EP3579715A1

EP3579715A1 - Orthopaedic foot bed and method for producing an orthopaedic foot bed

Info

Publication number: EP3579715A1
Application number: EP18701725.6A
Authority: EP
Inventors: Christoph Bäumer
Original assignee: Individual
Current assignee: Individual
Priority date: 2017-02-07
Filing date: 2018-01-23
Publication date: 2019-12-18
Anticipated expiration: 2038-01-23
Also published as: CA3051158A1; US20200245713A1; US11154112B2; WO2018145892A1; AU2018219385A1; DE102017201885A1; EP3579715C0; EP3579715B1

Abstract

Orthopaedic foot bed (1) for a shoe (2) with a foot support surface (3), wherein the foot support surface (3) is formed by a plane base surface (4). The foot bed (1) has a multiplicity of knobs which are distributed in a predefined manner and by which the stimulation points in the sole are stimulated in a targeted manner, as a result of which the neurological, biotensegrity and liquid-dynamic system of the human body can in turn be improved. Through the improvement thereby achieved, it is possible to address and improve certain aspects of human health, which in particular include the gait pattern and posture of the human body. Moreover, by means of the invention, the transport of the lymphatic and venous liquids ("heart of feet function" of the sole) can be excited and intensified.

Description

Orthopedic footbed and method of providing an orthopedic footbed

The present invention relates to an orthopedic footbed having the features of the preamble of claim 1, and to a method for providing an orthopedic footbed adapted for a structural and / or functional disorder of a person's foot having the features of the preamble of claim 22.

A problem of modern civilization societies is that deformity of human feet is increasing. Deformation of the feet can in turn cause postural damage, which can lead to significant health problems in the long term. It has been found that at least 90% of all people with birth have a healthy foot, while at least 60% of all people in adulthood have a structurally and / or functionally ill foot.

By contrast, in primitive peoples, where regular shoe use is the exception, foot deformations are much rarer. The healthy foot is practically preserved much longer.

The increased foot deformation of people in civilization societies is due, among other things, to running on hard surfaces and decoupling the feet from their natural perception of the environment, which in particular leads to a weakening of the feet. In principle, see a structural damage to the feet and a functional damage to the feet distinguished. Structural damages include clumping and hacking foot, severe toe deformities such as hallux valgus and claw toes, ie damage to the foot itself. The proportion of structurally damaged feet has also increased in civilization societies due to the problems described above. By contrast, a functional disorder of the foot is understood to mean a malfunction of the foot such as, for example, an unhealthy rolling behavior or a false static. In particular, such a false statistic can lead to a false posture of the person, which can cause further muscular problems or problems of the joints or the spine. Examples include splayfoot and in particular the buckling and Senkfuß. These disturbances have also increased considerably.

Against this background, the object of the invention is to provide an improved orthopedic footbed, with which the problems described above can be achieved cost-effectively and as far as possible for the general population. Furthermore, a cost-effective method for providing an orthopedic footbed for the general population should be provided.

To achieve the object according to the invention an orthopedic footbed with the features of claim 1, and a method for providing an orthopedic footbed with the features of claim 22 is proposed. Further preferred developments can be found in the subclaims, the figures and the associated description.

According to the basic idea of the invention, it is proposed according to claim 1 that the footrest surface of the footbed by a flat base surface is formed with a large number of nubs arranged according to a foot orthopedically optimized distribution.

Commercially available shoes are usually provided with a Fußbettung with a Fußauflagefläche, the Fußauflagefläche is deliberately adapted to the foot shape. In particular, the footrest surface in the area of the arch of the foot is e.g. increased by a so-called pad, so that it is supported, regardless of whether the foot has a structural and / or functional disorder. This has the consequence that the stress on the foot is lowered, whereby the foot in turn is weakened in the long term in its strength and shape.

In contrast, the invention takes a completely different route. Namely, it is proposed according to the invention that the footrest surface of the footbed is formed by a flat base surface, the foot thus stands on a consciously trained footrest surface and is thereby stressed and stressed conscious, so that the foot is strengthened by the regular stress, which in turn in the Consequence, the likelihood of structural and / or functional disorders of the foot is reduced. The solution according to the invention takes on a role model in the primitive peoples, who walk barefoot and thus do not run on any consciously adapted to the sole of the foot pad. The proposed orthopedic footbed, in effect, allows a combination of shoes used in modern civilization societies with barefoot walking load on the feet through the flat base surface in the shoe. The proposed footbed is also referred to as the standard footbed. As a flat base surface is also a base surface with slight bumps, such as Increases understood, which may be due to prolonged use, by an uneven surface or manufacturing inaccuracies.

It is further proposed that the base surface has a plurality of nubs, which are arranged in a Fußorthopädisch optimized distribution. Such a distribution may be, for example, a distribution corresponding to the anatomical distribution of the bony components projected into the foot support surface and / or the distribution of the lymphatic and / or nerve and / or vascular pathways of a human foot contacting the foot support surface projected into the foot support surface be. As a result, the nubs consciously form stimulation points for the sole of the foot according to the bony components and / or the pathways of the foot. The bony components are associated with conduction pathways, which are similar in all humans with slight variations and can be understood as an evolutionarily conditioned universal basic order. The course of the pathways is thus in the basic order an image of the bony components of the foot. By the proposed arrangement of the knobs according to the bony components and / or the pathways, the biotensegrity system of humans is deliberately stimulated. In this case, the proposed distribution of the dimples is defined in relation to the bony components and / or the pathways of a bearing on the Fußauflagefläche in a normal position or predetermined orientation and position to support foot, so that the knobs on the Fußauflagefläche predetermined zones of the sole of the foot or the bony components and / or the pathways of a voltage applied to the Fußauflagefläche foot are assigned. The biotensegrity system is an important scientifically recognized basic principle of the human body and describes an underlying tension system or a self-regulating stabilizing system in the human body. The term biotensegrity or generally tensegrity is a compound word of art from the English words "tension" and "integrity." According to the principle of the tensegrity concept, the tapes and fascia in medicine correspond to tight drawstrings, while In addition, the system's dynamic stabilizers, the muscles that provide the system's preload, and the preload created by the muscles determine the response of the tensegrity system to the stresses that are placed on it The higher the bias voltage in the composite, the more stable the system is, too little bias leads to buckling of the system and posture problems, too high a bias voltage, in turn, limits mobility and other unwanted effects Desirable medical conditions such as tennis elbow and other tendon attachment diseases of orthopedics or Fußfehlstellungen such as the hollow foot. In the still growing skeleton, this erroneous organization of forces leads to scoliosis, disorders of posture, malocclusions, and other anatomically unfavorable conditions in later life. Since the muscle tension of humans down regulated during sleep, a human, unlike certain animals in sleep can not stand. If the structure, for example the sliding pieces, the geometry and the biomechanics are sick, this leads to the fact that the tension pieces can no longer be pretensioned by the dynamic tensioners formed by the muscles so that they form a stable system. If a structural disorder, such as cerebral palsy, is present, it can often only be repaired with mechanistic measures or with the help of surgery. In this case, the balancing and symmetrical bias of the system is not present due to central neurological damage, which can result in malpositioning of the joints. If the dynamic ligaments (tendons and fasciae) are too soft, such as in a connective tissue disease, the healthy dynamic voltage generator muscle also can not bias the biosense grity system into a stable system. In these two cases of structural disease, the proposed orthopedic footbed is a compensation and training aid for the existing and expandable residual function of the biotenergic system. A complex therapy based on this understanding therefore always includes balancing the tension in the dynamic parts of the system, ie the muscles in the human system. Humans themselves can usually achieve this by improving the sensory system by generating the correct muscle tension via a comparison with centrally stored target values. The improvement of the sensor system is further supported by muscular bodybuilding and targeted relaxation and stretching of shortened structures and strengthening of too soft structures can. The proposed footbed helps in all aspects of these scientific foundations.

