referring to fig1 - 10 , an ankle - foot orthotic 2 for treating steppage gait according to an embodiment of the present invention supports the weakened muscles by providing support beneath the wearer &# 39 ; s foot or shoe 4 or by applying a pulling force to top of the wearer &# 39 ; s shoe 4 , while at the same time allowing the wearer &# 39 ; s foot or shoe 4 to flex normally when walking . the pulling force is typically provided by anchoring the front or top of wearer &# 39 ; s foot or shoe 4 to the wearer &# 39 ; s ankle 6 . with special references to fig1 - 5 , in one embodiment , ankle - foot orthotic 2 generally comprises an ankle brace 8 and an elastic strap 24 . in one embodiment , ankle brace 8 can comprise a first wing 12 and a second wing 14 and defines an interior face 16 and an exterior face 18 . ankle brace 8 can further comprise an ankle brace fastener 20 for releasably engaging the first wing 12 to the second wing 14 such that the ankle brace 8 forms a generally cylindrical shape around a wearer &# 39 ; s ankle 6 . ankle brace fastener 20 can comprise , for example , velcro ®, a hook and loop fastener , an elastic fastener , a button fastener . similarly , ankle brace 8 can be elastic material adapted to pull against the wearer &# 39 ; s ankle 6 to maintain the position of the ankle brace 8 on the wearer &# 39 ; s ankle 6 . a primary strap loop 22 is disposed on the exterior face 18 of the ankle brace 8 between the first and second wing 12 , 14 . in one embodiment , ankle brace 8 can further comprise a structural strap 23 ( shown in fig5 ) for maintaining the shape of ankle brace 8 during movement and as tension force is applied to ankle brace 8 . structural strap 23 can comprise a flexible plastic material sufficiently rigid to withstand the tension forces applied to the ankle brace 8 , but also sufficiently flexible to wrap around the user &# 39 ; s ankle 6 . elastic strap 24 defines a first end 27 and second end 28 . elastic strap 24 is threadable through the primary strap loop 22 and comprises an elastic material for applying a pulling force to the wearer &# 39 ; s shoe 4 . in one embodiment , different elastic straps 24 can be interchanged according the particular pull force required to prevent steppage gait or provide the desired flexibility for the wearer . elastic strap 24 is sufficiently elastic to provide sufficient tensile force to prevent the foot from inadvertently dropping due to foot drop , but has sufficient flexibility to enable the wearer to flex their foot and ankle 6 as needed . as such , a wearer can walk or run using the ankle - foot orthotic 2 with the natural flexing of the foot and ankle 6 . in one embodiment , elastic strap 24 can comprise a hook fastener 26 disposed at both the first and second ends 27 , 28 . hook fasteners 26 are adapted to engage any looped structure on the wearer &# 39 ; s shoes 4 to operably link the ankle brace 8 to the wearer &# 39 ; s shoes 4 . in one embodiment , the hook fasteners 26 can be shaped such that the point of the hook is substantially parallel to the shank of the hook or points away from the shank to facilitate easy attachment and removal of the hook from the looped structures on the top of the shoe 4 . in one embodiment , ankle brace 8 can further comprise an ankle pad 30 for protecting the wearer &# 39 ; s ankle 6 from discomfort . ankle pad 30 can be disposed on the interior face 16 of the ankle brace 8 such that the ankle pad 30 is positioned between the ankle brace 8 and the wearer &# 39 ; s ankle 6 when orthotic 2 is in use . ankle pad 30 can comprise a foam , a mesh or other cushioning material to alleviate wearer discomfort . in one embodiment , the ankle pad 30 can be positioned on the ankle brace 8 such that the ankle pad 30 is positioned against the rear of the wearer &# 39 ; s ankle 6 when the ankle brace 8 is wrapped around the wearer &# 39 ; s ankle 6 . in this configuration , the ankle pad 30 prevents the elastic strap 24 from chaffing or causing other discomfort to the wearer &# 39 ; s ankle 6 when the elastic strap 24 is wrapped around the wearer &# 39 ; s ankle 6 to engage the wearer &# 39 ; s shoe 4 . alternatively , ankle pad 30 can further comprise a first wing 32 and a second wing 34 ( shown in fig4 ) adapted to wrap around the wearer &# 39 ; s ankle 6 to protect both the sides and rear of the wearer &# 39 ; s ankle 6 from discomfort . according to an embodiment of the present invention , the ankle pad 30 can further comprise a shoe cushion 36 ( shown in fig3 ) for preventing chaffing between the wearer &# 39 ; s shoe 4 and the ankle pad 30 . the shoe cushion 36 similarly supports the ankle pad 30 to prevent the ankle brace 8 from sliding down the wearer &# 39 ; s ankle 6 during use . referring to fig6 - 10 , in operation , the first and second wings 12 , 14 of the ankle brace 8 are wrapped around the wearer &# 39 ; s ankle 6 such that primary strap loop 22 extends outwardly from the rear of the wearer &# 39 ; s ankle 6 . in this configuration , elastic strap 24 is wrapped around ankle brace 8 and the wearer &# 39 ; s ankle 6 before engaging the wearer &# 39 ; s shoes 4 . wrapping the elastic strap 24 around the wearer &# 39 ; s ankle 6 ensures the correct tension is applied along elastic strap 24 and properly angles the elastic strap 24 to maintain the wearer &# 39 ; s shoe 4 in the proper position . alternatively , the wings 12 , 14 of ankle brace 8 can be wrapped around the wearer &# 39 ; s ankle 6 such that the primary strap loop 22 is positioned at the front of the wearer &# 39 ; s ankle 6 . elastic strap 24 comprises hook fasteners 26 for engaging any looped structure on the wearer &# 39 ; s shoe 4 . typical shoes 4 can comprise eyelets 38 for receiving shoes laces . hook fasteners 26 can engage either the laces , eyelets 38 or any other looped structure commonly found on conventional shoes 4 . according to one embodiment ( as depicted in fig6 - 10 ), at least one ring anchor 40 , threaded through at least one of the eyelets 38 , is employed to engage hook fasteners 26 . in some embodiments , ring anchor 40 can be moved to whichever eyelet 38 best suits the needs of the wearer . in another embodiment ( as depicted in fig1 - 13 ), a fastener clip 90 can be threaded through at least one of the eyelets 38 and can be employed to engage hook fasteners 26 . in one embodiment , fastener clip 90 is configured to be easily inserted and removed from eyelet 38 and has a structure configured to anchor fastener clip 90 in a proper position while enabling rotation and movement of fastener clip 90 . in one embodiment , fastener clip 90 can comprise an anchor portion 92 , a first longitudinal side portion 94 , a curved end portion 96 , a second longitudinal side portion 98 , and an end portion 91 . anchor portion 92 can be configured to provide a dimension or area larger than that of eyelet 38 so that anchor portion 92 cannot be threaded through eyelet 38 . first longitudinal side portion 94 and second longitudinal side portion 98 can be substantially parallel to each other and in one embodiment are connected via curved end portion 96 . in one embodiment , first longitudinal portion 94 can be substantially straight . in another embodiment , first longitudinal portion 94 can be configured to have at least one bend 99 . first longitudinal portion 94 has a length l where the length l can be determined based on the configuration of the wearer &# 39 ; s shoe . first longitudinal side portion 94 and second longitudinal side portion 98 are a distance d from each other that is sufficient for the material of the wearer &# 39 ; s shoe to be encompassed within . end portion 91 connects to second longitudinal portion 98 at an end 93 . in one embodiment , end portion 91 can be configured in a “ u ” shape . in other embodiments , end portion 80 can be configured in “ l ” or “ v ” shapes or be provided with no bends or curves , i . e ., straight or substantially straight . first longitudinal side portion 94 and end portion 91 are provided such that a gap g exists between the two portions . the gap g is dimensioned to enable material of the wearer &# 39 ; s show to fit therebetween . referring to fig1 - 13 , in operation , fastener clip 90 is threaded through eyelet 38 , so that second longitudinal side portion 98 , then curved end portion 96 , and finally first longitudinal side portion 94 move through eyelet 38 until anchor portion 92 is in contact with eyelet 38 . hook fastener 26 can engage with curved end portion 96 . in yet another embodiment ( as depicted in fig1 ), at least one grommet assembly 42 comprising a plurality of grommets 44 releasably engageable by the hook fasteners 26 can be affixed to the shoe 4 . grommet assembly 42 can be sewn , riveted or adhered with adhesive to the user &# 39 ; s shoe or other conventional means of affixing the grommet assembly 42 . according to an embodiment of the present invention , the grommet assembly 42 can comprise a fabric or leather construction to flex with the