200942218 九、發明說明： 【發明所屬之技術領域】 本發明係有關於-種脊轉正背架之製造方法，特別 係才曰種將氣囊或彈性袋設於續正背_面，並配合醫療 用以矯正脊椎側彎或脊椎椎體旋轉變形者。 【先前技術】 所谓脊椎靖係指雜左右彎曲變形，係為發育中青 ❹ 少、年較常見的脊椎骨畸形，而脊椎側彎是-種漸進性狀況 ’ ^其青少年正值發育期，骨錄速成長，加速病情惡化 ，最後會導致骨盆、椎骨及胸腔結構上的變形，且由於脊 椎的排列關係，及前後關節的排列和脊椎韌帶肌肉的影響 ，再加上力學等原因，使得脊椎除了側彎之外，同時併發 椎體旋轉，至於脊椎侧彎造成的影響，除了外觀難看外， 因骨骼變形極易造成中樞及末梢脊椎神經受到壓迫，而有 疼痛及肌肉無力之症狀，更嚴重的是若脊椎持續惡化彎曲 ® ，亦會因胸椎彎曲旋轉，使肋骨旋轉、胸廓變形，壓迫心 肺及内臟，導致曰後心肺功能障礙，甚至由於心肺併發症 導致死亡。 而脊椎側彎或彎曲變形時，須經由專業人員之診斷、 /〇療’並配合復健’使脊椎恢復至正常位置，一般脊椎側 彎在二十度以下只須作復健及觀察，而側彎至二十度至四 十度時’除了復健則須考慮配合脊椎背架來治療，側彎至 四十度以上時’因為復健及背架的治療效果不彰，故須以 手術來作橋正及固定’但手術之後遺症及風險極大，因此 5 200942218 大部分均以非手術性復健及背架治療為優先選擇之治療 考量。 而習知之背架1，請參閱第一圖所示，係依患者之身形 以可塑性之塑膠板製成一背架本體10，該背架本體10設有 一可供將背架本體1 〇向外扳開以供穿戴於使用者身上之開 口 11，於開口 11之兩對應邊上相對設有數個束緊帶12，以 供使用者穿戴後可束緊於身上，於背架本體10之一侧設有 ❺一支撐架13，用以固定患者侧彎之身驅，於支撐架13與背 架本體10上設有彈性束帶丨4，以供將背架本體1〇固定於患 者之身上，藉由穿戴該背架丨將脊椎撐持固定，以防止脊椎 再次變形。 般月架1之使用仍存在有下列之缺點： 般背架僅具有固定與撐持脊椎的功能，係在防止脊 椎繼續惡化彎曲，當背架拿掉後則恢復原始側彎角度 或更惡化，故無矯正的效果。 © 二、在穿戴使用時，其標準之穿戴時間太長（每曰23小時 )，易產生不舒適感。 二、穿戴時間過久易產生背肌肌肉硬化或萎縮。 四、 只適合用於脊椎侧彎四十度以内的治療，並無橋正脊 椎椎體旋轉的功能，侧彎四十度以上者須施以手術改 善。 五、 須穿戴於衣服外部’缺乏穿戴之美觀性，患者穿戴的 意願低，故一般脊椎背架之治療效果並不理想。 緣此，本發明人有鑑於習知脊椎之矯正存在有如上述 6 200942218 遂得以首創出本發明。 之缺失，乃潛心研究、改良， 【發明内容】 發明之主要目的，係在提供—種穿戴美觀穿戴時 間較短’不會產生背肌肌㈣縮之現象，不限於侧弯四十 度以内的治療’免手術，可防止脊椎繼續惡化彎曲外，並 有積極實際賴JE«，且具_正雜椎難轉的功能 之脊椎矯正背架之製造方法。200942218 IX. Description of the Invention: [Technical Field of the Invention] The present invention relates to a method for manufacturing a ridge-rotating positive-backing frame, in particular, a balloon or an elastic bag is provided on a continuous back surface, and is used for medical use. To correct the scoliosis or rotation of the vertebral body. [Prior Art] The so-called spine Jing system refers to the left and right bending deformation, which is the development of young sputum, the more common vertebral deformity, and the scoliosis is a gradual condition ' ^ adolescent positive development period, bone record Rapid growth, accelerate the deterioration of the disease, and finally lead to deformation of the pelvis, vertebrae and thoracic structure, and due to the arrangement of the spine, the arrangement of the anterior and posterior joints and the influence of the spinal ligament muscles, plus the mechanics and other reasons, the spine except the side In addition to the bend, the vertebral body rotates at the same time. As for the influence of the scoliosis, in addition to the ugly appearance, the central and peripheral spinal nerves are easily pressed due to bone deformation, and the symptoms of pain and muscle weakness are more serious. If the spine continues to deteriorate and bends, it will also bend due to the curvature of the thoracic spine, causing the ribs to rotate, deform the thorax, compress the heart and lungs and internal organs, leading to post-sacral cardiopulmonary dysfunction, and even death due to cardiopulmonary complications. When the scoliosis or bending deformation occurs, the spine must be restored to the normal position by the diagnosis, treatment and rehabilitation of the professional. Generally, the scoliosis needs to be restored and observed only below 20 degrees. When the side is bent to 20 degrees to 40 degrees, 'in addition to rehabilitation, it must be considered in combination with the spine back frame. When the side is bent to more than 40 degrees, 'because the healing effect of the rehabilitation and back frame is not good, surgery is required. For the bridge and fixed 'but the surgical sequelae and risk, so 5 200942218 Most of the non-surgical rehabilitation and back frame treatment is the preferred treatment consideration. The conventional back frame 1, as shown in the first figure, is made of a plastic sheet made of plasticity according to the shape of the patient, and the back frame body 10 is provided with a body for tilting the back frame body 1 The plurality of tightening straps 12 are respectively disposed on the two corresponding sides of the opening 11 for being worn by the user, and can be tightened to the body, one of the back frame bodies 10 The side is provided with a support frame 13 for fixing the patient's side bend body, and the elastic support band 4 is arranged on the support frame 13 and the back frame body 10 for fixing the back frame body 1 to the patient. By holding the back frame, the spine is held in place to prevent the spine from deforming again. The use of the lunar frame 1 still has the following disadvantages: The general back frame only has the function of fixing and supporting the spine, preventing the spine from continuing to deteriorate and bending, and recovering the original side bend angle or worsening when the back frame is removed, No correction effect. © Second, when wearing, the standard wear time is too long (23 hours per )), it is easy to produce discomfort. Second, wear time is too long, easy to produce back muscles hardening or atrophy. Fourth, it is only suitable for the treatment of the scoliosis within 40 degrees. There is no function of the rotation of the vertebral body of the vertebral body. Those who have a lateral curvature of more than 40 degrees must be treated with surgery. 