M303005 八、新型說明： 【新型所屬之技術領域】 腳拇趾外翻__㈣’是常見的足部疾患之―，大約有现 的成人都有練度不-的_料翻，在美國—年大約有編° 人需要接受矯正手術’在芬_植外_手術是排名第五名的 骨科手術。成因可分為内在及外在兩種因素，内在因素大致上有 神經肌肉病變、第-疏骨與楔狀骨間過度活動、扁 在因素大μ外傷妓長_著不適合_子，制常在長期穿 著高跟鞋的女性身上發現。 iw著腳拇趾外翻的持續進展發展，對於軟組織的傷害如下，丨·内側 的關節囊及肌腱贿；2·姆趾外展肌齡外似下侧婦；3•拉扯 伸拇趾長肌；4使屈姆趾長肌及伸姆趾長肌相對從第一跛骨中央的 力學軸心向外移。 另外對於骨及關節的傷害方面:i•姆趾早期只是外翻，但稍後便發 覺匕從切面上產生内轉外翻的變化。2·種子骨(sesam〇i(j)往骨溝 中外移’從早期内侧種子骨務到骨脊上，到後期外侧的種子骨移 到第一跛骨的外侧。 綜合以上對軟組織及骨關節影響所表現出來的臨床症狀有第一跛 骨頭部隆起處疼痛、進一步的發生黏液囊炎、關節炎等病變。也 因為關節活動度受損及疼痛，容易造成不能穿脫鞋子及不良於行 的問題。 腳梅趾外翻的治療方式可分為開刀治療及保守治療。開刀治療大 M303005 =:Γ:個素一外翻的成_，也會選擇 大心 她_放難輯，正等方式，雖缺 以達治療效果 ^^=她有_妓购料麵絲，錄術後依然 協助來漸紐。轉找魅要財式是物理治療 及改善生活魏，避免不正常_拇指動作，並配合触的穿戴 2以上_ ’确關爾物躲，矯具的使用 疋必須的，而橋具的使用又大致可分為貼布包紮及支架穿戴等 方式兩種方式。 貼布包紮(taping)的好處為服貼於皮膚上，不容易有壓瘡的問題發 生’同時也有不佔體積方便穿脫鞋的好處，但包紮方式有其缺點， 於動作咖帶容易㈣，同時包紮需有專業人行，容易造成 個案使用時的不方便。 另-種方式戴支架’而穿戴支架對於早脑巾度的腳梅趾外 翻是-種有齡人方式’ Toriddetai⑽⑽對使用支架橋正腳拇 趾外翻個無了-年的追蹤發現健能有89%的滿意度，同時和 開刀治療相比也較為經濟。 目刚的支架型態有許多種，和貼布包紮相比，支架的穿戴好處為 方便個案自行穿脫，矯正力量強的優點，因為如此穿戴支架較為 一般個案所採用。 除了直接穿戴於腳拇趾上的支架外，Tangetal，2002發展出了以鞋 内墊型式的支架輔具，此種設計方式雖然能改善，個案穿脫鞋襪 M303005 的困擾，但其單一支點的設計，將不能提供強有力的橋正效果。 綜合上述，支架的穿戴的缺點1·支架過大的體積造成個案穿鞋的 困擾（Tang，2002) 2·使用三點共力原則橋正，其施力點及支點容 _ 易造成個案疼痛及壓瘡的危險，3·目前市售的支架其支點設計位置 ， 多在掌趾侧邊，但許多腳拇趾外翻個案疼痛處也位於掌趾關節 處，如此一來更增加個案疼痛狀況。 本創作在矮具有兩項目地1·為配合每個個案足部外型的差異，本 • #開發出姆外翻矮具之模組，利用此模組經由合格之治療師為個 案量身製作。2·改善施力方式及機構設計：避免過高之壓力點。 目此在本體上為提供續正拇指外翻持力_在個案皮膚接 觸面又要提供柔軟舒適的接觸面，故新設計的矯具將以兩層材料 組成複合式材料製作另外本創作將會使用三點共力的方式提供矯 力，一點力量分別是施加在拇指遠端指骨内侧、腳掌骨遠端及 籲腳掌骨近端部位。為配合每個個案足部外型的差異，本案開發出 姆外翻續具之模組’利用此模組經由合格之治療師為個案量身製 作0 【先前技術】 ^外_術式嫩細療。開刀治療大 不间6^較為厫重的個案’因腳梅趾外翻的朗不同，也會選擇 、f _从，雖然 的手鋼^有效的改善腳拇趾外翻的症狀，但於術後依然 M303005 需要祕_助來預防復發。而保守治駐要的方式是物理治療 。生舌省ί貫避免不正常的腳拇指動作’並配合續具的穿 • 以達治療效果。 搜尋目前市有駐姆外翻橋具相難品··專利號麵卿(圖一） 疋鞋跡式畴具，主要係在鞋墊本財賴_腳趾定位體，該腳 趾定位體具有-硬質部，該硬f部係自鞋墊上對應人體大腳趾與 第二趾間之位置往上凸伸。藉此，具有外偏傾向之大腳趾可受該定 鲁 位體之縱向區段擋定於正常位置。 專職0052聰（圖二）亦是—種鞋墊形式麟具，翻以置設在 患有前述畸型之患者的鞋内，其包含有—鞋墊本體，該鞋墊本體上 於對應人體大腳趾與第二趾間之位置設有一腳趾定位體，藉以保 持前述二腳趾之相對位置，#可矯正大腳趾往外彎偏之崎型情 況’使能有效發揮矯正效果。 專職GG521㈣（®三）續正n包含有-座板，用以關於患者腳 底前端；一腳趾定位體，用以分隔及定位患者之大腳趾及第二趾。 另一型式則概呈長形體，其一端具有一可供大腳趾伸入之第一定 位孔，該第一定位孔之侧旁又具有一第二定位孔，用以供大腳趾外 之其餘四趾伸入，該二定位孔之間形成一可供人體大腳趾及第二 趾自然夾住之分隔體。 以上二種矯正方式皆是使用被動的分隔方式並無對拇指外翻的最 根本原因也就是跛骨(metatarsal bone)與趾骨(phalanx)所形成 的掌趾關節的角度進行矯正，此種設計方式雖然能改善，個案穿 M303005 脫鞋猶的崎’但其單—支點触計，將不能提供絲力的矯正 效果。 而專利琥GG41_是一種腳掌橋正目定用夾板，細夾板的夾力 將疏月橋正回正常位置，以崎正姆外翻症狀；賴此種產品對 於腳相纽卿肖度錢鱗正賊果，但因沒有穩定的固定 故會影響矯正效果。 另外目別專利產品都是完全成品，但每個人的足部皆有差異，若 以上述四種產品實施在㈣身上，則不容易滿足每個個案足部外 型差異的問題。 因此本案的動機為開發新型腳拇指外翻支架套件，配合治療師施 作于個案足部，改善現有市售產品外型不服貼及矯正力不適當的 問題。 【新型内容】 本《十晝預計設計出的新式姆外翻矯具將要有外型服貼及矯正力可 調整的好處；而改進的方式將以材料、施力方式及外型三方面著 手。 在材料選擇部分： 在墙具本體上為提供整體矯具支持力但在與個案皮膚接觸面又要 提供柔軟舒適的接觸面，故新設計的矯具將以兩層材料組成複合 弋材料製作。這兩層材料分別是AQUAcast (蟲信公司）提供堅硬 、支撐力及形狀§己憶發泡材料（shape memory foam，博司科技公 M3 03 005M303005 VIII, new description: [New technical field] The foot valgus valgus __ (four) 'is a common foot disease ―, about the existing adults have not practiced _ material turnover, in the United States - year There are about 5% of people who need to undergo corrective surgery 'in Fen_Explants _ Surgery is the fifth-ranked orthopedic surgery. The causes can be divided into two factors: internal and external factors. The internal factors are generally neuromuscular lesions, excessive activity between the first-sparse and wedge-shaped bones, and the flat factors are large and the external injury is long. Found in women who wear high heels for a long time. Iw has continued to progress in the