CN104337111B - For preventing the orthopedic shoe of excess pressure load - Google Patents

For preventing the orthopedic shoe of excess pressure load Download PDF

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Publication number
CN104337111B
CN104337111B CN201410386343.6A CN201410386343A CN104337111B CN 104337111 B CN104337111 B CN 104337111B CN 201410386343 A CN201410386343 A CN 201410386343A CN 104337111 B CN104337111 B CN 104337111B
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CN
China
Prior art keywords
orthopedic shoe
sole
heel band
footwear
foot
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Expired - Fee Related
Application number
CN201410386343.6A
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Chinese (zh)
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CN104337111A (en
Inventor
杰罗·霍普曼
约瑟夫·贝谢
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Oped AG
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Oped AG
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Expired - Fee Related legal-status Critical Current
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Classifications

    • AHUMAN NECESSITIES
    • A43FOOTWEAR
    • A43BCHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
    • A43B7/00Footwear with health or hygienic arrangements
    • A43B7/14Footwear with health or hygienic arrangements with foot-supporting parts
    • A43B7/1405Footwear with health or hygienic arrangements with foot-supporting parts with pads or holes on one or more locations, or having an anatomical or curved form
    • A43B7/1455Footwear with health or hygienic arrangements with foot-supporting parts with pads or holes on one or more locations, or having an anatomical or curved form with special properties
    • A43B7/147Footwear with health or hygienic arrangements with foot-supporting parts with pads or holes on one or more locations, or having an anatomical or curved form with special properties for sick or disabled persons, e.g. persons having osteoarthritis or diabetes
    • AHUMAN NECESSITIES
    • A43FOOTWEAR
    • A43BCHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
    • A43B7/00Footwear with health or hygienic arrangements
    • A43B7/14Footwear with health or hygienic arrangements with foot-supporting parts
    • AHUMAN NECESSITIES
    • A43FOOTWEAR
    • A43BCHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
    • A43B11/00Footwear with arrangements to facilitate putting-on or removing, e.g. with straps
    • AHUMAN NECESSITIES
    • A43FOOTWEAR
    • A43BCHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
    • A43B13/00Soles; Sole-and-heel integral units
    • A43B13/14Soles; Sole-and-heel integral units characterised by the constructive form
    • A43B13/143Soles; Sole-and-heel integral units characterised by the constructive form provided with wedged, concave or convex end portions, e.g. for improving roll-off of the foot
    • A43B13/145Convex portions, e.g. with a bump or projection, e.g. 'Masai' type shoes
    • AHUMAN NECESSITIES
    • A43FOOTWEAR
    • A43BCHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
    • A43B7/00Footwear with health or hygienic arrangements
    • A43B7/14Footwear with health or hygienic arrangements with foot-supporting parts
    • A43B7/18Joint supports, e.g. instep supports
    • A43B7/20Ankle-joint supports or holders
    • AHUMAN NECESSITIES
    • A43FOOTWEAR
    • A43BCHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
    • A43B7/00Footwear with health or hygienic arrangements
    • A43B7/14Footwear with health or hygienic arrangements with foot-supporting parts
    • A43B7/28Adapting the inner sole or the side of the upper of the shoe to the sole of the foot
    • AHUMAN NECESSITIES
    • A43FOOTWEAR
    • A43BCHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
    • A43B7/00Footwear with health or hygienic arrangements
    • A43B7/32Footwear with health or hygienic arrangements with shock-absorbing means
    • AHUMAN NECESSITIES
    • A43FOOTWEAR
    • A43CFASTENINGS OR ATTACHMENTS OF FOOTWEAR; LACES IN GENERAL
    • A43C11/00Other fastenings specially adapted for shoes
    • AHUMAN NECESSITIES
    • A43FOOTWEAR
    • A43CFASTENINGS OR ATTACHMENTS OF FOOTWEAR; LACES IN GENERAL
    • A43C11/00Other fastenings specially adapted for shoes
    • A43C11/004Fastenings fixed along the upper edges of the uppers
    • AHUMAN NECESSITIES
    • A43FOOTWEAR
    • A43CFASTENINGS OR ATTACHMENTS OF FOOTWEAR; LACES IN GENERAL
    • A43C11/00Other fastenings specially adapted for shoes
    • A43C11/14Clamp fastenings, e.g. strap fastenings; Clamp-buckle fastenings; Fastenings with toggle levers
    • AHUMAN NECESSITIES
    • A43FOOTWEAR
    • A43CFASTENINGS OR ATTACHMENTS OF FOOTWEAR; LACES IN GENERAL
    • A43C11/00Other fastenings specially adapted for shoes
    • A43C11/14Clamp fastenings, e.g. strap fastenings; Clamp-buckle fastenings; Fastenings with toggle levers
    • A43C11/1493Strap fastenings having hook and loop-type fastening elements

Abstract

The present invention relates to the orthopedic shoe of a kind of excess pressure load for preventing on pressure-sensitive vola, particularly to the orthopedic shoe for preventing the excess pressure load on the pressure-sensitive vola of those diabeticss, footwear has rigid sole, this rigid sole is front podarthral bending during substantially eliminating walking, and this sole has convexity sole part in toe areas and/or heel area, this convexity sole part allows rigid sole to roll, and footwear has footwear to unite, footwear system is provided with immobilising device, by means of immobilising device, foot can be fixed in footwear, and immobilising device has heel band and DLZ.DLZ is attached to left part and the right part of heel band in the way of carrying out load transmission with left connecting element and right connecting element, two end one segment distances being laterally attached to footwear of connecting element each distance heel band, and central part one segment distance across calcaneus of distance heel band.

Description

For preventing the orthopedic shoe of excess pressure load
Technical field
The present invention relates to the orthopedic shoe of a kind of excess pressure load for preventing on pressure-sensitive vola.Special Not, but the most exclusively, this orthopedic shoe can be used for the treatment of diabetics.According to this The footwear of invention are generally suitable for treating pressure-sensitive vola.But, for diabetics, prevent foot On excess pressure load there is significant therapeutic meaning.
