WO2019138113A1 - Gait alignment aid on the foot - Google Patents

Abstract

The invention relates to a gait alignment aid for aligning the pyramid-like arrangement of bones (11) of a foot (115), said pyramid-like arrangement of bones (11) having an ankle bone (5), a heel bone (6), a navicular bone (7), and a cuboid bone. The gait alignment aid comprises: an elevation (103, 104, 118) at a defined location for generating pressure on the foot when walking on the foot (115). The elevation is located in the region of the sole and/or a region near the sole at one or more points and generates a stimulus which acts on the adjacent bone structure when walking on the foot in order to provide an ergonomically optimized gait.

Description

 Gear adjustment aid on the foot

DESCRIPTION

FIELD OF THE INVENTION

The present invention is based on the problem to provide a Gangjustierhilfe on a foot that generates at least one point in the sole region and / or in near-natural areas partially impulse to erect the skeleton pyramidal and to correct the bone triangle of hindfoot and midfoot parts, before the weight gets on your foot while walking. The correction is initiated already at the heel appearance, before the weight gets on the foot. Thus, the bone skeleton is corrected before the load that falls on the leg and the foot, and false impulses and incorrect loading are prevented.

 The present invention relates to a device for the alignment or erection of the bone pyramid of a foot, which is applied directly to the foot or to a close-fitting Fußumhüllung.

BACKGROUND OF THE INVENTION

It is known in the prior art that the foot skeleton has a foot arch on which the body weight is partially or completely supported, depending on the load. The arch of the foot has the heel bumps and the heads of the first and fifth metatarsal bones (three-point stand) on a flat surface as ideal supportive points. The interplay of ligaments and muscles ensures that the arch does not collapse. SUMMARY OF THE INVENTION

The invention relates to a human foot adjustable detachable Gangjustierhilfe consisting of at least one Gangjustierelement or a group Gangjustierelemente interconnected, wherein the individual Gangjustierelement or the group is made of an elastic material.

The interplay of ligaments and muscles makes sure that the three foot sections work with low friction and energy efficiency.

At normal walking speed, adult human usually uses the heel. Here, the heel of the forward swinging foot is placed, then to roll off the foot over the big toe gap. The walking motion is controlled by the central and peripheral nervous system on several levels. The individual, the respective foot and leg muscles activating, control commands are triggered by sensory surfaces that are at least partially integrated in the sole of the foot. In cooperation with the body's perception of body position and body movement in space, the automatic maintenance of the human body takes place.

The present invention is based on the problem to create on the skin or a tight-fitting Fußumhüllung an immediate, closely motion-connected, shell-like accumulation of material in the plantar area, on the foot inner wall, on the Fußaußenwand and / or in near-natural areas on at least one Partially creates a positional impulse and a directional moment of motion on the foot, so as to cause an ergonomically optimized walking behavior by a movement guidance of the foot. Here, the Fußumhüllung should be easy and safe to apply and also the measurable in normal direction spring stiffness of the material accumulation is greater than the measurable in the normal direction spring rate of the base material. The single material accumulation covers a spatially limited Surface whose size is greater than one centimeter square. The single one

Material accumulation represents a gait correction or adjustment element.

The individual Gangjustierelemente have separate geometric shapes, the voltage applied to the foot surface, spatially concavely curved inner surfaces have the negative shape of the respective mounting location. The single Gangj ustierelement or the parts of a group can be connected to each other via webs. The single gait adjustment element is an aggregate of material whose strongest wall measures at least three times the average thickness of a web.

It is therefore an object of the invention to provide a device for aligning the bone pyramid of a foot before it occurs.

As a first embodiment of the invention, there is provided a gait adjustment aid for mounting and aligning the bony pyramid of a person's foot, the bony pyramid comprising an anklebone, heel bone, and navicular bone, lower, upper ankle, and metatarsal parts comprising: a Emphasizing the generation of a pressure on the heel bone when the foot occurs and / or under load, the location of the person's elevation being a point on the tangent to the trailing edge of the ankle of the foot and / or the location of the highlight adjacent to a point on the tangent to the trailing edge of the medial malleolus.

The Fußumhüllung is easy and safe to apply and also measurable in the normal direction spring stiffness of the material accumulation is greater than the measurable in the normal direction spring rate of the base material. The single accumulation of material covers a spatially curved surface whose size is greater than one square centimeter. The single accumulation of material is a gangue element. The Gangjustierhilfe invention serves to align the bone pyramid of a foot, the basic orientation is oriented to the trailing edge of the medial malleolus and their perpendicular line to the ground. A tray following the shape of the foot is described, with internal and / or external highlights (at a point on the tangent to the trailing edge of the medial malleolus of the foot and / or adjacent to a point on the tangent to the posterior margin of the medial malleolus) that provide movement and directionality Pulse triggers, so that: a momentum momentum can be exerted on the subtarsal joint. This optimizes the entanglement situation of the ankle bone against the heel bone and, with ligamentous and muscular support, ensures a linking moment of the bottom, foot, lower leg and thigh bones so that the track width and stride are optimized while walking.

