JP6357631B2 - Vertebral disease orthosis - Google Patents

Description

  The present invention relates to a vertebral body disease device used by being attached to a body.

If the vertebral body continues to bend such as the so-called stoop and hip flexion, the vertebral bodies constituting the spine are deformed or damaged. Examples of diseases in which the vertebral body is deformed or damaged (hereinafter referred to as “vertebral body diseases”) include spinal deformities such as vertebral body compression fractures and scoliosis, lumbar spinal canal stenosis, and herniated discs. It has been. Among these vertebral body diseases, in particular, in a disease in which the vertebral body is reared, the vertebral body is rounded and the posture of the upper body is bent forward, so that the weight is applied to the front of the body. As a result, the abdomen is pressed and the pressure in the abdomen is increased, which causes the stomach to be pressed toward the chest. Therefore, it is widely known that when suffering from a disease in which the vertebral body is posterior, gastric juice flows back from the stomach to the esophagus as a complication, so-called reflux esophagitis. As complications of this vertebral body disease, a decrease in cardiopulmonary function or the like is also recognized.
Also known as vertebral body diseases are lumbar spondylosis, spondylolisthesis, etc., in which the vertebral body is damaged as a result of intense exercise during adolescence, and the lumbar vertebral body and vertebral arch are separated.

  As prevention and / or treatment of such vertebral body diseases and complications caused thereby, it is usual to correct the posture of the upper body and prevent and / or treat vertebral body deformation or damage. In order to achieve this, posture correction equipment for the upper body has been devised. As this type of posture correction device, Patent Document 1 discloses that a back support portion made of fabric and both side edges below the back support portion are joined at one end, and the free end at the other end is a wearer's abdomen. An apparatus including a pair of waist bands that can be extended to the side is disclosed. On the other hand, Patent Document 2 discloses a back support portion made of a main body, a main body belt that extends horizontally from the lower end of the back support portion and wraps around the underbust, and extends from the upper end of the back support portion to the front of the body. And a pair of auxiliary belts having elastic stretchability extending downward and extending downward are disclosed.

JP 2001-218777 A JP 2010-104707 A

  The posture correcting device disclosed in Patent Document 1 is configured to tension the back pad by connecting a pair of waist bands, and to apply tensile force to both shoulders of the body on the back side. It is said that you can stretch your back. In other words, the posture correcting device disclosed in Patent Document 1 aims to correct the posture of the upper body by fixing the back and waist of the wearer.

  On the other hand, the posture correcting device disclosed in Patent Document 2 is configured to prevent the forward bending posture by assisting weak muscles by pressing the back support portion against the upper back by the auxiliary belt. In addition, since the auxiliary belt wraps around the front of the body, this causes the shoulders of the wearer to be pulled toward the back support portion. As a result, the upper front of the body is caused, and the burden on the trapezius muscle is reduced to prevent the forward bending posture. In other words, the posture correcting device disclosed in Patent Document 2 attempts to correct the posture of the upper body by fixing the back and chest of the wearer.

  Thus, the orthosis disclosed in Patent Document 1 and Patent Document 2 supports the wearer's back and chest, or two points of the back and waist, and sufficiently supports the vertebral body from the lumbar vertebra to the thoracic vertebra. It seems difficult to do.

  Therefore, the present invention provides a vertebral body disease device that can sufficiently prevent and / or treat vertebral body deformation or damage by sufficiently supporting the trunk of the wearer and maintaining an appropriate posture. Is the main purpose.

In order to solve the above-mentioned problem, the present invention provides a vertebral body comprising a back rest that fixes the wearer's back, a waist rest that secures the waist of the wearer, and a breast rest that fixes the chest of the wearer. Provide disease orthosis.
The vertebral body disease device may include a trunk compression belt member that can adjust the compression pressure on the trunk.
Moreover, in this vertebral body disease device, the trunk compression belt member may include a first belt member disposed from the back pad portion to the lower abdomen side of the waist pad portion.
Furthermore, this vertebral body disease device may include a first belt passing portion through which the trunk compression belt member is passed, and the first belt member may be passed through the first belt passing portion. .
Further, in this vertebral body disease device, the first belt member may be folded back through the first belt via portion around the shoulder or chest of the wearer when worn.
Furthermore, in this vertebral body disease device, the trunk compression belt member may include a second belt member that wraps around from the backrest side to the lower abdomen side when worn.
The vertebral body disease device may further include a second belt passing portion through which the trunk compression belt member is passed, and the second belt member may be passed through the second belt passing portion. .
Furthermore, in this vertebral body disease device, the trunk compression belt member may include a third belt member fixed to the backrest portion.
In this vertebral body disease device, the third belt member may be passed through the first belt passing portion together with the first belt member.
Furthermore, in this vertebral body disease device, the third belt member may be passed through the second belt passing portion together with the second belt member.
In the vertebral body disease device, the first belt member may be arranged along the external oblique muscle when worn.
Furthermore, this vertebral body disease device may include an abdomen fixing member that is provided on the lower abdomen side of the waist pad and the chest pad and is disposed in front of the body when worn.
Moreover, this vertebral body disease device may include a back fixing member provided in the backrest portion.
Furthermore, in this vertebral body disease orthosis, the back fixing member may be capable of being molded in accordance with the shape of the back by holding a curable resin on the base material.

  In the present invention, “back” refers to the back surface from the lower edge of both shoulder blades to the waist, and “lumbar” refers to the body axis (height direction) from the lower edge of the ribs to the iliac bone. It is a body part, which includes the so-called flank (flank), upper abdomen, and lower abdomen. The “chest” is a body part along the body axis from the vicinity of the collarbone to the lower edge of the rib, Refers to the surroundings.

  According to the present invention, an apparatus for vertebral body disease capable of preventing and / or treating vertebral body deformation or damage is provided.

