DE102014113363A1 - Orthosis, in particular Fußhebeorthese - Google Patents

Abstract

Orthosis, in particular Fußhebeorthese, with a sole (12) from which two opposing web-like support elements (14) extend in the vertical direction and in a support area (17), which surrounds a lower leg at least partially and spars a tibial region, said on the sole (12) in the region of the forefoot a tab (19) is provided which extends at least in the direction of an upper side of the forefoot and forms a first point of application (31) for connecting at least one tension belt (25) to the respective one a second and third engagement point (32, 33) for binding the at least one tension belt (25) and cuff belt (26) is provided, a manually operable closure (27) is provided, which at least a first and second attachment point (28, 29) for the at least one tension belt (25) and cuff belt (26),) which on the second or d Rode attack point (29, 30) is releasably attached and in a closed position (14) of the closure (27) between the first, second and third point of application (31, 32, 33) in each case in the at least one tension belt (25) a tensile stress is applied ,

Description

The invention relates to an orthosis, in particular Fußhebeorthese, with a sole from which two opposing web-like support elements extend in the vertical direction laterally of the ankle and pass into a support region which surrounds a lower leg at least partially.

From the US 6,793,640 B1 is a Fußhebeorthese known in which the sole is supported relatively soft against the vertically extending support members. For fixing an angle between the lower leg and the foot or for lifting the foot lateral flexible bands are provided, which attack on the one hand in the ankle area of the support elements and on the other hand on the sole in the area of the forefoot.

From the DE 91 00 531 U1 Furthermore, a Fußhebeorthese is known. This has in the upper region of the support elements on a cuff, through which the Fußhebeorthese is firmly attached to a lower leg. Between this cuff and the sole, a non-elastic band is provided, through which a fixed angular position of the foot is set to the lower leg of 90 °.

A variety of disorders, such as multiple sclerosis, polyneuropathy, amyotrophic lateral sclerosis, traumatic peroneal lesion, nerve root symptoms, or apoplexy, can result in foot-lift weakness requiring the use of such foot-lifting orthotics. These foot lifting orthoses serve to raise the toe so that when walking, the tip of the foot is prevented from getting caught on the ground or the foot does not drag across the ground. In addition, tripping over bumps or falling can at least be reduced. In addition, the signs of a so-called stork passage should at least be reduced.

In many affected individuals, however, not only a motor disorder, ie the voluntary movement of the lower extremities, is limited, but also the arm of the affected side of the body, which is partly more or less or completely paralyzed. Such hemiparesis means for those affected that the above-described Fußhebeorthesen can not be attracted without additional support from third parties. In addition, the prior art Fußhebeorthesen also can not be used for therapeutic purposes to allow a weakening of the Fußhebefunktion a therapeutic support and thus to achieve a partial or total regeneration of damaged muscles.

The invention has for its object to provide an orthosis, in particular a Fußhebeorthese, by which not only easy handling when donning such Fußorthese is possible, but also allows a simple and flexible adaptation to personal circumstances and in particular for therapeutic support can be used.

This object is achieved by the features of claim 1. Further advantageous embodiments and further developments are specified in the appended claims.

The Fußhebeorthese invention has on an outer side of the sole in the region of the forefoot on a tab which extends at least partially in the direction of an upper side of the forefoot and forms a first point of attack. Furthermore, a second and third point of application for at least one cuff strap is provided on the support region of the orthosis in the respective support sections facing the tibia. Furthermore, the orthosis comprises a manually operable closure, which has a first attachment point for the at least one cuff belt, wherein the closure is releasably secured to the second or third engagement point. This embodiment of the orthosis has the advantage that can be converted by the one, operable with a hand closure, the at least one cuff in a simple manner from an opening or entry position into a closing or carrying position, so that the person concerned without additional aids get into the orthosis or tighten the brace and close it. The closure can be transferred with one hand in a locking position, so that the foot orthosis is ready for use immediately. At the same time, due to a presettable length of the at least one cuff belt engaging therewith, this closure can always be given the same wearing conditions, so that a resulting risk of injury can be prevented due to a possible incorrect adjustment of the tension straps. Such an orthosis is preferably used in light impairments.

A further advantageous embodiment of the orthosis provides that at the upper end of the support elements or on two half-shell-shaped support portions of the support portion extending between a tibial region and an Achilles tendon region on the inside and outside of the lower leg, for fixing the two support sections a fourth and fifth engagement point is provided for at least one Achilles tension belt. This can for example be fixedly attached to the two fourth and fifth points of attack, so that in this example case an entry from the front is possible. Alternatively, this Achilles tension belt can be detachable at least at a fourth and / or fifth point of attack by a closure, thereby enabling a so-called rear entry.

