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US20110088145A1 - Support structure for prophylaxis or treatment of a disorder accompanying a foot deformation - Google Patents

Support structure for prophylaxis or treatment of a disorder accompanying a foot deformation Download PDF

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Publication number
US20110088145A1
US20110088145A1 US12/994,699 US99469909A US2011088145A1 US 20110088145 A1 US20110088145 A1 US 20110088145A1 US 99469909 A US99469909 A US 99469909A US 2011088145 A1 US2011088145 A1 US 2011088145A1
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Prior art keywords
support structure
foot
ankle
forefoot
slip
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Abandoned
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US12/994,699
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English (en)
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Masanori Harada
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Individual
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Individual
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00—Bandages or dressings; Absorbent pads
    • A61F13/06—Bandages or dressings; Absorbent pads specially adapted for feet or legs; Corn-pads; Corn-rings
    • A61F13/064—Bandages or dressings; Absorbent pads specially adapted for feet or legs; Corn-pads; Corn-rings for feet
    • A61F13/067—Bandages or dressings; Absorbent pads specially adapted for feet or legs; Corn-pads; Corn-rings for feet for the sole of the foot
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/0102—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/0104—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation
    • A61F5/0111—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation for the feet or ankles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/019—Toe correcting or spreading devices

Definitions

  • the present invention relates to a support structure for prophylaxis or treatment of a disorder accompanying a foot deformation.
  • the present invention is concerned with a support structure for prophylaxis or treatment of a disorder accompanying a foot deformation, which comprises an instep part for covering an instep of a forefoot, a sole part for covering a sole of the forefoot, and at least a pair of slip-proof means for gripping the lateral and medial sides of the forefoot, wherein: the instep part and the sole part are connected together to form a cylindrical structure such that, when the support structure is fitted on a foot, the borders between the instep part and the sole part are aligned with the lateral and medial sides of the forefoot; the slip-proof means for gripping the lateral and medial sides of the forefoot are attached to the inner surface of the cylindrical structure at respective portions thereof to be contacted with the lateral and medial sides of the forefoot; and the instep part exhibits a larger elongation than the sole
  • the present invention enables comprehensive and effective prophylaxis and treatment of various disorders accompanying foot deformation (such as splayfoot, hallux valgus, falling of the foot arch (flattening of a sole) due to posterior tibial tendon dysfunction (hereinbelow, frequently abbreviated to “PTTD”), and heel valgus) without inflicting discomfort and pain on the user.
  • various disorders accompanying foot deformation such as splayfoot, hallux valgus, falling of the foot arch (flattening of a sole) due to posterior tibial tendon dysfunction (hereinbelow, frequently abbreviated to “PTTD”), and heel valgus) without inflicting discomfort and pain on the user.
  • PTTD posterior tibial tendon dysfunction
  • the above-mentioned excellent effects of the present invention can be accomplished by the use of thin materials and a simple structure, whereby the support structure of the present invention can be easily fitted on a foot and can be used in combination with outdoor or indoor footwear.
  • This means that the daily use of the support structure is easy so that the above-mentioned excellent prophylactic and curative effects of the present invention can be easily enhanced to a larger extent by daily use of the support structure.
  • a human foot has three arches, namely a transverse arch connecting the base of a first toe (i.e., big toe or hallux) and the base of a fifth toe (i.e., little toe or digitus minimus), a medial longitudinal arch connecting the heel and the base of the hallux, and a lateral longitudinal arch connecting the heel and the base of the little toe.
  • the foot arches function as springs during movements with the body weight placed on the foot such that the arches alleviate and absorb the impact from the ground, and are important for maintaining the balance of the body.
  • the transverse arch is like a spring composed of metatarsal ligaments and muscles, and is important for distribution of the impact applied to the tip of the foot and balancing the whole body during walking.
  • the splayfoot is a condition where the transverse arch is collapsed (i.e., flattened) so as to cause the foot to spread out fan-wise as viewed from above.
  • Such condition is caused by loosening of the metatarsal ligaments which occurs due to, for example, the weakening of muscles and increase in weight caused by lack of physical exercise, and the use of high-heeled shoes.
  • Symptoms of splayfoot include pain caused by the contact between the inner surface of a shoe and bases of the first and fifth toes.
  • the splayfoot often occurs in women who wear shoes with narrow toes and high heels for a long time, and in many cases, the splayfoot leads to symptoms of hallux valgus, namely the first toe being fixed in a state where the first toe turns in from its base toward the second toe and the joint at the base of the first toe protrudes outwardly at the medial side of the foot.
  • the splayfoot and hallux valgus cause not only pain, but also unnatural walking posture which leads to lumbago and fatigue of the whole body.
  • posterior tibial tendon having a function of maintaining the above-mentioned arches of the foot
  • tendon dysfunction is generally called “PTTD” and is attracting attention as a cause of various foot deformations, such as heel valgus and flat foot.
  • Patent Document 1 discloses a pair of socks each having a continuous high-elasticity section and separate low-elasticity sections, wherein the continuous high-elasticity section encompasses parts of the sock corresponding to a region traversing the plantar arch and a region traversing the upper portion of calcaneus bone, and the separate low-elasticity sections encompass remaining parts of the sock.
  • This sock is capable of lifting up the plantar arch of a foot without causing excessive tightening of the instep and, therefore, decreases fatigue and improves the athletic performance of the user by correcting the longitudinal arches.
  • Patent Document 1 has no description about the correction of the transverse arch and the importance thereof.
  • Patent Document 2 also discloses a pair of socks for smooth foot motion during walking.
  • the socks are produced by varying the knitting design and material depending on the positions of the sock so that the angle between the longitudinal axis of a sole part and the transversal axis of a toe part becomes larger than 0° and not more than 80°.
  • an instep part of this sock is made of a material which reduces elongation in a direction corresponding to the longitudinal direction of the foot on which the sock is fitted.
  • Patent Document 2 also describes the use of a locking region encircling a portion of each sock which is to face the metatarsal bones and/or metatarsophalangeal joints of the foot on which the sock is fitted.
  • the locking region prevents the occurrence of hallux valgus by appropriately pressurizing the metatarsal bones and/or metatarsophalangeal joints to thereby spread out the toes of the user.
