Targeted soft tissue compression devices, systems, kits and methods

Abstract

A method of reducing relative motion between a skeletal structure and a worn device is described. The method includes providing at least one support member sized and dimensioned to be worn on the limb or body part, and providing a plurality of compression members to be worn on the limb with the support member. The compression members are circumferentially spaced around the limb or body part and have a length, a width, and a thickness that are sized and dimensioned to compress a plurality of target areas on the soft tissue to thereby reduce relative motion between the skeletal structure and the worn device when worn on the limb or body part and under the worn device. The support member is selected from the group consisting of a band, a string, a zip tie, a tape, a wire, an o-ring, a cord, a tube, a cable, and a strap.

Description

Attny Dkt No.102973.0019PCT TARGETED SOFT TISSUE COMPRESSION DEVICES, SYSTEMS, KITS AND METHODS Field of the Invention

[0001] The field of the invention is targeted soft tissue compression devices, systems, kits, and methods for reducing relative motion between a worn device or wearable and the skeletal structure in a limb or body part. The field of the invention also includes targeted soft tissue compression devices, systems, kits, and methods for manipulation and shaping of soft tissue. Background

[0002] The following description includes information that may be useful in understanding the present invention. It is not an admission that any of the information provided herein is prior art or relevant to the presently claimed invention, or that any publication specifically or implicitly referenced is prior art. All publications herein are incorporated by reference to the same extent as if each individual publication or patent application were specifically and individually indicated to be incorporated by reference. Where a definition or use of a term in an incorporated reference is inconsistent or contrary to the definition of that term provided herein, the definition of that term provided herein applies and the definition of that term in the reference does not apply.

[0003] Targeted soft tissue compression is taught in the inventor’s prior patents. For example, US 8,323,353 titled “Method For Use Of A Compression Stabilized Prosthetic Socket Interface” and US 8,656,918 titled “Method, System, and Tool For Affixing Compression Stabilized Prosthetic Socket Interface” disclose methods, devices, and tools for fitting a prosthetic socket to compress target areas of the limb and capture motion of the bone relative to the prosthetic socket. US 10,369,027 titled “Adaptable Socket System, Method, and Kit” discloses an adjustable socket for a limb that compresses the soft tissue of a limb in target areas so as to minimize motion of the limb’s skeletal structure relative to the interface. Ultimately, this reduces the feeling of disassociation between the wearer and a worn device. US 10,123,888 titled “Methods for Bone Stabilization” discloses interface methods that reduce soft tissue volume using compression and relief in targeted areas.

[0004] The inventor introduced targeted soft tissue compression into the field of load distributing and carrying devices in US 11,140,969 and US 11,596,219 titled “Load Distribution Systems andAttny Dkt No.102973.0019PCT Load Carrying Equipment,” which disclose a load distributing and carrying device that uses alternating compression and relief zones to reduce relative motion between the skeletal structure of the wearer and the worn device. The load distributing and carrying device is also configured to provide enough targeted compression to allow for carrying or attaching load(s) without the need for any other worn device. As a result, the load distributing and carrying device is not well suited for wearing underneath a worn device.

[0005] Inventor’s prior patent, US 10,806,606 titled “Skeletal Stabilization Liner System” discloses a liner that provides compression in target areas to impede further motion of the bone towards a wall of the socket when the liner is worn on the limb and under the socket. The liner system provides targeted soft tissue compression when worn with a prosthetic socket. While advantageous in this regard, the sizing requirement, ease-of-use, care and maintenance, and cost of manufacturing a skeletal stabilization liner system can be further improved for some applications. In addition, a liner is not always desired by the prosthetic socket wearer due to its heat retention, potential irritation, difficulty in donning and doffing, and preference for other suspension techniques.

[0006] It would be advantageous to build upon the inventor’s prior patents related to targeted soft tissue compression and to provide a targeted soft tissue compression device, system, kit or method that could be more economically used and / or manufactured. It would also be advantageous to provide a targeted soft tissue compression device, system, kit or method that uses more sustainable materials. It would also be advantageous to provide a targeted soft tissue compression device, system, kit or method that can be fitted with minimal training and / or experience in health care. It would be advantageous to provide a targeted soft tissue compression device, system, kit or method that could be fitted without the use of special tools. It would be advantageous to provide a targeted soft tissue compression device, system, or kit that could be directly accessible to wearers globally, including but not limited to, online or direct ordering.

[0007] It would be advantageous to provide a targeted soft tissue compression device, system, kit or method that can be utilized with existing worn devices, including but not limited to prostheses, orthoses, orthopedic devices, exoskeletons, protective equipment, rehabilitative devices, and even functional and / or performance clothing. It would be advantageous if theAttny Dkt No.102973.0019PCT targeted soft tissue compression device, system, kit, or method could function as an accessory, add-on, or add-in to retrofit a worn device, and therefore not require the worn device to be remade or refit, which can be costly, time consuming, and require the use of more materials, increasing the carbon footprint.

[0008] It would be advantageous to provide a targeted soft tissue compression device, system, kit, or method that could be attached to and / or integrated into a worn device that was not originally designed with targeted soft tissue compression, or a worn device that has an undesirable and / or ineffective compression pattern. It would be advantageous to provide a targeted soft tissue compression device, system, kit, or method that utilizes a portion of the worn device as a support member(s) to hold compression members in place against the limb or body part. In such an embodiment, the worn device could be considered part of the targeted soft tissue compression device. It would also be advantageous to provide a targeted soft tissue compression device, system, kit, or method that can enhance, alter, adjust, or accommodate various degrees of compression, whether adjusted mechanically or automatically.

[0009] It would be advantageous to provide a targeted soft tissue compression device, system, or kit that can be comfortably worn directly on the skin. It would be advantageous to provide a targeted soft tissue compression device, system, or kit that can be comfortably worn under, over, or integrated into a worn device.

[0010] It would also be advantageous for the targeted soft tissue compression device, system, kit, or method to accommodate a wide range of limb or body sizes and shapes. In some applications, it would also be advantageous to have a targeted soft tissue compression device, system, kit or method that could be specifically configured to a wearer’s individual measurements to extend the life, performance, and / or fit of a worn device such as a prosthetic socket, orthotic brace, orthopedic device, including a fracture brace and a cast, exoskeleton, protective device, including knee and elbow pads, or garments, including functional or performance clothing. It would be advantageous to provide a targeted soft tissue compression method that allows the wearer or non- wearer to submit measurements and / or a scan of the limb or body part using a smart phone or other scanning devices. It would be advantageous to provide a targeted soft tissue compressionAttny Dkt No.102973.0019PCT device, system, or kit that includes smart / digital technology for monitoring, documenting, recording, alerting, and / or managing the properties of the limb or body part.

