US2567195A - Orthopedic drop-foot brace - Google Patents

Orthopedic drop-foot brace Download PDF

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US2567195A
US2567195A US652016A US65201646A US2567195A US 2567195 A US2567195 A US 2567195A US 652016 A US652016 A US 652016A US 65201646 A US65201646 A US 65201646A US 2567195 A US2567195 A US 2567195A
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brace
cam
foot
lever
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Emmett C Ellery
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/0127Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations for the feet

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  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
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  • Orthopedics, Nursing, And Contraception (AREA)

Description

Sept- 11, 1951 E. c. ELLERY 2,567,195
ORTHOPEDIC DROP FOOT BRACE 2 Sheets-Sheet 1 Filed March 5, 1946 INVENTOR.
P 11, 1951 I E. c. ELLERY 2,567,195
ORTHOPEDIC DROP FOOT BRACE 2 Sheets-Sheet 2 Filed March 5, 1946 INVENTOR. ELmmEtz" L1,. Bf/EPL Patented Sept. 11, 1951 UNITED STATES PATENT OFFICE oR'rfioPEnIo DROP-FOOT BRACE Emmett C. Ellery,- North Hollywood, Calif. Application March 5, 1946, Serial No. 652,016
, 10 Claims.
My present invention relates to a brace, and has reference more particularly to an orthopedic brace for use in the correction of paralysis of leg muscles which control the lifting of the fodt.
Paralysis of certain leg muscles which control the lifting of the forward portion of the foot about theankle, produces a condition known as drop-foot This condition is a frequent result of po1iomyelitis,-and one having a drop-foetis unable to walk satisfactorily without using some means for preventing the toe from dropping down, since the natural tendency is for the toe of the foot to hang down and drag along the ground at each step.
Various expedients have been used to make itpossible for one having drop-foot to walk and get about. One such expedient comprises an elastic cord having one end thereof secured to the toe of the wearers shoe and the other end secured to the war'ers leg below the knee. With this device the toe portion of the foot is raised automatically at each step. This arrangement provides a constant upward resilient tension on the toe of the foot, and such action tends to hold the toe portion of the foot raised even when the person is not walking. This stretches the mus cles at the back of the leg, thereby causing discomfort, and tending to elongate these rear-ofleg muscles.
' Another expedient comprises the use of a brace which holds the foot in fixed position relatively to the leg at the ankle. Still another expedient involves the use of a brace having a hinged foot piece with a stop set to limit the degree of downward pivotal movement allowed the toe of the.
foot. None of these devices approximates even remotely the natural movements of the foot during walking.
It is extremely desirable that the foot be permitted as much freedom of movement as possible, since in walking the pivotal action of the foot about the ankle tends alternately to stretch and release the paralyzed muscles, thus in effect ex-' ercising them. This action is of great benefit asit helps to re-educate the nerves and muscles of the affected leg and thereby aids in restoring these muscles to use in many instances, partic ularly when the paralysis is a result of poliomy elitis. It also promotes propercirculation of the blood in the paralyzed limb, and thus helps to prevent atrophy of the limb.
With the exception of the elastic cord, the above enumerated devices for use in cases of drop-foot either prevent entirely or limit quitedefinitely the movement of the foot about the ankle joint. The use of the elastic cord is not only so conspicuous as to make its use undesirable by most people, but also it is not capable of use by those having spastic tendencies since in such cases the spastic action would force the foot downward and would overcome the tension of the elastic cord.
An object of the present invention is to pro vide an improved drop-foot brace, which will reduce the need for the wearer to raise the hip to swing the leg through a step and also will reduce limp.
Another object is to make a drop-foot brace providing for toe raising action during a forward. step, and having a restrictive effect against such toe raising action in an attitude of rest.
Another object is to make a drop-foot brace which will lift the foot in a natural manner with each step taken, and will permit the foot to as% sume a normal position of rest when the wearer is not walking.
Another object is' to construct a drop-foot brace which will have toe raising characteristics during a movement of the leg relativelyto the foot which normally recedes a forward step, but which characteristics will be restrained upon moving the leg relatively to the foot to a position which is normal to sitting or standing still.
Another object is to make an improved dropfoot brace which can be adjusted for lateral internal clearance without changing its action characteristics.
Another object is to make a swivelled ankle brace with an improved arrangement for securing it removably to a wearers shoe, so that it can be worn with any of several pairs of shoes. These and other objects and advantages of the.
invention will be apparent from a perusal of the following description of a specific embodimerit of the invention, and the accompanying drawings thereof, in which like reference characters are employed to designate similar parts throughout the various views.
