TW201531248A - Customizable component insole system and method thereof - Google Patents

Abstract

This invention provides for individualized adjustment to a user's specific needs through the use of multiple variable size, thickness and rigidity components that can be placed or integrated into an insole. The current invention is an insole that incorporates, but is not limited to: (1) a base layer with various depressions, (2) a metatarsal dome, (3) a first metatarsal head pad, (4) a forefoot wedge to create a pronation moment around the midfoot joint, (5) a heel cushion, (6) a heel lift to raise the heel area of the foot, (7) a rearfoot wedge to increase the supination moments around the subtalar joint, and (8) an arch support of a specific stiffness or with varying stiffness.

Description

Customizable component insole system and method of manufacturing same

The present invention relates to an insole having a customizable elastic pad function and supporting the wearer's foot.

Cross-references to related applications

This application is related to Provisional Patent Application No. 61/929,944, filed on Jan. 21, 2014, and the priority of the provisional application filed in the s. This provisional patent application is also incorporated herein by reference.

Human feet are very complex biological institutions. Many of the bones, muscles, ligaments, and tendons of the foot absorb and dissipate the impact. When a person walks, the foot load on the heel strikes the ground typically 1.5 times the weight of the human body. When running or carrying extra weight (such as a backpack), the load on the foot may exceed 3 times the weight.

The bones, muscles, ligaments, and tendons of many feet absorb and dissipate impact, carry body weight and other loads, and provide thrust. A properly designed insole helps the foot perform these functions and protects the foot from injury.

The insole may utilize molding of the actual wearer's foot, or an insole that may be made of a thermoplastic material that is molded from the wearer's foot to specifically contour the actual wearer's foot. Like most custom-made items, custom insoles tend to be more expensive because they are low in quantity and require long-term manufacture and are suitable for them. Similarly, it is not practical to manufacture this custom insole for the public. There is a need for an insole that can be modified for individual adjustment and suitability, but avoids "single style" molding of the wearer's foot. There are insoles in need to achieve the following goals: (1) to provide increased ankle and foot stability; (2) to cushion the heel and forefoot during the push and landing; (3) custom multiple variable strength And hard components; (4) improve the ability of the elastic pad.

Applicants have obtained patents for insoles with stable gaskets and multiple cushion pads located in the insole. These patents include U.S. Patent Nos. 7,484,319, 7,665,169, 7,908,768, and 8,250,784. However, these patents do not suggest individualized insoles based on components placed or integrated into the insole. The possible insole movement during use of the shoe provides a more enhanced elastic pad action feature.

Prior art insoles were placed in the shoe, although various designs of the prior art did not provide individualized custom functions along with sufficient elastic pad action and support characteristics. There is a need to achieve a customizable treatment target for a variety of different diseases and pre-cuts, as well as an insole for supporting the elastic padding of the wearer's foot.

The present invention provides individualized adjustments to the wearer's particular needs through the use of multiple variable sizes, thicknesses, and hard components that can be placed or integrated into the insole. The present invention is an insole that is combined (but not limited): (1) a base layer having various recesses; (2) a tibial pad; (3) a first metatarsal head pad; (4) a forefoot wedge pad for establishing a varus moment around the midfoot joint; (5) a heel pad; (6) a heel raising pad for raising the heel area of the foot; (7) a hind foot wedge pad for increasing the valgus moment of the foot around the subtalar joint; and (8) a arch support portion having a special hardness or a variable hardness.

The present invention uses these components individually and in various combinations that will effect and support the elastic pads of the wearer's feet, depending on the individual needs of the wearer. For example, the invention may be used in normal use; or, if desired, may provide sufficient elastic cushioning for more laborious or technically challenging activities, such as carrying heavy backpacks or crossing difficult terrain.

Moreover, the present invention provides control by providing a relatively rigid and stiff arch or assembly to control the bending and twisting of the foot by limiting foot motion. The rigid structure is good at controlling motion, but can be adjusted to provide a more restrictive movement of the wearer during use.

The present specification discloses the insole of the present invention (utilizing customizable components and supporting elements) A) provides a customizable elastic pad action and support to the wearer's foot, whereas the wearer's foot is subject to the biomechanical cause of the most common musculoskeletal pathology of the lower extremity. The present invention is an insole that incorporates various components to meet the individualized control and elastic pad action characteristics desired by the wearer, including, but not limited to, the following components: (1) a base layer having various recesses; (2) a humeral pad; (3) a first humeral head pad; (4) a forefoot wedge pad for establishing a varus moment around the midfoot joint; (5) a heel pad; (6) a heel lift pad for lifting the heel area of the foot; (7) a hind foot wedge pad for increasing the valgus moment of the foot around the subtalar joint; and (8) a foot arch support It has special hardness or variable hardness.

101‧‧‧ insole

103‧‧‧Top film

105‧‧‧ basal layer

105A‧‧‧ top surface

105B‧‧‧ bottom

106‧‧‧foot arch support

107‧‧‧Forefoot Wedge

108‧‧‧Forefoot wedge

109‧‧‧First humeral head area

110‧‧‧First humeral head cushion

111‧‧‧ heel pad area

112‧‧‧ heel pad

113‧‧‧ hind foot wedge/heel elevation zone

114‧‧‧ hind foot wedge

115‧‧‧Heel uplift

117‧‧‧foot arch support area

118‧‧‧foot arch support

118A‧‧‧Extended ribs

118B‧‧‧ horizontal ribs

118C‧‧‧ Rib recess

120‧‧‧ partition wall

138‧‧‧跖骨骨垫

205‧‧‧ basal layer

205A‧‧‧ top surface

205B‧‧‧ bottom

206‧‧‧The arch area

207‧‧‧Forefoot Wedge

209‧‧‧First humeral head area

211‧‧‧foot pad area

213‧‧‧ hind foot wedge/heel elevation zone

217‧‧‧foot arch support area

220‧‧‧ partition wall

303‧‧‧Top film

306‧‧‧foot arch support

338‧‧‧跖骨骨垫

405‧‧‧ basal layer

405B‧‧‧ bottom

406‧‧‧foot arch support

407‧‧‧Forefoot Wedge

409‧‧‧First humeral head area

411‧‧‧foot pad area

413‧‧‧ hind foot wedge/heel elevation zone

417‧‧‧foot arch support area

420‧‧‧ partition wall

503‧‧‧Top film

505‧‧‧ basal layer

505A‧‧‧ top surface

505B‧‧‧ bottom

506‧‧‧foot arch support

507‧‧‧foot wedge zone

513‧‧‧ hind foot wedge/heel elevation

538‧‧‧跖骨骨垫

603‧‧‧Top film

605‧‧‧ basal layer

605A‧‧‧ top surface

605B‧‧‧ bottom

606‧‧‧foot arch support

609‧‧‧First humeral head area

617‧‧‧foot arch support area

620‧‧‧ partition wall

638‧‧‧跖骨骨垫

703‧‧‧Top film

705‧‧‧ basal layer

705A‧‧‧ top surface

705B‧‧‧ bottom

706‧‧‧foot arch support

717‧‧‧foot arch support area

803‧‧‧Top film

805‧‧‧ basal layer

805A‧‧‧ top surface

805B‧‧‧ bottom

806‧‧‧foot arch support

807‧‧‧Forefoot Wedge

811‧‧‧foot pad area

813‧‧‧ hind foot wedge/heel elevation zone

838‧‧‧跖骨骨垫

903‧‧‧Top film

905‧‧‧ basal layer

905A‧‧‧ top surface

905B‧‧‧ bottom

907‧‧‧Forefoot Wedge

909‧‧‧First humeral head area

917‧‧‧foot arch support area

920‧‧‧ partition wall

938‧‧‧跖骨骨垫

1003‧‧‧Top film

1005‧‧‧ basal layer

1005A‧‧‧ top surface

1005B‧‧‧ bottom

1011‧‧‧ heel pad area

1013‧‧‧ hind foot wedge/heel elevation zone

1107‧‧‧ Front footpad area

1109‧‧‧First metatarsal pad area

1111‧‧‧Heel pad area

1113‧‧‧ hind foot wedge/heel elevation zone

1117‧‧‧ arch support area

1120‧‧‧ partition wall

1170‧‧‧Bone bone

1172‧‧‧ talus

1174‧‧‧Stern

1176‧‧‧骰骨骨

1178‧‧‧Wedge bone

1180A‧‧‧ First bone

1180B‧‧‧跖骨骨

1180C‧‧‧跖骨骨

1180D‧‧‧跖骨骨

1180E‧‧‧ fifth metatarsal

1182‧‧‧ proximal phalanx

1184‧‧‧ Middle phalanx

1186‧‧‧ distal phalanx

1205‧‧‧ basal layer

1205B‧‧‧ basement floor

1206‧‧‧foot arch support

1207‧‧‧Forefoot pad area

1209‧‧‧First metatarsal area

1211‧‧‧Heel pad area

1213‧‧‧ hind foot wedge/heel elevation zone

1217‧‧‧foot arch support area

1220‧‧‧ partition wall

1251‧‧‧foot toe area

1252‧‧‧Small toe area

1253‧‧‧First metatarsal area

1254‧‧‧Small humeral area

1255‧‧‧medial arch area

1256‧‧‧Outer midfoot area

1257‧‧‧medial arch area

1258‧‧‧foot area

1261‧‧‧Toe area

1262‧‧‧跖骨骨区

1263‧‧‧Forefoot area

1264‧‧‧ midfoot area

1265‧‧‧ hindfoot area

1310‧‧‧First humeral head pad

1418‧‧‧foot arch support

1418A‧‧‧Extended ribs

1518‧‧‧foot arch support

1518C‧‧‧ Rib recess

1618‧‧‧foot arch support

1618A‧‧‧Extended ribs

1618B‧‧‧ horizontal ribs

1618C‧‧‧ ribbed opening

1708‧‧‧Forefoot wedge

1812‧‧‧ heel pad

1915‧‧‧Heel uplift

2014‧‧‧ hind foot wedge

BRIEF DESCRIPTION OF THE DRAWINGS Figure 1 is a perspective view of a schematic illustrative embodiment of an insole in accordance with the principles of the present invention; Figure 2 is a perspective view showing the bottom of the insole base layer; Figure 3 is an upper (back side) view of the insole; Figure 4 is a bottom view of the insole; Figure 5 is a view of the outer side (outer side) of the insole; Figure 6 is a view of the inside (inside side) of the insole; Figure 7 is a rear (proximal) view of the insole; Figure 8 is a view of the rear (proximal) of the insole; A longitudinal cross-sectional view of the insole; FIG. 9 is a cross-sectional view of the insole region of the insole shown in FIG. 4; FIG. 10 is a cross-sectional view along the heel region of the insole shown in FIG. Figure 11 is a view of the foot bone superimposed on the sole (foot) view; Figure 12 is a bottom (foot) view illustrating various areas of the insole; Figure 13A is the bottom (foot) of the first metatarsal head pad Figure 13B is an inside side view of the first metatarsal head pad; Figure 14A is a perspective view of a first embodiment of the arch support; and Figure 14B is a bottom (foot) of the first embodiment of the arch support Figure 14C is a rear (proximal) view of the first embodiment of the arch support; Figure 14D is a cross-sectional view of the first embodiment of the arch support; Figure 15A is the second of the arch support Figure 15B is a bottom (foot) view of a second embodiment of the arch support; Figure 15C is a rear (proximal) view of a second embodiment of the arch support; 15D is a cross-sectional view of a second embodiment of the arch support; FIG. 16A is a perspective view of a third embodiment of the arch support; and FIG. 16B is a bottom of the third embodiment of the arch support Figure 16C is a posterior (proximal) view of a third embodiment of the arch support; Figure 16D is a view of the arch support 3A is a perspective view of a forefoot wedge pad; FIG. 17B is a bottom (foot) view of the forefoot wedge pad; FIG. 17C is a posterior (proximal) view of the forefoot wedge pad; FIG. Figure 18B is a bottom (foot) view of the heel pad; Figure 18C is an internal side view of the heel pad; Figure 19A is a perspective view of the heel lift pad; Figure 19B is a bottom (foot) view of the heel lift pad; Figure 19C is a cross-sectional view of the heel lift pad; Figure 20A is a perspective view of the hind foot wedge pad Figure 20B is a bottom (foot) view of the hindfoot wedge pad; Figure 20C is a cross-sectional view of the hind foot wedge pad.

All insoles with a heel coaster and medial longitudinal arch support will provide a small angle (2-3 degrees of study recommendation) for the varus control. The varus control of the sole is the degree of heel valgus and lowering of the medial longitudinal arch.

Some professional researchers have suggested that changes in the movement of the foot function may not be the starting route to improve musculoskeletal pain, pain and chronic injury with the insole. The present insole disclosed in the present specification is an alternative insole, the main design of which is to adapt the kinematics and motor factors of the common musculoskeletal pathology of the foot and the leg, thereby providing the most suitable control and elastic cushion for the individual needs of the wearer. Function characteristics.

The present invention is an insole that incorporates various components to meet the individualized control and elastic pad action characteristics desired by the wearer, including, but not limited to, the following components: (1) a base layer having various recesses; (2) a humeral pad; (3) a first humeral head pad; (4) a forefoot wedge pad for establishing a varus moment around the midfoot joint; (5) a heel pad; (6) a foot with a raised pad to lift a heel area of the high foot; (7) a hind foot wedge pad for increasing the valgus moment of the foot around the subtalar joint; and (8) a foot arch support having a special hardness or a variable hardness.

Referring now to Figures 1 through 20C, an insole constructed in accordance with the principles of the present invention is disclosed. It will be appreciated that the insole is typically adapted to be inserted into the interior of the wearer's shoe. The wearer's right and left shoes mirror images of each other because the insole fits into the right and left shoes, respectively. The figure only illustrates the left insole. Those skilled in the art should appreciate that the right insole has a mirror image structure of the left insole.

In addition to the description herein, the insole of the present invention is formed substantially similar to the bottom of the shoe (and is thus adapted to receive a wearer's foot that typically has a shape similar to when resting). The insole extends from a heel end (proximal end) to a toe end (distal end) and has an inner or side portion on the arch side of the foot, along the arch side of the insole, or on the other side of the insole A boundary or side connects the toe end to the heel end and connects the toe end to the heel end on the other side of the insole. The insole also has a forefoot area (in the area of the tibia and phalanx of the foot), a forefoot area (along the medial side), a heel area (before the heel end), and a midfoot area (between the heel) Zone and forefoot interval). The arch area of the insole is not placed flat inside the wearer's shoe, but provides an elevated support for the arch area of the wearer's foot.

As shown in the exploded view of Figure 1, the insole (101) preferably includes a topsheet (103) (top) The sheet (103) is presented face up to reveal surface detail) and a base layer (105) having a top surface (105A) secured to the top sheet (103) and an opposite bottom surface (105B) ). Preferably, the top surface (105A) of the base layer (105) defines an upward extension or a tibial pad (138) (as shown in Figures 3, 5, 6, 8 and 9) which is located at the foot. Second to fourth posterior tibial area. The base layer (105) also defines a longitudinal arch support (106) that extends upwardly along the medial side of the insole to provide additional cushioning and support to the ankle arch region.

The base layer (105) has a flange that extends around the heel and partially along the sides of the foot such that the insole has a heel coaster that conforms to the natural shape of the foot. As shown in Figures 5-8 and 10, the height of the flange is generally higher and thicker adjacent the inner side of the insole and is lower and thinner at the outer boundary of the adjacent insole. The flange is particularly taller along the longitudinal arch support (106) than the lateral boundary.

The substrate layer (105) is preferably made of foam or other material having suitable elastic pad action characteristics. Preferably, the substrate layer (105) comprises an EVA (Ethylene Vinyl Acetate) foam which is a copolymer of ethylene and vinyl acetate. A preferred EVA foam has a Durometer of about 55-60 Asker C. Other materials may be used for the substrate layer (105), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides suitable hardness and material characteristics to maintain the integrity of the substrate layer (105). Structure and flexibility.

In a preferred embodiment, the top surface (105A) of the base layer (105) covers the topsheet (103), preferably a low coefficient of friction non-woven layer to reduce the likelihood of blisters . In a preferred embodiment, the fabric is treated with an antimicrobial agent that incorporates a moisture barrier to reduce the odor of bacteria and fungi. A knitted fabric can also be used, preferably with a low coefficient of friction.

Preferably, for a men's midsize insole, the base layer (105) has a length of about 264 mm (millimeters), a forefoot area of about 86.5 mm (millimeters) width, a heel area of about 63 mm (millimeters) width, and a foot. The bow is approximately 76.5 mm (millimeter) wide with the central region. These widths can vary by ±5 mm (millimeters) and still maintain the desired performance of the substrate layer (105). The length can vary and can be as short as 26 mm (millimeters) to fit within the desired shoe. Longer or shorter lengths can also be achieved by proportionally varying all dimensions of the substrate layer.

The bottom surface (105B) of the base layer (105) defines various recesses or regions: a forefoot wedge region (107) at the posterior portion of the forefoot region; a first metatarsal head pad region (109) in the first metatarsal region a heel pad area (111) and a hindfoot wedge/heel elevation area (113) in the heel area; and a arch support area (117) from the center of the insole toward the heel near the medial side Area.

The base layer (105) also defines a dividing wall (120) that separates the first metatarsal head pad region (109) from the arch support region (117). The dividing wall (120) helps the base layer (105) to define a bone pad area (109) and an arch support area (117) for correctly placing the first metatarsal head pad (110) and the arch support portion (118), and maintaining the first metatarsal head pad (110) and The arch support (118) components are protected from interference with each other. Therefore, the first metatarsal head pad (110) placed in the first metatarsal head pad region (109) is separated from the arch support region (117) by the partition wall (120), and likewise, the first metatarsal head The pad (110) is not located in the same recessed area in which the arch support (118) is disposed, or any type of recessed area.

Alternatively, the bottom surface (105B) of the base layer (105) may have only one or more of the following defined regions: the forefoot wedge region (107), the first metatarsal head pad region (109), the heel pad region (111), the hind foot. Wedge/heel elevation zone (113), and arch support zone (117).

The tibial pad (138) is preferably located behind the second to fourth metatarsal. For general forefoot comfort, the tibial pad (138) provides pressure redistribution away from the small tibia and relatively increases the depth of the first metatarsal head pad region (109) to promote a greater degree of the first toe during the advancement phase of the step Wrong. Preferably, the tibial pad (138) is an extension of the base layer (105).

The tibial pad (138) preferably has a height of 2.0-3.0 mm (millimeter) above the top surface (105A). The height can vary by ±1 mm (millimeters), but it is not recommended to change beyond it, as too little or too much of the tibial pad may have unwanted effects.

Alternatively, the tibial pad (138) is a similar conical component that is secured in the second to The top surface (105A) of the base layer (105) in the region behind the fourth metatarsal, and the topsheet (103) is secured to the top surface (105A) of the base layer (105) and on the tibia pad (138) Or allowing the tibial pad (138) to extend therethrough. Another alternative is to secure the topsheet (103) of the tibial pad (138) to the regions of the second to fourth metatarsal.

Preferably, the tibial pad (138) is made of the same material as the base layer (105). Other materials may be used for the tibial pad (138), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides appropriate stiffness and material characteristics to maintain the overall thickness of the tibial pad (138). Structure and flexibility.

The forefoot wedge region (107) begins behind the second to fifth metatarsal heads and extends proximally to the center of the foot.

The forefoot wedge (108) is formed in the same manner as the forefoot wedge (107) and is secured therein. The forefoot wedge (108) has an inner edge, an outer edge, a proximal (back) edge and a distal (front) edge. The far edge is behind the second to fifth metatarsal bones. The medial edge of the forefoot wedge (108) extends along a line spaced from the medial side of the insole, extending intrinsically from the distal edge to the proximal edge. A proximal edge extends laterally (or laterally) from the inner edge to the outer edge, which is slightly spaced from the inner side of the insole. The outer edge connects the proximal edge to the distal edge of the forefoot wedge pad. Figure 11 shows the foot bone placed on the insole. An adhesive or bonding agent can be used to secure the forefoot wedge (108) to the forefoot wedge region (107).

The forefoot wedge (108) has a 3[deg.] slope that tapers from a thicker side edge of about 4 mm (millimeters) thick to a thinner inner edge of about 1 mm (millimeter). The forefoot wedge (108) is used to establish a varus moment around the midfoot joint. This moment helps to stabilize the forefoot after the pair, reducing the valgus moment of the foot caused by the valgus deformation of the forefoot, and reducing the first load by increasing the ground reaction force (GRF) below the side of the forefoot. Toe joint (MTPJ, Metatarsophalangeal Joint), and reduce the abnormal foot valgus moment around the subtalar joint.

If the alternative shape is outlined to maintain a distal edge at or behind the small humeral head, and the medial and proximal edges do not interfere with the first metatarsal head pad region (109) and the arch support region (117), the shape of the forefoot wedge portion (108) Can be changed.

Preferably, for a men's midsize insole, the forefoot wedge (108) has a length of about 55.9 mm (millimeter) and a width of about 51.3 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the forefoot wedge (108). For different sized insoles, the size can be achieved by proportionally changing all dimensions of the forefoot wedge (108).

Preferably, the forefoot wedge (108) is made of a high density EVA material having a hardness of about 75-80 Asker C. Other materials can be used for the forefoot wedge (108), such as Polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel that provides suitable hardness and material characteristics to maintain the overall structure and elasticity of the forefoot wedge (108).

The first metatarsal head pad region (109) is a region in the bottom surface (105B) of the base layer (105) and is located below the first metatarsal head of the foot. The first metatarsal head pad (110) is formed in the same manner as the first metatarsal head pad region (109) and is secured to the first metatarsal head pad region (109). An adhesive or cement can be used to secure the first metatarsal head pad (110) to the first metatarsal head pad region (109).

In use, the first metatarsal head pad (110) is held underneath the first metatarsal head (ie, the inner football point of the wearer's foot) and moves with it. Removing the pad will reduce the ground reaction force (GRF) below the first metatarsal head. This will improve the foot advancement of the wearer with Functional Hallux Limitus (FHL, Functional Hallux Limitus).

The shape of the first metatarsal head pad (110) is slightly irregular and polygonal. Preferably, the first metatarsal head pad (110) has an intrinsic linear distal edge; a slightly curved inner edge that follows the curve of the medial boundary of the insole; a proximal edge that is curved or angled that follows the arch of the foot The shape of the humerus edge of the support region (117); and an outer edge that is curved or linear.

Preferably, for a men's mid-size insole, the first metatarsal head pad (110) has a length of about 73.5 mm (millimeter) and a width of about 29.3 mm (millimeter) at the distal edge. First The proximal end of a bone pad (110) comes to a point near the outer and outer edges. This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the first metatarsal head pad (110). For different size insoles, the size can be achieved by proportionally changing all dimensions of the first metatarsal head pad (110).

Preferably, the first metatarsal head pad (110) is an EVA material having a hardness of about 40-45 Asker C. Alternatively, the first metatarsal head pad may have a hardness of between about 45-55 Asker C, or (or) 55-60 Asker C. The thickness of the first metatarsal head pad (110) is about 2-2.5 mm (millimeters) thick or the depth of the first metatarsal head pad region (109). The basic design of the first metatarsal head pad area (109) is to establish a ground reaction force (GRF) difference below the humeral head, and to lower the first metatarsal head to the other humeral surface when the first metatarsal head pad (110) is not engaged. . Other materials may be used for the first metatarsal head pad (110), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the first metatarsal head The overall structure and elasticity of the mat (110).

The arch support region (117) is disposed along the longitudinal arch support portion (106) with a proximal end closest to the heel end of the insole and a distal end extending toward the toe end of the insole. Connecting the proximal end to the distal end is an inner edge and an outer edge, the outer edge having a parabolic shape. The arch support portion (118) partially surrounds the medial side of the base layer (105) below the medial longitudinal arch support portion (106). In general, it is located either in the arch region of the foot or below the talus, the scaphoid, the first clavicle, and the proximal portion of the first metatarsal. The arch support (118) is essentially formed in the same arch support region (117) and secured to the arch support region (117) at the bottom surface (105B) of the base layer (105). An adhesive or cement can be used to secure the arch support (118) to the arch support region (117).

A specific embodiment of the arch support portion defines a plurality of extension ribs (118A) extending from the proximal end to the distal end from the arch support. This particular embodiment provides a hard support for the arch region. The extension rib (118A) is about 0.5 mm (millimeter) thick. The width of each of the extended ribs is about 5 mm (millimeters).

This first embodiment is preferably made of a nylon material having a hardness of about 90-100 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-rib area ranges from about 1-2 mm (millimeter). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provide suitable hardness and material characteristics to maintain the overall structure and elasticity of the arch support (118). .

A second embodiment of the arch support defines a plurality of rib-shaped recesses (118C) extending from the proximal end to the distal end extending inwardly from the arch support. This particular embodiment provides elastic support for the arch region. The rib recess (118C) is recessed into the arch support (118) by about 0.5 mm (millimeter). The width of each rib recess is about 5 mm (millimeter).

This second embodiment preferably utilizes a hardness of about 80-90 Shore A hardness. Made of dragon material, such as Nylon 66. The thickness of the arch support portion of the non-rib area ranges from about 1-2 mm (millimeter). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate hardness and material characteristics to maintain the overall structure and elasticity of the arch support (118). .

A third embodiment of the arch support includes a plurality of extension ribs (118A) extending outwardly from the arch support portion; a plurality of essentially horizontal ribs (118B) having the arch support portion a ribbed profile having a serration; and a plurality of ribbed openings (118C) extending inwardly from the arch support. This particular embodiment provides a semi-elastic or semi-rigid support of the arch region.

The arch support portion (118) defines one or more extended ribs (118A), one or more intrinsic horizontal ribs (118B), and one or more rib shaped recesses from the proximal end to the distal end (118C). Preferably, three extension ribs (118A), three of the essentially horizontal ribs (118B), and three rib recesses (118C) are used. The width of each rib is about 5 mm (millimeters). The extension rib (118A) is about 0.5 mm (millimeter) thick. The rib recess (118C) is recessed into the arch support (118) by about 0.5 mm (millimeter). The intrinsic horizontal rib (118B) has a rib profile of about 0.5 mm (millimeter) depth.

The rib recess (118C) improves the elasticity at the distal end of the arch support (118) without sacrificing the longitudinal arch support at the center and proximal end of the arch support (118).

The first three rib-shaped recesses (118C) at the distal third of the arch support (118) provide flexibility to maintain an area adjacent the first metatarsal head (ie, the distal axis of the first metatarsal) To promote unrestricted first toe flexion during the pace of travel.

The center and the proximal two-thirds of the arch support (118) (essentially horizontal ribs (118B) and extension ribs (118A)) are stiffened by progressively thicker transverse strips to provide improved foot The bow is supported, and when the foot is moved to the internal rotation position, a higher anti-foot inversion ground reaction force (GRF) is applied to the load-to-distance region.

This third embodiment is preferably made of a nylon material having a hardness of about 80-90 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-rib area ranges from about 1-2 mm (millimeters). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate hardness and material characteristics to maintain the overall structure and elasticity of the arch support (118). .

Alternatively, the rib recess (118C) may be a rib shaped opening. The ribbed opening is defined to allow the base layer (105) to extend therethrough. The width of each rib is about 5 mm (millimeters). The base layer (105) is shaped such that a portion of its material is injected into the rib-shaped openings such that the portion is substantially flush with the outer surface of the arch support (118) and mechanically locks the arch support (118) and the base layer ( 105) Together. Advantageously, when compressing the substrate layer (105) (eg, when walking or running), the base layer material also bulges through the rib-shaped openings to provide additional elastic pad action.

For a men's midsize insole, the arch support (118) is about 104-105 mm (millimeters) in length. The width at the widest point near the center is about 37.5 to 38.5 mm (millimeter). This length and width can vary from ± 5 mm (millimeters) and still maintain the desired performance of the first arch support (118).

When the foot is in a "natural position" (ie, not an internal or external rotation) position, the arch support is inactive or applies a gentle foot valgus (anti-foot varus) moment to the midfoot.

When the foot is moved to the internal rotation position, the arch support applies a higher ground reaction force (GRF) to the area below the load-bearing protrusion (ie, the proximal arch) to increase the foot valgus (anti-foot) Turn the moment in the lower joint (ie, the hind foot).

