WO2006002324A2 - Orthopedic restraint and method for shoulder remediation - Google Patents
Orthopedic restraint and method for shoulder remediation Download PDFInfo
- Publication number
- WO2006002324A2 WO2006002324A2 PCT/US2005/022303 US2005022303W WO2006002324A2 WO 2006002324 A2 WO2006002324 A2 WO 2006002324A2 US 2005022303 W US2005022303 W US 2005022303W WO 2006002324 A2 WO2006002324 A2 WO 2006002324A2
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- user
- strap
- sleeve
- sleeve member
- thigh
- Prior art date
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/37—Restraining devices for the body or for body parts, e.g. slings; Restraining shirts
- A61F5/3715—Restraining devices for the body or for body parts, e.g. slings; Restraining shirts for attaching the limbs to other parts of the body
Definitions
- This invention relates to medical treatment or rehabilitation devices, generally, and, more specifically, to orthopedic treatment devices for maintaining traction and preventing impingement in a patient's shoulder. While the present invention may have application to different medical conditions, it is particularly adapted to treatment of what is commonly known as rotator cuff tendonitis or impingement syndrome.
- shoulder pain is currently the third most common cause of musculoskeletal disorder following low back pain and cervical pain.
- Some estimates of the cumulative incidence of shoulder disorders in the general western population have varied from 7% to 25%. The annual incidence has been estimated at 10 cases per 1,000 population, peaking at 25 cases per 1,000 population in the age category of 42 to 46 years of age. In the segment of the population of age 70 years or older, 21% of persons in this category have been found to have shoulder symptoms, most of which have been attributed to rotator cuff disorder or rotator cuff tendonitis.
- rotator cuff tendonitis is "impingement syndrome”.
- a person's shoulder in normal sleep or otherwise, when in a supine, or prone, position, loses the built-in traction protection provided by gravity.
- the ability to immobilize a shoulder joint is known.
- United States Patent No. 5,423,333, to Jenson et al provides an example of an apparatus for immobilizing a human shoulder and for supporting the wrist of the arm associated with that shoulder; United States Patent No.
- 5,569,172, to Padden et al provides a device for supporting and immobilizing a patient's arm and shoulder by padding and strapping the same to the user's torso.
- Other examples of prior art may be found wherein pressure is exerted on the shoulder itself, to hold it in place, or to inhibit movement of a person's arm proximal the affected shoulder.
- United States Patent No. 4,610,244, to Hammond provides a brace which limits motion of the shoulder. The device of the Hammond patent, however, appears to potentially cause an upward force upon the arm, as the fixation point on the user's forearm is matched to a torso strap affixed around the waist.
- While the '244 patent discloses a device which can prevent abduction of the wrist and arm, it is not directed to preventing impingement in the shoulder, when the patient is lying down or sleeping. It does not disclose the ability to prevent natural impingement in a lying or sleeping position, nor does it disclose the ability to provide a gravity replacing, tractional "pull" to prevent impingement. Further, none of the prior art appears adapted to a device which would be comfortable to the user, to hold the entire arm in a position substantially similar to a suspended at rest arm position, as provided by gravity when the user is upright, to prevent abduction, and impingement, while being worn at night, while sleeping, or otherwise in a supine, or prone position.
- the prior art fails to provide a device to be worn at night, or at other times when the body is lying down, or otherwise in a prone, or supine, position, which device may be comfortably attached to a patient's upper and lower proximal extremities in a manner to hold the arm in a position similar to that of the arm when at rest and suspended as a result of gravity, and which device would provide a dual function of preventing undue abduction of the patient's proximal arm and, at the same time, when movement of the proximal arm is attempted, providing a reactive tractional force away from the shoulder joint, in a situation where gravity is not available to provide natural traction, further limiting or preventing impingement upon the supraspinatus tendon.
- the present invention addresses this long-felt need, among others, as further hereinafter described. As noted, existing, singular medical devices and techniques fail to satisfy these requirements.
- the present invention has been designed to overcome the shortcomings in the prior art noted above.
- the invention is directed to provision of a remedial orthopedic device, generally, for any condition in which the prevention of abduction of the proximal arm and/or prevention of impingement of the shoulder joint is deemed beneficial, and, more specifically, for said prevention of abduction, and impingement in treating rotator cuff tendonitis /impingement syndrome.
- the invention provides an orthopedic remedial medical device which may be comfortably worn by a patient at all times when the patient is sleeping, or otherwise in a supine, or prone, position.