It is a schematic diagram which shows the orthosis for vertebral body disease which concerns on 1st embodiment of this invention, and is the figure seen from the back side. It is the model which shows the orthosis for vertebral body disease which concerns on FIG. 1, and is the figure seen from the front side. It is a front view which shows the state which mounted | wore with the vertebral body disease orthosis shown in FIG. It is the perspective view which observed the state which mounted | wore with the vertebral body disease orthosis shown in FIG. 1 from the side surface. It is a rear view which shows the state which mounted | wore the vertebral body disease orthosis shown in FIG. It is the model which shows the orthosis for vertebral body disease which concerns on 2nd embodiment of this invention, and is the figure seen from the back side. It is a schematic diagram which shows the orthosis for vertebral body disease which concerns on FIG. 6, and is the figure seen from the front side.

  DESCRIPTION OF EXEMPLARY EMBODIMENTS Hereinafter, preferred embodiments for carrying out the invention will be described with reference to the drawings. In addition, embodiment described below shows an example of typical embodiment of this invention, and, thereby, the range of this invention is not interpreted narrowly.

<First embodiment>
1 and 2 are views showing a vertebral body disease device 1 according to the first embodiment of the present invention, and FIG. 1 is a rear view of the vertebral body disease device 1 observed from the rear side of the wearer. On the other hand, FIG. 2 is a front view showing a surface facing the wearer in the vertebral body disease device 1. 3 to 5 show a wearing state of the vertebral body disease device 1 shown in FIG. 3 is a front view of the wearer, FIG. 4 is a side perspective view of the wearer, and FIG. 5 is a rear view of the wearer. In the following description, the vertebral body disease device is also simply referred to as a “device” for convenience of description.

  The orthosis 1 includes a back rest 2 that covers the lower shoulder of the wearer from the lower edge of the shoulder to the waist in the wearing state, and a pair of waist rests that are connected to both side edges of the back rest 2 on the waist side and extend in a substantially horizontal direction. And a pair of chest pads 4 connected to both side edges on the scapula side of the back pad 2 and provided substantially parallel to the pair of waist pads 3. That is, a back support part for fixing a wearer's back, a back support part connected to the back support part, a waist support part that wraps around from the back support part side to the lower abdomen side at the time of mounting, and the back support part. An apparatus for vertebral body disease comprising: a breast pad portion that wraps around from the back pad portion side to the chest side when wearing and fixes the chest portion.

  The backrest 2 has a length that can cover the lower edge of the human scapula to the waist. The back support 2 is formed of a woven fabric, a knitted fabric, a non-woven fabric, a pile fabric, a plastic foam, or the like made of natural fibers or chemical fibers, alone or arbitrarily selected and combined. Specific materials include cotton, wool, rayon, acrylic, polyamide, polyester, polyurethane, nylon, polypropylene, woven fabric of warp knitted fabric, warp knitted fabric, There are elastic yarn blended knitted fabrics such as power nets and three-dimensional knitted fabrics of double raschel fabrics. Furthermore, composite materials obtained by laminating foam materials such as these fabrics and rubber foams (chloroprene, natural rubber, butyl rubber, styrene / butadiene rubber, isoprene rubber, etc.) and urethane foams (compressed urethane) can be used.

  Further, as shown in FIG. 2, in the backrest portion 2, a buffer body 21 that protects the wearer's back is built in substantially the center of the front surface facing the wearer's back. The buffer body 21 is formed of a fibrous material such as an open-cell foam or a nonwoven fabric, and has a width that can cover the spine of the wearer and the vicinity thereof in the worn state. This buffer body 21 improves the fit of the backrest portion to the uneven vertebral body part, and even when the device according to the present invention is worn for a long time, it is possible to reduce the discomfort and physical stimulation of the wearer. ing.

  In addition, the backrest portion 2 incorporates a back fixing member 2a (not shown) for supporting the wearer's back. This back fixing member 2a is obtained by holding a curable resin on a base material in which a plurality of layers of fiber materials such as knitted fabrics are laminated. As the curable resin, a water curable resin, a photocurable resin, or the like can be used. Examples of the water curable resin include a polyurethane prepolymer having an isocyanate group at a terminal obtained by reacting a polyol and a polyisocyanate as disclosed in JP-A-2000-189449, a catalyst, and other additives. A polyurethane prepolymer composition comprising: As the photocurable resin, for example, a urethane (meth) acrylate resin as described in International Publication No. WO2006 / 090605 is preferably used. The base material is preferably a fiber material such as a knitted fabric, a woven fabric, or a non-woven fabric, but may be a granular material such as a foamed bead, a foam material, or the like.

  According to such a back fixing member 2a, the entire back fixing member 2a is cured by adding a curing agent to the curable resin held on the substrate. Thereby, the said backrest part 2 is shape | molded by the shape suitable for the shape of a wearer's back with individual differences. The material for the back fixing member 2a holds a curable resin, but the material for the back fixing member 2a is not limited to this, and for example, a resin made of polypropylene may be adopted. Further, a metal plate member may be employed as the back fixing member 2a.

  As shown in FIGS. 1 and 2, the back rest 2 includes a shoulder rest 5 that is hung around both shoulders of the wearer. The shoulder rest 5 is connected to the shoulder rest main body 51 so as to cover the cervical vertebra and its vicinity from the upper part of the wearer's thoracic vertebra. A pair of shoulder belt members 52.

  The shoulder pad main body 51 is provided on the upper outer edge of the back pad part 2 via the attaching / detaching means 53. As the detachable means 53, for example, a general-purpose wire fastener can be used. However, the attaching / detaching means 53 is not limited to this as long as the shoulder pad main body 51 can be attached to and detached from the back pad part 2, and a hook-and-loop fastener or the like may be adopted.