The hindfoot wedge/heel elevation region (113) is located in the heel region of the insole, which extends from the ankle bone at the proximal end of the heel region of the outlined insole. The hindfoot wedge/heel elevation zone (113) is adapted to withstand a supplemental cushion that can be a hindfoot wedge (114) or a heel elevation (115). The hindfoot wedge/heel elevation region (113) is slightly longitudinally angled to the lateral boundary such that it does not interfere with the arch support region (117).

The hindfoot wedge (114) has a 4[deg.] slope that tapers from a thicker inner edge of about 4 mm (millimeter) to a thinner outer edge of about 1 mm (millimeter). The 4° hindfoot wedge (114) is used to establish a foot valgus moment (and reduce the varus moment) around the lower joint.

The shape of the hindfoot wedge (114) may vary if the alternate shape maintained at one of the heel regions does not interfere with the arch support region (117).

Preferably, for a men's midsize insole, the hindfoot wedge (114) has a length of about 71.8 mm (millimeter) and a width of about 46.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the hindfoot wedge (114). For different size insoles, the size can be achieved by proportionally changing all dimensions of the hindfoot wedge (114).

Preferably, the hindfoot wedge (114) is made of a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used for the hindfoot wedge (114), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides suitable stiffness and material characteristics to maintain the forefoot wedge (108) The overall structure and flexibility.

The heel elevation (115) is generally tapered from a thicker edge of about 4 mm (millimeters) to a thinner edge of about 1 mm (millimeter). The heel lift (115) is used to adjust the insole in the sagittal plane to adjust the forefoot and ankle flexion, and the lower extremity musculoskeletal system Its related kinematics and exercise effects; or used to balance differences in lower limb length.

The shape of the heel elevation (115) may vary if the alternative shape maintained at one of the heel regions does not interfere with the arch support region (117).

Preferably, for a men's midsize insole, the heel lift (115) has a length of about 71.8 mm (millimeter) and a width of about 46.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel lift (115). For different sizes of insoles, the size can be achieved by varying the dimensions of the heel elevation (115).

Preferably, the heel lift (115) is made of a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used for the heel elevation (115), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides adequate hardness and material characteristics to maintain heel elevation The overall structure and flexibility of the part (115).

The heel pad area (111) is located in the heel area of the insole within the boundary of the hindfoot wedge/heel elevation zone (113). The heel pad (112) can be secured to the heel pad region (111) between the base layer and the hindfoot wedge portion (114) or the heel elevation portion (115). The heel pad (112) can also be secured to the heel pad region (111) without the hindfoot wedge portion (114) or the heel lift portion (115). The heel pad (112) provides impact attenuation and elastic pad action on the heel strike. Maintaining the heel pad unengaged will reduce ground reaction forces below the central heel area (GRF) to treat specific foot diseases and reduce the thickness of the insole to improve shoe suitability.

The shape of the heel pad (112) may vary if the alternate shape maintained at one of the heel regions does not interfere with the arch support region (117).

Preferably, for a men's midsize insole, the heel pad (112) has a length of about 63.3 mm (millimeters) and a width of about 38.9 mm (millimeters). This length and width can vary within ±5 mm (millimeters) and still maintain the desired performance of the heel pad (112), and preferably less than the hindfoot wedge (114) or heel elevation (115) . For different sized insoles, the size can be achieved by varying the dimensions of the heel pad (112).

Preferably, the heel pad (112) is made of a high density EVA material having a hardness of about 75-80 Asker C. Alternatively, the heel pad may have a low density of about 45-50 Asker C hardness, or (or) a medium density material of 50-75 Asker C. Other materials may be used for the heel pad (112), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides suitable stiffness and material characteristics to maintain the heel pad (112) The overall structure and flexibility.

In a first preferred embodiment of the invention, the various components of the insole of the base layer (105) secured to the area defined by the base layer (105) of the bottom surface (105B) utilize a suitable component (such as a Adhesive or bonding agent) to be fixed to the substrate layer (105).

Figure 2 illustrates a perspective view of the bottom of a substrate layer without any pads, cushion pads or bonds. The base layer (205) has a top surface (205A) and an opposite bottom surface (205B). The base layer (205) also defines a longitudinal arch support portion (206) that extends upwardly along the medial side of the insole to provide additional pad and support for the arch portion of the foot.

The base layer (205) has a flange that extends around the heel and partially along the sides of the foot such that the insole has a heel coaster that conforms to the natural shape of the foot. As shown in Figures 5-8 and 10, the height of the flange is generally higher and thicker adjacent the inner side of the insole and is lower and thinner at the outer boundary of the adjacent insole. The flange is particularly tall along the longitudinal arch support (206) as compared to the lateral boundary.

The substrate layer (205) is preferably made of foam or other material having suitable elastic pad action characteristics. Preferably, the substrate layer (205) comprises an ethylene vinyl acetate (EVA) foam which is a copolymer of ethylene and vinyl acetate. A preferred EVA foam has a pressure of about 55-60 Asker C (Durometer). Other materials may be used for the substrate layer (205), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, to provide adequate hardness and material characteristics to maintain the integrity of the substrate layer (205). Structure and flexibility.

In a preferred embodiment, the top end of the substrate layer (205) is covered with a topsheet, preferably a non-woven layer having a low coefficient of friction, thereby reducing the likelihood of blisters. Sex. In a preferred embodiment, the fabric is treated with an antimicrobial agent that incorporates a moisture barrier to reduce the odor of bacteria and fungi. A fabric can also be used, preferably with a low coefficient of friction.

Preferably, for a men's midsize insole, the base layer (205) has a length of about 264 mm (millimeter), a forefoot area of about 86.5 mm (millimeter) width, a heel area of about 63 mm (millimeter) width, and a foot. The bow and central area are approximately 76.5 mm (millimeters) wide. These widths can vary by ±5 mm (millimeters) and still maintain the desired performance of the substrate layer (205). The length can be varied and can even be shortened by up to 26 mm (millimeters) to fit within the desired shoe. Longer or shorter lengths can also be achieved by proportionally varying all dimensions of the substrate layer.

The bottom surface (205B) of the base layer (205) defines various recesses or regions: a forefoot wedge region (207) at the posterior portion of the forefoot region; a first metatarsal head pad region (209) in the first metatarsal region a heel pad area (211) and a hindfoot wedge/heel elevation area (213) in the heel area; and a arch support area (217) from the center of the insole toward the heel near the medial side Area.

The base layer (205) also defines a dividing wall (220) that separates the first metatarsal head pad region (209) from the arch support region (217). The partition wall (220) assists the base layer (205) to define a first metatarsal head pad region (209) and an arch support region (217) for correctly placing the first metatarsal head pad and the arch support portion, and maintaining the first One bone pad and arch support to avoid This interference. Therefore, the first metatarsal head pad placed in the first metatarsal head pad region (209) is separated from the arch support region (217) by the partition wall (220), and likewise, the first metatarsal head pad is not positioned. The same recessed area in which the arch support is provided, or any type of recessed area.

Alternatively, the bottom surface (205B) of the base layer (205) may have only one or more of the following defined regions: the forefoot wedge region (207), the first metatarsal head pad region (209), the heel pad region (211), the hind foot. Wedge/heel elevation zone (213), and arch support zone (217).

The forefoot wedge region (207) begins at the back of the second to fifth metatarsal heads and extends proximally to the center of the foot.

The forefoot wedge region (207) has an inner edge, an outer edge, a proximal (back) edge and a distal (front) edge. The far edge is behind the second to fifth metatarsal bones. The medial edge of the forefoot wedge region (207) extends along a line spaced from the side of the medial boundary of the insole, extending substantially from the distal edge to the proximal edge. A proximal edge extends laterally (or laterally) from the inner edge to the outer edge, which is slightly spaced from the outer side of the insole. The outer edge connects the proximal edge to the distal edge of the forefoot wedge. Figure 11 shows the foot bone placed on the insole. An adhesive or bonding agent can be used to secure the forefoot wedge to the forefoot wedge region (207).

If the alternative shape can roughly maintain a distal edge on the small humeral head or behind it, and The medial and proximal edges do not interfere with the first metatarsal head region (209) and the arch support region (217), and the shape of the forefoot wedge region (207) may vary.

Preferably, for a men's midsize insole, the forefoot wedge region (207) has a length of about 55.9 mm (millimeter) and a width of about 51.3 mm (millimeter). This length and width can vary from ±5 mm (mm) and still maintain the desired performance of the forefoot wedge (207). For different size insoles, the size can be achieved by proportionally changing all dimensions of the forefoot wedge region (207).

The first metatarsal head pad area (209) is a region in the bottom surface (205B) of the base layer (205) and is located below the first metatarsal head of the foot. An adhesive or bonding agent can be used to secure a first metatarsal head pad to the first metatarsal head pad region (209).

The shape of the first metatarsal head pad area (209) is slightly irregular and polygonal. Preferably, the first metatarsal head region (209) has an intrinsic linear distal edge; a slightly curved inner edge that follows the curvature of the inner side of the insole; a proximal edge that is curved or angled to follow the foot The shape of the humeral margin of the arch support region (217); and an outer edge that is curved or linear.

Preferably, for a men's midsize insole, the first metatarsal head region (209) has a length of about 73.5 mm (millimeters) and a width of about 29.3 mm (mm) at the distal edge. The proximal end of the first metatarsal head region (209) comes to a point near the outer and outer edges. This length The desired performance can be varied from a width of ± 5 mm (millimeters) and still maintain the first metatarsal head pad area (209). For different size insoles, the size can be achieved by proportionally changing all dimensions of the first metatarsal headrest region (209).

The arch support region (217) is disposed along the longitudinal arch support (206) with a proximal end closest to the heel end of the insole and a distal end extending toward the toe end of the insole. Connecting the proximal end to the distal end is an inner edge and an outer edge, the outer edge having a parabolic shape. The arch support region (217) partially surrounds the medial side of the base layer (205) below the medial longitudinal arch support (206). In general, it is located roughly in the arch area of the foot or under the talus, the scaphoid, the first clavicle, and the proximal portion of the first metatarsal. An adhesive or cement can be used to secure the arch support to the arch support region (217).

For a men's midsize insole, the arch support area (217) is approximately 104-105 mm (millimeters) in length. The width at the widest point near the center is about 37.5 to 38.5 mm (millimeter). This length and width can vary from ± 5 mm (millimeters) and still maintain the desired performance of the arch support region (217).

When the foot is in the "natural position" position, the arch support is inactive or applies a gentle foot valgus (anti-foot varus) moment to the midfoot.

When the foot is moved to the internal rotation position, the arch support is opposite to the load (ie, near The area below the arch of the foot applies a higher ground reaction force (GRF) to increase the moment of the valgus (anti-foot varus) moment on the subtalar joint (ie, hind foot).

The hindfoot wedge/heel elevation region (213) is located in the heel region of the insole, extending from the proximal side of the outlined footbone to the heel end of the insole. The hindfoot wedge/heel elevation zone (213) is adapted to withstand a supplemental cushion that may be a hindfoot wedge or a heel elevation. The hindfoot wedge/heel elevation region (213) is slightly longitudinally angled to the lateral boundary such that it does not interfere with the arch support region (217).

If the alternate shape maintained at one of the heel regions does not interfere with the arch support region (217), the shape of the hindfoot wedge/heel elevation region (213) may vary.

Preferably, for a men's midsize insole, the hindfoot wedge/heel elevation region (213) has a length of about 71.8 mm (millimeter) and a width of about 46.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the hindfoot wedge/heel elevation zone (213). For different sizes of insoles, the dimensions can be scaled to vary all dimensions of the hindfoot wedge/heel lift zone (213).

The heel pad region (211) is located in the heel region of the insole within the boundaries of the hindfoot wedge/heel elevation region (213). A heel pad can be secured to the heel pad region (211) between the base layer and the hindfoot wedge or heel elevation. The heel pad can also be secured to the heel pad area (211) without a hind foot wedge or heel lift. The heel pad is raised at the heel For impact attenuation and elastic pad action. Maintaining the heel pad unengaged will reduce the ground reaction force (GRF) below the central heel area to treat a particular foot condition and reduce the insole thickness to improve shoe suitability.

If the alternate shape maintained at one of the heel regions does not interfere with the arch support region (217), the shape of the heel pad region (211) can be varied.

Preferably, for a men's midsize insole, the heel pad region (211) has a length of about 63.3 mm (millimeter) and a width of about 38.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel pad (211), and is preferably less than the hindfoot wedge/heel elevation zone (213). For different size insoles, the size can be achieved by proportionally changing all dimensions of the heel pad area (211).

In a first preferred embodiment of the invention, the various components of the insole of the base layer (205) secured to the area defined by the base layer (205) of the bottom surface (205B) utilize a suitable component (such as a Adhesive or bonding agent) to be fixed to the substrate layer (205).

3 is a top view schematically illustrating the insole of the topsheet (303) and the tibial pad (338). Lines 9-9 indicate the cross section behind the tibial region. Lines 10-10 indicate the cross section along the heel area. The insole preferably includes a topsheet (303) and a base layer having a top surface secured to the topsheet (303) and an opposite bottom surface. Preferably, the top surface of the base layer defines an upward extension or tibial pad (338) (also shown in Figures 5, 6, 8 and 9), which is located at the second to fourth plantar tibia of the foot. Behind the district. The base layer also defines a longitudinal arch support portion (306) that extends upwardly along the medial side of the insole to provide additional padding and support for the arch portion of the foot.

The tibial pad (338) is preferably located behind the second to fourth metatarsal. For normal forefoot comfort, the tibial pad (338) provides pressure redistribution away from the small tibia and relatively increases the depth of the first metatarsal head pad region to promote a greater degree of first toe flexion during the pace travel phase. Preferably, the tibial pad (338) is an extension of the base layer.

The tibial pad (338) preferably has a height of 2.0-3.0 mm (millimeters) above the top surface. The height can vary by ±1 mm (millimeters), but it is not recommended to change beyond it, as too little or too much of the tibial pad may not have the desired effect.

Alternatively, the tibial pad (338) is a similarly tapered component that is secured to the top surface of the base layer in the posterior region of the second to fourth metatarsal, and the topsheet (303) is secured to the top surface of the basement layer and is in the tibia The pad (338) or the tibial pad (338) is allowed to extend therethrough. Another alternative is to secure the tibial pad (338) to the topsheet (303) of the second to fourth metatarsal regions.

Preferably, the tibial pad (338) is made of the same material as the base layer. Other materials may be used for the tibial pad (338), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides appropriate stiffness and material characteristics to maintain the tibial pad (338) The overall structure and flexibility.

In a preferred embodiment, the top surface of the substrate layer covers the topsheet (303), which is preferably a non-woven layer having a low coefficient of friction to reduce the likelihood of blisters. In a preferred embodiment, the fabric is treated with an antimicrobial agent that incorporates a moisture barrier to reduce the odor of bacteria and fungi. A fabric can also be used, preferably with a low coefficient of friction.

Figure 4 schematically illustrates a bottom view of the insole. The insole preferably includes a topsheet and a base layer (405) having a top surface secured to the topsheet and an opposite bottom surface (405B). The base layer (405) also defines a longitudinal arch support (406) that extends upwardly along the medial side of the insole to provide additional padding and support for the arch of the foot. Lines 8-8 indicate the longitudinal section of the insole. Lines 9-9 indicate the cross section behind the tibial region. Lines 10-10 indicate the cross section along the heel area.

The base layer (405) has a flange that extends around the heel and partially along the sides of the foot such that the insole has a heel coaster that conforms to the natural shape of the foot. As shown in Figures 5-8 and 10, the height of the flange is generally higher and thicker adjacent the inner side of the insole, and the outer boundary adjacent the insole is lower and thinner. The flange is particularly tall along the longitudinal arch support (406) compared to the lateral boundary.

Preferably, the base layer (405) utilizes foam having suitable elastic pad action characteristics. Or made of other materials. Preferably, the substrate layer (405) comprises an ethylene vinyl acetate (EVA) foam which is a copolymer of ethylene and vinyl acetate. A preferred EVA foam has a pressure of about 55-60 Asker C (Durometer). Other materials may be used for the substrate layer (405), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides suitable hardness and material characteristics to maintain the integrity of the substrate layer (405). Structure and flexibility.

Preferably, for a men's midsize insole, the base layer (405) has a length of about 264 mm (millimeters), a forefoot area of about 86.5 mm (millimeters) width, a heel area of about 63 mm (millimeters) width, and a foot. The bow and central zone are approximately 76.5 mm (millimeters) wide. These widths can vary by ±5 mm (millimeters) and still maintain the desired performance of the substrate layer (405). The length can vary and can even be shortened by up to 26 mm (millimeters) to fit within the desired shoe. Longer or shorter lengths can also be achieved by proportionally varying all dimensions of the substrate layer.

The bottom surface (405B) of the base layer (405) defines various recesses or regions: a forefoot wedge region (407) behind the forefoot region; a first metatarsal head pad region (409) in the first metatarsal region a heel pad area (411); a hindfoot wedge/heel elevation area (413) in the heel area; and a foot arch support area (417) from the center of the insole toward the heel near the medial side Area.

The base layer (405) also defines a dividing wall (420) from the arch support area (417) The first metatarsal head pad area (409) is separated. The partition wall (420) assists the base layer (405) to define a first metatarsal head pad area (409) and an arch support area (417) for correctly placing the first metatarsal head pad and the arch support portion to maintain the One of the bone pads and the arch support do not interfere with each other. Therefore, the first metatarsal head pad placed in the first metatarsal head pad area (409) is separated from the arch support region (417) by the partition wall (420), and likewise, the first metatarsal head pad is not in position. In the same recess, or any type of recess, in which the arch support is placed.

Alternatively, the bottom surface of the base layer (405) may have only one or more of the following defined regions: the forefoot wedge region (407), the first metatarsal head pad region (409), the heel pad region (411), the hindfoot wedge shape/ The heel elevation zone (413) and the arch support zone (417).

The forefoot wedge region (407) begins at the back of the second to fifth metatarsal heads and extends proximally to the center of the foot.

A forefoot wedge is formed in the same manner as the forefoot wedge region (407) and is fixed therein. The forefoot wedge has an inner edge, an outer edge, a proximal (back) edge and a distal (front) edge. The far edge is behind the second to fifth metatarsal bones. The medial edge of the forefoot wedge extends along a line spaced from the side of the medial boundary of the insole, extending intrinsically from a distal edge to a proximal edge. The proximal edge extends laterally (or laterally) from the inner edge to the outer edge, which is slightly spaced from the outer side of the insole. The outer edge connects the proximal edge to the distal edge of the forefoot wedge. Figure 11 shows the foot bone placed on the insole. An adhesive or bonding agent can be used to secure the forefoot wedge to the forefoot wedge (407).

The shape of the forefoot wedge pad can be altered if the alternate shape is outlined to maintain a distal edge at or behind the small humerus bone and the medial and proximal edges do not interfere with the first metatarsal head pad region (409) and the arch support region (417).

Preferably, for a men's midsize insole, the forefoot wedge has a length of about 55.9 mm (millimeter) and a width of about 51.3 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the forefoot wedge. For different sizes of insoles, the size can be achieved by proportionally changing all dimensions of the forefoot wedge.

Preferably, the forefoot wedge is made of a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used for the forefoot wedge, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides suitable stiffness and material characteristics to maintain the overall structure and elasticity of the forefoot wedge.

The forefoot wedge has a 3[deg.] slope that tapers from a thicker outer edge of about 4 mm (millimeters) thickness to a thinner inner edge of about 1 mm (millimeter) thickness. The forefoot wedge is used to establish a varus moment around the midfoot joint. This torque helps to stabilize the forefoot after the pair, reduces the valgus moment caused by the valgus deformation of the forefoot, and reduces the load by increasing the ground reaction force (GRF) under the outer side of the forefoot. The first metatarsophalangeal joint (MTPJ), and reduces the abnormal foot valgus moment around the lower joint.

The first metatarsal head pad area (409) is a region in the bottom surface (405B) of the base layer (405) and is located below the first metatarsal head of the foot. A first metatarsal head pad is formed in the same manner as the first metatarsal head pad region (409) and is secured to the first metatarsal head pad region (409). An adhesive or cement can be used to secure the first metatarsal head pad to the first metatarsal head pad region (409).

In use, the first metatarsal head pad is held underneath the first metatarsal head (ie, the inner football point of the wearer's foot) and moves with it. Removing the pad reduces the ground reaction force (GRF) below the first metatarsal head. This enhances the foot travel of a wearer with functional hallux ankle stiffness (FHL).

The shape of the first metatarsal head pad is a slightly irregular polygonal shape. Preferably, the first metatarsal head pad has an intrinsic linear distal edge; a slightly curved inner edge that follows the curvature of the inner side of the insole; a proximal edge that is curved or angled to follow the arch support region ( 417) the shape of the humerus edge; and an outer edge, which is curved or linear.

Preferably, for a men's midsize insole, the first metatarsal head pad has a length of about 73.5 mm (millimeter) and a width of about 29.3 mm (millimeter) at the distal edge. First The proximal end of the bone pad comes to a point near the outer and outer edges. This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the first metatarsal head pad. For different size insoles, the size can be achieved by proportionally changing all dimensions of the first metatarsal head pad.

Preferably, the first metatarsal head pad is an EVA material utilizing a hardness of about 40-45 Asker C. Alternatively, the hardness of the first metatarsal head pad can be roughly between 45-55 Asker C, or (or) 55-60 Asker C. The thickness of the first metatarsal head pad is about 2-2.5 mm (millimeters) thick or the depth of the first metatarsal head pad area (409). The basic design of the first metatarsal head pad is based on the ground reaction force (GRF) difference under the humeral head and allows the first metatarsal head to be lowered to the other metatarsal surface when the first metatarsal head pad is not engaged. Other materials may be used for the first metatarsal head pad, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides appropriate hardness and material characteristics to maintain the integrity of the first metatarsal head pad. Structure and flexibility.

The arch support region (417) is disposed along the longitudinal arch support (406) with a proximal end closest to the heel end of the insole and a distal end extending toward the toe end of the insole. Connecting the proximal end to the distal end is an inner edge and an outer edge, the outer edge having a parabolic shape. The arch support portion partially surrounds the medial side of the base layer (405) below the medial longitudinal arch support (406). In general, it is located either in the arch region of the foot or below the talus, the scaphoid, the first clavicle, and the proximal portion of the first metatarsal. The arch support is essentially formed in the same manner as the arch support area (417) and is solid The arch support region (417) to the bottom surface (405B) of the base layer (405). An adhesive or cement can be used to secure the arch support to the arch support region (417).

A specific embodiment of the arch support is defined from the proximal end to the distal end a plurality of extension ribs extending outwardly from the arch support. This particular embodiment provides a hard support for the arch region. The extended rib is about 0.5 mm (millimeter) thick. The width of each of the extended ribs is about 5 mm (millimeters).

This first embodiment is preferably made of a nylon material having a hardness of about 90-100 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-rib area ranges from about 1-2 mm (millimeters). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provide suitable hardness and material characteristics to maintain the overall structure and elasticity of the arch support.

A second embodiment of the arch support defines a plurality of rib-shaped recesses extending from the proximal end to the distal end extending inwardly from the arch support. This particular embodiment provides elastic support for the arch region. The rib recess is recessed into the arch support portion by about 0.5 mm (millimeter). The width of each rib recess is about 5 mm (millimeter).

This second embodiment is preferably made of a nylon material having a hardness of about 80-90 Shore A, such as Nylon 66. The thickness of the arch support portion of the non-rib area ranges from about 1-2 mm (millimeters). Other materials can be used, such as Poly Asia Ester (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate hardness and material characteristics to maintain the overall structure and elasticity of the arch support.

A third embodiment of the arch support includes a plurality of extended ribs extending outwardly from the arch support; a plurality of essentially horizontal ribs having a rib that is serrated at the arch support a profile; and a plurality of rib-shaped recesses extending inwardly from the arch support. This particular embodiment provides a semi-elastic or semi-rigid support of the arch region.

The arch support defines one or more extended ribs, one or more intrinsic horizontal ribs, and one or more rib shaped recesses from the proximal end to the distal end. Preferably, three extension ribs, three of the essentially horizontal ribs, and three rib recesses are used. The width of each rib is about 5 mm (millimeters). The extended rib is about 0.5 mm (millimeter) thick. The rib recess is recessed into the arch support portion by about 0.5 mm (millimeter). The intrinsic horizontal rib has a rib profile of about 0.5 mm (millimeter) depth.

The rib recess improves the elasticity of the distal end of the arch support without sacrificing the longitudinal arch support at the center and proximal end of the arch support.

The first three rib-shaped recesses of the distal third of the arch support are provided to allow the region proximal to the proximal side of the first metatarsal head (ie, the distal axis of the first metatarsal) to remain resilient at the pace Unconstrained first toe during the travel phase Awkwardness.

The center and proximal two-thirds of the arch support (horizontal ribs and extension ribs) are stiffened by progressively thicker transverse strips to provide improved support for the arch and when the foot is moved to the internal rotation In position, a higher anti-foot varus ground reaction force (GRF) is applied in the load-to-distance zone.

This third embodiment is preferably made of a nylon material having a hardness of about 80-90 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-rib area ranges from about 1-2 mm (millimeters). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

Alternatively, the rib-shaped recess may be a rib-shaped opening. The ribbed opening is defined to allow the base layer (405) to extend therethrough. The width of each rib is about 5 mm (millimeters). The base layer (405) is shaped such that a portion of its material is injected into the rib-shaped openings such that the portion is substantially flush with the outer surface of the arch support and the mechanical locking arch support is with the base layer (405). Advantageously, when compressing the substrate layer (405) (e.g., when walking or running), the substrate layer material can also be blasted through the rib-shaped openings to provide additional elastic pad action.

For men's mid-size insoles, the arch support is about 104-105 Mm (millimeter) length. The width at the widest point near the center is about 37.5 to 38.5 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the first arch support.

When the foot is in the "natural position" position, the arch support is inactive or applies a mild foot valgus (anti-foot varus) moment to the midfoot.

When the foot is moved to the internal rotation position, the arch support applies a higher ground reaction force (GRF) to the area below the load-bearing protrusion (ie, the proximal arch) to increase the subtalar joint (ie, Yes, hind foot) foot valgus (anti-foot varus) moment.

The hindfoot wedge/heel elevation region (413) is located in the heel region of the insole, extending from the proximal side of the outlined footbone to the heel end of the insole. The hindfoot wedge/heel elevation zone (413) is adapted to withstand a supplemental cushion, which may be a hindfoot wedge or a heel elevation. The hindfoot wedge/heel elevation region (413) is slightly longitudinally angled to the lateral extent such that it does not interfere with the arch support region (417).

The hindfoot wedge has a 4[deg.] slope that tapers from a thicker inner edge of about 4 mm (millimeters) to a thinner outer edge of about 1 mm (millimeter). The 4° hindfoot wedge is used to establish a foot valgus moment (and reduce the varus moment) around the lower joint.

If the alternative shape maintained in one of the heel areas does not interfere with the arch The support zone (417), the shape of the hindfoot wedge can vary.

Preferably, for a men's midsize insole, the hindfoot wedge has a length of about 71.8 mm (millimeter) and a width of about 46.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the hindfoot wedge. For different size insoles, the size can be achieved by proportionally changing all dimensions of the hindfoot wedge.

Preferably, the hindfoot wedge is made of a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used for the hindfoot wedges, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provide appropriate hardness and material characteristics to maintain the overall structure and elasticity of the forefoot wedge. .

The heel elevation is generally tapered from a thicker edge of about 4 mm (millimeters) to a thinner edge of about 1 mm (millimeter). The heel lift is used to adjust the saddle in the sagittal plane to adjust the forefoot and ankle flexion, and the associated kinematics and motor effects of the lower extremity musculoskeletal system; or to balance the difference in length of the lower extremities.

If the alternate shape maintained at one of the heel regions does not interfere with the arch support region (417), the shape of the heel elevation can vary.

Preferably, for a man's medium-sized insole, the heel lift has about 71.8 mm (millimeter) length and approximately 46.9 mm (millimeter) width. This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel lift. For different sizes of insoles, the size can be achieved by proportionally changing all dimensions of the heel lift.

Preferably, the heel lift is made from a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used in heel lifts, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provide adequate hardness and material characteristics to maintain the overall heel elevation Structure and flexibility.

The heel pad is located in the heel region of the insole within the boundaries of the hindfoot wedge/heel elevation region (413). A heel pad can be secured to the heel pad area between the base layer and the hindfoot wedge or heel elevation. The heel pad can also be secured to the heel pad area without a hind foot wedge or heel lift. The heel pad provides impact attenuation and elastic pad action at the heel strike. The unjoined heel pad reduces ground reaction force (GRF) below the central heel area to treat specific foot conditions and reduces insole thickness to improve shoe suitability.

