EP2340745B1 - Orthopädisches Kissen - Google Patents

Orthopädisches Kissen Download PDF

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Publication number
EP2340745B1
EP2340745B1 EP20100197323 EP10197323A EP2340745B1 EP 2340745 B1 EP2340745 B1 EP 2340745B1 EP 20100197323 EP20100197323 EP 20100197323 EP 10197323 A EP10197323 A EP 10197323A EP 2340745 B1 EP2340745 B1 EP 2340745B1
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EP
European Patent Office
Prior art keywords
cushion
nose
base
angle
extends
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Not-in-force
Application number
EP20100197323
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English (en)
French (fr)
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EP2340745A1 (de
Inventor
Christian Raoul Williame
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Individual
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Individual
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Publication date
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Publication of EP2340745A1 publication Critical patent/EP2340745A1/de
Application granted granted Critical
Publication of EP2340745B1 publication Critical patent/EP2340745B1/de
Not-in-force legal-status Critical Current
Anticipated expiration legal-status Critical

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    • A—HUMAN NECESSITIES
    • A47—FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
    • A47G—HOUSEHOLD OR TABLE EQUIPMENT
    • A47G9/00—Bed-covers; Counterpanes; Travelling rugs; Sleeping rugs; Sleeping bags; Pillows
    • A47G9/10—Pillows

