EP3082664A1

EP3082664A1 - Shoulder bandage

Info

Publication number: EP3082664A1
Application number: EP14758283.7A
Authority: EP
Inventors: Peter Kentsch
Original assignee: Individual
Current assignee: Individual
Priority date: 2013-12-17
Filing date: 2014-07-24
Publication date: 2016-10-26
Also published as: DE102013114192B3; WO2015090271A1

Abstract

The invention relates to a shoulder bandage having a multilayer structure, wherein a layer facing the skin is made of a textile, moisture-permeable material, an intermediate layer is made of a flexible cast part and an outer layer is made of an elastic material, the shoulder bandage having at least one functional element for acting on a muscle and ligamentous apparatus of a shoulder joint and comprises an upper arm fixation element and a shoulder fixation element, wherein the layer facing the skin as well as the intermediate layer and the outer layer have a recess (14) at least in the armpit area.

Description

Designation: Shoulder bandage

The invention relates to a shoulder bandage. In the Federal Republic of Germany about 4 million are due to shoulder discomfort

People receive medical care annually. A conservative therapeutic approach is much more common than a surgical procedure. This is mainly due to the fact that the probability of a non-surgical joint in the shoulder area, for example, is much higher than, for example, knee problems, because the shoulder is strongly soft tissue, so in the shoulder area more often problems with twists, dislocations, strains or The like occur that can not be remedied by surgery or surgery.

In a conservative use, various medical and / or

physiotherapeutic therapy approaches are used. On the one hand, this is kinesiaping. Improved with this technique, with plaster rest on the skin

Achieved feedback between the brain and the executive organ. One makes use of the effect that under certain conditions, these reins cause a skin stretching irritation. This stimulus is intensively perceived by the brain. This will be the

performed movement better controlled or canceled if necessary.

Another conservative therapeutic approach is achieved, for example, by padding. By padding a pressure treatment is carried out, with which already successfully massaged painful areas for a long time and thereby complaints are alleviated.

On the other hand, the increased pressure over a region prevents unwanted jumping out of sight from its guidance.

Finally, a conservative approach is called compression. Compression generally applies increased pressure to an organ or tissue, reactively increasing its blood flow, thereby reducing the temperature and thus the overall risk of injury from "cold" tissue, in addition to increasing the improved brain-tissue linkage , All these conservative therapy approaches described above have in common that they have to be applied extensively in the area of a shoulder requiring therapy. This is usually done by carrying out each individual procedure separately. Especially for a therapy in the medical field under therapeutic

Aspects in which the shoulder should retain their mobility and also in sports, for example in overhead sports, such as handball, volleyball, wrestling or the like, the funds for such conservative therapeutic approaches before therapy time-consuming and with the help of another person, since these Conservative therapies are usually not readily self-administered to be performed.

It is therefore an object of the invention to provide a device which provides an improved shoulder stability, fewer dislocations or subluxations and an additional preventive and in the special case necessary transverse friction of the upper Bicepssehensulkus that the person with shoulder problems automatically without the help of another Person can apply, the device should also be reusable.

This problem is solved by a shoulder bandage with all the features of the

Patent claim 1 and by an upper body garment with all features of claim 10. Advantageous embodiments of the invention can be found in the

Dependent claims.

The shoulder bandage according to the invention has a multilayer structure, wherein a skin-facing layer consists of a textile, moisture-permeable material, an intermediate layer of a flexible casting and an outer layer of an elastic material. In this case, the shoulder bandage at least one functional element for acting on a muscle, and ligaments of a shoulder joint and a

Oberarmfixierungselement and a shoulder fixation element, wherein both the skin-facing layer and the intermediate layer and the outer layer at least in

Underarm area have a recess. By such a shoulder bandage according to the invention it is possible for a patient, at least one of the above

described conservative therapeutic approaches using the shoulder bandage to be able to perform automatically without the help of another person, if in the shoulder bandage a suitable functional element for acting on a muscle, and ligaments of a Shoulder joint is integrated. Furthermore, this shoulder bandage has the advantage that it is always reusable and therefore not as in the conservative therapeutic approaches described above for a new or repeated treatment again new material, for example in the form of Kinesiotape, associations for fixing a

Pelottierung or compression bandages must be used.

According to a first advantageous idea of the invention, the layer facing the skin has as a functional element at least one rubber strip facing the skin, wherein preferably three rubber strips are provided, one for abutment over a supscapularis tendon, a second abutment over a supraspinatus tendon and a third designed to rest over an infraspinatus tendon. By means of such, in the skin-facing layer of the shoulder bandage, integrated as a functional element rubber strip, it is possible to integrate the benefits of Kinesiotapings in the shoulder bandage according to the invention. The rubber strips are arranged such that they the course of the im

Inner shoulder-extending tendons and muscles of the rotator cuff

comprehend. This rotator cuff is essentially responsible for the mobility of the shoulder. On the one hand it stabilizes the joint over the existing ones in it

Stretching receptors that provide permanent information to the brain about the current position of the joint. This way, movements that could trigger injuries can be stopped.

