WO2016185029A1

WO2016185029A1 - Device for normalizing the shoulder position of a person

Info

Publication number: WO2016185029A1
Application number: PCT/EP2016/061471
Authority: WO
Inventors: Michaela Schmidt
Original assignee: Humedical Ug
Priority date: 2015-05-20
Filing date: 2016-05-20
Publication date: 2016-11-24

Abstract

The present invention relates to a device (1) for normalizing the shoulder position of a person, comprising a flexible support (2) which is provided for arrangement on the upper body of a person, wherein the flexible support (2) has a chest part (3), a back part (4), a shoulder area (5), and a neck opening (6) formed in the shoulder area (5), at least one tightening element (7) extends between a front fastening area (8) on the chest part (3) and a rear fastening area (14) on the back part (4) across the shoulder area (5), adjacent to both sides of the neck opening (6) on the flexible support (2), and the at least one tightening element (7) on the back part (4) forms an angle in the range of between 30 degrees and 80 degrees with the mid-perpendicular (13) of the back part (4), and the at least one tightening element (7) does not intersect the mid-perpendicular (13) of the back part (4), and the resistance with which the in each case at least one tightening element counters the incorrect posture of the user is adjustable.

Description

Device for normalizing the shoulder position of a person

The present invention relates to a device for normalizing the shoulder position of a human.

Problems on the upper extremity are increasingly becoming the focus of attention in medicine and medical technology. The number of pathologies of the hand, elbow, shoulder and entire shoulder girdle is increasing dramatically. The shoulder pathologies can affect the cervical, thoracic and lumbar spine and cause problems there as well.

The causes of problems in the upper extremity are only singular traumatic. In most cases, these pathologies are not traumatic in nature. The conditions usually develop over months or years and occur as a painful, movement-limiting disorder only when the pathology can no longer be compensated by the body. The determination of the cause of the pathology, ie the individual diagnosis is difficult in many cases, since the individual problem of the patient must be determined. This complicates the treatment considerably. It is often not the actual cause of the disorder that is identified, but the problem that develops under certain circumstances in another body area.

In practice, diagnostic procedures are used to examine the affected joint or structure. The results are clear and a diagnosis is made. In many cases, however, it is questionable whether the diagnosis completely covers the individual problem. Of course, it can be stated that the affected joint or structure has a disorder that can lead to pain and discomfort. The reason for this is that there is a problem in another area, which affects the joint or the structure, often remains unrecognized. Thus, it is not always taken into account in the diagnosis and later treatment of acute disorders that the anatomical region in which a disorder occurs need not necessarily be the region in which the cause of this disorder lies.

For example, if a knee problem is triggered by a lumbar spine pathology, treatment should at least not be limited to the knee alone. A knee brace and a knee joint therapy can provide relief for the patient, but the actual treatment should be on the lumbar spine. A sole knee therapy can therefore only cause a temporary improvement, since the trigger, namely the lumbar spine problem, is not treated. Studies show that pathological changes can be found in diagnostic examinations of completely painless patients, but these can be well compensated by the body and often will never cause a problem. It has been discovered that malposition of the human's shoulders can be a cause of upper limb problems. The resulting disorder can affect another body area. The actual causative malposition of the shoulders may be, in particular, a protraction of the shoulder of the human deviating from the anatomical ideal.

The protraction of the shoulder girdle represents an inability of the human body, which is characterized by the reduced maintenance of the trunk against gravity. As a result of this inability, the back muscles are permanently passively stretched and the shoulder joints position themselves, in relation to the trunk heavy line, forward and inward. This pattern can be the cause of many pathologies that can develop over weeks, months, years or decades. These pathologies can continue to spread to the shoulder joints, elbow joints or wrists and cause symptoms there, as the surrounding muscles are created across joints. Continued protraction of the shoulders and associated stretching of the back muscles may prolong the disorder to the upper, middle and lower spine.

Using the example of the shoulder joint, preservation of the protraction results in permanent irritation and compression on the shoulder joint capsule, which can lead to inflammation.

Lever arms of the musculature are changed by the physiologically not optimal position of the shoulder girdle and must counteract unfavorable torques. This ongoing stressful work of the musculature can be done without consequences only over a limited period of time.

Consequences of this stress and finally overloading can be seen in the weakest substructure, which can be either in the shoulder joint itself or in the elbow and hand area. This overload can also propagate towards the cervical, thoracic or lumbar spine as the back muscles span multiple segments and subregions of the spine. This causes problems to be created there as well.

Numerous upper limb orthoses and bandages are known in the art. However, upon closer inspection of these devices, it will be apparent that these devices are intended for acute traumatic pathologies and, therefore, will in some cases not have the required effect. Again, the devices of the prior art are often aligned to a rest position of the affected body area, which may be associated with a malposition or overuse of other parts of the body. Thus, EP 02 02 474 A1 discloses a shoulder cuff for the treatment of painful disorders of the shoulder joint and for the treatment of injuries and dislocations of the shoulder. The disclosed shoulder cuff can be fixed to the user's body.

In DE 41 06 883 C2, a shoulder joint bandage is described, which has a the upper arm encompassing tubular portion made of an elastic material. With the tubular portion is a shoulder covering cap-shaped portion of an elastic see material connected. Furthermore, the bandage holding straps for securing the bandage. This device also causes a rest position of the shoulder area.

Furthermore, devices are known in the prior art that stimulate the sensory-motor system of the user and thus to exert on the body of the user a positive effect. This device

Such a device is disclosed in WO 2013/016670 A1. The device disclosed in this patent application is designed as a garment. This garment is designed to exert neuromuscular stimulation or proprioceptive therapy on the user's body by simultaneously applying to the body a combination of pressure, torque and angle. The pair of tension bands used in this device is crossed in the back, engages the torso of the user and is guided to the front for attachment to the wearer. As a technical effect it is described that the shoulders can be pulled down or tilted downwards through the device while the wearer's chest is simultaneously pulled upwards or inclined upwards. This means that the device acts on the entire upper body of the user due to the pair of bands and forces by pulling force in a certain position. In this case, this device is not specifically adaptable to the physical condition of the wearer, because a stronger tensile force on a region of the body, for example the left shoulder, is accompanied by an increased effect on the region to which the relevant ligament is guided. This is the waist or Hip area of the user. Such a coupling of pressure or tensile force on different parts of the body is disadvantageous and can lead to disturbances occurring in these areas. Furthermore, the prior art device is intended and designed to apply continuous pressure and continuous stimuli to the entire covered body area of the user. This is according to the disclosure of the patent application an object of the invention. This is done, inter alia, by the selection of the material of the device and the arrangement and use of the pair of straps.

