AU2011236021B2 - Shoe Insole - Google Patents

Abstract

An insole providing cushioning and control of foot motion. The insole includes a stability cradle and pods secured to the underside of the insole core or base. A lateral heel pod and a medial heel pod have differing material properties selected to help control foot pronation. 1529182_1 CN CY) LO C\j C) cy') C\j N6, J: % CY) C\j C:) CD C"i

Description

I AUSTRALIA Patents Act 1990 SPENCO MEDICAL CORPORATION COMPLETE SPECIFICATION STANDARD PATENT Invention Title: Shoe Insole The following statement is a full description of this invention including the best method of performing it known to us:lA SHOE INSOLE CROSS-REFERENCE TO RELATED APPLICATIONS [0001] This application is related to Australian Patent Application No. 2006280479, International Patent Application No PCT/US2006/014681 (International Publication No. W02007/021328), US Patent Application No. 11/202620 and US Patent Application No. 13/028000, the entire disclosures of which are incorporated herein by way of reference. TECHNICAL FIELD [0002] The present invention relates in general to an improved shoe insole and more particularly to an insole providing improved cushioning and support to the foot of a wearer. BACKGROUND OF THE INVENTION [0003] The human foot is a very complex biological mechanism. While walking the load on the foot at heel strike is typically about one and a half times a person's body weight. When running or carrying extra weight, such as a backpack, loads on the foot may exceed three times the body weight. The many bones, muscles, ligaments, and tendons of the foot function to absorb and dissipate the forces of impact, carry the weight of the body and other loads, and provide forces for propulsion. Properly designed shoe insoles can assist the foot in performing these functions and protect the foot from injury. [0004] Insoles may be custom made to address the specific needs of an individual. They may be made based on casts of the end user's foot or may be made of a thermoplastic material that is molded to the contours of the end user's foot. However, it is not practical to make such insoles for the general public. Like most custom made items, custom insoles tend to be expensive because of the low volume and extensive time needed to make and fit them properly. [0005] To be practical for distribution to the general public, an insole must be able to provide benefit to the user without requiring individualized adjustment and fitting. A first type of insole commonly available over-the-counter emphasizes cushioning the foot so as to maximize shock absorption. For typical individuals cushioning insoles perform adequately 1529182_1 2 while engaged in light to moderate activities such as walking or running. That is, a cushioning insole provides sufficient cushioning and support for such activities. However, for more strenuous or technically challenging activities, such as carrying a heavy backpack or traversing difficult terrain, a typical cushioning insole may not be adequate. Under such conditions, a cushioning insole by itself would not provide enough support and control, and may tend to bottom out during use. [0006] Another type of over-the-counter insole emphasizes control. Typically, such insoles are made to be relatively stiff and rigid so as to control the bending and twisting of the foot by limiting foot motion. The rigid structure is good at controlling motion, but is not very forgiving. As a result, when motion of the foot reaches a limit imposed by the rigid structure, the load on the foot tends to change abruptly and may increase the load on the structures of the foot. Because biological tissues such as tendons and ligaments are sensitive to the rate at which they are loaded, the abrupt change in load may cause injury or damage. [0007] In view of the foregoing, it would be desirable to provide an over-the-counter insole that provides both cushioning and control. [0008] It would also be desirable to provide an insole that provides both cushioning and control and is practical for use by the general public. [0009] Any discussion of documents, acts, materials, devices, articles or the like which has been included in the present specification is not to be taken as an admission that any or all of these matters form part of the prior art base or were common general knowledge in the field relevant to the present invention as it existed before the priority date of each claim of this application. SUMMARY OF THE INVENTION [0010] Throughout this specification the word "comprise", or variations such as "comprises" or "comprising", will be understood to imply the inclusion of a stated element, integer or step, or group of elements, integers or steps, but not the exclusion of any other element, integer or step, or group of elements, integers or steps. [0011] In a first aspect, the present disclosure provides an insole having a top surface for contacting a user's foot and a bottom surface for contacting the inside of a user's shoe, comprising: 1529182_1 3 a. a base, said base having a base top side and a base bottom side, said base having a heel end, a toe end, a first medial side defining an inner arch area and a second lateral side defining an outer border area, said sides extending from said