If the alternate shape maintained at one of the heel regions does not interfere with the arch support region (417), the shape of the heel pad can be varied.

It is best to have a men's medium size insole with a heel pad of about 63.3. The length of mm (millimeter) is about 38.9 mm (millimeter) wide. This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel pad, and preferably less than the hindfoot wedge or heel elevation. For different sizes of insoles, the size can be achieved by varying the dimensions of the heel pad.

Preferably, the heel pad is made of a high density EVA material having a hardness of about 75-80 Asker C. Alternatively, the heel pad can be a medium density material having a low density of about 45-50 Asker C hardness, or (or) 50-75 Asker C. Other materials may be used in heel pads, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gels, which provide suitable stiffness and material characteristics to maintain the overall structure and elasticity of the heel pad.

In a first preferred embodiment of the invention, the various components of the insole of the base layer (405) secured to the area defined by the base layer (405) of the bottom surface (405B) utilize a suitable component (such as a Adhesive or bonding agent) to be fixed to the substrate layer (405).

Figure 5 schematically illustrates an outer side view of the insole. The insole preferably includes a topsheet (503) and a base layer (505) having a top surface (505A) secured to the topsheet (503) and an opposite bottom surface (505B) . Preferably, the top surface (505A) of the base layer (505) defines an upward extension or tibial pad (538) (as shown in Figures 3, 5, 6, 8 and 9) which is located at the foot. Second to fourth posterior tibial area. Base The layer (505) also defines a longitudinal arch support (506) that extends upwardly along the medial side of the insole to provide support for the additional pad and the arch region of the foot.

The base layer (505) has a flange that surrounds the circumference of the heel and partially extends along the sides of the foot such that the insole has a heel coaster that conforms to the natural shape of the foot. As shown in Figures 5-8 and 10, the height of the flange is generally higher and thicker adjacent the inner side of the insole, and the outer boundary adjacent the insole is lower and thinner. The flange is particularly tall along the longitudinal arch region compared to the lateral boundary.

The substrate layer (505) is preferably made of foam or other material having suitable elastic pad action characteristics. Preferably, the substrate layer (505) comprises an ethylene vinyl acetate (EVA) foam which is a copolymer of ethylene and vinyl acetate. A preferred EVA foam has a Durometer of about 55-60 Asker C. Other materials may be used for the substrate layer (505), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides suitable hardness and material characteristics to maintain the integrity of the substrate layer (505). Structure and flexibility.

In a preferred embodiment, the top surface (505A) of the substrate layer (505) covers the topsheet (503), which is preferably a non-woven layer having a low coefficient of friction to reduce the likelihood of blisters. . In a preferred embodiment, the fabric is treated with an antimicrobial agent that incorporates a moisture barrier to reduce the odor of bacteria and fungi. A fabric can also be used, preferably with a low coefficient of friction.

Preferably, for a men's mid-size insole, the base layer (505) has a length of about 264 mm (millimeters), a forefoot area of about 86.5 mm (millimeters) width, a heel area of about 63 mm (millimeters) width, and a foot. The bow is approximately 76.5 mm (millimeter) wide with the central zone. These widths can vary by ±5 mm (millimeters) and still maintain the desired performance of the substrate layer (505). The length can be varied and can even be shortened by up to 26 mm (millimeters) to fit within the desired shoe. Longer or shorter lengths can also be achieved by proportionally varying all dimensions of the substrate layer.

The bottom surface (505B) of the base layer (505) defines various recesses or regions: a foot wedge region (507) at the posterior portion of the forefoot region; a first metatarsal head region, in the first metatarsal region; a heel pad region (not shown); a hindfoot wedge/heel elevation region (513) in the heel region; and a arch support region from the center of the insole toward the heel region near the medial side.

Alternatively, the bottom surface (505B) of the base layer (505) may have only one or more of the following defined regions: the forefoot wedge region (507), the first metatarsal head pad region, the heel pad region, the hindfoot wedge/heel elevation Area (513), and the arch support area.

The tibial pad (538) is preferably located behind the second to fourth metatarsal heads. For general forefoot comfort, the tibial pad (538) provides pressure redistribution away from the small humeral head and relatively increases the depth of the first metatarsal head pad area to facilitate during the pace travel phase To a greater extent, the first toe is deformed. Preferably, the tibial pad (538) is an extension of the base layer (505). Preferably, the tibial pad (538) is an extension of the base layer (505).

The tibial pad (538) preferably has a height of 2.0-3.0 mm (millimeters) above the top surface (505A). The height can vary by ±1 mm (millimeters), but it is not recommended to change beyond it, as too little or too much of the tibial pad may not have the desired effect.

Alternatively, the tibial pad (538) is a similarly tapered component that is secured to the top surface (505A) of the base layer (505) in the area behind the second to fourth metatarsals, the topsheet (503) being secured to the base layer The top surface (505A) of (505) extends over the tibial pad (538) or allows the tibial pad (538). Another alternative is to secure the tibial pad (538) to the topsheet (503) of the second to fourth metatarsal regions.

Preferably, the tibial pad (538) is made of the same material as the base layer (505). Other materials may be used for the tibial pad (538), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides appropriate stiffness and material characteristics to maintain the overall thickness of the tibial pad (538). Structure and flexibility.

Figure 6 schematically illustrates an inside side view of the insole. The insole preferably includes a topsheet (603) and a base layer (605) having a top surface (605A) secured to the topsheet (603) and an opposite bottom surface (605B). The base layer (605) also defines a longitudinal arch support (606) that extends upwardly along the inner side of the insole to provide additional Pad and foot support in the arch area.

The base layer (605) has a flange that surrounds the circumference of the heel and that extends partially along the sides of the foot such that the insole has a heel coaster that conforms to the natural shape of the foot. As shown in Figures 5-8 and 10, the height of the flange is generally higher and thicker adjacent the inner side of the insole, and the outer boundary adjacent the insole is lower and thinner. The flange is particularly tall along the longitudinal arch support (606) as compared to the lateral boundary.

The base layer (605) is preferably made of foam or other material having suitable elastic pad action characteristics. Preferably, the substrate layer (605) comprises an ethylene vinyl acetate (EVA) foam which is a copolymer of ethylene and vinyl acetate. A preferred EVA foam has a Durometer of about 55-60 Asker C. Other materials may be used for the substrate layer (605), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides suitable hardness and material characteristics to maintain the integrity of the substrate layer (605). Structure and flexibility.

In a preferred embodiment, the top surface (605A) of the base layer (605) covers the topsheet (603), which is preferably a non-woven layer having a low coefficient of friction to reduce the likelihood of blisters. . In a preferred embodiment, the fabric is treated with an antimicrobial agent that incorporates a moisture barrier to reduce the odor caused by bacteria and fungi. A fabric can also be used, preferably with a low coefficient of friction.

Preferably, for a medium size insole for men, the base layer (605) has a length of about 264 mm (millimeter), a forefoot area of about 86.5 mm (millimeter) width, a heel area of about 63 mm (millimeter) width, and a foot. The bow is approximately 76.5 mm (millimeter) wide with the central zone. These widths can vary by ±5 mm (millimeters) and still maintain the desired performance of the substrate layer (605). The length can be varied and can even be shortened by up to 26 mm (millimeters) to fit within the desired shoe. Longer or shorter lengths can also be achieved by proportionally varying all dimensions of the substrate layer.

The bottom surface (605B) of the base layer (605) defines various recesses or regions: a forefoot wedge pad at the posterior portion of the forefoot region; a first metatarsal head pad region in the first metatarsal region; a heel pad region (not Shown; a hindfoot wedge/heel elevation zone in the heel zone; and a arch support zone from the center of the insole toward the heel region near the medial side.

The basal layer (605) also defines a dividing wall (620) that separates the first metacarpal head pad region (609) from the arch support region (617). The partition wall (620) assists the base layer (605) to define a first metatarsal head pad area (609) and an arch support area (617) for correctly placing the first metatarsal head pad and the arch support portion, and maintaining the first A bone pad and an arch support are protected from interference with each other. Therefore, the first metatarsal head pad placed in the first metatarsal head pad area (609) is separated from the arch support region (617) by the partition wall (620), and likewise, the first metatarsal head pad is not positioned. The same recessed area in which the arch support is provided, or any type of recessed area.

Alternatively, the bottom surface (605B) of the base layer (605) may have only one or more of the following defined areas: the forefoot wedge region, the first metatarsal head pad region (609), the heel pad region, the hindfoot wedge/heel elevation Area, and arch support area (617).

The tibial pad (638) is preferably located behind the second to fourth metatarsal heads. For general forefoot comfort, the tibial pad (638) provides pressure redistribution away from the small humeral head and relatively increases the depth of the first metatarsal head pad region to promote a greater degree of first toe amplitude during the pace travel phase Qu. Preferably, the tibial pad (638) is an extension of the base layer (605). Preferably, the tibial pad (638) is an extension of the base layer (605).

The tibial pad (638) preferably has a height of 2.0-3.0 mm (millimeters) above the top surface (605A). The height can vary by ±1 mm (millimeters), but it is not recommended to change beyond it, as too little or too much of the tibial pad may not have the desired effect.

Alternatively, the tibial pad (638) is a similarly tapered component that is secured to the top surface (605A) of the base layer (605) of the second to fourth metatarsal region, the topsheet (603) being secured to the base layer ( The top surface (605A) of 605) and the tibial pad (638) or the tibial pad (638) are allowed to extend therethrough. Another alternative is to secure the tibial pad (638) to the topsheet (603) of the second to fourth metatarsal regions.

Preferably, the tibial pad (638) is made of the same material as the base layer (605). to make. Other materials may be used for the tibial pad (638), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides suitable stiffness and material characteristics to maintain the overall thickness of the tibial pad (638). Structure and flexibility.

The back and inner edges of a first metatarsal head pad extend slightly upwardly to the inner side of the insole. The first metatarsal head pad is located under the head of the first metatarsal bone at the foot in front of the arch support.

Preferably, for a men's midsize insole, the first metatarsal head pad has a length of about 73.5 mm (millimeter) and a width of about 29.3 mm (millimeter) at the distal edge. The proximal end of the first metatarsal head pad comes to a point near the outer and outer edges. This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the first metatarsal head pad. For different size insoles, the size can be achieved by proportionally changing all dimensions of the first metatarsal head pad.

Preferably, the first metatarsal head pad is an EVA material having a hardness of about 40-45 Asker C. Alternatively, the first metatarsal head pad may have a hardness of between about 45-55 Asker C, or (or) 55-60 Asker C. The thickness of the first metatarsal head pad is about 2-2.5 mm (millimeters) thick or the depth of the first metatarsal head pad area (609). The basic design of the first metatarsal head pad is based on the ground reaction force (GRF) difference under the humeral head and allows the first metatarsal to be lowered to the other humeral surface when the first metatarsal head pad is not engaged. Other materials can be used for the first metatarsal head pad, such as polyurethane (PU), polypropylene (PP), Polyethylene (PE) or gel that provides suitable stiffness and material characteristics to maintain the overall structure and elasticity of the first metatarsal head pad.

The arch support region (617) is disposed along the longitudinal arch support (606) with a proximal end closest to the heel end of the insole and a distal end extending toward the toe end of the insole. Connecting the proximal end to the distal end is an inner edge and an outer edge, the outer edge having a parabolic shape. The arch support portion partially surrounds the inner side of the base layer (605) below the longitudinal arch support (606). In general, it is located either in the arch region of the foot or below the talus, the scaphoid, the first clavicle, and the proximal portion of the first metatarsal. The arch support is formed in the same manner as the arch support region (617) and is secured to the arch support region (617) of the bottom surface (605B) of the base layer (605). An adhesive or cement can be used to secure the arch support to the arch support region (617).

A specific embodiment of the arch support is defined from the proximal end to the distal end a plurality of extension ribs extending outwardly from the arch support. This particular embodiment provides a hard support for the arch region. The extended rib is about 0.5 mm (millimeter) thick. The width of each of the extended ribs is about 5 mm (millimeters).

This first embodiment is preferably made of a nylon material having a hardness of about 90-100 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-rib area ranges from about 1-2 mm (millimeters). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate hardness and The material features to maintain the overall structure and elasticity of the arch support.

A second embodiment of the arch support defines a plurality of rib-shaped recesses extending from the proximal end to the distal end extending inwardly from the arch support. This particular embodiment provides elastic support for the arch region. The rib recess is recessed into the arch support portion by about 0.5 mm (millimeter). The width of each rib recess is about 5 mm (millimeter).

This second embodiment is preferably made of a nylon material having a hardness of about 80-90 Shore A, such as Nylon 66. The thickness of the arch support portion of the non-rib area ranges from about 1-2 mm (millimeters). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

A third embodiment of the arch support includes a plurality of extended ribs extending outwardly from the arch support; a plurality of essentially horizontal ribs having a rib that is serrated at the arch support a shape; and a plurality of rib-shaped openings extending inwardly from the arch support. This particular embodiment provides a semi-elastic or semi-rigid support of the arch region.

The arch support defines one or more extended ribs, one or more intrinsic horizontal ribs, and one or more rib shaped recesses from the proximal end to the distal end. Preferably, three extended ribs, three of the essentially horizontal ribs, and three rib recesses are used. unit. The width of each rib is about 5 mm (millimeters). The extended rib is about 0.5 mm (millimeter) thick. The rib recess is recessed into the arch support portion by about 0.5 mm (millimeter). The intrinsic horizontal rib has a rib profile of about 0.5 mm (millimeter) depth.

The rib recess improves the elasticity of the distal end of the arch support without sacrificing the longitudinal arch support at the center and proximal end of the arch support.

The first three rib-shaped recesses of the distal third of the arch support are provided to allow the region proximal to the proximal side of the first metatarsal head (ie, the distal axis of the first metatarsal) to remain resilient at the pace Unconstrained first toe flexion is facilitated during the travel phase.

The center and proximal two-thirds of the arch support (horizontal ribs and extension ribs) are hardened by progressively thicker transverse bars to provide improved arch support and when the foot is moved to the internal rotation position Apply a higher anti-foot varus ground reaction force (GRF) size in the load-to-distance zone.

This third embodiment is preferably made of a nylon material having a hardness of about 80-90 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-rib area ranges from about 1-2 mm (millimeters). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

Alternatively, the rib-shaped recess may be a rib-shaped opening. The ribbed opening is defined to allow the base layer (605) to extend therethrough. The width of each rib is about 5 mm (millimeters). The base layer (605) is shaped such that a portion of its material is injected into the rib-shaped openings such that the portion is substantially flush with the outer surface of the arch support and mechanically locking the arch support with the base layer (605). Advantageously, when compressing the substrate layer (605) (eg, when walking or running), the substrate layer material can also be blasted through the rib-shaped openings to provide additional elastic pad action.

For a men's mid-size insole, the arch support is about 104-105 mm (millimeters) in length. The width at the widest point near the center is about 37.5 to 38.5 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the first arch support.

When the foot is in the "natural position" position, the arch support is inactive or applies a gentle foot valgus (anti-foot varus) moment to the midfoot.

When the foot is moved to the internal rotation position, the arch support applies a higher ground reaction force (GRF) to the area below the load distance protrusion (ie, the proximal arch) to increase the subtalar joint (ie, , hind foot) foot valgus (anti-foot varus) moment.

Figure 7 illustrates a rear view of the insole. The insole preferably includes a topsheet (703) And a substrate layer (705) having a top surface (705A) secured to the top sheet (703) and an opposite bottom surface (705B). The base layer (705) also defines a longitudinal arch support (706) that extends upwardly along the medial side of the insole to provide support for the additional pad and the arch of the foot.

The base layer (705) has a flange that surrounds the circumference of the heel and that extends partially along the sides of the foot such that the insole has a heel coaster that conforms to the natural shape of the foot. As shown in Figures 5-8 and 10, the height of the flange is generally higher and thicker adjacent the inner side of the insole, and the outer boundary adjacent the insole is lower and thinner. The flange is particularly tall along the longitudinal arch support (706) as compared to the lateral boundary.

The base layer (705) is preferably made of foam or other material having suitable elastic pad action characteristics. Preferably, the substrate layer (705) comprises an ethylene vinyl acetate (EVA) foam which is a copolymer of ethylene and vinyl acetate. A preferred EVA foam has a pressure of about 55-60 Asker C (Durometer). Other materials may be used for the substrate layer (705), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides suitable hardness and material characteristics to maintain the integrity of the substrate layer (705). Structure and flexibility.

In a preferred embodiment, the top surface (705A) of the base layer (705) covers the topsheet (703), which is preferably a non-woven layer having a low coefficient of friction to reduce the likelihood of blisters. . In a preferred embodiment, the fabric is an antimicrobial agent After treatment, it incorporates a moisture barrier to reduce the odor caused by bacteria and fungi. A fabric can also be used, preferably with a low coefficient of friction.

Preferably, for a men's midsize insole, the base layer (705) has a length of about 264 mm (millimeters), a forefoot area of about 86.5 mm (millimeters) width, a heel area of about 63 mm (millimeters) width, and a foot. The bow is approximately 76.5 mm (millimeter) wide with the central zone. These widths can vary by ±5 mm (millimeters) and still maintain the desired performance of the substrate layer (705). The length can be varied and can even be shortened by up to 26 mm (millimeters) to fit within the desired shoe. Longer or shorter lengths can also be achieved by proportionally varying all dimensions of the substrate layer.

The arch support region (717) is disposed along the longitudinal arch support (706) with a proximal end closest to the heel end of the insole and a distal end extending toward the toe end of the insole. Connecting the proximal end to the distal end is an inner edge and an outer edge, the outer edge having a parabolic shape. The arch support portion partially surrounds the medial side of the base layer (705) below the longitudinal arch support (706). In general, it is located either in the arch region of the foot or below the talus, the scaphoid, the first clavicle, and the proximal portion of the first metatarsal. The arch support is formed in the same manner as the arch support region (717) and is secured to the arch support region (717) of the bottom surface (705B) of the base layer (705). An adhesive or cement can be used to secure the arch support to the arch support region (717).

A specific embodiment of the arch support is from the proximal end to the distal end A plurality of extension ribs extend outwardly from the arch support portion. This particular embodiment provides a hard support for the arch region. The extended rib is about 0.5 mm (millimeter) thick. The width of each of the extended ribs is about 5 mm (millimeters).

This first embodiment is preferably made of a nylon material having a hardness of about 90-100 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-rib area ranges from about 1-2 mm (millimeters). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

A second embodiment of the arch support defines a plurality of rib-shaped recesses extending from the proximal end to the distal end extending inwardly from the arch support. This particular embodiment provides elastic support for the arch region. The rib recess is recessed into the arch support portion by about 0.5 mm (millimeter). The width of each rib recess is about 5 mm (millimeter).

This second embodiment is preferably made of a nylon material having a hardness of about 80-90 Shore A, such as Nylon 66. The thickness of the arch support portion of the non-rib area ranges from about 1-2 mm (millimeters). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

A third embodiment of the arch support includes a plurality of extension ribs Extending outwardly from the arch support portion; a plurality of essentially horizontal ribs having a rib shape that is serrated at the arch support portion; and a plurality of rib-shaped openings extending inwardly from the arch support portion extend. This particular embodiment provides a semi-elastic or semi-rigid support of the arch region.

The arch support defines one or more extended ribs, one or more intrinsic horizontal ribs, and one or more rib shaped recesses from the proximal end to the distal end. Preferably, three extension ribs, three of the essentially horizontal ribs, and three rib recesses are used. The width of each rib is about 5 mm (millimeters). The extended rib is about 0.5 mm (millimeter) thick. The rib recess is recessed into the arch support portion by about 0.5 mm (millimeter). The intrinsic horizontal rib has a rib profile of about 0.5 mm (millimeter) depth.

The rib recess improves the elasticity of the distal end of the arch support without sacrificing the longitudinal arch support at the center and proximal end of the arch support.

The first three rib-shaped recesses of the distal third of the arch support are provided to allow the region proximal to the proximal side of the first metatarsal head (ie, the distal axis of the first metatarsal) to remain resilient at the pace Unrestricted first toe flexion during the travel phase.

The center and the proximal two-thirds of the arch support (horizontal ribs and extension ribs) are hardened by progressively thicker transverse bars to provide improved arch support and when the feet are When moving to the in-rotation position, a higher anti-foot inversion ground reaction force (GRF) is applied in the load-to-distance region.

This third embodiment is preferably made of a nylon material having a hardness of about 80-90 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-rib area ranges from about 1-2 mm (millimeters). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

Alternatively, the rib-shaped recess may be a rib-shaped opening. The ribbed opening is defined to allow the base layer (705) to extend therethrough. The width of each rib is about 5 mm (millimeters). The base layer (705) is shaped such that a portion of its material is injected into the rib-shaped openings such that the portion is substantially flush with the outer surface of the arch support and mechanically locking the arch support with the base layer (705). Advantageously, when the substrate layer (705) is compressed (e.g., when walking or running), the substrate layer material can also be blasted through the rib-shaped openings to provide additional elastic pad action.

For a men's mid-size insole, the arch support is about 104-105 mm (millimeters) in length. The width at the widest point near the center is about 37.5 to 38.5 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the first arch support.

When the foot is in the "natural position" position, the arch support is inactive or applies a mild foot valgus (anti-foot varus) moment to the midfoot.

When the foot is moved to the internal rotation position, the arch support applies a higher ground reaction force (GRF) to the area below the load-bearing protrusion (ie, the proximal arch) to increase the subtalar joint (ie, Yes, hind foot) foot valgus (anti-foot varus) moment.

In a first preferred embodiment of the invention, the various components of the insole of the base layer (705) secured to the area defined by the base layer (705) of the bottom surface (705B) utilize a suitable component (such as a Adhesive or bonding agent) is fixed to the substrate layer (705).

Alternatively, various components can be formed in the substrate layer (705) during the process.

Figure 8 is a longitudinal cross-sectional view of the insole shown in Figure 4 along the center of the insole. The insole preferably includes a topsheet (803) and a base layer (805) having a top surface (805A) secured to the topsheet (803) and an opposite bottom surface (805B) . Preferably, the top surface (805A) of the base layer (805) defines an upward extension or tibial pad (838) (as shown in Figures 3, 5, 6, 8 and 9) which is located at the foot. Second to fourth posterior tibial area. The base layer (805) also defines a longitudinal arch support (806) that extends upwardly along the medial side of the insole to provide additional pad and foot arch support.

The base layer (805) has a flange that surrounds the circumference of the heel and extends partially along the sides of the foot such that the insole has a heel coaster that conforms to the natural shape of the foot. 5-8 and 10, the height of the flange is generally higher and thicker adjacent the inner side of the insole, and the outer boundary adjacent the insole is lower and thinner. The flange is particularly taller along the longitudinal arch support (806) arch support (806) than the lateral boundary.

The substrate layer (805) is preferably made of foam or other material having suitable elastic pad action characteristics. Preferably, the substrate layer (805) comprises an ethylene vinyl acetate (EVA) foam which is a copolymer of ethylene and vinyl acetate. A preferred EVA foam has a pressure of about 55-60 Asker C (Durometer). Other materials may be used for the substrate layer (805), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides suitable hardness and material characteristics to maintain the integrity of the substrate layer (805). Structure and flexibility.

In a preferred embodiment, the top surface (805A) of the base layer (805) covers the topsheet (803), which is preferably a non-woven layer having a low coefficient of friction to reduce the likelihood of blisters. . In a preferred embodiment, the fabric is treated with an antimicrobial agent that incorporates a moisture barrier to reduce the odor caused by bacteria and fungi. A fabric can also be used, preferably with a low coefficient of friction.

Preferably, for a men's midsize insole, the base layer (805) has a length of about 264 mm (millimeters), a forefoot area of about 86.5 mm (millimeters) width, a heel area of about 63 mm (millimeters) width, and a foot. The bow is approximately 76.5 mm (millimeter) wide with the central zone. These widths can vary by ±5 mm (millimeters) and still maintain the desired performance of the substrate layer (805). The length can be varied and can even be shortened by up to 26 mm (millimeters) to fit within the desired shoe. Longer or shorter lengths can also be achieved by proportionally varying all dimensions of the substrate layer.

The bottom surface (805B) of the base layer (805) defines various recesses or regions: a forefoot wedge region (807) at the posterior portion of the forefoot region; a first metatarsal head pad region in the first metatarsal region; a heel A pad region (811) and a hindfoot wedge/heel elevation region (813), in the heel region; and a arch support region, from the center of the insole toward the heel region near the medial side.

Alternatively, the bottom surface (805B) of the base layer (805) may have only one or more of the following defined regions: the forefoot wedge region (807), the first metatarsal head pad region, the heel pad region (811), the hindfoot wedge shape/foot. With the elevation area (813), and the arch support area.

The tibial pad (838) is preferably located behind the second to fourth metatarsal. For general forefoot comfort, the tibial pad (838) provides pressure redistribution away from the small tibia and relatively increases the depth of the first metatarsal head pad region to promote a greater degree of first toe flexion during the pace travel phase. Preferably, the tibial pad (838) is the extension of the base layer (805). Stretch.

The tibial pad (838) preferably has a height of 2.0-3.0 mm (millimeters) above the top surface (805A). The height can vary by ±1 mm (millimeters), but it is not recommended to change beyond it, as too little or too much of the tibial pad may not have the desired effect.

Alternatively, the tibial pad (838) is a similarly tapered component that is secured to the top surface (805A) of the base layer (805) of the second to fourth metatarsal region, the topsheet (803) being secured to the base layer ( The top surface (805A) of 805) and the tibial pad (838) or the tibial pad (838) are allowed to extend therethrough. Another alternative is to secure the tibial pad (838) to the topsheet (803) of the second to fourth metatarsal regions.

Preferably, the tibial pad (838) is made of the same material as the base layer (805). Other materials may be used for the tibial pad (838), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides appropriate stiffness and material characteristics to maintain the overall tibial pad (838). Structure and flexibility.

The forefoot wedge region (807) begins at the back of the second to fifth metatarsal heads and extends proximally to the center of the foot.

A forefoot wedge is formed in the same manner as the forefoot wedge region (807) and is fixed therein. The forefoot wedge has an inner edge, an outer edge, a proximal (back) edge and a Far (front) edge. The far side is behind the second to fifth metatarsal bones. The inner edge of the forefoot wedge extends along a line spaced from the side of the inner edge of the insole, extending intrinsically from the distal edge to the proximal edge. The proximal edge extends laterally (or laterally) from the inner edge to the outer edge, which is slightly spaced from the outer side of the insole. The outer edge connects the proximal edge to the distal edge of the forefoot wedge. Figure 11 shows the foot bone placed on the insole. An adhesive or bonding agent can be used to secure the forefoot wedge to the forefoot wedge region (807).

The forefoot wedge has a 3[deg.] slope that tapers from a thicker outer edge of about 4 mm (millimeters) thickness to a thinner inner edge of about 1 mm (millimeter) thickness. The forefoot wedge is used to establish a varus moment around the midfoot joint. This moment helps to stabilize the forefoot after the pair, reduces the valgus moment caused by the valgus deformation of the forefoot, and reduces the first metatarsophalangeal joint (MTPJ) by increasing the ground reaction force (GRF) under the lateral aspect of the forefoot. And reduce the abnormal foot valgus moment around the lower joint.

The shape of the forefoot wedge may vary if the alternate shape generally maintains a distal edge at or behind the small humeral head and the medial and proximal edges do not interfere with the first metatarsal pad area and the arch pad area.

Preferably, for a men's midsize insole, the forefoot wedge has a length of about 55.9 mm (millimeter) and a width of about 51.3 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the forefoot wedge. For different sizes of insoles, the size can be achieved by proportionally changing all dimensions of the forefoot wedge.

Preferably, the forefoot wedge is made of a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used for the forefoot wedge, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides suitable stiffness and material characteristics to maintain the overall structure and elasticity of the forefoot wedge.

The hindfoot wedge/heel elevation region (813) is located in the heel region of the insole, extending from the proximal side of the outlined footbone to the heel end of the insole. The hindfoot wedge/heel elevation zone (813) is adapted to withstand a supplemental cushion that can be a hindfoot wedge/heel elevation zone. The hindfoot wedge/heel elevation region (813) is slightly longitudinally angled to the lateral boundary such that it does not interfere with the arch support region.

The hindfoot wedge has a 4[deg.] slope that tapers from a thicker inner edge of about 4 mm (millimeter) to a thinner outer edge of about 1 mm (millimeter). The 4° hindfoot wedge is used to establish a foot valgus moment (and reduce the varus moment) around the lower joint.

