EP2835072B1 - Chaussure orthopédique destinée à empêcher des charges de pression élevées - Google Patents

Chaussure orthopédique destinée à empêcher des charges de pression élevées Download PDF

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Publication number
EP2835072B1
EP2835072B1 EP14173843.5A EP14173843A EP2835072B1 EP 2835072 B1 EP2835072 B1 EP 2835072B1 EP 14173843 A EP14173843 A EP 14173843A EP 2835072 B1 EP2835072 B1 EP 2835072B1
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EP
European Patent Office
Prior art keywords
shoe
heel
sole
foot
strap
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.)
Active
Application number
EP14173843.5A
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German (de)
English (en)
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EP2835072A1 (fr
Inventor
Gero Hopmann
Josef Becher
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Oped AG
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Oped AG
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Publication of EP2835072A1 publication Critical patent/EP2835072A1/fr
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Classifications

    • A—HUMAN NECESSITIES
    • A43—FOOTWEAR
    • A43B—CHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
    • A43B7/00—Footwear with health or hygienic arrangements
    • A43B7/14—Footwear with health or hygienic arrangements with foot-supporting parts
    • A43B7/1405—Footwear 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
    • A43B7/1455—Footwear 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
    • A43B7/147—Footwear 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
    • A—HUMAN NECESSITIES
    • A43—FOOTWEAR
    • A43B—CHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
    • A43B7/00—Footwear with health or hygienic arrangements
    • A43B7/14—Footwear with health or hygienic arrangements with foot-supporting parts
    • A—HUMAN NECESSITIES
    • A43—FOOTWEAR
    • A43B—CHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
    • A43B11/00—Footwear with arrangements to facilitate putting-on or removing, e.g. with straps
    • A—HUMAN NECESSITIES
    • A43—FOOTWEAR
    • A43B—CHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
    • A43B13/00—Soles; Sole-and-heel integral units
    • A43B13/14—Soles; Sole-and-heel integral units characterised by the constructive form
    • A43B13/143—Soles; 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
    • A43B13/145—Convex portions, e.g. with a bump or projection, e.g. 'Masai' type shoes
    • A—HUMAN NECESSITIES
    • A43—FOOTWEAR
    • A43B—CHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
    • A43B7/00—Footwear with health or hygienic arrangements
    • A43B7/14—Footwear with health or hygienic arrangements with foot-supporting parts
    • A43B7/18—Joint supports, e.g. instep supports
    • A43B7/20—Ankle-joint supports or holders
    • A—HUMAN NECESSITIES
    • A43—FOOTWEAR
    • A43B—CHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
    • A43B7/00—Footwear with health or hygienic arrangements
    • A43B7/14—Footwear with health or hygienic arrangements with foot-supporting parts
    • A43B7/28—Adapting the inner sole or the side of the upper of the shoe to the sole of the foot
    • A—HUMAN NECESSITIES
    • A43—FOOTWEAR
    • A43B—CHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
    • A43B7/00—Footwear with health or hygienic arrangements
    • A43B7/32—Footwear with health or hygienic arrangements with shock-absorbing means
    • A—HUMAN NECESSITIES
    • A43—FOOTWEAR
    • A43C—FASTENINGS OR ATTACHMENTS OF FOOTWEAR; LACES IN GENERAL
    • A43C11/00—Other fastenings specially adapted for shoes
    • A—HUMAN NECESSITIES
    • A43—FOOTWEAR
    • A43C—FASTENINGS OR ATTACHMENTS OF FOOTWEAR; LACES IN GENERAL
    • A43C11/00—Other fastenings specially adapted for shoes
    • A43C11/004—Fastenings fixed along the upper edges of the uppers
    • A—HUMAN NECESSITIES
    • A43—FOOTWEAR
    • A43C—FASTENINGS OR ATTACHMENTS OF FOOTWEAR; LACES IN GENERAL
    • A43C11/00—Other fastenings specially adapted for shoes
    • A43C11/14—Clamp fastenings, e.g. strap fastenings; Clamp-buckle fastenings; Fastenings with toggle levers
    • A—HUMAN NECESSITIES
    • A43—FOOTWEAR
    • A43C—FASTENINGS OR ATTACHMENTS OF FOOTWEAR; LACES IN GENERAL
    • A43C11/00—Other fastenings specially adapted for shoes
    • A43C11/14—Clamp fastenings, e.g. strap fastenings; Clamp-buckle fastenings; Fastenings with toggle levers
    • A43C11/1493—Strap fastenings having hook and loop-type fastening elements

Definitions

  • the invention relates to an orthopedic shoe for the prevention of excessive pressure loads on pressure-sensitive soles according to the preamble of claim 1.
