Abstract:
The invention is directed to the combination of orthopedic back support and physical exercise devices that provide comfort, support and stabilization of the spinal system. More particularly, it contributes to means for developing the musculature of the lower back, spinal cord and upper body by application of axial tensioning to unload compressive forces on the spine, thus allowing improved circulation to the discs and stimulation of the muscles. As a preventive exercise it helps avoid back problems, but when pain occurs, the invention helps relieve pain, improve comfort and provides rehabilitation of the back to a healthier state under self administration.

Description:
BACKGROUND OF INVENTION 
     1. Field of the Invention 
     The invention is directed to the combination of orthopedic back support and physical exercise devices that provide comfort, support and stabilization of the spinal system. More particularly, it contributes to means for developing the musculature of the lower back, spinal cord and upper body by application of axial tensioning to unload compressive forces on the spine, thus allowing improved circulation to the discs and stimulation of the muscles. As a preventive exercise it helps avoid back problems, but when pain occurs, the invention helps relieve pain, improve comfort and provides rehabilitation of the back to a healthier state under self administration. 
     Health statistics reveal that lower back pain is a very common and costly occurrence associated with a traumatic event, chronic occurrence, congenital or normal ageing process. Statistics reveal that there is an 80 percent probability that a person will have back problems during one&#39;s lifetime. In addition, back treatment is a $50 billion industry with a probable growth of 30 percent over the next twenty years. Despite the pervasiveness of the problem, at this time, a satisfactory solution is problematic due to the difficulty of analysis and uncertainty of results from various approaches for treatment. These treatments comprise home remedies, over-the-counter and prescription pain management, exercises, or stabilization of the lower back through the use of an orthotic back brace, or specialized orthotics, apparatus, or work methods to alter the way one works, walks, sits, or exercises in pursuit of pain relief and rehabilitation of the back. Surgical options are invasive and are reserved for the worst back injuries with results often far less than expectations. 
     2. Description of Related Art 
     Most devices in the field for lower back support rely on a circumferential belt used to contain a reservoir of body mass to constrain the movement of the spine. Such approaches have minimal effect in reducing the forces and compressive stresses on the discs between the vertebrae. 
     Prior art reflects various approaches for back support devises that consist principally of belt strapping systems that support pads, splines and methods of applying pressure to lumbar sections of the spinal musculature. In addition, they provide various means of girth adjustment, belt connections, or special functions. None reflect a trapeze approach for transferring forces to the pelvic musculature. 
     Partial relief can be obtained by an inversion table, but warnings for such treatment provide notice of the possibility of strokes. 
     More extensive relief can be obtained by professional traction tables, however, these subject the patient to compression of the lungs. 
     U.S. Pat. No. 5,551,085 to Leighton, (“Leighton”), and U.S. Pat. No. 7,364,558 B to Weaver, II et. al., (“Weaver”), reflect that improvements are still needed that balance both the support provided by the back brace with the comfort of wearing the brace. Neither provides the reduction of forces and stresses on the vertebra cells and cartilage nor the rehabilitative effect of physical exercise by axial tensioning of the spinal column. 
     Leighton discloses a lower back support with an elastic belt with lumbar pads pressured again the back when the overlapping pressure strap is tightened around the waist. 
     Weaver discloses a similar approach to improve a firmer support with improved comfort. 
     U.S. Design Pat. No. 435611 to Hines reveals adaptation of a belt strap for use in aerobic exercises. 
     U.S. Pat. No. 5,533,961 to Iwata features adaptation of vertical support bones for firmer support and stability. 
     DJO Global supplies Chattanooga traction tables that provide decompression of the back under professional treatment by separating tables that hold a patient in place by strapping belts. 
     An advertisement in Skymall magazine features a floor bench which by use of underarm supports and a lever that slides a tubular extension holding the feet stretches the back. Similar models are produced by Stamina Products. 
     The above references reflect the wide range of approaches that seek to provide relief of pain, comfort, stability and exercise for the back. None of these combine features that are integral in the current invention. 
     Most importantly, these noted inventions provide no personal, portable, and reasonably priced means or methods for axial tensioning of the spine to unload compressive forces. In addition to comfort and support features, the device of this patent application stimulates circulation and restores health to the back through exercise routines made possible by the apparatus. 
     BRIEF SUMMARY OF THE INVENTION 
     The present invention reasonably achieves the claims of the above related art with improvements that achieve the distinct advantage of axial tensioning treatment and exercises for rehabilitating the vertebrae and musculature of the spinal system and upper body. 
     The invention provides multi-purpose effects and is defined by four principal levels of embodiment; (1) Basic, (2) Standard, (3) Premium and (4) Custom. Alternatives to parts of these principal embodiments provide a broader range of treatments and exercises. 
     PRINCIPAL EMBODIMENTS 
     Basic 
     The Basic embodiment incorporates a non-elastic belt placed around the waist with the top just above the point of the iliac crest as it passes around the hip. Due to the conical shape of the hip, the belt slopes downward to a Velcro fastener—the right end segment of ties and the left end segment of loops—which are sewn to the belt at a slight angle so the fastener is horizontal when approximately centered in the front below the navel. 