The third engagement point provided in the support region and / or the fourth or fifth engagement point provided on the support element are preferably designed as a releasable latching receptacle which releasably receives the one-hand operable closure. An arranged on the closure latching element can advantageously engage in the closure element, thereby for example a detachable connection by hooking, insertion, insertion, snapping or clipping can be provided.

Preferably, the closure is held rotatably in a latching position about the latching element.

Advantageously, holding magnets are provided on the closure element and / or latching element of the closure. As a result, unintentional release of the closure can additionally be secured in a simple manner.

It is preferably provided that in a closed position of the closure, at least between the first and second as well as between the first and third point of application in the at least one tension belt, a tensile stress is applied. As a result, the range of motion within the ankle can be adjusted so that an increased tensile force is set in the case of severe paralysis phenomena and only slight tension can be set in the case of muscle weakness.

This arrangement allows a vector steering, that is, due to the deflection of the Zuggurts in the first point of an adjustment and alignment of the Zuggurts takes place with respect to the second and third attack point. At the same time, a supination or pronation tendency can be counteracted by a setting in this regard.

A further preferred embodiment provides that the third point of application, on which the closure element is arranged for receiving the catch element provided on the closure, is attached to an adjusting device with a slide which is adjustable at a distance from the second point of application, in particular by a releasable detent , As a result, a change in the pulling direction, and thus incoming tension, can be adjusted in a simple manner.

Preferably, the tensile stress of the at least one tension belt is adjustable. As a result, in particular, the tensile stress acting between the first and second point of application and between the first and third point of application can be adjusted, as a result of which the degree of compliance between the support area and the sole can also be adjusted.

Furthermore, it can be provided that also the cuff belt is adjustable in its length in order to apply a corresponding tensile stress. Preferably, the cuff belt engages in the second point separately to the tension belt.

Due to the triangular application of the tension, a high stability of the orthosis on the one hand and a dynamic in biomechanical unwinding on the other hand can be achieved. In addition, not only an individual setting, but with a therapeutic accompaniment is also possible to reduce the tension gradually, provided that a rehabilitation or a muscle builds up in the ankle.

A further advantageous embodiment of this orthosis provides a three-point belt for fixing the foot in the orthosis through the closure and the at least one tension belt and the cuff belt engaging thereon. Thus, after the transfer of the closure into a closed position, a fast and secure fixation of the orthosis on the foot can be provided. As a result, on the one hand a secure enclosing the support area on the lower leg is given, and at the same time a lifting of the forefoot is made possible by the predetermined angular position of the sole to the support area.

The tab of the orthosis, on which the first point of application is provided, is advantageously located on a sole outside and in particular is arcuate, so that it at least partially surrounds the forefoot. As a result, a joint gentle increase of the forefoot can be made possible.

A further preferred embodiment of the invention provides that the support elements or stabilizers extending between the sole and the support section have a curved course, so that they extend on the inside and outside of the foot in each case in a region between the Achilles tendon and the ankle , As a result, the foot orthosis can cling to the foot, without the ankle is impaired as a center of rotation for the joint. In addition, the support elements additionally form a support adjacent to the Achilles tendon. Advantageously, stiffening elements are provided in the support elements. This will be on appearance with the heel on this orthosis, an interaction of train and pressure on the lower limb exercised, that is, over the support area and the rigid support elements a kind of pressure in the direction of the sole is exercised and in the forefoot thereby a train up to lift the Foot can be achieved. Through this interaction, a dynamic movement between the lower leg and the foot can be achieved, whereby the bands are loaded and also activated.

Preferably, the sole of the orthosis extends only in the region of the metatarsus. This means that at least the toes as well as the heel protrude freely against the sole. The toe and / or heel can only be supported by a lightweight customizable insole with appropriate cushioning and cushioning properties. As a result, the freedom of movement can be further optimized, so that the natural rolling of the foot can be almost maintained. Furthermore, this may be the support of therapeutic options.

A further embodiment of the invention provides that the sole is reinforced at least in the transition region to the support element and tapers to the forefoot or heel. As a result, the biomechanical unwinding can be supported.

Furthermore, the sole preferably has a U-shaped recess extending from the forefoot to the midfoot, which is provided in the region between the second and third beam of the foot. This allows the natural rolling movement of the foot to continue to be allowed.