  On the other hand, each shoulder belt member 52 is formed in a band shape, and one end is connected to the free end side of the shoulder pad main body 51, while the other end is for engaging the shoulder belt member 52 with the waist pad 3. It is inserted into the anchoring body 55. Each shoulder belt member 52 formed in this way is passed through the first ring member 22 as a first belt via portion, and is folded and bent through the first ring member 22. The first ring member 22 is formed in a ring shape having a long hole through which the shoulder belt member 52 is inserted, for example. For example, the first ring member 22 is disposed on the back surface of the backrest portion 2 in the vicinity of the scapula of the wearer at the time of wearing. That is, each shoulder belt member 52 is folded back in the vicinity of the wearer's scapula when worn. Each shoulder belt member 52 is inserted into the first ring member 22 to form a loop, and the shoulder of the wearer can be passed through the loop. In addition, in the orthosis 1 which concerns on 1st embodiment, although the said 1st ring member 22 has only passed the auxiliary band 24 mentioned later and is not being fixed to any member, it is directly on the back surface of the said backrest part 2. It may be fixed.

In addition, if the length of each shoulder belt member 52 can be adjusted by a length adjustment mechanism, the size development width of the brace according to the wearer's physique can be reduced. Not only is this preferable, but the orthosis can be more easily fitted by the wearer. Examples of the length adjusting mechanism that realizes such a function include a configuration in which a buckle mechanism is arranged, a configuration in which the shoulder belt member 52 is divided into a plurality of portions, and the divided shoulder belt members 52 can be engaged with each other. It is done. Especially, the structure which makes the shoulder belt member 52 the structure which can be divided into 2 to a short member and a long member is simple. In this case, one of the shoulder belt members 52 divided is a short shoulder belt member connected to the free end side of the shoulder pad main body 51, and the other can be connected to the short shoulder belt member by attaching / detaching means such as a hook-and-loop fastener. By adjusting the engagement position of the short shoulder belt member and the long shoulder belt member as the long shoulder belt member, the length of the entire shoulder belt member can be adjusted.
Further, each shoulder belt member 52 can be provided with a shoulder protection portion 54. The shoulder protection portion 54 is made of a thick and soft member and is arranged so as to cover the front surface of the shoulder of the wearer in the worn state, and has an effect of preventing the wearer's pressure ulcer and improving the wearing feeling. The configuration of the shoulder protection portion 54 is not necessarily provided, but it is preferable to provide it in consideration of the above effects.

  On the other hand, as shown in FIG. 1, two engaging members 55 are provided for the entire brace 1. Each engaging body 55 is formed in a substantially semicircular shape as a whole, and is formed in a bag shape with a double structure. As described above, one end of the shoulder belt member 52 is accommodated in the engagement body 55 and is detachably attached to the engagement body 55. For example, a hook-and-loop fastener can be used as means for enabling this. Further, the back surface of the engaging body 55 is a member raised in a hook shape, and is engaged with the waist rest portion 3. The configuration of a hook-and-loop fastener or the like attached to accommodate the shoulder belt member 52 in the engaging body 55 is not fixed to the shoulder belt member 52 but is attached to the shoulder belt member 52 so as to be detachable. The length of the shoulder belt member 52 as described above can also be adjusted depending on the configuration of the means. In such a configuration, if the shoulder belt member 52 is made of a raised material such as French pile and one loop portion of the detachable engaging means is engaged with the shoulder belt member 52, the number of parts is reduced. This is preferable from the viewpoint of manufacturing cost.

  A waist belt member 56 for supplementing the fixing force of the brace 1 according to the first embodiment is also inserted into each engaging body 55 formed in this way. As described above, since the two engaging members 55 are provided for the entire brace 1, two waist belt members 56 are also provided for the brace 1. Each waist belt member 56 is formed in a band shape, one end of which is detachably attached to the engagement body 55 via a hook-and-loop fastener or the like, and the other end is fixed to the side edge of the fixed end of the waist pad 3. Has been. Each waist belt member 56 is passed through the second ring member 23 as a second ring via portion, and each waist belt member 56 is folded back via the second ring member 23 and bent. The second ring member 23 has the same structure as the first ring member 22.

  Here, the shoulder belt member 52 and the waist belt member 56 are integrated with each other via the engaging body 55, but the shoulder belt member 52 and the waist belt member 56 are integrated without using the engaging body 55. You may comprise so that it can do. As a means for configuring in this way, for example, a hook-and-loop fastener is provided at the free ends of the shoulder belt member 52 and the waist belt member 56. The waist belt member 56 may also be provided with a length adjusting mechanism, like the shoulder belt member 52. Furthermore, in the orthosis 1 according to the first embodiment, the second ring member 23 is not fixed to any member but only passed through an auxiliary band 24 described later, but directly on the back surface of the backrest portion 2. It may be fixed.

  On the other hand, as shown in FIG. 1, an auxiliary band 24 that supplements the fixing force of the appliance 1 is fixed to the back surface of the backrest portion 2. The auxiliary band 24 includes an upper auxiliary band 24 a provided on the scapula side of the backrest portion 2 and a lower auxiliary band 24 b provided on the waist portion side of the backrest portion 2. The upper auxiliary band 24 a is formed in a band shape and is passed through the first ring member 22 together with the shoulder belt member 52. That is, the upper auxiliary band 24 a and the shoulder belt member 52 are bundled by the first ring member 22. By this first ring member 22, the upper auxiliary band 24a is folded around the lower edge of the scapula. One end of the upper auxiliary band 24a is a substantially central portion of the backrest portion 2, and is fixed to an end portion on the scapula side corresponding to the periphery of the wearer's thoracic vertebra. The other end of the upper auxiliary band 24a is fixed at a position displaced with respect to the one end along the body axis of the wearer, and at a substantially central portion of the backrest 2 corresponding to the periphery of the wearer's thoracic vertebra. ing. As a result, the upper auxiliary band 24a is provided in a substantially V shape with respect to the backrest 2 and is provided at a position facing the latissimus dorsi of the wearer. A pair of upper auxiliary bands 24a formed in this way are provided in the entire brace, and the pair of upper auxiliary bands 24a are provided in the backrest portion 2 so as to be symmetric with respect to the body axis of the wearer.

