Back brace and protective clothing

Abstract

To provide a back support belt system or a recumbent brace for treating and preventing lower back pain, which is easy to wear and prevents movement of a pelvic frame while being worn. The device includes a pelvic belt (30) and two separate left and right shoulder strap loops (24, 22) extending therefrom. The shoulder strap loops cross each other in the back and thoracic regions and are connected to the pelvic belt via tension straps to simultaneously tension the pelvic belt and the shoulder strap loops.

Description

[Technical field]

[0001] The present invention relates to a back support belt system, particularly a back or lying brace for treating and preventing back pain, comprising a pelvic belt and two separate left and right shoulder straps extending therefrom, which cross each other at the back and thoracic regions and are connected to the pelvic belt via tension straps for simultaneously tensioning the pelvic belt and the shoulder straps. [Background technology]

[0002] Back support belt systems are used to straighten the upper body, i.e. for the treatment and correction of bad posture and curved spine, for example in the case of osteoporosis. Known back support belt systems and braces are essentially composed of a pelvic belt that can be closed under tension across the pelvis or lower back of the patient, or the wearer in general, and is intended to then form a base for applying a force to the back. Known systems also include straps or support rails that extend from the pelvic belt and are intended to reposition or support the upper spine in relation to the shoulders or lower spine, which are spatially related to the spine, by applying a targeted force. The interaction of these elements supports and mechanically stabilizes the wearer's spine, and straightens it, especially in the shoulder and upper thoracic spine region. It is believed that the more tension applied to the shoulder straps, the more the shoulders are pulled backwards, thereby straightening the upper body.

[0003] The back support belt system is also intended to reduce the stress on the back when lifting and carrying loads, in particular to promote the avoidance of excessive stress, since it purposefully absorbs and distributes forces generated in particular in the shoulder area. When lifting and carrying loads, the support belt is intended to transfer the forces acting mainly on the upper body via the arms and shoulders directly to the pelvis or trunk. In this way, the spine is considered to be bypassed and relieved. Furthermore, the back support belt system is intended to provide a sense of security and stability to the wearer by making him aware of the harmful and burdensome relief posture in the case of an excessively poor posture of the upper body. Therefore, the back support belt system is also intended for the occupational safety of able-bodied persons. At the same time, the back support belt is considered to guide and limit the movement in a controlled manner in order to avoid poor postures that are unfavorable for the back when lifting and carrying loads. This is useful in occupational safety, rehabilitation and certain sports activities.

[0004] A disadvantage of known back support belt systems or back braces of this kind is their complex structure, which makes them difficult for the wearer to put on, and why incorrect use is hardly excluded. Known belts with support elements and straps are mostly of rigid design, which achieves a support effect but does not allow for a satisfactory individual adaptation to a specific application situation, special treatment requirements and / or anatomical situation of the wearer. In particular, in the presence of certain stresses or even when the back support belt system is tensioned during or after wearing, the movements of the user cause certain movement phases of undesirable slippage (movement) of the back support belt system on the body to positions that can have a significant negative effect on the wearing comfort and render the brace practically ineffective. In particular, for patients with limited mobility, it is actually difficult to wear such belt systems and even to generate the necessary tension in the support elements and pelvic belts, even after they are worn. It can also be difficult to wear a brace that is already set for sufficient support, i.e. a pre-tensioned brace, under its tension. Pre-tensioned shoulder straps, even when worn, may disadvantageously pull the pelvic belt to which they are connected upwards, particularly into the upper waist towards the lower rib cage, so that a functional fit to the pelvis may no longer be achievable. Summary of the Invention [Problem to be solved by the invention]

[0005] The technical problem addressed by the present invention is therefore that of improving such a back support belt system or back brace, such as a lying brace, which is based at least on a basic structure including a pelvic belt frame having force-introducing shoulder straps extending therefrom, so that it is easier for the wearer to don it, and furthermore, the system, in particular the pelvic frame, is effectively prevented from moving either immediately upon donning or during use, in particular while the wearer is moving, so that the supporting and relieving effects of such a system are believed to be improved and can also be maintained throughout the entire wearing period. [Means for solving the problem]

[0006] The technical problem is completely solved by the design of a new type of back support belt or back brace according to the claims. The back brace or back support belt system comprises at least the following elements: an at least partially stretchable pelvic belt worn around the wearer's pelvis, with a central part that can be located in the lumbar / sacral region in the worn state, and left and right side parts extending laterally therefrom and pulled ventrally when worn, a right shoulder strap loop that extends only from the left side of the pelvic belt, worn over the wearer's right shoulder according to the invention, and a left shoulder strap loop that extends only from the right side of the pelvic belt, worn over the wearer's left shoulder according to the invention. Thus, both ends of the shoulder strap loop are arranged to start on opposite (opposite) pelvic belt sides, i.e. to cross the wearer's torso both at the back and (dorsally) in the wearer's abdominal or thoracic region. In this case, the right and left shoulder strap loops are in particular arranged to cross each other at an intersection point in the upper center of the back when worn, at an intersection point in the lower center of the back when worn, and in particular also at two lateral intersection points in the worn state, in particular in the thorax or waist area.