Furthermore, the at least one point of application and / or the at least one attachment point are preferably formed by slot-shaped recesses or eyelets through which the at least one tension belt and / or cuff belt and / or Achilles tension belt can be carried. As a result, a simple attachment may be possible. In addition, in the passage of a tension belt and / or cuff belt and / or Achilles tension belt by several attack and / or attachment points an independent compensation in the position of the tension belt can be created, so that a uniform tension between the attack and / or attachment points can be built. This is particularly advantageous for the tension belt, which is firmly connected to the second point of attack and extends through an eyelet in the tab to the second attachment portion of the closure.

Advantageously, a deflection ring for the tension belt can be provided on the tab. As a result, the vector steering can be favored. The deflection ring may be an oval or round ring element, through whose opening the tension belt runs. The deflection ring can be rotatably mounted in the tab according to the tongue and groove principle. The deflection ring can rotate clockwise and counterclockwise from the center position by between 10 degrees. Through the opening, the tension belt is guided by the closure at the third point of application, in particular the central closure, and the support element at the outer foot, in its direction according to a vector setting.

The invention and further advantageous embodiments and developments thereof are described in more detail below with reference to the examples shown in the drawings and explained. The features to be taken from the description and the drawings can be applied individually according to the invention individually or in combination in any combination. Show it:

1 a perspective view of Fußhebeorthese invention,

2 a schematic view from behind the Fußhebeorthese according to 1 .

3 a schematic side view of Fußhebeorthese according to 1 .

4 a further schematic side view of Fußhebeorthese according to 1 .

5 a schematic sectional view taken along the line IV-IV in 2 .

6 a schematic top view of the Fußhebeorthese according to 1 .

7a and 7b a schematic front view of the Fußhebeorthese according to 1 with a closure in a closed and open position,

7c a schematically enlarged view of a locking element for receiving a closure,

8a to 8d schematic views of feet-on-foot orthosis,

9a and 9b schematic views of an alternative embodiment of Achilleszugbandes,

10 a schematic view from below of an alternative embodiment of a sole of a Fußhebeorthese,

11 a schematic sectional view taken along the line XX in 10 .

12 a schematic view of a snap spring according to 10 .

13a and 13b perspective view of the orthosis in an entry position and a carrying position,

14a to 14d schematic views of a closure of Fußhebeorthese according to 1 .

15 a schematic view of an open closure according to 14a to d and

16 a schematic view of a loading and / or data transfer device for the closure with a connection device for the closure of the orthosis.

In the 1 to 6 are different views of an orthosis 11 , in particular the Fußhebeorthese, illustrated, to which reference is made below.

This foot orthosis 11 includes a sole 12 , which in each case on an inner and on an outer side in a support element 14 passes over, with the support elements 14 extend in the vertical direction. At the upper end of the support elements 14 is in each case a half-shell-shaped support section 16 provided, which is designed to rest on a lower leg and cooperating a support area 17 for the lower leg.

The sole 12 is shortened in relation to the length of the foot, that is, the sole 12 extends to the ball of the foot and opposite to the heel, leaving the heel opposite the sole 12 remains free. In the back of the sole 12 are the support elements 14 attached to the inside and outside, which, viewed from the side, arcuately extend in the direction of the lower leg, so that the support elements 14 run along an area between the ankle and the Achilles tendon of the foot. The support area 16 surrounds the lower leg above the ankle.

The foot orthosis 11 indicates on an outside of the sole 12 Furthermore, in the forefoot a tab 19 which extends arcuately upwards and towards the middle of the sole so that it at least partially covers or overlaps the instep instep area of the instep and thus the foot to the sole 12 fixed.

For improved rolling of the foot is provided that the sole 12 can be greatly tapered towards the heel or slightly curved to taper, or a rounding 20 has, so that a simplified unrolling is given. Pointing towards the ball of the foot in the front area, the strength of the sole is increasingly reduced, leaving a bend-soft area 23 is formed, on the one hand allows a quasi-not noticeable transition at the front end of the sole to the ball of the foot and on the other hand allows flexibility in rolling the foot. In addition, in the sole 12 a U-shaped recess 21 be introduced, which extends from the front end of the sole 12 starting in the direction of the heel. This recess 21 is preferably provided between the second and third beam of the foot to promote the natural rolling of the foot.

Such a Fußhebeorthese 11 For example, it may be formed of a thermoplastic, in particular a fiber-reinforced plastic. For example, in a Paroneuserkrankung - ie a muscle weakness - such a Fußhebeorthese be formed of a thermoplastic polyurethane, so that by in the 1 to 4 shown Fußhebeorthese is already a sufficient support of the ankle and the raising of the forefoot is possible. Alternatively, a fiber-reinforced thermoplastic, in particular a polyamide or polypropylene, may be provided in order to be used preferably for more severe illnesses or in persons who have an increased weight. Alternatively, such a Fußhebeorthese be made by plastic injection molding.

