Email this article Design and Development of Thoracic Lumbar Sacral Orthosis Brace to Reduce Back Pain
Abstract
Background: Doing activities that burden the back, such as bending over for a long time and lifting weights in the wrong position, can cause injury to the spine, leaving back pain. Thoracic Lumbar Sacral Orthosis Brace (TLSO Brace) is a tool used to support the spine so that it can prevent such an injury.
Objective:This research aims to design and pilot a new ergonomic TLSO Brace that can be used to improve posture, reduce back pain and prevent back pain.
Methods: This research is divided into several stages, namely designing, manufacturing, and testing.
Results: The results show that the level of ergonomics is mainly in the Good category. The use of the TLSO Brace was proven effective in reducing back pain intensity (p<0.0001); the average pain was reduced after 14 minutes. The results also found that all respondents who used the brace at work felt no back pain. It can be seen that the lordosis back arch becomes upright after using it, meaning the tool also improves posture.
Conclusions: The ergonomic TLSO Brace has been created and can improve body posture, reduce pain intensity and prevent back pain from recurring.
Keywords
Full Text:
PDFReferences
Ali, A., Fontanari, V., Fontana, M., & Schmölz, W. (2020). Spinal Deformities and Advancement in Corrective Orthoses. Bioengineering (Basel, Switzerland), 8(1). https://doi.org/10.3390/bioengineering8010002
Allegri, M., Montella, S., Salici, F., Valente, A., Marchesini, M., Compagnone, C., … Fanelli, G. (2016). Mechanisms of low back pain: a guide for diagnosis and therapy. F1000Research, 5. https://doi.org/10.12688/f1000research.8105.2
Bataller-Cervero, A. V., Rabal-Pelay, J., Roche-Seruendo, L. E., Lacárcel-Tejero, B., Alcázar-Crevillén, A., Villalba-Ruete, J. A., & Cimarras-Otal, C. (2019). Effectiveness of lumbar supports in low back functionality and disability in assembly-line workers. Industrial Health, 57(5), 588–595. https://doi.org/10.2486/indhealth.2018-0179
Bhuiyan, N. (2011). A framework for successful new product development. Journal of Industrial Engineering and Management, 4(4), 746–770. https://doi.org/http://dx.doi.org/10.3926/jiem.334
Charan, J., & Biswas, T. (2013). How to calculate sample size for different study designs in medical research? Indian Journal of Psychological Medicine, 35(2), 121–126. https://doi.org/10.4103/0253-7176.116232
Cooper, L., Gullane, A., Harvey, J., Hills, A., Zemura, M., Martindale, J., … Cheneler, D. (2019). Experimental platform to facilitate novel back brace development for the improvement of spine stability. Computer Methods in Biomechanics and Biomedical Engineering, 22(15), 1163–1173. https://doi.org/10.1080/10255842.2019.1645837
Das, B. (2015). An evaluation of low back pain among female brick field workers of West Bengal, India. Environmental Health and Preventive Medicine, 20(5), 360–368. https://doi.org/10.1007/s12199-015-0476-0
Fares, M. Y., Fares, J., Salhab, H. A., Khachfe, H. H., Bdeir, A., & Fares, Y. (2020). Low Back Pain Among Weightlifting Adolescents and Young Adults. Cureus, 12(7), e9127. https://doi.org/10.7759/cureus.9127
Grabovac, I., & Dorner, T. E. (2019). Association between low back pain and various everyday performances : Activities of daily living, ability to work and sexual function. Wiener Klinische Wochenschrift, 131(21–22), 541–549. https://doi.org/10.1007/s00508-019-01542-7
Haefeli, M., & Elfering, A. (2006). Pain assessment. European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 15 Suppl 1(Suppl 1), S17-24. https://doi.org/10.1007/s00586-005-1044-x
