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WO2016041964A1 - Orthèse, en particulier orthèse releveur de pied - Google Patents

Orthèse, en particulier orthèse releveur de pied Download PDF

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Publication number
WO2016041964A1
WO2016041964A1 PCT/EP2015/071101 EP2015071101W WO2016041964A1 WO 2016041964 A1 WO2016041964 A1 WO 2016041964A1 EP 2015071101 W EP2015071101 W EP 2015071101W WO 2016041964 A1 WO2016041964 A1 WO 2016041964A1
Authority
WO
WIPO (PCT)
Prior art keywords
point
closure
sole
orthosis
support
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/EP2015/071101
Other languages
German (de)
English (en)
Inventor
Ulf Michael Grimmer
Felix STARKER
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Meyer-Clasen Petra
Original Assignee
Meyer-Clasen Petra
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Meyer-Clasen Petra filed Critical Meyer-Clasen Petra
Publication of WO2016041964A1 publication Critical patent/WO2016041964A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • 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
    • A61F5/0113—Drop-foot appliances
    • 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
    • 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
    • A61F5/0102—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
    • A61F2005/0188—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 having pressure sensors

Definitions

  • the invention relates to an orthosis, in particular dormitorhebeorthese, with a sole from which two opposing web-like support elements extend in the vertical direction laterally of the ankle and pass into a support region which surrounds a lower leg at least partially.
  • This ankle orthosis has two crosswise associated fastener straps extending from the outer forefoot to the inner ankle or from the inner forefoot to the outer ankle joint.
  • two further fastening straps are provided which extend transversely to the tibia in order to fix the ankle orthosis, which comprises a cuff fixedly arranged in the area of the Achilles tendon.
  • Velcro tabs For the tightening of such an ankle orthosis it requires the fourfold attachment of Velcro tabs.
  • an ankle orthosis is known from US Pat. No. 5,944,678 A, in which a very complex attachment of a large number of fastening straps is provided in an analogous manner in order to enable a precisely fitting arrangement on the foot.
  • an ankle brace made of a flexible shell by textile material known. After lateral positioning of the ankle abutment abutments on the ankle, cross-tab positioning of attachment tabs over the forefoot is required to subsequently close a brace guided along the tibia.
  • a variety of disorders can result in foot-lift weakness requiring the use of such foot-lifting orthotics.
  • These foot lifting orthoses serve to raise the toe so that when walking, the tip of the foot is prevented from getting caught on the ground or the foot does not drag across the ground.
  • tripping over bumps or falling can at least be reduced.
  • the signs of a so-called stork passage should at least be reduced.
  • the invention has for its object to provide an orthosis, in particular a classichebeorthese, by which not only easy handling when donning such sacrificeorthese is possible, but also allows a simple and flexible adaptation to personal circumstances and in particular for therapeutic support can be used.
  • the The whohebeorthese invention has on an outer side of the sole in the region of the forefoot on a tab which extends at least partially in the direction of an upper side of the forefoot and forms a first point of attack. Furthermore, a second and third point of application for at least one cuff strap is provided on the support region of the orthosis in the respective support sections facing the tibia. Furthermore, the orthosis comprises a manually operable closure, which has a first attachment point for the at least one cuff strap and a second attachment point for at least one tension belt, wherein the closure is releasably attached to the second or third engagement point.
  • This embodiment of the orthosis has the advantage that the at least one cuff strap and the at least one tension belt can be transferred simultaneously and together in a simple manner from an opening or entry position into a closing or carrying position by the one hand-operable closure so that the person concerned can enter the orthosis without additional aids or tighten the orthosis and close it.
  • the closure can be transferred with one hand in a locking position, so that the foot orthosis is ready for use immediately.
