Device and method for testing for a corset or spinal orthose

Surgery – Truss – Pad

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128781, 128 78, A61B 510

Patent

active

048217395

DESCRIPTION:

BRIEF SUMMARY
FIELD OF THE INVENTION

The invention defines a device and a method for testing for a spinal orthose or corset for orthophedic use on back disorders.


PRIOR ART

Spinal orthoses or corsets of different shapes are of great use in medical therapy to relieve the pain of various back disorders and, in fact, are one of the most commonly prescribed technical facilities within the orthopedic field. About 50,000 corsets are prescribed annually in Sweden. By the expression "corsets" is henceforward intended its broadest meaning, i.e. cloth as well as plastic corsets (orthoses). Without any doubts they have any many times a good effect on different pain conditions in the loins, but often corsets are prescribed on uncertain indications, which entails that the patients with back disorders do not get the desired palliation of their pains and for this reason do not use the corset. It is therefore important to get as clear indications as possible from the beginning if a corset should be prescribed and moreover how it should be shaped. This should be done before the manufacture and delivery of the corset. This is not of the least economical importance, since the costs of corsets for medical use are high 50,000 corsets are ordinated yearly in Sweden at present.
The fact that corsets in many cases are of great importance for palliation of the suffering of patients with back disorders and for allowing increased mobility is evident. This is especially true when the back pain is related to a position or a movement, i.e. if the pain decreases or disappears in certain positions, e.g. when a patient is lying, sitting, or in a bent forward position. However, it is very important that the corset is specially shaped and adjusted for the patient in question, since different patients have different kinds of pain as well as different shapes of the back.
Today standard corsets of cloth or plastic with a certain prefabricated form of saddle support and abdominal pressure are used. However, it has been found that the patient at mechanically caused pain conditions in the loins, obtains a maximal palliation of pain with the corset only in a certain position of the loins. This entails that patients with a standard corset do not always obtain the desired palliation of their pains, by the fact that the corset is not correctly shaped and for this reason the patient does not use his corset.
Another reason for not using the corset is that sometimes the patients suffer from stomach pains, like catarrhal gastritis etc. and for this reason they cannot stand the abdominal pressure, which is necessary for supporting the back. Thus, these patients should have been dissuaded from using a corset.
Several investigations have been made to establish the results of corset treatment. In an investigation of Ahlgren S.A. and Hansen T "The use of lumbosacral corsets prescribed for low back pain", Prostheth, Ortop, 3nt, 2:101-104, 1978 it was found that around three fourths of the patients with back pains who had received corsets were using the same. Of the patients who four years later still suffered from back disorders two thirds used their orthos and they were of the opinion that they had more or less benefit from the use thereof. In another publication of McKenzie A.R. and Lipscomb (1979) it was discovered that only 50 percent of the patients who were prescribed a corset stated a clear improvement.
The purpose of the corset treatment is greatly to allow a mobilization of the patient but still to avoid strain of the loins, i.e. to obtain painlessness.
Imaginable causes for lumbosacral pains have been previously discussed and the effect of the corset thereon have also been discussed in the literature, but are still not made clear. Imaginable facts which affect the effect of the corset on the condition of the illness are: pressure
Probably the cause could be found within several of these possibilities.
Patients with lumbago acuta are usually free from pain if keeping the back completely still and many patients with this kind of pain do also state an improvement

REFERENCES:
patent: 2760486 (1956-08-01), Ward
patent: 2835247 (1958-05-01), Stabholz
patent: 3605731 (1971-09-01), Tigges
patent: 3889664 (1975-06-01), Heuser et al.
patent: 3926182 (1975-12-01), Stabholz
patent: 4559933 (1985-12-01), Batard et al.
Search Report--International Application, PCT/SE86/00535.

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