The shape of the hindfoot wedge may vary if the alternate shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a man's medium-sized insole, the hindfoot wedge has about 71.8 mm (millimeter) length and approximately 46.9 mm (millimeter) width. This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the hindfoot wedge. For different size insoles, the size can be achieved by proportionally changing all dimensions of the hindfoot wedge.

Preferably, the hindfoot wedge is made of a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used for the hindfoot wedges, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provide appropriate hardness and material characteristics to maintain the overall structure and elasticity of the forefoot wedge. .

The heel elevation is generally tapered from a thicker edge of about 4 mm (millimeters) to a thinner edge of about 1 mm (millimeter). The heel lift is used to adjust the saddle in the sagittal plane to adjust the forefoot and ankle flexion, and the associated kinematics and motor effects of the lower extremity musculoskeletal system; or to balance the difference in length of the lower extremities.

The shape of the heel elevation can be altered if the alternative shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's mid-size insole, the heel elevation has a length of about 71.8 mm (millimeter) and a width of about 46.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel lift. For different sizes of insoles, the size can be scaled to change all sizes of the heel lift And reached.

Preferably, the heel lift is made from a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used in heel lifts, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provide adequate hardness and material characteristics to maintain the overall heel elevation Structure and flexibility.

The heel pad area (811) is located in the heel area of the insole within the boundary of the hindfoot wedge/heel elevation zone (813). A heel pad can be secured to the heel pad region (811) between the base layer and the hindfoot wedge or heel elevation. The heel pad can also be secured to the heel pad area (811) without the hindfoot wedge or heel elevation zone being secured thereto. The heel pad provides impact attenuation and elastic pad action at the heel strike. The unjoined heel pad reduces ground reaction force (GRF) below the central heel area to treat specific foot conditions and reduces insole thickness to improve shoe suitability.

The shape of the heel pad can be altered if the alternate shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's midsize insole, the heel pad has a length of about 63.3 mm (millimeter) and a width of about 38.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel pad, and preferably less than the hindfoot wedge or heel elevation. For different sizes of insoles, the size can be proportional This is achieved by changing all the dimensions of the heel pad.

Preferably, the heel pad is made of a high density EVA material having a hardness of about 75-80 Asker C. Alternatively, the heel pad can be a medium density material having a low density of about 45-50 Asker C hardness, or (or) 50-75 Asker C. Other materials may be used in heel pads, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gels, which provide suitable stiffness and material characteristics to maintain the overall structure and elasticity of the heel pad.

In a first preferred embodiment of the invention, the various components of the insole of the base layer (805) secured to the area defined by the base layer (805) of the bottom surface (805B) utilize a suitable component (such as a Adhesive or bonding agent) to be fixed to the substrate layer (805).

Alternatively, various components can be formed in the substrate layer (805) during the process.

Figure 9 is a schematic illustration of a cross section 9-9 of the insole behind the tibial region shown in Figures 3 and 4. The insole preferably includes a topsheet (903) and a base layer (905) having a top surface (905A) secured to the topsheet (903) and an opposite bottom surface (905B) . Preferably, the top surface (905A) of the base layer (905) defines an upward extension or tibial pad (938) (as shown in Figures 3, 5, 6, 8 and 9) which is located at the foot. Second to fourth posterior tibial area. The base layer (905) also defines a longitudinal arch branch A struts that extend upwardly along the medial side of the insole to provide support for the additional pad and the arch region of the foot.

The base layer (905) has a flange that surrounds the circumference of the heel and that extends partially along the sides of the foot such that the insole has a heel coaster that conforms to the natural shape of the foot. 5-8 and 10, the height of the flange is generally higher and thicker adjacent the inner side of the insole, and the outer boundary adjacent the insole is lower and thinner. The flange is particularly tall along the longitudinal arch region compared to the lateral boundary.

The base layer (905) is preferably made of foam or other material having suitable elastic pad action characteristics. Preferably, the substrate layer (905) comprises an ethylene vinyl acetate (EVA) foam which is a copolymer of ethylene and vinyl acetate. A preferred EVA foam has a pressure of about 55-60 Asker C (Durometer). Other materials may be used for the substrate layer (905), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides suitable hardness and material characteristics to maintain the integrity of the substrate layer (905). Structure and flexibility.

In a preferred embodiment, the top surface (905A) of the substrate layer (905) covers the topsheet (903), which is preferably a non-woven layer of low coefficient of friction to reduce the likelihood of blisters. In a preferred embodiment, the fabric is treated with an antimicrobial agent that incorporates a moisture barrier to reduce the odor caused by bacteria and fungi. A fabric can also be used, preferably with a low coefficient of friction.

Preferably, for a men's midsize insole, the base layer (905) has a length of about 264 mm (millimeters), a forefoot area of about 86.5 mm (millimeters) width, a heel area of about 63 mm (millimeters) width, and a foot. The bow is approximately 76.5 mm (millimeter) wide with the central zone. These widths can vary by ±5 mm (millimeters) and still maintain the desired performance of the substrate layer (905). The length can be varied and can even be shortened by up to 26 mm (millimeters) to fit within the desired shoe. Longer or shorter lengths can also be achieved by proportionally varying all dimensions of the substrate layer.

The bottom surface (905B) of the base layer (905) defines various recesses or regions: a forefoot wedge region (907) at the posterior portion of the forefoot region; a first metatarsal head pad region (909) in the first metatarsal region a heel pad area and a hindfoot wedge/heel elevation area in the heel area; and a foot arch support area (917) from the center of the insole toward the heel area near the medial side. The base layer (905) also defines a dividing wall (920) that separates the first metatarsal head pad region (909) from the arch support region (917).

Alternatively, the bottom surface (905B) of the base layer (905) may have only one or more of the following defined regions: the forefoot wedge region (907), the first metatarsal head pad region (909), the heel pad region, the hindfoot wedge shape/foot. With the elevation zone and the arch support zone (917).

The tibial pad (938) is preferably located behind the second to fourth metatarsal. For general forefoot comfort, the tibial pad (938) provides pressure redistribution away from the small tibia and is relatively The depth of the first metatarsal head pad region (909) is increased to promote a greater degree of first toe flexion during the pace travel phase. Preferably, the tibial pad (938) is an extension of the base layer (905).

The tibial pad (938) preferably has a height of 2.0-3.0 mm (millimeters) above the top surface (905A). The height can vary by ±1 mm (millimeters), but it is not recommended to change beyond it, as too little or too much of the tibial pad may not have the desired effect.

Alternatively, the tibial pad (938) is a similarly tapered component that is secured to the top surface (905A) of the base layer (905) in the area behind the second to fourth metatarsals, the topsheet (903) being secured to the base layer The top surface (905A) of (905) and the tibial pad (938) or the tibial pad (938) are allowed to extend therethrough. Another alternative is to secure the topsheet (903) of the tibial pad (938) in the second to fourth metatarsal regions.

Preferably, the tibial pad (938) is made of the same material as the base layer (905). Other materials may be used for the tibial pad (938), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides appropriate stiffness and material characteristics to maintain the overall thickness of the tibial pad (938). Structure and flexibility.

The forefoot wedge region (907) begins behind the second to fifth metatarsal heads and extends proximally to the center of the foot.

A forefoot wedge is formed in the same manner as the forefoot wedge (907) and is fixed therein. The forefoot wedge has an inner edge, an outer edge, a proximal (back) edge and a distal (front) edge. The distal edge is behind the second to fifth metatarsal heads. The medial edge of the forefoot wedge extends along a line spaced from the side of the medial boundary of the insole, extending intrinsically from a distal edge to a proximal edge. The proximal edge extends laterally (or laterally) from the inner edge to the outer edge, which is slightly spaced from the outer side of the insole. The outer edge connects the proximal edge to the distal edge of the forefoot wedge. Figure 11 shows the foot bone placed on the insole. An adhesive or bonding agent can be used to secure the forefoot wedge to the forefoot wedge region (907).

The forefoot wedge has a 3[deg.] slope that tapers from a thicker outer edge of about 4 mm (millimeters) to a thinner inner edge of about 1 mm (millimeter). The forefoot wedge is used to establish a varus moment around the midfoot joint. This moment helps to stabilize the forefoot after the pair, reduces the moment of the foot valgus caused by the valgus deformation of the forefoot, and reduces the first metatarsophalangeal joint by increasing the ground reaction force (GRF) under the outer side of the forefoot (MTPJ) ), and reduce the abnormal foot valgus moment around the lower joint.

The shape of the forefoot wedge may vary if the alternate shape generally maintains a distal edge at or behind the small humeral head and the inner and proximal edges do not interfere with the first metatarsal head pad region (909) and the arch support region (917).

Preferably, for a men's midsize insole, the forefoot wedge has a length of about 55.9 mm (millimeter) and a width of about 51.3 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the forefoot wedge. For different sizes of insoles, the size can be achieved by proportionally changing all dimensions of the forefoot wedge.

Preferably, the forefoot wedge is made of a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used for the forefoot wedge, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides suitable stiffness and material characteristics to maintain the overall structure and elasticity of the forefoot wedge.

The first metatarsal head pad area (909) is an area in the bottom surface (905B) of the base layer (905) and is located below the first metatarsal head of the foot. The first metatarsal head pad is formed in the same manner as the first metatarsal head pad area (909) and is secured to the first metatarsal head pad area (909). An adhesive or cement can be used to secure the first metatarsal head pad to the first metatarsal head pad region (909).

In use, the first metatarsal head pad is held underneath and moves with the first metatarsal head (ie, the soccer ball inside the wearer's foot). The removal pad reduces the ground reaction force (GRF) below the first metatarsal head. This strengthens the foot of a wearer with functional hallux ankle stiffness (FHL).

The shape of the first metatarsal head pad is a slightly irregular polygonal shape. Preferably, the first metatarsal head pad has an intrinsic linear distal edge; a slightly curved inner edge that follows the curvature of the inner side of the insole; a proximal edge that is curved or angled to follow the arch support region ( 917) the shape of the humeral margin; and an outer edge that is curved or linear.

Preferably, for a men's midsize insole, the first metatarsal head pad has a length of about 73.5 mm (millimeter) and a width of about 29.3 mm (millimeter) at the distal edge. The proximal end of the first metatarsal head pad comes to a point near the outer and outer edges. This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the first metatarsal head pad. For different size insoles, the size can be achieved by proportionally changing all dimensions of the first metatarsal head pad.

Preferably, the first metatarsal head pad is an EVA material having a hardness of about 40-45 Asker C. Alternatively, the first metatarsal head pad has a hardness of between about 45-55 Asker C, or (or) 55-60 Asker C. The thickness of the first metatarsal head pad is about 2-2.5 mm (millimeters) thick or the depth of the first metatarsal head pad area (909). The basic design of the first metatarsal head pad is to establish a ground reaction force (GRF) under the humeral head and to allow the first metatarsal to descend to the other humeral surface when the first metatarsal head pad is not engaged. Other materials may be used for the first metatarsal head pad, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides appropriate hardness and material characteristics to maintain the integrity of the first metatarsal head pad. Structure and flexibility.

The arch support region (917) is disposed along the longitudinal arch support and has a proximal end that is closest to the heel end of the insole and a distal end that extends toward the toe end of the insole. Connecting the proximal end to the distal end is an inner edge and an outer edge, the outer edge having a parabolic shape. The arch support portion partially surrounds the medial side of the base layer (905) below the medial longitudinal arch support. In general, the cover is slightly in the arch area of the foot or below the talus, the scaphoid, the first clavicle, and the proximal portion of the first metatarsal. The arch support is formed in the same manner as the arch support region (917) and is secured to the arch support region (917) of the bottom surface (905B) of the base layer (905). An adhesive or cement can be used to secure the arch support to the arch support region (917).

A specific embodiment of the arch support is defined from the proximal end to the distal end a plurality of extension ribs extending outwardly from the arch support. This particular embodiment provides a hard support for the arch region. The extended rib is about 0.5 mm (millimeter) thick. The width of each of the extended ribs is about 5 mm (millimeters).

This first embodiment is preferably made of a nylon material having a hardness of about 90-100 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-rib area ranges from about 1-2 mm (millimeters). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

A second embodiment of the arch support defines a plurality of rib-shaped recesses extending from the proximal end to the distal end extending inwardly from the arch support. This particular embodiment provides elastic support for the arch region. The rib recess is recessed into the arch support portion by about 0.5 mm (millimeter). The width of each rib recess is about 5 mm (millimeter).

This second embodiment is preferably made of a nylon material having a hardness of about 80-90 Shore A, such as Nylon 66. The thickness of the arch support portion of the non-rib area ranges from about 1-2 mm (millimeters). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

A third embodiment of the arch support includes a plurality of extended ribs extending outwardly from the arch support; a plurality of essentially horizontal ribs having a rib that is serrated at the arch support a shape; and a plurality of rib-shaped openings extending inwardly from the arch support. This particular embodiment provides a semi-elastic or semi-rigid support of the arch region.

The arch support defines one or more extended ribs, one or more intrinsic horizontal ribs, and one or more rib shaped recesses from the proximal end to the distal end. Preferably, three extension ribs, three of the essentially horizontal ribs, and three rib recesses are used. The width of each rib is about 5 mm (millimeters). The extended rib is about 0.5 mm (millimeter) thick. The rib recess is recessed into the arch support portion by about 0.5 mm (millimeter). Nature The horizontal rib has a rib profile of about 0.5 mm (millimeter) depth

The rib recess improves the elasticity at the distal end of the arch support without sacrificing the longitudinal arch support at the center and proximal end of the arch support.

The first three rib-shaped recesses of the distal third of the arch support provide a region that allows proximal proximity to the first metatarsal head (ie, the distal shaft of the first metatarsal) to remain resilient for the pace of travel During this period, the first toe is unrestricted.

The center and proximal two-thirds of the arch support (horizontal ribs and extension ribs) are hardened by progressively thicker transverse bars to provide improved arch support and when the foot is moved to the internal rotation position Apply a higher anti-foot varus ground reaction force (GRF) size in the load-to-distance zone.

This third embodiment is preferably made of a nylon material having a hardness of about 80-90 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-rib area ranges from about 1-2 mm (millimeters). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

Alternatively, the rib-shaped recess may be a rib-shaped opening. The ribbed opening is defined to allow the base layer (905) to extend therethrough. The width of each rib is about 5 mm (millimeters). Base The layer (905) is shaped such that a portion of its material is injected into the rib-shaped openings such that the portion is substantially flush with the outer surface of the arch support and mechanically locks the arch support and base layer (905). Advantageously, when the substrate layer (905) is compressed (e.g., when walking or running), the substrate layer material can also be blasted through the rib-shaped openings to provide additional elastic pad action.

For a men's mid-size insole, the arch support is about 104-105 mm (millimeters) in length. The width at the widest point near the center is about 37.5 to 38.5 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the first arch support.

When the foot is in the "natural position" position, the arch support is inactive or applies a mild foot valgus (anti-foot varus) moment to the midfoot.

When the foot is moved to the internal rotation position, the arch support applies a higher ground reaction force (GRF) to the area below the load distance protrusion (ie, the proximal arch) to increase the subtalar joint (ie, , hind foot) foot valgus (anti-foot varus) moment.

Figure 10 is a schematic illustration of a cross section 10-10 of the heel region of the insole as shown in Figures 3 and 4. The insole preferably includes a topsheet (1003) and a base layer (1005) having a top surface (1005A) secured to the topsheet (1003) and an opposite bottom surface (1005B) .

The base layer (1005) has a flange that surrounds the heel and that extends partially along the sides of the foot such that the insole has a heel coaster that conforms to the natural shape of the foot. As shown in Figures 5-8 and 10, the height of the flange is generally higher and thicker adjacent the inner side of the insole, and the outer boundary adjacent the insole is lower and thinner. The flange is particularly tall along the longitudinal arch region compared to the lateral boundary.

The base layer (1005) is preferably made of foam or other material having suitable elastic pad action characteristics. Preferably, the substrate layer (1005) comprises an ethylene vinyl acetate (EVA) foam which is a copolymer of ethylene and vinyl acetate. A preferred EVA foam has a pressure of about 55-60 Asker C (Durometer). Other materials may be used for the substrate layer (1005), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides suitable hardness and material characteristics to maintain the integrity of the substrate layer (1005). Structure and flexibility.

In a preferred embodiment, the top surface (1005A) of the base layer (1005) covers the topsheet (1003), which is preferably a non-woven layer of low coefficient of friction to reduce the likelihood of blisters. In a preferred embodiment, the fabric is treated with an antimicrobial agent that incorporates a moisture barrier to reduce the odor caused by bacteria and fungi. A fabric can also be used, preferably with a low coefficient of friction.

Preferably, for a medium size insole for men, the base layer (1005) has about The length of 264 mm (millimeter), the width of the forefoot area is about 86.5 mm (millimeter), the width of the heel area is about 63 mm (millimeter), and the width of the heel and the central area is about 76.5 mm (millimeter). These widths can vary by ±5 mm (millimeters) and still maintain the desired performance of the substrate layer (1005). The length can be varied and can even be shortened by up to 26 mm (millimeters) to fit within the desired shoe. Longer or shorter lengths can also be achieved by proportionally varying all dimensions of the substrate layer.

The bottom surface (1005B) of the base layer (1005) defines various recesses or regions: a forefoot wedge pad at the posterior portion of the forefoot region; a first metatarsal head pad region in the first metatarsal region; a heel pad region ( 1011) and a hindfoot wedge/heel elevation region (1013) in the heel region; and a arch support region from the center of the insole toward the heel region near the medial side.

Alternatively, the bottom surface (1005B) of the base layer (1005) may have only one or more of the following defined areas: the forefoot wedge region, the first metatarsal head pad region, the heel pad region (1011), the hindfoot wedge/heel elevation Area (1013), and arch support area.

The hindfoot wedge/heel elevation region (1013) is located in the heel region of the insole, extending from the proximal footbone to the heel end of the insole. The hindfoot wedge/heel elevation zone (1013) is adapted to withstand a supplemental cushion, which may be a hindfoot wedge or a heel elevation. The hindfoot wedge/heel elevation region (1013) is slightly longitudinally angled to the lateral boundary so that it does not interfere with the arch support region.

The shape of the hindfoot wedge may vary if the alternate shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's midsize insole, the hindfoot wedge has a length of about 71.8 mm (millimeter) and a width of about 46.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the hindfoot wedge. For different size insoles, the size can be achieved by proportionally changing all dimensions of the hindfoot wedge.

Preferably, the hindfoot wedge is made of a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used for the hindfoot wedges, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provide appropriate hardness and material characteristics to maintain the overall structure and elasticity of the forefoot wedge. .

The heel elevation is generally tapered from a thicker edge of about 4 mm (millimeters) to a thinner edge of about 1 mm (millimeter). The heel lift is used to adjust the saddle in the sagittal plane to adjust the forefoot and ankle flexion, and the associated kinematics and motor effects of the lower extremity musculoskeletal system; or to balance the difference in length of the lower extremities.

The shape of the heel elevation can be altered if the alternative shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's mid-size insole, the heel elevation has a length of about 71.8 mm (millimeter) and a width of about 46.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel lift. For different sizes of insoles, the size can be achieved by proportionally changing all dimensions of the heel lift.

Preferably, the heel lift is made from a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used in heel lifts, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provide adequate hardness and material characteristics to maintain the overall heel elevation Structure and flexibility.

The heel pad area (1011) is located in the heel area of the insole within the boundary of the hindfoot wedge/heel elevation zone (1013). A heel pad can be secured to the heel pad region (1011) between the base layer and a hindfoot wedge or heel elevation. The heel pad can also be secured to the heel pad area (1011) without a hind foot wedge or heel lift. The heel pad provides impact attenuation and elastic pad action at the heel strike. Maintaining the heel pad unengaged will reduce the ground reaction force (GRF) below the central heel area to treat a particular foot condition and reduce the insole thickness to improve shoe suitability.

The shape of the heel pad can be altered if the alternate shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's midsize insole, the heel pad has a length of about 63.3 mm (millimeter) and a width of about 38.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel pad, and is preferably less than the hindfoot wedge or heel elevation. For different sizes of insoles, the size can be achieved by varying the dimensions of the heel pad.

Preferably, the heel pad is made of a high density EVA material having a hardness of about 75-80 Asker C. Alternatively, the heel pad can be a medium density material having a low density of about 45-50 Asker C hardness, or (or) 50-75 Asker C. Other materials may be used in heel pads, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gels, which provide suitable stiffness and material characteristics to maintain the overall structure and elasticity of the heel pad.

In a first preferred embodiment of the invention, the various components of the insole of the base layer (1005) secured to the area defined by the base layer (1005) of the bottom surface (1005B) utilize a suitable component (such as a Adhesive or bonding agent) to be fixed to the substrate layer (1005).

Alternatively, various components can be formed in the substrate layer (1005) during the process.

Figure 11 is a schematic illustration of a foot bone that overlaps the bottom view of the insole of the present invention. The insole area shown is the forefoot pad area (1107), the first metatarsal pad area (1109), the heel pad area (1111), the hind foot wedge/heel elevation area (1113), and the arch support area (1117), With partition wall (1120). The heel of the foot is the calcaneus (1170) and the front of the calcaneus (1170) is the talus (1172). In front of the talus (1172) on the medial side is the scaphoid (1174) and on the lateral side is the tibia (1176). The front of the tibia (1176) and the scaphoid (1174) is a wedge-shaped bone (1178). The front of the wedge bone (1178) and the tibia (1176) are the first metatarsal (1180A), the tibia (1180B, 1180C, 1180D), and the fifth metatarsal (1180E). The first metatarsal (1180A) is located on the medial side of the foot and the fifth metatarsal (1180E) is located on the lateral side of the foot. The front of the first metatarsal (1180A), the tibia (1180B, 1180C, 1180D), and the fifth metatarsal (1180E) is the proximal phalanx (1182). The proximal phalanx (1182) is front of the mid phalanx (1184) and at the end of each toe is the distal phalanx (1186).

Figure 12 shows a bottom view of the insole (similar to Figure 4) and schematically illustrates various different areas of the insole: the toe region (1251), the small toe region (1252), the first metatarsal region (1253), and the small humerus region (1254). The distal medial arch area (1255), the lateral midfoot area (1256), the proximal medial arch area (1257), the heel area (1258), the forefoot area (1263), the toe area (1261), and the temporal bone area (1262) ), midfoot area (1264), and hindfoot area (1265). The insole region of the present invention shown is a base layer (1205), a base layer bottom surface (1205B), a longitudinal arch support portion (1206), a forefoot wedge region (1207), a first metatarsal head region (1209), and a heel pad region. (1211), hindfoot wedge/heel elevation zone (1213), arch support zone (1217), and partition wall (1220).

The forefoot region (1263) includes a toe region (1261) and a metatarsal region (1262) that encompass the entire width of the insole from the toe end to the foot tibia or "football". The toe region (1261) (including the toe region (1251) and the small toe region (1252)) has a length extending from the toe end to the diagonal bevel, the diagonal bevel usually being at the first distal phalanges and Two to fifth proximal phalanx and the front of the humerus. The toe region (1261) has a width that extends from the medial boundary to the lateral boundary. The humeral region (1262) (including the first metatarsal region (1253) and the small tibia region (1254)) has a diagonal angle from a front diagonal (diagonal bevel of the adjacent toe region (1261)) to the posterior diagonal The length of the oblique edge (usually behind the tibia). The tibial region (1262) has a width that extends from the medial boundary to the lateral boundary.

The toe region (1251) has a length extending from a leading edge (near the toe) to a trailing edge (close to the joint between the first proximal phalanges and the first metatarsal) and an extension from the medial border to an outer margin ( Near the width of the second phalanx). The small toe region (1252) has a length extending from a leading edge (near the toe end) to a trailing edge (near the second to fifth proximal phalanx), and from an inner edge (the inner side of the second phalanx and adjacent to The outer boundary of the toe region (1251) extends to the width of an outer edge (near the outer boundary). The trailing edge of the small toe region (1252) is generally parallel to the second to fifth metatarsal.

The first metatarsal region (1253) extends from a leading edge (front of the first metatarsal and adjacent to the posterior edge of the toe region (1251)) to a posterior edge (behind the first metatarsal and adjacent to the midfoot) A leading edge of the zone (1264). The width of the first metatarsal region (1253) extends from the medial border to an outer margin (near the second metatarsal). Small tibia area (1254) from a leading edge (the front edge of the second to fifth metatarsal and adjacent to the trailing edge of the small toe region (1252) or the diagonal bevel of the toe region (1261)) extends to a trailing edge (behind the second to fifth metatarsal and phase Adjacent to the front edge of the midfoot area (1264). The width of the small tibia region (1254) extends from the lateral edge of the first metatarsal region (1253) to the lateral boundary.

The midfoot region (1264) includes the distal medial arch region (1255) and the lateral midfoot region (1256). The midfoot region (1264) has a leading edge adjacent to the forefoot region (1263) or the tibia region (1262); and a trailing edge from the medial side of the talus to the scapula to the lateral side Behind the bones. The width of the midfoot region (1264) extends from the medial boundary to the lateral boundary.

The distal medial arch region (1255) extends from a leading edge (behind the first metatarsal and adjacent to the posterior edge of the first metatarsal region (1253) or the posterior diagonal oblique edge of the tibial region (1262) to a trailing edge (between the talus and the scaphoid). The width of the distal medial arch region (1255) extends from the medial boundary to near the center of the foot. The lateral midfoot region (1256) extends from a leading edge (behind the second to fifth metatarsal bones and adjacent to the posterior edge of the small tibial region (1254) or the posterior diagonal oblique edge of the tibial region (1262)) Edge (behind the cheekbones). The width of the lateral midfoot region extends from near the center of the foot to the lateral boundary.

The hindfoot region (1265) includes a proximal medial arch region (1257) and a heel region (1258). The hindfoot region (1265) has a leading edge that extends adjacent the midfoot region (1264) and proximally to the heel end. The width of the hindfoot zone (1265) extends from the medial boundary to the lateral boundary.

The proximal medial arch region (1257) extends from a leading edge (between the talus and the scaphoid or adjacent to the leading edge of the hindfoot region (1265)) along the medial boundary between the heel end and the talus. To the back. The width of the proximal medial arch region (1257) extends from the medial boundary to the diagonal outer edge, wherein the diagonal outer edge is about one third of the insole from the medial boundary along the leading edge of the hindfoot region (1265). Extends to the dorsal point of the medial arch region (1257).

The heel region (1258) extends from a leading edge (behind the tibia or adjacent the leading edge of the hindfoot region (1265) to the heel end. The width of the heel region (1258) extends from the lateral diagonal oblique edge of the proximal medial arch region (1257) to the lateral boundary.

The forefoot wedge region (1207) preferably extends slightly from behind the small humeral head of the small tibia region (1254) to the front of the lateral midfoot region (1256). A forefoot wedge is secured to the forefoot wedge region (1207).

Most of the first metatarsal region (1209) is located in the first metatarsal region (1253). Preferably, the leading edge of the first metatarsal region (1209) is slightly proximal to the leading edge of the first metatarsal region (1253) and adjacent to the forefoot wedge region (1207). The first metatarsal region (1209) can also extend to the distal medial arch region (1255). The first metatarsal region (1209) also extends to the anterior lateral portion of the distal medial arch region (1255). A first metatarsal head pad is secured to the first metatarsal head region (1209). The dividing wall (1220) helps to further distinguish the lateral edges of the first metatarsal head region (1209) from the arch support region (1217).

The arch support area (1217) is located in most of the distal medial arch region (1255) and the proximal medial arch region (1257). The leading edge of the arch support region (1217) is adjacent to the posterior edge of the first metatarsal region (1209). The one-leg support is fixed to the arch support area (1217). The dividing wall (1220) helps to further distinguish the lateral edges of the first metatarsal head region (1209) from the arch support region (1217).

The hindfoot wedge/heel elevation zone (1213) is located in most of the heel zone (1258). The leading edge of the hindfoot wedge/heel elevation region (1213) forms a boundary with the lateral midfoot region (1256). A portion of the medial edge of the hindfoot wedge/heel elevation region (1213) forms a boundary with the proximal medial arch region (1257). The proximal edge of the hindfoot wedge/heel elevation region (1213) forms a boundary with the heel end of the insole. The outer edge of the hindfoot wedge/heel elevation region (1213) forms a boundary with the lateral boundary of the insole. A hindfoot wedge or heel elevation is secured to the hindfoot wedge/heel elevation zone (1213).

