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. splints, casts or braces
  • A61F5/14—Special medical insertions for shoes for flat-feet, club-feet or the like

Definitions

• the present invention relates to a pair of orthopedic insoles for restoring postural balance.
• the human being is asymmetrical with respect to the median line of his body (vertical line "called gravity” passing through the top of the skull and descending between the legs from top to bottom).
• the nervous system is manifested by somatisations preferentially affecting the muscles, tendons, viscera depending on the terrain and the guiding tissue of each. If it is the muscular tissue that is dominant- in an individual the body will react by more or less important muscular contractions and an asymmetrical increase of the muscular tone resulting in a postural imbalance of the pelvis for example or by another imbalance (scapular) . If this is the most dominant tendonous tissue, the individual will tend to tendinitis and tendinopathies of all kinds. If it is visceral, it will be the viscera that will be affected.
• the present invention is particularly concerned with countering these different somatisations of the human body by stimulating the nervous system in an appropriate mechanical manner. It involves a pair of orthopedic insoles or plantar orthoses that, thanks to neurological stimulation, excite or inhibit the nervous system in order to restore an appropriate postural balance. It will be called postural proprioceptive plantar orthoses or postural proprioceptive orthopedic insoles.
• orthopedic insoles are known which, placed in the shoes are intended to correct or compensate for a morphological disorder, to relieve, isolate one or more painful supports.
• a sole providing a correction for the cuboid-navicular arch and arch problems, this correction being provided by a support at these arches.
• This support consists of a raised middle portion.
• the highest surface of this sole is at the posterior level of the arch, that is to say in an area adjacent to the heel area and engages under the cuboid-navicular arch of the foot. This highest portion is extended by an elevated portion engaging under
• Such a sole serves as a support for these different arches and is not used to stimulate the reflex zones at the level of metatarsal head passes or the sub-scaphoid-calcaneal area of the foot.
• an orthopedic insole having a raised area in the median region.
• the highest zone of the sole corresponds to the lateral internal area of the foot while the lowest zone to the outer lateral area.
• the parts corresponding to the area of the vault and the heel are of irregular shapes.
• the area where the toes resting has a modified horizontal direction, it curls upwards.
• Such a sole has an elevated area corresponding to the anterior region of the foot coming under the metatarsals but also to the internal posterolateral region of the foot coming under the bones of the tarsus.
• DE 203 11921 an orthopedic device has been proposed to functionally correct a bad position of the feet.
• This device consists of at least one direct plantar contact element coming into contact with at least one of the bones of the foot and characterized in that it is formed in a fixed support elevation zone.
• Such a sole has no aim of proprioceptive action of said support elements on the foot, which are intended to correct a bad position of the foot.
• such a sole has an over-elevation of the internal posterolateral area of the foot corresponding to the heel area (the calcaneus), an area posterior to that to be stimulated in the case of a proprioceptive sole.
• proprioceptivity is the set of sensations resulting from man's perception of his own body in space. It is either kinesthetic sensations related to the movements of body parts or postural sensations when the body is static. Chronic back pain often originates in a postural imbalance whose origin is the nervous system and not the mechanics of the bone segments. It is the muscles attached to the bones that create, depending on their tone, a more or less imbalance of the posture.
• the invention therefore aims to improve the postural balance of the body by working on the nervous system and proprioception.
• the invention also aims to achieve the standardization of a therapeutic means for treating a mass clientele.
• a postural proprioceptive orthopedic insole characterized by the fact that it comprises a means arranged to exert pressure on the tendons at the level of the necks of the metatarsal heads or on the muscular zone under scapho ⁇ do-calcaneal by an extra thickness between one and four millimeters so as to stimulate the reflex zone of the foot in this place.
• a proprioceptive orthopedic sole comprising an anterior edge bearing on the necks of the metatarsal heads, is characterized in that it comprises a retro-capital bar of thickness between one and four millimeters, extending from said anterior boundary and behind it for a distance of between one and six centimeters depending on the size of the foot, so as to be able to exert pressure on the neural sensors. tendonous foot in the tendons and fasciae.
• the sole further comprises the following features taken alone or in combination, the thickness between the posterior limit of said bar and the end of the heel is between 0.5 and two millimeters. More particularly, said thickness between the posterior limit of said retro-capital bar and the end of the heel is constant.
• the sole comprises a wedge-shaped transition zone with an inclined plane between said retro-capital bar and the anterior edge. This extends over a distance of between 1 and 3 millimeters.
• the posterior limit of said retro-capital bar forms an area with an inclined surface extending over one to three millimeters.
• the anterior edge is arranged not to stimulate the collectors of the necks of the metatarsal heads, a hard caliper of thickness of 1 to 2 mm being disposed under the scaphoid-calcaneal area to stimulate it.
• the sole is entire.
• the sole preferably comprises an immobilizing means inside the shoe.
