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CATALOGUE 2010

WITH YOU EVERY STEP OF THE WAY

cataloGUe 2010

ppl biomechanics

Company Information
PPL biomechanics was established in 1993 by two Podiatrists following an exhaustive search for a complete range of orthotic devices that satisfied individual patients needs. To address this issue they decided to manufacture their own custom orthoses. Today PPL is the largest supplier of custom orthoses and biomechanical products in Ireland. The company s success is based on its ability to design and supply innovative biomechanical solutions, that match both practitioner and patient needs. Central to this success is the development and selection of products that are evaluated within a clinical environment. Every custom orthotic device still continues to be handmade by a highly skilled team of Podiatrists and technicians. To maintain the highest level of service both the technicians and customer support teams are regularly updated and trained in the latest product information and biomechanical theories. Our customer services team has expanded within the last 2 years, providing even more dedicated technical support to help you with your assessments and prescribing choices. In addition to our inhouse training, PPL continue to run a selection of high quality research based postgraduate courses. PPL courses are practical, workshop based and clinically orientated, to provide practitioners with the knowledge and skills to prescribe the most effective biomechanical solutions. Keep an eye on our website www.pplbiomechanics.com for updated course and product information. In our endeavor to improve our service to you our 2008 catalogue has been updated, our product range has been refined and we have added some new exciting products to increase your prescribing options. PPL continue to offer practitioners a practical approach to prescribing and we would like to take this opportunity to thank you for your continuing custom.

+ 353 (0) 21 4320277

contact details

Customer Service Team


Our customer service team are available to take your calls and technical enquiries, Monday to Friday during normal office hours. At all other times please leave a message on our answering service and we will deal with your enquiry by reply at our earliest convenience.

Phone:
+ 353 (0)21 4320277

Fax:
+ 353 (0)21 4321159

Postal Address:
PPL biomechanics. Tramore Commercial Park, Tramore Road, Cork. Ireland.

Postal Charges:
All goods are despatched using a signed courier postal service which will be charged at cost.

General Emails:
sales@pplbiomechanics.com - sales/general queries accounts@pplbiomechanics.com - accounts queries

Internet:
www.pplbiomechanics.com

Courses & Training Information:


www.pplbiomechanics.com/courses

Company Information:
PPL biomechanics is a trading name of Podiatry Products Ltd. Registered in Ireland: 256072 VAT Number: 8256072B PPL are a approved manfacturer

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payment details

Setting up an account
Practitioners wishing to set up an account with PPL should phone 00 353 (0)21 4320277. (See terms and conditions) Practitioners working from multiple clinics must clearly state which account is to be used for each individual order. For account queries please phone 00 353 (0)21 4320277 or email accounts@pplbiomechanics.com.

Types of customer accounts


PPL offer three types of customer accounts: Private Account, HSE/NHS account and proforma accounts as detailed below.

PRIVATE ACCOUNT

HSE/NHS ACCOUNT

PROFORMA ACCOUNT

Accounts for Private Practitioners: Goods are supplied on account. If there are unpaid or unallocated invoices, credits or receipts at the end of the month a monthly statement will be issued to account holders. Our credit terms are 30 days from the invoice date.

Accounts for practitioners working in a Hospital or clinic: Goods are supplied on account, on reciept of an official HSE purchase order. Goods will not be supplied until PPL are in reciept of both the official purchase order and the practitioners prescription/order.

Accounts for practitioners working in a Hospital or clinic ordering goods for private patients.: Goods are supplied on a proforma basis. Orders will not be processed until payment is made in full, including PPL postage charge.

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payment details

Customer Account Process

PRIVATE ACCOUNT

HSE/NHS ACCOUNT

PROFORMA ACCOUNT

Practitioner Prescribes Devices/Shoes

Practitioner Prescribes Devices/Shoes

Practitioner Prescribes Devices/Shoes

Requisition Order Sent to HSE/NHS

Prescription/Order Sent to PPL

Prescription/Order sent to PPL with "Await HSE Sanction" Ticked

HSE Send PPL Official Purchase Order

Prescription/Order Sent to PPL

Full Payment Plus Postage Sent to PPL

PPL Matches Practitioners Prescription & HSE Purchase Order

Payment Plus Order Received By PPL

Process Order

PPL

Process Order

PPL

Process Order

PPL

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payment details

Payment Options
PPL bank details are available on request for credit transfers. Both Euro and Sterling facilities are available. We Accept: Cheque Credit Card Credit Transfer (contact our accounts department for bank details) Laser

UK & Overseas Customers


PPL cannot accept credit card payments in Sterling. However if you opt for a Euro Customer Account, PPL can then accept your credit card. Customers paying by credit transfer will incure all associated bank charges.

Loyalty Discount
Regular customers of custom orthotic devices are rewarded with our loyalty discount scheme (see terms and conditions) Spends over 1000/700 per month receive a 2.5% discount Spends over 2000/1400 per month receive a 5% discount Spends over 3000/2100 per month receive a 7.5% discount Loyalty discount is only paid on accounts which do not exceed our 30 days credit terms.

Interest on Overdue Accounts


All accounts run on 30 days credit terms. Interest is applied to all invoices which are more than 60 days old. (See terms and conditions)

+ 353 (0) 21 4320277

content

Prescribing Orthotic Devices


An Introduction to Biomechanics Types of Orthotic Devices Biomechanical Assessment Quantifying your Assessment 08 - 09 10 - 11 12 - 13 14 - 21

Custom Orthotic Devices


Custom Services Prescription Insoles Carbonflex Devices Casted Orthoses Total Contact Orthoses 22 - 23 24 - 25 26 - 29 30 - 36 37 - 38

Stock Orthotic Devices


Paediatric Devices Adaptable Orthotic Systems Shock Attenuating Orthotic Devices Slimfit and Rearfoot Orthotic Devices Digital Devices 39 - 40 41 - 45 46 - 46 47 - 48 49 - 51

Biomechanical Sundries
Casting Information Casting and Diagnostic Equipment Chairside Devices and Components 52 - 52 53 - 54 55 - 57

Footwear
Measuring for Footwear Biomechanical Footwear Stretchable Footwear Heat Mouldable Footwear Shoe Fitting Tools 58 - 58 59 - 60 61 - 62 63 - 65 65 - 65

Rehabilitation
Rehabilitation Footwear Walkers Rehabilitation Sundries Ankle Foot Orthoses Braces & Support 66 - 67 68 - 68 69 - 69 70 - 70 71 - 71

Index / Terms & Conditions


Terms & Conditions Alphabetical Index 72 - 73 74 - 75

+ 353 (0) 21 4320277

PRESCRIBING

prescribing orthotic devices

Contents:
An Introduction to Biomechanics Types of Orthotic Devices Prescription Pyramid Short Biomechanical Assessment Form Biomechanical Assessment Quantifying your Assessment - Using the Prescription Platform 1 3 4 5 6 7-14

contents

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prescribing orthotic devices

An introduction to biomechanics
This section of the catalogue introduces you to the fundamental principles of lower limb and foot biomechanics and takes you through some of the essential elements of assessment and prescription. Research has still not uncovered all the mysteries of how the complex mechanisms within the foot function during gait. This introduction highlights some of the most important mechanisms which have been identified to date. PPL deliver a range of postgraduate courses. Please contact us for details.

Foot Mechanics In Gait


The human foot is a complex mechanical structure which provides an interface between the ground and the body in standing and walking. In a normal foot, rearfoot pronation will occur after Heel Strike to make the foot a mobile adapter, and rearfoot supination will occur after Heel Lift to make the foot become a rigid lever for propulsion. In normal heel toe gait, the foot must undergo this mechanical change from mobile adapter to rigid lever, at an appropriate time in the gait cycle to avoid overuse and injury. Overuse and injury occur when joints are forced to function outside their neutral zone. The neutral zone of a joint, is the range of motion, in which movement can occur without causing micro trauma or tissue stress to the structures involved. When excessive rearfoot pronation or excessive rearfoot supination occurs, overuse, injury and related symptoms are likely to occur.

Sagittal Plane Function In Gait


In normal heel toe gait the body rocks over the stance limb. There are 3 important elements to this rocking action. Firstly to enable body weight to rock over the heel after heel strike, normal sagittal plane hip motion is required (Heel Rocker). Secondly to enable body weight to travel over the stance limb, normal sagittal plane ankle dorsiflexion is required (Ankle Rocker). Thirdly to enable body weight to rock over the forefoot for propulsion, normal sagittal plane hallux dorsiflexion is required (Metatarsal Rocker). A limitation of any of these sagittal plane rockers may result in over compensation by another.

Heel Rocker

Ankle Rocker

Metatarsal Rocker

Rearfoot Complex
This cycle of normal pronation and supination occurs in the Rearfoot Complex around the Sub Talar Joint (STJ). In a normal foot, rearfoot complex pronation and supination should occur. To prevent overuse and injury within the joints and soft tissues, this movement should take place within the neutral zone of the joints of the rearfoot complex. Excessive Rearfoot Complex Pronation causes arches to roll in and collapse down; internal tibial & femoral rotation; genu valgum; lumbar lordosis and resultant muscle imbalance. Pronation Common symptoms of excessive pronation are plantarfasciosis & heel pain; achilles tendinopathy; painful 1st metatarsal phalangeal joints; metatarsalgia; shin and knee pain and sacro-iliac dysfunction. Excessive Rearfoot Complex Supination causes arches to roll out and rise; external tibial & femoral rotation; genu varum; flat back; and resultant muscle imbalance. Common symptoms of excessive supination are early osteoarthritis in the foot; lateral ankle sprains; retracted/clawed toes; painful plantarflexed 1st metatarsal heads; IT band syndrome; and early osteoarthritis in the hip, knee and lower back. Supination

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+ 353 (0) 21 4320277

prescribing orthotic devices

Medial Column
For normal propulsion and toe off, the medial column (1st metatarsal, medial cuneiform & Hallux ) must be able to function normally. During propulsion the 1st Metatarsal needs to plantarflex to facilitate Hallux dorsiflexion. This along with the winding up of the plantarfascia is known as the windlass mechanism. Excessive rearfoot complex pronation occurring at the wrong time in the gait cycle, during propulsion, may block this sagittal plane mechanism, causing functional hallux limitus. Over time the forced immobilisation of the hallux in functional hallux limitus may lead to osteoarthritic changes and true bony hallux limitus. A loss of hallux dorsiflexion either due to bony restriction/deformity, or from excessive rearfoot pronation (functional), will result in a low gear non-propulsive gait and an ineffective windlass mechanism.

Lateral Column
For normal propulsion and toe off, the lateral column (cuboid and 4th & 5th metatarsals) must be able to function normally. During normal propulsion Peroneus Longus concentrically contracts, assisting 1st ray plantarflexion. As the tendon wraps around the cuboid it also has the effect of dorsiflexing and abducting the cuboid, locking it up on the calcaneum. This has the effect of assisting the locking up of the rearfoot complex and creating a rigid lever for effective propulsion

Foot Shape
Every person has different bony morphology and therefore different foot and arch shapes. The natural arch profile does not dictate what type of dysfunction may occur on weightbearing. The natural arch shape should be assessed when the foot is non weightbearing. A foot with a low natural arch profile will look flat when weightbearing, even if no excessive pronation is occurring. In this foot type the axis around which pronation and supination occurs, is often medially deviated. Tibialis Posterior attachment will be close to this axis and therefore have a weakened resistance to excessive pronation in the foot, making pronation more likely to occur.

Low Arch A foot with a high natural arch profile will look high arched when weightbearing, even if no excessive supination is occurring. In this foot type the axis around which pronation and supination occurs, is often laterally deviated. Tibialis Posterior attachment will be further away from this axis and therefore have a strong resistance to excessive pronation in the foot, making pronation less likely to occur. However if a person has hypermobility syndrome they will generally always excessively pronate, due to gravity.

High Arch

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prescribing orthotic devices

Types of Orthotic Devices


Footwear
Most shoes are not completely flat and contain a shoe pitch gradient of at least 10mm. Any height of shoe pitch gradient will have the same effect as a heel raise and will assist sagittal plane motion in the ankle. A high shoe pitch gradient will have a supinatory effect on the rearfoot complex, therefore the shoe will function as an anti-pronatory device. However wearing high heeled shoes is not a long term solution to excessive rearfoot complex pronation. High Pitch Gradient The most challenging part of orthotic device prescription is accommodating the chosen device into footwear and ensuring that the patient is wearing appropriate footwear. It is not possible to prescribe orthotic devices effectively without assessing the patients footwear. When an orthotic device is prescribed the activity being undertaken and the footwear environment the device will be worn in must be assessed. For example with cyclists, the orthotic device and shoe will only be in contact with the pedal at the forefoot, and an orthotic device which tries to steer the limb through the rearfoot only, would be ineffective.

Cycling Position

What Orthotic Devices Do


Functional foot orthoses are generally prescribed to allow the joints of the rearfoot complex, medial column, lower limb, pelvis and spine to function within their neutral zone. An orthotic device is used to steer and control body movements and ground reaction forces. Neutral position is the optimal functional position for a joint to function around. This position is commonly called Sub-Talar Joint neutral, and is the position the foot is normally casted in for a functional foot orthoses. An orthotic device can also be used to accommodate deformity and reduce areas of high pressure.

How to Select the Type of Orthotic Device


A comprehensive biomechanical assessment, knowledge of the different products available and clinical reasoning will allow the selection of the most appropriate device. Some of the questions to answer when clinically reasoning are: What problem am I trying to solve? Always address the presenting complaints What are the essential elements of the orthotic device? High or low levels of posting, stability, shock absorption, age, medical/surgical history When/how will the device be worn? Activity/occupation, footwear, shoe pitch and style, durability Will they wear the orthotic devices? Compliance, previous orthotic experience, footwear accommodation What will it cost?

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prescribing orthotic devices

Prescription Pyramid
There are many different types of orthotic devices available, which vary in size, shape, cost, durability, flexibility and indications for use.

PPL s Range of Orthotic Devices


PPL are dedicated to manufacturing and supplying Orthotic devices and associated products at every level of this pyramid. Our range includes:

CUSTOM
Casted Orthoses Total Contact Orthoses Carbonflex Devices Prescription Insoles

NON-CUSTOM
Corrective Stock Orthoses Non-Corrective Stock Orthoses Chairside Devices

ASSOCIATED PRODUCTS
Footwear Rehabilitation Footwear Splint & Braces

Custom made devices are truly made to measure and can address an extensive range of biomechanical problems. Each device is individually designed and handmade to your requirements. We provide total flexibility in the customisation of your devices. Non-Custom Stock devices come in all shapes and sizes each with their own indications for use. Whilst Stock devices do not offer the full flexibility of a custom device they do provide a very cost-effective alternative to custom devices for patients with common types and levels of biomechanical dysfunction. The stock range includes orthotic devices for children and adults. The different types include adaptable systems, shock attenuation, slim fitting, rearfoot and digital devices. Associated biomechanical products often need to be included in the management plan of your patient. These include extra depth extra width footwear, chairside devices, chairside components, splints and braces. We also stock specialist rehabilitation footwear and devices for the ulcerated or post-op foot.

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prescribing orthotic devices

Short Biomechanical Assessment Form


Rearfoot Laterall

TOTAL Forefoot Medial Sulci Rearfoot Medial

TOTAL Forefoot Lateral Full Rearfoot Laterall

TOTAL Forefoot Medial Sulci Full

3/4 Forefoot Lateral

Tr a m o r e C o m m e r c i a l P a r k , Tr a m o r e R o a d , C o r k , I r e l a n d .
Hight of Arch Hight Arch Tel: + 353 (0) 21 4320277 / Fax: + 353of (0) 21 4321159 3/4 3/4 Heal Raise Attached Forefoot Medial Hight of Arch Heal Raise Detachable Forefoot Lateral Carbonflex & Orthoses Heal Raise Detachable Hight of Arch 3/4

PLEASE RETAIN CARBON COPY FOR YOUR NOTES RET COPY

TOTAL Forefoot Lateral

SHORT BIO MECHANI CAL ASSESSMENT F ORM


TOTAL Forefoot Medial

DATE PRESCRIBED

Rearfoot Medial Sulci

Rearfoot Laterall Full

Sulci Full

PRACTITIONER INFORMATION
Rearfoot Medial Heal Cussion
Carbonflex & Orthoses Heal Raise Detachable Heal Raise Detachable

Rearfoot Laterall Cobra Pads TOTAL Forefoot Lateral

Sulci HEEL CUSSION TOTAL Forefoot Medial

TOTAL Forefoot Medial

FOR LAB USE ONLY PATIENT INFORMATION


3/4 Sulci

Ref No:
Forefoot Medial Hight of Arch Forefoot Lateral Full 3/4 Hight of Arch

Name:
3/4 Forefoot Medial Cobra Pads Forefoot Lateral 2-5 Met Bars Cobra Pads 2-5 Met Bars Carbonflex & Orthoses Heal Raise Detachable Heal Raise Detachable

Cobra Pads

1. FOOTWEAR ASSESSMENT
HEEL CUSSION

Name: Sex: Male Female

Full

MENS 31/ 2 - 14
2-5 Met Bars

LADIES 31/ 2 - 10
2-4 Dome Pad

Heal Raise Attached

CHILDS 71/ 2 - 3
Teardrop Pad HEEL CUSSION

TOTAL Forefoot Medial 3/4

Age:

Rearfoot Medial

Rearfoot Laterall

TOTAL Forefoot Lateral Hight of Arch

Weight:

Sulci TOTAL Forefoot Medial Hight of Arch

Stone

What gradient have you used?


Cobra Pads 2-5 Met Bars 2-4 Dome Pad Teardrop Pad

TOTAL Shoe Flat TOTAL Forefoot Lateral Low Forefoot Medial Shoe/Trainer/Walking Forefoot Medial TOTAL 2-4 Dome Pad Teardrop Pad

Occupation / Sporting Activities: Medical / surgical history:

To account for patients shoe pitch


Teardrop Pad

Medium High

Heal Cussion

Heels Cobra Pads between 1 & 2 (3-5cm) Heels over 2 (over 5cm)

3/4 Forefoot Medial Heal Raise Medial Rearfoot Attached Sulci Sulci Forefoot Lateral Heal Raise Detachable Rearfoot Laterall Full Full Carbonflex & Orthoses Heal Raise Detachable Sulci

Carbonflex & Orthoses Heal Raise Detachable Heal Raise Attached Short Shaft Cobra Pads

2. LEG & ANKLE


Ankle Dorsiflexion
1st Met Cut-out

Non-weightbearing
Short Shaft

1st Met Cut-out

+5

LEFT

Heal Raise Cut-out 1st Met Detachable 2-5 Met Bars

Cobra Pads

Short Shaft

-5

(Limited)

-10

If Ankle Equinus, how much is bony? (requires heel raises)


Met Cussions

Heal Cussion Long Met Shaft Pad 2-4 Dome Pad

Teardrop Pad Met Cussions

Leg Length
Long Met Shaft Pad

Met Cussions

Left Leg Short by


Cobra Pads Cut out To Which Heads Short Shaft

+5

RIGHT
2-5 Met Bars

1st Met Cut-out

-5

(Limited)

-10

Cobra Pads

HEEL CUSSION Long Met Shaft Pad 2-4 Dome Pad Teardrop Pad Met Cussions

bony mm

Right Leg Short by


Cobra Pads 2-5 Met Bars Cut out To Which Heads Short Shaft U To Which Heads 1st Met Cut-out

Presenting Complaints:
TOTAL Forefoot Medial Heal Cussion Forefoot Medial 3/4 3/4 TOTAL Forefoot Lateral Cobra Pads Forefoot Lateral Hight of Arch Hight of Arch

Full Full

TOTAL Forefoot Medial 3/4 HEEL CUSSION

Hight of Arch Hight of Arch

bony mm

Gait Pattern:
Carbonflex & Orthoses Heal Raise Detachable Cobra Attached Heal RaisePads TOTAL Forefoot Medial Rearfoot Medial Rearfoot Medial Heal 2-5 Met Bars Raise Detachable TOTAL Forefoot Lateral Rearfoot Laterall Rearfoot Laterall Cobra Pads TOTAL Forefoot Medial Sulci Sulci 2-5 Met Bars

Discrepancy (True)

2-5 Met Bars

U To Which Heads

U To Which Heads

3. ARCH PROFILE
Cut out To Which Heads U To Which Heads

LEFT

1st Met Cut-out

RIGHT
Normal Low
Teardrop Pad Extra Layer on shell only Met Cussions

REARFOOT COMPLEX
G Sub-talar Joint G Talo-navicular Joint G Calc-cuboid Joint

LEFT
Heal Cussion 2-4 Dome Pad Cobra Pads Teardrop Pad Heal Raise Attached Forefoot Medial Forefoot Medial Forefoot Detachable Heal Raise Lateral Forefoot Lateral

RIGHT
HEEL CUSSION Teardrop Pad 2-4 Dome Pad Carbonflex & Orthoses Heal Raise Detachable 3/4 3/4

2-4 Metatarsal Dome Pad

Non-weight bearing arch profile


Extra Layer on All Extra Layer on shell only

Note any bony limitations of movement in the joints of the rearfoot complex

2-4 Metatarsal Dome Pad 2-4 Dome Pad Teardrop Pad

High

Normal Low

2-4 Dome Pad

High

Extra Layer on All Long Met Shaft Pad Met Cussions 5mm 2-5 Varus Met Bar Long Met Shaft Pad

5mm 2-5 Varus Met Bar

4. MEDIAL COLUMN 1st Ray (Metatarsal)


Forefoot posting 1-5

Cobra Pads Short Shaft

2-5 Met Bars 1st Met Cut-out Cobra Pads TOTAL Forefoot Lateral TOTAL Forefoot Lateral

Cobra Pads Short Shaft TOTAL Forefoot Medial TOTAL Forefoot Medial

2-5 Met Bars 1st Met Cut-out HEEL CUSSION

3mm 2-5 Varus Met Bar

Short Shaft 1st Met Cut-out 3mm 2-5 Varus Met Bar

LEFT

Short Shaft Forefoot posting 1-5

RIGHT

1st Met Cut-out

Heal Cussion TOTAL Forefoot Medial TOTAL Forefoot Medial

Teardrop Pad

(Non-weightbearing)

Plantarflexed 1st Ray

Yes No Mild Moderate Severe


Teardrop Pad

Cut out To Which Heads

U To Which Heads

Cut out To Which Heads

Yes No Mild Moderate Severe


Met Cussions Plantarflexed 1 ray Extra Layer on shell only

U To Which Heads

Short Met Shaft Pad

Please note: Fill in EITHER Rearfoot Assessment using Prescription Platform OR Rearfoot Assesment without Prescription Platform
2-4 Dome Pad Teardrop Pad 2-5 Met Bars 2-4 Dome Pad Cobra Pads Long Met Shaft Pad Heal Raise Attached Heal Raise Attached Heal Raise Detachable Heal Raise Detachable Met Cussions

Teardrop Pad

Cobra Pads 2-5 Met Bars Carbonflex & Orthoses Heal Raise Detachable Long Met Shaft Pad Carbonflex & Orthoses Heal Raise Detachable Met Cussions

Mobility of 1st Ray


(Non-weightbearing)
Heel Vertical

Plantarflexed 1 ray

Plantarflexed 1 ray

Mobile

2-4 Metatarsal Dome Pad Long Met Shaft Pad Met Cussions

Long Met Shaft Pad Plantarflexed 1 ray Extra Layer on All

Limited

Short Met Shaft Pad

Rigid

Mobile

Limited

Rigid

6. REARFOOT ASSESSMENT using prescription platform


Short Shaft 2-4 Dome Pad Cut out To Which Heads Heal Cussion Heal Cussion

1st MPJ (Hallux)


Mobility of 1st MPJ
(Non-weightbearing)

LEFT
Mobile

5mm 2-5 Varus Met Bar

RIGHT
Cut out To Which Heads U To Which Heads

LEFT

1st Met Cut-out

Short Shaft

1st Met Cut-out

Teardrop Pad U To Which Heads Cobra Pads Cobra Pads

2-4 Dome Pad Cut out To Which Heads

RIGHT

Teardrop Pad U To Which Heads HEEL CUSSION HEEL CUSSION

Cut out To WhichHeel Vertical Heads

U To Which Heads

Heel Inversion

Limited

3mm 2-5 Varus Met Bar

A What type and how many degrees of


Rigid

Rigid

Forefoot posting 1-5

Mobile

Limited

posting (wedging) have you used to hold the rearfoot in STJ neutral position? Medial (resisting pronation) or Lateral (resisting supination)

2-4 Metatarsal Dome Pad Met Cussions 2-51st Met Cut-out Met Bars 2-5 Met Bars

Long Met Shaft Pad Short Shaft Cobra Pads Cobra Pads

MEDMet Shaft Pad Long


Cobra Pads Extra Layer on All Short Shaft Cobra Pads

Heel Eversion

Functional (weightbearing) Hallux Limitus 1st MPJ Position


ie HAV (Bunion)

Yes No Mild Moderate Severe


Teardrop Pad 2-4 Inversion Heel Metatarsal Dome Pad

Extra Layer on All

Yes No Mild Moderate Severe


Extra Layer on shell only Plantarflexed 1 ray

Met Cussions 1st Met Cut-out 2-5 Met on shell only Extra LayerBars 2-5 Met Bars

MED

5mm 2-5 Varus Met Bar

Forefoot inverted on rearfoot

Details

5mm 2-5 Varus Met Bar Short Met Shaft Pad Heel Eversion

Plantarflexed 1 ray

Details

LAT
3mm 2-5 Varus MetU To Which Heads Bar Cut out To Which Heads 2-4 Dome Pad 2-4 Met Shaft LongDome Pad Pad Teardrop Pad Teardrop Pad Met Cussions

LAT

3mm 2-5 Varus Met Bar


Forefoot everted on rearfoot

C Are you resisting pronation or supination at STJ?

Pronation
Teardrop Pad

Cut out To Which Heads 2-4 posting 1-5 ForefootDome Pad 2-4 Dome Pad Pad Long Met Shaft

Pronation

U To Which Heads

Forefoot posting 1-5

Supination

Supination
Extra Layer on All

Teardrop Pad Teardrop Pad Met Cussions

5. FOREFOOT (2-5) TO REARFOOT RELATIONSHIP


Forefoot Heel Vertical inverted on rearfoot Teardrop Pad
Forefoot level with rearfoot

(2nd-5th Met Head) Assessed Non-weightbearing

LEFT
Plantarflexed 1 ray

RIGHT
Plantarflexed 1 ray

OR
NEUTRAL CALCANEAL STANCE POSITION (CORRECTED)
B
How much rearfoot varus ie. Tibial Varum + STJ Varus

2-4 Metatarsal Dome Pad Extra Layer on shell only

Deep Heel Cup

Normal Alignment
Casted Orthoses Heel Raise Attached

Forefoot level with Rearfoot

Forefoot Inversion rearfoot Heel everted on Short Met Shaft Pad

6. REARFOOT ASSESSMENT without prescription platform


Short Met Shaft 1st Met Which Heads PadTo Cut-out Short Shaft U Cut out To Which Heads Short Shaft 5mm 2-5 Varus Met Bar Cut-out 1st Met 3mm 2-5 Varus Met Bar 2-4 Metatarsal Dome Pad Heel Vertical

1st Met Cut-out Short Shaft U To Which Heads Cut out 1 1st 1 ray Short Shaft Which Heads Plantarflexed Toray PlantarflexedMet Cut-out

LEFT
Forefoot posting 1-5 Extra Layer on All Long Met Shaft Pad Long Met Shaft Pad

RIGHT
Extra Layer on shell only Met Cussions Met Cussions

D Forefoot inverted on Rearfoot


Forefoot Invertus or Varus
Carbon flex Standard heel Carbon flex Shallow heel

Heel Eversion Forefoot level with rearfoot Heel Vertical

Forefoot inverted on rearfoot Deep Heel Cup Heel Inversion

Mild Moderate Severe Yes FF Varus

Mild Moderate Severe Yes FF Varus

NCSP Heel Inversion Or

Long Met Shaft Pad Long Met Shaft Pad

Met Cussions Teardrop Pad Met Cussions 5mm 2-5 Varus Met Bar Heel Inversion

inv
Plantarflexed 1 ray

inv

Is any of the inversion deformity bony and not passively correctable?