The heel pad area (1211) is a heel area (1258) located at the boundary of the hindfoot wedge/heel elevation zone (1213). A heel pad is secured to the heel pad area (1211).

Figure 13A is a bottom (foot) view of the first metatarsal head pad (1310), and Figure 13B is an inner side view of the first metatarsal head pad (1310).

The first metatarsal head pad area is an area in the bottom surface of the base layer and is located at the foot The first humeral head of the department. The first metatarsal head pad (1310) is formed in the same manner as the first metatarsal head pad area and is fixed to the first metatarsal head pad area. An adhesive or cement can be used to secure the first metatarsal head pad (1310) to the first metatarsal head pad area.

In use, the first metatarsal head pad (1310) is held underneath and moved with the first metatarsal head (ie, the inner football point of the wearer's foot). The removal pad reduces the ground reaction force (GRF) below the first metatarsal head. This enhances the foot travel of a wearer with functional hallux ankle stiffness (FHL).

The shape of the first metatarsal head pad (1310) is a slightly irregular polygonal shape. Preferably, the first metatarsal head cushion (1310) has an intrinsic linear distal edge; a slightly curved inner edge that follows the curvature of the inner side of the insole; a proximal edge that is curved or angled to follow the arch of the foot The shape of the humeral margin of the support zone; and an outer edge that is curved or linear.

Preferably, for a male midsize insole, the first metatarsal head pad (1310) has a length of about 73.5 mm (millimeter) and a width of about 29.3 mm (millimeter) at the distal edge. The proximal end of the first metatarsal head pad (1310) comes to a point at the proximal and lateral edges. This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the first metatarsal head pad (1310). For different size insoles, the size can be achieved by varying the dimensions of the first metatarsal head pad (1310).

Preferably, the first metatarsal head pad (1310) is an EVA material having a hardness of about 40-45 Asker C. Alternatively, the first metatarsal head pad may have a hardness of between about 45-55 Asker C, or (or) 55-60 Asker C. The thickness of the first metatarsal head pad (1310) is about 2-2.5 mm (millimeters) thick or the depth of the first metatarsal head pad area. The basic design of the first metatarsal head pad (1310) is to establish a ground reaction force (GRF) difference below the humeral head and to allow the first metatarsal head to descend to the other humeral surface when the first metatarsal head pad (1310) is not engaged. Other materials may be used for the first metatarsal head pad (1310), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides appropriate stiffness and material characteristics to maintain the first metatarsal head The overall structure and elasticity of the pad (1310).

Figure 14A is a perspective view of a first embodiment of the arch support (1418), Figure 14B is a bottom (foot) view of the first embodiment of the arch support (1418), and Figure 14C is an arch support A rear (proximal) view of the first embodiment of the portion (1418), and FIG. 14D is a cross-sectional view of the first embodiment of the arch support portion (1418) along the line 14D-14D of FIG. 14B. .

The arch support region is disposed along the longitudinal arch support and has a leading edge that is closest to the heel end of the insole and a distal end that extends toward the toe end of the insole. Connecting the proximal end to the distal end is an inner edge and an outer edge, the outer edge having a parabolic shape. The arch support (1418) partially surrounds the medial side of the base layer below the medial longitudinal arch support. In general, it is located either in the arch region of the foot or below the talus, the scaphoid, the first clavicle, and the proximal portion of the first metatarsal. The arch support portion (1418) is formed in the same manner as the arch support region and is secured to the arch support region of the underside of the base layer. An adhesive or cement can be used to secure the arch support (1418) to the arch support region.

This first embodiment of the arch support defines a plurality of extension ribs (1418A) extending from the proximal end to the distal end from which the arch support extends outwardly. This particular embodiment provides a hard support for the arch region. The extension rib (1418A) is about 0.5 mm (millimeters) thick. The width of each of the extended ribs is about 5 mm (millimeters).

This first embodiment is preferably made of a nylon material having a hardness of about 90-100 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-rib area ranges from about 1-2 mm (millimeters). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provide suitable hardness and material characteristics to maintain the overall structure and elasticity of the arch support (1418). .

For a men's mid-size insole, the arch support (1418) is about 104-105 mm (millimeters) in length. The width at the widest point near the center is about 37.5 to 38.5 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the first arch support (1418).

When the foot is in a "natural position" (ie, is not an internal or external rotation), the arch support is inactive or applies a mild foot valgus (anti-foot varus) moment To the middle foot.

When the foot is moved to the internal rotation position, the arch support applies a higher ground reaction force (GRF) to the area below the load distance protrusion (ie, the proximal arch) to increase the subtalar joint (ie, , hind foot) foot valgus (anti-foot varus) moment.

Figure 15A is a perspective view of a second embodiment of the arch support (1518); Figure 15B is a bottom (foot) view of a second embodiment of the arch support (1518); Figure 15C is an arch support A rear (proximal) view of a second embodiment of the portion (1518); and FIG. 15D is a cross-sectional view of a second embodiment of the arch support portion (1518) along line 15D-15D as shown in FIG. 15B .

The arch support region is disposed along the longitudinal arch support and has a proximal end that is closest to the heel end of the insole and a distal end that extends toward the toe end of the insole. Connecting the proximal end to the distal end is an inner edge and an outer edge, the outer edge having a parabolic shape. The arch support (1518) partially surrounds the medial side of the base layer below the medial longitudinal arch support. In general, it is located either in the arch region of the foot or below the talus, the scaphoid, the first clavicle, and the proximal portion of the first metatarsal. The arch support portion (1518) is formed in the same manner as the arch support region and is secured to the arch support region of the underside of the base layer. An adhesive or cement can be used to secure the arch support (1518) to the arch support region.

This second embodiment of the arch support defines a plurality of rib-shaped recesses (1518C) extending from the proximal end to the distal end, extending inwardly from the arch support. This particular embodiment provides elastic support for the arch region. The rib recess (1518C) is recessed into the arch support (1518) by about 0.5 mm (millimeter). The width of each rib recess is about 5 mm (millimeter).

This second embodiment is preferably made of a nylon material having a hardness of about 80-90 Shore A, such as Nylon 66. The thickness of the arch support portion of the non-rib area ranges from about 1-2 mm (millimeters). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

Alternatively, the rib recess (1518C) may be a rib shaped opening. The ribbed opening is defined to allow the substrate layer to extend therethrough. The width of each rib is about 5 mm (millimeters). The base layer is shaped such that a portion of its material is injected into the rib-shaped openings such that the portion is substantially flush with the outer surface of the arch support (1518) and the mechanically locking arch support (1518) is with the base layer. Advantageously, when compressing the substrate layer (e.g., when walking or running), the substrate layer material can also be blasted through the rib-shaped openings to provide additional elastic pad action.

For a men's midsize insole, the arch support (1518) is about 104-105 mm (millimeters) in length. The width at the widest point near the center is about 37.5 to 38.5 Mm (mm). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the first arch support (1518).

When the foot is in a "natural position" (ie, not an internal or external rotation) position, the arch support is inactive or applies a mild foot valgus (anti-foot varus) moment to the midfoot.

When the foot is moved to the internal rotation position, the arch support applies a higher ground reaction force (GRF) to the area below the load distance protrusion (ie, the proximal arch) to increase the subtalar joint (ie, , hind foot) foot valgus (anti-foot varus) moment.

Figure 16A is a perspective view of a third embodiment of the arch support (1618); Figure 16B is a bottom (foot) view of a third embodiment of the arch support (1618); Figure 16C is an arch support A rear (proximal) view of a third embodiment of the portion (1618); and FIG. 16D is a cross-sectional view of a third embodiment of the arch support portion (1618) along lines 16D-16D as shown in FIG. 16B .

The arch support region is disposed along the longitudinal arch support and has a proximal end that is closest to the heel end of the insole and a distal end that extends toward the toe end of the insole. Connecting the proximal end to the distal end is an inner edge and an outer edge, the outer edge having a parabolic shape. The arch support (1618) partially surrounds the medial side of the base layer below the medial longitudinal arch support. In general, its outline is at the foot The arch area is below the talus, the scaphoid, the first clavicle, and the proximal part of the first metatarsal. The arch support portion (1618) is formed in the same manner as the arch support region and is secured to the arch support region of the underside of the base layer. An adhesive or cement can be used to secure the arch support (1618) to the arch support region.

This third embodiment of the arch support includes a plurality of extension ribs (1618A) extending outwardly from the arch support portion; a plurality of essentially horizontal ribs (1618B) having the arch support portion a serrated rib profile; and a plurality of ribbed openings (1618C) extending inwardly from the arch support. This particular embodiment provides a semi-elastic or semi-rigid support of the arch region.

The arch support portion (1618) defines one or more extended ribs (1618A), one or more intrinsic horizontal ribs (1618B), and one or more rib shaped recesses from the proximal end to the distal end (1618C). Preferably, three extension ribs (1618A), three of the essentially horizontal ribs (1618B), and three rib recesses (1618C) are used. The width of each rib is about 5 mm (millimeters). The extension rib (1618A) is about 0.5 mm (millimeters) thick. The rib recess (1618C) is recessed into the arch support (1618) by about 0.5 mm (millimeter). The intrinsic horizontal rib (1618B) has a rib profile of about 0.5 mm (millimeter) depth.

The rib recess (1618C) improves the elasticity at the distal end of the arch support (1618) without sacrificing the longitudinal arch at the center and proximal end of the arch support (1618) Support section.

The first three rib-shaped recesses (1618C) of the distal third of the arch support (1618) provide for retention of elasticity in the immediate vicinity of the first metatarsal head (ie, the distal axis of the first metatarsal) To promote unrestricted first toe flexion during the pace of travel.

The center and proximal two-thirds of the arch support 1618 (horizontal rib (1618B) and extension rib (1618A)) are hardened by progressively thicker transverse bars to provide improved arch support and When the part is moved to the internal rotation position, a higher anti-foot inversion ground reaction force (GRF) is applied in the load-to-distance region.

This third embodiment is preferably made of a nylon material having a hardness of about 80-90 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-rib area ranges from about 1-2 mm (millimeters). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

Alternatively, the rib recess (1618C) can be a rib shaped opening. The ribbed opening is defined to allow the substrate layer to extend therethrough. The width of each rib is about 5 mm (millimeters). The base layer is shaped such that a portion of its material is injected into the rib-shaped openings such that the portion is substantially flush with the outer surface of the arch support portion (1618) and mechanically locks the arch support portion (1618) together with the substrate layer. Advantageously, when compressing the substrate layer (e.g., when walking or running), the substrate layer material can also be blasted through the rib-shaped openings to provide additional elastic pad action.

For a men's midsize insole, the arch support (1618) is about 104-105 mm (millimeters) in length. The width at the widest point near the center is about 37.5 to 38.5 mm (millimeter). This length and width can vary within ±5 mm (millimeters) and still maintain the desired performance of the first arch support (1618).

When the foot is in a "natural position" (ie, not an internal or external rotation) position, the arch support is inactive or applies a mild foot valgus (anti-foot varus) moment to the midfoot.

When the foot is moved to the internal rotation position, the arch support applies a higher ground reaction force (GRF) in the area below the load bearing protrusion (ie, the proximal arch) to increase the subtalar joint (ie, Yes, hind foot) foot valgus (anti-foot varus) moment.

17A is a perspective view of the forefoot wedge (1708); FIG. 17B is a bottom (foot) view of the forefoot wedge (1708); and FIG. 17C is a posterior (proximal) view of the forefoot wedge (1708).

The forefoot wedge region begins behind the second to fifth metatarsal heads and extends proximally To the center of the foot.

The forefoot wedge (1708) is formed in the same manner as the forefoot wedge and is secured therein. The forefoot wedge (1708) has an inner edge, an outer edge, a proximal (back) edge and a distal (front) edge. The far edge is behind the second to fifth metatarsal bones. The medial edge of the forefoot wedge (1708) extends along a line spaced from the side of the medial boundary of the insole, extending intrinsically from a distal edge to a proximal edge. The proximal edge extends laterally (or laterally) from the inner edge to the outer edge, which is slightly spaced from the outer side of the insole. The outer edge connects the proximal edge to the distal edge of the forefoot wedge. Figure 11 shows the foot bone placed on the insole. An adhesive or cement can be used to secure the forefoot wedge (1708) to the forefoot wedge.

The forefoot wedge (1708) has a 3[deg.] slope that tapers from a thicker outer edge of about 4 mm (millimeters) thickness to a thinner inner edge of about 1 mm (millimeter). The forefoot wedge (1708) is used to establish a varus moment around the midfoot joint. This moment helps to stabilize the forefoot after the pair, reduces the valgus moment caused by the valgus deformation of the forefoot, and reduces the first metatarsophalangeal joint by increasing the ground reaction force (GRF) under the lateral aspect of the forefoot (MTPJ) ), and reduce the abnormal foot valgus moment around the lower joint.

If the alternative shape is outlined in the small humeral head or behind it maintains a distal edge and the inner and proximal edges do not interfere with the first metatarsal head area and the arch support area, the forefoot wedge The shape of (1708) can vary.

Preferably, for a men's midsize insole, the forefoot wedge (1708) has a length of about 55.9 mm (millimeter) and a width of about 51.3 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the forefoot wedge (1708). For different sized insoles, the dimensions can be achieved by proportionally changing all dimensions of the forefoot wedge (1708).

Preferably, the forefoot wedge (1708) is made of a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used for the forefoot wedge (1708), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the forefoot wedge (1708) The overall structure and flexibility.

Figure 18A is a perspective view of the heel pad (1812); Figure 18B is a bottom (foot) view of the heel pad (1812); and Figure 18C is an inner side view of the heel pad (1812).

The heel pad area is the heel area of the insole located within the boundary of the hindfoot wedge/heel elevation zone. The heel pad (1812) can be secured to the heel pad region between the base layer and the hindfoot wedge or heel elevation. The heel pad (1812) can also be secured to the heel pad area without the hind foot wedge or heel elevations securing it. The heel pad (1812) provides impact attenuation and elastic pad action on the heel strike. Maintaining the heel pad without engagement will reduce the center foot Ground reaction force (GRF) below the zone to treat specific foot disease and reduce insole thickness to improve shoe suitability.

The shape of the heel pad (1812) may vary if the alternate shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's midsize insole, the heel pad (1812) has a length of about 63.3 mm (millimeter) and a width of about 38.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel pad (1812), and is preferably less than the hindfoot wedge or heel elevation. For different size insoles, the size can be achieved by varying the dimensions of the heel pad (1812).

Preferably, the heel pad (1812) is made from a high density EVA material having a hardness of about 75-80 Asker C. Alternatively, the heel pad can be a medium density material having a low density of about 45-50 Asker C hardness, or (or) 50-75 Asker C. Other materials may be used for the heel pad (1812), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides suitable hardness and material characteristics to maintain the heel pad (1812) The overall structure and flexibility.

Figure 19A is a perspective view of the heel elevation (1915); Figure 19B is a bottom (foot) view of the heel elevation (1915); and Figure 19C is along line 19C-19C of Figure 19B. A cross-sectional view of the heel lift (1915).

The hindfoot wedge/heel elevation is located in the heel region of the insole, extending from the proximal side of the outlined footbone to the heel end of the insole. The hindfoot wedge/heel elevation zone is adapted to withstand a supplemental cushion, which may be a hindfoot wedge or a heel elevation (1915). The hindfoot wedge/heel elevation zone is slightly longitudinally angled to the lateral boundary so that it does not interfere with the arch support zone.

The heel elevation (1915) is generally tapered from a thicker edge of about 4 mm (millimeters) to a thinner edge of about 1 mm (millimeter). The heel lift (1915) is used to adjust the saddle in the sagittal plane to adjust the forefoot and ankle flexion, and the associated kinematics and motor effects of the lower extremity musculoskeletal system; or to balance the difference in length of the lower extremities.

The shape of the heel elevation (1915) may vary if the alternate shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's midsize insole, the heel lift (1915) has a length of about 71.8 mm (millimeter) and a width of about 46.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel lift (1915). For different sizes of insoles, the size can be achieved by proportionally changing all dimensions of the heel lift (1915).

Preferably, the heel lift (1915) utilizes a hardness of about 75-80 Asker C. Made of high density EVA material. Other materials can be used for the heel lift (1915), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides appropriate hardness and material characteristics to maintain heel elevation The overall structure and flexibility of the Department (1915).

Figure 20A is a perspective view of the hindfoot wedge (2014); Figure 20B is the bottom (foot) view of the hindfoot wedge (2014); and Figure 20C is the hind foot along the line 20C-20C as shown in Figure 20B A cross-sectional view of the wedge (2014).

The hindfoot wedge/heel elevation is located in the heel area of the insole, which extends generally from the proximal side of the footbone to the heel end of the insole. The hindfoot wedge/heel elevation zone is adapted to withstand a supplemental cushion, which may be a hindfoot wedge (2014) or a heel elevation. The hindfoot wedge/heel elevation zone is slightly longitudinally angled to the lateral boundary so that it does not interfere with the arch support zone.

The hindfoot wedge (2014) has a 4[deg.] slope that tapers from a thicker inner edge of about 4 mm (millimeters) to a thinner outer edge of about 1 mm (millimeter). The 4° hindfoot wedge (2014) is used to establish a foot valgus moment (and reduce the varus moment) around the lower joint.

The shape of the hindfoot wedge (2014) may vary if the alternate shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's midsize insole, the hindfoot wedge (2014) has a length of about 71.8 mm (millimeter) and a width of about 46.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the hindfoot wedge (2014). For different sizes of insoles, the size can be achieved by proportionally changing all dimensions of the hindfoot wedge (2014).

Preferably, the hindfoot wedge (2014) is made from a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used for the hindfoot wedge (2014), such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides appropriate hardness and material characteristics to maintain the entire front foot wedge Structure and flexibility.

The insole delivered to the user as described herein may employ an unengaged component to allow the user to engage the desired component. The insole may also be constructed with a predetermined predetermined assembly structure prior to delivery to the user. In addition, the present invention may allow for the assembly of predetermined component structures that engage the insole prior to delivery, while also providing additional components that the user may engage.

All diagnoses may utilize one or more of the described components, and all components may be engaged at various different locations of the insole to alter the characteristics of the insole. The following examples represent only a set of components suggested for the diagnosis. The following is an example of a daily situation that is processed using the system of the present invention with one or more components combined with each other:

Example 1:

Situation: The patient reported a burning sensation below the left toe joint. Intermittent seizures of many years of exercise pain. The dance course has deteriorated since the beginning three times a week. You must withdraw from the last class due to severe pain.

Check: Direct pressure pain under the inflamed first metatarsophalangeal joint (MTPJ, Mmetatarsophalangeal Joint), especially in the foot of the foot. The first metatarsal with excessively curved soles on both sides of the foot and the anterior valgus of the left foot.

Diagnosis: athlete's foot bone.

Treatment: A forefoot wedge can be applied to the left insole to further direct ground reaction force (GRF) away from the painful first metatarsal head. The heel pad can be applied to maintain a ground reaction force (GRF) size below the central heel.

Alternatively, the insole delivered to the wearer may be a pre-engaged heel pad and a first metatarsal head pad prior to application of the add-on by the wearer. For this example, the first metatarsal head pad needs to be adjusted to reduce the ground reaction force (GRF) below the first metatarsal head.

The forefoot wedge region begins at the back of the second to fifth metatarsal heads and extends proximally to the center of the foot.

The forefoot wedge has an inner edge, an outer edge, a proximal (back) edge and a distal (front) edge. The distal edge is behind the second to fifth metatarsal heads. The medial edge of the forefoot wedge extends along a line spaced from the side of the medial boundary of the insole, extending intrinsically from a distal edge to a proximal edge. The proximal edge extends laterally (or laterally) from the inner edge to the outer edge, which is slightly spaced from the outer side of the insole. The outer edge connects the proximal edge to the distal edge of the forefoot wedge. Figure 11 shows the foot bone placed on the insole. An adhesive or bonding agent can be used to secure the forefoot wedge to the forefoot wedge.

The forefoot wedge has a 3[deg.] slope that tapers from a thicker outer edge of about 4 mm (millimeters) thickness to a thinner inner edge of about 1 mm (millimeter) thinness. The forefoot wedge is used to establish the inversion moment of the foot around the midfoot joint. This moment helps to stabilize the forefoot after the pair, reduces the valgus moment caused by the valgus deformation of the forefoot, and reduces the metatarsophalangeal joint (MTPJ) by increasing the ground reaction force (GRF) under the outer side of the forefoot. And reduce the abnormal foot valgus moment around the lower joint.

The shape of the forefoot wedge may vary if the alternate shape is outlined to maintain a distal edge at or behind the small humerus and the medial and proximal edges do not interfere with the first metatarsal pad and the arch support region.

Preferably, for a men's midsize insole, the forefoot wedge has a length of about 55.9 mm (millimeter) and a width of about 51.3 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the forefoot wedge. For different sizes of insoles, the size can be achieved by proportionally changing all dimensions of the forefoot wedge.

Preferably, the forefoot wedge is made of a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used for the forefoot wedge, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides suitable stiffness and material characteristics to maintain the overall structure and elasticity of the forefoot wedge.

Example 2:

Situation: The patient reported a painful mass in the left foot football point. For many years, the feet are thick and thick, but the left foot has become redder, swollen, and painful in the past 3 months.

Examination: A thick sputum area with edema and redness of the skin beneath the left second metatarsophalangeal joint (MTPJ). When standing statically and at the pace, both sides are excessively varus and varus valgus. Both sides of the 0 degree ankle dorsiflexion. The left ankle is inverted.

Diagnosis: plantar sacral bursitis.

Treatment: The tibial pad and padded forefoot extension will reduce excessive ground reaction (GRF) under the second metatarsophalangeal joint (MTPJ). The hard arch support and the hindfoot wedge can be applied to reduce excessive foot varus moments. If the shoe is approved, the heel lift can be used for the ankle. The first metatarsal head pad and the heel pad can be applied to maintain a ground reaction force (GRF) size below the first metatarsal head and the central heel.

Alternatively, the insole delivered to the wearer may be a pre-engaged heel pad and a first metatarsal head pad prior to application of the add-on by the wearer.

The heel elevation is generally tapered from a thicker edge of about 4 mm (millimeters) to a thinner edge of about 1 mm (millimeter). The heel lift is used to adjust the saddle in the sagittal plane to adjust the forefoot and ankle flexion, and the associated kinematics and motor effects of the lower extremity musculoskeletal system; or to balance the difference in length of the lower extremities.

The shape of the heel elevation can be altered if the alternative shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's mid-size insole, the heel elevation has a length of about 71.8 mm (millimeter) and a width of about 46.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel lift. For different sizes of insoles, the size can be scaled to change all sizes of the heel lift And reached.

Preferably, the heel lift is made from a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used in heel lifts, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provide adequate hardness and material characteristics to maintain the overall heel elevation Structure and flexibility.

The hindfoot wedge/heel elevation is located in the heel region of the insole, extending from the proximal side of the outlined footbone to the heel end of the insole. The hindfoot wedge/heel elevation zone is adapted to withstand a supplemental cushion, which may be a hindfoot wedge or a heel elevation. The hindfoot wedge/heel elevation zone is slightly longitudinally angled to the lateral boundary so that it does not interfere with the arch support zone.

The hindfoot wedge has a 4[deg.] slope that tapers from a thicker inner edge of about 4 mm (millimeters) to a thinner outer edge of about 1 mm (millimeter). The 4° hindfoot wedge is used to establish the valgus moment of the foot around the lower joint (and reduce the varus moment of the foot).

The shape of the hindfoot wedge may vary if the alternate shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's midsize insole, the hindfoot wedge has a length of about 71.8 mm (millimeter) and a width of about 46.9 mm (millimeter). This length and width can be The range of ±5 mm (millimeters) varies and still maintains the desired performance of the hindfoot wedge. For different size insoles, the size can be achieved by proportionally changing all dimensions of the hindfoot wedge.

Preferably, the hindfoot wedge is made of a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used for the hindfoot wedges, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provide appropriate hardness and material characteristics to maintain the overall structure and elasticity of the forefoot wedge. .

The first metatarsal head pad area is an area on the underside of the base layer and is located below the first metatarsal head of the foot. The first metatarsal head pad is formed in the same manner as the first metatarsal head pad area and is fixed to the first metatarsal head pad area. An adhesive or bonding agent can be used to secure the first metatarsal head pad to the first metatarsal head pad area.

The shape of the first metatarsal head pad is a slightly irregular polygonal shape. Preferably, the first metatarsal head pad has an intrinsic linear distal edge; a slightly curved inner edge that follows the curvature of the inner side of the insole; a proximal edge that is curved or angled to follow the arch support region The shape of the humerus edge; and an outer edge, which is curved or linear.

Preferably, for a men's midsize insole, the first metatarsal head pad has a length of about 73.5 mm (millimeter) and a width of about 29.3 mm (millimeter) at the distal edge. First The proximal end of the bone pad comes to a point near the outer and outer edges. This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the first metatarsal head pad. For different size insoles, the size can be achieved by proportionally changing all dimensions of the first metatarsal head pad.

Preferably, the first metatarsal head pad is an EVA material utilizing a hardness of about 40-45 Asker C. Alternatively, the first metatarsal head pad has a hardness of between about 45-55 Asker C, or (or) 55-60 Asker C. The thickness of the first metatarsal head pad is about 2-2.5 mm (millimeters) thick or the depth of the first metatarsal head pad area. The basic design of the first metatarsal head pad is to establish a ground reaction force (GRF) difference below the first metatarsal head pad and to allow the first metatarsal head to lower to the other tibial surface when the first metatarsal head pad is not engaged. Other materials may be used for the first metatarsal head pad, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides appropriate hardness and material characteristics to maintain the integrity of the first metatarsal head pad. Structure and flexibility.

The heel support zone is the heel area of the insole located within the boundary of the hindfoot wedge/heel elevation zone. The heel pad provides impact attenuation and elastic pad action at the heel strike. Maintaining the heel pad unengaged will reduce the ground reaction force (GRF) below the central heel area to treat a particular foot condition and reduce the insole thickness to improve shoe suitability.

If the alternative shape maintained in one of the heel areas does not interfere with the arch The shape of the heel pad can be changed in the support area.

Preferably, for a men's midsize insole, the heel pad has a length of about 63.3 mm (millimeter) and a width of about 38.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel pad, and is preferably less than the hindfoot wedge or heel elevation. For different sizes of insoles, the size can be achieved by varying the dimensions of the heel pad.

Preferably, the heel pad is made of a high density EVA material having a hardness of about 75-80 Asker C. Alternatively, the heel pad may utilize a low density of about 45-50 Asker C hardness, or (or) a medium density material of 50-75 Asker C. Other materials may be used in heel pads, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gels, which provide suitable stiffness and material characteristics to maintain the overall structure and elasticity of the heel pad.

The heel pad can be secured to the heel pad area between the base layer and the hindfoot wedge or heel elevation.

Example 3:

Situation: The patient reported an external pain mass at the foot football point.

Check: Invasable Plantar Keratosis (IPK) and swelling under the 5th tibia and redness of the skin. The heel position is closed during static standing and pace, and the forefoot of both sides is everted.

Diagnosis: Excessive plantar gingival bursitis with excessive plantar long sputum (IPK).

Treatment: The forefoot wedge should be applied to both insoles to reduce the extent of the fifth metatarsal head and reduce heel varus. The first metatarsal head pad and the heel pad can be applied to maintain a ground reaction force (GRF) size below the first metatarsal head and the central heel. If the symptoms persist, adjust the first metatarsal head pad to enhance the effect of the tibial pad and the forefoot wedge.

Alternatively, the insole delivered to the wearer may be a pre-engaged heel pad and a first metatarsal head pad prior to application of the add-on by the wearer.

The forefoot wedge region begins at the back of the second to fifth metatarsal heads and extends proximally to the center of the foot.

The forefoot wedge has an inner edge, an outer edge, a proximal (back) edge and a distal (front) edge. The distal edge is behind the second to fifth metatarsal heads. The medial edge of the forefoot wedge extends along a line spaced from the side of the medial boundary of the insole, extending intrinsically from a distal edge to a proximal edge. The proximal edge extends laterally (or laterally) from the inner edge to The outer edge is spaced slightly from the inner side of the insole. The outer edge connects the proximal edge to the distal edge of the forefoot wedge. Figure 11 shows the foot bone placed on the insole. An adhesive or bonding agent can be used to secure the forefoot wedge to the forefoot wedge.

