JP6376436B2 - Shoulder brace - Google Patents

Description

  The present disclosure relates to shoulder braces. More specifically, the present invention relates to a shoulder brace that holds the treatment limb position.

  When surgery is performed for shoulder joint treatment, resting with a brace is performed after surgery. In Patent Document 1, an upper limb fixing device including a fixing plate, a forearm fixing means, a torso belt, and a holding belt, and in Patent Document 2, a shoulder joint fixing device including a pad, a torso belt, a forearm fixing portion, and a shoulder belt, Each has been proposed.

  For early recovery after such surgery for shoulder disease, it is important to perform early rehabilitation along with supporting and fixing the affected part in an appropriate limb position, and also to prevent recurrence of shoulder disease, Timely rehabilitation is desired.

JP 2005-245612 A JP 2005-245611 A

It is desirable that the shoulder orthosis can be compatible with both support and fixation of the affected area and rehabilitation.
The present disclosure provides a shoulder brace that achieves both support and fixation of an affected area and rehabilitation.

A shoulder brace according to the present disclosure includes a curved portion disposed at least at a part around the trunk, and extends from the curved portion toward the forearm and supports the forearm in at least the internal and external rotation directions of the shoulder joint. A movable part that is movable.
In the shoulder brace, when the movable part is moved in the internal rotation direction of the shoulder joint, a restoring force in the external rotation direction may be applied to the movable part.
The shoulder brace may further include a load member that is disposed between the movable portion and the bending portion and applies a load to the shoulder joint when the forearm is rotated.
In this case, the load member may apply the load by elasticity.
The shoulder brace may further include a torso belt wound around the torso, and the torso belt may be detachable from the curved portion.
In this case, the body belt may have a pocket having a width direction substantially the same as that of the bending portion and into which a part of the bending portion is inserted.

  According to the present disclosure, it is possible to achieve both support and fixation of an affected area and rehabilitation.

A is a perspective view showing a configuration example of a shoulder brace according to the first embodiment, B is a first modification, C is a second modification, D is a third modification, and E is a fourth modification. It is a perspective view which shows an example. A is a perspective view showing a configuration example of a shoulder brace according to the second embodiment, B is a front view showing a temporary fixing operation of a forearm bag, and C is a front view showing a full attachment operation of a forearm bag. A is a perspective view which shows the structural example of the shoulder brace of 3rd Embodiment, B is an expansion | deployment front view of a trunk belt. A is a front view showing the operation of attaching the curved portion to the waist belt, B is a front view showing a state in which the movable portion is positioned at the intermediate rotation position, and C is a position where the movable portion is positioned at the internal rotation position. It is a front view which shows the state. A is a perspective view showing a first modification of the third embodiment and B is a second modification.

  Hereinafter, preferred embodiments for carrying out the present disclosure will be described with reference to the drawings. The embodiment described below is merely an example, and the scope of the present disclosure is not interpreted narrowly. In each embodiment, components corresponding to each other are denoted by the same reference numerals, and redundant description is omitted.

<1. First Embodiment>
[Configuration example]
FIG. 1A is a perspective view illustrating a configuration example of a shoulder brace 1 according to the present embodiment, and more specifically, a perspective view of the shoulder brace 1 as viewed from the front, that is, from the front. As shown in FIG. 1A, the shoulder orthosis 1 includes a bending portion 11 and a movable portion 12.

[Curved portion 11]
As shown in FIG. 1A, the bending portion 11 is curved in a substantially arc shape toward the front. The bending portion 11 is disposed at least at a part around the trunk of the user when the shoulder brace 1 is in use. The extent to which the bending portion 11 is arranged around the trunk can be appropriately determined according to the circumferential length of the bending portion 11. The bending part 11 may be arrange | positioned in a part or all around a user's trunk | drum. A configuration that allows the bending portion 11 to be adjusted in the circumferential length is also within the scope of the present disclosure. It is preferable that the bending portion 11 has a shape and a size that can be disposed at least on the side portion around the trunk. The material of the bending portion 11 is not limited. For example, the bending portion 11 is formed of resin (for example, plastic) or metal inside, and as shown in FIG. 1A, the outside is a knitted fabric or a woven fabric. The cover material 110 may also cover the inside formed by a non-woven fabric or the like.
A preferred embodiment of the curved portion 11 is made of a material that is hard and not flexible, and that is in contact with the periphery of the trunk when worn. Thus, since the bending portion 11 is made of a hard and inflexible material, the bending portion 11 is not deformed even during rehabilitation. Therefore, the bending portion 11 can be firmly fixed to the trunk during rehabilitation, and a predetermined limb position can be obtained. Can perform stable rehabilitation.

