ES2546683B1 - Footwear that prevents gait blockages and falls in Parkinsonian patients - Google Patents

Footwear that prevents gait blockages and falls in Parkinsonian patients Download PDF

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Publication number
ES2546683B1
ES2546683B1 ES201301173A ES201301173A ES2546683B1 ES 2546683 B1 ES2546683 B1 ES 2546683B1 ES 201301173 A ES201301173 A ES 201301173A ES 201301173 A ES201301173 A ES 201301173A ES 2546683 B1 ES2546683 B1 ES 2546683B1
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Spain
Prior art keywords
footwear
heel
sole
foot
parkinsonian patients
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Withdrawn - After Issue
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ES201301173A
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Spanish (es)
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ES2546683A1 (en
Inventor
Fernando Agustín ALONSO FRECH
Francisco Javier GARCIA GARCIA
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Priority to ES201301173A priority Critical patent/ES2546683B1/en
Priority to PCT/ES2014/000213 priority patent/WO2015092089A1/en
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    • AHUMAN NECESSITIES
    • A43FOOTWEAR
    • A43BCHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
    • A43B7/00Footwear with health or hygienic arrangements
    • A43B7/14Footwear with health or hygienic arrangements with foot-supporting parts
    • A43B7/22Footwear with health or hygienic arrangements with foot-supporting parts with fixed flat-foot insertions, metatarsal supports, ankle flaps or the like
    • AHUMAN NECESSITIES
    • A43FOOTWEAR
    • A43BCHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
    • A43B13/00Soles; Sole-and-heel integral units
    • A43B13/14Soles; Sole-and-heel integral units characterised by the constructive form
    • A43B13/143Soles; Sole-and-heel integral units characterised by the constructive form provided with wedged, concave or convex end portions, e.g. for improving roll-off of the foot
    • A43B13/145Convex portions, e.g. with a bump or projection, e.g. 'Masai' type shoes

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  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Footwear And Its Accessory, Manufacturing Method And Apparatuses (AREA)
  • Diabetes (AREA)
  • Rheumatology (AREA)

Abstract

Calzado que evita los bloqueos de la marcha y las caídas en pacientes parkinsonianos.#Calzado destinado a pacientes parkinsonianos con alteración de la marcha.#La invención consiste en disponer un engrosamiento de la suela en la parte anterior del pie (1), de manera que el apoyo del antepié quede elevado con respecto al plano del suelo. El calzado no dispone de tacón para contribuir a la elevación de la parte anterior del pie. De la parte antero-lateral de la suela, emergen hacia el exterior sendas estructuras (3) que aumentan el frente de ataque (4), proporcionando dos apoyos laterales. La puntera del calzado esta biselada en su parte inferior (2), formando un ángulo agudo con respecto al plano del suelo.Footwear that prevents gait blockages and falls in parkinsonian patients. # Footwear for parkinsonian patients with gait disturbance. # The invention consists in providing a thickening of the sole in the front part of the foot (1), so that the forefoot support is raised with respect to the ground plane. The footwear does not have a heel to contribute to the elevation of the forefoot. From the antero-lateral part of the sole, structures (3) that increase the attack front (4) emerge outward, providing two lateral supports. The toe of the footwear is bevelled at its bottom (2), forming an acute angle with respect to the ground plane.

Description

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DESCRIPCIONDESCRIPTION

Calzado que evita los bloqueos de la marcha y las caldas en pacientes parkinsonianos. Sector de la tecnicaFootwear that prevents gait blockages and caldas in Parkinsonian patients. Technology Sector

La invention se encuadra en el sector tecnico de calzado terapeutico.The invention falls within the technical sector of therapeutic footwear.