[0007] According to the invention, the two shoulder strap loops are preferably connected at least at one end to the pelvic belt via an inelastic tension strap which extends and is redirected to each of the pelvic belt sides via at least one first deflection element, so that when the equipment is worn, it extends in a sliding manner along the pelvic belt or even in the pelvic belt to each of the pelvic belt ends, i.e. to the abdomen. The tension strap (and thus each of the shoulder strap loops connected thereto) can be tensioned and in particular fixed to each of the pelvic belt ends.

[0008] Thus, in a first aspect of the present invention, the back brace comprises a pelvic belt having a central portion which is stretchable and which, in a worn state, can be located in the lumbar / sacral region, a left side portion extending laterally therefrom and having a left pelvic belt end, and a right side portion extending laterally therefrom and having a right pelvic belt end, said pelvic belt ends being connectable to each other under tension for wearing, a right shoulder strap loop which is worn over the right shoulder of the wearer and is connected only to the left side of the pelvic belt via both its first end and its second end, i.e. exclusively, and a left shoulder strap loop which is worn over the left shoulder of the wearer and is connected only to the right side of the pelvic belt via both its first end and its second end, wherein said right and left shoulder strap loops are connected to the right side of the pelvic belt via both its first end and its second end. Each shoulder strap loop is connected to the pelvic belt at least at their respective first ends via a first tension strap, the first tension strap of the right shoulder strap loop extends via at least one first left deflection element located on the left side and extends in a sliding manner along or through the pelvic belt towards the pelvic belt end at a position where it can be tensioned and secured thereto, and the first tension strap of the left shoulder strap loop extends via at least one first right deflection element located on the right side and extends in a sliding manner along or through the pelvic belt towards the pelvic belt end at a position where it can be tensioned and secured thereto.

[0009] For this purpose, in a first embodiment, the first tension strap of the right shoulder strap loop is arranged to extend through a first left deflection element arranged at least on the left side, cross the central portion and extend in a sliding manner along or through the right side of the pelvic belt towards the right pelvic belt end, and the first tension strap of the left shoulder strap loop is arranged to extend through a first right deflection element arranged at least on the right side, cross the central portion and extend in a sliding manner along or through the left side of the pelvic belt towards the left pelvic belt end.

[0010] In a further alternative to the first embodiment, the first tension strap of the right shoulder strap loop extends via the at least one first left deflection element located on the left side, extends from the first left deflection element towards the central portion to at least one second left deflection element located on the central portion, and from there along the left side to the left pelvic belt end, and the first tension strap of the left shoulder strap loop extends via the at least one first right deflection element located on the right side, extends from the at least one first right deflection element towards the central portion to at least one second right deflection element located on the central portion, and from there along the right side to the right pelvic belt end.

[0011] According to the present invention, "tension strap" refers primarily to a substantially inelastic strap, i.e. a tension-resistant flexible strap in the form of a woven belt. Functionally equivalent designs such as chain or link belts, straps made of flexible polymeric solid materials and metal bands are also included herein. Alternatively, it also refers to tension ropes or tension cords, which are individual or combined with parallel or interwoven cords. In particular, said tension strap is provided to be non-stretchable, i.e. substantially inelastic and tension-resistant, especially compared to said shoulder strap.

[0012] According to the invention, "deflection element" refers primarily to the eyelets or rings through which the strap or rope passes and is guided, but also to the attached rollers or roller blocks. Depending on the object of the application and the particular tension strap guide, a non-slip or slip improving coating may be provided (see below).

[0013] In the present case, "wearer" refers to a person who puts on and uses, i.e. wears, the belt system according to the invention as part of a work safety measure, for example to prevent excessive stress or poor posture when working, in particular when carrying loads, but also to a patient who puts on and uses, i.e. wears, the belt system according to the invention as part of a treatment method, for example to prevent excessive stress or poor posture of a previously damaged or diseased musculoskeletal system or to allow targeted exercise instruction in the context of a treatment for a diseased musculoskeletal system.

[0014] According to the invention, the tension straps are guided along their longitudinal extension on or through the pelvic belt so that when the pelvic belt is stretched, in particular during or after the brace is donned on the wearer, the shoulder strap loops can be tensioned, i.e. facilitated by the tension straps, respectively. The shoulder strap loops are in particular arranged so that in the donned state they can be tensioned individually on the pelvic belt via the tension straps.