  • this closure can always be given the same wearing conditions, so that a resulting risk of injury can be prevented due to a possible incorrect adjustment of the tension straps.
  • Such an orthosis is preferably used in light impairments.
  • a further advantageous embodiment of the orthosis provides that at the upper end of the support elements or on two half-shell-shaped support portions of the support region extending between a tibial region and an Achilles tendon region on the inside and outside of the lower leg, for fixing the two support sections a fourth and fifth engagement point is provided for at least one Achilles tension belt.
  • This can for example be fixedly attached to the two fourth and fifth points of attack, so that in this example case an entry from the front is possible.
  • this Achilles tension belt can be detachable at least at a fourth and / or fifth point of attack by a closure, thereby enabling a so-called rear entry.
  • the third engagement point provided in the support region and / or the fourth or fifth engagement point provided on the support element are preferably designed as a releasable latching receptacle which releasably receives the one-hand operable closure.
  • An arranged on the closure latching element can advantageously engage in the closure element, thereby for example a detachable connection by hooking, insertion, insertion, snapping or clipping can be provided.
  • the closure is held rotatably in a latching position about the latching element.
  • holding magnets are provided on the closure element and / or latching element of the closure.
  • unintentional release of the closure can additionally be secured in a simple manner.
  • a tensile stress is applied in a closed position of the closure, at least between the first and second as well as between the first and third point of application in the at least one tension belt.
  • This arrangement allows a vector steering, that is, due to the deflection of the Buchgurts in the first point of an adjustment and alignment of the Buchgurts takes place with respect to the second and third attack point. At the same time, a supination or pronation tendency can be counteracted by a setting in this regard.
  • a further preferred embodiment provides that the third point of application, on which the closure element is arranged for receiving the catch element provided on the closure, is attached to an adjusting device with a slide which is adjustable at a distance from the second point of application, in particular by a releasable detent , As a result, a change in the pulling direction, and thus incoming tension, can be adjusted in a simple manner.
  • the tensile stress of the at least one tension belt is adjustable.
  • the tensile stress acting between the first and second point of application and between the first and third point of application can be adjusted, as a result of which the degree of compliance between the support area and the sole can also be adjusted.
  • the cuff belt is adjustable in its length in order to apply a corresponding tensile stress.
  • the cuff belt engages in the second point separately to the tension belt.
  • a further advantageous embodiment of this orthosis provides a three-point belt for fixing the foot in the orthosis through the closure and the at least one tension belt and the cuff belt engaging thereon.
  • the tab of the orthosis, on which the first point of application is provided, is advantageously located on a sole outside and in particular is arcuate, so that it at least partially surrounds the forefoot. As a result, a joint gentle increase of the forefoot can be made possible.
  • a further preferred embodiment of the invention provides that the support elements or stabilizers extending between the sole and the support section have a curved course, so that they extend on the inside and outside of the foot in each case in a region between the Achilles tendon and the ankle , As a result, the foot orthosis can cling to the foot, without the ankle is impaired as a center of rotation for the joint.
  • the support elements additionally form a support adjacent to the Achilles tendon.
  • stiffening elements are provided in the support elements.
  • the sole of the orthosis extends only in the region of the metatarsus.
  • the toe and / or heel can only be supported by a lightweight customizable insole with appropriate cushioning and cushioning properties.
  • the freedom of movement can be further optimized, so that the natural rolling of the foot can be almost maintained.
  • this may be the support of therapeutic options.