Hereby it comes to influences on tissue, nerves, musculature and skeleton of the user. Permanent irritation and compression can lead to lymphatic congestion, swelling, nerve compression and even breathlessness of the user. The user can not avoid the action of the device and even with an anatomically correct attitude continues to take place a compression of the body. Stimulation by this device is not selective and can be detrimental to the condition of the user.

This prior art device is a typical example of a so-called passive device in which the user is passively exposed to influence on his body. The user has no or little influence on the stimulation that is applied to his body. The approach that is taken with devices of this type is that continuous stimulation of body areas, particularly muscular stimulation, leads to their strengthening. This effect can be achieved in the long term, but it is also associated with compression of the entire covered body area, as described above. This can lead to pain and a change in the perception of the body.

The overall design of this prior art device further excludes that it can be worn inconspicuously as an outer garment. Due to the leadership and operation of the pair Bands can be arranged only on the side facing the outside world, so facing away from the body of the garment side.

Other passive devices of the prior art are directed to force the user's body into a specific position by corset-like encircling body areas and thus restrict the freedom of movement of the wearer and exert pressure on certain parts of the body. Object of the present invention is therefore to overcome the disadvantages of the prior art.

The object of the present invention is to provide a device which normalizes the shoulder position of a person and thus has a positive effect on the prevention and healing of disorders in the upper extremities. At the same time, it is an object of the present invention to provide a device which, in addition to the normalization of the shoulder position, can also support the build-up and strengthening of the muscles in the region of the upper body, which in turn has a positive effect on problems of the upper extremities.

The object of the present invention is achieved by the provision of a device according to the main claim.

Preferred embodiments are characterized in the dependent claims.

The device according to the invention is, in contrast to the above-mentioned devices of the prior art, an active device which, depending on requirements, also permits a user-controlled passive action.

Active devices in the technical field of the present invention are devices in which the user's posture has an influence on the action or stimulation by the device. In the present case, the user of the device according to the invention can avoid the action of the device by changing his posture. The device is only noticeable as a resistance when the posture of the User deviates from the anatomical ideal, or from a predetermined by the device attitude towards the ideal. Thus, if the user changes his "maladjustment" in the direction of the anatomically ideal posture, then he experiences no or only a slight resistance and there is no further action on the user.

A permanent stimulation or a permanent pressure is not exerted on the body. The sustained stimulation of the covered body regions by passive devices of the prior art is omitted here. The musculature of the body of the wearer of the device according to the invention is strengthened, because by the effect of the resistance of the device in a malposition, the body occupies an anatomically correct position, which can be taken by the tension of the competent muscles. If the anatomically correct position is taken, the stimulation ends by the device.

The tensing of the muscles to take the anatomically correct position causes long-term strengthening of the muscles and thus a lasting learning effect of the body. The stimulation of the body is thus targeted, non-persistent and influenced by the behavior, ie the attitude of the user. The user of the device according to the invention is allowed to adapt to his individual needs by the resistance state of the clamping elements, their nature, number, material and arrangement can be adjusted to the anatomical conditions, which will be explained in detail later.

For example, if the user has learned to adopt a posture approaching the anatomical ideal in the early stages of use of the device of the invention, he may assist in fine-tuning his posture by altering the device. Here, the user can supportively use the device according to the invention as a passive device by adjusting, for example by using elastic tensioning elements or setting another resistance state, a supportive tensile force of the device according to the invention in the ideal position. However, this supporting traction is optional and the user of the device need not expose himself to this function of the device, which is referred to as passive.

The object of the invention is thus achieved by the provision of a device for normalizing the shoulder position of a human, comprising a flexible support which is provided for placement on the upper body of a human, wherein the flexible support a chest part, a back part, a shoulder region and in the Shoulder region formed neck through opening has, in the region of the flexible support on both sides adjacent to the neck opening in each case at least one

Clamping element between a front mounting portion on the chest part and a rear mounting portion on the back portion extends over the shoulder region, and the at least one clamping element on the back with the mid-perpendicular of the back portion forms an angle in the range between 30 degrees and 80 degrees, and at least each a tensioning element does not intersect the perpendicular bisector of the back part and the resistance which the respective at least one tensioning element opposes to the faulty posture of the user is adjustable. For the purposes of the invention, the expression "in the field of flexible

Support "means that the tension members are on the flexible beam, which may mean that the tension members may be disposed along or on the surface of the inside or outside of the flexible beam.

In the context of the present invention, chest part of the flexible carrier is understood to be the region of the flexible carrier which at least partially covers the chest area of the user. Here, under the chest part of the flexible support both the body of the user and the body of the user facing away, so to be understood outwardly directed side of the flexible support.

The same applies to the back part of the flexible support, under which both the body facing and the body facing away from the side of the flexible support is to be understood. The device according to the invention comprises a flexible carrier which is provided for placement on the upper body of a human. The flexible carrier covers the body of the carrier at least in the areas in which the respective at least one tensioning element is arranged. The flexible carrier usually covers at least the area of the shoulder girdle of the wearer. The flexible support makes it possible to arrange the respective at least one tensioning element without it coming into contact with the human skin. As a result, irritation of the human skin can be avoided and the wearing comfort of the user is increased.

The flexibility of the flexible support also serves for the comfort of the user. Flexibility means in the context of the present invention that the carrier is not rigid and can cling to the user's body. Furthermore, the flexibility of the wearer makes it possible for the device to be worn under garments without having to be visible under the clothing.

Furthermore, the flexibility of the flexible support makes it possible for groups of people with similar but not identical proportions to use a uniformly sized flexible support in terms of size, without too great a width of the flexible support adversely affecting wearing comfort. Here again the feature that the flexible carrier can nestle is advantageous. However, the flexible carrier is not intended to cause stimulation of the sensorimotor system of the body, despite the fact that it can adhere. Usual frictional effects that occur through contact between the skin of a user and foreign materials such as clothing are not understood as stimulation of the sensorimotor system. The material of the wearer is selected such that it has a high wearing comfort for the user. A technical function of the wearer in the sense of an impact on the body by exerting stimuli for sensorimotor stimulation is not provided and should be excluded by the choice of material. The shoulder region of the flexible carrier extends at least so far over the shoulders of the human that the respective at least one tensioning element rests on the flexible carrier. If a plurality of clamping elements are guided over the respective shoulder region, the shoulder region of the flexible carrier extends at least as far in the direction of the shoulder joint that all clamping elements rest on the flexible carrier.