A first embodiment of the Fußhebeorthese is in the 1 to 6 shown, that is, the transitions from the sole 12 in the support elements 14 and of the respective support element 14 in the support section 16 are sufficiently stiff, so that the support sections 16 abut the lower leg and act when putting on the heel at the beginning of a step and the initiation of a rolling process and the forefoot is raised. Through the connection between the tab engaging the forefoot 19 over the sole 12 and the support elements 14 to the support section 16 Already sufficient alignment and fixation of the foot to the lower leg can be made possible. Through the tab 19 is a first point of attack 31 formed, which is as follows, also for receiving a tension belt 25 can be used.

Preferred are in the support elements 14 stiffeners 22 introduced, which also partially to the sole 12 can extend into it. These stiffening elements 22 are preferred each on the outside of the support sections 16 arranged so that the inner areas of the support sections 16 both paragraph-free in the support section 16 as well as in the sole 12 can go over and thus form a high wearing comfort.

Due to the formation of a two-part support area 17 through the two half-shell-shaped support sections 16 , each of the support elements 14 may be a facilitated entry into the Fußhebeorthese 11 be possible. The support sections 16 can be easily pushed apart when inserting the foot, so that the forefoot independently up to the sole 12 and between the tab 19 and the sole 12 can get. This is also the tightening of this orthosis 11 possible with only one hand.

It is understood that the foot-facing sections and insides of this orthosis 11 is provided with a padding or a soft material, so that a high level of comfort is given. This padding is not shown for clarity.

The orthosis 11 points to a support section 16 a second attack point 32 on which in 3 is shown. On the opposite side of the support area 17 is a third point of attack 31 formed, on which a closure 27 is releasably attached. The attack point 32 has, for example, slot-shaped recesses 38 on to a cuff strap 26 take and fix, the at the opposite end to a first attachment point 28 of the lock 27 attacks. This cuff belt 26 is preferably adjustable in its length. It can be used both an elastic tension band and an inelastic band.

The closure 27 is operable with one hand. Advantageously, this is the third attachment point 30 a pull tab 75 fastened, through which the shutter 27 in a simple form from an open position 40 like this in 7a is shown, in a closed position 39 , for example, according to 7b , is transferred. This allows the orthosis 11 already be transferred into a carrying function, since the upper support sections 16 through the cuff belt 26 Sure enough on the lower leg and the forefoot by means of the tab 19 adequate in the orthosis 11 is fixed and allows lifting.

For simple and variable adjustment of the lower leg engaging support area 17 is the third point of attack 33 by an adjusting device 44 ( 1 ) Changeable in the radial direction. The adjusting device 44 includes, for example, a slider element 45 on which a latching tongue 46 is provided, which has a latch 47 is kept detachable (see 1 ). The slider element 45 preferably has the locking receptacle 41 with an undercut 49 on, so that a mushroom-like locking element 42 in a simple way can intervene and is lockable. This locking element 42 is exemplary in the 7a shown in more detail. To secure the closure 27 against unintentional release from the third point of attack 33 can both in the locking element 42 as well as in the catch recording 41 For example, be provided a magnet to apply an increased holding force.

In the 7a and 7b is a preferred embodiment of the Fußorthese invention 11 shown. This foot orthosis 11 corresponds to the embodiment of the 1 to 6 , in addition to the tension straps 25 a second attachment portion 29 on closures 27 attacks. The closure 27 is operable with one hand to this from an opening position 40 or entry position according to 7b in a closed position 39 or wearing position according to 7a to convict and to solve after use again.

The tension belt 25 extends from the second point of attack 29 over the at the tab 19 provided first attack point 31 to the second attachment portion 29 of the lock 27 , Furthermore, as described above, the cuff belt engages 26 also on the clasp 27 at. Due to the design of the first point of attack 31 as an eye, which of the tension belt 25 is passed through or advantageously by a deflection ring, which rotatably on the tab 19 is provided and the tension belt 25 can be deflected, a vector adjustment between the first attack point 31 and second point of attack 32 on the one hand and between the first point of attack 31 and third point of attack 33 or the closure 27 on the other hand allows. Especially if the orthosis 11 worn in a closed shoe, this can be given a particularly good fit and at the same time the lifting function of the forefoot through the orthosis 11 respectively.