  • this document has no description about the restoration of the transverse arch or amelioration of the splayfoot.
  • Patent Document 3 discloses a supporter for correcting hallux valgus, which has: openings formed by punching out holes at respective positions of the supporter which are to face the joints at the bases of the big toe and the little toe of the foot on which the supporter is fitted, a conical cushion protruding from a portion of the sole which is to face the meridian point called “Yusen” of the foot, a cylindrical joint wrapping part covering the whole of the metatarsal bones and wrapping around the sole and instep of the foot for obtaining compression and acu-pressure effects, and pads individually inserted between the big toe and the second toe and between the little toe and the fourth toe for applying a corrective force in a direction opposite to the direction of the compression force to thereby rectify the transverse arch.
  • the supporter of Patent Document 3 Since the supporter of Patent Document 3 has a structure which covers all of the metatarsal bones and compresses the metatarsal ligaments, the compression forces applied from the lateral and medial ends of the metatarsal ligaments in a direction towards the middle of the foot facilitate the formation of the transverse arch.
  • the supporter applies a force tightening the metatarsal ligaments in the direction from the instep part to the sole part and this force is likely to cause the collapse of the transverse arch.
  • the effect of the above-mentioned pad decreases and the arch formation becomes unsatisfactory.
  • the use of this supporter is accompanied by the danger of edema and paralysis caused by especially strong tightening of the instep.
  • Patent Document 4 discloses a supporter having toe-receiving parts and an adjuster belt, wherein a big toe and a little toe of a foot are respectively fitted into the toe-receiving parts, and the degrees of outward spreading of the big toe and the little toe are adjusted by the adjuster belt based on the individual symptoms of hallux valgus and digitus minimus varus.
  • This supporter is intended for use in combination with fashionable shoes, such as pumps. Accordingly, for achieving a design suitable for this purpose, the instep part of this supporter is designed as a thin line extending along the base portions of the toes.
  • Patent Document 4 does not cause the transverse arch to collapse since this supporter does not tighten the metatarsal ligaments in the direction from the instep part to the sole part, but this supporter does not have a structure capable of applying the tightening force from the lateral and medial sides of the metatarsal ligaments in the direction towards the middle of the foot, which force is necessary for the formation of the transverse arch. Therefore, this supporter is not suitable for ameliorating splayfoot.
  • Patent Document 5 discloses a pair of functional socks for restoring a collapsed transverse arch.
  • the sock has a structure such that a sole part covering the metatarsal ligaments of the sole of a foot and parts adjacent to the lateral and medial sides of the sole part are made of a high-elasticity material, whereas an instep part of the sock covering the metatarsal ligaments of the instep of the foot is made of a low-elasticity material having a lower elasticity than the above-mentioned high-elasticity material.
  • Patent Document 5 describes that, when the functional sock is fitted on a foot, the foot is tightened in the widthwise direction thereof such that the lateral and medial ends of each metatarsal ligament are drawn closer to each other, whereas the foot is free from the tightening in the thicknesswise direction thereof from the instep to the sole of the foot, thereby effectively restoring the metatarsal ligaments into a desired transverse arch form.
  • the functional socks disclosed in Patent Document 5 the low-elasticity material is cotton for producing conventional socks, and the high-elasticity material is a cotton material containing a urethane rubber woven thereinto.
  • the urethane rubber-containing cotton material is incapable of exerting a tightening force necessary for supporting the power point of the elastic region, and the cotton for socks used as the low-elasticity material stretches together with the high-elasticity region of the socks. Therefore, when the present inventor reproduced and tested the socks of Patent Document 5, the socks exhibited a slight effect of forming a small transverse arch before putting weight on the foot, but the transverse arch formation effect was lost when the weight was put on the foot.
  • a shoe insert (the so-called “UCBL shoe insert”) developed by UCBL (University of California Biomechanics Laboratory).
  • the UCBL shoe insert is made of a hard plastic material (such as polyurethane) and comprises lateral and medial longitudinal arch support parts, and a heel part having a depression for maintaining the calcaneus bone at an appropriate height.
  • the shoe insert is used by securing it to the foot with a belt or the like.
  • the UCBL shoe insert inflicts constrain and discomfort on the user because it is made of a hard material and covers a large area of the foot.
  • the UCBL shoe insert is custom made by molding using a mold with a cavity having a negative image of the foot of each patient and, therefore, is disadvantageous in that the production is laborious and costly.
  • Braces such as those manufactured and sold under the trade name “Aircast” (one of specific examples of which is “AirLift” (registered trademark)), are also known, which cover not only the sole, but also the entire ankle portion.
  • Aircast one of specific examples of which is “AirLift” (registered trademark)
  • a metatarsal bone pad in the form of an air pump into which air can be blown.
  • such a brace compresses the entire ankle portion of the foot and causes problems such as bad blood circulation, and pain and discomfort for the user.
  • This brace has a structure which strongly restricts the movements of the foot joints exclusive of the dorsal flexion and plantar flexion. In other words, with the exception of the dorsal flexion and plantar flexion, this brace functions like a plaster cast strongly fixing the foot. Since the size of this brace is large and is custom made, this brace is accompanied by problems, such as high cost and difficulty in obtaining the brace.
  • a support structure comprising an instep part for covering an instep of a forefoot, a sole part for covering a sole of the forefoot, and at least a pair of slip-proof means for gripping the lateral and medial sides of the forefoot, wherein: the instep part and the sole part are connected together to form a cylindrical structure such that, when the support structure is fitted on a foot, the borders between the instep part and the sole part are aligned with the lateral and medial sides of the forefoot; the slip-proof means for gripping the lateral and medial sides of the forefoot are attached to the inner surface of the cylindrical structure at respective portions thereof to be contacted with the lateral and medial sides of the forefoot; and the instep part exhibits a larger elongation than the sole part as measured in a direction
  • the present inventor has found that the addition of an ankle support band to be fitted around an ankle in a manner such that an anterior of the ankle and a heel are encircled by the ankle support band to the above-mentioned support structure enhances the prophylaxis and treatment effects of the support structure by enabling the correction of the three-dimensional structure of the entire foot from the forefoot to the rearfoot.
