This invention relates generally to insoles for footwear and, more specifically, to insoles for relieving pain.
Plantar fasciitis is a common condition that is related to overuse and aggravation of the plantar fascia. The plantar fascia is a thick layer of tissue that runs along the majority of the bottom side of a human's foot, connecting the heel and metatarsals. The plantar fascia and underlying hallucis longus tendon supports the arch of the foot supports the big toe, which in turn, enables walking and running. When the plantar fascia becomes strained, the arch can weaken, flatten, and become swollen and inflamed. This condition displaces and causes damage to the soft fatty pad under the heel, causing extreme pain, which can limit one's ability to stand or walk.
Conventionally, contoured insoles have arch portions that support the arch of the foot to reduce arch flattening as a wearer stands and moves. The arch portions are often made primarily of thick, bulky insole material, such as a foam material. This can be disadvantageous, for example, when used with shoes having a built-in arch portion, since the thick, bulky arch portion introduces excessive bulk under the foot that can cause foot discomfort.
According to some embodiments, an insole for alleviating pain associated with plantar fasciitis includes an arch portion that provides a balance between stiffness and cushioning specifically configured to relieve plantar fasciitis pain. The insole includes a contoured base layer that extends the length and width of the insole. A thin, contoured arch shell formed from a stiffer material than the material of the base layer is provided on the bottom of the arch portion of the insole. The stiffness, thinness, and contouring of the arch shell in combination with the cushioning of the base layer provides a balance between stiffness and cushioning that was unexpectedly discovered to be ideal for alleviating plantar fasciitis pain.
According to some embodiments, an insole for insertion into footwear includes a base layer extending through a forefoot portion, a midfoot portion, and a heel portion of the insole, and an arch shell in the midfoot portion of the insole beneath the base layer, wherein the arch shell has a thickness of no more than 2 mm.
In any of these embodiments, the midfoot portion of the insole may include a flexural stiffness of 25 pounds per inch or less. In any of these embodiments, the midfoot portion of the insole may include a flexural stiffness of 8 pounds per inch or more.
In any of these embodiments, the insole may be configured such that the forefoot portion of the insole extends at least to distal ends of metatarsals of a foot. In any of these embodiments, the heel portion may be a cupped heel portion. In any of these embodiments, in the midfoot portion, the base layer may include an upwardly extending contour for supporting a foot arch.
In any of these embodiments, the forefoot portion may have at least a first thickness and the midfoot portion may have at least a second thickness that is greater than the first thickness. In any of these embodiments, the base layer may include a material having a first hardness and the arch shell may include a material having a second hardness that is greater than the first hardness.
In any of these embodiments, the arch shell may have a constant thickness. In any of these embodiments, the insole may include a heel insert in the heel portion. In any of these embodiments, the arch shell may include at least one extension located at least partially along the heel portion rearward of the forewardmost portion of the heel insert. In any of these embodiments, the insole may include a cover layer on at least a portion of an upper surface of the base layer. In any of these embodiments, the insole may be a removable insole for insertion into footwear.
According to some embodiments, an insole for insertion into footwear includes a base layer extending through a forefoot portion, a midfoot portion, and a heel portion of the insole, and an arch shell in the midfoot portion of the insole beneath the base layer, wherein the midfoot portion of the insole comprises a flexural stiffness of 25 pounds per inch or less.
In any of these embodiments, the midfoot portion may include a flexural stiffness of 8 pounds per inch or more. In any of these embodiments, the insole may be configured such that the forefoot portion extends at least to distal ends of metatarsals of a foot. In any of these embodiments, the heel portion may be a cupped heel portion.
In any of these embodiments, in the midfoot portion, the base layer may include an upwardly extending contour for supporting a foot arch. In any of these embodiments, the forefoot portion may have at least a first thickness and the midfoot portion has at least a second thickness that is greater than the first thickness.
In any of these embodiments, the base layer may include a material having a first hardness and the arch shell may include a material having a second hardness that is greater than the first hardness. In any of these embodiments, the arch shell may have a constant thickness. In any of these embodiments, the insole may include a heel insert in the heel portion.
