U.S. patent number 3,578,773 [Application Number 04/771,140] was granted by the patent office on 1971-05-18 for supportive orthopedic device.
Invention is credited to August L. Schultz.
United States Patent |
3,578,773 |
Schultz |
May 18, 1971 |
SUPPORTIVE ORTHOPEDIC DEVICE
Abstract
An orthopedic appliance including a flexible and elastic
body-engageable and conformable belt having a pressure pad slidably
mounted on the inner side thereof for application on the torso of
the wearer to provide support and pressure in any preselected
position on the circumference of the torso between the lower
scapular area and the sacroiliacs.
Inventors: |
Schultz; August L. (Mitchell,
SD) |
Family
ID: |
25090851 |
Appl.
No.: |
04/771,140 |
Filed: |
October 28, 1968 |
Current U.S.
Class: |
602/19;
128/96.1 |
Current CPC
Class: |
A61F
5/24 (20130101) |
Current International
Class: |
A61F
5/24 (20060101); A61F 5/01 (20060101); A61f
005/02 () |
Field of
Search: |
;128/78,75,96,106,107,100,99,87,155,156,157,95--126 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Yasko; J.
Claims
I claim:
1. An orthopedic appliance comprising:
an elongated belt for releasably encircling the torso of the body
of a wearer and being formed of a flexible material, said belt
having an exterior side and a body-engageable inner side;
said belt having a pair of oppositely disposed longitudinally
extending edges and a pair of ends;
a pair of darts extending transversely across the width of said
belt, said darts being spaced from one another and spaced inwardly,
respectively, from one and the other of said belt ends;
said darts shortening the length of one longitudinally extending
edge of the belt relative to the other one thereof to provide said
belt with a tapering hollow ellipsoidal configuration when engaged
around the torso of said wearer in one position of use, and the
same configuration when said belt is inverted and engaged around
the torso of the wearer in a second position of use;
a pair of elongated substantially rectangular strips of flexible
material disposed on said exterior side of said belt and extending
transversely of the width thereof, said strips each having a pair
of opposed ends and a pair of opposed sides, one of said strips
being disposed intermediate one of said darts and said one end of
said belt, and the other of said strips being disposed intermediate
the other of said darts and said other end of said belt;
stitching means securing said ends and sides of said strips on said
belt, said strips cooperating with confronting belt portions to
form a pair of pockets;
an elongated substantially rectangular stiffening stay in each of,
respectively, said pockets and extending transversely across the
width of said belt;
a laminated elliptical pressure-applying pad including an elongated
elliptical backing plate formed of a lightweight semiflexible
material to provide stability for said pad, said backing plate
having a pair of opposed longitudinally extending edges, said
backing plate being concave-convex around its minor axis and having
its convex side engaging the inner side of said belt, the major
axis of said backing plate extending in the direction of the
elongation of said belt with corresponding edges of said belt and
backing plate being adjacent one another, the concave side of said
backing plate opening inwardly of said belt when said belt is worn
in either of its said first and second positions, and a liner
formed of a soft material fixedly connected on the concave side of
said backing plate and substantially covering the entire area
thereof;
means connecting said laminated pad on said belt for sliding
reciprocable movement thereon and longitudinally with respect
thereto whereby said pad may be moved to a preselected position
thereon confronting a portion of the torso of the wearer's body to
be supported, said means comprising a substantially rectangular
strip formed of a flexible fabric material and having a pair of
opposed ends, said strap extending transversely of the width of
said belt at the exterior side thereof and having portions adjacent
each end thereof folded over said corresponding adjacent edges of
said belt and backing plate, the ends of said belt being inserted
between said liner and said backing plate;
means fixedly connecting said strap ends on said backing plate
adjacent each, respectively, of its said edges; and
means for releasably securing said belt in its body-encircling
relation relative to the torso of the body of the wearer, said
releasable securing means being nonmetallic and including a first
strip of fabric material connected on the exterior side of said
belt on one of its ends, said first strip carrying a loop pile on
the outer side thereof, and a second strip of fabric material
secured on the inner side of said belt on its said other end and
carrying hook pile on the outer side thereof, said other end of
said belt being superimposed on said one end thereof to cause said
hook pile to releasably connect with said loop pile upon the
application of pressure on said other end of said belt.
Description
BACKGROUND OF THE INVENTION
This invention relates to an orthopedic support and, more
specifically, to a support comprising a flexible elastic
body-encircling belt on the inner side of which is movably secured
pad means to be located in juxtaposition to a preselected position
relative to a patient's body, and means for adjusting the tension
of the belt and, consequently, the pad pressure.
The prior art is replete with examples of standard or commercially
manufactured pressure pad appliances which have been designed to
alleviate pain and to support the user's body. However, in the
known prior art practices, such orthopedic pads were either fixedly
secured on the body-encircling belt or were placed in a sewn pocket
provided on the belt, thus rendering the pad stationary relative
thereto. Such constructions, obviously, limit the utility of the
support belt and pad. Further, the prior art orthopedic supports
are generally constructed for appliance to either the right- or
left-hand side of the patient's body and are ill suited to serve as
an orthopedic support if positioned on a side of the patient's body
for which the same was not specifically designed.
