CN215307120U - Adjustable scoliosis orthosis - Google Patents

Adjustable scoliosis orthosis Download PDF

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Publication number
CN215307120U
CN215307120U CN202120134996.0U CN202120134996U CN215307120U CN 215307120 U CN215307120 U CN 215307120U CN 202120134996 U CN202120134996 U CN 202120134996U CN 215307120 U CN215307120 U CN 215307120U
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China
Prior art keywords
rail pair
support plate
supporting plate
iliac crest
back plate
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Expired - Fee Related
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CN202120134996.0U
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Chinese (zh)
Inventor
丛燕
裴云峰
周大伟
李剑锋
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Beijing Social Administration Vocational College Ministry Of Civil Affairs Training Center
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Beijing Social Administration Vocational College Ministry Of Civil Affairs Training Center
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Abstract

The utility model belongs to the technical field of rehabilitation aids, and provides an adjustable scoliosis orthosis. The multifunctional back plate comprises a back plate frame, and an armpit supporting plate, a waist supporting plate, a hip supporting plate and an iliac crest supporting plate which are arranged on the back plate frame through an adjusting mechanism, so that a three-point force application structure is formed. The adjusting mechanism is a two-way adjusting mechanism or a three-way adjusting mechanism. The sliding rail of the transverse rail pair is fixedly connected with the back plate frame, the sliding rail of the vertical rail pair is fixedly installed on the sliding block of the transverse rail pair, the sliding rail of the vertical rail pair is fixed with the sliding block of the vertical rail pair, and the sliding block of the vertical rail pair is fixedly connected with the corresponding supporting plate. The utility model realizes real-time and flexible adjustment through a mechanical structure. Unnecessary release areas are removed, the shape, the size and the area of the force application area are reasonably designed, and a reasonable mechanical connection structure is designed, so that the three-dimensional adjustability of the position and the force of the force application area is realized.