The orientation or erection of the bone pyramid of a foot should be such that the phase-shifted sinusoidal function of the crescent rhythm is harmonized while walking. A side-equaling tilt and momentum moment of two feet against each other should be achieved.

As a second aspect of the invention, there is provided a heel nose for aligning the knee from an extended state to a slightly flexed, unlocked state, wherein the heel nose is eccentrically located with respect to the foot and either inside or outside the middle measured at the Achilles tendon attachment point in the tread plane the foot can be attached with or without a soft to tight-elastic connection to the first device or first variant. The heel nose is horizontal and / or vertical following the anatomical foot shape and may include highlights in the vertical and / or horizontal direction. The ratio constellation to the other aspects of the invention is such that the tilting guiding moment still through An early knee release is optimized and the lower and thigh muscles do not hinder the impulse movement of the other aspects.

As a further aspect of the invention, a so-called Cuboid anchor (hereinafter referred to by the reference numeral 1 18) described, which deflect the triggered in this area by the first device movement guide in the direction of the lateral foot side (in the direction of the 4th and 5th Mittelfußstrahls) should, so that the power steering is done on the big toe gap. The basic orientation is based on the leading edge of the lateral malleolus and the vertical connecting line to the floor. A tray following the shape of the foot is described, with internal and / or external projections (at a point on the edge to the front edge of the outer ankle of the foot and / or adjacent to a point on the tangent to the anterior edge of the lateral malleolus) providing movement and power steering Pulse triggers.

As a still further aspect of the invention, a combination of a central element, hereinafter referred to by reference numeral 103 as highlighting, so that the bone pyramid aligns before occurrence, with one or both further embodiments, which are connected to a soft or fixed elastic web can. All devices for gait adjustment are made according to expected gravity component on appearance, resulting from the body weight and the height of fall on the foot in the stepped range soft to hard elastic after a rule preset system shorehärteassozi iert to stabilizing or dynamizing effect (statodynamic and dy namoel ast t see movement execution).

The invention can be implemented in different ways: for example, by a first device / variant in which the device (s) according to the invention are glued to the foot or by a second device / variant in which a close-fitting foot cover is used Verrutschungsgesichert the device / s is glued, welded, pressed or sewn.

Exemplary embodiments are described in the dependent claims.

According to a further exemplary embodiment of the invention, a gait adjusting aid is provided, wherein the tangent is located at the rear edge of the inner ankle of the foot, that is, that the tangent rests against the rear edge of the medial malleolus with respect to the direction of the foot or gait.

In yet another embodiment of the invention, a gait adjustment aid is provided wherein the pressure and / or momentum on the heel bone is exerted laterally medially (central element) or posteriorly (heel nasal) or laterally laterally on the cuboidal bone (cuboid anchor) ,

According to an exemplary embodiment of the invention, a gait adjustment aid is provided, wherein the alignment is such that an erection of the anterior portion of the heel bone and / or a tilting movement for Nachweitßenkippen the heel bone before load transfer of the foot results.

According to a further exemplary embodiment of the invention, a gait adjusting aid is provided, wherein an inwardly or outwardly reinforced shell is provided following the foot mold, which causes the impulse to emerge upon the foot's occurrence.

According to an exemplary embodiment of the invention, a gait adjustment aid is provided, wherein the Shore hardness in the vertical and / or horizontal direction of the shell may change. According to another exemplary embodiment of the invention, there is provided a gait adjustment aid, wherein the gait adjustment aid comprises a heel nose for aligning the knee from an extended condition to an angled condition, the heel nose being formed as a highlight, the heel nose eccentric relative to the foot Inside or outside direction is arranged.

In yet another embodiment of the invention, a speed adjustment aid is provided, wherein the speed adjustment aid is a

Emphasizing included to ensure that not only the small toe of the foot during the rolling process while walking takes up the entire load, but the big toe gap also takes load.

According to an exemplary embodiment of the invention, a

Gangjustierhilfe provided, the Gangjustierhilfe a

Sidewall reinforcement adjacent to the highlighting and / or highlighting and / or adjacent to the highlighting for increasing the stability of the foot comprises and / or wherein the Gangjustierhilfe functionally independent, reusable or ezel applied to the skin: or a close-fitting Fußumhüllung, a compression stocking at a defined location is applied.

The Gangjustierhilfe may have different shell components that do not have to be constructed symmetrically and parallel to each other, so there are differences in apexes and different distances of the inner and / or outer walls to fußformangepasste shell. This creates a different, cascade-like sliding and tilting behavior of the bony structures of the back and midfoot due to different volumes.

In summary, it can be said that the items or the combination of the items on the foot an optimal alignment of the metatarsus and foot as well Joint parts of the upper and lower Spriinggelenks guarantee. Due to the position pulse and a bone pyramid erected in succession, the restoring moment of the floor reaction force is prepared and thus an elastic (band, fascia and imiskelumfassendes) force transmission moment across the middle of the pelvis created in the early stance phase at foot. The force transmission torque leads to a step extension and track width optimization, since the pendulum motion is optimized by the force vector equal, sinusoidal vibration harmony to the opposite side.

