JP2008307196A - Insole for treatment of lower limb disorder - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide an insole for the treatment of a lower limb disorder, capable of reliably fixing a sole board to a foot joint part so as to effectively prevent the rocking, effectively and conservatively treating lower limb disorder while keeping normally stable walking, and also effectively preventing damage due to the wear of the sole board, or the like. <P>SOLUTION: The insole for the lower limb disorder treatment includes: a base board 1 formed in a substantially sole shape; an elastic long belt 3 freely removably attached onto the base board 1 so as to be orthogonal to the board 1; and the wedge shape sole board 6 freely removably attached onto the base board 1 across the belt 3. The sole board 6 is set beneath the sole, and also both ends of the belt 3 are wound around the foot joint part 9 while being put on an instep in a cross state, for mounting. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

本発明は、下肢疾患治療用足底装具に関し、更に詳細には、足底板を足関節部に確実に固定してその揺動を有効に防止せしめ、常に安定した歩行を保持せしめつつ下肢疾患の保存的治療を行うことが出来るのみならず、足底板の摩耗などに伴う損傷を有効に防止することが出来る、下肢疾患治療用足底装具に関する。   The present invention relates to a plantar orthosis for treating lower limb diseases, and more particularly, to securely fix the plantar plate to the ankle joint portion to effectively prevent its swinging, and to maintain stable walking at all times. The present invention relates to a plantar orthosis for treating leg disease, which can not only perform conservative treatment but also can effectively prevent damage caused by wear of the plantar plate.

近時、老齢人口の増加が大きな社会問題となっているが、加齢に伴う膝軟骨の摩耗の促進により膝関節の破壊が進行し、痛みを伴いながら膝がＯ脚状もしくはＸ脚状に変形する変形性膝関節症を患う人が増加している。このような変形性膝関節症の治療方法としては
、症状がかなり進行した場合には手術を施すことがある。これに対し、軽度のもの、あるいは手術を患者が希望せず症状が慢性化している場合には膝関節に働く負担軽減のための減量、内反もしくは外反変形を装具により体重の荷重線を移動せしめるべく矯正する装具療法、大腿四頭筋の筋力強化、各種消炎鎮痛剤の投与などの各種保存療法による治療が行われている。 Recently, an increase in the elderly population has become a major social problem, but the knee joint has been destroyed due to the accelerated wear of the knee cartilage with aging, and the knee becomes O-shaped or X-shaped with pain. An increasing number of people suffer from deformed knee osteoarthritis. As a treatment method for such knee osteoarthritis, an operation may be performed when the symptom is considerably advanced. On the other hand, if the patient does not wish to undergo surgery or the symptoms are chronic, the weight line for weight reduction to reduce the burden on the knee joint, varus or hallux valgus is Treatment with various conservative treatments such as orthodontic treatment to correct movement, quadriceps muscle strength, and administration of various anti-inflammatory analgesics is performed.

ところで、上記保存療法中、装具療法は、楔形状の足底板を足裏に当てがいつつ、踵骨を内反化もしくは外反化矯正させることにより下肢を直立化させ、膝外側もしくは内側の負荷を軽減させて膝関節を矯正し、保存的治療せしめるものである。
かかる装具療法に用いる足底装具としては、従来より、楔形状とされた靴中敷型足底板（特許文献１参照）、靴下または足袋の底部内面に楔形状の足底板を一体的に取付けた足袋型のもの（特許文献２参照）、あるいは、楔形状の足底板を略サンダル状のホルダ−に取付けたサンダル型のもの（非特許文献１参照）などが知られている。そして、上記の靴中敷型足底板は、靴内に直接装着して使用し、足袋型足底装具は足に足袋を着用して使用し、また、サンダル型足底装具はホルダ−を足にバンドなどでもって固定的に装着して使用し、各々下肢疾患の保存的治療を行なわしめるものである。
特開昭５８−１６９４４６号公報 特開平７−１８４９４４号公報 中村ブレイス株式会社：製品情報 すじいりス−パ−ラテラル・ニュ−ス−パ−ラテラル（平成１８年１２月１２日検索）、インタ−ネット（ＵＲＬ；ｈｔｔｐ：／／ｗｗｗ．ｎａｋａｍｕｒａ−ｂｒａｃｅ．ｃｏ．ｊｐ／ｐｏ／ｉｓ−ｓｓｌ．ｈｔｍｌ） By the way, during the above conservative therapy, orthodontic therapy is performed by applying a load on the outer or inner side of the knee by placing the wedge-shaped plantar plate on the sole and erecting the lower limbs by making the ribs varus or valgus corrected. This reduces the knee and corrects the knee joint for conservative treatment.
Conventionally, as a sole orthosis used for such orthosis therapy, a wedge-shaped sole plate is integrally attached to a shoe insole type sole plate (refer to Patent Document 1), a sock or a socks or an inner surface of a sole. A tabi type (see Patent Document 2) or a sandal type in which a wedge-shaped sole plate is attached to a substantially sandal holder (see Non-Patent Document 1) is known. The above-mentioned shoe insole type sole plate is used by directly attaching it to the shoe, the socks type sole device is used by wearing a socks on the foot, and the sandal type sole device is a holder. It is used by wearing it fixedly with a band or the like, and conservative treatment of lower limb diseases is performed.
JP 58-169446 A JP-A-7-184944 Nakamura Brace Co., Ltd .: Product information Sugiiri Super-Lateral-New-Lateral (searched on December 12, 2006), Internet (URL: http://www.nakamura-brace.co) .Jp / po / is-ssl.html)