hallux valgus, and the damage to the soft tissue is as follows: the inner joint capsule and the muscle bribe; 2; the toe abductor muscle age is like the lower side of the woman; 3 • pull the long toe of the big toe ;4 The metatarsal longissimus and the long toe long muscles are moved outward from the central axis of the first metatarsal. In addition, for the damage of bones and joints: i•m toe was only everted in the early stage, but later it was found that the inversion of the inversion from the cut surface. 2. Seed bone (sesam〇i(j) moves outward in the bone groove' from the early inner seed bone to the bone ridge, and the lateral outer seed bone moves to the outer side of the first metatarsal. Comprehensive above for soft tissue and bone joint The clinical symptoms manifested by the impact include pain in the first humeral head bulge, further occurrence of bursitis, arthritis, etc. Also, due to impaired joint mobility and pain, it is easy to cause the shoes to be worn and the shoes are not good. The problem of the treatment of the foot plum valgus can be divided into open surgery and conservative treatment. The treatment of large M303005 =: Γ: a single valgus into a _, will also choose the big heart her _ put difficult series, just way Although it lacks the therapeutic effect ^^=She has _ 妓 料 料 , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , Wear 2 or more with the touch _ 'Immediately hide, the use of the rig is necessary, and the use of the bridge can be roughly divided into two ways: patch dressing and bracket wear. Patching (taping) The advantage is that it is not easy to stick to the skin. The problem of pressure sore occurs 'at the same time, there is also the advantage of not taking up the volume to take off the shoes, but the method of dressing has its shortcomings. It is easy to use the action coffee belt (4), and the dressing needs to have a professional person, which is easy to cause inconvenience when using the case. The way to wear the bracket 'and wear the bracket for the early brain towel foot plume toe valgus is a kind of ageing way' Toriddetai (10) (10) on the use of the bracket bridge positive foot toe valgus no - year tracking found that health can have 89 % satisfaction is also more economical than surgery. There are many types of stents. Compared with patch dressing, the wear benefits of the stent are convenient for the case to wear and remove, and the strength of correction is strong because Such wearing the bracket is more common in the case. In addition to the bracket directly worn on the toe of the foot, Tangetal, 2002 developed a bracket accessory with a shoe inner cushion type. Although this design can be improved, the case wears off the footwear. M303005 is troubled, but its single point design will not provide a strong bridge effect. In summary, the shortcomings of the bracket wear 1 · the large volume of the bracket caused the case Trouble in wearing shoes (Tang, 2002) 2. Use the three-point principle to bridge the bridge, its force point and support point _ easy to cause the pain of the case and pressure sore, 3. The position of the fulcrum of the currently commercially available bracket, More on the side of the palm toe, but many of the pains of the hallux valgus case are also located in the metatarsophalangeal joint, which increases the pain of the case. The creation has two items in the short section. Differences in appearance, Ben•# Developed a module for the valgus dwarf, using this module to make a case for a case by a qualified therapist. 