56とが、相対的に摺動可能(2)となり、これにより頭部支持部50が支柱11に対して前後方向に移動可能となり、頭部支持部位置調整部70から、使用者2(図9A、図9B参照)の頭部に当接する頭部支持部50の当接部分までの距離が可変となる。
更に、操作用つまみ77を回転させて緩めてゆくと、次に、支柱11に対して結合部材71が摺動可能(3)となり、これにより、上下方向における肩甲帯支持部30に対する頭部支持部50の高さが調整可能となる。
逆に、この状態から操作用つまみ77を回転させて締付けてゆくと、上記順番とは逆の順番でそれぞれ固定されてゆく。即ち、操作用つまみ77は、このように、頭部支持部50を支柱11に対して、上述の(1)〜(3)の回転可能(揺動可能)、移動可能、摺動可能の状態と、回転不能(揺動不能)、移動不能、摺動不能の状態と、を切替え可能、換言すれば、支柱11に対する頭部支持部50の可変状態と固定状態とを切替え可能である。
Further, when the operation knob 77 is rotated and loosened, the portion where the resins come into contact with each other, that is, the outer holding member 73, the inner holding member 74, and the upper strut fixing plate 56 are relatively slid. It becomes movable (2), whereby the head support portion 50 can move in the front-rear direction with respect to the support column 11, and the head of the user 2 (see FIGS. 9A and 9B) is moved from the head support portion position adjusting portion 70. The distance to the abutting portion of the head support portion 50 that abuts the portion is variable.
Further, when the operation knob 77 is rotated and loosened, the connecting member 71 becomes slidable (3) with respect to the support column 11, whereby the head with respect to the shoulder girdle support portion 30 in the vertical direction is formed. The height of the support portion 50 can be adjusted.
On the contrary, when the operation knob 77 is rotated and tightened from this state, they are fixed in the reverse order of the above order. That is, in this way, the operation knob 77 is in a state in which the head support portion 50 is rotatable (swingable), movable, and slidable with respect to the support column 11 in the above-mentioned (1) to (3). It is possible to switch between a non-rotatable (non-swingable), non-movable, and non-sliding state, in other words, a variable state and a fixed state of the head support portion 50 with respect to the support column 11.

嚥下姿勢保持具1は、以下のようにして使用される。先ず、図9Aに示すように、嚥下姿勢保持具1の使用者2がギャッジアップベッド3に横たわったときに使用者2の上半身に対向するギャッジアップベッド3の部分3Aを、補助者(図示せず)は、フルフラットの状態に対して30°から70°程度にギャッジアップする。ギャッジアップされたギャッジアップベッド3の部分3Aは、上体支持部に相当する。 The swallowing posture holder 1 is used as follows. First, as shown in FIG. 9A, when the user 2 of the swallowing posture holder 1 lies on the gudge-up bed 3, the part 3A of the gudge-up bed 3 facing the upper body of the user 2 is assisted (shown). The gadget is increased from 30 ° to 70 ° with respect to the full flat state. The part 3A of the gudge-up bed 3 that has been gudge-up corresponds to the upper body support portion.

次に、補助者は、ギャッジアップベッド3に横たわる使用者2と、ギャッジアップされたギャッジアップベッド3の部分3Aとの間に、嚥下姿勢保持具1を配置する。この際、肩甲帯支持部30の後板部32の中央部分が、ギャッジアップされたギャッジアップベッド3の部分3Aに載置された状態とされ、且つ、支持体10の支柱11が、使用者2の後方において、脊椎骨に沿って延びる位置関係となるようにする。また、肩甲帯支持部30の左端部パッド部34が左肩甲骨に対向し、肩甲帯支持部30の右端部パッド部35が右肩甲骨に対向するように、肩甲帯支持部30の位置を調整する。このことにより、肩甲帯支持部30は、使用者2の背後において使用者2の肩甲帯に当接して、肩甲帯を使用者2の前側から背中側へ向かう方向へ凸となるように湾曲させる。 Next, the assistant arranges the swallowing posture holder 1 between the user 2 lying on the gudge-up bed 3 and the portion 3A of the gudge-up bed 3. At this time, the central portion of the rear plate portion 32 of the shoulder girdle support portion 30 is placed on the portion 3A of the gudge-up bed 3 which has been gudged up, and the support column 11 of the support 10 is used. Behind person 2, the positional relationship extends along the vertebrae. Further, the shoulder girdle support portion 30 is provided so that the left end pad portion 34 of the shoulder girdle support portion 30 faces the left scapula and the right end pad portion 35 of the scapula support portion 30 faces the right scapula. Adjust the position. As a result, the shoulder girdle support portion 30 abuts on the shoulder girdle of the user 2 behind the user 2 so that the shoulder girdle is convex in the direction from the front side to the back side of the user 2. Curve to.

