首页> 美国卫生研究院文献>Applied Bionics and Biomechanics >Mechanical Testing of a Novel Fastening Device to Improve Scoliosis Bracing Biomechanics for Treating Adolescent Idiopathic Scoliosis
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Mechanical Testing of a Novel Fastening Device to Improve Scoliosis Bracing Biomechanics for Treating Adolescent Idiopathic Scoliosis

机译:新型固定装置的机械测试可改善脊柱侧弯支撑生物力学以治疗青少年特发性脊柱侧弯

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摘要

Velcro fastening straps are commonly used to secure a scoliosis brace around the upper body and apply corrective forces to the spine. However, strap loosening and tension loss have been reported that reduce spinal correction and treatment efficacy. A novel fastening device, or controlled tension unit (CTU), was designed to overcome these limitations. A scoliosis analog model (SAM) was used to biomechanically compare the CTU fasteners and posterior Velcro straps on a conventional brace (CB) as well as on a modified brace (MB) that included a dynamic cantilever apical pad section. Brace configurations tested were (1) CB with posterior Velcro straps, (2) CB with posterior CTU fasteners, (3) MB with posterior Velcro straps, and (4) MB with posterior CTU fasteners. MB configurations were tested with 0 N, 35.6 N, and 71.2 N CTU fasteners applied across the apical pad flap. Three-dimensional forces and moments were measured at both ends of the SAM. The CTU fasteners provided the same corrective spinal loads as Velcro straps when tensioned to the same level on the CB configuration and can be used as an alternative fastening system. Dynamically loading the apical flap increased the distractive forces applied to the spine without affecting tension in the fastening straps.
机译:魔术贴固定带通常用于将脊柱侧弯撑杆固定在上身周围,并对脊柱施加矫正力。然而,已经报道了束带松动和张力损失降低了脊柱矫正和治疗功效。为了克服这些限制,设计了一种新颖的紧固装置或受控张力单元(CTU)。脊柱侧弯模拟模型(SAM)用于生物力学比较常规支架(CB)以及包括动态悬臂顶垫部分的改良支架(MB)上的CTU紧固件和后魔术贴带。测试的支撑构型为(1)带后魔术贴带的CB,(2)带后CTU固定器的CB,(3)带后魔术带的MB和以及(4)带后CTU的MB。 MB构型通过在顶垫皮瓣上使用0 N,35.6 N和71.2 N CTU紧固件进行了测试。在SAM的两端测量三维力和力矩。当在CB配置上将CTU紧固件拉紧到相同水平时,其提供的矫正脊柱负荷与Velcro皮带相同,并且可以用作替代的紧固系统。动态加载顶端皮瓣可增加施加在脊柱上的分散力,而不会影响紧固带中的张力。

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