WO2019132487A1 - Vêtement portable du bas pour prévention de la dislocation de l'articulation de la hanche chez les enfants atteints de paralysie cérébrale - Google Patents

Vêtement portable du bas pour prévention de la dislocation de l'articulation de la hanche chez les enfants atteints de paralysie cérébrale Download PDF

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Publication number
WO2019132487A1
WO2019132487A1 PCT/KR2018/016611 KR2018016611W WO2019132487A1 WO 2019132487 A1 WO2019132487 A1 WO 2019132487A1 KR 2018016611 W KR2018016611 W KR 2018016611W WO 2019132487 A1 WO2019132487 A1 WO 2019132487A1
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WO
WIPO (PCT)
Prior art keywords
thigh
wearer
hip joint
cerebral palsy
elastic force
Prior art date
Application number
PCT/KR2018/016611
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English (en)
Korean (ko)
Inventor
류주석
Original Assignee
서울대학교병원
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 서울대학교병원 filed Critical 서울대학교병원
Publication of WO2019132487A1 publication Critical patent/WO2019132487A1/fr

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    • A—HUMAN NECESSITIES
    • A41—WEARING APPAREL
    • A41D—OUTERWEAR; PROTECTIVE GARMENTS; ACCESSORIES
    • A41D13/00—Professional, industrial or sporting protective garments, e.g. surgeons' gowns or garments protecting against blows or punches
    • A41D13/12—Surgeons' or patients' gowns or dresses
    • A41D13/1236—Patients' garments
    • A41D13/1254—Patients' garments for the lower part of the body
    • 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
    • A61F5/0193—Apparatus specially adapted for treating hip dislocation; Abduction splints
    • A—HUMAN NECESSITIES
    • A41—WEARING APPAREL
    • A41D—OUTERWEAR; PROTECTIVE GARMENTS; ACCESSORIES
    • A41D2400/00—Functions or special features of garments
    • A41D2400/44—Donning facilities
    • 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
    • A61F5/0102—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F2005/0181—Protectors for articulations