2. Improve the force application and mechanism design: avoid excessive pressure points In order to provide a continuous thumb eversion force on the body _ in the case of the skin contact surface to provide a soft and comfortable contact surface, the newly designed orthosis will be made of two layers of composite materials to create another creation The three-point force is used to provide the force. One point of force is applied to the inside of the distal phalanx of the thumb, the distal end of the metacarpal bone, and the proximal part of the metacarpal bone. In order to match the differences in the foot shape of each case, the case developed a module for the valgus continuation of the case. Using this module to make a case for a case by a qualified therapist. [Previous technique] ^External_Surgical Treatment. Open the knife to treat the big 6^ more serious cases 'Because the foot plum toe valgus is different, it will also choose, f _ from, although the hand steel ^ effectively improve the symptoms of the foot hallux valgus, but in surgery After still M303005 need secret _ help to prevent recurrence. The way to be conservative is to physiotherapy. The tongue is saved to avoid abnormal foot movements and is used in conjunction with the continuation of the wearer. Search for the current city has a detachable bridge with a fascinating fascination · · patent number face (Figure 1) 疋 shoes track domain, mainly in the insole 财 _ _ toe positioning body, the toe positioning body has a - hard part The hard f portion protrudes upward from the position between the big toe and the second toe of the human body on the insole. Thereby, the large toe having a tendency to be biased can be blocked in the normal position by the longitudinal section of the fixed luer. Full-time 0052 Cong (Fig. 2) is also a kind of insole form, which is placed in a shoe of a patient suffering from the aforementioned abnormality, and includes an insole body on the body of the corresponding big toe and the second A toe positioning body is arranged at the position between the toes to maintain the relative position of the two toes, and # can correct the large toe outward deflection of the knee-shaped condition to enable effective correction effect. The full-time GG521(4)(®3) continuation n includes a seat plate for the front end of the patient's foot; a toe positioning body for separating and positioning the patient's big toe and second toe. Another type is an elongate body having a first positioning hole for the big toe to extend into one end, and a second positioning hole on the side of the first positioning hole for the remaining four outside the big toe The toe extends, and a partition body between the two positioning holes is formed for the human toe and the second toe to be naturally clamped. Both of these corrections use a passive separation method. The most fundamental cause of thumb valgus is the correction of the angle of the metatarsophalangeal joint formed by the metatarsal bone and the phalanx. Although it can be improved, the case