Therapeutic shoulder brace

Abstract

To provide a therapeutic shoulder brace having a strap to be worn on the shoulder, which has a simple structure and can be surely prevented from slipping down from the shoulder.SOLUTION: A therapeutic shoulder orthosis (1, 1A) comprising a shoulder portion (11a) to be placed over the affected shoulder and having a strap (10, 10A) to be hung to hold the upper limb in a physiologically basic limb position, in a developed plan view in which the therapeutic shoulder brace (1, 1A) is developed in a length direction with the shoulder portion (11a) as a center, the strap (10) has a bending region (11) including the shoulder portion (11a) and extending in an inwardly convex shape, and a straight region (12) connected to a front end (11d) and a rear end (11e) of the bending region (11) and extending linearly in a front-rear direction.SELECTED DRAWING: Figure 1

Description

[Technical Field]

[0001] The present invention relates to a shoulder brace for treatment worn by patients with shoulder injuries such as fractures, dislocations, and ligament injuries. [Background technology]

[0002] Conventional shoulder braces for treatment have generally been static braces that hold and immobilize the shoulder and arm for long periods of time after injuries such as proximal humerus fractures, rotator cuff tears, acromioclavicular joint dislocations, shoulder joint dislocations, and distal clavicle fractures. Such shoulder braces have the problem of causing contracture of the bones and muscles due to long-term immobilization, which interferes with rehabilitation and can easily lead to dysfunction.

[0003] The above problems are solved by the therapeutic shoulder orthoses described in Patent Documents 1 and 2. The therapeutic shoulder orthoses described in Patent Documents 1 and 2 have a ring-shaped strap (also called a sling) attached to the affected shoulder. When attached, the strap descends from the distal end of the acromioclavicular bone to the ulnar side of the forearm near the elbow, passes along the underside of the forearm from the ulnar side to the radial side, crosses the anterior aspect of the upper arm from the radial side of the forearm, and then returns to the distal end of the acromioclavicular bone. This attachment method maintains the upper limb in a physiologically basic position. By using a static orthosis only in the early stages after injury or by wearing this strap immediately after injury, the upper limb, maintained in a physiologically basic position, can be moved forward and backward in a simple pendulum motion. This allows rehabilitation to be performed while wearing the therapeutic shoulder orthosis. The straps described in Patent Documents 1 and 2 combine the functions of immobilization and early rehabilitation.

[0004] On the other hand, the straps in Patent Documents 1 and 2 have the problem of being easily slipped off the shoulder because they are placed at the distal end of the clavicle. In particular, unlike static braces, these braces are designed to encourage upper limb movement, making the straps even more likely to fall off during movement. For this reason, Patent Document 1 discloses providing anti-slip shoulder pads or adhesive sheets on the backside of the shoulder portions of the straps. Patent Document 2 discloses a solution in which a layered member is provided connecting shoulder pads that are placed on both shoulders, and the straps are fixed to the layered member. [Prior art documents] [Patent documents]

[0005] [Patent Document 1] International Publication No. 2015 / 166561 [Patent Document 2] International Publication No. 2017 / 017815 Summary of the Invention [Problem to be solved by the invention]

[0006] However, shoulder pads such as those in Patent Document 1 cannot reliably prevent the straps from slipping off, and are not particularly effective for patients with sloping shoulders. Furthermore, layered members attached to both shoulders as in Patent Document 2 can reliably prevent the straps from slipping off, but the attachment method is cumbersome and the shoulder brace as a whole becomes larger and more complex in structure.

[0007] In view of the above problems, the present invention aims to provide a therapeutic shoulder brace with a strap that is attached to the affected shoulder to hold the upper limb in a basic physiological position, which has a simple structure and can reliably prevent the brace from slipping off the shoulder. [Means for solving the problem]

[0008] In order to solve the above problems, the present invention provides the following configuration: Note that the numbers in parentheses are symbols in the drawings described below and are provided for reference.