The length of the flexible support in its chest part and its back part can be the same or different and extend beyond the region in which the tensioning elements are arranged, downwards. Here, special anatomical features, but also aesthetic aspects can be considered.

The neck opening is located, if no special anatomical features of the user must be considered, centered in the shoulder area. It may be slit-shaped, but also extend to the chest part and / or back part in the form of a well-known in outer garment detail, such as V-neck and round neck. In each case at least one tensioning element is guided on the flexible support over the shoulder region of the user. This means that in each case at least one tensioning element is guided over the right shoulder and at least one tensioning element over the left shoulder of the user when using the device. Here, the respective at least one clamping element is arranged on the flexible carrier on the side facing the user's body or facing away from it.

The tension members are configured to allow adjustment by the user by selecting a particular resistance condition and adjusting the apparatus accordingly. This will be explained later in detail.

The respective at least one tensioning element is guided on the chest part and the back part at least up to the respective fastening area. The attachment areas are the areas of the flexible support on which the respective at least one tensioning element can be fastened, that is to say fixed. The attachment areas are located on the chest and on the chest

Back. On the chest part and on the back part in each case a fastening area is arranged on both sides of the respective perpendicular bisector.

In a preferred embodiment, the attachment regions each extend over the width or a portion of the width of the respective left and right sides of the chest part and back part of the flexible carrier. The attachment regions have a width which makes it possible for all clamping elements provided on the device to rest on the respective attachment region and to be fixed. In a preferred embodiment, the attachment areas have a width which corresponds to the sum of the widths of all clamping elements to be fastened thereon.

In a further preferred embodiment, the attachment areas have a width which corresponds at least to the total width of the attachment means which are provided for fastening the respective clamping elements.

In a preferred embodiment of the invention, a plurality of fastening positions for a tensioning element are provided on the respective fastening region, which differ in their distance from the respective shoulder region. These attachment positions are in one embodiment designed as discrete attachment positions. In a further preferred embodiment, the attachment positions are formed as attachment position areas, in which the attachment positions are directly adjacent to each other, that is adjacent to each other.

In a further preferred embodiment, only one fastening position is provided on the respective attachment areas. In this embodiment, fixing positions are provided on the at least one clamping element, which on the one fixing position for fixing to be ordered. These fixing positions are spaced from one another along the length or a portion of the length of the at least one tensioning element and may be disposed from one end of the tensioning element toward the center of the tensioning element, or may be disposed at both ends of the tensioning element.

In the arrangement of the respective at least one tensioning element between the chest part and the back part, the at least one tensioning element is guided by a fastening area over the shoulder area, without the respective perpendicular bisector being cut. The fastening region of a chip element on the breast part or back part is thus arranged in each case on the side with respect to the perpendicular bisector, on which the shoulder region is also located, over which the tension element is guided.

The respective at least one tensioning element therefore has at least one length which corresponds to the distance between the front and rear attachment region, in the case of guidance according to the invention over the shoulder region. In the case of an elastic fastener, this may have the appropriate length in the relaxed or tensioned state. In a further embodiment of the present invention, the respective at least one tensioning element can be detachably fixed on the front and / or rear attachment region.

This means that the respective at least one tensioning element can be fastened to both the front and the rear attachment region, but can be detached again from at least one of the attachment regions, the front or rear attachment region. After loosening the at least one clamping element can be fixed again on the corresponding mounting area. This embodiment of the releasable clamping elements can be advantageous when using Velcro fasteners.

Due to the solubility of each at least one clamping element, this can be either completely or on breast part or back part detached from the flexible support or completely removed. An embodiment is preferred in which at least one actuating element is arranged on or in each case at least one clamping element.

If the at least one tensioning element is not detachably fixed, then it is permanently fixed in the corresponding position. A permanent fixation can be done for example by riveting but also by sewing on the flexible support. If the clamping elements are permanently fixed at both ends, for example by sewing, adjusting elements are provided in or on the clamping elements. These adjusting elements are provided to change, for example, the length of the clamping elements, thereby adjusting the tensile force of the clamping element. Suitable adjusting elements are known in the art, for example adjustment elements for wearers of body pieces such as shirts or bras can be used. Function of each at least one clamping element is to guide the shoulders of the user in the anatomically correct position and to hold there. This influencing of the shoulder position is effected by counteracting the protraction of the shoulder due to the arrangement of the respective at least one tensioning element on the flexible support. This means that the arrangement of the clamping elements on the flexible support according to the invention is designed so that a user of the device according to the invention with anatomically correct shoulder posture will feel no or only slight resistance exerted by the clamping elements resistance. An anatomically incorrect shoulder posture, however, must be enforced against the resistance of the tensioning elements, because they stably provide the anatomically correct position.

When the user takes an attitude deviating from the optimal anatomical posture, he bends his shoulders against the clamping elements and feels resistance.

According to the invention, it can be varied which freedom of movement the user has when carrying the device before he feels the resistance of the at least one tensioning element.

The state of the device according to the invention, in which the user has the least possible resistance during the movement through the clamping element. Feel mente with a defined length and elasticity, hereinafter referred to as the first resistance state. The first resistance state is thus associated with the greatest possible freedom of movement of the user before he feels a resistance of the at least one tensioning element.

According to the invention, the restriction of the freedom of movement exerted by the tensioning elements can be increased and a second resistance state and possibly further resistance states can be generated. In one embodiment of the invention, the first resistance state is created by fixing the respective tensioning element on the front and rear attachment regions in such a way that it is fixed to the fastening positions with the smallest distance from each other. In this case, the fastening positions with the smallest distance between the chest part and the back part are in each case the positions which are closest to the shoulder region.

The first resistance state is achieved in the embodiment in which the respective fastening region has only one fastening position, in that the respective at least one tensioning element is arranged in each one fastening position such that it is brought into contact with the fixing position on the tensioning element which has the largest distance from the center of the clamping element.