  • the above-mentioned ankle support band comprises an anterior ankle part for covering the anterior of the ankle and a heel part for covering the heel, wherein the anterior ankle part and the heel part are connected together in a manner such that, when the ankle support band is fitted around the ankle, the borders between the anterior ankle part and the heel part are aligned with the lateral and medial sides of the ankle; and further comprises at least a pair of slip-proof means for gripping the ankle which is attached to the inner surface of the ankle support band, wherein one of the slip-proof means is attached to a portion of the ankle support band to be contacted with medial malleolus of the foot and another slip-proof means is attached to a portion of the ankle support band to be contacted with the foot at an intermediate position between the lateral malleolus and the heel.
  • the present inventor has found that, when the support structure comprises a hallux valgus correcting flexible plate attached to the inner surface of the sole part, wherein the hallux valgus correcting flexible plate extends along a portion of the support structure to be contacted with an edge of a medial side of the forefoot and has a wedge-shaped cross-section continuously tapering in thickness from the top to the bottom, it becomes possible to effectively prevent and correct the rotation of hallux phalanges which is a cause of hallux valgus.
  • the present invention has been completed, based on these findings.
  • the present invention enables comprehensive and effective prophylaxis and treatment of various disorders accompanying foot deformation (such as splayfoot, hallux valgus, falling of the foot arch (flattening of a sole) due to PTTD, and heel valgus) without inflicting discomfort or pain on the user.
  • the above-mentioned excellent effects of the present invention can be accomplished by the use of thin materials and a simple structure, whereby the support structure of the present invention can be easily fitted on a foot and can be used in combination with outdoor or indoor footwear.
  • This means that the daily use of the support structure is easy so that the above-mentioned excellent prophylactic and curative effects of the present invention can be easily enhanced to a larger extent by daily use of the support structure.
  • FIG. 1 a is a cross-sectional view of a foot having a normal transverse arch (shown with broken lines), which is taken along metatarsal bone caputs.
  • FIG. 1 b is a cross-sectional view of a foot suffering from splayfoot and having a collapsed transverse arch (shown with broken lines), which is taken along metatarsal bone caputs.
  • FIG. 2 is a perspective view of an embodiment of the support structure of the present invention which is fitted on a foot with splayfoot.
  • FIG. 3 is a cross-sectional view of the foot of FIG. 2 , which is taken along line I-I of FIG. 2 .
  • FIG. 4 is a perspective view of an embodiment of the support structure of the present invention in the form of a sock before being fitted on a foot.
  • FIG. 5 is a perspective view of the support structure of FIG. 4 , which is fitted on a foot.
  • FIG. 6 is a perspective view of another embodiment of the support structure of the present invention in the form of a sock, which is showing the side of medial malleolus.
  • FIG. 7 is a perspective view of the support structure of FIG. 6 , which is showing the side of lateral malleolus.
  • FIG. 8 is a perspective view of still another embodiment of the support structure of the present invention.
  • FIG. 9 is a perspective view of an example of a hallux valgus correcting flexible plate used with the support structure of FIG. 8 .
  • FIG. 10 is an explanatory diagram showing the method for attaching the hallux valgus correcting flexible plate to a foot.
  • a support structure for prophylaxis or treatment of a disorder accompanying a foot deformation which comprises:
  • the instep part and the sole part are connected together to form a cylindrical structure such that, when the support structure is fitted on a foot, the borders between the instep part and the sole part are aligned with the lateral and medial sides of the forefoot;
  • the at least a pair of slip-proof means for gripping the lateral and medial sides of the forefoot are attached to the inner surface of the cylindrical structure at respective portions thereof to be contacted with the lateral and medial sides of the forefoot;
  • the instep part exhibits a larger elongation than the sole part as measured in a direction corresponding to the widthwise direction of the foot on which the support structure is fitted.
  • each of the slip-proof means for gripping the lateral and medial sides of the forefoot is made of an adhesive material.
  • the support structure according to any one of items 1 to 3 above which further comprises a pad attached to the inner surface of the sole part, the pad being attached to a portion of the support structure which is to face a metatarsal bone of the foot on which the support structure is fitted.
  • ankle support band to be fitted around an ankle in a manner such that an anterior of the ankle and a heel are encircled by the ankle support band, wherein the ankle support band comprises:
  • an anterior ankle part for covering the anterior of the ankle
  • the anterior ankle part and the heel part are connected together in a manner such that, when the ankle support band is fitted around the ankle, the borders between the anterior ankle part and the heel part are aligned with the lateral and medial sides of the ankle;
  • the at least a pair of slip-proof means for the ankle being attached to the inner surface of the ankle support band, one of the slip-proof means being attached to a portion of the ankle support band to be contacted with medial malleolus of the foot and another slip-proof means being attached to a portion of the ankle support band to be contacted with the foot at an intermediate position between the lateral malleolus and the heel; and
  • the anterior ankle part exhibits a larger elongation than the heel part as measured in a direction corresponding to the widthwise direction of the foot on which the support structure is fitted.
  • each of the slip-proof means for gripping the ankle is made of an adhesive material.
  • the support structure according to any one of items 1 to 9 above, which further comprises a hallux valgus correcting flexible plate, wherein the hallux valgus correcting flexible plate is attached to the inner surface of the sole part and extends along a portion of the support structure to be contacted with an edge of a medial side of the forefoot, the flexible plate having a wedge-shaped cross-section which continuously tapers in thickness from the top to the bottom.
  • the hallux valgus correcting flexible plate comprises a shape-memory alloy plate extending in a longitudinal direction of the flexible plate, the shape-memory alloy plate being embedded in the hallux valgus correcting flexible plate or attached to the surface of the hallux valgus correcting flexible plate.
  • a normal foot as shown in FIG. 1 a has a transverse arch (shown with broken lines) connecting the base of the first toe (first metatarsal bone caput) and the base of the fifth toe (fifth metatarsal bone caput).
  • a foot as shown in FIG. 1 b which is suffering from splayfoot shows a symptom of collapsed and flattened transverse arch.