  • Such orthopedic shoes can be used in particular, but not exclusively, for the treatment of diabetics.
  • the shoes according to the invention are suitable for the treatment of pressure-sensitive soles. Especially in diabetics, however, the avoidance of excessive pressure on the feet of great therapeutic importance.
  • the shoe according to the invention is based on the idea that the fixation means a heel pull, which runs from the leftITArist on the back of the heel bone to the right
  • a Wennenyak which runs over the instep and has a pulling member comprises.
  • the neutrschenyak is attached load-transmitting with a left and a right connecting element on the left and right portion of the heel pull, wherein the connecting elements in each case a distance to the two ends of the heel strap arranged laterally and to the Have heel bone spanning mid-heel.
  • the tension member of the wheelchair stretched in the size adjustment
  • the clamping forces are introduced to the connecting elements load-transmitting in the two sections of the heel pull. Since the two ends of the heel pull are fastened to the shoe, the tension forces introduced into the heel pull on the connecting elements cause a pulling force on the middle of the heel pull spanning the heel bone.
  • the heel strap forms a form-fitting fit around the heel of the foot and fixes the heel in the shoe through a tight fit.
  • the applied by the heel pull on the heel clamping force can be adjusted by varying the applied tension of the tension member by the user.
  • the arrangement of the two connecting elements where the tensile forces are introduced into the heel, relative to the heel bone spanning center of the heel pull on the one hand and the two sides of the shoe fixed ends of Heel pulls on the other hand from great importance.
  • the connecting elements are arranged in the direction of the longitudinal axis of the shoe in each case between the heel bone spanning the center of the heel pull on the one hand and the two ends of the heel pull fastened laterally on the shoe.
  • the heel pull may extend in a straight line or slightly arcuate manner between the two attachment points on the one hand and the middle of the heel pull spanning the heel bone on the other hand.
  • the two lateral portions of the heel pull are contracted during tensioning of the traction element of the Roth Wegenzugs upwards in the direction of the back of the foot and thereby tensioned the middle of the heel pull in the direction of the toes towards the front.
  • This adjustment movement of the heel pull causes in the region of the attachment points at the two ends of the heel pull a slight rotation of the heel pull relative to the attachment point.
  • This slight rotation can be compensated for by a deformation of the heel pull in the region of the attachment points with sufficiently elastic material of the heel pull.
  • the user must be applied an additional clamping force for elastic deformation of the heel pull in the region of the two attachment points.
  • the two ends of the heel pull are each secured in pivot bearings on the sole.
  • the two ends of the heel pull can be riveted to the sole, for example with a fastening rivet.
  • the pivot bearing allows a substantially force-free rotation of the ends of the heel pull around the attachment point, at the same time the necessary clamping forces can be introduced via the pivot bearing in the sole.
  • the shaft of the shoe according to the invention is intended to fix the foot on the sole of the shoe.
  • the shaft of the shoe encompasses the top of the foot at least partially.
  • the shaft may consist of different bands, whereby an open shoe, such as a sandal would be formed.
  • the shaft may comprise a shell of a conformable upper.
  • the outer material can be synthetic materials, for example Gore-Tex textile material, or leather.
  • the upper then at least partially covers the foot and increases the wearing comfort.
  • the heel pull runs on the outside of the shell.
  • the heel pull does not coincide with the shell in the left and right sections between the middle of the heel pull spanning the heel bone and the two ends of the heel pull laterally attached to the shoe is connected, but runs freely on the supple upper. Due to the fact that the heel pull on the one hand and the shell on the other hand are not connected to each other, in particular not sewn together, the heel pull when tensioning the tension member on Foot heel move freely over the upper of the shell are offset, so that the upper material is not deformed despite the adjustment of the heel pull and wrinkling is avoided.
  • the heel bone spanning center of the heel pull is not connected to the shell of cuddly upper material.
  • the heel piece is then directly connected only at the two ends to the shoe, in particular to the sole of the shoe. All other parts of the heel pull can be moved freely over the supple upper of the shell and thereby realize an optimal fit between the heel pull on the one hand and the heel on the other hand.
