1. Field of the Invention
The invention relates to an orthopedic sandal or shoe which corrects the foot problems caused by chronic high heel wear, and because it does not require the wearer to refrain from high heel wear, becomes an acceptable therapy to the wearer.
The wearing of high heel shoes is almost obligatory, considering custom, fashion, appearance and business attire requirements. High heels are worn to enhance the female “look”. The foot looks smaller, the ankle more trim, the calf and legs more curvaceous. The legs appear longer and the buttocks is tilted out. The female is taller, appears thinner and younger, and the stride more feminine. The advantages are so impressive, that these shoes become very addictive to the wearer and just as destructive.
In normal anatomy, the rounded heel rolls forward, sharing the weight with the lateral foot, which pronates, spreading the pressures evenly along the forefoot to the large toe, which contracts gently, propelling the walker into the next stride.
The classic high heel shoe, forward tilts the ankle and foot, distorting the anatomy and compressing the forefoot and toes. The heels' distorted position prevents normal pressure absorption and unloads the weight suddenly while still several inches from the ground. These non-distributed high pressures are then concentrated on the very small bony surfaces of the balls of the feet. The metatarsal junction is also held in a hyperflexed position by the high heel, making it even less able to tolerate the focused pressures. The forefoot and toes are then forced into a funnel-shaped narrowing, compressing the forefoot with additional lateral loads, on top of the vertical loads. The first toe is forced against and over the second toe. The third is abraded against the fourth and the fifth is crammed under the fourth.
Chronic high heel wear pathologies include: halux valgus, hammertoe, bunions, neuromas, contracture of the plantar fascia, heel spurs, contusions of the metatarsals, acute and chronic pain.
2. Description of the Related Art
The only presently available treatment is to stop wearing high heels and wear broad toed, low heel “granny” shoes. This makes the wearer look short, fat, plain and years older. Wearer acceptance and compliance is almost zero.
U.S. Pat. No. 4,967,750 discloses a modular orthopedic sandal or shoe having an orthopedic appliance attached to a sole, between an insole and a top surface of the sole. The sole has a transverse channel and a central member attached to the sole within the channel. An arch strap is connected to the sole at the top of the central member within the channel. The arch strap encircles the foot to attach the sole to the foot. The arch strap is inelastic and decreases the flexibility of the sole for increased support for the arch of the foot. That device provides arch support, rather than therapy for the maladies associated with high heel wear.
U.S. Pat. No. 4,263,902 relates to an orthopedic sandal or shoe for correction of hammertoe and halux valgus. A dual lever arm has a pressure element or curvature plate on one arm for pressing the joints of the toes downward and the other arm is fastened to a rearward portion of the foot so that as the foot is lifted, the pressure element is pressed downwardly on the hammertoes. A strap loop can be pulled by the movement of the pressure element. A hydraulic pneumatic system actuated by the pressure element can push on the halux valgus. An elastic resilient member can push the halux valgus. A mechanical mechanism can be actuated by foot pressure on a flexible pad in the sole. The pressure on the hammertoes can be adjusted depending on the fulcrum point of the lever arm. The pressure on the halux valgus can be continuous with augmentation whenever the lever arm is operated. U.S. Pat. No. 4,244,359 also teaches an orthopedic sandal or shoe for correction of hammertoe and halux valgus. A lever arm extends longitudinally along and is pivotally connected to the sole in a rearward portion. A toe holding bar for pressing the toes downward is connected to a free end of the lever arm and various mechanisms associated with the lever arm move the large toe medially for correcting halux valgus. Mechanisms for stretching the large toe in conjunction with intermittent treatment of the halux valgus, are interconnected with the mechanisms for moving the large toe medially. Both of those devices are strictly made for correction of hammertoe and halux valgus and neither have an appearance which make it intended or acceptable for every day wear intermittently with high heel wear.
The only truly corrective shoes are for congenital anomalies in children, or serve to correct individual adult problems, i.e., bunions or arch supports. No device specifically responds to the total array of pathologies of chronic high heel wear, especially an effective combined therapy, which includes the continuation of high heel wear.