The distribution of the dimples corresponds to the anatomical distribution of the bony components or the pathways of the human foot and thus also the distribution of the sensory fields in the foot surface or sole of the foot. In particular, they follow the distribution of the bony components in the heel, the tarsal and tarsal transition area to the metatarsus and especially in the metatarsal area. This will Stimulates the stimulation points in the sole of the foot in the physiological rolling pattern of walking in a particular type and order. The sequence of stimulation leads to a perception in the human brain, which is coded in a certain way and leads to a reflex adaptation of posture and gait pattern.

Furthermore, the biotensegrity system of humans comprises several chambers, in each of which scaled individual cells to entire organs are arranged. Regardless of their size, each chamber is exposed to pressure changes due to movement, muscle strength and body weight. The cyclical movement of the human while running means a time-coded pressure change in the foot, first an increase of pressure in the heel, then a pressure increase in the tarsal area, then an increase in pressure over the midfoot area to the toes until the foot leaves the ground to the next Prepare step. This pressure wave, which runs cyclically through the foot, is the main pump for all fluids of the foot, both venous and lymphatic. In contrast to the blood of the human, which is pumped arterially from the heart to the foot, the lymphatic and venous fluid is not moved by the heart, this function takes over in a certain way the foot. Accordingly, the foot could also be understood as the heart or as a pump for the low-pressure system of the veins and lymphatics. This pump is activated or stimulated by the proposed distribution of the pimples, the biotensegrity system is thereby practically strengthened. This feature can also be referred to as the "Heart of Feet-function".

It is further proposed that the dimples be located in a zone of the footrest surface on which a foot with a front footrest Ballen come to rest, arranged in five rows according to the orientation of the five toes forming bony components and / or along the associated conductor paths. The nubs thus run in five rows along the toes and metatarsals forming bone structures of the foot, starting from the metatarsal to the tips of the toes or the last bone member of the toes and stimulate targeted to the bony components or the pathways of the toes arranged stimulant points. It is assumed that the foot comes to rest in the intended normal orientation on the footbed, wel che inevitably results when putting on the shoe when the footbed is placed in the shoe. This applies in principle to the entire application when the footbed is described in relation to an overlying foot.

Further, the nubs are preferably in a zone of the footrest surface on which a foot with a heel comes to rest, arranged in a circle. By arranged in an imaginary circle nubs of the foot in the heel is stimulated uniformly, the arrangement of the nubs in Fer sen region is further preferably formed by a circle of nubs with further arranged within the circle, evenly distributed knobs is formed. This results in a specific stimulation effect that results in a specific motion vector.

It is further proposed that the knobs are arranged in at least two lines divergent to an inner side of the footrest surface in a zone of the footrest surface on which a foot comes to rest with a central region. The inside of the footrest surface is the side of the footrest surface, which is the inside of a standing on it Associated foot, wherein the inside of the foot is in turn the side of the foot, which adjoins in a normal posture of the person to the other foot of the human. Basically, the distances of the stimulus points in

Lengthwise of the sole of the foot starting from the outside of the foot to the inside larger, which is taken into account by the solution according to the invention by the arranged in divergent lines knobs on the Fußauflagefläche.

It is also proposed that the distances between the knobs in the longitudinal direction of the footrest surface, starting from a zone of the footrest surface on which a foot comes to rest with a central region, decrease to the front and / or rear side of the footrest surface. The notch density on the foot support surface thus increases starting from the middle region to the front and rear side of the foot support surface, whereby especially the stimulus zones of the foot sole are stimulated in the area of the front and rear of the foot support surface bearing zones of the sole of the foot the biotensegrity system and the effect described above are of particular importance.

It is further proposed that the nubs have an identical height. The nubs may preferably have an identical height, at least in the new state, so that their tops again complement each other to a flat base area, or so that they increase the flat base area by an identical value. The entire sole of the foot is thus used as a sensor surface in order to modify the biological perception of symmetry, posture, muscle tension, weight distribution and positioning in the room by targeted sensory impulses of the entire sole of the foot so that the person using the footbed experiences a postural and gait improvement. If a stimulation tion of the foot is useful or advantageous only in a designated area, but it would also be conceivable to provide the mop only in defined sections of the base area or to emphasize in certain areas where the foot comes to rest with the area to be stimulated ,

The nubs may preferably have a height of 2 to 3 mm with respect to the footrest surface and a diameter of 3 to 5 mm, which has been found to be sufficient to effect the sensory stimulation effect. In special cases, deviations from this standard are also useful.

It is also proposed that the diameter of the nubs can be shoe size-dependent. The nubs for smaller shoe sizes, so for children, preferably smaller diameters and heights than larger shoes for adults.

It is further proposed that the footrest surface may have at least one functional zone which is raised or recessed relative to the base surface and / or has a higher or lower hardness than the footbed in the remaining portion. Through the functional zone, the foot bed can be individually adapted to a structural and / or functional disorder of the foot, wherein the functional zone can be formed only by a local increase or depression, while the base surface is otherwise formed unchanged as a flat surface.