The forefoot wedge has a 3[deg.] slope that tapers from a thicker outer edge of about 4 mm (millimeters) thickness to a thinner inner edge of about 1 mm (millimeter) thinness. The forefoot wedge is used to establish a varus moment around the midfoot joint. This moment helps to stabilize the forefoot after the pair, reduces the valgus moment caused by the valgus deformation of the forefoot, and reduces the metatarsophalangeal joint (MTPJ) by increasing the ground reaction force (GRF) under the outer side of the forefoot. And reduce the abnormal foot valgus moment around the lower joint.

The shape of the forefoot wedge may vary if the alternate shape is outlined to maintain a distal edge at or behind the small humerus and the medial and proximal edges do not interfere with the first metatarsal pad and the arch support region.

Preferably, for a men's midsize insole, the forefoot wedge has a length of about 55.9 mm (millimeter) and a width of about 51.3 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the forefoot wedge. For different sizes of insoles, the size can be achieved by proportionally changing all dimensions of the forefoot wedge.

Preferably, the forefoot wedge is made of a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used for the forefoot wedge, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides suitable stiffness and material characteristics to maintain the overall structure and elasticity of the forefoot wedge.

The heel pad is located in the heel area of the insole within the boundary of the hindfoot wedge/heel elevation zone. The heel pad provides impact attenuation and elastic pad action at the heel strike. Maintaining the heel pad unengaged will reduce the ground reaction force (GRF) below the central heel area to treat a particular foot condition and reduce the insole thickness to improve shoe suitability.

The shape of the heel pad can be altered if the alternate shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's midsize insole, the heel pad has a length of about 63.3 mm (millimeter) and a width of about 38.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel pad, and is preferably less than the hindfoot wedge or heel elevation. For different sizes of insoles, the size can be achieved by varying the dimensions of the heel pad.

Preferably, the heel pad is made of a high density EVA material having a hardness of about 75-80 Asker C. Alternatively, the heel pad can be a medium density material that uses a low density of about 45-50 Asker C hardness, or (or) 50-75 Asker C. Other materials available For a heel pad, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, it provides suitable stiffness and material characteristics to maintain the overall structure and elasticity of the heel pad.

The first metatarsal head pad area is an area on the underside of the base layer and is located below the first metatarsal head of the foot. The first metatarsal head pad is formed in the same manner as the first metatarsal head pad area and is fixed to the first metatarsal head pad area. An adhesive or bonding agent can be used to secure the first metatarsal head pad to the first metatarsal head pad area.

The shape of the first metatarsal head pad is a slightly irregular polygonal shape. Preferably, the first metatarsal head pad has an intrinsic linear distal edge, a slightly curved inner edge that follows the curvature of the inner side of the insole; a proximal edge that is curved or angled to follow the arch support region. The shape of the humerus edge; and an outer edge, which is curved or linear.

Preferably, for a men's midsize insole, the first metatarsal head pad has a length of about 73.5 mm (millimeter) and a width of about 29.3 mm (millimeter) at the distal edge. The proximal end of the first metatarsal head pad comes to a point near the outer and outer edges. This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the first metatarsal head pad. For different size insoles, the size can be achieved by proportionally changing all dimensions of the first metatarsal head pad.

Preferably, the first metatarsal head pad utilizes a hardness EVA material of about 40-45 Asker C. Alternatively, the first metatarsal head pad may have a hardness of between about 45-55 Asker C, or (or) 55-60 Asker C. The thickness of the first metatarsal head pad is about 2-2.5 mm (millimeters) thick or the depth of the first metatarsal head pad area. The basic design of the first metatarsal head pad is to establish a ground reaction force (GRF) difference below the humeral head and to allow the first metatarsal to descend to the other tibial surface when the first metatarsal head pad is not engaged. Other materials may be used for the first metatarsal head pad, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides appropriate hardness and material characteristics to maintain the integrity of the first metatarsal head pad. Structure and flexibility.

Example 4:

Situation: The patient reports a pain in the lower right toe after the end of the day. Padded insoles are helpful but not enough.

Examination: An inflamed callus is present beneath the interphalangeal joint of the bilateral toe, and the right foot is larger than the left foot. In the static standing and stepping over the sole of the foot, and in the static standing, the external right heel is presented and the right foot is the first toe elastic flexion. Under the Hebscher Maneuver test, the right first functional metatarsal stiffness (FHL) was present in the right first metatarsophalangeal joint (MTPJ).

Treatment: The hindfoot wedge and arch support can be used to inhibit tolerated patients with excessive foot varus moments that may be applied to the right insole. The first metatarsal head pad can be applied to the left insole. The heel pad can be added to maintain the ground reaction force (GRF) size below the central heel.

Alternatively, the insole delivered to the wearer may be a pre-engaged heel pad and a first metatarsal head pad prior to application of the add-on by the wearer. For this example, the first metatarsal head pad of the right insole needs to be adjusted to reduce the ground reaction force (GRF) below the first metatarsal head.

The hindfoot wedge/heel elevation is located in the heel area of the insole, which extends generally from the proximal side of the footbone to the heel end of the insole. The hindfoot wedge/heel elevation zone is adapted to withstand a supplemental cushion, which may be a hindfoot wedge or a heel elevation. The hindfoot wedge/heel elevation zone is slightly longitudinally angled to the lateral boundary so that it does not interfere with the arch support zone.

The hindfoot wedge has a 4[deg.] slope that tapers from a thicker inner edge of about 4 mm (millimeters) to a thinner outer edge of about 1 mm (millimeter). The 4° hindfoot wedge is used to establish a foot valgus moment (and reduce the varus moment) around the lower joint.

The shape of the hindfoot wedge may vary if the alternate shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's midsize insole, the hindfoot wedge has a length of about 71.8 mm (millimeter) and a width of about 46.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the hindfoot wedge. For different size insoles, the size can be achieved by proportionally changing all dimensions of the hindfoot wedge.

Preferably, the hindfoot wedge is made of a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used for the hindfoot wedges, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provide appropriate hardness and material characteristics to maintain the overall structure and elasticity of the forefoot wedge. .

The arch support region is disposed along the longitudinal arch support and has a proximal end that is closest to the heel end of the insole and a distal end that extends toward the toe end of the insole. Connecting the proximal end to the distal end is an inner edge and an outer edge, the outer edge having a parabolic shape. The arch support portion partially surrounds the medial side of the base layer below the medial longitudinal arch support. In general, it is located either in the arch region of the foot or below the talus, the scaphoid, the first clavicle, and the proximal portion of the first metatarsal. The arch support is formed in the same manner as the arch support region and is secured to the underside of the base layer. An adhesive or cement can be used to secure the arch support to the arch support region.

A specific embodiment of the arch support is defined from the proximal end to the distal end a plurality of extension ribs extending outwardly from the arch support. This particular embodiment provides a hard support for the arch region. The extended rib is about 0.5 mm (millimeter) thick. The width of each of the extended ribs is about 5 mm (millimeters).

This first embodiment is preferably made of a nylon material having a hardness of about 90-100 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-ribbed region ranges from about mm (mm). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

A second embodiment of the arch support defines a plurality of rib-shaped recesses extending from the proximal end to the distal end extending inwardly from the arch support. This particular embodiment provides elastic support for the arch region. The rib recess is recessed into the arch support portion by about 0.5 mm (millimeter). The width of each rib recess is about 5 mm (millimeter).

This second embodiment is preferably made of a nylon material having a hardness of about 80-90 Shore A, such as Nylon 66. The thickness of the arch support portion of the non-ribbed region ranges from about mm (mm). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

A third embodiment of the arch support includes a plurality of extended ribs extending outwardly from the arch support; a plurality of essentially horizontal ribs having a rib that is serrated at the arch support a shape; and a plurality of rib-shaped openings extending inwardly from the arch support. This particular embodiment provides a semi-elastic or semi-rigid support of the arch region.

The arch support defines one or more extended ribs, one or more intrinsic horizontal ribs, and one or more rib shaped recesses from the proximal end to the distal end. Preferably, three extension ribs, three of the essentially horizontal ribs, and three rib recesses are used. The width of each rib is about 5 mm (millimeters). The extended rib is about 0.5 mm (millimeter) thick. The rib recess is recessed into the arch support portion by about 0.5 mm (millimeter). The intrinsic horizontal rib has a rib profile of about 0.5 mm (millimeter) depth.

The rib-shaped recess improves the elasticity of the distal end of the arch support without sacrificing the longitudinal arch support at the center and proximal ends of the arch support.

The first three rib-shaped recesses of the distal third of the arch support are provided to allow the region proximal to the proximal side of the first metatarsal head (ie, the distal axis of the first metatarsal) to remain resilient at the pace Unconstrained first toe flexion is facilitated during the travel phase.

Center and proximal two-thirds of the arch support (horizontal ribs and extension ribs) The progressive arch is hardened by a progressively thicker strip to provide improved arch support, and when the foot is moved to the internal rotation position, a higher anti-foot inversion ground reaction force (GRF) is applied in the load-to-distance region.

This third embodiment is preferably made of a nylon material having a hardness of about 80-90 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-ribbed region ranges from about mm (mm). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

Alternatively, the rib-shaped recess may be a rib-shaped opening. The ribbed opening is defined to allow the substrate layer to extend therethrough. The width of each rib is about 5 mm (millimeters). The base layer is shaped such that a portion of its material is injected into the rib-shaped openings such that the portion substantially flushes the outer surface of the arch support and mechanically locks the arch support with the substrate layer. Advantageously, when compressing the substrate layer (e.g., when walking or running), the substrate layer material can also be blasted through the rib-shaped openings to provide additional elastic pad action.

For a men's mid-size insole, the arch support is about 104-105 mm (millimeters) in length. The width at the widest point near the center is about 37.5 to 38.5 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the first arch support.

The heel pad is located in the heel area of the insole within the boundary of the hindfoot wedge/heel elevation zone. The heel pad provides impact attenuation and elastic pad action at the heel strike. Maintaining the heel pad unengaged will reduce the ground reaction force (GRF) below the central heel area to treat a particular foot condition and reduce the insole thickness to improve shoe suitability.

The shape of the heel pad can be altered if the alternate shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's midsize insole, the heel pad has a length of about 63.3 mm (millimeter) and a width of about 38.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel pad, and is preferably less than the hindfoot wedge or heel elevation. For different sizes of insoles, the size can be achieved by varying the dimensions of the heel pad.

Preferably, the heel pad is made of a high density EVA material having a hardness of about 75-80 Asker C. Alternatively, the heel pad can be a medium density material that uses a low density of about 45-50 Asker C hardness, or (or) 50-75 Asker C. Other materials may be used in heel pads, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gels, which provide suitable stiffness and material characteristics to maintain the overall structure and elasticity of the heel pad.

The heel pad can be fixed to the foot between the base layer and the hindfoot wedge or heel elevation Heel area.

Example 5:

Situation: The patient reported a very painful right toe joint. In the work, the right toe in the long shoes is painful, but wearing soft indoor slippers at night shows increased pain.

Examination: Both sides of the foot bunions showed a thumb valgus (HAV, Hallux Abducto-Valgus) with a right foot larger than the left foot. The right first metatarsophalangeal joint has an ankle dorsiflexion and ankle flexion pain at the end. In static standing and pace, the two feet and the valgus are overturned, and the right foot is larger than the left foot. Less than 10° bilateral ankle dorsiflexion. 30°-65° bilateral hindquarters dorsiflexion. The first toe is awkward. The Hubscher Maneuver test on the right side is less than (<) 20°.

Diagnosis: Joint capsule (capsule) right first metatarsophalangeal joint (MTPJ).

Treatment: For over-foot varus, both sides of the hindfoot wedge and hard arch support. The first metatarsal head pad can be applied to the left insole. If the shoe is approved, the heel lift can be applied to the ankle. The heel pad can be added to maintain the ground reaction force (GRF) size below the central heel.

Alternatively, the insole delivered to the wearer can be applied before the wearer applies the additional component To use a pre-engaged heel pad with a first metatarsal head pad. For this example, the first metatarsal head pad on the right insole needs to be adjusted to reduce the ground reaction force (GRF) under the first metatarsal head and to adjust the first toe flexion.

The hindfoot wedge/heel elevation is located in the heel area of the insole, which extends generally from the proximal side of the footbone to the heel end of the insole. The hindfoot wedge/heel elevation zone is adapted to withstand a supplemental cushion, which may be a hindfoot wedge or a heel elevation. The hindfoot wedge/heel elevation zone is slightly longitudinally angled to the lateral boundary so that it does not interfere with the arch support zone.

The hindfoot wedge has a 4[deg.] slope that tapers from a thicker inner edge of about 4 mm (millimeters) to a thinner outer edge of about 1 mm (millimeter). The 4° hindfoot wedge is used to establish a foot valgus moment (and reduce the varus moment) around the lower joint.

The shape of the hindfoot wedge may vary if the alternate shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's midsize insole, the hindfoot wedge has a length of about 71.8 mm (millimeter) and a width of about 46.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the hindfoot wedge. For different size insoles, the size can be achieved by proportionally changing all dimensions of the hindfoot wedge.

Preferably, the hindfoot wedge is made of a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used for the hindfoot wedges, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provide appropriate hardness and material characteristics to maintain the overall structure and elasticity of the forefoot wedge. .

The heel elevation is generally tapered from a thicker edge of about 4 mm (millimeters) to a thinner edge of about 1 mm (millimeter). The heel lift is used to adjust the saddle in the sagittal plane to adjust the forefoot and ankle flexion, and the associated kinematics and motor effects of the lower extremity musculoskeletal system; or to balance the difference in length of the lower extremities.

The shape of the heel elevation can be altered if the alternative shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's mid-size insole, the heel elevation has a length of about 71.8 mm (millimeter) and a width of about 46.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel lift. For different sizes of insoles, the size can be achieved by proportionally changing all dimensions of the heel lift.

Preferably, the heel lift is made from a high density EVA material having a hardness of about 75-80 Asker C. Other materials can be used for heel lifts, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel that provides suitable hardness and material characteristics to maintain the overall structure and elasticity of the heel elevation.

The first metatarsal head pad area is an area on the underside of the base layer and is located below the first metatarsal head of the foot. The first metatarsal head pad is formed in the same manner as the first metatarsal head pad area and is fixed to the first metatarsal head pad area. An adhesive or bonding agent can be used to secure the first metatarsal head pad to the first metatarsal head pad area.

The shape of the first metatarsal head pad is a slightly irregular polygonal shape. Preferably, the first metatarsal head pad has an intrinsic linear distal edge; a slightly curved inner edge that follows the curvature of the inner side of the insole; a proximal edge that is curved or angled to follow the arch support region The shape of the humerus edge; and an outer edge, which is curved or linear.

Preferably, for a men's midsize insole, the first metatarsal head pad has a length of about 73.5 mm (millimeter) and a width of about 29.3 mm (millimeter) at the distal edge. The proximal end of the first metatarsal head pad comes to a point near the outer and outer edges. This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the first metatarsal head pad. For different size insoles, the size can be achieved by proportionally changing all dimensions of the first metatarsal head pad.

Preferably, the first metatarsal head pad utilizes a hardness of about 40-45 Asker C. EVA material. Alternatively, the hardness of the first metatarsal head pad is between 45-55 Asker C, or (or) 55-60 Asker C. The thickness of the first metatarsal head pad is about 2-2.5 mm (millimeters) thick or the depth of the first metatarsal head pad area. The basic design of the first metatarsal head pad is based on the ground reaction force (GRF) difference under the humeral head and allows the first metatarsal head to be lowered to the other metatarsal surface when the first metatarsal head pad is not engaged. Other materials may be used for the first metatarsal head pad, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides appropriate hardness and material characteristics to maintain the integrity of the first metatarsal head pad. Structure and flexibility.

The heel pad is located in the heel area of the insole within the boundary of the hindfoot wedge/heel elevation zone. The heel pad provides impact attenuation and elastic pad action at the heel strike. Maintaining the heel pad unengaged will reduce the ground reaction force (GRF) below the central heel area to treat a particular foot condition and reduce the insole thickness to improve shoe suitability.

The shape of the heel pad can be altered if the alternate shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's midsize insole, the heel pad has a length of about 63.3 mm (millimeter) and a width of about 38.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel pad, and is preferably less than the hindfoot wedge or heel elevation. For different sizes of insoles, the size can be achieved by varying the dimensions of the heel pad.

Preferably, the heel pad is made of a high density EVA material having a hardness of about 75-80 Asker C. Alternatively, the heel pad can be a medium density material that uses a low density of about 45-50 Asker C hardness, or (or) 50-75 Asker C. Other materials may be used in heel pads, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gels, which provide suitable stiffness and material characteristics to maintain the overall structure and elasticity of the heel pad.

The heel pad can be secured to the heel pad area between the base layer and the hindfoot wedge or heel elevation.

Example 6:

Situation: The patient has reported left heel pain for 3 weeks. The patient wore a pair of new household flat-bottomed slippers at home.

Examination: direct medial Plantar Calcaneal Tuberosity (MPCT, Medial Plantar Calcaneal Tuberosity). Moderately elastic forefoot flexion, with the left foot larger than the right foot. Bilateral reduction of ankle dorsiflexion. Both sides of the first toe are flexed, and their left foot is larger than the right foot. The left forefoot is everted. In the static standing and the pace, the foot is perpendicular to the moderate internal rotation of the foot.

Diagnosis: proximal plantar fasciitis.

Treatment: If the shoe is approved, the heel lift can be used to "balance" the forefoot and the ankle. A forefoot wedge can be applied to the left insole. When the degree of abnormal foot varus is "lightened", the initial treatment can omit the hindfoot wedge to avoid stimulating the medial calcaneus (MPCT). The longitudinal arch support can adequately reduce excessive varus moments. The heel pad can be added to maintain the ground reaction force (GRF) under the central heel.

Alternatively, the insole delivered to the wearer may be a pre-engaged heel pad and a first metatarsal head pad prior to application of the add-on by the wearer. For this example, the first metatarsal head pad needs to be adjusted to reduce the ground reaction force (GRF) below the first metatarsal head.

The heel elevation is generally tapered from a thicker edge of about 4 mm (millimeters) to a thinner edge of about 1 mm (millimeter). The heel lift is used to adjust the saddle in the sagittal plane to adjust the forefoot and ankle flexion, and the associated kinematics and motor effects of the lower extremity musculoskeletal system; or to balance the difference in length of the lower extremities.

The shape of the heel elevation can be altered if the alternative shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's mid-size insole, the heel elevation has a length of about 71.8 mm (millimeter) and a width of about 46.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel lift. For different sizes of insoles, the size can be achieved by proportionally changing all dimensions of the heel lift.

Preferably, the heel lift is made from a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used in heel lifts, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provide adequate hardness and material characteristics to maintain the overall heel elevation Structure and flexibility.

The forefoot wedge region begins at the back of the second to fifth metatarsal heads and extends proximally to the center of the foot.

The forefoot wedge has an inner edge, an outer edge, a proximal (back) edge and a distal (front) edge. The distal edge is behind the second to fifth metatarsal heads. The medial edge of the forefoot wedge extends along a line spaced from the side of the medial boundary of the insole, extending intrinsically from a distal edge to a proximal edge. The proximal edge extends laterally (or laterally) from the inner edge to the outer edge, which is slightly spaced from the outer side of the insole. The outer edge connects the proximal edge to the distal edge of the forefoot wedge. Figure 11 shows the foot bone placed on the insole. An adhesive or bonding agent can be used to secure the forefoot wedge to the forefoot wedge.

The forefoot wedge has a 3[deg.] slope that tapers from a thicker outer edge of about 4 mm (millimeters) thickness to a thinner inner edge of about 1 mm (millimeter) thinness. The forefoot wedge is used to establish a varus moment around the midfoot joint. This moment helps to stabilize the forefoot after the pair, reduces the valgus moment caused by the valgus deformation of the forefoot, and reduces the metatarsophalangeal joint (MTPJ) by increasing the ground reaction force (GRF) under the outer side of the forefoot. And reduce the abnormal foot valgus moment around the lower joint.

The shape of the forefoot wedge may vary if the alternate shape is outlined to maintain a distal edge at or behind the small humerus and the medial and proximal edges do not interfere with the first metatarsal pad and the arch support region.

Preferably, for a men's midsize insole, the forefoot wedge has a length of about 55.9 mm (millimeter) and a width of about 51.3 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the forefoot wedge. For different sizes of insoles, the size can be achieved by proportionally changing all dimensions of the forefoot wedge.

Preferably, the forefoot wedge is made of a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used for the forefoot wedge, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides suitable stiffness and material characteristics to maintain the overall structure and elasticity of the forefoot wedge.

Example 7:

Situation: The patient reported pain in the left heel and the sole of the foot. The patient kicked the rock block with the heel of the foot during the holiday swimming.

Check: A lump appears in the center of the left heel, which directly presses the pain. The static standing bilaterally inferior sole of the foot is inverted and the left ankle is about 0-5°.

Diagnosis: calcaneus of the plantar calcaneus.

Treatment: The longitudinal arch support is sufficient to reduce excessive foot varus and redistribute ground reaction force (GRF) away from the left heel and to the arch, or use the arch support. A heel pad can be applied to the right insole. The left insole may have no heel pad to reduce the amount of ground reaction force (GRF) under the central heel.

Alternatively, the insole delivered to the wearer may be a pre-engaged heel pad and a first metatarsal head pad prior to application of the add-on by the wearer. For this example, the heel pad of the left insole needs to be adjusted to reduce the ground reaction force (GRF) below the central heel.

The foot of the insole in the boundary of the hindfoot wedge/heel elevation zone With the district. The heel pad provides impact attenuation and elastic pad action at the heel strike. Maintaining the heel pad unengaged will reduce the ground reaction force (GRF) below the central heel area to treat a particular foot condition and reduce the insole thickness to improve shoe suitability.

The shape of the heel pad can be altered if the alternate shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's midsize insole, the heel pad has a length of about 63.3 mm (millimeter) and a width of about 38.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel pad, and is preferably less than the hindfoot wedge or heel elevation. For different sizes of insoles, the size can be achieved by varying the dimensions of the heel pad.

Preferably, the heel pad is made of a high density EVA material having a hardness of about 75-80 Asker C. Alternatively, the heel pad can be a medium density material that uses a low density of about 45-50 Asker C hardness, or (or) 50-75 Asker C. Other materials may be used in heel pads, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gels, which provide suitable stiffness and material characteristics to maintain the overall structure and elasticity of the heel pad.

Example 8:

Situation: The patient reported pain in the left ankle. The patient had a flat foot for many years, but severe left ankle pain in the past 2 months.

Examination: The patient indicated that the area of the Anterior Talofibular Ligament (ATFL) of the left ankle was a painful location. The palpation of the ligament attachment point of the anterior talofibular ligament does not relieve the pain, but the forced passive palm varus. Severe foot inversion and the medial and talar talus of the scaphoid are "semi-dislocated", and the left foot is larger than the right foot. The ankle joint does not have a dorsiflexion of more than 90°.

Diagnosis: sacral sinus.

Treatment: The elastic arch support and the hindfoot wedge can be applied to reduce excessive foot varus and reduce the compression force of the sacral sinus. If the shoe is approved, the heel lift can be applied to the ankle. The heel pad and the first metatarsal head pad can be applied to maintain a ground reaction force (GRF) size below the first metatarsal head and the central heel.

Alternatively, the insole delivered to the wearer may be a pre-engaged heel pad and a first metatarsal head pad prior to application of the add-on by the wearer. For this example, the first metatarsal head pad needs to be adjusted to reduce the ground reaction force (GRF) below the first metatarsal head.

The arch support area is disposed along the longitudinal arch support portion, and one of the proximal ends is the most Near the heel end of the insole, and a distal end extends toward the toe end of the insole. Connecting the proximal end to the distal end is an inner edge and an outer edge, the outer edge having a parabolic shape. The arch support portion partially surrounds the medial side of the base layer below the medial longitudinal arch support. In general, it is located either in the arch region of the foot or below the talus, the scaphoid, the first clavicle, and the proximal portion of the first metatarsal. The arch support is formed in the same manner as the arch support region and is secured to the underside of the base layer. An adhesive or cement can be used to secure the arch support to the arch support region.

A specific embodiment of the arch support defines a plurality of extension ribs extending from the proximal end to the distal end that extend outwardly from the arch support. This particular embodiment provides a hard support for the arch region. The extended rib is about 0.5 mm (millimeter) thick. The width of each of the extended ribs is about 5 mm (millimeters).

This first embodiment is preferably made of a nylon material having a hardness of about 90-100 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-ribbed region ranges from about mm (mm). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

A second embodiment of the arch support defines a plurality of rib-shaped recesses extending from the proximal end to the distal end extending inwardly from the arch support. This item The body embodiment provides elastic support of the arch region. The rib recess is recessed into the arch support portion by about 0.5 mm (millimeter). The width of each rib recess is about 5 mm (millimeter).

This second embodiment is preferably made of a nylon material having a hardness of about 80-90 Shore A, such as Nylon 66. The thickness of the arch support portion of the non-ribbed region ranges from about mm (mm). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

A third embodiment of the arch support includes a plurality of extended ribs extending outwardly from the arch support; a plurality of essentially horizontal ribs having a rib that is serrated at the arch support a shape; and a plurality of rib-shaped openings extending inwardly from the arch support. This particular embodiment provides a semi-elastic or semi-rigid support of the arch region.

The arch support defines one or more extended ribs, one or more intrinsic horizontal ribs, and one or more rib shaped recesses from the proximal end to the distal end. Preferably, three extension ribs, three of the essentially horizontal ribs, and three rib recesses are used. The width of each rib is about 5 mm (millimeters). The extended rib is about 0.5 mm (millimeter) thick. The rib recess is recessed into the arch support portion by about 0.5 mm (millimeter). An intrinsic horizontal rib having a rib profile of about 0.5 mm (millimeter) depth

The rib recess improves the elasticity at the distal end of the arch support without sacrificing the longitudinal arch support at the center and proximal end of the arch support.

The first three rib-shaped recesses of the distal third of the arch support provide a region that allows proximal proximity to the first metatarsal head (ie, the distal shaft of the first metatarsal) to remain resilient for the pace of travel During this period, the first toe is unrestricted.

The center and proximal two-thirds of the arch support (horizontal ribs and extension ribs) are hardened by progressively thicker transverse bars to provide improved arch support and when the foot is moved to the internal rotation position Apply a higher anti-foot varus ground reaction force (GRF) size in the load-to-distance zone.

This third embodiment is preferably made of a nylon material having a hardness of about 80-90 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-ribbed region ranges from about mm (mm). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

Alternatively, the rib-shaped recess may be a rib-shaped opening. The ribbed opening is defined to allow the substrate layer to extend therethrough. The width of each rib is about 5 mm (millimeters). The base layer is shaped such that a portion of its material is injected into the rib-shaped openings such that the portion is substantially flush with the outer surface of the arch support and the mechanically locking the arch support is in contact with the base layer Start. Advantageously, when compressing the substrate layer (e.g., when walking or running), the substrate layer material can also be blasted through the rib-shaped openings to provide additional elastic pad action.

For a men's mid-size insole, the arch support is about 104-105 mm (millimeters) in length. The width at the widest point near the center is about 37.5 to 38.5 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the first arch support.

The hindfoot wedge/heel elevation is located in the heel region of the insole, extending from the proximal side of the outlined footbone to the heel end of the insole. The hindfoot wedge/heel elevation zone is adapted to withstand a supplemental cushion, which may be a hindfoot wedge or a heel elevation. The hindfoot wedge/heel elevation zone is slightly longitudinally angled to the lateral boundary so that it does not interfere with the arch support zone.

The hindfoot wedge has a 4[deg.] slope that tapers from a thicker inner edge of about 4 mm (millimeters) to a thinner outer edge of about 1 mm (millimeter). The 4° hindfoot wedge is used to establish the valgus moment of the foot around the lower joint (and reduce the varus moment of the foot).

The shape of the hindfoot wedge may vary if the alternate shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a man's medium-sized insole, the hindfoot wedge has about 71.8 mm (millimeter) length and approximately 46.9 mm (millimeter) width. This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the hindfoot wedge. For different size insoles, the size can be achieved by proportionally changing all dimensions of the hindfoot wedge.

Preferably, the hindfoot wedge is made of a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used for the hindfoot wedges, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provide appropriate hardness and material characteristics to maintain the overall structure and elasticity of the forefoot wedge. .

The heel elevation is generally tapered from a thicker edge of about 4 mm (millimeters) to a thinner edge of about 1 mm (millimeter). The heel lift is used to adjust the saddle in the sagittal plane to adjust the forefoot and ankle flexion, and the associated kinematics and motor effects of the lower extremity musculoskeletal system; or to balance the difference in length of the lower extremities.

