WO2015198275A1 - Corset orthopédique, en particulier pour la rééducation de la colonne vertébrale - Google Patents

Corset orthopédique, en particulier pour la rééducation de la colonne vertébrale Download PDF

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Publication number
WO2015198275A1
WO2015198275A1 PCT/IB2015/054819 IB2015054819W WO2015198275A1 WO 2015198275 A1 WO2015198275 A1 WO 2015198275A1 IB 2015054819 W IB2015054819 W IB 2015054819W WO 2015198275 A1 WO2015198275 A1 WO 2015198275A1
Authority
WO
WIPO (PCT)
Prior art keywords
corset
bearing structure
orthopaedic
pads
arms
Prior art date
Application number
PCT/IB2015/054819
Other languages
English (en)
Inventor
Marek GRODZKI
Radosław FALAS
Original Assignee
Ori-Med Sp. Z O.O.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ori-Med Sp. Z O.O. filed Critical Ori-Med Sp. Z O.O.
Publication of WO2015198275A1 publication Critical patent/WO2015198275A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/02—Orthopaedic corsets
    • A61F5/024—Orthopaedic corsets having pressure pads connected in a frame for reduction or correction of the curvature of the spine

Definitions

  • Orthopaedic corset in particular for spine rehabilitation
  • This invention relates to an orthopaedic corset, in particular for spine rehabilitation.
  • Patent application PL351172A discloses an adjustable spine corset for conservative treatment of pain in the lower part of the back.
  • Said corset comprises an anterior abdominal pad and a posterior frame interconnected by connecting means.
  • Said posterior frame comprises a lumbar pad equipped with setting means for adjusting the applied pressure.
  • Said spine corset is adjustable so as to ensure accurate magnitude and position of the pressure to correct the curvature of the spine, especially in the lumbar area.
  • the corset is open at the lateral sides, which allows for lateral bending and normal movement of arm and legs.
  • Patent application PL319227A discloses a corset characterised in that the posterior thereof is a support frame resembling a rectangle, having in the central part thereof vertical struts.
  • the shape of said support frame in the upper part is configured to conform to the shape of the back, and in the lower part the shape of said support frame is adapted to the shape of the lumbar area, wherein said support frame is placed within the proper textile corset having braces at the top, and in the central part adjustment straps crossing in the lateral area.
  • said corset comprises two pairs of corrective pads - one pair of lumbar pads/domes: an external pad and an internal pad and one pair of thoracic pads: an external pad and an internal pad, wherein the lumbar pads are circular, whereas the thoracic pads' shape resembles a semi-circle, cross sections of said pads have the shape of biconvex lenses.
  • a brace for the treatment of scoliosis is known from PL166888B, and said brace comprises a basket to encompass the patient's pelvis and corrective pads.
  • a rod vertically attached to the rear part of the basket.
  • a flat spring with a corrective pad at the end and a flat bar to which a blade pad is attached.
  • the upper end of the rod has mounted thereto a flat bar with an attached corrective strap encompassing the patient's shoulder, wherein said corrective strap is connected to a corrective pad.
  • Patent application PL378492A discloses a dynamic corset for scoliosis treatment and rehabilitation, wherein said corset is a flexible thoraco-lumbo-sacral orthosis comprising a vest, pants and Velcro corrective straps.
  • Patent application PL399075A discloses an orthopaedic corset enhancing the conservative treatment of scoliosis through an active correction of aberrations in children's' build and conserving the treatment results leading to the correct upright and sedentary position of the body, which is the dynamic element.
  • the corset includes a three- part hip basket consisting of hip plates reinforced with a metal frame, connected at the back by means of hinges, preferably of hook-and-eye type, to a metal plate, at the front by means of a fastening, wherein the framework of the hip basket is connected by means of a joint to a dynamic lateral support, and the metal plate has a spring support with a lumbar pad attached thereto.
  • Utility model description PL63674Y discloses a corset characterised in that the frame thereof is asymmetrical and is open on one side and placed in the fabric part thereof.
  • the frame consists of two central longitudinal elements, two transverse elements and one longitudinal lateral element closing said corset on the other side, moreover, the corset has oblique corrective straps.
  • EP 1 902 691 discloses an orthosis comprising a pad and an orthopaedic corset with a dorsal recess for the pad, wherein the pad can rotate in relation to the longitudinal axis thereof.
  • EP 1 985 264 discloses an orthosis with a positively stable main plate adhering to the wearer's body.
  • WO 2012/099989A2 discloses a prosthetic device comprising a substantially rigid internal insert with an external lower region of a balance lever, two spacers rigidly connected to said inserts, coupled to a blade of each spacer, each blade with the surface corresponding to the patient's shoulders, the belt is so configured as to be connected to the blades for tightening around a limb, the internal surfaces of the blades having multiple protrusions provided to minimise sliding of first and second blades in relation to the limb or in relation to the mounting of the limb.