For the assessment of the balanced upper body movements in their connection to the two-legged locomotion mathematical approaches of the same side working linkage are just as crucial as derived in the foot area considerations from the dynamic center triangle consideration including the

Eulerian straight.

In yet another embodiment of the invention is a

Gangjustierhilfe provided, wherein the pressure and / or the impulse to the lower edge of the medial malleolus or the impulse is exerted on the calcaneus.

In yet another embodiment of the invention is a

Gangjustierhilfe provided, the alignment is such that there is a tilting movement for Nachaußenkippen the heel bone before load transfer of the foot.

In a still further Ausführangsform invention is a

Gangjustierhilfe provided, wherein one of the foot shape following, inwardly or outwardly reinforced shell is provided, which aligns the impulse by highlighting the appearance of the foot or focused.

In a still further embodiment of the invention, a

Gangjustierhilfe provided, wherein the shell is formed such that By reinforcing the inner and / or outer wall of a shoe results in a different curvature to the rest of the shoe, different volumes and a different Shore hardness at the location of the foot. In yet another embodiment of the invention, a

Gangjustierhilfe provided, the Gangjustierhilfe a

Emphasis included to ensure that not only the small toe of the foot during the rolling process while walking takes up the entire load, but the

Great toe gap also takes load or the force to

Big toe gap is deflected.

In a still further embodiment of the invention, a

Gangjustierhilfe provided, the Gangjustierhilfe a

Sidewall reinforcement adjacent to the highlighting and / or highlighting and / or adjacent to the highlighting for increasing the stability of the foot includes and / or wherein the Gangjustierhilfe functionally independent,

reusable or applied individually to the skin or one

Close-fitting foot wrap, a compression stocking is applied at a defined point of each Gangj ustierel ements.

BRIEF DESCRIPTION OF THE DRAWINGS

Further details and advantages of the invention will become apparent from the embodiments illustrated in the drawings. Show it

1, a bone structure with a bone pyramid of talus 105. Heel bone 106, navicular bone 107, cuboid bone 108 and erected arch 1 13 and optimal bone triangle 1 1 1, 2 shows a bone structure with a bone pyramid of talus 105, heel bone 106, navicular bone 107, cuboid bone 108 and lowered foot arch 1 13 and flattened bone triangle 1 1 1,

Fig. 3 a foot 1 15 with an inner malleolate 101, at the rear edge of a tangent 102 is applied. This tangent 102 hits the sole of the foot,

Fig. 4 a foot 1 15 with an outer knuckle 121, at the front edge of a tangent 102 is applied. This tangent 102 hits the sole of the foot,

FIG. 5 shows a foot 1 15 viewed from the rear with a straight line 102 running through the middle of the Achilles tendon. FIG.

6 is a view of the position of the central element / emphasis for the erection and erection of the bone pyramid of the foot viewed from the center,

7 is a view of the position of the cuboid anchor 1 18 viewed from the side,

8 is a rear view of the foot 1 15 showing the position of the heel 104,

8a shows a representation of the connecting web between combinations of the elements 103, 104 and / or 18

Fig. 9 is a Schrattansicht of the foot 1 15 with adjacent shell 1 14, which can be reinforced inwardly or outwardly with a support and can be provided with a highlight 103.

10 is a side view of the heel nose,

1 1 is a side view of the cuboid anchor 1 18, 12 is a side view of a first shell element,

Fig. 13 is a side view of a second shell element with reinforcement inside.

14 is a side view of a third shell element with reinforcement to the outside,

FIG. 15 shows the phase-shifted sine function of the crescent rhythm. FIG.

16 shows the pendulum movement about left and right foot,

Fig. 1 7 is a perspective view of a foot, top and outside with recorded Oberflächeneinteilungslinien;

Fig. 18 is like Fig. 17 but showing the bottom and inside of the foot;

Fig. 19 as Figure 1 7, but coated with a stocking and with glued adhesive

Heel element;

Figure 20 as Figure 18 but coated with a stocking and glued with central and heel element.

Fig. 21 as Figure 19, but with glued heel element;

FIG. 22, like FIG. 20, but with a glued central cube-leg and heel element;

Figure 23 as Figure 22, but with glued heel and Würfelbeinelement; Fig. 24 is a view of a heel nose 104 on the sock;

Fig. 25 is a side view of the heel nose 104; 26 shows an enlargement of the heel nose 104,

DETAILED DESCRIPTION EXAMPLE

EMBODIMENTS

1 shows a bone structure with an ankle bone 105 (talus), a heel bone 106 (calcaneus) and a navicular bone 107 (os naviculare). Together with the cuboid (108) results in a fully erect bone pyramid or an optimally oriented bone triangle 11 1 with a normally formed foot arch 113.

