Dave Hodgson, an engineer, explains how the lumbar support he developed decompresses the spine while you wear it.
When the BaxMAX was created, we considered all of the shortcomings of a typical back brace in our design. First, the BaxMAX is not made of elastic. It's made of a thin, porous nylon fabric (stitched with Kevlar) so it doesn't stretch like an elastic back brace and is breathable. The material compound makes it extremely durable (has a 5-year warranty), yet comfortable enough to wear all day if needed, plus it doesn't hold heat, so you won't get hot and sweaty.
The patented 5:1 compound pulley system enables the BaxMAX to get 5X tighter than the elastic braces, resulting in 5 times the support. There are several back braces on the market that use cord-pulls to tighten, but it's important to understand the difference.
A single pull back brace (like the BaxMAX) has only one pull that is connected to both sides of the brace and includes a series of "pulleys" to tighten the brace. This is called a compound pulley which gives you leverage when you are tightening the brace. For example, the BaxMAX has a 5:1 compound ulley, meaning that for every 5 inches you move the pull, the brace only moves 1 inch. The compound pulley effect enables you to get the brace tighter and provide more support than a multi-pull brace. In the case of the BaxMAX, it provides 5 times the amount of support. Also, thanks to the one-pull system, the BaxMAX can be loosened almost instantly which makes it quick and easy to release the support without taking off the brace. Then re-tightening is just and quick and easy. Our recommendation is to loosen the BaxMAX once per hour for 5-10 minutes, which ultimately addresses the muscle atrophy issue
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The Cox 8 Spinal Decompression Table by Haven Medical