EP3747419B1 - Passive dynamische korrekturvorrichtung für hallux valgus und damit verbundene statische fussdeformitäten - Google Patents
Passive dynamische korrekturvorrichtung für hallux valgus und damit verbundene statische fussdeformitäten Download PDFInfo
- Publication number
- EP3747419B1 EP3747419B1 EP20020181.2A EP20020181A EP3747419B1 EP 3747419 B1 EP3747419 B1 EP 3747419B1 EP 20020181 A EP20020181 A EP 20020181A EP 3747419 B1 EP3747419 B1 EP 3747419B1
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- EP
- European Patent Office
- Prior art keywords
- straps
- passive
- correction device
- guide
- feet
- Prior art date
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- 238000012937 correction Methods 0.000 title claims description 29
- 206010061159 Foot deformity Diseases 0.000 title claims description 17
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Images
Classifications
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- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H1/00—Apparatus for passive exercising; Vibrating apparatus ; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
- A61H1/008—Apparatus for applying pressure or blows almost perpendicular to the body or limb axis, e.g. chiropractic devices for repositioning vertebrae, correcting deformation
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- A61H1/00—Apparatus for passive exercising; Vibrating apparatus ; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
- A61H1/02—Stretching or bending or torsioning apparatus for exercising
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- A63B21/00178—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices for active exercising, the apparatus being also usable for passive exercising
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- A63B21/002—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices isometric or isokinetic, i.e. substantial force variation without substantial muscle motion or wherein the speed of the motion is independent of the force applied by the user
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- A63B23/03516—For both arms together or both legs together; Aspects related to the co-ordination between right and left side limbs of a user
- A63B23/03533—With separate means driven by each limb, i.e. performing different movements
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- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
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- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/16—Physical interface with patient
- A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
- A61H2201/164—Feet or leg, e.g. pedal
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- A—HUMAN NECESSITIES
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- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2205/00—Devices for specific parts of the body
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- A—HUMAN NECESSITIES
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- A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
- A63B23/00—Exercising apparatus specially adapted for particular parts of the body
- A63B2023/006—Exercising apparatus specially adapted for particular parts of the body for stretching exercises
Definitions
- the subject of the invention is a passive-dynamic hallux valgus correction apparatus and coexisting static defects of the feet with the function of passive and dynamic valgus correction, often with a coexisting transversely flat and flat-valgus feet.
- the passive-dynamic apparatus strength the weak and stretches the contracted feet muscles in the above-mentioned forms of static defects, restoring the physiological balance of the pulling power of muscles. It has a dynamizing and relaxing function with tonus balancing between muscles, synergists and feet antagonists.
- the device has a passive function consisting in stretching extra-articular and articular contractures.
- the device is used in prevention (prevents the development of the above mentioned feet defects) and treatment (inhibits the deepening of the above mentioned feet defects and restores the physiological architecture of the feet conditioning its proper static function during standing and dynamic during walking).
- the invention is applicable in the field of medical rehabilitation and orthopaedics.
- HV hallux valgus
- Effective treatment must seek to remove the causes of deformities.
- the starting point of the defect which is the hallux valgus (the last link of the cause-effect chain) is in most clinical cases the lifting of the transverse or longitudinal arches of the feet (the first link of the cause-effect chain).
- the corrective effect on the valgus big toe without the prior reconstruction of flattened and dynamically inefficient transverse arches and longitudinal feet will not lead to the final correction. It is only a seeming, temporary, cosmetic effect, affecting the patient's psyche more than it actually reduces foot deformities.
- Treatment and prevention must be of a cause-effect nature.
- the cause of static deformation of the feet is the overloading weakening of the dynamic apparatus, i.e. the activities of the muscles stabilizing the transverse and longitudinal arches of the feet and the stretching of the ligamentous-capsule apparatus, which in a passive manner maintains their shape and correct alignment of the toes (dynamic arches of the fingers).
- Some devices for exercising the feet are known from the prior art.
- patent application WO 97/10795 there is known an apparatus for mobilizing the metatarsophalangeal joint in a toe.
- US patent US 2760774 there is known a foot exerciser comprising a plate, a pair of heel-positioning members adjustably disposed immediately upon said plate in a fixed position, a pair of separate toe-receiving members, and resilient means fixed to said respective toe-receiving members to resist movement of said toe-receiving members toward one another.