Estado de la tecnicaState of the art

Las caldas se presentan hasta en un 70% de los pacientes parkinsonianos a lo largo de la evolution de su enfermedad. La presencia de bloqueos de la marcha (definidos como la imposibilidad para avanzar el paso, siendo percibidos por el paciente como sensation de tener los pies pegados al suelo) constituyen una causa muy prevalente de caldas y son en la mayor parte de los casos, refractarios a los tratamientos farmacologicos y quirurgicos convencionales.Caldas occur in up to 70% of Parkinsonian patients throughout the course of their disease. The presence of gait blockages (defined as the impossibility to advance the passage, being perceived by the patient as sensation of having the feet glued to the ground) constitute a very prevalent cause of broths and are in most cases, refractory to conventional pharmacological and surgical treatments.

Segun nuestro conocimiento, no existe en la actualidad ningun metodo flsico semejante a un calzado o modification de este, que se haya empleado para el tratamiento de los bloqueos de la marcha en los pacientes parkinsonianos.According to our knowledge, there is currently no physical method similar to a shoe or modification of this, which has been used for the treatment of gait blockages in Parkinsonian patients.

Aparte de los tratamientos farmacologicos, se han ideado otro tipo de artilugios que tienen como objetivo proporcionar trucos sensoriales al paciente, como pueden ser, bastones que proyecten una luz tipo laser en forma de llnea sobre el suelo, con el fin de que el paciente la intente sobrepasar y salir as! del bloqueo. Tambien se han propuesto dispositivos acusticos que emitan un ritmo sonoro, que el paciente debe adoptar para marcar el paso y evitar los bloqueos.Apart from the pharmacological treatments, other types of gadgets have been devised that aim to provide sensory tricks to the patient, such as canes that project a laser-like light in the form of a line on the floor, in order for the patient to Try to beat and go out like this! of blocking Acoustic devices that emit a sound rhythm have also been proposed, which the patient must adopt to mark the passage and avoid blockages.

Estos dispositivos, si bien pueden resultar puntualmente validos, a la larga se muestran claramente insuficientes e ineficaces, ya que en su mayorla suponen introducir un comportamiento consciente y voluntario sobre un mecanismo automatico como es la marcha, de modo que cualquier distraction que ocurra durante esta, anule la eficacia del truco sensorial.These devices, although they may be punctually valid, in the long run they are clearly insufficient and ineffective, since in their majority they involve introducing a conscious and voluntary behavior on an automatic mechanism such as gait, so that any distraction that occurs during this , cancel the effectiveness of the sensory trick.

Objeto de la invencionObject of the invention

En la observation de pacientes parkinsonianos con bloqueos de la marcha hemos constatado que al caminar, no elevan lo suficiente la puntera del pie al dar el primer paso, o realizan un exceso de apoyo de la parte delantera del pie durante la marcha lanzada, lo que impide el arranque inicial de la marcha o acaba frenando la misma respectivamente. De manera que, una vez producido el bloqueo, se produce una imposibilidad para elevar la parte delantera del pie y reanudar el paso. La existencia de un dispositivo flsico, como un calzado modificado, que revierta estas alteraciones de la marcha y se muestre eficaz en prevenir los bloqueos de la marcha y subsiguiente riesgo de sufrir caldas, supondrla una sustancial ventaja sobre los metodos terapeuticos actuales como la ausencia de efectos secundarios y un coste extremadamente bajo.In the observation of Parkinsonian patients with gait blockages, we have verified that when walking, they do not raise the toe sufficiently when taking the first step, or perform an excess of support of the front part of the foot during the launched march, which prevents the initial start of the march or ends up braking it respectively. So, once the blockage occurs, there is an impossibility to raise the front part of the foot and resume the step. The existence of a physical device, such as a modified footwear, that reverses these gait disturbances and is effective in preventing gait blockages and subsequent risk of suffering caldas, supposing a substantial advantage over current therapeutic methods such as the absence of side effects and an extremely low cost.