Definitions

  • the present invention relates to an orthopedic support cushion comprising a body having an inclined flank having a rounded profile extending from a substantially planar base to a top of the cushion, which cushion comprises a nose having a base portion, which extends in the extension of the base of the body substantially perpendicularly to the inclined side for a distance of at least 6 cm, which nose has a front section having an inclination having a first inclination angle which extends between the part of base of the nose and the front section, and an intermediate section connecting the frontal section to the body of the cushion, which intermediate section has a second inclination angle which extends between a line parallel to the base of the nose and the intermediate section .
  • Such an orthopedic cushion is known from the patent US 4,424,599 .
  • the known orthopedic cushion has a body having an inclined flank having a rounded profile extending from a substantially planar base to a crown of the cushion.
  • the known cushion also comprises a nose having a base portion, which extends in the extension of the base of the body substantially perpendicular to the inclined side. This cushion aims to support the neck and head of a person who uses it. Indeed when the person is lying she will place the known cushion in such a way that the rounded profile is at the height of the neck and that its head rests on the nose of the cushion.
  • the known cushion offers a certain comfort to the user and allows a certain relaxation of the muscles, it does not prevent that the known cushion does not provide a satisfactory solution to problems of lumbago and lumbosacralgia, since this known cushion serves only to the relaxation of the muscles of the neck.
  • the object of the invention is to provide an orthopedic cushion offering a satisfactory solution to low back pain and lumbosacralgia problems.
  • an orthopedic cushion according to the invention is characterized in that the nose is placed substantially centrally on the inclined side, said first angle of inclination ( ⁇ ) having a value between 40 ° and 60 °, in in particular 50 °, and said second inclination angle ( ⁇ ) having a value between 5 ° and 15 °, in particular 10 °.
  • the shape of the cushion thus makes it possible to reduce the intervertebral pressure exerted on the disc and, by pushing it anteriorly, will move the disc away from the posterior sensitive structures.
  • the fact that the sacrum will be lifted will cause an inferior superior sacro-iliac splitting, thus offering a simultaneous action on the spine placed in extension on the one hand and the separation of the sacrum on the other hand.
  • the second angle of inclination presented by the intermediate section will cause an ascension of the sacrum between the two iliac bones thus contributing to the sacro-iliac splitting.
  • a first preferred embodiment of a cushion according to the invention is characterized in that the nose extends over a distance of between 75 and 110 mm from an edge of the base of the cushion. This distance allows an adequate ratio of the sacrum.
  • a second preferred embodiment of a cushion according to the invention is characterized in that the nose has a flared profile. This makes it possible to marry the shape of the sacrum in order to carry out the shearing.
  • a third preferred embodiment of a cushion according to the invention is characterized in that the body comprises a half-moon profile. This half-moon profile allows lumbar extension on the physiology.
  • a fifth preferred embodiment of a cushion according to the invention is characterized in that the nose has a width less than that of a sacrum of an adult human body. This contributes considerably to the shearing. If the width of the nose is not less than or equal to the width of the human sacrum, the desired effect of inferior superior separation of the sacrum between the iliacs would not be optimal. Indeed, if the width of the nose exceeds the width of the sacrum, the nose then overflows on the iliac bones and considerably reduces the desired shear, or cancels the desired shearing so that the known cushion can not exert the effect of chipping.
  • the cells of the intervertebral disk show different biological responses depending on the mechanical stimulus they undergo, depending on the overload, its intensity, its duration and the different regions of the disc studied.
  • disc degeneration is accompanied by chronic dehydration and possible dislocation of the disc plateau.
  • nucleus glycosaminoglycans located in the center of the intervertebral disc would be related to early disc degeneration and affect the mechanical function of the disc.
  • the structure of the disc's cells changes, disorganizes and a certain percentage of these cells die.
  • Disc anomalies such as hernias or posterior spread, which result from the degeneration of the intervertebral disc, are partially reduced in the extension position but much less in the neutral position.
  • the McKenzie method of treatment of low back pain recommends in particular the extension for the treatment of lumbar and sciatic pains.
  • Studies of 39 and 140 patients showed that 60 to 70% of them could be treated with benefit by lumbar extension.
  • the sacroiliac joint is considered a suspension bridge.
  • the sacrum is suspended between the two iliac bones. Apart from the classic movements of nutation and counter-nutation, the sacrum thus has a tendency to descend between the iliac bones which causes a super-lower vertical shear.
  • This shear would be controlled by the sacroiliac ligament system and the muscles physiologically able to create a sufficient transverse force closing the sacroiliac joint, mainly the pelvic floor and the transverse abdomen.
  • these muscles in synergy with the diaphragm muscle, contribute to pelvic and vertebral stability through abdominal pressure. that they increase transiently when needed, during an effort for example.