次に、補助者は、操作用つまみ77を十分に回転させて、頭部支持部50を支柱11に対して回転可能(揺動可能)(1)、且つ、頭部支持部50を支柱11に対して前後方向に移動可能(2)、且つ、結合部材71を支柱11に対して摺動可能(頭部支持部50の高さを肩甲帯支持部30に対して調整可能)(3)とする。そして、補助者は、一方の手で頭部支持部50を把持して、上述のように(1)〜(3)の回転可能(揺動可能)、移動可能、摺動可能となった頭部支持部50を、同時に回転(摺動)及び移動及び摺動させる。そして、使用者2の頭部が頭部支持部50に当接した状態で、嚥下に適した姿勢を形成する状態となったときに、補助者は、先ほど回転させた方向とは逆の方向へ操作用つまみ77を十分に回転させて、頭部支持部50を支柱11に対して回転不能に固定し、且つ、頭部支持部50を支柱11に対して前後方向に移動不能に固定し、且つ、結合部材71を支柱11に対して摺動不能(頭部支持部50の高さを肩甲帯支持部30に対して調整不能)に固定する。 Next, the assistant can sufficiently rotate the operation knob 77 to rotate the head support portion 50 with respect to the support column 11 (swingable) (1), and the head support portion 50 is connected to the support column 11. (2) The connecting member 71 can be slid with respect to the support column 11 (the height of the head support portion 50 can be adjusted with respect to the shoulder girdle support portion 30) (3). ). Then, the assistant grips the head support portion 50 with one hand, and as described above, the head becomes rotatable (swingable), movable, and slidable in (1) to (3). The portion support portion 50 is simultaneously rotated (sliding), moved and slid. Then, when the head of the user 2 is in contact with the head support portion 50 and a posture suitable for swallowing is formed, the assistant is in the direction opposite to the direction of the rotation. The operation knob 77 is sufficiently rotated to fix the head support portion 50 to the support column 11 so as not to rotate, and to fix the head support portion 50 to the support column 11 so as not to move in the front-rear direction. In addition, the connecting member 71 is fixed to the support column 11 so as not to be slidable (the height of the head support portion 50 cannot be adjusted with respect to the shoulder girdle support portion 30).

この状態で肩甲帯支持部30に対して使用者2の頭部が頭部支持部50により支えられている位置は、頭部所定位置に相当する。このように嚥下姿勢保持具1によって、使用者2において、肩甲帯が使用者2の前側から背中側へ向かう方向へ凸となるように湾曲させられ、且つ、頸部から肩甲帯にかけての使用者2の部位が、緩やかに湾曲した状態が維持されて、使用者2の食事が行われる。 In this state, the position where the head of the user 2 is supported by the head support portion 50 with respect to the shoulder girdle support portion 30 corresponds to a predetermined position of the head. In this way, the swallowing posture holder 1 bends the shoulder girdle so as to be convex from the front side to the back side of the user 2 in the user 2, and extends from the neck to the shoulder girdle. The part of the user 2 is maintained in a gently curved state, and the user 2 is eaten.

上述の構成による嚥下姿勢保持具1は、以下のような効果を発揮することができる。 The swallowing posture holder 1 having the above configuration can exert the following effects.