[0009] [1] An aspect of the present invention is a therapeutic shoulder brace (1, 1A), A therapeutic shoulder brace (1, 1A), The device has a shoulder portion (11a) to be placed on the affected shoulder and a strap (10, 10A) to be hung so as to hold the upper limb in a physiological basic position; In the plan view of the therapeutic shoulder brace (1, 1A) unfolded lengthwise with the shoulder portion (11a) at the center, the strap (10) has a bending region (11) that includes the shoulder portion (11a) and extends inward in a convex shape, and a straight region (12) that connects the front end (11d) and rear end (11e) of the bending region (11) and extends linearly in the front-to-rear direction. [2] In the above embodiment [1], it is preferable to have an underarm band (20) that connects the vicinity of the front end (11b) and the vicinity of the rear end (11c) of the shoulder portion (11a) of the strap (10, 10A) through the armpit. [3] In the above aspect [1], it is preferable that when the shoulder portion (11a) is placed on the shoulder, the shoulder portion (11a) is inclined in the same direction as the inclination of the shoulder. [4] In any one of the above aspects [1] to [3], the strap (10) is ring-shaped, When worn, the strap (10) preferably extends from the front end (11b) of the shoulder portion (11a) down to the ulnar side of the forearm near the elbow, passes along the underside of the forearm from the ulnar side to the radial side, crosses the front of the upper arm from the radial side of the forearm, passes under the armpit, and connects to the rear end (11c) of the shoulder portion (11a). [5] In any one of the above [1] to [3] embodiments, an elbow pad (30) for supporting the forearm is provided, The strap (10A) is a belt-like member having a first end (13) and a second end (14), In the worn state, the strap (10A) preferably extends from the front end (11b) of the shoulder portion (11a) down to the ulnar side of the forearm near the elbow, with the first end (13) of the strap (10A) fixed to the elbow pad (30), and extends from the rear end (11c) of the shoulder portion (11a) through the armpit, across the front of the upper arm, around to the radial side of the forearm, with the second end (14) of the strap (10A) fixed to the elbow pad (30). [6] In the above aspect [5], it is preferable that the second end (14) of the strap (10A) is fixed to the elbow pad (30) at a position forward of the longitudinal midpoint (M) of the elbow pad (30). [Effects of the Invention]

[0010] According to the present invention, in a therapeutic shoulder brace having a strap that is attached to the affected shoulder to hold the upper limb in a basic physiological position, the strap can be reliably prevented from slipping off the shoulder with a simple configuration. [Brief explanation of the drawings]

[0011] [Figure 1] FIG. 1 is a schematic perspective view showing a state in which a therapeutic shoulder brace according to a first embodiment of the present invention is worn by a patient. [Figure 2] Figure 2(a) is a schematic perspective view showing only the therapeutic shoulder orthosis in Figure 1. (b) is a schematic perspective view of the therapeutic shoulder orthosis when worn in a different way from (a). [Figure 3] FIG. 3 is a schematic perspective view similar to FIG. 1, showing a therapeutic shoulder brace according to a second embodiment of the present invention. [Figure 4] Figure 4(a) is a schematic perspective view showing an example of the shape of the therapeutic shoulder brace in Figure 1 when not worn, (b) is a schematic front view, and (c) is a schematic front view showing the difference from a conventional strap. [Figure 5] 5(a) to 5(f) are each an example of a therapeutic shoulder brace, and are unfolded plan views cut along the chain line in FIG. 4(a) and unfolded in the lengthwise direction. [Figure 6]6(a), (b), and (c) are schematic perspective views similar to FIG. 4(a), showing another embodiment of a therapeutic shoulder brace of the present invention. [Figure 7] FIG. 7(a) is a top view illustrating the therapeutic shoulder brace of the present invention in use, and (b) is a side view of the same. DETAILED DESCRIPTION OF THE INVENTION

[0012] Hereinafter, embodiments of the present invention will be described with reference to the drawings, which are examples. Note that the same or similar components in each embodiment are designated by the same or similar reference numerals. In this specification, when referring to the "front," "front end," "rear end," and "rear," "front" and "rear" refer to the front and rear directions of the body. In addition, in the left-right direction of the body, the median plane side when viewed from the shoulder will be referred to as the "inner side" and the opposite side to the median plane will be referred to as the "outer side." The median plane is indicated by the symbol MP in Figure 7(a).

