Ankle-foot orthotic device
An external orthotic device increases comfort, stability, and motion control of the ankle and/or foot. An outer shell comprises separate medial and lateral portions, attached to each other only by a flexible/hinge connector that extends between and is preferably anchored to each of the portions in an under-the-foot region of the shell. This connector retains the bottom end of the shell portions together, but allows the shell portions to pivot or otherwise move relative to each other with the bottom-of-the-foot connector as the pivot axis. This pivoting allows the shell to open wide for donning and doffing of the orthotic device and for adjusting the closeness of the two portions to tighten the two portions on the wearer. Strap(s) or other retainer may tighten the medial and lateral portions together around a liner into which the wearer inserts his/her foot.
1. An ankle-foot orthotic device for a wearer's lower leg, foot, and ankle, the device having an upper end, a lower end, and posterior side and anterior side, and comprising:
a rigid or substantially rigid multiple-piece outer shell having a foot region comprising a heel region at one end and a toe region at an opposite end, and an arch region between the heel and toe regions, and the outer shell further comprising an ankle region and a calf region, wherein the arch region extends anteriorly from the heel region to be forward relative to the ankle region and calf region, wherein the arch region is adapted to extend along the wearer's foot arch and up along sides, and across an upper surface, of the wearer's foot, and wherein the toe region is an anterior extremity of the foot region and is adapted to be near the wearer's toes, the outer shell comprising a medial shell portion and a lateral shell portion, each of the shell portions having a top end, and a bottom end, an anterior edge and a posterior edge;
wherein the medial shell portion and lateral shell portion are connected only at their bottom ends and are pivotal relative to each other only on a single bottom longitudinal centerline axis extending between the toe region and the heel region of the outer shell foot region, to distance the top ends of the shell portions to open the outer shell; and
at least one fastener adapted to pull the shell portions together to tighten the outer shell by moving the shells together at their posterior edges and at their anterior edges.
2. An ankle-foot orthotic device as in claim 1 , further comprising a liner inside the outer shell, the liner having an anterior opening, all along the length of the liner, for insertion of the wearer's foot into the liner, wherein the tightened outer shell applies pressure on the entire or substantially the entire liner, which in turn presses on the entire or substantially the entire lower leg, ankle and foot of the wearer.
3. An ankle-foot orthotic device as in claim 1 , wherein each of the shell portions is rigid.
4. An ankle-foot orthotic device as in claim 1 , wherein the shell portions are connected by one or more flexible connectors on said single centerline axis.
5. An ankle-foot orthotic device as in claim 4 , wherein the medial shell portion and the lateral shell portion are only connected to each other by the flexible connector on said single centerline axis, and are tightened together only by the said at least one fastener.
6. An ankle-foot orthotic device as in claim 1 , wherein the shell portions are connected by one or more hinges on said single centerline axis.
7. An ankle-foot orthotic device as in claim 6 , wherein the medial shell portion and the lateral shell portion are only connected to each other by the hinge on said single centerline axis, and are tightened together only by said at least one fastener.
8. An ankle-foot orthotic device as in claim 7 , wherein each of said at least one fastener is ankle a straps comprising hook-and-loop fastener.
9. An ankle-foot orthotic device as in claim 1 , wherein the shell portions are pivotable away from each other to relative positions in the range of 45-225 degrees apart.
10. An ankle-foot orthotic device as in claim 1 , wherein the shell portions are pivotable away from each other to at least 90 degrees apart.
11. An ankle-foot orthotic device as in claim 1 , wherein, when the device is in a loosened configuration on the wearer, the posterior edges of the shells are spaced apart a first amount, and, when the device is in a tightened configuration, the posterior edges of the shells are spaced apart a second amount that is smaller than said first amount.
12. An ankle-foot orthotic device as in claim 1 , wherein, when the device is in a loosened configuration on the wearer, the anterior edges of the shells are spaced apart a first amount and the posterior edges of the shells are spaced wart a first amount, and, when the device is in a tightened configuration, the anterior edges of the shells are spaced apart a second amount that is smaller than said first amount, and the posterior edges of the shells are spaced apart a second amount that is smaller than said first amount.
13. An ankle-foot orthotic device as in claim 1 , wherein the shell portions are distanced from each other by a gap all along the length of the outer shell at the posterior side of the device.
14. An ankle-foot orthotic device as in claim 1 , wherein the shell portions are distanced from each other by a gap all along the length of the outer shell at the posterior side of the device and by a gap all along the length of the outer shell at the anterior side of the device.
15. An ankle-foot orthotic device as in claim 1 , further comprising an ankle-fastener at a middle region of the outer shell and adapted to tighten the outer shell by moving the shells together at their posterior edges and at their anterior edges.
16. An ankle-foot orthotic device as in claim 15 , wherein the medial shell portion and the lateral shell portion are only connected to each other by the hinge-connector, and are tightened together only by said fastener and said ankle-fastener.
17. An ankle-foot orthotic device as in claim 16 , wherein said fastener and said ankle-fastener are hook-and-loop straps.
18. An ankle-foot orthotic device as in claim 1 , wherein the calf and ankle regions have a vertical longitudinal axis and an anterior extremity, said single centerline axis is generally perpendicular to said vertical longitudinal axis, and the arch region and toe region are anterior relative to said anterior extremity of the calf and ankle regions.