EP2095730B1 - Nouvelles chaussures pour améliorer la stabilité du pied bot valgus et des pieds sains pendant la petite enfance - Google Patents
Nouvelles chaussures pour améliorer la stabilité du pied bot valgus et des pieds sains pendant la petite enfance Download PDFInfo
- Publication number
- EP2095730B1 EP2095730B1 EP07024262A EP07024262A EP2095730B1 EP 2095730 B1 EP2095730 B1 EP 2095730B1 EP 07024262 A EP07024262 A EP 07024262A EP 07024262 A EP07024262 A EP 07024262A EP 2095730 B1 EP2095730 B1 EP 2095730B1
- Authority
- EP
- European Patent Office
- Prior art keywords
- children
- footwear
- valgus
- sole
- gait
- Prior art date
- Legal status (The legal status 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 status listed.)
- Not-in-force
Links
- 206010061159 Foot deformity Diseases 0.000 title claims abstract description 36
- 230000005021 gait Effects 0.000 claims abstract description 30
- 230000007170 pathology Effects 0.000 claims abstract description 18
- 239000000463 material Substances 0.000 claims abstract description 6
- 239000003082 abrasive agent Substances 0.000 claims abstract 2
- 210000002683 foot Anatomy 0.000 claims description 46
- 238000003776 cleavage reaction Methods 0.000 claims description 3
- 238000004519 manufacturing process Methods 0.000 claims description 3
- 230000007017 scission Effects 0.000 claims description 3
- 210000001872 metatarsal bone Anatomy 0.000 claims description 2
- 235000009508 confectionery Nutrition 0.000 claims 1
- 238000005096 rolling process Methods 0.000 abstract description 3
- 230000008859 change Effects 0.000 abstract description 2
- 241001227561 Valgus Species 0.000 description 21
- 238000011161 development Methods 0.000 description 11
- 230000018109 developmental process Effects 0.000 description 11
- 238000004458 analytical method Methods 0.000 description 9
- 238000012360 testing method Methods 0.000 description 9
- 238000013461 design Methods 0.000 description 7
- 230000000694 effects Effects 0.000 description 7
- 238000009826 distribution Methods 0.000 description 6
- 210000004744 fore-foot Anatomy 0.000 description 6
- 210000003205 muscle Anatomy 0.000 description 5
- 210000003041 ligament Anatomy 0.000 description 4
- 230000001575 pathological effect Effects 0.000 description 4
- 206010062061 Knee deformity Diseases 0.000 description 3
- 238000003759 clinical diagnosis Methods 0.000 description 3
- 210000000548 hind-foot Anatomy 0.000 description 3
- 210000003371 toe Anatomy 0.000 description 3
- 208000007366 Genu Valgum Diseases 0.000 description 2
- 230000016571 aggressive behavior Effects 0.000 description 2
- 230000004075 alteration Effects 0.000 description 2
- 230000000877 morphologic effect Effects 0.000 description 2
- 230000036544 posture Effects 0.000 description 2
- 238000005728 strengthening Methods 0.000 description 2
- 230000008093 supporting effect Effects 0.000 description 2
- 230000007704 transition Effects 0.000 description 2
- 208000032170 Congenital Abnormalities Diseases 0.000 description 1
- 208000004067 Flatfoot Diseases 0.000 description 1
- 208000010300 Genu Varum Diseases 0.000 description 1
- 210000000577 adipose tissue Anatomy 0.000 description 1
- 230000006399 behavior Effects 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- OSGAYBCDTDRGGQ-UHFFFAOYSA-L calcium sulfate Inorganic materials [Ca+2].[O-]S([O-])(=O)=O OSGAYBCDTDRGGQ-UHFFFAOYSA-L 0.000 description 1
- ZOMBKNNSYQHRCA-UHFFFAOYSA-J calcium sulfate hemihydrate Chemical compound O.[Ca+2].[Ca+2].[O-]S([O-])(=O)=O.[O-]S([O-])(=O)=O ZOMBKNNSYQHRCA-UHFFFAOYSA-J 0.000 description 1
- 210000000845 cartilage Anatomy 0.000 description 1
- 238000012512 characterization method Methods 0.000 description 1
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- 239000011507 gypsum plaster Substances 0.000 description 1
- 210000001255 hallux Anatomy 0.000 description 1
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Images
Classifications
-
- A—HUMAN NECESSITIES
- A43—FOOTWEAR
- A43B—CHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
- A43B7/00—Footwear with health or hygienic arrangements
