Detailed Description
The present invention will be described more specifically below based on the following embodiments, but the present invention is not limited to the following embodiments, and can be implemented with appropriate modifications within the scope of the gist of the present invention, and these are included in the technical scope of the present invention. In addition, the dimensions of the various components in the drawings are prioritized to facilitate understanding of the features of the present invention, and thus sometimes differ from actual dimensions.
The trunk orthosis according to an embodiment of the present invention includes: a pair of lumbar pads located on both sides of the waist, a chest pad located on the chest, a back pressing portion located on the back, and a lumbar strap located on the outer side of the pair of lumbar pads, wherein the lumbar pads cover the anterior superior iliac spines, the spacing on the abdomen side of the pair of lumbar pads is 1/3 or more of the spacing of the left and right anterior superior iliac spines, and the lumbar strap is offset on the opposite side of the abdomen side of the portion located between the pair of lumbar pads to the wearer.
Fig. 1 is a view of a trunk orthosis 1 in an embodiment of the present invention from the front, fig. 2 is a view of the trunk orthosis 1 from the back, and fig. 3 is a view of the trunk orthosis 1 from the right side. As shown in fig. 1 to 3, the trunk orthosis 1 includes: a pair of lumbar pads 10 located on both sides of the lumbar, a chest pad 20 located on the chest, a back pressing portion 30 located on the back, and a lumbar belt 40 located on the outside of the pair of lumbar pads 10.
The lumbar pads 10 are located on both sides of the waist of the wearer of the trunk orthosis 1, and are a pair of right and left. That is, the lumbar pad 10 has a right lumbar pad 10R and a left lumbar pad 10L. In the present invention, right side means right side as seen from the wearer of the trunk orthosis 1, and left side means left side as seen from the wearer.
The lumbar pad 10 covers the anterior superior iliac spine. That is, the right side lumbar pad 10R covers the right anterior superior iliac spine of the wearer of the torso orthosis 1, and the left side lumbar pad 10L covers the left anterior superior iliac spine.
The material constituting the lumbar pad 10 is preferably synthetic resin having elasticity. Examples of the material constituting the lumbar pad 10 include polyurethane resin, polystyrene resin, and polyolefin resin. Among these, the material constituting the lumbar pad 10 is more preferably a foamed resin, still more preferably a foamed polyolefin-based resin, and particularly preferably a foamed polyethylene. By configuring the lumbar pad 10 in this way, the flexibility of the lumbar pad 10 can be improved, and the lumbar pad 10 can be brought into close contact with the waist of the wearer of the trunk orthosis 1. Further, when the lumbar pad 10 contacts the waist of the wearer, the wearer may feel uncomfortable feeling such as pain.
The maximum thickness of the lumbar pad 10 is preferably 5mm or more, more preferably 10mm or more, and even more preferably 15mm or more. By setting the lower limit value of the maximum thickness of the lumbar pad 10 in this way, the cushioning property of the lumbar pad 10 can be made sufficient. The maximum thickness of the lumbar pad 10 is preferably 50mm or less, more preferably 40mm or less, and even more preferably 30mm or less. By setting the upper limit value of the maximum thickness of the waist cushion 10 in this way, the appearance is less noticeable when the trunk orthosis 1 is worn, and the trunk orthosis 1 does not interfere with the wearing of the garment when the garment is worn with the trunk orthosis 1.
The chest pad 20 is located on the chest of the wearer of the torso orthosis 1. By providing the trunk orthosis 1 with the chest cushion 20, the chest of the wearer of the trunk orthosis 1 is fixed, and the wearer can be prevented from assuming a forward-flexed position. As a result, a load can be prevented from being applied to the spine of the wearer of the trunk orthosis 1, and the fracture site can be sufficiently fixed.
The chest pad 20 is preferably made of an elastic synthetic resin, and examples thereof include polyurethane resin, polystyrene resin, and polyolefin resin. Among them, the material constituting the chest pad 20 is more preferably a foamed resin, still more preferably a foamed polyolefin-based resin, and particularly preferably a foamed polyethylene-based resin. By configuring the chest pad 20 in this way, the chest pad 20 has high flexibility, and the chest pad 20 can be sufficiently adhered to the chest of the wearer of the trunk orthosis 1, and discomfort such as pain is less likely to occur.