[0011] Thus, there is still a need for improved targeted soft tissue compression devices, systems, kits, and methods. Summary of The Invention

[0012] A targeted soft tissue compression device system, kit, method includes at least one compression member and at least one support member that is worn, placed, and / or positioned under a worn device or wearable, to reduce relative motion between that worn device and the skeletal structure of the limb or body part. It is also contemplated that one of more support members can be part of a worn device or part of a targeted soft tissue compression device. The worn device can include but is not limited to prosthetic devices, orthopedic devices (e.g., fracture braces and casts), orthotic devices, rehabilitation devices, military devices, protective devices (e.g., knee pads and elbow pads), exosuits, exoskeletons, garments, performance clothing, functional clothing, and other wearable devices, including smart devices.

[0013] These worn devices are often subject to motion and other forces as part of their use. The transfer of forces between the body (or a specific limb) and the worn device can be both insufficient and inefficient due to traditional approaches (e.g., traditional casting / scanning and / or fitting methods), methods of attachment, the elastic and squishy (highly deformative) nature of the body’s soft tissue, the dynamically changing shape and size of the limb or body part in response to weight or volume changes, the location of the worn device on the body or limb, the type of activity the wearer is participating in, performance requirements, and the weight, and / or weight distribution of the worn device. The poor transfer of forces between the worn device and the limb or body part can create a feeling of disassociation with the worn device as it wiggles and wobbles, translates, slips, slides, or rotates, in relationship to its preferred position on the limb or body part, and the underlying skeletal structure when exposed to internal or external forces. This can result in the worn device or wearable shifting, rubbing, rotating, feeling heavy, uncomfortable, unstable, lacking support and being inefficient, as well as degrading overall performance of the worn device or wearable itself.Attny Dkt No.102973.0019PCT

[0014] A worn device and / or support member(s) can include garments such as an exosuit, a vest, a stocking, a sock, a sleeve, a shirt, a bra, pants, shorts, leggings, and underwear, where the targeted soft tissue compression device comprises compression member(s) that are used to shape, support, manage, manipulate, or stabilize soft tissue for support and aesthetics, mitigate injury, improve performance, improve circulation, manage circulation, or monitor circulation, and / or record vitals, report vitals, manage vitals, and manage digital health data.

[0015] A target area is defined by an area of compression on the limb or body part, aligned with the long axis of the major bone(s) or skeletal structure of the target limb or body part and can be shorter, the same length, or longer than, the target bone(s), skeletal structure, or body part. However, a shorter or longer target area can be utilized depending on a particular application. For example, in circumstances where the individual has undergone an amputation or was born with congenital amelia, the length of the bone in the target limb can be substantially shorter than the length of the target limb itself, and therefore the target area can be selected so that it runs beyond the length of the underlying bone(s) in the target limb. Applying targeted soft tissue compression to tissue beyond the bone end supplements the association between the physical movement of the bone and the resulting movement of the worn device by also restricting the motion and / or mobility as well as increasing the density / firmness of the soft tissue beyond the bone end. A target area can also include targeted soft tissue compression to increase friction, which ultimately improves suspension and rotational control. A target area can also be defined by an area of targeted soft tissue compression on a part or parts of the body, including but not limited to, the arms, the legs, the stomach, the buttocks, the neck, the chest and the back, where the compression members(s) is / are used to alter the topography, surface shape, and / or mobility of the soft tissue in a target area to improve support, stability, aesthetics, performance, reduce injury, and / or improve or help maintain the position of the worn device.

[0016] The outside perimeters of such a target area are defined by the need to provide open or lower-compression area(s) outside the area of higher targeted soft tissue compression area(s) so that the higher targeted soft tissue compression area(s) is / are not impeded by the inability of at least some of the soft tissue and its associated fluids underlying the higher targeted soft tissue compression area(s) to move, flow, or migrate away from the higher targeted soft tissue compression area(s). Allowing some portion of the soft tissue and its associated fluids to displaceAttny Dkt No.102973.0019PCT away from the higher targeted soft tissue compression area(s) and into the lower-compression area(s) means there is less volume and hence less distance between the higher targeted soft tissue compression area(s) and the underlying bone or skeletal structure. Compressing the soft tissue alters its surface shape or topography while also increasing surface friction and support, resulting in reduced rotation, slippage, translation and / or relative motion between the worn device and the skeletal structure of the limb or body part. A targeted soft tissue compression device can also have an alternating pattern comprising higher targeted soft tissue compression areas and lower compression areas to reduce motion of the skeletal structure relative to the worn device.

[0017] In order to maximize comfort and function, the goal of the wearer or non-wearer is to achieve optimal targeted soft tissue compression by selecting the appropriate size, thickness, length, width, density, material(s) and / or features of the compression member(s) and / or support member(s) to be worn. As used herein, “length” means the distance from a proximal (e.g., superior, upper) location to a distal (e.g., inferior, lower) location on a limb or body part. Optimal soft tissue compression is defined as a compression force against soft tissue overlying skeletal structure such that motion between the worn device and the underlying skeletal structure is reduced without causing discomfort to the wearer for a usable amount of time. It is also understood that optimal targeted soft tissue compression can change and / or be adjusted based on preference, activity, goal, or data. For instance, a wearer might determine increased targeted compression is optimal when doing an activity, i.e., running or other sport(s), and might determine less compression as optimal when sitting and / or relaxing. Optimum soft tissue compression can also change based on specific attributes of the wearer’s limb or body part, including but not limited to muscle mass, volume changes, weight gain / loss, soft tissue type (soft or firm), anatomical, physiological and other limb / body characteristics or data.

[0018] Relative motion can be understood with reference to worn devices and how they are coupled with, attached to, or interact with the body or limb. Worn devices can include prosthetic, orthotic, orthopedic, protective, rehabilitative, military, exoskeletons, exosuits, garments, and other wearables. Relative motion occurs when the skeletal structure or the worn device move towards or away from each other. Unwanted relative motion occurs when a fixed distance or proximity is preferred and not maintained, causing a degree of disassociation between the underlying skeletal structure and the worn device. In limb worn devices for example, relativeAttny Dkt No.102973.0019PCT motion can occur when muscular force is applied to the skeletal structure within a limb, for example, as an amputee tries to move the prosthesis (i.e., the worn device) as a whole, inducing relative motion between the underlying bone and the prosthesis. In the converse, another example of relative motion is when external forces act on the worn device and it shifts relative to the underlying skeletal structure of the limb or body part.

[0019] A “usable amount of time” is the amount of time a wearer or non-wearer expects the wearer to use or wear the targeted soft tissue compression device on a typical day or for a planned activity.