If the at least one tensioning element is not detachably arranged in a fastening region, then the first resistance state is achieved by fixing the releasably fixable end of the tensioning element in the fastening position which is closest to the shoulder region. If only one fastening position is present, the first resistance state is achieved by arranging the at least one tensioning element with a fixing position at the fastening position which has the greatest distance from the center of the tensioning element.

Depending on requirements, this restriction of the freedom of movement exerted by the clamping elements can be supported, ie amplified, by an active pulling force of the clamping elements. The clamping elements are transferred to a second or further resistance state. For this, the at least one tensioning element is fixed in a second fastening position. This second attachment position differs from the first attachment position of the first resistance state by the distance of the attachment positions. In the second and each further attachment position, the distance between the positions where the tension member is attached, larger compared to the first resistance state.

This is achieved by fixing the at least one tensioning element to fastening positions that are further apart in comparison. This second and further attachment position on the attachment area is farther from the shoulder area of the flexible carrier than the respective first attachment position. In another preferred embodiment, wherein there is only one attachment position in the respective attachment area, the at least one tensioning element is transferred to the second or further resistance state by being brought into contact with the attachment area with another fixing position. This other fixing position is arranged on the clamping element with respect to the length of the clamping element closer to the center of the clamping element.

If the respectively at least one tensioning element is permanently fixed at both fastening positions, then a change in the resistance state can be carried out by actuating at least one adjusting element on the respectively at least one tensioning element. For this purpose, the adjusting element is designed, for example, as an adjusting slide, tensioning buckle or clamping buckle and makes it possible to change the length of the at least one tensioning element between the fastening positions.

As a result, the flexible carrier and also the respective clamping elements are pressed more firmly against the body of the carrier and the range of motion is limited from the anatomically correct position of the shoulder. If the at least one tensioning element is elastic, then this can be stretched and fixed under the tension caused by the expansion in the fastening area in a fastening position which is a second or further fastening position.

If the respectively at least one tensioning element is non-detachably fixed in the fastening areas, an elongation of the elastic tensioning element can take place by the actuation of an adjusting element and the elongation can be maintained by the locking of the adjusting element.

The embodiment in which the at least one tensioning element is to be completely removed is furthermore advantageous. Thus, for example, existing clamping elements can be exchanged for clamping elements with a different width, different shape or other material properties during the period of use of the device according to the invention, as required by the user. Also, the number of clamping elements can be changed if necessary. In the course of use, the device according to the invention can thus be adapted to the changed physical condition of the user. With progressive physical, in particular muscular stabilization of the user, for example, the width of the clamping elements or their number can be reduced. Also can be changed from a highly elastic material to a less elastic or inelastic material, and vice versa. Furthermore, it is advantageous that the respective at least one tensioning element can be removed from the flexible carrier, for example before washing or cleaning the device, when completely releasable.

The at least one clamping element forms an angle in the region between 30 on the back part with the mid-perpendicular of the back part

Degree and 80 degrees, wherein each at least one clamping element does not intersect the perpendicular bisector of the back part. This arrangement of the at least one tensioning element, in combination with the arrangement over the shoulder area, has proved to be advantageous for bringing the shoulders into the normal position and counteracting the protraction. Due to this arrangement, the clamping elements do not compress any pressure-sensitive sensitive areas. The outgoing of the clamping elements stabilizing and directing action of the shoulder region is already exercised when the clamping elements are not performed over the perpendicular bisector. This further prevents the respective at least two clamping elements must be guided one above the other and thereby optionally arranged one above the other. This would affect the handling, because the loosening and re-fixing of a clamping element could require the loosening and fixing of the other clamping element. Furthermore, the tension elements would cross the region of the spine, which may be associated with pain or at least discomfort when used, for example when sitting and leaning on the user. This also avoids that the at least one tensioning element is guided to other body areas, such as the user's waist or waist, or even to the front of the flexible carrier. Such guidance of the tensioning elements could, for example, lead to an additional effect on body areas which should not be acted upon.

Preference is given to a device in which the respective at least one tensioning element on the breast part with the mid-perpendicular of the breast part forms an angle in the range between 30 degrees and 80 degrees.

In this embodiment, the clamping elements on chest part and back part are arranged in an identical angular range to the respective mid-perpendicular. This is advantageous because the at least one clamping element can also be guided over the shoulder area without deflection or without strong deflection between the chest part and the back part. This simplifies the construction of the device according to the invention. A deflection can be done for example by means of a guide element.

A device is advantageous in which the respective at least one tensioning element is arranged on the back part of the flexible carrier along the region or parallel to the region which covers the part of the human trapezius muscle.

This embodiment of the invention is particularly advantageous because it has been shown that, in this arrangement, the prevention of shoulder protraction and the stimulation of the back muscles are particularly effective are. Already in the arrangement of the at least one tensioning element, in which it forms an angle in the range between 30 degrees and 80 degrees on the back with the mid-perpendicular of the back part, the at least one tensioning element will be in the region of the trapezius muscle when the flexible support is worn. This embodiment causes a normalization of the human shoulder position independently of human anatomy. An individualization of the device according to the invention can enhance the effect of the device. It is advantageous if the device is manufactured according to the body dimensions and the arrangement and expression of the musculature of the user. For this purpose, an orthopedist or physiotherapist can determine the position of the trapezius muscle of the individual and according to these dimensions, the arrangement of the respective at least one tensioning element on the flexible support can take place. Preferably, the at least one tension member on the back portion of the flexible support will form an angle with the mid-perpendicular in the range of 30 to 50 degrees when intended for a user with average back muscles.

A device is preferred in which the number of clamping elements is 1 to 10, preferably 2 to 6, particularly preferably 3 to 4, on both sides. The number of clamping elements is preferably selected according to the size and constitution of the user and the width of the clamping elements used in each case. It is important here how strongly the shoulder position of the wearer deviates from the anatomical normal state. If the shoulder position differs significantly from the normal state, the resistance of the clamping elements, which bring them to the malposition, should be comparatively large. A great resistance is created when the largest possible total width of clamping elements is performed over the shoulder area. Here, the total width is additive from the widths of each guided over a shoulder clamping elements together. A large overall width can be created by several narrow, but also by a few wide or a combination of narrow and wide clamping elements. The width of the clamping elements is independently preferably between 0.5 cm and 10 cm, preferably 1, 5 cm to 7 cm, more preferably between 2 cm and 4 cm.