Advantageously, these rubber strips are pressed under the heating by the skin and the pressure of the other bandage layers and develop a somewhat sticky effect, without attaching it paving. Through the course on the skin, parallel to the fibers of the rotator cuff in the depth of the shoulder, arises on the skin

Stretching effect on movements of the shoulder joint. This supports and intensifies the connection brain-shoulder. This improves the guidance of the joint and

Injuries or overloads are reduced. The edge of the bandage is on the skin side front, top and back also provided with a strip of this rubber material. On the one hand, it serves to stabilize the edge and prevents the shoulder bandage from slipping; on the other hand, it serves as an anchor for the Kinesiotapestreifen used rubber strip within the shoulder bandage. These rubber strips are applied to a material which is permeable to water, similar to the fabrics used in functional clothing. This can Sweat escape so that no damp chamber is created. This improves the adhesion of the rubber strips to the skin and thus the wearing comfort and also the therapeutic effect.

According to another aspect of the invention, the intermediate layer is a kind of

Shoulder cap formed and has as a functional element at least one thickening, which is preferably designed as a in the direction of the skin-facing layer extending pad for pressure increase over the region of Bicepssehne. By integrating such a thickening, it is possible to integrate the conservative approach of a pressure treatment, for example by means of a padding, in the shoulder bandage according to the invention. Advantageously, in the shoulder cap is a recess for the

Shoulder articulated incorporated. This small side joint of the shoulder is very prominent under the skin. It is often pre-damaged and therefore sensitive to pressure. On the other hand, there is a thickening, the pad, over the region of the upper biceps tendon. This tendon anatomically takes a complicated course in the shoulder. When leaving the shoulder and when dipping into her guide channel she has a problematic situation. It often causes irritation to the biceps tendon or even subluxes something out of its anatomical guide rail. Due to the local pressure increase by means of a thickening, in particular a pad, just above this problematic point, on the one hand there is a massaging effect, on the other hand also to a pressure which makes jumping out of the anatomical guidance more difficult.

The shoulder cap also contains different thickness areas. For one the edge. This is a little more prominent, to find a better grip on the edge of the delta muscle and thereby consolidate the bandage in their seat. There are also two clasp-like structures. First, a first clasp, which engages over the shoulder from top to front and back. In its front part, this first clasp encloses the even thicker biceps tendon pelotte with its prominence inwards in the direction of the skin in a particularly advantageous embodiment. A second clasp encloses the shoulder from outside to back and front. Further reinforcements can be found between expansion joints, which are also introduced into the shoulder cap. The reinforcements of the two clips are not connected. Likewise, the thickening between the expansion joints are also not connected to each other and not with the clips. These thickenings both achieve a gain in stability and improve compression. By isolating the individual reinforcements or thickenings, an optimal movement of the bandage in all directions is ensured without buckling or buckling of the shoulder bandage. Overall, however, the cap consists of a cast piece with the described different thicknesses.

An outer, overlying the middle layer outer layer is advantageously made of a softshell material. This creates an optimal, easy-care surface for the entire shoulder bandage, which is sewn around marginally. She also leaves the

Armpit free and fixed by Velcro on the upper arm. Also in the outer layer of the shoulder bandage corresponding to the middle layer expansion joints are incorporated. These close when lifting the side of the arm. This will turn one

Moving or bulging the bandage prevented. The fixation of the shoulder bandage is done on the one hand by the already mentioned

Velcro on the upper arm, on the other hand by a fastening on the upper body. For this upper-body-side attachment reins run the outer layer in a kind of bustier around the upper body. These reins can be individually adjusted with Velcro fasteners. Overall, the shoulder bandage according to the invention saves the armpit, which

Chafing and the emergence of a "wet chamber" is prevented by sweat.

Finally, an upper body garment should also be placed under protection, in which at least one of the previously described shoulder bandages is incorporated.

Advantageously, this upper body garment is also close to the upper body.

Other objects, advantages, features and applications of the present invention will become apparent from the following description of an embodiment with reference to the drawings. All described and / or illustrated features alone or in any meaningful combination form the subject matter of the present invention, also independent of their summary in the claims or their dependency.

Show it: FIG. 1 shows an embodiment of a body piece according to the invention,

Figure 2: a rear view of an embodiment of an inventive

Shoulder bandage in a view from behind,

3 shows a part of the inner layer of the shoulder bandage according to FIG. 2 in a view from the rear, FIG. 4 shows the intermediate layer of the shoulder bandage according to FIG. 2 in a view from the rear, FIG.