La aplicacion industrial de la invencion resulta obvia si se considera su utilidad en el alivio de un grave problema cllnico sin solution definitiva en la actualidad, y no solo desde el punto de vista de su beneficio cllnico, sino tambien desde el punto de vista economico, ya que el coste del calzado para un ano supondrla para el paciente una minima cantidad enThe industrial application of the invention is obvious if its utility is considered in the relief of a serious medical problem with no definitive solution at present, and not only from the point of view of its clinical benefit, but also from the economic point of view, since the cost of footwear for one year would be a minimum amount for the patient in

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comparacion con lo que pueda suponer cualquier terapia farmacologica para un mes de tratamiento, y tambien de la ventaja de estar exento de efectos secundarios o interacciones con otros farmacos, mas aun si consideramos que la poblacion diana a la que esta dirigida la invention, son pacientes por lo general polimedicados.Comparison with what any pharmacological therapy may entail for a month of treatment, and also of the advantage of being free of side effects or interactions with other drugs, especially if we consider that the target population to which the invention is directed, are patients Usually polymedicated.

Description detallada de la invencionDetailed description of the invention

La esencia de esta invencion es la presencia de un engrosamiento progresivo de la suela en la parte anterior del pie, de manera que la puntera del calzado se eleve entre 3-5 cm* sobre el plano del suelo, con el fin de que el apoyo del antepie quede elevado pasivamente lo suficiente para favorecer el arranque del paso pero sin llegar a desequilibrar al paciente hacia atras. El calzado no dispone de tacon para contribuir a la elevation de la parte anterior del pie. De esta manera se fuerza una marcha con apoyo predominante del talon facilitando el arranque del paso inicial (cuya premisa es la elevacion del antepie) y evitando la tendencia en los pacientes parkinsonianos de caminar con excesivo apoyo de la puntera que es lo que acaba ocasionando frenando y bloqueando la marcha.The essence of this invention is the presence of a progressive thickening of the sole in the front of the foot, so that the toe of the footwear rises between 3-5 cm * above the ground plane, so that the support of the forefoot is passively elevated enough to favor the start of the passage but without getting to unbalance the patient backwards. The footwear does not have a heel to contribute to the elevation of the forefoot. In this way a march with predominant support of the heel is forced facilitating the start of the initial step (whose premise is the elevation of the forefoot) and avoiding the tendency in Parkinsonian patients to walk with excessive support of the toe which is what ends up causing braking and blocking the march.

De la parte antera-lateral de la suela y con su mismo grosor, emergen hacia el exterior sendas estructuras con forma de segmento circular, que aumentan el frente de ataque, proporcionando dos apoyos laterales que sobresalen por cada lado, de esta manera se proporcionan puntos de apoyo accesorios que aumentan la estabilidad de cada paso, evitando las caldas.From the antera-lateral part of the sole and with the same thickness, two circular segment-shaped structures emerge outwardly, which increase the front of the attack, providing two lateral supports that protrude on each side, thus providing points Support accessories that increase the stability of each step, avoiding the broths.

La puntera del calzado esta biselada en su parte inferior, formando un angulo agudo con respecto al plano del suelo de 50-60°*, esta angulation contribuye a evitar los tropiezos salvando niveles en sentido ascendente.The toe of the footwear is beveled in its lower part, forming an acute angle with respect to the ground plane of 50-60 ° *, this angulation helps to avoid tripping by saving levels upwards.

La suela dispondra del rayado convencional para evitar deslizamientos con la superficie del suelo, pudiendose contemplar la posibilidad de llevar integradas en la suela y a su mismo nivel, dos o mas apoyos circulares, de estructura concentrica, de 1 cm de diametro maximo constituidos del mismo material que la suela y colocados en el talon, la region correspondiente al apoyo de la almohadilla plantar del pie y la puntera del pie, y que tendran como finalidad facilitar los giros que en los pacientes parkinsonianos estan muy dificultados, ya que son sobre esos puntos, sobre los que se ejerce la maxima traction en el desarrollo de un giro.The sole will have the conventional scratch to avoid landslides with the floor surface, being able to consider two or more circular supports, of concentric structure, of 1 cm of maximum diameter constituted of the same material integrated in the sole and at the same level. that the sole and placed on the heel, the region corresponding to the support of the plantar pad of the foot and the toe, and that will aim to facilitate the turns that in Parkinsonian patients are very difficult, since they are on those points, on which the maximum traction is exerted in the development of a turn.

