The present disclosure relates generally to orthopedic braces, and more particularly, to braces for correcting clubfoot.
Clubfoot, also known as talipes equinovarus, is a congenital birth defect that causes one or both feet to turn inward. The exact causes of clubfoot are unknown, but research indicates genetic factors may play a role. Clubfoot results from abnormal development of the muscles, tendons, and bones of the fetus. Shortened tendons and ligaments on the inside of the lower leg lead to the foot turning inward. A tight Achilles tendon contributes to rigidity of the foot.
Clubfoot occurs in approximately 1 out of 750 births, with some variation across countries and ethnic groups and an increased incidence in children born to a parent with clubfoot. Clubfoot occurs more often in boys than girls. There are about 200,000 new cases of clubfoot each year around the world. For children born with clubfoot, both feet are affected in about 50% of the cases. Without treatment, children born with clubfoot cannot walk properly, if at all. Treatment can include the use of braces, casts, and/or surgery.
In general, in one aspect, the disclosure relates to a brace to correct a clubfoot condition. The brace can include a pair of foot restraints. Each of the foot restraints can include a foot plate having a mounting feature disposed on a bottom side of the foot plate and a number of apertures that traverse the mounting feature and the foot plate. Each foot restraint can also include a first securing member with a first portion mechanically coupled to the foot plate. Each foot restraint can further include an insert removably coupled to a top side of the foot plate. The brace can also include a base member mechanically coupled to each of the mounting features at each end of the base member. Each end of the base member can include a coupling feature, where each coupling feature includes at least two sets of receiving apertures.
In another aspect, the disclosure can generally relate to a method to correct a clubfoot condition using a brace. The method can include receiving a left foot into a left foot restraint. The method can also include wrapping a first securing member of the left foot restraint around a first portion of the left foot. The method can further include securing, after wrapping the left securing member around the first portion of the left foot, a first distal end of the left securing member to the left foot restraint. The method can also include receiving a right foot into a right foot restraint. The method can further include wrapping a second securing member of the right foot restraint around a second portion of the right foot. The method can also include securing, after wrapping the second securing member around the second portion of the right foot, a second distal end of the second securing member to the right foot restraint.
These and other aspects, objects, features, and embodiments will be apparent from the following description and the appended claims.
The drawings illustrate only exemplary embodiments of braces for correcting clubfoot and are therefore not to be considered limiting of its scope, as the braces for correcting clubfoot may admit to other equally effective embodiments. The elements and features shown in the drawings are not necessarily to scale, emphasis instead being placed upon clearly illustrating the principles of the exemplary embodiments. Additionally, certain dimensions or positionings may be exaggerated to help visually convey such principles. In the drawings, reference numerals designate like or corresponding, but not necessarily identical, elements.
Exemplary embodiments of braces for correcting clubfoot will now be described in detail with reference to the accompanying figures. Like, but not necessarily the same or identical, elements in the various figures are denoted by like reference numerals for consistency. In the following detailed description of the exemplary embodiments, numerous specific details are set forth in order to provide a more thorough understanding of the disclosure herein. However, it will be apparent to one of ordinary skill in the art that the exemplary embodiments herein may be practiced without these specific details. In other instances, well-known features have not been described in detail to avoid unnecessarily complicating the description.
The braces for correcting clubfoot described herein may be used with feet of any size and/or shape. For example, exemplary embodiments of braces for correcting clubfoot can be used with newborn infants as well as teenager children. Further, an exemplary embodiment used to secure one foot to a foot restraint of a brace can be the same or a different exemplary embodiment used to secure the other foot to the other foot restraint of the brace.
The base member 110 includes a set of coupling features 112 disposed on each end of the base member 110. Each coupling feature 112 can include a single set of receiving apertures or multiple sets of receiving apertures 115, 116. In
Each receiving aperture traverses at least a portion of the coupling feature 112. In this example, each receiving aperture traverses the entire coupling feature 112. In certain exemplary embodiments, the coupling features 112 are set at an angle to (i.e., are non-linear with) the central portion of the base member 110. In certain exemplary embodiments, the angle between the coupling feature 112 and the central portion of the base member 110 can be adjusted. For example, the coupling feature 112 can be hingedly coupled to the central portion of the base member 110. In such a case, the hinged coupling can define a range of angles that may be discretely adjustable or freely adjustable. In addition, or in the alternative, the tilt (i.e., the offset angle between the plane of the base member 110 and the plane of the coupling feature 112) of the coupling feature 112 may also be adjusted.