heel end to said toe end, said base bottom side defining a toe area, a forefoot area, and a stability area; b. a stability cradle made of semi-rigid material, said stability cradle having a cradle top side and a cradle bottom side, said stability cradle defining one or more openings extending from said cradle top side to said cradle bottom side, said cradle top side affixed to said stability area of said base bottom side whereby said base bottom side and said openings define at least a first recess in said insole bottom surface located along lateral rear and lateral side of said stability area; and c. a system of interacting cooperative components integrated into said base and said stability cradle, said system comprising a lateral heel pod inserted into said first recess which system provides control of the amount of pronation of a user's foot. [0012] In a second aspect, the present disclosure provides a stability cradle subassembly for an insole having material of sufficient rigidity to support the medial portion of a user's foot and assist in the control of foot motion. BRIEF DESCRIPTION OF THE DRAWINGS [0013] The above, and other objects and advantages of the present invention will be understood upon consideration of the following detailed description taken in conjunction with the accompanying drawings, in which like reference characters refer to like parts throughout, and in which: Fig. I is an exploded perspective view of an illustrative embodiment of an insole in accordance with the principles of the present invention; Figs. 2 and 3 are perspective views showing, respectively, the base and stability cradle of the insole of Fig. 1; Figs. 4 to 7 are, respectively, dorsal (top), plantar (bottom), lateral (outside), and rear views of the insole of Fig. 1; Fig. 8 is a longitudinal cross sectional view of the insole of Fig. 1; Figs. 9 and 10 are transverse cross sectional views of the insole of Fig. 1; and Fig. I I is a view of the bones of the foot superimposed on a plantar view of the insole of Fig. 1. DETAILED DESCRIPTION [0014] In reference to Figs. 1 to 11, an insole constructed in accordance with the principles of the present invention is disclosed. As shown in the exploded view of Fig. 1, insole 20 is a 1529182_3.doc 4 composite structure including base 22, stability cradle 24, lateral heel pod 26, medial heel pod 28, lateral midfoot pod 30, forefoot pod 32, valgus pad 34, and top sheet 36. Although it is not visible in Fig. 1, insole 20 also includes a thin pad disposed between base 22 and top sheet 36 to form transverse arch support 38 which is visible in Figs. 4 and 9. [0015] As shown in Fig. 2, base 22 generally has the shape of a full or partial insole. Base 22 is preferably made of one or more layers of foam or other material having suitable cushioning properties. For example, base 22 may include a top layer comprising about 2 mm of EVA foam having a durometer (hardness) from about Shore C 25-55 and a bottom layer comprising about 4.5 mm of EVA foam having a durometer of about Shore C 40-65. More preferably, the material of base 22 is selected based on an expected type of activity of the user of the insole. A softer material would be selected for an insole to be used during light activites; whereas harder materials would be more appropriate for demanding activities. For example, a base comprising an EVA top layer with a durometer of about Shore C 30-35 and an EVA bottom layer with a durometer of about Shore C 45 would be a suitable base for an insole designed for activities such as day hiking; whereas, top and bottom EVA layers having durometers of about Shore C 45-50 and Shore C 60, respectively, may be more appropriate for an insole intended to be used while backpacking. [0016] Base 22 has a raised edge 40 that wraps around the heel and extends partially along the sides of the foot such that the insole conforms to the natural shape of the foot. As seen in Figs. 6-10, the height of raised edge 40 is generally higher, and the base material is thicker, on the medial side of the foot and is lower on the lateral side. Base 22 also includes recesses 42, 44, and 46 for mating with stability cradle 24, forefoot pod 32, and valgus pad 34, respectively. [0017] Base 22 is partially disposed within stability cradle 24, which provides some rigidity to insole 20. Preferably, stability cradle 24 is made of a material having sufficient rigidity to control foot motion. For example, stability cradle 24 may be made of polypropylene having a durometer of Shore A 90. [0018] Stability cradle 24 generally extends under the from the calcaneus through the midtarsal joints of the foot. However, the forward medial portion is shaped to accommodate downward motion of the I<st> metatarsal during toe off, as is described below. Indentations 58 around the heel and along the lateral side of stability cradle 24 help improve the fit of insole 20 into a shoe and minimize movement between insole 20 and the shoe. 1529182_1 5 [0019] As shown in Figs. 6 to 10, stability cradle 24 includes walls that wrap up the sides and rear of base 22 to provide support for the foot. Preferably, stability cradle 24 is approximately 3 mm thick and the walls taper from approximately 2 mm to about 0.5 mm. The sides of stability cradle 24 are preferably