JP7035286B2 - Orthotic device for preventing recurrence of shoulder dislocation - Google Patents

Description

The present invention relates to a device for preventing recurrence of shoulder dislocation, which is worn on a patient who has been treated for dislocation of the shoulder joint and contributes to post-mortem curing.

The shoulder joint causes dislocation due to various causes. In particular, it occurs relatively easily for those who perform various sports, and in some cases, it can be easily restored by reduction, but in other cases, it may be restored to the current state by performing surgery.
In any case, after returning to the current state, it is possible to operate in a predetermined range of motion while restraining the abduction and external rotation of the shoulder so that re-dislocation does not occur until it is completely healed. There is a need, and for this reason it is common to use orthotics to limit shoulder movement while allowing the required shoulder movement.

Therefore, conventionally, as such an auxiliary device, for example, a device having a structure as shown in FIG. 7 has been used.
This orthotic device 30 had a structure in which the upper arm and the trunk were fixed by a belt 31 to fix abduction and external rotation, but it could not be sufficiently fixed because slippage occurred between the orthotic device and the body. .. Then, at the same time as stopping the abduction and abduction, the minimum necessary movements of the shoulder joint used in normal life such as horizontal flexion and flexion movement of the shoulder were suppressed.
The following documents can be mentioned as an example of such a conventional technique.

Japanese Patent Application Laid-Open No. 2003-70954 Japanese Patent Application Laid-Open No. 2003-265670

In the conventional technique, as a device for preventing recurrence of shoulder dislocation of this kind, there is a device capable of restraining abduction and external rotation, but it is not easy to install and it is necessary to allow necessary abduction and external rotation. There was no orthotic device capable of horizontal flexion and flexion of the shoulder, no pain, and less looseness, and the fixed state of the shoulder and upper arm could be freely adjusted.

The object of the device for preventing recurrence of shoulder dislocation according to the present invention is to suppress slippage between the body and the device by a friction material, and to adjust the range of motion of abduction and abduction by adjusting the fixed position of the belt. do.

The device for preventing recurrence of shoulder dislocation according to the present invention has taken the following measures in order to achieve the above object.
That is, it is a device for preventing recurrence of shoulder dislocation, which can impart a function of adjusting the range of motion of abduction and abduction of a patient with shoulder dislocation.
A main body (1) having a shoulder portion (4) covering the dislocated shoulder and an upper arm surrounding portion (5) covering the dislocated arm upper arm, and a back member extending from the upper arm surrounding portion (5) to the back and being locked. It consists of a stop Y-shaped belt (2) and an adjustment belt (3) that is hung from the back to a healthy shoulder and extends forward.
The upper arm surrounding portion (5) is configured to be surrounded by the upper arm to form a cylindrical shape.
The back locking Y-shaped belt (2) is locked by a hook-and-loop fastener so that one end (2A) is wound around the upper arm surrounding portion (5) so as to orbit the upper arm. The other end (2B) is configured to be locked to the main part of the main body (1) on the back surface by a hook-and-loop fastener.
The adjustment belt (3) has one end (3B) of a back locking portion and a back surface of the main body (1) on the back surface in order to prevent the main body (1) from rotating with respect to the body body. The other end (3C) of the locking portion is locked with a hook-and-loop fastener, and the hook-and-loop fastener is hung on a healthy shoulder and extends forward to the front main part of the main body (1) with the locking member portion (3A). It is configured to be locked with
By adjusting the locking position of the other end (2C) of the back locking Y-shaped belt (2), the range of motion of the abduction and the external rotation of the dislocated shoulder can be adjusted.

According to the device for preventing recurrence of shoulder dislocation according to the present invention, the fixing positions of the other ends of the back locking Y-shaped belt extending from the upper arm to the back and the back locking Y-shaped belt extending from the upper arm to the front can be easily fixed by the face fastener. It can be adjusted, and the range of motion of the abduction and external rotation of the shoulder joint can be freely and easily adjusted, and the required range of motion of the shoulder joint can reduce the burden on the patient while performing appropriate shoulder joint treatment. I came to be able to do it. In addition, the adjustment belt extending from the back to the front suppresses rotation (slip) around the trunk of the main body, and can reduce changes in the range of motion of abduction and external rotation due to displacement of the main body.
Other advantages of the present invention will become apparent from the description of the examples below.