FIG. 5: a height profile illustration of the intermediate layer according to FIG. 4; FIG. 6: a rear view of an exemplary embodiment of a device according to the invention;

Shoulder bandage in a side view,

Figure 7: a part of the inner layer of the shoulder bandage according to Figure 2 in one

Side View,

FIG. 8 shows the intermediate layer of the shoulder bandage according to FIG. 2 in a side view,

FIG. 9: a height profile representation of the intermediate layer according to FIG. 8, FIG. 10: a rear view of an exemplary embodiment of an inventive device

Shoulder bandage in a front view,

11 shows a part of the inner layer of the shoulder bandage according to FIG. 2 in a front view, FIG.

FIG. 12 shows the intermediate layer of the shoulder bandage according to FIG. 2 in a front view, FIG. 13: a height profile representation of the intermediate layer according to FIG. 12,

Figure 14 is a cross-sectional view of a height profile of the intermediate layer. Figure 1 shows an inventive upper body garment in the form of a T-shirt 19 in a front view. It is in the right shoulder portion of the shirt 19 a

Embodiment of a shoulder bandage according to the invention incorporated. The

Shoulder bandage can be fastened by means of fastening strips 16 and 17 in the form of reins on the upper body of a person. The fastening strips 16 and 17 are individually adjustable by means of Velcro fasteners, not shown here. The fastening strip 16 runs from the shoulder bandage diagonally across a thorax region of the T-shirt to a belt 21 circulating the belt, which is also individually adjustable by means not shown here Velcro fasteners, while the fastening strip 17 extends diagonally across the back to the belt 21. The shoulder bandage essentially has an upper arm region 22 and a shoulder region 23, wherein the upper arm region 22 and the shoulder region 23 are connected via reinforcements 9, which space expansion joints 11. These

Expansion joints 9 ensure the mobility of the shoulder joint, while the reinforcements contribute to a stability gain of the shoulder is achieved. In the area of the armpit, the shoulder bandage has a recess 14 so that thereby

Chafing and the emergence of a "wet chamber" is effectively avoided by sweat.

In Figures 2 to 13, the shoulder bandage as incorporated in the shirt 19 of Figure 1 is shown with its various layers in various representations.

Figure 2 shows the shoulder bandage in a view from behind. Clearly here is the attachment strip 17 can be seen, which is attached to an edge 1 of the shoulder bandage. The edge 1 is formed substantially as a rubberized thickened edge 1, so that slipping of the shoulder bandage is avoided by the rubbery consistency of the edge, as this causes an adhesive effect on the skin. Furthermore, in the illustration according to FIG. 2, an outer layer 15 of the shoulder bandage can be seen, which is preferably made of a softshell material. Thus, the outer layer is kept very easy to care, and it also has a recess 14 in the armpit to the Armpit free. At the upper arm, the bandage also has a rubber-like Bandagerand 13, which by means of a hook and loop fastener 20, as shown in more detail in Figure 6, with the help of the shoulder bandage is individually adjustable in the region of the upper arm.

FIG. 3 now shows functional elements in the form of rubber strips 3 and 4, which are part of a skin-facing layer, which is not shown in this illustration. The trained as functional elements rubber strips 3 and 4 serve for conservative therapy and Profilaxe, the rubber strip 3 in the manner of a tap over the

Supraspinatus tendon and the rubber strips 4 in the manner of a tap over the infraspinatus tendon. Due to their rubber-like consistency, they develop a somewhat sticky effect, without pinning them in a paving way. The rubber strips 3 and 4 are attached to the edge 1, which thus serves as a kind of anchor for the rubber strips 3 and 4. Furthermore, rubber strips 2 are also arranged on the rubber strip 1, which run in the manner of a tape over the supscapularis tendon. These rubber strips 2 are located on the front of the shoulder bandage and are shown in more detail in Figures 7 and 11, which show side and front views.

FIG. 4 shows an intermediate layer made of a flexible casting in the form of a shoulder cap. The shoulder cap has a recess 12 for the Schultereckgelenk and is also provided with expansion joints 11 which are spaced by reinforcements 9. These reinforcements 9 are shown in greater detail in the height profile illustration of FIG. 5, in which the different strengths of the shoulder cap are also indicated. The shoulder cap has a base thickness 10 and is provided with a reinforced circumferential edge 5. Furthermore, the cap has 2 clasps 7 and 8 whose thickness is greater than that of the base thickness 10. The clasp 7 runs from back to front and engages over the shoulder from above, while the clasp 8, the shoulder from the rear to the front overlaps laterally. In Figures 6 to 9, the shoulder bandage according to the invention in different

Illustrations shown from the side. In particular, from Figure 6 is again the rubbery, thickened edge 1 of the bandage easy to see, as well as the outer layer 15. Further, in this illustration, the band edge 13 in the region of the upper arm and the other associated Velcro fastener 20 for individually adjusting the Bandagerandes 13 shown on the upper arm.