In any of these embodiments, the arch shell may include at least one extension located at least partially along the heel portion rearward of the foreward most portion of the heel insert. In any of these embodiments, the insole may include a cover layer on at least a portion of an upper surface of the base layer. In any of these embodiments, the insole may be a removable insole for insertion into footwear.
According to some embodiments, a set of removable insoles includes at least one removable insole that includes a base layer extending through a forefoot portion, a midfoot portion, and a heel portion of the insole and an arch shell in the midfoot portion of the insole beneath the base layer, wherein the arch shell has a thickness of no more than 2 mm.
In any of these embodiments, the set includes instructions for using the set of removable insoles for relieving plantar fasciitis pain.
The invention will now be described, by way of example only, with reference to the accompanying drawings, in which:
Described herein are insoles for insertion into footwear. According to some embodiments, insoles are configured to provide cushioning and support tailored to wearers that are experiencing plantar fasciitis pain. The insoles are configured with a base cushioning layer and an arch shell of stiffer material along the midfoot area—the area extending beneath the wearer's arch. The inventors of the present invention unexpectedly discovered that a thin arch shell, in accordance with the features described below, provides enough support to alleviate pain associated with plantar fasciitis without having the stiffness that can increase plantar fasciitis pain.
Plantar fasciitis can be associated with weakening of the arch, so insoles with good arch support are desirable for sufferers of plantar fasciitis pain. However, insoles with good arch support are often bulky and difficult to fit into shoes, especially shoes with existing arch supports. Conventional insoles with thinner arches include a layer of stiffer material along the arch, which provides arch support without as much of the bulk, making these thinner insoles easier to insert into footwear. The inventors of the present invention discovered, however, that existing thinner insoles, while providing comfort to normal wearers, can aggravate the plantar fascia of wearers with plantar fasciitis, causing discomfort and pain. Described herein are insoles having a significantly thinner layer of stiff material along the arch than conventional insoles. The thinness, material, and shape of the layer of stiff material in combination with a base layer of more compliant material, reduces the arch flattening associated with plantar fasciitis without being overly rigid and without causing the irritation to the inflamed plantar fascia associated with known thinner insoles.
An insole, according to the principles described herein, includes a contoured arch that provides the ideal amount of stiffness for the arches of sufferers of plantar fasciitis. The insole includes a base layer of cushioning material that extends the length and width of the insole. An arch shell is provided along the underside of the base layer in the midfoot portion of the insole. The curvature of the arch shell provides structure and stiffness to the arch support of the insole.
Thus, a low profile insole is provided that has the ideal balance between arch support and flexibility for wearer's experience plantar fasciitis pain. The arch stiffness of the insole is high enough to reduce the arch flattening associated with plantar fasciitis while being low enough to not provide an overly stiff arch that would irritate the plantar fascia and cause pain. The thinness of the arch shell provided a surprising benefit to wearers with plantar fasciitis. It was thought that a shell of such thinness would have little or no effect on easing plantar fasciitis pain relative to an insole of similar overall thickness but lacking the shell. However, it was discovered that the arch shell, layered with the base layer, provided just enough arch support that pain associated with plantar fasciitis reduce significantly. Because of its low profile, the insole can be inserted into any footwear (even footwear with built-in arch supports) without introducing excessive bulk under the foot that can cause discomfort, even for wearers without plantar fasciitis.