  • a further embodiment of the invention provides that the sole is reinforced at least in the transition region to the support element and tapers to the forefoot or heel. As a result, the biomechanical unwinding can be supported.
  • the sole preferably has a U-shaped recess extending from the forefoot to the midfoot, which is provided in the region between the second and third beam of the foot. This allows the natural rolling movement of the foot to continue to be allowed.
  • the at least one point of application and / or the at least one attachment point are preferably formed by slot-shaped recesses or eyelets through which the at least one tension belt and / or cuff belt and / or Achilles tension belt can be carried.
  • a simple attachment may be possible.
  • an independent compensation in the position of the tension belt can be created, so that a uniform tension between the attack and / or attachment points can be built. This is particularly advantageous for the tension belt, which is firmly connected to the second point of attack and extends through an eyelet in the tab to the second attachment portion of the closure.
  • a deflection ring for the tension belt can be provided on the tab.
  • the deflection ring may be an oval or round ring element, through whose opening the tension belt runs.
  • the deflection ring can be rotatably mounted in the tab according to the tongue and groove principle.
  • the deflector ring can turn clockwise and counterclockwise from the center position by between 10 degrees.
  • the tab which extends on an upper side of the forefoot and forms a first point of application, is designed as a loop extending from the sole.
  • This loop can be formed by a flexible band or rope, whereby at the same time given by the design of the tab as a loop and the recess for the tension belt.
  • This embodiment by means of the flexible tab has the advantage that the tension belt can slide along better and thus can adapt to the current situation and position. This also creates an improvement in wearing comfort.
  • FIG. 1 shows a perspective view of the foot lifting orthosis according to the invention
  • FIG. 2 shows a schematic view from the rear of the foot lifting orthosis according to FIG. 1,
  • FIG. 3 shows a schematic side view of the foot lifting orthosis according to FIG. 1,
  • FIG. 4 shows a further schematic side view of the foot lifting orthosis according to FIG. 1,
  • FIG. 5 shows a schematic sectional view along the line IV-IV in FIG. 2,
  • FIG. 6 shows a schematic view from above of the foot lifting orthosis according to FIG. 1,
  • FIG. 7a and 7b is a schematic front view of the devishebeorthese according to Figure 1 with a closure in a closed and open position
  • FIG. 7c shows a schematically enlarged view of a latching element for receiving a closure
  • FIGS. 8a to 8d show schematic views of a footrest orthosis which is attached to a foot
  • FIGS. 9a and 9b are schematic views of an alternative embodiment of an Achilles drawstring
  • FIG. 10 shows a schematic view from below of an alternative embodiment of a sole of a foot lifting orthosis
  • FIG. 11 shows a schematic sectional view along the line X-X in FIG. 10,
  • FIG. 12 shows a schematic view of a snap spring according to FIG. 10,
  • Figure 15 is a schematic view of an open closure according to Figure 14a to d and
  • 16 is a schematic view of a loading and / or data transfer device for the closure with a connection device for the closure of the orthosis.
  • FIGS. 1 to 6 show various views of an orthosis 11, in particular the foot lifting orthosis, to which reference will be made below.
  • This incidenthebeorthese 11 includes a sole 12, which merges at an inner and an outer side in a support member 14, wherein the support members 14 extend in the vertical direction.
  • a half-shell-shaped support portion 16 is provided in each case, which is designed to rest on a lower leg and cooperatively forms a support region 17 for the lower leg.
  • the sole 12 is shortened with respect to the length of the foot, that is, the sole 12 extends to the footpad of the foot and opposite to the heel, so that the heel remains free with respect to the sole 12.
  • the support elements 14 are attached to the inside and outside, which, viewed from the side, arcuately extend in the direction of lower leg, so that the support elements 14 along a region between the ankle and the Achilles tendon of the foot run.
  • the support area 16 surrounds the lower leg above the ankle.
  • the configuredhebeorthese 11 has on an outer side of the sole 12 further in the area of the forefoot a tab 19 which extends arcuately upwards and pointing towards the middle of the sole, so that it at least partially covers or overlaps the instep-instep area of the instep and thus fixed the foot to the sole 12.