  • the support structure of the present invention is used for correcting the splayfoot by restoring the collapsed transverse arch as shown in FIG. 1 b to the normal transverse arch as shown in FIG. 1 a.
  • support structure means a foot orthosis comprising a structure of a supporter and encompasses not only a supporter as such, but also other foot orthoses, such as those in the form of a sock or stocking, as long as they comprise a structure as defined in the present invention.
  • side of a foot is not used to exclusively mean the lateral and medial sides of the foot, but is used to encompass the opposite sides of the instep as well.
  • FIG. 2 is a perspective view of an embodiment of the support structure of the present invention which is fitted on a foot with splayfoot. Further, FIG. 3 is a cross-sectional view of the foot of FIG. 2 , which is taken along line I-I of FIG. 2 .
  • the support structure of the present invention as shown in FIG. 2 has a shape of a supporter.
  • the supporter 6 of FIG. 2 has instep part 7 for covering an instep of a forefoot (i.e., top of the forefoot) and sole part 8 for covering the sole of the forefoot (i.e., bottom of the forefoot), and the instep part 7 and the sole part 8 are connected together to form a cylindrical structure such that, when the support structure is fitted on a foot, the borders between the instep part 7 and the sole part 8 are aligned with the lateral and medial sides of the forefoot.
  • the instep part 7 exhibits a larger elongation than the sole part 8 as measured in a direction corresponding to the widthwise direction of the foot on which the support structure is fitted.
  • at least a pair of slip-proof means 9 , 9 (shown with broken lines) for gripping the lateral and medial sides of the forefoot are attached to the inner surface of the cylindrical structure at respective portions thereof to be contacted with the lateral and medial sides of the forefoot.
  • the slip-proof means 9 , 9 for gripping the lateral and medial sides of the forefoot perform a function of fixing the supporter 6 to the foot at the lateral and medial sides thereof with the sole part 7 tightening the foot in the widthwise direction thereof (see FIG.
  • the elongation of the instep part 7 is made to be larger than the elongation of the sole part 8 as measured in a direction corresponding to the widthwise direction of the foot on which the support structure is fitted.
  • the clothing pressure applied to the instep of a foot becomes reduced, whereas the tightening force in the widthwise direction of a foot for forming a transverse arch is effectively applied to the foot.
  • the slip-proof means 9 , 9 for gripping the lateral and medial sides of the forefoot it becomes possible to not only obtain effectively the above-mentioned tightening force, but also maintain the tightening force while the weight is on the foot.
  • a supporter such as that disclosed in Patent Document 5 which has no slip-proof means for gripping the lateral and medial sides of the forefoot, will slip off from the lateral and medial sides of the foot even when the elongation of the instep part 7 is made larger than that of the sole part 8 as measured in a widthwise direction of the foot.
  • the tightening force applied from the sole part becomes equalized with that applied from the instep part so that desired transverse arch correction is not achieved.
  • the materials for the instep part 7 and the sole part 8 are not particular limitation with respect to the materials for the instep part 7 and the sole part 8 as long as the above-mentioned relationship between the elongations of these parts can be satisfied, and the materials can be appropriately selected from the materials conventionally used for producing supporters, stockings and socks.
  • the materials can be appropriately selected from the materials conventionally used for producing supporters, stockings and socks.
  • materials which are air permeable, hygroscopic and quick drying are air permeable, hygroscopic and quick drying.
  • Specific examples of materials for the instep part 7 and the sole part 8 include materials described in the above-mentioned Patent Documents 1 and 2. These documents also describe methods for producing regions of socks and the like which have different elongations, and such methods can be applied to the present invention for adjusting the elongation.
  • Typical examples of materials used include a mixed fabric of polyurethane and nylon. Since the sole part 8 may be made of a material having substantially no elasticity, a
  • the material used for forming the slip-proof means 9 for gripping the lateral and medial sides of the forefoot there is no particular limitation as long as the material is capable of fixing the support structure of the present invention to the forefoot at the lateral and medial sides thereof when the support structure is fitted on the foot.
  • Materials having high friction coefficient and adhesive materials can be used for forming the slip-proof means 9 for gripping the lateral and medial sides of the forefoot.
  • Specific examples of the materials having high friction coefficient include synthetic rubbers, such as an ethylene-propylene-diene rubber (EPDM), a chloroprene rubber (CR) and a silicon rubber; and natural rubbers (NR).
  • EPDM ethylene-propylene-diene rubber
  • CR chloroprene rubber
  • NR natural rubbers
  • 5,948,707 describes materials (e.g., water-resistant and vapor-permeable material having a non-continuous elastomer layer formed on a polytetrafluoroethylene film) used for preventing the slippage of casts (supporters) for legs and arms, and such materials can be also used in the present invention.
  • materials e.g., water-resistant and vapor-permeable material having a non-continuous elastomer layer formed on a polytetrafluoroethylene film
  • the adhesive materials there is no particular limitation as long as the materials exhibit adhesiveness such as would be suitable for simultaneously realizing satisfactory adhesion to the skin of a foot and easy removal therefrom at the detachment of the support structure from the foot, and various conventional adhesive materials can be used.
  • a conventional double-sided adhesive tape can be used as the slip-proof means for gripping the lateral and medial sides of the forefoot, while changing the adhesive tape each time the support structure is removed and then refitted on the foot of the user.
  • an adhesive material which recovers its adhesiveness by washing is a material which can be washed with water or a neutral detergent for recovering its adhesiveness when the adhesiveness becomes lowered by the attachment of dusts and oils during the use thereof.
  • examples of such materials include a silicone gel adhesive layer described in Unexamined Japanese Patent Application Laid-Open Specification No. Hei 11-323616, and a urethane adhesive layer described in Unexamined Japanese Patent Application Laid-Open Specification No. 2000-247061.
  • Conventional adhesive elastic bandages can be also used.
  • each of the instep part 7 and the sole part 8 of the support structure of the present invention varies depending on the size of the foot. It is preferred to select an appropriate size such that a satisfactory tightening force can be applied in the widthwise direction of the foot and that the clothing pressure applied to the instep of the foot can be reduced.