[0015] It is also provided that by tensioning the shoulder straps on the pelvic belt, i.e. each of the tension straps connected to the shoulder strap loops, the pelvic belt itself can also be tensioned, i.e. further tensioned, particularly while or after the brace is being donned on the wearer.

[0016] According to the first embodiment, due to the tension of the tension straps, the two lateral and central deflection points move towards each other, so that the pelvic belt is advantageously tensioned together with the tension of the shoulder straps. In a second embodiment, the pelvic belt and the shoulder straps can be tensioned separately. This is especially possible for elderly patients with limited mobility. In particular, the tension strap ends of the shoulder straps can be directly fastened to the pelvic belt, for example by Velcro® elements, respectively, and / or can be tensioned there by separate tensioning devices at the sides, so that the tension of the shoulder straps can be quickly and easily adjusted even while the back support belt system according to the invention is being worn.

[0017] When the pelvic belt is worn under tension around the wearer's pelvis or waist, in particular in the wearer's abdominal region, by closing the two pelvic belt ends, the tension straps of the shoulder strap loops guided along the pelvic belt according to the invention are tensioned so that the pelvic belt can be further tensioned, i.e. the pelvic belt can be further tightened, according to this aspect of the invention, in order to tension the shoulder straps. It has been shown that the tension of the pelvic belt can be increased in proportion to the increase in the tension of the shoulder straps, resulting in a better fit and better retention of the pelvic belt. Undesirable movements of the pelvic belt when tensioning the shoulder straps can thus be avoided.

[0018] For this purpose, the tension straps are in particular provided to have a free end of the tension strap that can be fixed directly to each of the pelvic belt ends in order to apply tension. This can be achieved in a manner known per se by means of releasable connection elements. Hooks and eyelets, or alternatively or additionally, in particular Velcro® hooks on the side of the free ends of the tension straps and Velcro® mating elements, in particular velour, on the side of the pelvic belt ends, are preferred. The tension strap ends are preferably reversibly arranged at or on the pelvic belt ends in order to allow the tension and the direction of tension to be adjusted separately. This is in particular achieved by a large surface formed at the pelvic belt ends with Velcro® mating elements, or by a number of surfaces spaced apart from one another.

[0019] Thus, the invention in particular allows for a substantially two-step tensioning during the donning or use of the brace. Once the pelvic belt end is closed, the pelvic belt can be further tightened in a first tensioning step, possibly under initial tension, by means of the free ends of the tension straps, in which the tensioning first preferably provides a radial tension around the wearer's waist or pelvis, so that the pelvic belt is better and more firmly donned. In a second step of the tensioning step, the two shoulder strap loops can be tensioned again via the other two laterally located free ends of the tension straps. Both tensioning processes can be carried out simultaneously in one tensioning step or in several separated tensioning steps which can be clearly distinguished by the force action and / or tensioning effect on the pelvic belt and the shoulder straps, which is based in particular on the specific arrangement and guidance of the tension straps and the deflection elements on the pelvic belt, as well as on the static and sliding friction conditions of fixed or extending straps on the deflection elements and along the pelvic belt.

[0020] Due to the dynamic force distribution of the shoulder straps on the pelvic belt, which is especially made possible by the tension straps being guided in a sliding manner on the shoulder straps, the tension can be advantageously dynamically distributed on the back brace depending on the state of movement of the wearer, without causing local excessive tension and therefore undesirable movement of the back brace. In particular, the arrangement according to the invention allows the tensioning force, which holds the pelvic belt by static friction on the wearer's pelvis or iliac crest, to be in a proper and always adjusted relationship with the tensioning force of the shoulder straps, thereby effectively avoiding excessive tension on the shoulder straps, which reduces the holding force (static friction) of the pelvic belt. As a result, undesirable movement of the pelvic belt and therefore of the back brace is prevented.

[0021] In this case, advantageously, when put on by the wearer, the elastic pelvic belt is stretched to tension and close the two side portions, whereby the tension straps, in particular in the form of tension belts and / or tension ropes or tension cords, which extend along the pelvic belt, in particular between each of the side portions and the central pelvic belt portion, are likewise stretched simultaneously on both sides, so that when the pelvic belt is put on and the two strap ends are closed under tension, the shoulder straps are automatically tensioned in relation to the pelvic belt, whereby the required tension can be easily generated and in particular allows the introduction of the necessary shoulder forces for recreation.