5. It must be worn on the outside of the clothes. The lack of wearing aesthetics and the low willingness of the patients to wear are generally not satisfactory. Accordingly, the inventors of the present invention have invented the present invention in view of the conventional correction of the spine as described above. The lack of it is painstaking research and improvement, [Summary of the Invention] The main purpose of the invention is to provide a short wear period that does not cause back muscles (4) shrinkage, and is not limited to a side bend of 40 degrees. The treatment of 'surgery-free, can prevent the spine from continuing to deteriorate and bend, and has a method of manufacturing a spine-correcting back frame that is positively and practically relies on JE« and has a function of being difficult to rotate.
本發明之特徵，主要係經由專業人員糾光照射患者脊 椎之變形情形，再依患者之身成—騎模型，而該石 賞模型係依患者之身形製成，故係騎曲雜，須將該石 «模型予以修補成正常形狀，將石膏模型之凹陷部位以石 膏填補，而凸出部位則予以削除，形成一修正後之石膏模 再於此修正後之石f*模上覆以—力π熱後之可塑性塑谬板 ’該塑膠驗冷卻後即軸-適合患者身雜正之橋正背 架’於矮正背架設有-開口’該開口係可供將續正背架向 外扳開以供穿戴於患者之身上，於開口之兩對應邊上相對 設有數個扣合件，該扣合件係為可調整開口之間距大小及 鬆緊，於矯正背架之内面對應於患者脊椎侧彎之凸出部位 與該凸出部位相對應另侧邊之上端及下端、以及對應椎體 旋轉之部位處設有數個形狀大小不同之氣囊，氣囊設有氣 嘴’於矯正背架上對應於氣囊之氣嘴位置處設有穿孔，氣 嘴係穿設於穿孔内’於氣囊上覆設有軟質之護墊，藉由將 氣囊之氣嘴穿設於穿孔内，可供專業人員方便將氣體注入 於氣囊内或將氣囊内的氣體洩出’故無須將矯正背架自患 7 200942218 的屡f,Γ下即可進行加麼與浅麼之每作來調整氣囊内 側對岸餘^各輯之氣顯錄之後侧、外侧或後外 脊椎=_繩，H腺墙力頂推 μ σ纟奴舞崎及轉椎雜旋獅顯著改善 效果。 ❹ 者眷^發^之另一特徵’主要係經由專業人員以x光照射患 變形情形，再依患者之身形製成一石膏模型，而 =客妓係依患者之身形製成，故係為彎曲形狀，須將 心石模型予以修補成正常形狀，將石膏模型之凹陷部位 =石用翻，而㈣部位辭以削除，形成—修正後之石 、再於此修正後之石膏模上覆以—加熱後之可塑性塑 ^ ’該_板經冷卻後即軸—適合患者身_正之橋 架於橋正奇架没有一開口，該開口係可供將橋正背 架向外扳開以供穿戴於患者之身上，於開口之兩對應邊上 目對設有數個扣合件，該扣合件係為可調整開口之間距大 J、及氣、緊’於触雜之㈣對應於患者脊侧彎之凸出 部位與該凸出部位相對應邊之上端及下端、以及對應 椎體旋轉之部位處設有數個形狀大小不同之彈性袋，於彈 性袋上設有逆止閥，於續正背架上對應於彈性袋之逆止閥 ^置處設有？孔’逆止_穿設於穿_，於雜袋上覆 对軟質之護墊，藉由將彈性袋之逆止閥穿設於穿孔内， 可供專業人員方便將液體注入於彈性袋内或將彈性袋内的 液體抽出’故無須將續正f架自患者之身上脫下，即可進 行加屢與线壓之動作來調整彈性袋内_力，而利用各彈 200942218 I生衣左入液體後之Μ力由脊椎之_、外侧或後外側對應 ，椎考曲變&之部位，以三度空間之立體壓力頂推脊椎， 可達到矯正脊椎側彎及反脊椎椎體旋轉的顯著改善效果。 【實施方式】 . 〜^本發㈣達上述之使用目㈣功效，所採用之技 術手&，效舉出較佳可行之實施例，並配合圖式所示 述如下： ❹ 本發明之實關，請參閱第二〜六騎示，其主要係 由-矯正背架2、至少一氣囊3及至少一護塾撕組成，主要 係經由專#人貞以Χ光騎患者脊椎之變形情形，再依患者 之身形製成-石膏模型a (如第以圖所示），而該石膏模型 a係依患者之身形製成，故係為彎曲形狀，須將該石膏模型 a予以修補成正常形狀（如第二b圖所示），將凹陷部位y 以石膏填補，將凸出部位a2予以削除，即可形成一修正後 之石膏模A，再於此石膏模a上覆以一加熱後之可塑性塑膠 φ _ (如第二(：圖所示）’該塑膠板匕經冷卻後即形成一矮正 背架2 (如第三圖所示），該矯正背架2之正面對應使用者之 胸部位置處設有一透孔2〇，於後方設有一開口21，該開口 21係可供將矯正背架2向外扳開以供穿戴於患者之身上，於 開口21之兩對應邊上相對設有數個扣合件22，該扣合件22 係為可調整開口21之間距大小及鬆緊，於矯正背架2上設有 數個穿孔23，另於矯正背架2上佈設有數個透氣孔24，於矯 正背架2之内面固設有數個形狀大小不同之氣囊3,該氣囊3 係設為主氣囊31與副氣囊32，該主氣囊31與副氣囊32上係 200942218 設有一氣嘴310、320 ’該氣嘴310、320係穿伸於矯正背架2 之穿孔23 ’於氣嘴310、320上設有蓋體31卜321，於氣囊3 上覆設有軟質之護墊4，如此，即為一脊椎矯正背架。 當脊椎側彎之患者，經由專業人員拍攝X光片進行診斷 後’由X光片測出患者脊椎c彎曲之變形角度以（如第七圖 所示），再配合患者之身形製作一修正後之矯正背架2，並 於該矯正背架2之内面對應於脊椎c彎曲之凸出部位^之位 ❹ 置處固設有一主氣囊31 ’該主氣囊31係為主施力端，另於 矯正背架2内面位於該凸出部位cl之相對應另侧邊之上端 c2與下端c3 (即彎曲角度dl之起點與終點）之位置處則固 設有副氣囊32，該設於上端c2與下端c3位置之副氣囊32係 為輔助施力端，於該主氣囊31與副氣囊32上覆設有軟質之 護墊4’可防止皮膚直接貼觸到主氣囊31與副氣囊32所產生 之不適感，再將該矯正背架2穿戴於病患身上，固設於矯正 背架2内面之主氣囊31與副氣囊32則對應於病患脊椎c彎曲 之凸出部位cl及該凸出部位cl相對應另側邊之上端c2與下 端c3之位置上，並將續正背架2上之扣合件22扣持並束緊， 使矯正背架2穩固套束於患者之身上，再由矯正背架2之穿 孔23於氣嘴310、320上注入氣體於主氣囊31與副氣囊32内 ，而每個位置的主氣囊31與副氣囊32内所須充氣之壓力係 由專業人員來施行’當對應於凸出部位cl位置之主施力端 之主氣囊31充氣後’即對脊椎c之凸出部位ci產生較大之頂 推壓力，可將脊椎c之凸出部位cl頂推回至原位或接近原位 ，可大幅縮小脊椎c之變形角度d2 (如第八圖所示），而相 200942218 對應另側邊之上端C2與下端c3位置之副氣囊32則產生較小 之頂推壓力，該上端〇2與下端C3位置之辅助施力端之副氣 囊32，係在防止脊椎c之凸出部位〇1在受主施力端之主氣囊 31頂推時被向另一側推移而產生變形，並可矯正凸出部位 cl上端c2與下端c3之變形；而患者須定期回診檢查脊椎c 變形角度dl之恢復情況，專業人員則依患者脊椎恢復角 度，再對矯正背架2内面之主氣囊31與副氣囊32内之壓力做 q 調整，調整時，藉由矯正背架2上所設之穿孔23供氣嘴310 、320穿設，可方便專業人員直接由矯正背架2之外部對各 氣囊3進行充氣與洩氣等調整氣囊3内部壓力之動作，故無 須將矯正背架2自患者之身上脫下，即可方便進行充氣與洩 氣之動作，使用極具便利性，而脊椎c之不同變形角度沿 須施以不同之壓力矯正，如此，藉由各氣囊3之主氣囊31 與副氣囊32之充氣壓力對變形之脊椎(；予以適當的頂推，使 脊椎c除了可防止變形繼續惡化外’亦可實際的達到矯正脊 Q 椎側彎的效果。 若患者之脊椎c侧彎部位在於胸椎部位c4時’請參閱第 九圖所示’於該矯正背架2之内面對應於脊椎c彎曲之凸出 部位cl之位置處固設有一主氣囊31，該主氣囊31係為主施 力端，另於矯正背架2内面位於該凸出部位cl之相對應另側 邊之下端c3 (即彎曲角度之終點）位置處則固設有副氡囊 32 ’該設於下端c3位置之副氣囊32係為辅助施力端，藉由 對應於凸出部位cl位置之主施力端之主氣囊31對脊椎c之 凸出部位cl產生較大之頂推壓力，而相對應另侧邊之下端 200942218 c3位置之辅助施力端之副氣囊32則產生較小之頂推壓力， 可將脊椎c之凸出部位cl頂推回至原位或接近原位，如此， 藉由各主氣囊31與副氣囊32之充氣壓力對不同位置變形之 脊椎c予以適當的頂推，使脊椎c除了可防止變形繼續惡化 外’並可實際的達到矯正脊椎侧彎的效果。 