[Moving part 12]
As shown in FIG. 1A, the movable portion 12 extends forward from one end of the bending portion 11 (left end in FIG. 1A). The movable part 12 is arranged so as to extend from the bending part 11 to the forearm side in the use state of the shoulder brace 1. The movable portion 12 is configured to be movable with respect to the bending portion 11. The movable direction of the movable part 12 includes at least the internal rotation direction and the external rotation direction of the shoulder joint (see the arrow in FIG. 1A) when the use state of the shoulder brace 1 is considered as a reference. The movement of the movable portion 12 may include rotation about the connection portion between the bending portion 11 and the movable portion 12 as a rotation center. In this case, the rotation axis of the movable part 12 in the use state of the shoulder brace 1 may be parallel to the trunk axis, but is not limited thereto. The movable part 12 is moved in a state where the user's forearm is supported. The support of the forearm may be realized by the structure of the movable part 12 or may be realized by the user holding a part of the movable part 12 (for example, the front end part). The movable part 12 may exhibit a drag in the external rotation direction when moving in the internal rotation direction by applying an external force, or exhibit a drag in the internal rotation direction when moving in the external rotation direction by applying an external force. May be. The movement of the movable part 12 may be embodied by the material of the movable part 12, or by a mechanical structure such as a hinge part such as a hinge or a torsion spring provided at the connection part between the movable part 12 and the bending part 11. Although it may be embodied, it is not limited to these. The material of the movable part 12 is not limited. For example, the movable part 12 is formed of resin, metal, or the like inside, and as shown in FIG. 1A, the outside is a fabric such as a knitted fabric, woven fabric, or non-woven fabric. The cover material 120 that covers the inside formed by, for example, may be used. The inside of the movable part 12 may be integrally formed of the same material as the inside of the bending part 11. In this case, the number of parts and the number of manufacturing steps can be reduced. Further, the cover material 120 of the movable portion 12 may be integrally formed of the same material as the cover material 110 of the bending portion 11. Also in this case, the number of parts and the number of manufacturing steps can be reduced. At least a part of the cover material 120 may be raised in a loop shape or a hook shape, but is not limited thereto.
A preferable embodiment of the movable portion 12 is made of a material that is hard and inflexible, and a portion that comes into contact with the forearm when worn is not deformable. In this way, since the movable part 12 is made of a hard and inflexible material, it does not deform during rehabilitation, so the forearm is firmly supported and fixed during rehabilitation, and stable in a predetermined limb position. Rehabilitation can be performed.
In a more preferred embodiment of the shoulder brace 1, the curved portion 11 and the movable portion 12 are made of a material that is hard and not flexible, and a portion that contacts the trunk or forearm is not deformable. By adopting such a configuration, during rehabilitation, only the connecting portion between the bending portion 11 and the movable portion 12 is deformed (flexed), and the other portions are not deformed. It can be supported, and stable rehabilitation can be performed in the correct limb position.

[Operation example]
When using the shoulder brace 1 of the present embodiment, the affected part such as the shoulder joint is supported in the treatment limb position by applying the curved part 11 to the side of the trunk and the forearm to the outer side of the movable part 12. Fixed. Further, the affected part is rehabilitated by rotating the forearm supported by the movable part 12 in the internal rotation direction and the external rotation direction.

  Here, shoulder joints, upper arm / forearm fractures, knee joint disorders, etc. are frequently seen, and a treatment period of several weeks is required both conservatively and openly. And after the operation, it is important to stably fix in a desired treatment limb position. On the other hand, early rehabilitation is important for early recovery after surgery, and it is desirable that rehabilitation can be easily performed according to symptoms while stably performing postoperative fixation. About this point, according to the shoulder brace 1 of this embodiment, by providing the movable part 12 and the curved part 11, fixation of an affected part and rehabilitation can be made compatible. Further, according to the shoulder brace 1 of the present embodiment, it is possible to reduce stiffness around the shoulder joint, contracture of the shoulder joint due to long-time wearing, pain, and the like, compared with a shoulder brace including a shoulder belt. Moreover, according to the shoulder brace 1 of this embodiment, the ease of handling, such as operation and mounting | wearing, can be improved compared with the shoulder brace provided with a shoulder belt.