The maximum thickness of the chest pad 20 is preferably smaller than the maximum thickness of the waist pad 10. By configuring the chest pad 20 in this way, the resilience of the chest pad 20 can be improved, and the wearer can be effectively prevented from assuming a forward-flexed position.
As shown in fig. 2, the chest pad 20 may also have a groove on the wearer side. By configuring the chest pad 20 in this way, the chest pad 20 can easily follow the chest of the wearer of the trunk orthosis 1, and the chest fixation force can be improved.
The dorsal pressure 30 is located on the back of the wearer of the trunk orthosis 1. By providing the trunk orthosis 1 with the back surface pressing portion 30, the back surface of the wearer of the trunk orthosis 1 is fixed, and thus, the burden on the vertebra of the wearer can be prevented, and the force for fixing the fracture site can be improved.
The back pressing portion 30 may be located on the back portion of the wearer or may be located on the back side of the waist portion of the wearer. Wherein the back press portion 30 is preferably located at the back portion of the wearer. By positioning the back pressing portion 30 at such a position, the force for supporting the back of the wearer can be sufficiently increased.
The waist belt 40 is located outside the pair of lumbar pads 10. The waist belt 40 can tightly fix the right side waist pad 10R and the left side waist pad 10L to the waist of the wearer of the trunk orthosis 1. As a result, the wearer of the trunk orthosis 1 is less likely to assume a forward-flexed position, and thus, the burden on the spine can be prevented, and the force for fixing the fracture site can be increased.
Examples of the material constituting the waist belt 40 include synthetic fibers, natural fibers, leather, synthetic resins, natural rubber, and the like. Among them, the waist belt 40 is preferably in a flat plate shape having a synthetic resin, more preferably in a flat plate shape having a thermoplastic elastomer such as a polyester-based resin or a polyurethane-based resin. By configuring the waist belt 40 in this way, the durability of the waist belt 40 can be improved, and the waist belt 40 can be easily repeatedly detached.
The abdomen-side distance D1 of the pair of lumbar pads 10 is 1/3 or more of the distance of the left and right anterior superior iliac spines. That is, the distance between the right side waist pad 10R and the left side waist pad 10L on the abdominal side of the wearer of the trunk orthosis 1 is preferably 1/3 or more of the distance between the right anterior superior iliac spine and the left anterior superior iliac spine of the wearer of the trunk orthosis 1. By configuring the pair of lumbar pads 10 in this way, the lumbar pads 10 can sufficiently support the pelvis portion of the wearer of the trunk orthosis 1, and the area where the lumbar pads 10 contact the lower abdomen of the wearer can be reduced. Thus, when the trunk orthosis 1 is worn, the abdominal pressure of the wearer is difficult to excessively rise, so that the comfort at the time of wearing can be improved.
The abdomen-side distance D1 of the pair of lumbar pads 10 is only 1/3 or more, preferably 35% or more, more preferably 40% or more, still more preferably 45% or more, and particularly preferably 50% or more (1/2) of the distance between the left and right anterior superior iliac spines. By setting the lower limit value of the abdomen-side interval D1 of the pair of lumbar pads 10 in this way, the area of contact between the lumbar pad 10 and the wearer can be further reduced, and a torso orthosis with improved comfort can be obtained. The upper limit of the distance D1 between the abdomen side of the pair of lumbar pads 10 is not particularly limited as long as the pair of lumbar pads 10 cover the left and right anterior superior iliac spines, and may be, for example, 95% or less, 90% or less, or 85% or less of the distance between the left and right anterior iliac spines.
The waist belt 40 is offset on the opposite side of the wearer from the abdomen side of the portion located between the pair of lumbar pads 10. That is, the waist belt 40 floats up between the right side waist pad 10R and the left side waist pad 10L on the abdomen side of the wearer of the trunk orthosis 1 at a distance from the wearer. By configuring the waist belt 40 in this way, the waist belt 40 is less likely to press against the lower abdomen of the wearer of the trunk orthosis 1, and the trunk orthosis 1 with less discomfort when worn can be realized.