  • the sole 12 can be greatly tapered in the direction of the heel or slightly curved to be tapered, or has a rounding 20, so that a simplified unrolling is given.
  • the thickness of the sole is increasingly reduced, so that a bend-soft region 23 is formed, which on the one hand enables a virtually imperceptible transition at the front end of the sole to the ball of the foot and on the other hand allows flexibility in rolling the foot .
  • a U-shaped recess 21 may be introduced, which extends from the front end of the sole 12, starting in the direction of the heel. This recess 21 is preferably provided between the second and third beam of the foot, to promote the natural rolling of the foot.
  • a thermoplastic material in particular a fiber-reinforced plastic.
  • a fiber-reinforced thermoplastic in particular a polyamide or polypropylene, may be provided in order to be used preferably for more severe illnesses or in persons who have an increased weight.
  • such a Trobeorthese be made by plastic injection molding.
  • a first embodiment of the crabhebeorthese is shown in Figures 1 to 6, that is, the transitions from the sole 12 in the support members 14 and of the respective support member 14 in the support portion 16 are sufficiently rigid, so that the support portions 16 on the lower leg abutment and when putting on the heel at the beginning of a step and the initiation of a rolling action act and the forefoot is raised. Due to the connection between the tab 19 acting on the forefoot over the sole 12 and the support elements 14 to the support portion 16, a sufficient alignment and fixation of the foot to the lower leg can already be made possible. By the tab 19, a first point of attack 31 is formed, which is as follows, can also be used to receive a tension belt 25.
  • reinforcing elements 22 are introduced into the support elements 14, which may also extend partially into the sole 12.
  • These stiffening elements 22 are preferably arranged in each case on the outer side of the support sections 16, so that the inner areas of the support sections 16 can pass over into the support section 16 as well as into the sole 12 both paragraph-free and thus form a high wearing comfort.
  • this orthosis 11 is provided with a padding or a soft material, so that a high level of comfort is given. This padding is not shown for clarity.
  • the orthosis 11 has on a support portion 16 a second attack point 32, which is shown in Figure 3.
  • a third point of application 31 is formed, to which a closure 27 is releasably attached.
  • the point 32 has, for example slot-shaped recesses 38 to receive and fix a cuff belt 26 which engages at the opposite end to a first attachment point 28 of the closure 27.
  • This cuff belt 26 is preferably adjustable in its length. It can be used both an elastic tension band and an inelastic band.
  • the closure 27 can be actuated with one hand.
  • a pull tab 75 is fastened thereto at the third attachment point 30, by means of which the closure 27 is transferred in a simple form from an open position 40, as shown in FIG. 7a, into a closed position 39, for example according to FIG. 7b.
  • the orthosis 11 can already be converted into a carrying function, since the upper support sections 16 rest sufficiently firmly on the lower leg through the cuff belt 26 and the forefoot is sufficiently fixed in the orthosis 11 by means of the tab 19 and allows lifting.
  • the adjusting device 44 comprises, for example, a slide element 45 on which a latching tongue 46 is provided, which is releasably held by a latching pawl 47 (see FIG. 1).
  • the slider element 45 preferably has the latching receptacle 41 with an undercut 49, so that a mushroom-type latching element 42 can engage in it in a simple manner and can be locked. This locking element 42 is shown by way of example in Figure 7a closer.
  • a magnet may be provided both in the latching element 42 and in the latching receptacle 41 in order to apply an increased holding force.
  • FIGS. 7a and 7b show a preferred embodiment of the foot orthosis 11 according to the invention.
  • This impartorthese 11 corresponds to the embodiment of Figures 1 to 6, wherein additionally the tension straps 25 engages a second attachment portion 29 of 27 closures.
  • the closure 27 can be operated with one hand in order to transfer it from an opening position 40 or entry position according to FIG. 7b into a closed position 39 or carrying position according to FIG. 7a and to release it again after use.
