The present invention relates to an inner-side pillar supporter for restricting an ankle joint from inverting.
When an ankle is twisted inward, an anterior talofibular ligament, tibiofibular ligament or posterior talofibular ligament, each of which is an outer-side ligament of the ankle, is extended or damaged to cause ankle-joint inversion sprains. In an initial therapy for the ankle-joint inversion sprains, a so-called “RICE” treatment has been carried out. In the “RICE” treatment, an affected area is made unmovable to keep it at rest. Then, the affected area is cooled to make bloodstreams gentle, preventing the affected area from swelling or breeding internally. Moreover, the affected area is compressed moderately to control swellings and inflammations. In addition, a patient is laid on his or her back to place the affected area at a position that is present higher than is the heart present. Thus, bloodstreams are kept from flowing into the affected area, inhibiting inflammations.
In a later therapy, a supporter for an ankle joint has been used in most cases. The supporter restricts the inversions of an ankle, which occur due to the extensions or damages of outer-side ligaments, in order to fix the ankle joint at the ordinary position.
As an example of the supporter for an ankle joint, a supporter set forth in Japanese Unexamined Utility Model Publication (KOKAI) Gazette No. 3-101930 will be explained below. The supporter for an ankle joint comprises a supporter body to be mounted or applied to the upper side and lower side of an ankle joint involving the ankle of a foot, a stay attached to an outer side of the supporter body in order to prevent twists, and a belt to be would around for fixation.
Patent Literature No. 1: Japanese Unexamined Utility Model Publication (KOKAI) Gazette No. 3-101930
The conventional supporter for an ankle joint has been heretofore restricting the ankle joint from inverting, and simultaneously has been tending to restrict a foot's plantar/dorsal flexing movements as well.
Hence, it is an assignment to the present invention to provide an ankle-joint supporter not only restricting an ankle joint from inverting but also being free of restricting the plantar/dorsal flexing movements at the ankle joint.
An inner-side pillar supporter according to the present invention comprises:
a plate-shaped pillar including a fixed portion coming into contact with an inner side of the ankle joint at a malleolus medialis thereof from an inner side of a calcaneus, and an inversion preventing portion formed integrally with the fixed portion to extend over the malleolus medialis; and
a fixing member press fixing the fixed portion of the pillar from the inner side of the calcaneus onto the inner side of the ankle joint at the malleolus medialis.
The inner-side pillar supporter according to the present invention comprises the pillar whose fixed portion is fixed by the fixing member to a lower section of a foot's ankle to be integrated with a lower section of the ankle joint. The inversion preventing portion of the pillar is located above off from the lower section of the ankle joint so that it is located on an inner side in an upper section of the ankle in the ankle joint. Accordingly, the inversion preventing portion of the pillar prevents the ankle joint from inverting during which the upper section of the ankle joint inclines toward the inner side. Meanwhile, an upper section of the ankle joint is capable of swinging in the front/rear direction by way of the ankle joint' lower section and the ankle. The fixing portion neither fixes the upper section of the ankle joint, nor the inversion preventing portion of the pillar. Consequently, the ankle joint is capable of swinging at the upper section in the front/rear direction, without ever being restrained by the inversion preventing portion of the pillar, namely, it is capable of carrying out planar/dorsal flexing movements.
The inner-side pillar supporter according to the present invention comprises the plate-shaped pillar, and the fixing member fixing the pillar to the ankle joint at the downside. The pillar has a plated shape, and includes: the fixed portion coming into contact with an inner side in the lower section of the ankle joint (namely, an inner side of the ankle joint at the malleolus medialis) from an inner side of a calcaneus to be fixed to the inner side in the lower section of the ankle joint; and the inversion preventing portion formed integrally with the fixed portion to extend over the ankle joint (namely, over the malleolus medialis). The plate-shaped pillar can be the same pillar (or stay) as that of the conventional supporter for an ankle joint. If such is the case, a lower section of the conventional pillar makes the fixed portion according to the present invention, and its upper section makes the inversion preventing portion according to the present invention.
Since the fixed portion of the pillar is fixed at the lower section to an inner side in the lower section of the ankle joint, the fixed portion can preferably have a configuration following or going along with an inner-side configuration of the ankle joint, and can preferably exhibit a sufficient coming-into-contact area. The inversion preventing portion at the upper section of the pillar not only needs to have a sufficient height making it possible to prevent inversions, but also needs to have such a sufficient horizontal width that the ankle joint does not stick at the upside from out of the inversion preventing portion even for the ankle joint that is swinging at the upside.
