JPS6168043A - Rotary erecting stand - Google Patents

Abstract

(57) [Summary] This bulletin contains application data before electronic filing, so abstract data is not recorded.

Description

Detailed Description of the Invention A1. Purpose of the Invention [Field of Industrial Application] The present invention aims to prevent the progression of muscle atrophy and improve walking ability for patients with muscle atrophy such as type D PMD (Dauchampne progressive muscular dystrophy). This invention relates to a rotary standing stand for training trunk muscles by inducing a short standing reaction and a balance reaction in order to extend the standing period.

[Conventional technology]

Although type D PMD is progressive, the disorder has a strong element of disuse atrophy as well as muscle atrophy itself, and contracture accelerates the progression of the functional image, so it is important to prevent muscle contracture. Maintaining muscle strength 11,111$ 'Jii- If you do this, you can considerably slow down the progression of the disorder as a whole and measure the length of your walking period.

To prevent upper SC muscle contracture and train to maintain muscle strength, trunk muscle training is generally performed by tilting the trunk of the person to induce standing response and balance response. Conventionally, as a means of tilting the patient's trunk, the patient stands on top of a training device called a balance board, which has a convex lens-shaped or semi-cylindrical bottom, and the therapist tilts the balance board to assess the patient's righting and balance reactions. There are things that provoke it.

[The problem that the invention attempts to solve]

According to this method, the balance board is unstable, and the tilt is manually made by the therapist, so it is impossible to generate tilt stimulation quantitatively, continuously, and reproducibly. There was a problem that only one patient could be treated at the same time for each therapy session, and the therapist was extremely physically fatigued.

In view of the above-mentioned problems, the present invention is capable of generating a required level of gradient stimulation in a consistent, continuous, and reproducible manner according to the patient's degree of disability and the progress of treatment training, and can quickly respond to the condition of a small number of patients. Is there a way to make it possible to carry out intensive therapeutic training, while also causing fatigue to the therapist? The purpose of the present invention is to provide a rotary standing table which enables treatment training for several patients.

1. Structure of the Invention [Means for Solving the Problems] In order to achieve the above object, the rotary stand according to the present invention supports a tilting frame 2 on a fixed base l so as to be tiltable via a tilting frame 6. , a transmission mechanism 14t is connected to the inclined frame 2 from the rotary drive machine 12.
l- supports a rotary disk 15 rotated through the rotary disk 1;
The inclination angle of 5 can be controlled to any required angle, and the rotation of 1 can be controlled in any direction, forward or reverse, and at any required rotation speed.

〔Example〕

The present invention will be described in detail below with reference to an embodiment shown in the accompanying drawings.2 As shown in FIGS. The bottom of one side is a pair of °
A tilting mechanism 6 consisting of a hydraulic cylinder 4 and a link device
It is connected to and supported in a tiltable manner.

The hydraulic cylinder 4 is tiltably supported on the fixed base 1 by means of a trunnion pin 4a, and each base end of the five-link structure is connected to the piston rod 4b of the hydraulic cylinder 4, and each tip is connected to the inclined frame 2.
Pivot 'f & pointed link 5a on the top and fixed base l respectively.
, 5b.

Also mounted on the fixed base 1 is a hydraulic generator 9 consisting of a tm hydraulic pump 7 and an oil tank 8 for operating the hydraulic cylinder 4.
A hydraulic unit 11 composed of a hydraulic control device &10 consisting of an s% magnetic valve and the like is provided.

A reducer motor (rotary drive 1ll-machine) 12 is mounted on the inclined frame 2, and its output shaft is connected to a worm reducer (transmission mechanism) 14 via a coupling 13, and is oriented in the vertical direction. A disk-shaped rotary disk 15 is horizontally attached to the output shaft 14a. The lower surface of rotation #15 is supported by four rollers 16 provided on the opposite side of the inclined frame 2.

A corner-shaped supporting leg 17 is located near the center of the upper surface of the rotary plate 15.
is erected, and an upright holding plate 18 is attached to the supporting leg 17 to maintain the patient's standing position. The upright holding plate 18 is installed so that its height can be adjusted by inserting the supporting column 18a into the support Fl1117 of the rotary plate 15, moving it up and down according to the height of the patient, and tightening the knob 17ai. The upright holding plate 18 is provided with a waist band 18b and a band 18c, and the patient's waist and knees are secured with the waist band 18b and band 18C to maintain the patient's standing position as shown in the figure. For a patient who is unable to stand due to a degree of disability, the chair 19 can be replaced with the above-mentioned standing support plate 18, and the seat can be attached in the same manner as the chair 1.