user &# 39 ; s shoe 4 during walking or running . wearers can customize the arrangement of the elastic strap 24 to accurately direct the tension force applied by the elastic strap 24 and maximize the effectiveness of the ankle foot orthotic 2 . foot drop can affect the various foot muscles differently from wearer to wearer and even from foot to foot , which can cause each afflicted foot to fall uniquely . for example , an afflicted foot can fall downwardly , roll or some combination thereof . a wearer can mix and match which ring anchor 40 , fastener clip 90 , or grommet 44 to engage with the hook fasteners 26 . for example , a wearer can engage both hook fasteners 26 to the same ring anchor 40 , fastener clip 90 , or grommet 44 to maximize the force applied to the same part of the shoe 4 . similarly , the hook fasteners 26 can be positioned such that the elastic strap 24 crosses over the top of the shoe 4 or is uncrossed to properly direct the tension force . referring to fig1 - 17 , in one embodiment , ankle - foot orthotic 2 can further comprise a heel holder 70 to keep the heel 5 of the wearer &# 39 ; s shoe 4 snug against the wearer &# 39 ; s foot . in one embodiment , heel holder 70 can be comprised of an elastic strap 72 have a first hook 74 and a second hook 76 . for example , as depicted in fig1 , elastic strap 72 can have a first end 73 fixedly coupled to first hook 74 and second end 75 fixedly coupled to second hook 76 . alternatively , as depicted in fig1 , elastic strap 72 can be a loop , threadedly coupled to one or more apertures 77 on first hook 74 and second hook 76 . in operation , first hook 74 can be coupled to strap loop 22 , while second hook 76 can be coupled to an aft portion 7 of the wearer &# 39 ; s shoe 4 . the elasticity of elastic strap 72 can be selected to counteract the tension of elastic strap 24 connected to the fore portion of the wearer &# 39 ; s shoe , thereby keeping the heel 5 of the wearer &# 39 ; s shoe 4 snug against the wearer &# 39 ; s foot . in another embodiment , as depicted in fig1 , heel holder 70 can comprise an elastic loop 80 threadedly coupled to an aft portion 7 of the wearer &# 39 ; s shoe 4 . in one embodiment , a grip 82 can be coupled to one portion of elastic loop 80 to provide an easy gripping point for heel holder 70 . in operation , a wearer can insert their foot through elastic loop 80 , so that the tension created by elastic loop 80 counteracts the tension of elastic strap 24 connected to the fore portion of the wearer &# 39 ; s shoe , thereby keeping the heel 5 of the wearer &# 39 ; s shoe 4 snug against the wearer &# 39 ; s foot . in one embodiment , elastic strap 24 can be threaded through elastic loop 80 , thereby retaining elastic loop 80 in desirable position on the wearer &# 39 ; s ankle . referring to fig1 , another ankle - foot orthotic 102 according to an embodiment of the present invention is depicted . in one embodiment , ankle - foot orthotic 102 generally comprises an ankle brace 108 and an elastic strap 124 . in one embodiment , ankle brace 108 can comprise a first wing 112 and a second wing 114 and defines an interior face 116 and an exterior face 118 . ankle - foot orthotic 102 operates similarly to ankle - foot orthotic 2 ( as described in relation to fig1 - 6 ) in that ankle brace fastener 120 releasably engages the first wing 112 to the second wing 114 so that ankle brace 108 forms a generally cylindrical shape around a wearer &# 39 ; s ankle and is shaped to conform around the ankle . ankle brace fastener 120 can comprise , for example , velcro ®, a hook and loop fastener , an elastic fastener , a button fastener or any other temporary fastening means . in one embodiment , ankle brace 108 is shaped to conform to the ankle area and comprises built - in support 146 . built - in support 146 can be fixedly sandwiched between interior face 116 and exterior face 118 and can be comprised of a plurality of longitudinal support members 130 of varying lengths and configurations . in an embodiment , longitudinal support members 130 can generally define rectangles , quadrilaterals , circular segments , or any combination thereof . longitudinal support members 130 can be comprised of a stiff yet flexible material , for example , a plastic or metal , providing structure to the built - in support 146 while allowing for movement . in one embodiment , a plurality of longitudinal support members 130 can be provided . the plurality of longitudinal support members 130 can be of different