In certain exemplary embodiments, each set of receiving apertures 115, 116 of the coupling feature 112 creates an outward angle when the foot restraint 150 is mechanically coupled to the coupling feature 112 of the base member 110. The outward angle can be measured relative to a perpendicular angle. The perpendicular angle may also be referred to as a normal angle and is the angle perpendicular to the axis along the length of the base member 110. The outward angles can be discrete angles that are predetermined based on the orientation of the sets of receiving apertures 115, 116. For example, if there are two sets of receiving apertures 115, 116, one outward angle corresponding to one set of receiving apertures 116 can be 30°, and another outward angle corresponding to another set of receiving apertures 115 can be 60°. There may also be other outward angles (e.g., 40°, 70°), either fixed or adjustable, that can exist.
The central portion of the base member 110 can include a bottom part 111 and a top part 113. The top part and the bottom part can be joined at approximately where a coupling feature 112 is disposed at each end of the base member 110. From this point, the bottom part 111 and the top part 113 can diverge, forming a dorsiflexion angle. In certain exemplary embodiments, the dorsiflexion angle can be adjusted. The bottom part 111 can be a solid piece and/or have a structural pattern. For example, as shown in
Similarly, the top part 113 of the base member 110 can be a solid piece and/or have a structural pattern. The top part 113, bottom part 111, and coupling feature 112 can each be made of one or more of a number of materials, including but not limited to plastic, rubber, metal, and fiberglass. The top part 113, bottom part 111, and coupling feature 112 can be made from a single molded piece or be separate pieces mechanically coupled together. In certain exemplary embodiments, the top part 113 and/or the bottom part 111 can be adjustable along the length of the central portion. For example, the top part 113 and the bottom part 111 can each be slidably extendable and/or retractable to change the length of the base member 110 and/or the dorsiflexion angle.
In certain exemplary embodiments, each of the pair of foot restraints 150 is complementary to each other and receives a foot that has a clubfoot condition. Each foot restraint 150 can include one or more of a number of features. For example, as shown in
The insert 152 of the foot restraint 150 is removably coupled to the top side of the foot plate 156. The insert 152 can be removably coupled to the top side of the foot plate 156 using none or one or more of a number of methods, including but not limited to snaps, Velcro, slotted fittings, and epoxy. The insert 152 can be made of one or more materials (e.g., fabric, gel, rubber, foam, metal) having any degree of flexibility and/or hardness. The shape of the insert 152 can be substantially the same as the shape of the top side of the foot plate 156.
Each side support 154 can be mechanically coupled to the foot plate 156 or the insert 154. The side support 154 can be removably or fixedly coupled to the foot plate 156 or the insert 154 using one or more of a number of methods, including but not limited to snaps, Velcro, slotted fittings, stitching, and epoxy. The side support 154 can be made of one or more materials (e.g., fabric, gel, rubber, foam, metal) having any degree of flexibility and/or hardness. The shape and/or dimensions (e.g., height, length) of the side support 154 can vary, depending on one or more of a number of factors, including but not limited to the severity of the clubfoot condition and the size of the foot.
In certain exemplary embodiments, the apertures in the foot plate 300 are arranged in a manner that corresponds to the configuration of a set of receiving apertures 115, 116 in a corresponding mounting feature 112 of the base member 110. The mounting feature 320 of the foot plate 300 can generally be shaped in a manner consistent with the shape of the corresponding mounting feature 112 of the base member 110. In this example, the mounting feature 320 of the foot plate 300 is circularly shaped to fit within the circular shape of the mounting feature 112 of the base member 110.