In this case, the footbed in the region of the functional zone may also have a higher hardness and / or be formed by a group of knobs having a different hardness in relation to the remaining knobs, preferably with a higher hardness. As a result of the proposed further developments, the stimulation effect to be achieved by the dimples or the footbed can be further enhanced locally in areas of the sole of the foot which are defined by the position of the functional zones.

If necessary, the functional zone can be increased or deepened by 3 to 5 mm, preferably by 4 mm, to fulfill its purpose relative to the base surface. The functional zones can harmoniously pass over with corresponding radii in the base surface and continuously increase or deepen.

In particular, the functional zone can be formed by a bent foot correction surface, which is raised in relation to the base surface and which is arranged in a zone of the foot support surface on which the foot rests against the inside of the front foot and the inside of the foot arch. The kink foot correction surface protrudes upward from the base surface and supports the foot on the inside, counteracting the tendency of the person to kneel with each other.

Furthermore, the functional zone can also be formed by a relative to the base surface increased static correction surface, which is located in a zone of Fußauflagefläche on which the foot comes with a heel to rest, so that the person's foot on the heel is slightly raised and Fußstatik is corrected. This makes it possible to effect a static Beinlängenausgleich.

According to a further preferred embodiment, it is proposed that the functional zone be replaced by a sisflache increased Hohlfußkorrekturfläche is formed, which is arranged in a zone of the Fußauflagefläche on which the foot with the front foot part over the entire width comes to rest. In this case, the hollow foot correction surface can preferably be combined with the static correction surface in order to counteract the tendency of the hollow foot, since the foot is thereby slightly raised both in the front and in the region of the heel.

Furthermore, the functional zone can also be formed by a heel spur correction surface which is recessed in relation to the base surface and which is arranged in a zone of the foot support surface on which the foot comes to rest with a middle section of its heel and / or a middle section of the arch of the foot, whereby the foot is consciously in the area a heel spur is relieved.

Furthermore, the functional zone can preferably be formed by a section which is raised in relation to the base surface and has a lower hardness compared to the base surface, which is arranged in a zone of the footrest surface against which a foot with an intermediate region arranged between a heel and a foot ball rests on an inner side arrives. The proposed functional zone of the orthopedic footbed can stimulate and intensify the lymphatic and venous fluid pumping system in the human body, referred to in the invention as "Heart of Feet-function." By increasing the functional zone and its lower hardness in the described section of the Foot support surface stimulation points are specifically stimulated in this area, the shape of the functional zone described, in contrast to the known in the art pads not aware of the shape of the arch of the foot is adjusted, but instead only increased, since the task of this functional zone is not the support of the sole of the foot but instead only an intensified pressure build-up in this area. For example, it is sufficient if the function zone in this section is increased by a constant height in contrast to the pad.

If present, an anatomical leg length difference can also be made by adjusting the material thickness of the orthopedic footbed on the shortened side. In this case, the material thickness is adjusted or increased in particular by an adaptation of the thickness of the base layer located below the stimulation zone.

The functional zones and the base area are each formed by uniform, predefined, person-independent surfaces, and the various orthopedic footbeds are sortimentartig formed with different Fußauflageflächen by a combination of the base area with different functional zones. The base area and the functional zones are initially designed for the different shoe sizes independent of person and combined to the footrest surface of an orthopedic footbed for a specific foot type. Different orthopedic footbeds with different footrest surfaces can be produced in large numbers by a different combination of the base surface and the functional zones or even by the use of the base surface alone, which then for different people with different structural problems and / or dysfunction of the feet applicable are. Since the footbeds are not manufactured in a specific way, but in an assortment in very large numbers, the proposed orthopedic footbed and the method of manufacturing the footbed can reduce the manufacturing costs and the operating costs are significantly reduced. Overall, the orthopedic footbeds can thereby be produced inexpensively for a large number of people, which can be achieved with little effort, a significant contribution to improving the health of a variety of people very broad populations in all age groups.

In this case, the footbed can alternatively be formed by a base body on which the base surface and / or the functional zones are molded or worked out. The basic body may e.g. a foam block in which both the base surface and the functional zone (s) are e.g. are milled. Alternatively, a production in an SD printing method, a spraying method or a sintering method would be conceivable. Furthermore, the footbed can also be made of different layers, of different materials with different properties, in particular with different strengths, which in turn can vary in the layer thicknesses and the strengths over the footrest surface in order to achieve the desired effect described in the application.

If the footbed is made from a body, the functional zones, when recessed, may be incorporated into the base surface after the base surface is made or, if increased, may already be taken into account in the manufacture of the base surface.

In order to achieve the object, a method is also proposed for providing an insole which is adapted to a structural and / or functional disturbance of a foot of a person, in which a plurality of different foot beddings of a defined size are provided. The modular foot support surfaces of the various foot beds are formed by one of the following predefined person-independent surfaces, a flat base surface or a combination of a flat base surface and a person-independent, to a structural and / or functional disorder of the foot adapted functional zone, wherein the person is examined for the presence of a structural and / or functional disorder of the foot, and in the presence of no structural and / or functional disturbance of the foot an insole with a person-sized size and formed by a flat base surface foot support surface is selected and in the presence of a structural and / or functional disorder, an insole having a personal size and one formed by a combination of a planar footprint having at least one functional zone the footrest surface is selected.

The footbeds are prefabricated in large quantities and kept in the field, eg in a shoe store, a physiotherapy or osteopathy practice, a podiatry practice, a doctor's office, a sports shop, a trekking shop, a fitness center or even in a Taichi training center. The person is then visually inspected for the presence of structural and / or functional disorders of the foot, for example, by a suitably qualified specialist, wherein alternatively or additionally, suitable sensor devices such as pressure-sensitive sensor plates can be taken to help on which the person is. If no structural and / or functional disturbance of the foot is found, then an insole with a simple, flat base surface is selected, which can also be called a standard footbed. Will against it a structural and / or functional disorder has been identified, an insole provided by the individual functional zone (s) specifically for the structural and / or functional disorder is selected in a corresponding shoe size.

The invention will be explained below with reference to preferred embodiments with reference to the accompanying figures. It shows

1 shows an orthopedic foot bed according to the invention with a flat base surface in an oblique view. and

2 shows the footbed of Figure 1 in side view. and

Fig. 3 to 6 different footbeds with different

Functional zones; and

7 shows an orthopedic footbed with the nubs provided thereon; and

Fig. 8 a human foot with its bony components and pathways seen from below; and

Fig. 9 is a process flow diagram of a method of providing an orthopedic footbed; and

10 to 14 different Fußbettungen with an inventive distribution of the mop and functional zones arranged thereon; and 15 shows an orthopedic insole according to the invention with a "heart of feet function" as seen from above and in two different sectional views.