When selecting the width of the clamping elements and the anatomical conditions of the user must be considered. It is advantageous if each of the clamping elements has in its width the largest possible contact surface with the shoulder region of the user. Since the shoulders of the human are not even, in particular with people with a narrow shoulder area, wide tensioning elements may not be arranged with their entire width on the shoulder area; they are not completely exposed. In such a case, several narrow clamping elements are preferred.

It is advantageous that in the device according to the invention the clamping elements can be selected such that the user does not constrict the user's shoulder area. This necking is prevented by arranging a plurality of tension members or tension members having a greater width than, for example, the straps of commercially available bras.

An embodiment in which fewer clamping elements are arranged is advantageous because the device is simplified. An advantage of the arrangement of a plurality of clamping elements is that more individual adjustment possibilities exist due to different lengths or resistance states of the clamping elements than with fewer clamping elements.

The device according to the invention has proven to be advantageous, in which in each case 1 to 10, preferably 2 to 6, particularly preferably 3 to 4 clamping elements are arranged. Also advantageous is a device in which the clamping elements on the

Chest part and / or form the same or different angles to the respective perpendicular bisector on the back part. In the apparatus according to the invention at least one clamping element is guided over the left and right part of the shoulder region of the flexible carrier in each case. Here, the left or right shoulder region is understood to be the region of the flexible support which, when the device is worn on the left shoulder ter or on the right shoulder of the user. In approximately symmetrical physique of the person for whom the device is provided, the clamping elements on the chest part and / or back are arranged mirror-symmetrically to the perpendicular bisector.

If there is a strong deviation of the physique of a symmetrical structure, ie a strong deviation from the mirror symmetry with respect to the respective perpendicular bisector, the at least two tensioning elements on the chest part and / or back part are arranged so that they at different angles to the respective perpendicular bisector form. The respective angles must be chosen so that the at least one clamping element can be guided over the respective shoulder area without the user experiencing compression or pressure, for example in the region of the armpits.

Also preferred is a device in which the respective at least one tensioning element on the chest part and back part of the flexible carrier forms an identical angle to the respective perpendicular bisector of the flexible carrier. This embodiment is advantageous because the respective at least one tensioning element can be guided over the shoulder region of the flexible support without the need for guides or other means for deflecting the respectively at least one tensioning element.

If the respectively at least one tensioning element in the back part forms an anatomically advantageous angle with the mid-perpendicular, the at least one tensioning element can be guided over the shoulder area without deflecting and then forms an identical angle on the breast part with the mid-perpendicular there.

Particularly preferred is a device in which each at least one clamping element is elastic. It is advantageous in this embodiment that the clamping element can be stretched and can be fixed in the fastened area in the stretched state or is fixed.

Also advantageous is a device in which the at least one tensioning element is a belt or a cord. Under a belt is understood in the context of the present invention, a tension-resistant band. Preferably, the belt is made of leather, plastic or textile materials and / or their mixtures and combinations. Textile materials include, for example, cotton, felt, satin and silk. Under mixing is understood here that the clamping element is constructed of different materials, which are present as a uniform material mixture. A combination of materials in the context of the present invention means that portions of the clamping elements are constructed of one type of material and other portions of a different type of material. For example, straps made of material combinations which consist of textile materials such as cotton in a mixture with plastics or various plastics are preferred. Here, the materials used may have different elasticity.

A combination of materials is advantageous in which certain areas of the at least one tensioning element are made of leather or a very stable, less flexible plastic material, and the other areas consist of a less rigid material.

The embodiment in which the respective at least one tensioning element is a cable is advantageous if the misalignment of the shoulder is only slight and the at least one tensioning element has to exert little resistance on the user, so that the cord does not penetrate into the fabric of the User cuts in. Particularly preferred is a device in which reinforcing elements are provided on the chest part and / or on the back part of the flexible carrier. Reinforcing elements in the context of the present invention are elements which are arranged on the flexible support and increase its stability in this area. To effect a substantial increase in the stability of the flexible carrier in the reinforced region, the reinforcing element will preferably have greater strength than the material of the flexible carrier. The reinforced region is understood to be the region of the flexible carrier on which the at least one reinforcing element is arranged. The arrangement of at least one reinforcing element is advantageous for several reasons. On the one hand, means for attachment or guidance can be fastened to the reinforced areas, if necessary, and also the attachment areas arranged, without these means or areas pushing through the flexible support or even penetrating through the flexible support to the skin of the user.

Furthermore, it is advantageous that the at least one reinforcing element can support the effect of the respective at least one tensioning element and counteract a malposition of the user, for example by supporting the erection of the fuselage. This support is inventively achieved in that the at least one reinforcing element is arranged such that upon protraction of the shoulder and / or the lowering of the hull of the reinforcing element, a resistance is exerted, which causes the corresponding attitude is possible only after overcoming the resistance. An unintentional ingestion of deviating from the normal state attitude can not be done unnoticed. Particularly advantageous is a device in which at least two

Reinforcement elements are mirror-symmetrical to the vertical central axis (mid-perpendicular) of the back part parallel to each other and spaced from each other. This embodiment is advantageous because the reinforcing elements are arranged on the left and on the right, spaced away from the spine of the user when using the device. As a result, the reinforcing elements do not rest on the spine of the user and pressure on the sensitive area of the spine can be avoided. This also avoids an effect of the reinforcing elements on arranged in this area closures of bras.

The arrangement of the reinforcing elements left and right of the mid-perpendicular of the back of the wearer and spaced from each other and from the mid-perpendicular of the back portion results in stabilization of the flexible support parallel to the user's spine. In combination with the at least one tensioning element in each case, the anatomical normal position is assisted by a bending of the backrest. kens can only be done against the resistance of the reinforcing elements. The user will want to evade this resistance and, in response, straighten and maintain that posture. This strengthens the back muscles.

According to the invention, the at least one reinforcing element can also be designed as a rail which is formed in the material of the flexible carrier as a reinforced material region.

In a preferred embodiment, the at least one reinforcing element is formed from the material of the flexible carrier.

Also preferred is an embodiment in which the at least one reinforcing element is formed by a rail, which is not formed as part of the flexible carrier, but is attached as a separate element to the device according to the invention. For this purpose, preferably receptacles or fastening elements are arranged on the flexible support, in which or on which the at least one rail is arranged or fastened. Particularly preferred is an embodiment in which the as

Rail trained reinforcing elements extend to the left and right of the spine of the user while wearing.