  • an upwardly projecting tab can be provided on the shell. The heel pull then passes over the attachment area of the upwardly projecting tab to prevent the heel pull from slipping too far down.
  • the heel pull should be made of a mechanically sufficient rigid material, for example of a plastic strip of suitable thickness.
  • a mechanically sufficient rigid material for example of a plastic strip of suitable thickness.
  • such a heel pull of a material of higher rigidity has the disadvantage that the heel pull in the point of articulation of the two connecting elements of its deformation during tensioning the heel pull opposes a considerable resistance, since the rigid material must be at least slightly elastically deformed in the point of articulation of the connecting elements.
  • the heel pull has a material weakening, in particular a wedge-shaped incision, in the region of the articulation points of the two connecting elements. Due to this material weakening, the stiffness of the heel pull transverse to its longitudinal axis in the region of Linkage points of the two connecting elements can be reduced, so that the resistance of the heel pull is reduced against deformation when tightening the heel pull.
  • the structure of the sole of the orthopedic shoe is basically arbitrary, as far as the sole has a sufficient flexural rigidity and the movement of the foot during walking thereby does not exceed a tolerable level.
  • the sole comprises an outsole and an insole made of different materials.
  • the outsole can then be made of an elastically damping material to achieve the desired walking comfort.
  • the insole is made of a rigid material.
  • the flexural rigidity of the insole can then be chosen so high regardless of the material of the outsole that the sole has the total required for use on an orthopedic shoe bending stiffness.
  • the use of the orthopedic shoe is only necessary on one foot, since the second foot is not altered pathologically.
  • the necessary production costs are thereby considerably increased, since the users only need one shoe at a time, but the manufacturer must provide shoes for both the left and the right feet in different shoe sizes.
  • the foot-facing inside of the sole and the shaft are formed axially symmetrical with respect to the shoe longitudinal axis. This axial symmetry of the inside of the shoe ensures that the shoe can optionally be worn on the left or right foot.
  • the Shoe can then be worn either on the left or right foot.
  • the tension member may be formed in the manner of a Buchgurts.
  • This tension belt is fixed with one end, namely the fixed end, on one side of the contemplatschenzugs.
  • a Umlenkschlaufe is attached, in which the Glasgurt can be deflected starting from its fixed end, thereby spanning the instep with variable length.
  • a Velcro or loop tape is provided, which is placed after setting the necessary tension length of Wergurts on a provided in the fixed end Velcro or loop tape and thereby fixed.
  • the shoe according to the invention is formed axially symmetrical and can be worn either on the left or right foot, then it is particularly advantageous if the fixed end and the deflection loop of Glasgurts are releasably secured respectively with coupling members.
  • the coupling members at the fixed end and the deflection loop By mutual loosening of the coupling members at the fixed end and the deflection loop, the arrangement of the fixed end on the right or left side of the shoe can be changed.
  • the shoe according to the invention may preferably be combined with an orthopedic shoe insole.
  • the shoe inner sole has in the space between the top and bottom of the shoe insole, in the area under the forefoot, a pressure peaks distributing cushion, the deformable cushion cover is filled with deformable and relatively movable packing.
  • Such a cushion with a deformable cushion cover and with deformable and relatively movable fillers contained therein makes it possible for the shape of the pillow to adapt itself again and again to the changing shape of the sole of the foot in the area of the forefoot joint. Because the shape of the pad is determined by the arrangement of the movable packing in the cushion cover.
  • the rearrangement of the filling in the cushion cover also causes to some extent a kind of massage movement of the shoe insole on the skin of the sole of the foot, through which the blood circulation is stimulated. This, in turn, has a positive effect on the prevention of open spots on the skin of the sole of diabetics.
  • the cushion cover has at least one vent opening through which the air present in the cushion can escape to the outside when pressurized. As a result, it is ensured by the vent that a complete pressure equalization between the inside of the cushion cover and the ambient atmosphere takes place. The formation of unwanted air cushion within the cushion cover is thereby avoided.
  • an evacuation device can be provided on the cushion cover.
  • the air present in the cushion cover can be evacuated to the extent that a negative pressure forms in the cushion cover.
  • the deformable cushion cover is pulled against the deformable packing and thereby fixed the relative position between the individual packing.
  • venting the evacuation device the negative pressure can then be released again from the cushion cover and a new shape of the pad can be adjusted by rearrangement of the filler in the cushion cover.