前述のように姿勢保持装置としての嚥下姿勢保持具1は、第1当接部としての頭部支持部50と、第2当接部としての肩甲帯支持部30と、連結部としての支持体10と、肩甲帯支持部30に対する頭部支持部50の相対的な位置を、使用者2が嚥下に適した姿勢となる位置に保持可能な位置調整部としての頭部支持部位置調整部70と、肩甲帯支持部30に対する頭部支持部50の相対的な位置関係を数値で示す相対位置表示部90と、を備えている。
頭部支持部位置調整部70は、支柱11に対する結合部材71の相対的な位置関係である第1相対値、支柱11に対する頭部支持部50の揺動角度である第2相対値、及び、頭部支持部位置調整部70から、使用者2の頭部に当接する頭部支持部50の当接部分までの距離である第3相対値を、可変とする可変状態と、第1相対値、第2相対値、及び、第3相対値を固定とする固定状態と、に切替え可能な1つの操作用つまみ77を有している。そして相対位置表示部90は、第1相対値、第2相対値、及び、第3相対値を、図8において図示される方向から視認可能に表示する。
As described above, the swallowing posture holder 1 as a posture holding device includes a head support portion 50 as a first contact portion, a shoulder girdle support portion 30 as a second contact portion, and a support as a connecting portion. Head support portion position adjustment as a position adjusting portion capable of holding the relative position of the head support portion 50 with respect to the body 10 and the shoulder girdle support portion 30 to a position suitable for swallowing by the user 2. A portion 70 and a relative position display portion 90 that numerically indicates the relative positional relationship of the head support portion 50 with respect to the shoulder girdle support portion 30 are provided.
The head support portion position adjusting portion 70 has a first relative value which is a relative positional relationship of the coupling member 71 with respect to the support column 11, a second relative value which is a swing angle of the head support portion 50 with respect to the support column 11, and a second relative value. A variable state in which the third relative value, which is the distance from the head support portion position adjusting portion 70 to the contact portion of the head support portion 50 in contact with the head of the user 2, is variable, and the first relative value. , A second relative value, and a fixed state in which the third relative value is fixed, and one operation knob 77 that can be switched to. Then, the relative position display unit 90 displays the first relative value, the second relative value, and the third relative value so as to be visible from the direction shown in FIG.

そして、姿勢保持装置としての嚥下姿勢保持具1は、少なくとも人の肩甲帯を背後から支持することにより人の上体を背後から支持する上体支持部としてのギャッジアップベッド3と、肩甲帯との間に配置されて用いられる嚥下姿勢保持具1であって、人の肩甲帯よりも下の部位を支持する部分を有しておらず、嚥下姿勢保持具1のみで人の肩甲帯及び頭部を支持できず、肩甲帯支持部30が上体支持部に載置され人の肩甲帯とギャッジアップベッド3とによって肩甲帯支持部30が挟まれることにより、肩甲帯支持部30は人の肩甲帯を支持し頭部支持部50は使用者の頭部を支持する嚥下姿勢保持具1により構成される。 The swallowing posture holder 1 as a posture holding device includes a gudge-up bed 3 as an upper body support portion that supports a person's upper body from behind by supporting at least the shoulder girdle of the person from behind, and a shoulder instep. A swallowing posture holder 1 that is placed between the band and used, and does not have a portion that supports a portion below the shoulder girdle of the person, and the swallowing posture holder 1 alone does not support the shoulder of the person. The shoulder girdle and the head cannot be supported, and the shoulder girdle support portion 30 is placed on the upper body support portion, and the shoulder girdle girdle support portion 30 is sandwiched between the person's shoulder girdle and the gudge-up bed 3. The instep support portion 30 is composed of a swallowing posture holder 1 that supports the shoulder girdle of a person and the head support portion 50 that supports the user's head.