Referring to the drawings, of which there are two sheets:
Fig. 1 is a fragmentary view in side elevation. of the lower portion of a drop-foot brace em-.
bodying the present invention, showing the brace mounted on a shoe of a wearer, the shoe and ankle of the wearer being indicated in dotted lines, as they would appear with the wearer seated or standing in a normal upright position, a portion of a joint portion of the brace being.
broken away to show the construction of .the joint;
Fig. 2 is a view similar to that of Fig. l with brace moved pivotally to an extreme forward position as it would appear when removed from the wearers leg, and without the stirrup plate secured to a shoe;
Fig. 4 is a fragmentary view of a joint portion of the brace showing a modified adjustable spring support member;
Fig. 5 is a fragmentary view similar to that of Figs. 1 and 2, showing the lower portion of the'brace in its extreme rearwardly pivoted or toe-down position;
Fig. 6 is a view in rear elevation of a stirrup member for mounting on the shoe of a wearer as shown in Fig. 1;
Fig. 7 is a vertical sectional view taken on the line of Fig. 1; and v Fig. 8 is a view in elevation of three 'diife'rently contoured cam levers which may be used to vary the action of the brace for variations in the requirements of the wearers.
In the particular embodiment of the invention illustrated, a stirrup member Ii] comprises an elongated strap portion H which is curved to fit beneath a shoe l2, and which is fastened by screws 6 to the sole and heel of a shoe on which it is mounted. The stirrup member ID has a transverse socketed portion l3 with set screws M and I5 mounted one near each end thereof. The socketed member 10 is mounted to lie substantially beneath the ankle joint of a wearer of the device.
-A pair of lower side brace members I! and I8 are formed with the lower end portions l9 and 20 thereof bent inwardly at right angles, these lower end portions being shaped to have a telescoping fit in the side openings of the socketed member It. The upper end portion of each of the lower side brace members l1 and I8 is divided to receive the lower end of one of a pair of upper side brace members 2| and 2-2 therebetween. A pivot pin 23 secures the upper and lower brace members of each side together for free pivotal movement. The joint thus formed is located so as to be substantially co-axial with the ankle joint of the wearer, although it frequently is desirable to have the axis of this brace ankle joint offset forwardly a slight amount from the axis of the wearers ankle.
The lower end portion of each of the upper side brace members 2| and 22 extends downwardly below the pivotal connection of the joint. This lower end portion is shaped, as best illustlr'ated in Fig. 1, in the form of a cam 24, the lower ehd oi' nose 2'5 of which engages a cam lever 21. Each of the cam levers 21 is pivoted at its rearward end to 2. lug 28 which projects rearwardly from each of the lower side brace members I! and H3. The forward end 'of each of the cam levers 21 is connected by means of a tension spring 29 to a lug 30 which projects forw'ardly from each of the upper side members Hand 22. Y
. The tens'ien of the spring 29 on the lever 21 tends to rotate the lower side brace members to toe-up, or in clockwise direction, from the position of Fig. 1. However, this same tension causes frictional engagement of the cam nose 25 with the cam lever 21 which resists this movement. By changing the shape of the cam surface on the cam lever 21, the action characteristics "of the brace can be varied as required to 4 suit the needs of each individual for whom the brace is required.
The upper surface of the cam lever 21 and the nose portion 25 of the cam 24 are hardened to resist wear since, in the use of the brace, the nose of each cam will travel back and forth along the upper surface of its associated cam lever at each step of the wearer. Furthermore, the cam levers should be made of tough, strain resisting metal, such as chrome vanadium steel, in order to withstand the very considerable stresses to which they are apt to be subjected at times.
It is desirable that the cams 24 be ground carefully to accurate shape and dimensions. A plurality of cam levers 2"! in the various shapes in which they will be required should be available to one fitting the braces so that the fitter may be able to provide any of several desired action characteristics in the brace. A number of springs 29 of suitable tensions should likewise be available, since variation in the spring tension also affects the action of the brace. In such manner, one skilled in fitting these braces may, after conducting necessary tests, fit the brace to a wearers requirements as accurately and as scientifically as, for example, the fitting of a pair of eyeglasses for a known eye condition. Y
The upper side brace members 2| and 22 as illustrated are constructed so as to be adjustable as to length. In order to provide this adjustability, the lower end portions 3| and 32 of each of apair of extension members 33 and 34 are formed in the shape of keepers to receive the upper end portions of the side brace members 2| and 22 therein. The upper end portions ofthe side brace members 2| and 22 are each provided with a plurality of openings 35 therein and the extension members 33 and 34 are eachprovided with a threaded opening 31 therein,- see Fig. 3.