Insole 100 includes heel portion 110, midfoot portion 120, and a forefoot portion 130. As illustrated in the top and bottom views of
As illustrated in the side views of
Forward to rearward, the upper surface of the midfoot portion 120 is contoured to follow the shape of a wearer's arch. In some embodiments, this contour is achieved, at least in part, by an upward arching of the entire midfoot portion such that the bottom surface 122 of the midfoot portion 120 arches upward relative to a plane coincident with the bottom planar surface 124 of the forefoot portion 130. In other embodiments, the contour may be achieved by an increase in thickness of the midfoot portion 120 or by a combination of an increase in thickness and an upward arching of the midfoot portion 120. For example, as shown in
In some embodiments, the cross-sectional thickness of the midfoot portion 120 along the midline 150 of the insole 100 (e.g., the cross-section illustrated in
As illustrated in
Heel portion 110 is generally cup shaped and configured to underlie a typical wearer's heel. As illustrated best in
The bottom surface of insole 100 (the surface that contacts the footwear into which it is inserted), may or may not include texturing. Texturing can be useful to provide greater grip to the footwear, preventing shifting of the insole 100 within the footwear. Texturing can be provided on any of the forefoot portion 130, the midfoot portion 120, and the heel portion 110. In some embodiments, the forefoot portion 130 includes one or more pattern trim lines for indicating where to trim the insole 100 to fit into smaller size footwear.
As illustrated in
Base layer 102 can be made from any suitable material including, but not limited to, any flexible material that can cushion and absorb the shock from heel strike on the insole. Suitable shock absorbing materials can include any suitable foam, such as, but not limited to, cross-linked polyethylene, poly(ethylene-vinyl acetate), polyvinyl chloride, synthetic and natural latex rubbers, neoprene, block polymer elastomers of the acrylonitrile-butadiene-styrene or styrene-butadiene-styrene type, thermoplastic elastomers, ethylenepropylene rubbers, silicone elastomers, polystyrene, polyuria, or polyurethane; preferably a flexible polyurethane foam made from a polyol chain and an isocyanate such as a monomeric or prepolymerized diisocyanate based on 4,4′-diphenylmethane diisocyanate (MDI) or toluene diisocyanate (TDI). Such foams can be blown with fluorocarbons, water, methylene chloride or other gas producing agents, as well as by mechanically frothing to prepare the shock absorbing resilient layer. Such foams advantageously can be molded into the desired shape or geometry. Preferably, base layer 102 is made from block copolymer styrene-ethylene-butylene-styrene (SEBS) or from a combination of SEBS and ethylene-vinyl-acetate (EVA). In some embodiments, base layer 102 is formed from 4012-55N and/or 4011-55N SEBS, manufactured by TSRC Corporation of Taiwan. Preferably, base layer 102 is made from a combination of 4012-55N SEBS, 4011-55N SEBS and EVA.
Non-foam elastomers such as the class of materials known as viscoelastic polymers, or silicone gels, which show high levels of damping when tested by dynamic mechanical analysis performed in the range of −50 degrees C. to 100 degrees C. may also be advantageously employed. Resilient polyurethane can be prepared from diisocyanate prepolymer, polyol, catalyst and stabilizers that provide a waterblown polyurethane foam of the desired physical attributes. Suitable diisocyanate prepolymer and polyol components include polymeric MDI M-10 (CAS 9016-87-9) and Polymeric MDI MM-103 (CAS 25686-28-6), both available from BASF, Parsippany, N.J. U.S.A.; Pluracol 945 (CAS 9082-00-2) and Pluracol 1003, both available from BASF, Parsippany, N.J. U.S.A.; Multrinol 9200, available from Mobay, Pittsburgh, Pa. U.S.A.; MDI diisocyanate prepolymer XAS 10971.02 and polyol blend XUS 18021.00 available from Dow Chemical Company, Midland, Mich. U.S.A.; and Niax 34-28, available from Union Carbide, Danbury, Conn. U.S.A.