In FIG. 7, they are again arranged on the rubber-like, thickened edge

Rubber strips 2, 3 and 4 can be seen, which are arranged over the corresponding tendons.

FIG. 8 shows a further functional element in the form of a pad 6, which is designed to exert pressure in the region above the biceps tendon. The pad 6 is designed such that it is formed thickened relative to the rest of the shoulder bandage, wherein the thickening is directed towards the skin of a patient. With the help of

Outer layer 15, which causes a total compression of the shoulder bandage, and the clasp 7 is achieved by means of the pad 6 on the region of the biceps tendon an increased pressure and movement a massage effect. Furthermore, this pad 6 also serves to the

To make jumping out of the biceps tendon out of its anatomical guidance.

Also in Figure 9, this pad 6 is clearly visible again, as well as the clips 7 and 8 and the expansion joints 11 and the reinforcements 9, which space the expansion joints. In the figures 10 to 13, the shoulder bandage according to the invention is also shown again in different representations, which also particularly clearly the details of the bandage can be seen.

Finally, FIG. 14 shows the thickness structure of the shoulder bandage according to the invention. In this case, it is assumed that a base thickness 10, from which the clasps 7 and 8 emphasize reinforced outside, while the pad 6 stands out from the basic strength 10 inwards. Also, the peripheral edge 1 is significantly thicker than the base thickness 10 of the shoulder bandage according to the invention. LIST OF REFERENCE NUMBERS

1 edge

2 rubber strips

3 rubber strips

4 rubber strips

5 shoulder cap edge

6 pad

7 clasp

8 clasp

9 reinforcement

10 basic thickness

1 1 expansion joints

12 recess

13 bandage sand

14 recess

15 outer layer

16 mounting strips

17 fastening strips

18 edge

19 Upper body garment

20 Velcro fastener

21 belt

22 upper arm area

23 shoulder area

Claims

claims

1. shoulder bandage with a multi-layered construction, wherein

a skin-facing layer of a textile, moisture-permeable material,

an intermediate layer of a flexible casting and

an outer layer consists of an elastic material,

the shoulder bandage having at least one functional element for acting on a muscular and ligamentous apparatus of a shoulder joint and an upper arm fixing element as well as a shoulder fixing element, both facing the skin

Layer as well as the intermediate layer and the outer layer at least in

Armpit region have a recess (14).

Shoulder bandage according to claim 1, characterized in that the skin facing layer as a functional element at least one of the skin facing

Rubber strip (2, 3, 4), wherein preferably three pairs of rubber strips (2, 3, 4) are provided to rest over a Supscapularissehne, a supraspinatus tendon and an infraspinatus tendon. 3. shoulder bandage according to claim 1 or 2, characterized in that the

Intermediate layer is formed in the manner of a shoulder cap and as a functional element has at least one thickening, which is preferably formed as in the direction of the skin facing layer extending pad (6) for pressure increase over a region over the biceps tendon.

4. shoulder bandage according to one of the preceding claims, characterized in that the intermediate layer is formed in the manner of a shoulder cap and as a functional element has at least one thickening, which is preferably formed in the manner of at least one clasp (7, 8), more preferably two clasps ( 7, 8) are provided, wherein the one clasp (7) for engaging over the shoulder from back to front and the other clip (8) for gripping around the shoulder in the arm region from back to front is formed.

5. shoulder bandage according to claim 3 or 4, characterized in that the Shoulder cap expansion joints (11), which are spaced from each other by trained as reinforcements (9) for stability and compression gain functional elements.

6. shoulder bandage according to one of claims 2 to 5, characterized in that the thickening with each other and with a thickened peripheral edge (5) of the shoulder cap are unconnected.

7. shoulder bandage according to one of the preceding claims, characterized in that the outer layer consists of an elastic softshell material.

8. Shoulder bandage according to one of the preceding claims, characterized in that both the Oberarmfixierungselement and the Schulterfixierungselement are formed as part of the outer layer as an elastic edge (1) of the bandage, said edge preferably consists of an elastic rubber-like over the remaining outer layer thickened material ,

9. Shoulder bandage according to one of the preceding claims, characterized in that the Oberarmfixierungselement has a hook and loop fastener (20) and the shoulder fixing element fastening strip (16, 17) and a belt (21), with the aid of the bandage on a torso, for example, with Velcro Fixing strips (16, 17) and the belt (21) can be fixed and fastened.

10. Upper body garment, in which at least one shoulder bandage after

incorporated in the preceding claims.