Definitions

  • the present invention relates to a lower limb for preventing dislocation of a hip in a child with cerebral palsy, and more particularly, To prevent dislocation of the hip joint, and to prevent dislocation of the hip joint by applying pressure to the hip joint.
  • a force acts on the leg bone 20 in a direction in which it is gathered toward the inside of the leg by an adductor muscle, and the principle of the lever is applied to such a force.
  • the leg bone 20 At the end of the leg bone 20, 10). ≪ / RTI >
  • the capsule provided in the hip joint 10 is torn due to the force for releasing the hip joint 10 generated at the end of the leg bone 20 and dislocation of the hip joint 10 is promoted.
  • the fixing bar 30 is used between the leg bones 20 as shown in FIG. 2 in order to prevent the leg bone 20 from gathering inward.
  • the fixing bar 30 can be sandwiched between the legs and the legs of the child with cerebral palsy.
  • the fixing bar 30 is inserted between the legbone 20 so that the force of the legbone 20 gathering inward
  • the principle of the leverage is promoted.
  • the present invention has been made in order to solve the above problems, and more particularly, it is an object of the present invention to provide a hip
  • the present invention relates to a wearable undergarment for preventing dislocation of a hip joint in a child with cerebral palsy capable of preventing dislocation.
  • the crotch part for preventing dislocation of a hip joint of a cerebral palsy patient includes: a crotch part extending from an upper part of a wearer's crotch to an upper part; A side end positioned in a line beside the leg of the wearer; The front thigh where the front thigh of the wearer is located; And an outer elastic force acts on the side end portion in a direction to protrude from the side end portion toward the crotch portion when the wearer wears the wear lower undergarment, And an inner elastic force is applied from the crotch part toward the side end part in the front part and the rear thigh part.
  • the front thigh and the rear thigh are made of a material including fibers, and the front thigh and the rear thigh are made of a material including fibers, It is preferable that the inner elastic force is the same as the direction.
  • the direction in which the inner elastic force acts on the wearer's bottom for preventing the dislocation of the hip joint of the cerebral palsy according to the present invention is in a range of 0 to 30 degrees upward from the hypothetical first line extending in the horizontal direction .
  • the front thigh portion or the rear thigh portion under the wearer's mouth for preventing dislocation of the hip joint of the cerebral palsy child of the present invention crosses the front thigh portion or the rear thigh portion and the front thigh portion or the rear thigh portion It is preferable that an incision section for cutting is provided and the wearer's legs can be worn through the incision section.
  • the front thigh or the rear thigh under the wearer's mouth for preventing the dislocation of the hip joint of the cerebral palsy according to the present invention may be provided with a coupling portion for engaging the front thigh portion or the rear thigh portion separated by the cut- It is preferable that an additional portion be provided.
  • the present invention relates to a hip joint of a child with cerebral palsy capable of applying pressure in a direction from the outside to the inside at the side end portion of the pelvis and preventing dislocation of the hip joint by applying pressure in the direction from the inside to the outside in the front thigh portion and the back thigh portion,
  • the present invention relates to a wearable undergarment for preventing dislocation, and it is possible to prevent dislocation of the hip joint by applying pressure in a form of wrapping above and below the hip joint.
  • FIG. 1 is a view showing the action of a force generated in a hip joint of a child with cerebral palsy.
  • FIG. 2 is a view showing the action of a force generated when a fixing bar is used between legs of a child with cerebral palsy.
  • FIG. 3 is a view showing an overall view of a wearer's undergarment for preventing dislocation of a hip in a cerebral palsy patient according to an embodiment of the present invention.
  • FIG. 4 is a view illustrating an undercut for a wearer for preventing dislocation of a hip in a child with cerebral palsy according to an embodiment of the present invention.
  • FIG. 5 is a view illustrating an incision portion and a coupling portion for a wearer's underarm for preventing a hip dislocation in a child with cerebral palsy according to an embodiment of the present invention.
  • the present invention relates to a lower limb for preventing dislocation of a hip joint in a child with cerebral palsy, wherein a pressure is applied in a direction from the outside to the inside at the side end portion, and a pressure is applied from the inside to the outside in the front thigh portion and the back thigh portion To prevent dislocation of the hip joint, and to prevent dislocation of the hip joint.
  • the undergarment 100 for preventing dislocation of a hip joint of a cerebral palsy patient includes a crotch part 110, a side end part 120, a front thigh part 130, And the like.
  • a lower garment 100 for preventing dislocation of the hip joint of a child with cerebral palsy includes a lower portion provided with a leg hole into which a wearer's leg can be inserted, So that the wearer 100 is worn.
  • the crotch part 110 is a part extending from the place where the wearer's crotch is located to the upper part when the wearer wears the wearable undergarment 100 for preventing dislocation of the hip joint of a child with cerebral palsy. Specifically, the crotch part 110 extends vertically from the crotch part of the wearer to the waist of the wearer and becomes the inner part of the wearer's undergarment 100.
  • the side end portion 120 is a portion located on the side of the wearer's side of the wearer's body when the user wears the undergarment 100 for preventing dislocation of the hip joint of a child with cerebral palsy.
  • the side end portions 120 are side surfaces of the pelvis.
  • the side end portions 120 are respectively formed on two leg lateral lines and serve as both side end portions of the wearer's undergarment 100.
  • the front thigh 130 is a portion where a wearer wears a wearer's lower thigh 100 for preventing a hip joint dislocation of a cerebral palsy patient