Screws 3B are provided which pass through a selected opening 35 in the side brace member 2| or 22 and threadedly engage the threaded opening 31 in the extension member to secure these members together at a height suitable for the'wearer.
A thin, flexible spring metal band 39 is riveted as at 35 and t!) to the upper ends of th'e'extension members 33 and 34 and is adapted to pass around the rear of the calf of a wearers leg. A padded leather lacing member 4| is secured, as by rivets 42 and 43, to the inner side of the flexible 'met'a'l leg band 38 and is adapted to be laced around the wearers leg by means of a lacing cord Ml.
The full measure of adjustability of the brace thus provided insures proper fit which is essential in the prevention of atrophy, which frequently is considered a result of a poorly fitting brace. This arrangement also provides support for'a'person whose knee tends to bend backward into a 'so-called back knee when placing 'ons weight on it. In such case, the cam no'se 25 abuts against the foward end of the cam lever 2'I, as shown in Fig. 5, and supports the leg against back knee bending.
"In the modified spring mounting arrangement illustrated in Fig. 4, a lug 45 extends forwardly from each of the upper side brace members 2| and 22 with a vertical internally threaded hole therein through which a spring tension adjusting screw e9 is threaded. A look nut 41 is provided to secure the screw in an adjusted position. eye member is swivelled on the lower end o'f'th'e rew and "the spring 29 is hooked into the openforward end of the cam lever 21.
ing in the eye member and also into a hole in the In fitting the brace to a wearer, the fitter, who should be a thoroughly trained and experienced. person, shouldbe supplied with a complete report of requirements from the wearers doctor. All.
Y necessary measurements should of course betaken, and the patients foot and leg actions. should be tested. The proper size brace should; then be selected, and thesocketed stirrup mem-- ber may be applied to the wearers shoe. In view of the full adjustability provided by the present brace, it has been found that only threesizes of brace will be necessary in order to be: able to fit most persons for whom the brace may be required.
The stirrup member I!) should not be secured] finally in place on the shoe until after a trial. fitting of the brace has been made to insure that: its position on the shoe is such as to locate the: brace, and particularly the axis of pivotal move-- ment of the joints 23, in proper relation to thewearers foot and ankle.
It is a feature of the present brace that it is:
capable of being fitted properly even over a badlyswollen ankle. As illustrated in Fig. '7, it will benoted that the inturned lower end portions l9 andof the lower side brace members 2| and 22 may be inserted less than their full length in the socketed stirrup member, and may be secured in.
such partly inserted position by the set screws i4 and I5. On reduction of the swelling in the ankle, the only adjustment required will be to move the end portions 19 and 20 more fully into the sockets to bring the side brace members closer together.
The fitting of the brace should be carefully checked after it has been worn a few days to insure that the shoe sole is wearing properly. If not; for example, if it is wearing more on one: side than on theother, the stirrup member ID should be reset on the shoe to correct the deficiency. This point is important as a matter of service, since it is the practice of some brace fitters to attempt adjustments by bending the various brace members. While such methods may be necessary and desirable with some types of braces, it is not considered either necessary or desirable for the present brace, which approximates quite closely the natural muscle controlled movements of the foot and ankle.
Where the particular requirements of a wearer call for a rather positive lock in the full toedown position with little restrictive action by the cam on a toe-raising movement of the brace, a cam such as that shown at 21a at the top of Fig. 8 may be required. This cam lever has a notch a in the forward end of the cam surface 5m to act as a latch to hold the foot rather securely in toe-down position. although of course it is releasable by bending the leg forward at the ankle in the natural movement precedent to taking a forward step. The cam surface 5la of this cam is concave, which reduces frictional action by the cam during a toe-raising operation of the device under the action of the tension spring 29.
On the other hand, if the wearer has some use of his rear calf muscles, a cam lever such as that shown at 211) in the center of Fig. 8 may be required. This cam lever has no toe-down notch but rather strong frictional action will be provided in the toe-down position by the straight upper cam surface 5Ib. In another case it may be desirable to make the cam lever with a high rear portion and with a slight convex curve such 6 as that indicated icy the numeral 51c on the cam lever 210 at the bottom of Fig. 8.