[0020] There are many different approaches taken when fitting worn devices. For example, in prosthetics, roll-on liners are often used as an adjunct to the prosthetic socket or interface to assist with the fit and suspension of the prosthesis, and / or to protect the skin or the limb. Some liners add material of the same or different durometer to the liner during its fabrication (called a custom liner) to increase the liner’s thickness, but all known examples cite comfort as the principal reason for doing so, or the desire to ensure adequate tissue contact, for example, in a heavily invaginated scar area, rather than for reducing relative motion between the skeletal structure and the worn device. In other applications, garments, including socks, stockings and sleeves are used to contain and compress soft tissue, prevent abrasion, keep the limb or its associated joints warm, and improve fluid redistribution and circulation, but again, the stated intent of reducing skeletal motion and / or providing a biomechanical advantage is absent. It would be advantageous to provide a targeted soft tissue compression device, system, kit, or method that adds targeted soft tissue compression area(s) to a limb or body part, either when worn under, over, or integrated into a worn device. While the main benefit of the targeted soft tissue compression device, system, kit or method is reducing relative motion between the skeletal structure of the limb or body part and a worn device, other benefits include enhancing suspension and / or stability of the worn device, optimizing suspension of the limb or body part within the worn device, maintaining the position of the compression member(s) on the limb or to the worn device, enhancing the deep venous return and overall circulation of the limb or body part, and increasing wearer comfort and proprioception when wearing the worn device.Attny Dkt No.102973.0019PCT

[0021] The inventive subject matter provides devices, systems, and methods for using a targeted soft tissue compression device to reduce relative motion between the skeletal structure and a worn device. Contemplated methods comprise (i) providing at least one support member sized and dimensioned to be worn on the limb or body part; (ii) providing a plurality of compression members to each have a length, a width, and a thickness; wherein the length, width and thickness are sized and dimensioned to compress a plurality of target areas on the soft tissue to thereby reduce relative motion between the skeletal structure and the worn device when worn on the limb and under the worn device; (iii) placing or donning the support member(s) and the plurality of compression members on the limb or other body part; and (iv) positioning the plurality of compression members so that they are circumferentially spaced around the limb or body part. As used herein, the term “providing” means obtaining, using, making, manufacturing, delivering, or selling.

[0022] As used herein, “support member” means a device that is capable of holding a compression member against a limb or body part. As used herein, “against a limb or body part” includes directly against the soft tissue and / or indirectly against the soft tissue (i.e., there can be an intermediary layer between the support member and the soft tissue). In a preferred embodiment, the support member has a length that is less than a length of the shortest compression member. In one embodiment, the length of the support member is equal to or less than one inch.

[0023] In one aspect of some embodiments, the support member(s) can be a sock, a string, a zip tie, tape, a band, a cord, a cuff, a tube, an O-ring, a strap, a bladder, a cable, a wire, a panel, a membrane, a garment, or any fastener capable of holding the compression members against a limb or body part. In other aspects, the support member(s) can be made of one or more of a fabric, a textile, a thread or stitching, a liquid-filled cavity, a gel, a foam, a composite, a mesh, a metal, a magnet, a rubber, a silicone, a urethane, a polyurethane, a PTFE, a nitrile, an ethylene propylene, a fluorocarbon, a neoprene, an elastomer, a gas-filled cavity, a 3D printing additive material, a polymer, an electrorheologic material, a magnetorheologic material, or a magnetic material. It is also contemplated that the support member(s) can be flexible, rigid, or semi-rigid. It is also contemplated that the support member(s) can be adjustable, changeable, inflatable and / or expandable, including but not limited to its length, width, thickness, volume, hardness,Attny Dkt No.102973.0019PCT stiffness, friction characteristics, or elasticity. The adjustable features can provide adjustment of the amount of targeted soft tissue compression or tissue relief. It is also contemplated that the location and / or size of the support member(s) can be adjusted. The support member(s) can be configured to either completely circumferentially surround the limb or body part or partially circumferentially surround the limb or body part. It is also contemplated that the support member(s) can be adjusted, tightened, loosened, expanded, contracted, or otherwise altered, based on wearer’s preference, material properties, or in response to received data, and done so automatically, semi-automatically, or manually. It is further contemplated that the support member(s) can comprise different regions, areas, segments, portions, or pieces that have different properties and / or are comprised of different materials. It is contemplated that the support member(s) can be homogenous or heterogenous in composition and / or properties. It is contemplated that support member(s) can have sensors or other smart technologies in contact with, attached to or embedded within them.

[0024] As used herein, “compression member” means a device that is sized and dimensioned to reduce an uncompressed dimension of the limb or body part. The compression member(s) can be an insert, a shim, a paddle, a tube, a panel, a pad, or any structural member that has a thickness capable of providing targeted soft tissue compression to the limb or body part. In preferred embodiments, the thickness of each of the plurality of compression members is sized and dimensioned to reduce an uncompressed dimension of the limb or body part by at least 0.5% at the location on the limb or body part where the compression member is to be positioned, placed, or worn. In some embodiments, the compression members have a thickness of at least 0.5mm.

[0025] In other aspects, the compression member(s) can be made of one or more of a fabric, a textile, a thread or stitching, a liquid-filled cavity, a gel, a foam, a composite, a mesh, a metal, a magnet, a rubber, a silicone, a urethane, a polyurethane, a PTFE, a nitrile, an ethylene propylene, a fluorocarbon, a neoprene, an elastomer, a gas-filled cavity, a 3D printing additive material, a polymer, an electrorheologic material, a magnetorheologic material, or a magnetic material. It is also contemplated that the one or more compression member(s) can be flexible, rigid or semi- rigid. It is also contemplated that the compression member(s) can be adjustable, changeable, inflatable and / or expandable, including but not limited to its length, width, thickness, volume, hardness, stiffness, friction characteristics, or elasticity. The adjustable features can provideAttny Dkt No.102973.0019PCT adjustment of the amount of targeted soft tissue compression and / or the location and / or size of the compression member(s) on the soft tissue. The compression member(s) can be longitudinal- shaped. It is also contemplated that the compression member(s) can be sized, adjusted, expanded, contracted, lengthened, shortened, widened, narrowed, thickened or thinned or otherwise altered through various means, based on the wearer’s preference, material properties, or in response to received data, and done so automatically, semi-automatically, or manually. It is further contemplated that the compression member(s) can comprise different regions, areas, segments, portions, or pieces that have different properties and / or are comprised of different materials. It is contemplated that the compression member(s) can be homogenous or heterogenous in composition and / or properties. It is contemplated that the compression member(s) can have sensors or other smart technology or technologies in contact with, attached to or embedded within them.

[0026] It is further contemplated that the targeted soft tissue compression device can be used with or part of a prosthetic device, an orthopedic device, an orthotic device, a rehabilitative device, an exosuit, an exoskeleton, a protective device, a military device, a garment, or any other wearable device. The method for reducing relative motion can include the step of donning the support member(s) on the limb or body part where the step of placing, inserting, and / or positioning the plurality of compression member(s) can be done before, during, or after the step of donning a worn device and / or the support member(s).