Background technology
Age group between 20 and 70 years old averagely has the people of 1/5th need to treat vein to ask Inscribing or suffer from the Lesion of vein causing disease, therefore, treatment becomes necessary.Explanation to this is usual Being the bigger reduction often of connective tissue, this causes the reduction of wall of vein, and therefore causes quiet Arteries and veins lobe is not completely closed.This causes and reduces from the venous return of both legs to health.
Only in Germany, just there are the diabetics of about 5,000,000, wherein, so-called diabetic foot Popular with almost obvious way.It is, therefore, intended that can be formed open on the vola of forefoot Property wound, this open wound is the most infected, and mostly comes to an end with foot amputations.Produce sugar The reason of urine foot disease is: cause in arterial vascular system due to the metabolism status of diabetics Occur compared with large artery trunks with compared with the narrow and possible obstruction of small artery blood capillary.Therefore, tissue, Particularly skin is no longer fed with enough oxygen and partly necrosis, thus produces the cracking of skin Region.Especially, due to arteriocapillary miopragia, cutaneous nerve is no longer carried out suitably Ground supply, and produce diabetic peripheral neuropathy with integrated.This means patient's nutrition at skin Defective region loses sensitivity, with sensitivity to pain is greatly reduced so that anatomically The pressure point of prediction is no longer clear and definite, and skin substantially can be subject in the case of not causing pain Damage.Due to the pain in the region of patient's imperceptible skin overstrain, the most complete Without noticing of the damage of skin, in any case or the most just it will be noted that.
From DE 10 2,010 022 329 A1, known one has rigid sole and convexity sole The footwear in portion, these footwear are the types that can be worn by diabetics especially.In order to foot is fixed on In footwear, in common footwear, particularly heel area is fixing particularly important, because foot is expert at Do not roll due to the rigidity of sole during walking.On the contrary, footwear roll on circular sole part, When walking forward, the rear portion of sole must be lifted relative to the rolling point below forefoot. When the rear portion of sole is lifted by this way, sizable power acts on immobilising device and the foot of footwear Between portion, to stop heel to rock in footwear.The heel this rocking in footwear will cause foot phase For undesirable relative motion of sole medial surface, this relative motion may cause damage and wound Wound.
In order to be fixed in footwear by heel, DE 10 2,010 022 329 A1 proposes a kind of Y-Shaped embedding Entering part, the bottom of this insert is attached to sole, and the Liang Ge top set of this insert one Striding across heel, another strides across instep.This Y-Shaped immobilising device has proven to be not suitable for by foot to the greatest extent May seamlessly be fixed in footwear.Especially, this is because: when tightening up immobilising device, do not have There is the enough pressure that tightens up can be applied to heel area and heel is started in footwear slightly rock. If the bearing capacity excessively increased in instep region is to compensate the not enough pressure in heel area, Then reduce wearing comfort, and also undesirable hyperemia may be produced.
Summary of the invention
Thus, from this prior art, the purpose of the present invention is to propose to a kind of new orthopedic shoe, It can adapt to different foot in heel area, thus reduce or be entirely prevented from pressure-sensitive foot On excess pressure load.
This purpose is realized by the orthopedic shoe of the teaching according to following content.
The orthopedic shoe of a kind of excess pressure load for preventing on pressure-sensitive vola, especially for anti- The only orthopedic shoe of the excess pressure load on the pressure-sensitive vola of diabetics, described footwear has rigidity Sole, described rigid sole is front podarthral bending during substantially eliminating walking, and described Sole has convexity sole part, described convexity sole in toe areas and/or heel area Portion allows described rigid sole to roll, and described footwear has footwear system and is arranged on described footwear system Immobilising device, foot can be fixed in described footwear by described immobilising device, and described fixing Device has heel band, and described heel band extends to right crus of diaphragm face from left foot face across the rear portion of calcaneus, And described immobilising device includes that DLZ, described DLZ extend across instep and have puller Part, described in pull device can stride across described instep to carry out straining for size adjusting, the described back of the body Side band is attached to described footwear in the way of carrying out load transmission with left connecting element and right connecting element With left part and the right part of band, described connecting element is each laterally attached to institute apart from described heel band State two end one segment distances of footwear, and apart from the center striding across described calcaneus of described heel band Portion one segment distance.
The Advantageous embodiments of the present invention is the theme of the description below.
On the longitudinal axis direction of described footwear, described connecting element be arranged in described heel band across That crosses the described central part of described calcaneus and described heel band is laterally attached to described the two of described footwear Between individual end.
The said two end of described heel band is attached to described footwear with corresponding trunnion bearing, especially Ground, is riveted to described footwear with corresponding fixing rivet.
Described footwear system has the shell being made up of flexible upper material, and described shell is at least with segmentation Mode covers foot, and described heel band prolongs the most in segmented fashion along the outside of described shell Stretch.
Described heel band is being positioned at the described central part striding across described calcaneus and the institute of described heel band State the described left part between the said two end being laterally attached to described footwear of heel band and described Right part is not attached to described shell.
The described central part striding across described calcaneus of described heel band is not attached to by flexible upper material The described shell that material is made, and especially, described central part is by protruding upward from described shell Tab portion fix the height at described center.
Described heel band rigid material produces, and described heel band is in the region of described connecting element Having material weakenings, described material weakenings is wedge-shaped indentation especially, by means of described material Weakenings, the hardness of described heel band reduces transverse to the direction of its longitudinal axis.
Described sole includes external sole and inner sole, described external sole elastic damping material Producing, described inner sole is by the manufacture of materials harder than described external sole.
The medial surface towards foot of described sole and the medial surface shape towards foot of described footwear system Become the described longitudinal axis about described footwear axially symmetric, and described footwear can be worn alternatively On left foot or on right crus of diaphragm.
Pull device to be formed in the way of puller strap for tightening up described in described DLZ, described in draw Taut band anchor portion is fixed to described DLZ, and described puller strap is being attached to described dorsal part The deflection ring of band deflects, described puller strap having between described anchor portion and described deflection ring Effect is tightened up length and can be adjusted by loop fasteners.