higher on the medial side of the foot because of the higher loading. For example, medial side 48 of stability cradle 24 extends upward under the medial longitudinal arch. Slots 50 improve flexibility along the medial side of stability cradle 24 without sacrificing longitudinal arch support. Preferably, base 22 is molded so that portions 52 and 54 of the foam material project into slots 50 and holes 56 so that it is approximately flush with the outer surface of stability cradle 24, so as to mechanically lock stability cradle 24 and base 22 together. Advantageously, the foam is also able to bulge through slots 50 when base 22 is compressed, e.g., while walking to provide additional cushioning to the arch. [0020] Pods 26 to 30 are affixed to the bottom of base 22 through corresponding openings 60, 62 and 63 in stability cradle 24. Forefoot pod 32 and valgus pad 34 are affixed to the bottom of base 22 forward of stability cradle 24, and top sheet 36 is affixed to the top surface of base 22. As will be discussed below, the size, shape, and placement of these pods and pads are based on the location of various anatomical landmarks of the foot and the biomechanics of foot motion. [0021] Foot contact with the ground is generally divided into three phases: heel strike, midfoot support, and toe off. During heel strike, the heel of the foot impacts the ground with significant force. To cushion the impact, lateral heel pod 26 is positioned along the rear and lateral side of the calcaneus (heel bone) and projects below stability cradle 24. Preferably, lateral heel pod 26 is made of a material having suitable cushioning properties. For example, lateral heel pod 26 may comprise approximately 6 mm of a polyurethane material with a durometer of about Shore C 40-60. More preferably, the characteristics of lateral heel pod 26 are selected based on an intended type of activity. For example, a polyurethane having a durometer of about Shore C 45-50 would be appropriate for lateral heel pod 26 in an insole designed for activities such as day hiking; whereas a polyurethane having a durometer of about Shore C 50-55 would be more appropriate in an insole designed for activities such as backpacking. [0022] Following the initial impact of the heel with the ground, the foot twists, or pronates, bringing the medial side of the heel into contact with the ground. The foot is sensitive to the amount of pronation as well as the rate at which the pronation occurs. Pronation is natural, and some degree of pronation is desirable because it serves to absorb the stresses and forces 1529182_1 6 on the foot during walking or running. However, an excessive amount or rate of pronation may result in injury. [0023] Stability cradle 24 provides firm support along the medial portion of the foot to help control the amount of pronation. Medial heel pod 28 helps to control the rate of pronation by forming medial heel pod 28 out of a material having different characteristics than lateral heel pod 26. For example, to reduce a pronation rate, medial heel pod 28 may be made from a firmer material than lateral heel pod 26. A firmer or stiffer material does not compress as much or as fast as a softer material under the same load. Thus, a medial heel pod made from a firmer material would compress less than a lateral heel pod made of a softer material. As a result, medial heel pod 28 tends to resist or counteract pronation and thereby help to reduce the degree and rate of pronation. Conversely, making medial heel pod 28 from a softer material than lateral heel pod 26 would tend to increase the amount and rate of pronation. [0024] Preferably, the firmness of the material used in medial heel pod 28 is selected based on the firmness of lateral heel pod 26 and on the type of intended activity. For example, the firmness of lateral heel pod 26 and medial heel pod 28 may differ by about 20-30% for an insole to be used during light to moderate activities. More specifically, lateral and medial heel pods having durometer values of approximately Shore C 45-50 and about Shore C 60, respectively, would be suitable for an insole designed to be used during light hiking. [0025] Carrying a heavy backpack significantly increases the load on the foot and the rate of pronation during and following heel strike. Accordingly, medial heel pod 28 may be made significantly firmer in an insole designed for use while backpacking. As an example, a difference in firmness of about 20-40% may be more appropriate for such activities. More specifically, lateral and medial heel pods having durometer values of approximately Shore C 50-55 and about Shore C 65-70, respectively, would be suitable for an insole designed to be used during backpacking. [0026] Midfoot pod 30 provides cushioning and control to the lateral side of the foot during the midstance portion of a step. Typically, midfoot pod 30 is formed of a material having the same properties, e.g., firmness, as lateral heel pod 26. However, a material having different characteristics may also be used. [0027] At the beginning of the propulsion or toe-off phase of a step, the heel begins to lift from the ground and weight shifts to the ball of the foot. Forefoot pod 32 is located under this part of the foot. Preferably, forefoot pod 32 is formed of a relatively