Fig. 4 is a schematic view of a cross section perpendicular to the height direction through the waist belt 40 in a state where the trunk orthosis 1 is worn in the embodiment of the present invention. As shown in fig. 4, the waist belt 40 is located outside the shortest circumscribed circle C of the trunk orthosis 1 in a state where the trunk orthosis 1 is worn, on the abdomen side of the portion located between the pair of waist pads 10. The shortest circumscribed circle C is a tangent line circumscribed with the trunk orthosis 1 so as to surround the waist pad 10 of the trunk orthosis 1 in a state where the trunk orthosis 1 is worn, and is a line whose length is shortest. Since fig. 4 gives priority to the features that assist in understanding the present invention, only the lumbar pad 10 and the lumbar belt 40 are illustrated in the trunk orthosis 1, and other components are omitted from illustration.
In a conventional trunk orthosis, a waist band member is tightened to secure a lower abdomen, and a waist cushion member is brought into close contact with a wearer. Therefore, in the conventional trunk orthosis, the waist belt member passes through the shortest circumscribed circle of the trunk orthosis. As a result, the waist belt member presses the lower abdomen of the wearer of the trunk orthosis, and thus may give the wearer a sense of discomfort. In the trunk orthosis 1 of the present invention, on the abdomen side of the portion located between the pair of waist pads 10, the waist belt 40 is offset from the shortest circumscribed circle C of the trunk orthosis 1 to the opposite side of the wearer and is located outside the shortest circumscribed circle C of the trunk orthosis 1, whereby the waist belt 40 can be prevented from pressing the lower abdomen of the wearer of the trunk orthosis 1, and the comfort of the trunk orthosis 1 at the time of wearing can be improved.
The offset distance D2 from the shortest circumscribed circle C of the trunk orthosis 1 on the abdomen side of the portion between the pair of lumbar pads 10 to the lumbar belt 40 on the opposite side of the wearer is preferably half or more of the thickness of the lumbar pad 10, more preferably the thickness of the lumbar pad 10 or more. By configuring the waist belt 40 in this manner, the effect of hardly pressing the lower abdomen of the wearer of the trunk orthosis 1 can be fully exerted.
The offset distance D2 of the lumbar strap 40 is more preferably greater than the thickness of the lumbar pad 10. That is, the distance that the portion of the portion that is offset to the opposite side of the wearer of the trunk orthosis 1 floats to the opposite side of the wearer of the lumbar belt 40 on the abdominal side of the portion located between the pair of lumbar pads 10, more preferably exceeds the thickness of the lumbar pad 10. By configuring the waist belt 40 in this manner, the waist belt 40 can be made more difficult to press against the lower abdomen of the wearer of the trunk orthosis 1, and the wearing comfort of the trunk orthosis 1 can be further improved.
The offset distance D2 of the waist belt 40 is preferably 1.1 times or more, more preferably 1.2 times or more, further preferably 1.3 times or more, particularly preferably 1.4 times or more, and most preferably 1.5 times or more the thickness of the waist pad 10. By setting the lower limit value of the ratio of the offset distance D2 of the lumbar strap 40 to the thickness of the lumbar pad 10 in this way, the offset distance D2 of the lumbar strap 40, that is, the distance by which the lumbar strap 40 floats to the opposite side of the wearer can be sufficiently ensured on the abdomen side of the portion between the pair of lumbar pads 10, and the trunk orthosis 1 can be worn comfortably. The offset distance D2 of the waist belt 40 is preferably 5 times or less, more preferably 4.5 times or less, further preferably 4 times or less, particularly preferably 3.5 times or less, and most preferably 3 times or less the thickness of the waist pad 10. By setting the upper limit value of the ratio of the offset distance D2 of the waist belt 40 to the thickness of the waist pad 10 in this way, it is possible to prevent the length of the waist belt 40 on the abdomen side of the portion located between the pair of waist pads 10 from becoming larger than necessary toward the opposite side of the trunk orthosis 1 from the wearer, and it is possible to make it difficult for the trunk orthosis 1 to hinder the wearing of the clothing when the clothing is worn from the trunk orthosis 1 in a state where the trunk orthosis 1 is worn.