The fixing member according to the present invention fixes the fixed portion of the pillar to the lower section of the ankle joint. Such a fixing member as fixing the ankle joint at the upper section as well is unemployable. Employable as the fixing member according to the present invention is members or parts that fix the fixed portion of the pillar to the lower section of the ankle joint by the fixation to the lower section of the ankle joint alone. Note that the fixing member and the pillar can preferably be integrated one another at the time of use at least. Fixing the fixed portion of the pillar to the lower section of the ankle joint results in fixing the fixed portion more securely to the lower section of the ankle joint on the inner side.
Specifically, it is possible to adopt, as the fixing member according to the present invention, a bag-shaped, a socks-shaped, or a belt-shaped fixing means fixing the ankle joint only at the lower section. As the belt-shaped fixing member, a strip-shaped bandage is preferable. The strip-shaped bandage can preferably be fixed at one of the opposite ends to the pillar detachably or integrally therewith. Moreover, the strip-shaped bandage can preferably comprise: a strip-shaped body portion wound around the ankle joint to fix the ankle joint; and a fastening means fastening the wound-around body portion at a trailing end thereof onto a face side of the body portion, the face side disposed on a more leading-end side of the body portion than is the trailing end. In addition, the body portion can preferably include: a central strip portion having a slit that extends in a longitudinal direction thereof, and into which a heel fits; a leading-end strip portion extending from the central strip portion to a leading-end side thereof, and having a sufficient length to circle around an ankle once at least to be connected to the central strip portion into which the heel has been fitted; and a trailing-end strip portion extending from the central strip portion to a trailing-end side thereof, and having a length that extends from the central strip portion, into which the heel has been fitted, to circle around the ankle once at least. Fitting an ankle into the slit in the strip-shaped bandage makes the bandage fix the ankle joint more securely, making the fixation of the pillar onto the ankle-joint lower section more reliable.
The inner-side pillar supporter according to the present invention comprises the pillar whose fixed portion is fixed to a lower section in a foot's ankle by the fixing member so that the fixed portion is integrated with a lower section of the ankle joint. The inversion inhibiting portion of the pillar is located up above off from the lower section of the ankle joint so that the inversion inhibiting portion is located on an inner side in the upper section of the ankle in the ankle joint. Accordingly, the inversion inhibiting portion of the pillar inhibits the ankle joint from inverting in which the ankle joint inclines inward at the upper section. Meanwhile, the ankle joint is swingable at the upper section in the forward/rear direction by way of the ankle joint's lower section and the ankle. The fixing member neither fixes the upper section of the ankle joint nor the inversion inhibiting portion of the pillar. Consequently, the ankle joint is capable of swinging at the upper section in the front/rear direction, namely, it is capable of performing plantar/dorsal flexing movements at the ankle joint, without ever being restrained by the inversion inhibiting portion of the pillar. Moreover, the inversion inhibiting portion of the pillar can inhibit the ankle joint from inverting even at any place during the plantar/dorsal flexing movements at the ankle joint, because the inversion inhibiting portion has a horizontal width that is wide sufficiently.
The pillar 1 includes a bent plate 2 made of plastic, an upside cushioning material 4(a) and downside cushioning material 4(b) made of sponge, and a male planar fastener 3 formed as a hook shape. As can be understood from the plan view shown in
On a section involving an upside on the inner side of the bent plate 2, the upside cushioning material 4(a) is fixed; whereas the downside cushioning material 4(b) is fixed on the lower section while the latter is separated off from the former by a minor clearance provided therebetween. The planar fastener 3 is fixed to the bent plate 2 at the lower side on the outer side. The upside cushioning material 4(a) has 8.3 cm in the longitudinal direction, 5.2 cm in the width direction, and a thickness of 5 mm. The downside cushioning material 4(b) has 6 cm in the longitudinal direction, 5.2 cm in the width direction, and a thickness of 5 mm. The planar fastener 3 has 7 cm in the longitudinal direction, a maximum length of 4.7 cm in the width direction, and a minimum length of 2 cm in the width direction.
The upside cushioning material 4(a) comes into contact with an upper section in an ankle at an ankle joint, and is then fixed to the upper section; whereas the downside cushioning material 4(b) comes into contact with the ankle's lower section, and is then fixed to the lower section. Thus, the ankle comes to be located between the upside cushioning material 4(a) and the downside cushioning material 4(b).