It is desirable that these and other shapes of cam levers shall be available to the fitter, together with data, showing the action characteristics produced by each design of cam. Such data will be merely the charting of test results on the various types of cams and with different spring tensions. However, these tests have not been .cbmgireted and such data therefore is not avail- :able'at this time.
3% using the brace, the three principal attiitmizes of a wearer thereof are sitting, standing, and walking.
Whether one is paralyzed or not, a normal sitting position is one wherein the feet are placed flat on the floor and the lower legs are substantially upright as shown in Fig. 1. This attitude is permitted by the present brace with no tendency on the part of the brace to lift the toe.
since the cam action between the rearward portion of the cam surface on the cam lever and the nose of the cam counteracts the normal tendency of the spring to raise the toe beyond this normal position. Any movement of the toe above this normal position moves the nose of the cam back beyond the low point of the cam surface on the lever, thereby forcing the cam lever downward and stretchingthe spring.. If a cam lever is shaped to have a pronounced downward and rearward slope on the forward end thereof as shown in the cam lever 21a, Fig. 8, this low spot should be located so that the nose of the cam 25 will be in the low point of the cam when the brace partsare in a desired nor? :mal position relatively to each other. Usually this normal position will be with the upper and llowerbrace parts in substantial alignment with web other as shown in Fig. 1.
When rising from a sitting to a standing position, ones feet will be brought inwardly or rearwardly beneath the body, and the body will be shifted forwardly on the seat, so as to bring the weight of the body over the feet. In this position the feet still will :be flat onthe floor, but the lower legs will be, bent forwardly. The relative positions of the feet and lower legs then will be as shown in Fig. 2, but with the entire .view swung in a counterclockwise direction to bring the foot fiat on the floor.
'In the standing position, the feet and lower legs again will assume the attitude shown in Fig. 1'. 7 1
The action of the brace may best be visualized by considering the three separate and distinct forces that affect its action within the limits of movement of the body joint which the brace controls. In the form illustrated this is the ankle.
These three forces are; first, tension of the spring eccentrically of the joint pivot which tends (a) to rotate the brace members in a'direction to shorten the spring, and also (b) to swing the spring connected end of the cam lever upwardly about its pivot; second, cam action under the impulse of the spring which tends to rotate the brace members to urge the nose of the cam toward the low side of the cam surface, which also lets the camlever swing upwardly about its pivot, and; third frictional engagement of the nose of the cam with the cam surface on the lever which tends to hold the brace parts against relative rotative movement.
With respect to thefirst of the above forces, the constant tension of the spring 29 tends to gag-as draw the spring -"connected end of the cam lever toward the spring support lever 30. If the cam lever were fixed in position relatively to its brace "member I8 like the Spring support lever 39 is -to fits brace member 22, then on a toe-down pivotal movement the ends of the supports would be separated tostretch the spring, and on a toe *up pivotal movement the reverse would occur.
With respect to the cam action, where, as in -1eve'r 21 and in lever 21a (Fig. 8) the forward portion of the cam surface of the cam lever slopes -downwardly from the 'le'ft hand or front end of the cam surface toward 'a low point rearw'ardly thereon, the cam action assists the spring action to swing the brace parts toward a toe-up pivotal movement. I
Beyond this "low point of the cam, however, continued pivotal movement of thejoint causes the nose of the cam to 'move rearward on the cam lever, and ride up on a rearwardly upwardly sloping surface of the cam, This tends to force the cam lever downwardly about its pivot 28, thereby increasing the distance separating the lever 30 from the spring connected end of the "cam lever and stretching thesprin'g. Since the "cam action alone of this 'rearwa'rdly rising portion of the cam surface would tend, of itself, toswing the joint'i'nt'he opposite direction from that'induced by the tension of the spring alone, these two forces counteract each other. This allows the frictional engagement of the nose 'of the cam with the cam lever to exert a braking action against pivotal movement of the joint which tends fric'ti'ohall'y to hold the brace parts 'in any adjusted position in which the nose of the cam is rearwardly of a low spot and riding on a rearward upward sloping ca'm surface.