[0027] It is also contemplated that a wearer or non-wearer selects the properties, characteristics, features, and number of compression member(s) to be positioned or placed under, within, or over the support member(s) from a system or kit. It is also contemplated that a wearer or non-wearer selects the properties, characteristics, features, and number of support member(s) to be used, positioned or placed under, within or over the compression member(s) from a system or kit. A non-wearer is someone other than the person who wears the targeted soft tissue compression device, such as a manufacturer, prosthetist, orthotist, technician, other allied health professionals, a caretaker, a coach, a trainer, a friend, a partner, a person, a computer program or software, an algorithm, artificial intelligence, etc. It is also contemplated that the wearer or non-wearer can select custom or a combination of custom and non-custom support member(s) and / or compression member(s) from a system or kit.Attny Dkt No.102973.0019PCT

[0028] In yet other aspects, at least one of the compression members and / or at least one of the support members can have different properties from each other including but not limited to a different size, a different width, a different length, or a different thickness than at least one other of the compression members and / or support members. In addition, at least one compression member can have different properties than another compression member, and at least one support member can have different properties than another support member.

[0029] The support member(s) can have one or more pockets with at least one open end and the step of placing, inserting, or positioning the compression member(s) between the support member(s) and the limb or body part, between the support member(s) and a worn device or within the support member(s) and between the limb and the worn device. Pockets could be disposed on the outside surface of the support member(s), an inside surface of the support member(s), between layers of the support member(s) or otherwise integrated into the support member(s), or a combination.

[0030] It is further contemplated that the support member(s) and / or the compression member(s) can be donned prior to, concurrently, or after, donning the worn device or wearable.

[0031] It is further contemplated that the support member(s) can be donned directly on the limb or body part or alternatively, over another layer worn on the limb or body part. For example, the step of donning the support member(s) on the limb or body part can include but is not limited to donning the support member(s) over an insert (also referred to as a flexible insert, an inner flexible prosthetic socket or liner, or inner socket), liner, sleeve, membrane, sheath, sock, bandage, wrap, cuff, strap, band, mesh, web, garment, additive or 3D printed material, or other materials worn on the limb or body part.

[0032] It is further contemplated that the compression member(s) can be donned directly on the limb or body part or alternatively, over another layer worn on the limb or body part. For example, the step of donning the compression member(s) on the limb or body part can include but is not limited to donning the compression member(s) over an insert (also referred to as a flexible insert, an inner flexible prosthetic socket or liner, or inner socket), liner, sleeve, membrane, sheath, sock, bandage, wrap, cuff, strap, band, mesh, web, garment, additive or 3D printed material, or other materials worn on the limb or body part.Attny Dkt No.102973.0019PCT

[0033] It is further contemplated that the support member(s) can be inserted, affixed, attached to, or otherwise integrated with a worn device such as a socket or interface of a prosthetic device, an orthopedic device, an orthotic device, a rehabilitative device, an exosuit, an exoskeleton, a protective device, a military device, a garment, or any other wearable device.

[0034] It is further contemplated that the compression member(s) can be inserted, affixed to, attached to, or otherwise integrated with a worn device such as a socket or interface of a prosthetic device, an orthopedic device, an orthotic device, a rehabilitative device, an exosuit, an exoskeleton, a protective device, a military device, a garment, or any other wearable device. In such embodiments, the worn device can serve as both the worn device and provide the support member(s) needed to hold the compression member(s) against a limb or body part.

[0035] In some embodiments, the length of the support members(s) is / are less than half the length of the limb or body part. In yet other embodiments, the length of the support members(s) is / are less than the length of at least one of the compression members. It is also contemplated that the length of the support member(s) and compression member(s) can each be at least half an inch, but it is understood that the length, sizes and dimensions will be determined by many factors.

[0036] The worn device and / or support member(s) and / or compression member(s) can include one or more sensors for measuring different aspects, characteristics, or parameters, including but not limited to compression, motion, temperature, limb position, heart rate or rhythm, blood flow, volume, pressure, shear force, slippage, velocity, acceleration, or perspiration.

[0037] The inventive subject matter provides devices, systems, kits, and methods for reducing relative motion between a skeletal structure and a worn device using targeted soft tissue compression. Contemplated methods comprise (i) providing at least one support member having at least one open end, a width, and a length that are sized and dimensioned to be worn on a limb; (ii) providing a plurality of compression members that each have a maximum length, a maximum width, and a maximum thickness; wherein the maximum width is sized and dimensioned to be within 5% and 45% of a maximum width of the limb at the location on the limb or body part where the support member is to be worn; wherein the maximum thickness is sized and dimensioned to compress a plurality of target areas on soft tissue of the limb or body part againstAttny Dkt No.102973.0019PCT the skeletal structure to thereby reduce relative motion between the skeletal structure and the worn device when worn on the limb or body part and under the worn device; (iii) donning the support member(s) on the limb or body part; (iv) inserting or placing the plurality of compression member(s) between the worn device and the limb or body part, either under, within or over the support member(s) so that (a) their lengths are oriented longitudinally along the length of the skeletal structure and (b) they are circumferentially spaced around the limb or body part; and (v) donning the worn device on the limb or body part and over the plurality of compression members.

[0038] In some embodiments, the support member(s) and / or compression member(s) can be donned on the limb at the same time as the worn device. For example, in some embodiments the support member(s) and / or compression member(s) can be non-removably coupled with one another and / or with the worn device (e.g., one unitary component or permanently attached components).

[0039] The inventive subject matter also includes a method of using a targeted soft tissue compression device to manipulate soft tissue of a wearer’s buttocks. The targeted soft tissue compression device comprises a garment having one or more support members and at least two removable compression members. The method of using the targeted soft tissue compression device comprises: (i) selecting a size and dimension of the garment to fit over the buttocks; (ii) selecting a size and dimension of the at least two compression members to shape soft tissue of the buttocks when the garment is worn on buttocks; (iii) donning the garment and the at least two compression members; and (iv) removably coupling the at least two compression members to opposing sides of the buttocks, either before, during, or after, donning the garment.

[0040] The inventive subject matter also includes a method of reducing relative motion between a skeletal structure and a worn device comprising the steps of: (i) providing at least one support member sized and dimensioned to be worn on the limb or body part; (ii) providing a plurality of compression members to each have a length, a width, and a thickness; wherein the length, width and thickness are sized and dimensioned to compress a plurality of target areas on the soft tissue to thereby reduce relative motion between the skeletal structure and the worn device when worn on the limb or body part and under the worn device; (iii) donning the support member(s) on theAttny Dkt No.102973.0019PCT limb or body part; and (iv) donning two or more compression members on the limb or body part and positioning the plurality of compression members so that they are circumferentially spaced around the limb or body part.

[0041] The inventive subject matter also includes a protective device for a joint of a limb or body part, for example knee and elbow pads, comprising: a pad; a support member (e.g., strap) coupled with the pad and sized and dimensioned to wrap around a circumference of the limb or body part; one or more longitudinal-shaped compression members; and wherein the one or more longitudinal-shaped compression members are oriented along a length of the limb or body part when worn on the limb or body part.