  • the tension belt 25 extends from the second engagement point 29 via the first engagement point 31 provided on the lug 19 to the second attachment portion 29 of the closure 27. Furthermore, as described above, the cuff belt 26 also engages the closure 27. Due to the configuration of the first engagement point 31 as an eyelet, which is traversed by the tension belt 25 or advantageously by a deflecting ring, which is rotatably provided on the tab 19 and the tension belt 25 is deflected, a vector adjustment between the first point of attack 31 and second point of attack 32 on the one hand and between the first point of attack 31 and third point 33 and the closure 27 on the other hand be enabled. In particular, when the brace 11 is worn in a closed shoe, this can be given a particularly good fit and at the same time the lifting function of the forefoot done by the brace 11.
  • the engagement points 31, 32, 33 may advantageously be formed by slot-shaped recesses 38.
  • the attachment points 28, 29, 30 of the closure 27 may preferably be formed as eyelets 51, 54.
  • the second engagement point 29 preferably has two separate recesses 38, so that the tension straps 25 can engage and be attached to the protection area separately from the cuff straps 26.
  • the tension belt 25 is preferably formed of elastic material so that they can be arranged by applying a tensile stress through the closure 27 in a closed position 39 (FIG. 7b).
  • a tensile force can be achieved starting from the first engagement point 31 in the direction of the second and third engagement points 32, 33.
  • an increased tensile force for lifting the forefoot can thereby be set independently of the cuff belt 26, which is set to abut the two half-shell-shaped support sections 16 on the lower leg.
  • the tension belt 25 may alternatively be formed of an inelastic or tensile material.
  • This three-point belt allows for easy putting on and taking off the foot orthosis 11 with one hand.
  • a provided in the third point locking recess 41 a provided on the closure 27 locking element 42 can be easily attached and released. If the shutter 27 is removed from the third point 33, the cuff belt 26 and a first portion of the tension belt 25 can be pivoted outwardly, so that easy accessibility from above for tightening the brace 11 is given. Subsequently, when transferring the closure 27 into a closed position 39 according to FIG. 7b, both a secure abutment of the support sections 16 on the lower leg and a tension between the first point of application 31 on the lug 19 to the second and third attachment points 32, 33 on the support region 17 can be achieved.
  • the tab 19 is formed differently from the above-described embodiments.
  • the tab 19 is formed as a loop, in particular flexible loop, which extends from the sole 12 from.
  • This loop can be formed by a thread or a cord and / or a band which is limp. Due to the formation of the loop, the recess 38 for receiving the tension straps 25 is formed at the same time. This can increase the wearing comfort.
  • FIG. 7 c shows a schematically enlarged view of the latching receptacle 41, which can be provided, for example, on the slide element 45 or directly on a section of the orthosis 11.
  • this latching receptacle 41 has an insertion bevel 48 and / or an increasing taper, below which an undercut 49 is formed.
  • the mushroom-shaped latching element 42 as shown for example in FIG. 14 c, can engage or hook into the taper and the corresponding undercut 49 and be fixed.
  • the closure 27 remains rotatable by the latching element 42 in the locking position relative to the latching receptacle 41 and can align itself as a function of the tensile stress acting through the tension belt 25 and maintain the locking position.
  • FIGS. 8a to 8d Different views of the foot orthosis 11 applied to the foot are shown in FIGS. 8a to 8d.
  • Figure 8a shows a view on an inside of the foot
  • Figure 8b shows the view on an outside of the foot
  • Figure 8c shows a view from the rear
  • Figure 8d shows a view from below. From Figures 8a and 8b it can be seen that the support member 14 extends laterally along the foot from the sole 12 upwardly, initially provided a diagonal portion extending to the ankle, before this diagonally extending portion in a vertical Section passes to receive the support portions 16.
  • the pointing to the Achilles tendon end portions of the diagonal and vertical portion of the support member 14 are adapted to the contour of the foot, so that these support members 14 rest in a region between the Achilles tendon and the ankle on the foot and also support the foot against lateral tilting. At the same time a rotational movement about the ankle for the solvedhebeorthese 11 can be initiated while walking, so that the dynamics of the foot is maintained.