  • the adaptation of the shape of the shoe insole by rearrangement of the movable packing located in the cushion cover is based on the rearrangement of the packing under load.
  • fillers in the area with high pressures are transferred to areas with lower pressures until all areas of the sole of the foot have a substantially similar pressure load. Due to the anatomical deformation of the sole of the foot and the respectively associated pressure load, it may be during the rearrangement of the packing to very long rearrangement paths that can not be traversed within a relative time.
  • the entire sole of the foot is to be stored in the shoe with a single cushion cover and the movable packing located therein, it can lead to very long Umlagerungsdorf that can not expect a transformation of the pillow within reasonable periods.
  • the cushion is divided into at least two cushion segments.
  • the shape of the individual pillow segments and in particular the degree of filling of the individual pillow segments can then be adapted to the different requirements in the different areas of the sole of the foot.
  • a cushion segment is arranged according to the invention in the forefoot joint area of the foot and / or in the toe area of the foot and / or in the metatarsal and tarsal area of the foot and / or in the heel area of the foot.
  • a variant embodiment with a total of four cushion segments in the toe area and in the forefoot joint area and in the metatarsal and frontal root area and in the heel area is particularly advantageous.
  • the clearance groove between adjacent cushion segments runs along an arc along its longitudinal axis.
  • the arc of the arcuate slot should be concave around the verses of the shoe sole and thus point with its central region in the direction of the forefoot.
  • the cushion segments are at least partially communicating, wherein air and / or filler can pass through at least one transition opening between two communicating cushion segments.
  • air and / or filler can pass through at least one transition opening between two communicating cushion segments.
  • the cross section of the transition opening is chosen to be suitable relative to the cross section of the packing becomes.
  • the cross section of the transition opening should be at least so large relative to the cross section of the filler that the filler can pass in the unloaded state through the transition opening between the communicating cushion segments.
  • the cross section of the transition opening should be so small relative to the cross section of the packing that the packing in the loaded state of the shoe sole can not be transferred through the transition opening.
  • an additional elastic pressure distribution layer in particular made of foam, is arranged on the foot facing side of the shoe inner sole. Since this additional pressure distribution layer only has to absorb small pressure peaks, it can be made correspondingly thin and is not subject to the otherwise occurring signs of wear with the associated undesired embossing of the shoe sole.
  • Fig. 1 shows an orthopedic shoe 01 to avoid excessive pressure loads on pressure-sensitive soles according to the teaching of the invention, as provided in particular for diabetics.
  • the shoe 01 consists in its basic structure of a rigid outsole 02 and a shaft 03.
  • the outsole has in the area of the toes and in the heel each have a convexly rounded sole region 04 and 05.
  • the rounded sole areas 04 and 05 make it possible to unroll the shoe with its bottom sole while walking, so that the user despite the flexural rigidity of the outsole 02 an approximately normal motion picture is possible.
  • the shank 03 provided for fixing the foot to the outsole 02 comprises a front fixing means 06 and a rear fixing means 07.
  • the shank 03 comprises a shell 08 made of a cuddly upper material, for example leather or a textile material.
  • each traction elements 09 and 10 are provided to allow the user to resize the shoe 01 to his individual needs.
  • the traction element 09 With the traction element 09, the front part of the shoe 01 is fixed in the area of the forefoot, whereas with the traction element 10 a size adjustment in the area of the metatarsus and the heel is made possible.
  • the two tension members 09 and 10 are each formed as Glasgurte, each having a Velcro closure on its inner side and thus allow a size adjustment of the tension member 09 and 10 respectively.
  • the rear fixing means 07 consists in its basic structure of a heel pull 11 and an attached predominantly Wegenzug 12.
  • the predominantly Wegenzug 12 can be stretched by the tension member 10 in variable length over the back of the user's foot.
  • the tension member 10 forms an integral part of the Schauschenzugs 12.
  • the heel pull 11 extends from its first end 13 which is secured with a mounting rivet on the sole 02 (mounting rivet 14 and end 13 in Fig. 1 and Fig. 2 In the middle of the heel pull 11, the heel bone is deflected spanning and then runs back over the right adoptedrist towards the second end 16, which in turn rotatably connected to a rivet 17 at the Sole 02 is attached (see Fig. 2 ).
  • the comfortablelessnessenzug 12 with the tension member 10 is fastened by means of connecting elements 18 and 19 load-transmitting on the left and right portions of the heel piece 11.