嚥下姿勢保持具1は、左肩甲骨に対向配置可能な左端部としての左端部パッド部34及び前板部31の前面の左端部と、右肩甲骨に対向配置可能な右端部としての右端部パッド部35及び前板部31の前面の右端部と、左端部と右端部とを掛け渡す両端接続部としての前板部31の前面の当該中央部分及び中央パッド部33とを有する。また、嚥下姿勢保持具1は、支持体10の一端部側の部分に固定され、使用者2の背後において使用者2の肩甲帯に当接して、左右の肩甲骨を前額面に対して30°以上前方へ傾けて肩甲帯を使用者2の前側から背中側へ向かう方向へ凸となるように湾曲させる肩甲帯支持部30と、支持体10の他端部側の部分に固定され、使用者2の後頭部に対向して配置され、後頭部に当接して頭部を肩甲帯支持部30に対する頭部所定位置に維持するように支持する頭部支持部50と、を備える。 The swallowing posture holder 1 includes a left end pad portion 34 as a left end portion that can be arranged facing the left scapula, a left end portion on the front surface of the anterior plate portion 31, and a right end portion pad that can be arranged facing the right scapula. It has a right end portion on the front surface of the portion 35 and the front plate portion 31, and a central portion and a central pad portion 33 on the front surface of the front plate portion 31 as both end connecting portions for connecting the left end portion and the right end portion. Further, the swallowing posture holder 1 is fixed to a portion on the one end side of the support 10, abuts on the shoulder girdle of the user 2 behind the user 2, and the left and right shoulder blades are placed on the front face value. Fixed to the shoulder girdle support portion 30 that tilts forward by 30 ° or more and curves the shoulder girdle so as to be convex from the front side to the back side of the user 2, and the portion on the other end side of the support body 10. The head support portion 50 is provided so as to face the back head of the user 2 and abut on the back head to support the head so as to maintain the head at a predetermined position of the head with respect to the shoulder girdle support portion 30.

このため、使用者2の肩甲帯を使用者2の前側から背中へ向かう方向へ凸となるように適切に湾曲させた状態で、使用者2の頭部を肩甲帯支持部30に対する頭部所定位置に維持するように支持した状態となるように、頭部支持部50を、1つの操作用つまみ77を回転させることで、容易に支持体10及び肩甲帯支持部30に対して、上述の(1)〜(3)の3種類の方向における調整を同時にすることが可能である。Therefore, in a state where the shoulder girdle of the user 2 is appropriately curved so as to be convex from the front side of the user 2 toward the back, the head of the user 2 is placed on the shoulder girdle support portion 30. By rotating one operation knob 77, the head support portion 50 is easily supported with respect to the support body 10 and the shoulder girdle support portion 30 so as to be in a state of being supported so as to maintain the portion in a predetermined position. , It is possible to make adjustments in the three types of directions (1) to (3) described above at the same time.