  On the other hand, the lower auxiliary band 24 b is formed in a band shape and is passed through the second ring member 23 together with the waist belt member 56. That is, the lower auxiliary band 24 b and the waist belt member 56 are bundled by the second ring member 23. The lower auxiliary band 24b is folded back and bent by the second ring member 23, and one end of the lower auxiliary band 24b is adjacent to the other end of the upper auxiliary band 24a at a substantially central portion of the backrest portion 2. Therefore, it is fixed corresponding to the periphery of the wearer's thoracic spine. The other end of the lower auxiliary band 24 b is fixed to the outer edge of the waist-side end portion of the backrest portion 2. Thus, the lower auxiliary band 24b is provided at a position facing the waist of the backrest portion 2. A pair of lower auxiliary bands 24b formed in this way are provided for the entire brace, and the pair of lower auxiliary bands 24b are provided on the backrest 2 so as to be symmetrical with respect to the body axis of the wearer.

  As described above, the shoulder belt member 52 and the upper auxiliary band 24a that are inserted through the first ring member 22 and the waist belt member 56 and the lower auxiliary member that are inserted through the second ring member 23 together. The band 24b cooperates with each other to contribute to adjustment of the compression pressure on the wearer's trunk, and constitutes the trunk compression belt member 6. The material of the shoulder belt member 52, the waist belt member 56, and the auxiliary band 24 constituting the trunk compression belt member 6 may be stretchable or non-stretchable. From the viewpoint of adjusting the compression force and fixing the posture with this, it can be operated with an appropriate force at the time of wearing, and the trunk compression belt member 6 is stretched too much so that the adjustment of the compression pressure is not difficult. It is preferable to use a non-stretchable material so that the member 6 can be operated. Moreover, the non-stretchable material is preferable because the deterioration of functions such as sagging of the trunk compression belt member 6 is slow and durability is increased. Further, in the trunk compression belt member 6 configured as described above, the auxiliary band 24 is a member that supplements the fixing force of the entire brace 1, but is not necessarily an essential component, but from the viewpoint of improving the bracing force of the brace. If so, it is better to provide this auxiliary band 24. Furthermore, the materials of the shoulder belt member 52, the waist belt member 56, and the auxiliary band 24 may be different among the members. For example, the materials of the shoulder belt member 52 and the waist belt member 56 are non-stretchable, and the auxiliary band 24. The material may be stretchable. However, the manufacturing cost can be reduced by using the same material for the members 24, 52, and 56.

  Next, the waist pad 3 will be described. In the orthosis 1 according to the first embodiment, a pair of the waist pad portions 3 are fixed to both side edges on the waist portion side of the back pad portion 2 and formed so as to extend in a substantially horizontal direction with respect to the back pad portion 2. Is done. Each waist pad 3a, 3b is formed in a band shape, and is formed so as to cover from the back pad 2 to the side and lower abdomen of the wearer when worn. These waist rests 3a, 3b can be made by adjusting the stretch rate using an elastic material. Specific materials include elastic woven belts containing elastic yarn such as polyurethane, polyurethane, nonwoven fabrics such as styrene / isoprene / styrene, polyurethane, synthetic rubber (styrene / butadiene rubber, isoprene rubber, acrylic rubber, silicone rubber, etc. ), Rubber elastic bodies such as natural rubber can also be used. When non-stretchable fabric is used for the waist pads 3a and 3b, cotton, acrylic, polyester, polyamide, or the like can be used. Further, from the viewpoint of more reliably supporting the wearer's waist by the waist pads 3a and 3b, the waist holders 3a and 3b may have the same configuration as the back fixing member 2a.

  Moreover, as shown in FIG. 2, the 1st anchoring part 31 is provided in the front of the waist pad part 3b facing a wearer's back. The first engaging portion 31 is formed at an end portion on the free end side of the waist pad portion 3b and is fixed to the front surface of the waist pad portion 3b. In addition, in the orthosis 1 which concerns on 1st embodiment, although the said 1st engaging part 31 is provided in the waist pad part 3b, you may be provided in the said waist pad part 3a. On the other hand, as shown in FIG. 1, the 2nd engaging part 32 is formed in the back surface of the said waist pad part 3a and the waist pad part 3b.

  The first engaging portion 31 and the second engaging portion 32 can be configured by attaching a general-purpose surface fastener, a so-called mechanical fastener, an interlock, or the like, for example. Alternatively, the front surface and the back surface of the waist rest portion 3a or the waist rest portion 3b may be configured by a cloth having a property such as a hook-and-loop fastener, and may be used as the engaging portion. For example, the outer surface fabric can be used as a hook-and-loop fastener by forming a pile shape with a material such as polyamide, polyester, or vinylidene chloride. Here, a hook-and-loop fastener is used as the engaging portion, a hook-raised member is provided as the first engaging portion 31, and a hook-and-loop fastener is raised as the second engaging portion 32. An example of arranging the members will be described. However, the engaging portions 31 and 32 are not limited to hook-and-loop fasteners. The engagement body 55, which is a member raised like a hook, is adapted to engage with the second engagement portion 32 of the waist contact portion 3a and the waist contact portion 3b.

  Next, the breast pad 4 will be described. The breast pad 4 includes a first breast pad 4a disposed substantially parallel to the waist pad 3a and a second breast pad 4b disposed substantially parallel to the waist pad 3b. . The first chest pad portion 4a is formed in a belt shape that can cover the chest of the wearer from the back pad portion 2 when worn. In addition, the chest pads 4a and 4b can be made by adjusting the stretch rate using a stretchable material, similarly to the waist pads 3a and 3b.