[0022] Each tension strap is guided individually on or through the pelvic belt between at least one central deflection element in the dorsal central region of the pelvic belt and at least one lateral deflection element arranged in a lateral region located further towards the front (ventral) of each of the sides. The path and arrangement of the shoulder straps on the pelvic belt with respect to the distribution of dynamic tension forces according to the invention in the brace is of particular importance for the desired function of the belt system of the brace. It can be selected based on the intended use, the therapeutic purpose or the wearer's requirements. In some cases, for example when used in the field of occupational safety, the cushioning effect of the shoulder straps is particularly aimed at, in other cases an effective and easily wearable lying brace for osteoporosis patients with limited mobility is desired. The invention therefore comprises several variations and designs of tension strap guides.

[0023] In a first variant, the tension strap coming from the dorsal first end of the right shoulder strap loop runs from a first left deflection element arranged to the left of the central part along the left side to the left pelvic belt end, and the tension strap coming from the dorsal first end of the left shoulder strap loop runs from a first right deflection element arranged to the right of the central part along the right side to the right pelvic belt end, which means that the tension strap coming in front of the opposite shoulder strap loop is guided directly towards the front (ventral side) only via a lateral deflection element.

[0024] In another variation, the tension strap coming from the rear first end of the right shoulder strap loop extends from a first left deflection element at a further distance from the central portion along the left side in the direction of the central portion to a second left deflection element at a closer distance to the central portion and from there along the left side towards the left pelvic belt end, and the tension strap coming from the rear first end of the left shoulder strap loop extends from a first right deflection element at a further distance from the central portion along the right side in the direction of the central portion to a second right deflection element at a closer distance to the central portion and from there along the right side towards the left pelvic belt end.

[0025] This means that each tension strap is guided between the at least one central deflection element and the at least one lateral deflection element. In a first variant, the tension strap coming across from the shoulder strap loop of the opposite body half is guided by the lateral deflection element in the direction of the central part of the pelvic belt and from there to the deflection element arranged closer to the center. From the more central deflection element, the tension strap is guided towards the front (ventral) side of the same side of the pelvic belt. In another variant, the incoming tension strap is guided back and forth several times, in particular along the waist, by changing direction by several lateral deflection elements and at least one more centrally arranged deflection element, where the deflection elements form a block and the tension straps form, respectively, a runner.

[0026] When the pelvic belt is worn, the introduction point of the tension strap of the shoulder strap is located in the back / back area of ​​the pelvic belt, but always between the central part and the aforementioned side part. For this, the deflection element is guided on or in the area of ​​the stretchable (elastic) part of the pelvic belt, so that an effective variation in the length of the pelvic belt due to pulling or tensioning brings about a pulling or tensioning force on the tension strap, effectively shortening its length. In a particularly preferred embodiment, the tension strap is then guided back from the lateral pelvic belt part to the more central pelvic belt and from there back again in a direction along the lateral pelvic part. This "Z"-shaped change of direction / redirection of the tension strap achieves a force / length transformation in a single or possibly multiple pulley manner. For example, when bending, a simple pulling on the shoulder strap will result in a double or several-fold increase in the tension on the pelvic belt. Conversely, when donning, pulling on the pelvic belt results in an effective shortening of the shoulder straps by a factor of two or several, the latter being particularly advantageous for the donning of the dorsal strap system according to the invention, since when donning the pelvic belt, in particular the shoulder straps can be advantageously shortened to a significant extent by first donning them loosely and then applying tension to achieve the intended support function.

[0027] In a preferred embodiment, it is further provided that when the pelvic belt is in the worn state, the first outer starting point of the shoulder strap end is located in the region of the iliac crest, preferably just on the iliac crest (crista iliacus). This advantageously ensures that the length of the second end of each of the shoulder strap loops, which is attached to the pelvic belt, i.e. in the anatomical frontal plane of the wearer's or user's body, does not passively vary significantly during movement, in particular when bending the back. In combination with the specific path of the shoulder straps on the body according to the invention, a "neutral point" is achieved during movement that prevents undesirable additional lateral forces that may additionally cause the pelvic belt to move. The front point of tension introduction of each of the shoulder strap loops of the pelvic belt is therefore preferably located in the anatomical frontal plane. In this way, the belt system retains its tension even during bending.

[0028] In a first variant of this embodiment, the second ends of the right and left shoulder strap loops are connected to each of the sides at left and right lateral anchors, respectively, which, in the worn state of the pelvic belt, are located on or in the area of ​​the left and right iliac crests of the wearer, respectively. The second ends of the shoulder strap loops can in particular be connected to the anchors either directly or indirectly via length-adjustable, fixed tension straps. For this purpose, such tension straps can be guided in a manner known per se by eyelets that act as anchors and clamped with a buckle by themselves for length adjustment.