更に、その調整の後に、使用者2が嚥下に適した姿勢となった状態で、相対位置表示部90の第1目盛り91、第2目盛り92、及び、第3目盛り93を読取ることにより、使用者2による嚥下姿勢保持具1の使用後に、再び使用者2が嚥下姿勢保持具1を使用する際に、補助者は、これらの3つの値を嚥下姿勢保持具1において再現することにより、容易に、使用者2を嚥下に適した姿勢とする、肩甲帯支持部30に対する頭部支持部50の位置とすることが可能である。
即ち、従来では、嚥下に適した姿勢とするために、ギャッジアップベッド3にクッション等を配置させて補助者が経験に基づいて適宜調整していたが、このように補助者の経験によらず、第1目盛り91、第2目盛り92、及び、第3目盛り93の3つの数値により、嚥下に適した姿勢を管理することが可能となる。従って、使用者2が入院している患者の場合には、看護師が交代した場合に交代した看護師が、また、使用者2が退院した患者の場合や介護を受けている高齢者の場合には、訪問看護の看護師や介護士が、容易に当該患者を嚥下に適した姿勢とすることが可能となる。
また、例えば、自ら嚥下に適した姿勢を維持することが困難な人がリハビリを行っていく過程において、どの程度回復したかを把握するための評価を、上述の3つの数値により行うことも可能である。
Further, after the adjustment, the user 2 is used by reading the first scale 91, the second scale 92, and the third scale 93 of the relative position display unit 90 in a state suitable for swallowing. After the user 2 has used the swallowing posture holder 1, when the user 2 uses the swallowing posture holder 1 again, the assistant can easily reproduce these three values in the swallowing posture holder 1. In addition, it is possible to position the head support portion 50 with respect to the shoulder girdle support portion 30 so that the user 2 is in a posture suitable for swallowing.
That is, conventionally, in order to make the posture suitable for swallowing, a cushion or the like is arranged on the gudge-up bed 3 and the assistant adjusts appropriately based on the experience. , The first scale 91, the second scale 92, and the third scale 93 make it possible to manage the posture suitable for swallowing. Therefore, in the case of a patient in which user 2 is hospitalized, the nurse who was replaced when the nurse was replaced, and in the case of a patient who was discharged from the hospital or an elderly person receiving care. In addition, home-visit nursing nurses and caregivers can easily put the patient in a posture suitable for swallowing.
Further, for example, it is possible to perform an evaluation for grasping how much the person has recovered in the process of rehabilitation by a person who has difficulty in maintaining a posture suitable for swallowing by the above three numerical values. Is.

本発明は、上述した実施形態に制限されることなく、請求の範囲に記載した範囲において、様々な形態で実施することができる。例えば、上述の実施形態では、姿勢保持装置について嚥下姿勢保持具1の例を挙げて説明したが、姿勢保持装置は、嚥下姿勢保持具1に限定されない。姿勢保持装置は、自ら所定の姿勢を維持することが困難な人の人体の、少なくとも一の部分と、一の部分以外の人体の他の部分とに当接して支持し、一の部分に対する他の部分の相対的な位置関係を維持することにより所定の姿勢を保持するものであればよい。 The present invention is not limited to the above-described embodiments, and can be implemented in various forms within the scope of the claims. For example, in the above-described embodiment, the posture holding device has been described with reference to the example of the swallowing posture holder 1, but the posture holding device is not limited to the swallowing posture holder 1. The posture-holding device abuts and supports at least one part of the human body of a person who has difficulty in maintaining a predetermined posture by itself and other parts of the human body other than one part, and supports the other part of the human body. It suffices as long as it maintains a predetermined posture by maintaining the relative positional relationship of the parts.

即ち、姿勢保持装置は、一の部分に当接する第1当接部と、他の部分に当接する第2当接部と、第1当接部と第2当接部とを連結する連結部と、連結部と第1当接部との間に介在し、第2当接部に対する第1当接部の相対的な位置を所定位置に保持可能な位置調整部と、第2当接部に対する第1当接部の相対的な位置関係を数値で示す相対位置表示部と、を備えていればよい。
そして、位置調整部は、連結部に対する位置調整部の相対的な位置関係である第1相対値、連結部に対する第1当接部の揺動角度である第2相対値、及び、位置調整部から一の部分に当接する第1当接部の当接部分までの距離である第3相対値を、可変とする可変状態と、第1相対値、第2相対値、及び、第3相対値を固定とする固定状態と、に切替え可能な1つの操作用つまみ77を有し、相対位置表示部90は、第1相対値、第2相対値、及び、第3相対値を所定の方向から視認可能に表示すればよい。従って、例えば、姿勢保持装置は、肺活量の測定を行う際に、被測定者の身体を所定の姿勢に保持する装置であってもよい。
That is, the posture holding device is a connecting portion that connects the first contact portion that contacts one portion, the second contact portion that contacts the other portion, and the first contact portion and the second contact portion. A position adjusting portion that is interposed between the connecting portion and the first contact portion and can hold the relative position of the first contact portion with respect to the second contact portion at a predetermined position, and a second contact portion. It suffices to include a relative position display unit that numerically indicates the relative positional relationship of the first contact portion with respect to the relative position.
The position adjusting unit has a first relative value which is a relative positional relationship of the position adjusting unit with respect to the connecting portion, a second relative value which is a swing angle of the first contact portion with respect to the connecting portion, and a position adjusting unit. A variable state in which the third relative value, which is the distance from the first contact portion to the contact portion of the first contact portion, is variable, the first relative value, the second relative value, and the third relative value. Has one operation knob 77 that can be switched between a fixed state and a fixed state, and the relative position display unit 90 sets the first relative value, the second relative value, and the third relative value from a predetermined direction. It may be displayed so that it can be visually recognized. Therefore, for example, the posture holding device may be a device that holds the body of the person to be measured in a predetermined posture when measuring the vital capacity.

