[0001] This invention has reference to an orthopedic device for use in the prevention and
treatment of foot disorders by mechanical etiology.
[0002] It is well known that conventional orthopedic devices for the treatment and prevention
of foot disorders have been limited essentially to orthopedic soles, i.e. shapes that
are inserted in shoes for supporting the plantar arch, or soft soles for relieving
the load weighing on the foot in a uniform and restful way.
[0003] Special mention should be made of the latter anatomical soles made of plastic material,
and containing a water-based fluid. Manufacturers recommend them particularly for
persons who have to stand erect for long periods.
[0004] Such conventional soles, however, are not free from certain drawbacks: they offer
a passive support to the plantar arch, by suspending the function and consequently
the tone and trophism of the muscles controlling the arch, with consequent yielding
of the arch.
[0005] Such soles therefore act to cause a merely passive lead relief and their comfort
derives solely from distributing on the fluid the stress load acting on the user's
feet. Nothing in them is provided for preventing or treating foot disorders by mechanical
etiology. It should be mentioned that improper use of such supports is often a cause
of flatfoot in the child.
[0006] The device according to the invention is also based upon the laws which govern the
distribution of forces in fluids, but it has as its object to prevent and treat foot
disorders by mechanical etiology by taking profit from such laws and by optimally
distributing forces in fluids in the supporting areas, both in statical and dynamical
conditions.
[0007] The device of the invention substantially comprises a support sole on which are provided
containers filled with a gaseous fluid, a glycerine-based fluid (gel), or containers
of a water-imbibed sponge, to avoid swashing; such containers transmit the forces
acting on the support points (metatarsal heads, calcaneal tuberosity) to the foot's
physiological support areas (metatarsal necks and plantar arch). Such operation protects
the support points from wear and actively corrects any pathological deviations caused
by distorted stress lines in the foot, such as in the child's flatfoot.
[0008] Moreover, a dermo-epidermal and subcutaneous massage is effected, which helps to
avoid wear effects such as tylomata, callosities, ulcerations, angiolymphatic edemas,
etc.
[0009] The physiological orthopedic device of the invention substantially comprises a sole
provided with a first container located in the support area of the calcaneal tuberosity
and connected with a second container located in the area of the plantar arch which
transmits loads from the heel to the arch, thus relieving the former and actively
stressing the latter; and with a third, front container, located in an area comprising
the metatarsal heads and necks, for shifting stresses from the former to the latter,
the third container being connected to an offshoot between the first and second toe,
for preventing and/or correcting any tendency to hallux valgus.
[0010] The above device is particularly recommended for persons who are compelled to stand
erect for long periods in connection with their work or other special situations (salesmen,
waiters, housewives, industry workers, chemists, surgeons, etc.).
[0011] A second embodiment of the device according to the invention is particularly recommendable
in early childhood.
[0012] Such second embodiment of the device comprises a sole provided with a first container
located in the support area of the heel extending to the astragalar head and the navicular,
and with a second container at the support area of the metatarsal heads extending
to near the plantar arch; the first container transferring the stresses medially and
superiorly at the astragalar head and the navicular in the standing posture and in
deambulation, thus stimulating the functions of muscle groups so as to actively cause
arch formation; the second container concentrating the reaction to metatarsal load
stresses at the fourth metatarsal, thus stimulating the helical mechanism tying the
function of the so-called calcaneal foot with the function of the astragalar foot
in the formation of the arch.
[0013] The invention will now be particularly described with reference to the attached drawings
given by way of example, and in which:
Fig. 1 is a plan view of a first embodiment of the device according to the invention,
particularly recommendable for adult use;
Fig. 2 is a side elevation view of the embodiment of Fig. 1;
Fig. 3 is a plan view of a second embodiment of the device according to the invention,
particularly recommendable for children's use;
Fig. 4 is a partially broken side elevation view of the embodiment of Fig. 3.
[0014] As shown in
Figg. 1 and 2, the device according to the first embodiment of the invention substantially
comprises a support sole 2, on which is provided, in the support area of the calcaneal
tuberosity, a container 4 filled with a suitable fluid such as glycerine or a gaseous
fluid or with a spongy material imbibed with a liquid.
[0015] Use of glycerine or a similar fluid, or of a liquid-imbibed, spongy material, is
intended to avoid swashing: this bothersome effect is usual in soles provided with
containers filled with a water-based liquid.
[0016] Container 4 is connected with a second container 6, located in the arch area, through
a duct 8.
[0017] Container 4 transfers to container 6 the loads acting on the heel, from the heel
to the plantar arch, thus relieving the former and actively stressing the latter.
[0018] A third container 10 is provided at the front of sole 2; this is located in an area
comprising the metatarsal heads and necks, and thus shifts stresses from the former
to the latter.