 In the feet is a quarter of all the bones of the human body. In the posterior part of the foot, the bones are on top of each other, in the middle and on the front, however, side by side. The rear area is anatomically designed so that the bones can withstand the axle load when walking. The entire weight of the performance passes over the foot into the ground and is returned via the floor reaction force via Seltnen, fascia and muscles back into the body. This causes the momentum of the footprint and moving the body center of gravity to the opposite side. The bones of the middle and forefoot area have only the function of steering the resulting floor reaction force during the rolling movement. On the inside of the foot and in the middle foot area created by the adjacent bones a vault. This is tense by muscles and stabilized by tendons and ligaments. A healthy foot never rests on the entire surface. The vault forms a buffer and the foot can react elastically when it appears (shock absorber function). The heel bone on a normal foot is tipped with the back end on the floor and with the front (toe-toe) directed upwards. Together with the navicular bone and the talus, it forms the anterior lower ankle joint.

Fig. 2 shows a lowered arch of the foot, ie the bone pyramid has lowered her down and the bone triangle 1 1 1 is flatter. As a result, the heel bone 106 is lowered downwards. The arch of the foot 1 13 is no more designed succinctly and offers less shock absorber function when walking.

Fig. 3 shows a foot 1 15 with inner knuckle 101, at the trailing edge of a tangent 102 is applied. The tangent 102 runs perpendicular to the ground when the foot is upright, the sole of the foot being parallel to the floor surface.

Fig. 4 shows the tangent to the anterior edge of the lateral malleolus which is perpendicular to the floor when the foot is erected and the sole of the foot is parallel to the floor surface.

Fig. 5 shows the rear view of a foot and a straight line 102 which extends perpendicularly through the middle of the Achilles tendon.

All Gangjustierelemente, so emphasizing the invention, even the first shown in the following figures are in an alternative embodiment, despite their elasticity so dimensionally stable that they change their space curvature under load only insignificantly.

The accumulations of material used can be produced for example with 3D elastomer or plastic printers in small batches and in mass production. They consist of e.g. made of thermoplastic material such as PU, PA, PE and / or silicone.

The intensity of the highlights 103, 104, 118 and the particular filling depend on the body length, the body weight and the degree of instability and discomfort of the person or the patient concerned. The outer wall of the central element 103, the heel 104 and the highlight 1 18, and the Cuboid anchor can be designed differently bulky and with materials of different properties. The accumulations of material are fastened on the foot coverings, inter alia by gluing, by spraying, by sewing, by means of Velcro fasteners, by means of other adhesives or the like, externally or internally. It is also possible to insert or insert the material accumulations into special pockets of the foot wrap. The opening of the pockets can be inside or outside.

One possible close-fitting foot wrap is: a compression stocking of compression class 2. It has e.g. a special seam to ensure a firm concern in special areas safely and prevent slipping of the elements of Gangjustierhilfe. The compression stocking may have a mark on its top. e.g. a straight line that serves as a tightening and alignment aid.

In Fig. 6, the position of the central element is shown. It is glued to the surface of a foot 115 or glued, stitched, pressed or welded onto a snug foot cover. The point of intersection of the tangent 102 with the trailing edge of the medial malleolus with the sole of the foot 15 is the location at which a prominence 103 is placed to achieve an erection of the ankle bone 105, heel bone 106, navicular bone 107 and cuboid 108 foot bone pyramid , As a result, the arch of the foot 1 13 is aligned and erected. The goal of the central element 103 is to achieve an erection of the bone triangle or bone pyramid TU and activation of the stabilizing musculature. The basic shape of the central element 103 is cupped and follows the anatomical course of the foot at the indicated location. The highlighting may be under the heel in horizontal orientation and / or laterally adjacent in vertical orientation. The shell with reinforcing support 17 located inside the shell and / or outside in vertical and / or horizontal orientation may be 3-6 cm wide, 1-5 cm high and 2-6 cm under the foot or flush with the lateral sole edge and has elastic or solid material properties. The emphasis in horizontal and / or vertical direction may be increased symmetrically or asymmetrically and be rising, descending and / or curved.

 The horizontal emphasis 103 causes a correction of the static of the foot by an impulse on the heel bone. This leads to an erection of the bone triangle or the bone pyramid. The vertical emphasis 103 provides elasticity or test of stabilization of the lower ankle joint and movement motion.

 The central element 103 can also act alone as Gangjustierhilfe. In Figure 7, a supplement of the central element is shown, which deflects the force that results in the heel counter and rolling of the foot, so that the movement of the 4th and 5th beam steering is directed to the big toe gap. The Cuboid anchor also has a shell-like curvature that follows the anatomical course of the foot. Cuboid element 118 orients itself at a point on the tangent that is applied as the centroid normal to the anterior edge of the lateral malleolus. It may be 2-4 cm wide, have an internal and / or external emphasis in the vertical or horizontal direction and have soft or solid Materialei properties. The height in the vertical direction is 1-4 cm and the length under the foot is a maximum of 4 cm.