また、本実施形態では、相対位置表示部90は、第1目盛り91と、第2目盛り92と、第3目盛り93と、を有していたが、この構成に限定されない。例えば、相対位置表示部90は、第1相対値、第2相対値、及び、第3相対値を表示する液晶表示部によって構成されてもよい。 Further, in the present embodiment, the relative position display unit 90 has a first scale 91, a second scale 92, and a third scale 93, but the configuration is not limited to this. For example, the relative position display unit 90 may be composed of a liquid crystal display unit that displays a first relative value, a second relative value, and a third relative value.

また、上述の実施形態では、ギャッジアップベッド3に横たわる使用者2の例で、使用方法を説明したが、これに限定されない。嚥下姿勢保持具1は、少なくとも使用者2の肩甲帯を背後から支持することにより使用者の上体を背後から支持する上体支持部と、肩甲帯との間に、配置されて用いられてもよい。例えば、ギャッジアップベッド3に代えて、椅子や車椅子を用いてもよい。この場合には、上体支持部としての椅子や車椅子の背もたれと、使用者の肩甲帯との間に肩甲帯支持部30を挟むようにして配置すればよい。 Further, in the above-described embodiment, the usage method has been described with the example of the user 2 lying on the gudge-up bed 3, but the present invention is not limited to this. The swallowing posture holder 1 is arranged and used between the shoulder girdle and the upper body support portion that supports the user's upper body from behind by supporting at least the shoulder girdle of the user 2 from behind. May be done. For example, a chair or a wheelchair may be used instead of the gudge-up bed 3. In this case, the shoulder girdle support portion 30 may be arranged so as to be sandwiched between the backrest of the chair or wheelchair as the upper body support portion and the shoulder girdle of the user.

また、支持体は、使用者の背中の部分であって左肩甲骨と右肩甲骨との間の部分に対向する位置から、少なくとも後頭部に対向する位置に至るまで、脊椎骨に沿って延びていればよい。 Further, if the support extends along the vertebrae from a position facing the part between the left scapula and the right scapula, which is the part of the user's back, to at least a position facing the back of the head. good.

また、肩甲帯支持部、支持体、頭部支持部、頭部支持部位置調整部の構成は、上述した実施形態の構成に限定されない。 Further, the configuration of the shoulder girdle support portion, the support body, the head support portion, and the head support portion position adjusting portion is not limited to the configuration of the above-described embodiment.

1・・・嚥下姿勢保持具(姿勢保持装置) 2・・・使用者 3A・・・上体支持部 10・・・支持体(連結部) 11・・・支柱 30・・・肩甲帯支持部(第2当接部) 31・・・前板部 33・・・中央パッド部 34・・・左端部パッド部 35・・・右端部パッド部 50・・・頭部支持部(第1当接部) 56・・・上部支柱固定 70・・・頭部支持部位置調整部(位置調整部) 77・・・操作用つまみ 90・・・相対位置表示部 91・・・第1目盛り 92・・・第2目盛り 93・・・第3目盛り 95・・・指示線 1 ... Swallowing posture holder (posture holding device) 2 ... User 3A ... Upper body support 10 ... Support (connecting part) 11 ... Support 30 ... Shoulder girdle support Part (second contact part) 31 ... front plate part 33 ... center pad part 34 ... left end pad part 35 ... right end pad part 50 ... head support part (first hit) Contact part) 56 ・ ・ ・ Fixing the upper support 70 ・ ・ ・ Head support part Position adjustment part (Position adjustment part) 77 ・ ・ ・ Operation knob 90 ・ ・ ・ Relative position display part 91 ・ ・ ・ 1st scale 92 ・・ ・ 2nd scale 93 ・ ・ ・ 3rd scale 95 ・ ・ ・ Instruction line