  • the connecting elements 18 and 19 in this case have a distance to the ends 13 and 16 of the heel pull 11 and a distance to the center 20 of the heel pull, which spans the heel bone in the region of the cap 15 on.
  • the left portion 11a of the heel pull 11 and the right portion 11b of the heel pull 11 each extend in an arc from the fastening points in the region of the ends 13 and 16 to the middle 20 of the heel pull 11.
  • the heel pull 11 Since the heel pull 11 is only connected at its ends 13 and 16 to the shoe 01, namely to the sole 02, the center 20 of the heel pull 11 is displaced forward when tensile forces are applied and ensures optimum positive locking of the cap 15 over the latter Heel bone of the user.
  • the portions 11a and 11b and the middle 20 of the heel pull 11 are not connected to the upper of the shell 08, whereby a relative movement between the upper of the shell 08 and the heel pull 11 is made possible.
  • the connecting elements 18 and 19 are, as in Fig. 1 and Fig. 2 seen, in each case in the direction of the longitudinal axis of the shoe between the center 20 of the heel pull 11 on the one hand and the two laterally arranged on the shoe ends 13 and 16 of the heel pull 11 on the other hand.
  • This arrangement of the connecting elements 18 and 19 in the direction of the longitudinal axis between the center 20 on the one hand and the ends 13 and 16 on the other hand leads to an optimal introduction of force applied by the clinician Wegenzug 12 tensile forces in the heel pull 11.
  • the heel pull 11 in the region of the two connecting elements 18 and 19 each have a material weakening 21, which is designed in the manner of a wedge-shaped incision.
  • Fig. 3 shows the shoe 01 in view from behind. It can be seen how the heel pull 11 with its middle 20 spans the shoe 01 in the region of the heel bone. To fix the height of the heel pull 11 in the region of its center 20, a tab 22 is provided on the cap 15, the free end of which projects upwards. The seam between the cap 15 and the tab 22 prevents inadvertently far slipping down the heel 11th
  • the subjectgurenzug 12 consists of two deflection loops 23, 24 and the tension member 10.
  • the deflection loops 23 and 24 are formed integrally with the connecting elements 18 and 19 on the heel pull 11.
  • the tension member 10 can be releasably fixed to the deflection loop 23 or 24 by means of a coupling member 25, which engages behind the deflection loop 23 or 24 in its recess with two wings in a form-fitting manner. After insertion of the coupling member 25 in the recess of the Umlenkschlaufe 23 or 24, the coupling member 25 must be rotated to about 90 degrees.
  • the coupling member 25 is attached to the fixed end 26 of the tension member 10. To use the tension member 10 this is threaded after the fixation of the coupling member 25 on the first deflection loop 23 with the free end 27 through the second deflection loop 24 and guided back to the fixed end 26.
  • On the tension member 10 is on both sides a hook and loop fastener provided with a loop tape and a functionally complementary chopping band, so that the clamping length of the tension member 10 through Auftechnologyine the Hackenbands can be fixed to the loop tape.
  • the coupling member 25 By the coupling member 25, it is possible to attach the tension member 10 with its fixed end 26 selectively on the first Umlenkschlaufe 23 or second Umlenkschlaufe 23. Since the shoe 01 is otherwise formed absolutely axially symmetric with respect to its longitudinal axis and thereby optionally functionally identical worn on the right or left foot, a selective appearance of the shoe 01 is made possible by the optional attachment of the fixed end 26 to the first Umlenkschlaufe 23 or the second Umlenkschlaufe 23 , In the Fig. 1 and Fig. 2 variants shown are provided, for example, to be worn on a right foot. By repositioning the coupling member 25 to the respective other deflection loop 23 or 24, the shoe 01 can be changed over as it is intended to be worn on the left foot.
  • Fig. 8 shows an orthopedic shoe inner sole 101, which can be arranged in the shoe 01 on the sole 02.
  • Fig. 8 The shoe insole 101 with its upper side 102 is a perspective view from above.
  • the shoe insole 101 can be detachably arranged in the shoe 01 according to the invention of the corresponding shoe size and serves to improve the pressure distribution on pressure-sensitive soles, in particular of diabetics.
  • the properties of the shoe inner sole 101 in the shoe 01 are particularly advantageous, since a uniform as possible Pressure distribution on the foot under the aspect of very firm fixation of the foot in the shoe 01 is very desirable.