The bent plate 2 is constructed as described above. That is, the downside cushioning material 4(b), the section in the bent plate 2 retaining the downside cushioning material 4(b), and the section involving the planar fastener 3 constitute the fixed portion according to the present invention; whereas the upside cushioning material 4(a), and the section in the bent plate 2 retaining the upside cushioning material 4(a) constitute the inversion preventing portion according to the present invention.
The strip-shaped bandage 10 includes a strip-shaped body portion 11 shown in
The strip-shaped body portion 11 has 80.5 cm in the longitudinal direction, 5.1 cm in the width direction, and a thickness of 1 mm. The strip-shaped body portion 11 is provided with a female planar fastener having a large number of fine rings on the surface over the entire face. Note that the female planar fastener has 80.5 cm in the longitudinal direction, 4.4 cm in the width direction, and a thickness of 1 mm.
The strip-shaped body portion 11 is formed of such three strip portions as a leading-end strip portion 12, a central strip portion 13, and a trailing-end strip portion 14. The leading-end strip portion 12 has 56.2 cm in the longitudinal direction, 5.1 cm in the width direction, and a thickness of 1 mm. The leading-end strip portion 12 is provided with a planar fastener 16 at the free end. Note that the planer fastener 16 has 7.3 cm in the longitudinal direction, 4.4 cm in the width direction, and a thickness of 1 mm.
The central strip portion 13 has 9.3 cm in the longitudinal direction, 5.1 cm in the width direction, and a thickness of 1 mm. The central strip portion 13 is provided with a slit 15 into which an ankle is fitted at the time of mounting or applying. The slit 15 is a 9.3-cm cut or opening that is parallel to the longitudinal direction of the central strip portion 13, and is arranged at the middle in the width direction of the central strip portion 13.
The trailing-end strip portion 14 has 15 cm in the longitudinal direction, 5.1 cm in the width direction, and a thickness of 1 mm.
The planar fastener 17 has a male planar fastener on the surface, and is formed roughly as a trapezoidal configuration whose lower base is 4.8 cm, upper base is 3 cm and height is 4 cm.
The inner-side pillar supporter according to Embodiment comprises the above-mentioned constituents.
Next, an example of mounting or applying the inner-side pillar supporter will be hereinafter described using
The inversion prohibiting portion, which exists from the upper side to the middle section in the pillar 1 to restrict the ankle from inverting, is not fixed at all. Therefore, the inversion prohibiting portion does not restrict plantar/dorsal flexing movements at the ankle joint, because it can swing freely in the front/rear direction of the foot depending on the plantar/dorsal flexing movements. Moreover, it is easy for a patient to perform the plantar/dorsal flexing movements, because the downside cushioning material 4(b) and the ankle joint slide one another.
As a result, the inner-side pillar supporter according to Embodiment not only restricts the ankle joint from inverting but also is fully free of restricting the plantar/dorsal flexing movements at the ankle joint.
(Employment Evaluation)
The inner-side pillar supporter according to present Embodiment was used to treat 24 cases of fresh ankle-joint inversion sprain for patients who visited an orthopedic clinic operated by the applicant of the present application. For 10 cases of minor injury, the inner-side pillar supporter was mounted or applied to the patients from the beginning. For the other 14 cases, the inner-side pillar supporter was mounted or applied to the patients after they had undergone a cast fixation for from five days to three weeks approximately. In all of the cases, the inner-side pillar supporter was always mounted or applied to the patients other than such occasions as the patients took off the inner-side pillar supporter from the ankle joint to take a bath or shower, and the like. Then, at the time when swellings around the ankle-joint malleolus lateralis and oppressive pains thereat had disappeared, the patients were instructed to mount or apply the inner-side pillar supporter to them only during their activities.
At a time three months later after being affected by the injury, it was possible to return the patients back to their original activity levels for all of the 10 minor-injury cases, and for 12 cases among the other 14 cases. No satisfactory results like these have been obtained by conventionally-available supporters.
1: Pillar;
2: Bent Plate;
3: Pillar Planar Fastener;
4(a): Upside Cushioning Material;
4(b): Downside Cushioning Material;
10: Strip-shaped Bandage;
11: Strip-shaped Body Portion;
12: Leading-end Strip Portion;
13: Central Strip Portion;
14: Trailing-end Strip Portion;
15: Slit;
16: Leading-end Planar Fastener; and
17: Planar Fastener
Number | Date | Country | Kind |
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2014-184664 | Sep 2014 | JP | national |
Filing Document | Filing Date | Country | Kind |
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PCT/JP2015/004363 | 8/28/2015 | WO | 00 |