  • the sacroiliac joint thus has the ability to adapt and decode, which is physiological and necessary for the transmission of the forces of the trunk to the lower limbs during the carrying of loads or walking in particular.
  • the abdominal pressure affects the lumbar spine and improves the coaptation of vertebral facet joints. This temporarily stiffens the lumbar spine and allows it to resist these restrictive movements which, in the short term, is favorable.
  • excessive and chronic shear can lead to instability and joint friction potentially responsible for sacroiliac pain. In fact, excessive shear is avoided by the contraction of the same muscles in transverse direction, that is to say transverse of the abdomen and the pelvic floor.
  • sacroiliac and lumbar stability are closely related. Indeed, due to their contribution to the modulation of intra-abdominal pressure and the rigidity of the sacroiliac connections, the pelvic floor muscles contribute to the control of the lumbar spine and the pelvis.
  • the tension of the thoracic intercostal muscles would be directly proportional to the abdominal pressure.
  • the chronic tensioning of the intercostals also causes an increase in thoracic pressure.
  • the increase in abdominal pressure is reflected on the pelvic floor and is a source of urogenital ptosis as well as sacroiliac tension
  • the orthopedic cushion according to the invention and illustrated at figure 1 is preferably made of a non-deformable foam, such as for example a closed-cell polyolefin foam, having a density of between 25 and 250 kg / m 3 .
  • the effectiveness of the cushion indeed requires a constant shape.
  • the cushion is preferably made of solid material.
  • the support cushion comprises a body 1 having an inclined flank, preferably having a profile in the form of a half-moon.
  • the inclined flank has a rounded profile, which extends from a substantially planar base 2 to an apex 3 of the cushion.
  • the orthopedic cushion also comprises a nose 4 placed substantially centrally on the inclined side and extending substantially perpendicular to the inclined side a distance d of at least 6 cm, preferably 10 cm.
  • the angulation of the half-moon profile forming the body of the cushion is necessary and sufficient compared to the potential effectiveness of the lumbar extension on the physiology of the disc.
  • the rounded profile of the body has a slope extending from the base 2 at an angle between 30 ° and 50 °, preferably 40 °, and this over a distance of about 1 cm from the edge of the base towards the inside of the cushion. This slope then declines at an angle of about 20 ° to reach the top 3 of the cushion.
  • the nose comprises a base portion 5, which extends in the extension of the base 2 of the body, and a front section 6 having an inclination having a first angle of inclination ⁇ and a intermediate section 7 connecting the front section to the body of the cushion.
  • the intermediate section has a second inclination angle ⁇ which is smaller than the first inclination angle.
  • the angulation of the nose 4 of the cushion is necessary and sufficient to cause a sacroiliac detachment, ie an ascension of the sacrum between the iliac bones.
  • the first angle of inclination ⁇ has a value between 40 ° and 60 °, in particular 50 °.
  • the second angle of inclination ⁇ has a slope of between 5 and 15 °, in particular 10 °, and extends over a length of about 15 cm to reach the top.
  • the width of the nose 4 of the cushion is chosen to be less than the width of the sacrum of a human body.
  • the width of the nose is between 70 and 90 mm, in particular 80 mm, measured at the height of the base of the body.
  • the nose extends 75 to 110 mm from one edge of the cushion base.
  • the nose has a flared profile and is integral with the body of the cushion.
  • the overall angulation of the body and the nose of the cushion generally favors inferior superior separation by positioning the pelvis and the sacrum in a downward position directed from top to bottom and from the head towards the feet when the patient is in the supine position on the cushion.
  • the width and length of the cushion body are necessary and sufficient to achieve the desired effect, however the body of the cushion could possibly be reduced by a third in the width direction while maintaining the desired effects.
  • extension and arrangementisaillement go hand in hand. Indeed, if the lumbar spine and the pelvis of the subject are not positioned in extension, or in a downwardly directed position from top to bottom and feet to the head, it is difficult, even impossible, to obtain the desired shearing, because the sacred positioning angle is then too horizontal.
  • the effect that the orthopedic cushion has on the patient is that he places the lumbar spine of the patient in an extension of at least 20 degrees, which reduces the intervertebral pressure exerted on the disc and repelling it anteriorly. In addition, he discards the disc from posterior sensitive structures. Due to its constant shape and the fact that the lower extension of the cushion is narrower than the sacrum, the cushion raises the sacrum and causes inferior superior sacro-iliac splitting.
  • the orthopedic cushion according to the invention therefore has a multiplied effect, that is to say that contributes to a first phase of the normalization of the potential causes of low back pain, lumbosciatica, lumbosacralgia.
  • the cushion causes expansion and opening of the disc, a reduction of the facet pressure, and an improvement of the disc phase of water reabsorption.
  • the corollary effects of the orthopedic cushion affect the overall balance of the spine.
  • the femoral diaphragm responsible for 50% of the anti-reflux barrier may also occur. Any decrease in intra-abdominal pressure decreases the stress reported on the perineum (pelvic floor). This may help to improve symptoms related to: urinary incontinence, urinary urgency, hemorrhoids, venous congestion of the pelvis and lower limbs, dysmenorrhea, etc ].