[0013] Fig. 1 is a schematic perspective view showing a state in which a patient is wearing a therapeutic shoulder brace 1 according to a first embodiment of the present invention. In Fig. 1, the right shoulder is the affected shoulder.

[0014] A suitable example of therapeutic shoulder brace 1 of the first embodiment has a ring-shaped strap 10, an armpit band 20, and an elbow pad 30. Strap 10 and armpit band 20 are made of a flexible material with appropriate deformability and strength. Elbow pad 30 is provided to stably support the forearm FA from below, and is made of a material hard enough to stably support the forearm FA.

[0015] The strap 10 shown in FIG. 1 is a closed ring member having an appropriate length, width, and thickness. When the strap 10 is worn, the shoulder portion 11a, which is located at the top, is the portion that is placed on the affected shoulder (including the areas in front and behind the shoulder). The width of the strap 10 is approximately constant along its length, but does not need to be strictly constant. In FIG. 1, the armpit bands 20 branch off from the shoulder portion 11a of the strap 10, so the shoulder portion 11a is wider than the other portions by the width of the armpit band 20, but this is just one example. Although not shown in FIG. 1, it is preferable to provide the strap 10 with an adjuster that allows the length to be adjusted according to the patient's physique.

[0016] The therapeutic shoulder brace 1 is worn so that the patient maintains a physiologically basic position with the elbow joint bent 90° forward. The physiologically basic position is a position in which the upper limb is naturally lowered alongside the body, the elbow positioned at a nearly right angle, and the upper limb is suspended, with shoulder flexion and extension at 0°, abduction and adduction at 0°, and internal rotation at 30° (see Figure 7(a)). Because the axis of the scapula is oriented approximately 30° outward from the frontal plane FP, the forearm FA is oriented 30° inwardly rotated relative to the direction perpendicular to the frontal plane FP (for ease of explanation, this internally rotated direction is also referred to as "forward"). Note that these angles vary somewhat depending on the individual's physique and muscle movement, and are not exact values; they may have a certain range (e.g., approximately plus or minus 10%). The physiologically basic position is achieved by adjusting the way the strap 10 is fastened.

[0017] The method of attaching the strap 10 to hold the upper limb in a physiological basic position is disclosed in Patent Documents 1 and 2, and is as follows: The strap 10 descends from the front end 11b of the shoulder portion 11a to the ulnar side of the forearm FA near the elbow along a substantially sagittal plane (a plane parallel to the median plane), passes along the underside of the forearm FA from the ulnar side to the radial side, crosses from the radial side of the forearm FA across the front of the upper arm UA, passes under the armpit, and connects to the rear end 11c of the shoulder portion 11a. When the forearm FA is supported by an elbow pad 30, the strap 10 is attached so as to pass outside the elbow pad 30.

[0018] Although it is not clear from Fig. 1, the upper portion (approximately the upper half) of the strap 10, including the shoulder portion 11a, is bent inward relative to the lower portion, i.e., is inclined inward relative to the sagittal plane. This is to prevent the strap 10 from slipping down by positioning the shoulder portion 11a more medially than the distal end of the clavicle. This will be explained in detail in Figs. 4 and 5.

[0019] The armpit bands 20 connect the front end 11b and rear end 11c of the shoulder portion 11a of the strap 10 through the axilla AX. In the example shown in Fig. 1, the armpit bands 20 are formed by branching off from a part of the strap 10. The armpit bands 20 also serve to prevent the strap 10 from slipping off the shoulder. Because the armpit bands 20 pass through the axilla AX, they are preferably wide enough not to interfere with upper limb movement during rehabilitation.