The front view which shows the wearing state of the device for preventing recurrence of shoulder dislocation according to this invention. The back view which shows the wearing state of the device for preventing recurrence of shoulder dislocation according to this invention. The front view of the main body of the device for preventing recurrence of shoulder dislocation according to the present invention. The rear view of the main body of the device for preventing recurrence of shoulder dislocation according to the present invention. The perspective view of the back locking Y-shaped belt of the device for preventing recurrence of shoulder dislocation according to the present invention. The front view of the adjustment belt of the device for preventing recurrence of shoulder dislocation according to the present invention. The schematic diagram which shows the wearing state of the equipment for preventing recurrence of shoulder dislocation which shows the prior art.

In carrying out the present invention, it is preferable to adopt the following embodiments.
For example, it is preferable that the contact member to the body is made of an elastic material, and the belt or the like is made of a non-stretchable material.

A preferred embodiment of the device for preventing recurrence of shoulder dislocation according to the present invention will be described in detail below with reference to FIGS. 1 and 2.
FIG. 1 is a front view of a device for preventing recurrence of shoulder dislocation, and FIG. 2 is a rear view thereof. As shown in FIGS. 1 and 2, the shoulder dislocation recurrence prevention device capable of imparting the function of adjusting the abduction and external rotation range of the shoulder dislocation patient includes the shoulder portion 4 covering the dislocated shoulder and the dislocated arm upper arm. A main body 1 having an upper arm surrounding portion 5 to cover, a back locking Y-shaped belt 2 extending from the upper arm surrounding portion 5 to the back and locked, and an adjustment that is hung from the back to a healthy shoulder and extends forward. It is composed of a belt 3. The back locking Y-shaped belt 2 is as shown in FIG.

The main body 1 wound around the torso, the upper arm surrounding portion 5 covering the dislocated upper arm, and the like are made of French pile so that they can be easily fixed with a hook-and-loop fastener. Similarly, the back locking Y-shaped belt 2 and the adjustment belt 3 also have French piles on the front, back, or both sides, and are made of a non-stretchable material that can withstand the tension applied during abduction and external rotation. Ru. The friction material used for the French pile used for the main body 1 and the upper arm surrounding portion 5 is, for example, a material to which neoprene rubber is attached, but not only a rubber material but also a foam or a silicone material. good.

The upper arm surrounding portion 5 is configured to be surrounded by the upper arm to form a tubular shape, and when mounted, the surface fastener is usually removed and unfolded and wrapped around the upper arm or formed into a tubular shape. , It will be worn by passing the arm through this tubular shape.
Further, the back locking Y-shaped belt 2 is locked by a hook-and-loop fastener 2a so that one end 2A thereof is wound around the upper arm surrounding portion 5 so as to orbit the upper arm, and the other end 2B of the one end 2B. Is configured to be locked to the main part of the main body 1 on the back surface by a hook-and-loop fastener 2b. By adjusting the locking position of the other end 2C of the rear locking Y-shaped belt 2, the range of motion of the abduction and the external rotation of the dislocated shoulder can be adjusted.
In the adjustment belt 3, one end 3B of the back locking portion and the other end 3C of the back locking portion are fastened on the main part of the main body 1 on the back surface or the back locking Y-shaped belt 2 fixed to the back surface. It is configured to be locked, hung around a healthy shoulder, extended forward, and locked to the front main part of the main body 1 with a surface fastener of the locking member portion 3A, and is configured to rotate and slide around the trunk. Is suppressed by the adjustment belt 3.

In order to suppress the rotation (slip) around the trunk of the main body 1 and the like, a friction material is used on the side surface of the body of the trunk contact portion, and the adjustment belt 3 is restrained and fixed by the fixing position. To. Further, when fixing the main body 1 or the like, an elastic material is used for a portion that fits the body and suppresses slippage. Further, a non-stretchable material is used for the fixing portions of the back locking Y-shaped belt 2 and the adjusting belt 3 in order to improve the fixing force.
A rubber material 6 capable of preventing an appropriate tension and biting into the body is used for the main part of the back address portion of the back locking Y-shaped belt 2 described above.