若患者之脊椎c側彎部位係位於腰椎部位C5時，請參閱 第十圖所示，於該矯正背架2之内面對應於脊椎以考曲之凸 φ 出部位cl之位置處固設有一主氣囊31，該主氣囊31係為主 施力端，另於矯正背架2内面位於該凸出部位cl之相對應另 侧邊之上端c2 (即彎曲角度之起點）位置處則固設有副氣 囊32，該設於下端C3位置之副氣囊32係為辅助施力端，藉 由對應於凸出部位cl主施力端之主氣囊31對脊椎c之凸出 部位cl產生較大之頂推壓力，而相對應另側邊之下端⑸之 輔助把力端之副氣囊32則產生較小之頂推壓力，可將脊椎c 之凸出部位cl頂推回至原位或接近原位，如此，藉由各主 〇 氣囊31與副氣囊32之充氣壓力對不同位置變形之脊椎c予 以適當的頂推，使脊椎c除了可防止變形繼續惡化外，並具 有矯正脊椎側彎的效果。 若患者之脊椎〇係侧彎呈S型（係為有二個主要之凸出 部位cl)時，請參閱第十一圖所示，於該矯正背架2之内面 對應於脊椎c彎曲之二凸出部位(^之位置處各固設有主氣 囊31，藉由二對應於凸出部位^位置之主氣囊31對脊椎c 之二凸出部位cl產生相對之頂推壓力，可將脊椎c之二凸出 邰位cl頂推回至原位或接近原位；如此，本發明可依患者 12 200942218 脊椎C侧彎之部位及不同之彎曲形式，藉由多數個主氣囊31 或副氣囊32之搭配使用’對不同位置變形之脊椎。予以適當 的頂推壓力，使脊椎c除了可防止變形繼續惡化外，更具有 可實際達到矯正脊椎侧彎的效果。 若患者係為脊椎c侧彎合併其椎體C6旋轉之病症，請參 閱第十二、十三、十四圖所示，於續正背架2之内面對應該 脊椎c侧彎之部位設有數個氣囊3 (如第十二圖所示，可配 合其彎曲情形設為主氣囊31或副氣囊32)，並於橋正背架2 之内面對應該脊椎c椎體C6之旋轉角度C7之位置上固設有 數個氣囊3 (如第十三圖所示胸椎部位cg之斷面示意圖，及 第十四圖所示腰椎部位C9之斷面示意圖），將各氣囊3内之 充氣壓力對變形之脊椎c予以適當的頂推，如此，藉由上述 矯正脊椎c側彎之方式及矯正椎體“之旋轉方式，於矯正背 架2之内面對應於脊椎c之後侧、外側或後外側等欲橋正部 位之適當位置上設有數個氣囊3 (主氣囊31、副氣囊32)， ❹ 並藉由於氣囊3内充予適當之壓力，使氣囊3對脊椎c產生頂 推壓力’可將脊椎c之凸出部位cl或椎體C6之旋轉角度c7 頂推回至原位或接近原位，利用三度空間之立體壓力頂推 脊椎c，並配合續正醫療及其他復健行為，可確實達到矯正 脊椎椎體旋轉的極佳效果。 而患者在使用本發明之矯正背架2進行脊椎矯正，當脊 椎c被矯正後慢慢回復至正常位置時，脊椎因回復而會向上 延伸，故患者之身形在被矯正之過程，身高會慢慢變高， 故矯正背架2内之氣囊3位置則須隨著患者身高之變化做調 13 200942218 整’若身形改變過大時，則須另外依患者橋正後之身形再 製作一新的矯正背架2，以達到最佳之矯正效果。’ 本發明之另一實施例，請參閱第十五圖所示，其主要 係由一矯正背架2、至少一彈性袋5及至少一護墊4所組成， 其製造方法係與上述實施谢目同，故*再贅述，該實施例 係將上述實施例之氣囊3變更為彈性袋5，彈性袋5可為橡膠 、破膠…等具彈性之材質所製成，於彈性袋5上設有逆止間 50 ’於矯正背架2上對應於彈性袋5之逆止閥5〇位置處設有 穿孔23，逆止閥5係穿設於穿孔23内，於彈性袋5内注入有 液體，藉由彈性袋5·體所產生之壓力，如同上述實施例 氣囊3内之Μ力，_可_各雜袋5注人㈣後之壓力 由脊椎之後侧、外側或後外側對應脊椎彎曲變形之部位， 以三度空間之立麵力頂推錄，可達顺正脊椎側弯及 反脊椎椎體婦_著改善效果，其各種靖及椎體旋轉 之續正方式及其功效亦如同上述實施例所述，故不再費述 〇 本發明藉由於續正背架2内®之適當位置處，設有產生 適力及形狀大小不同之氣囊3或彈性袋5，對脊椎c以三 度空間之立體壓力縣’並配合^^叙其他復健行為 ’可達到下列之優點·· 一、為脊椎之触背架巾，唯—超越可用於需開刀患者使 用之背架，使惡化性脊椎側弯的患者接受積極的橋正 治療’無需開刀即可有效控制住變形角度，而不再惡 化’可確實翻積極性矯正脊麵料反脊椎椎體旋 200942218 轉的有效治療效果。 二、 不限於脊椎侧彎四十度以内的治療。 三、 不必手術、吃藥、打針，全細徒手治療方式辅以本 • 發明之矯正背架，即可達到接受治療患者之矯正需求 讓患者免於開刀風險。 四、 在墙正期間專業人員可由續正背架之穿孔直接對氣囊 或彈性袋内進行加壓與洩壓之動作來調整内部壓力， ❹ 無須將續正背架自患者之身上脫下，即可方便供專業 人員進行内部壓力之調整。 五、 可減少病患穿戴靖正背架的時間，每日減少5〜8小時 (傳統之橋正背架每日須穿戴23小時，本發明之續正 背架每曰僅須穿戴15〜18小時），可縮短療程。 六、 不會產生背肌肌肉萎縮之現象。 七、 該矯正背架可穿戴於外衣内，使穿戴更為美觀，可提 高患者之穿戴意願，具有顯著之矯正效果。 〇 综上所述’本發明確實已達到所預期之使用目的與功 效，且更較習知者為之理想、實用，惟，上述實施例僅係 針對本發明之較佳實施例進行具體說明而已，此實施例並 非用以限定本發明之申請專利範圍，舉凡其它未脫離本發 明所揭示之技術手段下所完成之均等變化與修飾，均應包 含於本發明所涵蓋之申請專利範圍中。 【圖式簡單說明】 第一圖所示係為習知背架之示意圖。 第二A圖所示係為本發明實施例依病患之身形製作成石膏 15 200942218 模型之示意圖。 第二B圖所示係為本發明實施例將石膏模型修正為正常形 狀之石膏模示意圖。 第二C圖所示係為本發明實施例於修正後之石膏模外包覆 一塑膠板製成矯正背架之示意圖。 第二圖所示係為本發明實施例之立體分解圖。 第四圖所不係為本發明實施例氣囊組裝於矯正背架内面之 立體圖。 _ _ 第五圖所示係為本發明實施例另一角度之立體圖。 第六圖所示係為本發明實施例之立體組合圖。 第七圖所不係為本發明實施例矯正脊椎側彎，其氣囊未充 氣之示意圖。 第八圖所示係為本發明實施例矯正脊椎側彎，氣囊充氣後 矯正脊椎之示意圖。 第九圖所不係為本發明實施例矯正胸椎部位之脊椎侧彎 ❹ 之示意圖。 第十圖所不係為本發明實施例矯正腰椎部位之脊椎側彎 之示意圖。 第十-圖所示係為本發明實施觸正s形脊侧彎之示意 圖。 第十一圖所示係為本發明實施例矯正脊椎侧彎合併椎體 旋轉之示意圖。 第十三圖所示係為本發明實施例矯正脊椎侧彎合併椎體 旋轉之胸椎部位之俯視斷面示意圖。 16 200942218 第十四圖所示係為本發明實施例矯正脊椎侧彎合併椎體 旋轉之腰椎部位之俯視斷面示意圖。 第十五圖所示係為本發明另一實施例之立體圖。 【主要元件符號說明】 1背架The feature of the invention is mainly that the deformation of the patient's spine is irradiated by the professional light, and then the model is formed according to the patient's body, and the stone reward model is made according to the shape of the patient, so The stone «model is repaired into a normal shape, the concave part of the plaster model is filled with gypsum, and the convex part is removed, and a modified plaster mold is formed, and then the modified stone f* mold is covered with - The plastic slab after the force π heat 'The plastic is cooled after the shaft - suitable for the patient's body is the right side of the bridge back to the 'right short back frame - open' the opening is available for the continuous back frame Opened for wearing on the patient's body, the two corresponding sides of the opening are oppositely provided with a plurality of fastening members, the fastening members are adjustable in size and tightness between the openings, and the inner surface of the correction back frame corresponds to the patient's spinal side The convex portion of the bend corresponds to the convex portion corresponding to the upper end and the lower end of the other side, and the portion corresponding to the rotation of the vertebral body is provided with a plurality of airbags having different shapes and sizes, and the airbag is provided with a gas nozzle corresponding to the corrective back frame. Air bag nozzle The perforation is provided at the location, and the air nozzle is disposed in the perforation. The airbag is covered with a soft pad. By inserting the air nozzle of the airbag into the perforation, the professional can conveniently inject the gas into the airbag. Or the gas in the airbag is leaked out, so there is no need to correct the back frame to the self-contained 7 200942218, and then you can adjust the inner side of the airbag to the other side of the airbag. Side, lateral or posterior spine = _ rope, H gland wall force push μ σ 纟 slave Wuqi and vertebral gyro significantly improved.