In walking, as the leg is raised and swung forward and planted on the ground 'ahead'o'f the other, the foot will remain in the position it was in when it leftthe ground. The frictional engagement between the cam nose 25 on the rearward upwardly sloping cam surface of the associated cam lever will retain the foot in such position 'during the forward swing of the leg. The retention of the foot in the relatively slightly toe-up position in which it leaves the ground on a forward step insures that the toe will be kept thus raised sufficiently to clear the ground if theshoe is properly mountedon the stirrup in the first place. If the ground is "slightly rough, for example "an unpavedarea, the wearer can increase the elevation of the toe during a forward swing of his leg, by bending his knee slightly before raising his foot on the forward step. I I I The cam, acting as a frictional positioner to hold the foot in the t de-tip position for the forward swing through of the leg in taking a automatically compensates 'for sli'ght variations in the slope of the surface being walked over. For example, when one is walking onthe level the toe must be raised to a certainangular position relatively to the lower leg in order to clear the ground on each forwardsw'ih'g through of the leg, In walk'ingup a slight incline however, if the toe should be raised only to that same relative angular position it will not clear the ground but will cause one to stub his toe. With the present brace, however, when walking up a slight incline, the L increased slope of the ground causes the wearer to tilt "his body further forward relatively to the ground, than when waning o the level. This causes the nose 'of the cam to travel further back on the cam lever, and, by frictionally Holding the foot an this increased elevation; automatically leaves the toe in a higher position upon raising the foot for each s'tep'for the swing through. Wearers of a brace'I em -bodying the'presentin' vention who formerly, with other braces, had difficulty in negotiating such inclines, now haveno such trouble. I I I I Regardless of how much the toe is elevated for a forward step w'hen the foot reaches the forward end of the'swing through, and theweight of the body is placed on it, the foot will tend to swing down to liefiat on the ground.
The extreme limit of toe-down movement'permitted by the cam lever stop shown in Fig. 5 is only slightly below the normal position of Fig. 1. Such a limit of toe-down movement would benecessary only in cases where the wearer has strong spastic tendencies. The limit of toe-down movement can 'be increased as desired, of course, by moving the stop provided by the'vertical forward face of the cam lever further forward. This can be accomplished by filing or grinding away this stop a required amount, or by providing a longer cam lever. I
With ahard metal cam and cam lever, a slight clicking noise may be produced as thecam nose strikes the stop' at the forward end of the cam lever upon reaching the limit of toe-down mov'e' ment. In order to eliminate this noise, a bumper,- which may be in the form of a pad 46, is shown"- mounted on the stop face at the forward end of the cam lever. I This pad may be of any suitable material, such as fibre or rubber.
While I have illustrated and described a specific form of my invention, and also some modi: fications thereof, it will be apparent to those skilled in the art that the device is capable of several other modifications without departing from the spirit and scope of the invention. It is desired, therefore, not to limit the invention exce'pt' as defined in the following claims.
I'claimi I 1. An orthopedic brace comprising an upper brace member, means for securing the upperb'race member to the leg of a wearer, a lower brace member, means for securing the lower brace member to the foot of a wearer, an ankle joint connectin the upper and lower brace members, as'prin'g support mounted to project from one of said brace members, a lever pivoted to the other of said brace members, a cam carried by the brace member having the spring support, the cam having a nose portion engaging a side of the lever, and a; spring engaging the spring support and the lever to draw the lever into graduated 6am and braking engagement with the cam during a relative pivotal movement of the brace members about the joint. I
2; An orthopedic brace comprising an upper brace member, means for securing the upper braee member to the leg of a wearer, a lower brace member, means for securing the lower brace member to the foot of a wearer, ananklejoint connecting the upper and lower brace members, s pp rt mg i te to project f ir o e of said brace members, a lever support mounted to project fromthe other of said brace members oppositely fr o'm the spring support, a lever pivot ed on the lever support and having a free end thereof projecting beyond the brace to which it is connected in the direction of the spring sup port, said lever having a cam surfaceformed thereon, a cam carried b y th'e brace member other than that having the lever pivoted thereon, said cam-being positioned to have braking engagement 9 with the cam surface on the lever, and a spring mounted between the spring support and the lever to urge the brace members pivotally about the joint toward a predetermined angular position relatively to each other.
3. In an orthopedic brace having an upper brace member, a foot piece pivoted to said member, substantially at ankle height, comprising a stirrup member adapted to be secured to the sole of a shoe, said stirrup member having a pair of laterally disposed sockets therein, a pair of side brace members insertible one in each of said sockets, and securing means acting between said stirrup member and each of said side brace members releasably securing said side members in adjusted position in said sockets.