Suitable materials for the reinforcing elements in the form of rails are the materials which may be used in this technical field for am

Body to be worn rails are known.

A device is preferred in which the respective at least one tensioning element is articulated on the chest part or the back part of the flexible carrier on the fastening area.

The articulation of the at least one tensioning element on the chest part or back part is advantageous because, when adjusting the resistance state of the at least one tensioning element, it can be lifted at its non-articulated end, without it becoming detached from the flexible carrier as a whole. This lifting while maintaining the connection with the flexible carrier allows the clamping of the at least one clamping element with one hand.

Particularly preferred is a device in which the respective at least one tensioning element is articulated on the chest part of the flexible support in each case in the region which is located between the region covering the collarbone and the breast attachment. If the at least one tensioning element is articulated on the breast part, it is advantageous if the articulation takes place in a region of the flexible carrier which rests on a less sensitive body area of the user. The area between the collarbone and the neck is less sensitive to pressure than the chest area, especially in female users.

Particularly advantageous is a device in which each at least one clamping element is guided by at least one guide element which is arranged on the chest part and / or shoulder region and / or back part. This embodiment is advantageous because by means of the at least one guide element, the respective at least one clamping element is secured against slipping, but can also be deflected. The respective at least one tensioning element can thereby be arranged, for example, in a position in the shoulder area, from which it could slide down without this guidance during the movement of the user. This applies especially to the area of the shoulder joint. Also, the use of the at least one guide element makes it possible for the at least one tensioning element to be guided over the shoulder area at widely divergent angles to the mid-perpendicular of the breast part and / or back part.

Furthermore, after determining the optimum, individual position of the clamping elements for a user, this position can be determined by the corresponding

Arrangement of guide elements to be maintained. The guide elements are then arranged so that they hold the clamping elements in the predetermined position. Also advantageous is a device in which the at least one guide element is a ring, a loop or a tunnel. This version Forms of care are advantageous because the guide elements can be arranged without great technical effort on the flexible support or even incorporated into these. If a ring is used as the guide element, then it can be sewn onto the flexible carrier, for example. A loop may be made of the material of the flexible carrier or of another material and sewn on the carrier or fastened for example by means of rivets.

In the embodiment in which a tunnel is used as a guide element, the tunnel is worked so that an additional material area is arranged on the flexible support and a tunnel is formed between the underside of this material area and the flexible support. If a tensioning element is introduced into this tunnel, it is arranged on the flexible support and does not come into contact with the skin of the user.

In a preferred embodiment, all or more clamping elements are guided with a majority of their length through one or more tunnels, so that the clamping elements are largely covered by the material of the tunnel. This is advantageous, for example, because the clamping elements do not come in contact with garments or only in a partial area, which the user wears over the device. This protects the overlying clothing from contact and, if necessary, friction with the tensioning elements, which could otherwise lead to impairments of sensitive materials.

The arrangement of at least one tunnel in addition to the guidance of the at least one tensioning element is particularly advantageous in embodiments in which the at least one tensioning element is arranged on the chest part or back part on the side facing the body of the user. The arrangement within a tunnel prevents the at least one

Clamping element comes into contact with the skin of the user or at least reduces the contact surface between the skin of the user and the at least one tensioning element. As a result, aesthetic demands when carrying the device according to the invention can also be fulfilled, in that, when the device is carried, the tensioning elements are placed on the outside of the device. turned chest area and / or the outward facing back area are not or only slightly visible.

Also preferred is a device in which the at least one detachable connection between the at least one tensioning element and the at least one attachment region is a Velcro, a connection by means of buckle and mandrel or a connection by means of snaps.

If the connection is a hook-and-loop connection, barbs or loops are formed on the attachment area throughout or in separate areas on the attachment area corresponding to attachment locations.

On the at least one clamping element, the corresponding counter-elements, ie loops or barbs are arranged. The counter-elements are arranged in such a way that they are arranged on the side of the clamping element facing the flexible carrier and are preferably arranged on the clamping element over at least a length corresponding to the length of the fastening region.

If the releasable connection is formed by means of a buckle and mandrel, the buckle and mandrel are preferably arranged on the flexible carrier. On the at least one clamping element are holes into which the mandrel can be inserted. These holes, the fixing positions, are arranged on the at least one tensioning element at different distances from the center of the tensioning element and thus towards the shoulder region. In this exemplary embodiment, the resistance states of the clamping element are changed in that the mandrel can be inserted into the different fixing positions.

If the releasable connection is formed by means of push buttons, then in a preferred embodiment of the device according to the invention on the

Attachment area in the attachment positions in each case a part of the closure element push button, so either the part with the recess or the knob arranged. On the clamping element then the counterpart is preferably arranged in the end region of the clamping element on the side facing the flexible support. In a further preferred embodiment of the invention, a portion of the closure element is arranged on the attachment area and on the at least one clamping element are analogous to the embodiment with buckle and mandrel, instead of the holes, the counterparts to the push button spaced along the length or a portion of the length of the clamping element arranged.

Particularly advantageous is a device in which the flexible support is an outer garment which covers the upper body of a human in the chest area in the region of the thoracic vertebrae, in particular at least in the area of the 8th to 12th rib, and covers at least the area of the trapezius muscle in the back area.

If the flexible carrier is an outer garment, this is particularly advantageous because the device can be carried inconspicuously in everyday life, that is, without the function necessarily being recognizable. The outer garment can also be fashioned according to fashionable aspects and therefore the wearer can be made comfortable wearing. Preferably, the outerwear piece covers the upper body of the user at least in the region in which the respective at least one tensioning element is arranged.

This is particularly advantageous because it does not cause the clamping elements to come into contact with the skin of the user and not rub on the skin. However, the outer garment may also protrude beyond this area and have the length of conventional outerwear.

Also preferred is a device in which at least one closure element is arranged on the flexible carrier in the chest part and / or back part and / or at least one of the border areas between the chest part and the back part, by means of which the flexible carrier can be opened and closed again at least in a partial area , wherein the at least one

Closure element is a Velcro tie, button and buttonhole, push button, hook and eye and / or zipper.

It is advantageous in this embodiment that the device according to the invention can be applied more simply. A closure element may in this case, for example, an enlarged passage area for the head or the Release arms. In a preferred embodiment, the closure element closes the flexible carrier in its entire length and can be arranged in particular along the mid-perpendicular of the breast part. In all embodiments with closure element opening and comfortable application of the device without changing the position of each at least one clamping element is possible.