Described DLZ is provided with two deflection rings, the described anchor portion energy of described puller strap Enough coupling devices are attached to right avertence change or the left avertence change of described DLZ alternatively.
The hook-type band of the described loop fasteners in the described anchor portion of described puller strap or annular Band covers the outside being associated with described anchor portion of described coupling device.
The disposed inboard towards foot at described sole has orthopedic inner sole, at described internal footwear It is formed with at least one space between top side face and the bottom side at the end, in described space, is provided with lining Pad, pressure peak is at least distributed in regional area by described liner, the deformable lining of described liner Cushion cover is filled with deformable obturator, and described deformable obturator can be moved relative to.
Described insert has at least one air vent, and present in described liner, air can executed Outside is leaked to by described air vent during plus-pressure.
Described liner is divided into each pad section, wherein, especially, in the toe areas of foot It is disposed with a pad section, and/or in the front foot joint area of foot, is disposed with a pad section, And/or in the metatarsal and anklebone region of foot, it is disposed with a pad section and/or the heel at foot Region is disposed with a pad section.
Being provided with interval trough between at least two adjacent pad section, described interval trough allows described phase The relative motion of adjacent pad section.
Described pad section is formed as connecting at least in part, and air and/or obturator can be by logical Road junction is walked between the pad section of two connections.
Footwear according to the present invention are based on such theory: immobilising device include striding across from left foot face with The rear portion of bone extends to the heel band in right crus of diaphragm face, also includes extending across instep and has and pull device DLZ.Provide according to teachings of the present invention: DLZ with left connecting element and right be connected Element carries out the mode of load transmission and is attached to left part and the right part of heel band, connecting element each away from From be arranged laterally on footwear two end one segment distances of heel band, and the horizontal stroke of distance heel band Central part one segment distance across calcaneus.By means of such immobilising device, can be by heel with most preferably Mode be fixed to the sole of the footwear according to the present invention.This is because when DLZ pulled device When tension is for size adjusting, tightening force is transferred at connecting element in the way of load transmission Two parts of heel band.Owing to two ends of heel band are attached to footwear, therefore in connecting element Place is transferred to the tightening force of heel band and produces pulling force to act on the center across calcaneus of heel band Portion.Therefore, heel band acts on around heel in form-fit fashion self, and passes through shape Heel is fixed in footwear by shape cooperation.The tightening force being acted on heel by heel band can be led to by user Cross change to be adjusted by the tightening force pulling device to apply.Due to this form fit heel band with Tensioning function between the heel of user is adjustable, so setting optimal cooperation, this Prevent heel from skidding off relative to sole.Therefore, when going ahead, heel also rolls at rigid sole Period remains fixed in footwear in the most gapless mode, and by between vola and the inner bottom of footwear Undesirable relative motion minimize or stop this relative motion completely.
Be positioned at pulling force be transferred in heel band two residing connecting elements relative to heel band Central part and the cloth relative to two ends laterallyd secure on footwear of heel band across calcaneus Put and be significant for the optimum apjustment of footwear cooperation in heel area.This is because machine Tool lever ratio and pull than (pulling ratio) with according to said two connecting element on heel band Layout and change.About this point, it has therefore proved that the following is particularly advantageous: at the longitudinal axis of footwear Direction on, connecting element is each arranged in the central part across calcaneus of heel band and heel band Two ends being laterally attached to footwear between.In other words, it is intended that at laterally profile When observing footwear, connecting element is arranged between the rear portion of heel and two attachment point of heel band.Footwear With band can be with straight line or slightly curved between two attachment point and the central part across calcaneus of heel band Bent mode extends.The end of central part Yu heel band by connecting element being arranged in heel band Between, it is achieved that: when pulling on device tension, heel band is by the two of two sidepieces of heel band Individual connecting element pulls out its straight line or the shape of slightly curved song along the direction on instep, and in do so Time, due to pull than and lever ratio, the feelings applying relatively low adjustment power on device can pulled Under condition, at heel band, apply high attachment forces.For user, it means that high ease for use, because of Only need for him/her to pull power that at device, applying is relatively low to strain heel at DLZ Band.
As it was previously stated, when pulling device to strain, by two sidepieces of heel band together and along instep Direction pull up, therefore, the central part of heel band is strained forward along toe direction.Heel The attachment point district that this adjustment motion of band makes heel band be wound on two lateral ends of heel band Abutment in territory rotates against slightly.Suppose material the most resilient in the case of, this slightly Slightly rotate and can be compensated by the deformation in attachment point region of the heel band.But, in this feelings Under condition, user must apply extra tightening force to make heel band in the region of two attachment point Elastic deformation.Therefore, in order to avoid this extra tightening force, here it is particularly advantageous that heel band Two ends in the way of trunnion bearing, be attached to sole.To this end, such as, two of heel band End can be riveted to sole with fixing rivet.Trunnion bearing allow heel band end around attachment point with The mode generally not stressed rotates, and wherein, meanwhile, necessary tightening force can pass through pivot Axle bearing is transferred to sole.
The footwear system of the footwear according to the present invention is intended to be fixed on the sole of footwear foot.To this end, footwear Footwear system wraps up the top side face of foot the most in segmented fashion.Such as, footwear system can be by various slice-group Become, therefore form a kind of open footwear, such as sandals.Alternatively or extraly, footwear system can Including the shell being made up of soft upper material.Described upper material can be such as The synthetic material of Gore-Tex textile material or leather.So upper material is at least with segmentation Mode covers foot, and adds snugness of fit.For according to the footwear of the present invention, close Provide heel band in this point to extend in the outside of shell.
If the footwear according to the present invention are equipped with the shell being made up of soft upper material, the most favorably , heel band is in the central part across calcaneus of heel band and being arranged laterally on footwear of heel band Two ends between left part and right part in be not connected to shell but the most freely prolong Stretch the upper material striding across softness.Owing to heel band and shell are not connected to each other, particularly do not have The fact that be sewed together, thus when by DLZ when pulling device to strain, heel band can from It is repositioned to stride across the upper material of shell by ground so that although have adjusted heel band, upper of a shoe material Expect the most indeformable, thus avoid the formation of gauffer.