• Said means comprises for example a support integral with the sole forming a pad and a plurality of hooks extending perpendicularly to said support, said hooks being adapted to attach to the elements of a complementary means disposed in the shoe.
• the invention results from the following observations.
• the majority of patients who come to consult for a shorter leg has in the majority of cases legs of the same length. They have a pelvic tilt not by unequal length of leg but by asymmetry of muscular tension of the muscles that attach to the pelvis and spine.
• a large part of the population suffering from back problems (low back pain, back pain, neck pain, scoliosis, scoliotic attitude) can be treated in a proprioceptive way thanks to the standardization of a proprioceptive therapeutic method.
• the present invention standardizes neurological etiologies that are at least as frequent as mechanical etiologies. It refers to a pair of soles that allows the user to find a postural balance by harmonizing neuromuscular tensions.
• the doctor can prescribe a pair of proprioceptive orthopedic insoles based on the size of the patient alone.
• this type of plantar orthotics can treat many pathologies: lumbago, back pain, kyphosis, scoliosis, cervicalgia, migraines, calcaneal spines, plantar fasciitis, coxalgia, tendonitis of the lower limbs (Achilles tendinitis, tendonous gonalgia, tendon coxalgia). ), arthropathy knees, hip, etc.
• FIG. 1 represents an inhibitory sole according to the invention seen from above;
• FIG. 3 diagrammatically represents an inhibiting soleplate according to the invention in position inside the boot.
• Figure 4 shows a footprint from which the sole is chosen.
• the orthopedic insole 1, inhibiting has a shape that allows it to be placed in a shoe. It is of three-quarter type in that the foot resting on it covers only the heel to the line formed by the necks of the metatarsal heads. It thus comprises a first part A on which rests the heel, a second part B in its extension corresponding to the arch and a third part C in the extension of the second. This, corresponding to the anterior arch, is wider than the first two, and its anterior edge is formed by the said line mentioned above.
• the contour of the sole substantially reproduces the trace of these parts of a standard male or female foot.
• the anterior edge has a form called cocked hat.
• the first two parts A and B here have the same thickness. It is preferably quite weak, of the order of 2 mm.
• the third part has an extra thickness, up to four millimeters. This extra thickness does not form a sharp edge on the front edge Ca. As can be seen, it forms a bevel at the front for a few millimeters.
• the total thickness once the finished sole is 5 to 6 mm.
• the portion C gradually decreases thickness until a transition line Cb transition between the two parts B and C.
• the shape of this line Cb substantially follows the line Ca slightly away from it towards the outer edge of the sole, stylid zone M5. Between the inner edge and the outer edge, the dimension of this portion C in the direction of the length of the foot increases from about 3 cm to about 4 cm, depending on the size of the foot.
• This bar is therefore of the retro-capital type. It is distinguished by its thickness by its very thin thickness and consequently by its function.
• Retro-capital bars are in themselves well known to those skilled in the art. According to the prior art, they have a mechanical compensating function by being relatively thick. Their function is to unload the metatarsal heads. The weight of the body, during walking or standing, is supported in part by the retro-capital bar.
• the extra thickness of the part C simply has the function of stimulating the reflex zone of the foot located there.
• FIG. 3 shows the action of the part C of the soleplate on this zone of the foot.
• the sole exerts a pressure indicated by an arrow on the tendons at the level of the necks of the metatarsal heads.
• the sole is advantageously made of leather by gluing sheets on each other until it reaches the desired thickness.
• the extra-thickness of the retro-capital bar at its top ranges from 2 mm for the 35 to 4 mm for the 48.
• the corresponding widths, measured between the top of the curve forming the front edge and the opposite edge range from 2 cm to 5 cm. cm.
• the invention also covers an embodiment where the sole is entire. In this case we must consider that the previous sole comes extra thick compared to the entire sole.
• FIG. 4 A method will now be described with reference to FIG. 4 for adapting an orthopedic insole of the invention to the morphology of a person's foot.
• Excitatory-type soles affect only 10% of the population and are more indicated in people who are lymphatics who have flat feet or valgus flat feet, these are calcaneal wedge type insoles to stimulate neurological excitement people who are usually hypoactive.
• the thickness of the anterior part is reduced to the maximum so as not to have a stimulating effect under the necks of the metatarsal heads.
• the stimulation is done in the scaphoid-calcaneal zone, corresponding to the zone SC in FIG. 4, internally with a hard caliper of 1 to 2 mm. Otherwise, the rest of the design remains the same as the previous type.

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)
• Footwear And Its Accessory, Manufacturing Method And Apparatuses (AREA)
• Orthopedics, Nursing, And Contraception (AREA)
• Finger-Pressure Massage (AREA)

Applications Claiming Priority (2)

Publications (1)

Family

ID=37057570

Family Applications (1)

Country Status (4)

Family Cites Families (5)

• 2006
  • 2006-01-17 FR FR0650163A patent/FR2896150B1/fr not_active Expired - Fee Related
• 2007
  • 2007-01-17 CA CA002642789A patent/CA2642789A1/fr not_active Abandoned
  • 2007-01-17 WO PCT/FR2007/000083 patent/WO2007083020A2/fr active Application Filing
  • 2007-01-17 EP EP07717976A patent/EP1978904A2/de not_active Withdrawn

Non-Patent Citations (1)

Also Published As

Similar Documents

Legal Events