Carbon flex deep heel cup

No FF Invertus No FF Invertus
Casted Orthoses Heel Raise Attached

B NCSP Heel Vertical 0

Forefoot everted on rearfoot Low Heel Cup Heel Eversion

PODO FLEX

PODO SOFT

If there is any bony inversion (FF Varus), estimate how many degrees are bony?
Carbon flex Slim Fit heel Carbon flex No heel Postl

(Unusual as 5 Inversion is normal due to Tibial Varum)

Short Met Shaft Pad 3mm 2-5 Varus Met Bar Cut out To Which Heads Cut out To Which Heads Heel Eversion Teardrop Pad U To Which Heads U To Which Heads

Plantarflexed 1 ray Forefoot posting 1-5 Cut out To Which Heads Cut out To Which Heads

U To Which Heads U To Which Heads

Podo Firm Forefoot level with rearfoot

F Forefoot everted on Rearfoot


(FF Valgus) Always Bony (rare)
Carbon flex Comfort Fill

Forefoot inverted on rearfoot

Inv

Carbon flex Standard heel Carbon flex Shallow heel

Inv

RELAXED CALCANEAL STANCE POSITION (UNCORRECTED)


C

Heel Vertical 2-4 Metatarsal Dome Pad 2-4 Metatarsal Dome Pad

Forefoot Short Met Shaft Pad inverted on rearfoot

LEFT
Pronate Supinate Stay still

Extra Layer on All Extra Layer on 1 ray Plantarflexed All

Extra Layer on shell only Plantarflexed 1 ray shell only Extra Layer on

5mm 2-5 Varus Met Bar Heel Varus Met 5mm 2-5 Inversion Bar

RIGHT

FLEXI FIRM Deep Heel Cup Forefoot everted on rearfoot

Dont confuse with Plantarflexed 1st Rays


Carbon flex heelRais Attached

ev

Carbon flex deep heel cup

ev

On relaxing from neutral position does the patient


3mm 2-5 Varus Met Bar Heel Vertical 3mm 2-5 Varus Met Bar Heel Eversion

Forefoot everted on rearfoot

Pronate Supinate Stay still

Forefoot posting 1-5 Forefoot posting 1-5

PODO FLEX

FURTHER INFORMATION
Carbonflex Slim Fit Shell

Carbon flex Slim Fit heel Low Heel Cup Forefoot level with rearfoot PODO SOFT Carbon flex No heel Postl Podo Firm Carbon flex Standard heel Carbon flex Shallow heel Casted Orthoses Heel Raise Attached

Pronate, Supinate or do they stay still ? RCSP Heel Eversion

Forefoot level with rearfoot Teardrop Pad Teardrop Pad Heel Inversion

Forefoot inverted on rearfoot Short Met Shaft Pad Short Met Shaft Pad Deep Heel Cup Heel Eversion

They are pronating at rearfoot

Plantarflexed 1 ray Plantarflexed 1 ray

ev

Plantarflexed 1 ray Plantarflexed 1 ray

ev

Deep Heel Cup


No Extrinsic Posting Carbo flex Standard Shell & Casted Orthoses Slim Width of Shell

Carbon flex Comfort Fill FLEXI FIRM Carbon flex deep heel cup

They are probably pronating at rearfoot

RCSP Heel Vertical 0

Forefoot everted on rearfoot

Medial Extrinsic Posting

Low Heel Cup PODO FLEX


Laterall Extrinsic Posting

Casted Orthoses Heel Raise Attached Carbon flex heelRais Attached Carbon flex Slim Fit heel

Could be pronating or supinating at rearfoot

RCSP Heel Inversion

LowHeel Vertical Heel Cup Heel Vertical Forefoot inverted on rearfoot Forefoot level with rearfoot Podo Firm Heel Inversion Heel Inversion Forefoot everted on rearfoot

Casted Orthoses Heel Raise Attached

inv

Carbon flex Standard heel Carbon flex Shallow heel

inv

PPL26032009

Full

Podo Firm PODO SOFT

Carbon flex Standard heel Carbon flex Shallow heel Carbonflex Slim Fit Shell Carbon flex No heel Postl Deep Heel Cup FLEXI FIRM

| 5 |

+ 353 (0) 21 4320277

prescribing orthotic devices

Biomechanical Assessment
Assessment
Abnormal gait patterns occur as a result of underlying causes (ie Leg length discrepancy) and the body's compensation for these. The primary focus of biomechanical assessment is to identify the underlying causes of dysfunction. An orthotic device should address the underlying cause of this dysfunction, not just the related symptoms. Common Underlying Causes of Biomechanical Dysfunction: Bony Malalignment e.g. excessive Tibial Varum or rearfoot inversion In order to prescribe an orthotic device of any kind you will need to assess and quantify any bony malalignments in the lower limbs. Muscle imbalance e.g. Tibialis Posterior weakness with excessive pronation Muscle imbalances often develop due to bony malalignment, giving a muscle or muscle group a mechanical advantage over another. Neurological deficiencies e.g. hyper & hypotonia Injury/trauma e.g. leg length discrepancy following fracture Disease e.g. Rheumatoid arthritis Full biomechanical assessment should also include: Gait analysis Medical Surgical History Vascular and neurological investigations Evaluation of occupation/Sporting activities Presenting complaints, objective & subjective Muscle length, strength & imbalance tests Functional & Postural tests Joint range of motion and flexibility tests Footwear assessment

Prescription Tips
PPL s SHORT BIOMECHANICAL ASSESSMENT FORM will help you undertake this assessment Notes to help you complete the Assessment Form:
Rearfoot Laterall

TOTAL Forefoot Medial Sulci Rearfoot Medial

TOTAL Forefoot Lateral Full Rearfoot Laterall

TOTAL Forefoot Medial Sulci Full

3/4 Forefoot Lateral

Tr a m o r e C o m m e r c i a l P a r k , Tr a m o r e R o a d , C o r k , I r e l a n d .
Hight of Arch Hight Arch Tel: + 353 (0) 21 4320277 / Fax: + 353of (0) 21 4321159 3/4 3/4 Heal Raise Attached Forefoot Medial Hight of Arch Heal Raise Detachable Forefoot Lateral Carbonflex & Orthoses Heal Raise Detachable Hight of Arch 3/4

PLEASE RETAIN CARBON COPY FOR YOUR NOTES RET COPY

TOTAL Forefoot Lateral

SHORT BIO ME CHANI CAL AS S E S S MENT F ORM


TOTAL Forefoot Medial

DATE PRESCRIBED

Rearfoot Medial Sulci

Rearfoot Laterall Full

Sulci Full

PRACTITIONER INFORMATION
Rearfoot Medial Heal Cussion
Carbonflex & Orthoses Heal Raise Detachable Heal Raise Detachable

Rearfoot Laterall Cobra Pads TOTAL Forefoot Lateral

Sulci HEEL CUSSION TOTAL Forefoot Medial

TOTAL Forefoot Medial

FOR LAB USE ONLY PATIENT INFORMATION


3/4 Sulci

Ref No:
Forefoot Medial Hight of Arch Forefoot Lateral Full 3/4 Hight of Arch

Assessing the foot with the patient prone is easier, as you are not fighting gravity The medial column including the 1st metatarsal functions independently to the rest of the forefoot and should be assessed independently to the forefoot Consider the forefoot to rearfoot relationship as the relationship between the plane of the rearfoot and the plane of the 2nd to 5th metatarsal heads Remember a plantarflexed 1st Ray can be easily misdiagnosed as Forefoot Valgus The natural arch profile should be assessed non weight bearing and note as High, Normal or Low.

Name:
3/4 Forefoot Medial Cobra Pads Forefoot Lateral 2-5 Met Bars Cobra Pads 2-5 Met Bars Carbonflex & Orthoses Heal Raise Detachable Heal Raise Detachable

Cobra Pads

1. FOOTWEAR ASSESSMENT
HEEL CUSSION

Name: Sex: Male Female

Full

MENS 31/ 2 - 14
2-5 Met Bars

LADIES 31/ 2 - 10 Low


TOTAL Forefoot Medial 2-4 Dome Pad Heal Cussion

Heal Raise Attached

CHILDS 71/ 2 - 3
Teardrop Pad HEEL CUSSION

TOTAL Forefoot Medial 3/4

Age:

Rearfoot Medial

Rearfoot Laterall

TOTAL Forefoot Lateral Hight of Arch

Weight:

Sulci TOTAL Forefoot Medial Hight of Arch

Stone

What gradient have you used?


Cobra Pads 2-5 Met Bars 2-4 Dome Pad Teardrop Pad

TOTAL Shoe Flat Shoe/Trainer/Walking Forefoot Medial TOTAL Forefoot Lateral 2-4 Dome Pad Teardrop Pad

Occupation / Sporting Activities: Medical / surgical history:

To account for patients shoe pitch


Teardrop Pad

Medium High

Heels Cobra Pads between 1 & 2 (3-5cm) Heels over 2 (over 5cm)

3/4 Forefoot Medial Heal Raise Medial Rearfoot Attached Sulci Sulci Forefoot Lateral Heal Raise Detachable Rearfoot Laterall Full Full Carbonflex & Orthoses Heal Raise Detachable Sulci

Carbonflex & Orthoses Heal Raise Detachable Heal Raise Attached Short Shaft Cobra Pads

2. LEG & ANKLE


Ankle Dorsiflexion
1st Met Cut-out

Non-weightbearing
Short Shaft

1st Met Cut-out

+5

LEFT

Heal Raise Cut-out 1st Met Detachable 2-5 Met Bars

Cobra Pads

Short Shaft

-5

(Limited)

-10

If Ankle Equinus, how much is bony? (requires heel raises)


Met Cussions

Heal Cussion Long Met Shaft Pad 2-4 Dome Pad

Teardrop Pad Met Cussions

Leg Length
Long Met Shaft Pad

Met Cussions

Left Leg Short by


Cobra Pads Cut out To Which Heads Short Shaft

+5

RIGHT
2-5 Met Bars

1st Met Cut-out

-5

(Limited)

-10

Cobra Pads

HEEL CUSSION Long Met Shaft Pad 2-4 Dome Pad Teardrop Pad Met Cussions

bony mm

Right Leg Short by


Cobra Pads 2-5 Met Bars Cut out To Which Heads Short Shaft U To Which Heads 1st Met Cut-out

Presenting Complaints:
TOTAL Forefoot Medial Heal Cussion Forefoot Medial 3/4 3/4 TOTAL Forefoot Lateral Cobra Pads Forefoot Lateral Hight of Arch Hight of Arch

Full Full

TOTAL Forefoot Medial 3/4 HEEL CUSSION

Hight of Arch Hight of Arch

bony mm

Gait Pattern:
Carbonflex & Orthoses Heal Raise Detachable Cobra Attached Heal RaisePads TOTAL Forefoot Medial Rearfoot Medial Rearfoot Medial Heal 2-5 Met Bars Raise Detachable TOTAL Forefoot Lateral Rearfoot Laterall Rearfoot Laterall Cobra Pads TOTAL Forefoot Medial Sulci Sulci 2-5 Met Bars

Discrepancy (True)

2-5 Met Bars

U To Which Heads

U To Which Heads

3. ARCH PROFILE
Cut out To Which Heads U To Which Heads

LEFT

1st Met Cut-out

RIGHT
Normal Low
Teardrop Pad Extra Layer on shell only Met Cussions

REARFOOT COMPLEX
G Sub-talar Joint G Talo-navicular Joint G Calc-cuboid Joint

LEFT
Heal Cussion 2-4 Dome Pad Cobra Pads Teardrop Pad Heal Raise Attached Forefoot Medial Forefoot Medial Forefoot Detachable Heal Raise Lateral Forefoot Lateral

RIGHT
HEEL CUSSION Teardrop Pad 2-4 Dome Pad Carbonflex & Orthoses Heal Raise Detachable 3/4 3/4

2-4 Metatarsal Dome Pad

Non-weight bearing arch profile


Extra Layer on All Extra Layer on shell only

Note any bony limitations of movement in the joints of the rearfoot complex

2-4 Metatarsal Dome Pad 2-4 Dome Pad Teardrop Pad

High

Normal Low

2-4 Dome Pad

High

Extra Layer on All Long Met Shaft Pad Met Cussions 5mm 2-5 Varus Met Bar Long Met Shaft Pad

5mm 2-5 Varus Met Bar

4. MEDIAL COLUMN 1st Ray (Metatarsal)


Forefoot posting 1-5

Cobra Pads Short Shaft

2-5 Met Bars 1st Met Cut-out Cobra Pads TOTAL Forefoot Lateral TOTAL Forefoot Lateral

Cobra Pads Short Shaft TOTAL Forefoot Medial TOTAL Forefoot Medial

2-5 Met Bars 1st Met Cut-out HEEL CUSSION

3mm 2-5 Varus Met Bar

Short Shaft 1st Met Cut-out 3mm 2-5 Varus Met Bar

LEFT

Short Shaft Forefoot posting 1-5

RIGHT

1st Met Cut-out

Heal Cussion TOTAL Forefoot Medial TOTAL Forefoot Medial

Teardrop Pad

(Non-weightbearing)

Plantarflexed 1st Ray

Yes No Mild Moderate Severe


Teardrop Pad

Cut out To Which Heads

U To Which Heads

Cut out To Which Heads

Yes No Mild Moderate Severe


Met Cussions Plantarflexed 1 ray Extra Layer on shell only

U To Which Heads

Short Met Shaft Pad

Please note: Fill in EITHER Rearfoot Assessment using Prescription Platform OR Rearfoot Assesment without Prescription Platform
2-4 Dome Pad Teardrop Pad 2-5 Met Bars 2-4 Dome Pad Cobra Pads Long Met Shaft Pad Heal Raise Attached Heal Raise Attached Heal Raise Detachable Heal Raise Detachable Met Cussions

Teardrop Pad

Cobra Pads 2-5 Met Bars Carbonflex & Orthoses Heal Raise Detachable Long Met Shaft Pad Carbonflex & Orthoses Heal Raise Detachable Met Cussions

Mobility of 1st Ray


(Non-weightbearing)
Heel Vertical

Plantarflexed 1 ray

Plantarflexed 1 ray

Mobile

2-4 Metatarsal Dome Pad Long Met Shaft Pad Met Cussions

Long Met Shaft Pad Plantarflexed 1 ray Extra Layer on All

Limited

Short Met Shaft Pad

Rigid

Mobile

Limited

Rigid

6. REARFOOT ASSESSMENT using prescription platform


Short Shaft 2-4 Dome Pad Cut out To Which Heads Heal Cussion Heal Cussion

1st MPJ (Hallux)


Mobility of 1st MPJ
(Non-weightbearing)

LEFT
Mobile

5mm 2-5 Varus Met Bar

RIGHT
Cut out To Which Heads U To Which Heads

LEFT

1st Met Cut-out

Short Shaft

1st Met Cut-out

Teardrop Pad U To Which Heads Cobra Pads Cobra Pads

2-4 Dome Pad Cut out To Which Heads

RIGHT

Teardrop Pad U To Which Heads HEEL CUSSION HEEL CUSSION

Cut out To WhichHeel Vertical Heads

U To Which Heads

Heel Inversion

Limited

3mm 2-5 Varus Met Bar

A What type and how many degrees of


Rigid

Rigid

Forefoot posting 1-5

Mobile

Limited

posting (wedging) have you used to hold the rearfoot in STJ neutral position? Medial (resisting pronation) or Lateral (resisting supination)

2-4 Metatarsal Dome Pad Met Cussions 2-51st Met Cut-out Met Bars 2-5 Met Bars

Long Met Shaft Pad Short Shaft Cobra Pads Cobra Pads

MEDMet Shaft Pad Long


Cobra Pads Extra Layer on All Short Shaft Cobra Pads

Heel Eversion

Functional (weightbearing) Hallux Limitus 1st MPJ Position


ie HAV (Bunion)

Yes No Mild Moderate Severe


Teardrop Pad 2-4 Inversion Heel Metatarsal Dome Pad

Extra Layer on All

Mild

Yes No Moderate Severe


Extra Layer on shell only Plantarflexed 1 ray

Met Cussions 1st Met Cut-out 2-5 Met on shell only Extra LayerBars 2-5 Met Bars

MED

5mm 2-5 Varus Met Bar

Forefoot inverted on rearfoot

Details

5mm 2-5 Varus Met Bar Short Met Shaft Pad Heel Eversion

Plantarflexed 1 ray

Details

LAT
3mm 2-5 Varus MetU To Which Heads Bar Cut out To Which Heads 2-4 Dome Pad 2-4 Met Shaft LongDome Pad Pad Teardrop Pad Teardrop Pad Met Cussions

LAT

3mm 2-5 Varus Met Bar


Forefoot everted on rearfoot

C Are you resisting pronation or supination at STJ?

Pronation
Teardrop Pad

Cut out To Which Heads 2-4 posting 1-5 ForefootDome Pad 2-4 Dome Pad Pad Long Met Shaft

Pronation

U To Which Heads

Forefoot posting 1-5

Supination

Supination
Extra Layer on All

Teardrop Pad Teardrop Pad Met Cussions

5. FOREFOOT (2-5) TO REARFOOT RELATIONSHIP


Forefoot Heel Vertical inverted on rearfoot Teardrop Pad
Forefoot level with rearfoot

(2nd-5th Met Head) Assessed Non-weightbearing

LEFT
Plantarflexed 1 ray

RIGHT
Plantarflexed 1 ray

OR
NEUTRAL CALCANEAL STANCE POSITION (CORRECTED)
B
How much rearfoot varus ie. Tibial Varum + STJ Varus

2-4 Metatarsal Dome Pad Extra Layer on shell only

Deep Heel Cup

Normal Alignment
Casted Orthoses Heel Raise Attached

Forefoot level with Rearfoot

Forefoot Inversion rearfoot Heel everted on Short Met Shaft Pad

6. REARFOOT ASSESSMENT without prescription platform


Short Met Shaft 1st Met Which Heads PadTo Cut-out Short Shaft U Cut out To Which Heads Short Shaft 5mm 2-5 Varus Met Bar Cut-out 1st Met 3mm 2-5 Varus Met Bar 2-4 Metatarsal Dome Pad Heel Vertical

1st Met Cut-out Short Shaft U To Which Heads Cut out 1 1st 1 ray Short Shaft Which Heads Plantarflexed Toray PlantarflexedMet Cut-out

LEFT
Forefoot posting 1-5 Extra Layer on All Long Met Shaft Pad Long Met Shaft Pad

RIGHT
Extra Layer on shell only Met Cussions Met Cussions

D Forefoot inverted on Rearfoot


Forefoot Invertus or Varus
Carbon flex Standard heel Carbon flex Shallow heel

Heel Eversion Forefoot level with rearfoot Heel Vertical

Forefoot inverted on rearfoot Deep Heel Cup Heel Inversion

Mild Moderate Severe Yes FF Varus

Mild Moderate Severe Yes FF Varus

NCSP Heel Inversion Or

Long Met Shaft Pad Long Met Shaft Pad

Met Cussions Teardrop Pad Met Cussions 5mm 2-5 Varus Met Bar Heel Inversion

inv
Plantarflexed 1 ray

inv

Is any of the inversion deformity bony and not passively correctable?


Carbon flex deep heel cup

No FF Invertus No FF Invertus
Casted Orthoses Heel Raise Attached

B NCSP Heel Vertical 0

Forefoot everted on rearfoot Low Heel Cup Heel Eversion

PODO FLEX

PODO SOFT

If there is any bony inversion (FF Varus), estimate how many degrees are bony?
Carbon flex Slim Fit heel Carbon flex No heel Postl

(Unusual as 5 Inversion is normal due to Tibial Varum)

Short Met Shaft Pad 3mm 2-5 Varus Met Bar Cut out To Which Heads Cut out To Which Heads Heel Eversion Teardrop Pad U To Which Heads U To Which Heads

Plantarflexed 1 ray Forefoot posting 1-5 Cut out To Which Heads Cut out To Which Heads

U To Which Heads U To Which Heads

Podo Firm Forefoot level with rearfoot

F Forefoot everted on Rearfoot


(FF Valgus) Always Bony (rare)
Carbon flex Comfort Fill

Forefoot inverted on rearfoot

Inv

Carbon flex Standard heel Carbon flex Shallow heel

Inv

RELAXED CALCANEAL STANCE POSITION (UNCORRECTED)


C

Heel Vertical 2-4 Metatarsal Dome Pad 2-4 Metatarsal Dome Pad

Forefoot Short Met Shaft Pad inverted on rearfoot

LEFT
Pronate Supinate Stay still

Extra Layer on All Extra Layer on 1 ray Plantarflexed All

Extra Layer on shell only Plantarflexed 1 ray shell only Extra Layer on

5mm 2-5 Varus Met Bar Heel Varus Met 5mm 2-5 Inversion Bar

RIGHT

FLEXI FIRM Deep Heel Cup Forefoot everted on rearfoot

Dont confuse with Plantarflexed 1st Rays


Carbon flex heelRais Attached

ev

Carbon flex deep heel cup

ev

On relaxing from neutral position does the patient


3mm 2-5 Varus Met Bar Heel Vertical 3mm 2-5 Varus Met Bar Heel Eversion

Forefoot everted on rearfoot

Pronate Supinate Stay still

Forefoot posting 1-5 Forefoot posting 1-5

PODO FLEX

FURTHER INFORMATION
Carbonflex Slim Fit Shell

Carbon flex Slim Fit heel Low Heel Cup Forefoot level with rearfoot PODO SOFT Carbon flex No heel Postl Podo Firm Carbon flex Standard heel Carbon flex Shallow heel Casted Orthoses Heel Raise Attached

Pronate, Supinate or do they stay still ? RCSP Heel Eversion

Forefoot level with rearfoot Teardrop Pad Teardrop Pad Heel Inversion

Forefoot inverted on rearfoot Short Met Shaft Pad Short Met Shaft Pad Deep Heel Cup Heel Eversion

They are pronating at rearfoot

Plantarflexed 1 ray Plantarflexed 1 ray

ev

Plantarflexed 1 ray Plantarflexed 1 ray

ev

Deep Heel Cup


No Extrinsic Posting Carbo flex Standard Shell & Casted Orthoses Slim Width of Shell

Carbon flex Comfort Fill FLEXI FIRM Carbon flex deep heel cup

They are probably pronating at rearfoot

RCSP Heel Vertical 0

Forefoot everted on rearfoot

Medial Extrinsic Posting

Low Heel Cup PODO FLEX


Laterall Extrinsic Posting

Casted Orthoses Heel Raise Attached Carbon flex heelRais Attached Carbon flex Slim Fit heel

Could be pronating or supinating at rearfoot

RCSP Heel Inversion

LowHeel Vertical Heel Cup Heel Vertical Forefoot inverted on rearfoot Forefoot level with rearfoot Podo Firm Heel Inversion Heel Inversion Forefoot everted on rearfoot

Casted Orthoses Heel Raise Attached

inv

Carbon flex Standard heel Carbon flex Shallow heel

inv

PPL26032009

Full

Podo Firm PODO SOFT

Carbon flex Standard heel Carbon flex Shallow heel Carbonflex Slim Fit Shell Carbon flex No heel Postl Deep Heel Cup FLEXI FIRM

This assessment form can be used by practitioners using traditional methods of assessment and quantification, and those using the PPL Neutral Zone Prescription Platform.

| 6 |

+ 353 (0) 21 4320277

prescribing orthotic devices

Quantifying your Assessment


Traditional methods of quantifying biomechanical assessment findings using bisection lines and angle finders have been shown to be unreliable and unrepeatable, both intra and inter rata. Objective measures such as pressure mapping, parametric testing and kinematic video gait analysis only look at the abnormal gait pattern that is occurring. They do not demonstrate or quantify what should be happening, what the underlying cause is, or what correction an orthotic device needs to allow the patient to function in their Neutral Zone. In the absence of any reliable repeatable method of quantifying the findings of a biomechanical assessment, PPL have developed the Neutral Zone Prescription Platform, which is a tool to assist in biomechanical assessment and prescription writing. This tool assists in the quantification of the prescription needed, to allow a person to function within their neutral zone.

Neutral Zone Prescription Platform

The Neutral Zone Prescription Platform contains all the essential elements necessary to help you assess and quantify your prescription requirements. It is a simple, practical, low cost, time efficient method of quantification. The platform allows you to assess your patient functionally in a weightbearing position, allowing you to objectively test, the effects your proposed prescription will have on the rest of the body. The platform allows you to test the types of additions and postings needed for each prescription, and thereby reduces prescription errors.

Contents:

Shoe Pitch Gradient


1 2 3

1 pair of low shoe pitch gradient platforms 1 pair of 10mm heel gradient risers (Black) 1 pair of 20mm heel gradient risers (Black) Heel Raises

8 10 1

4 5

1 pair 3mm heel raises (Grey) 1 pair 5mm heel raises (Black) Arch Support
2

6 7

1 pair of normal height arch pads 1 pair of low height arch pads Midfoot & Forefoot Additions

11

8 9 10

1 pair of 2-4 dome pads 1 pair of 2-5 varus metatarsal bars 1 pair of 1st metatarsal cut-out pads Forefoot Posting

9 6 7

11

1 pair of 3o forefoot wedges (Grey) Rearfoot Posting/Wedging


13 12 4 14 5

12 13 14

2 pairs of 3o rearfoot wedges (Grey) 1 pair of 5o rearfoot wedges (Black) 1 pair of 8o rearfoot wedges (Blue)

| 7 |

+ 353 (0) 21 4320277

prescribing orthotic devices

Quantifying Using the Neutral Zone Prescription Platform


The Neutral Zone Prescription Platform helps you to quantify the prescription needed to allow a person to function within their neutral zone. Whilst standing on a correctly adapted platform the patient normally should be: standing in their optimal anatomical position (normally STJ neutral). able to pronate and supinate the foot within their neutral zone. able to dorsiflex the hallux and plantarflex the 1st ray

Gait analysis is essential and should always be the starting point for any biomechanical assessment. Any pathology or presenting feature which is evident during gait but not on standing, for example a limitation of hip flexion and resultant sagittal plane blockage, will not be addressed on a standing assessment only. For patients with neurological deficiencies or other pathologies or presenting features in gait and not in standing, it is advisable to use chairside devices to ensure your prescription is correct. Repeat the gait analysis with the chairside devices in place and assess their effectiveness. adjust as required. Patients presenting with hypermobility can have strapping applied to simulate the in-shoe environment of a heel counter and laced upper, this will stabilise the rearfoot complex before assessment and avoid over correction of your patient.

To use the Neutral Zone Prescription Platform effectively follow the steps 1 to 7 as follows.

Step 1 - Footwear Assessment


Assess footwear to determine the height of shoe pitch gradient. The shoe pitch gradient is the difference between the height of the heel and the height of the sole, most footwear has at least a 10mm gradient. A shoe pitch gradient will have the same effect as a heel raise. The ankle joint will plantarflex and supination will occur in the rearfoot complex. The heel gradient acts as an anti-pronatory device, therefore measuring a patient standing on the ground may result in over-correction once the devices are put into shoes, especially high heeled shoes. High Pitch Shoe

Using Neutral Zone Prescription Platform


Select the appropriate shoe pitch gradient to match their shoes.

Flat Low Medium

Football boots Flat Shoe/Trainer/ Walking Shoe Heels between 1 & 2 inches (3-5cm)

(No Pitch) (10-20mm Pitch) (20-40mm Pitch)

Stand patient on the floor Use low shoe pitch gradient platform only Use low shoe pitch gradient platform with either additional 10 or 20mm heel gradient risers Use low shoe pitch gradient platform with both additional 10 and 20mm heel gradient risers, or more as necessary

High

Heels over 2 inch (5cm)

(40mm plus Pitch)

| 8 |

+ 353 (0) 21 4320277

3/4

Hight of Arch

Hi

prescribing orthotic devices


Rearfoot Medial Rearfoot Laterall
Rearfoot Medial

Sulci
Rearfoot Laterall

Step 2 - Leg Length and Ankle Equinus Assessment


Rearfoot Laterall

3/4
Forefoot Lateral

Assess leg and ankle to determine if heel raises are required. Forefoot Medial
Rearfoot Medial Rearfoot Laterall Sulci Full
3/4 Forefoot Lateral

TOTAL Forefoot Medial Sulci

TOTAL Forefoot Lateral Full

TOTAL Forefoot Medial

Tr a m o r e C o m m e r c i a l P a r k , Tr a m o r e R o a d , C o r k , I r e l a n d .
Hight of Medial Hight Arch Tel: + 353 Forefoot Arch / Fax: + 353of (0) 21 4321159 (0) 21 4320277 3/4

Forefoot Lateral

Assess for leg length discrepancy if you note any asymmetry in your assessment of gait or posture. Differentiate between true and functional, record the true discrepancy. Clinical measures of leg length are unreliable. We recommend that you chooseAS S E Sa ME NT F ORM compensates for between 1/2 and 2/3 of the true DATE PRESCRIBED S HO RT BI O ME CHANI CAL to use S heel raise which discrepancy measured. See product prescription forms for the maximum heights that will be accommodated in PRACTITIONER INFORMATION Ref No: FOR LAB USE ONLY regular shoes.
3/4 Hight of Arch Carbonflex & Orthoses Heal Raise Detachable Hight of Arch 3/4 Heal Raise Attached Forefoot Medial Heal Raise Detachable Forefoot Lateral
TOTAL Forefoot Lateral TOTAL Forefoot Medial

Rearfoot Medial Sulci

Rearfoot Laterall Full

Sulci Full

Rearfoot Medial Heal Cussion

Rearfoot Laterall Cobra Pads

Sulci

HEEL CUSSION

Carbonflex & Orthoses Heal Raise Detachable

TOTAL Forefoot Medial

TOTAL Forefoot Lateral

TOTAL Forefoot Medial

Heal Raise Detachable

Assess for ankle equinus and identify what portion if any is bony. A normal low heeled shoe has a shoe pitch Name: 1. FOOTWEAR ASSESSMENT gradient of 10mm which will compensate for around a 10o absence of ankle dorsiflexion. Therefor if your patient o Sex: Male Female Stone TOTAL Forefoot Medial LADIES 31/ 2 10 CHILDS 71/ - 3 gets MENS 31/ 2on assessment you -should not need2to compensateTOTAL heel raises. Age: can Weight: to 90 - 14 with Forefoot Lateral You request a combination TOTAL Forefoot Medial TOTAL Occupation / Sporting Activities: TOTAL Forefoot Medial of attached and detached heel raises which allow you to easily modify your prescription during rehabilitation.Forefoot Lateral Flat Shoe/Trainer/Walking Shoe Low What gradient have you used? Prescribing heel raisesMedium Heels betweenankle equinus will prohibit stretching out of the soft tissues. for soft tissue 1 & 2 (3-5cm) Medical / surgical history:
3/4 Forefoot Medial Cobra Pads Forefoot Lateral 2-5 Met Bars Cobra Pads 2-5 Met Bars Sulci Full Full
Cobra Pads HEEL CUSSION

Name:

PATIENT INFORMATION

3/4 Forefoot Medial

Hight of Arch Forefoot Lateral

3/4 Hight of Arch

Carbonflex & Orthoses Heal Raise Detachable

Heal Raise Attached

Heal Raise Detachable

Rearfoot Medial

Rearfoot Laterall

Sulci

TOTAL Forefoot Medial 3/4

TOTAL Forefoot Lateral Hight of Arch

TOTAL Forefoot Medial Hight of Arch

TOTAL

2-5 Met Bars

Cobra Pads

2-5 Met Bars

TOTAL Forefoot Medial 2-4 Dome Pad Heal Cussion

TOTAL Forefoot Lateral Teardrop Pad Cobra Pads

TOTAL Forefoot Medial 2-4 Dome Pad

Teardrop Pad

HEEL CUSSION

To account for patients shoe pitch


2-4 Dome Pad Teardrop Pad

3/4

High
Cobra Pads

Heels over 2 (over 5cm)


Carbonflex & Orthoses Heal Raise Detachable

Forefoot Medial Heal Raise Medial Rearfoot Attached Sulci Sulci

Forefoot Lateral

Carbonflex & Orthoses Heal Raise Detachable Sulci

Heal Raise Detachable Rearfoot Laterall Full Full

Teardrop Pad

2. LEG & ANKLE


Ankle Dorsiflexion
1st Met Cut-out

Heal Raise Attached Short Shaft

Non-weightbearing
Short Shaft

1st Met Cut-out

+5

LEFT

Heal Raise Cut-out 1st Met Detachable 2-5 Met Bars

Cobra Pads

Short Shaft

-5

(Limited)

-10

If Ankle Equinus, how much is bony? (requires heel raises)


Met Cussions

Heal Cussion Long Met Shaft Pad 2-4 Dome Pad

Teardrop Pad Met Cussions

Leg Length
Long Met Shaft Pad

Met Cussions

Left Leg Short by


Cobra Pads Cut out To Which Heads Short Shaft

+5

RIGHT
2-5 Met Bars

1st Met Cut-out

-5

(Limited)

-10

Cobra Pads

HEEL CUSSION Long Met Shaft Pad 2-4 Dome Pad Teardrop Pad Met Cussions

bony mm

Right Leg Short by


Cobra Pads 2-5 Met Bars Cut out To Which Heads Short Shaft U To Which Heads 1st Met Cut-out

Presenting Complaints:
TOTAL Forefoot Medial Heal Cussion Forefoot Medial 3/4 3/4 TOTAL Forefoot Lateral Cobra Pads Forefoot Lateral Hight of Arch Hight of Arch