* La variabilidad de las medidas descritas, sera proporcional a los distintos tamanos de calzado que se vayan a utilizar (del 36-48 de la numeration europea).* The variability of the measures described will be proportional to the different shoe sizes to be used (from 36-48 of the European numeration).

De manera adicional, se puede dotar a este calzado de diversos artilugios colocados en su parte posterior e inferior, de forma que su contacto con el suelo en cada paso, genere un sonido que el paciente pueda escuchar y le ayude a imprimir un ritmo a su marcha, para hacerla mas fluida. Esto se puede conseguir con un receptaculo metalico que encierre pequenos fragmentos libres en su interior, a modo de sonajero, que al sacudirse en cada paso suenen, o con una lamina metalica colocada al nivel de la suela en su parte mas posterior y que percuta directamente contra el suelo en cada paso.Additionally, this shoe can be equipped with various gadgets placed on its back and bottom, so that its contact with the ground at each step, generates a sound that the patient can hear and helps you print a rhythm at your March, to make it more fluid. This can be achieved with a metal receptacle that encloses small free fragments inside, as a rattle, that when shaken at each step they sound, or with a metal sheet placed at the level of the sole at its later part and that percuta directly against the ground at every step.

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Breve descripcion de los disenosBrief description of the designs

La figura 1a representa una vista isometrica lateral del calzado donde puede observarse el engrosamiento de la suela (1) en la parte anterior, de manera que la puntera del calzado quede elevada sobre el plano del suelo. Se aprecia tambien que la puntera del calzado esta biselada en su parte inferior (2), formando un angulo de 50-60° con respecto al plano del suelo. Asl mismo se aprecia la ausencia de tacon. El calzado se puede ajustar al pie mediante cordones (8) si bien se pueden contemplar otros dispositivos de ajuste como un material de velcro o abotonamiento.Figure 1a shows a side isometric view of the footwear where the thickening of the sole (1) in the front part can be observed, so that the toe of the footwear is raised above the floor plane. It is also appreciated that the toe of the footwear is beveled at its bottom (2), forming an angle of 50-60 ° with respect to the ground plane. Also the absence of heel is appreciated. The footwear can be adjusted to the foot by means of laces (8) although other adjustment devices such as a velcro or buttoning material can be contemplated.

La figura 1-b representa un corte longitudinal sobre la figura 1a donde puede apreciarse la posicion que ocuparla el pie dentro del calzado, de manera que el apoyo sobre la suela engrosada en su parte mas anterior, permite una elevacion pasiva del antepie forzando una marcha con apoyo del talon, a lo que contribuye tambien la ausencia de tacon.Figure 1-b represents a longitudinal section on Figure 1a where the position occupied by the foot inside the footwear can be appreciated, so that the support on the sole thickened in its most anterior part, allows a passive elevation of the forefoot forcing a march with heel support, to which also contributes the absence of heel.

La figura 2 muestra una vista isometrica del calzado desde una perspectiva oblicua en la que se aprecia el engrosamiento de la suela en la parte antera lateral, las estructuras laterales emergentes de refuerzo (3) que aumentan el frente de ataque y la forma biselada de la puntera (2).Figure 2 shows an isometric view of the footwear from an oblique perspective in which the thickening of the sole in the lateral front part, the emergent lateral reinforcement structures (3) that increase the attack front and the bevelled shape of the shoe are appreciated. toe (2).

La figura 3 es una vista isometrica frontal del calzado donde se aprecia la elevacion de la puntera, el frente de ataque (4) y refuerzos laterales (3).Figure 3 is a front isometric view of the footwear where the elevation of the toe, the front of attack (4) and lateral reinforcements (3) can be seen.