[0029] In another variation of this embodiment, the second ends of the right and left shoulder strap loops are connected to the pelvic belt via second tension straps, the second tension strap of the right shoulder strap loop slidably extends along the left side toward the left pelvic belt end via at least one left lateral deflection element, and the second tension strap of the left shoulder strap loop slidably extends along the left side toward the left pelvic belt end via at least one left lateral deflection element, and when the pelvic belt is worn, the left and right lateral deflection elements are positioned on or in the area of ​​the left and right iliac crest of the wearer, respectively.

[0030] In a preferred embodiment of the invention, at least one end of the shoulder strap loop, which forms the transition between the shoulder strap and the connected tension strap, is specifically designed as an elastic strap portion.

[0031] According to the invention, the term "elastic strap portion" primarily refers to an elastic band that can be stretched by tensile stress, i.e. a flexible band, in particular in the form of a textile belt. Functionally equivalent designs, in particular elastomeric strips, preferably made of rubber, silicone rubber, polyurethane, etc., are therefore also included. Alternatively, it also refers to an elastic tension rope with an insert made of elastomeric fibers. The elastic strap portion is provided to be more elastic, i.e. to be able to stretch further under tension, in particular compared to the remaining parts of the shoulder strap loop. In a preferred variant, the elastic strap portion is the only component of the shoulder strap that stretches, i.e. lengthens, under tensile forces that may occur when the brace is used properly, in particular when bending the back. The elastic strap portion preferably has a force-to-elongation range of 7N to 55N, in particular 20N to 40N, at a longitudinal extension of +60%.

[0032] The elastic strap portion is preferably arranged at the end of the shoulder strap loop, which pulls the entire upper back part upwards towards the shoulder. Since the length variation when bending the back is particularly pronounced in this region of the body, the particularly elastic strap portion arranged in this region can reduce the excessive tension on the strap, i.e. can compensate it by its inherent elongation during bending. Due to its elasticity, the elastic strap portion is used to limit the pulling force of the tension introduced by the shoulder strap into the pelvic belt, thereby preventing the pelvic belt from moving. In addition to this, it can also compensate the length variation of the back part during bending, thus keeping the shoulder strap in place on the shoulder, allowing freedom of movement and improving the wearing comfort and effectiveness of the back belt system.

[0033] In a variant of this embodiment, the elastic end is additionally provided with a separately formed mechanical stretch limiter guided parallel to the elastic part. The stretch limiter can be designed as at least one low-elastic or non-elastic band connected to each end of the elastic part. This can be used for controlled motion control during flexion, depending on the desired therapeutic objective or the intended use of the system. In particular, excessive flexion of the back is supposed to be prevented, which may be required therapeutically, for example in post-operative rehabilitation or in the field of occupational safety when lifting loads, for recreation, improved posture and resulting load transfer on the back.

[0034] In a further embodiment, the support belt system according to the invention is guided with individual cross-guides at least at the cross-points of the shoulder strap loops. The cross-guides are particularly used to simplify the application of the back brace to the wearer or user, as they hold the crossing shoulder straps in the correct position. At least one such cross-guide is preferably provided at the top, middle and rear cross-points.

[0035] The back support belt system according to the invention allows the wearer to be encouraged to adopt a gentler posture, specifically an upright posture, in the event of incorrect postures of the upper body, specifically a large forward trunk bend and, in the worst case, a further rotation of the back in the bent position. When bending the spine to lift a load, the load is transferred to the front of the ventral columns of the vertebral bodies. By lifting from the knees with a straight spine (upright posture), the load is advantageously distributed over the entire area of ​​the ventral columns. When bending the upper body forward, the wearer can adopt an upright posture, especially when the wearer is subjected to increasing tension forces via the shoulder strap system according to the invention. In this case, the pelvic belt acts as an "anchor" and establishes a central fixed point that is used to generate forces from shoulder movements in a dorsal direction via the belt system. A further side effect of the form-fitting and tensioned pelvic belt of the back support belt system according to the invention is the feeling of security and stability it gives to the wearer of the system.

[0036] In a particular embodiment, the back support belt system according to the invention is therefore attached to an elastic vest or elastic jacket, and the shoulder straps and / or the pelvic belt are at least partially fixed to the vest or jacket. A subject of the invention is therefore also a protective garment, in particular in the form of a vest or jacket, comprising an expandable vest or jacket and the back support belt system according to the invention described herein.

[0037] In the simplest case, the back support belt system is sewn to the vest or jacket. In an alternative variant, the support straps are guided in loops on the vest or jacket. The design of the vest or jacket allows easy donning and doffing, which is very useful, for example in the field of occupational safety, especially for short-term repeated use of the back support belt system. The vest or jacket used is made of elastic or knitted fabric. Alternatively, a flexible bust, such as essentially known as a safety vest, can be fitted to the back support belt system according to the invention.