FIG. 1 shows an orthopedic foot bed 1 in the form of an insert 6, which can be seen in FIG. 2 in a side view with a foot 16 standing thereon. The insert 6 has a footrest surface 3 formed by a continuous, flat base surface 4 with nubs 5 arranged thereon. The footrest surface 3 is continuous and planar and provided for persons with structurally and / or functionally healthy feet. Furthermore, the insert 6 has on the underside a flat base surface 7. The insert 6 is thus provided for shoes with a flat inner support surface. The knobs 5 have an identical height of 3 to 5 mm, preferably 4 mm and an identical diameter of 3 to 5 mm on the footrest surface 3 and the base surface 4 and form in the sum with their front sides again a flat surface for support of the indicated foot 16.

In FIG. 7, the orthopedic footbed 1 can be seen, in addition to the foot 16 shown in FIG. 8, with its bony components 100 and conductor paths 200 in the projection from below. As far as the description of the invention generally refers to a leg 16 standing up on the footrest surface 3 and to be recognized in FIGS. 2 and 8, it is assumed that the foot 16 corresponds to the normal position or the predetermined position on the footrest surface 3 gets up.

The numbers 1 to 56 each individually represent a nub 5 on the orthopedic footbed 1, so that the distribution 1 to 56 corresponds to the distribution of the dimples 5 on the footrest surface 3. The distribution of the dimples 5 corresponds in its basic arrangement to the arrangement of the essential bony components 100 of the bone structure of the foot 16 and the conductor paths 200 running thereon in the projection into the footrest surface 3 of the orthopedic foot bed 1, as easily by comparison of FIGS. 7 and 8 recognize.

The foot 16 to be seen from below in FIG. 8 basically comprises the bony components 100 with the heel 102, the middle region 103, the ball of the foot 104 and finally the toe 101. In the event that the person is wearing a healthy roll-off, first deploy it with the heel 102, and then continue to roll over the mid-region 103, the footpad 104, and finally over the toes 101. The heel 102 forms an approximately circular contact surface, from which the center region 103 extends in the direction of travel to the front. Starting from the central region 103, the bony components 100 continue to extend in the form of chains of individual bone members, which together form the ball of the foot 104 and, with the last bone members of the chains, the individual toes 101. The pathways 200 are arranged along the bony components 100 and thus correspond in their distribution and in the course of the distribution and the course of the bony components 100. The pathways 200 comprise the lymph and / or the nerves and / or the vessels of the foot 16 , The bony components 100 extend in their basic structure, starting from the central region 103 in five, arranged in lines bone link chains whose individual bone links are connected to each other via joints. In Figure 7, the orthopedic footbed 1 with the nubs 5 and the various zones can be seen, where the foot with the respective bony components 100 comes to rest, the various zones of the bony components 100, with which the foot 16 on the Foot rest surface 3 comes to rest, are designated by the reference numerals 101 to 104. The orthopedic footbed 1 can thus also be regarded as an anatomical and neurological footbed 1, since it is specially adapted to the anatomy and neurology of the foot 16 due to the proposed distribution of the knobs 5. The orthopedic footbed 1 thus forms a kind of "bio-interface", via which the stimulation points in the sole of the foot are stimulated during walking, the proposed distribution of the nubs 5 is of particular importance, since the walking movement to an additional stimulation of the stimulation points and The orthopedic footbed 1 forms, as it were, an interface in the bearing surface of the sole of the foot which is specially adapted to the stimulation points of the sole of the foot.

In the rear zone of the footrest surface 3, on which the foot 16 comes to rest with the heel 102, the nubs 5 are arranged in a circular ring in an imaginary ring, which can be seen from the numerals 41 to 52. In the middle of the imaginary ring four further knobs 5 are arranged with the numerals 53 to 56 in a uniform distribution as possible, with identical distances in the longitudinal direction and transverse to the longitudinal direction of the footrest surface 3 in a square. The foot 16 is thus uniformly stimulated at the beginning of the rolling movement in the stimulus zones of the heel 102, whereby the pumping operation described above is triggered. In the process, the stimulus signals triggered in the stimulus zones in the Brain of the human being generates corresponding signals for pressure change in the associated chambers of the cells or the organs of the human being, whereby the segmentally organized nervous system and the organs are selectively enlivened or vitalized.

During the further rolling movement, the person rolls his foot 16 with a central region 103 on the footrest surface 3 and rolls over a zone of the footrest surface 3, in which the knobs 5 in two transverse to the longitudinal direction of the footrest surface 3, in the direction of the inside 105 of the footrest surface 3 divergent, imaginary lines corresponding to the numbers 40 to 36 and 35 to 31 are arranged. Due to the divergent alignment of the lines, the spacings of the knobs 5 in the longitudinal direction of the footrest surface 3, on the inner side 105 of the footrest surface 3 are greater than on the outer side 106 of the footrest surface 3. This arrangement of the knobs 5 is advantageous in that the distances of the Stimulation points on the outside 106 of the foot 16 are smaller than on the inside 105. Due to the divergent orientation, the spacings of the knobs 5 increase in the longitudinal direction of the Fußauflage- surface, starting from the outer side 106 toward the inner side 105, ie transversely to the longitudinal direction. Furthermore, thereby the arch of the foot 16 is taken into account.

During the further rolling movement of the foot with the ball of the foot 104 and the toe 101 comes to rest in a zone on the footrest surface 3, in which the nubs 5 arranged in five imaginary lines corresponding to the bony components 100 of the toes 101, in the longitudinal direction of the footrest surface 3 are. The nubs 5 are in imaginary lines corresponding to the numbers 1,6,11,16,21,26, the numbers

2,7,12,17,22,27, the numbers 3,8,13,18,23,28, the numbers 4,9,14,19,24,29 and finally according to the numbers 5,10,15,20,25,30 arranged. The distribution of the dimples 5 thus corresponds to the image of the toe 101 forming bony components 100 and arranged along the conductor paths 200, so that by the knobs 5 in this zone targeted to the bony components 100 and the conductive lines 200 arranged stimulation points of the toes 101 are stimulated during the rolling motion.

The insert 6 shown in FIG. 1 has a continuously planar footrest surface 3 and can also be regarded as a standard footbed SFB. The person's foot 16 is in the view from the inner, medial side, in particular with the heel 102 and the front ball of the foot 104, so that the healthy foot between the arch of the foot and the footrest surface 3, a gap, and the foot 16 in the region of Foot arch is deliberately not supported. As a result, the foot 16 is consciously "stressed" and thereby strengthened under load, ie when standing or running, and the foot 16 is stimulated sensomotorically by the knobs 5, whereby the muscle activation is changed and the foot 16 is replaced by the tensegrity explained in more detail below In addition, the person's venous and lymphatic system is stimulated.