[0042] The inventive subject matter also includes a method of securing a protection device to a joint of a limb or body part, wherein the protection device comprises a padded portion coupled with at least one support member. The method comprises: (i) positioning the padded portion over an anterior or posterior surface of the joint; (ii) positioning the support member around a circumference of the limb or body part; (iii) placing one or more longitudinal-shaped compression members between the support member (e.g., strap) and the limb or body part at a location below or above the joint and on a side, anterior, or posterior surface of the limb or body part; (iv) orienting the one or more longitudinal-shaped compression members parallel to a length of the limb or body part; and (v) adjusting (e.g., tightening, shortening, contracting, stiffening, inflating, expanding) the first support member until the one or more longitudinal- shaped compression members compress soft tissue of the limb or body part.

[0043] Various objects, features, aspects and advantages of the inventive subject matter will become more apparent from the following detailed description of preferred embodiments, along with the accompanying drawing figures in which like numerals represent like components. Brief Description of The Drawings

[0044] Fig. 1A is an anterior view of a targeted soft tissue compression device comprising two support members and multiple compression members placed over an inner flexible prosthetic socket or insert that is worn on a limb.

[0045] Fig. 1B is a posterior view of the targeted soft tissue compression device of Fig. 1A.Attny Dkt No.102973.0019PCT

[0046] Fig. 1C is a lateral view of the targeted soft tissue compression device of Fig. 1A.

[0047] Fig. 1D is a medial view of the targeted soft tissue compression device of Fig. 1A.

[0048] Fig. 1E is an anterior view of the targeted soft tissue compression device of Fig. 1A with a third support member and multiple compression members with different properties from one another.

[0049] Fig. 2A is an anterior view of another embodiment of a targeted soft tissue compression device comprising two support members and multiple compression members worn on a limb.

[0050] Fig. 2B is a posterior view of the targeted soft tissue compression device of Fig. 2A.

[0051] Fig. 2C is a lateral view of the targeted soft tissue compression device of Fig. 2A.

[0052] Fig. 2D is a medial view of the targeted soft tissue compression device of Fig. 2A with a third support member.

[0053] Fig. 2E is a posterior view of the targeted soft tissue compression device of Fig. 2A with a third support member.

[0054] Fig. 2F is a posterior view of the targeted soft tissue compression device of Fig. 2A with one support member.

[0055] Fig. 3A is an anterior view of another embodiment of a targeted soft tissue compression device comprising two support members and multiple compression members worn on a limb.

[0056] Fig. 3B is a posterior view of the targeted soft tissue compression device of Fig. 3A.

[0057] Fig. 3C is a lateral view of the targeted soft tissue compression device of Fig. 3A.

[0058] Fig. 3D is a medial view of the targeted soft tissue compression device of Fig. 3A with a third support member.

[0059] Fig. 3E is a lateral view of the targeted soft tissue compression device of Fig. 3A with a third support member.Attny Dkt No.102973.0019PCT

[0060] Fig. 3F is a lateral view of the targeted soft tissue compression device of Fig. 3A with only one support member.

[0061] Fig. 4 is a lateral view of another embodiment of a targeted soft tissue compression device comprising two support members and multiple compression members worn over a prosthetic liner and worn on a limb.

[0062] Fig. 5A is a posterior view of a knee pad coupled with a targeted soft tissue compression device. The targeted soft tissue compression device comprises two compression members coupled with a support member of the knee pad.

[0063] Fig. 5B is a bottom-up view of the knee pad and targeted soft tissue compression device of Fig. 5A, showing padding added to the compression members and showing a connecting member.

[0064] Fig. 5C is a posterior view of the targeted soft tissue compression device of Fig. 5A, with the upper strap of the knee pad disconnected.

[0065] Fig. 5D is an inside view of the targeted soft tissue compression device of Fig. 5A uncoupled from the knee pad, showing the connecting member coupled with the compression members.

[0066] Fig. 6A is an inside view of another embodiment of a targeted soft tissue compression device comprising two compression members removably coupled to a support member of the knee pad.

[0067] Fig. 6B is a lateral view of the targeted soft tissue compression device of Fig. 6A coupled with a knee pad and worn on a leg.

[0068] Fig. 7A is an anterior view of another embodiment of a targeted soft tissue compression device coupled with the support member of an elbow pad and worn on an arm.

[0069] Fig. 7B is a lateral view of the targeted soft tissue compression device of Fig. 7A.Attny Dkt No.102973.0019PCT

[0070] Fig. 8A is a posterior view of a targeted soft tissue compression device integrated with a garment.

[0071] Fig. 8B is a lateral view of the targeted soft tissue compression device of Fig. 8A. Detailed Description

[0072] The following discussion provides many example embodiments of the inventive subject matter. Although each embodiment represents a single combination of inventive elements, the inventive subject matter is considered to include all possible combinations of the disclosed elements. Thus, if one embodiment comprises elements A, B, and C, and a second embodiment comprises elements B and D, then the inventive subject matter is also considered to include other remaining combinations of A, B, C, or D, even if not explicitly disclosed.

[0073] Figures 1A-1D show various views and configurations of a targeted soft tissue compression device 100 comprising support members 120, 122 and compression members 132, 134, 136, 138 placed over an inner flexible prosthetic socket or insert 110, which is coupled with the external prosthetic socket frame (not shown). It is contemplated that the prosthetic socket can be worn without an insert and therefore the targeted soft tissue compression device could be worn directly on the limb, integrated, or coupled with the prosthetic socket frame. Support members 120, 122 are elastic O-rings that completely surround insert 110 and act to hold the compression members 132, 134, 136, 138 against insert 110. Support members 120, 122 are removably coupled with compressions members 132, 134, 136, 138 and insert 110. It is understood that support members and / or compression members could move and shift. To avoid movement, it is also contemplated that support members 120, 122 can be attached to and non- removably coupled with compression members 132, 134, 136, 138 and / or insert 110. Support members 120, 122 can be rolled onto and / or stretched over insert 110. In other embodiments, support members 120, 122 do not completely surround insert 110 and instead, are made of a less stretchable material but a flexible / bendable material that can be clamped partially around the insert 110. It is also contemplated that one or more support members can be used to hold one or more compression members 132, 134, 136, 138 in place and / or against insert 110. It is also contemplated that any number of support members can be used with any number of compression members based on the configuration of the targeted soft tissue compression device, limb or bodyAttny Dkt No.102973.0019PCT part, and application. It is further contemplated that each support members and / or each compression member can have different properties and features, including but not limited to being adjustable, sensorized, and / or dynamic. In addition, it is contemplated that each support member and / or each compression member can have different properties and features from one another, including but not limited to, different sizes, lengths, widths, thicknesses, shapes, volumes, hardnesses, stiffnesses. It is also contemplated that each compression member could comprise a combination of multiple compressions members, including but not limited to, those that are smaller or larger and / or thicker or thinner, or compression members that are aligned in close proximity to functionally form one compression area (e.g., a disjointed / disarticulated compression member). Compression members are shown approximately equally spaced from one another, but placement and position of the compression members will vary based on the desired result and / or properties, including, but not limited to, the size of the limb or body part, the amount of compression desired, the activity performed, and / or the intended function of the worn device. The preferred embodiment is to have four compression members comprised of two diametrically opposed pairs, spaced approximately equally around the limb or body part for more optimal targeted compression. However, it is also contemplated that the compression members can be shifted from their diametrically opposed positions. If desired, further measures can be taken to help hold the support member(s) and compression members in place, including but not limited to adding adhesive, hook and loop fasteners, tape, and / or other items or materials to the surface of the support member(s), compression members, and / or the worn device to further prevent the support member(s) and / or compression members from moving or shifting. Figure 1E shows a different configuration than the previous figures, in which a third support member 124 has been added, as well as two additional compression members (e.g., 132b, 136b). The additional compression members can be stacked on top of, overlapping with, or next to, the existing compression members (e.g., 132a, 136a).