[0038] Finally, the subject of the invention is also the use of the back brace according to the invention or the protective clothing according to the invention for protection against harmful stresses on the back. [Brief description of the drawings]

[0039] [Figure 1] FIG. 1 is a front perspective view of a first embodiment of a back brace according to the present invention. [Diagram 2] FIG. 2 is a rear perspective view of another embodiment of a back brace according to the present invention in an open position. [Diagram 3] FIG. 3 is a rear perspective view of the back brace of FIG. 2 in the form worn on a wearer. [Figure 4] FIG. 2 is a front perspective view of the embodiment of FIG. 1 as worn on a wearer. [Figure 5A] 4 shows an alternative variant of the embodiment according to FIG. 2 or FIG. 3. [Figure 5B] 4 shows an alternative variant of the embodiment according to FIG. 2 or FIG. 3. [Figure 6] 2 shows a further alternative embodiment of the back brace in a front view similar to the depiction of FIG. 1. [Figure 7] In a representation similar to that of FIG. 2, a further embodiment of a back brace according to the invention is shown according to FIG. [Figure 8] A further embodiment of the present invention is shown as protective clothing. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0040] The present invention will be described in detail by the following specific embodiments, which are not meant to be limiting.

[0041] Figure 11 is a front perspective view of a first embodiment of a back brace according to the invention. A left shoulder loop 24, which can be worn on the left shoulder, is attached to the pelvic belt 30 with the rear central part 31 of the right side 34 of the pelvic belt 30, and a right shoulder loop 22, which can be worn on the right shoulder, is attached to the left side 32 of the pelvic belt 30. The (back) end 25 of the left shoulder strap loop 24, in the worn state, extends over the back and is connected via an elastic strap part 80 to a substantially inelastic tension strap 54. The tension strap 54 is guided forward along the left side 32 of the pelvic belt 30, which extends to the right of the central part 31 of the pelvic belt 30, crosses the central part 31, and ends at a free end 55, via a right deflection element 64, which in this embodiment is designed as an eyelet, a ring or a simple buckle. In this case, the free end 55 of the tension strap 54 can be fixed to the left pelvic belt end 32. In a symmetrical manner, the rear end 23 of the right shoulder strap loop 22 extends via an elastic strap portion 80 and a corresponding left deflection element 62 to a tension strap 52 which extends to the pelvic belt 30, likewise across the central portion 31, along the right side 34 and ends at a free end 55. The free end 55 of the tension strap 52 can be fixed to the right pelvic belt end 35. The other ends 26, 27 of the respective shoulder strap loops 22, 24 are in the illustrated embodiment firmly connected to the regions of the sides 32, 34 which are further to the side, i.e. farther away from the central portion 31. For this purpose, the second end 26 of the right shoulder strap loop 22 is firmly connected to the left side 32 of the pelvic belt 30 at a left anchor 72. The left anchor 72 is located in the region of the left side 32 and is located on or above the left iliac crest of the wearer when the brace is worn on the wearer. The second end 27 of the left shoulder strap loop is also securely connected to the right side 34 of the pelvic belt 30 via a right anchor 74. The right anchor 74 is similarly located in the area of ​​the right side 34 and is located on or above the wearer's right iliac crest when the brace is worn on the wearer.Due to the arrangement of the fasteners of the ends 23, 25, 26, 27 of the shoulder strap loops 22, 24 on the pelvic belt 30 on opposite sides of the body according to the invention, the shoulder strap loops cross each other at four crossing points, namely a rear center upper crossing point 41, a rear center lower crossing point 43, a left lateral crossing point 42 and a right lateral crossing point 44. An additional, in particular a partially elasticated and / or padded shoulder strap 28 is optionally formed at the top of the shoulder straps which extend to the clavicle and scapula area when the brace is put on the wearer.

[0042] Figure 2 FIG. 2 is a rear perspective view of another embodiment of a back brace according to the present invention in an open position. Unlike components corresponding to the features shown in FIG. 1, the embodiment according to FIG. 2 has, in addition to the corresponding components, an alternative tension strap guide. Right shoulder strap loop 2 2 and 2 left shoulder strap loops 4 The tension straps 52, 54 enter the pelvic belt 30 at the first lateral left and right deflection elements 62 and 64, respectively. From there, they are first redirected in the direction of the central portion 31, where they enter the second left and right deflection elements 63 and 65, which are centrally located, i.e. closer to the central portion 31. There, the tension straps 52 and 54 are redirected and subsequently pulled in the direction of the left and right pelvic belt ends 33 and 35, respectively. In addition to the embodiment of FIG. 1, adjustable second tension straps 56, 57 are provided in the embodiment according to FIG. 2 for fixing the second ends 26, 27 of the shoulder strap loops 22 and 24, respectively, at the anchor points 72 and 74, where each of the tension straps 56, 57 is fastened with itself to a buckle 58 in order to realize a length adjustment of the shoulder straps.