  • the width of the support structure the width of the sole part may be about 1.0 to 1.5 times the width of the foot, whereas the width of the instep part may be about 0.2 to 1.0 times the width of the foot because the instep part is made of a material having a relatively high elasticity.
  • the support structure has an opening formed at a portion to be contacted with a boundary between the metatarsal bones and the phalanges at the side (especially the medial side) of the foot.
  • the reason is as follows. In a foot suffering from splayfoot, the joints at the base of the first toe and the joint at the base of the fifth toe protrude outwardly at the medial and lateral sides of the foot, and even a slight increase in the thickness of a supporter or socks may increase friction and cause pain. Further, in a foot suffering from hallux valgus, a swollen bursa or bunion may be formed around the joint at the base of the first toe.
  • the bunion openings 10 , 10 are especially preferred to form bunion openings 10 , 10 as shown in FIG. 2 at portions to be contacted with the above-mentioned joints to thereby decrease the friction between the support structure and the joints.
  • the bunion opening may be a circular or oval hole having a diameter or major axis of about 1.5 to 4 cm.
  • the elongation (A) of the instep part 7 is larger than the elongation (B) of the sole part 8 (i.e., (A)>(B)), wherein each elongation is measured in a direction corresponding to the widthwise direction of the foot on which the support structure is fitted.
  • the ratio (A)/(B) of the elongation (A) of the instep part 7 to the elongation (B) of the sole part 8 is preferably 1.2 or more, more preferably 2 to 200, and most preferably 2.5 to 100.
  • the elongation (B) of the sole part 8 may be 0%, but in such a case, it is preferred that the elongation (A) of the instep part 7 falls within the below-mentioned ranges.
  • the elongation (A) of the instep part 7 as measured under a load of 4.9 N (500 gf) is generally in the range of from 5 to 200%, preferably 35 to 180 t, and more preferably 75 to 155 t, and the elongation (A) as measured under a load of 17.7 N (1800 gf) is generally in the range of from 10 to 300%, preferably 115 to 250%, and more preferably 160 to 210%, the elongation being measured in a direction corresponding to the widthwise direction of the foot on which the support structure is fitted.
  • the tightening of the instep may become too strong (i.e., the clothing pressure may become too high) and may cause problems, such as swelling, paralysis, pain, redness and the like of the instep.
  • the elongation (B) of the sole part 8 as measured under a load of 4.9 N (500 gf) is generally in the range of from 0 to 150%, preferably 1 to 100%, more preferably 5 to 75%, and the elongation (B) measured under a load of 17.7 N (1800 gf) is generally in the range of from 0 to 180%, preferably 5 to 150%, more preferably 10 to 120%, the elongation being measured in a direction corresponding to the widthwise direction of the foot on which the support structure is fitted.
  • the elongation (B) of the sole part 8 is larger than the above-mentioned range, the tightening force in the widthwise direction of the foot may become unsatisfactory.
  • the elongations (A) and (B) are measured with respect to a region having a length of 3 cm and a width of 2 cm.
  • a combination of different materials having different elongations can be used as long as it is possible to achieve a satisfactory tightening force in the widthwise direction of the foot and a satisfactory decrease in the clothing pressure applied against the instep of the foot.
  • a material having a large elongation can be used for portions (e.g., portions distant from the boundary between metatarsal bones and phalanges) where a strong tightening force is not required.
  • the elongations (A) and (B) and the ratio (A)/(B) all fall within the above-mentioned ranges, wherein an average of the elongation values for all portions of the instep part 7 is used as the above-mentioned elongation (A), and an average of the elongation values for all portions of the sole part 8 is used as the above-mentioned elongation (B). It is preferred that the elongations (A) and (B) and the ratio (A)/(B) of at least the region around the border between the metatarsal bones and the phalanges fall within the above-mentioned ranges.
  • the “region around the border between the metatarsal bones and the phalanges” is the region from 1 cm above to 1 cm below the border between the metatarsal bones and the phalanges, preferably the region from 2 cm above to 2 cm below the border, and more preferably the region from 3 cm above to 3 cm below the border.
  • the ratio (A)/(B) used in the present invention may be either a ratio of elongations measured under the load of 4.9 N (500 gf) or the ratio of the elongations measured under the load of 17.7 N (1800 gf), and one of the ratios should fall within the above mentioned range. It is more preferred that both ratios fall within the above-mentioned respective ranges.
  • the clothing pressure at the instep becomes 0 to 25.0 kPa.
  • the slip-proof means 9 , 9 for gripping the lateral and medial sides of the forefoot there is no particular limitation as long as the slip-proof means are capable of fixing the support structure of the present invention to the forefoot at the lateral and medial sides thereof.
  • a rectangular or quasi-rectangular shaped slip-proof means having a length of 3 to 10 cm and a width of 0.5 to 3 cm.
  • the slip-proof means may have a cut-out portion conforming to the opening.
  • a plurality of the slip-proof means 9 can be attached to each of the respective portions of the support structure to be contacted with the lateral and medial sides of the forefoot.
  • a plurality of the slip-proof means 9 can be attached to each of the respective portions of the support structure to be contacted with the lateral and medial sides of the forefoot.
  • the slip-proof means 9 , 9 for gripping the lateral and medial sides of the forefoot are fixed at respective portions of the support structure to be contacted with either the lateral- and medial-side edges of the foot and/or the lateral- and medial-side edges of the instep, and the slip-proof means may extend to the portions to be contacted with the lateral- and medial-side edges of the sole.
  • the instep part 7 , the sole part 8 and the slip-proof means 9 , 9 for gripping the lateral and medial sides of the forefoot may be combined together before fitting the support structure to the foot, for example, by stitching the above-mentioned components into a form of a support structure as shown in FIG. 2 .
  • the above-mentioned components can be combined together at the time of fitting the support structure to the foot.