  • Fig. 9 shows the shoe insole from its bottom 103 forth in a perspective view from above. It can be seen that between the upper side 102 and the lower side 103 there is a pressure-tip-spreading cushion 104 with four cushion segments 105, 106, 107 and 108.
  • the structure of the pad 104 with the pad segments 105 to 108 is shown in the longitudinal section according to Fig. 10 seen.
  • the deformable cushion cover 109 made of PU film encloses a multiplicity of deformable and relatively movable packings 110. These fillers 110 can be relocated relative to one another in order thereby to be able to adapt the shape and contour of the pillow 104 again and again. How out Fig. 9 can be seen, between the individual cushion segments 105, 106, 107 and 108 respectively transitions 111 to form transition openings 112 between the respective adjacent cushion segments present.
  • the filling body 110 can pass between the adjacent cushion segments 105, 106, 107 and 108, in order thereby to be able to vary in particular the degree of filling of the individual cushion segments 105 to 108.
  • the air in the individual cushion segments 105 to 108 can flow through the transition openings 112 and then escape through vent openings 120 which are mounted in the wall of the cushion cover 109 in the region of the transitions 111 in the outside atmosphere.
  • Fig. 11 shows the shoe insole 101 with its bottom 103 in a frontal view from above. It can be seen three clearance grooves 113, 114 and 115, which separate the four cushion segments 105 to 108 from each other and allow a relative movement of the adjacent cushion segments 105 to 108.
  • the spacer grooves 113 to 115 each extend in an arcuate concave around the heel of the shoe inner sole 101.
  • the transitions 111 between the The arrangement of the ventilation openings 120 on the side of the transitions 111 facing the underside 103 ensures that the ventilation openings 120 are not closed even when the shoe inner sole is loaded, since the transitions 111 against the bottom 103 are recessed in the spacer grooves 113 to 115 are arranged.
  • Fig. 12 shows the shoe inner sole 101 in cross section along the section line AA. It can be seen the transition opening 112 between the cushion segments 106 and 105, through which the filler 110 can pass between the adjacent cushion segments.
  • the cross section of the transition opening 112 relative to the cross section of the filler body 110 indicated only schematically is just chosen so that a transition of the packing 110 in the unloaded state is possible and is excluded at the same time in the loaded state of the shoe sole 101.
  • the cushion segments 105 to 108 of the shoe inner sole 101 are formed by two layers 116 and 117 of PU film.
  • the layer 116 has a substantially flat blank.
  • the layer 117 is shaped in three dimensions, for example by deep-drawing the PU film and forms four chambers 118 corresponding in shape to the cushion segments 105.
  • the three-dimensionally deformed layer 117 is filled with the packing 110 and then the layer is filled 116 with the layer 117 welded together in the contact areas.
  • the chambers 118 are closed with the packing 110 therein.
  • a pressure-distribution layer 119 consisting of foam is finally attached to the upper side of the layer 116.

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  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Diabetes (AREA)
  • Rheumatology (AREA)
  • Footwear And Its Accessory, Manufacturing Method And Apparatuses (AREA)

Claims (15)

  1. Chaussure orthopédique (01) destinée à empêcher des charges de pression élevées sur les plantes des pieds sensibles à la pression, en particulier des diabétiques, la chaussure (01) ayant une semelle (02) rigide qui exclut essentiellement le pliage de l'articulation antérieure du pied lors de la marche, et la semelle (02) ayant, dans la région des orteils et/ou dans la région du talon, une partie de semelle (04, 05) arrondie de manière convexe qui permet à la semelle (02) rigide de se dérouler, et la chaussure (01) ayant une tige (03), et des moyens de fixation (06, 07) étant prévus sur la tige (03) avec lesquelles le pied peut être fixé dans la chaussure (01), et les moyens de fixation (06, 07) comprenant une sangle de talon (11) qui s'étend à partir du cou-de-pied gauche sur le derrière du calcanéum au cou-de-pied droit, et les moyens de fixation (06, 07) comprenant une sangle de dos du pied (12) qui s'étend sur le dos du pied et qui a un organe de traction (10) qui peut être serré sur le dos du pied afin d'ajuster la taille,
    caractérisée en ce que
    la sangle de dos du pied (12) est attachée de manière transmettant des charges par des éléments de liaison (18, 19) gauche et droit aux parties gauche et droite (11a, 11b) de la sangle de talon (11), chaque élément de liaison (18, 19) présentant une distance par rapport aux deux extrémités (13, 16) de la sangle de talon (11) attachées latéralement à la chaussure (01) et par rapport au centre (20) de la sangle de talon (11) s'étendant sur le calcanéum.