     Attached to the belt on each side of the wearer, a trapeze assembly is centered on the iliac crest in such position that a vertical force can be applied downward on the trapeze bar until the belt prevents further displacement. 
     The trapeze assembly consists of a header support, “gusset,” that is fastened to the belt, support ropes, “web straps,” attached to the header, and the trapeze bar, “handle,” connected at each end to the ropes. 
     In the Basic embodiment, the web straps, in this case serving as the gusset, are sewn to the belt and extended downward to be terminated by a loop in the strap to support the handle. The handle is reduced in diameter near each end to accept the web straps and hold them in place. Height adjustment of the handles is accomplished by adding adjustment loops to the web straps. 
     Principal Embodiments 
     Standard 
     The Standard embodiment incorporates the addition of a wider inner elastic belt connected in the middle of the back of the basic belt which remains as the outer belt. The inner belt is connected in front by an upgrade of the basic Velcro connection consisting of a right front end segment of loops and a left front end segment of ties. 
     The inner belt is wider to provide more comfort and stability and alternatively may include compressible pads with a fabric cover sewn to the interior side of the inner belt. 
     In the Standard embodiment, the basic belt, now the outer belt, is modified to better distribute the forces from the trapeze assembly to vertical resultant forces at the iliac crest. The existing belt portion is lowered to the top of the iliac crest so an additional top belt segment can be formed at each side around the conical surface above the iliac crest at the waist. This top belt would have a greater slope toward the front and back since there is a lower angle of conical slope. This top belt segment reduces the waist dimension and better distributes the path of forces from the trapeze assembly downward through the belt to the vertical resultant forces in the hips and legs. 
     The end sections of the top belt and basic existing belt are joined at the front in the Velcro connection and at the back by a gusset. The Velcro portions are shaped like the palm of a hand to provide better connections at various slopes of the end segments of the belt. 
     The embodiment of the Standard Belt also includes improvements in the trapeze assembly to provide improved vertical adjustment of the handle height. 
     Trapeze Embodiment A 
     Belt 
     A strap keeper loop hangs from a gusset attached to the outer belt. A belt lead with punched holes which will engage the belt buckle hangs from the strap keeper loop. The belt buckle strap threads through the buckle loop and is sewn together and likewise the other end wraps around the handle and is sewn together. 
     Trapeze Embodiment B 
     Conway 
     A strap keeper loop is attached to the belt by a tab gusset and another strap keeper loop is attached by looping the strap around the handle and sewing the loose end to the strap. A Conway buckle is used for adjustment of a third strap which contains spaced holes in it and passes up through the buckle, around the top strap keeper loop, back thru the buckle, around the bottom strap keeper loop, and back up through the buckle. With spaced holes the strap can be adjusted to various lengths to adjust the height of the handles. 
     Trapeze Embodiment C 
     Snap Latch and Slide 
     A strap keeper loop is attached to the belt by a tab gusset and another strap keeper loop is attached by looping the strap around the handle and sewing the loose end to the strap. A male portion of a snap latch is attached to a top strap that is supported by the top strap keeper loop. The female portion is attached to a strap with an adjustable slide keeper which in turn is attached to the strap keeper loop attached to the handle thus providing vertical adjustment. 
     Principal Embodiments of Premier and Custom Designs 
     Custom designs are included and defined in the “Detailed Description of the Product.” 
     Principal Embodiment 
     Premier 
     The embodiments of the premier device provide improved comfort, fit, flexibility and durability in the use of the present invention. Plastic formed side elements with gel comfort pads provide improved bearing contact for the application of trapeze forces to the musculature of the pelvis. In addition, the elements provide connections for the basic, standard and premier belt devices to allow adjustments in the back, frontal and trapeze hangar segments. The inner belt provides various ways to add back support splines, lumbar supports and pads for stability and comfort. 
     Principal Embodiment 
     Custom 
     The embodiments of the custom device anticipate the special fabrication needs to meet the requirements of the wearer with physical limitations. The overhead option for applying downward forces to the trapeze segment provides a horizontal overhead bar so the wearer can perform a pull up exercise by grabbing the bar or attached handles or rings. The forces from the horizontal bar would then be transferred to structural frames on each side of the body that would further transfer the forces downward to the trapeze segment. The resulting force on the trapeze would be similar to the basic, standard and premier devices and axial tensioning of the spine would occur in the same manner. The side frames would have vertical adjustments to accommodate varying arm lengths, and special attachments to the frames and belt would be available for strapping the wearer as needed to accommodate physical limitations. 
     This invention simply provides an inner elastic belt with liner for comfortable adjustment of the apparatus around the waist of the wearer, an outer non-elastic belt that provides a peripheral band supported by the iliac crest from which handle assemblies at each side provide for axial tensioning of the spine by extension of force through the arms to the handle, thus elongating and tensioning the spine. The effect of axial tensioning is to unload the compressive forces on the spine and relieve pain, stimulate and increase the flow of blood to the spinal discs which are under reduced pressure, and invigorate the muscular development of the spinal muscles due to the effect of repeated exercises. 
    
