CN109996519B - 一种矫正产品 - Google Patents
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Abstract
一种具有顶侧和底侧的用于脚的矫正器,该底侧具有定位在该矫正器的内侧和外侧之间在对应于脚的后肌跖骨趾骨关节的位置处并且在后面25mm的屈曲区;和/或该矫正器的该底侧的脚后跟部段倾斜,以使得该矫正器的后部的高度大于脚后跟的最内部段;和/或该顶侧具有定位在对应于脚的跟骨的内侧的位置处的凸起部段。
Description
技术领域
本发明涉及矫正器。
背景技术
在治疗脚疾中使用矫正器。这样的矫正器常常作为可以放置在患者的鞋内的插入物来提供。
许多现有的矫正器仅考虑在坐着或站着时脚的轮廓和脚的位置。
仅在最近,矫正器的开发才开始考虑脚的其他方面,诸如在运动中脚的位置和移动。例如,申请人自己的澳大利亚专利申请No.2012262646描述了一种使用多个功能测试评估个体的方法。然后可以使用那些测试的结果来使个体适合可以进一步提高个体的步态周期的效率并且因此提高移动性的矫正器。
本发明的目的是提供一种具有优于现有技术的优点或至少提供有用的替代方案的矫正器。
发明内容
本发明的产生是由于发明人实现了通过矫正器的目标部段来刺激脚的特定部分或阻止刺激脚的特定部分的优点,从而通过改善神经肌肉复合体的激发(firing)来改善个体的移动路径。
在本发明的第一方面,提供了一种具有顶侧和底侧的矫正器,该矫正器还包括以下特征中的一个或多个:(a)该底侧具有定位成从该矫正器的内侧尺寸到外侧尺寸在对应于脚的后肌跖骨趾骨关节的位置处并且在后面25mm的屈曲区;(b)该矫正器的该底侧的脚后跟部段倾斜,以使得该矫正器的后部的高度大于脚后跟的最内部段;以及(c)该顶侧含有定位在对应于脚的跟骨的内侧的位置处的凸起部段。
在本发明的另一方面,提供了一种具有顶侧和底侧的矫正器,其中底侧具有定位在该矫正器的内侧和外侧之间在对应于脚的后肌跖骨趾骨关节并且在后面25mm的位置处的压痕。
在本发明的另一方面,提供了一种具有顶侧和底侧的矫正器,其中该矫正器的该底侧的脚后跟部段倾斜,以使得该矫正器的后部的高度大于脚后跟的最内部段。
在本发明的另一方面,提供了一种具有顶侧和底侧的矫正器,其中该顶侧含有定位在对应于脚的跟骨的内侧的位置处的凸起部段。
该凸起部段可以是直径为2cm至4cm的大体上半圆形的弧。
该矫正器还可以包括在该矫正器的该顶侧中定位在对应于脚的外侧的立方体区域并且沿着第五跖骨头的轴的三分之一在前面延伸的位置处的凸起部段,以及定位在对应于跟骨的内侧结节直到该内侧结节到第一跖骨的基部内的插入点之间的区域的位置处的筋膜凹槽。
该矫正器还可以包括在该矫正器的顶侧中定位在对应于脚的第一跖骨的基部的位置处的压痕。
该矫正器还可以还包括定位在对应于足沟(the sulci of the foot)的位置的凸起部段。
矫正器还可以包括定位在对应于脚的第二至第五跖骨头后面2mm至2cm的位置处的凸起部段。
对于一些应用,可以使用小于一半长度的矫正器,其包括定位在对应于脚的跟骨的内侧的位置处的凸起部段。
从在详细描述和附图中描述的实施方案,本发明的另一些方面将变得明显。
下文提供了本发明的一个或多个实施方案的详细描述,以及通过实施例的方式例示本发明的原理的附图。虽然结合这样的实施方案描述了本发明,但是应理解,本发明不限于任何实施方案。相反,本发明的范围仅由所附权利要求限制,并且本发明包含许多替代方案、改型和等同物。
出于实施例的目的,在以下描述中阐述了许多具体细节,以提供对本发明的透彻理解。在没有这些具体细节中的一些或全部的情况下,可以根据权利要求来实践本发明。出于清楚的目的,没有详细描述与本发明相关的技术领域中已知的技术材料,以使得不会不必要地模糊本发明。
附图说明
现在将参考以下附图描述本发明的多个实施方案/方面,其中:
图1是根据本发明的一个实施方案的矫正器的仰视图。
图2是根据本发明的一个实施方案的矫正器的俯视图。
图3是脚的骨骼的图解。
图4至图19描绘了根据本发明的矫正器的替代实施方案。
具体实施方式
现在将参考本发明的一个或多个实施方案描述本发明。