The offset distance D2 of the waist belt 40 is preferably 1/10 or more, more preferably 1/9 or more, still more preferably 1/8 or more, still more preferably 1/7 or more, still more preferably 1/6 or more, particularly preferably 1/5 or more, and most preferably 1/4 or more of the distance D1 between the abdomen sides of the pair of waist pads 10. By setting the lower limit value of the ratio of the offset distance D2 of the waist belt 40 to the interval D1 on the abdomen side of the pair of waist pads 10 in this way, the feeling of pressure on the lower abdomen when the trunk orthosis 1 is worn can be sufficiently reduced, and the wearing comfort of the trunk orthosis 1 can be improved. The upper limit value of the ratio of the offset distance D2 of the waist belt 40 to the abdomen-side distance D1 of the pair of waist pads 10 is not particularly limited, and for example, the offset distance D2 of the waist belt 40 may be 1/2 or less and 1/3 or less of the abdomen-side distance D1 of the pair of waist pads 10.
The length D3 of the offset section of the waist belt 40 is preferably longer than the interval D1 on the abdomen side of the pair of waist pads 10. That is, the distance that the portion of the portion that is offset to the opposite side of the wearer of the trunk orthosis 1 floats to the opposite side of the wearer of the lumbar belt 40 on the abdominal side of the portion located between the pair of lumbar pads 10 is preferably greater than the distance between the right lumbar pad 10R and the left lumbar pad 10L. By configuring the waist belt 40 in this way, it is difficult to apply pressure to the lower abdomen of the wearer of the trunk orthosis 1, and the trunk orthosis 1 having a small feeling of pressure to the lower abdomen can be realized.
The length D3 of the offset section of the waist belt 40 is preferably 1.1 times or more, more preferably 1.2 times or more, still more preferably 1.3 times or more, particularly preferably 1.4 times or more, and most preferably 1.5 times or more the distance D1 between the abdomen sides of the pair of waist pads 10. By setting the lower limit value of the ratio of the length D3 of the offset section of the waist belt 40 to the interval D1 on the abdomen side of the pair of lumbar pads 10 in this way, the length of the waist belt 40 that is in contact with the lower abdomen of the wearer of the trunk orthosis 1 can be reduced, and the trunk orthosis 1 that is more difficult to feel compression on the lower abdomen can be realized. The upper limit value of the ratio of the length D3 of the offset section of the waist belt 40 to the abdomen-side distance D1 of the pair of waist pads 10 is not particularly limited, and may be, for example, 3 times or less, 2.5 times or less, or 2 times or less.
As shown in FIG. 1, the waist belt 40 preferably has fasteners 41. By providing the fastener 41 to the waist belt 40, the connection and disconnection of the waist belt 40 are facilitated, and the trunk orthosis 1 is easily attached and detached.
The fastener 41 may be, for example, a buckle, a wire fastener, a surface fastener, a button and a button hole, a snap fastener, a hook, or the like. Among them, the fastener 41 is preferably a face fastener. The waist belt 40 is easily attached and detached by the fastener 41 being a face fastener.
The fastener 41 is preferably disposed in the offset region of the waist belt 40. That is, it is preferable to provide the fastener 41 on the waist belt 40 of the portion that is offset to the opposite side of the trunk orthosis 1 from the wearer and floats to the opposite side of the wearer. By providing the waist belt 40 with the fastening piece 41 at such a position, the fastening piece 41 is less likely to contact the lower abdomen or the like of the wearer of the trunk orthosis 1, and thus the wearing comfort of the trunk orthosis 1 can be improved.
As shown in FIG. 1, the waist belt 40 preferably has a length adjustment member 42. By providing the length adjusting member 42 to the lumbar belt 40, the tightening of the lumbar belt 40 can be adjusted by changing the length of the lumbar belt 40, and the balance between the force of fixing the lumbar pad 10 to the pelvis portion and the pressure applied to the lower abdomen portion can be easily maintained.
