WO2019140255A2 - Dynamic foot support for walking aid devices - Google Patents

Dynamic foot support for walking aid devices Download PDF

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Publication number
WO2019140255A2
WO2019140255A2 PCT/US2019/013293 US2019013293W WO2019140255A2 WO 2019140255 A2 WO2019140255 A2 WO 2019140255A2 US 2019013293 W US2019013293 W US 2019013293W WO 2019140255 A2 WO2019140255 A2 WO 2019140255A2
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WO
WIPO (PCT)
Prior art keywords
foot
foot support
rotation
ground
base
Prior art date
Application number
PCT/US2019/013293
Other languages
French (fr)
Other versions
WO2019140255A3 (en
Inventor
William Scott
Joseph Cuiffi
Original Assignee
Applied Mobility Devices, LLC
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Applied Mobility Devices, LLC filed Critical Applied Mobility Devices, LLC
Publication of WO2019140255A2 publication Critical patent/WO2019140255A2/en
Publication of WO2019140255A3 publication Critical patent/WO2019140255A3/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus ; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H3/00Appliances for aiding patients or disabled persons to walk about
    • A61H3/02Crutches
    • A61H3/0277Shock absorbers therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H3/00Appliances for aiding patients or disabled persons to walk about
    • A61H3/02Crutches
    • A61H3/0288Ferrules or tips therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/01Constructive details
    • A61H2201/0165Damping, vibration related features
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12Driving means
    • A61H2201/1253Driving means driven by a human being, e.g. hand driven
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1602Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/1635Hand or arm, e.g. handle
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2203/00Additional characteristics concerning the patient
    • A61H2203/04Position of the patient
    • A61H2203/0406Standing on the feet

Definitions

  • One or more embodiments of the invention relates generally to mobility aid devices.
  • the invention relates to improvements to crutches and canes, walking sticks, substitute crutches, walkers and leg/foot prosthesis regarding the foot or base component that contacts the ground
  • a user walking with crutches will take a minimum of 2,400 steps, with children taking closer to 3,000.
  • the jarring staccato of each of these steps reverberating wave after wave of pain through though the cratches, further causes discomfort to the entire body however specifically irritates the hands, wrists, elbows, shoulder joints and upper back.
  • Embodiments of the present invention provide a foot support for a mobility aid device comprising a rotation joint that allows a frame of the mobility aid device to rotate forward and rearward in the direction of a walking gait of a user, providing a range of motion including a position where a foot base is nominally horizontal and stationary on the ground; and a front spring mechanism and a rear spring mechanism in the front and rear of the foot, wherein the rear spring mechanism is configured to engage upon the initial contact with the surface partially and progressively absorbing the impact and front spring mechanism is configured to engage progressively and then release propelling the user forward.
  • the spring mechanism is effective in mitigating the jarring caused by the typical staccato crutch movement, however it may be insufficient to dampen the energy wave caused by impact upon initial ground contact, so both front and rear spring mechanisms may be augmented by a dampening system that mutes the wave energy when the spring mechanisms are engaged. This produces a smother experience for the user.
  • the foot support further includes a mechanism holding a position of rotation of the foot about the rotation joint while the foot is not in contact with the ground.
  • the foot support further includes a damping mechanism for each of the front spring mechanism and the rear spring mechanism.
  • the rotation joint is offset from a center position along the front to rear of the foot base.
  • the rotation joint may be offset from center, or located anywhere along the foot base.
  • the rotation joint may be at a position from about 35% to about 45% of a length of the foot base from the rear thereof.
  • Embodiments of the present invention further provide a foot support for a mobility aid device comprising a rotation joint that allows a frame of the mobility aid device to rotate forward and rearward, as well as, optionally, laterally, in the direction of a walking gait of a user, providing a range of motion including a position where a foot base is horizontal and stationary on the ground; a front spring mechanism and a rear spring mechanism along with the dampening system in the front and rear of the foot, wherein the rear spring mechanism is configured to engage and dampen impact upon initial ground contact, both front and rear spring mechanisms are engaged when the foot base is horizontal on the ground, and the front spring mechanism assists in release and propulsion form the ground; and a mechanism holding a position of rotation of the foot about the rotation joint while the foot is not in contact with the ground, wherein the rotation of the mobility device frame is within about 20 degrees of vertical
  • FIG. 1 is a top view of a mobility aid foot according to an exemplary embodiment of the present invention
  • FIG. 2 is a side view of the mobility aid foot of FIG. 1;
  • FIG. 3 is a cross-sectional side view of the mobility aid foot of FIG. 1, illustrating rearward rotation of the mobility aid frame pole;
  • FIG. 4 is a cross-sectional side view of the mobility aid foot of FIG. 1, illustrating forward rotation of the mobility aid frame pole;
  • FIG. 5 is a cross-sectional side view of the mobility aid foot of FIG. 1 , illustrating a heal strike position
  • FIG. 6 is a cross-sectional side view of the mobility aid foot of FIG. 1, illustrating a flat foot position
  • FIG. 7 is a cross-sectional side view of the mobility aid foot of FIG. 1, illustrating a toe- off position;
  • FIG. 8 is a cross-sectional side view of a mobility aid foot using springs according to an exemplary embodiment of the present invention.
  • FIGS. 9A through 9C illustrate the use of a mobility aid device having the foot of FIG. 1 for use in assisting a user to move between seated and standing positions, according to an exemplary embodiment of the present invention.