4. An orthopedic brace comprising a pair of upper brace side members, a pair of lower brace side members pivotally connected one to each of said upper side members substantially at ankle height, the lower ends of said lower side members being bent inwardly at right angles toward each other, a stirrup member having a planiform portion adapted to be secured beneath a shoe, said stirrup member having a pair of laterally disposed sockets to receive the inwardly bent lower end portions of said side members therein, and securing means acting between the stirrup member and said side members adjustably to secure said inturned end portions to said stirrup member in different degrees of insertion,
thereby to vary the inner clearance between said side members.
5. An orthopedic drop-foot brace comprising an upper brace member, means for securing the upper brace member to the leg of a wearer, a lower brace member, means for securing the lower brace member to the foot of a wearer, a freely pivoted ankle joint connecting the upper and lower brace members, a spring support mounted to project forwardly from one of said brace members, cam brake means including a lever pivotally mounted to project forwardly from the other brace member, a tension spring operatively connecting the spring support and said lever in a line longitudinally offset from the ankle joint pivot, said cam brake means lever being positioned relatively to said ankle pivot to frictionally engage a portion of said upper brace member to provide a gradually increasing braking action during relative pivotal movement of the brace members about the joint in a toe-down direction.
6. An orthopedic drop-foot brace comprisin an upper brace member, means for securing the upper brace member to the leg of a wearer, a lower brace member, means for securing the lower brace member to the foot of a wearer, a freely pivoted ankle joint connecting the upper and lower brace members, a spring support mounted to project laterally from one of said brace members, a pivoted lever mounted to project laterally from the other of said brace members, a spring connecting the spring support to the free end of said lever, and a cam brake member carried by said one brace member and positioned to have varying spring-pressed braking engagement with said lever during a pivotal movement of the brace members about said ankle joint pivot, thereby to provide gradually increasing braking action durin relative movement of the brace members about the joint in a toe-down direction.
7. An orthopedic drop-foot brace comprising an upper brace member, means for securing the upper brace member to the leg of a wearer, a
lower brace member, means for securing the lower brace member to the foot of a wearer, a freely pivoted ankle joint connecting the upper and lower brace members, a cam secured to one brace member to move pivotally therewith, a spring pressed lever carried by the other brace member to move pivotally therewith, and positioned frictionally to engage said cam eccentrically of the ankle joint pivot to have graduated pivot-braking engagement therewith, to provide a gradually increasing braking action during a relative pivotal movement of the brace members about the ankle joint in a toe-down direction.
8. A joint for an orthopedic appliance comprising in combination; an upper brace member adapted to be secured to a body limb above the location of a limb joint, a lower brace member, a freely pivoted joint connecting the upper and lower brace members, a first cam member mounted to rotate with one of said brace members and disposed radially outwardly from the pivotal axis of said joint, a cooperating cam member having a cam surface thereon mounted on the other brace member to rotate therewith about the pivotal axis of said joint, and resilient means mounted cooperatively to urge the first cam member and the cam surface of the cooperating cam member toward each other.
9. An orthopedic brace comprising an upper brace member constructed and arranged to be attached to the leg of a wearer, a lower brace member pivotally connected to the upper brace member and constructed and arranged to be attached to the shoe of a wearer, brake means on said members for resisting pivotal movement of the members, said brake means including a stationary element on one of said members and a movable element on the other of said members frictionally engaging the stationary element, and a resilient means connected between the member carrying the stationary element and the movable element of the other member for operating said movable element, said resilient means being so positioned with respect to the pivotal connection between said members as to ur e said members pivotally to a predetermined position.
10. An orthopedic brace comprising an upper brace member constructed and arranged to be attached to the leg of a wearer, a lower brace member pivotally connected to the upper brace member and constructed and arranged to be attached to the shoe of a wearer, a lever pivoted to one of said brace members, a cam carried by the other brace member, the cam having a nose portion engaging a side of the lever, and a spring connecting the lever to said other brace member to draw the lever into graduated braking engagement with the cam during a relative pivotal movement of the brace members.
EMIWE'I'I C. ELLERY.