[0074] Figures 2A-2E show a targeted soft tissue compression device 200 comprising one or more support members 220, 222, 224 and one or more compression members 232, 234, 236, 238 worn on a limb 210. Support members 220, 222, 224 are tubes that circumferentially surround limb 210. Support members 220, 222, 224 fit around limb 210 with sufficient compression to hold compression members 232, 234, 236, 238 against the limb. However, it is understood that support members and / or compression members could move and shift. It is contemplated thatAttny Dkt No.102973.0019PCT measures could be taken to hold the support and / or compression members more strictly in place if desired, including but not limited to adding adhesive, hook and loop fasteners, tape, and / or other items to further prevent the support and / or compression members from moving and / or shifting. It is also understood that the preferred embodiments allow for the support and / or compression members to be removably coupled (e.g., not permanently affixed) to allow for the wearer or non-wearer to change, adjust or alter the support and / or compression members based on measurements, properties, and / or changes in the limb or body part, desired activity, comfort, or preference. Support members 220, 222, 224 can also be configured to provide compression such that compression members 232, 234, 236, 238 are pressed into the soft tissue of limb 210. It is also contemplated that the support members and compression members can be contained by or worn under a worn device (e.g., wearable, prosthetic socket frame, orthotic brace, exoskeleton) to further augment soft tissue compression of the limb or body part. It is also contemplated that support members 220, 222, 224 can be made of an elastic or stretchable material such that they can be donned on limb 210 by stretching them over limb 210. Support members 220, 222, 224 are bendable but not stretchable. Figures 2A-2C show two support members being used to hold the compression members against the limb. Figures 2D-2E show three support members being used to hold the compression members against the limb. Figure 2F shows only one support member being used to hold the compression members against the limb. The number of support members and compression members and properties of the support members and compression members can vary based on many factors, including but not limited to wearer preference, comfort levels, activity demands, limb or body part properties, limb or body part changes, and / or the intended function of the worn device.

[0075] Figures 3A-3F show a targeted soft tissue compression device 300 comprising one or more support members 320, 322, 324 and one or more compression members 332, 334, 336, 338 worn on a limb 310. Targeted soft tissue compression device 300 is similar to targeted soft tissue compression device 100 and 200 except for the substitution of support members 320, 322, 324, which comprise elastic bands or straps. Support members 320, 322, 324 act as support for holding compression members 332, 334, 336, 338 against limb 310. Support members 320, 322, 324 can be straps or bands and can be made as one continuous loop. Alternatively, support members 320, 322, 324 can have two ends that removably couple together.Attny Dkt No.102973.0019PCT

[0076] Figure 4 shows a lateral view of a targeted soft tissue compression device 400 comprising one or more support members 422, 424 and one or more compression members 432, 434, 436 (not shown), 438 (not shown) worn on a limb 410 and over a prosthetic liner 412. It is contemplated that the targeted soft tissue compression device can be placed on top of or integrated into other types of liners, garments, and / or layers. Liner 412 can be custom and / or off the shelf and can be made of different materials and have different features and / or properties. It shows that support members and / or compression members can vary in their features, attributes and / or properties from one another and / or each other. Support member 422 is wider and thicker than support member 424 and compression member 432 is longer, wider, and 3D printed with a different material from compression member 434 which is shorter, narrower, and thicker. It is contemplated that a targeted soft tissue compression kit could have multiple support and / or compression members for the user or non-user to select or choose from.

[0077] Figures 5A-5C shows a targeted soft tissue compression device 500 comprising a knee pad 510 and compression members 550, 560. Knee pad 510 has an upper strap 512 (e.g., proximal strap) and a lower strap 514 (e.g., distal strap). Strap 512 and strap 514 can serve as a support member for coupling compression members 550, 560 to a limb or body part. Compression members 550, 560 are coupled together by a connecting member 545. Connecting member 545 can also be utilized as a support member. Compression pads 542, 544 are attached to compression members 550, 560 for additional compression. It is contemplated that compression pads 542, 544 can be removed, replaced, or permanently attached to compression members 550, 560. It is also contemplated that compression members 550, 560 and compression pads 542, 544 can be adjusted, including but not limited to, making the compression member(s) or pads thicker and / or thinner, wider and / or narrower, depending on the addition or subtraction of compression material and / or the properties of the compression material. Figure 5D shows compression members 550, 560 connected with a connecting member 545, and removed from strap 514 of knee pad 510. The compression members 550, 560 have a length that is oriented along the length of the limb. It is contemplated that compression members 550, 560 can be held in place and against the limb by more than one support member or strap and / or by the connecting member 545 or both. Compression members 550, 560 can have a width that is at least 5% of a width of the limb or body part where the compression members are worn.Attny Dkt No.102973.0019PCT

[0078] Compression members 550, 560 have a thickness for compressing targeted soft tissue of the limb to prevent knee pad 510 from rotating, slipping or moving around during use. Compression members 550, 560 have hooks 552, 562 that receive lower strap 514. However, the targeted soft tissue compression device 540 could be removably coupled with strap 514 using any suitable fastener, including but not limited to hook and loop fasteners, magnets, latches, mechanical fasteners, adhesives or by other means of attachment. It is also contemplated that compression members 550, 560 can be held on a leg using a strap that is separate from knee pad 510. Shown are compression members 550, 560 placed on the posterior side of the leg and on the distal (lower) segment of the limb but it is contemplated the targeted soft tissue compression device can be placed on other limbs and body parts. It is also contemplated that compression members 550, 560 could be placed on an anterior side of the leg and / or on a proximal (upper) area of a leg or body part. Compression members 550, 560 are preferably positioned, sized, and dimensioned to not interfere with joint articulation.