  • a commercial implementation in accordance with the spirit and teachings of the present invention may be configured according to the needs of the particular application, whereby any aspect(s), feature(s), function! s), result(s), component(s), approach(es), or step(s) of the teachings related to any described embodiment of the present invention may be suitably omitted, included, adapted, mixed and matched, or improved and/or optimized by those skilled in the art, using their average skills and known techniques, to achieve the desired implementation that addresses the needs of the particular application.
  • inventions of the present invention provide mobility aid devices, such as crutches, improved ergonomics, comfort and support for the user.
  • the crutches can include a foot having a joint that allows the mobility aid device frame to rotate forward and backward in the direction of walking gait, providing a range of motion where the foot base is horizontal and stationary on the ground.
  • the foot can include spring and damping mechanisms in the front and rear of the foot, wherein the rear spring and damping mechanisms are configured to engage and dampen impact upon initial ground contact, both front and rear mechanisms are engaged when the foot base is horizontal on the ground, and the front mechanism assists in release and propulsion form the ground.
  • the foot further can include a mechanism that holds the position of the foot rotation while the foot is not in contact with the ground.
  • the foot device of the present invention provides a dynamic motion during the walking gate, while improving stability and providing comfort from ground contact impact.
  • the foot device can be used for various mobility aid devices, such as canes, axilla crutches, cuff crutches, and hybrid
  • FIGS. 1 and 2 An example embodiment of a foot device 10 of the present invention is shown in FIGS. 1 and 2.
  • the foot device 10 can attach to the base pole 12 (also referred to as frame 12, see FIG 3) of a cratch or cane mobility device aid, replacing the standard rubber end-cap found on the majority of crutches and canes.
  • the foot device 10 can include a rotation joint 14 on an inside of a base pole receptacle 16 for rotatably retaining the base pole.
  • Friction areas 18 may be formed on either side of the base pole receptacle 16 for increasing friction between the base pole and the foot 10.
  • a front end 20 of the foot 10 can include a front suspension area 22 and a front support 24 extending upwardly from the front suspension area 22.
  • a foot upper 26 can be disposed on either side of the base pole receptacle 16 and the foot upper 26 may connect the front support 24 with a rear support 28.
  • a rear suspension area 30 may be disposed between the rear support 28 and a foot base 32.
  • a first feature of the foot according to embodiments of the present invention, the foot rotation, is further detailed in the exemplary embodiment shown in FIGS. 3 and 4.
  • the base pole 12 of the mobility aid is connected to a bushing 34 of the rotation joint 14 that rotates in a direction generally parallel to the walking gate of a user.
  • This rotation may be up to about 20 degrees from vertical in the rear and forward directions, thus allowing for the foot base to lie horizontal, contacting the ground, during the movement of this rotation.
  • This rotation greatly adds to the stability of the mobility aid, firmly planting the foot base 32 on the ground during movement, instead of having the standard or other static tips roil forward, changing their grip during movement.
  • the increased area of the foot 10, according to embodiments of the present invention further improves ground grip by providing a large contact patch area.
  • the rotation joint 14 can be offset from the center of the foot up to 35% in either direction from center.
  • FIG. 3 shows an example rotation joint 14 positioned a distance D roughly 40% of the total length of the foot 10, from the rear of the foot 10. This feature of the invention allows for propulsion or stability (retarding forward motion early in the gate) depending on the location.
  • the configuration shown in FIG. 3 tends to help user stability when stepping forward, adding to user confidence and safety.
  • the limits to the rotational motion provided by the foot upper 26 provide stability at the forward (FIG. 4) and rear (FIG. 3) positions of the mobility aid.
  • the forward rotation limit is engaged, forcing the entire foot to roll forward, and creating a strong push-off. If the rotation could still go forward, the push off would be unstable. This also works the in the opposite manner during heel strike, providing a firm plant upon the foot contacting the ground.
  • the limits shown for the exemplary- configuration shown in FIGS. 3 and 4 are optimized to 17 degrees rearward and 2 degrees forward.
  • the rearward angle maximum is greater than the forward angle maximum.
  • the rearward angle maximum is at least two or more times greater than the forward angle maximum.
  • FIGS. 1 and 2 is symmetric, and can be used for right and left configurations.
  • the rotational axis can also be tilted inward toward the user, requiring separate right and left feet. This could be used to provide a more fiat contact with the ground, because walking aids are rarely vertical with respect to the body and are splayed outward roughly 10-15 degrees.
  • the foot may be designed to allow the base pole 12 to articulate not only in the direction of walking, but also side-ta-side so that the foot 10 can rest flat on the ground during use, even with the base pole 12 angled inward.
  • the foot 10 of the present invention may also include a mechanism to hold the rotation of the base pole 12 at the forward or rear limits when not in contact with the ground. For example, when toe-off occurs, the base pole 12 is in the forward position. To avoid the foot 10“flopping” around and potentially catching on the floor, the foot 10 may be held in the forward position. Upon heel strike, the foot 10 can rotate quickly to the rear limit.
  • FIG. 1 shows an exemplary embodiment of this aspect, illustrating the friction areas 18 that may be present in the foot upper 26 that rub against the base pole 12.
  • the friction areas 18 can include a curvature that holds the base pole 12 at the rotation limits.
  • the motion of the rotation of the foot 10 of the present invention mimics the rotational action of a human foot, further providing the user with confidence due to the familiarity of the movement.
  • another feature of the foot 10 of the present invention is a suspension system.
  • the pounding of crutches, especially during heel strike (initial ground contact) is jarring and causes discomfort and braising for the user.