The attack points 31 . 32 . 33 can advantageously by slot-shaped recesses 38 be formed. The attachment points 28 . 29 . 30 of the lock 27 may be preferred as eyelets 51 . 54 be educated. The second point of attack 29 preferably has two separate recesses 38 on, so the pull straps 25 separated from the cuff straps 26 can attack and be attached to the protection area.

The tension belt 25 is preferably formed of elastic material, so that this under application of a tensile stress through the closure 27 in a closed position 39 ( 7b ) can be arranged. Due to the arrangement and design of the tension straps 25 can be a pulling force starting from the first point of attack 31 towards the second and third point of attack 32 . 33 be achieved. Depending on the setting of the tension, an increased pulling force for lifting the forefoot can be set independently of the cuff belt 26 , to the concern of the two half-shell-shaped support sections 16 is set on the lower leg. The tension belt 25 may alternatively be formed of an inelastic or tensile material.

By the arrangement of the Zuggurte 25 and the cuff belt 26 according to 7a is related to the geometry of the orthosis starting from the support section 16 through the support elements 14 to the sole 12 on the one hand a secured lifting of the forefoot due to the tension straps 25 and the cuff belt 26 allows by putting the heel over the support section 16 and / or the support elements 14 a pressure is created which supports the upward pull in the front area of the sole. At the same time, the arrangement and design of the tension straps 25 and the cuff belt 26 on the other hand achieved a dynamic walking behavior, that is, that the ankle is not tight without a range of motion in the Fußorthese 11 but allows a dynamic unrolling, without the foot lift is impaired.

By the arrangement of the first, second and third attack point 31 . 32 . 33 and the connection through the tension belt 25 and the cuff belt 26 which are both attached to a closure 27 attack, a three-point belt can be created. This three-point harness allows easy donning and undressing of the foot orthosis 11 with one hand. By a provided in the third point of action locking receptacle 41 can one at the lock 27 provided latching element 42 be easily attached and detached. Unless the shutter 27 from the third point of attack 33 can be removed, the cuff belt 26 and a first portion of the drawstring 25 be pivoted outwards, allowing easy access from the top to tighten the orthosis 11 given is. Subsequently, when transferring the closure 27 in a closed position 39 according to 7b both a secure concern of the support sections 16 on the lower leg as well as a tension between the first point of attack 31 at the flap 19 to the second and third point of attack 32 . 33 at the support area 17 be achieved.

By the arrangement of the tension belt 25 and the cuff belt 26 at the lock 27 can be a once set tension, which by the tension belt 25 and the cuff belt 26 in a closed position 39 is applied over and over again, that is, a setting adjusted and adjusted by a skilled person can be maintained without additional measures by the user. This facilitates the handling of such Fußhebeorthese 11 and ensures proper use.

In 7c is a schematically enlarged view of the locking receptacle 41 represented, for example, on the slide element 45 or directly on a section of the orthosis 11 can be provided. This snap-in recording 41 has starting from a contact surface an insertion bevel 48 and / or an increasing taper, below an undercut 49 is trained. As a result, the mushroom-shaped latching element 42 , as for example in 14c is shown in the taper and the corresponding undercut 49 intervene or hook in and be fixed. At the same time the shutter remains 27 through the locking element 42 in the locking position relative to the locking receptacle 41 rotatable and may vary depending on the tensile stress acting through the tension belt 25 align and maintain the locked position.

In the 8a to 8d are different views of the foot orthosis attached to the foot 11 shown. 8a shows a view on an inside of the foot, 8b the view on an outside of the foot, 8c a view from the back, and 8d shows a view from below. From the 8a and 8b it can be seen that the support element 14 laterally along the foot of the sole 12 extending upward, wherein initially a diagonal portion is provided, which extends to the ankle, before this diagonal portion merges into a vertical portion to the support portions 16 take. Here are the Achilles tendon facing end portions of the diagonal and vertical portion of the support element 14 adapted to the contour of the foot, so that these support elements 14 rest against the foot in an area between the Achilles tendon and the ankle and additionally support the foot against lateral tilting. At the same time, this can cause a rotational movement around the ankle for the foot lifting orthosis when walking 11 be initiated so that the dynamics of the foot is maintained. The tab 19 is preferably provided on the inside in the area of the front football, which supports a straight lifting of the foot and is favored. The half-shell-shaped support sections 16 preferably have at the rear end or one of the Achilles tendon assigned portion a fourth and fifth point of attack 35 . 36 ( 3 and 4 ) on which an Achilles pull straps 37 ( 8a and 8c ) is attachable. This can permanently at the fourth and fifth point of attack 35 . 36 be attached or at one of the two attack points 35 . 36 through a lock 43 releasably attached thereto. This closure 43 may advantageously have the same design features and advantages as the closure 27 , Likewise, the above-described locking receptacle 41 at the fourth or fifth point of attack 35 . 36 be provided. Through the interaction of the cuff belt 26 and the Achilles harness 37 the fixation of the orthosis is achieved with respect to the lower leg. The Achilles harness 37 can, as for example in 7c is shown, extending diagonally from the one support element 14 be aligned with the adjacent support element. Likewise, the Achilles pull straps can be aligned horizontally. The Achilles harness 37 can also be made of a same or similar material as the tension belt 25 be educated.