As alluded to previously, the foot plate 300 includes a top side 302 and a bottom side 312. Each of the top side 302 and a bottom side 312 can include one or more of a number of features. For example, as shown in
The features disposed on the bottom side 312 of the foot plate 300 can include, in addition to the mounting feature 320, a channel 360 and a slot 358. In certain exemplary embodiments, the channel 360 and the slot 358 are located adjacent to each other on the bottom side 312. The channel 360 can be used to guide a securing member (described below with respect to
The slot 358 can be used to receive a buckle (described below with respect to
The top side 302, the bottom side 312, and/or the sides of the foot plate 300 can include one or more other features. Specifically, the top side 302, the bottom side 312, and/or the sides can have a receiving feature (not shown in
The footplate 400 includes additional features not found in the foot plate 300 of
The insert guides 409 can be made of one or more of a number of suitable materials, including but not limited to plastic, rubber, and metal. The material of the insert guides 409 can be the same or different than the materials of the foot plate 400. The height, width, and other dimensions of the insert guides 409 can vary, depending on one or more of a a number of factors. Such factors include, but are not limited to, the shape of the insert 452, the height of the insert 452, the shape of the top side of the foot plate 400, the size and/or shape of the foot, and the material of the insert 452. The insert guides 409 can be rigid and/or flexible. The insert guides 409 can include one or more features (e.g., Velcro, ridges, slots) used to secure the insert 452.
Multiple insert guides 409 can be disposed along the perimeter of the foot plate 400 in non-continuous segments. For example, as shown in
Each securing member 574, 575 is used to contact and secure at least a portion of the foot. The securing member 574, 575 is made of one or more flexible materials including but not limited to nylon, cotton, and polyester. For example, the securing members 574, 575 can be nylon straps. In certain exemplary embodiments, there is a single securing member for each foot restraint. In other exemplary embodiments, there are multiple securing members for each foot restraint.
At least part of the securing member 574, 575 can be coupled to the foot plate 510 and/or the insert guides 509. The coupling between the securing member 574, 575 and the foot plate 510 and/or the insert guides 509 can be fixed, removable, slidable, some other suitable type of coupling, or any combination thereof. The securing member 574, 575 can be coupled to the foot plate 510 and/or the insert guides 509 using one or more of a number of methods, including but not limited to fastening devices (e.g., Velcro, screws), slotted fittings, epoxy, stitching, and overmolding.
Each securing member 574, 575 can have one or more features along various portions of the length of the securing member 574, 575. For example, as shown in
Alternatively, or in addition, a portion of the securing member 574, 575 can be coupled to at least one other component of the foot restraint. Examples of such other component can include, but are not limited to, the foot plate, a channel, a buckle, a loop, and a different portion of the securing member 574. Such examples are described below. When such other component to which the securing member 574 is coupled is the foot plate 510, as shown in
The securing member 574 also has a length that extends below the coupling points 572 and/or 576, allowing the securing member 574 to secure a foot in the foot restraint 500 by wrapping around the foot and the foot plate 510. In certain exemplary embodiments, the securing members 574 and 575 are the same securing member (i.e., a single piece) rather than separate pieces. In addition, or in the alternative, the securing members 574, 575 forming the loop 570, 571 are the same securing member (i.e., a single piece) rather than separate pieces.
Further, in addition or in the alternative, the securing member 574 forming the loop 570 can be a separate piece from the securing member 574 that secures the foot to the foot restraint 500. In such a case, for example, the separate securing members can be coupled at location 576. Similarly, the securing member 575 forming the loop 571 can be the same or a different piece from the securing member 575 that secures the foot to the foot restraint 500. If separate securing members are coupled to each other, the coupling can occur in one or more of a number of ways, including but not limited to stitching, epoxy, Velcro, snap fittings, and interlocking clips. Such a coupling can be fixed, detachable, some other type of coupling, or any suitable combination thereof.