    
     
       BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWINGS 
         FIG. 1 . Isometric View of the Basic Belt 
         FIG. 2 . Isometric View of the Top Belt Option—Standard Belt 
         FIG. 3 . Isometric View of Bottom Belt Option—Premium Belt 
         FIG. 4 . Isometric View of Elastic Inner Liner Belt Option—All Belts 
         FIG. 5 . Plan view—Inside of Basic Belt. 
         FIG. 6 . Plan view—Inside of Top Belt Option—Standard Belt 
         FIG. 7 . Plan view—Inside of Bottom Belt Option—Premium Belt. 
         FIG. 8 . Plan view—Inside of Elastic Inner Liner Belt Option—All Belts 
         FIG. 9 . Option Web Strap with Multiple Loops. 
         FIG. 10 . Option Web Strap with Slide Fastener 
         FIG. 11 . Option Web Strap with Conway Buckle 
         FIG. 12 . Option Web Strap with Quick Release Fastener 
         FIG. 13 . Option Web Strap with Punched Holes and Buckle 
         FIG. 14 . Opposite Threaded Coupler with Ring Connectors 
     
    
    
     REFERENCE NUMERALS 
     Basic 
     
         
         
           
               1 .- 19 . Not Used 
               21 . Non-Elastic Belt Webbing 
               22 . Velcro Connection Belt Loop End 
               23 . Velcro Connection Belt Tie End 
               24 . Trapeze Hangar Web Strap Gusset 
               25 . Trapeze Hangar Web Strap with Loop 
               26 . Trapeze Bar Handle 
               27 . Reference to Trapeze Details [ 24 ,  25 ,  26 ]—Basic 
               28 . Optional Velcro Back Tie Connection 
               29 . Not Used 
           
         
       
    
     Standard 
     
         
         
           
               30 . Standard Belt 
               31 . Top Belt Addition 
               32 .- 33 . Not Used 
               34 . Velcro Palm Connection Loop End 
               35 . Velcro Palm Connection Tie End 
               36 . Reference to Trapeze Detail Options—Standard 
               37 .- 39 . Not Used 
           
         
       
    
     Premium 
     
         
         
           
               40 . Premium Belt 
               41 . Lower Belt Addition 
               42 . Back Gusset Addition 
               43 . Side Gusset Additions 
               44 . Front Gusset Additions 
               45 . Back Velcro Tie Connection 
               46 . Reference to Trapeze Details 
               47 . Front Velcro Loop Connection 
               48 . Front Velcro Tie Connection 
               49 . Not Used 
           