- A43B7/14—Footwear with health or hygienic arrangements with foot-supporting parts
- A43B7/22—Footwear with health or hygienic arrangements with foot-supporting parts with fixed flat-foot insertions, metatarsal supports, ankle flaps or the like
-
- A—HUMAN NECESSITIES
- A43—FOOTWEAR
- A43B—CHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
- A43B17/00—Insoles for insertion, e.g. footbeds or inlays, for attachment to the shoe after the upper has been joined
-
- A—HUMAN NECESSITIES
- A43—FOOTWEAR
- A43B—CHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
- A43B7/00—Footwear with health or hygienic arrangements
- A43B7/14—Footwear with health or hygienic arrangements with foot-supporting parts
- A43B7/1405—Footwear with health or hygienic arrangements with foot-supporting parts with pads or holes on one or more locations, or having an anatomical or curved form
- A43B7/141—Footwear with health or hygienic arrangements with foot-supporting parts with pads or holes on one or more locations, or having an anatomical or curved form having an anatomical or curved form
-
- A—HUMAN NECESSITIES
- A43—FOOTWEAR
- A43B—CHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
- A43B7/00—Footwear with health or hygienic arrangements
- A43B7/14—Footwear with health or hygienic arrangements with foot-supporting parts
- A43B7/1405—Footwear with health or hygienic arrangements with foot-supporting parts with pads or holes on one or more locations, or having an anatomical or curved form
- A43B7/1415—Footwear with health or hygienic arrangements with foot-supporting parts with pads or holes on one or more locations, or having an anatomical or curved form characterised by the location under the foot
- A43B7/144—Footwear with health or hygienic arrangements with foot-supporting parts with pads or holes on one or more locations, or having an anatomical or curved form characterised by the location under the foot situated under the heel, i.e. the calcaneus bone
Definitions
- This invention is aimed at providing new footwear for children that helps to prevent the appearance of certain pathologies. Specifically, it develops a system to correct foot movement in children with a slight tendency to develop pes valgus, without changing the gait of children without this pathology. However, it also aims to provide this new footwear with suitable characteristics, according to the functional needs and comfort of children when walking. Removable insoles and cups in order to give more stability and comfort to the foot are generally known, see for instance US-A-2007/33834 .
- footwear worn by children at each of these stages of development can have a critical effect on its development.
- footwear should protect against aggression from the environment in which a child develops, safeguarding their physical and motor development.
- it should provide thermal and mechanical comfort, while ensuring that it performs its function without causing lesions or damage, promoting normal growth and development.
- Footwear should also allow the child to feel the ground, so as to promote sensory stimulation, proper development of the nervous system and improved balance.
- the foot At birth and around the age of one year, the foot is mostly comprised of cartilage, and vulnerable to any external aggression. As a result, when the child starts to take his or her first steps, it is very important to prevent excessive weight, and to help the foot by using suitable footwear that controls the position of the heel, without restricting the toes too much.
- This invention is not designed for use with the user's footwear. Instead, it uses specially adapted footwear for the correction of pes valgus.
- the internal system cannot move about within the footwear, thereby preventing unwanted internal postures and deformities that could have a negative effect on the foot. It remains perfectly in place and adapted to the shape of the foot, without squashing it. It also adapts to the movements of the foot, providing a stable gait with no need to exert unnecessary pressure.