  • the prosthetic device may comprise two or more support layers per insert, wherein each of said layers has a maintenance hole larger than the hole overlapping the maintenance hole located below.
  • the present invention relates to an orthopaedic corset, in particular for spine rehabilitation according to the preamble of claim 1.
  • the essence of the invention is that the frame of said corset has a form of at least two oblique load-bearing structure elements rotatably connected at an at least one point of rotation with the use of a rotatable element.
  • At least one oblique load-bearing structure element has at the end thereof an upper arm, whereas at least one oblique load-bearing element has at the end thereof a lower arm.
  • At least one lower pad and/or at least one upper pad are mounted to the arms wherein said pads connected by a strap.
  • the oblique load-bearing structure elements and/or the arms and/or the lower and upper pads are profiled that is adaptable to the anatomic curvatures of the patient's body.
  • the arms comprise at least one longitudinal adjustment hole and/or at least one circular hole.
  • the rotatable element is a screw or a screw with a bearing.
  • the upper pad and/or the lower pad is connected to the respective arm with at least one lateral connector being an auxiliary adjustment means of the corset with the use of a connecting means, wherein the lateral connector is preferably profiled that is adaptable to the anatomic curvatures of the patient's body.
  • the pads be fastened by means of the strap going through the longitudinal slots in the pads, wherein the strap is padded, preferably on both sides.
  • Another advantage is achieved when between the oblique load- bearing structure elements there is at least one servomechanism.
  • pneumatic and/or hydraulic and/or electric and/or mechanical actuators or microactuators are used as the servomechanism.
  • the oblique load-bearing structure elements be of different lengths.
  • the corset is equipped with an auxiliary stabilising structure, jointedly mounted in the points of rotation by means of rotation elements to the pads and arms and/or the corset is equipped with an auxiliary reinforced load-bearing structure element.
  • An advantage of the invention is the simple adjustment and adaptation of the corset's structure for the patient and the therapist before and during the use thereof.
  • Another obvious advantage of the invention is the high therapeutic potential with long-lasting results as well as the possibility to use the corset during rehabilitation and in daily life, wherein the adjustment is simple even during the treatment process.
  • the orthopaedic corset is a mechanical device provided for mechanically influencing the patient's spine, allowing to carry out motor rehabilitation at the same time. Therefore, it may be considered an active rehabilitation device.
  • a prerequisite for the correct use of the corset is that it is custom- made and adjusted as the forces exerted on the body are substantial and unsuitable adjustment could lead to undesirable effects.
  • the corset according to the invention allows for the accurate fitting thereof and thus improving the comfort of use.
  • the pads and straps, preferably padded adhere to the body while providing the possibility to ventilate.
  • the structure is so configured that the pads can rotate, while maintaining the corset geometry and the system of load- bearing tensioning straps is simple to use.
  • the corset according to the invention allows the patient to move in an unobstructed manner.
  • the arms of the corset transfer the load at the lateral axis of the body causing the rotation, derotation and tensioning of said corset.
  • the corset ensures the required stiffness and allows for individual adjustment.
  • Fig.l is a front view of the load-bearing structure of the corset with lateral connectors and upper and lower pads before assembly and adjustment to the patient's body;
  • Fig.2 is a front view of the corset's structure with lateral connectors before the interconnection thereof;
  • Fig.3 is a perspective front view of the orthopaedic corset including individual elements thereof;
  • Fig.4 is a rear perspective view of the orthopaedic corset including individual elements thereof;
  • Fig.5 is a schematic view of the basic structure of the orthopaedic corset
  • Fig.6 is a schematic view of the load-bearing structure of the corset with one oblique load-bearing element shifted;
  • Fig.7 is a schematic view of the structure of the orthopaedic corset comprising one servomechanism
  • Fig.8 is a schematic view of the structure of the orthopaedic corset comprising several servomechanisms
  • Fig.9 is a schematic view of the structure of the orthopaedic corset comprising auxiliary arms with point of rotations;
  • Fig.10 is a schematic view of the structure of the orthopaedic corset comprising arms with point of rotations;
  • Fig.11 is a schematic view of the structure of the orthopaedic corset comprising arms with point of rotations and a servomechanism;