- the invention limits abduction of the proximal arm to the shoulder being treated and, further, provides, through the elastic strap, an inherent tractional force.
- the invention is a remedial device, which may be incorporated within a method, which provides for a device which may be easily removed by conscious effort of the patient, utilizing the non-proximal hand, if movement of the arm should become necessary for other purposes.
- the invention in its base form, consists of a first removable sleeve about the proximal wrist of the patient, a second removable sleeve about the proximal thigh of the patient, and a resilient, elastic strap, of limited length, joining the two sleeves.
- the user's wrist and, accordingly, proximal arm, along its length are held closely, in an non-abducted position, to the body, with the arm fully extended, in a manner approximating the natural traction provided by gravity when the arm is in its natural suspended position while the person is upright.
- the wrist is, optimally, held in static position no more than several inches from the user's thigh, with the elastic strap under some degree of expansion/tension, thus providing a constant tractional force. If further movement is attempted, the further elasticity of the strap provides an additional contravening force pulling the wrist, and, consequently, the arm, toward its original position and increasing the tractional pull.
- each sleeve may be permanently tubular in construction, with the patient's hand and wrist insertable through one end of one sleeve, and the foot, calf and thigh insertable through one end of the other, or, in practice, each sleeve, optimally, may be constructed of one rectangular piece of fabric or other like material.
- the rectangular material at its greatest length, is then wrapped around the respective extremity (the wrist or thigh) and held in place by fasteners, which may be by buttons, ties, Velcro ® type hook and loop fasteners, or other like devices.
- the position of the device may be adjusted, and tension on the strap correspondingly adjusted, by relative positioning of one sleeve element on the patient's wrist or forearm, and the relative concurrent positioning of the other sleeve element at different positions on the patient's thigh. Further adjustment may be provided by having the elastic, resilient strap being adjustable, by buckle, buttons, ties, Velcro type hook and loop fasteners or other like devices.
- FIGURE 1 is a perspective view of a portion of a patient's torso, and proximal arm and thigh showing the preferred embodiment of the invention in place.
- FIGURE 2 is a top view of the preferred embodiment of the invention, showing the sheet sleeve elements in open and in closed position.
- FIGURE 3 is a perspective view of the invention with the sleeve elements in formed and fastened position, and showing an adjustable strap element.
- the invention Orthopedic Restraint and Method for Shoulder Remediation
- the invention is an orthopedic appliance which limits abduction of the arm proximate the shoulder being treated and prevents impingement of a patient's (user) supraspinatus tendon between the head of the humerus and the coracoacromial arch in the treated shoulder.
- the device 10 is comprised of a retractably expandable strap 20, a first sleeve member 30, and a second sleeve member 40.
- Strap 20 is made of elastic or other resilient construction, so that it is biased to return to its retracted state and, in its retracted state, it has a defined length 21.
- Strap 20 has a first has a first end 22 and a second end 23.
- End 22 is connected to sleeve 30 by a connector 31 and to sleeve 40 by a connector 41.
- These connectors 22 and 23 may be sown thread, as shown in Figures 1, 2, and 3, or, alternatively, an adhesive bonding agent, buttons, rivets, buckles or like devices.
- the sleeve members 3 and 4 are each constructed of pliable sheet material, which may be of rectangular shape as shown in Figure 2 for both sleeves. However any shape which may be wrapped about the respective extremity will suffice.
- Each sleeve 3 and 4 has an open, or unwrapped, position as shown in Figure 2, and a closed, wrapped, position as demonstrated in Figures 1 and 3.
- the first sleeve 30 is wrapped around the wrist portion of the user's arm 50, which is connected to the shoulder being treated.
- the second sleeve 40 is wrapped around the user's thigh proximate (closest) to the arm 50. This alignment of the device as properly attached to the user's arm 50 and thigh 60 is demonstrated in Figure 1.
- strap 20 when retracted as shown in Figure 2, is of a length 21 no greater than the distance between the user's wrist 50 and adjacent thigh 60, proximate the shoulder being treated, when the user is in a standing position and the arm 50 is suspended by gravity in its natural position.
- the length 21 will usually be between 0.0 and 8.0 inches.
- the device 10 is preferably attached so that sleeve 30 is positioned on the user's wrist 50 within a range A between the hand 51 and elbow 52, and sleeve 40 is positioned on the user's thigh 60 within a range B between the user's hip 61 and knee 62, so that the strap 20 is taut as shown in Figure 1 and under some degree of tension from the retractable expansion properties of the elastic or other like material, or strap 20 construction.