These urethane systems generally contain a surfactant, a blowing agent, and an ultraviolet stabilizer and/or catalyst package. Suitable catalysts include Dabco 33-LV (CAS 280-57-9, 2526-71-8), Dabco X543 (CAS Trade Secret), Dabco T-12 (CAS 77-58-7), and Dabco TAC (CAS 107-21-1) all obtainable from Air Products Inc., Allentown, Pa. U.S.A.; Fomrez UL-38, a stannous octoate, from the Witco Chemical Co., New York, N.Y. U.S.A. or A-1 (CAS 3033-62-3) available from OSI Corp., Norcross, Ga. U.S.A. Suitable stabilizers include Tinuvin 765 (CAS 41556-26-7), Tinuvin 328 (CAS 25973-55-1), Tinuvin 213 (CAS 104810-48-2), Irganox 1010 (CAS 6683-19-8), Irganox 245 (CAS 36443-68-2), all available from the Ciba Geigy Corporation, Greensboro, N.C. U.S.A., or Givsorb UV-1 (CAS 057834-33-0) and Givsorb UV-2 (CAS 065816-20-8) from Givaudan Corporation, Clifton, N.J. U.S.A. Suitable surfactants include DC-5169 (a mixture), DC190 (CAS68037-64-9), DC197 (CAS69430-39-3), DC-5125 (CAS 68037-62-7) all available from Air Products Corp., Allentown Pa. U.S.A. and L-5302 (CAS trade secret) from Union Carbide, Danbury Conn. U.S.A.
Base layer 102 may be made from a urethane molded material, such as a soft, resilient foam material having Shore Type OO Durometer hardness in the range of 40 to 70, as measured using the test equipment sold for this purpose by Instron Corporation of Canton Mass. U.S.A. Preferably the base layer has a Shore Type OO Durometer hardness in the range of 45 to 55, and more preferably, in the range of 48 to 52. Such materials provide adequate shock absorption for the heel and cushioning for the midfoot and forefoot.
Alternatively, base layer 102 can be a laminate construction, that is, a multilayered composite of any of the above materials. Multilayered composites are made from one or more of the above materials such as a combination of EVA and polyethylene (two layers), a combination of polyurethane and polyvinyl chloride (two layers), or a combination of ethylene propylene rubber, polyurethane foam, and EVA (3 layers). In some embodiments, base layer 102 is made from a layering of EVA and SEBS.
Base layer 102 can be prepared by conventional methods, such as heat sealing, ultrasonic sealing, radio-frequency sealing, lamination, thermoforming, reaction injection molding, and compression molding, if necessary, followed by secondary die-cutting or in-mold die cuffing. Representative methods are taught, for example, in U.S. Pat. Nos. 3,489,594; 3,530,489; 4,257,176; 4,185,402; 4,586,273, in Handbook of Plastics, Herber R. Simonds and Carleton Ellis, 1943, New York, N.Y.; Reaction Injection Molding Machinery and Processes, F. Melvin Sweeney, 1987, New York, N.Y.; and Flexible Polyurethane Foams, George Woods, 1982, New Jersey; Preferably, the insole is prepared by a foam reaction molding process such as is taught in U.S. Pat. No. 4,694,589. In some embodiments, base layer 102 is prepared by a conventional direct injection expanded foam molding process. An example of a conventional direct injection molding machine model is KSC908 LE2A, made by King Steel Machinery Co., LTD. of Taiwan.
Cover layer 104 can be made from any suitable material including, but not limited to, fabrics, leather, leatherboard, expanded vinyl foam, flocked vinyl film, coagulated polyurethane, latex foam on scrim, supported polyurethane foam, laminated polyurethane film or in-mold coatings such as polyurethanes, styrene-butadiene rubber, acrylonitrile-butadiene, acrylonitrile terpolymers and copolymers, vinyls, or other acrylics, as integral top covers. Desirable characteristics of cover layer 104 include good durability, stability and visual appearance. It is also desirable that cover layer 104 has good flexibility, as indicated by a low modulus, in order to be easily moldable. The bonding surface of cover layer 104 should provide an appropriate texture in order to achieve a suitable mechanical bond to the upper surface of base layer 102. Cover layer 104 can be a fabric, such as a brushed knit laminated top cloth (for example, brushed knit fabric/urethane film/non-woven scrim cloth laminate) or a urethane knit laminate top cloth. Preferably, cover layer 104 is made from a polyester fabric material.