  • the support structure of the present invention can be formed by a method comprising the following steps (1) to (3) by using the instep part 7 and sole part 8 which are combinable with each other by means of loop and hook fasteners, and by using a double-sided tape as the slip-proof means 9 , 9 for gripping the lateral and medial sides of the forefoot:
  • a piece of double-sided tape is attached to each edge of the lateral and medial sides of the foot as the slip-proof means for gripping the lateral and medial sides of the forefoot;
  • a sole part provided with hook fasteners (attached to an outer surface of the sole part at the edges of the opposing side portions thereof) is fixed to the foot by using the double-sided tapes attached to edges of the lateral and medial sides of the foot, wherein the sole part is fixed in a manner such that the foot is tightened in a widthwise direction of the foot;
  • an instep part provided with loop fasteners (attached to an inner surface of the instep part at the edges of the opposing side portions thereof) is attached to the sole part by mating the loop fasteners to the corresponding hook fasteners of the sole part.
  • the loop fasteners can be used with the sole part, and the hook fasteners can be used with the instep part.
  • the support structure having two or more bag parts for placing the toes therein, which bag parts are as described in the above-mentioned Patent Document 5, is one of the preferred embodiments of the present invention.
  • the presence of such bag parts enables the first toe and the fifth toe to be pulled towards the central axis of the sole when the user inserts the toes into the respective bag parts for fixing the support structure to the foot, thereby forming a transverse arch. Therefore, the slip-proof means 9 , 9 for gripping the lateral and medial sides of the forefoot can be easily fixed at desired positions of the lateral and medial sides of the foot while maintaining the transverse arch formed.
  • a pad may be attached to the inner surface of the sole part 8 at a portion which is facing a metatarsal bone of the foot.
  • This pad is capable of improving the effect of the support structure to correct the transverse arch, especially when the weight is on the foot.
  • the embodiment shown in FIG. 2 is a supporter as such, but the support structure of the present invention may be in the form of a sock or stocking.
  • the parts other than the instep part 7 , the sole part 8 and the slip-proof means 9 , 9 for gripping the lateral and medial sides of the forefoot can be produced by any conventional materials and methods generally used for producing socks and stockings.
  • FIG. 4 is a perspective view of an embodiment of the support structure of the present invention in the form of a sock before being fitted on a foot
  • FIG. 5 is a perspective view of the support structure of FIG. 4 , which is fitted on a foot.
  • the parts other than the instep part 7 , the sole part 8 and the slip-proof means 9 , 9 for gripping the lateral and medial sides of the forefoot are as explained above, and additional parts 11 a and 11 b can be formed by conventional methods using materials which are generally used for producing conventional socks or stockings.
  • FIG. 6 is a perspective view of another embodiment of the support structure of the present invention in the form of a sock, which is showing the side of medial malleolus
  • FIG. 7 is a perspective view of the support structure of FIG. 6 , which is showing the side of lateral malleolus.
  • the support structure 6 ′ of the embodiment shown in FIGS. 6 and 7 further comprises an ankle support band to be fitted around an ankle in a manner such that an anterior of the ankle and a heel are encircled by the ankle support band.
  • the ankle support band has anterior ankle part 12 for covering the anterior of the ankle and heel part 13 for covering the heel.
  • the anterior ankle part 12 and the heel part 13 are connected together in a manner such that, when the ankle support band is fitted around the ankle, the borders between the anterior ankle part and the heel part are aligned with the lateral and medial sides of the ankle.
  • slip-proof means 14 , 14 for gripping the ankle is attached to the inner surface of the ankle support band, wherein one of the slip-proof means is attached to a portion of the ankle support band to be contacted with the medial malleolus of the foot while another slip-proof means is attached to a portion of the ankle support band to be contacted with the foot at an intermediate position between the lateral malleolus and the heel.
  • the anterior ankle part 12 exhibits a larger elongation than the heel part 13 as measured in a direction corresponding to the widthwise direction of the foot on which the support structure is fitted.
  • the ankle support band is effective for prophylaxis and treatment of PTTD while preventing unnecessary oppression of blood vessels and nerves at the ankle and without excessively disturbing the movements of muscles and ligaments around the ankle.
  • various disorders accompanying foot deformation such as splayfoot, hallux valgus and PTTD
  • the addition of the ankle support band to the support structure of the present invention enables more comprehensive and effective prophylaxis and correction of foot deformations. Further, as shown in FIG.
  • metatarsal bone pad 15 may be attached to the inner surface of the sole part 8 at a portion which is to face a metatarsal bone of the foot.
  • the prophylactic and corrective effects of the present invention will be remarkably enhanced by the attachment of the metatarsal bone pad 15 .
  • the materials and methods for producing the metatarsal bone pad 15 have been explained above.
  • the above-mentioned ankle support band is explained in detail below.
  • the ankle support band can be produced in a form integrated with the support structure in the form of a sock.
  • a separately prepared ankle support band may be attached to the main body of the support structure.
  • the ankle support band there is no particular limitation as long as the ankle support band is capable of encircling the anterior of the ankle and the heel, and remaining at a desired portion of the foot without slipping off when the support structure is fixed on the foot.
  • a strip having a width (length in the longitudinal direction of the foot) of 1 to 8 cm, preferably 2 to 5 cm can be used as the anterior ankle part 12 .
  • the heel part 13 has a width (length in the longitudinal direction of the foot) which is sufficient for the part to be firmly fixed to the heel.
  • the width of the heel part 13 is preferably 5 to 12 cm, more preferably 6 to 10 cm.
  • the heel part 13 has a circular or oval opening formed at a portion thereof which is to be contacted with the center of the heel and the portions around the center.
  • the anterior ankle part 12 and the heel part 13 can be individually formed by the materials and methods which are the same as those used for forming the above-mentioned instep part and the sole part. As in the case of the instep part and the sole part, it is necessary that the anterior ankle part 12 exhibits a larger elongation (A′) than the elongation (B′) of the heel part 13 (i.e., (A′)>(B′)), as measured in a direction corresponding to the widthwise direction of the foot on which the support structure is fitted.
  • the ratio (A′)/(B′) of the elongation (A′) of the anterior ankle part to the elongation (B′) of the heel part is 1.2 or more, preferably 2 to 200, and most preferably 2.5 to 100. Further, it is preferred that the elongation (A′) and the elongation (B′) both fall within the ranges explained above in connection with the elongations (A) and (B) described above.
  • the elongation (B′) of the heel part 13 may be 0%, but in such case, it is preferred that the elongation (A′) is within the above-mentioned range.