  • the tab 19 is preferably provided on the inside in the area of the front football, which supports a straight lifting of the foot and is favored.
  • the half-shell-shaped support sections 16 preferably each have at the rear end or a Achilles tendon associated portion a fourth and fifth point of attack 35, 36 ( Figures 3 and 4) on which an Achilles pull straps 37 (Figure 8a and 8c) can be fastened.
  • This can be permanently attached to the fourth and fifth point of application 35, 36 or be attached to one of the two points of engagement 35, 36 by a closure 43 releasably attached thereto.
  • This closure 43 may advantageously have the same design features and advantages as the closure 27.
  • the above-described locking receptacle 41 may be provided at the fourth or fifth point of application 35, 36.
  • the Achilles tension belt 37 may, as shown for example in Figure 7c, be aligned diagonally from the one support member 14 to the adjacent support member. Likewise, the Achilles pull straps can be aligned horizontally.
  • the Achilles tension belt 37 may also be formed of a same or similar material as the tension belt 25.
  • FIGS. 9a and b show a schematic view of an alternative Achilles tension belt 37.
  • This is a band made of spring steel, which is fastened with one end 71, for example, in the fourth point of application 35 and can be fastened to the opposite end in the fifth point of action 36.
  • It can also be provided on the inside of this alternative Achilles tension belt 37, a magnet 73 which can engage the locking element 42 in the fifth point 36 and remains fixed to it for security.
  • a pull tab 75 may be provided at this front end 74, whereby the handling of this Achilles tension belt 37 may be simplified.
  • this embodiment can be formed, for example, from a spring steel, it is possible that for easy adjustment of this Achilles tension belt 37 is released from its closed position, but remains close to the locking element 42 in the fifth point 36, so that subsequently a simple fixation is given.
  • this Achilles tension belt 37 is formed as a simple stamped part.
  • FIG. 10 shows an embodiment of a foot orthosis 11 with a sole 12, which can occupy both an entry position 79 according to FIG. 13a and a use position 80 according to FIG. 13b.
  • the sole 12 has an inner and outer sole portion 86, 87, in particular an inner and outer sole half, which are interconnected by a hinge 88.
  • a spring member 77 which extends transversely of the hinge 88 and whose respective end portions are provided in the inner and outer sole portions 86, 87.
  • This spring element 77 is self-holding at least in one end position.
  • this is self-retaining in two end positions, so that both the entry position shown in FIG. 13a and the use position 80 shown in FIG. 13b each represent a self-holding end position.
  • the joint 88 is formed, for example, by a taper 82 with respect to the sole thickness, in particular the inner and outer sole portions 86, 87, so that in a simple manner, an easy taking of the angular arrangement of the two sole portions 86, 87 to each other.
  • an elastic material or elastic thermoplastic is provided, which connects the outer and inner sole portion 86, 87 with each other and also has the joint function.
  • the joint 88 is advantageous meadow in the U-shaped recess 21, so that the biodynamic rolling behavior of this orthosis is favored.
  • the spring element 77 is completely integrated into the sole 12, as shown in FIG. 11 according to the sectional view along the line X-X in FIG.
  • the spring element 77 is preferably designed as a snap spring and consists for example of a pair of strip-shaped band members 81 made of spring steel, which are joined together at a front end 83, whereby they set up against a base portion 84 and thereby a snap movement between two self-retaining end positions is possible.
  • the number of paired band elements 81 may be a function of the sole length 12 as well as the applied force.
  • FIGS. 14a to 14d Various views of the closure 27 are shown in FIGS. 14a to 14d.
  • This closure 27 comprises a housing 51, which comprises two opposing eyelets 53 and an intermediate eyelet 54 for receiving a tension belt 25 and cuff 26, which are arranged in an overall U-shaped to each other.
  • a receiving space 56 of the housing 57 an electronic module 57 and accumulators 58 are provided.
  • the electronic module 57 is connected to at least one sensor element 55, which extends at least partially into the eyelets 54.
  • this sensor element 55 comprises a bending beam 60 and a measuring element 59.