The shape of the heel elevation can be altered if the alternative shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's mid-size insole, the heel elevation has a length of about 71.8 mm (millimeter) and a width of about 46.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel lift. For different sizes of insoles, the size can be scaled to change all sizes of the heel lift And reached.

Preferably, the heel lift is made from a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used in heel lifts, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provide adequate hardness and material characteristics to maintain the overall heel elevation Structure and flexibility.

The first metatarsal head pad area is an area on the underside of the base layer and is located below the first metatarsal head of the foot. The first metatarsal head pad is formed in the same manner as the first metatarsal head pad area and is fixed to the first metatarsal head pad area. An adhesive or bonding agent can be used to secure the first metatarsal head pad to the first metatarsal head pad area.

The shape of the first metatarsal head pad is a slightly irregular polygonal shape. Preferably, the first metatarsal head pad has an intrinsic linear distal edge; a slightly curved inner edge that follows the curvature of the inner side of the insole; a proximal edge that is curved or angled to follow the arch support region The shape of the humerus edge; and an outer edge, which is curved or linear.

Preferably, for a men's midsize insole, the first metatarsal head pad has a length of about 73.5 mm (millimeter) and a width of about 29.3 mm (millimeter) at the distal edge. The proximal end of the first metatarsal head pad comes to a point near the outer and outer edges. This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the first metatarsal head pad. For different size insoles, the size can be achieved by proportionally changing all dimensions of the first metatarsal head pad.

Preferably, the first metatarsal head pad is an EVA material utilizing a hardness of about 40-45 Asker C. Alternatively, the first metatarsal head pad may have a hardness of between about 45-55 Asker C, or (or) 55-60 Asker C. The thickness of the first metatarsal head pad is about 2-2.5 mm (millimeters) thick or the depth of the first metatarsal head pad area. The basic design of the first metatarsal head pad is based on the ground reaction force (GRF) difference under the humeral head and allows the first metatarsal head to be lowered to the other metatarsal surface when the first metatarsal head pad is not engaged. Other materials may be used for the first metatarsal head pad, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides appropriate hardness and material characteristics to maintain the integrity of the first metatarsal head pad. Structure and flexibility.

The heel pad is located in the heel area of the insole within the boundary of the hindfoot wedge/heel elevation zone. The heel pad provides impact attenuation and elastic pad action at the heel strike. Maintaining the heel pad unengaged will reduce the ground reaction force (GRF) below the central heel area to treat a particular foot condition and reduce the insole thickness to improve shoe suitability.

The shape of the heel pad can be altered if the alternate shape maintained at one of the heel regions does not interfere with the arch support region.

It is best to have a men's medium size insole with a heel pad of about 63.3. The length of mm (millimeter) is about 38.9 mm (millimeter) wide. This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel pad, and is preferably less than the hindfoot wedge or heel elevation. For different sizes of insoles, the size can be achieved by varying the dimensions of the heel pad.

Preferably, the heel pad is made of a high density EVA material having a hardness of about 75-80 Asker C. Alternatively, the heel pad can be a medium density material that uses a low density of about 45-50 Asker C hardness, or (or) 50-75 Asker C. Other materials may be used in heel pads, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gels, which provide suitable stiffness and material characteristics to maintain the overall structure and elasticity of the heel pad.

The heel pad can be secured to the heel pad area between the base layer and the hindfoot wedge or heel elevation.

Example 9:

Situation: There is no instability when walking or training on a flat ground, but a reverse sprain occurs periodically on the right ankle on the bumpy ground.

Check: Level 1 of the right ankle sprain. Maintain good proprioception and tibial strength. Both sides of the forefoot valgus, the right foot is larger than the left foot, and the right foot presents the first toe 跖 Qu. In the static standing and pace, the right foot is slightly flipped out.

Diagnosis: Chronic ankle sprain.

Treatment: A forefoot wedge can be applied to both insoles. A first metatarsal head pad can be applied to the left insole. The right insole does not have a first metatarsal head pad to accommodate the first metatarsal flexion.

Alternatively, the insole delivered to the wearer may be a pre-engaged heel pad and a first metatarsal head pad prior to application of the add-on by the wearer. For this example, the first metatarsal pad of the two insole and the first insole pad of the right insole need to be adjusted to reduce the ground reaction force (GRF) under the central heel of the two insole, which is reduced below the first metatarsal head of the right insole Ground reaction force (GRF) and adaptation of the first metatarsal plantar flexion.

The forefoot wedge region begins at the back of the second to fifth metatarsal heads and extends proximally to the center of the foot.

The forefoot wedge has an inner edge, an outer edge, a proximal (back) edge and a distal (front) edge. The distal edge is behind the second to fifth metatarsal heads. The medial edge of the forefoot wedge extends along a line spaced from the side of the medial boundary of the insole, extending intrinsically from a distal edge to a proximal edge. The proximal edge extends laterally (or laterally) from the inner edge to the outer edge, which is slightly spaced from the outer side of the insole. Outer edge connection The proximal edge to the distal edge of the forefoot wedge. Figure 11 shows the foot bone placed on the insole. An adhesive or bonding agent can be used to secure the forefoot wedge to the forefoot wedge.

The forefoot wedge has a 3[deg.] slope that tapers from a thicker outer edge of about 4 mm (millimeters) thickness to a thinner inner edge of about 1 mm (millimeter) thinness. The forefoot wedge is used to establish a varus moment around the midfoot joint. This moment helps to stabilize the forefoot after the pair, reduces the valgus moment caused by the valgus deformation of the forefoot, and reduces the metatarsophalangeal joint (MTPJ) by increasing the ground reaction force (GRF) under the outer side of the forefoot. And reduce the abnormal foot valgus moment around the lower joint.

The shape of the forefoot wedge may vary if the alternate shape is outlined to maintain a distal edge at or behind the small humerus and the medial and proximal edges do not interfere with the first metatarsal pad and the arch support region.

Preferably, for a men's midsize insole, the forefoot wedge has a length of about 55.9 mm (millimeter) and a width of about 51.3 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the forefoot wedge. For different sizes of insoles, the size can be achieved by proportionally changing all dimensions of the forefoot wedge.

Preferably, the forefoot wedge is a high density using a hardness of about 75-80 Asker C Made of EVA material. Other materials may be used for the forefoot wedge, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides suitable stiffness and material characteristics to maintain the overall structure and elasticity of the forefoot wedge.

The first metatarsal head pad area is an area on the underside of the base layer and is located below the first metatarsal head of the foot. The first metatarsal head pad is formed in the same manner as the first metatarsal head pad area and is fixed to the first metatarsal head pad area. An adhesive or bonding agent can be used to secure the first metatarsal head pad to the first metatarsal head pad area.

The shape of the first metatarsal head pad is a slightly irregular polygonal shape. Preferably, the first metatarsal head pad has an intrinsic linear distal edge; a slightly curved inner edge that follows the curvature of the inner side of the insole; a proximal edge that is curved or angled to follow the arch support region The shape of the humeral margin; and an outer edge that is curved or linear.

Preferably, for a men's midsize insole, the first metatarsal head pad has a length of about 73.5 mm (millimeter) and a width of about 29.3 mm (millimeter) at the distal edge. The proximal end of the first metatarsal head pad comes to a point near the outer and outer edges. This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the first metatarsal head pad. For different size insoles, the size can be achieved by proportionally changing all dimensions of the first metatarsal head pad.

Preferably, the first metatarsal head pad is an EVA material utilizing a hardness of about 40-45 Asker C. Alternatively, the first metatarsal head pad has a hardness of between about 45-55 Asker C, or (or) 55-60 Asker C. The thickness of the first metatarsal head pad is about 2-2.5 mm (millimeters) thick or the depth of the first metatarsal head pad area. The basic design of the first metatarsal head pad is to establish a ground reaction force (GRF) difference below the first metatarsal head pad and to allow the first metatarsal head to lower to the other tibial surface when the first metatarsal head pad is not engaged. Other materials may be used for the first metatarsal head pad, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides appropriate hardness and material characteristics to maintain the integrity of the first metatarsal head pad. Structure and flexibility.

Example 10:

Situation: The patient reports pain in the heel. Despite the cautious stretching exercise program, there is intermittent pain for 5 years. It became more painful during the training of the National School Championship two years ago. It has been helpful for the physiotherapist to indicate ice, rest, and to give 3 ultrasounds per week.

Check: Two-legged Achilles tendon is sensitive to pain and moderately "fierce". The passive and active ankle dorsiflexion causes pain in the immediate vicinity of the calcaneus insert and is sensitive at the muscle tendon junction. Ankle arch dorsiflexion, forefoot flexion, first toe flexion, and moderate arched foot type with bilateral forefoot varus less than 10°.

Diagnosis: Heel sputum.

Treatment: For the ankle and forefoot flexion and the heel elevation of the forefoot wedge can be used. The heel pad can be applied to maintain a ground reaction force (GRF) size below the central heel.

Alternatively, the insole delivered to the wearer may be a pre-engaged heel pad and a first metatarsal head pad prior to application of the add-on by the wearer. For this example, the first metatarsal head pad needs to be adjusted to reduce the ground reaction force (GRF) below the first metatarsal head to accommodate the first metatarsal plantar flexion.

The forefoot wedge region begins at the back of the second to fifth metatarsal heads and extends proximally to the center of the foot.

The forefoot wedge has an inner edge, an outer edge, a proximal (back) edge and a distal (front) edge. The distal edge is behind the second to fifth metatarsal heads. The medial edge of the forefoot wedge extends along a line spaced from the side of the medial boundary of the insole, extending intrinsically from a distal edge to a proximal edge. The proximal edge extends laterally (or laterally) from the inner edge to the outer edge, which is slightly spaced from the outer side of the insole. The outer edge connects the proximal edge to the distal edge of the forefoot wedge. Figure 11 shows the foot bone placed on the insole. An adhesive or bonding agent can be used to secure the forefoot wedge to the forefoot wedge.

The forefoot wedge has a 3[deg.] slope that tapers from a thicker outer edge of about 4 mm (millimeters) thickness to a thinner inner edge of about 1 mm (millimeter) thinness. The forefoot wedge is used to establish a varus moment around the midfoot joint. This moment helps to stabilize the forefoot after the pair, reduces the valgus moment caused by the valgus deformation of the forefoot, and reduces the metatarsophalangeal joint (MTPJ) by increasing the ground reaction force (GRF) under the outer side of the forefoot. And reduce the abnormal foot valgus moment around the lower joint.

The shape of the forefoot wedge may vary if the alternate shape is outlined to maintain a distal edge at or behind the small humerus and the medial and proximal edges do not interfere with the first metatarsal pad and the arch support region.

Preferably, for a men's midsize insole, the forefoot wedge has a length of about 55.9 mm (millimeter) and a width of about 51.3 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the forefoot wedge. For different sizes of insoles, the size can be achieved by proportionally changing all dimensions of the forefoot wedge.

Preferably, the forefoot wedge is made of a high density EVA material having a hardness of about 75-80 Asker C. Other materials can be used for the forefoot wedge, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides the appropriate hardness and material The material features to maintain the overall structure and elasticity of the forefoot wedge.

The heel elevation is generally tapered from a thicker edge of about 4 mm (millimeters) to a thinner edge of about 1 mm (millimeter). The heel lift is used to adjust the saddle in the sagittal plane to adjust the forefoot and ankle flexion, and the associated kinematics and motor effects of the lower extremity musculoskeletal system; or to balance the difference in length of the lower extremities.

The shape of the heel elevation can be altered if the alternative shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's mid-size insole, the heel elevation has a length of about 71.8 mm (millimeter) and a width of about 46.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel lift. For different sizes of insoles, the size can be achieved by proportionally changing all dimensions of the heel lift.

Preferably, the heel lift is made from a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used in heel lifts, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provide adequate hardness and material characteristics to maintain the overall heel elevation Structure and flexibility.

The foot of the insole in the boundary of the hindfoot wedge/heel elevation zone With the district. The heel pad provides impact attenuation and elastic pad action at the heel strike. Maintaining the heel pad unengaged will reduce the ground reaction force (GRF) below the central heel area to treat a particular foot condition and reduce the insole thickness to improve shoe suitability.

The shape of the heel pad can be altered if the alternate shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's midsize insole, the heel pad has a length of about 63.3 mm (millimeter) and a width of about 38.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel pad, and is preferably less than the hindfoot wedge or heel elevation. For different sizes of insoles, the size can be achieved by varying the dimensions of the heel pad.

Preferably, the heel pad is made of a high density EVA material having a hardness of about 75-80 Asker C. Alternatively, the heel pad can be a medium density material that uses a low density of about 45-50 Asker C hardness, or (or) 50-75 Asker C. Other materials may be used in heel pads, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gels, which provide suitable stiffness and material characteristics to maintain the overall structure and elasticity of the heel pad.

The heel pad can be secured to the heel pad area between the base layer and the hindfoot wedge or heel elevation.

Example 11:

Situation: The patient reported aching pain. The patient has had several episodes in recent years, usually when the hotel is busy during the busy season.

Examination: Immediately behind the medial boundary of the humerus, immediately adjacent to the medial ankle, and with direct resistance to pressure inversion of the foot. Bilateral excessive foot varus (with calcaneus valgus) on both sides of static standing and pace, less than 10° ankle dorsiflexion, and less than 10° double toe back under the Hubscher Maneuver test Functionalized hallux ankle stiffness (FHL).

Diagnosis: posterior diaphragmatic tendonitis.

Treatment: The heel elevation can be applied to the ankle joint flexion. The hard arch support and the hindfoot wedge can be applied to reduce excessive foot varus moments. If the patient complains of a stab in the arch, the hard arch support should be replaced with a semi-elastic arch support that is more easily tolerated. The heel pad can be applied to maintain a ground reaction force (GRF) size below the central heel portion.

Alternatively, the insole delivered to the wearer may be a pre-engaged heel pad and a first metatarsal head pad prior to application of the add-on by the wearer. For this example, you need to tune The first metatarsal head pad is used to reduce the ground reaction force (GRF) below the first metatarsal head.

The arch support region is disposed along the longitudinal arch support and has a proximal end that is closest to the heel end of the insole and a distal end that extends toward the toe end of the insole. Connecting the proximal end to the distal end is an inner edge and a side edge, the outer edge having a parabolic shape. The arch support portion partially surrounds the medial side of the base layer below the medial longitudinal arch support. In general, it is located in the arch region of the foot or below the talus, the scaphoid, the first clavicle, and the proximal portion of the first metatarsal. The arch support is formed in the same manner as the arch support region and is secured to the arch support region of the underside of the base layer. An adhesive or cement can be used to secure the arch support to the arch support region.

A specific embodiment of the arch support is defined from the proximal end to the distal end a plurality of extension ribs extending outwardly from the arch support. This particular embodiment provides a hard support for the arch region. The extended rib is about 0.5 mm (millimeter) thick. The width of each of the extended ribs is about 5 mm (millimeters).

This first embodiment is preferably made of a nylon material having a hardness of about 90-100 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-rib area ranges from about 1-2 mm (millimeters). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate hardness and The material features to maintain the overall structure and elasticity of the arch support.

A second embodiment of the arch support defines a plurality of rib-shaped recesses extending from the proximal end to the distal end extending inwardly from the arch support. This particular embodiment provides elastic support for the arch region. The rib recess is recessed into the arch support portion by about 0.5 mm (millimeter). The width of each rib recess is about 5 mm (millimeter).

This second embodiment is preferably made of a nylon material having a hardness of about 80-90 Shore A, such as Nylon 66. The thickness of the arch support portion of the non-ribbed region ranges from about mm (mm). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

A third embodiment of the arch support includes a plurality of extended ribs extending outwardly from the arch support; a plurality of essentially horizontal ribs having a rib that is serrated at the arch support a shape; and a plurality of rib-shaped openings extending inwardly from the arch support. This particular embodiment provides a semi-elastic or semi-rigid support of the arch region.

The arch support defines one or more extended ribs, one or more intrinsic horizontal ribs, and one or more rib shaped recesses from the proximal end to the distal end. Preferably, three extended ribs are used, three of the essentially horizontal ribs, and three rib recesses. unit. The width of each rib is about 5 mm (millimeters). The extended rib is about 0.5 mm (millimeter) thick. The rib recess is recessed into the arch support portion by about 0.5 mm (millimeter). The intrinsic horizontal rib has a rib profile of about 0.5 mm (millimeter) depth.

The rib recess improves the elasticity at the distal end of the arch support without sacrificing the longitudinal arch support at the center and proximal end of the arch support.

The first three rib-shaped recesses of the distal third of the arch support provide a region that allows proximal proximity to the first metatarsal head (ie, the distal shaft of the first metatarsal) to remain resilient for the pace of travel During this period, the first toe is unrestricted.

The center and proximal two-thirds of the arch support (horizontal ribs and extension ribs) are hardened by progressively thicker transverse bars to provide improved arch support and when the foot is moved to the internal rotation position Apply a higher anti-foot varus ground reaction force (GRF) size in the load-to-distance zone.

This third embodiment is preferably made of a nylon material having a hardness of about 80-90 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-rib area ranges from about 1-2 mm (millimeters). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

Alternatively, the rib-shaped recess may be a rib-shaped opening. The ribbed opening is defined to allow the substrate layer to extend therethrough. The width of each rib is about 5 mm (millimeters). The base layer is shaped such that a portion of its material is injected into the rib-shaped openings such that the portion substantially flushes the outer surface of the arch support and mechanically locks the arch support with the substrate layer. Advantageously, when compressing the substrate layer (e.g., when walking or running), the substrate layer material can also be blasted through the rib-shaped openings to provide additional elastic pad action.

For a men's mid-size insole, the arch support is about 104-105 mm (millimeters) in length. The width at the widest point near the center is about 37.5 to 38.5 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the first arch support.

The heel elevation is generally tapered from a thicker edge of about 4 mm (millimeters) to a thinner edge of about 1 mm (millimeter). The heel lift is used to adjust the saddle in the sagittal plane to adjust the forefoot and ankle flexion, and the associated kinematics and motor effects of the lower extremity musculoskeletal system; or to balance the difference in length of the lower extremities.

The shape of the heel elevation can be altered if the alternative shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's mid-size insole, the heel elevation has a length of about 71.8 mm (millimeter) and a width of about 46.9 mm (millimeter). This length and width can be The range of ±5 mm (millimeters) varies and still maintains the desired performance of the heel lift. For different sizes of insoles, the size can be achieved by proportionally changing all dimensions of the heel lift.

Preferably, the heel lift is made from a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used in heel lifts, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provide adequate hardness and material characteristics to maintain the overall heel elevation Structure and flexibility.

The heel pad is located in the heel area of the insole within the boundary of the hindfoot wedge/heel elevation zone. The heel pad provides impact attenuation and elastic pad action at the heel strike. Maintaining the heel pad unengaged will reduce the ground reaction force (GRF) below the central heel area to treat a particular foot condition and reduce the insole thickness to improve shoe suitability.

The shape of the heel pad can be altered if the alternate shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's midsize insole, the heel pad has a length of about 63.3 mm (millimeter) and a width of about 38.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel pad, and is preferably less than the hindfoot wedge or heel elevation. For different sizes of insoles, the size can be achieved by varying the dimensions of the heel pad.

Preferably, the heel pad is made of a high density EVA material having a hardness of about 75-80 Asker C. Alternatively, the heel pad can be a medium density material that uses a low density of about 45-50 Asker C hardness, or (or) 50-75 Asker C. Other materials may be used in heel pads, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gels, which provide suitable stiffness and material characteristics to maintain the overall structure and elasticity of the heel pad.

The heel pad can be secured to the heel pad area between the base layer and the hindfoot wedge or heel elevation.

Example 12.:

Situation: The patient was stumped by a curb. After the sprain of the light ankle, the outside of the left ankle is painful. The outside of the left ankle later became painful for 2 days. No treatment has been received.

Check: The iliac tendon along the lower third of the left leg presents sensitive pain. Moderately high arch; arched foot with bilateral forefoot valgus. The first toe is awkward. Standing leisurely, it shows a slight foot varus.

Diagnosis: iliac tendonitis.

Treatment: The forefoot wedge can be applied to reduce the tibial tension. The heel pad can be applied to maintain a ground reaction force (GRF) size below the central heel portion.

Alternatively, the insole delivered to the wearer may be a pre-engaged heel pad and a first metatarsal head pad prior to application of the add-on by the wearer. For this example, the first metatarsal head pad needs to be adjusted to reduce the ground reaction force (GRF) below the first metatarsal head and to adapt the first metatarsal plantar flexion.

The forefoot wedge region begins at the back of the second to fifth metatarsal heads and extends proximally to the center of the foot.

The forefoot wedge has an inner edge, an outer edge, a proximal (back) edge and a distal (front) edge. The distal edge is behind the second to fifth metatarsal heads. The medial edge of the forefoot wedge extends along a line spaced from the side of the medial boundary of the insole, extending intrinsically from a distal edge to a proximal edge. The proximal edge extends laterally (or laterally) from the inner edge to the outer edge, which is slightly spaced from the outer side of the insole. The outer edge connects the proximal edge to the distal edge of the forefoot wedge. Figure 11 shows the foot bone placed on the insole. An adhesive or bonding agent can be used to secure the forefoot wedge to the forefoot wedge.

The forefoot wedge has a 3[deg.] slope that tapers from a thicker outer edge of about 4 mm (millimeters) thickness to a thinner inner edge of about 1 mm (millimeter) thinness. Forefoot wedge Used to establish a varus moment around the midfoot joint. This moment helps to stabilize the forefoot after the pair, reduces the valgus moment caused by the valgus deformation of the forefoot, and reduces the metatarsophalangeal joint (MTPJ) by increasing the ground reaction force (GRF) under the outer side of the forefoot. And reduce the abnormal foot valgus moment around the lower joint.

The shape of the forefoot wedge may vary if the alternate shape is outlined to maintain a distal edge at or behind the small humerus and the medial and proximal edges do not interfere with the first metatarsal pad and the arch support region.

Preferably, for a men's midsize insole, the forefoot wedge has a length of about 55.9 mm (millimeter) and a width of about 51.3 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the forefoot wedge. For different sizes of insoles, the size can be achieved by proportionally changing all dimensions of the forefoot wedge.

Preferably, the forefoot wedge is made of a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used for the forefoot wedge, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides suitable stiffness and material characteristics to maintain the overall structure and elasticity of the forefoot wedge.

The foot of the insole in the boundary of the hindfoot wedge/heel elevation zone With the district. The heel pad provides impact attenuation and elastic pad action at the heel strike. Maintaining the heel pad unengaged will reduce the ground reaction force (GRF) below the central heel area to treat a particular foot condition and reduce the insole thickness to improve shoe suitability.

The shape of the heel pad can be altered if the alternate shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's midsize insole, the heel pad has a length of about 63.3 mm (millimeter) and a width of about 38.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel pad, and is preferably less than the hindfoot wedge or heel elevation. For different sizes of insoles, the size can be achieved by varying the dimensions of the heel pad.

Preferably, the heel pad is made of a high density EVA material having a hardness of about 75-80 Asker C. Alternatively, the heel pad can be a medium density material that uses a low density of about 45-50 Asker C hardness, or (or) 50-75 Asker C. Other materials may be used in heel pads, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gels, which provide suitable stiffness and material characteristics to maintain the overall structure and elasticity of the heel pad.

Example 13:

Situation: The patient reported playing basketball, going up the stairs and going down the stairs, and when standing up from the seat, there was pain under the right knee bone. Take the necessary ibuprofen to cause reflux of gastric acid. The physiotherapist has instructed the use of knee pads with a sacral opening and VMO intensive training, which has been helpful. The patient mentioned that she always stood in the right knee bent position.

Examination: right tibiofemoral joint compression pain and patellofemoral cognition test. Only in the static standing right foot excessive foot varus (and calcaneus valgus). The first metatarsal bone of the right foot is wrong. Under the Hebscher Maneuver test, the dorsiflexion of the right foot was reduced. Short left foot of about 8.0 mm (millimeter).

Diagnosis: tibia femoral pain syndrome (PFPS, Patello-femoral Pain Syndrome).

Treatment: A hard arch support and a hindfoot wedge can be applied to the right insole. A first metatarsal head pad should only be applied to the left insole so that the right insole can be adapted to the first metatarsal flexion. A heel lift can be applied to the left insole to correct for differences in length of the lower limbs. The heel pad can be applied to maintain a ground reaction force (GRF) size below the central heel portion.

Alternatively, the insole delivered to the wearer may be a pre-engaged heel pad and a first metatarsal head pad prior to application of the add-on by the wearer. For this example, the first metatarsal head pad of the right insole needs to be adjusted to reduce the ground surface below the first metatarsal head. Force (GRF) and adjust the first metatarsal flexion.

The arch support region is disposed along the longitudinal arch support and has a proximal end that is closest to the heel end of the insole and a distal end that extends toward the toe end of the insole. Connecting the proximal end to the distal end is an inner edge and an outer edge, the outer edge having a parabolic shape. The arch support portion partially surrounds the medial side of the base layer below the medial longitudinal arch support. In general, it is located either in the arch region of the foot or below the talus, the scaphoid, the first clavicle, and the proximal portion of the first metatarsal. The arch support is formed in the same manner as the arch support region and is secured to the arch support region of the underside of the base layer. An adhesive or cement can be used to secure the arch support to the arch support region.

A specific embodiment of the arch support is defined from the proximal end to the distal end a plurality of extension ribs extending outwardly from the arch support. This particular embodiment provides a hard support for the arch region. The extended rib is about 0.5 mm (millimeter) thick. The width of each of the extended ribs is about 5 mm (millimeters).

This first embodiment is preferably made of a nylon material having a hardness of about 90-100 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-ribbed region ranges from about mm (mm). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

A second embodiment of the arch support defines a plurality of rib-shaped recesses extending from the proximal end to the distal end extending inwardly from the arch support. This particular embodiment provides elastic support for the arch region. The rib recess is recessed into the arch support portion by about 0.5 mm (millimeter). The width of each rib recess is about 5 mm (millimeter).

This second embodiment is preferably made of a nylon material having a hardness of about 80-90 Shore A, such as Nylon 66. The thickness of the arch support portion of the non-ribbed region ranges from about mm (mm). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

A third embodiment of the arch support includes a plurality of extended ribs extending outwardly from the arch support; a plurality of essentially horizontal ribs having a rib that is serrated at the arch support a shape; and a plurality of rib-shaped openings extending inwardly from the arch support. This particular embodiment provides a semi-elastic or semi-rigid support of the arch region.

The arch support defines one or more extended ribs, one or more intrinsic horizontal ribs, and one or more rib shaped recesses from the proximal end to the distal end. Preferably, three extension ribs, three of the essentially horizontal ribs, and three rib recesses are used. The width of each rib is about 5 mm (millimeters). The extension rib is about 0.5mm (male) PCT) thickness. The rib recess is recessed into the arch support portion by about 0.5 mm (millimeter). The intrinsic horizontal rib has a rib profile of about 0.5 mm (millimeter) depth.

The rib recess improves the elasticity at the distal end of the arch support without sacrificing the longitudinal arch support at the center and proximal end of the arch support.

The first three rib-shaped recesses of the distal third of the arch support provide a region that allows proximal proximity to the first metatarsal head (ie, the distal shaft of the first metatarsal) to remain resilient for the pace of travel During this period, the first toe is unrestricted.

The center and proximal two-thirds of the arch support (horizontal ribs and extension ribs) are hardened by progressively thicker transverse bars to provide improved arch support and when the foot is moved to the internal rotation position Apply a higher anti-foot varus ground reaction force (GRF) size in the load-to-distance zone.

This third embodiment is preferably made of a nylon material having a hardness of about 80-90 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-ribbed region ranges from about mm (mm). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

Alternatively, the rib-shaped recess may be a rib-shaped opening. Rib opening definition allows the base The bottom layer extends through it. The width of each rib is about 5 mm (millimeters). The base layer is shaped such that a portion of its material is injected into the rib-shaped openings such that the portion substantially flushes the outer surface of the arch support and mechanically locks the arch support with the substrate layer. Advantageously, when compressing the substrate layer (e.g., when walking or running), the substrate layer material can also be blasted through the rib-shaped openings to provide additional elastic pad action.

For a men's mid-size insole, the arch support is about 104-105 mm (millimeters) in length. The width at the widest point near the center is about 37.5 to 38.5 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the first arch support.