SUMMARY OF INVENTION
One of the primary objects of this invention is to provide an
orthopedic support capable of standardized mass production in the
interests of economy.
Another important object of this invention is to provide a
physician or surgeon with a versatile appliance in the treatment of
patients, each of which requires an individually fitted
support.
It is a further object of this invention to provide a
body-conformable orthopedic support and pressure pad which may be
applied any where on the circumference of the torso between the
lower scapular area and the sacroiliacs.
Still another object of this invention is to provide an orthopedic
support in the nature of a flexible body-encircling belt having
pressure pad means slidably mounted thereon for adjustment to a
preselected position to any point on the periphery of the belt.
It is a still further object of this invention to provide a
supportive orthopedic appliance as generally described supra, and
wherein the belt means is provided with adjustable securing means
whereby the tension of the belt means may be adjusted to obtain a
desired pressure on the pressure pad when the orthopedic appliance
is worn by the patient.
This invention contemplates, as a still further object thereof, the
provision of an orthopedic supportive appliance as generally
referred to above, and wherein the appliance or device is
noncomplex in construction and assembly, inexpensive to
manufacture, and one which is rugged and durable in use.
Other and further objects and advantages of the instant invention
will become more manifest from a consideration of the following
specification when read in light of the accompanying drawing.
IN THE DRAWING
FIG. 1 is a perspective view of the inner side of the orthopedic
appliance of this invention, FIG. 1 showing the pressure pad in one
preselected position on the body-engageable belt;
FIG. 2 is an enlarged fragmentary detail cross-sectional view, FIG.
2 being taken substantially on the vertical plane of line 2-2 of
FIG. 1, looking in the direction of the arrows;
FIG. 3 is an enlarged detail cross-sectional view, FIG. 3 being
taken substantially on the plane of the line 3-3 of FIG. 1, looking
in the direction of the arrows;
FIG. 4 is a front perspective view of the orthopedic appliance of
FIG. 1 as applied to the lower torso (shown in phantom lines) of a
patient; and
FIG. 5 is a front perspective view of the orthopedic appliance of
FIG. 1 as applied to the upper torso (shown in phantom lines) of a
patient, the appliance being inverted from its position of FIG.
4.
Referring now more specifically to the drawing, reference numeral
10 designates, in general, an orthopedic support, appliance or
device constructed in accordance with the teachings of this
invention. As is illustrated in the several FIGS. of the drawing,
one of the main components of this invention comprises an elongated
belt 12 formed of any conventional flexible elastic material and
which may be formed of a single blank having, preferably, a
substantially elongated rectangular configuration. The opposed ends
of the belt 12 are reverted at 14, 16 and are secured in their
inwardly folded positions by one or more lines of stitches 18, 20,
respectively, to provide finished end edges 22, 24.
The belt 12 includes opposed end portions 12A, 12B on which is
secured, on opposite sides, cooperating releasable securing means
26, 28, respectively. Such releasable securing means may take the
form of a Velcro fastener comprising a plurality of laterally
spaced flexible elongated rectangular strips of fabric material 30,
32 extending longitudinally inwardly from the end edges 22, 24
towards one another and of which the strips 30 may carry the loop
pile 34 and the strips 30 to the cooperating filament hook pile 36.
Such fastening means are, per se, old and well known in the
art.
Substantially centrally of the end edges 22, 24, the belt is formed
with a pair of longitudinally extending exteriorly located spaced
darts 38, 40 as are conventionally formed in fabric material, the
darts 38, 40 extending transversely throughout the entire width of
the belt and being secured by transversely extending lines of
stitches 42. In forming the darts 38, 40, the length of the
peripheral edge 44 of the belt 12 is made shorter than its
peripheral edge 46.
A plurality of substantially rectangular strips of fabric material
48 are disposed between the end edges 22, 24 and their respective
adjacent darts 38, 40, the strips 48 extending transversely of the
belt 12 throughout its entire width and also being disposed at the
exterior side thereof. The strips 48, 50 are stitched at 52 along
their respective opposed sides and ends to form closed pockets 54
(see FIG. 3) in each of which is enclosed an elongated
substantially rectangular metal stiffening stay 56.
The pressure pad constructed according to this invention bears the
general reference numeral 60. As is seen in FIG. 1, the pad 60 is
elliptical in configuration and has a width, at its minor axis,
substantially equal to the width of the belt 12. The pad 60 is
laminated construction and includes a substantially elliptical
backing plate 62 formed of a light, semiflexible, hard plastic or
other suitable material to provide stability. The backing plate 62
is concave-convex about its minor axis and has its convex side
superimposed against the inner side of the belt 12, and the backing
plate 62 is slidably connected on the belt 12 by an elongated
substantially rectangular flexible strap 64 formed of a suitable
fabric material. As is seen in FIG. 2, the strap 64 has its upper
end folded over the adjacent upper edges of the belt 12 and the
backing plate 62, and is similarly folded about their respective
adjacent lower edges to provide end tabs 66, 68 which are fixedly
secured to the concave side of the backing plate 62 as by rivets
70. As is seen in FIG. 1, the strap 64 is positioned substantially
centrally of the ends of the backing plate 62. The concave side of
the backing plate 62 is provided with a liner 72 formed of a soft
polyfoam or other similar and suitable material which may be
connected or otherwise fixedly secured thereto by adhesive or other
means conventional in the art.