resilient material so that 1529182_1 7 energy put into compressing forefoot pod 32 is returned to help propel the foot at toe-off. For example, forefoot pod 32 may comprise a layer of an EVA material approximately 6.5 mm thick with a durometer of about 25-45 Shore C, and more particularly about 30-40 Shore C. Preferably, forefoot pod 32 includes diagonal grooves 66 as shown in Fig. I and 5. Grooves 66 are angled to correspond to the hinge line of the joints in the ball of the foot to increase the flexibility of forefoot pod 32. [0028] During toe off, the first metatarsal naturally flexes downward. Preventing this natural downward flex of the first metatarsal causes the arch of the foot to flatten and the foot to over pronate, increasing stress on the ankles and knees. To accommodate the downward flex, medial portion 65 of forefoot pod 32 extends rearward into corresponding concave portion 67 of stability cradle 24. The shape of the stability cradle and forefoot pod permit the first metatarsal to flex more naturally and thereby encourage loading of the great toe during toe off. [0029] Valgus pad 34 is positioned under the toes on the lateral side of the foot. Preferably valgus pad 34 is firmer than base 22 to further encourage loading of the great toe during toe off. For example, valgus pad 34. may comprise a 1.5 mm layer of EVA having a durometer of about Shore C 70.' [0030] In a preferred embodiment, base 22 is covered with top sheet 36, which is preferably a non-woven fabric layer with a low coefficient of friction so as to minimize the possibility of blisters. In a preferred embodiment, the fabric is treated with an antibacterial agent, which in combination with a moisture barrier reduces odor causing bacteria and fungus. A series of air ports 68 extend through top sheet 36, base 22 and forefoot pod 32 to permit air circulation above and below insole 20. [0031] FIG. I 1 illustrates the bones of the foot superimposed over a bottom view of the insole of the present invention. At the heel of the foot is the calcaneus 70 and forward of the calcaneus is the talus 72. Forward of the talus 72 on the medial side is the navicular 74 and on the lateral side is the cuboid 76. Forward of the cuboid and the navicular are cuneiforms 78. Forward of the cuneiforms 78 and cuboid 76 are the metatarsals 80A- 80E. The first metatarsal 80A is located on the medial side of the foot and the fifth metatarsal 80E is located on the lateral side of the foot. Forward of the metatarsals are the proximal phalanges 82. Forward of the proximal phalanges 82 are the middle phalanges 84, and at the end of each toe are the distal phalanges 86. 1529182_1 8 [0032] In a first preferred embodiment of the present invention, the various components of an insole constructed according to the principles of the present invention are permanently affixed to base 22 using an appropriate means such as an adhesive. In an alternative embodiment of the present invention, at least some of the components, and the pods in particular, are affixed to base 22 in a way that they can be changed or replaced. For example, pods 26-32 may be attached to base 22 using hook and loop fasteners, a temporary adhesive, or other removable means of attachment. By providing an insole kit including interchangeable components an end user may adapt the insole to their specific needs or to a specific end use. For example, an end user that is susceptible to over pronation or that will be hiking with a particularly heavy backpack may select a medial heel pod that is somewhat firmer than a typical user. [0033] While the present invention has been described in relation to preferred embodiments, the detailed description is not limiting of the invention and other modifications will be obvious to one skilled in the art. For example, the illustrative embodiments of the invention disclosed above are premised on a need to control over pronation. Thus, the illustrative embodiments have a medial heel pod that is firmer than the lateral heel pod. However, under pronation may be addressed by using a softer medial heel pod. Similarly, over or under supination during toe off may be addressed by changing the characteristics of any of base 22, forefoot pod 32, and valgus pad 34. [0034] The present invention has been disclosed in the context of providing an over-the counter insole that may be made available for distribution to the general public. However, the same principles may be used by a podiatrist or other medical professional to design or create an insole to address the needs of a specific patient. [0035] Thus, an improved insole has been disclosed. It will be readily apparent that the illustrative embodiments of an insole thus disclosed may be useful in cushioning the foot and controlling pronation during activities such as hiking, backpacking, and the like. However, one will understand that the components of the insole system may be modified to accommodate other activities or to control other kinds of foot motion. Thus, the description provided herein, including the presentation of specific thicknesses, materials, and properties of the insole components, is provided for purposes of illustration only and not of limitation, and that the invention is limited only by the appended claims. 1529182_1