In 9a and b is a schematic view of an alternative Achilles tension belt 37 shown. This is a band of spring steel, which has one end 71 for example, in the fourth point of attack 35 is attached and with the opposite end in the fifth point of attack 36 is fastened. It can be on the inside of this alternative Achilles-Zuggurtes 37 also a magnet 73 be provided, which on the locking element 42 in the fifth point of attack 36 can snap into place and it remains fixed for backup. At this front end 74 Furthermore, a pull tab 75 be provided, whereby the handling of this Achilles-Zuggurtes 37 can be simplified. Since this embodiment may be formed, for example, of a spring steel, it is possible for easy adjustment of this Achilles-Zuggurt 37 is released from its closed position, but close to the locking element 42 in the fifth point of attack 36 remains, so that subsequently a simple fixation is given. This Achilles tension belt is preferred 37 designed as a simple stamped part.

In 10 is an embodiment of a foot orthosis 11 with a sole 12 provided, which is both an entry-level position 79 according to 13a as well as a use position 80 according to 13b can take. In this regard, the sole points 12 an inner and outer sole portion 86 . 87 , in particular an inner and outer sole half, which by a joint 88 connected to each other. In the sole 12 is further a spring element 77 provided, which is transverse to the joint 88 extends and their respective end portions in the inner and outer sole portion 86 . 87 are provided. This spring element 77 is self-holding at least in one end position. Advantageously, this is self-holding in two end positions, so that both the in 13a illustrated entry position as well as in 13b illustrated use position 80 , each represent a self-holding end position.

The joint 88 is for example through a rejuvenation 82 with respect to the sole thickness, in particular the inner and outer sole portions 86 . 87 formed, so that in a simple way easy taking the angled arrangement of the two sole sections 86 . 87 is enabled to each other. Alternatively it can be provided that instead of the taper, an elastic material or elastic thermoplastic is provided, which the outer and inner sole portion 86 . 87 connects together and also has the joint function. The joint 88 is advantageous meadow in the U-shaped recess 21 over, so that the biodynamic rolling behavior of this orthosis is favored.

The spring element 77 is like this 11 in the sectional view taken along the line XX in FIG 10 goes completely into the sole 12 integrated. The spring element 77 is preferably designed as a snap spring and consists for example of a pair of strip-shaped band elements 81 made of spring steel, which at a front end 83 are joined together, whereby they are opposite to a base section 84 set up and thereby a snap movement between two self-retaining end positions is possible. The number of paired band elements 81 can depend on the sole length 12 as well as the applied force.

When comparing the position of use 80 the orthosis 11 according to 13b and the entry position 79 according to 13a it becomes obvious that the support sections 16 in the entry position 79 the orthosis 11 are further spaced from each other. This makes it easier to get in from the top or from the top to the rear. Then, applying a force through the sole of the user's foot to the sole 12 the orthosis 11 , this is in the use position 80 transferred so that the support sections 16 at least with little force on the lower leg rest.

In the 14a to 14d are different views of the lock 27 shown. This closure 27 includes a housing 51 , which two opposing eyelets 53 and an eyelet in between 54 for receiving a tension belt 25 and cuff belt 26 includes, which are arranged in the overall view U-shaped to each other. In a recording room 56 of the housing 57 are an electronic module 57 as well as accumulators 58 intended.

The electronics module 57 is according to 15 with at least one sensor element 55 in connection, which at least partially in the eyelets 54 extends. This sensor element 55 includes, for example, a bending beam 60 and a measuring element 59 , The bending beam 60 preferably in middle area of the eyelet 54 a raised area for the installation of the tension belt 25 on. This bending beam 60 For example, L-shaped, so that this with a leg at least partially within the eyelet 54 extends and with a second leg between the receiving space 56 and an adjacent eyelet 53 , In the area of the L-shaped bending beam 60 is the measuring element 59 provided, which is designed for example as a strain gauge. The occurrence of a tensile stress Fz over the tension belt 25 , which the bending beam 60 stressed on bending, can over the measuring element 59 recorded and corresponding signals to the electronic module 57 are issued, which at least detects and stores these signals.