The liner 72 substantially covers the concave side of the backing
plate 62, and while but one liner 72 has been described and
illustrated herein, it will be obvious to those skilled in the art
that the thickness of this liner 72 may be increased, if desired,
by merely adhesively securing one or more liners to the liner
72.
Of material importance to the instant invention is the association
of the strip 64 relative to the belt 12. The connection of the
strap 64 to the backing plate 62 must be such that the pad 60 is
slidable on the belt 12 for adjustment to any preselected position
intermediate the fastening means 26, 28.
Having described this orthopedic appliance in detail, the utility
of the device will be set forth below with specific reference to
FIGS. 4 and 5.
In FIG. 4, the belt 12 of FIG. 1 is shown as being engaged about
the lower torso of a person, with the Velcro fastening means 34, 36
overlapped and in their securing position. The shorter edge 44 of
the belt 12 is here shown in its uppermost position relative to the
longer edge 46, and the pad 60 has been adjusted on the belt 12 to,
substantially, a position for supporting a condition known as "the
pulled side muscle." This occurs very frequently among athletes and
persons who are engaged in heavy industry. The obliquus externus is
particularly vulnerable because of its origin from the lower eight
ribs, its close association with the latissimus dorsi and its
attachment to the outer rim of the iliac crest. This support will
protect these muscles when injured along with the obliquus
internus. Note that in FIG. 4 the orthopedic support or appliance
10 takes the configuration of, substantially, a hollow tapered
ellipsoidal appliance.
In FIG. 5, the orthopedic appliance has been inverted on the body
of the patient or wearer and the pad 62 has been shifted on the
belt 12 to provide a support which is useful to persons with
strained or weak abdominal muscles or those requiring post surgical
support. The muscles usually involved are the obliquus externus and
internus, the transverse and rectus abdominus, the last three lying
beneath the obliquus externus.
By virtue of its unique construction, the orthopedic appliance 10
according to this invention may be worn substantially over any
portion of the torso below the level of the armpits, and because of
the elasticity and flexibility of the body-encircling belt 12 it
may be worn angularly on the torso, that is, one side portion may
engage the body higher or lower than the other side, and the front
and back portions may also be adjusted and worn higher or lower
relative to one another, all depending upon the use of the
appliance. Regardless of the positioning of the belt on the torso
of the patient or user, the pad 60, as has been stated above, may
be shifted on the belt 12 in such a manner as to engage and support
any preselected portion of the body.
It should be further noted that the Velcro fastener permits
adjustment of the effective length of the belt 10 at its upper and
lower edges 44, 46, respectively, and also serves as a pressure
control means for the pad 60.
This orthopedic appliance is highly versatile and has been designed
for many uses, some of which are related below.
The orthopedic appliance 10 has been found useful in the following
cases:
1. To give support to strained or sprained intercostal muscles (the
muscles between the ribs).
2. To give support in green-stick rib fractures and to aid in the
healing of the injury.
3. To give support when there is injury to the costal cartilages
(these connect the ribs and sternum).
4. To give support when there is injury to the articulations of the
ribs and transverse vertebral processes.
5. To aid in relieving the pain and discomfort of intercostal
neuralgia and/or pleurisy.
6. It is also helpful in the strain and contracture of the lower
portion of the trapezius and adjacent muscles.
7. It is an ideal postoperative support for many types of abdominal
surgery.
8. It is also an aid in the case management of lower back (lumbar
area) strains.
9. It will protectively support a lower dorsal strain.
10. It is helpful and a great aid in relieving lumbago (spasmed
lower back muscles) because the pad may be moved to a point
directly over the spasmed area. The pad pressure, with the aid of
the correct directional pull provided by the elastic belt, will
give support to the spasmed muscles and aid in their relaxation,
thus relieving the patient of pain.
11. In cases of sacroiliac strain or mild sprain, the pad may be
moved and placed directly over the injured, painful area, either on
the right or left side. Since there is a slight separation in the
majority of sacroiliac involvements, this versatile pad may be so
specifically placed and the proper directional tension applied
through the elastic belt that more complete and normal healing will
follow, along with more comfort to the patient during this period.
When this support is used in the sacroiliac area, the flared margin
of the belt (the edge 46) should be turned so that it becomes the
bottom edge.
12. The pad 60 is so designed and is amply sized in order that it
may be moved and placed in such a position that it will support the
lower lumbar vertebrae as well as both sacroiliacs
simultaneously.
Other uses of the orthopedic appliance or device 10 will occur and
be self evident to those who are skilled in the healing arts.
Having described and illustrated one embodiment of this invention
in detail, it will be understood that the same is offered merely by
way of example, and that this invention is to be limited only by
the scope of the appended claims.
* * * * *