[0020] In the illustrated example, elbow pad 30 covers the area around the elbow and the underside and sides of the area near the elbow, with the top and front open. The length of elbow pad 30 is, for example, about half the length of the forearm FA or slightly longer than half. In the illustrated example, the height of the side of elbow pad 30 is about the same as the thickness of the forearm FA near the elbow, but it should be large enough to stably support the forearm FA.

[0021] Figure 2(a) is a schematic perspective view of the therapeutic shoulder brace 1 in the worn state shown in Figure 1. (b) is a view similar to (a), but shows the strap 10 in a slightly different manner. To make the state of the strap 10 easier to understand, the elbow pad 30 is shown with a chain line. The back surface of the strap 10 is also shown with hatching.

[0022] As shown in Figure 2, the strap 10 when worn is not a simple ring shape, but has a constriction in the center of the ring, and is twisted around this constriction as a whole. This twist exerts a control force to maintain the upper arm UA and forearm FA in the basic physiological position described above.

[0023] When attached, the strap 10 rotates and flips over in several places (including flipping over like a Möbius strip). Figures 2(a) and (b) show examples in which the strap 10 follows the same path but has a different front and back in some places. In Figure 2(a), the back of the strap 10 is exposed below the elbow pad 30, while in (b), the front of the strap 10 is exposed. From the perspective of therapeutic effect, either Figure 2(a) or (b) does not matter.

[0024] Figure 3 is a schematic perspective view similar to Figure 1, showing a therapeutic shoulder orthosis 1A according to a second embodiment of the present invention. The second embodiment differs from the first embodiment in the configuration of the strap 10A. Other components, such as the armpit band 20 and elbow pad 30, are the same as those in the first embodiment, and therefore will not be described here.

[0025] The strap 10A of the second embodiment is not a closed ring member, but is band-shaped with a first end 13 and a second end 14. On the front side of the shoulder portion 11a of the strap 10A, the strap descends substantially along the sagittal plane from the front end 11b of the shoulder portion 11a to the part of the forearm FA on the ulnar side near the elbow, and the first end 13 of the strap 10A is fixed to the outer surface of the ulnar side of the elbow pad 30 by an appropriate means.

[0026] Meanwhile, on the rear side of shoulder 11a, strap 10A runs from rear end 11c of shoulder 11a, passes under the armpit, crosses the front of upper arm UA, and wraps around the radial side of forearm FA, with second end 14 of strap 10A secured by appropriate means to the radial outer surface of elbow pad 30. Second end 14 of strap 10A is preferably secured to elbow pad 30 at a position more forward than midpoint M of elbow pad 30 in the longitudinal direction. Securing second end 14 in this position allows for more stable support of the forearm.

[0027] The fastening means for connecting the first end 13 and second end 14 of the strap 10A to the elbow pad 30 may be either permanent or detachable. Non-detachable means include adhesive bonding, sewing, welding, etc. Removable means include, for example, hook-and-loop fasteners. When using detachable means, the fastening position can be adjusted. Furthermore, to more firmly secure the first end 13 and second end 14, they may be extended further than the illustrated positions and wrapped around the elbow pad 30.

[0028] The function of the strap 10A of the second embodiment is the same as that of the strap 10 of the first embodiment described above, and it can hold the upper limbs in a basic physiological position.

[0029] The following description will be mainly given using the strap 10 of the first embodiment as an example, but the present invention is also applicable to the strap 10A of the second embodiment.

[0030] Figure 4(a) is a schematic perspective view showing an example of the shape of the therapeutic shoulder brace 1 in Figure 2(b) when not worn, (b) is a schematic front view of (a), and (c) is a schematic front view showing the difference from a conventional strap.