As illustrated in
Insert 114 may be formed of any suitable material. Suitable synthetic elastomeric polymeric materials comprise for example polymers made from conjugated dienes, for example, isoprene, butadiene, or chlorobutadiene, as well as from co-polymeric materials made from conjugated dienes and vinyl derivatives such as styrene and acrylonitrile. Exemplarily, suitable synthetic rubber materials comprise isoprene rubber, butadiene rubber, chloroprene rubber, styrene butadiene rubber (SBR), nitrilo-butadiene rubber (NBR), also in hydrogenated form, ethylene-propylene-(diene) rubber (EPM, EPBM), ethyl ene vinyl acetate rubber, silicone rubber also including liquid silicone rubber. Preferably, insert 114 is made of poly(styrene-butadiene-styrene) (SBS). According to some embodiments, the insert is a mixture of SBS block copolymer with paraffinic oil. According to some embodiments, insert 114 has a thickness in the range from 0.5 mm to 3 mm, preferably in the range from 0.8 mm to 2 mm, or more preferably in the range from 1 mm to 1.5 mm.
In some embodiments, forefoot portion 130 may have a thickness in the range of about 1 mm to about 8 mm, preferably in the range of about 2 mm to about 6 mm, more preferably in the range of about 3 mm to about 5 mm. In some embodiments, central portion 112 of heel portion 110 may have a thickness in the range of about 2 mm to about 16 mm, preferably in the range of about 4 mm to about 12 mm, more preferably in the range of about 6 mm to about 10 mm.
As illustrated in
Typically, arch shell 140 is secured in a recess in base layer 102 by an adhesive, although it could also be placed in a mold, and the base layer 102 can be molded thereon, thereby bonding arch shell 140 to base layer 102 during the molding operation.
As a person steps on insole 100, arch shell 140 flattens. During this operation, the flexion changes throughout the step cycle. The edges of arch shell 140 move outwardly so that there is little or no change in resistance to the weight applied to insole 100. In other words, the resistance remains substantially constant, unlike the bulky foam arch portions of prior art insoles in which resistance increases as a person steps thereon due to the compression of the material. Thus, in the operation of the present invention, arch shell 140 behaves much like the arch of a person's foot, which elongates as it flattens. Accordingly, arch shell 140 follows natural body movements and is more adaptable to the requirements of an individual wearer's foot. Therefore, insole 100, according to some embodiments, is suitable for different sizes, heights, weights, etc, making it more versatile than conventional insoles having bulky arch portions.
Arch shell 140 includes rear wing sections 142 and 144 at the rear section that preferably extend slightly into the heel portion 110. Wing sections 142, 144 permit natural motion of the foot during a stride, i.e., normal heel to arch progression. Thus, wing sections 142, 144 allow the arch of the foot to come into play during the latter part of a heel strike, while the wearer's heel is still supported by the full cushion of the heel portion 110, thereby providing a natural transition. For similar reasons, forward wing sections 146, 148 may be provided at the forward end of arch shell 140 to provide a natural transition from the midfoot portion 120 to the forefoot portion 130.
The geometry and material of the arch support of insole 100 (i.e., midfoot portion 120) is specifically configured to optimize the stiffness and support for wearers experiencing plantar fasciitis pain. The stiffness and support can be tailored (e.g., for men and women, for adults of different sizes, for children, etc.) by changing the thickness, composition, height of the arch, etc. The stiffness of the arch area of insole 100 is, generally, a function of the material and shape of base layer 102, the material of arch shell 140, and the geometry of arch shell 140.