  2. Chaussure orthopédique selon la revendication 1,
    caractérisée en ce que
    dans la direction de l'axe longitudinal de la chaussure (01), les éléments de liaison (18, 19) sont disposés chacun entre le centre (20) de la sangle de talon (11) s'étendant sur le calcanéum d'un côté et les deux extrémités (13, 16) de la sangle de talon (11) attachées latéralement à la chaussure de l'autre côté.
  3. Chaussure orthopédique selon la revendication 1 ou 2,
    caractérisée en ce que
    les deux extrémités (13, 16) de la sangle de talon (11) sont attachées chacune à la chaussure (01) dans des paliers rotatifs, en particulier rivetées chacune par un rivet de fixation (14, 17).
  4. Chaussure orthopédique selon l'une quelconque des revendications 1 à 3,
    caractérisée en ce que
    la tige (03) comprend une enveloppe (08) d'un matériau supérieur souple qui recouvre le pied au moins par zones, la sangle de talon (11) s'étendant au moins par sections sur la face extérieure de l'enveloppe (08).
  5. Chaussure orthopédique selon la revendication 4,
    caractérisée en ce que
    dans les parties gauche et droite (11a, 11b), la sangle de talon (11) n'est pas connectée à l'enveloppe (08) entre le centre (20) de la sangle de talon (11) s'étendant sur le calcanéum d'un côté et les deux extrémités (13, 16) de la sangle de talon (11) disposées latéralement sur la chaussure de l'autre côté.
  6. Chaussure orthopédique selon la revendication 4 ou 5,
    caractérisée en ce que
    le centre (20) de la sangle de talon (11) s'étendant sur le calcanéum n'est pas connecté à l'enveloppe (08) en matériau supérieur souple et est fixé en hauteur en particulier par une languette (22) faisant saillie vers le haut à partir de l'enveloppe (08).
  7. Chaussure orthopédique selon l'une quelconque des revendications 1 à 6,
    caractérisée en ce que
    la sangle de talon (11) est fabriquée dans un matériau rigide, la sangle de talon (11) ayant un affaiblissement de matériau (21) dans la région des éléments de liaison (18, 19), en particulier une incision en forme de coin, par laquelle la rigidité de la sangle de talon (11) est réduite transversalement à son axe longitudinal.
  8. Chaussure orthopédique selon l'une quelconque des revendications 1 à 7,
    caractérisée en ce que
    la semelle (02) comprend une semelle extérieure et une semelle intérieure, la semelle extérieure étant fabriquée dans un matériau élastiquement amortissant, et la semelle intérieure étant fabriquée dans un matériau plus rigide que la semelle extérieure.
  9. Chaussure orthopédique selon l'une quelconque des revendications 1 à 8,
    caractérisée en ce que
    la face intérieure de la semelle (02) orientée vers le pied et la face intérieure de la tige (03) orientée vers le pied sont réalisées de manière axisymétrique par rapport à l'axe longitudinal de la chaussure et la chaussure peut être portée indifféremment au pied gauche ou droit.
  10. Chaussure orthopédique selon l'une quelconque des revendications 1 à 9,
    caractérisée en ce que
    l'organe de traction (10) pour serrer la sangle de talon (12) est réalisé à la manière d'une sangle de traction, ladite sangle de traction étant fixée à la sangle de dos du pied (12) par une extrémité de fixation (26) et étant déviée dans une boucle de déviation (24) attachée à la sangle de dos du pied (12), et la longueur de serrage effective de la sangle de traction entre l'extrémité de fixation (26) et la boucle de déviation (24) pouvant être adaptée par une fermeture scratch.
  11. Chaussure orthopédique selon la revendication 10,
    caractérisée en ce que
    deux boucles de déviation (23, 24) sont prévues sur la sangle de dos du pied (12), l'extrémité de fixation (26) de la sangle de traction (10) pouvant être attachée indifféremment à la boucle de déviation (23, 24) droite ou gauche de la sangle de dos du pied (12) par un organe d'arrimage (25).
  12. Chaussure orthopédique selon l'une quelconque des revendications 1 à 11,
    caractérisée en ce que
    la bande de crochets ou la bande de velours de la fermeture scratch sur l'extrémité de fixation (26) de la sangle de traction (10) recouvre la face extérieure de l'organe d'arrimage (25) assigné à l'extrémité de fixation (26).