- US 4869499 a toe exercise device in a form of a dynamic splint is disclosed.
- the HalluxSTOP is a muscle strengthening and stretching device responsible for the development of static foot defects, mainly of the hallux valgus. It can be divided into the distal part responsible for passive correction and the proximal part responsible for the dynamic correction of hallux valgus. Using the device restores transverse and longitudinal physiological arches of the feet.
- the device is a structure consisting of a rigid guide element, i.e. a guide with a variable cross-sectional shape, inelastic finger straps located in the distal part of the guide element and an elastic element in the proximal part being a ball or rotary ellipsoid with a through-hole located in the central part thereof, shaped adapted to the shape of the cross-section of the rigid guide element.
- a rigid guide element i.e. a guide with a variable cross-sectional shape
- inelastic finger straps located in the distal part of the guide element
- an elastic element in the proximal part being a ball or rotary ellipsoid with a through-hole located in the central part thereof, shaped adapted to the shape of the cross-section of the rigid guide element.
- the rigid guide element i.e. the guide, is the body of the device. It can be in the form of a rod with a variable cross-section or a tube with a variable cross-section with a length of at least the length of a human foot, but not longer than 400 mm and a cross-section width enabling an elastic element to be inserted.
- the guide can be made of wood, metal or plastic.
- the attachment of the straps consists in placing a rigid, for example, metal, frame-shaped handle in a hollow through a hole in the rigid guide element such that it forms two holes on both sides of the guide element through which the straps for fingers are threaded.
- the fastening consists of sewn the width of two straps in two places in the central part of the length of these straps folded together and sewn on both sides of the guide element in such a way that they form a space, i.e. a passage channel enabling the insertion of a rigid guide between the sewn straps.
- the straps that make up the loops are made of inelastic material, and the length and width are chosen so that they easily surround the toes. Toe loops are created due to the fact that the end parts of the straps are fitted with elements that ensure the stability of the loop size and adjust the loop size depending on the size of the toes, for example with velcro or clamping elements.
- the central part of the device according to the invention is a ball-shaped or rotary ellipsoidal elastic element with varying degrees of hardness and diameter of 50mm-200mm and respectively.
- the elastic element is pulled over the guide until the feet with the loops on the toes are able to surround the elastic element supinationally.
- the blockade elements are made of a material that with resistance it is moved on the rigid guide element.
- the distal part of the device i.e. the loop-shaped straps attached to the rigid guide bar, attached to the fingers, creates a passive stretching force on contracted extra-articular soft tissues - passive correction. This happens when slowly setting the hallux valgus in abduction in relation to the second II toe with simultaneous heels approaching movement to each other until the heels contact the medial side.
- the size of the loop and the size of the elastic element are selected so that it is possible to change the exercise planes.
- the rotation of the slipping feet on the elastic element allows performing exercises in two main planes:
- the correction is based on the common correction principle based on the action of three parallel forces.
- Two parallel forces adduct to the median plane the big toes and heels (both hindfoot) - action into the medial of the feet.
- a third parallel force is applied in the opposite direction, makes a counterforce at the level of the metatarso-phalangeal joints - action to the side of the feet.
- the device according to the invention is a passive-dynamic device acting in the plantar and sagittal plane which is not applied by other "anti-hallux" devices available on the market.
- the device consists of the following parts: an elastic element 1, which is carried out in the form of be a ball or rotary ellipsoid with a through channel in the central part, a rigid guide element, i.e. guide 2, having the form of a rod or tube; sliding blocks 3 of the elastic element 1 on the guide 2, inelastic straps 4 forming loops for the big toes; elements enabling the adjustment of the diameter of the loops on the big toes by fastening 4 straps Velcro 5, sewn to the straps 4; and fastening the straps 4 to the guide 2 in the first and the second embodiment of the invention.
- an elastic element 1 which is carried out in the form of be a ball or rotary ellipsoid with a through channel in the central part, a rigid guide element, i.e. guide 2, having the form of a rod or tube; sliding blocks 3 of the elastic element 1 on the guide 2, inelastic straps 4 forming loops for the big toes; elements enabling the adjustment
- the fastening of the straps 4 to the guide 2 is carried out by means of a rectangular rigid handle 6, made in the shape of a frame, which is inserted into the hollow elongated through-hole 7, made in the guide 2 in the distal part, so that the rigid handle 6 forms two holes through which the straps 4 forming the loops are pulled.