Description

Adjustable scoliosis orthosis
Technical Field
The utility model belongs to the field of rehabilitation aids, and particularly relates to an adjustable scoliosis orthosis.
Background
Adolescent Idiopathic Scoliosis (AIS) refers to a spinal deformity that is more than 10 years old and has a curvature of the spine of more than 10 ° sideways during immature skeletal development, and is one of the most common spinal deformities in adolescents. According to incomplete statistics, the incidence rate of children and teenagers in China is about 0.61% -2.4%, the total number of patients is about 100-300 ten thousands, and the incidence rate has a rising trend. If the AIS is not discovered and treated in time, the healthy development of teenagers can be seriously influenced. One of the most prominent and reliable non-surgical treatment currently directed to scoliotic patients is orthosis correction. There are still many problems in the design of orthoses: firstly, for patients, (1) most of the conventional scoliosis orthoses do not have a large enough release space in the concave side area to accommodate the transferred soft tissues, and the patients lose the space for dynamic correction, so that the comfort and the correction effect of the orthoses are reduced, and even adverse reactions such as edema, pressure sores, abrasion, thoracic deformity, lung function reduction, nutritional disorders, and lumbar and dorsal muscle atrophy are caused, (2) idiopathic scoliosis is more frequent in adolescence, and the patients are in the peak of growth and development, and the change in body shape may require the patients to replace the orthoses at least once in half a year, which is expensive for the patients. For the orthologist, (1) the difficulty of fitting an effective orthosis to the patient is great, and there are high demands on the technician both in terms of manufacturing process and design. At present, technical levels of assembly personnel in China are not uniform, the problems of deviation of force application parts, inaccurate force, wrong force application direction and the like often occur, a plaster mold is generally required to be taken and repaired for manufacturing a traditional orthosis, the traditional orthosis is integrally formed, the traditional orthosis cannot be adjusted when the force is inaccurate, the traditional orthosis is often required to be manufactured again, time and labor are wasted, materials are wasted, and environmental pollution is caused. (2) Scoliosis correction is a long-term process, the correction force system of scoliosis changes along with the continuous growth of patients and the change of the illness state, and if the correction force system cannot be adjusted in time, the problems of ineffective correction, over correction or compression of breasts and rib extrusion deformation, influence on breathing, poor sagittal plane curvature and the like can be caused. Therefore, the development of the adjustable orthotics is of great significance, the technological requirements on assembly personnel are not high, orthotics operators can adjust the position, the size and the direction of force application at any time according to the correction effect of the orthotics and the growth and development characteristics of patients, and the production cost and the time cost can be greatly reduced. In addition, the adjustable orthosis only keeps the force application assembly and removes unnecessary release areas, so that the weight and the volume of the orthosis can be reduced, the concealment is good, and excessive psychological burden on a patient can not be caused.
Scoliosis is a three-dimensional deformity of the spine, usually accompanied by rotation of the spine and an increase or decrease in kyphosis or lordosis in the sagittal plane. The existing adjustable scoliosis orthoses are limited to the height adjustment of the force application component and the change of the force application size by using a gasket or an elastic band and the like. Tightening of the band reduces the overall planar dimension, increasing lateral pressure, but also increases pressure on the release area opposite the force application area. In addition, most adjustable spinal orthoses do not incorporate adjustment of the resistance to rotation in their design. Even though anti-rotation is mentioned in individual designs, it is mostly based on flexible orthoses, which in fact do not work well to hinder further progression of the lateral curvature for patients at peak adolescence.
Disclosure of Invention
Aiming at the problems that the existing orthosis is heavy and not suitable for being worn for a long time and cannot be adjusted according to the body size, growth change and lateral bending progress of a patient, the patent provides an adjustable spinal lateral bending orthosis.
The technical scheme of the utility model is as follows:
an adjustable scoliosis orthosis comprises a back plate frame, and an armpit support plate, a waist support plate, a hip support plate and an iliac crest support plate which are arranged on the back plate frame through an adjusting mechanism; the armpit supporting plate and the hip supporting plate are arranged on the back plate frame and positioned on the concave side of the lateral curvature spine, the waist supporting plate is arranged on the back plate frame and positioned on the convex side of the lateral curvature spine, and the armpit supporting plate, the waist supporting plate and the hip supporting plate are arranged on two sides of the lateral curvature spine to form a three-point force application structure; the iliac crest support plate comprises a left iliac crest support plate and a right iliac crest support plate, and the left iliac crest support plate and the right iliac crest support plate are symmetrically arranged on the back plate frame and are positioned between the hip support plate and the waist support plate; the left and right iliac crest supporting plates are connected with each other by an adjustable elastic band on the ventral side, and the waist supporting plate is respectively connected with the armpit supporting plate and the hip supporting plate by the adjustable elastic band on the ventral side.
Furthermore, the adjusting mechanism is a bidirectional adjusting mechanism or a three-way adjusting mechanism; the bidirectional adjusting mechanism comprises a transverse rail pair, a sliding rail of the transverse rail pair is fixedly arranged on the back plate frame, and a sliding block of the transverse rail pair is fixedly connected with a corresponding supporting plate; the three-way adjusting mechanism comprises a transverse rail pair, a vertical rail pair and a longitudinal rail pair which are connected in a mutually perpendicular mode, a sliding rail of the transverse rail pair is fixedly connected with the back plate frame, a sliding rail of the vertical rail pair is fixedly installed on a sliding block of the transverse rail pair, a sliding rail of the longitudinal rail pair is fixed with a sliding block of the vertical rail pair, and a sliding block of the longitudinal rail pair is fixedly connected with a corresponding supporting plate.