Both loops 670, 671 of the securing member 675 in
The sorting member 780 can also have a front side 782 and a back side (not shown). The back side of the sorting member 782, which contacts the foot when the foot is placed within the foot restraint 700, can be padded. The sorting member 780 can be made of one or more of a number of materials, including but not limited to leather, nylon, rubber, cotton, polyester, and foam. While
Alternatively, or in addition, the sorting member 780 can be coupled to one or more other members of the foot restraint 700, including but not limited to the supporting member 775, a different portion of the securing member 774, the foot plate 710, and the insert guides 709. In addition to, or in the alternative to, being slidably coupled, the sorting member 780 can be coupled to a component of the foot restraint 700 detachably, fixedly, in some other manner, or any combination thereof.
The sorting member 980 can also include a front side 982 and a back side (not shown). The back side of the sorting member 982, which contacts the foot when the foot is placed within the foot restraint 900, can be padded. The sorting member 980 can be made of one or more of a number of materials, including but not limited to leather, nylon, rubber, cotton, polyester, and foam. While
Alternatively, or in addition, the sorting member 980 can be coupled to one or more other members of the foot restraint 900, including but not limited to the supporting member 975, a different portion of the securing member 974, the foot plate 910, and the insert guides 909. In addition to, or in the alternative to, being slidably coupled, the sorting member 980 can be coupled to a component of the foot restraint 900 detachably, fixedly, in some other manner, or any combination thereof.
In addition, the end of the securing member 1075 in
In addition, the distal end of the securing member 1075 passes through a loop 1089 and is secured to another portion of the securing member 1075 using Velcro. The loop 1089 can be coupled to a portion (e.g., the bottom side, the side) of the foot plate 1010. The loop 1089 can also be coupled to one or more other components of the foot assembly 1000, including but not limited to one or more insert guides 1009. The loop has dimensions (e.g., width, height) sufficient to allow the securing member 1075, as well as any sorting member 1080 coupled to the securing member 1075, to pass therethrough. The loop 1089 can be coupled to the foot plate in one or more of a number of ways, including but not limited to fixedly, detachably, slidably, and hingedly. The loop 1089 can be of one or more of a number of suitable materials, including but not limited to plastic, nylon, and metal.
In certain exemplary embodiments, the buckle 1162 fixedly and/or detachably couples to at least one securing member (e.g., securing member 1174). For example, the buckle 1162 can be fixedly coupled to one end of the securing member 1174, where the securing member 1174 is directed into the channel 1160 on the bottom side 1112 of the foot plate 1110 and past the notch 1106 in the side of the foot plate 1110. The opposite end of the securing member 1174 can be directed through notch 1104 and slidably coupled to a different portion of the buckle 1162. Such different portion of the buckle 1162 can have a number of different coupling configurations, including but not limited to a locking hinge, a latch (which would be inserted into one of a number of holes in the securing member 1174), a clamp, and Velcro. In any case, the buckle 1162 can intermittently couple and decouple to the securing member 1174 to allow the securing member 1174 to have an appropriate length to properly secure a foot in the foot restraint.
The securing member 1274 is coupled on both ends to a buckle (hidden from view) disposed on the bottom side of the foot plate 1202 in a manner similar to that described above with respect to the buckle 1162 of
In addition, supporting member 1286 is fixedly coupled to a portion of the securing member 1274. In this example, the supporting member 1286 is a cloth (e.g., nylon, polyester) segment that is sewn at each end to the securing member 1274. In such a case, a different portion of the securing member 1274 can slide between the bottom side of the supporting member 1286 and the top side of a different portion of the securing member 1274. This slidable coupling allows the securing member 1274 to be properly aligned in securing the foot in the foot restraint 1290.
Further, in certain of the exemplary embodiments, certain of the steps described below may be omitted, repeated, and/or performed in a different order. In addition, a person of ordinary skill in the art will appreciate that additional steps, not shown in
Now referring to
In step 1302, a left foot is received in a left foot restraint 500 of the brace 100. In certain exemplary embodiments, the left foot is experiencing a clubfoot condition, and the brace 100 is used to correct the clubfoot condition. In step 1304, a first securing member 574 of the left foot restraint 500 is wrapped around a portion of the left foot. In certain exemplary embodiments, the left securing member 574 also wraps around one or more portions of the foot plate 510. Further, one or more other securing members (e.g., securing member 575) can be wrapped around and/or contact one or more portions of the foot. In addition, or in the alternative, a sorting member 780 can be used to align one or more of the supporting members. At least one end of the left securing member 574 is coupled (e.g., fixedly, slidably, removably) to a portion of the foot restraint 500. For example, one end of the left securing member 1174 can be fixedly coupled to a buckle 1162 that is slidably coupled to a slot 1158 in the bottom side 1112 of the foot plate 1100.