- Another of the fundamental characteristics of the invention consists of adapting the last of the shoe, ensuring that it fits the shape of the foot perfectly, preventing looseness in the heel area that could lead to instability, while nevertheless allowing the toes to move freely.
- the footwear we suggest to improve the stability of pes valgus and healthy feet in children consists of a system to correct the movement of the feet in children with a slight tendency to walk with their heel facing outwards, also known as pes valgus, ensuring the characteristics and functional needs to provide comfort for children when walking. It is important to stress that the footwear is designed to have an effect on subjects with only a slight tendency towards pes valgus, but who clearly present with the pathology. It can be used in healthy subjects, without having any negative effect on them. However, if used in subjects with marked pes valgus, while it will improve their gait, there is no proof that it will cure the pathology.
- the gait pattern i.e. we needed to determine the scientific basis required to establish the needs of the infant population in terms of footwear to correct the gait pattern in children with a tendency to develop pes valgus in healthy feet.
- the gait pattern of 35 children aged between 2.5 and 11 years was analysed.
- the criterion used to choose the subjects was to cover the age range of the different stages of maturity of gait (1-4, 4-7 and 7-11 years), and to use both healthy subjects and subjects with pes valgus.
- Two types of assessment were carried out: firstly, as with the test using shoes, the children were asked to walk straight through an area designed for the purpose, and the plantar pressure between foot and floor was measured, with three repetitions per child. The children were then asked to stand with their feet still on a platform, to register the pressure in the standing position.
- Stage 1 After dividing the data into the three stages and assessing the results, we came to the following conclusions: In Stage 1, at 2.5 to 5 years, it was almost impossible, from a biomechanical viewpoint, to distinguish between healthy children and those with pes valgus, based on the data obtained from tests using footwear. However, at Stage 2, between the ages of 6 and 11 years, clear differences were seen between healthy children and those with pes valgus. These differences are apparent from a comparison between the average maximum pressure produced when walking and the standard distribution of plantar pressure. There are different maximum values in the group of valgus children for the forefoot and the hindfoot.
- the geometric shape of the surface of footwear that comes into contact with the sole of the child's foot is therefore defined, in order to correct the gait pattern.
- a geometric shape was formed for the sole, footwear and insole, in the form of a channel aimed at guiding the child's footstep, facilitating the correct distribution of dynamic pressures, but not impacting negatively on its development.
- This geometric shape counteracts the typical rolling of the foot with pes valgus onto the inside of the heel, guiding it so as to achieve uniform support for the heel area, as seen in healthy children.
- the shape is also designed so as not to interfere with the development of the gait pattern in healthy children, since they develop a different footfall that is already in line with the geometrically established pathway, therefore not affecting them.
- the proposed invention is based on achieving the shape of the footwear from the design for the sole (3) and the footbed (6), with a geometric design in the upper part that houses an insole (4) with the shape of the base.
- the sole (3) and the footbed (6) are high density, while the insole (4) is low density, in order to permit the geometric effect.
- a cup (1) is created in the heel area, designed to redirect the foot when pressure is applied, inducing correct posture.
- This cup (1) consists of a hard part in the form of a channel, integrated in the footwear between the footbed (6) and the insole (4) on the back part of the sole (3).
- An insole (4) is placed over the cup (1).
- the insole is removable, and made of material that is sufficiently mouldable to allow the placement of the cup (1) to have the desired effect.
- the insole (4) has an upper geometric shape that houses the foot anatomically and a lower shape that fits into the cup (1). Thus, if we remove the insole (4) from the footwear, the cup (1) it is resting on can be seen.
- the last (5) needs to adjust properly to the shape of the foot. It was specially designed to take into account the anthropometric shape of an average foot. Any looseness in the heel area could cause increased instability.