         
       
    
     Inner Belt 
     
         
         
           
               50 . Inner Belt 
               51 . Elastic Belt Webbing 
               52 . Gusset for Right End 
               53 . Gusset for Left End 
               54 . Velcro Connection Right Loop End 
               55 . Velcro Connection Left Loop End 
               56 . Velcro Connection Back Loop to Outer Belt 
               57 .- 59 . Not Used 
           
         
       
    
     Inner Belt Padding 
     
         
         
           
               60 . Inner Belt Padding 
               61 . Lumbar Padded Section 
               62 . Lumbar Padded Section Cover Sheet 
               63 . Vertical Stability Battens 
               64 . Batten Sheet Pocket 
               65 . Hip Padded Section 
               66 . Hip Padded Section Cover Sheet 
               67 .- 69 . Not Used 
           
         
       
    
     Trapeze Header Options 
     
         
         
           
               70  Trapeze Header Options 
               71 . Basic Belt Sewn Strap 
               71 . (a) Belt Tab Gusset 
               72 . Standard Belt Horizontal Loop Option 
               73 . Premium Belt Metal Hangar Option 
               74 .- 79  Not Used 
           
         
       
    
     Trapeze Hangar Options 
     
         
         
           
               80 . Trapeze Hangar Options 
               81 . Basic Web Strap With Loop 
               82 . Option Web Strap with Multiple Loops 
               83 . Standard Web Strap with Slide Fastener
           ( 83 . a ) Slide Fastener   ( 83 . b ) Strap for Slide Fastener     
               84 . Option Web Strap with Conway Buckle
           ( 84 . a ) Conway Buckle   ( 84 . b ) Belt with spaced holes for buckling     
               85 . Option Quick Release Latch
           ( 85 . a ) Quick Release Latch tongue   ( 85 . b ) Quick Release Latch receiver     
               86 . Option Web Belt with Punched Holes and Buckle
           ( 86 . a ) Buckle with tongue   ( 86 . b ) Lead belt end with spaced holes and belt loop     86 .(c) Attached belt end with notched loop for buckle tongue and bottom loop for keeper loop     
               87 . Option Wire Rope with Adjustable Coupler and Ring Connector
           ( 87 . a ) 0Threaded Coupler with ring   ( 87 . b ) Rotator knob for adjustment   ( 87 . c ) Threaded Coupler with ring and wire rope     
               88 . Option Sewn Strap with Loop for Handle. 
               89 . Option Rectangular Keeper Loop 
           
         
       
    
     Trapeze Bar Options 
     
         
         
           
               90 . Trapeze Bar Options 
               91 . Wood Bar with Notched Strap Locators 
               92 . Custom Handle Grip Wood Bar with Bolt-Ring Connector 
               93 . Custom Molded Handle with Connector 
               94 . Gymnastic type Ring Handles 
               95 - 99  Not Used 
           
         
       
    
     Device Options 
     
         
         
           
               100 . Lumbar Supports 
               101 . Batten Stabilizers 
               102 . Gel Comfort Pads. 
               103 . Plastic Support Molds 
               104 . Overhead Arm Tension Pull Down 
               105 . Inner Belt Abdomen Pad 
           
         
       