Different variants of the orthopedic footbed 1 can be seen in FIGS. 3 to 6, which additionally have different elevated or reinforced or recessed or weakened functional zones 8 in addition to the flat base surface 4. The functional zones 8 are formed here by surfaces which consciously stimulate the foot 16 by their geometry and arrangement on specific sensor surfaces. For this purpose, the functional zones 8 can either be raised or strengthened differently with respect to the base surface 4 or be attenuated or deepened relative to the latter. The base area 4 with the standard pimples division forms for structurally and functionally healthy feet the ideal bearing surface for the long-term preservation of the health of the feet, while the need-modified stimulation units in the functional zones 8 the base surface 4 for consideration of individual disorders of the structure and / or function of the feet to an individual Supplement or adapt foot type foot rest surface 3. To simplify the understanding, the footrest surface 3 of the orthopedic foot bed 1 in FIGS. 3 to 6 is subdivided into different points or sections with mops 5 corresponding to the numbers 1 to 56. The functional zones 8 are formed here by groups of stimulating knobs 5 in groups, which by their end faces in the sum have an increased circulation stimulation effect for certain zones of the foot 16. The enhanced stimulation effect is produced by zonal hardening or thickening of the EVA base layer 110 to be recognized in FIG. 15 or, alternatively, by increasing certain nubs 5 and the stimulation points realized thereby. Alternatively, the nubs 5 in the functional zones 8 can also have a higher strength than the nubs 5 in the area of the remaining footrest surface 3.

In FIG. 3, the functional zone 8 is formed by a kink foot correction surface 9 which is arranged on the foot support surface 3 such that the foot 16 engages with the inside of the front foot 104 at the points 11, 16, 22 and 21 in a region 9b and the inside of the arch of the foot in the points 26,27,31,32,36 and 37 in the area 9a of the footrest surface 3 comes to rest thereupon or is stimulated to an increased extent in this area. Due to the increased stimulation counter-control can be stimulated by the central nervous system and the buckling of the foot 16 are prevented to the inside in the direction of the other foot. In the case of the kink foot it is a functional disorder of the foot 16, in which the person not just touches with the foot 16 but instead buckles to the inside, which can also lead to X-legs, hip and spine disorders in the episode.

FIG. 4 shows an orthopedic footbed 1 in which, in addition to the knee-foot correction surface 9, an additional functional zone 8 in the form of a static correction surface 10 is provided. The static correction surface 10 is formed by an increase in the nubs 5 and the resulting stimulation effect in the footrest surface 3 in the region of the points 41 to 56, which form the area at which the person comes to rest with the heel 102. As a result, the stimulation points or pressure receptors in the heel area are stimulated more intensively, so that the static is adjusted by a neurological regulation in the sense of a correction. This is based on the sensorimotor effect of the intensified stimulation according to the law of the vector addition model.

FIG. 5 shows a further orthopedic footbed 1 with a flat base surface 4 and two functional zones 8. One of the functional zones 8 in the region of the heel 102 is again provided as a static correction surface 10, and another functional zone 8 is provided in the region of the front football 104 over the entire width of the points 11 to 21 in the form of a hollow foot correction surface 11. Both the static correction surface 10 and the hollow foot correction surface 11 are each increased by 3 to 5 mm relative to the base surface 4 elevated functional zones 8, which easily stimulate the person's foot 16 in the heel 102 and the front foot area and are formed by stimulation pimples. FIG. 6 shows a further alternative embodiment of the orthopedic footbed 1, in which a functional zone 8 in the form of a heel spur correction surface 12 is provided in the base surface 4, which is formed by a recess of 3 to 5 mm in the middle region of the heel 102 and the rear adjoining center section 103 is formed in the region of the points 32, 33, 37, 38, 42, 43, 44 and 53 to 56. The heel spur correction surface 12 is knobless or deepened relative to the base surface 4, so that the foot 16 is deliberately not stimulated and / or relieved in this area.

The orthopedic footbed 1 can be formed both as an insert 6 and as part of a lower shoe, it is only important that the footrest surface 3 is shaped accordingly, or that the footbed 1 in the shoe forms the corresponding footrest surface 3. The footbed 1 may additionally have a leather cover or textile cover, whereby the wearing of the shoe 2 can be made more pleasant. Furthermore, the footbed 1 should be permanently elastic, breathable, fluid-absorbing and conductive. The elasticity of the footbed 1 should be such as to provide sufficient resistance to the foot 16, the elasticity of which should allow for a slight penetration of the foot 16 into the footrest surface 3, without in principle losing the basic distribution of the support surface. In particular, the elasticity should be chosen so that the foot 16 does not sink so far that it rests over the entire surface, otherwise the desired stress on the foot 16 is not achieved. This is particularly the case when the foot 16 is structurally and functionally healthy and the footrest surface 3 is formed solely by a flat base surface 4, as shown in Figures 1 and 2. In this In this case, foot 16 should deliberately rest in a bridge shape and not be supported in the area of the arch of the foot. Dabe the elasticity can also be tailored to the type of the person wearing the shoe 2. So it would be possible, for example, especially for diabetics a particularly soft Fußbet device 1 and for athletes to use a particularly hard Fußbettung 1. A possible material would be eg ethylene vinyl acetate EVA.

If the orthopedic footbed 1 is formed as an insert 6, this can be elastic in itself and the functional zones can be formed therein with a higher strength or hardness. The insert 6 can have such elasticity that they can be folded, bent back or rolled up into the bag without being damaged. After removing the insert 6 from the bag, this unfolds due to their elasticity automatically or with easy help back to the original shape and can be inserted into the shoe 2. The foot 16 undergoes stronger support and stimulation than in the remaining areas of the base area 4 solely on account of the higher hardness of the footbed 1 in the region of the functional zones 8. Furthermore, the functional zones 8 can, of course, also have a greater height or thickness, in addition to their higher hardness optionally have additional nubs 5 for stimulation of the sole of the foot.

FIG. 9 shows a flowchart of a method according to the invention for providing an orthopedic footbed 1.