[0043] Figure 3FIG. 3 is a rear perspective view of the back brace according to FIG. 2 in the form worn on the wearer. It is also shown that the first deflection elements 62, 64 are arranged on the reinforcing element 36 in the region of the elastic pelvic belt 30 and are in particular directly connected thereto. Also visible is the central part 31 of the pelvic belt 30, designed as a reinforcing element, in which the second deflection elements 63, 65 are arranged and in particular to which they are directly connected.

[0044] Figure 4 FIG. 2 is a front perspective view of the embodiment according to FIG. 1 as worn on a wearer, with reference numbers given according to FIG.

[0045] Figures 5A and 5B 5A and 5B show alternative variants of the embodiment according to Fig. 2 or 3, respectively, in which the first deflection elements 62, 64 can be or are fixed to the reinforcing element 36 and the second deflection elements 63, 65 can be or are fixed in a variable position to the central part 31 of the pelvic belt, which is designed as a reinforcing element, resulting in an alternatively configured arrangement of the respective tension straps 52, 54 guided in the deflection elements of the pelvic belt 30. Fig. 5A shows a first arrangement of the first deflection elements 62 and 64 on the upper end of the pelvic belt 30 and a first arrangement of the second deflection elements 63, 65 in the middle of the height of the central part 31. Fig. 5B shows an alternative arrangement of the first deflection elements 62 and 64 in the central region of the pelvic belt 30 and an alternative arrangement of the second deflection elements 63, 65 in the lower region of the central part 31.

[0046] Figure 6FIG. 1 shows a further alternative embodiment of the back brace in a front view similar to the depiction in FIG. 1. Unlike the embodiment according to FIG. 1 and also the alternative embodiment according to FIG. 2, in this illustrated variant of the embodiment, it is additionally provided that the second free ends 26 and 27 of the two shoulder strap loops 22, 24 are guided in a left lateral deflection element 66 and a right lateral deflection element 67, respectively, the second end 26 of the right shoulder strap loop 22 ends in a second tension strap 56 and the second end 27 of the left shoulder strap loop 24 ends in a second tension strap 57. They can also be fixed to the left pelvic belt end 33 and the right pelvic belt end 35, respectively, via the free ends 55 of their tension straps. In this embodiment, both ends 23, 25, 26, 27 of the respective shoulder strap loops can thus be tensioned individually via the individually assigned tension straps 52, 54, 56, 57.

[0047] Figure 7 FIG. 2 shows a further embodiment of a back brace according to the invention according to the invention, in a representation similar to that of FIG. 1. The same reference numbers indicate the same or functionally identical elements.

[0048] Figure 8 1 shows a further embodiment of the invention as a protective garment. A back support belt system similar to the embodiment according to FIG. 2 is attached to an elastic vest 90. At least in part, the right and left shoulder strap loops 22 and 24 and the pelvic belt 30 are firmly connected to the vest 90. Thus, the back brace can be directly and immediately worn together with the vest 90. [Explanation of symbols]

[0049] Right shoulder strap loop (22) First end of right shoulder strap loop (23) Left shoulder strap loop (24) First end of left shoulder strap loop (25) Second end of right shoulder strap loop (26) Second end of left shoulder strap loop (27) Shoulder strap(28) Pelvic Belt(30) Central part (31) Left side (32) Left pelvic belt end (33) Right side (34) Right pelvic belt end (35) Reinforcing elements (36) Upper center intersection (41) Left intersection (42) Intersection at bottom center (43) Intersection on the right (44) First tension strap on right shoulder strap loop (52) First tension strap on left shoulder strap loop (54) Second tension strap on right shoulder strap loop (56) Second tension strap on left shoulder strap loop (57) Belt Buckles(58) First left deflection element (62) Second left deflection element (63) First right deflection element (64) Second right deflection element (65) Left lateral deflection element (66) Right lateral deflection element (67) Left anchor (72) Right Anchor (74) Elastic strap section (80) Jackets(90)