Additionally, here it is particularly advantageous that the central part across calcaneus of heel band is also not connected to by soft The shell that soft upper material is made.Therefore, heel band is the most only directly connected two ends To footwear, particularly it is connected to sole.The every other part of heel band can freely be repositioned to Stride across the flexible upper material of shell, and therefore between heel band and heel, realize optimum shape and join Close.In order to the central part of fixing heel band in heel area relative to the height of shell, at shell On be provided with the tab portion protruded upward.Then heel band extends across the attached of the tab portion that protrudes upward Connect region, thus stop heel band to gliding the most remote.
In order to easily transmit required power, heel in the heel band of the footwear according to the present invention Band should be by the most sufficiently rigid manufacture of materials of the plastics garter spring of such as suitable thickness etc.So And, this heel band being made up of the material strengthening hardness has the disadvantages that and strains at heel band Period, heel band shows bigger opposing to its deformation in the abutment of two connecting elements Power, because rigid material must elastic deformation the most slightly in the abutment of connecting element.For Avoiding these these counteracting forces of undesirable counteracting force is in two companies for heel band Connect deformation in the dot area of element necessary, here it is particularly advantageous that heel band is in two companies Connecing in the dot area of element and there is material weakenings, this material weakenings is the most wedge shaped to be lacked Mouthful.By means of this material weakenings, in the dot area of two connecting elements, heel band Hardness can reduce transverse to its longitudinal axis, thus reduce heel band to heel band strain the phase Between the resistance of deformation.
The footwear sole construction of orthopedic shoe is substantially optional, as long as having on sole enough firm generally Spend and therefore the motion of foot is less than tolerable degree when going ahead.Except required firm Outside degree, in order to guarantee high walking comfort, it is advantageous to sole includes by different materials The external sole made and inner sole.External sole then available a kind of elastic damping material produces, To realize desired walking comfort.Inner sole rigid material produces.Inner sole firm Degree then may be selected to be sufficiently high, without considering external sole material, because sole typically has Necessary rigidity is used on orthopedic shoe.
Many user only need to use orthopedic shoe on a foot, because second foot does not has Pathological changes.But, this fact greatly increases required production cost, because user has only to One footwear, but maker is had to not only for left foot but also the footwear that provide different footwear code for right crus of diaphragm.In order to Required kind quantity and adjoint production cost can be reduced, it is therefore advantageous that sole and The medial surface towards foot of footwear system is axially symmetric about the longitudinal axis of footwear.Footwear medial surface this Axially symmetric footwear can be through on left foot or on right crus of diaphragm alternatively.In order to supply different uses Person, all of requirement is then to provide the footwear of different footwear code, footwear then can be worn in alternatively left foot or On right crus of diaphragm.
Footwear according to the present invention are by pulling device to be fixed on the foot of user, and this pulls device Type is the most optional.Preferably, device is pulled can be formed with the form of puller strap.Institute State puller strap and be fixed on the side of DLZ by an i.e. anchor portion in end.Phase at DLZ Anti-side is attached with deflection ring, and puller strap can start to deflect this deflection ring from its anchor portion, And in this case, puller strap with transformable length across instep.Free end at puller strap Hook-type band or endless belt it is provided with, along with the adjustment of the required taut length of puller strap, this hook in portion Shape band or endless belt are placed on the hook-type band or endless belt being arranged in anchor portion region, and because of This is fixed.
If the footwear according to the present invention be designed to axially symmetric and can be worn in alternatively left foot or On right crus of diaphragm, the most particularly advantageously, the anchor portion of puller strap and deflection ring are in a detachable fashion It is fixed by corresponding coupling device.By alternately separating on anchor portion and deflection ring Coupling device, thus it is possible to vary fixing end is in the right side of footwear or the layout in left side.Therefore, by weight New two coupling devices of planting, under all situations of axially symmetric design not considering footwear, permissible The free end traveling from inboard to outside of puller strap is provided.In other words, it is intended that logical Cross the coupling device of puller strap of again planting, be adjustable into following effect: slippers can be worn in left foot Or on right crus of diaphragm.
In order to the hook-type band pulling on device is fixed in the biggest adjustment region, favorably , the hook-type band of the loop fasteners in the anchor portion of puller strap or endless belt cover coupling The outside being associated with anchor portion of part.
Footwear according to the present invention can preferably combine with orthopedic inner sole.Preferably, internal Sole has sky pressure peak being distributed between the top side face of inner sole and bottom side I.e. liner in region under front joints of foot between, the deformable gasket set of described liner is filled Having deformable obturator, this obturator can be moved relative to.Have deformable gasket set and This liner of the obturator that can relative to each other deform and move being included in allows lining The shape of pad is suitable for vola change shape in front foot joint area all the time.This is because liner Shape by the moveable obturator in insert layout determine.If the now shape in vola Or the position change that vola is in inner sole, then by the displacement of transportable obturator, The shape of liner can be adapted easily to this change.The shift duration of obturator is until realizing big Till being partially completed pressure compensation.In other words, it is intended that obturator shifts in insert Until the shape of liner is the most most preferably suitable for the shape in vola, and therefore, the biggest portion Dispersion or all pressure peaks being completely eliminated between vola and inner sole.Wear subsequently During inner sole, the deformability of obturator, more precisely insert is variable Shape provides optimal damping action.Obturator displacement to a certain extent in insert is also Producing the inner sole a kind of massage motion on the skin of vola, this massage motion promotes that blood follows Ring.For the open area on the vola skin eliminating diabetics, this also plays long-pending Pole acts on.
In order to make the liner being filled with removable obturator can be suitable for foot in the way of optimum shape The shape at the end, it is desirable to do not have air pocket to be formed in insert.This air pocket will be according to pressure loading at lining Move in cushion cover, and therefore will be constantly changing pressure state and produce undesirable pressure peak. Therefore, according to the preferred implementation of the inner sole according to the present invention, a kind of insert is proposed, It has at least one air vent, and when the pressure is exerted, present in insert, gas passes through this row Gas opening escapes to outside.Therefore, air vent guarantees to produce between insert inside and ambient atmosphere Raw pressure compensation completely.Thus in avoiding insert, form undesirable air pocket.