Also advantageous is a device in which the flexible support is a bodice, a T-shirt or a vest. These embodiments allow the user to wear the device in everyday life instead of an outer garment. This is particularly supported by the fact that the flexible carrier can be made of usual materials for outerwear. Here, natural textile materials or flexible plastic or mixed materials used in sports can be used.

Particularly preferred is a device in which the flexible support in the shoulder region in each case has at least one holding device. This embodiment is preferred because it allows means to be safely located on the shoulder area of the user which may have a positive effect on this area. Such means are, for example, cold packs or heat packs selected according to the user's condition or therapeutic need. Also advantageous is a device in which the respective at least one

Holding device is designed as a pocket, which is arranged on the body of the user facing inside of the flexible support. It is advantageous that in this embodiment, an agent located in the at least one holding device comes into direct proximity to the skin of the user, but without direct contact between the agent and the skin.

This can be avoided when using cold packs and heat packs irritation of the skin due to overheating or hypothermia and the agent for the user pleasant to the skin area. The present invention will be explained in more detail with the accompanying drawings. It shows:

1 shows the device according to the invention with a view of the chest part of the flexible carrier and

Fig. 2 shows the device according to the invention with a view of the back part of the flexible support. The object of the invention is thus achieved by the provision of a device for normalizing the shoulder position of a person. The device according to the invention acts in particular on the protraction or retraction of the shoulder and can simultaneously promote the training and strengthening of the muscles of the upper body. The device according to the invention allows an individual influence on the posture of a person.

In particular, the device of the present invention effects the normalization of the shoulder's shoulder position, which can reduce acute pathologies by reducing the stress on the affected and surrounding

Structures is reduced. Already manifested problems can be reduced by the slow, individually adapted and possibly intensified in the course of use influencing means of the device according to the invention.

The device according to the invention reduces the protraction of the shoulder girdle and supports the maintenance of the trunk.

The individual adjustability of the clamping elements makes possible a slow, gentle, individual and effective action on the protraction and, finally, a normalization of the human shoulder position.

The device according to the invention can be worn in the presence of acute problems, but also already be applied before problems have arisen. For example, the device according to the invention can be used for physically strenuous activities such as work and sports be supported and prophylactically without acute complaints.

In contrast to many devices of the prior art, the shoulder joint is not immobilized or rigidly fixed when using the device according to the invention. This ensures that the anatomically correct movements are well executed, but improves the situation of the joints, their joint partners, the muscle lever arms, and the surrounding structures. The normalization of the position of the shoulder girdle by the device according to the invention involves strengthening the back muscles and improving posture.

The shoulder girdle is passively brought to the normal position by the tensioning elements, ie the anatomically correct position. Passive here means that the user then feels a resistance of the device when he assumes a position that deviates from the normal position. Active, this position must then be held by the back muscles, which involves strengthening the back muscles and improving the erection.

Due to the anatomical relationships, it can have a positive effect on chronic and acute problems in the area of the hand, shoulder, elbow, cervical, thoracic or lumbar spine and related problems such as headaches and respiratory problems.

The device according to the invention improves the everyday situation of people with problems of the entire upper extremities and of the back. By means of the device according to the invention a reduction of movement restrictions, pain and functional problems can be effected. In addition, there is a strengthening and increasing the muscular activity of the wearer. This in turn increases the performance in sports, at work and in everyday life and developing pathologies can be prevented. The embodiment described below illustrates the invention in more detail, without limiting the scope of the invention. Fig. 1 shows a front view of an embodiment of the device 1 according to the invention with a view of the chest part 3 of the flexible support 2. The flexible support 2 has the shape of a vest and in this embodiment is extended so that it projects beyond the shoulder girdle of a user in length ,

In this figure, an embodiment of the invention is shown in which in each case three clamping elements 7 are guided over the left and right shoulder region 5 of the flexible carrier 2. In the respective shoulder region 5, the clamping elements 7 are guided by a guide element 9. In this embodiment, not a single guide element 9 is arranged for each clamping element 7, but it is an elongated guide element 9, here designed as a tunnel shown, which directs all three clamping elements 7. The flexible carrier has a neck opening 6, which is formed in this embodiment as a round neck.

On the flexible support 2 3 front attachment areas 8 are arranged diagonally over a majority of the width of the respective half of the chest part on the left and right sides of the chest part 3 respectively. The attachment regions 8 each have a length which is greater than the total width of the three clamping elements 7. An embodiment is shown in which no discrete attachment positions but attachment position regions are formed on the attachment regions 8. Furthermore, 7 continuous fixing positions are formed on the respective clamping elements. The fixation of the clamping elements 7 on the Befestigungsbereich chen 8 is solvable and takes place in this embodiment via a Velcro bond, wherein on the attachment areas 8 loops are formed (not shown) and on the fixing barbs are formed (not shown). Along the mid-perpendicular 10 of the breast part 3, a closure element 12 is arranged, which is designed as a zipper. By means of this closure element 12, the flexible support 2 can be opened without the tensioning elements 7 being changed in their arrangement on the flexible support 2. In order to transfer the clamping elements 7 into a next resistance state, the clamping elements 7 can be released from their releasable fixation on the fastening area 8 and brought into contact with a fixing position on the fastening area 8, which is located on the respective clamping element 7 above in the direction of the shoulder - area 5 of the fixing position shown is located. In this way, the arrangement of all the clamping elements 7 can take place, but it can also only the arrangement of individual clamping elements 7 are changed. In the case of a symmetrically pronounced misalignment of the left and right shoulder of the user, the arrangement of the clamping elements 7 on the left and right shoulder regions 5 will be made symmetrical.

The embodiment of FIG. 1 has optional reinforcing elements 11 which extend along the circumference of the flexible carrier 2 above the waist region of the flexible carrier 2, but do not protrude beyond the closure element 12 but are only brought up to it.