In addition, eight support grooves 20 are formed in the circumferential direction along the outer periphery of the upper surface of the rotary disk 15 at 45° intervals.
Handrails 21 are erected as appropriate. For example, when the upright holding plate 18 is attached to the support leg 17 of the rotary disk 15, the handrail 921 is placed in the position shown by the solid line in FIG. I can see it.

The hand paper 21 is provided with a lead-1h22 which is oriented vertically to the awl regardless of the inclination in either direction of the rotation 615. This lead 1fNk22i As shown in detail in FIG.
A cross-supported JFi level 23 is placed at the tip of a, a vertical rod 22 is passed through the axis of the central free portion 23b, and a spindle 22a is placed at the lower end of the vertical rod 22. . Therefore, even if the rotary disk 15 is tilted in any direction around the entire circumference, the lead @l 1122 supported by the free 123b of the leveler 23 is always oriented in the vertical direction.

The rotating stand configured as described above is operated by the operation box 24, which includes a power switch button 24a1, an inclination angle increase button 24b1, a decrease angle button 2401, and a rotation number counter 24d1.
Reset button 24e1 Right rotation button 24f1 Left rotation button 24g
1 rotation speed adjustment button 24h.

An emergency stop button 247 is arranged, the tilt angle of the rotary plate 15 is up to 20 degrees from the horizontal, and the rotation speed Fi is up to 2 rpm.
can be controlled continuously up to

FIG. 4 is a block diagram showing the configuration of the embodiment, in which a tacho generator 2 connected to a reduction gear motor 12 is shown.
The output of 5 is a logic circuit and a constant speed control circuit 2 including a serze amplification circuit.
6, so that the rotation of the rotary disk 15 maintains the rotation speed set by the rotation speed adjustment button 24h regardless of changes in the load on the rotary disk 15. Also rotary disk 1
5 is provided with a 10-frequency electromagnetic switch 27, and the 1-turn plate 1
Five! The number of revolutions with /10 revolution as 1 is displayed on the number of revolutions counter 24d, and even if the rotation is interrupted midway, the cumulative number of #'i revolutions is counted until the reset button 24e is pressed.

[Effect]

Next, the operation of the above embodiment will be explained.

First, a patient undergoing treatment training is made to stand on a horizontal rotary plate 15, and the waist band 18b and knee band 1 of the standing holding plate 18 are adjusted up and down according to the patient's height and fixed to the supporting legs 17.
8c is wrapped around the patient's waist and knees to maintain the patient's standing posture on the rotary disk 15. After this, the power switch button 24af of the operation section 24.

When the power is turned on and the tilt angle increase button 24b is pressed, the hydraulic pressure generated by the hydraulic unit IIK extends the piston rod 4bf of the hydraulic cylinder 4, and the piston rod 4b moves across the link mechanism 5 as shown by the imaginary line in FIG. Then, one side of the tilting frame 2 is turned upward again, and the tilting frame 2 is tilted using the hinge 3 as a fulcrum, and the rotary plate 15 is also tilted at the same time. The inclination of the rotary disk 15 continues while the inclination angle increase button 24b is pressed, so when the rotary disk 15 reaches the required inclination angle, the press is stopped and the rotary disk 15 is set to the required inclination angle.

Next, turn the rotation speed adjustment button 24h fully to set it to the desired rotation speed scale, then decide the rotation direction of the rotary disk 15, and press the right rotation button 24f or the left rotation button 24g'i to adjust the rotation disk 15 to the required inclination angle. It can rotate in the rotation direction determined by the required rotation speed. The rotation of the rotary disk 15 is controlled by the reducer motor 12 depending on the weight of the patient and the angle of inclination of the rotary disk 15.
Even if there are fluctuations in the load, the constant speed control circuit 26, which is capable of controlling the characteristics of the worm reducer 14 which has one-way drivability and the negative control built into the control system, maintains a constant speed set by the rotation speed adjustment button 24h. The rotational speed is given.

As the rotary disk 15 rotates at an angle, the patient tries to stand up his or her upper body, and autonomously controls the head in all directions forward, backward, left and right, and rotates within the body axis. Such training of righting movements improves the patient's righting reaction and balance reaction, and improves the strength of the trunk muscles. When the rotary disk 15 rotates at an angle, the vertical rod 22 always points in the vertical direction, so @I
A sluggish person can target the righting movement by gazing at the vertical bar 22.