[0019] Container 10 has an offshoot 12 between the first and the second toe, which acts
to prevent and/or to correct any tendency to hallux valgus.
[0020] As specified above, the embodiment shown in Figg. 1 and 2 and disclosed above is
particularly suitable for people compelled to stand erect for long periods, by their
work or by other special circumstances (salesmen, waiters, housewives, industry workers,
chemists, surgeons, etc.).
[0021] Figg. 3 and 4 show a second embodiment of the invention, particularly suitable for
early childhood.
[0022] According to said second embodiment, the device comprises a sole 14 having a relief
16 at right angles to an horizontal plane in the area of the plantar arch.
[0023] Sole 14 is provided with a container 18 located in the heel support area and with
a second container 23 located in the support area of the metatarsal heads. Container
18 is connected, through a duct 22, to a second container 20 located at the astragalar
head and the navicular.
[0024] Container 23, located in the support area of the metatarsal heads, extends into a
container 24 located near the plantar arch.
[0025] It should be noted that container 20, corresponding roughly to container 6 of the
first embodiment (Figg. 1 and 2), is slightly different from it: although it is located
in the area of the plantar arch, it rests not only on sole 14, but also on wall 16
of the relief, at right angles to the sole; container 20 hence reacts along the resulting
direction of two components, vertical and horizontal, and therefore substantially
in a diagonal direction upon the plantar arch, or, more exactly, upon the astragalar
head and the navicular.
[0026] Container 18 transfers stresses medially and superiorly at the astragalar head and
the navicular when the user is standing or walking, in order to stimulate the active
formation of the arch; container 23 concentrates the reactions to the metatarsal load
stresses at the fourth metatarsal, in order to stimulate the helical mechanism tying
the function of the so-called calcaneal foot with that of the astragalar foot in the
formation of the arch.
[0027] In order to give a better understanding of the importance and effectiveness of the
invention in all its embodiments, the actions afforded on the foot by the device according
to the invention in its various embodiments will now be distinctly pointed out:
- areas subjected to hyperpressure are relieved, with transmission of the baric reaction
at the areas that are physiologically dedicated to support loads;
- the foot sole is massaged, with consequent entrophic stimulus and resolution of
hypercheratrosic effects such as tylomata or circulation disorders, both in the hematic
and the lymphatic systems, such as stasis, edemas and the like;
- adjuvant action in the active formation of the plantar arch or in its correction
in early childhood.
[0028] It should be understood that the invention is not limited to the embodiments shown
and described; numerous changes and further improvements can be made within the scope
of the invention.
1. A physiological orthopedic device, characterized in that it comprises a sole provided
in suitable places with containers filled with suitable fluid, such as glycerine,
adapted to transmit load stresses from support points to physiological support areas
of the foot, thus protecting from wear the support points and if necessary correcting
actively any pathological deviations of distorted stress lines in the foot; such load
stress transmissions causing, moreover, a dermo-epidermal and subcutaneous massage
useful in avoiding wear effects such as tylomata, callosities, ulcerations, angiolymphatic
edemas and the like.
2. A physiological orthopedic device according to claim 1, characterized in that the
containers provided on the sole in the suitable points are filled with a spongy tissue
imbibed with a liquid, in order to avoid swashing.
3. A physiological orthopedic device according to claim 1, characterized in that the
containers provided in the sole in said suitable places are filled with a gaseous
fluid.
4. A physiological orthopedic device according to one of claims 1, 2 or 3, particularly
for adults, characterized in that it substantially comprises a sole provided with
a first container located in the support area of the calcaneal tuberosity and connected
with a second container located in the area of the plantar arch to transmit loads
from the heel to the arch, thus relieving the former and actively stressing the latter;
and with a third, front container, located in an area comprising the metatarsal heads
and necks, thus shifting stresses from the former to the latter; the third container
being connected with an offshoot between the first and the second toe, so as to prevent
and/or correct any tendency to hallux valgus.
5. A physiological orthopedic device according to one of claims 1, 2 and 3 and a variation
of claim 4, particularly for children, characterized in that it substantially comprises
a sole provided with a first container located in the support area of the heel extending
to the astragalar head and the navicular, and with a second container located at the
support area of the metatarsal heads, extending near the plantar arch; the first container
transferring stresses medially and superiorly at the astragalar head and the navicular
when the user is standing or walking, thus stimulating the function of muscle groups
in order to actively cause arch formation; the second container concentrating the
reaction to the metatarsal load stresses in the area of the fourth metatarsal, so
as to stimulate the helical mechanism tying the function of the so-called calcaneal
foot with thai, of the astragalar foot in arch formation.
6. A physiological orthopedic device according to the previous claims, characterized
in that the containers provided on the sole are located in an area suitably determined
on a case-by-case basis.
All as shown and described and for the specified objects.