Full Full

TOTAL Forefoot Medial 3/4 HEEL CUSSION

Hight of Arch Hight of Arch

bony mm

Gait Pattern:
Carbonflex & Orthoses Heal Raise Detachable Cobra Attached Heal RaisePads TOTAL Forefoot Medial Rearfoot Medial Rearfoot Medial Heal 2-5 Met Bars Raise Detachable TOTAL Forefoot Lateral Rearfoot Laterall Rearfoot Laterall

Discrepancy (True)

2-5 Met Bars

Carbonflex & Orthoses Heal Raise Detachable


TOTAL Forefoot Medial Sulci Sulci HEEL CUSSION Teardrop Pad 2-4 Dome Pad Carbonflex & Orthoses Heal Raise Detachable 3/4 3/4

Cobra Pads

2-5 Met Bars

Carbonflex &

U To Which Heads

2-4 Metatarsal Dome Pad

Heal Raise Attached Heal Raise Detachable Note any added to the platform at this point. complex To account for the bulkiness of heel cushions they must also be bony limitations of movement in the joints of the rearfootA heel Non-weight bearing arch High Normal Low High Normal Low cushion is not a heel raise as it will compress significantly G Sub-talar Joint on weight-bearing. profile
U To Which Heads

3. ARCH PROFILE
Cut out To Which Heads U To Which Heads

LEFT

1st Met Cut-out

RIGHT
Teardrop Pad

REARFOOT COMPLEX

Heal Cussion 2-4 Dome Pad

LEFT Raise AttachedRIGHT Heal


Cobra Pads Teardrop Pad Forefoot Detachable Heal Raise Lateral Forefoot Lateral

Heal Raise Detachable

2-4 Metatarsal Dome Pad 2-4 Dome Pad Teardrop Pad

2-4 Dome Pad

Heal Raise Attached Forefoot Medial Forefoot Medial

Extra Layer on All

Extra Layer on All

Extra Layer on shell only Met Cussions

Extra Layer on shell only

5mm 2-5 Varus Met Bar

4. MEDIAL COLUMN Using Neutral Zone Prescription Platform


Rearfoot Laterall

Long Met Shaft Pad Met Cussions 5mm 2-5 Varus Met Bar

Long Met Shaft Pad

G Talo-navicular Joint G Calc-cuboid Joint


Sulci Full TOTAL Forefoot Medial

Cobra Pads Short Shaft

2-5 Met Bars 1st Met Cut-out Cobra Pads TOTAL Forefoot Lateral TOTAL Forefoot Lateral

Cobra Pads Short Shaft TOTAL Forefoot Medial TOTAL Forefoot Medial

2-5 Met Bars 1st Met Cut-out HEEL CUSSION

3mm 2-5 Varus Met Bar

1st Ray (Metatarsal)


Forefoot posting 1-5

Short Shaft 1st Met Cut-out 3mm 2-5 Varus Met Bar

LEFT
3/4

TOTAL Forefoot Lateral TOTAL Forefoot Medial Full Sulci Short Shaft Rearfoot Medial 1st Met Cut-out Rearfoot Laterall

RIGHT

Heal Cussion TOTAL Forefoot Medial TOTAL Forefoot Medial

Teardrop Pad

Plantarflexed 1st Ray Please note: Add(Non-weightbearing)heel raises for ankle equinus or legNo required length discrepancy. Yes No Yes
Forefoot posting 1-5
Forefoot Lateral

Cut out To Which Heads

U To Which Heads

Cut out To Which Heads

U To Which Heads

Tr a m o r e C o m m e r c i a l P a r k , Tr a m o r e R o a d , C o r k , I r e l a n d .
2-4 Dome Pad Cobra Pads Long Met Shaft Pad Teardrop Pad 2-5 Met Bars 2-4 Dome Pad Hight Arch Tel: + 353 Teardrop21 4320277 / Fax: + 353of (0) 21 4321159 (0) Pad Hight of Arch 3/4 Met Cussions Cobra Pads 2-5 Met Bars Carbonflex & Orthoses Heal Raise Detachable Long Met Shaft Pad Carbonflex & Orthoses Heal Raise Detachable Met Cussions

Mild

Moderate

Teardrop Pad

Severe

Mild

Heal Raise Attached

Moderate
3/4

Heal Raise Detachable Forefoot Lateral

Severe
Hight of Arch

Carbonflex & Orthoses Heal Raise Detachable Hight of Arch 3/4

Short Met Shaft Pad

Mobility of 1st Ray


(Non-weightbearing)
Heel Vertical

Plantarflexed 1 ray

Plantarflexed 1 ray

TOTAL Forefoot Lateral

Step 1st -MPJ (Hallux) 3 Assessment of Natural Arch Profile


5mm 2-5 Varus Met Bar Rearfoot Medial Heal Cussion Rearfoot Laterall Cobra Pads
Heel Inversion

Mobile Limited BIRigid Mobile Limited S HO RT O ME CHANI CAL Rigid S E SREARFOOTF ORM AS 6. S ME NT ASSESSMENT
TOTAL Forefoot Shaft Pad Short Met Medial

2-4 Metatarsal Dome Pad Long Met Shaft Pad Met Cussions

Forefoot Medial Long Met Shaft Pad Plantarflexed 1 ray Extra Layer on All

Fill in EITHER Rearfoot Assessment using Prescription Platform OR Rearfoot Assesment without Prescription Platform
Heal Raise Attached Heal Raise Attached Heal Raise Detachable Heal Raise Detachable

Met Cussions

Plantarflexed 1 ray Extra Layer on shell only

Heal Cussion PRACTITIONER INFORMATION RIGHT LEFT


Name:
Cut out To WhichHeel Vertical Heads
Carbonflex & Orthoses Heal Raise Detachable

Sulci

HEEL CUSSION TOTAL Forefoot Medial

Cobra Pads

using Heal Cussion platform prescription DATE PRESCRIBED


Rearfoot Medial Sulci Short Shaft 1st Met Cut-out Short Shaft 2-4 Dome Pad Cut out To Which Heads Heal Cussion Heal Cussion Teardrop Pad U To Which Heads Cobra Pads Cobra Pads 2-4 Dome Pad Cut out To Which Heads

1st Met Cut-out

Rearfoot Laterall Full

Cobra Pads

Sulci Full

(Non-weightbearing) Assess natural arch profile to determine the height of arch support. STJ neutral position? the rearfoot in

Mobility of 1st MPJ

U To Which Heads

Cut out To Which Heads

TOTAL Forefoot Lateral TOTAL Forefoot Medial U To Which Heads

Heal Raise Detachable

Mobile

Limited

3mm 2-5 Varus Met Bar

A What type and how many degrees of


3/4 Cobra Pads 2-5 Met Bars

LEFT FOR LAB USE ONLY


2-4 Metatarsal Dome Pad

RIGHT Ref No:


Teardrop Pad U To Which Heads HEEL CUSSION HEEL CUSSION 3/4 Hight of Arch Forefoot Lateral

HEEL CUSSION
3/4 Hight of Arch

Rigid

Forefoot posting 1-5

Mobile

Limited

Rigid

PATIENT posting (wedging) have you used to hold


Name:

INFORMATION
Met Cussions 2-51st Met Cut-out Met Bars 2-5 Met Bars 5mm 2-5 Varus Met Bar

Sulci

Heel Eversion

Functional (weightbearing) Full Hallux Limitus 1st MPJ Position


ie HAV (Bunion)

Cobra Pads

No Yes No 1. Yes FOOTWEAR ASSESSMENT Mild Moderate Severe Mild Moderate Severe Full
Teardrop Pad 2-4 Inversion Heel Metatarsal Dome Pad

Forefoot Medial Cobra Pads

Forefoot Lateral 2-5 Met Bars

Long Met Shaft Pad Short Shaft Cobra Pads Cobra Pads

MEDMet Shaft Pad Long


Cobra Pads Extra Layer on All Short Shaft Cobra Pads

Forefoot Medial Sulci

Forefoot inverted on rearfoot

Details
2-5 Met Bars

Forefoot everted on rearfoot

with patient non weightbearing. With any LAT Age: youLAT Weight: device Male Female prescribe theDetails profile on the device should match the/ natural arch profile of the arch Occupation Pronation Activities: Sporting Flat Shoe/Trainer/Walking Shoe you resisting pronation or Low Pronation Are C What gradient have patient. supination at STJ? you used? Assess natural LADIESprofile arch 31/ 2 - 10 MENS 31/ 2 - 14
5mm 2-5 Varus Met Bar Short Met Shaft Pad Heel Eversion Plantarflexed 1 ray Plantarflexed 1 ray
Cobra Pads 2-5 Met Bars HEEL CUSSION

Carbonflex & Orthoses Heal Raise Detachable

Extra Layer on AllHeal Raise Attached Layer on Heal Raise Detachable Extra shell only

Medial (resisting pronation) or CHILDS 71/ 2 - 3 supination) Sex: Lateral (resisting


Teardrop Pad

Met Cussions 1st Met Cut-out 2-5 Met on shell only Extra LayerBars 2-5 Met Bars

MEDFull

Full

Rearfoot Medial

Rearfoot Laterall

Sulci TOTAL Forefoot Medial Hight of Arch

TOTAL Forefoot Medial 3/4

TOTAL Forefoot Lateral Hight of Arch

Stone

TOTAL Forefoot Medial 2-4 Dome Pad Heal Cussion

TOTAL Forefoot Lateral Teardrop Pad

TOTAL Forefoot Medial 2-4 Dome Pad

3mm 2-5 Varus MetU To Which Heads Bar Cut out To Which Heads 2-4 Dome Pad 2-4 Met Shaft LongDome Pad Pad Teardrop Pad Teardrop Pad Met Cussions

Cut out To Which Heads

U To Which Heads

3mm 2-5 Varus Met Bar

Forefoot level with rearfoot

Deep Heel Cup

Heels over 2 (over 5cm) 2-5 Met Bars OR Cobra Pads Clinical measures of arch height are unreliable. To relate arch height to a (2nd-5th Met Head) Assessed Non-weightbearing Cobra Pads 2-5 Met Bars LEFT measurement youLEFTRIGHT would scale according 6. REARFOOT ASSESSMENT without prescription date there is Cobra Padsneed a sliding 2-5 Met Bars Presenting to foot size. To platform RIGHT 2. LEG & ANKLE Complaints: Forefoot level with Rearfoot no reliable scale, therefore we recommend that you use your clinical judgement. NEUTRAL CALCANEAL STANCE Ankle Dorsiflexion +5 -5 +5 0 -5 0

5. FOREFOOT (2-5)

To account for patients shoe inverted on High TOpitch ForefootHeel Verticalrearfoot RELATIONSHIP REARFOOT
Teardrop Pad 2-4 Dome Pad

Forefoot posting 1-5

Medium

2-4 posting 1-5 ForefootDome Pad 2-4 Dome Pad Pad Long Met Shaft

Heels Cobra Pads between 1 & 2 (3-5cm)

HEEL CUSSION

Supination Medical / surgical history:


Teardrop Pad 2-4 Metatarsal Dome Pad

Supination
Forefoot Medial Heal Raise Medial Rearfoot Attached

Teardrop Pad Teardrop Pad Met Cussions

3/4

Forefoot Lateral

Carbonflex & Orthoses Heal Raise Detachable Sulci

Teardrop Pad

Teardrop Pad

Heal Raise Detachable Rearfoot Laterall

Cobra Pads

Carbonflex & Orthoses Heal Raise Detachable Short Shaft

Heal Raise Attached Short Shaft Cobra Pads

Heal Raise Cut-out 1st Met Detachable 2-5 Met Bars

1st Met Cut-out 2-5 Met Bars

Cobra Pads

Short Met Shaft 1st Met Which Heads PadTo Cut-out Short Shaft U Cut out To Which Heads Short Shaft 5mm 2-5 Varus Met Bar Cut-out 1st Met

Extra Layer on shell only Full Sulci Full Sulci 1st Met Cut-out Short Shaft U To Which Heads Cut out 1 1st 1 ray Short Shaft Which Heads Plantarflexed Toray PlantarflexedMet Cut-out

Extra Layer on All

Full Full

Forefoot Inversion rearfoot Heel everted on Short Met Shaft Pad

Plantarflexed 1 ray

Normal Alignment
Casted Orthoses Heel Raise Attached

1st Met Cut-out

Non-weightbearing
Short Shaft

1st Met Cut-out

Plantarflexed 1 ray

(Limited)

-10

3/4

inv Moderate Moderate ie. Short by Note* an arch pad will help to correct out ShortSevere Right Leg tissue + STJ Varus Left Leg small levels of soft Tibial Varumforefoot inversion (Forefoot Invertus) by Forefoot Invertus or Varus Leg Length Severe
Mild
Teardrop Pad Met Cussions

Forefoot inverted on D Hight of Arch Rearfoot


Carbon flex Standard heel Carbon flex Shallow heel

If Ankle Equinus, how much is Dome Pad Hight Mild Long2-4Met ShaftPad Heel Vertical bony? (requires heel raises) of Arch
Long Met Shaft Pad Met Cussions

Heel Eversion Forefoot level with rearfoot

Heal Cussion

(CORRECTED) POSITION(Limited)
HEEL CUSSION

-10

Cobra Pads

bony

Long Met Shaft Pad 2-4 Dome Pad

NCSP Heel Inversion Gait Pattern:


bony How much rearfoot varus
2-5 Met Bars Teardrop Pad Met Cussions Long Met Shaft Pad Long Met Shaft Pad

3mm 2-5 Varus Met Bar 2-4 Metatarsal Dome Pad Heel Vertical

LEFT

TOTAL Forefoot Medial Heal Cussion Forefoot Medial 3/4 3/4

RIGHT
Met Cussions Met Cussions

TOTAL Forefoot Lateral Cobra Pads Forefoot Lateral

TOTAL Forefoot Medial 3/4

HEEL CUSSION

Forefoot posting 1-5 Extra Layer on All

Hight of Arch Hight of Arch

Hight of Arch Hight of Arch

Met Cussions Teardrop Pad Met Cussions 5mm 2-5 Varus Met Bar Heel Inversion

Long Met Shaft Pad Long Met Shaft Pad

Extra Layer on shell only

Met Cussions

Cobra Attached Heal RaisePads

Is any of the inversion deformity bony and not passively correctable? Yes 3. ARCH PROFILE FF Varus
Carbon flex deep heel cup U To Which Heads CutForefoot everted on out To Which Heads

Discrepancy (True)
Heel Inversion rearfoot

Forefoot inverted on rearfoot Deep Heel Cup

mm No FF Invertus No FF Invertus
Cobra Pads 2-5 Met Bars Cut out To Which Heads Short Shaft U To Which Heads 1st Met Cut-out Casted Orthoses Heel Raise Attached

Cobra Pads

Or

mm

U To Which Heads

Low Heel Cup

Yes FF Varus LEFT High

Cut out To Which Heads Short Shaft

B NCSP Heel Vertical 0 REARFOOT COMPLEX

PODO FLEX

PODO SOFT

Non-weight bearing arch If there is any bony inversion profile (FF Varus), estimate how many degrees are bony?
Heel Eversion
Carbon flex Slim Fit heel 2-4 Metatarsal Dome Pad Extra ForefootAll Layer on level

Podo Firm with rearfoot Layer on shell only Extra

Rearfoot Medial

Sulci Valgus) Always 1st Using(FFNeutralBony (rare)Ray (Metatarsal) ev Platform Zone Prescription ev Rearfoot Laterall
FLEXI FIRM
Carbon flex Comfort Fill 3mm 2-5 Varus Met Bar

4. MEDIAL COLUMN F Forefoot everted on Rearfoot


Carbon flex No heel Postl 5mm 2-5 Varus Met Bar

Forefoot inverted on rearfoot

2-4 Metatarsal Dome Pad 2-4 Dome Pad Teardrop Pad Carbon flex Standard heel

Inv

Carbon flex Shallow heel Long Met Shaft Pad Met Cussions 5mm 2-5 Varus Met Bar

Normal Low High Normal Low G Sub-talar Joint 2-4 RELAXED CALCANEAL STANCE Inv

RIGHT (Unusual as 5 Inversion is normal Note due to Tibial Varum)

U To Which Heads 1st Met Cut-out

Short Met Shaft Pad 3mm 2-5 Varus Met Bar Cut out To Which Heads Cut out To Which Heads U To Which Heads U To Which Heads

TOTAL Forefoot Medial Rearfoot Medial Rearfoot Medial

Heal 2-5 Met Bars Raise Detachable TOTAL Forefoot Lateral Rearfoot Laterall Rearfoot Laterall

inv

Carbonflex & Orthoses Heal Raise Detachable Cobra Pads TOTAL Forefoot Medial Sulci Sulci 2-5 Met Bars

Plantarflexed 1 ray Forefoot posting 1-5 Cut out To Which Heads Cut out To Which Heads

Plantarflexed 1 ray

Heel Eversion

LEFT

U To Which Heads U To Which Heads Cobra Pads Teardrop Pad

RIGHT
Teardrop Pad
Cobra Pads Short Shaft HEEL CUSSION Teardrop Pad 2-4 Dome Pad Carbonflex & Orthoses Heal Raise Detachable 3/4 3/4

any bony limitations of movement in the joints of the rearfoot complex


Teardrop Pad Heal Cussion 2-4 Dome Pad Heel Vertical 2-4 Metatarsal Dome Pad 2-4 Metatarsal Dome Pad Forefoot Short Met Shaft Pad inverted on rearfoot

Deep Heel Cup

Dont confuse with Plantarflexed 1st Rays Plantarflexed


Teardrop Pad

Forefoot posting 1-5

Short Shaft 1st Met Cut-out 3mm 2-5 Varus Met Bar Carbon flex deep heel cup

2-4 Dome Pad LEFT


U To Which Heads

2-4 Dome Pad

Teardrop Pad

Extra Layer on All

Dome Pad

Heal Raise Attached Forefoot Medial Forefoot Medial

Forefoot Detachable Heal Raise Lateral Forefoot Lateral

2-4 Dome P

Extra Layer on shell only Met Cussions

Long Met Shaft Pad

Short Shaft

Forefoot everted on rearfoot

Add FURTHER INFORMATION the natural arch profile and support both the navicular and the midfoot arch pad to match
Carbon flex heelRais Attached

(Non-weightbearing)
Low Heel Cup

PODO FLEX

1st Ray

Forefoot posting 1-5

Yes No Mild Moderate Severe


Teardrop Carbon flex Slim Fit heel Pad Casted Orthoses Heel Raise Attached Carbon flex No Short Met Shaft Pad heel Postl 2-4 Metatarsal Dome Pad Long Met Shaft Pad Met Cussions

Cut out To Which Heads

Cut out To Which Heads

Short Met Shaft Pad

Carbonflex Slim Fit Shell

Mobility of 1st Ray


(Non-weightbearing)
Deep Heel Cup Podo Firm
Heel Vertical

Plantarflexed 1 ray

Forefoot level with rearfoot PODO SOFT

Supinate Supinate Please note: Yes Pronate, No Supinate or do they stay still ? Stay still Stay Prescription Platform OR Fill in EITHER Rearfoot Assessment using still Mild Moderate Severe Rearfoot Assesment without Prescription Platform
U To Which Heads Heel Eversion Forefoot posting 1-5 Forefoot posting 1-5 2-4 Dome Pad Teardrop Pad 2-5 Met Bars 2-4 Dome Pad Forefoot level with rearfoot Teardrop Pad Teardrop Pad Heel Inversion Cobra Pads Long Met Shaft Pad

G Talo-navicular Joint POSITION (UNCORRECTED) 2-4 Dome Pad Teardrop Pad Pronate On relaxing from neutral position does Joint Pronate G Calc-cuboid the RIGHT patient
5mm 2-5 Varus Met Bar Heel Varus Met 5mm 2-5 Inversion Bar Cobra Pads Forefoot everted on rearfoot 3mm 2-5 Varus Met Bar Heel Vertical 3mm 2-5 Varus Met Bar 1st Met Cut-out Heal Cussion TOTAL Forefoot Medial TOTAL Forefoot Medial Short Shaft

LEFT

Extra Layer on All Extra Layer on 1 ray Plantarflexed All

Extra Layer on shell only Plantarflexed 1 ray shell only Extra Layer on

RIGHT

2-5 Met Bars

1st Met Cut-out Cobra Pads TOTAL Forefoot Lateral TOTAL Forefoot Lateral

TOTAL Forefoot Medial TOTAL Forefoot Medial

Teardrop Pad
1st Met Cut-out HEEL CUSSION

2-5 Met Bars

Teardrop Pad

Plantarflexed 1 ray

Long Met Shaft Pad Plantarflexed 1 ray Extra Layer on All

Mobile

Carbon flex Standard heel Carbon flex Shallow heel

Limited

Rigid

They pronating Mobile are Limited at rearfoot Rigid


Plantarflexed 1 ray Extra Layer on shell only

RCSP Heel Eversion


Met Cussions

Forefoot inverted on rearfoot Short Met Shaft Pad Short Met Shaft Pad Deep Heel Cup Heel Eversion

No Extrinsic Posting

Low Natural Arch Profile


Carbo flex Standard Shell & Casted Orthoses Slim Width of Shell Heel Inversion

1st MPJ (Hallux)


Mobility of 1st MPJ
PODO FLEX FLEXI FIRM Low Heel Cup (Non-weightbearing)

Use low height arch pads RIGHT RCSP Heel Vertical


Carbon flex Comfort Fill

6. REARFOOT ASSESSMENT using prescription platform ev ev


Plantarflexed 1 ray Plantarflexed 1 ray Plantarflexed 1 ray Plantarflexed 1 ray Short Shaft Forefoot everted on rearfoot 2-4 Dome Pad Cut out To Which Heads Heal Cussion Heal Cussion Casted Orthoses Heel Raise Attached

Heal Raise Attached Heal Raise Attached

Heal Raise Detachable Heal Raise Detachable

Met Cussions

Cobra Pads 2-5 Met Bars Carbonflex & Orthoses Heal Raise Detachable Long Met Shaft Pad Carbonflex & Orthoses Heal Raise Detachable Met Cussions

LEFT

5mm 2-5 Varus Met Bar

Cut out To WhichHeel Vertical Heads

U To Which Heads

Cut out To Which Heads

They are probably pronating at rearfoot


U To Which Heads

LEFT

1st Met Cut-out

Short Shaft

1st Met Cut-out

Teardrop Pad U To Which Heads Cobra Pads Cobra Pads

2-4 Dome Pad Cut out To Which Heads

RIGHT

Teardrop Pad U To Which Heads HEEL CUSSION HEEL CUSSION

Medial Extrinsic Posting

Medium Natural Arch Profile


Heel Eversion

Use normal height arch pads


Casted Orthoses Heel Raise Attached Carbon flex heelRais Attached

Mobile

3mm 2-5 Varus Met Bar Carbon flex deep heel cup

A What type and how many degrees of


LowHeel Vertical Heel Cup Heel Vertical Forefoot inverted on rearfoot Forefoot level with rearfoot Podo Firm Heel Inversion Heel Inversion Forefoot everted on rearfoot

Limited

Rigid

Forefoot posting 1-5

Mobile Limited Rigid RCSP Heel Inversion Yes No

Laterall Extrinsic Posting

Functional
Full

(weightbearing)

High Natural ArchHallux Limitus Profile PPL26032009


Podo Firm

Forefoot Medial

Forefoot Lateral

PODO SOFT

Forefoot inverted on rearfoot

1st MPJ Position


ie HAV (Bunion)

or Moderate Use Mild Short ShaftSevere Mild pads with low height arch pads underneath normal height arch Moderate Severe Short Shaft Lateral (resisting supination)
Carbon flex Standard heel Carbon flex Shallow heel Extra Layer on All Extra Layer on shell only

3/4

Yes Details

Teardrop Carbon flex SlimHeel Metatarsal Dome Pad Fit heel Pad 2-4 Inversion

No

Could be pronating or supinating at rearfoot

posting (wedging) haveShaft Short you used to hold the rearfoot in STJ neutral position? Medial (resisting pronation)
Deep Heel Cup FLEXI FIRM

2-4 Metatarsal Dome Pad

Long Met Shaft Pad

inv

Short Shaft Cobra Pads Carbon flex Standard heel Cobra Pads Carbon flex Shallow heel

5mm 2-5 Varus Met Bar

1st Met Cut-out


MEDMet Shaft Pad Long
Cobra Pads Extra Layer on All Short Shaft Cobra Pads

Met Cussions 2-51st Met Cut-out Met Bars 2-5 Met Bars

inv

Met Cussions 1st Met Cut-out 2-5 Met on shell only Extra LayerBars 2-5 Met Bars

MED

Short Shaft

Carbonflex Slim Fit Shell 5mm 2-5 Varus Met Bar Carbon flex No Short Met Shaft Pad heel Postl Heel Eversion

Plantarflexed 1 ray

Details

Plantarflexed 1 ray

1st Met Cut-out

LAT
Teardrop Pad Teardrop Pad Met Cussions

1st Met Cut-out LAT


Pronation
U To Which Heads

3mm 2-5 Varus Met Bar


Forefoot everted on rearfoot

C Are you resisting pronation or supination at STJ?

3mm 2-5 Varus MetU To Which Heads Bar Cut out To Which Heads 2-4 Dome Pad 2-4 Met Shaft LongDome Pad Pad

Pronation
Teardrop Pad

Cut out To Which Heads 2-4 posting 1-5 ForefootDome Pad 2-4 Dome Pad Pad Long Met Shaft

Forefoot posting 1-5

Supination

Supination
Extra Layer on All

Teardrop Pad Teardrop Pad Met Cussions

5. FOREFOOT (2-5) TO REARFOOT RELATIONSHIP


Forefoot Heel Vertical inverted on rearfoot Teardrop Pad
Forefoot level with rearfoot

(2nd-5th Met Head) Assessed Non-weightbearing

LEFT
Plantarflexed 1 ray

RIGHT
Plantarflexed 1 ray

OR
NEUTRAL CALCANEAL STANCE

2-4 Metatarsal Dome Pad Extra Layer on shell only

Deep Heel Cup

Normal Alignment
Casted Orthoses Heel Raise Attached

Forefoot level with Rearfoot

Forefoot Inversion rearfoot Heel everted on Short Met Shaft Pad

| 9 |

6. REARFOOT ASSESSMENT without prescription platform


Short Met Shaft 1st Met Which Heads PadTo Cut-out Short Shaft U Cut out To Which Heads Short Shaft 5mm 2-5 Varus Met Bar Cut-out 1st Met 3mm 2-5 Varus Met Bar 2-4 Metatarsal Dome Pad Heel Vertical Long Met Shaft Pad Long Met Shaft Pad

1st Met Cut-out Short Shaft U To Which Heads Cut out 1 1st 1 ray Short Shaft Which Heads Plantarflexed Toray PlantarflexedMet Cut-out

+ 353 POSITION (CORRECTED) (0) 21 4320277


B
How much rearfoot varus

LEFT
Forefoot posting 1-5 Extra Layer on All

RIGHT
Extra Layer on shell only Met Cussions Met Cussions

D Forefoot inverted on Rearfoot

Heel Eversion Forefoot level with rearfoot Heel Vertical

Mild Moderate

Mild Moderate

NCSP Heel Inversion Pad Long Met Shaft

Met Cussions Teardrop Pad Met Cussions 5mm 2-5 Varus Met Bar

Met Cussions

Long Met Shaft Pad Long Met Shaft Pad

Long Met Shaf

2. LEG & ANKLE


Sulci Full

Heal Raise Attached Short Shaft Cobra Pads

Ankle Dorsiflexion
Full
1st Met Cut-out

Non-weightbearing
Short Shaft

1st Met Cut-out

+5

LEFT

Heal Raise Cut-out 1st Met Detachable 2-5 Met Bars

Cobra Pads

Short Shaft

-5

(Limited)

-10

3/4

prescribing orthotic devices


Met Cussions

3/4

Hight of Arch

If Ankle Equinus, how much is bony? (requires heel raises)

Heal Cussion Long Met Shaft Pad 2-4 Dome Pad

Teardrop Pad Met Cussions

Hight of Arch

Leg Length
Long Met Shaft Pad

Met Cussions

Left Leg Short by


Cobra Pads Cut out To Which Heads Short Shaft

+5

RIGHT
2-5 Met Bars

1st Met Cut-out

Sulci Sulci

-5

(Limited)

-10

Cobra Pads

HEEL CUSSION Long Met Shaft Pad 2-4 Dome Pad Teardrop Pad Met Cussions

bony mm

Right Leg Short by


Cobra Pads 2-5 Met Bars Cut out To Which Heads Short Shaft U To Which Heads 1st Met Cut-out

Presenting Complaints:

TOTAL Forefoot M

Heal Cussion

Forefoot Medi 3/4 3/4

bony mm

Gait Pattern:
TOTAL Forefoot Rearfoot Medial Rearfoot Medial

Cobra Attac Heal RaisePads

Discrepancy (True)

2-5 Met Bars

Hight of Arch

Hight of Arch

U To Which Heads

U To Which Heads

3. ARCH PROFILE
Cut out To Which Heads U To Which Heads

LEFT

1st Met Cut-out

RIGHT
Normal Low
Teardrop Pad Extra Layer on shell only Met Cussions

REARFOOT COMPLEX
G Sub-talar Joint G Talo-navicular Joint G Calc-cuboid Joint

LE

2-4 Metatarsal Dome Pad

Non-weight bearing arch profile


Extra Layer on All Extra Layer on shell only

Note any bony limitations of movement in

Heal Cussion 2-4 Dome P

2-4 Metatarsal Dome Pad 2-4 Dome Pad Teardrop Pad

High

Normal Low

2-4 Dome Pad

High

Heal Raise Atta Forefoot Medial Forefoot Medial

Extra Layer on All Long Met Shaft Pad Met Cussions 5mm 2-5 Varus Met Bar Long Met Shaft Pad

Rearfoot Medial Sulci

Rearfoot Medial

Rearfoot Laterall Full

Rearfoot Laterall

Sulci
Sulci

5mm 2-5 Varus Met Bar

4. MEDIAL COLUMN 1st Ray (Metatarsal)


Forefoot posting 1-5

Cobra Pads Short Shaft

3mm 2-5 Varus Met Bar

Short Shaft 1st Met Cut-out 3mm 2-5 Varus Met Bar

LEFT

Short Shaft Forefoot posting 1-5

RIGHT

1st Met Cut-out

Heal Cussion TOTAL Forefoot Med TOTAL Forefoot Med

Full

Teardrop Pad

(Non-weightbearing)

Plantarflexed 1st Ray

Yes No Mild Moderate Severe


Teardrop Pad

Cut out To Which Heads

U To Which Heads

Cut out To Which Heads

Yes No Mild Moderate Severe


Met Cussions Plantarflexed 1 ray Extra Layer on shell only

U To Which Heads

Short Met Shaft Pad

Please note: Fill in EITHER Rearfoot Assessment using Rearfoot Assesment without Prescription

2-4 Dome P

Cobra Pads Long Met Shaft P

Mobility of 1st Ray


Forefoot Medial 3/4

Plantarflexed 1 ray

Plantarflexed 1 ray

Heal Raise Attache Heal Raise Attache

Forefoot Medial Sulci

Step 4 - Assessment of Medial Column


Forefoot Lateral Hight of Arch

Sulci

3/4

Full 3/4

(Non-weightbearing)

Mobile

2-4 Metatarsal Dome Pad Long Met Shaft Pad Met Cussions

Long Met Shaft Pad Plantarflexed 1 ray Extra Layer on All

Limited

Short Met Shaft Pad

Rigid

Mobile

Limited

Rigid

6. REARFOOT ASSESSMENT usin


Short Shaft

Full

Heel Vertical

Forefoot Lateral Full

Hight of Arch

1st MPJ (Hallux)


Mobility of 1st MPJ
(Non-weightbearing)

LEFT
Mobile

5mm 2-5 Varus Met Bar

RIGHT
Cut out To Which Heads U To Which Heads

2-4 Dome P Cut out To Which Heal Cussion Heal Cussion

Cut out To WhichHeel Vertical Heads

U To Which Heads

Full Assess medialSulci column to determine if midfoot or Full forefoot additions are required.
Heel Eversion

Full

Heel Inversion

Limited

3mm 2-5 Varus Met Bar

A What type and how many degrees of


Rigid

Rigid

Forefoot posting 1-5

Mobile

Limited

posting (wedging) have you used to hold the rearfoot in STJ neutral position? Medial (resisting pronation) or Lateral (resisting supination)

2-

Long Met Shaft P Short Shaft Cobra Pads Cobra Pads

TOTAL Forefoot Medial Rearfoot Medial

Assess medial column, with patient non weightbearing in STJ neutral and again in weightbearing. Details Details 1st MPJ Position
TOTAL Forefoot Lateral Rearfoot Laterall

Functional (weightbearing) Hallux Limitus


ie HAV (Bunion)

Yes No Mild Moderate Severe


Teardrop Pad 2-4 Inversion Heel Metatarsal Dome Pad 5mm 2-5 Varus Met Bar Short Met Shaft Pad Heel Eversion

Extra Layer on All

Yes No Mild Moderate Severe


Extra Layer on shell only Plantarflexed 1 ray

5m

3/4

TOTAL Forefoot Medial Sulci

Forefoot inverted on rearfoot

Plantarflexed 1 ray

Hight of Arch

Hight of Arch
Forefoot everted on rearfoot

3mm 2-5 Varus Met Bar Forefoot posting 1-5

C Are you resisting pronation or supination at STJ?