  13. Chaussure orthopédique selon l'une quelconque des revendications 1 à 12,
    caractérisée en ce qu'
    une semelle intérieure orthopédique (101) est disposée sur la face intérieure de la semelle (02) orientée vers le pied, au moins un espace intermédiaire étant formé entre la face supérieure (102) et la face inférieure (103) de la semelle intérieure (101), dans lequel un coussin (104) distribuant des pointes de pression est disposé au moins dans des zones partielles, dont l'enveloppe de coussin (109) déformable est remplie de corps de remplissage (110) déformables qui sont mobiles l'un par rapport à l'autre.
  14. Chaussure orthopédique selon la revendication 13,
    caractérisée en ce que
    l'enveloppe de coussin (109) a au moins un orifice de sortie d'air (120) à travers lequel l'air existant dans le coussin (104) peut s'échapper vers l'extérieur lors d'une application de pression.
  15. Chaussure orthopédique selon la revendications 13 ou 14,
    caractérisée en ce que
    le coussin (104) est sectionné en segments de coussin individuels (105, 106, 107, 108), un segment de coussin (105) étant disposé en particulier dans la région des orteils du pied et/ou un segment de coussin (106) étant disposé dans la région de l'articulation antérieure du pied et/ou un segment de coussin (107) étant disposé dans la région du métatarse et du tarse du pied et/ou un segment de coussin (108) étant disposé dans la région du talon du pied, et une rainure d'espacement (113, 114, 115) étant prévue entre au moins deux segments de coussin (105, 106, 107, 108) voisinés qui permet un mouvement relatif des segments de coussin (105, 106, 107, 108) voisinés, et les segments de coussin (105, 106, 107, 108) étant réalisés au moins partiellement de manière communicante, de l'air ou des corps de remplissage pouvant passer à travers des orifices de passage (112) entre deux segments de coussin (105, 106, 107, 108) communicants.
EP14173843.5A 2013-08-09 2014-06-25 Chaussure orthopédique destinée à empêcher des charges de pression élevées Active EP2835072B1 (fr)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
DE102013215776.2A DE102013215776B4 (de) 2013-08-09 2013-08-09 Orthopädischer Schuh zur Vermeidung von überhöhten Druckbelastungen

Publications (2)

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EP2835072A1 EP2835072A1 (fr) 2015-02-11
EP2835072B1 true EP2835072B1 (fr) 2016-02-24

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US (1) US20150040433A1 (fr)
EP (1) EP2835072B1 (fr)
JP (1) JP2015036120A (fr)
CN (1) CN104337111B (fr)
AU (1) AU2014210580B2 (fr)
DE (1) DE102013215776B4 (fr)

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USD787077S1 (en) * 2014-09-11 2017-05-16 The Diabetic Boot Company Ltd. Orthotic footwear
CN106726049A (zh) * 2017-01-22 2017-05-31 张钲坪 一种数字化康复矫形器
US20180263564A1 (en) * 2017-03-15 2018-09-20 Francois Avril Rehabilitation Footwear Device
WO2018213602A1 (fr) 2017-05-18 2018-11-22 Nike, Inc. Article d'amortissement avec composant de traction et procédé de fabrication d'un article d'amortissement
WO2018213599A1 (fr) * 2017-05-18 2018-11-22 Nike, Inc. Article amortisseur articulé doté d'un composant de traction et procédé de fabrication d'un article amortisseur
CN109077838A (zh) * 2018-07-05 2018-12-25 张新斐 一种足托鞋
CN109925108B (zh) * 2019-03-12 2022-02-01 山东大学齐鲁医院(青岛) 一种创伤骨外科足部固定装置及固定方法
CN109966037B (zh) * 2019-04-25 2024-06-21 吉林大学 一种抗足部瘢痕挛缩辅助治疗鞋

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Publication number Publication date
AU2014210580A1 (en) 2015-02-26
JP2015036120A (ja) 2015-02-23
CN104337111B (zh) 2016-08-31
US20150040433A1 (en) 2015-02-12
DE102013215776B4 (de) 2017-06-29
DE102013215776A1 (de) 2015-02-12
EP2835072A1 (fr) 2015-02-11
CN104337111A (zh) 2015-02-11
AU2014210580B2 (en) 2015-11-12

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