Furthermore, a locking screw is installed on the sliding block and matched with the corresponding sliding rail.
Further, the slide rail of the vertical rail pair and the slide block of the transverse rail pair are integrated, and the slide rail of the longitudinal rail pair and the slide block of the vertical rail pair are integrated.
Further, the back plate frame is made of metal or carbon fiber.
Furthermore, the armpit supporting plate, the waist supporting plate, the hip supporting plate and the iliac crest supporting plate are arc-shaped plates attached to a human body, and soft materials are wrapped on the sides, contacting with the skin, of the arc-shaped plates.
After the technical scheme is adopted, the utility model has the beneficial effects that: the left iliac crest support plate and the right iliac crest support plate are used for supporting the orthosis on the pelvis of a human body and are further fixed by an adjustable elastic band, the support plates are in contact with the cambered surface of the human body, the wearing comfort is improved, and the support is not easy to slip off and rotate in the iliac crest; utilize three backup pads of armpit backup pad, waist backup pad, buttock backup pad to correct from human both sides to exerting pressure, form three power application of force structure, it is fixed to cooperate two adjustable elastic bands simultaneously, dresses stably, corrects effectually. The adjustment in three directions of each supporting plate is realized by the cooperation of the transverse rail pair, the longitudinal rail pair and the vertical rail pair, and the adjustment in the width of the orthosis or the left and right directions of the supporting plates can be realized through the transverse rail pair so as to adapt to the weight change and the adjustment of the inner and outer positions of the force application module. The height of the supporting plate can be changed through the vertical rail, so that the height of the supporting plate can be changed, and the vertical position of the force application module can be adjusted. The size and the direction of the force applied to the supporting plate can be adjusted through the common adjustment of the transverse rail and the longitudinal rail, and finally, the supporting plate is fixed by the limiting screw. This technical scheme can be according to the progress of people's size, lateral curvature and the change of correction needs and adjust, avoids the problem of need more changing the unscrambler because of these factors cause.
Drawings
FIG. 1 is an overall perspective view of the present invention;
FIG. 2 is a left side view of the present invention;
FIG. 3 is a right side view of the present invention;
fig. 4 is a detailed view of the adjustment mechanism.
Detailed Description
The following further describes embodiments of the present invention with reference to the accompanying drawings:
an adjustable scoliosis orthosis comprises a back plate frame 1, an oxter support plate 2, a waist support plate 3, a hip support plate 4, a pair of iliac crest support plates 5 and 6, three adjustable elastic belts 7,8 and 9 and a plurality of adjusting mechanisms 10; each supporting plate is an arc-shaped plate which is respectively attached to each part of the patient. The back plate frame 1 is a curved surface frame which is attached to the back of the patient and extends from the armpit of the patient to the hip. The pair of iliac crest supporting plates 5 and 6 are respectively installed on the back plate frame 1 through a transverse adjusting mechanism 10 and correspond to the positions of the iliac crests on two sides of the adjusted patient, the pair of iliac crest supporting plates 5 and 6 are attached to the left and right iliac crests of the patient, the iliac crests of the patient are utilized to support the back plate frame 1, and the back plate frame 1 is prevented from sliding off and rotating around the body. For further fixation, a transverse adjustable elastic band 7 is mounted between the ventral sides of the pair of iliac crest support plates 5, 6. Armpit backup pad 2, waist backup pad 3, buttock backup pad 4 installs the position that corresponds with the patient's health on backplate frame 1 through three-dimensional adjustment mechanism 10 respectively, armpit backup pad 2 and buttock backup pad 4 are installed on backplate frame 1 and are corresponded the concave side of lateral curvature backbone, waist backup pad 3 is installed on backplate frame 1 and are corresponded the convex side of lateral curvature backbone, three backup pad is triangular distribution, form three point force model, exert the extrusion force in order to correct in the both sides of patient lateral curvature backbone to the health middle part, in order to keep the extrusion force, waist backup pad ventral surface is respectively with adjustable elastic webbing 8,9 connect armpit backup pad and buttock backup pad and are used for the tensioning, reach the purpose of correcting the spinal curvature. When the armpit supporting plate 2 and the pair of iliac crest supporting plates 5 and 6 apply force up and down at the same time, the stretching effect on the curved spine can be achieved, and the purposes of fixing the orthosis on the body and correcting the curvature can be further achieved. In order to improve the comfort, soft material sleeves such as cotton, hemp, silk and the like are wrapped at the contact sides of the supporting plates and the back plate frame and the skin, and buffers such as EVA, EPE, sponge, silica gel and the like are filled.
In order to adapt the orthosis to variations in different body types and individual body types, the support plates are mounted to the back plate frame 1 by a three-way adjustment mechanism or a two-way mechanism 10. The three-way adjusting mechanism 10 is composed of a transverse rail pair 11, a vertical rail pair 12 and a longitudinal rail pair 13, and the three groups of rails are mutually vertical pairwise. The slide rail of the transverse rail pair 11 is fixedly connected with the back plate frame 1, the slide rail 12 of the vertical rail pair is fixedly connected with the slide block of the transverse rail pair 11 or designed as an integral piece, the slide rail of the longitudinal rail pair 12 is connected with the slide block of the vertical rail pair 13 or designed as an integral piece, and the slide block of the longitudinal rail pair 12 is fixedly connected with the corresponding support plate. And the sliding blocks of each track pair and the corresponding sliding rails are locked by arranging a limit hole pin matching mode or a limit screw 15 abutting mode. In the technical scheme, the pair of iliac crest supporting plates 5 and 6 can be selectively installed on the back plate frame 1 by using a bidirectional adjusting mechanism, the bidirectional adjusting mechanism consists of an independent transverse rail pair, a slide rail of the transverse rail pair 11 is fixedly connected with the back plate frame 1, and the pair of iliac crest supporting plates 5 and 6 are fixedly connected with corresponding sliders.