ところで、上記の靴中敷型足底板は単に靴内に直接的に装着せしめ、足袋型足底装具は靴下や足袋を足に着用せしめ、また、サンダル型足底装具はホルダ−をバンドなどにより足に装着せしめて各々使用するものであるから、足関節部に対する足底板の固定が非常に弱いものであって、歩行時には足底板が揺動して安定的な歩行がしずらいのみならず、確実なる下肢疾患の保存的治療が阻害されやすいものである。また、靴中敷型足底板は靴内に直接的に装着して使用に供するものであるから、足底板の裏面がわが経時的な摩耗により摩損しやすいものである。   By the way, the above-mentioned shoe insole type sole plate is simply mounted directly in the shoe, the socks type sole device has socks and socks worn on the foot, and the sandal type sole device has a holder attached with a band or the like. Since it is attached to the foot and used for each purpose, the plantar plate is very weakly fixed to the ankle joint, and the footplate swings during walking, making stable walking difficult. , Certain conservative treatment of leg disease is likely to be hindered. In addition, since the insole type sole plate is used by being mounted directly in the shoe, the back surface of the sole plate is easily worn away by wear over time.

本発明は従来の問題点を解決し、足底板を足関節部に確実に固定してその揺動を有効に防止せしめ、常に安定した歩行を保持せしめつつ下肢疾患の保存的治療を効果的に行うことが出来るのみならず、足底板の摩耗などに伴う損傷を有効に防止することが出来る、下肢疾患治療用足底装具を提供しようとするものである。   The present invention solves the problems of the prior art, securely fixes the sole plate to the ankle joint part and effectively prevents its swinging, and effectively preserves stable walking while maintaining conservative treatment of lower limb diseases. It is an object of the present invention to provide a plantar orthosis for treating lower limb diseases, which can not only be performed but also can effectively prevent damage caused by wear of the plantar plate.

上記の目的を達成するため、本発明の請求項１記載の発明は、略足底形状とされた基板と、該基板上に直交して着脱自在に取付けられた弾性を有する長尺状ベルトと、基板上に該ベルトを挟んで着脱自在に取付けられた楔形足底板とよりなり、上記足底板を足裏にセットせしめると共に、ベルト両端を甲に交差状に当てがいつつ足関節部に巻付けて装着せしめるべく構成されてなることを特徴とする、下肢疾患治療用足底装具を要旨とするものである。   In order to achieve the above object, an invention according to claim 1 of the present invention includes a substrate having a substantially sole shape, and a long belt having elasticity and detachably attached perpendicularly to the substrate. And a wedge-shaped sole plate that is detachably mounted on the substrate with the belt sandwiched between them. The above-mentioned sole plate is set on the sole of the foot, and the belt is wound around the ankle joint portion while being crossed against the instep. The gist of the plantar orthosis for the treatment of lower limb disease, characterized in that it is configured to be worn by the user.

上記請求項１記載の下肢疾患治療用足底装具において、基板上には各々面ファスナ−を介してベルトと足底板とが着脱自在に取付けられ、また、基板下面にはスベリ止め加工が施されている。   In the plantar orthosis for treating lower limb disease according to claim 1, a belt and a sole plate are detachably attached to the substrate via surface fasteners, respectively, and a slip-proofing process is applied to the lower surface of the substrate. ing.