Landscapes

  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Otolaryngology (AREA)
  • Pulmonology (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Claims (9)

  1. Orthopädisches Stützkissen, umfassend einen Körper (1), der ein geneigtes Seitenteil aufweist, das ein abgerundetes Profil aufweist, das sich von einer im Wesentlichen ebenen Basis (2) in Richtung auf ein Oberteil (3) des Kissens hin erstreckt, wobei das Kissen einen Vorsprung (4) umfasst, der einen Basisteil (5) aufweist, der sich in der Verlängerung der Basis des Körpers im Wesentlichen rechtwinklig zu dem geneigten Seitenteil über eine Distanz von mindestens 6 cm erstreckt, wobei der Vorsprung einen vorderen Abschnitt (6), der eine Neigung aufweist, die einen ersten Neigungswinkel (α) aufweist, der sich zwischen dem Basisteil des Vorsprungs und dem vorderen Abschnitt erstreckt, sowie einen Zwischenabschnitt (7), der den vorderen Abschnitt mit dem Körper des Kissens verbindet, umfasst, wobei der Zwischenabschnitt einen zweiten Neigungswinkel (β) aufweist, der sich zwischen einer Linie parallel zur Basis des Vorsprungs und dem Zwischenabschnitt erstreckt, dadurch gekennzeichnet, dass der Vorsprung im Wesentlichen mittig auf dem geneigten Seitenteil angeordnet ist, wobei der erste Neigungswinkel (α) einen Wert aufweist, der zwischen 40° und 60°, insbesondere bei 50° liegt, und der zweite Neigungswinkel (β) einen Wert aufweist, der zwischen 5° und 15°, insbesondere bei 10° liegt.
  2. Kissen nach Anspruch 1, dadurch gekennzeichnet, dass sich der Vorsprung über eine Distanz erstreckt, die zwischen 75 und 110 mm von einem Rand der Basis des Kissens ausgehend liegt.
  3. Kissen nach einem der Ansprüche 1 bis 2, dadurch gekennzeichnet, dass der Vorsprung eine Breite aufweist, die zwischen 70 und 90 mm, insbesondere bei 80 mm liegt, gemessen auf der Höhe der Basis des Körpers.
  4. Kissen nach einem der Ansprüche 1 bis 3, dadurch gekennzeichnet, dass der Vorsprung ein konisch erweitertes Profil aufweist.
  5. Kissen nach einem der Ansprüche 1 bis 4, dadurch gekennzeichnet, dass der Vorsprung und der Körper miteinander fest verbunden sind und aus dem gleichen Material hergestellt sind.
  6. Kissen nach einem der Ansprüche 1 bis 5, dadurch gekennzeichnet, dass der Körper ein Halbmondprofil umfasst.
  7. Kissen nach Anspruch 6, dadurch gekennzeichnet, dass das abgerundete Profil des Körpers eine Schräge umfasst, die sich von der Basis aus in einem Winkel erstreckt, der zwischen 30° und 50°, insbesondere bei 40° liegt.
  8. Kissen nach Anspruch 7, dadurch gekennzeichnet, dass die Schräge anschließend in einem Winkel von ungefähr 20° abnimmt.
  9. Kissen nach einem der Ansprüche 1 bis 8, dadurch gekennzeichnet, dass der Vorsprung eine Breite umfasst, die geringer als die des Kreuzbeins eines erwachsenen menschlichen Körpers ist.
EP20100197323 2009-12-29 2010-12-29 Orthopädisches Kissen Not-in-force EP2340745B1 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
BE2009/0815A BE1019126A5 (fr) 2009-12-29 2009-12-29 Coussin orthopedique.

Publications (2)

Publication Number Publication Date
EP2340745A1 EP2340745A1 (de) 2011-07-06
EP2340745B1 true EP2340745B1 (de) 2014-02-12

Family

ID=42671658

Family Applications (1)

Application Number Title Priority Date Filing Date
EP20100197323 Not-in-force EP2340745B1 (de) 2009-12-29 2010-12-29 Orthopädisches Kissen

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EP (1) EP2340745B1 (de)
BE (1) BE1019126A5 (de)
ES (1) ES2462767T3 (de)

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE1941603C3 (de) * 1969-08-16 1978-11-02 Gerhard Dr.Med. 6680 Neunkirchen Kempf Orthopädisches Kopfkissen
US4424599A (en) * 1980-09-18 1984-01-10 Nabil Hannouche Cervical pillow
US20070107131A1 (en) * 2001-09-23 2007-05-17 Sleep Innovations Inc. Pillow with foam insert
US20080134439A1 (en) * 2006-12-07 2008-06-12 Anne Ricalde Specialized Pillow

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Publication number Publication date
BE1019126A5 (fr) 2012-03-06
ES2462767T3 (es) 2014-05-26
EP2340745A1 (de) 2011-07-06

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