图1和图2示出了根据本发明的一个实施方案的矫正器的顶侧和底侧。该矫正器示出了八个编号的区,所述区对应于患者的脚上的已经被识别为对于神经刺激重要的区域的特定特征和位置。根据本发明的矫正器可以在识别的区中的一个到八个中具有凸起部段或凹槽(视情况而定)。
申请人已经发现,刺激脚的对应于所选区的特定位置或阻止刺激脚的对应于所选区的特定位置(视情况而定)改善了肌肉功能,以实现更有效率的步态周期。通过改善脚的功能位置来实现功能优化。首先,通过保护和促进锚机效应(windlass effect)结合优化脚中的关键矢状平面枢轴部位处的枢轴功能;即脚后跟、脚踝和前脚。其次,通过稳定脚在额平面中使得在有效地枢转的能力和(在位置和幅度中)所需的支撑量之间创建功能均衡,以实现此结果。
第一区定位在对应于跟骨的内侧的前面并且在胫骨后肌到脚的舟骨的一侧内的插入部位周围的位置中。该区通常是直径可以从大约2cm到大约4cm变化的大体上半圆形的弧。在本发明的一个实施方案中,提供了一种在此区中具有凸起部段的矫正器,该凸起部段增加了矫正器的支撑以促进胫骨后肌肌肉群。应注意,对于某些脚,此区中的凸起部段可以比图中示出的略微更长(在纵向上)。
第二区定位在对应于脚的在脚的外侧的立方体区域周围并且沿着第五跖骨头的轴的三分之一在前面延伸的区域的位置中。在本发明的一个实施方案中,凸起部段定位在此区中。通过此凸起区对脚的刺激起作用以刺激腓骨肌肉插入物和穿过此区域的肌腱。这些插入和肌腱在步态周期的推进阶段期间在稳定前脚和锚机效应中起重要作用。
第三区是开始于对应于跟骨的内侧结节直到其到第一跖骨的基部内的插入点的位置中的筋膜凹槽区。脚上的对应的区域负责保护锚机效应。在本发明的一个实施方案中,凹槽定位在此区中。通过在此区中具有凹槽,可以使脚的筋膜弦上的压力最小化,以减少该弦上的干扰锚机机制的不均匀压力的发生率。
第四功能区定位在对应于第一跖骨区的基部并且延伸横跨矫正器在跖骨区域处的宽度的大约1/3和到矫正器的内侧上的矫正器长度的后肌脚后跟点的长度的五分之一的位置处。在本发明的一个实施方案中,在矫正器中在此区中存在压痕。由于压痕导致的第一跖骨后面的体积减小促进第一跖骨的脚底屈曲。
第五区定位在对应于脚上的第二至第五跖骨头后面2mm至2cm的位置处。在本发明的一个实施方案中,在此区中存在凸起表面。此凸起表面在脚中的足趾肌肉(digitalmuscle)插入跖骨头内时增加脚中的足趾肌肉的张力。
第六区定位在对应于足沟(the sulci of a foot)的位置处。在本发明的一个实施方案中,在此区中存在凸起表面。该凸起表面与脚接合,以实现更好的足趾牵引并且减少脚趾的抓握。第六区中的凸起部段可以提供楔入效果,例如,它可以在脚的内侧或外侧更高,以改善前脚位置。增加该凸起部段在脚的内侧上的高度可以被用来使前脚位置反转,反之亦然。此楔入脚趾球(the ball of the foot)的功能与在普通矫正器中楔形物的使用完全不同,因其是被定位在跖骨后面。注意,尽管(在图中)该区仅被示出为横跨矫正器侧向延伸大约一半,但是对于某些人(具有更严重的前脚位置问题),凸起表面可以是一直延伸横跨矫正器。
第七区定位在本发明的矫正器的底上在对应于脚的脚底脚后跟表面的位置中。在本发明的一个实施方案中,此区从矫正器的后部向脚后跟部段的前部倾斜。倾斜的脚后跟凸起便于角关节背屈。
第八区定位在矫正器的底上在对应于脚的跖骨趾骨关节至趾关节后面25mm之间的位置中,且从矫正器的内侧尺寸延伸至外侧尺寸。在本发明的一个实施方案中,压痕延伸横跨此整个区。在矫正器中存在此压痕改善了前脚中的摇杆功能,以改善个体的步态的效率并且减少脚上的软组织应力。虽然上文已经将该特征描述为压痕,但是在其他实施方案中,它可以简单地是由弱点或其他布置(例如在矫正器中使用更有弹性的材料)限定的屈曲区或铰接点。
对于每个凸起表面,凸起的高度优选地朝向相应的区的中心最大,换言之,朝向该区的中心存在一个峰。每个峰可以从周围的矫正表面凸起1mm至25mm,但是优选地在2mm和20mm之间,并且在大多数情况下优选地将在3mm和8mm之间。
可以在所有或大部分上文设计的区中将矫正器预先制作有凸起表面或凹槽,因为预期几乎所有需要矫正器的患者将受益于识别的区中的刺激/对识别的区中的刺激的阻止(视情况而定)。