本発明は上述のように構成されているから、足底板を足裏に当接状にセットせしめると共に、ベルトの両端を各々足の甲に交差状に当てがいつつ足関節部に巻付けて装着せしめることが出来るものであって、常に足底板を足関節部に確実に固定することが出来るものであり、ひいては、歩行時における足底板の揺動を有効に防止せしめ、常に安定した歩行を保持せしめつつ下肢疾患の保存的治療を効果的に行うことが出来るものである。また、基板上に足底板を着脱自在に取付けるものであるから、足底板を直接的に接床せしめることがないものであって、ひいては、足底板裏面の摩損を生起せしめることなく常に適正に保形使用することが出来るものである。   Since the present invention is configured as described above, the sole plate is set in contact with the sole of the foot, and the belt is attached to both ends of the foot while being wound around the ankle joint while being crossed against each other. The foot plate can always be securely fixed to the ankle joint part, and by this, the foot plate can be effectively prevented from swinging during walking, and stable walking is always maintained. It is possible to effectively perform conservative treatment of lower limb diseases while squeezing. In addition, since the sole plate is detachably mounted on the substrate, the sole plate is not allowed to touch the floor directly, and as a result, the sole plate is always properly maintained without causing wear on the back surface of the sole plate. The shape can be used.

以下に、本発明を実施するための最良の形態を図面に示す一実施例に基づいて詳細に説明する。
図１乃至図３は本発明の一実施例を示すもので、同図中、１は略足底形状とされた可撓性を有する合成樹脂製基板、２は該基板１の上面に取付けられた雄面ファスナ−で、該基板１の下面には凹凸条痕など所要のスベリ止め加工が施されている。３は上記基板１上に直交して着脱自在に取付けられた弾性を有する長尺状のベルト、４は基板１の雄面ファスナ−２に係着せしめるべく該ベルト３の一面に取付けられた雌面ファスナ−、５はベルト３の一端を他端の該雌面ファスナ−４に係着せしめるべく取付けられた雄面ファスナ−で
、上記ベルト３はその両端を後記する足８の甲に交差状に当てがいつつ足関節部９に巻付けて装着せしめるべく所要の幅と長さを有するものとされている。６は前記基板１上にベルト３を挟み込みつつ着脱自在に取付けられた外側ウェッジ状の楔形足底板、７は基板１の雄面ファスナ−２に係着せしめるべく該足底板６の裏面に取付けられた雌面ファスナ−である。その他、８は人体の足、９は足関節部を示す。 Hereinafter, the best mode for carrying out the present invention will be described in detail based on an embodiment shown in the drawings.
1 to 3 show an embodiment of the present invention. In the figure, 1 is a flexible synthetic resin substrate having a substantially sole shape, and 2 is attached to the upper surface of the substrate 1. The male surface fastener is provided with a required anti-slip process such as an uneven stripe on the lower surface of the substrate 1. Reference numeral 3 denotes an elastic long belt which is detachably attached perpendicularly on the substrate 1, and 4 is a female attached to one surface of the belt 3 to be engaged with the male fastener 2 of the substrate 1. Surface fasteners 5 and 5 are male surface fasteners attached so that one end of the belt 3 is engaged with the female surface fastener 4 at the other end, and the belt 3 intersects the back of the foot 8 to be described later. It has a required width and length so that it can be wound around and attached to the ankle joint portion 9 while being applied to the foot. 6 is an outer wedge-shaped wedge-shaped sole plate that is detachably attached to the substrate 1 with the belt 3 interposed therebetween, and 7 is attached to the back surface of the sole plate 6 to be engaged with the male fastener 2 of the substrate 1. Female fasteners. In addition, 8 indicates a human foot and 9 indicates an ankle joint.