  • Fig.12 is a schematic view of the structure of the orthopaedic corset comprising arms with point of rotations;
  • Fig.13 is a schematic view of the structure of the orthopaedic corset with ends of the arms mounted permanently;
  • Fig.14 is a schematic view of the structure of the orthopaedic corset comprising an auxiliary stabilising structure
  • Fig.15 is a schematic view of the structure of the orthopaedic corset comprising auxiliary reinforced arms;
  • Fig.16 is a schematic view of the structure of the orthopaedic corset comprising an auxiliary oblique load-bearing structure element.
  • Fig. 1 and fig. 2 are a front view of a load-bearing structure 1 of an orthopaedic corset for spine rehabilitation with shown lateral connectors 2 and upper pads 3 and lower pads 4 before assembly and adjustment to the patient's body.
  • the individually adjusted corset is shown in fig. 3 and fig. 4.
  • the frame in the form of the load-bearing structure 1 of the corset has a form of two oblique load-bearing structure elements IP, 1L rotatable connected at a point of rotation P by a rotation means S.
  • the rotation means S is, for example, a screw or a screw with a bearing, which allows for simple adjustment of the mutual position of the oblique load-bearing structure elements IP, 1L.
  • Each of the two oblique load-bearing structure elements IP, 1L has at the end thereof an upper and a lower arm R which is a structure element located transversely at a selected angle in relation to the oblique load-bearing structure element.
  • the arms R comprise a hole or longitudinal slots Orp and/or circular holes Oso to enable adjustable, shiftable mounting of the upper pads 3 and lower pads 4.
  • the pads 3 and 4 can be additionally connected to the respective arm R and/or the oblique load-bearing structure element IP, 1L by means of at least one lateral connector 2 being an auxiliary adjustment means of the corset with the use of a movable connecting element N.
  • the pads 3,4 are connected with a strap T through the longitudinal slots Op in the pads 3,4.
  • the strap T is padded, preferably on both sides thereof.
  • the oblique load- bearing structure elements IP, 1L, arms R, lower and upper pads 3, 4 and the lateral connector 2 are profiled which means that it is possible to adjust the shapes, size and alignment to the anatomic curvatures of the patient's body.
  • the basic version of the corset comprises two oblique load- bearing structure elements IP, IL interconnected by a rotation means S enabling adjustable, shiftable positioning thereof.
  • a rotation means S enabling adjustable, shiftable positioning thereof.
  • At each end of the oblique load-bearing structure elements IP IL there is an arm R for mounting the pads.
  • the oblique load-bearing structure element IP is shorter and angularly shifted in relation to the other oblique load-bearing structure element IL.
  • the oblique load-bearing structure element IP is mounted with the use of the rotation means S with the lower end thereof not equipped with an arm to the other oblique load-bearing structure element IL and between said oblique load- bearing structure elements IP, IL there is mounted on servomechanism SM for adjustment purposes, for example a pneumatic or hydraulic or electric or mechanical actuator or a microactuator.
  • the oblique load-bearing structure element IP has no arms, wherein the pads are mounted to the ends of said load-bearing element rotatably at points P.
  • the oblique load-bearing structure element 1L has at each end thereof a rotatably mounted arm R, and along the length thereof there are auxiliary arms R, also rotatably mounted at points P.
  • the arms R are rotatably mounted at points P to the ends of the oblique load-bearing structure elements 1L, IP.
  • the arms R are rotatably mounted at points P to the oblique load-bearing structure elements 1L, IP between which there is a servomechanism SM.
  • the arms R are also rotatably mounted at points P to the oblique load-bearing structure elements 1L, IP.
  • the structure of the orthopaedic corset comprises an auxiliary stabilising structure Pks, enhancing the stability of the corset, which is jointedly connected at point of rotations P by rotation means S with the pads 3,4 and the arms R.
  • the oblique load-bearing structure element lPw and the arms Rpw are reinforced. Furthermore, the structure is equipped with a servomechanism SM.
  • the structure comprises an auxiliary oblique load-bearing structure element 1L.
  • the individual adjustment of the corset should begin with the load-bearing structure by adjusting the point of rotations and profiling, that is adapting the oblique load-bearing structure elements and/or arms and/or upper and lower pads to the anatomic curvatures of the patient. Owing to this it is possible to adapt to the individual curvature and expanding the surface of active pressure.
  • the well-adjusted pad should fully adhere to the patient's body while distributing the pressure onto a surface as large as possible. When necessary, it is possible to modify both the size and the surface of the pad in such a manner that it meets individual requirements depending on the degree of deformation and therapeutic needs.