另一 眷 眷 ^ ^ ^ Another feature 'mainly through the professional exposure to x-ray deformation, and then according to the shape of the patient to make a plaster model, and = customer system is made according to the shape of the patient, so For the curved shape, the heart stone model must be repaired into a normal shape, the concave part of the plaster model = stone, and the (4) part is removed to form a modified stone, and then the modified plaster mold Covered - plasticized plastic after heating ^ 'The plate is cooled after the shaft - suitable for the patient's body _ the bridge is not open in the bridge frame, the opening is used to open the bridge back frame for the outside Dressed on the patient's body, there are several fastening members on the two corresponding sides of the opening. The fastening members are adjustable between the openings, and the air is tight and the second is corresponding to the patient's ridge. The convex portion of the side bend and the upper end and the lower end corresponding to the protruding portion, and the portion corresponding to the rotation of the vertebral body are provided with a plurality of elastic bags of different shapes and sizes, and a check valve is arranged on the elastic bag. The backrest is provided with a check valve corresponding to the elastic bagThe hole 'reverse stop _ is worn on the wearer _, and the soft pad is covered on the miscellaneous bag. By inserting the check valve of the elastic bag into the perforation, the professional can conveniently inject the liquid into the elastic bag or The liquid in the elastic bag is taken out', so there is no need to take off the continuation frame from the patient's body, and the action of adding and repeating the line pressure can be adjusted to adjust the inner force of the elastic bag, and the various bombs 200942218 I The force of the liquid is determined by the _, the lateral or posterolateral side of the spine, and the part of the vertebral curvature is used to push the spine with the three-dimensional pressure of the three-dimensional space, which can achieve significant correction of the scoliosis and rotation of the anti-vertebral body. Improve the effect. [Embodiment] ~ ^本发(四)To achieve the above-mentioned purpose (4) function, the technical hand & used, and the preferred embodiment are described as follows: ❹ The present invention Off, please refer to the second to six rides, which are mainly composed of a corrective back frame 2, at least one air bag 3 and at least one shackle, mainly through the deformation of the patient's spine by the special person. According to the shape of the patient, the plaster model a (as shown in the figure), and the plaster model a is made according to the shape of the patient, so it is curved and the plaster model a must be repaired into The normal shape (as shown in the second b), the recessed portion y is filled with gypsum, and the convex portion a2 is removed to form a modified plaster mold A, and then the plaster mold a is covered with a heating After the plasticity plastic φ _ (as shown in the second (: picture) 'The plastic plate is cooled to form a short positive back frame 2 (as shown in the third figure), the front side of the corrective back frame 2 is used correspondingly There is a through hole 2 at the chest position and an opening 21 at the rear. The opening 21 is available. The correcting back frame 2 is outwardly opened for wearing on the patient's body, and a plurality of fastening members 22 are oppositely disposed on two corresponding sides of the opening 21, and the fastening member 22 is an adjustable opening 21 between the size and the tightness. A plurality of perforations 23 are disposed on the correcting back frame 2, and a plurality of venting holes 24 are disposed on the correcting back frame 2, and