[0031] FIG. 4 shows strap 10 of therapeutic shoulder brace 1 in a state where shoulder portion 11a is positioned at the top and is formed into a vertically long, approximately oval shape. As shown in FIG. 4(a), strap 10 is not a uniform ring around its entire circumference, but has an upper curved region 11 and a lower straight region 12. The front end 11d of curved region 11 is connected to the front end of straight region 12, and the rear end 11e of curved region 11 is connected to the rear end of straight region 12. Preferably, curved region 11 and straight region 12 are connected with the same width. The boundary between upper curved region 11 and lower straight region 12 does not need to be located at a position that exactly bisects the length of strap 10, and may be offset upward or downward, for example.

[0032] The belt-shaped strap 10A shown in FIG. 3 can be considered to be substantially equivalent to the strap 10 shown in FIG. 4(a) in which the orthogonal region 12 is cut at one appropriate location.

[0033] 4(b), in a front view, the lower straight region 12 extends vertically, and the upper curved region 11 moves inward (toward the median plane) relative to the vertical direction as it moves upward. This positions the shoulder portion 11a of the strap 10 several centimeters inward from the distal end of the clavicle, making it difficult for the strap 10 to slip off.

[0034] Furthermore, it is preferable that the inner edge 11f of the shoulder portion 11a is positioned higher than the outer edge 11g in a front view. This allows the shoulder portion 11a to be inclined in the same direction as the shoulder inclination s when placed on the shoulder. As a result, the entire width of the shoulder portion 11a can fit snugly against the shoulder, which helps prevent the strap 10 from slipping off.

[0035] The solid line in Figure 4(c) shows a front view of only the strap 10 in (b) without the side bands 20. The dotted line 100 indicates the shape of the strap in which the straight region 12 is extended all the way to the top. The strap 10 of the present invention has a bent region 11 at the top, so it is tilted inward when viewed from the front, with the top (shoulder portion 11a) leaning inward by the amount indicated by the white arrow. This displacement is, for example, about 2 to 4 cm. The inward lean of the shoulder portions 11a of the strap 10 creates an empty space outside the shoulder portions 11a, and the side bands 20 can be said to be placed in this empty space.

[0036] Figure 5(a) is an expanded plan view of the therapeutic shoulder orthosis 1, in which the strap 10 and the armpit band 20 are cut at the locations indicated by the chain lines C1 and C2 in Figure 4(a), and the therapeutic shoulder orthosis 1 is expanded lengthwise with the shoulder portion 11a at the center. Figures 5(b) to 5(f) are expanded plan views similar to (a), showing modified forms of the therapeutic shoulder orthosis 1. In Figure 5, the front-rear and inward-outward directions when the orthosis is worn are indicated by arrows.

[0037] In the developed plan view of FIG. 5(a), the strap 10 has a bent region 11 including a shoulder portion 11a and a straight region 12 that connects the front end 11d and rear end 11e of the bent region 11 and extends linearly in the front-to-rear direction. The bent region 11 includes the shoulder portion 11a at approximately the center in the front-to-rear direction. In the developed plan view, the bent region 11 extends in an inwardly convex shape. In the strap 10 of FIGS. 5(a) and 5(b), the inner and outer edges of the bent region 11 are curved in an overall circular or elliptical arc shape. In FIG. 5(a), the bent region 11 extends from both ends toward the shoulder portion 11a, gradually widening in width. In FIG. 5(b), the bent region 11 extends from both ends toward the shoulder portion 11a with approximately the same width, and the shoulder portion 11a also has approximately the same width except for the branching portion of the side band 20.