First of all, an assortment of different orthopedic footbeds 1 with a different shape of the Fußauflageflächen 3 for different foot types in different shoe sizes, bar widths and possibly also held with different hardnesses in a point of sale or a counseling center, in which the persons can individually select and test their individual on their feet 16 orthopedic footbed 1 under professional guidance of appropriately trained advisers , In this case, the left and the right foot 16 may also be designed differently, so that for the left and the right foot 16 deliberately different orthopedic footbeds 1 can be selected.

First, the customer K in the context of an initial examination E by the consultant, if necessary, with the aid of appropriate sensor devices such. pressure-sensitive surfaces or treadmills visually and metrologically assessed. In this case, further aids such. a foot and shoe size measurement, a measuring device for measuring the attitude and in particular the statics are used in the context of a diagnosis D. The consultant then determines a particular foot type with or without structural and / or functional disturbances and / or with or without disturbed statics.

Structurally healthy is marked in the flow chart with SG, structurally ill with ΞΚ, functionally healthy with FG and functionally ill with FK.

If it is determined that the feet are structurally as well as functionally healthy SG, FG, it is first established that a standard footbed SFB with an orthopedic footbed 1 with a flat base 4 according to FIGS. 1 and 2 with a distribution of the knobs 5 according to FIG Figure 10 is to choose. Among other things, it can be stated that the person has a slightly bent position, which is also referred to as an anterior statics AS. The slightly biased statics, or neutral statics, corresponds to the healthy posture and usually requires no correction, so no function zone 8. Subsequently, it is checked in a second step, whether a medial lowering of the arch MGA is present. If there is no medial depression, the standard foot rest SFB of the type 1a is selected, which has a foot rest surface 3 formed by a flat base surface 4 in accordance with FIG. 1 with a distribution of the nubs 5 according to FIG. If, on the other hand, such a dialysis depression is present, then a standard foot bed SFB of the type 1b is selected, in which the flat base surface 4 is replaced by a functional zone 8 in the form of a slight increase of approx. 2 mm or in the form of a section with a higher hardness in the area 9a of the reduced thereon kink foot correction surface 9. The slight medial arch depression is considered to be a functional disorder of the foot 16, counteracting the tendency of progressive augmentation of the disturbance by the increase or stiffening in region 9a and the consequent enhancement of stimulation.

If one of the feet 16 is structurally healthy SG and functionally ill FK, the type of functional disorder is first determined in a further step DFK and a correspondingly individualized orthopedic footbed 1 with a function zone 8 provided individually for the disturbance. Such a functional disturbance can be, for example, a bent foot, wherein the functional zone 8 in this case is the bending foot correction surface 9 shown in FIG. Subsequently, in a further step, it is checked whether there is additionally a posterior statics PS, ie a posture inclined to the rear of the person. If there is no posterior static PS, then an orthopedic footbed 1 without a static correction surface che 10 is selected, while in the presence of a posterior static PS a static correction surface 10 is added. In a second step, it is checked whether there is a medial lowering of the arch of the foot MAG or not. If such is not present and the foot 16 at the same time has a posterior static PS, then an orthopedic foot bed 1 of the type 2a is selected, which has a footrest surface 3 which is formed solely by the base surface 4 and the static correction surface 10. If, on the other hand, a medial depression of the arch of the foot MAG is detected, and if the foot 16 at the same time has a posterior static PS, the footrest surface 3 is additionally widened in addition to the static correction surface 10 by stiffening or reinforcing the footrest surface 3 in the region 9a to form a type 2b ,

The orthopedic footbeds 1 with the individual footrest surfaces 3 shown in FIGS. 5 and 6 represent further examples of the assortment of the orthopedic footbeds 1 which can be selected by assessing further disorders. It is not excluded that the range of orthopedic footbeds 1 is supplemented by footbeds 1 with other forms of footrest surface 3, or that further individual functional zones 8 are developed, which can be combined with the base surface 4 and the functional zones described.

If, after the diagnosis, both a structurally ill SK foot 16 and a functionally ill FK foot 16 are found, a recommendation of a medical examination EEU is made and, if necessary, the use of a standard footbed SFB is recommended until the result of the medical examination. In addition, a subsequent inspection date KT can be agreed. The advantage of the proposed solution is to be seen in the fact that with simple means and with a basic knowledge to be taught in specialist seminars of the health professionals improves the health of the feet and the attitude of a very large number of people or the likelihood of the emergence of diseases and posture can be reduced by preventive measures. In this case, the invention utilizes the advantage that the orthopedic footbeds 1 are not held up specifically for the individual foot 16, but rather in the manner of a range, independently of the person for various diseases of the feet. The previously applied person-specific production of deposits initially required the production of an individual footprint, after which then the deposit was made. The person could not take the insert with him directly, but had to have it produced in a specialized orthopedic workshop. Thus, the deposit could be picked up and carried only after a waiting period of several days or weeks. Overall, the provision of the deposits was associated with a corresponding expenditure of time and Herstellungsauf and, whereby the acceptance of wearing deposits was basically reduced. Insoles were only worn when there were already more serious medical disorders of the function and structure of the feet.

According to the inventive method for providing the orthopedic footbeds 1 are produced in large numbers with different footrest surfaces 3, which are not person specific but type-specific, ie by the flat base surface 4 or by the combination of the base surface 4 with different to the structural and functional disorders specially adapted functional zones 8 to the type of the foot 16 are adapted, and thus allow a much healthier running. Since the footbeds can be tested 1 on the spot and taken after selecting the same, the effort to obtain such Fußbettung 1, significantly reduced, whereby a significantly larger number of people can be convinced of wearing such Fußbettungen 1 at least on a trial basis. Thus, the public health can be improved on average by the increased acceptance of orthopedic footbeds 1, which can be described by the special distribution of the nubs 5 as a novel bio-interface. By distributing the nubs 5 practically a bio-interface is realized, which is used to stimulate the stimulation points of the sole while walking and thereby strengthen the biotensegrity system. Thus, the normal walking movement of the human being itself is used to stimulate the biotensegrity system and to a related posture and gait improvement.

FIG. 10 shows the orthopedic footbed 1 according to the invention with the knobs 5 provided thereon in a distribution according to the invention according to FIG. 7, except that the knobs 5 are represented here by the numbers 1 to 56 by circles according to their geometry.

The footrest surface 3 with the knobs 5 provided thereon can be subdivided in the same way into different areas in which the person comes to rest with the heel 102, with the central region 103, with the ball of the foot 104 and finally with the toes 101 of the foot 16.