Hagen, K. B., Jamtvedt, G., Hilde, G., & Winnem, M. F. (2005). The updated cochrane review of bed rest for low back pain and sciatica. Spine, 30(5), 542–546. https://doi.org/10.1097/01.brs.0000154625.02586.95
Hagiwara, Y., Yabe, Y., Yamada, H., Watanabe, T., Kanazawa, K., Koide, M., … Itoi, E. (2017). Effects of a wearable type lumbosacral support for low back pain among hospital workers: A randomized controlled trial. Journal of Occupational Health, 59(2), 201–209. https://doi.org/10.1539/joh.16-0203-OA
Handley, M. A., Lyles, C. R., McCulloch, C., & Cattamanchi, A. (2018). Selecting and Improving Quasi-Experimental Designs in Effectiveness and Implementation Research. Annual Review of Public Health, 39, 5–25. https://doi.org/10.1146/annurev-publhealth-040617-014128
Kang, J.-I., Kwon, H.-M., Jeong, D.-K., Choi, H., Moon, Y.-J., & Park, J.-S. (2016). The effects on postural control and low back pain according to the types of orthoses in chronic low back pain patients. Journal of Physical Therapy Science, 28(11), 3074–3077. https://doi.org/10.1589/jpts.28.3074
Karlsson, M., Bergenheim, A., Larsson, M. E. H., Nordeman, L., van Tulder, M., & Bernhardsson, S. (2020). Effects of exercise therapy in patients with acute low back pain: a systematic review of systematic reviews. Systematic Reviews, 9(1), 182. https://doi.org/10.1186/s13643-020-01412-8
Kuorinka, I., Jonsson, B., Kilbom, A., Vinterberg, H., Biering-Sørensen, F., Andersson, G., & Jørgensen, K. (1987). Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Applied Ergonomics, 18(3), 233–237. https://doi.org/10.1016/0003-6870(87)90010-x
Migliorini, F., Maffulli, N., Eschweiler, J., Betsch, M., Catalano, G., Driessen, A., … Baroncini, A. (2021). The pharmacological management of chronic lower back pain. Expert Opinion on Pharmacotherapy, 22(1), 109–119. https://doi.org/10.1080/14656566.2020.1817384
Mokhtarinia, H., Ghamary, J., Maleki-Ghahfarokhi, A., Asgari, M., Gabel, C. P., & Parnianpour, M. (2019). The new “Tehran Back Belt”: Design then testing during a simulated sitting task improved biomechanical spine muscle activity. Health Promotion Perspectives, 9(2), 115–122. https://doi.org/10.15171/hpp.2019.16
Myung, E., Neto, J. D., Murta, G. A., Vieira, A., Gomes de Lima, P. R., Lessa, L., & Bernardo, W. M. (2018). ANAMT Technical Guideline (DT 05): prevention of occupational low back pain through back belts, lumbar support or braces. Revista Brasileira de Medicina Do Trabalho : Publicacao Oficial Da Associacao Nacional de Medicina Do Trabalho-ANAMT, 16(4), 524–531. https://doi.org/10.5327/Z1679443520180334
Nowotny, J., Nowotny-Czupryna, O., Brzęk, A., Kowalczyk, A., & Czupryna, K. (2011). Body posture and syndromes of back pain. Ortopedia, Traumatologia, Rehabilitacja, 13(1), 59–71. https://doi.org/10.5604/15093492.933788
Nurfajri, T., Subakir, & Hapis, A. A. (2022). Faktor-Faktor yang Berhubungan dengan Keluhan Nyeri Punggung Bawah pada Pekerja Batu Bata di Desa Talang Belido Tahun 2021. Jurnal Inovasi Penelitian, 2(12), 3933–3938. https://doi.org/https://doi.org/10.47492/jip.v2i12.1497
Paolucci, T., Attanasi, C., Cecchini, W., Marazzi, A., Capobianco, S. V, & Santilli, V. (2019). Chronic low back pain and postural rehabilitation exercise: a literature review. Journal of Pain Research, 12, 95–107. https://doi.org/10.2147/JPR.S171729
Petersen, R. de S., & Marziale, M. H. P. (2014). Low back pain characterized by muscle resistance and occupational factors associated with nursing. Revista Latino-Americana de Enfermagem, 22(3), 386–393. https://doi.org/10.1590/0104-1169.3321.2428