次に、上述の如く構成された実施例の装着状態を図２及び図３に基づいて説明する。
先ず、足８を足底板６上に載置してセットせしめる（図２Ａ参照）。しかるのち、ベルト３の両端を各々足８の甲に交差状に当てがいつつ足関節部９に巻付けると共に、その一端の雄面ファスナ−５を他端の雌面ファスナ−４に係着せしめて装着する（図２Ｂ・Ｃ、図３参照）。このさい、ベルト３はその両端を各々足８の甲に交差状に当てがいつつ足関節部９に巻付けて装着せしめるため、足底板６を足関節部９に確実に、しかも、容易に固定することができ、歩行時においても足底板６が揺動するおそれがなく、安定した歩行を保持せしめることが出来る。また、基板１上に足底板６が取付けられているから、基板１を接床しつつ歩行せしめるものであり、足底板６裏面の摩損などを生起せしめるおそれがなく、常に適正に保形使用することができ、また、基板１の裏面にはスベリ止め加工が施されているから、常に安全な装着歩行を確保することが出来るものである。さらに、基板１上に足底板６が着脱自在に取付けられているから、屋内のみならず、屋外においても基板１を取外すことにより靴中敷状に使用することが出来るものである。 Next, the mounting state of the embodiment configured as described above will be described with reference to FIGS.
First, the foot 8 is placed and set on the sole plate 6 (see FIG. 2A). Thereafter, both ends of the belt 3 are wound around the ankle joint portion 9 while crossing each other on the back of the foot 8, and the male fastener 5 at one end is engaged with the female fastener 4 at the other end. (See FIGS. 2B and C, FIG. 3). At this time, since the belt 3 is wound around the ankle joint portion 9 while both ends of the belt 3 are applied to the instep of the foot 8, the sole plate 6 is securely and easily fixed to the ankle portion 9. Therefore, there is no fear that the sole plate 6 will swing during walking, and stable walking can be maintained. Further, since the sole plate 6 is mounted on the substrate 1, the substrate 1 can be walked while being in contact with the floor, and there is no risk of causing the back surface of the sole plate 6 to be worn, and the shape is always properly retained. In addition, since the back surface of the substrate 1 is subjected to a slip prevention process, a safe wearing walk can always be secured. Further, since the sole plate 6 is detachably attached on the substrate 1, it can be used like a shoe insole by removing the substrate 1 not only indoors but also outdoors.

なお、上記実施例において、足底板６は外側ウェッジ状に形成されているが、これに限定されるものではなく、下肢疾患の症例に応じて適宜内側ウェッジ状に形成せしめてもよいものである。また、基板１に雄面ファスナ−２が取付けられると共に、ベルト３及び足底板６に各々雌面ファスナ−４・７が取付けられているが、逆に、基板１に雌面ファスナ−を、ベルト３及び足底板６に雄面ファスナ−を取付けるべく構成せしめてもよいものである。更に、基板１の裏面に凹凸状のスベリ止め加工を施すものとされているが、これに限定されるものではなく、スベリ止めシ−ルなど公知のスベリ止め手段を施しても良いものである。   In addition, in the said Example, although the sole board 6 is formed in the outer wedge shape, it is not limited to this, You may make it form in an inner wedge shape suitably according to the case of a leg disease. . Further, the male surface fastener-2 is attached to the substrate 1 and the female surface fasteners 4 and 7 are attached to the belt 3 and the sole plate 6, respectively, but conversely, the female surface fastener is attached to the substrate 1 and the belt. 3 and the sole plate 6 may be configured to attach male fasteners. Furthermore, although the back surface of the substrate 1 is subjected to uneven slip prevention processing, the invention is not limited to this, and known slip prevention means such as a slip prevention seal may be applied. .

本発明の一実施例を示す分解斜視図である。It is a disassembled perspective view which shows one Example of this invention. 実施例の装着状態を示す平面図である。It is a top view which shows the mounting state of an Example. 実施例の装着状態を示す側面図である。It is a side view which shows the mounting state of an Example.

符号の説明Explanation of symbols

１ 基板
２ 雄面ファスナ−
３ ベルト
４ 雌面ファスナ−
６ 足底板
７ 雌面ファスナ−
８ 足
９ 足関節部

1 Substrate 2 Male fastener
3 Belt 4 Female fastener
6 sole plate 7 female fastener
8 feet 9 ankle joint

Claims (3)

略足底形状とされた基板と、該基板上に直交して着脱自在に取付けられた弾性を有する長尺状ベルトと、基板上に該ベルトを挟んで着脱自在に取付けられた楔形足底板とよりなり、上記足底板を足裏にセットせしめると共に、ベルト両端を甲に交差状に当てがいつつ足関節部に巻付けて装着せしめるべく構成されてなることを特徴とする、下肢疾患治療用足底装具。   A substrate having a substantially sole shape; a long belt having elasticity attached detachably perpendicular to the substrate; and a wedge-shaped sole plate detachably attached to the substrate with the belt interposed therebetween. A foot for treating a lower limb disease, characterized in that the footplate is set on the sole and is configured to be wound around the ankle joint while wearing both ends of the belt crosswise on the instep. Bottom orthosis. 基板上に各々面ファスナ−を介してベルトと足底板とが着脱自在に取付けられてなることを特徴とする、請求項１記載の下肢疾患治療用足底装具。   2. The plantar orthosis for treating leg disease according to claim 1, wherein a belt and a sole plate are detachably attached to the substrate via respective surface fasteners. 基板下面にスベリ止め加工が施されてなることを特徴とする、請求項１及び２記載の下肢疾患治療用足底装具。   The plantar orthosis for treating lower limb disease according to claim 1 or 2, wherein the bottom surface of the substrate is subjected to a slip-proofing process.

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