a plurality of airbags 3 having different shapes and sizes are fixed on the inner surface of the correcting back frame 2, and the air bag 3 is fastened. The main airbag 31 and the sub airbag 32 are provided with a nozzle 310, 320 320 is provided with a cover body 31 321 , and the air bag 3 is covered with a soft pad 4 , which is a spine correction back frame. When a patient with a scoliosis is photographed by a professional X-ray film for diagnosis 'The X-ray film measures the deformation angle of the patient's spine c-bend (as shown in the seventh figure), and then prepares a modified corrective back frame 2 in accordance with the shape of the patient, and corresponds to the inner surface of the corrective back frame 2 At the location of the convex portion of the curvature of the spine c, a main airbag 31 is fixed at the location. The capsule 31 is a main force applying end, and the inner surface of the correcting back frame 2 is located at the position of the upper end c2 and the lower end c3 (ie, the starting point and the end point of the bending angle d1) of the corresponding other side of the protruding portion cl. The airbag 32, the auxiliary airbag 32 disposed at the position of the upper end c2 and the lower end c3 is an auxiliary force applying end, and the soft air cushion 4' is disposed on the main airbag 31 and the sub airbag 32 to prevent the skin from directly contacting the main airbag 31. The corrective back frame 2 is worn on the patient's body, and the primary airbag 31 and the sub-bag 32 fixed to the inner surface of the correcting back frame 2 correspond to the convex curvature of the patient's spine c. The portion cl and the protruding portion cl correspond to the positions of the upper end c2 and the lower end c3 of the other side, and the fastening member 22 on the continuous back frame 2 is buckled and tightened, so that the correcting back frame 2 is firmly sheathed. On the patient's body, gas is injected into the air bag 310, 320 through the perforations 23 of the correcting back frame 2 into the main air bag 31 and the sub air bag 32, and the main air bag 31 and the sub air bag 32 in each position are required to be inflated. The pressure system is performed by a professional's main body when the main force end corresponding to the position of the protruding portion cl After the capsule 31 is inflated, it has a large pushing pressure on the protruding portion ci of the spine c, and can push the protruding portion cl of the spine c back to the original position or close to the original position, which can greatly reduce the deformation angle of the spine c. D2 (as shown in the eighth figure), and the sub-bag 32 corresponding to the upper end C2 and the lower end c3 of the other side of the phase 200942218 generates a smaller thrust pressure, and the auxiliary force end of the upper end 〇2 and the lower end C3 position The airbag 32 is deformed to prevent the convex portion c of the spine c from being pushed to the other side when being pushed up by the main airbag 31 of the main force applying end, and can correct the deformation of the upper end c2 and the lower end c3 of the protruding portion cl; The patient has to check back regularly to check the recovery of the deformed angle dl of the spine c. The professional adjusts the angle of the spine according to the patient's spine, and then adjusts the pressure in the main airbag 31 and the auxiliary airbag 32 on the inner surface of the corrective back frame 2, and adjusts The air supply nozzles 310 and 320 are pierced by the perforations 23 provided on the correction back frame 2, so that the professional can directly inflate and deflate the airbags 3 from the outside of the correction back frame 2, thereby adjusting the internal pressure of the airbag 3. No need to correct the back frame 2 from the patient When the body is taken off, the action of inflating and deflation can be conveniently performed, and the use is very convenient, and the different deformation angles of the spine c are subjected to different pressure corrections, so that the main airbag 31 and the sub airbag of each airbag 3 are used. The inflation pressure of 32 on the deformed spine (with appropriate pushing so that the spine c can prevent the deformation from continuing to deteriorate) can also actually achieve the effect of correcting the vertebral curvature of the spine. If the patient's