Arch shell 140 may be made from thermoplastic material, e.g., thermoplastic polyurethane; foamed materials, e.g. EVA, polyurethane foam; or thermoset materials, e.g., composites. Arch shell 140 may be constructed from a thermoplastic olefin polymer that may be stiff and flexible, e.g., polyethylene, polypropylene, polyurethane, or elastomers, or a combination of thermoplastic polyurethane and acrylonitrile-butadiene-styrene. One example may be UH-64D20 thermoplastic polyurethane (TPU) from Ure-tech Company, Cheng-Hwa Hsien, Taiwan, Republic of China. Other examples include: a fiberglass filled polypropylene; nylon; fiberglass; polypropylene; woven extrusion composite; ABS; thermoplastic polymer; carbon graphite; polyacetal, for example, that sold under the trademark “DELRIN” by E.I. du Pont de Nemours and Company of Wilmington, Del. U.S.A.; or any other suitable material. Preferably, arch shell 140 is made of TPU, for example, TPU having a Shore hardness of about 95±5 Shore A to about 64±5 Shore D. Generally, the hardness of arch shell 140 is greater than the hardness of base layer 102. Preferably, arch shell 140 is injection molded.
The material used for arch shell 140 generally has a flexural modulus in the range of about 25,000 to 125,000 pounds per square inch (1.72×108 to 8.63×108 Newton/meter2), preferably in the range of about 35,000 to 100,000 p.s.i. (2.40×108 to 6.90×108 N/m2), or more preferably, in the range of about 45,000 to 60,000 p.s.i. (3.10×108 to 4.15×108 N/m2). Techniques for measuring flexural modulus are well known to those skilled in the art.
Arch shell 140 may include a generally constant thickness across its length and/or width (the edges may have a reduced thickness to match a reduced edge depth of the mating recess in base layer 102). The thickness of the arch shell 140 may range from about 0.5 mm to about 2.5 mm. In some embodiments, the thickness is about 0.7 mm to about 2.0 mm, about 0.8 mm to about 1.5 mm, about 0.9 mm to about 1.1 mm, or, more preferably, about 0.95 mm to about 1.05 mm. The thickness of arch shell 140 may be no more than 2 mm, no more than 1.8 mm, no more than 1.6 mm, no more than 1.5 mm, no more than 1.4 mm, no more than 1.2 mm, no more than 1.1 mm, no more than 1.05 mm, no more than 1 mm, no more than 0.98 mm, no more than 0.95 mm, no more than 0.9 mm, no more than 0.8 mm, or no more than 0.5 mm. The thickness of arch shell 140 may be no less than 0.2 mm, no less than 0.5 mm, no less than 0.7 mm, no less than 0.8 mm, no less than 0.9 mm, no less than 0.95 mm, no less than 1 mm, or no less than 1.2 mm. In some embodiments, the thickness of arch shell 140 is nonuniform. The thickness may increase along the midline 150 from one end to the other, may increase from the forward end to the rear, or may increase from the rear forward. In some embodiments, the thickness may increase across the width of the arch shell. For example, the thickness may be greatest at the center, greatest at the lateral edge, greatest at the medial edge, or greatest at both edges.
The thickness of midfoot portion 120—the combination of base layer 102 and arch shell 140 in midfoot portion 120—at the maximum height 126 of midfoot portion 120 may range from about 4 mm to about 15 mm, from about 5 mm to about 13 mm, from about 6 mm to about 11 mm or more preferably, from about 6 mm to about 9 mm. The thickness may be no more than 20 mm, no more than 18 mm, no more than 16 mm, no more than 14 mm, no more than 12 mm, no more than 11 mm, no more than 10 mm, no more than 9.5 mm, no more than 9 mm, no more than 8 mm, no more than 7 mm, no more than 6 mm, or no more than 5 mm. The thickness may be no less than 2 mm, no less than 5 mm, no less than 6 mm, no less than 7 mm, no less than 8 mm, no less than 9 mm, no less than 10 mm, or no less than 12 mm.
The arch area of insole 100—the combination of base layer 102 and arch shell 140—may have a flexural stiffness in the range between about 5 and 25 pounds/inch, preferably in the range between about 10 and 20 pounds/inch and, more preferably, in the range between about 8 and 18 pounds/inch. In some embodiments, the flexural stiffness is no greater than 25 pounds/inch, no greater than 20 pounds/inch, no greater than 18 pounds/inch, no greater than 17 pounds/inch, no greater than 15 pounds/inch, no greater than 13 pounds/inch, no greater than 12 pounds/inch, no greater than 11 pounds/inch, or no greater than 10 pounds/inch. In some embodiments, the flexural stiffness is no less than 7 pounds/inch, no less than 8 pounds/inch, no less than 9 pounds/inch, no less than 10 pounds/inch, no less than 12 pounds/inch, no less than 14 pounds/inch, no less than 15 pounds/inch, or no less than 18 pounds/inch.