In FIG. 11, the orthopedic footbed 1 is provided with an additional functional zone 8 in the form of a section 107 of the central region 103 on the inside 105 with a higher one Level but a lower hardness formed. The lower hardness section 107 may be realized by increased formation of the base surface 4 so that the nubs 5 disposed thereon stimulate the stimulation points in the portion of the sole of the foot to rest against them earlier during walking and somewhat more firmly. By the proposed functional zone 8, formed by the higher portion 107, the above-described pumping system of the sole of the foot for the lymphatic and venous fluids can be particularly strengthened, so that the footbed 1 shown in Figure 11 preferably for persons with a lymphatic and / or venous Insufficiency is beneficial. The so-called "heart of foot function" of the sole of the foot can be stimulated and intensified by the proposed variant of the orthopedic footbed 1 shown in FIG. 11. In principle, every variant of the orthopedic footbed 1 can be provided by the provision of the functional zone 8 in the section 107 the so-called "Heart of Feet-function" to optimize the lymphatic and venous fluid transport provided.

FIG. 12 shows a further orthopedic footbed 1 with a static correction surface 10, which in the embodiment of FIG. 13 is extended by a functional zone 8 in the form of a knee foot correction surface 9. Both the static correction surface 10 and the Kickfußkorrekturfläche 9 are formed by portions of the Fußbettung 1 with a higher hardness, which either by a portion of the base surface 4 with a higher hardness or arranged in these sections nubs 5 with a higher hardness or by a combination of Base surface 4 may be formed with a higher hardness in these sections with nubs 5 with a higher hardness. Both the local arrangement of nubs 5 with a higher hardness and the local formation of the base surface 4 with a higher hardness and / or a higher level lead to the desired local stimulation effect of the sole of the foot is intensified. As a result, both the gait and the posture of the human can be positively influenced and corrected, since the perception in the sole of the foot leads to a postural change according to the so-called vector addition model.

FIG. 14 shows the orthopedic footbed 1 with a functional zone 8 formed by the knee-foot correction surface 9, which is provided specifically for a foot 16 with a neutral statics and an unstable medial arch of the foot.

Furthermore, the orthopedic footbed 1 can again be seen in FIG 15 with a distribution of the nubs 5 corresponding to the embodiment of FIG 11 for intensifying the above-described "heart of feet function." In the lower illustrations, the construction of the footbed is left in one Sectional view through the base surface 4 and right in a sectional view through the raised to the functional surface 8 base surface 4 to recognize.

The orthopedic footbed 1 has in the base area 4 an EVA base layer 110 and an EVA cover layer 111, which are separated from one another by a stimulation layer 113. The EVA base layer 110 is covered to the bottom by a backing layer 114, and the EVA cover layer 111 is covered to the top by a functional fabric layer 112 having liquid-permeable and breathable properties which simultaneously forms the footrest surface 3. The EVA base layer 110, the EVA cover layer 111, the stimuli Lation layer 113, the functional fabric layer 112 and also the carrier layer 114 each have a constant thickness, so that the orthopedic footbed 1 has a constant thickness in the region of the base surface 4 apart from the unrecognizable mops 5 arranged thereon.

In the right-hand illustration, the EVA base layer 110 has a greater thickness for realizing the functional zone 8, while the thickness of the remaining layers is constant. The increase in the footrest surface 3 in the region of the functional zone 8 is thus realized solely by an increase in the thickness of the EVA base layer 110. The thickening of the EVA base layer 110 can be seen in the right-hand illustration by the zone II of the EVA base layer 110 in the region of the functional zone 8 above the zone I.

The functional fabric layer 112 is preferably formed by a breathable and liquid pervious fabric, while the backing layer 114 is formed by an abrasion resistant plastic material, e.g. realized in carbon look.

Both the EVA cover layer 111 and the EVA base layer 110 are made of an EVA material and practically form the bulk material of the footbed 1. The stimulation layer 113 is made of a hard plastic and defines the hardness of the footbed 1.

The "Heart of Feet Function" induced by the orthopedic footbed 1 according to the invention will be described in more detail below.

The sole of the foot is a blood and lymph pump and supports the return of the blood supplied by the heart. This Return transport is effected by the muscle vein pump in the foot, formed by the vessels, the fascia system, the bones and the muscles together with the gravity.

Due to the special anatomical structure with the fascia-sheathed tissues, natural movements and the pressure changes in the foot induced or stimulated by the inventive footbed 1 lead to fluid-shifts due to the constant change of tissue pressure gradients. Compressed and elongated, the pressure on the tissue parts in the fascia-sheathed chambers is great, and the alternating peaks and lows of the pressure build-up cause a pumping mechanism, which is weakened even in diseased veins and lymphatics.

The theory of the pumping movement in the sole of the foot can be explained as follows: The pumping movement is based on a scissor lattice with pressure gradients generated by deformation: During stretching, the pressure increases due to the movement of the connective tissue fascia in the enclosed chambers, leading to a powerful movement The fluid channels in the direction of the foot to the body center. When the movement of the scissor lattice recedes, the pressure gradient decreases again, which leads to a collection of liquid into the chambers between the scissor lattice elements. These movements alternate cyclically, causing the body to transport lymph and venous fluid out of the finest tissue clefts extravascularly and small-vasally back to the heart.

The fascia reins around each cell are thus, among other things, "the other heart" of man, that for the centripetal Pumping motion and therefore is responsible as the heart is responsible for much of the centrifugal pumping motion.

The material of the "Heart of Feet" zone of the orthopedic footbed 1 according to the invention in section 107 of FIG. 15 should be as follows:

It can e.g. a 5-15 mm high soft material layer may be provided, which is arranged between the EVA base layer 110 and the stimulation layer 113, alternatively, if necessary, also between the stimulation layer 113 and the EVA cover layer 111 in the region marked in the sketch. The additional material layer is shown here by the area II. The material is soft enough not to support the foot but sturdy enough to squeeze the connective tissue of the foot from the skin over the subcutaneous adipose tissue to the vascular region and muscular lobe of the longitudinal arch of the foot in which a portion of the venous and lymphatic vessels rest. Used as materials for this functional zone are silicones, EVA materials or other similarly functioning soft and permanently elastic materials, with a soft restoring force and a rapid return to the old shape after the respective deformation with each step.

Due to the increase in pressure, at least 20 to 40 cubic centimeters of blood and lymph are ejected from the foot towards the heart. By increasing the pressure compared to the orthopedic footbeds 1 without a "heart of feet" function, the venous and lymphatic return to the heart is greatly assisted, in order to protect the venous and lymphatic vessels of the foot that are ineffective, ie weak in pumping, in their natural function to support .