The length adjuster 42 may be, for example, an adjuster, a buckle, a face fastener, or the like. Wherein the length adjustment member 42 is preferably a face fastener. The length adjuster 42 is preferably a buckle including a female member having irregularities on the surface thereof and a male member that is slidable by pressing a button or the like and has a fixed position on the female member being changeable, a cam buckle including a main body member and a cover member, and the like, in which the length of the waist belt 40 is adjusted by sandwiching the main body member and the cover member therebetween, or the like. By configuring the length adjuster 42 in this way, the length of the waist belt 40 can be easily and reliably adjusted.
The length adjustment member 42 is preferably disposed in the offset region of the waist belt 40. That is, it is preferable to provide the length adjuster 42 on the waist belt 40 of the portion that is offset to the opposite side of the trunk orthosis 1 from the wearer and floats to the opposite side of the wearer. By providing the waist belt 40 with the length adjuster 42 at such a position, the length adjuster 42 is less likely to contact the lower abdomen or the like of the wearer of the trunk orthosis 1, and thus the trunk orthosis 1 having a good wearing comfort can be realized.
The waist belt 40 preferably has both fasteners 41 and length adjustment members 42. By providing the waist belt 40 with the fastener 41 and the length adjuster 42, the connection and disconnection of the waist belt 40 and the adjustment of the tightening degree of the waist belt 40 can be facilitated, and the trunk orthosis 1 can be easily handled.
In the case where the waist belt 40 has the fastening member 41 and the length adjuster 42, it is more preferable that the waist belt 40 has a member having functions of both the fastening member 41 and the length adjuster 42. That is, the waist belt 40 may have two members, that is, the fastening member 41 and the length adjuster 42, respectively, but more preferably has one member that serves as both the fastening member 41 and the length adjuster 42. By configuring the waist belt 40 in this manner, the number of components of the waist belt 40 can be reduced, and the weight and the volume of the waist belt 40 can be suppressed, so that the wearing comfort of the trunk orthosis 1 can be improved.
As shown in fig. 2, the waist belt 40 preferably has a right side waist belt 40R and a left side waist belt 40L, and the right side waist belt 40R and the left side waist belt 40L are fixed to the back. That is, the waist belt 40 is preferably a divided structure including a right waist belt 40R and a left waist belt 40L, and both the right waist belt 40R and the left waist belt 40L are fixed to the back side of the trunk orthosis 1, respectively. By configuring the waist belt 40 in this way, the wearer of the trunk orthosis 1 can easily connect and disconnect the right waist belt 40R and the left waist belt 40L on the abdomen side opposite to the back side, and can thus become the trunk orthosis 1 easy to handle.
As shown in fig. 2, the right waist belt 40R has an upper fixing portion 43T and a lower fixing portion 43B fixed to the back, and the left waist belt 40L is preferably disposed between the upper fixing portion 43T and the lower fixing portion 43B. That is, the right waist belt 40R has an upper fixing portion 43T and a lower fixing portion 43B on the left side of the right waist belt 40R, and the upper fixing portion 43T and the lower fixing portion 43B are preferably fixed to the back of the trunk orthosis 1, and the left waist belt 40L is preferably disposed below the upper fixing portion 43T and above the lower fixing portion 43B. By configuring the lumbar strap 40 in this way, the lumbar strap 40 is easily tightened, and the pelvis portion can be sufficiently fixed.
The torso orthosis 1 preferably has a pair of back pads 31 on the wearer side of the back. That is, the back cushion 31 is preferably located on both sides of the back of the wearer of the trunk orthosis 1, and has a right back cushion 31R and a left back cushion 31L. The trunk orthosis 1 has a pair of right and left back pads 31, and can support the back of the wearer of the trunk orthosis 1, thereby fixing three parts of the pelvis, chest and back of the wearer. Therefore, the wearer can be effectively prevented from bending forward, and the fixation force of the fracture part can be further improved.