REFERENCES CITED The following references are of record in the file of this patent:
UNITED STATES PATENTS Number Name Date 73,768 Allen Jan. 28, 1868 246,984 Stillman Sept. 13, 1881 1,546,506 Naysmith July 21, 1925 1,792,155 Fisher Feb. 10, 1931 FOREIGN PATENTS Number Country Date 119,343 Great Britain Oct. 3, 1918
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Cited By (26)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3589359A (en) * 1968-07-24 1971-06-29 Us Army Unidirectional fiberglass composite drop-foot brace
US3805773A (en) * 1973-01-17 1974-04-23 Ballert Orthopedic Corp Training assist brace
US4370977A (en) * 1981-05-04 1983-02-01 Kenneth D. Driver Knee and elbow brace
US4408600A (en) * 1980-05-02 1983-10-11 Davis Edward P Leg aid device and method
WO1988000033A1 (en) * 1986-06-25 1988-01-14 F.W. Kraemer Kg Orthopedic device
US5230681A (en) * 1992-08-17 1993-07-27 Hannum Michael L Single leg incentive pedal exerciser
US5700237A (en) * 1994-03-14 1997-12-23 Restorative Care Of America Incorporated Device for correcting ankle contractures
US6007506A (en) * 1996-07-10 1999-12-28 Heil; Dean Method of using a shoe & support device
US6102881A (en) * 1999-04-23 2000-08-15 Todd R. Quackenbush Hinged drop foot brace
WO2002098333A1 (en) * 2001-06-01 2002-12-12 Johan David Van Wyk Apparatus and method for avoiding deep vein thrombosis
EP1279383A1 (en) * 2001-07-17 2003-01-29 Ormihl-Danet Ankle brace particularly useful for footdrop
US20050034327A1 (en) * 2001-08-23 2005-02-17 Dietmar Wolter Shoe with energy storage and delivery device
US20050177083A1 (en) * 2004-02-09 2005-08-11 Heil Arlan D. Foot eversion inhibitor
US20110196277A1 (en) * 2010-02-09 2011-08-11 Savard Stephane Orthotic foot brace
US20140276265A1 (en) * 2013-03-15 2014-09-18 Bionik Laboratories, Inc. Foot plate assembly for use in an exoskeleton apparatus
US20140331522A1 (en) * 2011-05-16 2014-11-13 Yasuo Ishiguro Shoe having stool function
KR101531203B1 (en) * 2014-11-05 2015-06-24 송회덕 Preotection equipment for ankle joint
US20160030268A1 (en) * 2013-04-03 2016-02-04 Moog Bv Mechanical linkage
CN106420135A (en) * 2016-10-25 2017-02-22 中南大学湘雅医院 Medical T-shaped shoes for rehabilitation therapy
US9675514B2 (en) 2013-03-15 2017-06-13 Bionik Laboratories, Inc. Transmission assembly for use in an exoskeleton apparatus
US9855181B2 (en) 2013-03-15 2018-01-02 Bionik Laboratories, Inc. Transmission assembly for use in an exoskeleton apparatus
US9872789B2 (en) 2012-02-07 2018-01-23 Ossur Iceland Ehf Joint for rehabilitation device
US20180289512A1 (en) * 2017-04-11 2018-10-11 Toyota Jidosha Kabushiki Kaisha Joint regulating apparatus
IT201700047889A1 (en) * 2017-05-04 2018-11-04 Specialities S R L Footwear with portion of energized leg.
EP3705104A4 (en) * 2017-10-31 2021-08-25 Obshchestvo S Ogranichennoy Otvetstvennost'yu "Exoatlet" Ankle brace or ankle exoskeleton
US11129741B2 (en) * 2020-02-26 2021-09-28 Agency For Defense Development Passive ankle assist apparatus with torsional coil spring

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US73768A (en) * 1868-01-28 allen
US246984A (en) * 1881-09-13 Surgical brace
GB119343A (en) * 1917-12-03 1918-10-03 Charles Henry Knight Improvements in or relating to Orthopædic Leg and Foot Supports.
US1546506A (en) * 1924-01-19 1925-07-21 Frank M Naysmith Arch-raising machine
US1792155A (en) * 1928-05-03 1931-02-10 John F Fisher Foot and ankle brace

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US73768A (en) * 1868-01-28 allen
US246984A (en) * 1881-09-13 Surgical brace
GB119343A (en) * 1917-12-03 1918-10-03 Charles Henry Knight Improvements in or relating to Orthopædic Leg and Foot Supports.