spine c-curved portion is in the thoracic vertebrae portion c4', please refer to the ninth figure. A main airbag 31 is fixed at the position of the inner surface of the corrective back frame 2 corresponding to the convex portion c of the spine c bending. The main air bag 31 is a main force applying end, and the inner side of the correcting back frame 2 is located at a position corresponding to the lower end c3 (ie, the end point of the bending angle) of the corresponding other side of the protruding portion cl. The sub-bag 32 disposed at the position of the lower end c3 is an auxiliary urging end, and the main airbag 31 corresponding to the main urging end of the position of the bulging portion c1 generates a large pushing pressure on the protruding portion cl of the vertebral c, and corresponds to another The sub-bag 32 of the auxiliary force-applying end of the lower end of the side of the rear end 200942218 c3 position generates a small pushing pressure, which can push the protruding portion cl of the spine c back to the original position or close to the original position, thus, by the main airbags 31 and the inflation pressure of the sub-bag 32 to appropriately push the spine c deformed at different positions, so that the spine c can prevent the deformation from continuing to deteriorate, and can actually achieve the effect of correcting the scoliosis. If the patient's spine c-curved portion is located at the lumbar vertebrae C5, as shown in the tenth figure, the inner surface of the corrective back frame 2 corresponds to the spine at the position of the convex portion φ of the test piece, and a main body is fixed. The airbag 31 is a main force applying end, and the auxiliary airbag 31 is fixed at the position of the inner side of the corresponding rear side of the convex portion c1 at the upper end c2 (ie, the starting point of the bending angle). The sub-bag 32 disposed at the position of the lower end C3 is an auxiliary urging end, and the main air bag 31 corresponding to the main urging end of the bulging portion c1 generates a large pushing pressure on the protruding portion cl of the vertebral c, and corresponds to another The sub-bag 32 of the auxiliary lower end of the side (5) generates a smaller pushing pressure, which can push the protruding portion cl of the spine c back to the original position or close to the original position, thus, by the main 〇 The inflation pressure of the airbag 31 and the sub-bag 32 is appropriately pushed against the spine c deformed at different positions, so that the spine c can prevent the deformation from continuing to deteriorate, and has the effect of correcting the scoliosis. If the patient's spine sacral curve is S-shaped (there are two main bulging points cl), please refer to the eleventh figure, and the inner surface of the corrective back frame 2 corresponds to the curvature of the spine c. The protruding portion (the position of the ^ is fixed with the main airbag 31, and the main airbag 31 corresponding to the position of the protruding portion generates a relative pushing pressure on the two protruding portions cl of the spine c, and the spine c can be The second protruding position cl is pushed back to the home position or close to the original position; thus, the present invention can be used according to the position of the patient 12 200942218 spine C side bend and different bending forms, by a plurality of main airbags 31 or sub airbags 32 The combination uses 'spines that are deformed at different positions. Appropriate pushing pressure, in addition to preventing the deformation from continuing to deteriorate, the spine c can actually achieve the effect of correcting the scoliosis. If the patient is a spine c-bend merge For the condition of the rotation of the vertebral body C6, please refer to the twelfth, thirteenth and fourteenth figures. In the continuous back frame 2, there are several airbags 3 (such as the twelfth part) facing the side of the spine c side bend. As shown in the figure, it can be set as the main airbag 31 or the sub airbag 32 in accordance with the bending situation thereof) And a plurality of airbags 3 are fixed in the position of the rotation angle C7 of the spine c-body C6 within the bridge back frame 2 (such as the cross-sectional view of the thoracic vertebrae cg shown in the thirteenth figure, and the tenth The cross-sectional view of the lumbar vertebrae C9 is shown in Fig. 4, and the inflation pressure in each of the airbags 3 is appropriately pushed against the deformed vertebra c, so that the above-mentioned method of correcting the curvature of the spine and correcting the vertebral body is performed. In the rotation mode, a plurality of airbags 3 (the main airbag 31 and the sub airbag 32) are provided at appropriate positions on the inner surface of the correcting back frame 2 corresponding to the rear side, the outer side or the rear side of the spine c, and the airbags are provided by the airbags. 