Claims (3)

自ら所定の姿勢を維持することが困難な人の人体の、少なくとも一の部分と、前記一の部分以外の前記人体の他の部分とに当接して支持し、前記一の部分に対する前記他の部分の相対的な位置関係を維持することにより前記所定の姿勢を保持する、姿勢保持装置であって、
前記一の部分に当接する第1当接部と、
前記他の部分に当接する第2当接部と、
前記第1当接部と前記第2当接部とを連結する連結部と、
前記連結部と前記第1当接部との間に介在し、前記第2当接部に対する前記第1当接部の相対的な位置を所定位置に保持可能な位置調整部と、
前記第2当接部に対する前記第1当接部の相対的な位置関係を数値で示す相対位置表示部と、を備え、
前記位置調整部は、前記連結部に対する前記位置調整部の相対的な位置関係である第1相対値、前記連結部に対する前記第1当接部の揺動角度である第2相対値、及び、前記位置調整部から前記一の部分に当接する前記第1当接部の当接部分までの距離である第3相対値を、可変とする可変状態と、前記第1相対値、前記第2相対値、及び、前記第3相対値を固定とする固定状態と、に切替え可能な1つの操作用つまみを有し、
前記相対位置表示部は、
前記連結部に対する前記位置調整部の相対的な位置関係を示す第1目盛りと、
前記連結部に対する前記第1当接部の揺動角度を示す第2目盛りと、
前記位置調整部から前記一の部分に当接する前記第1当接部の当接部分までの距離を示す第3目盛りと、を有し、
前記第2目盛りと前記第3目盛りとは、1つの指示線により指示されることにより、前記連結部に対する前記第1当接部の揺動角度と、前記位置調整部から前記一の部分に当接する前記第1当接部の当接部分までの距離との両方を読取り可能であり、
前記相対位置表示部は、前記第1相対値、前記第2相対値、及び、前記第3相対値を所定の方向から視認可能に表示する姿勢保持装置。
The other part of the human body of a person who has difficulty in maintaining a predetermined posture by abutting and supporting at least one part of the human body and another part of the human body other than the one part, and the other part with respect to the one part. A posture-holding device that holds the predetermined posture by maintaining the relative positional relationship of the parts.
The first contact portion that contacts the one portion and
A second contact portion that abuts on the other portion and
A connecting portion that connects the first contact portion and the second contact portion,
A position adjusting portion that is interposed between the connecting portion and the first contact portion and can hold the relative position of the first contact portion with respect to the second contact portion at a predetermined position.
A relative position display unit that numerically indicates the relative positional relationship of the first contact portion with respect to the second contact portion is provided.
The position adjusting portion has a first relative value which is a relative positional relationship of the position adjusting portion with respect to the connecting portion, a second relative value which is a swing angle of the first contact portion with respect to the connecting portion, and A variable state in which the third relative value, which is the distance from the position adjusting portion to the contact portion of the first contact portion that abuts the one portion, is variable, the first relative value, and the second relative value. It has one operation knob that can be switched between a value and a fixed state in which the third relative value is fixed.
The relative position display unit is
The first scale showing the relative positional relationship of the position adjusting portion with respect to the connecting portion, and
A second scale indicating the swing angle of the first contact portion with respect to the connecting portion, and
It has a third scale indicating the distance from the position adjusting portion to the abutting portion of the first abutting portion that abuts on the one portion.
The second scale and the third scale correspond to the swing angle of the first contact portion with respect to the connecting portion and the one portion from the position adjusting portion by being instructed by one instruction line. It is possible to read both the distance to the contact portion of the first contact portion that is in contact with the first contact portion.
The relative position display unit is a posture holding device that visually displays the first relative value, the second relative value, and the third relative value from a predetermined direction.