The Cuboid is a bone that is similar to the kneecap, intended for force diversion. The force acting on the talus and heel bone on the heel strike is redirected to the cuboid and the ossi cuneiform via the navicular bone. This is where the muscles that bring the big toe to the floor in the rolling motion sit. In muscular insufficiencies in the area of the foot and lower leg muscles (due to aging or lack of movement), the force deflected by the central element during the rolling motion can not be absorbed. The pressure shifts too much on the fifth metatarsal bone. Therefore, the force in the area of the cuboid (bones in the lower ankle, on the outside of the foot) must be redirected so that the pressure curve can run in the direction of the first and second toes. The two previously described gangue elements can be extended by a third element: a heel nose 104. The center of the heel element 104 is located outside or within the straight line drawn through the middle of the Achilles tendon in the perpendicular direction. The longitudinal dimension extending transversely to the direction of travel is approximately as large as the width dimension oriented perpendicular thereto. The heel nose is cupped to fit the foot and may include inward or outward elevations in the vertical and / or horizontal direction.

 Fig. 8 shows the two possible positions of a heel nose 104, which lead to the unlocking of the knee on appearance. According to the invention, the heel nose 104 is not centrally located, but eccentrically (inwardly or eccentrically). In particular, an innermost arrangement is proposed. When walking, the fall of the forefoot is slowed down by muscle work of the tibial musculature. The resulting muscle tension causes a flexion of the knee joint by about 1 5 °. Lack of muscle tension, anatomical deformities or muscular imbalances, the knee remains stretched at the heel strike. If the knee is stretched, rather than slightly bent, the impact, which is approximately one-fifth of the body weight, can not be absorbed by the muscles in the thigh. There is an increased impact load on the knee, hip and spine and an increased risk of (baker's cyst, chronic knee or hip osteoarthritis) .The heel nose 104 provides controlled flexion of the knee at the heel strike, providing shock absorption and better knee stability. It is attached laterally or medially to the middle of the heel and may consist of a part that is attached like a wedge under the foot or a part with a short tongue up (max 2 cm).

As shown in Figure 8a, the Gangjustierelemente 103, 104 and 1 18 may be connected to a connecting element 1 19. The interaction of the devices 103, 104 and 1 18 takes place according to the following system: Unlock - tilt

-- To steer. The heel nose 104 unlocks the knee before the load transfer of the stand. The emphasis 103, which can be referred to as the central element, tilts the heel bone before taking over the entire load. The highlighting 118, which may be referred to as a cuboid annunciator, directs the movement in the right direction so that the unrolling of the foot after load transfer is done correctly.

 The three adjusting elements 103, 104 and 1 18 are connected to each other via an example thin-walled connecting element. The latter is a dimensionally stable, long and thin web in the longitudinal and transverse direction. For example, he has a fiberglass insert. The possibly existing web has a wall thickness of e.g. 0.5 to 2 mm. The connecting element is designed to be stiff in shape transversely to its wall thickness, so that the center of gravity of the Gangjustierelemente almost no displacement - under load - arises, i. the elements do not shift against each other.

Figure 9 shows a side sectional view of a central element 103 which, for improved support on the footprint, has e.g. 1 to 5 mm protruding support nose and has a highlight in the vertical and horizontal direction inwards.

Fig. 10 shows a side view of the foot 15 with the heel nose 104. At the position shown in Fig. 8, a cup-shaped curved member is mounted in the vertical and horizontal directions from the fat-connective tissue pad, with no highlighting, one within the shell / or an off-shell emphasis and / or support may be present.

FIG. 11 shows a side view of the cuboid anchor 118. At the position shown in FIG. 7, a cup-shaped curved element is mounted in the vertical and horizontal directions from the fat-connective tissue cushion, with no highlighting, one within the shell and / or a highlight lying outside the shell may be present. FIG. 12 shows a side section of the shell 114 following the foot, which represents the basic shape of the gangue aid elements.

Fig. 13 shows a side section of the structure to the inside, wherein the shell 1 14 in the horizontal and / or vertical direction may have a support 1 17, which may be symmetrical and / or asymmetrical and either linearly descending or ascending in wedge shape or curved can.

Fig. 14 shows a side section of the structure to the outside, wherein the shell 114 may include in horizontal and / or a support 1 17, which may be symmetrical and / or asymmetrical and linearly descending or ascending in wedge shape or curved. Likewise, it can contain a nose to the ground, so that the foot receives a larger contact surface and thus more stability. The resulting ground reaction force (response of the soil to the force that the body transmits to the ground via the foot) subsequently passes through the supporting leg in the direction of the axis. This allows the greatest possible restoring force and dynamic foot pressure to move the body to the opposite side. This results in a harmonic and power-optimized oscillating movement of the middle of the pelvis, see FIG. 16, and an economy-based, improved gait pattern according to a phase-shifted sine function, see FIG. 15.

Figures 17 and 18 show the surface of a left foot (1) in two

Views. On the surface of this foot (1) are ten

Surface division lines (31-41) arranged. These surface division lines serve to define the mounting locations of the individual speed adjustment elements (41-44). They are defined as follows:

Rist point sole line (21): It is a foot perimeter line that runs along a vertical foot cross section and passes through the instep point (5). The instep point (5) is the point of the strongest

Curvature of the internal flexion of the foot.

Feeding tension line (22):

 This circumferential line surrounds a footcut which extends between the instep point (5) and the point of maximum curvature of the heel (3).