  Furthermore, as shown in FIG. 1, the 1st engaging part 41 and the 2nd engaging part 42 are provided in the back surface of the 1st breast pad part 4a. The first engaging portion 41 and the second engaging portion 42 can adopt the same configuration as the first engaging portion 31 and the second engaging portion 32. In the first embodiment, these first engaging portions 41 and the second engaging portions 42 can be employed. The example which applied the hook_and_loop | surface fastener to the attaching part 41 and the 2nd engaging part 42 is demonstrated. That is, the first engaging portion 41 is disposed at an end portion on the free end side of the first chest rest portion 4a, and is raised like a hook like the first engaging portion 31 formed on the waist rest portion 3a. It is a member made. On the other hand, the second engaging portion 42 is provided adjacent to the first engaging portion 41 and raised like a loop like the second engaging portion 32 formed on the waist rest portion 3. It is a member. On the other hand, a fixing ring 43 through which the first breast pad portion 4a is inserted is fixed to the back surface of the second breast pad portion 4b. The fixing ring 43 has a long hole through which the first breast pad portion 4a is inserted, for example, and is formed in a ring shape.

  In order to wear the brace 1 according to the first embodiment, the left and right arms are put in a loop formed by each shoulder belt member 52, and both shoulder belt members 52 are hung on the left and right shoulders. As a result, the back rest 2 is held on the back. Next, the both ends of the waist pad 3a and the waist pad 3b are held, and the waist pad 3a and the waist pad 3b are pulled around the lower abdomen while applying a force to tighten the waist. Finally, the first engagement portion 31 is engaged with the second engagement portion 32 on the front surface of the lower abdomen of the wearer. Thereby, a wearer's waist | hip | lumbar part is clamp | tightened.

Further, both the engagement belts 55 in the state where the shoulder belt members 52 and the waist belt members 56 are accommodated are pulled, the shoulder belt members 52 and the waist belt members 56 are pulled, and finally the engagement bodies 55 are attached to the waist support portions 3. The second engaging portion 32 is engaged. Here, as described above, each first ring member 22 is disposed in the vicinity of the shoulder blade of the wearer when worn. For this reason, by engaging each engaging body 55 with the lower abdomen side of the waist pad 3, each shoulder belt member 52 is hung on the wearer's trunk while tilting from the upper back of the wearer toward the lower front. Turned. The inclination direction of each shoulder belt member 52 substantially matches the direction of the muscle fibers of the external oblique muscles of the wearer. Thereby, a wearer's flank part is clamped. Further, since the shoulder belt member 52 constitutes a part of the shoulder pad portion 5, both shoulder portions of the wearer are also tightened by operating both the engaging members 55.
Furthermore, the waist belt member 56 goes around from the backrest portion 2 to the lower abdomen, and the wearer's waist and flank are tightened.

  Next, the first breast pad 4a and the second breast pad 4b are held, and the first breast pad 4a is pulled around the wearer's chest while applying a force to tighten the chest of the wearer. Thereafter, the first breast pad 4 a is inserted through the fixing ring 43 provided on the second breast pad 4 b, and the first breast pad 4 a is folded back through the fixing ring 43. Subsequently, the first engaging part 41 of the first breast pad part 4a is engaged with the second engaging part 42 formed on the first breast pad part 4a. This tightens the wearer's chest. Here, in the brace 1 according to the first embodiment, after completion of the mounting operation of the breast pad portion 4, the chest pad portion 4 tightens the vicinity of the wearer's rib lower edge (under bust). The mounting operation of the brace 1 is completed by fixing the breast pad portion 4.

  In the orthosis 1 according to the first embodiment, in the description of the mounting operation described above, the operation is performed in the order of the waist rest portion 3, the shoulder belt member 52 and the waist belt member 56 accommodated in the engaging body 55, and the chest rest portion 4 in this order. As described above, the chest pad portion 4 may be operated prior to the shoulder belt member 52 and the waist belt member 56 accommodated in the engaging member 55 subsequent to the waist pad portion 3. Further, in the orthosis 1 according to the first embodiment, when the breast pad part 4 is worn, the first breast pad part 4a is inserted through the fixing ring 43 provided in the second breast pad part 4b, and then the first breast pad part is inserted. A configuration is employed in which the first engagement portion 41 and the second engagement portion 42 in the portion 4a are engaged. However, the mounting method of the breast pad portion 4 is not limited to this. For example, like the waist pad portion 3, the first engagement portion 41 is provided in the first chest contact portion 4 a, while the second engagement portion 42 is the second attachment portion 42. You may make it provide in the breast pad part 4b. In such a case, the first breast pad portion 4a and the second breast pad portion 4b can have substantially the same shape, which leads to a reduction in the manufacturing cost of the brace 1.

  According to the brace 1 configured as described above, the back of the wearer is tightened by the back pad 2, the waist by the waist pad 3, and the chest by the chest pad 4. The trunk including the waist and chest is fixed integrally. Thereby, it becomes possible to increase the pressure of each part and to regulate the overall movement of the upper body of the wearer. Therefore, the burden acting on the spine can be reduced to prevent the vertebral body from being deformed or damaged as much as possible. As a result, it is possible to prevent and / or treat complications caused by vertebral body diseases.

  Moreover, according to the orthosis 1 which concerns on 1st embodiment, since it can prevent that a vertebral body deform | transforms as much as possible, the vertebral body compression fracture and scoliosis which occur by deformation | transformation of a vertebral body, posterior bay disease Therefore, the present invention can be applied to the prevention and / or treatment of spinal deformities such as lordosis and lumbar spinal stenosis and herniated discs. Here, after surgery for spinal deformity, it is normal for the patient to wear a brace to achieve postoperative recovery, and the brace 1 according to the first embodiment is also applied to patients after various spinal deformity surgery. Can be applied. Furthermore, since it is possible to suppress wobbling during walking and the like when applied by high-frequency falls, it can also be applied to prevention and / or treatment of musculoskeletal instability.