Depending on the patient's degree of disability or the progress of treatment training, the inclination angle and rotation speed of the rotary plate 15 can be set appropriately using the operation buttons 24 bb 24 c-24 f 124 gs 24 h, and the rotation number counter 24 d can be set using the reset button 2.
Until you press 4e, the cumulative number of rotations during training will be displayed as an integrated value.
This can be considered an item of training shakuya. When a patient complains of an abnormality such as dizziness during training, the rotation of the rotary disk 15 is immediately stopped by pressing the emergency stop button 24i.

C1 Effects of the Invention As described above, the rotating stand according to the present invention is mechanically tilted by a tilting frame that is rotated mechanically.
The inclination angle, rotation speed, and direction of the rotary disk can be controlled to any required value, so the FFI level of inclination stimulation can be adjusted according to the patient's degree of disability and treatment. It can be set quantitatively by the values of the tilt angle, rotation speed, and rotation direction of the rotary disk, and by setting these values, it is possible to continue a certain tilt stimulation for the necessary time, and to repeat the training after a rest period. It is possible to reproduce the same tilted stimulation as the previous level in the fist fight performed.6
And even if there is an interruption during 1ilil h, the total number of revolutions will be displayed until you press the reset button, so this will be the same as the values for the angle of inclination of the metal rotary disk, the rotation speed, and the direction of rotation. , can be an item on the skill scale.

The training level can be easily changed according to changes in the patient's @ state by operating the tilt angle increase and decrease buttons, right and left rotation buttons, and rotation speed adjustment button on the operation box.

In addition, since the supporting legs installed on the rotary table can be converted into an upright holding plate and a chair can be attached to the seat, it is possible to use a chair for patients who are severely disabled and are unable to stand up even with the upright holding plate.
It is possible to apply gauze.

In addition, the patient's standing position (11) or sitting position is attached to a handrail that can be detachably installed on the rotary disk, and the position is changed as appropriate during the exercise to protect the patient and eliminate the patient's fear. During training, the polisher can obtain a vertical target by gazing at the vertical rod that rotates as a unit with the W1111D, regardless of surrounding fixed objects that rotate relative to each other, so the trainee can stand properly without getting dizzy. It is possible to do straight movements.

During the above training, the therapist only operates the machine, so it takes a long time! Even in It m, fatigue is low, and e11 training for several patients can be performed efficiently at the same time.

[Brief explanation of drawings]

figure? i+#-i An embodiment of the present invention is shown in FIG.
1 is a top view, FIG. 2 is a plan view with the rotary disk removed, FIG. 3 is a partially cut-away oblique view of the lead field rod, and FIG. 4 is a block diagram of the structure. DESCRIPTION OF SYMBOLS 1... Fixed base, 2... Inclined frame, 4... Hydraulic cylinder, 5... Link mechanism, 12... Reduction box motor (
Rotary drive machine), 14...worm speed machine (transmission mechanism)
, 15... Turntable, 17... Support leg, 18... Raise'
D holding plate, 19... chair, 20... support hole, 21.
...Handrail, 22...Lead rod, 24...Operation box, 2
4d...Revolution counter.

Claims (7)

[Claims] (1) A tilting frame is supported on a fixed base so as to be tiltable via a tilting mechanism, a rotary plate rotated by a rotary drive machine via a transmission mechanism is supported on the tilted frame, and the tilt angle of the rotary plate is What is claimed is: 1. A rotary standing stand, characterized in that it can be controlled to any required angle, and its rotation can be controlled in any forward or reverse direction and at any required rotational speed. (2) The tilting mechanism is comprised of a hydraulic cylinder that pushes the other side of the tilting frame, whose one side is pivotally connected to the fixed base, in the upward direction via a link mechanism. The rotary stand as described in scope 1. (3) The rotary standing stand according to claim 1 or 2, wherein the rotary drive machine and transmission mechanism include a reducer motor and a worm reducer. (4) The rotary disk has a support leg erected near the center of the upper surface, and a stand-up support plate for holding the patient in a standing position or a chair for a sitting position can be attached and replaced on the support leg so that the height can be adjusted freely. A rotary standing stand according to any one of claims 1 to 3. (5) The rotary disk has a plurality of support holes formed along the outer periphery of the upper surface, and a handrail can be installed in the support holes in a detachable manner. The rotating stand according to any of the above. (6) Any one of claims 1 to 5, characterized in that a vertical rod is provided that rotates together with the rotary disk and always points in the vertical direction regardless of the inclination of the rotary disk. Rotating stand as described in . (7) The rotation speed of the rotary disk is integrated and displayed by a rotation speed counter until it is reset. The stand.