Ankle-Ankle-Line (23):

 It describes the perimeter of the vertical foot cross-section, which runs at the same time through the highest lateral elevation of the medial malleolus (16) and the highest lateral elevation of the lateral malleolus (15). The inner malleolus (16) is higher than the outer malleolus (16).

Fußsöhleninnenlinie (24):

 This line extends upwardly along the sole of the foot (6) between the midpoint of the heel radius and the center of curvature of the sole area in the region of the front end of the first metatarsal bone with maximum flexion of the first base member. The center of the heel rounding lies on the vertical central longitudinal plane of the foot.

Footsole Outline (25):

This line runs along the sole of the foot (6) between the center of the heel round _li ng and the center of curvature of the sole area in the region of the front end of the fifth metatarsal at maximum flexion of the fifth base member upward.

Front foot cross section line (26):

This is the perimeter of the vertical foot cross section on the toe of the little toe. The vertical foot cross section cuts the center of the small toe bale. Outer side line (27):

 This is the connecting line on the outside of the foot (7) between the center of the small toe bale and the instep point sole line (21), the outside line (27) being perpendicular to the instep point sole line (21). The outer side line (27) is at the height of the Fußfettpolsters.

In the second line (28):

 It represents the connecting line on the inside of the foot (8) lying between the center of the big-toe bale and the instep-point sole line (21), ending perpendicularly to the instep-point sole line (21). The inner side line (28) is also located at the level of the foot fat pad.

Biceps Bias (29):

 It is the perimeter of the vertical section between the

Tadpole midpoint before the conclusion of toe-in

Metatarsophalangeal joint. This vertical cut includes a point angle with the vertical foot cross section known from the front foot cross-section line (26).

Restraining circumference line (31):

 The fetlock circumference (31) surrounds the smallest leg circumference just above the medial malleolus (16). It lies - at least approximately - in a plane parallel to the footprint (56).

Figures 19 and 20 show the left foot (1) with the two gear adjusting elements (41) and (43) glued on the foot surface (2). The former

Gangjustierelement is the · central element (41). The central element (41) has an elongated, approximately oval or elliptical shape whose length is for example three times greater than its width extension, It is arranged on the inside of the foot (8) on the flea of the fat cushion in the extension of the inside line (28) along the direction of walking unordered ends overlap the Ristpunkt- Sole line (21) and behind the ankle-ankle line (23) each slightly to several millimeters, see. FIG. 4. The surface division lines cut by the central element (41) are shown here by dashed lines.

Although the central element (41) can also act alone as a speed adjustment aid (40), it is shown here in combination with a heel element (43). The heel element also has an oval or elliptical outline contour. The center of the heel element (43) is located at an intersection formed by the meeting of the heel limb (22), the soles of the foot (24) and the soles of the foot (25). The longitudinal dimension extending transversely to the direction of travel is limited by e.g. 50% larger than the perpendicular oriented

Width dimension.

The Gangj ustierelemente (41, 43) and the connecting element (47) are equipped on the back with an adherent adhesive layer, so that both elements (41. 43) together on the support stocking (70) adhere.

All Gangjustierelemente, and the first shown in the following figures, despite their elasticity so dimensionally stable that they change their space curvature under load only insignificantly.

According to FIGS. 21 and 22, the group (46) which hitherto consisted of two gear adjustment elements (41, 43) is widened by a third gear adjustment element, the scarf leg element (42). The navicular element (42) overlaps approximately 30% with the central element (41). It is located at the front end of the central element (41), being offset upwards by about 30-50% along the instep point sole line (21). The navicular element (42) has, in a first approximation, a round, oval, elliptical or polygonal circumference, the longitudinal extent being between 5 and 30% greater than the width extension. The width extension is identical in any of the cases described with the wall thickness of the individual or

Gangue elements (41-44). The navicular element (42) can also on Central element (41) be formed.

Figure 23 shows the foot (1) with a gait adjustment aid (40) constructed of four gait adjustment elements (41-44) held together by the foot enclosure (70). Compared to Figure 6, the metatarsal bone element (44) has been added. It is at the Fußaußenseite (7) in the height of the Fußfettpolsters z.B, in the middle region of the outer side line (27) disordered. The metatarsal bone element (44) is located in the vicinity of the fifth metatarsal bone.

The two adjusting elements (41) and (43) are connected to each other via an example thin-walled connecting element (47). The connecting element (47) is dimensionally stable transversely to its wall thickness, so that the

Center of gravity standards of Gangjustierelemente (41, 43) as good as none

Displacement - under load - arises, i. the elements (41, 43) do not move against each other on the foot surface (2). The Gangjustierelemente (41, 43) and the connecting element (47) are equipped on the back with an adhesive layer adhering, so that all three elements (41, 43, 47) adhere together on the foot skin.

In the exemplary embodiment, the girth adjustment element (44), which has an oval or elliptical shape relative to the circumference, has an elongate extent which extends at least approximately parallel to the direction of travel and which corresponds approximately to twice the width extent. The middle foot bone element (44) is connected to the central element (41) possibly via a coupling element (48). The latter is a dimensionally stable, long and thin web in the longitudinal and transverse direction. For example, it has a fiberglass insert. The possibly existing web (48) has a wall thickness of e.g. 0.5 to 2 mm.