    
     DETAILED DESCRIPTION OF THE INVENTION 
     The present invention now will be described more fully with reference to the accompanying drawings in which the most likely embodiments will be illustrated. The invention can be embodied in many different forms; the invention should not be limited in the embodiments set forth herein. It will be readily apparent to one skilled in the art that various substitutions and modifications may be made to the invention, including embodiments anticipated by the applicant, all as set forth herein. 
     The primary embodiment of the invention can best be understood by the interaction of forces applied to the basic belt device and the resultant reaction of the body. 
     Detailed Description of the Basic Embodiment of the Invention 
     The basic device [ FIG. 1 ,  20 ;  FIG. 5 ,  20 ] for a wearer consists of four sections as shown: (1.) a belt section [ 21 ] around the back and sides of the girth of the waist slightly above the point of the iliac crest; (2.) a connection section [ 22 ,  23 ] in the front provided by fastening attachments to each end of the belt section; and (3.) a left trapeze section [ 27 ] consisting of elements [ 24 ,  25 ,  26 ]; and (4.) a right trapeze section [ 27 ] consisting of elements [ 24 ,  25 ,  26 ] centered on the left hip iliac crest and right hip iliac crest at each side of the wearer. 
     Downward forces by the arms pushing down against the handle of the trapeze bar [ 26 ] are transferred by gussets, loops and straps [ 24 ,  25 ] to the basic belt 
     These downward compressive forces are then transferred by circumferential tension and bearing and compression forces to the body&#39;s pelvic musculature-skeletal system thus forming a foundation for resisting resultant forces. The upper body musculature-skeletal system of the shoulders is raised by the compressive forces of the arms and combined with the anchoring of the pelvic system results in the elongation of the spine thru axial tensioning. 
     The belt section [ FIG. 1 ,  21 ] consists of a wide non elastic web strap, a heavyweight polypropylene webbing, that fits across the back and around the conical shape of the hips with the top of the belt slightly above the iliac crest, thereby inducing a downward slope toward the front connection. 
     The connection section consists of a Velcro fastener loop section [ 22 ] attached to the right end of the belt section and the tie section [ 23 ] attached to the left end of the belt section. The loop and tie parts are sewn to the belt sections with a slightly upward slope so the resulting Velcro connection will be horizontal across the front of the wearer. 
     The trapeze section [ 27 ] consists of a top gusset [ 24 ], vertical supports [ 25 ] and a handle [ 26 ]. Two web straps [ 25 ] hang from the belt section [ 21 ] and contain a loop at the lower end of each strap [ FIG. 9 ,  72 ] to support the trapeze bar handle [ 26 ] where the hand grips the device. The web straps [ 25 ] are centered at the side on the iliac crest and attached to the right front and right flank of the belt and sewn at such an angle so the straps are parallel to each other when in position on the wearer. 
     The trapeze bar handle [ 26 ] is a cylindrical shaped part of such length to provide a comfortable grip for the hand plus attachment of the hanger straps. A section on each side of the hand grip space is reduced in diameter to form a notch for securely holding the hang strap loops as they are slid over the end of the handle to position. 
     Detailed Description of the Standard Embodiment of the Invention 
     The belt section of the standard embodiment [ FIG. 2 ,  21 ;  FIG. 6 ,  21 ] of the invention is improved by the addition of an overlapping belt segment [ 31 ] placed slightly above the top of the basic belt centered on the sides at the point of the iliac crest. The path of the “top belt” segment traverses the surface of a conical shape with a lesser slope than the basic belt, thus diverting forces to be supported by the iliac and the pelvic musculature-skeletal foundation system as vertical forces. The two conical belt sections are sewn along the trace line of the intersection of the greater slope of the basic belt section and the lower slope of the top belt section. 
     The connection section of the standard embodiment [ FIG. 2 ,  34 ;  FIG. 2 ,  35 ] of the invention is improved by increasing the size and shape of both the loop [ 34 ] and tie parts [ 35 ] of the Velcro connection to provide both horizontal and vertical adjustment for the variance of waist size and variance in the conical slope of the wearer&#39;s body shape. The resultant design is a loop part in the shape of a palm [ 34 ] that is smaller than a similar but larger tie part [ 35 ] to provide proper fit for horizontal and vertical variances. 