Furthermore, by the electronic module 57 the application and release of the closure 27 from the third point of attack 33 be recorded so that the time period and the period of time are determined, within which the Fußhebeorthese 11 was carried.

Inside the electronics module 57 a controller may be provided to evaluate the acquired measurement data. Likewise, this can be done via an energy management. In the electronics module 57 Further, components for wireless data transmission may be provided to transmit and provide the acquired measurement data for a personal computer, a tablet, a smartphone or the like. Alternatively and / or additionally, an interface, such as a USB micro-port, may be provided to allow data transmission. Furthermore, connection contacts 62 be provided, which when attaching the closure 27 at a loading and / or data transfer device 61 or a connection housing 68 ( 16 ) with complementary connection elements 63 be contacted, on the one hand to enable a charge and / or on the other hand, a data transfer.

In 16 is a perspective view of an exemplary embodiment of a loading and / or data transfer device 61 with a connection housing 68 shown. This loading and / or data transfer device 61 can via their plug 64 be connected in a socket to a power grid. In the case 65 for example, an ad 66 , such as a display or at least one or more LEDs, be provided to the on and off state or other operating conditions, such as charging, state of charge of the accumulators in the shutter 27 and / or the closure 27 to the loading and / or data transfer device 61 transmitted data and measurement signals. On the case 65 the loading and / or data transfer device 61 is also a USB interface 67 or other interface provided to a connection cable 70 with an interface 69 , in particular a micro-jack, on a connection housing 68 connect to. This connection housing 68 has a locking receptacle 41 on which the locking element 42 of the lock 27 receives and thus for a loading operation and / or data transfer operation to the loading and / or data transfer device 61 positioned. In this case, the connection contacts 62 of the lock 27 with complementary connection contacts 63 so that both a load and a data transfer or only one of both is possible. Alternatively, a contactless data transfer between the shutter and the loading and / or data transfer device 61 respectively. Preferred are in the housing 27 arranged one or more LEDs, which can output to the user at least one status display. In this case, the LEDs can be directly adjacent to the surface of the closure or be provided lying behind it and shine through a closed wall of the closure. The same applies to the closure 43 , if this in analogy to the closure 27 is constructed with an electronics. It is understood that the shutter 27 can be used in its function as a three-point belt by means of a one-hand operation without any electronics.

Unless the shutter 27 is formed without a data transmission device, this can in the loading and / or data transfer device 61 be included, that is, during the charging of the shutter, first a transfer of the data from the shutter in the loading and / or data transfer device 61 through the connection contacts 62 . 63 takes place and is transmitted from there to an evaluation.

By capturing the data by means of the shutter 27 a therapeutic treatment can be supported. In addition, it can also be checked and monitored whether this Fußhebeorthese 11 is worn regularly and for a sufficient period of time. Because of this closure 27 For example, a step cadence, a step intensity, a trip, a fall or an overload and the range of motion in the course of the day / week as well as a fatigue and wearing period can be detected and evaluated accordingly. As a result, a conclusion can be drawn at the same time whether and to what extent the preset length of the tension belt 25 and / or the position of the slider element 45 to adapt to the generation of the required tension or the vector setting and / or to change, for example, to avoid stumbling or in an increasing muscle or muscle reaction, a corresponding reduction of Adjust traction to further promote muscle growth.

Furthermore, in the closure 27 In an emergency, an emergency call signal will be issued. This can be triggered by the user or, in the case of an unknown situation or unknown occurring load, by the electronic module 57 is detected, automatically deposited by a corresponding signal and transmitted, for example, to a smartphone or to a call center.

Through this closure 27 is thus an evaluation of the use of Fußorthese 11 Over a certain period of wear allows, based on an evaluation and adjustment in the adjustment of the tension straps 25 and the adjustment 44 to ensure application-specific.