  • the suspension system of the foot 10 of the present invention can reduce impact not only during heel strike but during all phases of motion, while storing energy to be released duri ng toe-off, helping to propel the user forward.
  • the suspension system includes rear spring areas 50 and front spring areas 70 in the front and rear of the foot 10 as shown in FIGS. 5 and 7, respectively
  • the rear and front spring areas 50, 70 can be created using any spring mechanism. In some embodiments, as shown in FIG.
  • spring mechanism may be basically a flexible base 62 that is connected in the center of the foot 10. This acts like an open leaf spring or beam spring, with flex limits dictated by the rear and front supports 60, 64.
  • One or more coil springs 80, 82 in these areas can provide a similar spring motion. The motion may be limited for safety and to provide a hard stop stability at the impact extremes.
  • the resiliency of the spring areas 50, 70 may be tunable based on the user preferences, weight, or the like. The tuning may be performed by various methods, such as choice of material, thickness of material or the like.
  • the rear spring area 50 remain compressed, storing energy as the foot roll forward to flat (horizontal with the ground), as shown in FIG. 6.
  • both the front spring area 70 and the rear spring area 50 are compressed by the weight of the user, providing an overall softer feel through the mobility aid frame.
  • the stored energy in the rear spring area 50 helps to propel the user forward.
  • the front spring area 70 unloads, providing a final push forward.
  • the rear spring area 50 and the front spring area 70 may be customized in their resiliency based upon various factors, including, for example, the user’s weight or preference. For example, a heavier user may desire a spring area that provides increased resistance and resiliency.
  • the spring action with the mobility aid devices of the present invention may be further altered through the use of a spring action on the base pole 12 itself.
  • a coil spring or hydraulic shock absorber type design may be used on the base pole 12 to provide additional absorption of energy as the mobility aid device is used.
  • such base pole resiliency is provided between the grip of the mobility aid device and the foot.
  • Suspension damping can also be used in combination with the spring areas 50, 70 to provide a more stable action. This is provided (but not shown) by including elastomer and or foam inserts in a region 60 between the foot base pockets and the upper supports as shown in FIG. 6
  • the articulation of the base pole 12 in the foot 10 may be limited, or locked in a fixed position.
  • one or both of the spring areas 50, 70 may be fixed to limit or remove the resiliency thereof.
  • a user 90 can use a crutch 92 having the foot 10, as described above to help them move between seated and standing positions. While a crutch 92 is shown, the embodiments of FIGS. 9A through 9C may be used with a variety of mobility aid devices incorporating the foot 10, such as a cane, walking stick, or the like.
  • a handle region 94 of the crutch 92 may be positioned below the grip.
  • the handle region 94 may include a padding wrapped around the frame, as shown, may include a textured region, or may simply be formed from the same material and design of the crutch. Regardless, the user may use the articulation feature of base pole 12 in the foot 10 to help them move between seated and standing positions.
  • the foot 10 may be used not only with crutches, but with any variety of mobility aid devices, prosthetics, or the like.
  • the foot 10 may be used with a cane or arm cratch as described in U.S. Patent Application Number , entitled
  • FIG. 1 shows a single frame member articulatably attached to the foot, in some embodiments, more than one frame member may attach to the foot. In other embodiments, multiple frame members may connect to multiple feet, where each may articulate as described above.
  • each comer of the triangle may include a spring area similar to the spring areas 50, 70 described above.
  • front and rear supports 24, 28 may not be required in various aspects of the present invention.
  • the front and rear supports 24, 28 may be replaced by springs or other such materials so that once maximum deflection of the spring areas 50, 70 is reached, the motion is not simply stopped, but, instead, may be further allowed through resistance of the front and rear supports 24, 28
  • the feet may be useful on various other products.
  • the foot as described above may prove especially useful as a foot on a prosthetic leg, where the movements of the foot of the present invention can mimic a person’s ankle movements.
  • the foot can be made from a variety of materials as may be understood by one skilled in the art.
  • Components of the foot may be made of metal, plastic, composites, or the like, and combinations thereof.
  • the rotational motion and the integrated suspension of the foot of the present invention may provide the following features and benefits: 1) More natural motion, mimicking the action of a human foot, 2) maximal contact area during loading, with a firm and stationary grip to the floor during central gate movement, 3) and a rotational offset providing confidence and propulsion at different positions in the walking gate.

Abstract

Mobility aid devices, such as crutches, provide improved ergonomics, comfort and support for the user. The crutches can include a foot having a joint that allows the mobility aid device frame to rotate forward and backward in the direction of walking gait, providing a range of motion where the foot base is horizontal and stationary on the ground. The foot can include spring and damping mechanisms in the front and rear of the foot, wherein the rear spring and damping mechanisms are configured to engage and dampen impact upon initial ground contact, both front and rear mechanisms are engaged when the foot base is horizontal on the ground, and the front mechanism assists in release and propulsion form the ground. The foot further can include a mechanism that holds the position of the foot rotation while the foot is not in contact with the ground.

Description

DYNAMIC FOOT SUPPORT FOR WALKING AID DEVICES
BACKGROUND OF THE INVENTION
1. Field of the Invention
One or more embodiments of the invention relates generally to mobility aid devices.