[0038] The strap 10 in FIG. 5(c) extends in a straight line obliquely inward from both ends of the bending region 11 toward the shoulder portion 11a for a predetermined length, and then transitions to a curved shape. The strap 10 in FIG. 5(d) extends diagonally inward in a straight line for a predetermined length from both ends of the bending region 11 toward the shoulder portions 11a, and the shoulder portions 11 extend straight in the front-to-rear direction. The strap 10 in FIG. 5(e) extends linearly inward from both ends of the bending region 11 to the center of the shoulder portion 11a, and has an overall V-shape. In FIG. 5(f), the shape of the strap 10 is almost the same as that in FIG. 5(b), but the side bands 20 are formed as separate members from the strap 10, and both ends are fixed to the strap 10.

[0039] In the developed plan views of FIGS. 5(a) to 5(f), the orthogonal region 12 extends so as to be positioned on a straight line in the front-rear direction.

[0040] By providing the bent region 11 on the strap 10, the area of ​​contact of the strap 10 with the body at the shoulder and in front and behind it is larger than when the strap 10 has only straight regions without any bent region. This increases the friction between the strap 10 and the body, making it less likely to slip off. The shape of the strap 10 can be modified in a variety of ways other than that shown in Figure 5.

[0041] In the developed plan view, the armpit bands 20 are depicted in a simplified manner and do not have a specific shape. The branching position of the armpit bands 20 from the straps 10 (or the attachment position to the straps 10), width, length, thickness, etc. are designed to obtain an appropriate shape that runs smoothly through the armpit.

[0042] Figures 6(a), 6(b), and 6(c) are schematic perspective views of yet another embodiment of the therapeutic shoulder brace 1 of the present invention, in an unworn state similar to Figure 4(a). The therapeutic shoulder brace 1 of Figure 6(a) has a fastener 40 for forming the strap 10 into a ring shape. The fastener 40 also serves as a length adjuster for the strap 10. The fastener 40 can also be applied to the embodiment of Figure 1 or Figure 3 described above.

[0043] Furthermore, in the embodiment of Fig. 6(a), the side bands 20 are formed as separate members from the straps 10, with one end 20a fixed near the front end of the shoulder portion 11a and the other end 20b fixed near the rear end of the shoulder portion 11a by appropriate means. The fixing positions of the ends 20a, 20b of the side bands 20 are preferably close to the outer edge 11g of the straps 10, but this is not limited thereto. The rest of the configuration is substantially the same as the embodiment of Fig. 1.

[0044] In the therapeutic shoulder orthosis 1 shown in Figure 6(b), the armpit band 20 branches off from the strap 10 at its rear end, but its front end 20a is detachably attached to the strap 10. For example, by providing one member of a hook-and-loop fastener 21 at the front end 20a and the other member of the hook-and-loop fastener 21 on the strap 10, the attachment position of the armpit band 20 can be adjusted. This allows the length of the armpit band 20 to be adjusted. Magnets or buttons may be used instead of hook-and-loop fasteners.

[0045] FIG. 6(c) shows a modified form of FIG. 6(b), in which the front ends of the side bands 20 branch off from the straps 10 and the rear ends 20b are detachably attached to the straps 10. FIG.

[0046] Figure 7(a) is a top view illustrating the therapeutic shoulder brace 1 of the present invention in use, and (b) is a side view. As shown in Figure 7(a), by properly wearing the therapeutic shoulder brace 1 of the present invention, a force is exerted to control the position of the patient's forearm FA and upper arm, allowing the patient to maintain a physiologically basic limb position of 30° of internal rotation with the elbow bent at a right angle. Various trunk movements in this position (e.g., rotation of the waist while walking or forward bending of the trunk while standing) can trigger passive anterior-posterior movement with forward bending and backward extension, as shown in Figure 7(b). Because the therapeutic shoulder brace 1 restricts movement in the lateral direction (in the adduction and abduction directions), this passive movement is a simple pendulum movement.

[0047] This simple pendulum movement is limited to a safe direction. In this case, movement in a prohibited direction that may cause fracture displacement or muscle damage does not occur. Therefore, early rehabilitation can be initiated by wearing the therapeutic shoulder brace of the present invention and performing simple pendulum movement after using a static brace only in the early stages after injury, or immediately after injury. Since the patient's upper limbs do not need to be completely immobilized for a long period of time, the risk of contracture can be eliminated.