- the fastening of the straps 4 to the guide 2 is made by stitching the straps 4 in the central part in two places after being applied to each other at a distance enabling the formation of the passage channel 8, through which the straps are slid over the guide 2. After sliding the straps 4 over the rigid guide element, their sliding is blocked by belt blocade element 9, which is e.g. a clamping element.
- the guide 2 has a length of at least an average length of a human foot.
- the cross-section of the guide 2 may have the shape of any geometrical figure.
- the cross-section of the guide 2 determines the shape of the through-hole in the central part of the elastic element 1, since the elastic element 1 is slid onto the guide 2 with slight resistance.
- the elastic element 1 is carried out in the form of a ball or a rotary ellipsoid.
- the guide 2 is in the form of a cylinder, which has a circle in cross-section
- the elastic element 1 is in the form of a ball.
- the elastic element 1 has a through channel passing through the axis of rotation, which passage channel in cross-section is a circle ( Fig. 3 ).
- the elastic element 1 due to the through channel located in the central part of the elastic element, is slid over the guide 2 to a height enabling to be embraced with feet in supination manner with simultaneous placement of the big toes into the loops made of straps 4.
- the straps 4 are made of inelastic material with a width enabling to surround the big toes.
- the size of the loop is regulated, for example, with 5 "Velcro" sewn to the straps.
- the rehabilitation action with the device according to the invention takes place in two the planes: in the plantar plane and in the sagittal plane of the feet.
- the device according to the invention allows the big toes abduction so-called passive correction by bringing the heels closer together (hindfoot adduction) and the pressure of the medial eminence of the feet on the elastic element (third contra-parallel force, from the medial to the lateral side of the feet).
- HalluxSTOP allows changing the exercise plane to the sagittal plane with the feet in supination, which affects the correction of the proximal (posterior) part of the longitudinal arch of the feet.
- the calcaneus with the heels insertion of the Achilles tendon is positioned in the adduction and supination.
- the heels tendons are positioned on a bowstring, setting both calcanea in the varus manner with simultaneous dynamic consolidation of this position by strengthening the medial heads of the calf triceps muscles.
- HalluxSTOP during reciprocal exercises (repetitive cycles and series), in addition to strengthening short muscles, strengthens long muscles due to the necessity of, among others forced supination feet setting.
- the posterior tibial muscles (the main dynamic stabilizer of the longitudinal arch and the transverse arch) and the tibial anterior are mainly strengthening with the bringing closer of the muscle insertions. Simultaneously with the distance between the muscle inserts, the muscles that are their antagonists are strengthened, i.e. the peroneus longus and brevis muscles.
- the device according to the invention is primarily intended to prevent static foot defects (preventive effect). It can also be used at the stage of:
- the device can be used as a postoperative device, effectively preventing recurrence of feet deformities.
Claims (10)
- Passiv-dynamisches Korrekturgerät zur Korrektur des Hallux valgus und gleichzeitig bestehender statischer Fußdefekte, bestehend aus einem starren Führungselement (2) in Form einer Führungsbahn, zwei Riemen (4) zur Bildung zweier Schlaufen für zwei Zehen unterschiedlicher Füße, welche Schlaufen an dem Führungselement (2) in einem distalen Teil des Führungselements (2) befestigt sind und ein elastisches Feststoffelement (1) umfassen, das in Form einer Kugel oder eines Rotationsellipsoids ausgeführt und verschiebbar angeordnet ist am Führungselement (2), welches das elastische Festkörperelement (1) einen im Mittelteil des elastischen Festkörperelements (1) befindlichen Durchgangskanal aufweist, in dem die Führung (2) verschiebbar angeordnet ist und das elastische Festkörperelement (1 ) wird durch Gleitblöcke im Abstand und in einer Position blockiert, die es ermöglicht, die Füße supiniert auf das elastische feste Element (1) zu stellen, nachdem die Zehen beider unterschiedlicher Füße in die aus Riemen (4) gebildeten Schlaufen eingeführt wurden.