QUOTES INCLUDE IN THE DESCRIPTION

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Cited patent literature

• US 6793640 B1 [0002]
• DE 9100531 U1 [0003]

Claims (16)

Orthosis, in particular ankle brace, with a sole ( 12 ), from which two opposing web-like support elements ( 14 ) extend in a vertical direction and into a support area ( 17 ), which at least partially surrounds a lower leg and leaves out a tibial region, characterized in that - on an outer side of the sole ( 12 ) in the area of the forefoot a flap ( 19 ) is provided which extends at least in the direction of an upper side of the forefoot and a first point of application ( 31 ), - that at the respective shin-pointing support sections ( 16 ) of the support area ( 17 ) a second and third point of attack ( 32 . 33 ) for tethering the at least one cuff belt ( 26 ), - that a manually operable closure ( 27 ) is provided, which at least a first attachment point ( 28 ) for the at least one cuff belt ( 26 ), which at the second or third point ( 29 . 30 ) is releasably attached. Orthosis according to one of the preceding claims, characterized in that at the upper end of the support elements ( 14 ) and / or on the two half-shell-shaped support sections ( 16 ) supporting the support area ( 17 ) and extending between a tibial region and an Achilles tendon region on the inside and outside of the lower leg, a fourth and fifth point of application ( 35 . 36 ) for at least one Achilles tension belt ( 37 ) provided with a manually operable closure ( 43 ) detachable at the fourth or fifth point of attack ( 35 . 36 ) is attached. Orthosis according to claim 1, characterized in that the third and fifth point of application ( 33 . 36 ) as a releasable latching receptacle ( 41 ) for the closure ( 27 . 43 ) is formed, on which the closure ( 27 . 43 ) with a latching element arranged thereon ( 42 ) releasably secured and the locking element ( 42 ) is preferably attachable by hanging, insertion, insertion, snapping or clipping. Orthosis according to claim 3, characterized in that the closure ( 27 . 43 ) in its locking position in the locking element ( 42 ) is received rotatably. Orthosis according to claim 3, characterized in that on the locking element ( 42 ) and / or the locking receptacle ( 41 ) A holding magnet is provided. Orthosis according to one of the preceding claims, characterized in that the third point of application ( 33 ) at one of the support section ( 16 ) of the piece area ( 17 ) arranged adjusting device ( 44 ), which is preferably a slide element ( 45 ), which at a distance relative to the second point ( 32 ), in particular by a detachable grid ( 46 . 47 ), is adjustable. Orthosis according to claim 1, characterized in that between a second attachment point ( 29 ) of the closure ( 27 ), which in a closed position at the third point ( 30 ), the first point of 31 ) and the second point of attack ( 32 ), the at least one tension belt ( 25 ) and between the second point of attack ( 32 ) and the first attachment point ( 28 ) of the closure ( 27 ) the cuff belt ( 26 ). Orthosis according to one of the preceding claims, characterized in that in a closed position of the closure ( 27 ) between the first and second point of attack ( 31 . 32 ) and between the first and third point of attack ( 31 . 33 ) the at least one tension belt ( 25 ) and applies a tensile stress. Orthosis according to claim 7, characterized in that the tensile stress of the at least one Zuggurts ( 25 ) and / or the cuff belt ( 26 ) and / or the Achilles tension belt ( 37 ) is adjustable. Orthosis according to claim 7 or 8, characterized in that through the closure ( 27 ), on which the at least one tension belt ( 25 ) and cuff belt ( 26 ), a 3-point harness for fixing the foot in the orthosis ( 11 ) is provided. Orthosis according to one of the preceding claims, characterized in that the tab ( 19 ) on an outside of the sole ( 12 ) is arranged and preferably has an arcuate contour, so that it at least partially overlaps the at least fourth and fifth strand of the foot. Orthosis according to one of the preceding claims, characterized in that between the sole ( 12 ) and the support sections ( 18 ) extending support elements ( 14 ) have a curved course, so that they extend on the inside and outside of the foot in each case in an area between the ankle and the Achilles tendon and preferably stiffening elements ( 22 ) exhibit. Orthosis according to one of the preceding claims, characterized in that the sole ( 12 ) extends only in the area of the metatarsus. Orthosis according to one of the preceding claims, characterized in that the Sole ( 12 ) at least in the transition region of the support elements ( 14 ) is reinforced and tapers to the forefoot and / or heel. Orthosis according to one of the preceding claims, characterized in that the sole ( 12 ) extending from a front end to the metatarsus U-shaped recess ( 21 ), which in the sole ( 12 ) is provided in the region between the second and third beam of the foot. Orthosis according to one of the preceding claims, characterized in that at least the first and second point of application ( 31 . 32 ) and the first and second attachment point ( 28 . 29 ) by slot-shaped recesses ( 38 ) or eyelets ( 53 . 54 ) are formed, through which the at least one tension belt ( 25 ) and the cuff belt ( 26 ) can be passed.

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