[0048] The therapeutic shoulder brace's slip-off prevention structure of the present invention is a relatively simple structure that displaces the shoulder portion of the strap inward, yet is extremely effective in preventing the brace from slipping off the shoulder. Furthermore, the shoulder portion of the strap moves forward and backward relative to the shoulder during the simple pendulum motion described above (see Figure 7(b)). Compared to conventional straps that include shoulder pads or components attached to both shoulders, the strap of the present invention has the advantage of allowing smooth forward and backward movement. Furthermore, the strap of the present invention is easy to wear. As a result, patients can undergo rehabilitation without worrying about the strap slipping off. This significantly reduces stress on the patient.

[0049] While the therapeutic shoulder brace of the present invention has been described above using several embodiments, it is possible to combine the characteristic features of each embodiment, and such embodiments are also within the scope of the present invention. Furthermore, various other modifications are possible as long as they are in line with the gist of the present invention. [Explanation of symbols]

[0050] 1. 1A Therapeutic shoulder brace 10, 10A strap 11 Bend area 11a Shoulder area 11b Front edge of shoulder 11c Back end of shoulder 11d Front end of bending area 11e Rear end of bending area 11f Inner edge of shoulder 11g outer edge of shoulder 12 Orthogonal region 13 First end of strap 14 Second end of strap 20 Side Bands 21 Hook and Loop Fastener 30 Elbow pads 40 Fasteners UA upper arm FA Forearm AX axillary FP Frontal Plane MP median plane

Claims

1. A therapeutic shoulder brace (1, 1A), The device has a shoulder portion (11a) to be placed on the affected shoulder and a strap (10, 10A) to be hung so as to hold the upper limb in a physiological basic position; In an expanded plan view of the therapeutic shoulder brace (1, 1A) in the longitudinal direction with the shoulder portion (11a) at the center, the strap (10) has a bending region (11) that includes the shoulder portion (11a) and extends inward in a convex shape, and a straight region (12) that connects the front end (11d) and rear end (11e) of the bending region (11) and extends linearly in the front-to-rear direction.

2. 2. The therapeutic shoulder brace according to claim 1, further comprising an underarm band (20) that passes through the armpit and connects the vicinity of the front end (11b) and the vicinity of the rear end (11c) of the shoulder portion (11a) of the strap (10, 10A).

3. 2. The therapeutic shoulder brace according to claim 1, wherein the shoulder portion (11a) is inclined in the same direction as the inclination of the shoulder when the shoulder portion (11a) is placed on the shoulder.

4. The strap (10) is ring-shaped, 4. The therapeutic shoulder orthosis according to claim 1, wherein, when worn, the strap (10) descends from the front end (11b) of the shoulder portion (11a) to the vicinity of the elbow on the ulnar side of the forearm, passes along the underside of the forearm from the ulnar side to the radial side, crosses from the radial side of the forearm across the front of the upper arm, passes under the armpit, and is connected to the rear end (11c) of the shoulder portion (11a).

5. an elbow pad (30) for supporting the forearm; The strap (10A) is a belt-like member having a first end (13) and a second end (14), 4. The therapeutic shoulder orthosis according to claim 1, wherein, in a worn state, the strap (10A) extends from the front end (11b) of the shoulder portion (11a) down to the ulnar side of the forearm near the elbow, with the first end (13) of the strap (10A) secured to the elbow pad (30), and extends from the rear end (11c) of the shoulder portion (11a) through the armpit, across the front of the upper arm, and around to the radial side of the forearm, with the second end (14) of the strap (10A) secured to the elbow pad (30).

6. 6. The therapeutic shoulder brace according to claim 5, wherein the second end (14) of the strap (10A) is fixed to the elbow pad (30) at a position forward of the midpoint (M) in the longitudinal direction of the elbow pad (30).

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