Rozenberg, S., Delval, C., Rezvani, Y., Olivieri-Apicella, N., Kuntz, J.-L., Legrand, E., … Bourgeois, P. (2002). Bed rest or normal activity for patients with acute low back pain: a randomized controlled trial. Spine, 27(14), 1487–1493. https://doi.org/10.1097/00007632-200207150-00002
Samani, M., Shirazi, Z. R., Hadadi, M., & Sobhani, S. (2019). A randomized controlled trial comparing the long-term use of soft lumbosacral orthoses at two different pressures in patients with chronic nonspecific low back pain. Clinical Biomechanics (Bristol, Avon), 69, 87–95. https://doi.org/10.1016/j.clinbiomech.2019.07.003
Schott, C., Zirke, S., Schmelzle, J. M., Kaiser, C., & Fernández, L. A. I. (2018). Effectiveness of lumbar orthoses in low back pain: Review of the literature and our results. Orthopedic Reviews, 10(4), 7791. https://doi.org/10.4081/or.2018.7791
Urits, I., Burshtein, A., Sharma, M., Testa, L., Gold, P. A., Orhurhu, V., … Kaye, A. D. (2019). Low Back Pain, a Comprehensive Review: Pathophysiology, Diagnosis, and Treatment. Current Pain and Headache Reports, 23(3), 23. https://doi.org/10.1007/s11916-019-0757-1
van Duijvenbode, I. C. D., Jellema, P., van Poppel, M. N. M., & van Tulder, M. W. (2008). Lumbar supports for prevention and treatment of low back pain. The Cochrane Database of Systematic Reviews, 2008(2), CD001823. https://doi.org/10.1002/14651858.CD001823.pub3
Varrassi, G., Moretti, B., Pace, M. C., Evangelista, P., & Iolascon, G. (2021). Common Clinical Practice for Low Back Pain Treatment: A Modified Delphi Study. Pain and Therapy, 10(1), 589–604. https://doi.org/10.1007/s40122-021-00249-w
Weiss, H.-R., & Turnbull, D. (2019). Non-specific chronic low back pain in patients with scoliosis-an overview of the literature on patients undergoing brace treatment. Journal of Physical Therapy Science, 31(11), 960–964. https://doi.org/10.1589/jpts.31.960
Wernli, K., O’Sullivan, P., Smith, A., Campbell, A., & Kent, P. (2020). Movement, posture and low back pain. How do they relate? A replicated single-case design in 12 people with persistent, disabling low back pain. European Journal of Pain (London, England), 24(9), 1831–1849. https://doi.org/10.1002/ejp.1631
Wong, A. Y. L., Karppinen, J., & Samartzis, D. (2017). Low back pain in older adults: risk factors, management options and future directions. Scoliosis and Spinal Disorders, 12, 14. https://doi.org/10.1186/s13013-017-0121-3
Wu, A., March, L., Zheng, X., Huang, J., Wang, X., Zhao, J., … Hoy, D. (2020). Global low back pain prevalence and years lived with disability from 1990 to 2017: estimates from the Global Burden of Disease Study 2017. Annals of Translational Medicine, 8(6), 299. https://doi.org/10.21037/atm.2020.02.175
Yang, H., Haldeman, S., Lu, M.-L., & Baker, D. (2016). Low Back Pain Prevalence and Related Workplace Psychosocial Risk Factors: A Study Using Data From the 2010 National Health Interview Survey. Journal of Manipulative and Physiological Therapeutics, 39(7), 459–472. https://doi.org/10.1016/j.jmpt.2016.07.004
DOI: https://doi.org/10.18196/ijnp.v6i2.17303
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution 4.0 International License.
IJNP (Indonesian Journal of Nursing Practices) are indexed by:
.png)
Office:
School of Nursing, Faculty of Medicine and Health Science, Universitas Muhammadiyah YogyakartaSiti Walidah Building F3, 4th floor.
JL. Brawijaya, Tamantirto, Kasihan, Bantul, Yogyakarta 55183
Email: IJNP@umy.ac.id
Web: http://journal.umy.ac.id/index.php/ijnp
Indonesian Journal of Nursing Practice is licensed under an Attribution 4.0 International (CC BY 4.0) license.