  • the slip-proof means 14 , 14 for gripping the ankle can be formed by the materials and methods which are the same as those used for forming the above-mentioned slip-proof means for gripping the lateral and medial sides of the forefoot.
  • the slip-proof means 14 for gripping the ankle at the side of the medial malleolus is attached to a portion of the support structure which is to be contacted with medial malleolus of the foot. It is preferred that the position and size of the slip-proof means 14 for gripping the ankle at the side of the medial malleolus are such that the slip-proof means 14 can cover the medial malleolus entirely when the support structure of the present invention is fitted on a foot.
  • the slip-proof means 14 for gripping the ankle at the side of the lateral malleolus is attached to a portion of the support structure which is to be contacted with an intermediate position between the lateral malleolus and the heel.
  • the slip-proof means 14 (for gripping the ankle) is attached to a portion in which the entire slip-proof means 14 is positioned below the bottom (shown in FIG. 7 with dotted lines) of the lateral malleolus.
  • the slip-proof means 14 for gripping the ankle can be attached to a portion such that a part of the slip-proof means 14 covers the lower portion of the lateral malleolus.
  • the area of the slip-proof means 14 at a portion thereof which covers the lower portion of the lateral malleolus is preferably 50% or less, more preferably 30% or less, most preferably 20% or less of the total area of the slip-proof means 14 for gripping the ankle.
  • the shape of the slip-proof means can be appropriately selected from the group consisting of a square, a rectangle, a circle and an oval.
  • the length of the side of the square, the long side of the rectangle, the diameter of the circle or the long axis of the oval is 2 to 10 cm, preferably 2.5 to 7 cm, and more preferably 3 to 5 cm.
  • the slip-proof means 14 , 14 for gripping the ankle are made of an adhesive material.
  • Specific examples of the adhesive materials are as explained above in connection with the slip-proof means for gripping the forefoot.
  • the above-mentioned sole part and heel part are connected through a bridging part made of a low elongation material which is the same as or similar to the material(s) used for forming the sole part and the heel part (hereinafter, this bridging part is referred to as “metatarsus-sole connection band”).
  • this bridging part is referred to as “metatarsus-sole connection band”.
  • the use of the metatarsus-sole connection band is preferred because it further enhances the effects of the present invention to prevent or correct the valgus of hallux and heel.
  • the material, elongation and the like of the metatarsus-sole connection band reference can be made to the explanations made above in connection with the sole part and the heel part.
  • FIG. 8 is a perspective view of still another embodiment of the support structure of the present invention.
  • This support structure has a toe opening which is separated into an opening for the first toe and another opening for the remaining toes.
  • a hallux valgus correcting flexible plate 16 extending along a portion of the support structure to be contacted with an edge of a medial side of the forefoot is attached to the inner surface of the sole part.
  • the hallux valgus correcting flexible plate 16 has a wedge-shaped cross-section which continuously tapers in thickness from the top to the bottom.
  • hallux valgus is accompanied by rotations of the first metatarsal bone and the first toe (hallux).
  • the hallux valgus correcting flexible plate 16 is capable of preventing or correcting the rotation of the hallux by exhibiting a wedge effect to the hallux. More detailed explanation on this point is given below.
  • prophylaxis or correction of splayfoot is effected by maintaining or correcting the position of the metatarsophalangeal (MTP) joint of the hallux to a middle position (normal position).
  • the flexible plate 16 has a dimension as depicted in FIG. 10 , namely a length such that the plate extends from phalanx proximalis caput to the middle of the metatarsal bones, and a width sufficient for exhibiting the wedge effect.
  • the size of the flexible plate 16 varies depending on the size and the like of the foot, but for example, the length may be 3 to 15 cm and the width may be 1.5 to 5 cm.
  • the thickness at the top of the flexible plate is 1 to 8 mm, more preferably 2 to 6 mm.
  • the hallux valgus correcting flexible plate 16 has a cut-out portion conforming to the shape of the joint. With respect to the shape of the cut-out portion, there is no particular limitation as long as the oppression of the MTP joint portion of the first toe can be avoided.
  • the width of the hallux valgus correcting flexible plate 16 is narrowed at a portion which is to be contacted with the MTP joint so that this portion of the flexible plate 16 only contacts a narrow region at the boundary between the sole part and the side of the foot.
  • the width of the hallux valgus correcting flexible plate 16 at this cut-out portion (the minimum width of the flexible plate when the cut-out portion is curved like that shown in FIG. 9 or 10 ), there is no particular limitation. However, it is preferred that the width of the hallux valgus correcting flexible plate 16 at this cut-out portion is 0.2 to 1.5 cm, more preferably 0.3 to 1.3 cm.
  • the hallux valgus correcting flexible plate 16 comprises a shape-memory alloy plate 17 extending in a longitudinal direction of the flexible plate.
  • the shape-memory alloy plate 17 reinforces the effect of prophylaxis and correction of the foot deformation while weight is on the foot.
  • the shape-memory alloy plate 17 can be embedded in the hallux valgus correcting flexible plate or attached to the surface of the hallux valgus correcting flexible plate.
  • the flexible plate 16 is attached to the inner surface of the sole part of the support structure at a position to be contacted with a foot in such a manner as depicted in FIG. 10 .
  • the flexible plate extends along the border between the sole and the side of the foot and contacts the region from the phalanx proximalis caput to the middle of the metatarsal bones.
  • the hallux valgus correcting flexible plate 16 may be made of a conventional flexible resin.
  • a resin selected from the group consisting of vinyl chloride, polyethylene, polypropylene, polyethylene terephthalate, a fluorocarbon resin, an acryl resin, an ABS resin and a urethane resin can be used.
  • correction of splayfoot was performed using supporter 6 shown in FIG. 2 .
  • the patient was a female of age 53 suffering from symptoms including the fallen longitudinal arch and transverse arch, formation of tylosis at the second and third MTP joint portions, and swelling (bunion formation), redness and pain of the hallux MTP joint.
  • the HV angle (hallux valgus angle) was 25° (wherein the HV angle is the angle between the bone axis of the hallux proximal phalanx and the bone axis of the first metatarsal bone, which is an index of valgus deformation of hallux), and M1M2 angle was 15° (wherein the M1M2 angle is the angle between the bone axis of the first metatarsal bone and the bone axis of the second metatarsal bone, which is an index of the first metatarsal bone varus).