The heel elevation is generally tapered from a thicker edge of about 4 mm (millimeters) to a thinner edge of about 1 mm (millimeter). The heel lift is used to adjust the saddle in the sagittal plane to adjust the forefoot and ankle flexion, and the associated kinematics and motor effects of the lower extremity musculoskeletal system; or to balance the difference in length of the lower extremities.

The shape of the heel elevation can be altered if the alternative shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's mid-size insole, the heel elevation has a length of about 71.8 mm (millimeter) and a width of about 46.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel lift. Correct For different sizes of insoles, the size can be achieved by proportionally changing all dimensions of the heel lift.

Preferably, the heel lift is made from a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used in heel lifts, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provide adequate hardness and material characteristics to maintain the overall heel elevation Structure and flexibility.

The first metatarsal head pad area is an area on the underside of the base layer and is located below the first metatarsal head of the foot. The first metatarsal head pad is formed in the same manner as the first metatarsal head pad area and is fixed to the first metatarsal head pad area. An adhesive or bonding agent can be used to secure the first metatarsal head pad to the first metatarsal head pad area.

The shape of the first metatarsal head pad is a slightly irregular polygonal shape. Preferably, the first metatarsal head pad has an intrinsic linear distal edge, a slightly curved inner edge that follows the curvature of the inner side of the insole; a proximal edge that is curved or angled to follow the arch support region. The shape of the humerus edge; and an outer edge, which is curved or linear.

Preferably, for a men's midsize insole, the first metatarsal head pad has a length of about 73.5 mm (millimeter) and a width of about 29.3 mm (millimeter) at the distal edge. The proximal end of the first metatarsal head pad comes to a point near the outer and outer edges. This length and width can be The range of ±5 mm (millimeters) varies and still maintains the desired performance of the first metatarsal head pad. For different size insoles, the size can be achieved by proportionally changing all dimensions of the first metatarsal head pad.

Preferably, the first metatarsal head pad is an EVA material utilizing a hardness of about 40-45 Asker C. Alternatively, the first metatarsal head pad has a hardness of between about 45-55 Asker C, or (or) 55-60 Asker C. The thickness of the first metatarsal head pad is about 2-2.5 mm (millimeters) thick or the depth of the first metatarsal head pad area. The basic design of the first metatarsal head pad is to establish a ground reaction force (GRF) difference below the first metatarsal head pad and to allow the first metatarsal head to lower to the other tibial surface when the first metatarsal head pad is not engaged. Other materials may be used for the first metatarsal head pad, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides appropriate hardness and material characteristics to maintain the integrity of the first metatarsal head pad. Structure and flexibility.

The heel pad is located in the heel area of the insole within the boundary of the hindfoot wedge/heel elevation zone. The heel pad provides impact attenuation and elastic pad action at the heel strike. Maintaining the heel pad unengaged will reduce the ground reaction force (GRF) below the central heel area to treat a particular foot condition and reduce the insole thickness to improve shoe suitability.

The shape of the heel pad can be altered if the alternate shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's midsize insole, the heel pad has a length of about 63.3 mm (millimeter) and a width of about 38.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel pad, and is preferably less than the hindfoot wedge or heel elevation. For different sizes of insoles, the size can be achieved by varying the dimensions of the heel pad.

Preferably, the heel pad is made of a high density EVA material having a hardness of about 75-80 Asker C. Alternatively, the heel pad can be a medium density material that uses a low density of about 45-50 Asker C hardness, or (or) 50-75 Asker C. Other materials may be used in heel pads, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gels, which provide suitable stiffness and material characteristics to maintain the overall structure and elasticity of the heel pad.

The heel pad can be secured to the heel pad area between the base layer and the hindfoot wedge or heel elevation.

Example 14:

Situation: The patient reported two internal pains and swellings, which were more severe when running downhill. Insidious onset. No historic knee flexion or direct trauma.

Check: the medial femoral condyle and slightly below the joint line of the goose foot attachment Direct pressure pain. Moderate forefoot knees. In the static standing and pace heel vertical excessive foot varus (main forefoot pronation). Both sides are less than 10° ankle dorsiflexion.

Diagnosis: Goose-foot friction syndrome and inflammation of the bones.

Treatment: The heel elevation can be applied to "balance" the forefoot and the ankle. The combined medial longitudinal arch support can substantially reduce the associated excessive foot varus in the first illustration, and the patient-tolerant arch support and hindfoot wedge should be considered to reduce excessive forefoot pronation. The heel pad and the first metatarsal head pad can be applied to maintain a ground reaction force (GRF) size below the first metatarsal head and the central heel.

Alternatively, the insole delivered to the wearer may be a pre-engaged heel pad and a first metatarsal head pad prior to application of the add-on by the wearer.

The arch support region is disposed along the longitudinal arch support and has a proximal end that is closest to the heel end of the insole and a distal end that extends toward the toe end of the insole. Connecting the proximal end to the distal end is an inner edge and an outer edge, the outer edge having a parabolic shape. The arch support portion partially surrounds the medial side of the base layer below the medial longitudinal arch support. In general, it is located either in the arch region of the foot or below the talus, the scaphoid, the first clavicle, and the proximal portion of the first metatarsal. The arch support is formed in the same manner as the arch support region and is secured to the underside of the base layer. An adhesive or cement can be used to secure the arch support to the arch Support area.

A specific embodiment of the arch support is defined from the proximal end to the distal end a plurality of extension ribs extending outwardly from the arch support. This particular embodiment provides a hard support for the arch region. The extended rib is about 0.5 mm (millimeter) thick. The width of each of the extended ribs is about 5 mm (millimeters).

This first embodiment is preferably made of a nylon material having a hardness of about 90-100 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-ribbed region ranges from about mm (mm). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

A second embodiment of the arch support defines a plurality of rib-shaped recesses extending from the proximal end to the distal end extending inwardly from the arch support. This particular embodiment provides elastic support for the arch region. The rib recess is recessed into the arch support portion by about 0.5 mm (millimeter). The width of each rib recess is about 5 mm (millimeter).

This second embodiment is preferably made of a nylon material having a hardness of about 80-90 Shore A, such as Nylon 66. The thickness of the arch support portion of the non-ribbed region ranges from about mm (mm). Other materials can be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate hardness and material. The material features to maintain the overall structure and elasticity of the arch support.

A third embodiment of the arch support includes a plurality of extended ribs extending outwardly from the arch support; a plurality of essentially horizontal ribs having a rib that is serrated at the arch support a shape; and a plurality of rib-shaped openings extending inwardly from the arch support. This particular embodiment provides a semi-elastic or semi-rigid support of the arch region.

The arch support defines one or more extended ribs, one or more intrinsic horizontal ribs, and one or more rib shaped recesses from the proximal end to the distal end. Preferably, three extension ribs, three of the essentially horizontal ribs, and three rib recesses are used. The width of each rib is about 5 mm (millimeters). The extended rib is about 0.5 mm (millimeter) thick. The rib recess is recessed into the arch support portion by about 0.5 mm (millimeter). The intrinsic horizontal rib has a rib profile of about 0.5 mm (millimeter) depth.

The rib-shaped recess improves the elasticity of the distal end of the arch support without sacrificing the longitudinal arch support at the center and proximal ends of the arch support.

The first three rib-shaped recesses of the distal third of the arch support are provided to allow the region proximal to the proximal side of the first metatarsal head (ie, the distal axis of the first metatarsal) to remain resilient at the pace Unconstrained first toe flexion is facilitated during the travel phase.

The center and proximal two-thirds of the arch support (horizontal ribs and extension ribs) are hardened by progressively thicker transverse bars to provide improved arch support and when the foot is moved to the internal rotation position Apply a higher anti-foot varus ground reaction force (GRF) size in the load-to-distance zone.

This third embodiment is preferably made of a nylon material having a hardness of about 80-90 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-rib area ranges from about 1-2 mm (millimeters). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

Alternatively, the rib-shaped recess may be a rib-shaped opening. The ribbed opening is defined to allow the substrate layer to extend therethrough. The width of each rib is about 5 mm (millimeters). The base layer is shaped such that a portion of its material is injected into the rib-shaped openings such that the portion substantially flushes the outer surface of the arch support and mechanically locks the arch support with the substrate layer. Advantageously, when compressing the substrate layer (e.g., when walking or running), the substrate layer material can also be blasted through the rib-shaped openings to provide additional elastic pad action.

For a men's mid-size insole, the arch support is about 104-105 mm (millimeters) in length. The width at the widest point near the center is about 37.5 to 38.5 mm (millimeter). This length and width can vary within ±5 mm (millimeters) and still maintain The desired performance of the first arch support.

The heel elevation is generally tapered from a thicker edge of about 4 mm (millimeters) to a thinner edge of about 1 mm (millimeter). The heel lift is used to adjust the saddle in the sagittal plane to adjust the forefoot and ankle flexion, and the associated kinematics and motor effects of the lower extremity musculoskeletal system; or to balance the difference in length of the lower extremities.

The shape of the heel elevation can be altered if the alternative shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's mid-size insole, the heel elevation has a length of about 71.8 mm (millimeter) and a width of about 46.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel lift. For different sizes of insoles, the size can be achieved by proportionally changing all dimensions of the heel lift.

Preferably, the heel lift is made from a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used in heel lifts, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provide adequate hardness and material characteristics to maintain the overall heel elevation Structure and flexibility.

The first metatarsal head pad area is an area on the underside of the base layer and is located at the foot Below the first metatarsal bone. The first metatarsal head pad is formed in the same manner as the first metatarsal head pad area and is fixed to the first metatarsal head pad area. An adhesive or bonding agent can be used to secure the first metatarsal head pad to the first metatarsal head pad area.

The shape of the first metatarsal head pad is a slightly irregular polygonal shape. Preferably, the first metatarsal head pad has an intrinsic linear distal edge; a slightly curved inner edge that follows the curvature of the inner side of the insole; a proximal edge that is curved or angled to follow the arch support region The shape of the humerus edge; and an outer edge, which is curved or linear.

Preferably, for a men's midsize insole, the first metatarsal head pad has a length of about 73.5 mm (millimeter) and a width of about 29.3 mm (millimeter) at the distal edge. The proximal end of the first metatarsal head pad comes to a point near the outer and outer edges. This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the first metatarsal head pad. For different size insoles, the size can be achieved by proportionally changing all dimensions of the first metatarsal head pad.

Preferably, the first metatarsal head pad is an EVA material utilizing a hardness of about 40-45 Asker C. Alternatively, the hardness of the first metatarsal head pad is between 45-55 Asker C, or (or) 55-60 Asker C. The thickness of the first metatarsal head pad is about 2-2.5 mm (millimeters) thick or the depth of the first metatarsal head pad area. The basic design of the first metatarsal head pad is based on the ground reaction force (GRF) difference below the humeral head, and when the first 跖 is not engaged When the bone pad is used, the first metatarsal head is allowed to lower on the other tibial surfaces. Other materials may be used for the first metatarsal head pad, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides appropriate hardness and material characteristics to maintain the integrity of the first metatarsal head pad. Structure and flexibility.

The heel pad is located in the heel area of the insole within the boundary of the hindfoot wedge/heel elevation zone. The heel pad provides impact attenuation and elastic pad action at the heel strike. Maintaining the heel pad unengaged will reduce the ground reaction force (GRF) below the central heel area to treat a particular foot condition and reduce the insole thickness to improve shoe suitability.

The shape of the heel pad can be altered if the alternate shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's midsize insole, the heel pad has a length of about 63.3 mm (millimeter) and a width of about 38.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel pad, and is preferably less than the hindfoot wedge or heel elevation. For different sizes of insoles, the size can be achieved by varying the dimensions of the heel pad.

Preferably, the heel pad is made of a high density EVA material having a hardness of about 75-80 Asker C. Alternatively, the heel pad can be a medium density material that uses a low density of about 45-50 Asker C hardness, or (or) 50-75 Asker C. Other materials available For a heel pad, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, it provides suitable stiffness and material characteristics to maintain the overall structure and elasticity of the heel pad.

The heel pad can be secured to the heel pad area between the base layer and the hindfoot wedge or heel elevation.

Example 15:

Situation: The patient reports external pain in the right knee. The skiing holiday started to hurt, and the side of the right knee became painful on the side. At this stage, the aerobic exercise program continues to suffer pain.

Examination: Pain is caused by direct pressure on the lateral femoral condyle and is roughly 4-5 cm (cm) along the tendon bundle (ITB, Ilitobial Band). In the static standing, the excessive sole of the foot with the calcaneus valgus is turned, causing the internal rotation of the foot, such as through the "chicken eye type" tibia.

Diagnosis: 髂胫 bundle friction syndrome and tendinitis.

Treatment: When the symptoms are severe, the patient can start wearing an insole with only the first metatarsal pad and the heel pad to see if the medial longitudinal arch support is reduced. symptom. If the symptoms persist, the arch support can be added to the two insoles, along with the heel pad posterior foot wedge to the right insole to reduce the paw varus moment.

Alternatively, the insole delivered to the wearer may be a pre-engaged heel pad and a first metatarsal head pad prior to application of the add-on by the wearer.

The first metatarsal head pad area is an area on the underside of the base layer and is located below the first metatarsal head of the foot. The first metatarsal head pad is formed in the same manner as the first metatarsal head pad area and is fixed to the first metatarsal head pad area. An adhesive or bonding agent can be used to secure the first metatarsal head pad to the first metatarsal head pad area.

The shape of the first metatarsal head pad is a slightly irregular polygonal shape. Preferably, the first metatarsal head pad has an intrinsic linear distal edge; a slightly curved inner edge that follows the curvature of the inner side of the insole; a proximal edge that is curved or angled to follow the arch support region The shape of the humerus edge; and an outer edge, which is curved or linear.

Preferably, for a men's midsize insole, the first metatarsal head pad has a length of about 73.5 mm (millimeter) and a width of about 29.3 mm (millimeter) at the distal edge. The proximal end of the first metatarsal head pad comes to a point near the outer and outer edges. This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the first metatarsal head pad. For different sizes of insoles, the size can change all of the first metatarsal head pad proportionally The size is achieved.

Preferably, the first metatarsal head pad is an EVA material utilizing a hardness of about 40-45 Asker C. Alternatively, the first metatarsal head pad may have a hardness of between about 45-55 Asker C, or (or) 55-60 Asker C. The thickness of the first metatarsal head pad is about 2-2.5 mm (millimeters) thick or the depth of the first metatarsal head pad area. The basic design of the first metatarsal head pad is based on the ground reaction force (GRF) difference under the humeral head and allows the first metatarsal head to be lowered to the other metatarsal surface when the first metatarsal head pad is not engaged. Other materials may be used for the first metatarsal head pad, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provides appropriate hardness and material characteristics to maintain the integrity of the first metatarsal head pad. Structure and flexibility.

Example 16:

Situation: The patient reported a lower back pain when walking, and worsened when jogging more than 1 ,, rest can improve the condition. Previous orthopedic examinations and imaging showed no signs of injury or pathology. The previous diagnosis was an unexplained lower back pain. The main stability training indicated by the physiotherapist has reduced the symptoms by about 50%.

Check: The patient points to the location of the lumbar spine. A short left foot of about 8.0-9.0 mm (millimeters) causes the pelvis to tilt to the left when standing statically. The bilateral internal rotation of the heel with the heel of the heel, the left foot is larger than the right foot. Operation in Herbchel (Hubscher Maneuver) Under the test, the left foot of the left hind paw with dorsiflexion of the left foot showed a significant first toe stiffness and functionalized hallux ankle stiffness (FHL).

Diagnosis: lower back pain at abnormal pace.

Treatment: A heel lift (under careful and close supervision) can be applied to the left insole to reduce slanting of the pelvis. The arch support (patient tolerance) and the hindfoot wedge can be applied to reduce excessive foot varus moments. A first metatarsal head pad can be applied to the right insole. The left insole can be used without the first metatarsal head pad to improve the dorsiflexion of the foot. The heel pad can be applied to maintain a ground reaction force (GRF) size below the central heel.

Alternatively, the insole delivered to the wearer may be a pre-engaged heel pad and a first metatarsal head pad prior to application of the add-on by the wearer. For this example, the first metatarsal head pad of the left insole needs to be adjusted to reduce ground reaction force (GRF) under the first humeral head and improve dorsiflexion of the foot.

The arch support region is disposed along the longitudinal arch support and has a proximal end that is closest to the heel end of the insole and a distal end that extends toward the toe end of the insole. Connecting the proximal end to the distal end is an inner edge and an outer edge, the outer edge having a parabolic shape. The arch support portion partially surrounds the medial side of the base layer below the medial longitudinal arch support. In general, it is located in the arch area of the foot. Or below the talus, the scaphoid, the first clavicle, and the proximal part of the first metatarsal. The arch support is formed in the same manner as the arch support region and is secured to the arch support region of the underside of the base layer. An adhesive or adhesive can be used to secure the arch support to the arch support area.

A specific embodiment of the arch support defines a plurality of extension ribs extending from the proximal end to the distal end that extend outwardly from the arch support. This particular embodiment provides a hard support for the arch region. The extended rib is about 0.5 mm (millimeter) thick. The width of each of the extended ribs is about 5 mm (millimeters).

This first embodiment is preferably made of a nylon material having a hardness of about 90-100 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-ribbed region ranges from about mm (mm). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provide suitable hardness and material characteristics to maintain the overall structure and elasticity of the arch support.

A second embodiment of the arch support defines a plurality of rib-shaped recesses extending from the proximal end to the distal end extending inwardly from the arch support. This particular embodiment provides elastic support for the arch region. The rib recess is recessed into the arch support portion by about 0.5 mm (millimeter). The width of each rib recess is about 5 mm (millimeter).

This second embodiment preferably utilizes a hardness of about 80-90 Shore A Made of nylon material, such as Nylon 66. The thickness of the arch support portion of the non-ribbed region ranges from about mm (mm). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provide suitable hardness and material characteristics to maintain the overall structure and elasticity of the arch support.

A third embodiment of the arch support includes a plurality of extended ribs extending outwardly from the arch support; a plurality of essentially horizontal ribs having a rib that is serrated at the arch support a shape; and a plurality of rib-shaped openings extending inwardly from the arch support. This particular embodiment provides a semi-elastic or semi-rigid support of the arch region.

The arch support defines one or more extended ribs, one or more intrinsic horizontal ribs, and one or more rib shaped recesses from the proximal end to the distal end. Preferably, three extension ribs, three of the essentially horizontal ribs, and three rib recesses are used. The width of each rib is about 5 mm (millimeters). The extended rib is about 0.5 mm (millimeter) thick. The rib recess is recessed into the arch support portion by about 0.5 mm (millimeter). The intrinsic horizontal rib has a rib profile of about 0.5 mm (millimeter) depth.

The rib recess improves the elasticity at the distal end of the arch support without sacrificing the longitudinal arch support at the center and proximal ends of the arch support.

The first three rib recesses of the distal third of the arch support are provided The region proximal to the first metatarsal head (ie, the distal shaft of the first metatarsal) is allowed to remain resilient to facilitate unrestricted first toe flexion during the paced travel phase.

The center and proximal two-thirds of the arch support (horizontal ribs and extension ribs) are hardened by progressively thicker transverse bars to provide improved arch support and when the foot is moved to the internal rotation position Apply a higher anti-foot varus ground reaction force (GRF) size in the load-to-distance zone.

This third embodiment is preferably made of a nylon material having a hardness of about 80-90 Asker A, such as Nylon 66. The thickness of the arch support portion of the non-rib area ranges from about 1-2 mm (millimeters). Other materials may be used, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel to provide adequate stiffness and material characteristics to maintain the overall structure and elasticity of the arch support.

Alternatively, the rib-shaped recess may be a rib-shaped opening. The ribbed opening is defined to allow the substrate layer to extend therethrough. The width of each rib is about 5 mm (millimeters). The base layer is shaped such that a portion of its material is injected into the rib-shaped openings such that the portion substantially flushes the outer surface of the arch support and mechanically locks the arch support with the substrate layer. Advantageously, when compressing the substrate layer (e.g., when walking or running), the substrate layer material can also be blasted through the rib-shaped openings to provide additional elastic pad action.

For men's mid-size insoles, the arch support is about 104-105 Mm (millimeter) length. The width at the widest point near the center is about 37.5 to 38.5 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the first arch support.

The heel elevation is generally tapered from a thicker edge of about 4 mm (millimeters) to a thinner edge of about 1 mm (millimeter). The heel lift is used to adjust the saddle in the sagittal plane to adjust the forefoot and ankle flexion, and the associated kinematics and motor effects of the lower extremity musculoskeletal system; or to balance the difference in length of the lower extremities.

The shape of the heel elevation can be altered if the alternative shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's mid-size insole, the heel elevation has a length of about 71.8 mm (millimeter) and a width of about 46.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel lift. For different sizes of insoles, the size can be achieved by proportionally changing all dimensions of the heel lift.

Preferably, the heel lift is made from a high density EVA material having a hardness of about 75-80 Asker C. Other materials may be used in heel lifts, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gel, which provide adequate hardness and material characteristics to maintain the overall heel elevation Structure and flexibility.

The heel pad is located in the heel area of the insole within the boundary of the hindfoot wedge/heel elevation zone. The heel pad provides impact attenuation and elastic pad action at the heel strike. Maintaining the heel pad unengaged will reduce the ground reaction force (GRF) below the central heel area to treat a particular foot condition and reduce the insole thickness to improve shoe suitability.

The shape of the heel pad can be altered if the alternate shape maintained at one of the heel regions does not interfere with the arch support region.

Preferably, for a men's midsize insole, the heel pad has a length of about 63.3 mm (millimeter) and a width of about 38.9 mm (millimeter). This length and width can vary from ±5 mm (millimeters) and still maintain the desired performance of the heel pad, and is preferably less than the hindfoot wedge or heel elevation. For different sizes of insoles, the size can be achieved by varying the dimensions of the heel pad.

Preferably, the heel pad is made of a high density EVA material having a hardness of about 75-80 Asker C. Alternatively, the heel pad can be a medium density material that uses a low density of about 45-50 Asker C hardness, or (or) 50-75 Asker C. Other materials may be used in heel pads, such as polyurethane (PU), polypropylene (PP), polyethylene (PE) or gels, which provide suitable stiffness and material characteristics to maintain the overall structure and elasticity of the heel pad.

The heel pad can be secured to the heel pad area between the base layer and the hindfoot wedge or heel elevation.

While the preferred embodiment of the present invention has been shown and described, The specific embodiments described in this specification are by way of example and not limitation. The description discloses that many variations and modifications of the invention are possible and are within the scope of the invention.

101‧‧‧ insole

103‧‧‧Top film

105‧‧‧ basal layer

105A‧‧‧ top surface

105B‧‧‧ bottom

106‧‧‧foot arch support

107‧‧‧Forefoot Wedge

108‧‧‧Forefoot wedge

109‧‧‧First humeral head area

110‧‧‧First humeral head cushion

111‧‧‧ heel pad area

112‧‧‧ heel pad

113‧‧‧ hind foot wedge/heel elevation zone

114‧‧‧ hind foot wedge

115‧‧‧Heel uplift

117‧‧‧foot arch support area

118‧‧‧foot arch support

118A‧‧‧Extended ribs

118B‧‧‧ horizontal ribs

118C‧‧‧ Rib recess

120‧‧‧ partition wall

138‧‧‧跖骨骨垫

Claims (27)

An insole having a top side for contacting a wearer's foot; and a bottom side for contacting a wearer's shoe interior, the insole comprising: a base having: a base top surface; a base bottom surface; a heel end; a toe end; an inner boundary positioned adjacent an inner edge of the base; and an outer boundary positioned adjacent an outer edge of the base, the bottom side of the base having: a first metatarsal head pad a region extending from the medial boundary to a position below the first metatarsal; a forefoot wedge region extending from the first metatarsal head pad region to the lateral boundary along the second to fifth metatarsal; A heel region extending from the skeleton footbone to the heel end; and a arch support region extending longitudinally under the arch of the foot inside the base. An interchangeable arch support portion disposed below the arch support region, the interchangeable arch support portion being formed from a variable strength material to provide a variable strength arch support along the medial boundary And extending upwardly under the arch of the foot; a first metatarsal head pad that positions the first metatarsal head pad; a forefoot wedge pad that is placed in the forefoot wedge region; and a heel cushion that is located In the heel area, the heel cushion is used in conjunction with a supplemental cushion placed in the heel area with the heel cushion. The insole of claim 1, wherein the supplemental cushion is a heel lift soft pad. The insole of claim 1, wherein the supplemental cushion is a hindfoot wedge cushion. The insole of claim 1 wherein the arch support is a hard support. The insole of claim 1, wherein the arch support is an elastic support. The insole of claim 1 wherein the forefoot wedge pad is tapered from a thicker outer edge to a thinner inner edge. The insole of claim 1 wherein the heel lift assembly is tapered from a thicker proximal edge to a thinner distal edge. The insole of claim 1, wherein the hind foot wedge pad is tapered from a thicker inner edge to a thinner outer edge. An insole having a top side for contacting a wearer's foot; and a bottom side for contacting a wearer's shoe interior, the insole comprising: a base having: a base top surface; a base bottom surface; a heel end; a toe end; an inner boundary positioned adjacent an inner edge of the base; and an outer boundary positioned adjacent an outer edge of the base, the bottom side of the base having: a first metatarsal head pad a region extending from the medial boundary to the first metatarsal a position of the face; a forefoot wedge region extending from the first metatarsal head pad region to the lateral boundary along the second to fifth metatarsal; a heel region extending from the skeleton footbone to the foot And the one-leg support region extending longitudinally under the arch of the foot on the inner side of the base. An interchangeable arch support disposed below the arch support region having a variable stiffness and based on one or more interchangeable arch supports placed in one of the arch support regions A variable support of the arch region is provided along the medial boundary and extending upwardly below the arch region of the foot. A heel pad is placed in the heel area. The insole of claim 9, wherein the arch support has a variable strength hard material to provide a variable strength arch support. The insole of claim 10, wherein the arch support is a hard support. The insole of claim 10, wherein the arch support is an elastic support. The insole of claim 9, further comprising: a first metatarsal head pad disposed in the first metatarsal head pad area. The insole of claim 9, further comprising: a forefoot wedge pad disposed in the forefoot wedge region. The insole of claim 14, wherein the forefoot wedge pad is tapered from a thicker outer edge to a thinner inner edge. The insole of claim 9, wherein the heel cushion is used with a heel lift pad that is placed in the heel region with a heel cushion, respectively. The insole of claim 16 wherein the heel elevation is tapered from a thicker proximal edge to a thinner distal edge. The insole of claim 9, wherein the heel cushion is used with a hind foot wedge cushion placed in the heel region with the heel cushion. The insole of claim 18, wherein the hindfoot wedge pad is tapered from a thicker inner edge to a thinner outer edge. A method of making an insole having a top side for contacting a wearer's foot and a bottom side for contacting a wearer's shoe interior, the method comprising the steps of: providing a base having: a base top a base; a base; a heel end; a toe end; an inner boundary positioned adjacent the inner edge of the base; The outer boundary is located adjacent to the outer edge of the base, the bottom side of the base having: a first metatarsal head pad region extending from the medial boundary to a position below the first metatarsal; a forefoot wedge shaped region Extending from the first metatarsal head pad region to the lateral boundary along the second to fifth metatarsal; a heel region extending from the skeleton footbone to the heel end; and a arch support region, which is Extending longitudinally under the arch of the foot on the inside of the base. Engaging a variable strength arch support to a base below the arch support region, the arch support being interchangeable into one or more variable strength arch support materials to provide variable strength arch support, which is Along the medial boundary and extending upwardly under the arch of the foot; engaging a first metatarsal head pad to the base portion of the first metatarsal head pad region; engaging a forefoot wedge pad in the forefoot wedge shaped region a base; engaging a heel cushion in the base of the heel region; and engaging a supplemental cushion to the base and heel cushion, respectively placed in the heel region having a heel cushion. The method of claim 20, wherein the supplemental cushion is a heel lift cushion. The method of claim 20, wherein the supplemental cushion is a hindfoot wedge Padded. The method of claim 20, wherein the arch support is a hard support. The method of claim 20, wherein the arch support is an elastic support. The method of claim 20, wherein the forefoot wedge pad is tapered from a thicker outer edge to a thinner inner edge. The method of claim 20, wherein the heel lift assembly is tapered from a thicker proximal edge to a thinner distal edge. The method of claim 20, wherein the hind foot wedge pad is tapered from a thicker inner edge to a thinner outer edge.