US1546506A (en) * 1924-01-19 1925-07-21 Frank M Naysmith Arch-raising machine
US1792155A (en) * 1928-05-03 1931-02-10 John F Fisher Foot and ankle brace

Cited By (37)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3589359A (en) * 1968-07-24 1971-06-29 Us Army Unidirectional fiberglass composite drop-foot brace
US3805773A (en) * 1973-01-17 1974-04-23 Ballert Orthopedic Corp Training assist brace
US4408600A (en) * 1980-05-02 1983-10-11 Davis Edward P Leg aid device and method
US4370977A (en) * 1981-05-04 1983-02-01 Kenneth D. Driver Knee and elbow brace
WO1988000033A1 (en) * 1986-06-25 1988-01-14 F.W. Kraemer Kg Orthopedic device
US5230681A (en) * 1992-08-17 1993-07-27 Hannum Michael L Single leg incentive pedal exerciser
US5700237A (en) * 1994-03-14 1997-12-23 Restorative Care Of America Incorporated Device for correcting ankle contractures
US6007506A (en) * 1996-07-10 1999-12-28 Heil; Dean Method of using a shoe & support device
US6102881A (en) * 1999-04-23 2000-08-15 Todd R. Quackenbush Hinged drop foot brace
WO2002098333A1 (en) * 2001-06-01 2002-12-12 Johan David Van Wyk Apparatus and method for avoiding deep vein thrombosis
EP1279383A1 (en) * 2001-07-17 2003-01-29 Ormihl-Danet Ankle brace particularly useful for footdrop
WO2003007856A2 (en) * 2001-07-17 2003-01-30 Ormilh Ankle brace particularly useful for footdrop
WO2003007856A3 (en) * 2001-07-17 2004-05-27 Ormilh Ankle brace particularly useful for footdrop
US20050034327A1 (en) * 2001-08-23 2005-02-17 Dietmar Wolter Shoe with energy storage and delivery device
US7510538B2 (en) * 2001-08-23 2009-03-31 Dietmar Wolter Shoe with energy storage and delivery device
US20050177083A1 (en) * 2004-02-09 2005-08-11 Heil Arlan D. Foot eversion inhibitor
US20110196277A1 (en) * 2010-02-09 2011-08-11 Savard Stephane Orthotic foot brace
US8529484B2 (en) 2010-02-09 2013-09-10 Ortheses Turbomed Inc./Turbomed Orthotics Inc. Orthotic foot brace
US20140331522A1 (en) * 2011-05-16 2014-11-13 Yasuo Ishiguro Shoe having stool function
US9872789B2 (en) 2012-02-07 2018-01-23 Ossur Iceland Ehf Joint for rehabilitation device
US10758390B2 (en) 2012-02-07 2020-09-01 Ossur Iceland Ehf Joint for rehabilitation device
US20140276265A1 (en) * 2013-03-15 2014-09-18 Bionik Laboratories, Inc. Foot plate assembly for use in an exoskeleton apparatus
US9675514B2 (en) 2013-03-15 2017-06-13 Bionik Laboratories, Inc. Transmission assembly for use in an exoskeleton apparatus
US9808390B2 (en) * 2013-03-15 2017-11-07 Bionik Laboratories Inc. Foot plate assembly for use in an exoskeleton apparatus
US9855181B2 (en) 2013-03-15 2018-01-02 Bionik Laboratories, Inc. Transmission assembly for use in an exoskeleton apparatus
US10426687B2 (en) * 2013-04-03 2019-10-01 Moog Bv Mechanical linkage
US20160030268A1 (en) * 2013-04-03 2016-02-04 Moog Bv Mechanical linkage
KR101531203B1 (en) * 2014-11-05 2015-06-24 송회덕 Preotection equipment for ankle joint
CN106420135B (en) * 2016-10-25 2019-03-12 中南大学湘雅医院 A kind of T-shaped shoes being medically used for rehabilitation
CN106420135A (en) * 2016-10-25 2017-02-22 中南大学湘雅医院 Medical T-shaped shoes for rehabilitation therapy
EP3388043A1 (en) * 2017-04-11 2018-10-17 Toyota Jidosha Kabushiki Kaisha Joint regulating apparatus
US20180289512A1 (en) * 2017-04-11 2018-10-11 Toyota Jidosha Kabushiki Kaisha Joint regulating apparatus
US10881535B2 (en) * 2017-04-11 2021-01-05 Toyota Jidosha Kabushiki Kaisha Joint regulating apparatus
IT201700047889A1 (en) * 2017-05-04 2018-11-04 Specialities S R L Footwear with portion of energized leg.
WO2018203295A1 (en) * 2017-05-04 2018-11-08 Specialities S.R.L. Shoe with an energized quarter portion
EP3705104A4 (en) * 2017-10-31 2021-08-25 Obshchestvo S Ogranichennoy Otvetstvennost'yu "Exoatlet" Ankle brace or ankle exoskeleton
US11129741B2 (en) * 2020-02-26 2021-09-28 Agency For Defense Development Passive ankle assist apparatus with torsional coil spring

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