lengths , and can be positioned substantially parallel to each other , separated by a distance from an adjacent longitudinal support member 130 . the horizontal width of and distance between longitudinal support members 130 can be sufficient to enable the longitudinal support members 130 to conform around the wearer &# 39 ; s ankle area when the ankle - foot orthotic 102 is placed around the ankle . the vertical length of each longitudinal support member 130 can be chosen so that when the ankle - foot orthotic 102 is placed around the ankle , the longitudinal support members 130 do not make contact with the lateral malleolus area of the fibula and medial malleolus area of the tibia . a benefit of this is that while the ankle - foot orthotic 102 can be form fitting and provide sufficient structure and support , it still enables mobility of the ankle and reduces pressure points . in one embodiment , strap loop 22 is fixedly attached to the built - in support 102 , for example , by stitching strap loop 22 to the exterior face 118 and the interior face 116 with thread 132 . in one embodiment , strap loop 22 is positioned on exterior face 118 and is fixedly attached between two of the longitudinal support members 130 so that strap loop 22 is positioned near the top 134 of the ankle brace 108 . elastic strap 124 is threadable through strap loop 22 . in another embodiment , the strap loop 22 is fixedly attached to exterior face 118 only . referring to fig1 - 20 , another ankle - foot orthotic 202 according to an embodiment of the present invention is depicted . in one embodiment , ankle - foot orthotic 202 generally comprises an ankle brace 208 and an elastic strap 224 . in one embodiment , ankle brace 208 can comprise a first wing 212 and a second wing 214 and defines an interior face 216 and an exterior face 218 . in one embodiment , first wing 212 can be split into an upper tab 260 and a lower tab 262 . upper tab 260 and lower tab 262 can include ankle brace fasteners 220 a - b . ankle brace fasteners 220 a - b can comprise , for example , velcro ®, a hook and loop fastener , an elastic fastener , a button fastener or any other temporary fastening means . in one embodiment , ankle brace 208 is shaped to conform to the ankle area and comprises built - in support 246 , which can be integrated into ankle brace 208 . built - in support 246 can be comprised of a unitary support member 230 with the unitary support member 230 being manufactured of a stiff yet flexible material that is able to wrap partially around the ankle area while still providing sufficient support . the unitary support member 230 can be molded or shaped so that when in operation , unitary support member 230 does not make contact with the lateral malleolus area of the fibula and medial malleolus area of the tibia . in one embodiment , ankle brace 208 can comprise tension adjustment assembly 254 for adjusting the effective length of the elastic strap 224 . the effective length of the elastic strap 224 is the portion of the elastic strap 224 extending from the rear of the wearer &# 39 ; s ankle 6 to the wearer &# 39 ; s shoe 4 . tension adjustment assembly 254 comprises a multi - loop primary strap loop 250 and two secondary strap loops 252 for receiving the elastic strap 224 . primary strap loop 250 comprises a plurality of sub - loops 251 . in one embodiment , primary strap loop 250 and the secondary strap loops 252 are affixed to the exterior face 218 of the ankle brace 208 . in operation , primary strap loop 250 and secondary strap loops 252 bend the elastic strap 224 into a u - shape within the tension adjustment assembly 254 . threading the elastic strap 224 through the various subloops 251 of the primary strap loop 250 changes the size of the u - shaped portion of the elastic strap 224 , thereby changing the effective length of the elastic strap 224 . changing the effective length of the elastic strap 224 changes the tension force applied by the elastic strap 224 . referring to fig2 - 25 , in operation , the first and second wings 212 , 214 of the ankle brace 208 are wrapped around the wearer &# 39 ; s ankle 6 such that the multi - loop primary strap loop 250 extends outwardly from the rear of the wearer &# 39 ; s ankle 6 . in this configuration , elastic strap 224 is threading through one or more of the subloops 251 of the primary strap loop 250 and secondary strap loops 252 , as it wraps around the ankle brace 208 and the wearer &# 39 ; s ankle 6 before engaging the wearer &# 39 ; s shoes 4 . wrapping the elastic strap 224 around the wearer &# 39 ; s ankle 6 and bending the elastic strap 224 into a u - shape within the tension adjustment assembly 254 ensures the correct tension is applied along the elastic strap 224 and properly angles the elastic strap 224 to maintain the wearer &# 39 ; s shoe 4 in the proper position . ankle - foot orthotic 202 operates similarly to ankle - foot orthotic 8 ( as described with references to fig1 - 9 ) in that ankle brace fastener 220 releasably engages the first wing 212 to the second wing 214 so that ankle brace 208 forms a generally cylindrical shape around a wearer &# 39 ; s ankle and is shaped to conform around the ankle . upper tab 260 and lower tab 262 present the additional advantage of being able to tailor the fit of ankle - foot orthotic 202 to a wearer &# 39 ; s ankle 6 . for example , upper tab 260 can be wrapped tighter around a wearer &# 39 ; s ankle 6 than lower tab 262 , so that the top portion 264 of ankle - foot orthotic 202 fits more snuggly around a wearer &# 39 ; s ankle 6 than lower portion 266 . conversely , a wearer may prefer to have the lower portion 266 fit more snuggly . upper and lower tabs 260 , 262 can also be connected to second wing 214 , such that the angle between upper and lower tabs 260 , 262 varies , thereby causing one portion of the ankle - foot orthotic 202 to fit more snuggly than other portions and to enable the wearer to customize the fit of ankle - foot orthotic 202 and to reduce pressure points . various embodiments of the present disclosure have been described herein . these embodiments are given only by way of example and are not intended to limit the scope of the invention . it should be appreciated , moreover , that the various features of the embodiments that have been described may be combined in various ways to produce numerous additional embodiments . moreover , while various materials , dimensions , shapes , configurations and locations , etc . have been described for use with disclosed embodiments , others besides those disclosed may be utilized without exceeding the scope of embodiments . persons of ordinary skill in the relevant arts will recognize that embodiments may comprise fewer features than illustrated in any individual embodiment described above . the embodiments described herein are not meant to be an exhaustive presentation of the ways in which the various features may be combined . accordingly , the embodiments are not mutually exclusive combinations of features ; rather , embodiments can comprise a combination of different individual features selected from different individual embodiments , as understood by persons of ordinary skill in the art . moreover , elements described with respect to one embodiment can be implemented in other embodiments even when not described in such embodiments unless otherwise noted . although a dependent claim may refer in the claims to a specific combination with one or more other claims , other embodiments can also include a combination of the dependent claim with the subject matter of each other dependent claim or a combination of one or more features with other dependent or independent claims . such combinations are proposed herein unless it is stated that a specific combination is not intended . furthermore , it is intended also to include features of a claim in any other independent claim even if this claim is not directly made dependent to the independent claim . any incorporation by reference of documents above is limited such that no subject matter is incorporated that is contrary to the explicit disclosure herein . any incorporation by reference of documents above is further limited such that no claims included in the documents are incorporated by reference herein . any incorporation by reference of documents above is yet further limited such that any definitions provided in the documents are not incorporated by reference herein unless expressly included herein .
a customizable ankle - foot orthotic for treating foot drop and steppage gate that that enables a wearer to adjust the fit of the orthotic against the wearer &# 39 ; s ankle for the purpose of reducing pressure points while ensuring adequate support . the orthotic includes an ankle brace which has a first wing defining a first and second tab which are independently configurable to overlap and selectively couple to the second wing enabling the wearer to customize the fit of the interior face against the wearer &# 39 ; s ankle .