It is accordingly an object of the invention to provide an orthopedic corrective sandal or shoe, which overcomes the hereinafore-mentioned disadvantages of the heretofore-known devices of this general type and which provides an “acceptable” therapeutic device as an alterative to the conventional treatment, which is the “unacceptable” extreme of stopping all high heel wear. A device is presented that corrects or improves the destructive effects of high heel wear, constructed to work “with” continued high heel wear, for wearer acceptance and use.
With the foregoing and other objects in view there is provided, in accordance with the invention, an orthopedic sandal or shoe to be worn intermittently with and to correct the effects of high heel shoe wear. The sandal or shoe comprises a body having an upper surface to be contacted by a foot and a lower surface for contacting a floor. The upper surface provides equalized distribution of pressure without concentration on the heel or balls of the foot and without “arch support”, since the arch is elevated above the surface and is not intended to share in correct pressure distribution. The lower surface has a toe area. A multi-point, adjustable, first toe traction system associated with the upper surface provides first toe traction without foot rotation relative to the upper surface. A multi-point, adjustable, foot securing system is associated with the upper surface. A heel support at the upper surface interacts with the foot securing system to eliminate toe gripping and strain. Additionally, a descending two-directional forward slope or domed support may be provided at the upper surface to support and spread the toes and for downward toe deflection to reverse the dorsal-flexing of high heels. An elevated forefoot angulation may be provided at the upper surface for stretching the plantar fascia and Achilles tendon, reversing the contractures and heel spurs of high heels. A rocker bottom may be provided only at the toe area of the lower surface, to reduce dorsal flexion of high heels and allow the first toe to “push off” into the next stride in a normal manner.
Thus, an effective combined therapy which responds to all of the pathologies of chronic high heel wear, which includes the continuation of high heel wear and which is acceptable to the wearer, is provided according to the invention.
In accordance with another feature of the invention, the first toe traction system includes a first bolster medially of the first toe at the upper surface, a second pivot bolster medially of the foot, rearwardly of the first bolster and at the upper surface a pivot point for the first toe and a third counter or lateral traction bolster laterally of the foot, rearwardly of the second pivot bolster and at the upper surface. This system provides three-point adjustable traction for the great toe. A fourth arch bolster may be disposed rearwardly of the second pivot bolster.
In accordance with a further feature of the invention, the foot securing system includes webbings interconnecting the first, second, third and fourth bolsters. Therefore, the foot is held in place facilitating the therapies provided by all of the features of the device. At least three of the webbings are adjustable in length and one, the traction webbing, adjustably wraps around the great toe.
In accordance with an added feature of the invention, there is provided a ring attached to the upper surface and interconnecting the webbings. This provides a central attachment location for the foot securing system.
In accordance with an additional feature of the invention, there is provided an arm extended from the ring between anchor points of the first and second toes. The arm may be hooked at the end.
In accordance with yet another feature of the invention, the upper surface has a recess formed therein for equalizing support at the mid arch. An equalized pressure heel cup and support may also be provided at the upper surface. A maximum support location may be provided at the upper surface at the balls of the foot.
In accordance with a concomitant feature of the invention, the body is formed of foam, which may have regions of varying stiffness, such as three regions disposed one above another or alongside one another, perhaps as circles, between the upper and lower surfaces. The middle region may be the softest. The bolsters may also be formed of a firm bodied foam.
An orthopedic or corrective sandal or shoe is therefore presented for the prevention, delay of symptoms, moderation, correction or relief of the anatomical changes, conditions and pathologies of the foot, caused by chronic high heel wear.
A real life “acceptable” device, allowing positive and beneficial improvements while continuing the high heel use is provided according to the invention. The corrective sandal or shoe or device may be worn before, after or between high heel wear. The device has a combination of features, which specifically oppose and counter the abnormal and destructive angles, distortions and concentrated pressures of the classic high heel. The device provides a unique treatment plan of “off hour” use to combat, control or reverse the mal-effects of chronic high heel use.