  • the bending beam 60 preferably has an elevated area for engaging the tension belt 25 in the central region of the loop 54.
  • This bending beam 60 is for example L-shaped, so that it extends at least partially with a leg within the eyelet 54 and with a second leg between the receiving space 56 and an adjacent eyelet 53.
  • the measuring element 59 is provided, which is designed for example as a strain gauge.
  • the occurrence of a tensile stress F z over the tension belt 25, which stresses the bending beam 60 in bending can be detected by the measuring element 59 and corresponding signals are delivered to the electronic module 57, which at least detects and stores these signals.
  • the electronics module 57 can detect the application and release of the closure 27 from the third point 33, so that the period of time and the period of time within which the devishebeorthese 11 was worn.
  • a controller may be provided to evaluate the acquired measurement data. Likewise, this can be done via an energy management.
  • components for wireless data transmission may be provided in the electronic module 57 in order to transmit and provide the acquired measurement data for a personal computer, a tablet, a smartphone or the like.
  • an interface such as a USB micro-port, may be provided to allow data transmission.
  • connection contacts 62 may be provided, which are contacted with complementary connection elements 63 when attaching the closure 27 to a loading and / or data transfer device 61 or a connection housing 68 (FIG. 16), in order to charge on the one hand and / or on the other hand for data transfer enable.
  • FIG. 16 shows a perspective view of an exemplary embodiment of a loading and / or data transfer device 61 with a connection housing 68.
  • This charging and / or data transfer device 61 can be connected via the plug 64 in a socket to a power supply network.
  • a display 66 such as a display or at least one or more LEDs, be provided to the on and off state or other operating conditions, such as charging, state of charge of the accumulators in the shutter 27 and / or the closure 27 to the loading and / or data transfer device 61 transmitted data and measurement signals to display.
  • a USB interface 67 or other interface is provided on the housing 65 of the loading and / or data transfer device 61 in order to connect a connection cable 70 to an interface 69, in particular a micro socket, on a connection housing 68.
  • This connection housing 68 has a latching receptacle 41, which receives the latching element 42 of the shutter 27 and thus positioned for a loading operation and / or data transfer operation to the loading and / or data transfer device 61.
  • the connection contacts 62 of the closure 27 can come into contact with complementary connection contacts 63, so that both a charging process and a data transfer or only one of both is possible.
  • a contactless data transfer between the shutter and the loading and / or data transfer device 61 can take place.
  • one or more LEDs are arranged in the housing 27, which can output to the user at least one status display.
  • the LEDs can be directly adjacent to the surface of the closure or be provided lying behind it and shine through a closed wall of the closure.
  • the closure 43 provided that this is constructed in analogy to the closure 27 with an electronics. It is understood that the shutter 27 can be used in its function as a three-point belt by means of a one-hand operation without any electronics.
  • the closure 27 is designed without a data transmission device, this may be contained in the loading and / or data transfer device 61, that is to say that during the loading of the closure, first a transfer of the data from the closure into the loading and / or data transfer device 61 through the connection contacts 62, 63 takes place and is transmitted from there to an evaluation.
  • a therapeutic treatment can be supported.
  • it can also be checked and monitored whether this mayhebeorthese 11 is worn regularly and for a sufficient period of time. Because of this closure 27, for example, a step cadence, a step intensity, a trip, a fall or an overload as well as the range of motion in the course of the day / week as well as a fatigue and wearing period can be detected and evaluated accordingly.
  • an emergency call signal can be issued. This can be triggered by the user or in the case of an unknown situation or unknown occurring load, which is detected by the electronic module 57, automatically deducted by a corresponding signal and transmitted, for example, to a smartphone or to a call center.