More particularly, the invention relates to improvements to crutches and canes, walking sticks, substitute crutches, walkers and leg/foot prosthesis regarding the foot or base component that contacts the ground
2. Description of Prior A rt and. Related information
The following background information may present examples of specific aspects of the prior art (e.g., without limitation, approaches, facts, or common wisdom) that, while expected to be helpful to further educate the reader as to additional aspects of the prior art, is not to be construed as limiting the present invention, or any embodiments thereof, to anything stated or implied therein or inferred thereupon.
For all the extraordinary technological advances made in medical devices over the past half centuryy crutches (including axilla and forearm styles), and canes walking sticks, substitute crutches and leg/foot prosthesis, walkers have fallen dangerously behind. The basic design of standard crutches, canes and walkers hasn’t changed for decades, going back to when the first medical advice given to new patients was“take it easy and go slow.” Unstable, uncomfortable, inflexible and unatractive at best, their design actually impedes a user’s return to max-mobility potential. It also contributes to something most mobility device designers don’t think about: the loss of dignity the user feels at having to rely on these archaic devices in the first place.
First, they’re uncomfortable and fatiguing. This not only limits the time a patient is able to use them but also puts stress on the hands, wrists, forearms, neck and back, which can lead to upper back ailments and other physical disorders, such as rotator cuff tears.
Second, because they so poorly conform to the body’s natural physiology, they’re awkward to maneuver and thus inherently unstable. This especially applies to children where the majority of hospitals prescribe walkers instead of crutches to kids under age eleven because of this instability. Adolescents, the elderly, the overweight, the out-of-shape and/or those who have been prescribed painkillers or other medications are also affected— which covers just about all of us. The result is often a loss of balance and an awkward, nasty fall that can reinjure the patient or cause new trauma to the head, wrists, ankles and other areas of the body.
These devices have for years been associated with discomfort and instability. What hasn’t been addressed up to now is their basic inflexible,“static” nature. That is, they’ve been designed to accommodate a patient at his/her initial (and therefore worst) point of pain and discomfort; they aren’t designed to“adjust” as the user heals and desires greater mobility. This disadvantage actually retards the recovery of the user who’s capable of moving more freely than the device will accommodate.
A user walking with crutches will take a minimum of 2,400 steps, with children taking closer to 3,000. The jarring staccato of each of these steps reverberating wave after wave of pain through though the cratches, further causes discomfort to the entire body however specifically irritates the hands, wrists, elbows, shoulder joints and upper back. These inadequacies no nothing to enhance healing and lead to accelerated fatigue.
Not to be overlooked, these stark, Spartan-like devices, which put users in slumped over, clumsy-fooking positions, almost seem purposely designed to make the user feel self-conscious and even stigmatized. Nothing about how they look— nor how they make the tottering user look when trying to stay upright-— lends dignity to the patient.
Over recent years, however, medical professionals have learned that the key to rapid recovery from surgery, injury or any incident impacting mobility is to get patients up and walking as naturally as their pain will allow7, as quickly as possible. Put it all together and medical professionals who must prescribe the use of these particular mobility aids actually find themselves unintentionally violating their sacred oath“to do no harm.”
In view of the foregoing, there is a need for an improved mobility aid device that addresses various design flaws found in conventional mobility aids. SUMMARY OF THE INVENTION
Embodiments of the present invention provide a foot support for a mobility aid device comprising a rotation joint that allows a frame of the mobility aid device to rotate forward and rearward in the direction of a walking gait of a user, providing a range of motion including a position where a foot base is nominally horizontal and stationary on the ground; and a front spring mechanism and a rear spring mechanism in the front and rear of the foot, wherein the rear spring mechanism is configured to engage upon the initial contact with the surface partially and progressively absorbing the impact and front spring mechanism is configured to engage progressively and then release propelling the user forward. The spring mechanism is effective in mitigating the jarring caused by the typical staccato crutch movement, however it may be insufficient to dampen the energy wave caused by impact upon initial ground contact, so both front and rear spring mechanisms may be augmented by a dampening system that mutes the wave energy when the spring mechanisms are engaged. This produces a smother experience for the user.
During the walking gait when using a crutch, cane or walking stick there is a transition phase of moving from the device(s) to the good foot. This device allows the device ful cru to articulate to keep the foot base horizontal on the ground, and the front spring mechanism assists in release and propulsion form the ground.
In some embodiments, the foot support further includes a mechanism holding a position of rotation of the foot about the rotation joint while the foot is not in contact with the ground.
In some embodiments, the foot support further includes a damping mechanism for each of the front spring mechanism and the rear spring mechanism.
In some embodiments, the rotation joint is offset from a center position along the front to rear of the foot base. The rotation joint may be offset from center, or located anywhere along the foot base. In some embodiments, the rotation joint may be at a position from about 35% to about 45% of a length of the foot base from the rear thereof.
Embodiments of the present invention further provide a foot support for a mobility aid device comprising a rotation joint that allows a frame of the mobility aid device to rotate forward and rearward, as well as, optionally, laterally, in the direction of a walking gait of a user, providing a range of motion including a position where a foot base is horizontal and stationary on the ground; a front spring mechanism and a rear spring mechanism along with the dampening system in the front and rear of the foot, wherein the rear spring mechanism is configured to engage and dampen impact upon initial ground contact, both front and rear spring mechanisms are engaged when the foot base is horizontal on the ground, and the front spring mechanism assists in release and propulsion form the ground; and a mechanism holding a position of rotation of the foot about the rotation joint while the foot is not in contact with the ground, wherein the rotation of the mobility device frame is within about 20 degrees of vertical
These and other features, aspects and advantages of the present invention will become better understood with reference to the following drawings, description and claims.