In order to the shape of the most fixing liner being filled with obturator, on insert Discharger can be provided with.By means of this discharger, it is possible to by gas present in insert Discharge into the degree forming negative pressure in insert.This negative pressure resistance deformable obturator and pull can Deformed gasket set, and therefore fix the relative position between each obturator.By making discharge fill Putting ventilation, negative pressure can discharge in insert, and can by obturator displacement in insert Adjust new gasket shapes.
By the displacement of obturator removable present in the insert tune to the shape of inner sole Whole is based on obturator displacement under a load.In this process, the obturator in high-pressure area It is displaced in area of low pressure, until all regions in vola show generally similar pressure and carry Lotus.Due to metaplasia and the most adjoint pressure loading in vola, can in the displacement of obturator Very long displaced path can occur so that this obturator no longer can be advanced within the rational time. Especially, if whole vola is propped up by single insert and the removable obturator being included in Hold, be then likely to occur very long displaced path, thus can not expect that liner is in the rational time In the range of re-form.In order to avoid the displaced path of unacceptable length and in order to make The geometry of liner is specifically tailored to the zones of different in vola, here it is particularly advantageous that by liner It is divided at least two pad section.The so shape of each pad section and particularly each pad section Filling extent can be suitable for the most different requirement in the zones of different in vola.
The quantity of pad section and the plantar region being disposed with pad section are substantially optional.According to having The embodiment of profit provides a kind of pad section, on the one hand, this pad section is in the way of according to the present invention At the front foot joint area of foot and/or the toe areas at foot and/or the metatarsal at foot and ankle Bone region and/or be disposed with pad section in the heel area of foot.Especially, in toe areas With front foot joint area and metatarsal and anklebone region and heel area, there are four pad section altogether Embodiment scheme be particularly advantageous.
During the walking movement of the user of orthopedic inner sole, inner sole produces in footwear Rolling movement.The rolling movement of this inner sole may cause obturator not wishing in insert The translocation hoped.In order to these undesirable displacements are minimized, it is advantageous to adjacent Interval trough it is disposed with between pad section.In the process of walking, when inner sole rolls, described between Separate slot allows the relative motion of adjacent pad section, and therefore removable in each pad section is filled out The translocation filled on body is minimized.
The undesirable translocation just caused by the rolling movement of inner sole most probable For littleization, it is advantageous to the interval trough between adjacent pad section along its longitudinal axis with curved Bent shape extends.The curve of the interval trough of bending should be around inner sole in the way of indent Heel extend, and therefore with the center portion thereof divide sensing forefoot direction.
If inner sole has several pad section, then it may be desirable to such as make obturator Advance erratically between each pad section such that it is able to change the filling extent of each pad section. In this way, the characteristic making inner sole is suitable for the requirement of different users the most possibly.For Realize the adaptability of this inner sole according to the present invention, propose according to preferred implementation: Pad section is formed as connecting at least in part, and gas and/or obturator can be led to by least one Road junction is walked between the pad section of two connections.By making obturator be shifted by passway, respectively The filling extent of individual pad section can be changed or change.Additionally, gas can be by passage at each Carry between pad section so that be not the most that each pad section must have air vent And/or discharger.
In order to avoid obturator to move between the pad section of connection during using inner sole Position, here it is particularly advantageous that properly select the cross section of passway relative to the cross section of obturator. The cross section of passway should be the most sufficiently large so that filling for the cross section of obturator Body is walked between the pad section of connection by passway under non-stress state.Meanwhile, passway Cross section should be sufficiently small relative to the cross section of obturator so that obturator holds in inner sole Can not be shifted by passway by under load condition.
In order to provide snugness of fit and particularly no pressure peak value as far as possible in interval trough region Transformation, it is advantageous to extra elastic pressure distribution synusia is arranged in inner sole towards The side of foot, especially, this elastic pressure distribution layer is made of a foam material.Owing to this is extra Pressure distribution synusia only need to buffer little pressure peak, therefore it can be formed as relative thin, and It is not exposed to the undesirable impression in the wear trace that additionally produces and adjoint inner sole.
Accompanying drawing explanation
It is schematically depicted in the drawings embodiments of the present invention, and will be below by showing Embodiments of the present invention are illustrated by example.
In the drawings:
Fig. 1 is to show the footwear according to the present invention from the side view of left sides;
Fig. 2 shows the footwear according to Fig. 1 with the side view observed from right side;
Fig. 3 shows the footwear according to Fig. 1 with the side view observed from rear side;
Fig. 4 show with axonometric chart be attached with pull device for foot is fixed on according to Fig. 1 Footwear in rear portion immobilising device;
Fig. 5 shows with axonometric chart and pulls the rear portion holder according to Fig. 4 after device in assembling Part;
Fig. 6 shows the immobilising device according to Fig. 4 with side view;
Fig. 7 shows and pulls the immobilising device according to Fig. 6 after device in assembling;
Fig. 8 shows the top side face of inner sole with the axonometric chart observed from top;
Fig. 9 shows the bottom side of the inner sole according to Fig. 8 with the axonometric chart observed from top;
Figure 10 shows indulging through the inner sole according to Fig. 9 with the axonometric chart observed from top Cross section;
Figure 11 shows the bottom side of the inner sole according to Fig. 9 with the view observed from top;
Figure 12 shows the inner sole according to Figure 11 with the cross section along taken along line A-A.
Detailed description of the invention
Fig. 1 show according to teachings of the present invention for preventing the excess pressure on pressure-sensitive vola to carry The orthopedic shoe 01 of lotus, this footwear are intended to be used in particular for diabetics.Footwear 01 have and are walked by rigidity Row sole 02 and the basic structure of footwear system 03 composition.Respectively at toe areas and heel at the bottom of walking shoes Region has convexity sole part 04 and 05.Circular sole part 04 and 05 allows footwear in walking Period rolls with its sole bottom side and user is the most all had regardless of the rigidity of 02 at the bottom of walking shoes There is the normal gait of approximation.There is provided for foot being fixed at the bottom of walking shoes footwear system 03 bag on 02 Include front immobilising device 06 and rear immobilising device 07.It addition, footwear system 03 includes by such as leather or spins Knit the shell 08 that the flexible upper material of material etc is made.