The three-way adjusting mechanism 10 can realize the adjustment in the up-down, front-back and left-right directions, so that each support plate can better adapt to the lateral bending characteristics and physical characteristics of the patient, and the correction effect is ensured. When the orthosis is worn, the positions of the left and right iliac crests and the height of the oxter supporting plate 2 are firstly aligned and fixed, so that the whole orthosis is clamped on a patient and does not fall off, twist or shake, and meanwhile, the iliac crest supporting plate 6 and the oxter supporting plate 2 can stretch the concave side of the patient. Then, the position of the waist supporting plate 3 and the strength and direction of the force are adjusted according to the X-ray of the patient, the body appearance characteristics and the lateral bending degree. The positions of the armpit supporting plates 2 and the hip supporting plates 4 and the magnitude and direction of the force are adjusted according to the three-point force principle and the overall effect of the shape correction. The adjustable elastic belts 7,8 and 9 are matched with the force application supporting plate for fixing and adjusting. The waist support plate 3 is a main force application point for three-point force correction and is positioned at the apical cone of the patient, namely a lateral curvature peak point, so that the lateral curvature state of the spine of the patient is improved; the axilla support plate 2 is an auxiliary force application point for three-point force correction, and simultaneously provides stretching force for the concave side of the lateral bending spine together with the iliac crest support plate 6, and the orthosis is suspended on the body; the hip support plate 4 is the last point of application of the three-point force correction, laterally posterior to the patient's hip, while preventing lateral pelvic offset. The above forces should be applied to maximize the patient's correction and provide comfort to the patient. Adjustable elastic bands 7,8 and 9 are fixed at the positions required to be fixed by rivets on the supporting plates, the adjustable elastic bands are fixed by magic snap fasteners, the left and right iliac crest abdominal side parts are connected around a patient by the adjustable elastic bands, and the positions of the two rest elastic bands are fixed at the front part of the patient in a manner of being consistent with the three-point force correction force system on the back part so as to achieve the best correction effect.
In the technical scheme, the slide rails of each rail pair are I-shaped slide rails, and the limit positions of the slide rails are provided with the clamping blocks 14, so that the slide blocks are prevented from falling off in the slide grooves; each sliding block and the corresponding sliding rail sliding along the sliding block are integrally formed and processed, and sliding grooves matched with the adjacent sliding rails can be directly processed on the sliding rails. Adopt stop screw 15 to fixed spacing with the slider to the slide rail, stop screw 15 is the little first hand-operated screw of annular knurl, for making things convenient for orthopedic ware technician to use, also can trade table tennis bat bolt, plum blossom shape bolt, hand-operated bolts such as goat's horn head bolt.
Currently, the orthosis body of common spinal orthoses has an integrally formed structure, i.e. the orthosis body is not divided into a plurality of parts that are separated from each other. The spinal orthosis is usually used for about one year and is worn and taken off for a plurality of times every day, and the spinal orthosis is opened and closed about 2000 times in the using period; for a spinal orthosis having an integrally formed orthosis body, each opening and closing of the spinal orthosis causes a large amount of deformation of the orthosis body; because the manufacturing material of the existing spinal orthosis body is difficult to bear thousands of large-amplitude deformations, the spinal orthosis with the integrally formed orthosis body has short service life. In the spinal orthosis provided by the embodiment of the disclosure, as the orthosis is of a split structure and is connected through the three-way adjusting mechanism, the acting force of the opening and closing orthosis is at least partially solved by the connection mode, so that the service life of the orthosis is longer than that of the integrally formed orthosis body; the adjustable orthotics greatly reduce the adaptation difficulty of the existing scoliosis orthotics. The problems of deviation, inaccurate force, wrong force application direction and the like of a force application part frequently occurring in the adaptation process are adjusted in time; the device can be adjusted at any time according to the changes of the height and the weight of the patient in the development peak stage and the changes in the correction process, and the orthosis does not need to be replaced every half year, so that the time and money cost of the patient is reduced; the wrapping of the body is reduced to the maximum extent, unnecessary compression and limitation to the body are reduced, and muscle atrophy and limitation of vital capacity are effectively prevented; the weight and the volume of the orthosis are reduced to the maximum extent, and a positive effect is generated on the psychology of a patient.
It will be evident to those skilled in the art that the utility model is not limited to the details of the foregoing illustrative embodiments, and that the present invention may be embodied in other specific forms without departing from the spirit or essential attributes thereof. The present embodiments are therefore to be considered in all respects as illustrative and not restrictive, the scope of the utility model being indicated by the appended claims rather than by the foregoing description, and all changes which come within the meaning and range of equivalency of the claims are therefore intended to be embraced therein.