- Passiv-dynamisches Korrekturgerät nach Anspruch 1, dadurch gekennzeichnet, dass das Führungselement (2) die Form eines im Querschnitt formveränderlichen Stabs oder Rohrs aufweist.
- Passiv-dynamisches Korrekturgerät nach Anspruch 1, dadurch gekennzeichnet, dass das Führungselement (2) aus Metall, Kunststoff oder Holz besteht.
- Passiv-dynamisches Korrekturgerät nach Anspruch 1, dadurch gekennzeichnet, dass die Bänder (4) aus unelastischem Material bestehen und eine Breite im Bereich von 10mm-50mm und eine Länge von 50mm-300mm aufweisen, so dass die Zehen umschlossen werden können .
- Passiv-dynamisches Korrekturgerät nach Anspruch 1, dadurch gekennzeichnet, dass die die Zehenschlaufen beider unterschiedlichen Füße bildenden Riemen (4) fest mit dem starren Führungselement (2) verbunden sind.
- Passiv-dynamisches Korrekturgerät nach Anspruch 1, dadurch gekennzeichnet, dass die die Zehenschlaufen beider unterschiedlicher Füße bildenden Riemen (4) durch eine Befestigung (6,7) am Führungselement (2) befestigt sind, in der die Riemen befestigt sind (4) getrennt sind oder durch eine Befestigung (8,9), bei der die Gurte (4) entlang der Führung (2) miteinander vernäht sind.
- Passiv-dynamisches Korrekturgerät nach Anspruch 6, dadurch gekennzeichnet, dass die Befestigung (6,7) als starrer, rahmenförmiger Griff (6) ausgebildet ist, der in ein ausgehöhltes Durchgangsloch (7) eingesetzt ist Im distalen Teil des Führungselements (2) ist der Rahmen nach dem Einschieben in das Loch (7) des Führungselements (2) mit zwei Fenstern zum Herausziehen der Riemen (4) versehen, die separate Schlaufen für die Zehen beider bilden Füße.
- Passiv-dynamisches Korrekturgerät nach Anspruch 6, dadurch gekennzeichnet, dass die Befestigung (8,9) in Form eines Durchgangskanals (8) ausgebildet ist, der nach dem Einnähen der Breite zweier Gurte (4) an zwei Stellen in der Mitte gebildet ist Ein Teil der Länge dieser Gurte ist zusammengefaltet und auf beiden Seiten des Führungselements (2) vernäht und ein Gurtblockadeelement (9) ist in Form eines die Gurte (4) am Führungselement blockierenden Presselements hergestellt (2), und ein Durchgangskanal (8) weist eine Abmessung auf, die ein Hineingleiten des Führungselements (2) mit geringem Widerstand ermöglicht.
- Passiv-dynamisches Korrekturgerät nach Anspruch 1, dadurch gekennzeichnet, dass das elastische Feststoffelement (1) im Falle einer Kugel einen Durchmesser im Bereich von 50 mm-200 mm und im Falle eines Rotationsellipsoids den kleineren Durchmesser aufweist liegt im Bereich von 50mm-200mm und der größere Durchmesser im Bereich von 100mm-250mm.
- Passiv-dynamisches Korrekturgerät nach Anspruch 1, dadurch gekennzeichnet, dass zwei Gleitsteine (3) auf beiden Seiten des stationären elastischen Elements (1) in einem bestimmten Abstand auf die Führung (2) aufgeschoben sind, um zu verhindern, dass das elastische Element ( 1) vom Umzug, bei Rehabilitationsübungen und Supination der Füße um ein stationäres elastisches Element (1).
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US16/884,044 US20210137765A1 (en) | 2019-06-04 | 2020-05-27 | Passive-dynamic correction device for hallux valgus and associated deformities |
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US1911390A (en) * | 1932-06-27 | 1933-05-30 | Maurice J Pullman | Exerciser for pedal or manual extremities |
US2760774A (en) * | 1952-04-01 | 1956-08-28 | Willy M Perez | Foot exerciser |
US4869499A (en) * | 1989-01-17 | 1989-09-26 | Schiraldo Donald R | Toe exercise device |
US5702354A (en) * | 1993-12-02 | 1997-12-30 | Active Motion Systems, Llc | Toe joint mobilization apparatus |
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