Claims

1. a pelvic belt (30) having a central portion (31) which is stretchable and which is fitted to the pelvis of a wearer and which can be positioned in the lumbar / sacral region when fitted, a left side portion (32) which extends laterally from the central portion (31) and has a left pelvic belt end (33), and a right side portion (34) which extends laterally from the central portion (31) and has a right pelvic belt end (35), the pelvic belt ends (33, 35) being connectable to each other under tension for fitting; a right shoulder strap loop (22) that is worn over the right shoulder of the wearer and is connected via its first end (23) to the right side (34) or the left side (32) of the pelvic belt (30) and via its second end (26) to the left side (32) of the pelvic belt (30); a left shoulder strap loop (24) that is worn over the wearer's left shoulder and is connected via its first end (25) to the left side (32) or the right side (34) of the pelvic belt (30) and via its second end (27) to the right side (34) of the pelvic belt (30); Equipped with the right and left shoulder strap loops (22, 24) are connected at least at their first ends (23, 25) to first tension straps (52, 54), respectively; the first tension strap (52) connected to the right shoulder strap loop (22) extends via at least one first left deflection element (62) located on the left side (32) and slides along or within the pelvic belt (30) towards the pelvic belt end (33, 35) at a position where the first tension strap (52) can be tensioned; and the first tension strap (54) connected to the left shoulder strap loop (24) extends via at least one first right deflection element (64) located on the right side (34) and slides along or within the pelvic belt (30) towards the pelvic belt end (33, 35) at a position where the first tension strap (54) can be tensioned; the first tension strap (52) connected to the right shoulder strap loop (22) extends via a first left deflection element (62) located on the left side (32), crosses the central portion (31) and slides along or within the right side (34) of the pelvic belt (30) towards the right pelvic belt end (35), and the first tension strap (54) connected to the left shoulder strap loop (24) extends via a first right deflection element (64) on the right side (34), crosses the central portion (31) and slides along or within the left side (32) of the pelvic belt (30) towards the left pelvic belt end (33); or the first tension strap (52) connected to the right shoulder strap loop (22) extends via a first left deflection element (62) arranged on the left side (32), from which it extends in the direction of the central portion (31) to a second left deflection element (63) arranged on the central portion (31), and from there along the left side (32) to the left pelvic belt end (33); the first tension strap (54) connected to the left shoulder strap loop (24) extends via a first right deflection element (64) arranged on the right side (34), from which it extends in the direction of the central portion (31) to a second right deflection element (65) arranged on the central portion (31), and from there along the right side (34) to the right pelvic belt end (35); At least one deflection element (62, 64, 63, 65) is separately formed and connectable to said pelvic belt (30).

2. 2. The back brace according to claim 1, wherein the right shoulder strap loop (22) and the left shoulder strap loop (24) cross each other at a dorsal center upper intersection point (41) in the worn state, at a dorsal center lower intersection point (43) in the worn state, and at two lateral intersection points (42, 44) in the worn state.

3. 3. The back brace of claim 1 or 2, wherein each of the tension straps (52, 54) has a tension strap free end (55) that can be fixed directly to each of the pelvic belt ends (33, 35) to apply tension to the tension straps (52, 54).

4. 4. The back brace according to claim 1, wherein the shoulder strap loops (22, 24) are tensionable via the tension straps (52, 54), slide over the sides (32, 34), and are secured to the respective pelvic belt ends (33, 35) via stretching of the pelvic belt (30) when the back brace is worn and the pelvic belt (30) is closed.

5. 5. A back brace as claimed in any one of claims 1 to 4, wherein the shoulder strap loops (22, 24) can be individually tensioned via the tension straps (52, 54) and secured to each of the pelvic belt ends (33, 35) when the back brace is in the worn position and the pelvic belt (30) is closed.

6. 6. The back brace according to claim 4 or 5, wherein the closed pelvic belt (30) can be additionally tensioned via the tension straps (52, 54) connected to the shoulder strap loops (22, 24) when the back brace is worn.

7. 7. The back brace according to any one of claims 1 to 6, wherein the second ends (26, 27) of the shoulder strap loops (22, 24) are connected to the left and right sides (32, 34) respectively at left and right lateral anchors (72, 74) which are positioned on or in the area of ​​the wearer's left and right iliac crests (crista iliacus) when the pelvic belt (30) is in a worn state.

8. 8. The back brace according to claim 1, wherein an elastic strap portion (80) is formed between one end of the shoulder strap loop (22, 24) and the tension strap (52, 54), and the elasticity of the elastic strap portion (80) is higher than the elasticity of the shoulder strap loop (22, 24) itself.

9. 9. The back brace of claim 8, wherein an additional extension limiter in the form of at least one low elastic or non-elastic strap portion guided in a parallel manner is formed in the elastic strap portion (80).

10. A stretchable vest or jacket (90) and the back brace according to any one of claims 1 to 9, The protective garment wherein the shoulder strap loops (22, 24) and the pelvic belt (30) are at least partially attached to a vest or jacket (90) and are firmly connected to the vest or jacket (90).

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