Front immobilising device 06 and rear immobilising device 07 are provided with and pull device 09 He accordingly 10, thus allow user to adjust the size of footwear 01 according to his/her individual demand.By pulling Device 09, the front portion of footwear 01 is fixed in forefoot region, and by pulling device 10, can adjust Whole metatarsal and the size of heel area.The two pulls device 09 and 10 to be each formed as puller strap, This puller strap has loop fastener or hook fastener in their inner side, tight by means of this ring type Firmware or hook fastener, puller strap allows to pull the size adjusting of device 09 and 10.
In the basic structure of footwear, rear immobilising device 07 includes heel band 11 and is attached to heel band The DLZ 12 of 11.DLZ 12 can be by means of the instep pulling device 10 to stride across user Strain in the way of variable-length.Device 10 is pulled to form the integral part of DLZ 12.Heel Left foot face is extended across from its first end 13 initially towards the spat 15 covering calcaneus with 11, This first end 13 by fixing rivet be attached to sole 02 (fixing rivet 14 and end 13 with The mode being blocked illustrates in fig. 1 and 2).Heart portion wherein, across the heel band of calcaneus 11 deflections also back extend across right crus of diaphragm face towards the second end 16 subsequently, and the second end 16 is therewith Sole 02 (see Fig. 2) pivotably it is attached to by rivet 17.Have and pull device 10 DLZ 12 by connecting element 18 and 19 with load transmission by the way of be attached to heel band 11 Left part and right part.The connecting element 18 and 19 distance end 13 of heel band 11 and 16 1 sections Distance, and central part 20 1 segment distance of distance heel band, this central part is in spat 15 region Across calcaneus.The left part 11a of heel the band 11 and right part 11b of heel band 11 is in curved shape Attachment point from the region of the end 13 and 16 of heel band extends to central part 20.If this moment The instep that DLZ 12 strides across user by the length adjustment pulling device 10 is strained, then Corresponding pulling force is transferred to heel band 11 by connecting element 18 and 19.Due to heel band 11 only At the end 13 and 16 of heel band 11, it is connected to footwear 01 is i.e. connected to sole 02, therefore, footwear With the central part 20 with 11 shifts forward when applying pulling force, and thereby, it is ensured that spat 15 is with Good form coordinates on the calcaneus of user.Opinion therefrom, part 11a of heel band 11 and 11b And central part 20 is not attached to the upper material of shell 08, this makes the upper material of shell 08 And can relative motion between heel band 11.
As in fig. 1 and 2 it is observed that, connecting element 18 and 19 each one all along footwear Longitudinal axis direction is arranged in the central part 20 of heel band 11 and being arranged laterally on of heel band 11 Between two ends 13 and 16 on footwear.Connecting element 18 and 19 along the longitudinal axis in This layout between heart portion 20 and end 13 and 16 realize the pulling force that applied by DLZ 12 with The mode of most suitable power is transferred to heel band 11.Due to leverage, even if in DLZ 12 Relatively low pull load also can produce height in heel band 11 to pull load so that even if Pull and on device 10, apply relatively low power that foot also can be made to be fixed the most tightly by heel band 11 In footwear 01.Owing to end 13 and 16 is carried out with the form of pivot by means of rivet 14 and 17 The fact that installation and heel band 11 are not additionally connect to the upper material of shell 08, enter extraly Row adds this high efficiency of power.For the efficiency of the power of immobilising device 07 after improving further, Heel band 11 includes corresponding material weakenings 21 in two connecting elements 18 and 19 region, This material weakenings 21 is formed in the way of wedge-shaped indentation.This material weakenings is with heel band 11 Left articulare and right articulare in terms of their rigidity, weaken two parts of heel band 11 11a and 11b so that heel band 11 is on this Accurate Points bearing tensile load of heel band 11 Can be easier to bent.Prevent heel band 11 the most in this way beyond the two region The deformation produced because of artificial Material weakening.
Fig. 3 shows footwear 01 with the view observed from rear side.It is able to recognize that heel band 11 how With the center portion thereof 20 across footwear 01 in the region of calcaneus.In order to fixing heel band 11 is at heel band Height in the region of the central part 20 of 11, is provided with tab portion 22 on spat 15, described The free end of tab portion 22 protrudes upward.Connecting line between spat 15 and tab portion 22 Seam is reliably prevented heel band 11 and slides the most further beyond allowable range.
Fig. 4 and Fig. 5 shows and is being attached to the rear immobilising device 07 before sole 02.Can see To end 13 and 16, it is provided with in end 13 and 16 and passes through for fixing rivet 14 and 17 Attachment hole.It addition, it can be seen that heel band portion 11 a and 11b and central part 20 placed in the middle. DLZ 12 is by two deflection rings 23,24 and pulls device 10 to form.Deflection ring 23 and 24 Form on heel band 11 with connecting element 18 and 19.Pull device 10 can pass through to couple Device 25 is optionally secured to deflection ring 23 or 24 in knock-down mode, this coupling device 25 It is bonded in form-fit fashion in its recess with two wings after deflection ring 23 or 24.? After coupling device 25 has been inserted in the recess of deflection ring 23 or 24, coupling device 25 must turn Dynamic about 90 degree.
Coupling device 25 is attached to pull the anchor portion 26 of device 10.For pulling device 10 Use, after coupling device 25 is fixed to the first deflection ring 23, pulls on device 10 and use it Free end 27 is through the second deflection ring 24, and guiding is back to anchor portion 26.Pulling device The both sides of 10 are provided with has endless belt and the loop fasteners of functionally complementary hook-type band, makes The tensile elongation that must pull device 10 can be carried out admittedly by being placed on endless belt by hook-type band Fixed.