  • the rear thigh portion is a portion for preventing dislocation of the hip joint of a child with cerebral palsy Is a portion where the back thigh of the wearer is positioned when the wearer wears the wearable undergarment 100 for the wearer.
  • the rear thighs have a shape corresponding to the front thighs 130.
  • the configuration of the front thighs 130 may be provided in the rear thighs. In the following description and drawings, the front thigh 130 will be mainly described.
  • the wearer's lower body 100 for preventing dislocation of a hip joint of a cerebral palsy patient is configured such that when the wearer wears the wearer's body 100 at the side end portion 120, In the direction from the crotch part 110 toward the side end part 120 in the front thigh part 130 and the rear thigh part in the direction toward the crotch part 110, The inner elastic force acts.
  • the wearer's undergarment 100 applies pressure in the form of wrapping the upper and lower parts of the hip joint, and externally, the leg bone exerts an external elastic force against the force separating the hip joint. Inside, It is to apply the internal elasticity which resists the force.
  • the outward elastic force is a force acting against the inside of the side end portion 120 provided on both sides of the wearer's lower body 100 to act on the sides of the hip joint to prevent the hip joint from being dislocated.
  • the outward elastic force of the side end portion 120 starts from the uppermost part of the hip joint to a region 10 to 30 cm away from the lower end, more preferably, starts from the top of the hip joint, And the outer elastic force acts to a region spaced 20 cm to 20 cm apart.
  • the force exerted by the external elastic force to exert the hip joint can be suppressed and the function of the capsule surrounding the hip joint can be assisted to prevent dislocation of the hip joint while preventing the capsule from being torn.
  • the inner elastic force is preferably generated over the entire front thigh 130 and the rear thigh of the wearer's body 100 and is a force generated in a direction to open the leg so as to correspond to the gathering of the leg bone.
  • the inner elasticity may be generated throughout the front thigh 130 and the rear thigh, but it is not limited thereto, and may occur over the front thigh 130 and the rear thigh.
  • the direction in which the inner elastic force acts acts in an upward sloping direction of 0 to 30 degrees from an imaginary first line 140 extending in a horizontal direction to the waist line.
  • the hypothetical first line 140 is a line extending in the horizontal direction from the waist line, and serves as a reference of the direction in which the inner elastic force acts.
  • the inner elastic force is generated toward the side end portion 120 provided on both sides with respect to the crotch portion 110 as a center. That is, the left and right sides of the crotch part 110 simultaneously act on the left and right sides, and the angle may be 0 to 30 degrees from the imaginary first line 140.
  • the angle of the leg bone of a normal person is inserted into the hip joint at about 120 degrees, and the leg bone is placed at an angle to the ground in order to be fitted at 120 degrees.
  • the strength of the leg bone is gathered by the adductor muscles, and the leg bone is raised at an angle perpendicular to the ground (ie, the leg bone is erected at an angle perpendicular to the ground , And the angle between the hip joints is about 120 degrees, which is about 150 to 160 degrees.
  • the angle at which the inner elastic force acts is preferably 0 to 30 degrees, more preferably 20 to 30 degrees from the hypothetical first line 140.
  • the angle at which the internal elastic force acts is not limited to this, and an appropriate angle may be selected and used depending on the condition of cerebral palsy infants.
  • the outer elastic force and the inner elastic force can be realized by using elastic materials such as Lycra.
  • the side end portion 120, the front thigh portion 130, and the rear thigh portion of the under wearable body 100 may be made of a flexible material and may be made of a flexible material such as a lycra so as to be prestressed, do. That is, when the wearer wears the wearer's body 100, the elastic force generated when the wearer's body 100 is stretched by the leg is cut in such a direction that the external elastic force and the internal elastic force act.
  • the material of the front thigh part 130 and the rear thigh part is made of a material including fibers, and the direction in which the fibers extend in the front thigh part 130 and the rear thigh part,
  • the direction of the inner elastic force may be the same as that of the inner elastic force.
  • the fibers can be stretched by the wearer's legs. When the fibers are stretched, the fibers are stretched in a direction in which the fibers are stretched, and elasticity acts as the fibers are stretched.
  • the direction in which the fibers extend (the direction in which the fibers can extend) is set to be the same as the direction of the inner elastic force, when the wearer wears the undergarment 100, inner elasticity is generated in the direction in which the fibers extend .
  • the outer elastic force generated in the side end portion 120 can also be generated through a material including fibers in the same way as the inner elastic force is generated.
  • an external elastic force may be formed in the side end portion 120 in a direction toward the inside. (If the elastic modulus is large, the magnitude of the elastic force that occurs even when the same length is stretched becomes large, so that it is possible to generate a pressure (outer elastic force) for strongly holding the hip joint at the side end portion 120.)
  • the front thigh portion 130 or the rear thigh portion is provided with an incision portion 130 which intersects the front thigh portion 130 or the rear thigh portion and cuts the front thigh portion 130 or the rear thigh portion, (150) may be provided.
  • the incision 150 is designed to easily wear the wearer's leg 100. The wearer's leg 100 is easily worn by inserting the leg of the wearer through the opened incision 150, .
  • the legs should be inserted into the leg holes, but according to the embodiment of the present invention, the legs of the wearer can be easily inserted through the cutouts 150.