3 is filled with appropriate pressure, so that the balloon 3 exerts a pushing pressure on the spine c', and can push the convex portion c of the spine c or the rotation angle c7 of the vertebral body C6 back to the original position or close to the original position, using the third degree. The three-dimensional pressure of the space pushes the spine c and cooperates with the renewal medical treatment and other rehabilitation behaviors to achieve the excellent effect of correcting the rotation of the spinal vertebral body. The patient uses the corrective back frame 2 of the present invention for spinal correction, when the spine c is corrected and slowly returns to normal position When the spine is extended upwards due to the recovery, the height of the patient's body will gradually become higher during the process of being corrected, so the position of the airbag 3 in the back frame 2 must be adjusted according to the height of the patient 13 200942218 If the body shape changes too much, a new correcting back frame 2 must be made according to the shape of the patient's bridge to achieve the best corrective effect. For another embodiment of the present invention, please refer to As shown in the fifteenth figure, it mainly consists of a correcting back frame 2, at least one elastic bag 5 and at least one pad 4. The manufacturing method is the same as the above-mentioned embodiment, so the details are further described. The airbag 3 of the above embodiment is changed into an elastic bag 5, and the elastic bag 5 can be made of elastic material such as rubber or rubber. The elastic bag 5 is provided with a backstop 50' on the correcting back frame 2. Corresponding to the position of the check valve 5 at the elastic bag 5, a through hole 23 is provided. The check valve 5 is inserted into the through hole 23, and the liquid is injected into the elastic bag 5, and the pressure generated by the elastic bag 5 body is generated. , like the force in the airbag 3 of the above embodiment, the pressure after the (4) of each pocket 5 is The posterior side, the lateral side or the posterolateral side of the spine corresponds to the part of the curvature of the spine, which is pushed by the top of the three-dimensional space, which can achieve the effect of improving the effect of the right side of the spine and the anti-vertebral body. The method of continuous rotation of the body rotation and its effect are also as described in the above embodiments, so it is no longer necessary to describe that the present invention is provided with an airbag which generates a suitable force and a different shape by the proper position of the inside of the back frame 2 3 or the elastic bag 5, the three-dimensional pressure of the spine c in the three-dimensional pressure county and cooperate with the ^ ^ other rehabilitation behaviors can achieve the following advantages · · For the spine of the back of the frame, only - beyond can be used The back frame used by the patient is required to perform the positive bridge treatment for patients with degenerative scoliosis. 'The angle of deformation can be effectively controlled without the need for a knife, and no longer deteriorates.' It is true that the vertebral body is reversed. 200942218 The effective therapeutic effect of the transfer. Second, not limited to the treatment of the scoliosis within 40 degrees. Third, no surgery, medication, injections, full-handed treatment, supplemented with the invention of the corrective back frame, can achieve the corrective needs of patients treated to protect patients from the risk of surgery. 4. During the wall period, the professional can directly pressurize and depressurize the airbag or the elastic bag by the perforation of the continuous back frame to adjust the internal pressure. ❹ It is not necessary to take off the continuous back frame from the patient's body. It is convenient for professionals to adjust internal pressure. 