The procedure for attaching the orthotic device configured as described above will be described. First, the brachial wrapping portion 5 is rolled up from its unfolded state and wound around the upper arm, and the hook-and-loop fastener that closes the brachial wrapping portion 5 and the dislocated shoulder side of the main body 1 are described. Temporarily fix each of the hook-and-loop fasteners that close and close. Next, the shoulder portion 4 is applied to a predetermined position on the shoulder while the patient's upper arm is passed through the temporarily fixed upper arm surrounding portion 5.
Next, the portion fixing the dislocated shoulder side of the main body 1 is re-tightened with the position of the shoulder as a base point.
Then, in a state of taking a deep breath, tighten the portion of the main body 1 that fixes the healthy shoulder side (this makes it easier to secure breathing). Next, the upper arm is fixed while firmly tightening the upper arm surrounding portion 5.

Then, the back locking Y-shaped belt 2 is fixed to the back (non-stretchable portion) of the main body 1, and the upper arm surrounding portion 5 is pulled while pulling the back locking Y-shaped belt 2 with the dislocated shoulder side upper arm rotated to the maximum. Fix it with a hook-and-loop fastener.
Next, from the top of the back locking Y-shaped belt 2 fixed to the main part of the main body 1 on the back surface or the back surface, the hook-and-loop fastener of the locking member portion 3A of the adjusting belt 3 is applied toward the front surface of the main body 1 with a healthy shoulder. Fix it in front of the main body 1. At this time, it is preferable to wear it toward the healthy shoulder side. By adjusting the locking position of the other end 2C of the rear locking Y-shaped belt 2, the movable range of abduction and external rotation of the shoulder is adjusted.
In this way, the fixing position of the other end 2C of the back locking Y-shaped belt 2 is changed and adjusted according to the desired angles of abduction and external rotation.

The present invention is an orthotic device for preventing recurrence of shoulder dislocation, which can provide a function of adjusting the range of motion of abduction and external rotation of a patient with dislocation of the shoulder. Alternatively, since it can be healed while allowing the shoulder joint to move as much as possible during surgical treatment, it is a widely usable orthotic device that can be used in both hospitals and homes.

1: Main body 2: Back locking Y-shaped belt 2A: One end of the back locking Y-shaped belt 2B: One other end of the back locking Y-shaped belt 2C: The other end of the back locking Y-shaped belt 3: Adjustment Belt 3A: Locking member part 4: Shoulder part 5: Upper arm surrounding part

Claims (2)

It is a device for preventing recurrence of shoulder dislocation that can give the function of adjusting the range of motion of abduction and abduction of patients with shoulder dislocation.
A main body (1) having a shoulder portion (4) covering the dislocated shoulder and an upper arm surrounding portion (5) covering the dislocated arm upper arm, and a back member extending from the upper arm surrounding portion (5) to the back and being locked. It consists of a stop Y-shaped belt (2) and an adjustment belt (3) that is hung from the back to a healthy shoulder and extends forward.
The upper arm surrounding portion (5) is configured to be surrounded by the upper arm to form a cylindrical shape.
The back locking Y-shaped belt (2) is locked by a hook-and-loop fastener so that one end (2A) is wound around the upper arm surrounding portion (5) so as to orbit the upper arm. The other end (2B) is configured to be locked to the main part of the main body (1) on the back surface by a hook-and-loop fastener.
The adjustment belt (3) is fastened to a main part of the main body (1) on the back surface with a hook-and-loop fastener in order to prevent the main body (1) from rotating with respect to the body body, and is attached to a healthy shoulder. It is configured to be hung around, extend forward, and be locked to the front main part of the main body (1) by a hook-and-loop fastener at the locking member portion (3A).
By adjusting the locking position of the other end (2C) of the back locking Y-shaped belt (2), the range of motion of the abduction and abduction of the dislocated shoulder can be adjusted. A device to prevent recurrence of shoulder dislocation. The orthotic device for preventing recurrence of shoulder dislocation according to claim 1, wherein the contact member to the body is made of an elastic material, and the belt is made of a non-stretchable material.

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