[0079] The number of support members, compression members and connecting members could be less than two or more than two. In some embodiments, the targeted soft tissue compression device, system, or kit can comprise two compression members placed on the anterior side of the distal segment of the limb or body part or two compression members placed on the posterior side of the distal segment of the limb or body part. Additionally, the targeted soft tissue compression device could include one or more compression members on the posterior and / or anterior sides of the proximal area of the limb or body part. The number of support member(s) and compression members will vary based on the limb or body part, activity, comfort, preference, application, and / or intended function of the worn device.

[0080] Connecting member 545 extends circumferentially part of the way around the limb or body part when worn, and joining the two non-removable compression members 550, 560, but it is contemplated that compression members can be removeably coupled to a connecting member. Connecting member 545 serves to hold the compression members in position but in some embodiments the connecting member can also serve as the support member. In this embodiment, the two compression members 550, 560 have padding / cushions that increases static friction, reducing slippage. It is contemplated that compression member(s) and connecting member(s) can be made of various materials and / or properties. Connecting member 545 and compressionAttny Dkt No.102973.0019PCT members 550, 560 can vary in stiffness or durometer. In this example, connecting member 545 is made of a moderately flexible, simi-rigid material but can also be rigid, highly flexible, and / or adjustable. In one embodiment, when the support member is a strap of a knee pad, the strap can be tightened to increase compression. The clip hooks 552, 562 on each compression member 550, 560 are for connecting with either upper strap 512 or lower strap 514 of knee pad 510 or other attachment points of knee pad 510.

[0081] Figure 6A shows a targeted soft tissue compression device 600 comprising support member 645 removably coupled with two compression members 650, 660. Support member 645 can be a strap of the targeted soft tissue compression device, or a strap of the worn device, such as a knee or elbow pad, or can be a separate and independent strap. Compression members 650, 660 are covered with a silicone material to provide a padded surface for increased friction and reduced slippage. It is contemplated that support member 645 could also be covered or partially covered with a silicone material. It is contemplated that both the support member(s) and / or compression member(s) could be made of, or covered in, other materials or properties, including but not limited to, 3D printed materials, padding, textures, foams, finishes, durometers, and densities. Figure 6B shows the assembled targeted soft tissue compression device 600 worn on a leg 605. Device 600 comprises a knee pad having support members 645, 647, and compression members 650, 660 coupled with support member 645. It is contemplated that compression members 650, 660 could extend proximal to the knee joint and be held against the limb with the addition of support member 647. Compression members 650, 660 are disposed distal to the joint and on a posterior surface of leg 605. The pad of device 600 is disposed over the knee joint. The pad comprises a cushion configured to absorb a force applied to the joint. It is contemplated that the targeted soft tissue compression device can be part of the worn device or provided as an add- on or accessory to the worn device.

[0082] Figures 7A-7B show a targeted soft tissue compression device 700 comprising support member 712 removably coupled with two compression members 741, 742. Support member 712 can be a strap of the targeted soft tissue compression device, or a strap of a worn device, such as the strap of a knee or elbow pad, or can be a separate and independent support member or strap. Compression members 741, 742 are held in place against the limb by support member 712. Tightening support member 712 pushes compression members 741, 742 against the soft tissue ofAttny Dkt No.102973.0019PCT arm 705 and causes soft tissue to migrate away from compression members 741, 742. This results in a change of the surface topography of the limb or body part such that it helps to hold the worn device in place during articulation. The compression members have a longitudinal shape, and their longitudinal axes are oriented parallel to a long axis of the arm and spaced circumferentially around the arm, but it is contemplated that this targeted soft tissue compression device can be utilized on other limbs and body parts. The compression members are decoupled from one another (e.g., no connecting member) and are removable from the support member on the elbow pad. The members can be attached or held against the limb by frictionand / or other means, including but not limited to hook and loop fasteners, pockets, fasteners, and / or adhesives. In this embodiment, the compression members are placed under the lower support member or strap and held in position against the limb when the support member is utilized. It is also contemplated that the compression members can be non-removably coupled with the support member(s) (e.g., the strap(s) of the elbow pad). Compression members 741, 742 are disposed distal to the joint and on an anterior surface of arm 705. The pad of device 700 is disposed over the elbow joint. The pad comprises a cushion configured to absorb a force applied to the joint. It is contemplated that the targeted soft tissue compression device can be part of the worn device or provided as an add-on or accessory to the worn device.

[0083] Figures 8A-8B show a targeted soft tissue compression device 800 comprising a plurality of compression members 832, 834 that can be removably or non-removably coupled with one or more support members 820, 822, 824. Device 800 can be worn directly on soft tissue of the body or over an intermediary layer such as a garment. Targeted soft tissue compression device 800 is shown with the support and compression members integrated into a garment 810 (e.g., underwear). It is contemplated that the compression members 832, 834 and support members 820, 822, 824 can be worn over, under, or within garment 810, and / or removably or non- removably coupled to garment 810. It is contemplated the part or whole of the targeted soft tissue compression device can be removably coupled to a garment, including but not limited to pockets, fasteners, hook and loop fasteners, hook and loop and other attachment approaches. It is contemplated that the compression members and / or support member(s) can have different properties, including adjustability, and can be interchanged via a kit including but not limited to different sizes, shapes, densities, and durometers, depending on the desired aesthetic and preference. It is contemplated that support member(s) can either be provided as part of theAttny Dkt No.102973.0019PCT targeted soft tissue compression device or provided by the garment. Compression members 832, 834 are sized and dimensioned to compress targeted soft tissue located at target areas in the buttock region. Compression members 832, 834 can be fixed, integrated, attached or removable and / or repositionable with respect to garment 810 and / or support members 820, 822, 824. It is contemplated that the targeted soft tissue compression device can be part of the garment or provided as an add-on or accessory to the garment.

[0084] As used herein, and unless the context dictates otherwise, the term “coupled to” is intended to include both direct coupling (in which two elements that are coupled to each other contact each other) and indirect coupling (in which at least one additional element is located between the two elements). Therefore, the terms “coupled to” and “coupled with” are used synonymously.

[0085] The recitation of ranges of values herein is merely intended to serve as a shorthand method of referring individually to each separate value falling within the range. Unless otherwise indicated herein, each individual value is incorporated into the specification as if it were individually recited herein, and ranges include their endpoints.

[0086] In some embodiments, the numbers expressing quantities, dimensions, properties, and so forth, are used to describe and claim certain embodiments of the invention are to be understood as being modified in some instances by the term “about.” Accordingly, in some embodiments, the numerical parameters set forth in the written description and attached claims are approximations that can vary depending upon the desired properties sought to be obtained by a particular embodiment. In some embodiments, the numerical parameters should be construed in light of the number of reported significant digits and by applying ordinary rounding techniques. Notwithstanding that the numerical ranges and parameters setting forth the broad scope of some embodiments of the invention are approximations, the numerical values set forth in the specific examples are reported as precisely as practicable. The numerical values presented in some embodiments of the invention may contain certain errors necessarily resulting from the standard deviation found in their respective testing measurements.