Claims

Claims :

1. Orthopedic footbed (1) for a shoe (2) with

a footrest surface (3),

characterized in that

the footrest surface (3) is formed by a flat base surface (4) with a plurality of nubs (5) arranged according to a foot orthopedically optimized distribution.

2. Orthopedic footbed (1) according to claim 1, characterized in that

the foot orthopedically optimized distribution of the dimples (5) of the anatomical distribution of the bony components (100) projected into the foot support surface (3) and / or the distribution of the lymph and / or nerves and / or vessels projected into the foot support surface (3) having conductor paths (200) corresponds to one on the Fußauflagefläche (3) reaching the supporting human foot (16).

3. Orthopedic footbed (1) according to one of the preceding claims, characterized in that

the nubs (5) in a zone of the footrest surface (3) on which a foot (16) with a front ball of the foot

(104) are placed in five rows according to the orientation of the toes (101) forming bony components (100) and / or arranged along the associated conductor tracks (200).

4. Orthopedic footbed (1) according to one of the preceding claims, characterized in that

the nubs (5) in a zone of the footrest surface (3), on which a foot (16) with a heel (102) comes to rest, are arranged in a circle.

5. Orthopedic footbed (1) according to one of the preceding claims, characterized in that

the nubs (5) are arranged in at least two lines divergent to an inside (105) of the footrest surface (3) in a zone of the footrest surface (3) on which a foot (16) comes to rest with a central region (103) ,

6. Orthopedic footbed (1) according to one of the preceding claims, characterized in that

the distances between the nubs (5) in the longitudinal direction of the Fußauflagefläche (3) starting from a zone of the Fußauflagefläche (3), at which a foot (16) with a central region (103) comes to rest, to the front and / or Remove the back of the foot support surface (3).

7. Orthopedic footbed (1) according to one of the preceding claims, characterized in that

the knobs (5) have an identical height.

8. Orthopedic footbed (1) according to one of the preceding claims, characterized in that

the knobs (5) have a height of 2 to 3 mm with respect to the footrest surface (3).

9. Orthopedic footbed (1) according to one of the preceding claims, characterized in that

- The knobs (5) have a diameter of 3 to 5 mm.

10. Orthopedic footbed (1) according to claim 9, characterized in that

-the diameter and / or the arrangement of the knobs (5) are shoe-size-dependent and / or afford size-dependent.

11. Orthopedic footbed (1) according to one of the preceding claims, characterized in that

the footbed (1) is designed as an insert (6).

12. Orthopedic footbed (1) according to claim 11, characterized in that

the insert (6) has an elasticity such that it can be folded and / or formed non-destructively into another form by applying pressure, and

-automatically deformed back to its original shape during a discharge.

13. Orthopedic footbed (1) according to one of the preceding claims, characterized in that

the footrest surface (3) has at least one functional zone (8) which is raised or lowered relative to the base surface (4) and / or has a hardness higher or lower than the footbed (1) in the remaining section.

14. Orthopedic footbed (1) according to claim 13, that

the functional zone (8) is formed by a group of nubs (5) having a different hardness relative to the remaining nubs (5), preferably with a higher hardness.

15. Orthopedic footbed (1) according to claim 13 or 14, characterized in that the functional zone (8) is raised or lowered by 3 to 5 mm, preferably by 4 mm, relative to the base surface (4).

16. Orthopedic footbed (1) according to one of claims 13 to 15, characterized in that

the functional zone (8) is formed by a bent foot correction surface (9) which is raised in relation to the base surface (4) and which is arranged in a zone of the foot support surface (3) on which a foot (16) with a front foot ball (104) and a foot rest (16) Arch of foot comes to rest.

17. Orthopedic footbed (1) according to one of claims 13 to 16, characterized in that

the functional zone (8) is formed by a static correction surface (10) which is raised in relation to the base surface (4) and which is arranged in a zone of the footrest surface (3) against which a foot (16) with a heel (102) rests ,

18. Orthopedic footbed (1) according to one of claims 13 to 17, characterized in that

the functional zone (8) is formed by a hollow base correction surface (11) which is raised in relation to the base surface (4) and which is arranged in a zone of the foot support surface (3) on which a foot (16) engages with the front foot part over the entire width Edition reaches.

19. Orthopedic footbed (1) according to one of claims 13 to 18, characterized in that

the functional zone (8) is formed by a heel spur correction surface (12) which is recessed in relation to the base surface (4) and which is arranged in a zone of the footrest surface (3) on which a foot (16) with a center section of his heel (102) and / or a central region (103) of the arch of the foot comes to rest.

20. Orthopedic footbed (1) according to one of claims 13 to 19, characterized in that

the functional zone (8) is formed by a section (107) which is raised relative to the base surface (4) and has a lower hardness than the base surface (4), which is arranged in a zone of the footrest surface (3) on which a foot (16) with an arranged between a heel (102) and a ball of foot (104) center region (103) on an inner side (105) comes to rest.

21. Orthopedic footbed (1) according to one of claims 13 to 20, characterized in that

the functional areas (8) and the base area (4) are each formed by uniform, predefined, person-independent areas, and

various orthopedic footbeds (1) are sortimentally formed with different footrest surfaces (3) by a combination of the base surface (4) and different functional zones (8).

22. Method of providing a respect to a

structural and / or functional disorder of a foot (16) of a person-matched orthopedic footbed (1 ⁾ ,

characterized in that

a plurality of different orthopedic footbeds (1) according to any one of claims 1 to 21 are provided with a defined size, each having different modular composite footrest surfaces (3), wherein

the modular foot support surfaces (3) of the different footbeds (1) are formed by one of the following predefined person-independent surfaces

- a flat base surface (4), or

a combination of a flat base surface (4) and a person-independent, adapted to a structural and / or functional disorder of the foot functional zone (8), wherein

-the person to the presence of a structural

and / or functional disorder of the foot (16), and

-in the absence of a structural and / or functional disorder (SK, FK) of the foot (16), an orthopedic footbed (1) having a personal size and a footrest surface (3) formed by a flat base surface (4) is selected, and

-in the presence of a structural and / or functional disorder (SK, FK), an orthopedic footbed (1) having a personal size and a footrest surface (3) formed by a combination of a planar base surface (4) with at least one functional zone (8) is selected ,

23. The method according to claim 22, characterized in that the person is examined by means of a suitable sensor device for the presence of a structural and / or functional disorder (SK, FK) of the foot (16).

24. The method according to any one of claims 22 or 23, characterized in that

-the person using appropriate visually recognizable criteria is examined for the presence of a structural and / or functional disorder (SK, FK) of the foot (16).