Landscapes

  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Rehabilitation Tools (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

L'invention concerne une orthèse, en particulier une orthèse releveur de pied, comportant une semelle (12), deux éléments d'appui (14) de type éléments de liaison situés opposés l'un à l'autre, qui s'étendent dans la direction verticale et se fondent en une zone d'appui (17) qui entoure au moins en partie le bas d'une jambe et exclue une zone tibiale, L'invention se caractérise en ce qu'une attache (19) s'étend au moins en direction d'une face supérieure de l'avant-pied au niveau de la semelle (12) dans la zone de l'avant-pied et forme un premier point d'application (31) pour relier au moins une lanière de traction (25), en ce qu'un deuxième et un troisième point d'application (32, 33) se situent au niveau de chacune des parties d'appui (16) dirigées vers le tibia, lesdits points d'appui servant à relier ladite au moins une lanière de traction (25) et une lanière manchon (26). Un système de fermeture (27) actionnable d'une main seule main présente au moins un premier et un deuxième point de fixation (28, 29) pour l'au moins une lanière de traction (25) et la lanière manchon (26), et est fixé détachable au deuxième ou au troisième point d'application (29, 30). Dans une position de fermeture (14) du système de fermeture (27), une tension de traction est appliquée entre le premier, le deuxième et le troisième point d'application (31, 32, 33), dans chaque cas dans l'au moins une lanière de traction (25).
PCT/EP2015/071101 2014-09-17 2015-09-15 Orthèse, en particulier orthèse releveur de pied Ceased WO2016041964A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102014113363.3A DE102014113363A1 (de) 2014-09-17 2014-09-17 Orthese, insbesondere Fußhebeorthese
DE102014113363.3 2014-09-17

Publications (1)

Publication Number Publication Date
WO2016041964A1 true WO2016041964A1 (fr) 2016-03-24

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PCT/EP2015/071101 Ceased WO2016041964A1 (fr) 2014-09-17 2015-09-15 Orthèse, en particulier orthèse releveur de pied

Country Status (2)

Country Link
DE (1) DE102014113363A1 (fr)
WO (1) WO2016041964A1 (fr)

Cited By (1)

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CN119345001A (zh) * 2024-12-24 2025-01-24 中国人民解放军总医院第七医学中心 一种足踝损伤患者用行走辅助装置

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DE102016109963A1 (de) * 2016-05-31 2017-11-30 Otto Bock Healthcare Gmbh Fußheberorthese
BE1024707B1 (nl) * 2016-10-10 2018-06-04 Koen Overbergh Zwemhulpmiddel voor een voet, gebruik van een spalk als zwemhulpmiddel en werkwijze voor het aanleren van een zwemslag
DE102017109877A1 (de) * 2017-05-08 2018-11-08 Betterguards Technology Gmbh Fußbewegungsdämpfungsvorrichtung und Schuh zum Dämpfen einer Fußbewegung über das Sprunggelenk

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DE4318588C1 (de) * 1993-06-04 1994-08-25 Beiersdorf Ag Sprunggelenkorthese mit U-förmiger Gelenkmanschette und biegsamen Steg
US20090287127A1 (en) * 2008-05-15 2009-11-19 Irving Hu Circumferential walker
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DE9100531U1 (de) 1991-01-17 1991-06-20 Hartmann Schuhhaus Orthopädie GmbH, 1000 Berlin Fußorthese
WO1994005236A1 (fr) * 1992-08-27 1994-03-17 Craig John Hubbard Attelle pour cheville
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US6793640B1 (en) 2003-06-20 2004-09-21 Guy Avon Ankle support
DE202008001405U1 (de) * 2008-01-24 2008-04-03 Bort Gmbh Orthopoädische Sprunggelenkstütze
IN2014MN02349A (fr) * 2012-04-27 2015-08-14 Bsn Medical Gmbh

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US3527209A (en) * 1967-06-26 1970-09-08 Jariba Corp Drop foot support
DE4318588C1 (de) * 1993-06-04 1994-08-25 Beiersdorf Ag Sprunggelenkorthese mit U-förmiger Gelenkmanschette und biegsamen Steg
US20090287127A1 (en) * 2008-05-15 2009-11-19 Irving Hu Circumferential walker
US20120035520A1 (en) * 2010-08-05 2012-02-09 Arni Thor Ingimundarson Walker having height adjustment and method for doing the same

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN119345001A (zh) * 2024-12-24 2025-01-24 中国人民解放军总医院第七医学中心 一种足踝损伤患者用行走辅助装置

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