As soon as the foot sole (6) widens below the body weight during foot roll-off, ie when the metatarsal bones are loaded during unwinding, a tensile stress acting on the middle fiiice bone element {44) is created Metatarsal bone element (44) pulls in the direction of the footprint point, which results from the intersection of the Körperschrotraftlots with the footprint (56).

Here, the speed adjustment aid (40) can easily be created by its curvature of the space when creating the foot wrap (70) on the foot and aligned true to form. The convex foot surfaces nestle snugly into the concave inner surfaces of the speed adjustment elements (41-44).

FIGS. 24 to 26 show a heel element (43) which has been improved

Support on the footprint, e.g. 1 to 4 mm protruding support nose (55).

The support stocking (70) may have a mark on its upper side, e.g. a straight line that serves as a tightening and alignment aid.

The usually used support stockings belong to the class II class. They have z, B. a special seaming to ensure a firm concern in special zones safely.

In order to determine which measures are necessary to achieve optimal walking, that is, which highlights 103, 118 should be used, a footprint can be made by walking with the help of a blueprint. You can see the pressure during the unwinding, instabilities in the ankle joint, foot misalignments, side differences, track width and step size. Subsequently, a foot scan can be carried out on which the foot is scanned three-dimensionally and on which the foot support surface and the foot statics can be documented. Likewise, an EMG, an electromyography for recording the muscle activity during walking, a calculation of the angle (angle of incidence, knee angle and others) or a pressure measurement while walking can be performed. Supplemented by a foot pressure measurement in the stance can be exactly say which leg and which foot must compensate for increased load and whether the Center of gravity runs in the middle. From these investigations, false impulses, static errors and instabilities can be detected and documented. Depending on the result, a two-sided or one-sided, statically and dynamically adapted supply with one or more elements for Gangjustierimg.

The intensity of the highlights 103, 18 and / or the heel 104 and the particular filling depend on the body length, the body weight and the degree of instability and discomfort of the person or person concerned

Patients. The outer wall of the headquarters! ements 103. of the heel 104 and the emphasis 1 18, or the Cuboid anchor can be made different thickness.

The thicker the wall is, the firmer the gait adjustment element, ie the emphasis 103, 18 and / or the heel 104, and the stronger the guidance and correction. The fat pad under the sole of the foot supports the function of damping the arch of the foot when taking over the body load during the performance. When walking, this layer is compressed by half. By a displacement of the individual fat chambers, the pressure is distributed over the entire sole of the foot. For this reason, the bottom part of the physiotherapy variant, which runs under the foot and initiates the tilting and erection of the calcaneus, must have softer properties than the side flap or the ring. It can be made of silicone or a filament with less filling. The strength of the gait adjustment aid increases with the

Course of the recovery process. Static support and increased stability through a strong and firm gait adjustment aid is becoming more and more a soft supply once stability is restored.

Patients after acute injury, in the acuity state after surgery, or in chronic complaints usually have a malposition and instability in one or both hocks (upper and / or lower). The coordination of the walking motion is disturbed, whether by a violation of the muscles, tendons, capsule and ligaments, by the necessary cuts in the operation, by walking aids, by atrophies in connection with chronic complaints or in old age. Are these patients in an acute care clinic, rehabilitation clinic or outpatient Exercised physiotherapeutically, the gait pattern must be normalized again. For this purpose, it is necessary to compensate for glitches of the opposite side of the injured leg / hip. This is done by a relatively strong Gangjustierhilfe, which is about 3- 4cm high and about 5-6 cm wide and outside of an anatomically defined position (beginning of the support at the rear edge of the ankle) has a support. The gait adjustment aid is glued to a support stocking or bare foot or worn in barefoot shoes.

It is disclosed in a further embodiment, a human foot with a releasably arrange Gangjustierhilfe consisting of at least one

Gangjustierelement or a group of interconnected Gangjustierelemente, wherein the individual Gangjustierelement or the group of a

elastic material is made, wherein the individual Gangjustierelemente have separate geometric shapes, the adjoining the foot surface, spatially concavely curved inner surfaces have approximately the negative shape of the respective mounting location, with individual Gangjustierelemente or parts of a group can be connected to each other via webs and wherein the individual Gangjustierelement is a buildup of material whose thickest wall measures at least three times the thickness of a web's average thickness. In particular, the new mold has a structure which has a wedge shape and does not follow the shape of the foot.

It is disclosed in a still further imple mentation from a Gangjustierhilfe, wherein a group consists of two Gangjustierelementen either of the central element and a navicular element or the central element and a heel element, in the latter case, both elements are connected via a web.

It is described in yet another embodiment, a Gangjustierhilfe, wherein a group of three Gangj ustierelementen consists: first, from the

Central element, from the navicular element and from the heel element, secondly from the central element, from the navicular element and from the

Metatarsal element. or third, from the central element, from the Fersendement and from the middle foot bone element, wherein each of the Gangjustierelemente are connected to each other either directly or via webs.