3m Cut out To Which

2-4 Dome Pad 2-4 Met Shaft LongDome Pad P

3/4 TOTAL Forefoot Medial

Heal Raise Attached Forefoot Medial

TOTAL Forefoot Medial Hight of Lateral Assess the positionArch the 1st RayHight of Arch (Metatarsal head) TOTAL Forefoot of 3/4 in relation to the rest of the metatarsal heads (2nd Arch Hight of Arch Hight of to 5th). Note if the 1st Metatarsal Head is sitting in a plantarflexed position, and if so how dropped it is.
Carbonflex & Orthoses Heal Raise Detachable 3/4 Heal Raise Detachable Forefoot Lateral

5. FOREFOOT (2-5) TO REARFOOT RELATIONSHIP


Forefoot Heel Vertical inverted on rearfoot Teardrop Pad
Forefoot level with rearfoot

(2nd-5th Met Head) Assessed Non-weightbearing

LEFT
Plantarflexed 1 ray

RIGHT
Plantarflexed 1 ray

OR
NEUTRAL CALCANEAL STANCE POSITION (CORRECTED)
B
How much rearfoot varus ie. Tibial Varum + STJ Varus

Deep Heel Cup

Normal Alignment
Casted Orthoses Heel Raise Attached

Forefoot level with Rearfoot

Forefoot Inversion rearfoot Heel everted on Short Met Shaft Pad

6. REARFOOT ASSESSMENT with

S Short Shaft Cut out To Whic Short Shaft 5m

Rearfoot Medial

Rearfoot Laterall Sulci Carbonflex & Orthoses Heal Raise Detachable Sulci

Sulci

3m 2

D Forefoot inverted on Rearfoot


Forefoot Invertus or Varus
Carbon flex Standard heel Carbon flex Shallow heel

Heel Eversion Forefoot level with rearfoot Heel Vertical

Rearfoot Medial

Heal Raise Heal Cussion Attached TOTAL Forefoot Medial

Assess the Heal Raise Detachable 1st MPJ (hallux) for non weightbearing Rearfoot Medial Rearfoot Laterall mobility and then weightbearing mobility. This will identify either a true limitation of dorsiflexion (hallux limitus or rigidus) or just a functional weight-bearing 3/4 Forefoot Forefoot Medial limitation of dorsiflexion (functional Lateral hallux limitus).
Cobra Pads TOTAL Forefoot Lateral HEEL CUSSION TOTAL Forefoot Medial 2-5 Met Bars Heal Raise Detachable Cobra

Rearfoot Laterall

Forefoot inverted on rearfoot Deep Heel Cup Heel Inversion

Mild Moderate Severe Yes FF Varus

Mild Moderate Severe Yes FF Varus

NCSP Heel Inversion Or

Long Met Shaft Pad Long Met Shaft Pad

5m

Is any of the inversion deformity bony and not passively correctable?


Carbon flex deep heel cup

No FF Invertus No FF Invertus
Casted Orthoses Heel Raise Attached

B NCSP Heel Vertical 0

Forefoot everted on rearfoot Low Heel Cup Heel Eversion

PODO FLEX

PODO SOFT

If there is any bony inversion (FF Varus), estimate how many degrees are bony?
Carbon flex Slim Fit heel Carbon flex No heel Postl

(Unusual as 5 Inversion is normal due to Tibial Varum)

S 3m

Cut out To Which He Cut out To Which He

Podo Firm Forefoot level with rearfoot

Cobra Pads Heal Raise Attached

Forefoot Medial Heal Cussion

Forefoot Lateral Pads

Cobra Pads 3/4 2-5 Met Bars Carbonflex & Orthoses Heal Raise Detachable

F Forefoot everted on Rearfoot


(FF Valgus) Always Bony (rare)
Carbon flex Comfort Fill

Forefoot inverted on rearfoot

Inv

Carbon flex Standard heel Carbon flex Shallow heel

Inv

RELAXED CALCANEAL STANCE POSITION (UNCORRECTED)


C

2-4 M 2-4 M

Forefoot

5mm H 5mm

FLEXI FIRM Deep Heel Cup Forefoot everted on rearfoot

Using Neutral Zone Prescription Platform


2-4 Dome Pad Heal Cussion Teardrop Pad Cobra Pads

Forefoot Medial

Forefoot Lateral

3/4 HEEL CUSSION

Dont confuse with Plantarflexed 1st Rays


Carbon flex heelRais Attached

ev

Carbon flex deep heel cup

ev

On relaxing from neutral position doe patient

Forefo

3mm 3mm 2

PODO FLEX

FURTHER INFORMATION
Carbonflex Slim Fit Shell

Carbon flex Slim Fit heel Low Heel Cup Forefoot level with rearfoot PODO SOFT Carbon flex No heel Postl Podo Firm Carbon flex Standard heel Carbon flex Shallow heel Casted Orthoses Heel Raise Attached

Pronate, Supinate or do they stay s RCSP Heel Eversion

Forefo Te Te H

Forefoot

Add required midfoot and/or forefoot additions for medial column dysfunction
TOTAL Forefoot Medial
2-4 Dome Pad

They are pronating at rearfoot

Sho Sho Deep

TOTAL Forefoot Lateral


HEEL CUSSION

Teardrop Pad

TOTAL Forefoot Medial

Deep Heel Cup


No Extrinsic Posting Carbo flex Standard Shell & Casted Orthoses Slim Width of Shell

Carbon flex Comfort Fill FLEXI FIRM Carbon flex deep heel cup

They are probably pronating at rearfoot

RCSP Heel Vertical 0

Forefo

TOTAL Forefoot Medial Cobra Pads Sulci

To MOBILISE the Medial Column Forefoot Medial TOTAL


TOTAL Forefoot Lateral 2-5 Met Bars Cobra Pads Full TOTAL Forefoot Medial TOTAL Forefoot Lateral
1st Met Cut-out 2-5 Met Bars

Medial Extrinsic Posting

2-5 Met Bars TOTAL Forefoot Medial


Laterall Extrinsic Posting

Low Heel Cup PODO FLEX

Casted Orthoses Heel Raise Attached Carbon flex heelRais Attached Carbon flex Slim Fit heel

Could be pronating or supinating at rearfoot

RCSP Heel Inversion

LowH H H Forefoo

Forefo

Full Use either Arch support only

Pod Heel Heel Forefo

PPL26032009

Full

Podo Firm PODO SOFT

Carbon flex Standard heel Carbon flex Shallow heel Carbonflex Slim Fit Shell Carbon flex No heel Postl

Deep

FLE

Short Shaft Cobra Pads

1st Met Cut-out 2-5 Met Bars

Short Shaft Cobra Pads

Heal Raise Attached 2-4 3/4 Dome Pad Heal Raise Attached
2-4 Dome Pad Long Met Shaft Pad

For mild to moderate Functional Hallux Limitus with no plantarflexed 1st Ray. Carbonflex & Orthoses Heal Raise Detachable An arch support and correction of excessive pronation will often be Heal Raise Detachable sufficient to return the medial column to normal function Carbonflex & Orthoses Heal Raise Detachable
2-4 Dome Pad Hight of Arch Heal RaiseMet Cussions Detachable
Teardrop Pad

Teardrop Pad Heal Hight of Arch Raise Detachable


Met Cussions Teardrop Pad

Teardrop Pad Carbonflex & Orthoses Heal Raise Detachable

Heal Raise

2-4 Dome Pad Long Met Attached Shaft Pad

And/or 1st Metatarsal Cut-out Pad To assist 1st Ray plantarflexion and Hallux dorsiflexion. HEEL CUSSION Cobra Pads MoreSulci easily accommodated than a Metatarsal cushion with a cut-out to 1st.
Cobra Pads Short Shaft
1st Met Cut-out U To Which Heads

Heal Cussion

Rearfoot Medial Heal Cussion Cut outShort ShaftHeads To Which Short Shaft

U To1st Met HeadsCobra Laterall ShortWhich Heads Which Cut-out Cut Rearfoot Pads out To Shaft

1st Met Cut-out Heal Cussion

HEEL CUSSION 1st Met Cut-out

And/or 2-5 Varus Metatarsal Bar

HEEL CUSSION

2-4 Metatarsal Dome Pad

Cobra Pads
Long Met Shaft Pad Met Cussions

Extra Layer on All Long Met Shaft Pad

Cobra Pads Met Bar 5mm 2-5 Varus Forefoot Medial Long Met Shaft Pad
3mm 2-5 Varus Met Bar Cut out To Which Heads

2-5 Met Bars Forefoot Lateral Cobra Pads Met Cussions

To assist 1st Ray plantarflexion Cobra Pads 2-5 Met Sits2-5 Met Bars 2nd-5th metatarsal heads Bars is wedge shaped (higher medially). behind and Also assists in supporting a small bony or larger soft tissue forefoot inversion. 3/4 Cobra Pads
Extra Layer on shell only Met Cussions

2-5 Met Bars

And/or 2-4 Metatarsal Dome Pad Met Cussions


U To Which Heads

2-5 Met Bars Long Met Shaft Pad

Cobra Pads

2-5 Met Bars

U To Which Heads

Forefoot posting 1-5 Cut out To Which Heads

2-4 Dome Pad

Teardrop Pad

2-4 Dome Pad TOTAL Forefoot Medial Cut out To Which Heads
Short Met Shaft Pad

Teardrop Lateral TOTAL ForefootPad 2-4 Dome Pad U To Which Heads


Extra Layer on All Plantarflexed 1 ray

To assist 1st Ray plantarflexion Teardrop Pad 2-4 Dome Pad SitsTeardrop Pad 2nd-4th metatarsal heads and is dome shaped. behind Designed to lift and separate the metatarsal heads, and give some support to Teardrop Pad 2-4 Dome Pad TOTAL Forefoot Medial the mid-tarsus.
2-4 Dome Pad U To Which Heads Teardrop Pad

2-4 Metatarsal Dome Pad

Teardrop Pad Cut out To Which Heads


Extra Layer on shell only Plantarflexed 1 ray

To IMMOBILISE the Medial Column


5mm 2-5 Varus Met Bar

Short Shaft

2-4 Metatarsal Dome Pad Heel Vertical Short 3mm 2-5 Varus Met Bar Shaft 1st Met Cut-out Heal Raise Attached Heal Raise Detachable posting 1-5 Forefoot Short Shaft
Teardrop Pad
? ?

Use Long 1st Heal Raise Detachable Shaft Pad Metatarsal Carbonflex & Orthoses
Short Shaft 1st Met Cut-out Extra Layer Cut-out 1st Met on All 1st Met Cut-out Short Shaft To block 1st RayLayer on shell only Extra plantarflexion and Hallux dorsiflexion This addition extends under metatarsal shaft, head and hallux. This immobilisation addition is very rarely used It is not included in the prescription platform. Use a piece of material such as Poron. Long Met Shaft Pad Met Cussions Met Cussions HEEL CUSSION Met Cussions Long Met Shaft Pad Met Cussions

1st Met Cut-out

Short Shaft

1st Met Cut-out

5mm Heel Inversion

2-5 Varus Met Bar

Short Met Shaft Pad


? ?

Long Met Shaft Pad


Plantarflexed 1 ray

Cobra Pads Heal Cussion Heel Eversion 2-5 Varus Met Bar 3mm Long Met Shaft Pad Met Cussions

Plantarflexed 1 ray

Long Met Shaft Pad Forefoot posting 1-5 Met Cussions

Long Met Shaft Pad


Heel Vertical

Forefoot inverted on rearfoot Teardrop

Pad Cut out To Which Heads U To Which Heads Cobra Pads Cut out To Which Heads Cut out To Which Heads 2-5 Met Bars U To Which Heads

Cobra Pads Cut

2-5 Met Bars U To Which Heads

| 10 |

U To Which Heads

+ 353 (0) 21 4320277

Heel Inversion Forefoot everted Heads out To Which on rearfoot

Sulci

Full

Rearfoot Laterall

Full

TOTAL Forefoot Medial Sulci Rearfoot Medial

TOTAL Forefoot Lateral Full Rearfoot Laterall

TOTAL Forefoot Medial Sulci Full

Rearfoot Medial

Rearfoot Laterall

Sulci
Forefoot Lateral

3/4

Tr a m o r e C o m m e r c i a l P a r k , Tr a m o r e R o a d , C o r k , I r e l a n d .
Hight of Arch Hight Arch Tel: + 353 (0) 21 4320277 / Fax: + 353of (0) 21 4321159 3/4 3/4 Heal Raise Attached Forefoot Medial Hight of Arch Heal Raise Detachable Forefoot Lateral Carbonflex & Orthoses Heal Raise Detachable Hight of Arch 3/4

prescribing orthotic devices


3/4 Hight of Arch Hight of Arch
TOTAL Forefoot Lateral

S HO RT BI O ME CHANI CAL AS S E S S ME NT F O RM
TOTAL Forefoot Medial

DATE PRESCRIBED

Rearfoot Medial Sulci

Rearfoot Laterall Full

Sulci Full

PRACTITIONER INFORMATION
Rearfoot Medial Heal Cussion
Carbonflex & Orthoses Heal Raise Detachable

Rearfoot Laterall Cobra Pads

Sulci

HEEL CUSSION

Heal Raise Detachable

3/4

TOTAL Forefoot Medial

TOTAL Forefoot Lateral

TOTAL Forefoot Medial

FOR LAB USE ONLY PATIENT INFORMATION


3/4 Sulci

Ref No:
Forefoot Medial Hight of Arch Forefoot Lateral Full 3/4 Hight of Arch

Forefoot Medial

Forefoot Lateral

Name:
3/4 Forefoot Medial Cobra Pads Forefoot Lateral 2-5 Met Bars Cobra Pads 2-5 Met Bars Carbonflex & Orthoses Heal Raise Detachable Heal Raise Detachable

Cobra Pads

Rearfoot Medial

Rearfoot Laterall

Sulci

1. FOOTWEAR ASSESSMENT
HEEL CUSSION

Name: Sex: Male Female

Full

MENS 31/ 2 - 14
2-5 Met Bars

LADIES 31/ 2 - 10 Low


TOTAL Forefoot Medial 2-4 Dome Pad Heal Cussion

Heal Raise Attached

CHILDS 71/ 2 - 3
Teardrop Pad HEEL CUSSION

TOTAL Forefoot Medial 3/4

Age:

Rearfoot Medial

Rearfoot Laterall

TOTAL Forefoot Lateral Hight of Arch

Weight:

Sulci TOTAL Forefoot Medial Hight of Arch

Stone

What gradient have you used?


Cobra Pads 2-5 Met Bars 2-4 Dome Pad Teardrop Pad

TOTAL Shoe Flat Shoe/Trainer/Walking Forefoot Medial TOTAL Forefoot Lateral 2-4 Dome Pad Teardrop Pad

Occupation / Sporting Activities: Medical / surgical history:

TOTAL Forefoot Medial

TOTAL Forefoot Lateral

To account for patients shoe TOTAL Forefoot Medial pitch


Teardrop Pad

Medium High

Heels Cobra Pads between 1 & 2 (3-5cm) Heels over 2 (over 5cm)

3/4 Forefoot Medial Heal Raise Medial Rearfoot Attached Sulci Sulci Forefoot Lateral Heal Raise Detachable Rearfoot Laterall Full Full Carbonflex & Orthoses Heal Raise Detachable Sulci

Carbonflex & Orthoses Heal Raise Detachable Heal Raise Attached Short Shaft Cobra Pads

3/4 Forefoot Medial Forefoot Lateral

2. LEG & ANKLE


Ankle Dorsiflexion
Non-weightbearing
Short Shaft 1st Met Cut-out

Step 5 - Assessment of Forefoot to Rearfoot RelationshipGait Pattern:


If Ankle Equinus, how much is bony? Raise Detachable Carbonflex & Orthoses Heal(requires heel raises)
Met Cussions

1st Met Cut-out

+5

LEFT

Heal Raise Cut-out 1st Met Detachable 2-5 Met Bars

Cobra Pads

Short Shaft

-5

(Limited)

-10

+5

RIGHT
2-5 Met Bars

1st Met Cut-out

-5

(Limited)

-10

Heal Cussion

Cobra Pads

HEEL CUSSION

Presenting Complaints:
TOTAL Forefoot Medial Heal Cussion Forefoot Medial 3/4 3/4 TOTAL Forefoot Lateral Cobra Pads Forefoot Lateral Hight of Arch Hight of Arch

Full Full

TOTAL Forefoot Medial 3/4 HEEL CUSSION

Hight of Arch Hight of Arch

Long Met Shaft Pad 2-4 Dome Pad

Teardrop Pad Met Cussions

bony

Long Met Shaft Pad 2-4 Dome Pad

Teardrop Pad Met Cussions

bony

Carbonflex & Orthoses Heal Raise Detachable Cobra Attached Heal RaisePads TOTAL Forefoot Medial Rearfoot Medial Rearfoot Medial Heal 2-5 Met Bars Raise Detachable TOTAL Forefoot Lateral Rearfoot Laterall Rearfoot Laterall Cobra Pads TOTAL Forefoot Medial Sulci Sulci 2-5 Met Bars

Heal Raise Attached

mm Assess forefoot to determineDiscrepancy (True) additions / forefoot posts aremm if midfoot required
Cobra Pads 2-5 Met Bars Cobra Pads 2-5 Met Bars

Heal Raise Detachable

Leg Length
Long Met Shaft Pad

Met Cussions

Left Leg Short by


Cut out To Which Heads Short Shaft

Right Leg Short by


Cut out To Which Heads Short Shaft

TOTAL Forefoot Medial Sulci

TOTAL Forefoot Lateral Full

TOTAL Forefoot Medial


U To Which Heads

U To Which Heads 1st Met Cut-out

Heal Cussion

Heal Raise Attached

Non-weight bearing arch Assess Forefoot to Rearfoot relationship, with patient non weightbearingGand in Joint neutral. STJ High Normal Low High Normal Low Sub-talar profile The forefoot is considered to be only the 2nd 5th metatarsal heads. The 1st metatarsal head functions G Talo-navicular Joint 4. MEDIAL COLUMN independently and is considered part of the medial column rather than the forefoot. If you make the mistake of Calc-cuboid Joint LEFT assessing the 1st metatarsal 1st Ray (Metatarsal) forefoot, and the RIGHT head with the patient hasGa plantarflexed 1st Ray, your assessment Plantarflexed 1st Ray Please note: and prescription will be inappropriate. Yes No Yes No (Non-weightbearing)
2-4 Metatarsal Dome Pad 2-4 Dome Pad Teardrop Pad 2-4 Dome Pad Teardrop Pad Heal Raise Attached Forefoot Medial Forefoot Medial Forefoot Detachable Heal Raise Lateral Forefoot Lateral
2-4 Metatarsal Dome Pad

3. ARCH PROFILE
Cut out To Which Heads U To Which Heads

Full

LEFT

RIGHT

U To Which Heads 1st Met Cut-out

REARFOOT COMPLEX

LEFT
Heal Cussion 2-4 Dome Pad Cobra Pads Teardrop Pad

RIGHT
HEEL CUSSION Teardrop Pad 2-4 Dome Pad Carbonflex & Orthoses Heal Raise Detachable 3/4 3/4

Note any bony limitations of movement in the joints of the rearfoot complex

Extra Layer on All

Extra Layer on All

Extra Layer on shell only Met Cussions

Extra Layer on shell only

Cobra Pads

5mm 2-5 Varus Met Bar

HEEL CUSSION

Long Met Shaft Pad Met Cussions 5mm 2-5 Varus Met Bar

Long Met Shaft Pad

Cobra Pads

2-5 Met Bars

Cobra Pads Short Shaft

2-5 Met Bars

Carbonflex & Orthoses Heal Raise Detachable


3mm 2-5 Varus Met Bar Forefoot posting 1-5 Teardrop Pad

Short Shaft 1st Met Cut-out 3mm 2-5 Varus Met Bar

Short Shaft

1st Met Cut-out

Heal Cussion TOTAL Forefoot Medial TOTAL Forefoot Medial

Short Shaft

1st Met Cut-out Cobra Pads TOTAL Forefoot Lateral TOTAL Forefoot Lateral

1st Met Cut-out

TOTAL Forefoot Medial TOTAL Forefoot Medial

HEEL CUSSION

3/4

Heal Raise Detachable

Hight of Arch

Hight of Arch

Forefoot posting 1-5

Cut out To Which Heads

U To Which Heads

Cut out To Which Heads

U To Which Heads

2-4 Dome Pad

Mild

Moderate

Teardrop Pad

Severe

Mild

Moderate

Severe Rigid

Short Met Shaft Pad

Fill in EITHER Rearfoot Assessment using Prescription Platform OR Rearfoot Assesment without Prescription Platform
Cobra Pads Long Met Shaft Pad 2-5 Met Bars Heal Raise Attached Heal Raise Attached Heal Raise Detachable Heal Raise Detachable Met Cussions

Teardrop Pad

2-4 Dome Pad

Teardrop Pad

Cobra Pads 2-5 Met Bars Carbonflex & Orthoses Heal Raise Detachable Long Met Shaft Pad Carbonflex & Orthoses Heal Raise Detachable Met Cussions

Cobra Pads

Mobility of 1st Mobile Limited Rigid Assess the forefoot for an abnormal Ray inverted or everted position Mobile Limited (Non-weightbearing) relative to the rearfoot. RIGHT 1st MPJ (Hallux) LEFT
Sulci 2-5 Met Bars Full Cobra Pads 2-5 Met Bars Full
2-4 Metatarsal Dome Pad Long Met Shaft Pad Met Cussions Short Met Shaft Pad Plantarflexed 1 ray Extra Layer on All
Heel Vertical

Plantarflexed 1 ray

Plantarflexed 1 ray

Long Met Shaft Pad

Met Cussions

Plantarflexed 1 ray Extra Layer on shell only

6. REARFOOT ASSESSMENT using prescription platform


Short Shaft 2-4 Dome Pad Cut out To Which Heads Heal Cussion Heal Cussion

5mm 2-5 Varus Met Bar

LEFT

1st Met Cut-out

Short Shaft

1st Met Cut-out

Heal Cussion

Rearfoot Medial Cobra Pads

Mobile Limited (Non-weightbearing) Identify if any of the deformity is bony and notRigid Mobile Limited Rigid passively Yes No Yes Functional (weightbearing) No correctable. Mild Moderate Severe Mild Moderate Severe Hallux Limitus
Heel Inversion

Rearfoot Laterall

Sulci

Teardrop Pad U To Which Heads Cobra Pads Cobra Pads

2-4 Dome Pad Cut out To Which Heads

RIGHT

Teardrop Pad U To Which Heads HEEL CUSSION HEEL CUSSION

HEEL CUSSION Mobility of 1st MPJ

Cut out To WhichHeel Vertical Heads

U To Which Heads

Cut out To Which Heads

U To Which Heads

3mm 2-5 Varus Met Bar

A What type and how many degrees of

Forefoot posting 1-5

posting (wedging) have you used to hold the rearfoot in STJ neutral position? Medial (resisting pronation) or Lateral (resisting supination)

2-4 Metatarsal Dome Pad Met Cussions 2-51st Met Cut-out Met Bars 2-5 Met Bars

Long Met Shaft Pad Short Shaft Cobra Pads Cobra Pads

MEDMet Shaft Pad Long


Cobra Pads Extra Layer on All Short Shaft Cobra Pads

Heel Eversion

Teardrop Pad 2-4 Inversion Heel Metatarsal Dome Pad

Met Cussions 1st Met Cut-out 2-5 Met on shell only Extra LayerBars 2-5 Met Bars

MED

3/4

Hight of Arch

2-4 Dome Pad

Teardrop Pad

2-4 Dome Pad


Forefoot inverted on rearfoot

Cobra Pads

Forefoot Medial

If the forefoot can be ie HAV (Bunion) back into alignment with the twisted rearfoot then all the deformity is soft tissue.
Heel Eversion

1st MPJ Position

Hight of Arch Teardrop Pad

Extra Layer on All

Extra Layer on shell only

5mm 2-5 Varus Met Bar

Details

5mm 2-5 Varus Met Bar Short Met Shaft Pad

Plantarflexed 1 ray

Details

LAT
3mm 2-5 Varus MetU To Which Heads Bar Cut out To Which Heads 2-4 Dome Pad 2-4 Met Shaft LongDome Pad Pad Teardrop Pad Teardrop Pad Met Cussions

LAT

Plantarflexed 1 ray

2-5 Met Bars

Cobra Pads Forefoot everted on rearfoot Forefoot Lateral

3/4 2-5 Met Bars

3mm 2-5 Varus Met Bar

C Are you resisting pronation or supination at STJ?