In wrapping the first securing member 574 of the left foot restraint 500 around the left foot, the first securing member 574 can overlap with itself and/or with one or more other components of the left foot restraint 500. For example, the securing member 1274 can overlap itself using a sorting member 1286.
In step 1306, a distal end of the left securing member 574 is secured to the left foot restraint 500. In certain exemplary embodiments, the distal end of the left securing member 574 is secured to the left foot restraint 500 after the left securing member 574 is wrapped around a portion of the left foot. The distal end of the left securing member 574 can be secured in a number of ways. For example, if a buckle 1162 is disposed on a bottom side 1112 of the foot plate 1100, the distal end of the securing member 1174 can be passed through the buckle 1162 coupled to the slot 1158 in the bottom side 1112 of the foot plate 1100. The distal end of the securing member 1174 is then pulled through the buckle 1162 until the securing member 1174 snugly secures the left foot in the foot restraint 500. Finally, a latch of the buckle 1162 is secured.
As another example, if a loop 1089 is coupled to a portion of the foot plate 1010, the distal end of the securing member 1074 can be passed through the loop 1089. Subsequently, the distal end of the securing member 1074 is then pulled through the loop 1089 until the securing member 1074 snugly secures the left foot in the foot restraint 1000. Finally, a Velcro surface disposed on the distal end of the securing member 1074 can be contacted to a corresponding Velcro surface disposed on a different portion of the securing member 1074 to secure the securing member 1074 in place.
In step 1307, a right foot restraint is coupled to one of at least two sets of receiving apertures 115, 116 in a base member 110 to create an outward angle of the foot restraint 150 relative to the perpendicular angle. In step 1308, a right foot is received in a right foot restraint 500 of the brace 100. In step 1310, a second securing member 574 of the right foot restraint 500 is wrapped around a portion of the right foot. In step 1312, a distal end of the right securing member 574 is secured to the right foot restraint 500. These steps 1307-1312 for the right foot restraint are substantially similar to steps 1301-1306, respectively, for the left foot restraint. The process then continues to the END step.
Using exemplary embodiments described herein, the brace for correcting a clubfoot condition uses inexpensive and lightweight materials, making the brace lighter, less expensive, easier to use, and easier to wear. The exemplary brace is also more comfortable for the infant or child patient, making treatment easier to administer. Further, because of the simplistic design, the brace is easy to administer and requires little or no intervention of a medical professional. Because the brace is less expensive but still extremely effective in treating clubfoot, more children afflicted with clubfoot can be treated and cured, despite a lack of access to insurance and/or financial resources. Consequently, fewer people will suffer from the effects of clubfoot, reducing long-term medical costs and other costs associated with the inability to walk.
Although embodiments described herein are made with reference to exemplary embodiments, it should be appreciated by those skilled in the art that various modifications are well within the scope and spirit of this disclosure. Those skilled in the art will appreciate that the exemplary embodiments described herein are not limited to any specifically discussed application and that the embodiments described herein are illustrative and not restrictive. From the description of the exemplary embodiments, equivalents of the elements shown therein will suggest themselves to those skilled in the art, and ways of constructing other embodiments using the present disclosure will suggest themselves to practitioners of the art. Therefore, the scope of the exemplary embodiments is not limited herein.
This application claims priority under 35 U.S.C. §119 to U.S. Provisional Patent Application Ser. No. 61/489,984, titled “Brace for Correcting Clubfoot” and filed on May 25, 2011, the entire contents of which are hereby incorporated herein by reference.
Number | Date | Country | |
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61489984 | May 2011 | US |