  • the elongation (A) of the elastic synthetic fiber cloth used as the instep part 7 was 75% as measured under the load of 4.9 N (500 gf) and 160% as measured under the load of 17.7 N (1800 gf), wherein the elongations were measured in a direction corresponding to the widthwise direction of the foot on which the support structure is fitted.
  • the elongation (B) of the polypropylene nonwoven fabric used as the sole part 8 was 5% as measured under the load of 4.9 N (500 gf) and 10% as measured under the load of 17.7 N (1800 gf), wherein the elongations were measured in a direction corresponding to the widthwise direction of the foot on which the support structure is fitted.
  • the ratio (A)/(B) of the elongation (A) of the instep part 7 to the elongation (B) of the sole part 8 was 15 as measured under the load of 4.9 N (500 gf), and was 16 as measured under the load of 17.7 N (1800 gf).
  • the opposite 8 cm-sides of the elastic synthetic fiber cloth used as instep part 7 were respectively sewn to the corresponding 8 cm-sides of the polypropylene nonwoven fabric to form a cylindrical support structure.
  • the rectangular polypropylene nonwoven fabric used as the sole part 8 had two oval openings (bunion openings 10 , 10 ) each having a major axis of 3 cm.
  • the oval openings were formed at respective portions of the sole part which are to be contacted with the border between the metatarsal bones and the phalanges at the lateral and medial sides of the forefoot.
  • Strips of a conventional double-sided tape were cut out into the shape as shown in FIG. 2 and used as a pair of slip-proof means 9 , 9 for gripping the lateral and medial sides of the forefoot.
  • the width of the patient's foot, as measured under the load of the patient's weight, at the border between the metatarsal bones and the phalanges was 10.5 cm before fitting the supporter on the foot, but this value decreased to 9.5 cm after fitting the supporter on the foot. Further, after fitting the supporter on the foot, the HV angle of the foot decreased from 25° to 18° and the M1M2 angle of the foot decreased from 15° to 9° (both the HV angle and M1M2 angle were measured while the weight is on the foot).
  • a supporter was produced in substantially the same manner as in Example 1, except that a pair of slip-proof means 9 for gripping the lateral and medial sides of the forefoot were not used.
  • the correction of the splayfoot was performed in the same manner as in Example 1.
  • the width of the foot with the supporter fitted thereon was measured without putting weight on the foot (i.e., while the foot was held in the air)
  • the width decreased from 10.5 cm to 10.0 cm.
  • the width of the foot returned to 10.5 cm under the load of patient's weight.
  • the HV angle and the M1M2 angle of the foot were measured under the load of patient's weight, almost no change was observed in the HV angle and M1M2 angle of the foot before and after fitting the supporter on the foot (the HV angle and the M1M2 angle of the foot having the supporter fitted thereon were about 24° and about 14°, respectively).
  • the present invention enables comprehensive and effective prophylaxis and treatment of various disorders accompanying foot deformation (such as splayfoot, hallux valgus, falling of the foot arch (flattening of a sole) due to PTTD, and heel valgus) without inflicting discomfort and pain on the user.
  • the above-mentioned excellent effects of the present invention can be accomplished by the use of thin materials and a simple structure, whereby the support structure of the present invention can be easily fitted on a foot and can be used in combination with outdoor or indoor footwear.
  • This means that the daily use of the support structure is easy so that the above-mentioned excellent prophylactic and curative effects of the present invention can be easily enhanced to a larger extent by daily use of the support structure.

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  • Engineering & Computer Science (AREA)
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US12/994,699 2008-05-26 2009-01-19 Support structure for prophylaxis or treatment of a disorder accompanying a foot deformation Abandoned US20110088145A1 (en)

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JP2008-136612 2008-05-26
JP2008136612 2008-05-26
PCT/JP2009/050691 WO2009144967A1 (fr) 2008-05-26 2009-01-19 Structure de support destinée à prévenir ou à traiter une maladie associée à la déformation du pied

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EP2775969A4 (fr) * 2011-11-13 2015-07-29 Aharon Liberson Méthode et appareil de modification de pied
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CN110251289A (zh) * 2019-07-30 2019-09-20 四川大学华西医院 一种扁平足矫正组合贴及使用方法
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CN103648446B (zh) * 2011-06-01 2016-12-07 动力矫正术有限公司 足部矫形设计系统
AU2014205580B2 (en) * 2013-01-08 2017-02-23 3M Innovative Properties Company Plantar fascia support system
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FR3031037B1 (fr) * 2014-12-24 2017-01-13 Millet Innovation Dispositif de protection du capiton plantaire en particulier lors d'une activite sportive
FR3043321A1 (fr) * 2015-11-06 2017-05-12 Millet Innovation Bande de contention ou de maintien d’une articulation
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US20130110024A1 (en) * 2010-01-15 2013-05-02 Ryosuke Kainuma Device for correcting hallux valgus and method for producing device for correcting hallux valgus
GB2494451A (en) * 2011-09-12 2013-03-13 Kathleen Anne Reilly Anti-pronation sock with instep strap
EP2775969A4 (fr) * 2011-11-13 2015-07-29 Aharon Liberson Méthode et appareil de modification de pied
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IT201600081375A1 (it) * 2016-08-02 2018-02-02 Dispositivo terapeutico per ridurre i dolori e le infiammazioni causate dall'alluce valgo
EP3278772A1 (fr) * 2016-08-02 2018-02-07 Marco Pinna Dispositif thérapeutique permettant de réduire la douleur et le inflammation provoquée par le oignon
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IT201700028227A1 (it) * 2017-03-14 2018-09-14 Massimo Tulipani Supporto ortopedico
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WO2009144967A1 (fr) 2009-12-03
JPWO2009144967A1 (ja) 2011-10-06
KR20110017396A (ko) 2011-02-21
CN102046115A (zh) 2011-05-04
JP4355364B1 (ja) 2009-10-28
KR101261697B1 (ko) 2013-05-06
CN102046115B (zh) 2013-04-24

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