- Each of sleeve 30 and sleeve 40 is held in its wrapped position by one or more fasteners 70, 72, 73, 74, as shown in Figures 1-3.
- Fasteners 70, 71, 72 and 73 are Velcro ® type hook and loop fasteners, with fasteners 70, 71, 72 and 73 containing the "hook" material 70a, 71a, 72a, 73a and the outer surface 30a of sleeve 30 and outer surface 40a of sleeve 40 being constructed of corresponding "loop" material.
- the sleeves 30 and 40 may be held in closed, wrapped position by other fasteners, including, but not limited to, buttons, buckles, external straps, or separate "hook and loop" corresponding patches connected at different intervals on the exterior surfaces of 30a and 40a of the sleeve members 30 and 40.
- the sleeve members 30 and 40 may be of unitary, tubular construction and attached by inserting the hand 51 and arm 50 of the user through the opening 31 of sleeve 30 and by inserting the full leg and thigh 60 of user through opening 41 of sleeve 40.
- Sleeve 30 and sleeve 40 are constructed of fabric or like material. Such fabric is optimally of padded cotton composition to allow snug attachment while remaining comfortable to the user without limiting the invention.
- the device may also be used with different material with expandable properties or with expandable fasteners in place of fasteners 70, 71, 72 and 73.
- a buckle 80 or other adjuster, may be used to adjust the length 21 of strap 20, if desired.
- use of the above device 10, as described above provides a novel method for treating disorders of the shoulder where it is desirable to limit abduction of the proximate arm 50, generally, and, in particular, where a significant inhibition of such abduction, to 10 degrees or less, is desirable.
- the device 10 as described in detail above, is provided.
- the device 10 is placed as shown in Figure 2, with sleeves 30 and 40 in their open, unwrapped, position.
- Sleeve 30 is wrapped around the wrist portion of the user's arm 30 and proximate the treated shoulder and sleeve 40 is wrapped around the proximate thigh 60 of the user.
- Sleeve 30 is positioned within range A on the wrist portion of the user's arm 50 relative to sleeve 40 which is positioned within range B on the user's thigh 60 so that strap 20 is not fully retracted and, thus, is under some amount of tension, as shown in Figure 1.
- fastener 70 When placed in their closed, wrapped position about the wrist portion of the arm 50 and the thigh 60, respectively, fastener 70 is used to fix sleeve 30 in its closed position and fasteners 71, 72 and 73 are used to fix sleeve 40 in its closed position.
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- Health & Medical Sciences (AREA)
- Nursing (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
Description
Claims
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US58209304P | 2004-06-23 | 2004-06-23 | |
US60/582,093 | 2004-06-23 |
Publications (2)
Publication Number | Publication Date |
---|---|
WO2006002324A2 true WO2006002324A2 (en) | 2006-01-05 |
WO2006002324A3 WO2006002324A3 (en) | 2009-04-23 |
Family
ID=35782347
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2005/022303 WO2006002324A2 (en) | 2004-06-23 | 2005-06-23 | Orthopedic restraint and method for shoulder remediation |
Country Status (1)
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WO (1) | WO2006002324A2 (en) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
KR200487582Y1 (en) * | 2018-02-20 | 2018-10-08 | 윤현수 | Device for correcting sleep posture |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3247843A (en) * | 1964-04-03 | 1966-04-26 | Theodore F Callahan | Strap for restraining hand and arm movement |
US4610244A (en) * | 1985-10-11 | 1986-09-09 | Hammond Stella J | Brace for restraining shoulder |
US6672973B1 (en) * | 1998-11-02 | 2004-01-06 | Stellar Promotions Pty Ltd | Golfer training device |
-
2005
- 2005-06-23 WO PCT/US2005/022303 patent/WO2006002324A2/en active Application Filing
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3247843A (en) * | 1964-04-03 | 1966-04-26 | Theodore F Callahan | Strap for restraining hand and arm movement |
US4610244A (en) * | 1985-10-11 | 1986-09-09 | Hammond Stella J | Brace for restraining shoulder |
US6672973B1 (en) * | 1998-11-02 | 2004-01-06 | Stellar Promotions Pty Ltd | Golfer training device |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
KR200487582Y1 (en) * | 2018-02-20 | 2018-10-08 | 윤현수 | Device for correcting sleep posture |
Also Published As
Publication number | Publication date |
---|---|
WO2006002324A3 (en) | 2009-04-23 |
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