In figure 6 and figure 7, it can be seen that the free end 27 in opposition side of DLZ 12. It is able to recognize that: pull the free end 27 of device 10 coupling device 25 is completely covered and stops The mobile whole surface made on its functionally complementary hook-type band or endless belt is positioned at fixing end The lower section in portion 26.The fact that coupling device 25 are completely covered due to hook-type band, can make to pull device The length of 10 adjusts in bigger excursion.
Coupling device 25 allows the anchor portion 26 by drawing article 10 to pull on part 10 alternatively It is attached to the first deflection ring 23 or is attached to the second deflection ring 24.Owing to footwear 01 are additionally formed as phase Axial symmetry complete for its longitudinal axis is therefore, it is possible to the most optional in the case of having identical function Be worn on left foot or right crus of diaphragm, therefore anchor portion 26 is attached to the first deflection ring 23 alternatively Or second deflection ring 24 allow the peculiar outward appearance in side of footwear 01.Such as, shown in Fig. 1 and Fig. 2 Format be intended to be worn on right crus of diaphragm.By connector 25 is inserted in again corresponding another Deflection ring 23 or 24, footwear 01 can re-start adjustment in the way of it is intended to be worn on left foot.
Fig. 8 shows orthopedic inner sole 101, and this orthopedic inner sole 101 can be in footwear 01 It is arranged on sole 02.Fig. 8 shows have top side face 102 with the axonometric chart observed from top Inner sole 101.Inner sole 101 can be arranged according to the present invention in knock-down mode Given footwear size footwear 01 in, and be used for improve the pressure distribution on pressure-sensitive vola, especially It is to improve the pressure distribution on the pressure-sensitive vola of diabetics.Inner sole 101 in footwear 01 Characteristic be particularly advantageous, since it is considered that foot is fixed in footwear 01 the most tightly, very Wish that pressure is distributed as uniformly as possible on foot.
Fig. 9 shows internal footwear with the axonometric chart observed from top from the bottom side 103 of inner sole The end.Can be seen that with the lining of four pad section 105,106,107,108 distribution pressure peak value Pad 104 is between top side face 102 and bottom side 103.
According to Figure 10, the liner 104 with four pad section 105 to 108 can be obtained from longitudinal section Structure.Deformable gasket set 109 parcel being made up of PU (polyurethane) thin film is multiple variable Shape obturator 110, the plurality of deformable obturator 110 can be moved relative to.These Obturator 110 can be displaced relative to the shape so that the most again adapting to liner 104 and wheel Wide.As from Fig. 9 it is observed that, each pad section 105,106,107,108 it Between there are between each adjacent pad section formed passway 112 passage 111.Fill Body 110 can be walked between adjacent pad section 105,106,107 and 108 by passway 112, Thus allow the change of the particularly fill level of each pad section 105 to 108.Additionally, each Air in pad section 105 to 108 may flow through passway 112, and can pass through subsequently Air vent 120 escapes in ambient atmosphere, and this air vent 120 is formed at being positioned at of insert 109 In wall in the region of passage 111.
Figure 11 shows the inner sole with bottom side 103 with the front view observed from top 101.It can be seen that three interval troughs 113,114 and 115, these interval troughs are by four pad section 105 to 108 are separated from each other, and allow the most adjacent pad section 105 to 108 relative motion.
Interval trough 113 to 115 all extends with lowland in curved shape around the heel of inner sole 101. Passage 111 between adjacent pad section 105 to 108 is each transverse to interval trough 113 to 115 Extend.By air vent 120 being arranged in the side towards bottom side 103 of passage 111, really Load, air vent 120 is had not to close, because passage 111 is the end of relative to even if protecting inner sole Side 103 is arranged in interval trough 113 to 115 in the way of retracting backward.
Figure 12 shows inner sole 101 with the cross section along taken along line A-A.Can see To the passway 112 between pad section 106 and pad section 105, obturator 110 can pass through This passway 112 is walked between adjacent pad section.The obturator represented relative to being diagrammatically only by property The cross section of the passway 112 of the cross section of 110 accurately selects so that obturator 110 Can pass through and be in load in inner sole 101 under inner sole 101 is in unloaded condition It is prevented from passing through under state.
The pad section 105 to 108 of inner sole 101 is by two synusia being made up of PU thin film 116 and 117 are formed.Synusia 116 has general plane and arranges.In contrast, synusia 117 example Formed by the way of three-dimensional as shaped by the deep-draw of PU thin film, and synusia 117 is formed and lining Four rooms 118 that pad section 105 is corresponding in form.When producing inner sole 101, first, Three dimensional mold synusia 117 is filled with obturator 110, and subsequently, synusia 116 is the closeest It is sealed to synusia 117.By sealing synusia 116 and synusia 117, enclose and include obturator 110 Room 118.For user, in order to also guarantee pressure in the region of interval trough 113 to 115 Power distribution does not has pressure peak, finally, the pressure distribution synusia that will be made of a foam material as far as possible 119 top sides being applied to synusia 116.

Claims (22)

1. the orthopedic shoe (01) being used for preventing the excess pressure load on pressure-sensitive vola, its feature Being, described orthopedic shoe (01) has rigid sole (02), and described rigid sole (02) is substantially During eliminating walking before podarthral bending, and described rigid sole (02) toe areas and/ Or heel area has convexity sole part (04,05), described convexity sole part (04,05) Allow described rigid sole (02) to roll, and described orthopedic shoe (01) have footwear system (03) and Being arranged on the immobilising device (06,07) on described footwear system (03), foot can pass through described holder Part (06,07) is fixed in described orthopedic shoe (01), and described immobilising device (06,07) Having heel band (11), the rear portion that described heel band (11) strides across calcaneus from left foot face extends to right crus of diaphragm Face, and described immobilising device (06,07) includes that DLZ (12), described DLZ (12) prolong Stretch and stride across instep and have and pull device (10), described in pull device (10) that described instep can be striden across Carry out straining for size adjusting,
Described DLZ (12) is to carry with left connecting element (18) and right connecting element (19) The mode of lotus transmission is attached to left part (11a) and the right part (11b) of described heel band (11), described Left connecting element (18) and described right connecting element (19) are each apart from described heel band (11) Laterally it is attached to two ends (13, a 16) segment distance of described orthopedic shoe (01), and distance Central part (20) one segment distance striding across described calcaneus of described heel band (11).