  Furthermore, according to the brace 1 according to the first embodiment, the trunk including the back, waist, and chest of the wearer can be fixed integrally, so that the forward leaning posture of the wearer is easily suppressed. Yes. For this reason, the orthosis 1 which concerns on 1st embodiment is more suitable for the prevention and / or treatment of the vertebral body compression fracture which develops with a wearer's forward leaning posture. Here, from the viewpoint of integrally fixing the trunk including the back, waist, and chest of the wearer, the waist rest 3 is connected to the back rest 2 and is lowered from the back rest 2 when worn. It is better to go around the abdomen side and fix the waist, and the chest pad part 4 is connected to the back pad part 2, and when worn, it should go around from the back pad part 2 side to the chest side and fix the chest part. . As described above, the back pad part 2 and the chest pad part 4 are connected to the back pad part 2 including the back fixing member 2a. When the waist and the chest are respectively fixed, the posture control by the hard back fixing member 2a can be performed, and the forward tilt posture of the wearer can be more firmly suppressed.

  Furthermore, according to the brace 1, in the mounted state, the shoulder belt member 52 passes through the upper part of the chest starting from the free end of the shoulder pad body 51 and is provided on the back pad part 2. And is again engaged with the second engaging portion 32 of each waist pad portion 3 on the front of the body. For this reason, when the shoulder belt member 52 is pulled, a force acts on the back and chest via the shoulder belt member 52, that is, a force acts to contract the latissimus dorsi muscles and extend the back muscles. By this action, the posture can be corrected more correctly, and further, it is possible to suppress the wearer from taking a forward leaning posture. Each shoulder belt member 52 is folded back by the first ring member 23 starting from the free end of the shoulder pad main body 51, and is disposed along the outer oblique muscle of the wearer. Here, the external oblique muscle is a muscle that functions to assist the movement of the body when the trunk is bent forward or laterally, and also when the trunk is swung. Is to assist. That is, the external oblique muscle is an essential muscle when changing the posture of the upper body of the body. For this reason, the outer abdominal oblique muscle is pressed from the outside of the body by the attachment operation of the engaging body 55, so that the movement of the upper body of the wearer can be surely suppressed. Further, when the shoulder belt member 52 is made of a non-stretchable material, the tightening force of the wearer's flank can be adjusted according to the degree of traction of the shoulder belt member 52. Therefore, if the shoulder belt member 52 is pulled strongly, the pressure acting on the trunk can be increased by the pulling amount. That is, the shoulder belt member 52 corresponds to the first belt member of the present invention.

  Moreover, according to the brace 1 which concerns on 1st embodiment, in the mounting state, each waist belt member 56 presses a wearer's waist | hip | lumbar part from a flank side. This also makes it possible to reliably suppress the movement of the upper body of the wearer. Further, similarly to the shoulder belt member 52, when the waist belt member 56 is made of a non-stretchable material, the tightening force of the wearer's flank can be adjusted according to the degree of traction of the waist belt member 56. . That is, the waist belt member 56 corresponds to the second belt member of the present invention.

  Further, according to the orthosis 1 according to the first embodiment, both the shoulder belt member 52 and the upper auxiliary band 24a are passed through the first ring member 22, and both the waist belt member 56 and the lower auxiliary band 24b are the second ring. It is passed through the member 23. For this reason, when the shoulder belt member 52 and the waist belt member 56 are held in the state where both the engagement members 55 are held and the shoulder belt member 52 and the waist belt member 56 are pulled, the upper auxiliary band 24a and the lower auxiliary band are interlocked. 24b is pulled. As a result, the upper auxiliary band 24a and the lower auxiliary band 24b are in a tension state, and the fixing force of the backrest portion 2 is improved. For this reason, the posture of the upper body of the wearer can be corrected more reliably. That is, the auxiliary band 24 corresponds to the third belt member of the present invention.

  Further, according to the brace 1, since one end of the shoulder belt member 52 is inserted into the engagement body 55, both shoulders of the wearer are interlocked with the attachment operation of the engagement body 55. Tightening is performed. As a result, even if the wearer's trunk muscle strength is so weak that the wearer is forced to take a forward leaning posture, or the vertebral body is severely injured, the movement of the wearer's shoulder is the shoulder rest. As a result of being suppressed by the part 5, the effect of fixing the trunk is strengthened. That is, the posture of the wearer can be corrected more reliably. On the other hand, if the wearer takes a forward leaning posture, the shoulder holding portion 54 is overweight, and the shoulder rest 5 is strained. If it does so, there exists a possibility that tensile force may act on the said back support part 2 via said 1st ring member 23, and this back support part 2 may be loaded.

  However, according to this brace 1, since the trunk including the back, waist, and chest of the wearer is integrally fixed by the back pad 2, the waist pad 3, and the chest pad 4, the wearer is temporarily in front. Even if the posture is tilted, the tensile force acting on the back pad part 2 is transmitted to the chest pad part 4 among the back pad part 2, the waist pad part 3 and the chest pad part 4, and only to the back pad part 2 It is possible to prevent excessive force from acting.