wears the M303005 to take off the shoe, but its single-fulcrum touch will not provide the corrective effect of the silk force. The patent amber GG41_ is a type of foot bridge that is used for the purpose of the splint. The clamping force of the thin splint will return the lunar bridge back to its normal position, with the symptoms of Qizheng valgus; Lai this product for the foot of the New Zealand Xiaodu Qian scale It is a thief, but because there is no stable fixation, it will affect the correction effect. In addition, the patented products are all finished products, but each person's foot is different. If the above four products are implemented in (4), it is not easy to meet the problem of the difference in the foot shape of each case. Therefore, the motivation for this case is to develop a new type of thumb and valgus bracket kit, and to work with the therapist on the foot of the case to improve the problem of improper appearance and improper correction of existing commercial products. [New Content] The new mitigator is expected to be designed with the advantages of external conformation and corrective force adjustment; the improvement method will start with materials, force application and appearance. In the material selection section: In order to provide overall orthopedic support on the wall body but to provide a soft and comfortable contact surface in contact with the skin of the case, the newly designed orthosis will be made of two layers of composite enamel material. The two layers of material are AQUAcast, which provides hard, supportive and shape § recalled foam materials (shape memory foam, Bosi Technology M3 03 005
司）提供柔軟舒適的接觸面，❿這兩層材料都是屬於低_可塑 性材料，也就是·加熱錢。〜紙的工作溫紅碰料就會軟 化隻成可加以塑型的狀態，待其冷卻之後即可維持新型狀及回復 原始的硬度；而在達到工作溫度時，除了材料外型可加以塑造之 卜這兩種材料也會互相黏著；而本創作產品將以此種方式將此 兩種材料黏α。而在材料厚度方面，為了讓新剌^具能順利穿 戴在-絲？巾故*宜稱，在顺east翻2為的規格，而 在形狀記憶發泡材料部分則選用丨· 2麵厚的材料。 在提供施力方面： 本计晝將會制三點共力的方式提倾正力，三點力量分別是农 加在梅指遠_骨_、腳掌骨遠端及腳掌fr近端部位所示打^ F3會對F2處形成-向外側旋轉之力矩而達顺正的效果。 :提供Π及F2力量的來狄_具本身的材料型變造成的則 力’而F3則是由固定帶所提供的力量。 外型設計及製作方面： 為配合每個個案足部外型的差異，本案開發㈣外翻續 組’细此敝_合格之治_油#量身製作。而為^ 二點共力誠力;^式，_要有的裝置需包含 c 塾在掌趾骨頭處的支雜及掌趾骨底部㈣定點。 多的矯正力，將會在橋具上加上—條可調整的 : 此綁帶之張力後，將可控制矯具之變带旦 、 調’ 續具提供之端正力。 1，進一步的增加或減d M3 03 005 【實施方式】 先將橋具本體版魏域溫水槽使娜响溫度雜料軟化； 、軟化材料放置於個案腳上成形，約等待5分鐘使其硬度恢復； 】用強力剪將乡騎料剪去，即可制腿麟健腳上之續具 〜、、星由橋具本體上之固定帶魔鬼沾部分穿過矯具本體上下孔 疋於使用者腳上，而軟質部則服貼於個案腳上提供舒適之固定 效果；最後經由矯正力調整帶前後孔，穿過調整力調整帶，即可 提供可調整整體橋具端正力。 【圖式簡單說明】 圖專利編號00521623具有矯正大腳趾外翻崎型功能之鞋墊 圖-、專利編號GG521622具魏正大卿外翻畸型功能之輕墊 圖二、專利編號0〇52162〇用以矯正大腳趾外翻畸型之矯正器 圖四、專利編號_3_附有矯正腳掌固定用夾板及其鞋W 圖五、本設計姆外翻矯具零件 圖六、本設計橋具本體各視角圖示 圖七、本設計穿戴於腳上斜視圖 圖八、本設計穿戴腳上俯視圖 【主要元件符號說明】 M303005 圖一、41腳趾定位體硬質部，42腳趾定位體軟質部 圖二、41腳趾定位體硬質部，43腳趾定位體軟質部 圖三、90腳趾定位 圖四、23固定用夾板 [本創作] ，39鞋體本身，43鞋跟 11矯具板型 12腳姆指孔洞 13矯正力調整前孔 14矯正力調整後孔 15固定帶上孔 16固定帶下孔 17成形後之矯具本體 21固定帶 22固定帶魔鬼沾部分 30矯正力調整帶 23固定帶軟質部Division) provides a soft and comfortable contact surface, both of which are low-plastic materials, that is, heating money. ~When the work temperature of the paper is soft, it will soften only into a shape that can be molded. After it is cooled, it can maintain the new shape and restore the original hardness. When the working temperature is reached, it can be shaped except the material shape. These two materials will also stick to each other; this product will adhere the two materials in this way. In terms of material thickness, in order