  • the legs of the wearer are positioned on both sides of the front thigh portion 130 (or the rear thigh portion) about the cutout portion 150, and placed in the opened space. Thereafter, when the both sides of the front thigh portion 130 (or the rear thigh portion) are covered with the incision portion 150 as a center, the wearer's leg is worn on the wearer's lower body 100.
  • the cutout portion 150 is provided at two points where the wearer's leg is inserted in the front thigh portion 130 (or the rear thigh portion), but the front thigh portion 130 (or the rear thigh portion) And may be provided at one point in the central portion.
  • the present invention is not limited thereto, and if necessary, the incision part 150 may be provided at three or four points of the front thigh 130 (or the rear thigh).
  • the front thigh 130 or the rear thigh may be provided with an elastic member such that the wearer's leg is worn on the wearer's body 100 through the incision 150,
  • the front thigh 130 separated by the incision 150 or the engaging portion 170 capable of engaging the rear thigh may be provided.
  • a variety of devices can be used as long as the engaging portion 170 can fix the cut-out portion 150, and a zipper, a Velcro tape, or the like can be used.
  • the lower surface of the front thigh 130 (or the rear thigh) and the lower surface of the front thigh 130 (or the rear thigh 130) ) May be provided on the upper surface of the other side and may be coupled to each other.
  • the cutout portion 150 is provided for the convenience of the wearer, but may generate the outward elastic force and the inner elastic force through the cutout portion 150. [ Referring to FIG. 4, the cutout 150 may extend in a direction perpendicular to the direction in which the inner elastic force acts.
  • the cutout portion 150 is inclined from 0 to 30 degrees with respect to a hypothetical second line 160 parallel to a vertical line extending in the crotch portion 110 in the direction of the wearer's head Can be formed.
  • the virtual second line 160 extends in a direction perpendicular to the imaginary first line 140).
  • the direction in which the cutout 150 extends extends in a direction of 0 to 30 degrees with respect to the imaginary second line 160 and is perpendicular to the direction in which the inner elastic force acts.
  • the direction of the internal elastic force is 0 to 30 degrees, preferably 20 to 30 degrees with respect to the imaginary first line 140.
  • the imaginary first line 140 and Since the imaginary second lines 160 are perpendicular to each other and the direction in which the cutouts 150 extend and the direction in which the inward elastic forces act is perpendicular to the cutouts 150, 160 to 30 degrees, preferably 20 degrees to 30 degrees.
  • the wearer's leg is inserted through the incision part 150, and then the engaging part 170 is used The inner elastic force and the outer elastic force can be generated.
  • one side of the front thigh (130) (or the rear thigh) in the direction of the crotch part (110) is pulled around the cutout part (150), and the cutout part
  • the other side of the front thigh part 130 (or the rear thigh part) in the direction of the side end part 120 is pulled and then is coupled through the coupling part 170 in a state where the pulled state is maintained .
  • the inner elastic force is generated as one side of the front thigh 130 (or the rear thigh) in the direction of the crotch part 110 is pulled around the cutout part 150
  • the outer side elasticity is generated as the other side of the front thigh 130 (or the rear thigh) in the direction of the side end part 120 is pulled around the cutout part 150.
  • the engaging portion 170 pulls one side of the front thigh portion 130 (or the rear thigh portion) in the direction of the crotch portion 110 around the cutout portion 150, The other side of the front thigh portion 130 (or the rear thigh portion) in the direction of the side end portion 120 about the cutout portion 150 is pulled and coupled.
  • the Velcro tapes do not stick together when the front thigh 130 (or the rear thigh) is not pulled, 130) (or the rear thigh) is held in the state of being held together.
  • the engaging portion 170 when the engaging portion 170 is in the form of a Velcro tape, the engaging portion 170 may be a zipper instead of a Velcro tape.
  • the zipper can not be locked in a state where the front thigh 130 (or the rear thigh) is not pulled, and the front thigh 130 (or the front thigh 130) And the zipper is fixed so that the zipper can be locked only when the back thigh is pulled.
  • the undergarment for preventing dislocation of the hip joint of the cerebral palsy patient of the present invention has the following effects.
  • dislocation of the hip joint of cerebral palsy is performed by simple radiography once every 6 months to once a year to confirm the dislocation of the hip joint, and if complete dislocation occurs, it is corrected by surgical treatment.
  • a compression chair, a correction device, and the like have been used to prevent dislocation of the hip joint.
  • such a device can be used only in a designated space, and there is a problem that a specific device is used, which may cause discomfort to a child with cerebral palsy.
  • the embodiment of the present invention it is possible to prevent the dislocation of the hip joint by applying pressure on the upper and lower sides of the hip joint continuously by wearing the wearer's lower body 100 without the need for a separate device.
  • This can be used as an auxiliary device to prevent the dislocation of the hip continuously, and potentially to lower the rate of surgery.
  • the conventional fixing bar 30 for preventing the leg bone of the cerebral palsy child from being gathered deteriorates the dislocation of the hip joint by the principle of the lever.
  • the front thigh and the rear thigh are effective in preventing dislocation of the hip joint by applying pressure in the direction from the inside to the outside.
  • the undergarment 100 for preventing dislocation of a hip in a cerebral palsy patient according to an embodiment of the present invention can be used for a child with cerebral palsy.
  • the present invention is not limited thereto.
  • the undergarment 100 for preventing dislocation of the hip joint of a cerebral palsy patient according to an embodiment of the present invention may be used Of course it is.
  • the undergarment 100 for preventing a hip dislocation of a cerebral palsy patient according to an embodiment of the present invention can be used.