FIG. 2 shows the view of the back part 4 of the embodiment of FIG. 1. Also on the back part 4 of the flexible support 2, a rear attachment region 14 is arranged in each case on the left and right sides. Also on the back part 4, the clamping elements 7 are releasably fixed on the respective mounting portion 14. In this embodiment, the fastening regions 14 each adjoin reinforcing elements 1 1, which extend in parallel and at a distance from the mid-perpendicular 13 over a partial region of the back part 4. The clamping elements 7 of the left and right part of the back part 4 are mirror-symmetrical to the perpendicular bisector 13 of the

Rear part 4 arranged, moreover, the clamping elements 7 are arranged on the back part 4 such that they form an approximately identical angle to the perpendicular bisector 13 of the back part as the clamping elements 7 on the chest part 3 to the local perpendicular bisector 10th

The device according to the invention influences the position of the shoulders and makes it possible to create adequate anatomical and biomechanical conditions for the respective body. As a result, an anatomical starting position is created, in which the body is optimally aligned. Pat- entological movement patterns are counteracted and the anatomical structures and joints are restored to normal wear. The device brings the shoulder in the anatomically designed, healthy position. Reduction of the changed joint position deviating from the anatomically healthy position improves mobility and relieves pain. zen, strengthens the mechanically acting musculature and the adjacent systems. The body can regenerate. Reducing the stress on the bursa and recessus can heal an already existing inflammatory situation. The shoulder is brought to zero position. The lever arms (upper and lower arm) can work better. The overstretching of the back muscles is reduced and strengthened by the increased normality. The body can move adequately as a complete system

LIST OF REFERENCE NUMBERS

1 device for normalizing the shoulder position

2 flexible carriers

3 breast part

4 back part

5 shoulder area

6 throat opening

7 clamping element

8 front mounting area

9 guide element

10 Mid-perpendicular chest part

1 1 reinforcing element

12 closure element

13 Middle vertical back part

14 rear attachment area

Claims

claims

1 . Device (1) for normalizing the shoulder position of a human, comprising

a flexible support (2) provided for placement on the upper body of a human, the flexible support (2) comprising a chest portion (3), a back portion (4), a shoulder portion (5) and a shoulder portion (5) Neck opening (6) has, in the region of the flexible support (2) on both sides adjacent to the neck opening (6) at least one clamping element (7) between a front mounting portion (8) on the chest part (3) and a rear mounting portion (14) the back part (4) extends over the shoulder region (5), and the at least one tensioning element (7) on the back part (4) forms an angle in the range between 30 degrees and 80 degrees with the mid-perpendicular (13) of the back part (4) in that in each case at least one tensioning element (7) does not intersect the perpendicular bisector (13) of the back part (4) and the resistance which the at least one tensioning element opposes to the faulty posture of the user, is adjustable.

2. Device (1), according to claim 1, characterized in that the respective at least one clamping element (7) on the front mounting portion (8) and / or rear mounting portion (14) is detachably fixable.

3. Device (1) according to claim 1 or 2, characterized in that on or in each of which at least one clamping element (7) is arranged in each case at least one adjusting element.

4. Device (1), according to one of the preceding claims, characterized in that the at least one clamping element (7) on the chest part (3) with the mid-perpendicular (10) of the chest part (3) an angle in the range between 30 degrees and Forms 80 degrees, and / or that the respective at least one clamping element (7) on the back part (4) with the bisector (13) of the back part (4) forms an angle in the range between 30 degrees and 80 degrees.

5. Device (1) according to one of the preceding claims, characterized in that the at least one clamping element (7) on the back part (4) of the flexible support (2) along the region or parallel to the region is arranged, which the Pars descendens of the trapezius muscle of the person covered.

6. Device (1), according to one of the preceding claims, characterized in that the number of clamping elements (7) on both sides in each case 1 to 10, preferably 2 to 6, particularly preferably 3 to 4.

7. Device (1), according to one of the preceding claims, characterized in that the clamping elements (7) on the chest part (3) and / or on the back part (4) the same or different angles to the respective bisector (10, 13) form.

8. Device (1), according to one of the preceding claims, characterized in that the at least one clamping element (7) on the chest part (3) and back part (4) of the flexible support (2) at an identical angle to the respective vertical perpendicular bisector ( 10, 13) of the flexible support (2) is formed.

9. Device (1), according to one of the preceding claims, characterized in that the respective at least one clamping element (7) is elastic.

10. Device (1), according to one of the preceding claims, characterized in that the at least one tensioning element (7) is a belt or a cord.

1 1. Device (1) according to one of the preceding claims, characterized in that on the chest part (3) and / or on the back part (4) of the flexible support (2) reinforcing elements (1 1) are provided.

12. Device (1), according to claim 1 1, characterized in that at least two reinforcing elements (1 1) are arranged mirror-symmetrically to the mid-perpendicular (13) of the back part (4) parallel to each other and spaced from each other and spaced from the mid-perpendicular.

13. Device (1), according to one of the preceding claims, characterized in that the at least one clamping element (7) on the chest part (3) or the back part (4) on the respective mounting region (8, 14) of the flexible support ( 2) is articulated.

Device (1) according to claim 13, characterized in that the respective at least one tensioning element (7) is articulated on the breast part (3) of the flexible support (2) in each case in the region which covers itself between the clavicle and the breast appendage Area is located.

Device (1) according to one of the preceding claims, characterized in that the at least one clamping element (7) is guided by at least one guide element (9) on the chest part (3) and / or shoulder region (5) and / or Back part (4) is arranged.

16. Device (1) according to claim 15, characterized in that the at least one guide element (9) is a ring, a loop or a tunnel.

17. Device (1), according to one of the preceding claims, characterized in that the at least one detachable connection between the at least one clamping element (7) and the fastening is a Velcro bond, a connection by means of buckle and mandrel, a connection by means of snaps.

18. Device (1) according to one of the preceding claims, characterized in that the flexible carrier (2) is an outer garment which covers the upper body of a human in the chest area in the region of the thoracic vertebrae, in particular at least in the region of the 8th to 12th rib covered, and covered in the back area at least the area of the trapezius muscle.

19. Device (1) according to claim 18, characterized in that on the flexible support (2) in the chest part (3) and / or back part (4) and / or at least one of the border areas between the chest part (3) and back part (4 ) at least one closure element (12) is arranged, by means of which the flexible support (2) can be opened and closed again at least in a partial area, wherein the at least one closure element (12) a Velcro, button and buttonhole, push button, hook and eye and / or zipper is.

20. Device (1) according to one of the preceding claims, characterized in that the flexible carrier (2) is a camisole, a T-shirt or a vest.

21. Device (1) according to one of the preceding claims, characterized in that the flexible support (2) in the shoulder region in each case has at least one holding device, which is designed as a pocket, which lies on the inside of the flexible carrier (2) facing the user's body. is arranged.