The flexural stiffness may be dependent upon the size of the insole. For example, the flexural stiffness of an average women's size insole may be less than the flexural stiffness of an average men's size due at least partially to the smaller size of the insole. The difference may also be a function of reduced thicknesses of one or more components, including the base layer and the arch shell. In some embodiments, the flexural stiffness of an average women's size may be less than the flexural stiffness of an average men's size by about 20 to 80 percent, by about 30 to 70 percent, or by about 50 to 65 percent.
The method for determining flexural stiffness values above is in accordance with the three-point loading flexure test of ASTM D7264, with a flexure span of 7 cm and a 10 mm flexure deflection. The testing was conducted using an INSTRON™ compression strength testing machine, sold by Instron Corporation of Canton, Mass. U.S.A. Insoles 100 were placed in the platform of the test machine, equipped with a 50 pound (22.7 Kg) load cell. The insole was placed on two support bars that extended perpendicularly to the midline of the insole such that the support bars were even positioned beneath the arch shell along the midline 150, and the loading bar contacted the insole from above along a line extending perpendicularly to the midline (and parallel to the support bars). Measurements of the amount of applied load required to deflect the central area of the insole arch 10 mm were recorded. For purposes of this disclosure, flexural stiffness is defined as the ratio of the applied load to the corresponding amount of arch deflection (designated by parameter “m” in ASTM D7264).
Evaluation of Exemplary Insole Embodiment on Wearers with Plantar Fasciitis Pain
The performance of an exemplary embodiment of the plantar fasciitis pain relief insole was evaluated on test subjects experiencing plantar fasciitis pain. The configuration of the exemplary embodiment and the results of the evaluation are provided below.
The exemplary embodiment is generally configured as shown in
The women's sizing of this embodiment includes, along the midline 150 of the insole, a forefoot portion thickness of about 3-4 mm, a heel portion thickness at the center of the heel portion of about 6-8 mm, and a midfoot portion thickness of about 6-8 mm. The heel insert thickness is about 1 mm and the arch shell thickness is about 1 mm. The maximum height of the midfoot portion (the upper surface) from bottom planar surface 124 along the midline 150 of the insole is about 11-12 mm. The length of the arch shell 140 along the midline 150 is about 64-68 mm. The width of the arch shell 140 across the foremost portion of the arch shell 140 is about 62-65 mm. The width of the rearmost portion of the arch shell 140 is about 47-49 mm. The narrowest portion of the arch shell is about 47-49 mm, which is at a location along the midline that is about 5 mm from the rearmost portion of the arch shell that intersects the midline 150. The maximum height of the bottom surface of the arch shell from bottom planar surface 124 along midline 150 is about 3-5 mm.
Arch stiffness data of the plantar fasciitis pain relief insole according to the embodiment described above as measured by a flexure test with a flexure span of 7 cm, in accordance with the ASTM 07264 three-point loading flexure test, is provided in Table 1 below. Also included in Table 1, for comparison, is the arch stiffness data for insoles of the same configuration described above except lacking the arch shell. The insole's midfoot arch section, with the insole in its in-use orientation, is subjected to a 10 mm flexure deflection during the arch stiffness test.
Comparing the results for the insoles with the arch shell to the insoles without arch shells shows the effect of the insert in significantly increasing arch stiffness. The amount of the increase is unexpected for such a thin insert and reflects a layering effect of the SEBS base layer and TPU arch shell, as well as the shape and contouring of the arch shell.