As shown in fig. 2, a distance is preferably provided between the right and left back pads 31R and 31L. In order to fix the spine from the back of the wearer of the trunk orthosis 1, if the back cushion 31 is directly fixed by being brought into contact with the spine, a load may be applied to the fracture site of the spine. By configuring the trunk orthosis 1 in this way, the back cushion 31 is positioned on both sides of the spine, and the spine is indirectly fixed by the back cushion 31, so that the fracture site of the spine can be made less burdened.
The torso orthosis 1 preferably has a chest frame 50 that secures the chest pad 20 to other components, such as the lumbar pad 10 and the back pad 31. By configuring the trunk orthosis 1 in this way, the force with which the chest cushion 20 fixes the chest of the wearer of the trunk orthosis 1 can be increased, and the wearer is likely to be prevented from becoming a forward-flexed posture and thus burdening the spine.
Preferably, the chest frame 50 is partable. For example, as shown in fig. 1, the chest frame 50 preferably has a right side chest frame 50R and a left side chest frame 50L. By configuring the chest frame 50 in this way, the chest pad 20 can be opened, and the trunk orthosis 1 that can be easily detached can be obtained.
As shown in fig. 1, the chest frame 50 preferably has at least one of a fastener 51 and a length adjuster 52, and more preferably has a fastener 51 and a length adjuster 52. By configuring the chest frame 50 in this way, the chest cushion 20 can be easily adjusted to an appropriate position. As the fastener 51 of the chest frame 50, for example, the fastener exemplified as the fastener 41 of the waist belt 40 described above can be used. As the length adjuster 52 of the chest frame 50, for example, the length adjuster listed as the length adjuster 42 of the waist belt 40 described above can be used.
The trunk orthosis 1 preferably has a back frame 60. By configuring the trunk orthosis 1 to have the back frame 60, the back of the wearer of the trunk orthosis 1 can be supported, and the spine can be fixed.
As shown in fig. 2, the back frames 60 are preferably provided on the opposite sides of the right and left back pads 31R and 31L from the wearer, and a distance is preferably provided between the back frame 60 fixed to the right back pad 31R and the back frame 60 fixed to the left back pad 31L. By configuring the trunk orthosis 1 in this way, the back of the wearer of the trunk orthosis 1 is exposed from between the back frames 60, and heat and the like are hard to collect on the back. As a result, the wearing comfort of the trunk orthosis 1 can be improved.
As shown in fig. 2, the fixing portions (upper fixing portion 43T, lower fixing portion 43B) of the right lumbar belt 40R are preferably fixed to the back frame 60 provided on the left back pad 31L, and the fixing portions of the left lumbar belt 40L are preferably fixed to the back frame 60 provided on the right back pad 31R. By configuring the lumbar belt 40 in this way, the lumbar belt 40 can tightly attach and fix the pair of left and right lumbar pads 10 to the pelvis portion of the wearer, and the fixation force of the pelvis portion can be improved.
The torso orthosis 1 preferably has side straps 70, which side straps 70 connect the back frame 60 and the lumbar pad 10, or the chest frame 50 and the back frame 60. By configuring the trunk orthosis 1 in this way, the positional displacement of the waist pad 10, the chest pad 20, and the back pad 31 can be prevented, and the forward bending of the wearer of the trunk orthosis 1 can be effectively prevented, and the fixation force of the spine can be improved.
As described above, the trunk orthosis of the present invention has a pair of lumbar pads located on both sides of the waist, chest pads located on the chest, and a waist belt located on the outer side of the pair of lumbar pads, wherein the lumbar pads cover the anterior superior iliac spine, the spacing of the abdomen side of the pair of lumbar pads is 1/3 or more of the spacing of the left and right anterior superior iliac spine, and the waist belt is offset on the opposite side of the abdomen side of the portion located between the pair of lumbar pads to the wearer. By configuring the trunk orthosis in this way, the trunk of the wearer can be sufficiently fixed, the fixing force of the fracture part can be made sufficient, and the lower abdomen of the wearer is hard to press, so that the comfort can be improved.