to let the new 剌 ^ tool wear it smoothly - silk? The towel should be said to be turned into a size of 2, and the material of the shape memory foam is made of a material having a thickness of 2 layers. In terms of providing force: This plan will make a three-point force to increase the positive force. The three points of force are respectively shown by the farmer in the plum finger _ bone _, the distal end of the foot bone and the proximal end of the foot fr Playing ^ F3 will form a smoothing effect on the outward rotation of the F2. : The force that provides the strength of the Π and F2 _ has its own material-type change, and the F3 is the force provided by the fixed belt. Appearance design and production: In order to cope with the difference in the appearance of the foot of each case, the development of this case (4) continuation of the group of continuation of the group _ _ qualified governance _ oil # tailor-made. For ^ two points together force; ^ type, _ the necessary device should contain c 塾 at the palm of the metacarpal bone and the bottom of the metacarpal bone (four) fixed point. The more corrective force will be added to the bridge. The tension of the strap will control the tension of the strap and adjust the positive force provided by the adapter. 1, further increase or decrease d M3 03 005 [Embodiment] First, the bridge body version of the Wei domain warm water tank to soften the temperature of the material; softening material placed on the case foot, about 5 minutes to make it hardness Recovery; 】 Use the strong shear to cut the country riding material, you can make the continuation of the leg on the foot of the foot ~,, the star is fixed on the body of the bridge with the devil stained part through the upper and lower holes of the body of the appliance On the foot, the soft part is attached to the case foot to provide a comfortable fixing effect; finally, the front and rear holes are adjusted by the correcting force, and the adjustment force adjustment belt is provided to provide an adjustable overall bridge end force. [Simple description of the drawing] Figure No. 00521623 has a shoe sole map for correcting the function of the big toe valgus, and the patent number GG521622 has a soft padding pattern of Wei Zhengdaqing's valgus deformity function. Patent No. 0〇52162〇 is used for correction. Big toe valgus deformity aligner Figure 4, patent number _3_ with corrective foot fixed splint and its shoes W Figure 5, the design of the m valgus parts of the design Figure 6, the design of the design of the bridge body Figure VII, this design is worn on the foot oblique view Figure 8. Top view of the design wear foot [Main component symbol description] M303005 Figure 1, 41 toe positioning body hard part, 42 toe positioning body soft part Figure 2, 41 toe positioning body Hard part, 43 toe positioning body soft part figure three, 90 toe positioning figure four, 23 fixed splint [this creation], 39 shoe body itself, 43 heel 11 correction plate type 12 foot thumb finger hole 13 correction force adjustment Hole 14 correction force adjustment hole 15 fixed belt upper hole 16 fixed belt lower hole 17 formed after the correction body body 21 fixed belt 22 fixed belt devil stained portion 30 correction force adjustment belt 23 fixed belt soft portion