Orthopedic shoe the most according to claim 1,
It is characterized in that,
On the longitudinal axis direction of described orthopedic shoe (01), described left connecting element (18) and institute State right connecting element (19) and be arranged in the described center striding across described calcaneus of described heel band (11) Portion (20) and described heel band (11) be laterally attached to described orthopedic shoe said two end (13, 16) between.
Orthopedic shoe the most according to claim 1 and 2,
It is characterized in that,
The said two end (13,16) of described heel band (11) is attached with corresponding trunnion bearing To described orthopedic shoe (01).
Orthopedic shoe the most according to claim 1 and 2,
It is characterized in that,
Described footwear system (03) have the shell (08) being made up of flexible upper material, and described shell is at least Cover foot in segmented fashion, described heel band (11) along described shell (08) outside extremely Extend in segmented fashion less.
Orthopedic shoe the most according to claim 4,
It is characterized in that,
Described heel band (11) be positioned at described heel band (11) stride across described calcaneus described in Heart portion (20) and the said two end being laterally attached to described orthopedic shoe of described heel band (11) Described left part (11a) between (13,16) and described right part (11b) are not attached to described outside Shell (08).
Orthopedic shoe the most according to claim 4,
It is characterized in that,
The described central part (20) striding across described calcaneus of described heel band (11) is not attached to by soft The described shell (08) that soft upper material is made.
Orthopedic shoe the most according to claim 1 and 2,
It is characterized in that,
Described heel band (11) produces with rigid material, and described heel band (11) is in described left connection The region of element (18) and described right connecting element (19) has material weakenings (21), by In described material weakenings (21), the hardness of described heel band (11) is transverse to its longitudinal axis Direction reduces.
Orthopedic shoe the most according to claim 1 and 2,
It is characterized in that,
Described rigid sole (02) includes external sole and inner sole, described external sole bullet Property damping material produce, described inner sole is by the manufacture of materials harder than described external sole.
Orthopedic shoe the most according to claim 1 and 2,
It is characterized in that,
The medial surface towards foot of described rigid sole (02) and described footwear system (03) towards It is axially symmetric that the medial surface of foot is formed as the longitudinal axis about described orthopedic shoe, and described strong Shape footwear can be worn on left foot or on right crus of diaphragm alternatively.
Orthopedic shoe the most according to claim 1 and 2,
It is characterized in that,
Device (10) shape in the way of puller strap is pulled described in described DLZ (12) for tightening up Becoming, described puller strap anchor portion (26) is fixed to described DLZ (12), and described tension Band is deflection in being attached to the deflection ring of described DLZ (12) (24), and described puller strap is described Length of effectively tightening up between anchor portion (26) and described deflection ring (24) can be tight by shackle Firmware is adjusted.
11. orthopedic shoe according to claim 10,
It is characterized in that,
Described DLZ (12) is provided with two deflection rings (23,24), described puller strap (10) Described anchor portion (26) described DLZ (12) can be attached to coupling device (25) Right avertence change (23) or left avertence change (24).
12. orthopedic shoe according to claim 11,
It is characterized in that,
The hook-type of the described loop fasteners in the described anchor portion (26) of described puller strap (10) Band or endless belt cover outside described coupling device being associated with described anchor portion (26) of (25) Side.
13. orthopedic shoe according to claim 1 and 2,
It is characterized in that,
The disposed inboard towards foot at described rigid sole (02) has orthopedic inner sole (101), It is formed at least between the top side face (102) and bottom side (103) of described inner sole (101) One space, is provided with liner (104) in described space, and described liner (104) is by pressure peak At least being distributed in regional area, the deformable gasket set (109) of described liner (104) is filled with Deformable obturator (110), described deformable obturator (110) can be moved relative to.
14. orthopedic shoe according to claim 13,
It is characterized in that,
Described deformable gasket set (109) has at least one air vent (120), described liner (104) Present in air can apply pressure time by described air vent (120) leak to outside.
15. orthopedic shoe according to claim 13,
It is characterized in that,
Described liner (104) is divided into each pad section (105,106,107,108).
16. orthopedic shoe according to claim 15,
It is characterized in that,
It is provided with interval trough between at least two adjacent pad section (105,106,107,108) (113,114,115), described interval trough (113,114,115) allows described adjacent pad section The relative motion of (105,106,107,108).
17. orthopedic shoe according to claim 15,
It is characterized in that,
Described pad section (105,106,107,108) is formed as connecting at least in part, air And/or obturator can pass through passway (112) two connection pad section (105,106, 107,108) walk between.
18. orthopedic shoe according to claim 1,
It is characterized in that,
Described orthopedic shoe (01) is that the excess pressure on the pressure-sensitive vola for preventing diabetics carries The orthopedic shoe of lotus.
19. orthopedic shoe according to claim 3,
It is characterized in that,
The said two end (13,16) of described heel band (11) with corresponding fixing rivet (14, 17) described orthopedic shoe (01) it is riveted to.
20. orthopedic shoe according to claim 6,
It is characterized in that,
Described central part (20) is come by the tab portion (22) protruded upward from described shell (08) The height of fixing described central part (20).
21. orthopedic shoe according to claim 7,
It is characterized in that,
Described material weakenings (21) is wedge-shaped indentation.
22. orthopedic shoe according to claim 15,
It is characterized in that,
A pad section (105), and/or the front foot at foot it is disposed with in the toe areas of foot Joint area is disposed with a pad section (106), and/or in the metatarsal and anklebone region of foot It is disposed with a pad section (107) and/or in the heel area of foot, is disposed with a pad section (108)。
CN201410386343.6A 2013-08-09 2014-08-07 For preventing the orthopedic shoe of excess pressure load Expired - Fee Related CN104337111B (en)

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AU2014210580B2 (en) 2015-11-12
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