The device is directed at wearer acceptance, since a corrective device that is rejected by the wearer is not effective. The device works “with” high heel wear. A real life combined treatment device for comfort and relief is presented.
The invention represents a complete system of counter pressures and positions to insure positive and corrective resistance to the destructive pathological changes of chronic high heel wear.
Other features which are considered as characteristic for the invention are set forth in the appended claims.
Although the invention is illustrated and described herein as embodied in an orthopedic corrective sandal or shoe, it is nevertheless not intended to be limited to the details shown, since various modifications and structural changes may be made therein without departing from the spirit of the invention and within the scope and range of equivalents of the claims.
The construction and method of operation of the invention, however, together with additional objects and advantages thereof will be best understood from the following description of the specific embodiment when read in connection with the accompanying drawings.
FIGS. 9 and 9A-C are respective top-plan and cross-sectional views of the orthopedic corrective sandal or shoe; and
Referring now to the figures of the drawings in detail and first, particularly, to
The device provides a combination of features which specifically oppose, counter and ensure positive and corrective resistance to the abnormal and destructive angles, distortions and concentrated pressures of chronic high heel wear.
These corrective features include a sandal or shoe body 1 having an upper surface 2 against which the foot rests and a lower surface or sole 25 (shown in
The invention includes several bolsters, which are formed of solid foam and have vertical surfaces. A medial toe first bolster 4 is provided as a medial pivot point for first toe traction. The medial toe bolster 4 is a first part of a medial first toe adjustable three-point traction system, the other elements of which will be explained below. A first webbing 4′ is in the form of an adjustable strap which may loop under a ring 4″ and attach to itself with a hook and eye closure such as VELCRO®. In other words, the first or great toe is provided with traction in the medial direction. The great toe is particularly supported since it takes the brunt of the abuse. The first toe is adjustably tractioned medially, countering hammertoe progression. This medial traction aids the second through fifth toe spreading across the crowning slope.
A ring 5, which may be a cloth strap, is provided for the mutual attachment of several parts of the attachment system. An arm 6 with a crank at the end is provided between anchor points of the first and second toes. The arm 6 is connected to the ring 5. A second or pivot bolster 7 is provided medially of the ring 5 and rearwardly of the adjustable strap 4′ of the first bolster 4. The pivot bolster 7 is a second part of the medial first toe adjustable three-point traction system. A second adjustable attachment webbing 8 is connected between the pivot bolster 7 and the ring 5. A third or lateral or counter bolster 11 provides counter support for, and is a third part of, the medial first toe adjustable three-point traction system. Finally, a third adjustable attachment webbing 12 is connected between the lateral bolster 11 and the ring 5. Thus, the four webbings 4′, 8, 10 and 12, which may be cloth straps and are connected to the bolsters, provide a four-point adjustable securing system.
Therefore, in addition to the medial toe bolster 4, the medial first toe adjustable three-point traction system is completed by the pivot bolster 7 located just medially to its metatarsal junction and the counter or lateral traction bolster 11 on the opposite side of the foot near the rear. These three elements allow controlled large toe traction, without foot rotation, in relation to the sole of the device.
A fourth or arch bolster 9 is disposed rearwardly of the pivot bolster 7. A fourth adjustable attachment webbing 10 is connected between the arch bolster 9 and the ring 5. At least three of the webbings are adjustable in length.
A heel bolster 13 is provided at the rear of the corrective sandal or shoe. The heel is cushioned both laterally and lineally to aid in pressure sharing and to relieve “pump bump” and heel spurs. The heel bolster, combined with the four-point securing system, allows the device to be worn without toe gripping or strain.
The front view of the sandal or shoe shown in
The downward angle of the descending and spreading toe slope support 3 can also be clearly seen in
The combination of features according to the invention provide the following advantages:
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Number | Date | Country | |
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20070068038 A1 | Mar 2007 | US |