- the cleavage line between the instep and the heel is designed to close the footwear and adjust the last (5), similar to the cleavage line that follows the tip of the metatarsals. Therefore the design must be adhered to in these areas, to ensure proper adjustment. There must however be room in the toe area, to allow them to move. This permits slight alterations to the last (5) proposed, according, for example, to aesthetic considerations, provided that such alterations do not affect the system.
- the footbed (6) is composed of two parts, the cardboard footbed (7), used during the construction of the footwear serves as a base for the insole (4), with a flat and flexible shape to adapt to the last (5) and the cup (1). There is also a cup (1), situated at the rear of the heel of the insole (4), shaped into a rigid material to channel the footstep.
- the sole (3) needs to fit the basic needs of the user and the specific requirements of the system's innovative design.
- the material should be slightly abrasive, principally in the heel area, with a view to ensuring that its shape does not change with continuous use.
- the sole (3) should also facilitate the path of the child's centre of mass along the track of the sole defined from studies of healthy children, so that it stabilises the child's footstep. To achieve this, we either create a double density sole in which the central track has a lower density than the rest of the sole, or the thickness of that area is reduced to facilitate distortion, thus stabilising the footstep.
- the shape of the cut should generally adhere to the shape of the last (5).
- the height of the cut should be at least 46 mm from the base of the insole (4) to the leg at the lowest part of the cut.
Landscapes
- Health & Medical Sciences (AREA)
- Epidemiology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Footwear And Its Accessory, Manufacturing Method And Apparatuses (AREA)
Claims (6)
- Chaussure pour corriger le mouvement du pied chez les enfants qui ont une légère tendance à développer du pied bot valgus, sans changer la démarche des enfants qui ne subissent pas cette pathologie, étant utilisé pour la confection de ladite chaussure un embauchoir (5) qui peut s'adapter à la forme du pied, de façon à ce que la ligne de division entre le cou-de-pied et le talon ainsi que les extrémités des métatarsiens soient serrées par ledit embauchoir (5), lorsque l'on ferme la chaussure, tout en laissant un espace dans la zone des orteils afin que ceux-ci puissent bouger, caractérisée en ce qu'elle comprend:- une semelle (3) réalisée en une matière légèrement rugueuse, notamment dans la zone du talon et comprenant une bande centrale (2) ayant une densité inférieure à celle du reste de la semelle (3) ;- une semelle intermédiaire à haute densité (6) comprenant une semelle en carton (7) et une cuvette (1) ;- une semelle intérieure (4) réalisée en une matière malléable à densité réduite, présentant une géométrie supérieure plate qui a été anatomiquement conçue pour recevoir le pied et une géométrie inférieure de façon à ce que celle-là se tienne par-dessus la cuvette (1).
- Chaussure pour corriger le mouvement du pied chez les enfants qui ont une légère tendance à développer du pied bot valgus, sans changer la démarche des enfants qui ne subissent pas cette pathologie, selon la revendication 1, caractérisé en ce que la bande centrale (2) est destinée à créer une sole (3) à double densité.
- Chaussure pour corriger le mouvement du pied chez les enfants qui ont une légère tendance à développer du pied bot valgus, sans changer la démarche des enfants qui ne subissent pas cette pathologie, selon la revendication 1, caractérisée en ce que la bande centrale (2) est destinée à réduire l'épaisseur par rapport à la semelle (3).
- Chaussure pour corriger le mouvement du pied chez les enfants qui ont une légère tendance à développer du pied bot valgus, sans changer la démarche des enfants qui ne subissent pas cette pathologie, selon la revendication 1, caractérisée en ce que la cuvette (1) est constituée par un élément rigide en forme d'un canal, intégré dans l'arrière de la sole (3).
- Chaussure pour corriger le mouvement du pied chez les enfants qui ont une légère tendance à développer du pied bot valgus, sans changer la démarche des enfants qui ne subissent pas cette pathologie, selon la revendication 1, caractérisée en ce que la semelle en carton (7) géométriquement plate est souple et cela permet d'adapter l'embauchoir (5) et la cuvette (1) lors de la fabrication de la chaussure en servant de base pour la semelle intérieure (4).