     The trapeze section of the standard embodiment [ FIG. 2 ,  36 ;  FIG. 6 ,  36 ] of the invention is improved by an alternate changing the single strap with end loop [ FIG. 9 ,  72 ] to provide vertical adjustment with a hanger strap support consisting of a top gusset with tab loop [ FIG. 10 ,  71 ] holding a rectangular loop ring [ 89 ] and a handle strap support consisting of a rectangular loop ring [ 89 ] supporting a bottom sewn strap with loop [ FIG. 10 ,  88 ] for a handle. The standard web strap with slide fastener [ 83 ] with slide adjustment [ 83 . a ] threads thru the top and bottom rectangular loop rings [ 89 ] to adjust the height of the trapeze. 
     An added improvement for the standard embodiment of the invention [ FIG. 2 ,  30 ;  FIG. 6 ,  30 ] is an inner belt [ FIG. 4 ,  50 ] which provides more comfort, support and stability for the back. This Inner Belt consists of (1) an elastic belt section [ 51 ] which is wider than the basic belt and fits across the back and around the hips of the wearer, 2: a connection section [ 54 ,  55 ] at the front that consists of a Velcro fastener with the loop part attached to the right end of the belt section [ 54 ] and the tie part attached to the left end of the belt section [ 55 ], and 3: padded sections for comfort and fit [ 61 ,  65 ] consisting of padding contained by a cover fabric [ 62 ,  66 ] sewn to the inside surface of the inner belt. 
     The elastic belt section [ FIG. 4 ,  51 ;  FIG. 8 ,  51 ] consists of a woven elastic fabric with characteristics for elongation, breathability, workability and comfortability. The elastic belt section [ 51 ] is attached to the standard belt [ FIG. 2 ,  21 ] by sewing a gusset section to the elastic back section [ 56 ] and then fastening the gusset to the standard belt [ FIG. 2 ,  28 ] by sewing or by Velcro fasteners. 
     The padded and pocketed sections [ FIG. 4 ;  61 ,  63 ,  65 ] consist of various compressible or stiffening materials to improve comfort and stability. 
     The padded and pocketed cover fabric sections [ FIG. 4 ;  62 ,  64 ,  66 ] consist of washable woven elastic fabric and non-elastic materials appropriate for containing the inserted pads. 
     The connection on the inner belt to connect to the outer belt [ FIG. 4 ;  56 ] consists of a Velcro Loop part on the inner belt [ 56 ] which fastens to a Velcro Tie part on the outer belt [ FIG. 2 ,  28 .] 
     Other Embodiments and Options 
     Belt Section—Premium Option Lower Belt 
     The distribution of forces to the pelvic musculature-skeletal system which provides the foundation for resultant forces in use of the standard device [ FIG. 2 ,  30 ] is improved by the addition of a [ FIG. 3 ,  41 ;  FIG. 7 ,  41 ] lower overlapping belt. This “lower belt” consists of a gusset in the center of the back [ 42 ] where it overlaps the lower portion of the basic belt [ 21 ] and then slopes downward to a side gusset [ 43 ] centered on the iliac crest. From the side gusset [ 43 ] a belt section [ 21 ] proceeds to slope upward to a gusset at the front [ 44 .] The four gussets [ 41 ,  42 ,  43 ,  44 ] are sewn to the basic belt [ 21 ] and the front gussets [ 44 ] are sewn to the [ 47 ] loop and [ 48 ] tie ends of the Velcro connection. 
     The material for the lower belt [ 41 ] and gussets [ 42 ,  43 ,  44 ] consist of non-elastic woven polyethylene or other appropriate material. 
     Connector Section—Adjustable Connection Options 
     The front connector section of the device [ FIG. 1 :  22 ,  23 ;  FIG. 2 :  34 ,  35 ;  FIG. 3 :  47 ,  48 ] has several options for making secure connections for the left end of the belt to the right end: (1) a common Belt and Buckle Option consisting of the leader end of a belt with punched holes being attached to the back section of the right end of the belt and the buckle end of the belt attached to the front side of the left end of the belt; and, (2) a commercially available Eyelet and Cord Option consisting of eyelets being attached to gussets sewn to both ends of the back section with a cord to be threaded thru and looped around the eyelets and tied to secure the connection; and, (3) a commercially available Quick Release Cam Device consisting of the male end being attached to the right end of the belt section and the female end attached to the left end to secure engagement of the two parts; and, (4) a commercially available Blevins Buckle connection consisting of a leading edge section attached to the right end of the belt and perforated with spaced holes that slide over the studs of the male section of the device and then inserted in the female section which is attached to the left end of the belt. 
     Trapeze Section—Options 