In the orthosis 1 according to the first embodiment, the shoulder pad 5 is detachable from the back pad 2. Immediately after surgery for vertebral body disease, it is necessary to maintain the posture of the upper body of the patient correctly, so that the possibility of changing the posture of the upper body of the patient as much as possible by using the orthosis 1 with the shoulder pad portion 5 is as much as possible. Need to be eliminated. On the other hand, when a certain amount of time has passed after the operation and there is no need to excessively compress the trunk, the orthosis 1 having a configuration of the shoulder pad 5 is used to excessively correct the posture of the patient. There is no need. Therefore, when the brace 1 is used after a certain amount of time has passed since the surgery for the vertebral body disease, it is better to use the shoulder pad 5 after removing it from the back pad 2. Thereby, a wearer's tight feeling can be suppressed as much as possible. That is, in the orthosis 1 according to the first embodiment, by making the shoulder pad part 5 detachable from the back pad part 2, from the time when vertebral body correction is highly required immediately after surgery for vertebral body disease, As the healing progresses, it is possible to provide a brace that can be worn throughout the period when it is necessary to consider the ease of movement of the wearer rather than fixing the trunk.
This applies not only to patients who have undergone surgery for vertebral body disease, but also to patients who do not have to undergo surgery, and is the first implementation as a device suitable for each stage of prevention and / or treatment of vertebral body disease. It is possible to use the brace 1 according to the form.

  In the orthosis 1 according to the first embodiment, a shoulder pad portion 5 that forms a part of the back pad portion 2 is provided. The shoulder pad portion 5 supports the back, waist, and chest of the wearer. However, it is not always necessary to correct the posture of the upper body. However, the shoulder belt member 52 constitutes a part of the shoulder pad 5 and constitutes a part of the trunk compression belt member 6. For this reason, when the configuration of the shoulder pad portion 5 is not provided, it is preferable to leave the configuration corresponding to the shoulder belt member 52 from the viewpoint that the posture change of the upper body of the wearer can be more reliably suppressed.

  On the other hand, since the auxiliary band 24 is pulled in conjunction with the shoulder belt member 52 and the waist belt member 56 as described above, the pulling force of the shoulder belt member 52 and the waist belt member 56 is applied to the backrest via the auxiliary band 24. It is transmitted to the part 2, and there is a possibility that an excessive tensile force acts on the backrest part 2. The same applies to the case where the first ring member 22 or the second ring member 23 is directly fixed to the back surface of the backrest portion 2. However, in the orthosis 1 according to the first embodiment, both ends of the auxiliary band 24 are not fixed together in one place of the backrest portion 2, but are fixed in two places. For this reason, the pulling force of the shoulder belt member 52 and the waist belt member 56 is distributed by the auxiliary band 24. As a result, it is possible to suppress an excessive tensile force from acting on the backrest portion 2. If the auxiliary band 24 is configured to adjust the pressure applied to the trunk of the wearer in conjunction with the shoulder belt member 52 and the waist belt member 56, the arrangement of the auxiliary band 24 is as described above. For example, a configuration may be adopted in which both ends of each auxiliary band 24 are fixed together in one place on the backrest portion 2. However, from the viewpoint of reducing the pulling force that acts on the back rest 2, both ends of the auxiliary band 24 are preferably fixed at separate positions in the back rest 2.

  Further, according to the orthosis 1, since the engaging body 55 is configured to accommodate both the shoulder belt member 52 and the waist belt member 56, the shoulder belt member when the trunk is compressed by these belts. There is no need to operate 52 and the waist belt member 56 independently, and the pressing operation can be performed by a single pulling operation. Thereby, there is an advantage that the compression operation by the user himself / herself or a doctor, an engineer orthotic, a nurse, or the like can be reliably and easily performed, as well as an advantage that the simplicity of the appliance operation is increased.

<Second embodiment>
6 and 7 are views showing the vertebral body disease device 101 according to the second embodiment of the present invention, and FIG. 6 is a rear view of the vertebral body disease device 101 observed from the rear side of the wearer. On the other hand, FIG. 7 is a front view showing a surface facing the wearer in the vertebral body disease device 101. In this brace 101, the same reference numerals are assigned to components common to the brace 1 shown in FIGS. The following description will focus on the differences between the appliance 101 shown in FIGS. 1 to 5 and the description of the common configuration.

  The orthosis 101 and the orthosis 1 are different in arrangement configuration of the trunk compression belt member. Further, the appliance 101 has an abdomen fixing member 7 for increasing the fixing force of the appliance 101. A configuration for accommodating the abdomen fixing member 7 is provided in the waist pad part 103 and the breast pad part 104.

  In the orthosis 101 according to the second embodiment, one end of each lower auxiliary band 124b is substantially in the center of the backrest portion 2 and is fixed corresponding to the periphery of the wearer's thoracic vertebra. The other end of each lower auxiliary band 124b is fixed at a position displaced with respect to the one end along the wearer's body axis and corresponding to the periphery of the wearer's lumbar vertebra at a substantially central portion of the backrest portion 2. ing. Each of the lower auxiliary bands 124 b is bent in a substantially V shape via the second ring member 23. In addition, the orthosis 101 according to the second embodiment has a pair of trunk side belt members 152 as first belt members, and one end of each trunk side belt member 152 is fixed to the breast pad 104, and the first ring member 22 is folded around the lower edge of the scapula, and the other end is inserted into the locking portion 55 in the same manner as the brace 1.

  Next, the abdomen fixing member 7 will be described. The abdomen fixing member 7 can be provided along the body axis of the wearer between the first breast pad 104a and the waist pad 103a. The abdomen fixing member 7 is formed in a flat plate shape and is arranged so as to cover the front of the abdomen from the front of the wearer's chest when worn. The abdomen fixing member 7 incorporates a plate-like member (not shown) that supports from the chest to the abdomen of the wearer. This plate-like member is made of the same material as the back fixing member 2a.