Abstract

La présente invention concerne un corset orthopédique, en particulier pour la rééducation de la colonne vertébrale, comprenant un cadre du corset, des coussinets et des sangles de fixation, caractérisé en ce que le cadre de l'appareil orthopédique a une forme d'au moins deux éléments de structure de support de charge obliques reliés de manière rotative au niveau d'au moins un point de rotation grâce à un moyen de rotation, au moins un élément de structure de support de charge oblique possédant à son extrémité un bras supérieur et au moins un élément de structure de support de charge oblique ayant à son extrémité un bras inférieur, et au moins un coussinet inférieur et/ou au moins un coussinet supérieur interconnectés étant fixés aux dits bras, lesdits coussinets étant reliés par la sangle, les éléments de structure de support de charge obliques et/ou les bras et/ou les coussinets inférieur et supérieur étant profilés, qui est adaptable aux courbes anatomiques du corps du patient.
PCT/IB2015/054819 2014-06-26 2015-06-26 Corset orthopédique, en particulier pour la rééducation de la colonne vertébrale WO2015198275A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
PLPL408677 2014-06-26
PL408677A PL408677A1 (pl) 2014-06-26 2014-06-26 Gorset ortopedyczny, zwłaszcza do rehabilitacji kręgosłupa

Publications (1)

Publication Number Publication Date
WO2015198275A1 true WO2015198275A1 (fr) 2015-12-30

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PCT/IB2015/054819 WO2015198275A1 (fr) 2014-06-26 2015-06-26 Corset orthopédique, en particulier pour la rééducation de la colonne vertébrale

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PL (1) PL408677A1 (fr)
WO (1) WO2015198275A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3496675A4 (fr) * 2016-08-15 2020-09-16 Bucknell University Orthèse orthopédique pour le dos

Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2060173A (en) * 1936-01-29 1936-11-10 Karl W Buschenfeldt Scoliosis corrective brace
US4173973A (en) * 1978-06-30 1979-11-13 Hendricks David J Hyperextension back brace
PL166888B1 (pl) 1991-10-10 1995-06-30 Janusz Gleboki Gorset ortopedyczny do leczenia skoliozy
PL319227A1 (en) 1997-03-28 1998-10-12 Ryszard Tomasz Perner Dynamic orthopaedic corset for functional treatment of scoliosis
PL351172A1 (en) 1999-04-30 2003-03-24 Camp Scandinavia Ab Adjustable spinal brace
PL378492A1 (pl) 2005-12-20 2007-06-25 Firma Ortopedyczna Medort Spółka Akcyjna Gorset dynamiczny
EP1902691A1 (fr) 2006-09-23 2008-03-26 Karl Werkmeister, Medizinische Leibbinden Orthèse pour ostéoporose
EP1985264A1 (fr) 2007-04-23 2008-10-29 Otto Bock HealthCare IP GmbH & Co. KG Orthèse
US20090137934A1 (en) * 2007-11-16 2009-05-28 Seon Dong Yun Scoliosis Brace Having Angle Adjustment Unit
WO2010044796A1 (fr) * 2008-10-16 2010-04-22 Axial Biotech, Inc Procédé et appareil associés à une orthèse dynamique utilisée pour le traitement de la scoliose
WO2012099989A2 (fr) 2011-01-18 2012-07-26 Medefficiency, Inc. Systèmes et procédés de support de membre
PL399075A1 (pl) 2012-05-02 2013-04-15 Politechnika Wroclawska Gorset ortopedyczny wspierajacy leczenie zachowawcze skoliozy

Patent Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2060173A (en) * 1936-01-29 1936-11-10 Karl W Buschenfeldt Scoliosis corrective brace
US4173973A (en) * 1978-06-30 1979-11-13 Hendricks David J Hyperextension back brace
PL166888B1 (pl) 1991-10-10 1995-06-30 Janusz Gleboki Gorset ortopedyczny do leczenia skoliozy
PL319227A1 (en) 1997-03-28 1998-10-12 Ryszard Tomasz Perner Dynamic orthopaedic corset for functional treatment of scoliosis
PL351172A1 (en) 1999-04-30 2003-03-24 Camp Scandinavia Ab Adjustable spinal brace
PL378492A1 (pl) 2005-12-20 2007-06-25 Firma Ortopedyczna Medort Spółka Akcyjna Gorset dynamiczny
EP1902691A1 (fr) 2006-09-23 2008-03-26 Karl Werkmeister, Medizinische Leibbinden Orthèse pour ostéoporose
EP1985264A1 (fr) 2007-04-23 2008-10-29 Otto Bock HealthCare IP GmbH & Co. KG Orthèse
US20090137934A1 (en) * 2007-11-16 2009-05-28 Seon Dong Yun Scoliosis Brace Having Angle Adjustment Unit
WO2010044796A1 (fr) * 2008-10-16 2010-04-22 Axial Biotech, Inc Procédé et appareil associés à une orthèse dynamique utilisée pour le traitement de la scoliose
WO2012099989A2 (fr) 2011-01-18 2012-07-26 Medefficiency, Inc. Systèmes et procédés de support de membre
PL399075A1 (pl) 2012-05-02 2013-04-15 Politechnika Wroclawska Gorset ortopedyczny wspierajacy leczenie zachowawcze skoliozy

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3496675A4 (fr) * 2016-08-15 2020-09-16 Bucknell University Orthèse orthopédique pour le dos

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Publication number Publication date
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