前記姿勢保持装置は、少なくとも人の肩甲帯を背後から支持することにより人の上体を背後から支持する上体支持部と、肩甲帯との間に配置されて用いられる嚥下姿勢保持具により構成され、
前記連結部は、人の背中の部分であって左肩甲骨と右肩甲骨との間の部分に対向する位置から少なくとも後頭部に対向する位置に至るまで、脊椎骨に沿って延びる支持体により構成され、
前記第2当接部は、左肩甲骨に対向配置可能な左端部と、右肩甲骨に対向配置可能な右端部と、前記左端部と前記右端部とを掛け渡す両端接続部とを有する肩甲帯支持部であって、前記支持体の一端部側の部分に固定され、人の背後において人の肩甲帯に当接して、左右の肩甲骨を前額面に対して30°以上前方へ傾けて肩甲帯を人の前側から背中側へ向かう方向へ凸となるように湾曲させる肩甲帯支持部により構成され、
前記第1当接部は、前記支持体の他端部側の部分に固定され、人の後頭部に対向して配置され、後頭部に当接して頭部を前記肩甲帯支持部に対する頭部所定位置に維持するように支持する頭部支持部により構成され、
前記嚥下姿勢保持具は、人の肩甲帯よりも下の部位を支持する部分を有しておらず、前記嚥下姿勢保持具のみで人の肩甲帯及び頭部を支持できず、前記肩甲帯支持部が前記上体支持部に載置され人の肩甲帯と前記上体支持部とによって前記肩甲帯支持部が挟まれることにより、前記肩甲帯支持部は人の肩甲帯を支持し前記頭部支持部は使用者の頭部を支持する請求項1に記載の姿勢保持装置。
The posture holding device is a swallowing posture holder used by being arranged between a shoulder band and an upper body support portion that supports a person's upper body from behind by supporting at least the shoulder band of the person from behind. Consists of
The connecting portion is composed of a support extending along the vertebrae from a position facing the part between the left scapula and the right scapula, which is a part of the human back, to a position facing at least the occipital region.
The second abutment portion is a scapula having a left end portion that can be arranged facing the left scapula, a right end portion that can be arranged facing the right scapula, and both end connecting portions that bridge the left end portion and the right end portion. It is a band support part, which is fixed to a part on one end side of the support, abuts on the shoulder band of the person behind the person, and tilts the left and right shoulder blades forward by 30 ° or more with respect to the front face value. It is composed of a scapula support part that bends the scapula so that it is convex from the front side to the back side of the person.
The first contact portion is fixed to a portion on the other end side of the support, is arranged so as to face the back of the head of a person, and is in contact with the back of the head so that the head is designated as the head with respect to the shoulder girdle support portion. Consists of a head support that supports it in place
The swallowing posture holder does not have a portion that supports a portion below the shoulder girdle of the person, and the swallowing posture holder alone cannot support the shoulder girdle and the head of the person, and the shoulder. The instep support portion is placed on the upper body support portion, and the shoulder girdle support portion is sandwiched between the shoulder girdle of the person and the upper body support portion, so that the shoulder girdle support portion is the shoulder instep of the person. The posture holding device according to claim 1, wherein the band is supported and the head support portion supports the user's head.
前記位置調整部は、前記支持体に対する前記頭部支持部の固定位置を、前記支持体の延びる方向と、前記支持体から離間する方向と、前記支持体に対して前記頭部支持部が揺動する方向と、においてそれぞれ調整可能な頭部支持部位置調整部により構成される請求項に記載の姿勢保持装置。
In the position adjusting portion, the fixed position of the head support portion with respect to the support is set in a direction in which the support extends, a direction in which the head support is separated from the support, and the head support portion swings with respect to the support. The posture holding device according to claim 2 , further comprising a head support portion position adjusting portion that can be adjusted in each of the moving directions.
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