  In the orthosis 101 according to the second embodiment, as shown in FIG. 7, a first holding part 131 in which the abdomen fixing member 7 is accommodated is formed in the waist rest part 103 a. The first holding part 131 is fixed to the front surface of the waist pad part 103a, and is formed in a bag shape opened toward the first breast pad part 104a. One end of the abdomen fixing member 7 is inserted into the first holding part 131 from the first breast support part 104a side. On the other hand, as shown in FIG. 6, a second holding portion 141 is formed on the first breastplate portion 104a. The second holding portion 141 is formed in a band shape, and both side edges are fixed to the back surface of the first breast pad portion 104a. Thus, a gap is formed between the second holding part 141 and the back surface of the first breast pad part 104a, and the other end of the abdomen fixing member 7 is inserted into the gap. As a result, the abdomen fixing member 7 is held by the waist pad 103a and the first breast pad 104a.

  According to the device 101 configured as described above, although the arrangement configuration of the trunk compression belt member is different, the device 101 has substantially the same effect as the device 1 and is suitable for a vertebral body disease device. Furthermore, the effect peculiar to the orthosis 101 which concerns on 2nd embodiment which has the said abdomen fixing member 7 is shown below.

  Here, in the human body, only the vertebral column exists as a skeleton between the thorax (thoracic skeleton) that protects the heart, lungs, and the like and the pelvis that constitutes the lumbar portion of the human body. That is, between the rib cage and the pelvis, the weight of the human body is mainly loaded by the spinal column. For this reason, it can be said that there is a high possibility that the vertebral body provided between the chest and the lumbar region suffers from a vertebral body disease that deforms.

  However, according to the brace 101 according to the second embodiment, the abdomen fixing member 7 can be disposed between the waist pad 103a and the first breast pad 104a and along the body axis of the wearer. It is. For this reason, even if the wearer takes a forward leaning posture against the fixing force of the back pad 2, the waist pad 3 and the chest pad 4, the weight of the wearer is loaded on the abdomen fixing member 7. The Rukoto. As a result, the spine arranged between the rib cage and the pelvis can be prevented from overloading the body weight, thereby preventing the deformation of the vertebral body as much as possible.

  Thus, since the abdomen fixing member 7 functions to load the weight when the wearer takes a forward leaning posture, in the brace 101 according to the second embodiment, the shoulder pad 5 provided in the brace 1 is provided. Need not be provided. In the orthosis 101 according to the second embodiment, the abdomen fixing member 7 can be easily detached from the waist pad 103a and the first breast pad 104a. For this reason, when the healing progresses and it is necessary to consider the ease of movement of the wearer rather than the fixation of the trunk, the abdomen fixing member 7 is removed to suppress the cramping feeling of the wearer as much as possible. be able to. That is, the brace 101 according to the second embodiment can be used as a brace corresponding to each progression stage of prevention and / or treatment of vertebral body disease, similarly to the brace 1.

  Further, in the brace 101 according to the second embodiment, unlike the brace 1, it is not necessary to pass the shoulders of the wearer through the shoulder pad part 5, and the brace part 103 and the breast pad part 104 can be worn only by the operation of the waist pad part 103 and the breast pad part 104. The operation is complete. That is, according to the brace 101 which concerns on 2nd embodiment, simplification of mounting | wearing operation can be achieved, achieving the improvement of the fixing force of a brace.

  In the appliance 101 according to the second embodiment, the first holding part 131 is formed in a bag shape, while the second holding part 141 is formed in a band shape. Is not limited to these. However, as described above, since the abdomen fixing member 7 has a plate-like member and has a certain weight, it is preferable that each abdomen fixing member 7 does not fall due to its own weight when mounted.

  In the orthosis 101 according to the second embodiment, the abdomen fixing member 7 is disposed between the waist pad part 103a and the first chest pad part 104a. The abdomen fixing member 7 is connected to the waist pad part 103b. You may employ | adopt the structure which arrange | positions between the two breast pads 104b, and is equipped with the two abdominal-part fixing members 7 in the brace 101 whole. With such a configuration, it is possible to increase the support force of the brace 101 at the time of wearing as compared with a single abdomen fixing member 7.

1,101 Vertebral disease orthosis
2 Back support part 2a Back fixing member 3 Lumbar support part 4 Chest support part 6 Trunk pressing belt member 7 Abdominal part fixing member

Claims (10)

A back pad for fixing the wearer's back;
A waist rest for fixing the waist of the wearer;
A breastplate for fixing the chest of the wearer;
A trunk compression belt member capable of adjusting the compression pressure on the trunk , and
The trunk compression belt member includes a first belt member,
Said first belt member has one end connected to said back support part through a shoulder near or chest near the wearer, is folded by the first belt through portion, the other end is attached to the engaging member Rushitai Disease brace.   The vertebral body disease device according to claim 1, wherein the first belt member is disposed from the back pad portion to a lower abdomen side of the waist pad portion. The trunk compression belt member, the vertebral body disease brace according to claim 1 or 2 wherein comprises a second belt member around to the lower abdomen side from the back part side when wearing. A second belt via portion through which the trunk compression belt member is passed;
The vertebral body disease device according to claim 3 , wherein the second belt member is passed through the second belt passing portion. The trunk compression belt member includes a first auxiliary band,
The orthopedic device for vertebral body disease according to any one of claims 1 to 4, wherein the first auxiliary band is fixed to the backrest portion and bundled together with the first belt member by the first belt transit portion. The trunk compression belt member includes a second auxiliary band,
The vertebral body disease device according to claim 4 or 5, wherein the second auxiliary band is fixed to the backrest part and is bundled together with the second belt member by the second belt transit part. The orthopedic device for vertebral body disease according to any one of claims 1 to 6 , wherein the first belt member is disposed along the external oblique muscle when worn. The orthopedic device for vertebral body disease according to any one of claims 1 to 7, further comprising a member for fixing an abdomen provided in front of the body at the time of wearing, provided between the lower abdomen side of the waist pad and the chest pad. . The vertebral body disease device according to any one of claims 1 to 8 , further comprising a back fixing member provided on the back pad. The vertebral body disease orthosis according to claim 9, wherein the back fixing member is a member that holds a curable resin on a base material and can be molded in accordance with the shape of the back.

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