BRIEF DESCRIPTION OF THE DRAWINGS
Some embodiments of the present invention are illustrated as an example and are not limited fay the figures of the accompanying drawings, in which like references may indicate similar elements.
FIG. 1 is a top view of a mobility aid foot according to an exemplary embodiment of the present invention;
FIG. 2 is a side view of the mobility aid foot of FIG. 1;
FIG. 3 is a cross-sectional side view of the mobility aid foot of FIG. 1, illustrating rearward rotation of the mobility aid frame pole;
FIG. 4 is a cross-sectional side view of the mobility aid foot of FIG. 1, illustrating forward rotation of the mobility aid frame pole;
FIG. 5 is a cross-sectional side view of the mobility aid foot of FIG. 1 , illustrating a heal strike position;
FIG. 6 is a cross-sectional side view of the mobility aid foot of FIG. 1, illustrating a flat foot position;
FIG. 7 is a cross-sectional side view of the mobility aid foot of FIG. 1, illustrating a toe- off position;
FIG. 8 is a cross-sectional side view of a mobility aid foot using springs according to an exemplary embodiment of the present invention; and
FIGS. 9A through 9C illustrate the use of a mobility aid device having the foot of FIG. 1 for use in assisting a user to move between seated and standing positions, according to an exemplary embodiment of the present invention.
Unless otherwise indicated illustrations in the figures are not necessarily drawn to scale.
The invention and its various embodiments can now be better understood by turning to the following detailed description wherein illustrated embodiments are described. It is to be expressly understood that the illustrated embodiments are set forth as examples and not by way of limitations on the invention as ultimately defined in the claims. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS A ND BEST MODE OF
INVENTION
The terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention. As used herein, the term "and/or" includes any and all combinations of one or more of the associated listed items. As used herein, the singular forms "a," "an," and "the" are intended to include the plural forms as well as the singular forms, unless the context clearly indicates otherwise. It will be further understood that the terms "comprises" and/or "comprising," when used in this specification, specify the presence of stated features, steps, operations, elements, and/or components, but do not preclude the presence or addition of one or more other features, steps, operations, elements, components, and/or groups thereof.
Unless otherwise defined, all terms (including technical and scientific terms) used herein have the same meaning as commonly understood by one having ordinary skill in the art to which this invention belongs. It will be further understood that terms, such as those defined in commonly used dictionaries, should be interpreted as having a meaning that is consistent with their meaning in the context of the relevant art and the present disclosure and will not be interpreted in an idealized or overly formal sense unless expressly so defined herein.
In the following description, for purposes of explanation, numerous specific details are set forth in order to provide a thorough understanding of the present invention. It will be evident, however, to one skilled in the art that the present invention may be practiced without these specific details.
The present disclosure is to be considered as an exemplification of the invention, and is not intended to limit the invention to the specific embodiments illustrated by the figures or description below'.
As is well known to those skilled in the art, many careful considerations and
compromises typically must be made when designing for the optimal configuration of a commercial implementation of any system, and in particular, the embodiments of the present invention. A commercial implementation in accordance with the spirit and teachings of the present invention may be configured according to the needs of the particular application, whereby any aspect(s), feature(s), function! s), result(s), component(s), approach(es), or step(s) of the teachings related to any described embodiment of the present invention may be suitably omitted, included, adapted, mixed and matched, or improved and/or optimized by those skilled in the art, using their average skills and known techniques, to achieve the desired implementation that addresses the needs of the particular application.
Broadly, embodiments of the present invention provide mobility aid devices, such as crutches, improved ergonomics, comfort and support for the user. The crutches can include a foot having a joint that allows the mobility aid device frame to rotate forward and backward in the direction of walking gait, providing a range of motion where the foot base is horizontal and stationary on the ground. The foot can include spring and damping mechanisms in the front and rear of the foot, wherein the rear spring and damping mechanisms are configured to engage and dampen impact upon initial ground contact, both front and rear mechanisms are engaged when the foot base is horizontal on the ground, and the front mechanism assists in release and propulsion form the ground. The foot further can include a mechanism that holds the position of the foot rotation while the foot is not in contact with the ground.
As described above, current basic dutches and canes suffer from static and
uncomfortable designs that do not accommodate typical walking gate motion. The foot device of the present invention provides a dynamic motion during the walking gate, while improving stability and providing comfort from ground contact impact. The foot device can be used for various mobility aid devices, such as canes, axilla crutches, cuff crutches, and hybrid
combinations thereof.
An example embodiment of a foot device 10 of the present invention is shown in FIGS. 1 and 2. The foot device 10 can attach to the base pole 12 (also referred to as frame 12, see FIG 3) of a cratch or cane mobility device aid, replacing the standard rubber end-cap found on the majority of crutches and canes.
The foot device 10 can include a rotation joint 14 on an inside of a base pole receptacle 16 for rotatably retaining the base pole. Friction areas 18 may be formed on either side of the base pole receptacle 16 for increasing friction between the base pole and the foot 10.
A front end 20 of the foot 10 can include a front suspension area 22 and a front support 24 extending upwardly from the front suspension area 22. A foot upper 26 can be disposed on either side of the base pole receptacle 16 and the foot upper 26 may connect the front support 24 with a rear support 28. A rear suspension area 30 may be disposed between the rear support 28 and a foot base 32.