5. It can reduce the time for patients to wear Jingzheng back frame, and reduce it by 5~8 hours per day. (The traditional bridge back frame must be worn for 23 hours every day. The continuous back frame of the present invention only needs to be worn for 15~18 hours. ), can shorten the course of treatment. Sixth, there will be no phenomenon of back muscle muscle atrophy. 7. The corrective back frame can be worn in the outer garment, which makes the wearing more beautiful, can enhance the patient's willingness to wear, and has a significant corrective effect. In view of the above, the present invention has achieved the intended use and efficacy, and is more desirable and practical than the prior art. However, the above embodiments are only specifically described for the preferred embodiment of the present invention. The present invention is not intended to limit the scope of the present invention, and all other equivalents and modifications may be included in the scope of the invention covered by the present invention. [Simple description of the diagram] The first figure shows a schematic diagram of a conventional back frame. FIG. 2A is a schematic view showing a model of a plaster 15 200942218 according to an embodiment of the present invention. Fig. 2B is a schematic view showing a plaster mold in which a plaster model is corrected to a normal shape according to an embodiment of the present invention. FIG. 2C is a schematic view showing the modified back frame of the modified plaster mold coated with a plastic plate according to the embodiment of the present invention. The second figure is a perspective exploded view of an embodiment of the present invention. The fourth figure is not a perspective view of the airbag assembled to the inner surface of the corrective back frame according to the embodiment of the present invention. __ The fifth figure is a perspective view of another angle of the embodiment of the present invention. The sixth figure shows a three-dimensional combination diagram of an embodiment of the present invention. The seventh figure is not a schematic diagram for correcting the scoliosis of the embodiment of the present invention, and the airbag is not inflated. The eighth figure shows a schematic view of correcting the spine after the balloon is inflated according to an embodiment of the present invention. The ninth figure is not a schematic diagram for correcting the scoliosis of the thoracic vertebrae according to the embodiment of the present invention. The tenth figure is not a schematic diagram for correcting the scoliosis of the lumbar vertebrae according to the embodiment of the present invention. The tenth-figure is a schematic view of the implementation of a positive sigmoid ridge in the present invention. Fig. 11 is a schematic view showing the correction of the scoliosis and the rotation of the vertebral body according to the embodiment of the present invention. Figure 13 is a schematic cross-sectional view showing the thoracic vertebrae portion of the embodiment of the present invention for correcting the scoliosis and vertebral body rotation. 16 200942218 Figure 14 is a schematic cross-sectional view showing the lumbar vertebrae of the vertebral curvature and the rotation of the vertebral body according to an embodiment of the present invention. Figure 15 is a perspective view showing another embodiment of the present invention. [Main component symbol description] 1 back frame
10背架本體 11開口 12束緊帶 13支撐架 14彈性束帶 2襟正背架 20透孔 21開口 22扣合件 23穿孔 24透氣孔 3氣囊 31主氣囊 310氣嘴 311蓋體 32副氣囊 320氣嘴 321蓋體 4護墊 5彈性袋 50逆止閥 a石膏模型 al凹陷部位 a2凸出部位 A修正後之石膏模 b塑膠板 c脊椎 cl凸出部位 c2上端 c3下端 c4胸椎部位 c5腰椎部位 c6椎體 c7旋轉角度 c8胸椎部位 c9腰椎部位 dl變形角度 d2變形角度 1710 back frame body 11 opening 12 tightening belt 13 support frame 14 elastic band 2 襟 front frame 20 through hole 21 opening 22 fastening member 23 perforation 24 venting hole 3 air bag 31 main air bag 310 gas nozzle 311 cover body 32 sub air bag 320 gas nozzle 321 cover body 4 pad 5 elastic bag 50 check valve a gypsum model a recessed part a2 protruding part A modified plaster mold b plastic plate c spine cl protruding part c2 upper end c3 lower end c4 thoracic part c5 lumbar vertebra Part c6 vertebral body c7 rotation angle c8 thoracic vertebrae part c9 lumbar vertebra part dl deformation angle d2 deformation angle 17