Pronation
Teardrop Pad

Cut out To Which Heads 2-4 posting 1-5 ForefootDome Pad 2-4 Dome Pad Pad Long Met Shaft

Pronation

U To Which Heads

Forefoot posting 1-5

Supination

Supination
Extra Layer on All

Teardrop Pad Teardrop Pad Met Cussions

5. FOREFOOT (2-5) TO REARFOOT RELATIONSHIP


Forefoot Heel Vertical inverted on rearfoot Teardrop Pad

Rearfoot Medial Short Shaft

2-4 Dome Pad 2-4 Dome Pad TOTAL Forefoot Medial Teardrop Pad TOTAL Forefoot Lateral

If the forefoot can not be fully twisted back into alignment Forefoot level with Rearfoot with the rearfoot then the remaining portion of the deformity Normal Alignment is bony. D Forefoot inverted on Mild Mild
Rearfoot Laterall
Forefoot Inversion rearfoot Heel everted on Short Met Shaft Pad

Forefoot level with rearfoot

Sulci (2nd-5th Met Head) Assessed Non-weightbearing

LEFT

RIGHT

OR
NEUTRAL CALCANEAL STANCE POSITION (CORRECTED)
B
How much rearfoot varus ie. Tibial Varum + STJ Varus

2-4 Metatarsal Dome Pad Extra Layer on shell only

6. REARFOOT ASSESSMENT without prescription platform


Short Met Shaft 1st Met Which Heads PadTo Cut-out Short Shaft U Cut out To Which Heads Short Shaft 5mm 2-5 Varus Met Bar Cut-out 1st Met 3mm 2-5 Varus Met Bar 2-4 Metatarsal Dome Pad Heel Vertical

1st Met Cut-out Short Shaft U To Which Heads Cut out 1 1st 1 ray Short Shaft Which Heads Plantarflexed Toray PlantarflexedMet Cut-out

1st Met Cut-out

Deep Heel Cup Short Shaft

1st Met Cut-out

Plantarflexed 1 ray

Plantarflexed 1 ray

LEFT
Forefoot posting 1-5 Extra Layer on All Long Met Shaft Pad Long Met Shaft Pad

RIGHT
Extra Layer on shell only Met Cussions Met Cussions

Heel Eversion Forefoot level with rearfoot Heel Vertical

TOTAL Casted Orthoses HeelMedial Forefoot Raise Attached Teardrop Pad

NCSP Heel Inversion Or

Rearfoot
3/4

Long Met Shaft Pad Long Met Shaft Pad

Using Neutral Zone Prescription deformity bony Platform Is any of the inversion
Carbon flex Standard heel Carbon flex Shallow heel

Forefoot Invertus or Varus

Forefoot inverted on rearfoot Deep Heel Cup Heel Inversion

Moderate Severe

Moderate Severe

Met Cussions Teardrop Pad Met Cussions 5mm 2-5 Varus Met Bar Heel Inversion

inv
Plantarflexed 1 ray

inv

Long Met Shaft Pad Short Shaft

and not passively correctable? Yes FF Varus Yes FF Varus Add required midfoot additions/forefoot posts for forefoot inversion or eversion.5 Inversion is normal (Unusual as due to Tibial Varum)
Forefoot Medial Forefoot Lateral

No FF Invertus No FF Invertus
Casted Orthoses Heel Raise Attached

Short Met Shaft Pad 3mm 2-5 Varus Met Bar Cut out To Which Heads Cut out To Which Heads Heel Eversion Teardrop Pad U To Which Heads U To Which Heads

Plantarflexed 1 ray Forefoot posting 1-5 Cut out To Which Heads Cut out To Which Heads

B NCSP Heel Vertical 0

U To Which Heads U To Which Heads

Carbon flex deep heel cup

Forefoot everted on rearfoot Low Heel Cup Heel Eversion

Met Cussions

PODO FLEX Long Met Shaft Pad

SOFT TISSUE Forefoot Inversion (Forefoot Invertus)


ShortPODO SOFT Shaft 1st Met Cut-out Heal Raise Attached Heal Raise Detachable Sulci TOTAL Forefoot Medial Full TOTAL Forefoot Lateral Sulci
Carbon flex No heel Postl

If there is any bony inversion Met Cussions (FF Varus), estimate how Carbonflex & Orthoses Heal Raise Detachable many 1st are bony? degreesMet Cut-out
Carbon flex Slim Fit heel

Podo Firm Forefoot level with rearfoot

Cut out To Which Heads

U To Which Heads

Cut out To Which Heads Cobra Pads

Heal Cussion Long Met Shaft Pad 3/4 Met Cussions

For mild to Plantarflexed 1st Rays forefoot ev moderate use invertus ev an arch support. Dont confuse with Pronate, Supinate or do Controlling pronation will allow correction of the deformity. they stay still ? FURTHER INFORMATION NOTE* Medial rearfoot wedging may be required in step 6. RCSP Heel Eversion
(FF Full Carbon flex Comfort Fill Valgus) Always TOTAL Forefoot Medial
Full

F Forefoot everted on Rearfoot


Bony (rare)
Full

Forefoot inverted on rearfoot

Inv

Carbon flex Standard heel Carbon flex Shallow heel

Inv

RELAXED CALCANEAL STANCE POSITION (UNCORRECTED)


C

Heel Vertical 2-4 Metatarsal Dome Pad 2-4 Metatarsal Dome Pad

Forefoot Short Met Shaft Pad inverted on rearfoot

LEFT
Pronate Supinate Stay still

Extra Layer on All Extra Layer on 1 ray Plantarflexed All

Extra Layer on shell only Plantarflexed 1 ray shell only Extra Layer on

5mm 2-5 Varus Met Bar Heel Varus Met 5mm 2-5 Inversion Bar

RIGHT

FLEXI FIRM

Deep Heel Cup

Carbon flex deep heel cup

Forefoot everted on rearfoot

On relaxing from neutral position does the patient


3mm 2-5 Varus Met Bar Heel Vertical 3mm 2-5 Varus Met Bar Heel Eversion

Forefoot everted on rearfoot

Pronate Supinate Stay still

Forefoot posting 1-5 Forefoot posting 1-5

PODO FLEX

U To Which Heads
Carbonflex Slim Fit Shell

Carbon flex heelRais Attached

Carbon flex Slim Fit heel

Low Heel Cup

Casted Orthoses Heel Raise Attached

Forefoot level with rearfoot Teardrop Pad Teardrop Pad Heel Inversion

Forefoot level with rearfoot PODO SOFT

Forefoot inverted on rearfoot Short Met Shaft Pad Short Met Shaft Pad Deep Heel Cup Heel Eversion

HEEL CUSSION

Carbon flex No heel Postl Podo Firm Carbon flex Standard heel Carbon flex Shallow heel

They are pronating at rearfoot

2-4Heal Raise Attached Metatarsal Dome Pad

3/4 Heal Raise Detachable

Long Met Shaft Pad Met Cussions Hight of Arch Hight of Arch No Extrinsic Posting Carbonflex & Orthoses Heal Raise Detachable Carbo flex Standard Shell
Casted Hight of Arch Orthoses Slim Width of Shell &

Plantarflexed 1 ray Plantarflexed 1 ray

ev

Plantarflexed 1 ray Plantarflexed 1 ray

ev

Deep Heel Cup Carbon flex Comfort Fill FLEXI FIRM

Medial Extrinsic Posting

Extra Layer on All Sulci Cobra Pads Full 2-5 Met Bars

Laterall Extrinsic Posting

5mm 2-5 Varus Met Bar Cut Rearfoot Rearfoot Laterall out To Which Heads Cut out To Which Heads Medial U To Which Heads Rearfoot Medial Cobra Pads

PPL26032009 Sulci
Rearfoot Laterall

For moderate to severe forefoot invertus use a 2-5 varus metatarsal bar RCSP Heel Inversion This will support but maintain some of the varusbeinversion deformity and allow the Could pronating or supinating at rearfoot inv medial column to function normally
Hight of Arch
Carbon flex deep heel cup LowHeel Vertical Heel Cup Heel Vertical Forefoot inverted on rearfoot Forefoot level with rearfoot Low Heel Cup Casted Orthoses Heel Raise Attached Carbon flex heelRais Attached Carbon flex Slim Fit heel

They are probably pronating at rearfoot

RCSP Heel Vertical 0

Forefoot everted on rearfoot

Casted Orthoses Heel Raise Attached

Extra Layer on shell only

PODO FLEX

Cobra Pads Full

2-5 Met Bars

Podo Firm Heel Inversion Heel Inversion Forefoot everted on rearfoot

Carbon flex Standard heel Carbon flex Shallow heel

inv

Full

Podo Firm

Carbon flex Standard heel Carbon flex Shallow heel

PODO SOFT

U To Which Heads Sulci

Carbonflex Slim Fit Shell Carbon flex No heel Postl

Deep Heel Cup FLEXI FIRM

BONY Forefoot Inversion (Forefoot Varus)


Heal Cussion 3mm 2-5 Varus Met Bar 3/4 2-4 Metatarsal Dome Pad 2-4 Dome Pad Forefoot Medial Teardrop Pad Cobra Pads 5mm 2-5 Varus Met Bar Forefoot posting 1-5 Hight of Arch Teardrop Pad Extra Layer on All Forefoot Lateral 2-5 Met Bars Forefoot Medial Hight of Arch

HEEL CUSSION

For mild bony forefoot varus use a 2-5 varus metatarsal bar This will support but maintain some of the varus inversion deformity and allow the medial column to function normally
2-4 Dome Pad 3/4 Teardrop Pad Extra Layer on shell only

Rearfoot Medial Short Met Shaft Pad 3mm 2-5 Varus Met Bar Short Shaft TOTAL Forefoot Medial 2-4 Dome Pad Teardrop Pad

Rearfoot Laterall Plantarflexed 1 ray 1st Met Cut-out TOTAL Forefoot Lateral Forefoot posting 1-5 TOTAL Forefoot Medial Teardrop Pad

For moderate to severe bony forefoot varus use total forefoot medial posting Extends under 1st and 2nd metatarsal shafts and heads. Can be used on full length and cut-to sulci length devices only. Gives much more control to a fixed bony flat foot.
Sulci Plantarflexed 1 ray Short Shaft TOTAL Forefoot Medial 1st Met Cut-out TOTAL Forefoot Medial Teardrop Pad 3/4

Cobra Pads Forefoot Lateral

3/4

2-5 Met Bars

TOTAL Forefoot Lateral 2-4 Dome Pad

BONY Forefoot Eversion (Forefoot Valgus)


Heel Vertical Forefoot Medial Forefoot Lateral Long Met Shaft Pad Short Met Shaft Pad Heal Raise Attached
? ?

Met Cussions Heal Raise Detachable Plantarflexed 1 ray 1st Met Attached Heal Raise Cut-out

Heel Inversion Short Shaft

Short Shaft Heal Raise Detachable

TOTAL Forefoot Medial

TOTAL Forefoot Lateral

For bony forefoot eversion causing STJ supination use total forefoot lateral wedges Extends under 4th and 5th metatarsal shafts and heads. Can be used on full length and cut-to sulci length devices only. Gives much more control to a fixed bony supinated foot.
Carbonflex & Orthoses Heal Raise Detachable Long Met Shaft Pad Met Cussions Carbonflex & Orthoses Heal Raise Detachable Plantarflexed 1 ray 1st Met Cut-out TOTAL Forefoot Medial Cut out To Which Heads Cobra Pads U To Which Heads HEEL CUSSION HEEL CUSSION

Heel Vertical Cut out To Which Heads Heel Eversion Heal Cussion

U To Which Heads Cobra Pads Heal Cussion

Long Met Shaft Pad


? ?

Met Cussions

Long Met Shaft Pad Met Cussions Carbonflex & Orthoses Heal Raise Detachable

Heel Inversion Heal Raise Attached 2-4 Metatarsal Dome Detachable Heal Raise Pad Forefoot inverted on rearfoot Cobra Pads 2-5 Met Bars Cobra Pads 5mm 2-5 Varus Met Bar
?

Cobra Pads Extra Layer on All 2-5 Met Bars Cut out To Which Heads

2-5 Met Bars Extra Layer on shell only Cobra Pads U To Which Heads HEEL CUSSION 2-5 Met Bars

Heel out To Which Heads Cut Eversion Forefoot everted on rearfoot Heal Cussion

U To Which Heads Cobra Pads

PLEASE NOTE* forefoot and total forefoot medial posting may restrict normal medial column motion
3mm 2-5 Varus Met Bar 2-4 Dome Pad Teardrop Pad 2-4 Dome Pad Forefoot posting 1-5 Teardrop Pad Extra Layer on All Cobra Pads Teardrop Pad 2-4 Dome Pad Extra Layer on shell only 2-5 Met Bars Teardrop Pad

2-4 Metatarsal Dome Pad Forefoot inverted on rearfoot 2-4 Dome Pad Forefoot level with rearfoot Teardrop Pad Cobra Pads 2-5 Met Bars

5mm 2-5 Varus Met Bar

Forefoot everted on rearfoot Deep Heel Cup Short Shaft 1st Met Cut-out Short Met Shaft Pad Short Shaft 3mm 2-5 Varus Met Bar Short Shaft Plantarflexed 1 ray 1st Met Cut-out 1st Met Cut-out Plantarflexed 1 ray Short Shaft

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1st Met Cut-out

+ 353 (0) 21 4320277

PRACTITIONER INFORMATION
Name:

FOR LAB USE ONLY PATIENT INFORMATION


Name: Sex: Male Female

Ref No:

1. FOOTWEAR ASSESSMENT
Shoe Size Shoe Style What gradient have you used? Low
Flat Shoe/Trainer/Walking Shoe

prescribing orthotic devices


To account for patients shoe pitch

Age:

Weight:

Stone

Occupation / Sporting Activities: Medical / surgical history:

Medium High

Heels between 1 & 2 (3-5cm) Heels over 2 (over 5cm)

2. LEG & ANKLE


Ankle Dorsiflexion
Non-weightbearing
If Ankle Equinus, how much is bony? (requires heel raises)

LEFT
+5

RIGHT

Presenting Complaints: -10

-5

-10

Leg Length

Left Leg Short by

+5

-5

bony Right Leg Short by mm

bony mm

Gait Pattern:

Discrepancy (True)

RIGHT Step 6 - Assessment of the Rearfoot Complex LEFT 3. ARCH PROFILE


High Normal Low High Normal profile (axis) in STJ neutral Assess rearfoot to determine if rearfoot posts are required

REARFOOT COMPLEX
Low

LEFT

RIGHT

Non-weight bearing arch

Note any bony limitations of movement in the joints of the rearfoot complex G Sub-talar Joint G Talo-navicular Joint

4. MEDIAL COLUMN Assess the rearfoot with the patient standing on a correctly adapted platform (with steps 1-5 completed) G Calc-cuboid Joint RIGHT LEFT 1st Ray (Metatarsal) Palpate the medial and lateral sides of the talar head and ask the patient to roll their foot into pronation and Plantarflexed 1st Ray Please note: then supination. Yes No Yes No

Determine the position you want your patient to Mobility of 1st Ray Mobile Limited function in and around, usually this is STJ Rigid Mobile neutral Non-weightbearing

Mild

Moderate

Severe

Mild

Moderate Limited

Severe Rigid

Fill in EITHER Rearfoot Assessment using Prescription Platform OR Rearfoot Assesment without Prescription Platform

6. REARFOOT ASSESSMENT using prescription platform LEFT


A What type and how many degrees of

Ask the patient to relax


Functional Hallux Limitus

1st MPJ (Hallux)


Mobility of 1st MPJ
Mobile

LEFT
Limited Rigid Mobile

RIGHT
Limited Rigid

RIGHT
MED

if they Non-weightbearing they often need medial posting. pronate then if they supinate they often need lateral posting. Details Details
1st MPJ Position
ie HAV (Bunion) Yes No Mild Moderate Severe

posting (wedging) have you used to hold the rearfoot in STJ neutral position? Medial (resisting pronation) or Lateral (resisting supination)

Yes No Mild Moderate Severe

MED

LAT

if they don't move then they often need no rearfoot Full Sulci Full posting. FOREFOOT (2-5) TO REARFOOT RELATIONSHIP 5.

C Are you resisting pronation or supination at STJ?

LAT

Pronation Supination

Pronation Supination

Using Neutral Zone Prescription Platform Forefoot level with Rearfoot


To Resist Excessive STJ Pronation 3/4 Rearfoot Hight of Arch
Forefoot Invertus or Varus
Sulci

(2nd-5th Met Head) Assessed Non-weightbearing

LEFT

RIGHT

OR
6. REARFOOT ASSESSMENT without prescription platform NEUTRAL CALCANEAL STANCE POSITION (CORRECTED) LEFT RIGHT

Add required medial or lateral rearfoot posting/wedging Normal Alignment


D Forefoot inverted on

Place rearfoot MEDIAL posting/wedging under the heel until the patient stops rolling No FF Invertus No FF Invertus Is Fullany of the inversion deformity bony B NCSP Heel Vertical 0 Full and not passively correctable? into pronation (and does notVarus when Inversion is normal Yes FF Varus Yes FF supinate)(Unusual as 5 relaxing, and record. due to Tibial Varum) Note* patients presenting with hypermobility can have strapping applied to E If there is any bony inversion (FF Varus), estimatefurther simulate the Inv how many stabilise the in-shoe environment andCALCANEAL STANCE complex before Inv RELAXED (UNCORRECTED) rearfoot LEFT degrees are bony? RIGHT Sulci POSITION assessment. This will avoid over correction of your patient. Rearfoot Medial Rearfoot Laterall
F Forefoot everted on Rearfoot
(FF Valgus) To ResistHight of Arch Always Bony (rare) of Arch Excessive STJ Supination Hight
Dont confuse with Plantarflexed 1st Rays

Inv

Hight of Arch

NCSP Heel Inversion Or

Inv

How much rearfoot varus ie. Tibial Varum + STJ Varus

inv

inv

3/4

ev

3/4

ev

On relaxing from neutral position does the patient Pronate, Supinate or do they stay still ?

Pronate

Pronate Supinate Stay still

Supinate Stay still

FURTHER INFORMATION Place

rearfoot LATERAL posting/wedging under the heel until the patient stops rolling RCSP Heel Eversion into supination (and does not pronate) are pronatingrelaxing, and record. They when at rearfoot
? ?

Forefoot Medial Rearfoot Medial Rearfoot Laterall

Forefoot Lateral Sulci

They are probably pronating at rearfoot

RCSP Heel Vertical 0

ev

ev

The number of degrees and type of wedging (medial or lateral) found toInversion RCSP Heel be needed to maintain STJ neutral is the Could be pronating or supinating at rearfoot inv inv amount of posting required on the device you prescribe.
? ?

Step 7 - Objectively Test Your Prescription


TOTAL Forefoot Medial Forefoot Lateral TOTAL Forefoot Lateral 3/4 Forefoot Medial

TOTAL Forefoot Medial

CHECKING YOUR PRESCRIPTION 1 2 Recheck that both feet are still standing in STJ neutral Passively dorsiflexHeal Raisehallux. Carbonflex & Orthoses the Detachable If hallux dorsiflexion is blocked, apply a suitable pad and recheck

Heal Raise Attached TOTAL Forefoot Medial TOTAL Forefoot Lateral

Heal Raise Detachable TOTAL Forefoot Medial

Heal Cussion

Heal Raise Attached

Heal Raise Detachable

Ask the patient to squat down and stand up and observe their knee position and patella tracking. The knee and patella should remain facing forwards during the squat test. - To statically simulate gait; HEEL CUSSION 4 Ask the patient to internally and externally rotate their legs. Cobra Pads Carbonflex & Orthoses Heal Raise Detachable be able to pronate and supinate when standing.Whilst internally They should and externally rotating the leg, palpate the talar head and feel the subtalar joint pronating with internal leg rotation, and supinating with external leg rotation. 3
2-5 Met Bars

Cobra Pads

Heal Cussion

Cobra Pads

Ask theCobra Pads patient to lift their heels off the ground and rise onto the forefoot 2-5 Met Bars The rearfoot complex should lock into supination, and hallux dorsiflexion should occur HEEL CUSSION

Remember - There are no recipes for biomechanical assessment and orthotic device prescription. This platform is merely a tool to assist your clinical reasoning and allows objective testing of your proposed prescription.
2-4 Dome Pad Cobra Pads 2-5 Met Bars Teardrop Pad Cobra Pads 2-4 Dome Pad 2-5 Met Bars Teardrop Pad

| 12 |

+ 353 (0) 21 4320277

Carbonflex & Orthoses Heal Raise Detachable Heal Raise Detachable Rearfoot Laterall Cobra Pads 2-5 Met Bars Sulci

Raise Attached

rfoot Medial

prescribing orthotic devices


Heal Cussion Cobra Pads Heal Cussion Heal Raise Detachable Cobra Pads Forefoot Lateral 2-4 Dome Pad Cobra Pads HEEL CUSSION Carbonflex & Orthoses Heal Raise Detachable Cobra Pads HEEL CUSSION

Cobra Pads

2-5 Met Bars HEEL CUSSION

al Cussion

Raise Attached

HEEL CUSSION

al Cussion

3/4 Teardrop Pad Cobra Pads

efoot Medial

Other Commonly used Additions


Cobra Pads 2-5 Met Bars 2-5 Met Bars Cobra Pads Cobra Pads 2-5 Met Bars TOTAL Forefoot Lateral Short Shaft 2-4 Dome Pad Teardrop Pad 2-5 Met Bars 2-4 Dome Pad Teardrop Pad

2-4 Dome Pad Cobra Pads 2-5 Met Bars Cobra Pads HEEL CUSSION 2-5 Met Bars

Teardrop Pad 2-5 Met Bars

obra Pads

al Cussion

2-5 Met Bars Cobra Pads

2-5 Met Bars

obra Pads

Forefoot Medial

Teardrop Pads Smaller version of 2-4 metatarsal dome pads, sitting under just one metatarsal shaft, lifting the shaft and head. Providing deflection from a single prominent or Forefoot Medial TOTAL dropped lesser metatarsal head.
1st Met Cut-out Teardrop Pad 2-4 Dome Pad Cobra Pads Teardrop Pad Short Shaft 2-4 Dome Pad Teardrop Pad 2-5 Met Bars 2-4 Dome Pad Teardrop Pad 1st Met Cut-out Teardrop Pad

4 Dome Pad

obra Pads

4 Dome Pad

Raise Attached

Heal Raise Detachable Long MetShaft Pad Short Shaft 1st Met Cut-out Teardrop Pad Short Shaft 1st Met Cut-out Cobra Pads Cut out To Which Heads Long Met Shaft Pad 1st Met Cut-out Met Cussions

Long & Short Metatarsal Shaft Pad These pads are only used for immobilisation of a single metatarsal shaft, and can be used for stress fractures. The long shaft Teardrop Pad 2-4 more immobilising than the short pad. The short pad will not immobilise pad isDome Pad the metatarsal head therefore some movement will still occur. If used under Carbonflex & Orthoses Heal Raise Detachable the 5th metatarsal shafts it can help to lock up the lateral column for improved propulsion.
1st Met Cut-out Met Cussions Short Shaft Long Met Shaft Pad Short Shaft 1st Met Cut-out 1st Met Cut-out Met Cussions

ort Shaft 4 Dome Pad

Teardrop Pad Heel cobra Pad Available on prescription insoles only. TheyCut-out 2-4 Dome Pads 1st Met provide a small raise Short Shaft 1st Met the heel, giving some cushioning and minimal stability. around Cut-out Short Shaft 1st Met Cut-out HEEL CUSSION U To Which under U To Which Cushions Provide cushioning and shock absorption Heads all the MetatarsalHeads Cut out To Which Heads metatarsal heads/forefoot. Used for forefoot pain which is related to depleted Long Met Shaft Pad Met Cussions fatty padding, shearing stresses or overloading. They do take up room in the Met Cussions shoes. They are available in 1st Metor 5mm. If you do not specify on the form we 3mm Cut-out Long MetShaft Pad Short Shaft Met Cussions will give you 3mm. Met Cussions Long Met Shaft Pad 2-5 Met Bars Met Cussions Met Cussions

ort Shaft

eal Cussion

Met Shaft Pad ort Shaft

Long Met Shaft Pad

Met Shaft Pad obra Pads

Long Met Pads Pad Cobra Shaft Met Cussions 2-4 2-5 Met Bars Metatarsal Dome Pad

t To Which Heads

Met Shaft Pad

Cut-outs in Cushions. Metatarsal cushions can have circular cut-outs put into Extra Layer heads. them under individual metatarsal on All Cut-outs Extra Layer on shell only can be used to deflect pressure fromWhich Heads an overloaded metatarsal To Whichor help mobilise aWhich Heads head, Heads U To specific metatarsal U To Cut out Cut out To Which Heads phalangeal joint. For example a cut-out to the 1st metatarsal head will aid U To Which Heads 1st ray plantarflexion U To Which Heads2-5 Varus Met Bar To Which Heads and hallux dorsiflexion. Cut-outs to two or more adjacent 5mm Cut out metatarsal heads, will significantly reduce their deflective ability.
Cut out To Which Heads Met Cussions U To Which Heads Teardrop Pad U To Which Heads Long Met Shaft Pad Cut out To Which Heads Met Cussions U To Which Heads Teardrop Pad U To Which Heads

t To Which Heads -4 Dome Pad

2-4 Metatarsal Dome Pad

2-4 Metatarsal DomeTo Which Heads U Pad Teardrop Pad Cut out To Which Heads t To Which Heads 5mm 2-5 Varus Met Bar Extra Layer on All 5mm 2-5 Varus Met Bar Short Shaft 1st Met Cut-out 3mm 2-5 Varus Met Bar Short Met Shaft Pad 3mm 2-5 Varus Met Bar posting 1-5 Forefoot Extra Layer on All

them under individual metatarsal heads. U shaped cut-outs have a similar function to circular cut-outs, but they are not as functional and do not help with Forefoot posting 1-5 phalanx dorsiflexion. UExtra Layer on All therefore useful Layer on shell only cut-outs are Extra for hyperextension of the 2-4 Metatarsal Dome Pad inter-phalangeal joint of the Hallux. U cut-outs also take up less space in a shoe Extra Layer on All with a restricted toe box Extra Layer on shell only is suitable for patients who s feet area. A U cut out excessively elongate onExtra Layer on All weightbearing. U To Which Heads 5mm 2-5 Varus Met Bar
Extra Layer on shell only Extra Layer on shell only 1st Met Cut-out

Bar 2-4 2-5 Varus Met U in Cushions. Metatarsal cushions can have U shaped cut-outs put into 3mmMetatarsal Dome Pad

Cut out To Which Heads 2-4 Dome Pad

ort Shaft

5mm 2-5 Varus Met Bar 3mm MetatarsalMet Bar 2-4 2-5 Varus Dome Pad

Plantarflexed 1 ray Forefoot posting 1-5

| 13 |

+ 353 (0) 21 4320277

Plantarflexed 1 ray

Extra Layer on shell only

prescribing orthotic devices

Foot Sketches

Providing a foot sketch will allow us to further customise your orthotic devices by placing the cut out s in the correct place for your patient. We have complimentary carbon copy foot sketch forms. A foot sketch can also be drawn onto an ordinary piece of paper.

How to take a Foot Sketch


When the patient is non weightbearing, mark any prominent joints or other important areas on the plantar surface of the foot with lipstick or ink marker. With the patient standing (weightbearing), place both feet onto a piece of paper or the foot sketch form. Draw around the feet. Make sure you keep the pen at 90o to the ground, and do not slope the pen in under the heel or elsewhere around the foot.
Tr a m o r e C o m m e r c i a l P a r k , Tr a m o r e R o a d , C o r k , I r e l a n d .
Tel: + 353 (0) 21 4320277 / Fax: + 353 (0) 21 4321159

INSOLE PRESCRIPTION FORM

Device Shape INFORMATION PRACTITIONER & Length


Square Toe Box
Phone Number: Email: Date Prescribed: Name:

BILLING INFORMATION
Account Code:

LAB USE ONLY


Ref No: SI / 20

Narrow Pointed Toe Box Round Toe Box Account Name & Delivery Address: Narrower Heel

Arrival Date:

Await HSE Sanction:

Await Payment:

Due Out Date:

/ 20

PATIENT INFORMATION
Name: Relevant History: Age: Sex: Male Female

SHAPE & LENGTH


Full Length Cut to Sulci 3/4 Length
No Forefoot Additions

Shape
MENS 3 1/ 2 - 14 LADIES 31/ 2 - 10 CHILDS 71/ 2 - 3

Size

ARCH & WEDGING


Height of Arch Mens Template Rearfoot Medial Wedging

LEFT
Low Med High

RIGHT
Low Med High

MIDFOOT ADDITIONS

LEFT

RIGHT

COVERING

Recommended in Bold

Size 31/2 - 14

3mm 2-5 Varus Ladies Template Metatarsal Bar


o

o
Max 8
o

Size 31/2 - 10

We make the insole/device length and width to fit the size of the shoe you tell us the patient is wearing. We do not o o Rearfoot Low Low 2-4 of the use the foot Wedging for the shape and length Metatarsaldevice, we use this for the placement of additions and cut outs. If Astroshock Thin 1.8mm Grey Lateral sketch Med Med Max 8 Max 8 High High you order a device for a lady we will give Dome Pad a standard ladies template which is slighly narrower than a mens template. Shock-absorbing TOTAL Forefoot o o durable - SPORT Medium If you wouldWedging a device for a lady with a squarer shaped toe box, 2please order the mens shape. 3mm Grey 1 3 4 5 1 2 3 4 5 Teardrop Pad Medial prefer
o o

Max 8

5mm 2-5 Varus Metatarsal Bar

Childrens TemplateSuedette Size 71/2 - 3 Thin, durable,

0.75mm Blue 0.75mm Black

soft DAYWEAR

Bony FF Varus only (Gives more control)

Max 8

Max 8

Circle one Met Head Only

Please Circle

Please Circle

Promotionalonly Bony FF Valgus Leaflets


(Gives more control)

TOTAL Forefoot Lateral Wedging

o
Max 8
o

o
Max 8
o

EVA

1mm Blue

FOREFOOT ADDITIONS
Long Met Shaft Pad
Under which Met Shaft?

LEFT
1 2 3 4 5
Please Circle

RIGHT
1 2 3 4 5
Please Circle

SERVICES

1 Days Fast orthotic devices. Grey educate your patients about the benefits ofTrack Promotional Varus only are available to help youPoron TM used as standard 5mm 5mm Bony FF leaflets
(Not Recommended)

Forefoot Medial Wedging

o
Max 5
o

o
Max 5
o

Thickness of Met Shaft Pad?

3mm

3mm

Forefoot Lateral Wedging


Bony FF Valgus only
(Not Recommended)

o
Max 5 o

o
Max 5
o

1st Metatarsal Cut-Out Pad


(Less bulky than Metatarsal Cushion with cut-out)

Ex charge

Special Fitting Service


Ex charge

HEEL ADDITIONS
Heel Raise Attached Max 10mm Heel Raise Detachable
Max 10mm

LEFT
mm mm

RIGHT
mm mm

OR Metatarsal Cushions
Cushioning under Met Heads Thick thickness below

Thickness of Cushions?
Grey Poron
TM

| 14 |

+ 3mm (0) 21 4320277 353 3mm


5mm 5mm

Prescription Forms (Insoles)

used as standard

REQUEST MORE FORMS


Assessment Forms

CUSTOM ORTHOSES

custom orthotic devices

Contents:
Custom Made Orthotic Devices Prescription Insole Carbonflex Device Casted orthoses - Types - Prescribing information Total Contact Casted Orthoses Casted Orthoses Evaluation & Modifications 1 3 5 9 11 13 15 17

contents

+ 353 (0) 21 4320277

custom orthotic devices

Custom Made Orthotic Devices


Different working environments and patient groups provide an ever varying set of demands and challenges. The freedom of a custom orthotic device allows you to prescribe exactly what each individual patient needs every time. Our Custom made orthotic devices are truly made to measure, and each one is unique. We allow total flexibility in the customisation of your devices. Each device is individually designed and handmade to your requirements. Current research and theories of biomechanics from a multidisciplinary knowledge base are applied to both our manufacturing processes and product design. Our prescription forms include pictures of the most popular additions and design options. These are guidelines to make prescription easier. However by providing us with a detailed sketch and instructions, we are happy to make any type of addition or design feature you may require. Carbonflex Devices

Prescription Insoles

Casted Orthoses

Customer Services

(see terms and conditions for complete details of these services)

Technical Advice Services


Whether you are a new prescriber, or you have a complicated case our technical advice line offers you the security of speaking to an experienced practitioner before you complete your order. Occcasionally patient compliance or desired outcome is not achieved and the company is comitted to working with practitioners to ensure that problems are solved in a rapid and effective manner. The care and attention we offer with this complimentary service is what makes PPL the practitioners choice of company.

Turnaround Times & Fast track


PPL prides itself on speedy and reliable turnaround times. Fast track is an additional service offered for an even quicker return. Times are based on complete orders received before 10am.

Product
Prescription Insole Carbonflex Device Casted Orthoses Total Contact

Turnaround time
3 working days 4 working days 7 working days Time Variable

Fast track
1 working day 2 working days 3 working days Not Applicable

Prescription Forms
PPL s prescription forms are designed to be user friendly with sketches of all the most popular additions and designs. The coloured carbon copy should be retained for your patients records. All orders must be accompanied by a completed prescription form.

Medical Device Reports


We issue a medical device report with every custom device. This includes a detailed technical description of the device and can be retained in your patient records.

| 1 |

+ 353 (0) 21 4320277

custom orthotic devices

Tr a m o r e C o m m e r c i a l P a r k , Tr a m o r e R o a d , C o r k , I r e l a n d .
Tel: + 353 (0) 21 4320277 / Fax: + 353 (0) 21 4321159

M
QC: Arrival Date:
CFD3/4ADPR CFD3/4ADSIN CFDFULLADPR CFDFULLADSIN

StandardCARBON COPY FOR YOUR NOTES Guarantees PLEASE RETAIN


We offer Ref No: CF the following standard guarantees for all our custom made products Comfort Guarantee (Num) CFSRBPS3/4 One adjustment for fit & comfort, e.g. trimming of sides and edges of orthoses within 3 Months of dispatch. CFADDNONSTAD (Num) CFSRBPSFL This does not include stripping covers or adjustment to additions. CFSFAST CFADDHRNS (Num)
CFADDSIN CFADDHRST CFSSFS (Num) Shell Fracture Guarantee CFSLABEVAL One year guarantee against shell fracture for Podoflex, Podofirm, Flexifirm & Carbonflex orthoses.