Relief of plantar fasciitis pain by using this exemplary insole embodiment was evaluated using a visual analogue scale (VAS) measurement. Forty-six men and forty-six women were evaluated over a span of six weeks. Participants wore the insoles for about eight hours per day. The results of the evaluation are provided in Table 2 below. A value of zero on the scale used for the evaluation corresponds to no pain, a value of 50 corresponds to moderate pain, and a value of 100 corresponds to the worst possible pain. Typically, pain associated with a value of about 60 cannot be ignored and the sufferer will seek relief, but may not seek professional treatment. Also included in Table 2 is the percentage pain reduction relative to baseline.
The effectiveness of the insole in reducing wearer pain associated with plantar fasciitis reduction is clearly demonstrated by the reduction of pain value from 57.9 at baseline to 18.6 at the end of the 6-week treatment (six weeks of insole wearing).
Sufferers of plantar fasciitis typically experience plantar fasciitis heel pain upon the first arising from bed in the morning, the so called “morning plantar pain.” The data of incidence of morning plantar fasciitis pain for all the ninety-two test subjects over six weeks of wearing the insole are listed in Table 3 below.
The data clearly demonstrates a 36% reduction in the incidence of morning plantar fasciitis heel pain after six weeks of insole wearing.
Thus, with the present invention, insole 100 provides a low profile insole that can provide the ideal balance between arch support and flexibility for wearer's experience plantar fasciitis pain. The arch stiffness of insole 100 is high enough to reduce the arch flattening associated with plantar fasciitis while being low enough to not provide an overly stiff arch that would irritate the plantar fascia and cause pain. As described above, the thinness of the arch shell provided a surprising benefit to wearers with plantar fasciitis. It was thought that a shell of such thinness would have little or no effect on easing plantar fasciitis pain relative to an insole of similar overall thickness but lacking the shell. However, it was discovered that the arch shell, layered with the base layer, provided just enough arch support that pain associated with plantar fasciitis reduce significantly. Because of its low profile, insole 100 can be inserted in any footwear, even those with built-in arch supports, without introducing excessive bulk under the foot that, even for wearers without plantar fasciitis, can cause discomfort.
U.S. Pat. No. 6,915,598 described a third-quarter length insole with arch spring insert which provided added arch support. This arch spring insert has a thickness of about 2 mm, and is made of fiberglass filled polypropylene (Dr. Scholl's Tri-Comfort insole). In contrast to the TPU arch shell described above, this arch spring insert has a significantly higher flexural stiffness (Table 4). The method for determining flexural stiffness values for the arch shells is the same as described above, in accordance with the three-point loading flexure test of ASTM D7264.
Although the present invention uses the term “insole,” it will be appreciated that the use of other equivalent or similar terms such as “innersole” or “insert” are considered to be synonymous and interchangeable, and thereby, they are included in the presently claimed invention.
Further, although the present invention has been described primarily in connection with removable insoles, the invention can be incorporated directly into the sole of a shoe, and the present invention is intended to cover the same. In this regard, reference is made in the claims to an insole for use with footwear, including a removable insole or an insole built into a shoe. If built into a shoe, for example, the heel portion could be fixed and the mid portion and forefoot portions could be allowed to elongate as the foot flexes.
The foregoing description, for the purpose of explanation, has been described with reference to specific embodiments. However, the illustrative discussions above are not intended to be exhaustive or to limit the invention to the precise forms disclosed. Many modifications and variations are possible in view of the above teachings. The embodiments were chosen and described in order to best explain the principles of the techniques and their practical applications. Others skilled in the art are thereby enabled to best utilize the techniques and various embodiments with various modifications as are suited to the particular use contemplated.
Although the disclosure and examples have been fully described with reference to the accompanying figures, it is to be noted that various changes and modifications will become apparent to those skilled in the art. Such changes and modifications are to be understood as being included within the scope of the disclosure and examples as defined by the claims. Finally, the entire disclosure of the patents and publications referred to in this application are hereby incorporated herein by reference.
Filing Document | Filing Date | Country | Kind |
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PCT/US2017/064994 | 12/7/2017 | WO | 00 |
Number | Date | Country | |
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62483135 | Apr 2017 | US |