A first feature of the foot according to embodiments of the present invention, the foot rotation, is further detailed in the exemplary embodiment shown in FIGS. 3 and 4. The base pole 12 of the mobility aid is connected to a bushing 34 of the rotation joint 14 that rotates in a direction generally parallel to the walking gate of a user. This rotation may be up to about 20 degrees from vertical in the rear and forward directions, thus allowing for the foot base to lie horizontal, contacting the ground, during the movement of this rotation. This rotation greatly adds to the stability of the mobility aid, firmly planting the foot base 32 on the ground during movement, instead of having the standard or other static tips roil forward, changing their grip during movement. The increased area of the foot 10, according to embodiments of the present invention, further improves ground grip by providing a large contact patch area.
The rotation joint 14 can be offset from the center of the foot up to 35% in either direction from center. FIG. 3 shows an example rotation joint 14 positioned a distance D roughly 40% of the total length of the foot 10, from the rear of the foot 10. This feature of the invention allows for propulsion or stability (retarding forward motion early in the gate) depending on the location. The configuration shown in FIG. 3 tends to help user stability when stepping forward, adding to user confidence and safety.
The limits to the rotational motion provided by the foot upper 26 provide stability at the forward (FIG. 4) and rear (FIG. 3) positions of the mobility aid. Upon toe-off for example, as shown in FIG. 4, the forward rotation limit is engaged, forcing the entire foot to roll forward, and creating a strong push-off. If the rotation could still go forward, the push off would be unstable. This also works the in the opposite manner during heel strike, providing a firm plant upon the foot contacting the ground. The limits shown for the exemplary- configuration shown in FIGS. 3 and 4 are optimized to 17 degrees rearward and 2 degrees forward. In some embodiments, the rearward angle maximum is greater than the forward angle maximum. In some embodiments, the rearward angle maximum is at least two or more times greater than the forward angle maximum.
It should be noted that the exemplary embodiment shown in FIGS. 1 and 2 is symmetric, and can be used for right and left configurations. In some embodiments, the rotational axis can also be tilted inward toward the user, requiring separate right and left feet. This could be used to provide a more fiat contact with the ground, because walking aids are rarely vertical with respect to the body and are splayed outward roughly 10-15 degrees. In some embodiments, the foot may be designed to allow the base pole 12 to articulate not only in the direction of walking, but also side-ta-side so that the foot 10 can rest flat on the ground during use, even with the base pole 12 angled inward.
The foot 10 of the present invention may also include a mechanism to hold the rotation of the base pole 12 at the forward or rear limits when not in contact with the ground. For example, when toe-off occurs, the base pole 12 is in the forward position. To avoid the foot 10“flopping” around and potentially catching on the floor, the foot 10 may be held in the forward position. Upon heel strike, the foot 10 can rotate quickly to the rear limit. FIG. 1 shows an exemplary embodiment of this aspect, illustrating the friction areas 18 that may be present in the foot upper 26 that rub against the base pole 12. In some embodiments, the friction areas 18 can include a curvature that holds the base pole 12 at the rotation limits.
It should be noted that the motion of the rotation of the foot 10 of the present invention mimics the rotational action of a human foot, further providing the user with confidence due to the familiarity of the movement.
Referring no w to FIGS. 5 through 7, another feature of the foot 10 of the present invention is a suspension system. The pounding of crutches, especially during heel strike (initial ground contact) is jarring and causes discomfort and braising for the user. The suspension system of the foot 10 of the present invention can reduce impact not only during heel strike but during all phases of motion, while storing energy to be released duri ng toe-off, helping to propel the user forward. The suspension system includes rear spring areas 50 and front spring areas 70 in the front and rear of the foot 10 as shown in FIGS. 5 and 7, respectively The rear and front spring areas 50, 70 can be created using any spring mechanism. In some embodiments, as shown in FIG. 6, spring mechanism may be basically a flexible base 62 that is connected in the center of the foot 10. This acts like an open leaf spring or beam spring, with flex limits dictated by the rear and front supports 60, 64. One or more coil springs 80, 82 (see FIG. 8) in these areas can provide a similar spring motion. The motion may be limited for safety and to provide a hard stop stability at the impact extremes. The resiliency of the spring areas 50, 70 may be tunable based on the user preferences, weight, or the like. The tuning may be performed by various methods, such as choice of material, thickness of material or the like. Upon heel strike, as shown in FIG. 5, the rear spring area 60 compresses, reducing the impulse of impact. The rear spring area 50 remain compressed, storing energy as the foot roll forward to flat (horizontal with the ground), as shown in FIG. 6. During rotation, while the foot 10 is flat, both the front spring area 70 and the rear spring area 50 are compressed by the weight of the user, providing an overall softer feel through the mobility aid frame. As the foot 10 rolls forward towards toe-off, the stored energy in the rear spring area 50 helps to propel the user forward. Then, during toe-off, the front spring area 70 unloads, providing a final push forward.
The rear spring area 50 and the front spring area 70 may be customized in their resiliency based upon various factors, including, for example, the user’s weight or preference. For example, a heavier user may desire a spring area that provides increased resistance and resiliency. The spring action with the mobility aid devices of the present invention may be further altered through the use of a spring action on the base pole 12 itself. For example, a coil spring or hydraulic shock absorber type design may be used on the base pole 12 to provide additional absorption of energy as the mobility aid device is used. Typically, such base pole resiliency is provided between the grip of the mobility aid device and the foot.