FOR LAB USE ONLY


/ / 20

Due Out Date:

/ 20

SHAPE & LENGTH


Full Length Cut to Sulci

3/4 Length

Posting Adjustments Guarantee Style: No One Small Posting adjustment for more suitable correction, e.g. adding to, or removal of existing rearfoot Forefoot Adaptions extrinsic postings within 3 Months of dispatch
Medium

FOOTWEAR

Shoe Pitch:

Flat shoe / Walking Shoe

Low

Materials & Workmanship Guarantee High 6 between 1-2 guarantee (over 5cm) Heels month (3-5cm) Heels over 2 to repair any orthotic device which has any defects relating to materials or manufacture.
COVERING
Recommended in Bold

Shoe Size:

ONS

LEFT
mm mm 3mm 5mm 3mm 5mm

RIGHT

Suedette Please note: We will manufacture what you order. If you order the wrong type of device or prescription, we will do 0.75mm Grey mm Thin, our best durable - 0.75mm Black to DAYWEAR assist you, however we cannot accept liability for inappropriate prescriptions.

Special Fitting Service 3mm


Tick on the prescription form for this service, which is recommended for those 3mm EVA 1mm Black patients requiring complex forefoot and midfoot additions. This service allows 5mm even Vinyl greater flexibility in the customisation of your devices by having the 1.5mm Blue RIGHT device returned to you uncovered for a trial fitting. Once tested by the patient the devicesLAYERS returnedBulk further alteration or finishing. This service allows EXTRA can be Adds for 2 adjustments over a 6 week period. (Postal charges will be incurred)
On shell only
5mm
Shock-absorbing durable - SPORT

mm

Astroshock

Thin 1.8mm Grey

3mm Grey

LEFT

Refurbishment Scheme What material?


1 2 3 4 5
Please Circle

On whole device

1 2 3 4 5
Please Circle

What thickness?

mm

prescribing orthotic devices


Tick on the prescription form for this service, when ordering the devices. This service is only available for Carbonflex and Casted Orthotic devices. The Refurbishment Scheme protects both the patient and practitioner from excessive financial costs of repeated refurbishments. The scheme covers the following, in addition to the standard guarantees for a period of 2 years: One Minor Refurbishment: Recovering of devices, replacement or removal of heel, midfoot or forefoot additions New heel protectors, minor adjustments to existing extrinsic posting. New base linings if required One Major Refurbishment: Same as Minor Refurbishments , plus Reinforcement, replacement of heel posts, and reposting back to original prescription as far as possible

SERVICES
Fast Track
2 Days Ex charge
Ex charge Ex charge

1 2 3 4 5
Please Circle

1 2 3 4 5
Please Circle

Special Fitting Service Refurbishment Scheme

LEFT
1 2 3 4 5
Please Circle

RIGHT
1 2 3 4 5
Please Circle

Prescription Forms (Carbonflex) Assessment Forms Foot Sketch Forms

FURTHER INFORMATION

3mm 5mm 1 2 3 4 5
Please Circle

3mm 5mm 1 2 3 4 5
Please Circle

etch

etch

1 2 3 4 5
Please Circle

1 2 3 4 5
Please Circle

e drawn on a foot sketch form. We also Carbonflex Devices with any midfoot or d additions which are not listed on this form. ard shell, shallow heel cup and standard

Please Note* The patient will not be able to contact us directly, and must return to their medical practitioner to avail of this service. We will not under any circumstances deal with the patient directly.

Alterations
Alterations not covered by our standard guarantees can be undertaken, subject to an additional charge. This includes, changing the length of device, adding or removing additions and changing covers. We are willing to alter devices not manufactured by our company, however only on written instructions by the medical practitioner, and we disclaim any liability relating to these devices. Turnaround times vary, dependent upon complexity of work required and production scheduling. Please Note* All custom orthotic devices and alterations are not returnable for refund.

| 2 |

+ 353 (0) 21 4320277

custom orthotic devices

Insole Prescription Form


Tr a m o r e C o m m e r c i a l P a r k , Tr a m o r e R o a d , C o r k , I r e l a n d .
Tel: + 353 (0) 21 4320277 / Fax: + 353 (0) 21 4321159

PLEASE RET PLEASE RETAIN CARBON COPY FOR YOUR NOTES COPY

INSOLE PRESCRIPTION FORM


PRACTITIONER INFORMATION
Name: Phone Number: Email: Date Prescribed: Await HSE Sanction: Await Payment: Due Out Date: / / 20

BILLING INFORMATION
Account Code: Account Name & Delivery Address:

LAB USE ONLY


Ref No: SI / 20

Arrival Date:

PATIENT INFORMATION
Name: Relevant History: Age: Sex: Male Female

SHAPE & LENGTH


Full Length Cut to Sulci 3/4 Length
No Forefoot Additions

Shape
MENS 3 1/ 2 - 14 LADIES 31/ 2 - 10 CHILDS 71/ 2 - 3

Size

ARCH & WEDGING


Height of Arch Rearfoot Medial Wedging Rearfoot Lateral Wedging TOTAL Forefoot Medial Wedging
Bony FF Varus only (Gives more control)

LEFT
Low Med High

RIGHT
Low Med High

MIDFOOT ADDITIONS
3mm 2-5 Varus Metatarsal Bar 5mm 2-5 Varus Metatarsal Bar 2-4 Metatarsal Dome Pad Teardrop Pad
o

LEFT

RIGHT

COVERING
Suedette
Thin, durable, soft DAYWEAR

Recommended in Bold

0.75mm Blue 0.75mm Black Thin 1.8mm Grey Medium 3mm Grey

o
Max 8
o

o
Max 8
o

o
Max 8
o

o
Max 8
o

Low Med High

Low Med High

Astroshock
Shock-absorbing durable - SPORT

o
Max 8
o

o
Max 8

1 2 3 4 5
Please Circle

1 2 3 4 5
Please Circle

Circle one Met Head Only

TOTAL Forefoot Lateral Wedging


Bony FF Valgus only (Gives more control)

o
Max 8
o

o
Max 8
o

EVA

1mm Blue

FOREFOOT ADDITIONS
Long Met Shaft Pad
Under which Met Shaft?

LEFT
1 2 3 4 5
Please Circle

RIGHT
1 2 3 4 5
Please Circle

SERVICES
Fast Track 1 Days
Ex charge

Forefoot Medial Wedging


Bony FF Varus only
(Not Recommended)

o
Max 5
o

o
Max 5
o

Thickness of Met Shaft Pad?


Grey Poron
TM

3mm 5mm

3mm 5mm

used as standard

Forefoot Lateral Wedging


Bony FF Valgus only
(Not Recommended)

o
Max 5
o

o
Max 5
o

1st Metatarsal Cut-Out Pad


(Less bulky than Metatarsal Cushion with cut-out)

Special Fitting Service


Ex charge

HEEL ADDITIONS
Heel Raise Attached Max 10mm Heel Raise Detachable
Max 10mm

LEFT
mm mm 3mm 5mm

RIGHT
mm mm 3mm 5mm

OR Metatarsal Cushions
Cushioning under Met Heads Thick thickness below

Prescription Forms (Insoles)


3mm 5mm 1 2 3 4 5
Please Circle

Thickness of Cushions?
Grey Poron
TM

3mm 5mm 1 2 3 4 5
Please Circle

used as standard

REQUEST MORE FORMS


Assessment Forms

Cut Out in Cushions?


To which Met Head? Please sketch

Heel Cushion Heel Cobra Pads

U in Cushions?
To which Met Head? Please sketch

1 2 3 4 5
Please Circle

1 2 3 4 5
Please Circle

Foot Sketch Forms

SKETCH

FURTHER INFORMATION

NOTE
We recommend taking a full size sketch of the foot for Insoles with any midfoot or forefoot adaptions or any non standard adaptions which are not listed on this form.

PPL26032010

| 3 |

+ 353 (0) 21 4320277

custom orthotic devices

Prescription Insoles
Features Quick and easy to prescribe Cost effective Made to measure Easily accommodated Durable Fits most footwear Recommendations Forefoot deformity Mild to moderate rearfoot pronation or supination Shock attenuation

0% VAT

How to Order Prescription form by post or fax With foot sketch if required By phone (if no sketch required) Services Standard Guarantees apply 3 Day turnaround time 1 Day Fast track * Special Fitting Service *
* extra charge

Options Non standard additions can be requested with a sketch No additional cost for any combination of standard additions and wedges Any size or shape to order Variety of coverings available Available in children's sizes. Discount given on child size 3 and under

prescribing orthotic devices

Shape and Length


Full length insoles are recommended for a better fit as they can be cut back easily in the clinic. Remember patients often wear the wrong shoe size. If you send a sketch you must also tell us the shoe size. The insole length is made to fit the shoe. We use a standard range of children's, ladies and men s templates, you can request either the children's, men's or ladies shape of templete. Sending a foot sketch allows us to place cut outs more accurately. Insoles can be made to fit non standard footwear, by either sending an accurate template (preferably the insole or liner from the shoe) or the shoes themselves.

Covering Options

(Material swatches available)

A variety of covering materials are available. Suedette is recommended as a thin comfort cover, ideal for those patients prone to blistering. Thin Astroshock is recommended as a washable cover for sports players or where shock attenuation is required. The thickness of the covering material changes the whole nature and fit of the insole. An insole with an Astroshock cover will not fit into a ladies dress shoe. An insole with a suedette cover will not be thick or durable enough in a Wellington boot.

| 4 |

+ 353 (0) 21 4320277

custom orthotic devices

Carbonflex Device Prescription Form


Tramore Commercial Park, Tramore Road, Cork, Ireland.
Tel: + 353 (0) 21 4320277 / Fax: + 353 (0) 21 4321159

PLEASE RETAIN CARBON COPY FOR YOUR NOTES T

CARBONFLEX

PRESCRIPTION

FORM

PRACTITIONER INFORMATION
Name: Phone Number: Email: Date Prescribed:

BILLING INFORMATION
Account Code: Account Name & Delivery Address:

LAB USE ONLY


Ref No: CF Arrival Date: / / 20

Await HSE Sanction:

Await Payment:

Due Out Date:

/ 20

PATIENT INFORMATION
Name: Relevant History: Age: Sex: Male Female

SHAPE & LENGTH


Full Length Cut to Sulci 3/4 Length
No Forefoot Additions

Shape
MENS 31/ 2 - 14 LADIES 31/ 2 - 10 CHILDS 71/ 2 - 3

Size

SHELL STYLE
The Carbonflex Shell is narrow with a shallow heel cup. They are slimline and will fit most shoes. If you require an extraslim shell, please NOTE IT * with trimming instructions on your sketch.

HEEL & ARCH ADDITIONS


Heel Raise Attached
Max 5mm

LEFT
mm mm 3mm 5mm 3mm 5mm

RIGHT
mm mm 3mm 5mm 3mm 5mm

COVERING
Suedette
Thin, durable DAYWEAR

Recommended in Bold 0.75mm Grey 0.75mm Black Thin 1.8mm Grey 3mm Grey 1mm Black Adds Bulk

Heel Raise Detachable


Max 10mm

Astroshock
Shock-absorbing durable - SPORT

HEEL OPTIONS
Slimfit Heel o Max 5 Extrinsic Posting Standard Heel o Max 8 Extrinsic Posting No Heel Post No Extrinsic Posting Comfort Fill (Poron TM) No Extrinsic Posting
WITH CARBONFLEX KIT
Complete if using Carbonflex Kit for Assessment

Heel Cushion

(Not Recommended)

(Not Recommended)

Extra Cushioning under Arch

EVA

MIDFOOT ADDITIONS
3mm 2-5 Varus Metatarsal Bar 5mm 2-5 Varus Metatarsal Bar 2-4 Metatarsal Dome Pad Teardrop Pad
Circle one Met Head Only

LEFT

RIGHT

EXTRA LAYERS
On shell only On whole device

Recommended

Shell Cut Back as per Sketch / Drawing Shell Code M or L & Number

Draw Trimming Instructions on Sketch

a If you require our lab to trim back the shell. Please Send Sketch

Low Med High

Low Med High

What material? What thickness?


mm

1 2 3 4 5
Please Circle

1 2 3 4 5
Please Circle

SERVICES
Fast Track 2 Days
Ex charge Ex charge

EXTRINSIC POSTING
What Gradient for shoe pitch have you used to measure?
Low Flat Shoe / Trainer / Walking Shoe Medium Heels between 1 & 2 inches 3-5cm High Heels over 2 inch (5cm)

LEFT
Low Med High

RIGHT
Low Med High

FOREFOOT ADDITIONS
Long Met Shaft Pad
Under which Met Shaft?

LEFT
1 2 3 4 5
Please Circle

RIGHT
1 2 3 4 5
Please Circle

Special Fitting Service

Refurbishment Scheme Ex charge REQUEST MORE FORMS Prescription Forms (Carbonflex) Assessment Forms Foot Sketch Forms

No Extrinisic Posting
Remember the shells have an intrinsic o o medial post built into them of between 3 & 8 depending on foot shape/arch profile

Thickness of Met Shaft Pad?


Grey Poron
TM

3mm 5mm

3mm 5mm

used as standard

1st Metatarsal Cut-Out Pad


o o o o o o
(Less bulky than Metatarsal Cushion with cut-out)

Rearfoot Medial Posting


Max 8 (Standard Heel) 5 o (Slimfit Heel) Max 5 o (Standard Heel) 3 o (Slimfit Heel)
o

FURTHER INFORMATION

Rearfoot Lateral Posting Total Forefoot Medial Posting


Only for Bony Forefoot Varus or Sprinter Cyclist Max 8 o

OR Metatarsal Cushions
Cushioning under Met Heads

Thickness of Cushions?
Grey Poron
TM

3mm 5mm 1 2 3 4 5
Please Circle

3mm 5mm 1 2 3 4 5
Please Circle

used as standard

Forefoot 1-5 Medial Posting


(Not Recommended)
Only for Bony Forefoot Varus o Max 5

Cut Out in Cushions?


To which Met Head? Please sketch

Complete with kit section OR without kit section


Complete for Lab Assessment without using a kit You must take a sketch and/or send a cast

WITHOUT CARBONFLEX KIT (Extra Charge)

U in Cushions?
To which Met Head? Please sketch

1 2 3 4 5
Please Circle

1 2 3 4 5
Please Circle

Non-weight bearing arch profile


(axis) in STJ neutral

QUANTIFICATIONS

LEFT
Low Med High
o o

RIGHT
Low Med High
o o

NOTE
Any cutting back of shells must be drawn on a foot sketch form. We also recommend taking a foot sketch for Carbonflex Devices with any midfoot or forefoot adaptions or any non standard adaptions which are not listed on this form. If unspecified, we will provide a standard shell, shallow heel cup and standard heel device.

(Accounting for shoe pitch)

Total amount of rearfoot posting required?

MED LAT

MED LAT

PPL26032010

| 5 |

+ 353 (0) 21 4320277

custom orthotic devices

Carbonflex Devices
Features 14 pairs of sizing shells to fit the majority of foot shapes and sizes. Shells are adapted to each specific prescription No casting, quick and easy to prescribe Cost effective Carbonflex shell material allows strength and durability, yet maintains flexibility. 2mm carbon composite shell, lightweight and easily accommodated Zero memory loss, shells never bottom out Recommendations

0% VAT

Slim and lightweight, fits most footwear including football boots Lower cost alternative to casted orthoses Moderate rearfoot pronation or supination Ideal for all sports Flex quality of the shells helps medial column function.

How to Order Ordering with a Kit (recommended) Prescription form by post or fax With foot sketch if required By phone (if no sketch required)

Options Non standard additions can be requested with a sketch No additional cost for any combination of rearfoot and forefoot extrinsic posting Small charge for each heel, midfoot and forefoot addition 2 shell width options (standard, slimfit) 4 heel type options (standard, slimfit, no heel, comfort fill)

Services Standard Guarantees apply 4 Day turnaround time 2 Day Fast track * Special Fitting Service *
* extra charge

prescribing orthotic devices

Shape and Length


3/4 length devices are more easily accommodated in footwear. Full length devices are made to fit the shoe, therefore you must tell us the size of shoe the device will be worn in. The insole length is made to fit the shoe. We use a standard range of children's, ladies and men s templates, you can request either the children's, men's or ladies shape of templete. Sending a foot sketch allows us to place cut outs more accurately. Insoles can be made to fit non standard footwear, by either sending an accurate template (preferably the insole or liner from the shoe) or the shoes themselves.

Covering Options

(Material swatches available)

A variety of covering materials are available. Suedette is recommended as a thin comfort cover, ideal for those patients prone to blistering. Thin Astroshock is recommended as a washable cover for sports players or where shock attenuation is required.

| 6 |

+ 353 (0) 21 4320277

Teardrop Pad

3mm 2-5 Varus Met Bar Short Met Shaft Pad Short Met Shaft Pad Short Met Shaft Pad Teardrop Pad Forefoot posting 1-5 Plantarflexed 1 ray Plantarflexed 1 ray Plantarflexed 1 ray Plantarflexed 1 ray Plantarflexed 1 ray Plantarflexed 1 ray

Heel Vertical Heel Vertical Short Met Heel Vertical Shaft Pad

Plantarflexed 1 ray

? ? ? ?

? ?

custom orthotic devices


Plantarflexed 1 ray

Heel Inversion Heel Inversion Heel Inversion Heel Vertical

? ? ?

? ?

Heel Eversion Heel Eversion Heel Eversion


?

Heel Inversion

Forefoot inverted on rearfoot Forefoot inverted on rearfoot Forefoot inverted on rearfoot Heel Eversion
?

Forefoot everted on rearfoot Forefoot everted on rearfoot Forefoot everted on rearfoot Forefoot inverted on rearfoot

Carbonflex Devices - Styles, Options & Kit


The Carbonflex shell is narrow with a shallow heel cup. They are slimline and will fit most shoe styles. If you require an extraslim shell, please NOT IT, with trimming instructions on your sketch.
Casted Orthoses Heel Raise Attached Casted Orthoses Heel Raise Attached Casted Orthoses Heel Raise Attached

Forefoot level with rearfoot Forefoot level with rearfoot Forefoot level with rearfoot Forefoot everted on rearfoot

Deep Heel Cup Deep Heel Cup Deep Heel Cup Forefoot level with rearfoot

Low Heel Cup Low Heel Cup Low Heel Cup Deep Heel Cup

Podo Firm Podo Firm Podo Firm Low Heel Cup

Heel Options
Carbon flex Standard heel Carbon flex Standard heel Carbon flex Shallow heel Carbon flex Standard heel Carbon flex Shallow heel Carbon flex Shallow heel Casted Orthoses Heel Raise Attached Carbon flex deep heel cup Carbon flex deep heel cup Carbon deep heel cup Carbon flexflex Standard heel Carbon flex Shallow heel

FLEXI FIRM FLEXI FIRM FLEXI FIRM Podo Firm

Standard Heel - suitable for most shoes, maximum 8o rearfoot extrinsic posting. Slimfit Heel - suitable for dress shoes and football boots, maximum 5o rearfoot extrinsic posting. No Heel Post - suitable for high heeled dress shoes, sprinting and cycling shoes, no rearfoot extrinsic posting possible. Comfort Fill - Base of shell lined with Poron to give extra shock attenuation, no rearfoot extrinsic posting possible.

PODO FLEX PODO FLEX PODO FLEX FLEXI FIRM PODO SOFT PODO SOFT PODO SOFT PODO FLEX

Carbon flex Slim Fit heel Carbon flex Slim Fit heel Carbon flex Slim Fit heel

Carbon flex deep heel cup Carbon flex No heel Postl Carbon flex No heel Postl Carbon flex No heel Postl Carbon flex Slim Fit heel

PODO SOFT

Carbon flex Comfort Fill Carbon flex Comfort Fill Carbon flex Comfort Fill Carbon flex No heel Postl

Carbon flex heelRais Attached Carbon flex heelRais Attached Carbon flex heelRais Attached Carbon flex Comfort Fill

Full Full Full

Carbonflex Kit
Carbon flex heelRais Attached Full No Extrinsic Posting No Extrinsic Posting No Extrinsic Posting Carbo flex Standard Shell Carbo flex Standard Shell Carbonflex Slim Fit Shell & Carbo flex Standard Shell & Casted Orthoses Slim Width of Shell & Casted Orthoses Slim Width of Shell Casted Orthoses Slim Width of Shell Medial Extrinsic Posting Medial Extrinsic Posting Medial Extrinsic Posting No Extrinsic Posting Laterall Extrinsic Posting Laterall Extrinsic Posting Laterall Extrinsic Posting Medial Extrinsic Posting

Carbonflex Slim Fit Shell Carbonflex Slim Fit Shell Carbonflex Slim Fit Shell

Using the Carbonflex Kit is the recommended method for prescribing Carbonflex Devices. Casting is not necessary, making the prescription process cleaner and faster.
Carbo flex Standard Shell & Casted Orthoses Slim Width of Shell

Carbonflex Kit

Laterall Extrinsic Posting

The kit contains 14 pairs of blue sizing shells, which allow you to select the best fitting device for your patients arch profile. As you will be standing your patient on a replica of the device you intend to prescribe, you will be able to objectively test your prescription. You can therefore be confident about the function and fit of the devices

The Carbonflex kit contains Neutral zone prescription platform 14 pairs of adult blue sizing shells Neutral Zone Prescription Platform

A neutral zone prescription platform is included in the kit, this is used in conjunction with the blue sizing shells to determine how much extra posting is required. Carbonflex kits are available on a one month free trial basis. The benefit of using the kit to prescribe Carbonflex Devices is not only the accuracy of the prescription, but also there is no need to cast the foot. To help you spread the cost of purchasing a carbonflex kit we offer 2 payment plans, these can be taken over 6 or 12 months Code
KCFKIT KCFKIT KCF6MTH KCF12MTH

Description
1 months free trial of Carbonflex Kit Carbonflex Kit, 30 days credit Carbonflex Kit, 6 month payment plan Carbonflex Kit, 12 month payment plan

| 7 |

+ 353 (0) 21 4320277

Name:

Age:

Phone Number: Relevant History:

custom orthotic devices

Email: Date SHELL STYLE Prescribed:


The Carbonflex Shell is narrow with a shallow heel cup. They are slimline and will fit most PATIENT INFORMATION shoes. If you require an extraslim shell, please Name: NOTE IT * with trimming instructions on your sketch. Relevant History:

Accoun Sex: Male


Female

Await H HEEL & ARCH ADDITION


Heel Raise Attached
Max 5mm

Heel Raise Detachable


Max 10mm

Age

Prescribing Carbonflex Devices


Using the Carbonflex Kit

HEEL OPTIONS
Slimfit Heel o Max 5 Extrinsic Posting

Heel Cushion

Standard Heel o The Carbonflex Heel Raise Attach Max 8 Extrinsic Posting Shell is narrow with a shallow Select the correct sizing sizes MIDFOOT Max 5mm ADDITIONS heel cup. They are slimline and will fit most No Heel Post shoes. 3mm 2-5 Varus No sizing shell which best matches their Heel With the patient lying prone and in STJ neutral position, select the blue Extrinsic Posting If you require an extraslim shell, please Metatarsal Bar Raise Detac Max 10mm Comfort Fill (Poron TM) natural arch profile. The shells are marked L or M plus a number. L shells are narrow in width and M shells are NOTE IT * No Extrinsic Posting wider. with trimming instructions on your sketch. 2-5 Varus 5mm Heel Metatarsal Bar Cushion WITH CARBONFLEX KIT Recommended

SHELL STYLE

(Not Recommended) HEEL

F Extra Cushioning under Arch

(Not Recommended)

Sex: M

& ARCH

The shell number does relate somewhat to shoe size. However we strongly recommend that you choose the template which best matches the natural arch profile, not the shell that matches the length. Altering the length of the shell

Complete if using

HEELR B O N F L E X C A OPTIONS Carbonflex Kit for Assessment

PRESCRIPTION

F O R M(Not Recommended)

Standard Heel Shell Cut Back as per Sketch / Drawing o No Email: Post Heel No Extrinsic PostingLEFT EXTRINSIC POSTING
Shell Code M or L & Number
Phone Number: Max 8 Extrinsic Posting

Name: Draw Trimming Instructions on Sketch

Slimfitlab to trim INFORMATION a If you require PRACTITIONER back the shell. ouro Heel Max 5 Extrinsic Posting Please Send Sketch

2-4 Metatarsal INFORMATION BILLING Cushioning Extra Dome Pad (Not Recommended)
Account Code:

Teardrop Account Name & Delivery Pad


Circle one Met Head Only

MIDFOOT ADD
3mm 2-5 Varus

Metatarsal Bar TM Await ADDITIONS Date Comfortis pitch back If the shell is too long, you may want to request that itPrescribed: Low ) length. Stand FOREFOOT HSE Sanction: cut What Gradient for shoeFill (Poron in Low No Draw around the foot keeping Extrinsic Posting have you used to measure? your patient on the shell on the foot sketch form. Long Met Shaft Pad Varus 5mm 2-5 Med Med Low SHAPE Flat Shoe / Trainer / Walking Shoe PATIENT INFORMATION the shell in place. Lift the foot off the shell thenbetween 1 &around the shell. With a draw 2 inches 3-5cm Metatarsal Medium Heels WITH CARBONFLEX KIT Recommended Under which Met Shaft? Bar High High Full Leng different coloured pen draw in your required cut 2Name: The shell Kit for Assessmentbehind High Heels over lines. inch using Complete if(5cm) Carbonflex should sit Age: Thickness of Met Shaft Pad? the metatarsal heads. No Extrinisic If you require our lab to trim back the shell. Posting 2-4 a Sex: Metatarsal

RIGHT

Assessment using the Neutral Zone Prescription Platform. Please Note* Step 3 is different 1 2 3 4 Assess footwear to determine height of shoe pitch gradient. Assess leg and ankle to determine if heel raises are required. Assess arch profile and place your selected sizing shell under the patients foot rather than an arch support.

Remember the shells have an intrinsic o o medial post built into them of between 3 & 8 Draw Trimming Instructions on Sketch depending on foot Shell Cut Back as per Sketch / Drawing shape/arch profile

Please Send Sketch

Relevant History:

The Carbonflex Shell is narrow with a shallow heel cup. They are slimline and will fit most LEFT EXTRINSIC POSTING Rearfoot Lateral shoes. Posting o Max 5 o (Standard Heel) you require an extraslim shell, please o If Low 3 o (Slimfit Heel) What Gradient for shoe pitch NOTE IT * have you used to measure? with trimming instructions on your sketch. Med Total Forefoot Medial Posting
5 o (Slimfit Heel)

Rearfoot MedialSHELL STYLE Posting o o Max 8 (Standard Shell Code M or L & Number Heel)

Dome Pad Male 1st MetatarsalFemale Cut-Out Pad (Less bulky than Metatarsal Teardrop Pad HEEL & ARCH ADDITIONS
Heel Raise Attached

Grey Poron

TM

used as standard

Cushion with Circle one Met Head cut-out)

Max 5mm OR RIGHT MetatarsalDetachable Heel Raise Cushions FOREFOOT AD Low Max 10mm Cushioning under Met Heads

prescribing orthotic devices


High High

Low Flat Shoe / Trainer / Walking Shoe o Only for Bony Forefoot Varus or Medium Heels between 1 & 2 inches 3-5cm HEEL OPTIONS Sprinter Cyclist High Heels over 2 inch (5cm) o Max 8 Slimfit Heel

Long Met Shaft Pa Med Heel Cushion Under which Thickness of Cushions?Met Sh (Not Recommended)
Grey Poron

Assess medial column to determine if midfoot or forefoot additions are required. Place additions on top of the selected shell. Assess forefoot to determine if midfoot additions/forefoot posts are required. Place additions on top of the selected shell. Assess rearfoot to determine if any extra rearfoot posting is required. Place any extra wedges under the heels of the selected shells, to determine how much extrinsic medial or lateral posting is required and record. Objectively test your prescription.

o Remember the Only for Bony Forefoot Varus shells have an intrinsic o Standard Heel o o o medial post built into them of between 3 & 8 Max 5 Max 8 Extrinsic Posting depending on foot (Not Recommended) No Heel Post shape/arch profile
Complete for Lab 5 o (Slimfit Heel) Assessment withoutPostingkit No Extrinsic using a You must take a sketch and/or send a cast
o

No Max 5 Extrinsic Posting Extrinisic Posting Forefoot 1-5 Medial Posting


o

Thickness Extra Cushioning under Archof


(Not Recommended) Grey

TM

used as standard

Met

Cut Out in Cushions? U3mmCushions? in 2-5 Varus Metatarsal Bar

Poron

TM

used

To which Met Head? Please sketc MIDFOOT ADDITIONS 1st Metatarsal Cu

Complete with kit section OR without kit section No Extrinsic Posting

Rearfoot Medial Posting o WITHOUT CARBONFLEX KIT (Extra Charge) Max Comfort Fill (Poron TM) 8 (Standard Heel) Rearfoot Lateral Posting
o

(Less bulky than Me Cushion with cut-out o To which Met Head? Please sketc

3 (Slimfit Heel) a Non-weight bearing arch profile lab to trim back the shell. Low Low If you require our (axis) in STJ neutral Forefoot Medial Med High Med High Please Send SketchPosting Total Draw Trimming Instructions on Sketch o Only Shell CutForefoot VarusSketch / Drawing o for Bony Back as per or o Total amount of rearfoot MED Sprinter Cyclist MED posting required?o Shell Code M or L & Number Max 8
(Accounting for shoe pitch)
o

WITH CARBONFLEX KIT QUANTIFICATIONSHeel) Kit forLEFT Max Complete if using Carbonflex 5 (Standard Assessment

Recommended

RIGHTo

o NOTE

5mm 2-5 Varus Metatarsal Bar

OR

Only for Bony Forefoot Varus PPL26032010 What Gradient for shoe pitch

Forefoot 1-5 Medial Posting EXTRINSIC POSTING


Max 5 have you used to measure?
Low Flat Shoe / Trainer / Walking Shoe

LAT LEFT
Low Med

LAT RIGHT
Low Med

2-4 MetatarsalCushioning under M Any cutting back of shells must be draw Dome Pad recommend taking a foot sketch for Carb o Thickness of Cush forefoot adaptions or any non standard a Teardrop Pad form. If unspecified, we will provideused Grey Poron TM a sta Circle one Met Head Only standard heel device.