<2. Modification of First Embodiment>
1B to 1E are perspective views illustrating a configuration example of a shoulder orthosis 1 according to a modification of the present embodiment. More specifically, FIG. 1B is a perspective view showing a first modification, FIG. 1C is a second modification, FIG. 1D is a third modification, and FIG. 1E is a fourth modification. It is.

As shown in FIG. 1B, the shoulder brace 1 of the first modified example is different from the shoulder brace 1 of FIG. 1A in that the movable portion 12 is curved so that the arm can be placed. Specifically, the movable part 12 includes a main body part 121 and an arm rest part 122 connected to the main body part 121. The arm rest part 122 projects from the lower end of the main body part 121 in the external rotation direction and is curved downward.
As shown in FIG. 1C, the shoulder device 1 of the second modification is different from the shoulder device 1 of FIG. 1A in that the movable portion 12 is cylindrical.
As shown in FIG. 1D, the shoulder brace 1 of the third modified example has a feature that the movable part 12 can fix the forearm to the main body part 121 by a belt 123 with respect to the shoulder brace 1 of FIG. 1A. Different.
As shown in FIG. 1E, the shoulder orthosis 1 of the fourth modification is different from the shoulder orthosis 1 of FIG. 1A in that the front end portion of the movable portion 12 is formed in a ring shape that can be gripped.
According to the shoulder brace 1 of each modification described above, the forearm can be stably supported with a simple configuration.

<3. Second Embodiment>
[Configuration example]
FIG. 2A is a perspective view illustrating a configuration example of the shoulder brace 1 of the present embodiment, and more specifically, a perspective view of the shoulder brace 1 looking down from the left side. As shown in FIG. 2A, the shoulder orthosis 1 of the present embodiment is different from the shoulder orthosis 1 of FIG. 1A in that it further includes a forearm fixing member 13.

[Forearm fixing member 13]
The forearm fixing member 13 is configured to be attached to the outer surface of the movable portion 12. The forearm fixing member 13 is configured to fix the forearm to the movable portion 12. More specifically, as shown in FIG. 2A, the forearm fixing member 13 includes a forearm bag 131, a forearm belt 132, and a temporary fixing belt 133.

[Forearm bag 131]
As shown in FIG. 2A, the forearm bag 131 is formed in a bag shape in which the upper end and the front end are opened and the lower end and the rear end are closed. A bent forearm can be inserted into the forearm bag 131 from above through an upper end opening 1311. The material of the forearm bag 131 is not limited, and the forearm bag 131 may be formed of a flexible material such as a fabric using chemical fibers. The forearm bag 131 may be attachable to and detachable from the movable portion 12 through the inner side surface 131a. In this case, the configuration for attaching and detaching the forearm bag 131 to and from the movable portion 12 is not particularly limited, but a hook-and-loop fastener may be adopted as an example of a preferred embodiment. By using a hook-and-loop fastener, attachment and detachment can be easily performed, and a wearing state can be stably maintained. Another configuration example for attaching / detaching the forearm bag 131 to / from the movable portion 12 includes a snap button.

[Forearm belt 132]
As shown in FIG. 2A, the forearm belt 132 is attached to the lower end portion of the outer side surface 131 b of the forearm bag 131. When the shoulder brace 1 is used, the forearm belt 132 is attached to the movable portion 12 with both end edges of the upper end opening 1311 being close to or in contact with each other. Note that the forearm belt 132 in FIG. 2A is disposed at a position corresponding to the lower part of the central range in the longitudinal direction of the upper end opening 1311. However, the configuration of the forearm belt 132 is not limited to this. The material of the forearm belt 132 is not limited. For example, the forearm belt 132 may be a woven belt using chemical fibers. The forearm belt 132 may be detachable from the forearm bag 131 and can be detachably attached to any position on the outer surface of the forearm bag 131. In this case, the configuration for attaching the forearm belt 132 to the forearm bag 131 is not limited, and for example, a hook-and-loop fastener or a snap button may be used. A configuration for attaching the forearm belt 132 to the movable portion 12 is not limited, and may be a hook-and-loop fastener, a buckle, a snap button, or the like.