It is described in yet another embodiment, a Gangjustierhilfe, wherein a group of four Gangjustiere elements of the central element, the navicular element, the heel element and the metatarsal element consists, the Gangjustierelemente are connected to each other either directly or via webs.

It is described in yet another embodiment, a Gangjustierhilfe, wherein individual Gangjustierelemente or the groups including the webs are glued to the foot surface.

It is described in yet another embodiment, a Gangjustierhilfe, the Gangjustierelemente or groups including the webs with the help of at least one - the Gangjustierhilfe towering - patch are glued to the foot surface, the pilaster projects the Gangjustierhilfe around at least 10 minutes.

It is described in a still further embodiment, a Gangjustierhilfe, the Gangjustierelemente or groups including the webs on their inner surfaces covered with a peelable protective film

skin-friendly adhesive are coated.

It is described in yet another embodiment, a Gangjustierhilfe, wherein the webs in the direction of their longitudinal extension strain-inhibiting

Have material deposits.

In yet another embodiment, a gait adjustment aid is described, wherein gait adjustment elements projecting into the area of the sole of the foot constitute a support nose in the form of a widening of the accumulation of material in the area of the footprint.

In yet another embodiment, a close-fitting foot wrap is described wherein the foot wrap is a stub which has darts (stitching) in the area of the heel extending from the foot (anatomically ankle) to the heel.

In still another embodiment, a close-fitting foot wrap is described wherein the single aggregate of material is an elastomeric body disposed on the base material of the foot wrap.

In a still weathered embodiment, a snug foot wrap is described wherein the accumulations of material are in the form of a sphere section or an ellipsoid section.

In still another embodiment, a close-fitting foot wrap is described wherein the single accumulation of material has a spring stiffness that is a function of the body weight of the foot wrap carrier.

In still another embodiment, a close-fitting foot wrap is described, wherein the single accumulation of material consists of at least two different layers of material, each pushing material having a different spring stiffness.

It should be noted that the term "comprise" further elements or

Does not preclude procedural steps, just as the term "a" and "an" does not preclude several elements and steps. The reference numerals used are for convenience of reference only and are not to be considered as limiting, the scope of the invention being indicated by the claims.

Claims

1. Gangjustierhilfe on the foot for up and alignment of the bone pyramid (1 1 1) of a foot (1 15) of a person, wherein the bone pyramid (1 1 1) an ankle bone (105), a heel bone (106) and a navicular bone (107 ), the lower one, the upper one Ankle and parts of the metatarsus, comprising: an emphasis (103) for generating a pressure or momentum on the heel bone at the foot (1 15) and / or before load bearing, wherein the location of the emphasis (103) in the person's standing Point on the tangent (102) to the trailing edge of the Ankle (101) of the foot (15) and / or wherein the location of the prominence (103) is adjacent to a point on the tangent (102) to the posterior edge of the medial malleolus (101). 2. Gangjustierhilfe on foot according to claim 1, wherein the tangent (102) on Behind the inner ankle (101) of the foot (1 15) is applied, that is, that the tangent (102) bears against the rear edge of the inner ankle (101) with respect to the direction of the foot or walking. 3. The foot adjustment aid according to any one of claims 1 or 2, wherein the pressure and / or the impulse is exerted on the lower edge of the medial malleolus (101) or the impulse on the calcaneus. 4. Gangjustierhilfe on foot according to one of the preceding claims, wherein the alignment is such that a tilting movement for Nachaußenkippen the heel bone (106) before load transfer of the foot (1 15) results. 5. Gangjustierhilfe on foot according to one of the preceding claims, wherein one of the foot shape following, inwardly or outwardly reinforced shell (1 14) is provided, which aligns with the occurrence of the foot (1 15) the pulse by the emphasis (103) or focused. 6. Gangjustierhilfe on foot according to claim 5, wherein the shell (1 14) is formed such that reinforcing the inner and / or outer wall of a shoe to the rest of the shoe different curvature, different volumes and a different Shore hardness at the location of Foot (1 15) results. 7. Gangjustierhilfe on foot according to one of claims 5 or 6, wherein the Shore hardness changes in the vertical and / or horizontal direction of the shell. 8. The foot adjustment aid according to any one of the preceding claims, wherein the gait adjustment aid comprises a heel nose (104) for aligning the knee from an extended state to an angled state, the heel nose (104) being formed as a highlight, the heel nose (104). relative to the foot (115) is arranged off-center in the inner or outer direction. 9. Gangjustierhilfe on foot according to one of the preceding claims, wherein the Gangjustierhilfe includes a highlighting (1 18) to ensure that not only the small toe of the foot (1 15) receives the entire load during the rolling process while walking, but also the big toe gap Load absorbs or the force is diverted to the big toe gap. A speed adjustment aid on the foot according to any one of the preceding claims, wherein the speed adjustment aid has a sidewall reinforcement adjacent to the highlighting (103) and / or highlighting (104) and / or adjacent to the highlighting (1 18) for increasing the stability of the foot (1 15). and / or wherein the gait adjustment aid is functionally self-contained, reusable or applied individually to the skin or a snug foot wrap, a compression stocking is applied at a defined location of the respective gait adjustment element.