Metatarsal Cushio

(Not Recommended)

FOREFOOT Cut Out in Cushio ADDITIONS To which Met Head? Long Met Shaft Pad
Under which Met Shaft? Grey Poron

No Extrinisic Posting Complete for the shells have an intrinsic Remember Lab Assessment without using a kit o o You must takebuiltsketch and/or send & 8cast medial post a into them of between 3 a
shape/arch profile QUANTIFICATIONS Rearfoot Medial Posting depending on foot

Medium with kit 2 inches 3-5cm CompleteHeels between 1 &section OR High without kit section High High Heels over 2 inch (5cm) U in Cushions? Thickness of Met Shaft Pad? WITHOUT CARBONFLEX KIT (Extra Charge) TM

To which Met Head? used as standard

Lab Assessment Service

Sprinter Cyclist natural non weight bearing arch profile. A patient with a low natural arch profile 8may get up to 8 of medial Max rearfoot correction from the intrinsic post. A patient with a high natural archPPL26032010 get 0o medial rearfoot profile may Posting Forefoot 1-5 Medial o o Only for Bony Forefoot Varus correction from the intrinsic post. Max 5
o o

Low Any cutting back of shel OR Med High recommend taking a foo Metatarsal Cushions o o Max 5 (Standard o Total (Slimfit Heel) Heel)rearfoot amount of carbonflex shells o forefoot adaptions or an Accurate determination of the postings required is difficult without the carbonflex kit. The have Cushioning under Met Heads 3 MED MED form. If unspecified, we posting required? Total on the height o o an intrinsic post inbuilt, which gives varying amounts of medial posting, dependingForefoot Medial Posting of the patients o LAT o standard heel device. (Accounting for Forefoot Varus or LAT Only for Bony shoe pitch) Thickness of Cushions? o (axis) in STJ neutral
o o

Non-weight bearing arch profile


Max 8 (Standard Heel) 5 o (Slimfit Heel)
o

LEFT

Rearfoot Lateral Posting

Low Med High

RIGHT than Metatarsal (Less bulky NOTE


Cushion with cut-out)

1st Metatarsal Cut-Out Pad

Grey Poron

TM

used as standard

Cut Out in Cushions?


To which Met Head? Please sketch

(Not Recommended)

To use this lab assessment service you must send either a foot sketch or a cast. You must also complete the quantification box on the prescription form labelled WITHOUT CARBONFLEX KIT We will then depending on the reported arch profile deduct a number of degrees from the rearfoot posting requested/NCSP to take into account the intrinsic posting.

Complete with kit section OR without kit section


Complete for Lab Assessment without using a kit You must take a sketch and/or send a cast

WITHOUT CARBONFLEX KIT (Extra Charge)

U in Cushions?
To which Met Head? Please sketch

Non-weight bearing arch profile


(axis) in STJ neutral

QUANTIFICATIONS

LEFT
Low Med High
o o

RIGHT
Low Med High
o o

NOTE

Total amount of rearfoot posting required?


(Accounting for shoe pitch)

MED LAT

MED LAT

Any cutting back of shells must be drawn on a foot recommend taking a foot sketch for Carbonflex De forefoot adaptions or any non standard adaptions w form. If unspecified, we will provide a standard she standard heel device.

PPL26032010

| 8 |

+ 353 (0) 21 4320277

custom orthotic devices

Casted Orthoses Prescription Form


Tramore Commercial Park, Tramore Road, Cork, Ireland.
Tel: + 353 (0) 21 4320277 / Fax: + 353 (0) 21 4321159

PLEASE RETAIN CARBON COPY FOR YOUR NOTES T

CASTED ORTHOSES PRESCRIPTION FORM


PRACTITIONER INFORMATION
Name: Phone Number: Email: Date Prescribed: Await HSE Sanction: Await Payment: Due Out Date: / / 20

BILLING INFORMATION
Account Code: Account Name & Delivery Address:

LAB USE ONLY


Ref No: CF Arrival Date: / / 20

PATIENT INFORMATION
Name: Relevant History: Age: Sex: Male Female

SHAPE & LENGTH


Full Length Cut to Sulci 3/4 Length
No Forefoot Additions

Shape
MENS 31/ 2 - 14 LADIES 31/ 2 - 10 CHILDS 71/ 2 - 3

Size

SHELL TYPES
Podofirm Flexifirm

(Refer to catalogue)

HEEL & ARCH ADDITIONS


Heel Raise Attached
Max 5mm

LEFT
mm mm 3mm 5mm 3mm 5mm

RIGHT
mm mm 3mm 5mm 3mm 5mm

COVERING
EVA
1 mm Standard Cover 0.75 mm Not Available with Stability Shell Options

All purpose orthoses for sport & casual wear. Supralene Shell with EVA Heel All purpose orthoses for sport & casual wear. Supralene Shell with EVA Heel & Arch Reinforcement

Heel Raise Detachable


Max 10mm

Suedette

Podoflex

COLOUR SCHEME OPTIONS


Blue Standard Black Beige nora Lunairflex 3mm Ex charge

All purpose orthoses for sport & casual wear. Maximum shock absorbency. Firm EVA Shell.

Heel Cushion

(Not Recommended)

Podosoft

Accommodative soft orthoses. Soft with no functional control. Soft EVA Shell.

Extra Cushioning under Arch


(Not Recommended)

STABILISING OPTIONS
Not Available with Slim-Line Option

LEFT

RIGHT

MIDFOOT ADDITIONS
3mm 2-5 Varus Metatarsal Bar 5mm 2-5 Varus Metatarsal Bar 2-4 Metatarsal Dome Pad Teardrop Pad
Circle one Met Head Only

LEFT

RIGHT

SERVICES
Fast Track 3 Days
Ex charge Ex charge Ex charge

Deep Heel Cup High Medial Side High Lateral Side

Special Fitting Service Refurbishment Scheme


Low Med High Low Med High

Prescription Forms (Orthoses) Assessment Forms Foot Sketch Forms Mailing Boxes & Labels Mailing Labels Only

SLIM-LINE OPTIONS
Not Available with Stabilising Option

LEFT

RIGHT

1 2 3 4 5
Please Circle

1 2 3 4 5
Please Circle

Low Heel Cup Slim Width of Shell

FOREFOOT ADDITIONS
Long Met Shaft Pad LEFT
o
MED

LEFT
1 2 3 4 5
Please Circle

RIGHT
1 2 3 4 5
Please Circle

POSTING INFORMATION
You must complete this section * See note A Type and amount of rearfoot posting required?

Under which Met Shaft?

FURTHER INFORMATION

RIGHT
o
MED

Thickness of Met Shaft Pad?


Grey Poron
TM

3mm 5mm

3mm 5mm

used as standard

With prescription platform

or B

(Accounting for shoe pitch)

o
LAT

o
LAT

(Less bulky than Metatarsal Cushion with cut-out)

1st Metatarsal Cut-Out Pad Or

Neutral Calcaneal Stance Position (NCSP)

o
INV Pronating Supinating

o
INV Pronating Supinating

Without prescription platform We will correct to this position If supinating, answer A

Cushioning under Met Heads

Metatarsal Cushions

C D

Are they pronating or supinating at the STJ Forefoot inverted on rearfoot


Forefoot Invertus (soft tissue) and/or FF Varus (bony)

Thickness of Cushions?
Grey Poron
TM

3mm 5mm 1 2 3 4 5
Please Circle

3mm 5mm 1 2 3 4 5
Please Circle

used as standard

o
INV

o
INV

Cut Out in Cushions?


To which Met Head? Please sketch

If there is any FF Inversion, estimate how many degrees are bony (FF Varus) Bony Forefoot Valgus

U in Cushions?
To which Met Head? Please sketch NOTE

o
INV

o
INV

1 2 3 4 5
Please Circle

1 2 3 4 5
Please Circle

G Bony Limitations of movement in STJ, Midtarsus or other joints (please detail)

We recommend taking a full size sketch of the foot for Casted Orthoses with any midfoot or forefoot additions or any non standard additions which are not listed on this form. * Use the Green Short Biomechanical Assessment Form to help you complete the posting information section.

PPL26032010

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custom orthotic devices

Casted Orthoses
Features Truly custom made orthoses. Individually handmade and designed from a plaster cast or deep foam box impression of the foot Intrinsic posting is applied as standard We assume all casts are taken in subtalar neutral position unless otherwise informed. Modified Blake and Root principles of cast modification used High quality durable materials Inbuilt shock attenuation Options Non standard additions can be requested with a sketch No additional cost for any combination of rearfoot and forefoot extrinsic posting Small charge for each heel, midfoot and forefoot addition 4 types of shell Stabilising and Slimline Options Choice of coverings and colours available Recommendations See shell types for different uses and recommendations (next page) How to Order

0% VAT

Prescription form and plaster or foam box cast by post. With foot sketch if required Services Standard Guarantees apply 7 Day turnaround time 3 Day Fast track * Special Fitting Service * Refurbishment Scheme* Discount on 2nd pair ordered within six months (see terms and conditions)
* extra charge

Paediatrics All casted orthoses are available in children's sizes. Discount given on child size 3 and under

prescribing orthotic devices

Shape & Length Options


3/4 Length orthoses are more easily accommodated in footwear. Full length orthoses must fit the shoe as well as the foot, therefore you must tell us the size of shoe the orthoses will be worn in. For orthoses to fit flush into unusual footwear/sports shoes you can send the footwear, or the insole from the shoe with the prescription and casts and we can tailor the orthoses to the footwear. The insole length is made to fit the shoe. We use a standard range of children's, ladies and men s templates, you can request either the children's, men's or ladies shape of templete. Sending a foot sketch allows us to place cut outs more accurately. Insoles can be made to fit non standard footwear, by either sending an accurate template (preferably the insole or liner from the shoe) or the shoes themselves.

Covering Options

(Material swatches available)

EVA is our standard covering materials suitable for all patients, it is thin, shock absorbing, durable and can be wiped clean. Suedette can be used as a thin comfort cover, ideal for those patients prone to blistering (not available on stability shell options). Lunairflex is also available as a covering option (extra charge applies)

Colour Scheme Options


For greater choice Podofirm, Flexifirm and Podoflex shells are available in 3 colour choices, Blue, Black and Beige.

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custom orthotic devices

Casted Orthoses Shell Type Options


Podoflex
0% VAT

Recommendations Casual wear Excellent for most sports including long distance running Hypermobility Gross foot deformity Post fracture / Post-op

Features Super High density EVA shell. Durable with maximum shock absorbency Flat based for good stability

Contour

Flexifirm

Available In

Limitations Not recommended for very heavy patients Not recommended for slim fitting footwear

Podoflex

Podofirm

Flexifirm

0% VAT

Recommendations Casual wear Excellent for nearly all sports Gross Hypermobility Fits football boots

Features A composite device giving strength, durability and shock absorbency, yet maintaining good flexibility Thin 2-3mm quality Supralene shell, with super high density EVA moulded under entire length of device Flat based for good stability

Contour

Available In

Limitations Not recommended for Slim ladies shoes

Flexifirm

Podoflex

Podofirm

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custom orthotic devices


2-4 Metatarsal Dome Pad Extra Layer on All Extra Layer on shell only

Cut out To Which Heads

U To Which Heads

Cut out To Which Heads

U To Which Heads

5mm 2-5 Varus Met Bar

Podofirm

3mm 2-5 Varus Met Bar Forefoot posting 1-5

0% VAT

Teardrop Pad

Recommendations Casual wear and casual sports


Short Met Shaft Pad Plantarflexed 1 ray Plantarflexed 1 ray

Features Semi- rigid casted orthoses, giving strength and durability, yet maintaining limited flexibility. 3-4mm quality Supralene shell. Super high density EVA heel posts, provides moderate shock absorption at heel strike Slimmer device for easier accommodation

Heel Vertical

Heel Inversion

Flexifirm
? ?

Heel Eversion

Limitations Available In Not recommended for high impact sport or long distance running Not recommended for instability or gross foot deformity

Contour

Podoflex

Podofirm Forefoot inverted on rearfoot

Podosoft

Forefoot everted on rearfoot

prescribing orthotic devices


0% VAT

Forefoot level with rearfoot

Recommendations Post fracture/Post-op At risk patients, only use when functional control cannot be tolerated

Deep Heel Cup

Low Heel Cup

Casted Orthoses Heel Raise Attached

Features Low density EVA shell (Blue colour option only) Accommodative device only

Podo Firm

Carbon flex Standard heel Carbon flex Shallow heel

FLEXI FIRM Carbon flex deep heel cup

Contour

PODO FLEX

Available In

Carbon flex Slim Fit heel

Limitations Not recommended where any level of functional control is required

PODO SOFT Carbon flex No heel Postl

Carbon flex Comfort Fill

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Forefoot everted on rearfoot

Forefoot inverted on rearfoot

Forefoot everted on custom flexHeel Vertical rearfoot devices Carbon orthotic Slim Fit heel Forefoot everted on rearfoot Forefoot level with rearfoot

Casted Carbon flex levelheel Postl Orthoses rearfoot Forefoot No with Prescription Information
? ?

Heel Inversion

Prescription Tips
The shape, height and width of a casted orthotic device is as important as the postings for functional control. A slimline orthoses with low heel cups will not be able to functionally control a person with gross hypermobility
Deep Heel Cup Forefoot level with rearfoot

Carbon flex Comfort Fill


?

Deep Heel Cup Heel Options Slimline Eversion

Low Heel Cup - Easier accommodation in footwear, gives less rearfoot stability
Low Heel Cup Deep Heel Cup Casted Orthoses Heel Raise Attached

Carbon flex heelRais Attached


Low Heel Cup Forefoot inverted on rearfoot Podo Firm Low Heel Cup Podo Firm

Casted Orthoses Heel Raise Attached

Slim width of shell - For dress shoes and slim sports shoes Carbon flex such as football boots Standard heel

Carbon flex ShallowCasted Orthoses Heel Raise Attached heel

Carbonflex Slim Fit Shell Forefoot everted on rearfoot

Carbon flex Standard heel Carbon flex Shallow heel

CAUTION* FLEXI FIRM Casted orthoses cannot be made wider or deeper once they have been trimmed to slimline Podo Firm Carbon flex Standard heel specifications
Carbon flex deep heel cup flex Shallow heel Carbon

FLEXI FIRM Forefoot level with rearfoot PODO FLEX

Stabilising Options

Carbon flex deep heel cup

Carbo flex Standard Shell FLEXI FIRM & Casted Orthoses Slim Width of Shell
PODO FLEX

Deep Heel Cup -Carbon flex rearfoot stability for cases of Improves Slim Fit heel excessive rearfoot pronation or supination
Carbon flex deep heel cup Carbon flex Slim Fit heel Carbon flex No heel Postl

PODO SOFT Deep Heel Cup PODO FLEX PODO SOFT

High Medial Side - Improves rearfoot and midfoot stability by supporting the navicular, for cases of excessive rearfoot pronation and midfoot collapse/navicular Carbon flex No heel Postl subluxation.

Carbon flex Slim Fit heel

PODO SOFT Low Heel Cup

Carbon flex Comfort Fill Casted Orthoses Heel Raise Attached Carbon flex No heel Postl

High Lateral Side - Improves rearfoot stability, for cases of excessive rearfoot supination and repeated lateral ankle Carbon flex Comfort Fill sprain. Also assists in controlling forefront abduction in cases of excessive rearfoot pronation.
Podo Firm Standard heel Carbon flex Carbon flexCarbon flex Comfort Fill heelRais Attached Carbon flex Shallow heel

Caution* All stabilising options will make the devices bulky and more difficult to accommodate in footwear.
Carbon flex heelRais Attached Full

FLEXI FIRM

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+ 353 Slim Fit Shell Carbonflex (0) 21 4320277 Carbon flex heelRais Attached Carbon flex deep heel cup

Name: Relevant History:

Age: Sex: Male

Full Length

Cut to Sulci

3/4 Length
No Forefoot Additions

MENS 31/ 2 - 14 LADIES 31/ 2 - 10 CHILDS 71/ 2 - 3

custom orthotic devicesFemale


SHELL TYPES
Podofirm Flexifirm
(Refer to catalogue)

HEEL & ARCH ADDITIONS


Heel Raise Attached
Max 5mm
TOTAL Forefoot Medial Sulci Full

LEFT
mm mm

RIGHT
mm mm

COVERING
EVA
1 mm Standard Cover

All purpose orthoses for sport & casual wear. Supralene Shell with EVA Heel
Rearfoot Laterall

All purpose orthoses for sport & casual wear. Supralene Shell with EVA Heel & Arch Reinforcement
Rearfoot Medial
3/4 Forefoot Lateral

TOTAL Forefoot Medial Sulci

TOTAL Forefoot Lateral Full Rearfoot Laterall

Heel Raise Detachable


Max 10mm
3/4

Suedette 0.75 mm Not Available with Stability Shell Options

Tr a m o r e C o m m e r c i a l P a r k , Tr a m o r e R o a d , C o r k , I r e l a n d .
Hight of Arch Hight Arch Tel: + 353 (0) 21 4320277 / Fax: + 353of (0) 21 4321159

Podoflex

Heel Cushion All purpose orthoses for sport & (Not Recommended) SHORT BI O MECHANI CAL casual wear. Maximum shock absorbency. Firm EVA Shell.ASSESSMENT FORM
Heal Raise Attached Forefoot Medial Heal Raise Detachable Forefoot Lateral
TOTAL Forefoot Lateral TOTAL Forefoot Medial

3/4

Hight of Arch

Carbonflex & Orthoses Heal Raise Detachable Hight of Arch 3/4

3mm

3mm

COLOUR SCHEME OPTIONS


Blue Standard Black Beige nora Lunairflex 3mm Ex charge

DATE PRESCRIBED

Rearfoot Medial Sulci

Rearfoot Laterall Full

5mm

Sulci Full

5mm 3mm

PRACTITIONER INFORMATION Podosoft Posting Information


Rearfoot Medial Heal Cussion

Rearfoot Laterall Cobra Pads TOTAL Forefoot Lateral

Sulci HEEL CUSSION TOTAL Forefoot Medial

Accommodative soft orthoses. Name: Soft with no functional control. Soft EVA Shell.
Heal Raise Detachable Cobra Pads HEEL CUSSION

Carbonflex & Orthoses Heal Raise Detachable

TOTAL Forefoot Medial

Extra Cushioning under Arch PATIENT INFORMATION


(Not Recommended)
2-5 Met Bars

FOR LAB USE ONLY

Ref No:
3/4 Forefoot Medial Sulci

3mm
Full

Hight of Arch Forefoot Lateral

3/4 Forefoot Medial Cobra Pads Forefoot Lateral 2-5 Met Bars Cobra Pads

1. FOOTWEAR ASSESSMENT
MENS 31/ 2 - 14 LADIES

Carbonflex & Orthoses Heal Raise Detachable Heal Raise Detachable

Name: Male Female

5mm

3/4 Hight of Arch

Full

5mm
Stone

Heal Raise Attached

LEFT RIGHT STABILISING OPTIONS LEFT RIGHT MIDFOOT this section being completed. The amount of SERVICES Occupation / Sporting We cannot manufacturehave casted orthotic device without ADDITIONS Activities: Flat Shoe/Trainer/Walking Shoe Low What gradient a Not Available we can Option you used? Medium Heels between 1 & 2 (3-5cm) informationwith Slim-Linegather from the cast alone is very limited. We surgical history: Medical / cannot quantify the amount of rearfoot 3mm 2-5 Varus Fast Track 3 Days Ex charge To account for patients shoe posting Heel Cup pitch the Neutral High Heels over 2 Stance Position Bar Calcaneal (over 5cm) Metatarsal (NCSP) as we cannot see the tibia or the angle of Deep required or the lower limb in 2. LEG & ANKLE the foot. relation to Special Fitting Service Ex charge RIGHT LEFT Presenting Complaints: Ankle Dorsiflexion +5 0 -5 -10 +5 5mm -10 0 -5 2-5 Varus High Medial Side Non-weightbearing Refurbishment Scheme Ex charge Metatarsal Bar If Ankle Equinus, how much is bony? (requires heel raises) bony Gait Pattern: Using Neutral Zone Prescription Platform bony High Lateral Side Length Prescription Forms (Orthoses) Right Leg Short by Left Leg Short by Low Low Leg 2-4 Metatarsal mm mm Discrepancy (True) Med Med We recommend you quantify your assessment using the Neutral Zone Prescription Platform. By completing Dome Pad RIGHT LEFT High REARFOOT COMPLEX Assessment Forms High RIGHT LEFT 3. ARCH RIGHT SLIM-LINE OPTIONS the Green Assessment PROFILE LEFT form and following steps 1 to 7. A andNote any bony in the of movement ininformation box on the C to G limitations posting the joints of the rearfoot complex Non-weight bearing arch Casted Orthoses profile Option prescription form is High Normal Low to complete. Rows A Joint C to G on the 3 4 5 1 Orthoses Foot Sketch Forms very easy High Normal Low G Sub-talar and Not Available with Stabilising 1 2 Casted 2 3 4 5 Teardrop Pad prescription form correspond to Rows A and C to G on the green assessment form. Please Circle G Talo-navicular Please Circle Circle one Met Head Only Joint 4. MEDIAL COLUMN Low Heel Cup Mailing Boxes & Labels G Calc-cuboid Joint RIGHT LEFT 1st Ray (Metatarsal)
Rearfoot Medial Rearfoot Laterall TOTAL Forefoot Medial 3/4 TOTAL Forefoot Lateral Hight of Arch TOTAL Forefoot Medial Hight of Arch
2-5 Met Bars Cobra Pads 2-5 Met Bars

31/ 2

- 10

CHILDS

71/ 2

-3

Sex:

Age:

Weight:

Sulci

TOTAL Forefoot Medial 2-4 Dome Pad Heal Cussion

TOTAL Forefoot Lateral Teardrop Pad Cobra Pads

TOTAL Forefoot Medial 2-4 Dome Pad

Teardrop Pad

HEEL CUSSION

3/4

Forefoot Medial

Forefoot Lateral

Carbonflex & Orthoses Heal Raise Detachable Sulci

Teardrop Pad

2-4 Dome Pad

Teardrop Pad

Heal Raise Medial Rearfoot Attached Sulci Sulci

Heal Raise Detachable Rearfoot Laterall Full Full

Carbonflex & Orthoses Heal Raise Detachable Short Shaft

Heal Raise Attached Short Shaft Cobra Pads

Heal Raise Cut-out 1st Met Detachable 2-5 Met Bars

1st Met Cut-out 2-5 Met Bars

Cobra Pads

Full Full

TOTAL Forefoot Medial Heal Cussion Forefoot Medial 3/4 3/4

TOTAL Forefoot Lateral Cobra Pads Forefoot Lateral

TOTAL Forefoot Medial 3/4

1st Met Cut-out

Short Shaft

1st Met Cut-out

HEEL CUSSION

(Limited)

(Limited)

Heal Cussion

Cobra Pads

HEEL CUSSION

Hight of Arch Hight of Arch

Hight of Arch Hight of Arch

Long Met Shaft Pad 2-4 Dome Pad

Teardrop Pad Met Cussions

Long Met Shaft Pad 2-4 Dome Pad

Teardrop Pad Met Cussions

Carbonflex & Orthoses Heal Raise Detachable Cobra Pads

Met Cussions

Long Met Shaft Pad

Met Cussions

Cobra Attached Heal RaisePads

Heal 2-5 Met Bars Raise Detachable

2-5 Met Bars

Cobra Pads

2-5 Met Bars

Cobra Pads

2-5 Met Bars

TOTAL Forefoot Medial Rearfoot Medial Rearfoot Medial

TOTAL Forefoot Lateral Rearfoot Laterall Rearfoot Laterall

TOTAL Forefoot Medial Sulci Sulci

Cut out To Which Heads Short Shaft

U To Which Heads 1st Met Cut-out

Cut out To Which Heads Short Shaft

U To Which Heads 1st Met Cut-out

U To Which Heads

Cut out To Which Heads

U To Which Heads

Heal Cussion 2-4 Dome Pad

Cobra Pads Teardrop Pad

2-4 Metatarsal Dome Pad 2-4 Dome Pad Teardrop Pad

2-4 Dome Pad

Teardrop Pad

Heal Raise Attached Forefoot Medial Forefoot Medial

Forefoot Detachable Heal Raise Lateral Forefoot Lateral

HEEL CUSSION Teardrop Pad 2-4 Dome Pad Carbonflex & Orthoses Heal Raise Detachable 3/4 3/4

2-4 Metatarsal Dome Pad

Extra Layer on All

Extra Layer on All

Extra Layer on shell only Met Cussions

Extra Layer on shell only

5mm 2-5 Varus Met Bar

Long Met Shaft Pad Met Cussions 5mm 2-5 Varus Met Bar

Long Met Shaft Pad

Cobra Pads

2-5 Met Bars

Cobra Pads Short Shaft

2-5 Met Bars

3mm 2-5 Varus Met Bar

Forefoot posting 1-5

Short Shaft 1st Met Cut-out 3mm 2-5 Varus Met Bar

Short Shaft

1st Met Cut-out

Heal Cussion TOTAL Forefoot Medial TOTAL Forefoot Medial

Short Shaft

1st Met Cut-out Cobra Pads TOTAL Forefoot Lateral TOTAL Forefoot Lateral

1st Met Cut-out

TOTAL Forefoot Medial TOTAL Forefoot Medial

HEEL CUSSION

Slim Width of Shell (Non-weightbearing)


Teardrop Pad Short Met Shaft Pad Plantarflexed 1 ray

Plantarflexed 1st Ray

Forefoot posting 1-5

Yes No Mild Moderate Severe


Teardrop Pad

Cut out To Which Heads

U To Which Heads

Cut out To Which Heads

Yes No Mild Moderate Severe


Met Cussions

FOREFOOT Please note: ADDITIONS


U To Which Heads

2-4 Dome Pad Cobra Pads Long Met Shaft Pad

(Non-weightbearing) POSTING INFORMATION


Heel Vertical

Mobility of 1st Ray

Plantarflexed 1 ray

Mobile

2-4 Metatarsal Dome Pad Long Met Shaft Pad Met Cussions

Long Met Shaft Pad Plantarflexed 1 ray Extra Layer on All

Limited

Short Met Shaft Pad

Rigid

Mobile

Long Met Shaft Pad


Plantarflexed 1 ray Extra Layer on shell only

Fill in EITHER Rearfoot Assessment using Prescription Platform OR Rearfoot Assesment without Prescription Platform
2-5 Met Bars Heal Raise Attached Heal Raise Attached

LEFT
Teardrop Pad Met Cussions

2-4 Dome Pad

RIGHT
Teardrop Pad

You must complete this Mobility of 1st MPJ section * See note (Non-weightbearing)
Heel Inversion

1st MPJ (Hallux)

LEFT Mobile
o Yes o
Details

LEFT

5mm 2-5 Varus Met Bar

Limited Rigid 6. Shaft? prescription Under which Met REARFOOT ASSESSMENT using Please Circle platformCircle Please
Short Shaft

1 2 3 4 5
Heal Raise Detachable Heal Raise Detachable

Cobra Pads 2-5 Met Bars Carbonflex & Orthoses Heal Raise Detachable Long Met Shaft Pad Carbonflex & Orthoses Heal Raise Detachable Met Cussions

Mailing Labels Only

1 2 3 4 5
1st Met Cut-out

Cut out To WhichHeel Vertical Heads

Limited

3mm 2-5 Varus Met Bar

RIGHTMobile Thickness of Met Shaft Pad? used to hold posting (wedging) have you Rigid Rigid
U To Which Heads Cut out To Which Heads U To Which Heads

RIGHT
Limited

2-4 Dome Pad Cut out To Which Heads Heal Cussion Heal Cussion

LEFT

1st Met Cut-out

Short Shaft

Teardrop Pad U To Which Heads Cobra Pads Cobra Pads

2-4 Dome Pad Cut out To Which Heads

A What type and how many degrees of


the as standard usedrearfoot in STJ neutral position? Medial (resisting pronation) or Lateral (resisting supination)

3mm
MED 5mm
Long Met Shaft Pad Cobra Pads Extra Layer on All Short Shaft Cobra Pads

RIGHT

Teardrop Pad U To Which Heads HEEL CUSSION HEEL CUSSION

FURTHER INFORMATION

3mm
MED 5mm

Forefoot posting 1-5

Type and amount of (weightbearing) Functional Hallux Limitus rearfoot posting required?
Heel Eversion

No Yes No Mild MED Moderate Severe Mild Moderate Severe MED


Teardrop Pad 2-4 Inversion Heel Metatarsal Dome Pad Extra Layer on All Extra Layer on shell only 5mm 2-5 Varus Met Bar Short Met Shaft Pad Heel Eversion

o o

Grey Poron

TM

2-4 Metatarsal Dome Pad

Long Met Shaft Pad Short Shaft Cobra Pads Cobra Pads

Met Cussions 2-51st Met Cut-out Met Bars 2-5 Met Bars

Met Cussions 1st Met Cut-out 2-5 Met on shell only Extra LayerBars 2-5 Met Bars

With prescription1st MPJ Position platform


Forefoot inverted on rearfoot

Plantarflexed 1 ray

Details

or B

ie HAV (Bunion) (Accounting for shoe pitch)


Forefoot everted on rearfoot

LAT

3mm 2-5 Varus Met Bar

LAT

Forefoot posting 1-5

(Less bulky than Metatarsal pronation or C Are you resisting supination at STJ? Cushion with cut-out)
Plantarflexed 1 ray

1st Metatarsal Cut-Out Pad Or


RIGHT

5mm 2-5 Varus Met Bar

LAT
3mm 2-5 Varus MetU To Which Heads Bar Cut out To Which Heads 2-4 Dome Pad 2-4 Met Shaft LongDome Pad Pad Teardrop Pad Teardrop Pad Met Cussions

LAT

Pronation
Teardrop Pad

Cut out To Which Heads 2-4 posting 1-5 ForefootDome Pad 2-4 Dome Pad Pad Long Met Shaft

Pronation

U To Which Heads

Supination

Supination
Extra Layer on All

Teardrop Pad Teardrop Pad Met Cussions

5. FOREFOOT Neutral Calcaneal Stance (2-5) TO REARFOOT RELATIONSHIP o o LEFT (2nd-5th Position (NCSP) Met Head) Assessed Non-weightbearing
Forefoot Heel Vertical inverted on rearfoot Teardrop Pad
Forefoot level with rearfoot

OR

2-4 Metatarsal Dome Pad Extra Layer on shell only

Without prescriptionForefoot level with Rearfoot platform Normal Alignment We will correct to this position If supinating, answer A INV
Deep Heel Cup

Forefoot Inversion rearfoot Heel everted on Short Met Shaft Pad

C D

Pronating Are they pronating or Forefoot Invertus or Varus supinating at the STJ Supinating
Carbon flex Standard heel Carbon flex Shallow heel

D Forefoot inverted on Rearfoot


Casted Orthoses Heel Raise Attached

Heel Eversion Forefoot level with rearfoot Heel Vertical

Forefoot inverted on rearfoot Deep Heel Cup Heel Inversion

Mild Moderate Pronating Severe

prescribing orthotic devices


Plantarflexed 1 ray

INV

Cushioning under Met Heads POSITION (CORRECTED)


How much rearfoot varus Thickness of Cushions?+ STJ Varus ie. Tibial Varum

Metatarsal Cushions CALCANEAL STANCE NEUTRAL


Plantarflexed 1 ray

6. REARFOOT ASSESSMENT without prescription platform


Short Met Shaft 1st Met Which Heads PadTo Cut-out Short Shaft U Cut out To Which Heads Short Shaft 5mm 2-5 Varus Met Bar Cut-out 1st Met 3mm 2-5 Varus Met Bar 2-4 Metatarsal Dome Pad Heel Vertical

1st Met Cut-out Short Shaft U To Which Heads Cut out 1 1st 1 ray Short Shaft Which Heads Plantarflexed Toray PlantarflexedMet Cut-out

LEFT

RIGHT
Met Cussions Met Cussions

Forefoot posting 1-5 Extra Layer on All

degrees are Forefoot Invertus (soft tissue) bony? and/or FF Varus F Forefoot everted on Rearfoot INV (bony)
PODO SOFT Carbon flex No heel Postl

Forefoot inverted on E If there is any bony inversion o rearfoot (FF Varus), estimate how many
Carbon flex deep heel cup PODO FLEX Carbon flex Slim Fit heel

Is any of the inversion deformity bony and not passively correctable?