替代地,可以制造定制矫正器,其在由定制分析建议的任何其他特征当中在所有或一些上文识别的区中包括凸起表面或凹槽(视情况而定)。例如,患者可能仅在区7中(图4)、仅在区8中(图5)、仅在区1和区2中(图6)、在区1至区4中(图7)、在区1至区5中(图8)、在区1至区6中(图9)、仅在区1和图3中(图10)、在区1、区3和区4中(图11)、在区1、区3、区4和区5中(图12)、在区1、区3、区4、区5和区6中(图13)、仅在区1和区4中(图14)、区1、区4和区5中(图15)、在区1、区4、区5和区6中(图16)、仅在区1和区5中(图17)或在区1、区5和区6中(图18)具有对刺激/阻止(视情况而定)的需要。
图4至图18中示出的矫正器都是全长矫正器。然而,较短的矫正器(例如3/4长度、一半长度、甚至1/4长度矫正器)也可以在本发明的不同实施方案中使用,尽管较短的矫正器可能不包括朝向矫正器前部的所有区。
在图19中,描绘了在芭蕾舞中以及在穿着小鞋类的其他环境中(诸如在疾跑、自行车骑行或时尚中)具有特定应用的矫正器。此实施方案中的矫正器不到一半长度,且因此在鞋内占据很小的空间并且仅具有第一(跟骨)和第二(立方体)“隆起物”(即凸起部段)。至少对于芭蕾舞应用,没有倾斜或最小倾斜的脚后跟可以被用在矫正器的底上。然而,通过在区1和区2中使用这些隆起物来刺激脚,可以在这些应用中实现改善的性能。
当在本说明书中使用时,采用词语“包括”和词语“包含”的形式以指定陈述的特征、整数、步骤或部件的存在,但是不排除一个或多个其他特征、整数、步骤、部件或它们的组的存在或添加。
在本说明书中,在参考或讨论了文件、法规或知识项的情况下,此参考或讨论并非承认所述文件、法规或知识项或其任何组合在优先日期是公开可得的、公众已知的、公知常识的一部分;或被认为是与解决本说明书所涉及的任意问题的尝试相关的。
Claims (11)
1.一种具有顶侧和底侧的用于脚的矫正器,该顶侧具有定位在对应于跟骨的内侧的前面并且在胫骨后肌到脚的舟骨的一侧内的插入部位处的凸起部段,该矫正器还包括以下特征中的一个或多个:
(a)该底侧具有屈曲区,该屈曲区在以下位置处定位在该矫正器的内侧和外侧之间,该位置对应于脚的跖骨趾骨关节至该跖骨趾骨关节后面25mm之间的位置;并且
(b)具有脚后跟部段的该底侧倾斜,以使得该矫正器的后部的高度大于该脚后跟部段的前部的高度;以及
其中该矫正器还包括在该矫正器的顶侧中定位在对应于脚的第一跖骨的基部的位置处的压痕。
2.根据权利要求1所述的矫正器,其中该凸起部段是直径为2cm至4cm的大体上半圆形的弧。
3.根据权利要求1所述的矫正器,还包括在该矫正器的该顶侧中定位在对应于脚的外侧的立方体区域并且沿着第五跖骨头的轴的三分之一向前面延伸一距离的位置处的凸起部段。
4.根据权利要求3所述的矫正器,还包括筋膜凹槽,该筋膜凹槽定位在对应于跟骨的内侧结节直到内侧楔骨至第一跖骨的基部内的插入点之间的区域的位置处。
5.根据权利要求4所述的矫正器,其中所述在该矫正器的顶侧中定位在对应于脚的第一跖骨的基部的位置处的压痕延伸横跨该矫正器在跖骨区域处的宽度的大约1/3和在该矫正器内侧上到后肌脚后跟点的矫正器长度的五分之一。
6.根据权利要求1至5中的任一项所述的矫正器,还包括定位在对应于足沟的位置的凸起部段。
7.根据权利要求1至5中的任一项所述的矫正器,还包括定位在对应于脚的第二至第五跖骨头后面2mm至2cm的位置处的凸起部段。
8.根据权利要求1至5中的任一项所述的矫正器,其中每个凸起部段的高度朝向相应的区的中心最大。
9.根据权利要求8所述的矫正器,其中每个凸起部段的高度小于25mm。
10.根据权利要求9所述的矫正器,其中每个凸起部段的高度在2mm和20mm之间。
11.根据权利要求10所述的矫正器,其中每个凸起部段的高度在3mm和8mm之间。
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EP3960133A1 (en) | 2022-03-02 |
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