[Temporary fixing belt 133]
As shown in FIG. 2A, the temporary fixing belt 133 is attached to the front end of the upper end portion of the outer side surface 131 b of the forearm bag 131. The temporary fixing belt 133 is formed to have a narrower band width than the forearm belt 132. The temporary fixing belt 133 is attached to the movable portion 12 in a state where the front end portions at both end edges of the upper end opening 1311 are close to or in contact with each other when the shoulder brace 1 is used. The material of the temporary fixing belt 133 is not limited. For example, the temporary fixing belt 133 may be a woven belt using chemical fibers. The temporary fixing belt 133 may be detachable from the forearm bag 131. In this case, the configuration for attaching the temporarily fixing belt 133 to the forearm bag 131 is not limited, and may be, for example, a hook-and-loop fastener or a snap button. A configuration for attaching the temporarily fixing belt 133 to the movable portion 12 is not limited, and may be a hook-and-loop fastener, a buckle, a snap button, or the like.

[Operation example]
When using the shoulder brace 1 of the present embodiment, as shown in FIG. 2B, after the forearm is inserted into the forearm bag 131, the temporarily fixing belt 133 is attached to the front end portion of the upper end opening 1311 of the forearm bag 131. It is bridged to the movable part 12 side so as to straddle and is attached to the movable part 12. In this way, the forearm bag 131 is temporarily fixed to the movable portion 12.

  Next, as shown in FIG. 2C, the forearm belt 132 is bridged to the movable part 12 side so as to straddle the upper end opening 1311 of the forearm bag 131 and is attached to the movable part 12. In this way, the forearm bag 131 is permanently attached to the movable portion 12. At this time, the temporary attachment is performed, so that the main attachment can be easily performed. The forearm belt 132 may be fixed over the side of the forearm bag 131 so as to straddle the upper end opening 1311 of the forearm bag 131 from the movable portion 12 side.

  According to the shoulder brace 1 of this embodiment, the same effects as those of the shoulder brace 1 of FIG. 1A can be obtained, and the stability of the forearm support and the ease of handling can be further improved.

<4. Third Embodiment>
[Configuration example]
FIG. 3A is a perspective view illustrating a configuration example of the shoulder brace 1 of the present embodiment, and more specifically, a perspective view of the shoulder brace 1 looking down obliquely from the front. As shown in FIG. 3A, the shoulder brace 1 of this embodiment is different from the shoulder brace 1 of FIG. 2A in that a load member 14 and a torso belt 15 are further provided.

[Load member 14]
As illustrated in FIG. 3A, the load member 14 is disposed between the movable portion 12 and the bending portion 11. The load member 14 is configured to apply a load to the shoulder joint during internal rotation of the forearm. The load member 14 is configured to apply a load by elasticity. That is, the shoulder orthosis 1 in FIG. 3A is configured such that when the movable part 12 is moved in the internal rotation direction of the shoulder joint, a restoring force in the external rotation direction is applied to the movable part 12. However, the configuration to which the restoring force in the external rotation direction is applied is not limited to the configuration in FIG. 3A. Details are described in <5. Description of the Modification of Third Embodiment>

As shown in FIG. 3A, the load member 14 is formed in a substantially triangular prism shape so as to fill a gap in the vicinity of the connection portion between the movable portion 12 and the bending portion 11. According to such a shape, the load can be efficiently operated with a compact configuration. However, the shape of the load member 14 is not limited to the shape shown in FIG. 3A. The number and arrangement of the load members 14 are not limited to the upper and lower two-tiered form as shown in FIG. 3A. The material of the load member 14 is not limited. For example, various members such as foam, gas or liquid enclosure, spring, rubber, and synthetic resin can be selected. The load member 14 may be detachably fixed to the movable portion 12 and the bending portion 11, or may be fixed detachably. A mode in which the load member 14 is simply sandwiched between the movable portion 12 and the bending portion 11 is also within the scope of the present disclosure. The configuration for attaching the load member 14 to at least one of the movable portion 12 and the bending portion 11 is not limited, and may be, for example, a hook-and-loop fastener or a snap button.
As a preferable aspect of the load member 14, it can be attached to and detached from the movable portion 12 and / or the curved portion 11 for easy adjustment of the degree of rehabilitation and easy handling, and compression in the internal rotation direction of the shoulder joint by rehabilitation. It is a member that generates drag with volume change (decrease) due to and restores to its original shape by elastic recovery after being released from compression.