Suspension damping can also be used in combination with the spring areas 50, 70 to provide a more stable action. This is provided (but not shown) by including elastomer and or foam inserts in a region 60 between the foot base pockets and the upper supports as shown in FIG. 6
In some embodiments, the articulation of the base pole 12 in the foot 10 may be limited, or locked in a fixed position. In other embodiments, one or both of the spring areas 50, 70 may be fixed to limit or remove the resiliency thereof.
As shown in FIGS. 9A through 9C, a user 90 can use a crutch 92 having the foot 10, as described above to help them move between seated and standing positions. While a crutch 92 is shown, the embodiments of FIGS. 9A through 9C may be used with a variety of mobility aid devices incorporating the foot 10, such as a cane, walking stick, or the like. A handle region 94 of the crutch 92 may be positioned below the grip. The handle region 94 may include a padding wrapped around the frame, as shown, may include a textured region, or may simply be formed from the same material and design of the crutch. Regardless, the user may use the articulation feature of base pole 12 in the foot 10 to help them move between seated and standing positions. As the crutch becomes angled during seating, as shown in FIG. 9B, the foot still rests flatly on the ground to prevent slipping. With a conventional crutch, as the crutch becomes angled, the surface area contacting the ground decreases, increasing the likelihood of slippage.
As described above, the foot 10 may be used not only with crutches, but with any variety of mobility aid devices, prosthetics, or the like. For example, the foot 10 may be used with a cane or arm cratch as described in U.S. Patent Application Number , entitled
“Frame Configurations for Mobility7 Aid Devices”, the contents of which are herein incorporated by reference. Moreover, the foot 10 may be used with various types of mobility aid devices, including those described in commonly-owned, concurrently filed U.S. Patent Application No.
_ , entitled“Ergonomic Grip and Axilla for Walking Aid Devices”, and Number
_ , entitled“Link Support for Walking Aid Devices”, the contents of which are herein incorporated by reference.
While the Figures show a single frame member articulatably attached to the foot, in some embodiments, more than one frame member may attach to the foot. In other embodiments, multiple frame members may connect to multiple feet, where each may articulate as described above.
While the Figures show an elongated foot shape, this shape may vary according to embodiments of the present invention. A triangular base may be used where each comer of the triangle may include a spring area similar to the spring areas 50, 70 described above.
While the Figures show front and rear supports 24, 28, these features may not be required in various aspects of the present invention. In some embodiments, the front and rear supports 24, 28 may be replaced by springs or other such materials so that once maximum deflection of the spring areas 50, 70 is reached, the motion is not simply stopped, but, instead, may be further allowed through resistance of the front and rear supports 24, 28
While the above description focuses on the use of the feet on mobility aid devices, the feet may be useful on various other products. For example, the foot as described above may prove especially useful as a foot on a prosthetic leg, where the movements of the foot of the present invention can mimic a person’s ankle movements.
The foot, according to aspects of the present invention, can be made from a variety of materials as may be understood by one skilled in the art. Components of the foot may be made of metal, plastic, composites, or the like, and combinations thereof. In summary, the rotational motion and the integrated suspension of the foot of the present invention may provide the following features and benefits: 1) More natural motion, mimicking the action of a human foot, 2) maximal contact area during loading, with a firm and stationary grip to the floor during central gate movement, 3) and a rotational offset providing confidence and propulsion at different positions in the walking gate.
All the features disclosed in this specification, including any accompanying abstract and drawings, may be replaced by alternative features serving the same, equivalent or similar purpose, unless expressly stated otherwise. Thus, unless expressly stated otherwise, each feature disclosed is one example only of a generic series of equivalent or similar features.
Claim elements and steps herein may have been numbered and/or lettered solely as an aid in readability and understanding. Any such numbering and lettering in itself is not intended to and should not be taken to indicate the ordering of elements and/or steps in the claims.
Many alterations and modifications may be made by those having ordinary skill in the art without departing from the spirit and scope of the invention. Therefore, it must be understood that the illustrated embodiments have been set forth only for the purposes of examples and that they should not be taken as limiting the invention as defined by the following claims. For example, notwithstanding the fact that the elements of a claim are set forth below in a certain combination, it must be expressly understood that the invention includes other combinations of fewer, more or different ones of the disclosed elements.
The words used in this specification to describe the invention and its various
embodiments are to be understood not only in the sense of their commonly defined meanings, but to include by special definition in this specification the generic structure, material or acts of which they represent a single species.
The definitions of the words or elements of the following claims are, therefore, defined in this specification to not only include the combination of elements which are literally set forth. In this sense it is therefore contemplated that an equivalent substitution of two or more elements may be made for any one of the elements in the claims below or that a single element may be substituted for two or more elements in a claim. Although elements may be described above as acting in certain combinations and even initially claimed as such, it is to be expressly understood that one or more elements from a claimed combination can in some cases be excised from the combination and that the claimed combination may be directed to a subcombination or variation of a subcombination.
Insubstantial changes from the claimed subject matter as viewed by a person with ordinary skill in the art, now known or later devised, are expressly contemplated as being equivalently within the scope of the claims. Therefore, obvious substitutions now' or later known to one with ordinary skill in the art are defined to be within the scope of the defined elements.
The claims are thus to be understood to include what is specifically illustrated and described above, what is conceptually equivalent, what can be obviously substituted and also what incorporates the essential idea of the invention.