Claims (21)

1. An insole having a top surface for contacting a user's foot and a bottom surface for contacting the inside of a user's shoe, comprising: a. a base, said base having a base top side and a base bottom side, said base having a heel end, a toe end, a first medial side defining an inner arch area and a second lateral side defining an outer border area, said sides extending from said heel end to said toe end, said base bottom side defining a toe area, a forefoot area, and a stability area; b. a stability cradle made of semi-rigid material, said stability cradle having a cradle top side and a cradle bottom side, said stability cradle defining one or more openings extending from said cradle top side to said cradle bottom side, said cradle top side affixed to said stability area of said base bottom side whereby said base bottom side and said openings define at least a first recess in said insole bottom surface located along lateral rear and lateral side of said stability area; and c. a system of interacting cooperative components integrated into said base and said stability cradle, said system comprising a lateral heel pod inserted into said first recess which system provides control of the amount of pronation of a user's foot.

2. The insole of Claim 1, wherein said stability cradle defines two or more openings and said base bottom side and said openings define at least one or more additional recesses and additional pods are inserted into each of said additional recesses.

3. The insole of Claim 1, wherein said forefoot area of said base defines a forefoot pod recess and wherein said system of interacting components further comprises a forefoot pod inserted into said forefoot recess.

4. The insole of Claim 1, wherein said insole further comprises a top sheet having a foot contacting surface and an opposite surface, said opposite surface adhered to said base top side.

5. The insole of Claim 4, further comprising a thin pad disposed between said base top side and said top sheet opposite side to form a transverse arch support.

6. The insole of Claim 1, wherein said stability cradle and said pods provide control of the amount or rate of pronation of a user's foot. 1529182_3.doc 10

7. The insole of Claim 2, wherein said additional pod is a lateral midfoot pod located along the lateral edge of the insole.

8. The insole of Claim 2, wherein said additional pod is a medial heel pod

9. The insole of Claim 2, wherein two additional pods comprise a lateral midfoot pod and a medial heel pod.

10. The insole of Claim 3, wherein said forefoot pod has angled grooves corresponding to hinge lines of joints of a user's foot, whereby said forefoot pod has increased flexibility during walking by a user.

11. The insole of Claim 3, wherein said forefoot pod recess is shaped to accept a forefoot pod having a medial portion and said stability cradle has a top edge having a concave portion, and wherein said forefoot pod medial portion generally extends into said concave portion when said forefoot pod is situated in said forefoot pod recess.

12. The insole of Claim 2, wherein said additional pod is made of a firmer material than said lateral heel pod.

13. The insole of Claim 2, wherein said additional pod is made of a softer material than said lateral heel pod.

14. The insole of Claim 2, wherein said additional pod is made of a material of the same firmness of said lateral heel pod.

15. The insole of Claim 1, wherein the stability cradle is formed from a material having a durometer of about Shore A 90.

16. The insole of Claim 1, wherein said stability cradle has walls that lie adjacent the first medial side and the second lateral side when attached thereto.

17. The insole of Claim 16, wherein said walls have a thickness ranging from 0.5 mm to 3 mm thick.

18. The insole of Claim 1, wherein said stability cradle is formed from polypropylene. 1529182_3.doc l1

19. The insole of Claim 1, wherein the stability cradle has a length substantially equivalent to the length from the calcaneus through the midtarsal joints of a user's foot for which said insole is designed to be used.

20. The insole of Claim 1, wherein said stability cradle defines a medial arch area and a pod area, said stability cradle extending upward from horizontal so to define said medial arch area which is adjacent a user's medial longitudinal arch during use.

21. The insole of Claim 20, wherein one or more slots are defined in said medial arch area of the stability cradle which when secured to the base expose underlying base material. 1529182_3.doc