- Chaussure pour corriger le mouvement du pied chez les enfants qui ont une légère tendance à développer du pied bot valgus, sans changer la démarche des enfants qui ne subissent pas cette pathologie, selon la revendication 1, caractérisée en ce que la géométrie de l'entaille de la partie supérieure est ajustée à l'embauchoir (5) de façon à ce que l'hauteur de l'entaille soit au moins de 46 mm depuis la base de la semelle intérieure (4) jusqu'à la jambe dans la partie la plus petite de l'entaille.
Priority Applications (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| ES07024262T ES2378736T3 (es) | 2007-12-14 | 2007-12-14 | Nuevo calzado para la mejora de pies valgos y sanos en la infancia. |
| AT07024262T ATE529007T1 (de) | 2007-12-14 | 2007-12-14 | NEUER SCHUH ZUR ERHÖHUNG DER STABILITÄT VON KNICKFÜßEN UND GESUNDEN FÜßEN IN DER KINDHEIT |
| EP07024262A EP2095730B1 (fr) | 2007-12-14 | 2007-12-14 | Nouvelles chaussures pour améliorer la stabilité du pied bot valgus et des pieds sains pendant la petite enfance |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| EP07024262A EP2095730B1 (fr) | 2007-12-14 | 2007-12-14 | Nouvelles chaussures pour améliorer la stabilité du pied bot valgus et des pieds sains pendant la petite enfance |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| EP2095730A1 EP2095730A1 (fr) | 2009-09-02 |
| EP2095730B1 true EP2095730B1 (fr) | 2011-10-19 |
Family
ID=39431205
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| EP07024262A Not-in-force EP2095730B1 (fr) | 2007-12-14 | 2007-12-14 | Nouvelles chaussures pour améliorer la stabilité du pied bot valgus et des pieds sains pendant la petite enfance |
Country Status (3)
| Country | Link |
|---|---|
| EP (1) | EP2095730B1 (fr) |
| AT (1) | ATE529007T1 (fr) |
| ES (1) | ES2378736T3 (fr) |
Family Cites Families (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4800657A (en) * | 1981-11-25 | 1989-01-31 | Brown Dennis N | Variably adjustable shoe insert |
| US4962593A (en) * | 1986-03-07 | 1990-10-16 | Northwest Podiatric Laboratory, Inc. | Orthotic and method of making of the same |
| CA2003881A1 (fr) | 1988-11-24 | 1990-05-24 | Peter A. Wynd | Orthese du pied |
| SE514690C2 (sv) | 1998-09-15 | 2001-04-02 | Camp Scandinavia Ab | Hallux valgus-ortos |
| US6070342A (en) * | 1998-11-16 | 2000-06-06 | Brown; Dennis N. | Contoured insole for footwear |
| US6408543B1 (en) * | 2000-05-18 | 2002-06-25 | Acushnet Company | Footbed system with variable sized heel cups |
| JP4248580B2 (ja) * | 2004-11-18 | 2009-04-02 | 株式会社 日元倶楽部 | 足底板の製造方法 |
| US7484319B2 (en) * | 2005-08-12 | 2009-02-03 | Spenco Medical Corporation | Shoe insole |
-
2007
- 2007-12-14 EP EP07024262A patent/EP2095730B1/fr not_active Not-in-force
- 2007-12-14 ES ES07024262T patent/ES2378736T3/es active Active
- 2007-12-14 AT AT07024262T patent/ATE529007T1/de not_active IP Right Cessation
Also Published As
| Publication number | Publication date |
|---|---|
| EP2095730A1 (fr) | 2009-09-02 |
| ES2378736T3 (es) | 2012-04-17 |
| ATE529007T1 (de) | 2011-11-15 |
| ES2378736T8 (es) | 2013-03-01 |
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