Claims

What is claimed is:
1 . A foot support for a mobility aid device comprising:
a rotation joint that allows a frame of the mobility aid device to rotate forward and rearward in the direction of a walking gait of a user, providing a range of motion including a position where a foot base is substantially horizontal and stationary on the ground, and
at least one of a front spring mechanism and a rear spring mechanism in the front and rear of the foot, wherein the rear spring mechanism is configured to engage and absorb impact upon initial ground contact, both front and rear spring mechanisms are engaged wdien the foot base is horizontal on the ground, and the front spring mechanism assists in release and propulsion form the ground.
2. The foot support of claim 1, further comprising a mechanism holding a position of rotation of the foot about the rotation j oint while the foot is not in contact with the ground.
3. The foot support of claim 1, further comprising a mechanism holding a position of rotation of the foot about the rotation joint.
4. The foot support of claim 1, further comprising a damping mechanism for at least one of the front spring mechanism and the rear spring mechanism.
5. The foot support of claim 1, wTserein the rotation joint is offset from a center position along the front to rear of the foot base.
6. The foot support of claim 5, wlierein the rotation joint is offset, from the rear of the foot base, at a position from about 35% to about 45% of a length of the foot base.
7. The foot support of claim 5, wherein the rotation joint is offset, from the front of the foot base, is a position from about 35% to about 45% of the length of the foot base.
8. The foot support of claim 1, wherein the rotation of the mobility device frame is within 20 degrees of vertical.
9. The foot support of claim 1, wherein a forward rotation of the frame is restricted in the range between vertical and about 5 degrees from vertical.
10. The foot support of claim 1, wherein a rear rotation of the frame is restricted in the range between 15 and 25 degrees from vertical.
11. The foot support of claim 1, wherein a rear rotation of the frame is greater than a forward rotation of the frame.
12. The foot support of claim 1 , wherein the rear spring mechanism is created using a flexing beam attached towards a center of the foot base.
13. The foot support of claim 12, wherein the flexing beam is constrained when fully compressed by a support beam which originates from a top of the foot base.
14. The foot support of claim 1, wherein the front spring mechanism is created using a flexing beam attached towards a center of the foot base.
15. The foot support of claim 14, wherein the flexing beam is constrained when fully compressed by a support beam which originates from a top of the foot base.
16. The foot support of claim 1, wherein the rear spring mechanism is created using a coil spring.
17. The foot support of claim 1, wherein the front spring mechanism is created using a coil spring.
18. The foot support of claim 4, wherein the damping mechanism towards the rear of the device is created using compression of an elastic material.
19. The foot support of claim 4, wherein the damping mechanism towards the front of the device is created using compression of an elastic material.
20. The foot support of claim 2, wherein the mechanism that hold the position of the frame relative to the foot support is a friction based mechanism that holds the position of the frame at either end of its range of motion.
21. The foot support of claim 1, wherein the frame extends from the foot support at an angle directed toward the user.
22. A foot support for a mobility aid device comprising:
a rotation joint that allows a frame of the mobility aid device to rotate forward and rearward in the direction of a walking gait of a user, providing a range of motion including a position where a foot base is horizontal and stationary on the ground;
a front spring mechanism and a rear spring mechanism in the front and rear of the foot, wherein the rear spring mechanism is configured to engage and dampen impact upon initial ground contact, both front and rear spring mechanisms are engaged when the foot base is horizontal on the ground, and the front spring mechanism assists in release and propulsion form the ground; and
a mechanism holding a position of rotation of the foot about the rotation joint while the foot is not in contact with the ground
23. The foot support of claim 22, wherein the rotation of the mobility device frame is within 20 degrees of vertical.
PCT/US2019/013293 2018-01-11 2019-01-11 Dynamic foot support for walking aid devices WO2019140255A2 (en)

Applications Claiming Priority (2)

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US201815868963A 2018-01-11 2018-01-11
US15/868,963 2018-01-11

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* Cited by examiner, † Cited by third party
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US1183008A (en) * 1915-09-27 1916-05-16 George Hipwood Crutch.
US4605417A (en) * 1984-10-03 1986-08-12 Fleischauer K E Prosthetic joint
EP0331468B1 (en) * 1988-03-04 1994-04-06 CHAS. A. BLATCHFORD & SONS LIMITED Lower limb prosthesis
SE511750C2 (en) * 1995-02-21 1999-11-15 Gramtec Innovation Ab Adjustable prosthetic joint, such as prosthetic ankle or prosthetic foot
FR2745488B1 (en) * 1996-03-04 1998-07-31 Corima REACTIVE FOOT PROSTHESIS
NZ299868A (en) * 1996-12-03 1999-02-25 Bodyworks Healthcare Ltd Orthotic walker including an apertured bottom plate, a liner and a sole engageable with the underside of the plate
US20050038525A1 (en) * 1999-05-24 2005-02-17 The Ohio Willow Wood Company Shock absorbing prosthetic foot for use with prosthetic ankle
DE10049714B4 (en) * 2000-10-07 2004-11-11 Otto Bock Orthopädische Industrie Besitz-und Verwaltungs GmbH & Co.KG Foot insert for an artificial foot
US6712860B2 (en) * 2001-02-09 2004-03-30 Otto Bock Healthcare Lp Lower leg prosthesis
US20050033451A1 (en) * 2003-08-07 2005-02-10 Michael Aigner Prosthetic foot
FR2920951B1 (en) * 2007-09-18 2009-12-04 Jean-Marie Regnaut CREATING AN ARTIFICIAL FOOT AND CONTROLLING ITS MOVEMENT
DE102011014994A1 (en) * 2011-03-23 2012-09-27 Otto Bock Healthcare Gmbh Prosthetic foot insert and prosthetic foot

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