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  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Nursing (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Textile Engineering (AREA)
  • Professional, Industrial, Or Sporting Protective Garments (AREA)

Abstract

La présente invention concerne un vêtement portable du bas destiné à la prévention de la dislocation de l'articulation de la hanche chez les enfants atteints de paralysie cérébrale, le vêtement portable du bas comportant: une partie d'entrejambe s'étendant vers le haut à partir d'un endroit où est situé l'entrejambe de l'utilisateur; une partie d'extrémité latérale positionnée suivant une ligne à côté de la jambe de l'utilisateur; une partie avant de cuisse positionnée là où l'avant de la cuisse de l'utilisateur est situé; et une partie arrière de cuisse positionnée là où l'arrière de la cuisse de l'utilisateur est situé, caractérisé en ce que lorsque l'utilisateur porte le vêtement portable du bas, une force élastique externe agit sur la partie d'extrémité latérale dans une direction allant de la partie d'extrémité latérale vers la partie d'entrejambe, et une force élastique interne agit sur la partie avant de cuisse et la partie arrière de cuisse dans un direction allant de la partie d'entrejambe vers la partie d'extrémité latérale.
PCT/KR2018/016611 2017-12-29 2018-12-26 Vêtement portable du bas pour prévention de la dislocation de l'articulation de la hanche chez les enfants atteints de paralysie cérébrale WO2019132487A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR1020170184663A KR101981207B1 (ko) 2017-12-29 2017-12-29 뇌성마비 환아의 고관절 탈구 방지를 위한 착용용 하의
KR10-2017-0184663 2017-12-29

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WO2019132487A1 true WO2019132487A1 (fr) 2019-07-04

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PCT/KR2018/016611 WO2019132487A1 (fr) 2017-12-29 2018-12-26 Vêtement portable du bas pour prévention de la dislocation de l'articulation de la hanche chez les enfants atteints de paralysie cérébrale

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WO (1) WO2019132487A1 (fr)

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KR102306052B1 (ko) * 2019-10-30 2021-09-29 서울대학교병원 고관절 탈구 방지를 위한 착용용 하의
KR102576593B1 (ko) * 2021-02-03 2023-09-08 충북대학교 산학협력단 상향 가압형 고관절 탈구방지 예방의복
KR102576594B1 (ko) * 2021-02-03 2023-09-08 충북대학교 산학협력단 하향 가압형 고관절 탈구방지 예방의복

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KR20130136055A (ko) * 2012-06-04 2013-12-12 지정우 하체의 근골격계 상해 예방 및 근파워를 증가시켜주는 기능성의류
US20140165264A1 (en) * 2012-12-13 2014-06-19 Marc Safran Brace for preventing symptoms of femoral acetabular impingement
KR20140113284A (ko) * 2013-03-14 2014-09-24 토요타 쯔우쇼우 가부시키가이샤 운동용 타이즈
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US7631366B2 (en) * 2003-05-01 2009-12-15 Wacoal Corp. Crotch-possessing garment
JP5419323B2 (ja) * 2006-12-01 2014-02-19 株式会社デサント 旋回機能を有するスポーツウェア
JP4918151B2 (ja) * 2010-03-31 2012-04-18 株式会社ワコール 股付き衣類
JP5778543B2 (ja) * 2011-10-18 2015-09-16 ナガイレーベン株式会社 メディカルコンディショニングウェア
KR101500297B1 (ko) * 2014-03-18 2015-03-13 정홍균 휜 다리 교정용 하의

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Publication number Priority date Publication date Assignee Title
US20170035596A1 (en) * 2009-07-06 2017-02-09 Intelliskin Usa, Llc Posture Improving Garment
KR20130136055A (ko) * 2012-06-04 2013-12-12 지정우 하체의 근골격계 상해 예방 및 근파워를 증가시켜주는 기능성의류
US20140165264A1 (en) * 2012-12-13 2014-06-19 Marc Safran Brace for preventing symptoms of femoral acetabular impingement
KR20140113284A (ko) * 2013-03-14 2014-09-24 토요타 쯔우쇼우 가부시키가이샤 운동용 타이즈
KR20170045001A (ko) * 2015-10-16 2017-04-26 최범 착용 및 탈의가 용이한 운동겸용 보정 옷 하의

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