[0087] As used in the description herein and throughout the claims that follow, the meaning of “a,” “an,” and “the” includes plural reference unless the context clearly dictates otherwise. Also,Attny Dkt No.102973.0019PCT as used in the description herein, the meaning of “in” includes “in” and “on” unless the context clearly dictates otherwise.

[0088] All methods described herein can be performed in any suitable order unless otherwise indicated herein or otherwise clearly contradicted by context. The use of any and all examples, or exemplary language (e.g., “such as”) provided with respect to certain embodiments herein is intended merely to better illuminate the invention and does not pose a limitation on the scope of the invention otherwise claimed. No language in the specification should be construed as indicating any non-claimed element essential to the practice of the invention. Unless a contrary meaning is explicitly stated, all ranges are inclusive of their endpoints, and open-ended ranges are to be interpreted as bounded on the open end by commercially feasible embodiments.

[0089] Groupings of alternative elements or embodiments of the invention disclosed herein are not to be construed as limitations. Each group member can be referred to and claimed individually or in any combination with other members of the group or other elements found herein. One or more members of a group can be included in, or deleted from, a group for reasons of convenience and / or patentability. When any such inclusion or deletion occurs, the specification is herein deemed to contain the group as modified thus fulfilling the written description of all Markush groups used in the appended claims.

[0090] It should be apparent to those skilled in the art that many more modifications besides those already described are possible without departing from the inventive concepts herein. The inventive subject matter, therefore, is not to be restricted except in the spirit of the appended claims. Moreover, in interpreting both the specification and the claims, all terms should be interpreted in the broadest possible manner consistent with the context. In particular, the terms “comprises” and “comprising” should be interpreted as referring to elements, components, or steps in a non-exclusive manner, indicating that the referenced elements, components, or steps may be present, or utilized, or combined with other elements, components, or steps that are not expressly referenced. Where the specification claims refer to at least one of something selected from the group consisting of A, B, C …. And N, the text should be interpreted as requiring only one element from the group, not A plus N, or B plus N, etc.

Claims

CLAIMS What is claimed is:

1. A method of reducing relative motion between a skeletal structure and a worn device using targeted soft tissue compression, the method comprising: providing at least one support member sized and dimensioned to be worn on the limb or body part; wherein the support member is selected from the group consisting of a band, a string, a zip tie, a tape, a wire, an o-ring, a cord, a tube, a cable, and a strap; providing a plurality of compression members to each have a length, a width, and a thickness; wherein the length, width and thickness are sized and dimensioned to compress a plurality of target areas on the soft tissue to thereby reduce relative motion between the skeletal structure and the worn device when worn on the limb or body part and under the worn device; placing or donning the at least one support member and the plurality of compression members on the limb or body part; and positioning the plurality of compression members so that they are circumferentially spaced around the limb or body part.

2. The method of claim 1, wherein the compression members are made of one or more of a fabric, a textile, a liquid-filled cavity, a gel, a foam, a composite, a mesh, a metal, a magnet, a rubber, a silicone, a urethane, a polyurethane, a PTFE, a nitrile, an ethylene propylene, a fluorocarbon, a neoprene, an elastomer, a gas-filled cavity, a 3D printing additive material, a polymer, an electrorheologic material, a magnetorheologic material, or a magnetic material.

3. The method of claim 1, wherein the at least one support member is rigid or semi-rigid.

4. The method of claim 1, wherein the at least one compression member is rigid or semi-rigid.

5. The method of claim 1, wherein the at least one support member has at least one of an adjustable or variable size, length, width, thickness, volume, hardness, stiffness, friction characteristic or elasticity.

6. The method of claim 1, wherein the compression member has at least one of an adjustable, or variable size, length, width, thickness, volume, hardness, stiffness, friction characteristic or elasticity.

7. The method of claim 1, wherein the compression members are longitudinal-shaped and when worn on the limb or body part their lengths are oriented longitudinally along the length of the limb or body part.

8. The method of claim 1, wherein the support member is part of the worn device.

9. The method of claim 1, wherein the worn device is a prosthetic device, an orthopedic device, an orthotic device, an exoskeleton, an exosuit, a protective device, a rehabilitative device, a military device or a garment.

10. The method of claim 1, further comprising the step of donning the worn device on the limb or body part and over the support member either before, concurrently with, or after donning the compression members.

11. The method of claim 1, wherein a wearer selects (i) the number of compression members to be used, positioned or placed under, within, or over the support member, and (ii) the width, length, stiffness, and / or thickness for each compression member.

12. The method of claim 1, wherein a non-wearer selects (i) the number of compression members to be used, positioned or placed under, within, or over the support member, and (ii) the width, length, stiffness, and / or thickness for each compression member.

13. The method of claim 1, wherein at least one of the plurality of compression members has a different maximum width, a different maximum length, a different maximum thickness, a different rigidity, a different hardness, a different material, a different volume or a different attachment than at least one other of the plurality of compression members.

14. The method of claim 1, wherein the step of donning the support member on the limb comprises donning the support member over one or more of a flexible insert or inner socket, liner, sleeve, membrane, sheath, sock, bandage, wrap, cuff, strap, band, mesh, web, garment, additive or 3D printed material, or other material worn on the limb or body part.

15. The method of claim 1, wherein the support member, compression members, or worn device includes one or more sensors.

16. The method of claim 1, wherein the plurality of compression members are approximately equally spaced.

17. The method of claim 1, wherein the plurality of compression members create an alternating pattern of higher targeted soft tissue compression and lower compression.

18. A method of reducing relative motion between a skeletal structure and a worn device using targeted soft tissue compression, the method comprising: providing at least one support member having at least one open end, a width, and a length that are sized and dimensioned to be worn on a limb; providing a plurality of compression members that each have a length, a maximum width, and a maximum thickness; wherein the maximum width is sized and dimensioned to be within 5% and 45% of a maximum width of the limb or body part at the location on the limb or body part where the support member is to be worn; wherein the maximum thickness is sized and dimensioned to compress a plurality of target areas in soft tissue of the limb or body part against the skeletal structure to thereby reduce relative motion between the skeletal structure and the worn device when worn on the limb or body part and under the worn device; donning the support member on the limb or body part; inserting or placing the plurality of compression members between the worn device and the limb or body part, either under, within or over the support member so that (i) their lengths are oriented longitudinally along the length of the skeletal structure and (ii) they are circumferentially spaced around the limb or body part; and donning the worn device on the limb or body part and over the plurality of compression members.

19. The method of claim 18, wherein the support member and worn device are donned on the limb or body part concurrently.

20. The method of claim 18, wherein the support member and plurality of compression members are non-removably coupled.

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