Claims (6)

1. An adjustable scoliosis orthosis is characterized by comprising a back plate frame, and an armpit support plate, a waist support plate, a hip support plate and an iliac crest support plate which are arranged on the back plate frame through an adjusting mechanism; the armpit supporting plate and the hip supporting plate are arranged on the back plate frame and positioned on the concave side of the lateral curvature spine, the waist supporting plate is arranged on the back plate frame and positioned on the convex side of the lateral curvature spine, and the armpit supporting plate, the waist supporting plate and the hip supporting plate are arranged on two sides of the lateral curvature spine to form a three-point force application structure; the iliac crest support plate comprises a left iliac crest support plate and a right iliac crest support plate, and the left iliac crest support plate and the right iliac crest support plate are symmetrically arranged on the back plate frame and are positioned between the hip support plate and the waist support plate; the left and right iliac crest supporting plates are connected with each other by an adjustable elastic band on the ventral side, and the waist supporting plate is respectively connected with the armpit supporting plate and the hip supporting plate by the adjustable elastic band on the ventral side.
2. The adjustable scoliosis orthosis set forth in claim 1, wherein the adjustment mechanism is a two-way adjustment mechanism or a three-way adjustment mechanism; the bidirectional adjusting mechanism comprises a transverse rail pair, a sliding rail of the transverse rail pair is fixedly arranged on the back plate frame, and a sliding block of the transverse rail pair is fixedly connected with a corresponding supporting plate; the three-way adjusting mechanism comprises a transverse rail pair, a vertical rail pair and a longitudinal rail pair which are connected in a mutually perpendicular mode, a sliding rail of the transverse rail pair is fixedly connected with the back plate frame, a sliding rail of the vertical rail pair is fixedly installed on a sliding block of the transverse rail pair, a sliding rail of the longitudinal rail pair is fixed with a sliding block of the vertical rail pair, and a sliding block of the longitudinal rail pair is fixedly connected with a corresponding supporting plate.
3. The adjustable scoliosis orthosis of claim 2, wherein the slide block is fitted with locking screws which cooperate with corresponding slide rails.
4. The adjustable scoliosis orthosis set forth in claim 3, wherein the slide rails of the vertical rail pair and the slide blocks of the transverse rail pair are formed as a single piece, and the slide rails of the longitudinal rail pair and the slide blocks of the vertical rail pair are formed as a single piece.
5. The adjustable scoliosis orthosis of claim 1, wherein the back plate frame is metal or carbon fiber.
6. The adjustable scoliosis orthosis set forth in any one of claims 1-3, wherein the armpit support plate, the lumbar support plate, the hip support plate and the iliac crest support plate are curved plates fitted to the human body, and the sides of the curved plates contacting with the skin are wrapped with soft materials.
CN202120134996.0U 2021-01-19 2021-01-19 Adjustable scoliosis orthosis Expired - Fee Related CN215307120U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202120134996.0U CN215307120U (en) 2021-01-19 2021-01-19 Adjustable scoliosis orthosis

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202120134996.0U CN215307120U (en) 2021-01-19 2021-01-19 Adjustable scoliosis orthosis

Publications (1)

Publication Number Publication Date
CN215307120U true CN215307120U (en) 2021-12-28

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Application Number Title Priority Date Filing Date
CN202120134996.0U Expired - Fee Related CN215307120U (en) 2021-01-19 2021-01-19 Adjustable scoliosis orthosis

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CN (1) CN215307120U (en)

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CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20211228

CF01 Termination of patent right due to non-payment of annual fee