     Options for the header portion of the trapeze support [ FIG. 9 ,  71 ] consist of: (1) addition of a bottom loop to the gusset as shown in [ FIG. 10 ,  71 ( a )] for connection to a rectangular loop [ 89 ]; and, (2) an alternative D ring or spring swivel trigger latch could be used; and, (3) a metal clip hangar with cutouts that function as a rectangular loop or a ring connection. 
     Options for the hanger portion for the trapeze support [ FIG. 1 ,  25 ;  FIG. 2 ,  25 ;  FIG. 3 ,  25 ] consist of: (1) a Conway Buckle [ FIG. 11 ,  84 ( a )] with a belt [ 84 ( b )] that has punched holes and threads through rectangular loop rings supported by the gusset at the top [ 89 ] and bottom [ 89 ]; and, (2) a belt [ FIG. 13 ,  86 ] with buckle [ 86 ( c )] that makes the similar connections to the rectangular loops [ 89 ]; and, (3) an adjustable threaded coupler [ FIG. 14 ,  87 ] with a rotator [ 87 ( b )] having opposite threaded bolts that screw into coupling nuts [ 87 ( a );  87 ( c )] with rings for attaching to web straps for connection to the belt and handle. 
     Options for the trapeze bar portion [ FIG. 1 ,  26 ] of the trapeze assembly [ FIG. 1 ,  26 ;  FIG. 2 ,  36 ;  FIG. 3 ,  26 ] consist of: (1) shaped handles [ 91 ] turned by lathe for more comfortable fit of the hands; and, (2) molded handles with loop ends similar to [ 88 ] or inserted coupling nuts similar to [ FIG. 14 ,  87 ]; and, (3) gymnastic type ring handles. Additional adjustments are provided by various hangar options known to those skilled in the trade. 
     Inner Belt—Options 
     Options for the inner belt [ FIG. 4 ] include: (1) special lumbar support devices [ 100 ] which are shaped to meet methods of applying pressure around the lumbar area; and, (2) formed plastic devices [ 102 ] for improved fit around the hips and improved transfer of pressure and stresses; and, (3) special plastic pads [ 103 ] capable of being filled to various pressures and attached to the inner belt by Velcro fasteners. 
     Further Options 
     An alternate embodiment of the trapeze section [ 90 ] provides for axial tensioning of the spine to occur by grasping an overhead arm tension pull down [ 104 ] which consists of a horizontal bar supported by a compressive frame on each side of the body. The user by pulling down on the horizontal bar transfers the forces downward to the trapeze web straps [ FIG. 1 ,  25 ] as in the basic embodiment. Furthermore, a pad [ 105 ] may be connected at desired points inside of the belt for application of overpressure at specific points of the abdomen or lumbar region. 
     Use of the Invention 
     Use of the invention requires proper sizing, fit and fastening for the back support to attain expected performance. Three measurements are taken to determine sizing: (1) the girth of the waist from a location slightly above the iliac crest; and, (2) the girth of the pelvis taken on a slope from a point at the center of the back above the iliac crest and sloping downward in both directions around the hip to a point slightly below the navel; and, (3) a girth of the hips taken approximately three inches below the iliac crest. The invention is sized based on waist measurements in increments for girths from small to extra-extra large. 
     To wear the back support with proper fit, the wearer places the back support around the body, as in putting on a belt, with the two free ends in front. The elastic inner belt should be stretched so the handles are centered on each side of the body and then after inhaling, the wearer should snugly fasten the inner elastic belt with the tie and loop fasteners. At this stage, the inner belt can be slightly shifted for more comfort by tugging on the belt in the desired direction. The free ends of the non elastic outer belt should be hanging freely from the frontal ties to the inner belt and the ends should be grasped and tugged forcefully to extend the left end and place it firmly against the inner belt while fastening the loops of the right end of the outer belt by overlaying the fastening ties already in place. On some embodiments of the invention the back portion of the outer belt is secured to the side gussets and the back portion can be adjusted for the handles to remain at the sides. Other embodiments of the invention allow for adjusting the hanger length for the handles to better accommodate the arm length of the wearer. 
     With the back support in place as described above, the support acts as a harness around the pelvic area allowing the upper muscular skeletal framework of the shoulders to elongate and axially tension the spine when force is applied by the arms to the trapeze bar. Exercises as prescribed by the wearer&#39;s doctor or physical therapist should be followed precisely to relieve pain, stimulate blood circulation, and strengthen muscles in a progressive approach to rehabilitation of the wearer&#39;s back.