[Corner belt 15]
The torso belt 15 is configured to be wound around the user's torso. The body belt 15 is configured to be detachable from the bending portion 11. More specifically, as shown in the developed front view of FIG. 3B, the body belt 15 has a pocket 151 on one end portion in the longitudinal direction on the surface, and the pocket 151 is formed in the longitudinal direction. The other end is opened. A part of the bending portion 11 is inserted into the pocket 151 when the bending portion 11 is attached to the body belt 15. Further, the body belt 15 has a dimension in the width direction that is substantially the same (including the same) as the curved portion 11. As described above, the waist belt 15 has a wide width, so that the belt can be easily attached without being twisted at the time of attachment. The material of the trunk belt 15 is not limited, and may be formed of, for example, a non-stretchable or hardly stretchable belt material. Further, the outer side of the trunk belt 15 may be a cover material, and the outer surface of the cover material may be raised in a loop shape or a hook shape. A configuration for fixing the trunk belt 15 is not limited, and may be a hook-and-loop fastener, a buckle, a snap button, or the like.

[Operation example]
When using the shoulder brace 1 of the present embodiment, as shown in FIG. 4A, the curved portion 11 is inserted into the pocket 151 of the trunk belt 15 from one end thereof, and then the trunk belt 15 is wound around the trunk. The shoulder brace 1 is worn. In the initial wearing state of the shoulder brace 1, that is, in a state where no load is applied, the forearm assumes an intermediate rotation position as shown in FIG. 4B.

  Next, when the user performs the rehabilitation motion, that is, the internal rotation operation from the intermediate rotation position, the load member 14 is compressed, and as a reaction, a restoring force in the external rotation direction is exhibited. By continuing the internal rotation with the force against the restoring force, an appropriate load acts on the shoulder joint of the user.

  Next, when the forearm takes the internal rotation as shown in FIG. 4C, one internal rotation operation is terminated. The user can easily return the forearm to the intermediate / external rotation intermediate position by the restoring force of the load member 14 by removing the muscular force exerted in the internal rotation direction. After that, the next internal rotation is repeated.

  According to the shoulder brace 1 of this embodiment, the same effect as the shoulder brace 1 of FIG. 2A can be obtained, and the rehabilitation effect can be further enhanced by including the load member 14. If the load member 14 can be attached and detached, it is possible to change only the load member 14 to a higher load as the affected area recovers, so a further early recovery effect is expected with a simple configuration. be able to. Moreover, the shoulder orthosis 1 of this embodiment can further improve the support stability of the forearm by including the torso belt 15. Further, the bending portion 11 can be easily and stably mounted by inserting the bending portion 11 into the pocket 151 and winding the belt 15.

<5. Modification of Third Embodiment>
FIG. 5 is a perspective view showing a configuration example of a shoulder brace 1 according to a modification of the present embodiment. More specifically, FIG. 5A is a perspective view showing a first modification, and FIG. 5B is a perspective view showing a second modification.
As shown in FIG. 5A, the shoulder brace 1 of the first modification is different from the shoulder brace 1 of FIG. 3A in that it does not have the torso belt 15 and the forearm fixing member 13. According to the shoulder brace 1 of this modification, the number of parts and the cost can be reduced.
As shown in FIG. 5B, the shoulder orthosis 1 of the second modification is different from the shoulder orthosis 1 of FIG. 3A in that the load member 14 is a spring such as a torsion coil spring. The rehabilitation effect can also be enhanced by the shoulder brace 1 of this modification.

  These embodiments and modifications may be combined as appropriate. The operations and effects described in the embodiment and the modification are merely examples and are not limited, and other operations and effects may be achieved.

DESCRIPTION OF SYMBOLS 1 Shoulder orthosis 11 Bending part 12 Movable part 13 Forearm fixing member 14 Load member 15 Torso belt

Claims (4)

A curved portion disposed around at least a part of the trunk;
A movable part that extends from the curved part to the forearm side and is movable in at least the internal and external rotation directions of the shoulder joint while supporting the forearm,
A load member disposed between the movable portion and the bending portion and applying a load to a shoulder joint when the forearm is rotated ,
It said curved portion and said movable portion, wherein the torso or parts in contact with the forearm consists of a material having no deformability, only the connection portions tried wrinkles and said curved portion said movable part,
Wherein the load member Ri restoring force of the external rotation direction written to the movable portion performs inner gyratory operation with a force against the restoring force when the user moves the movable portion in the internal rotation direction of the shoulder joint A shoulder brace that performs rehabilitation . Said load member, a shoulder orthosis according to claim 1 which gives the load by an elastic. Further provided with a torso belt wound around the torso,
The barrel belt, shoulder orthosis according to claim 1 or 2 is detachable with said curved portion. 4. The shoulder brace according to claim 3 , wherein the waist belt has a width direction dimension substantially the same as that of the curved portion, and has a pocket into which a part of the curved portion is inserted.

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