La figura 4 es una vista isometrica superior del calzado donde se aprecia la forma de segmento circular en su parte anterior de los refuerzos laterales (3) que emergen hacia los lados.Figure 4 is a top isometric view of the footwear where the shape of a circular segment in its front part of the lateral reinforcements (3) emerging towards the sides is appreciated.

La figura 5 es una vista isometrica inferior del calzado que corresponded a la suela para mostrar los puntos pivotantes (5) a nivel lateral del apoyo de la almohadilla plantar del pie y en el talon para facilitar los giros. Se pueden apreciar tambien la superficie correspondiente a los refuerzos antera laterales (3).Figure 5 is a bottom isometric view of the footwear corresponding to the sole to show the pivoting points (5) at the lateral level of the support of the plantar pad of the foot and on the heel to facilitate the turns. The surface corresponding to the lateral anther reinforcements (3) can also be seen.

La figura 6 a y 6 b representa una vista isometrica lateral del calzado para mostrar las distintas posibilidades de artilugios sonoros adaptados con el fin de ayudar a imprimir un ritmo a la marcha, siendo el a, una lamina metalica (6) y el b, un receptaculo con partlculas a modo de sonajero (7).Figure 6 a and 6 b represents a side isometric view of the footwear to show the different possibilities of adapted sound gadgets in order to help print a rhythm on the fly, the a, a metal sheet (6) and the b, being a receptacle with particles as a rattle (7).

Claims (5)

55 1010 15fifteen 20twenty 2525 3030 3535 4040 ES 2 546 683 A1ES 2 546 683 A1 REIVINDICACIONES 1. Calzado destinado a pacientes parkinsonianos con alteration de la marcha que evita los bloqueos de la marcha y las caidas, caracterizado porque:1. Footwear for Parkinsonian patients with gait disturbance that prevents gait blockages and falls, characterized in that: - Presenta un engrosamiento progresivo de la suela en la parte anterior del pie (1), de manera que los dedos del pie del usuario queden en un plano por encima del plano del talon.- It has a progressive thickening of the sole in the front part of the foot (1), so that the user's toes are in a plane above the heel plane. - No dispone de tacon para contribuir a la elevation de la parte anterior del pie.- It has no heel to contribute to the elevation of the anterior part of the foot. - De la parte antera-lateral de la suela y con su mismo grosor, emergen hacia el exterior sendas estructuras con forma de segmento circular (3), proporcionando dos apoyos laterales que aumentan el frente de ataque (4).- From the antera-lateral part of the sole and with the same thickness, two circular segment-shaped structures (3) emerge outward, providing two lateral supports that increase the attack front (4). - La puntera del calzado comprende una disposition en bisel formando un angulo agudo con respecto a la lmea horizontal de la trayectoria (2).- The toe of the footwear comprises a bevel arrangement forming an acute angle with respect to the horizontal line of the path (2). - El calzado se ajustara al pie mediante cualquier tipo de atadura.- The footwear will fit the foot by any type of tie. 2. Calzado destinado a pacientes parkinsonianos con alteracion de la marcha de acuerdo con la reivindicacion 1, que se puede ajustar al pie mediante cordones o mediante un dispositivo de velcro© u otro dispositivo de abotonamiento.2. Footwear for Parkinsonian patients with impaired gait according to claim 1, which can be adjusted to the foot by cords or by a Velcro © device or other buttoning device. 3. Calzado destinado a pacientes parkinsonianos con alteracion de la marcha de acuerdo con la reivindicacion 1, que lleva integrados en la suela y a su mismo nivel, dos o mas apoyos circulares (5), de estructura concentrica, de 1 cm de diametro maximo constituidos del mismo material que la suela y colocados en el talon, la region correspondiente al apoyo de la almohadilla plantar del pie y la puntera del pie.3. Footwear for Parkinsonian patients with impaired gait according to claim 1, which has two or more circular supports (5) integrated in the sole and at the same level, of concentric structure, of 1 cm maximum diameter constituted of the same material as the sole and placed on the heel, the region corresponding to the support of the plantar foot pad and the toe. 4. Calzado destinado a pacientes parkinsonianos con alteracion de la marcha de acuerdo con la reivindicacion 1, que integra ademas un dispositivo capaz de generar sonidos con cada paso, que ayuden a llevar un ritmo de marcha al paciente. Este dispositivo consistira en un pequeno recipiente adosado a la talonera del calzado que contenga en su interior pequenas piezas de material rigido que en relation con los pasos choquen en el recipiente y emitan sonido de manera semejante a un sonajero (6).4. Footwear intended for Parkinsonian patients with impaired gait according to claim 1, which also integrates a device capable of generating sounds with each step, which help to keep the patient on pace. This device will consist of a small container attached to the heel of the footwear that contains in its interior small pieces of rigid material that in relation to the steps collide in the container and emit sound in a manner similar to a rattle (6). 5. Calzado destinado a pacientes parkinsonianos con alteracion de la marcha de acuerdo con la reivindicacion 1, que integra ademas un dispositivo capaz de generar sonidos con cada paso, que ayuden a llevar un ritmo de marcha al paciente, este dispositivo puede consistir en un material metalico compuesto por una lamina incrustada en el borde posterior del talon que al golpear con el suelo provoca un sonido con cada paso (7).5. Footwear for Parkinsonian patients with impaired gait according to claim 1, which also integrates a device capable of generating sounds with each step, which help to bring a pace of walking to the patient, this device may consist of a material metallic composed of a sheet embedded in the back edge of the heel that when hitting the ground causes a sound with each step (7).
ES201301173A 2013-12-19 2013-12-19 Footwear that prevents gait blockages and falls in Parkinsonian patients Withdrawn - After Issue ES2546683B1 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
ES201301173A ES2546683B1 (en) 2013-12-19 2013-12-19 Footwear that prevents gait blockages and falls in Parkinsonian patients
PCT/ES2014/000213 WO2015092089A1 (en) 2013-12-19 2014-12-17 Footwear article for patients with parkinson's disease, intended to prevent freezing of gait and falls

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
ES201301173A ES2546683B1 (en) 2013-12-19 2013-12-19 Footwear that prevents gait blockages and falls in Parkinsonian patients

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ES2546683B1 true ES2546683B1 (en) 2016-06-30

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Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2018165702A1 (en) * 2017-03-13 2018-09-20 Damon Locantro A running shoe
ES1231504Y (en) 2019-05-14 2019-09-13 I4Life Innovacion Y Desarrollos S L Multifunctional Unlocking Device

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE20010644U1 (en) * 2000-06-21 2000-10-05 Reinhold Ohnmeis Gmbh Orthopedic shoe
WO2005094679A1 (en) * 2004-03-26 2005-10-13 Boston Medical Center Corporation A system and method for gait synchronized vibratory stimulation of the feet
US20070130803A1 (en) * 2005-12-14 2007-06-14 Bernard Levy Step over walking aid
KR100706610B1 (en) * 2006-10-12 2007-04-13 이태성 Sole for seesaw footwear
HUP1100471A2 (en) * 2011-08-30 2013-04-29 Bay Zoltan Alkalmazott Kutatasi Koezhasznu Nonprofit Kft Method and instrument for detecting equilibrium and intelligent insole suitable for monitoring walking parameters
FR2982130B1 (en) * 2011-11-04 2015-01-09 Hexabio INTELLIGENT THERAPEUTIC SYSTEM FOR NEUROPSYCHOMOTIC TREATMENT IN THE FORM OF A SOLE INTEGRATING VIBRATION-GENERATING MEANS
EP2787852A4 (en) * 2011-12-08 2015-08-12 Apos Medical & Sports Technologies Ltd Device and methods for treating neurological disorders

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