Low Heel Cup Heel Eversion

Supinating Invertus No FF
Yes FF Varus

Grey Poron
Yes FF Varus

Mild Moderate Severe

NCSP Heel Inversion

Long Met Shaft Pad Long Met Shaft Pad

Met Cussions Teardrop Pad Met Cussions 5mm 2-5 Varus Met Bar Heel Inversion

3mm

Long Met Shaft Pad Long Met Shaft Pad

TM

No FF Invertus

Or used as standard

Forefoot everted on rearfoot

Casted Orthoses Heel Raise Attached

o
INV

(Unusual as Cut Out in Cushions? 5 Inversion is normal due to Tibial Varum)

B NCSP Heel Vertical 0

Short Met Shaft Pad 3mm 2-5 Varus Met Bar Cut out To Which Heads Cut out To Which Heads Heel Eversion

5mm

Extra Layer on shell only

inv

3mm

Plantarflexed 1 ray Forefoot posting 1-5 Cut out To Which Heads Cut out To Which Heads

Plantarflexed 1 ray

5mm

inv

U To Which Heads U To Which Heads

U To Which Heads U To Which Heads

Teardrop Pad

Podo Firm Forefoot level with rearfoot

Forefoot inverted on rearfoot

Inv

Carbon flex Standard heel Carbon flex Shallow heel

To which Inv Head? Please sketch STANCE Met RELAXED CALCANEAL

If there is any FFDont confuse with Plantarflexed o Rays Inversion, 1st estimate how many degrees FURTHER INFORMATION INV are bony (FF Varus)
Carbon flex Comfort Fill Carbon flex heelRais Attached

(FF Valgus) Always Bony (rare)

FLEXI FIRM

Deep Heel Cup Forefoot everted on rearfoot

o
INV

ev

U in Cushions? C
Carbon flex deep heel cup Carbon flex Slim Fit heel

Heel Vertical 2-4 Metatarsal Dome Pad 2-4 Metatarsal Dome Pad

1 2 3 4 5
Please Circle

1 2 3 4 5
Please Circle
Extra Layer on shell only Plantarflexed 1 ray shell only Extra Layer on

POSITION (UNCORRECTED)

Forefoot Short Met Shaft Pad inverted on rearfoot

LEFT

Extra Layer on All Extra Layer on 1 ray Plantarflexed All

PODO FLEX

To which ev Head? Please sketch Met


RCSP Heel Eversion
They are pronating at rearfoot

On relaxing from neutral position does the 1 2 patient


3mm 2-5 Varus Met Bar Heel Vertical 3mm 2-5 Varus Met Bar Heel Eversion

5mm 2-5 Varus Met Bar Heel Varus Met 5mm 2-5 Inversion Bar

RIGHT

Forefoot everted on rearfoot

3 Pronate 1 2Pronate 5 4 5 3 4
Forefoot posting 1-5 Forefoot posting 1-5

Supinate Please Circle Stay still

Supinate Please Circle Stay still

Pronate, Supinate or do they stay still ?

Low Heel Cup Forefoot level with rearfoot PODO SOFT

Casted Orthoses Heel Raise Attached

Bony Forefoot Valgus


No Extrinsic Posting Medial Extrinsic Posting

Carbonflex Slim Fit Shell

Podo Firm

Carbon flex No heel Postl Carbon flex Standard heel Carbon flex Shallow heel

Deep Heel Cup

G Bony Limitations of movement in STJ, Midtarsus or other joints (please detail)


Carbo flex Standard Shell & Casted Orthoses Slim Width of Shell Laterall Extrinsic Posting

Carbon flex Comfort Fill FLEXI FIRM

Carbon flex deep heel cup Low Heel Cup PODO FLEX

Casted Orthoses Heel Raise Attached Carbon flex heelRais Attached Carbon flex Slim Fit heel

ev ev We recommend taking a full size sketch of the foot for Casted RCSP Heel Vertical 0 Orthoses with any midfoot or forefoot additions or any non standard They are probably pronating at rearfoot additions which are not listed on this form. * Use the Green RCSP Heel Inversion Short Biomechanical Assessment Form to help you Could be pronating or supinating at rearfoot inv inv complete the posting information section.
Forefoot inverted on rearfoot Short Met Shaft Pad Short Met Shaft Pad Deep Heel Cup Heel Eversion Plantarflexed 1 ray Plantarflexed 1 ray Plantarflexed 1 ray Plantarflexed 1 ray Forefoot everted on rearfoot LowHeel Vertical Heel Cup Heel Vertical Forefoot inverted on rearfoot Forefoot level with rearfoot Casted Orthoses Heel Raise Attached Podo Firm Heel Inversion Heel Inversion Forefoot everted on rearfoot Carbon flex Standard heel Carbon flex Shallow heel Deep Heel Cup FLEXI FIRM

NOTE

Forefoot level with rearfoot Teardrop Pad Teardrop Pad Heel Inversion

PPL26032010

PPL26032009

Full

Podo Firm PODO SOFT

Carbon flex Standard heel Carbon flex Shallow heel Carbonflex Slim Fit Shell Carbon flex No heel Postl

Using Traditional Methods of Quantification If using traditional methods of quantifying you have the option of filling in row B rather than A, again B corresponds with B on the green assessment form. Due to the wide range of assessment methods used, and different interpretations of what NCSP is, we will correct to the position you identify in B as the NCSP. The only exception to this is with a patient who is supinating. If we corrected a supinating patient to their NCSP, we would be adding medial posting, which would encourage more supination. Therefore if using traditional methods of quantification we request you also answer Row A, and tell us how much lateral posting is required to prevent the patient supinating.

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custom orthotic devices

Total Contact Casted Orthoses Prescription Form


Tr a m o r e C o m m e r c i a l P a r k , Tr a m o r e R o a d , C o r k , I r e l a n d .
Tel: + 353 (0) 21 4320277 / Fax: + 353 (0) 21 4321159

PLEASE RETAIN CARBON COPY FOR YOUR NOTES RET COPY

TOTAL CONTACT CASTED ORTHOSES FORM


PRACTITIONER INFORMATION
Name: Phone Number: Email: Date Prescribed: Await HSE Sanction: Await Payment: Due Out Date: / / 20

BILLING INFORMATION
Account Code: Account Name & Delivery Address:

LAB USE ONLY


Ref No: MO /

Arrival Date:

/ 20

PATIENT INFORMATION
Name: Relevant History: Age: Sex: Male Female

BIOMECHANICAL INFORMATION
Forefoot Inverted on the Rearfoot ? Estimate how much is BONY (fixed and not correctable). Is the 1st Ray Plantarflexed? LEFT
Mobile Limited Rigid

LEFT
Yes / No

RIGHT
Yes / No

Yes / No

Yes / No
Limited Rigid

SHAPE & LENGTH


PLEASE SEND FOOTWEAR OR INSOLE TEMPLATE IF POSSIBLE Shoe Size: Style:

RIGHT
Mobile

Rearfoot Mobility

SHELL TYPE (Please Tick)

TYPE 1

Heavy Duty Accommodative

Midfoot Mobility Forefoot Mobility 1st Ray Mobility 1st MPJ Mobility ARE THERE ANY OTHER Bony Limitations / Amputations / Charcot Joints / Ulcerations ? Please detail on sketch

FOAM BOX CASTS RECOMMENDED


No cast modifications, no intrinsic posting, moulded entire length of foot. 2 Layer device with High Density EVA full foot length shell, and a 3mm nora Lunairflex* cushioning cover. For a better fit, we advise that you send in the patients footwear.

TYPE 2

Medium Duty Accommodative

FOAM BOX CASTS RECOMMENDED


No cast modifications, no intrinsic posting, moulded entire length of foot. 3 Layer device with 3mm nora Lunairflex* full foot length moulded inner shell, High Density EVA length outer shell, and a 3mm nora Lunairflex* cushioning cover. For a better fit, we advise that you send in the patients footwear.

TYPE 3

Functional Podoflex Device

If you require a functional device with additions or intrinsic correction, then use the orange CASTED ORTHOSES FORM and request a special nora Lunairflex* cover.

POSTING INFORMATION (Please Tick)


Do you want extrinsic posting to allow the rearfoot to sit: a) In an uncorrected relaxed heel position b) As close to vertical heel as possible

NOTE * nora Lunairflex cover is a tested and certified skin friendly material, washable and hygienic due to its closed cellular structure

STABILISING OPTIONS
Deep Heel Cup High Medial Side High Lateral Side

LEFT

RIGHT

Further Posting Instructions:

FURTHER INFORMATION

PPL280042010

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custom orthotic devices

Total Contact Casted Orthoses


Total Contact Devices
Features Truly custom made orthoses Total contact devices reduce peak pressure by spreading the load helping to minimise tissue breakdown Handmade to a deep foam impression box. 3 types available
0% VAT

Recommendations High risk patients Diabetic foot Neuroarthropathy (Charcot foot) Rheumatoid Arthritis Pre/Post foot ulceration Fixed orthopaedic conditions Post surgery

Addition Options Only available on Type 3

Covering Options Lunairflex 3mm Nora Lunaflex

Posting Options

prescribing orthotic devices

Accommodative when not intrinsically posted (no movement will occur at the midfoot). Extrinsic posting can be applied to all 3 types if movement at the subtalar joint needs to be controlled. Semi-functional when small amount of intrinsic posting applied, this allows some movement at the midfoot and facilitates normal medial column motion. (Only available on TYPE 3)

Shell Options
1 Heavy Duty Accommodative The device is moulded the full length of the foot. 2 Layer device with high density EVA full length shell, plus choice of cushioning cover. Bulky device suitable only for made to measure or extra depth extra width shoes and boots. 2 Medium Duty Accommodative The device is moulded the full length of the foot. 3 Layer device with full length 3mm Nora Lunaflex shell, high density EVA 34 length shell stiffener, plus choice of cushioning cover. Less bulky, suitable for extra depth extra width shoes and boots and trainers. 3 Medium Duty Semi Functional Moulded high density 34 length shell, cushioned forefoot extension, choice of cushioning covers. Least bulky, suitable for most standard lace shoes, boots and trainers.

How To Order
Prescription form and foam box cast. Foot sketch if required. Footwear or template of shoe insole if possible to ensure good fit to orthopaedic or unusual footwear.

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custom orthotic devices

Casted Orthoses Evaluation & Modifications


Laboratory Technical Evaluation
Once casts and prescription forms have been received they are technically reviewed by one of our podiatrists. At this point the cast modifications and postings are evaluated and the prescription is reviewed. If we need further information we may contact you. To avoid mistakes we use the better safe than sorry principle, preferring to contact you if there are any doubts concerning the prescription.

Protocols of Cast Modification


The protocols a laboratory use to modify casts could be described as the companies art . The modification techniques that we use have been developed over years of experience. The standard protocols we use are our own modification of the Blake and modified Root techniques. We use different protocols for the different types of shells, the more flexible shock absorbing shells being more total contact than the more rigid shells. Please note we are familiar with and are happy to undertake any other modification techniques such as Kirby Skives under your instruction. We have outlined below a very general description of the main principles of our modification protocols. It is not necessary for practitioners to understand all the different protocols and techniques we use, however a basic appreciation will help you to select the best type of casted orthoses for your patient. Extrinsic posting: posting/wedging applied to the outside or machined into the underneath of the casted orthoses shell. Normally a maximum of 5-8o of extrinsic posting can be added to the shell without it becoming unstable or too bulky to accommodate in regular footwear. Intrinsic posting: posting that is integral to the shape of the shell itself. This is achieved by twisting and modifying the casts. We recommend up to 15o of posting, (depending on various factors) can be achieved intrinsically. 1 We generally intrinsically balance out soft tissue forefoot inversions to 0o if possible. This will allow correction of small to moderate soft tissue forefoot inversions over time. Large soft tissue forefoot inversions over 5-15o, (depending on shoe size and patient profile), may require the use of a 2-5 varus metatarsal bar, as well as intrinsic forefoot balancing.Very large soft tissue forefoot inversions over 10-25o, (depending on shoe size and patient profile), may require the use of a combination of forefoot medial or total forefoot medial posting and intrinsic balancing. We generally only use forefoot medial or lateral extrinsic posting for bony forefoot pathologies and very large soft tissue forefoot inversions. Forefoot medial and total forefoot medial posting can block normal medial column function, preventing 1st Ray plantarflexion and normal toe off. We generally intrinsically post the rearfoot as close to the desired corrected position (normally STJ neutral) as possible. This depends on the type and amount of forefoot deformity present and the patient profile. If full correction intrinsically is not possible, we will put extrinsic rearfoot posting on the device. We generally always use intrinsic posting in preference to extrinsic posting if possible. Extrinsic posting adds bulk to the orthoses and can cause shoe fit problems. Intrinsic posting is restricted by the medical/ surgical history and age of the patient, reduced range of motion in the rearfoot complex, midtarsus or medial column, and the type and severity of forefoot deformity. We generally modify casts for flexible shells (e.g. Podoflex) with minimal arch fill to give a total contact effect in the midfoot. The more flexible material allows for the dynamic movements of the medial column to occur, thereby allowing 1st Ray plantarflexion to occur. We generally modify casts for more rigid shells (e.g. Podofirm) with moderate arch fill. The less flexible material will not allow the dynamic movements of the medial column to occur. If arch fill is not added 1st Ray plantarflexion will be blocked and the medial slip of the plantarfascia may be irritated.

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STOCK DEVICES

STOCK OrThOTiC deviCeS

Contents:
Paediatric Devices Adaptable Orthotic Systems Specialised orthotics Insole kits Shock Absorbing & Thermal Orthotic Devices Slimfit & Rearfoot Orthotic Devices Digital Devices Temporary Devices Night Splints Hot & Cold Compression 1 3 7 8 9 10 12 15 15 16

contents

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STOCK OrThOTiC deviCeS

Paediatric Devices
First Step Paediatric Device
0% VAT


Recommendations Hypermobility Excessive pronation Medium to low natural arch profile Controls forefeet abduction (in excessive pronation) Talo-navicular control Hyper and hypotonia

Standard Features Highly effective stability device Deep heel cups with flat base Medium height arch profile Thin design which is easily accommodated Cut to sulci length Multilayer design with soft flexible edges Top cover - soft washable suedette Mid layer - thin 2mm cushioning Shell - 1.5mm durable thermoplastic Durable, washable & resistant to cracking Slightly flexible and heat mouldable

First Step Paediatric Device


Code
OCFIRSTSTEP22/23 OCFIRSTSTEP24/25 OCFIRSTSTEP26/27 OCFIRSTSTEP28/29 OCFIRSTSTEP30/31 OCFIRSTSTEP32/33 OCFIRSTSTEP34/35 OCFIRSTSTEP36/37 OCFIRSTSTEP38/39 OCFIRSTSTEP40/41

UK
Child 5-6 Child 7-8 Child 8-9 Child 10-11 Child 11-12 Child 13-1 Adult 2-3 Adult 3-4 Adult 5-6 Adult 6-7

EU
22-23 24-25 26-27 28-29 30-31 32-33 34-35 36-37 38-39 40-41

Feet In Motion Paediatric Device


Standard Features EVA with shell High density neutral as3/4 lengthand 5 degree medial in well as 3 Availableposting rear foot Coloured red and blue (red for right and blue for left) Deep heel cup plus high medial and lateral sides Flat baseflexible sides Durable effective Cost compliance rate High

5 Degree Medial

3 Degree Medial

Recommendations Stability device Suitable for hypermobility Excessive pronation Talo - navicular control


Neutral Paediatric Feet in Motion Device
Description Paediatric Feet In Motion, Child 3-4 (19-20) Paediatric Feet In Motion, Child 4-5(21-22) Paediatric Feet In Motion, Child 6-7 (23-24) Paediatric Feet In Motion, Child 8-8 (25-26) Paediatric Feet In Motion, Child 9-9 (27-28) Paediatric Feet In Motion, Child 10-11 (29-30) Paediatric Feet In Motion, Child 12-13 (31-32) Paediatric Feet In Motion, Adult 1-2 (33-34)

Neutral OCFIMNEU19/20 OCFIMNEU21/22 OCFIMNEU23/24 OCFIMNEU25/26 OCFIMNEU27/28 OCFIMNEU29/30 OCFIMNEU31/32 OCFIMNEU33/34

3 degrees OCFIM3DEG19/20 OCFIM3DEG21/22 OCFIM3DEG23/24 OCFIM3DEG25/26 OCFIM3DEG27/28 OCFIM3DEG29/30 OCFIM3DEG31/32 OCFIM3DEG33/34

5 degrees OCFIM5DEG19/20 OCFIM5DEG21/22 OCFIM5DEG23/24 OCFIM5DEG25/26 OCFIM5DEG27/28 OCFIM5DEG29/30 OCFIM5DEG31/32 OCFIM5DEG33/34

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STOCK OrThOTiC deviCeS


Paediatric Devices
Buratto Paediatric
Buratto Paediatric (Pair) Code UK
OCBURC22 OCBURC23 OCBURC24 OCBURC25 OCBURC26 OCBURC27 OCBURC28 OCBURC29 OCBURC30 OCBURC31 OCBURC32 OCBURC33 OCBURC34 OCBURC35 OCBURC36 Child 5 Child 6 Child 7 Child 8 Child 81/2 Child 9 Child 10 Child 11 Child 111/2 Child 121/2 Child 13 Adult 1 Adult 2 Adult 3 Adult 31/2 0% VAT

EU
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36

Recommendations Hypermobility Excessive pronation High / medium natural arch profile Features Stability device Deep heel cup and high medial border


4Kids

High / Medium arch profile Full length top cover Heat adjustable sizes Available in adult
0% VAT

Features 34 length Low to medium density EVA Medium to low natural arch profile High medial border for maximum navicular support Heat adjustable

4Kids(pair) Code
OC4KIDS25/27 OC4KIDS28/29 OC4KIDS30/32 OC4KIDS33/34

UK
Child 8-10 Child 101/2-111/2 Child 12-1 Adult 11/2-21/2

EU
25-27 28-29 30-32 33-34

Recommendations Gentle arch and navicular support Excessive pronation Hypermobility

OTHER STOCK ORTHOSES AVAILABLE IN PAEDIATRIC SIZES

Salford Insole Blue & Orange Vasyli Custom length Vasyli Custom Easifit

Child size 12(31) and above Child size 12(30) and above Child size 1(33) and above

Page 3 Page 5 Page 9

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Adaptable Orthotic Systems
Salford Insole
Features Durable, washable Low cost Shock attenuating Deep heel cup Slightly higher arch profile than other off the shelf devices Available in two densities Adaptable wedging Easily accommodated in shoes Excellent rearfoot control Optional extras Self adhesive heel raises and wedges. Recommendations Suitable for high arches Trainers, football boots, wellingtons
0% VAT

Available in Orange Medium Density For standard durability and more shock absorption Blue High Density For more durability and resistance to force

Salford Insoles -Orange & Blue. Sold in pairs.


Code
OCSALBL31 OCSALBL32 OCSALBL33 OCSALBL34 OCSALBL35 OCSALBL37 OCSALBL38 OCSALBL39 OCSALBL40.5 OCSALBL42 OCSALBL43 OCSALBL44.5 OCSALBL46

Description
Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Blue Blue Blue Blue Blue Blue Blue Blue Blue Blue Blue Blue Blue High High High High High High High High High High High High High Density, Size 12 Density, Size 13 Density, Size 1 Density, Size 2 Density, Size 3 Density, Size 4 Density, Size 5 Density, Size 6 Density,Size 7 Density, Size 8 Density, Size 9 Density Size10 Density Size 11

UK
12 13 1 2 3 4 5 6 7 8 9 10 11

EU
31 32 33 34 35 37 38 39 40.5 42 43 44.5 46

Code
OCSALOR31 OCSALOR32 OCSALOR33 OCSALOR34 OCSALOR35 OCSALOR37 OCSALOR38 OCSALOR39 OCSALOR40.5 OCSALOR42 OCSALOR43 OCSALOR44.5 OCSALOR46

Description
Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Orange Orange Orange Orange Orange Orange Orange Orange Orange Orange Orange Orange Orange Medium Medium Medium Medium Medium Medium Medium Medium Medium Medium Medium Medium Medium Density, Density, Density, Density, Density, Density, Density, Density, Density, Density, Density, Density, Density, Size Size Size Size Size Size Size Size Size Size Size Size Size 12 13 1 2 3 4 5 6 7 8 9 10 11

UK
12 13 1 2 3 4 5 6 7 8 9 10 11

EU
31 32 33 34 35 37 38 39 40.5 42 43 44.5 46

Other Stock Orthoses available in Paediatric sizes Salford Additions


Salford Additions. Sold in pairs.
Code
OCSALA4MMHRL OCSALA4MMHRM OCSALA4WEDL OCSALA4WEDM OCSALA6MMHRL OCSALA6MMHRM

0% VAT

Description
Salfordinsole Salfordinsole Salfordinsole SalfordinsoleS Salfordinsole Salfordinsole S/A 4mm Heel Raise,Large pair S/A 4mm Heel Raise,Medium pair S/A 4 Medial Wedge,Large pair /A 4 Medial Wedge,Medium pair S/A 6mm Heel Raise,Large pair S/A 6mm Heel Raise,Medium pair

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Adapatable Orthotic Systems


Alphathotic MK 2
0% VAT

Recommendations Mild rearfoot pronation Dress / Court shoes Football boots & sailing shoes Dancing Shoes

Features Very Slim & easily accommodated 3/4 Length orthotic with low arch support Some intrinsic rearfoot support Low heel cup Cork base for customisation Can be customised using PPL components Flexible, Durable & Washable

Alphathotic MK 2 (Pair)
Code
OCALPHA35/37 OCALPHA38/40 OCALPHA41/42 OCALPHA43/45 OCALPHA46/48

UK
3-41/2 5-61/2 7-81/2 9-101/2 11-121/2

EU
35-37 38-40 41-42 43-45 46-48

Buratto Adult

0% VAT

Recommendations Hypermobility Excessive pronation High / medium natural arch profile Football boots

Buratto Adult (Pair)


Code Features Stability device Deep heel cup and high medial border High / medium arch profile Full length top cover Heat adjustable Also available in children's sizes
OCBURA37 OCBURA38 OCBURA39 OCBURA40 OCBURA41 OCBURA42 OCBURA43 OCBURA44 OCBURA45

UK
4 5 6 61/2 71/2 8 9 91/2 101/2

EU
37 38 39 40 41 42 43 44 45

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Adapatable Orthotic Systems


Vasyli Custom 3/4 & Full Length
Vasyli Easifit, Slimfit & Heel pain Features 3/4 length or full length EVA type device Intrinsic rearfoot support Low to moderate arch profile Low to moderate heel cup Recess for 1st Ray plantarflexion Sorbon heel shock dot Low 2-5 metatarsal raise Available in 3 densities Heat adjustable Rubbed nylon top cover Optional extras Self adhesive Vasyli additions and wedges. Sold in boxes of 5 pairs Recommendations Mild to moderate rearfoot pronation Medium to low natural arch profile Fits most regular shoes Available in Red High Density For more durability and resistance to force Blue Medium Density For standard durability and more shock absorption Green Low Density For elderly, diabetic and arthritic patients
0% VAT

Vasyli Custom Full Length (Pair)


Size
Small Kids Large Kids X Small Small Medium Large X Large XX Large

UK
12-131/2 1-21/2 3-41/2 5-61/2 7-81/2 9-101/2 11-121/2 13-141/2

EU
30-32 33-34 35-37 38-40 41-42 43-45 46-48 49-50

Red
OCVASFRED30/32 OCVASFRED33/34 OCVASFRED35/37 OCVASFRED38/40 OCVASFRED41/42 OCVASFRED43/45 OCVASFRED46/48 OCVASFRED49/50

Blue
OCVASFBLU30/32 OCVASFBLU33/34 OCVASFBLU35/37 OCVASFBLU38/40 OCVASFBLU41/42 OCVASFBLU43/45 OCVASFBLU46/48 OCVASFBLU49/50

Green
--------------------OCVASFGRN35/37 OCVASFGRN38/40 OCVASFGRN41/42 OCVASFGRN43/45 ---------------------

Vasyli Custom 3/4 Length (Pair)


Size
Small Kids Large Kids X Small Small Medium Large X Large XX Large

UK
12-131/2 1-21/2 3-41/2 5-61/2 7-81/2 9-101/2 11-121/2 13-141/2

EU
30-32 33-34 35-37 38-40 41-42 43-45 46-48 49-50

Red
OCVASRED30/32 OCVASRED33/34 OCVASRED35/37 OCVASRED38/40 OCVASRED41/42 OCVASRED43/45 OCVASRED46/48 OCVASRED49/50

Blue
OCVASBLU30/32 OCVASBLU33/34 OCVASBLU35/37 OCVASBLU38/40 OCVASBLU41/42 OCVASBLU43/45 OCVASBLU46/48 OCVASBLU49/50

Green
----------- --------OCVASGRN35/37 OCVASGRN38/40 OCVASGRN41/42 OCVASGRN43/45 ---------------------

Vasyli Custom Additions and Wedges (Box of 5 Pairs)


OCVASCMETBAR OCVASC2RFVR OCVASC4RFVR OCVASC4FFVR OCVASC6FFVR OCVASC4FFVAL OCVASC6FFVAL

Size

Description

Metatarsal Bars 2o rearfoot varus /medial wedges 4o rearfoot varus/medial wedges 4o forefoot varus/medial wedges 6o forefoot varus/medial wedges 4o forefoot valgus/lateral wedges 6o forefoot valgus/lateral wedges

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Adapatable Orthotic Systems
Vasyli & Dananberg
Features Removable 1st ray sections Self adhesive Sorbon additions included Full length EVA device Heat mouldable Low 2-4 dome Sorbon Heel cushion Suede type top cover
0% VAT

TH E

M A L

T R A Y

Vasyli Pro 4 & Full Length

Code
OCVASPRO33/34 OCVASPRO35/37 OCVASPRO38/40 OCVASPRO41/42 OCVASPRO43/45 OCVASPRO46/48 OCVASFPRO33/34 OCVASFPRO35/37 OCVASFPRO38/40 OCVASFPRO41/42 OCVASFPRO43/45 OCVASFPRO46/48

STC

I rg Le R Yb O T n A Sa M IC D N An T a V D

P D

Vasyli & Dananberg (pair)


Code
OCVASDAN35/37 OCVASDAN38/40 OCVASDAN41/42 OCVASDAN43/45 OCVASDAN47/48

Size
X Small Small Medium Large X Large

UK
3-41/2 5-61/2 7-81/2 9-101/2 11-121/2

EU
35-37 38-40 41-42 43-45 46-48

Recommendations Functional Hallux Limitus Plantarflexed 1st Ray Mild to moderate rearfoot pronation

0% VAT

Features length or full length EVA type device Intrinsic rearfoot support Low to moderate arch profile Low to moderate heel cup Hard wearing, bonded top cover

Recommendations Mild to moderate rearfoot pronation Medium to low natural arch profile Fits most regular shoes

Description
Vasyli 3/4 Pro, Kids Vasyli 3/4 Pro, Xtra Small Vasyli 3/4 Pro, Small Vasyli 3/4 Pro, Medium Vasyli 3/4 Pro, Large Vasyli 3/4 Pro, Xtra Large Vasyli FL Pro, Kids Vasyli FL Pro, Xtra Small Vasyli FL Pro, Small Vasyli FL Pro, Medium Vasyli FL Pro, Large Vasyli FL Pro, Xtra Large

UK
1-2.5 3-4.5 5-6.5 7-8.5 9-10.5 11-12.5 1-2.5 3-4.5 5-6.5 7-8.5 9-10.5 11-12.5

EU
33-34 35-37 38-40 41-42 43-45 46-48 33-34 35-37 38-40 41-42 43-45 46-48

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Adapatable Orthotic Systems
Vasyli Footprint Red & Blue length
Code Description
3/4 3/4 3/4 3/4 3/4 3/4 3/4 3/4 3/4 3/4 3/4 3/4 0% VAT

OCVASFTPRINT33/34 OCVASFTPRINT35/37 OCVASFTPRINT38/40 OCVASFTPRINT41/42 OCVASFTPRINT43/45 OCVASFTPRINT46/48 OCVASFTPRINTR33/34 OCVASFTPRINTR35/37 OCVASFTPRINTR38/40 OCVASFTPRINTR41/42 OCVASFTPRINTR43/45 OCVASFTPRINTR46/48

Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli

Footprint, Footprint, Footprint, Footprint, Footprint, Footprint, Footprint, Footprint, Footprint, Footprint, Footprint, Footprint,

Blue, K Blue, XS Blue, S Blue, M Blue, L Blue, XL Red, K Red, XS Red, S Red, M Red, L Red, XL

1-2.5 3-4.5 5-6.5 7-8.5 9-10.5 11-12.5 1-2.5 3-4.5 5-6.5 7-8.5 9-10.5 11-12.5

UK

33-34 35-37 38-40 41-42 43-45 46-48 33-34 35-37 38-40 41-42 43-45 46-48

EU

Features

Medium & High densities 4 degree rearfoot medial intrinsic post Deep heel cup Heat mouldable Compatible with Vasyli additional and components Red High density Blue Medium Density

Specialised Orthotics
Salford Insole With Lateral Wedge Technology
0% VAT

Features Lateral wedging with proven relief from medial knee pain in osteoarthritis of the knee Flex lines at the forefoot maintain normal toe flexion Individual shoe sizes for superior fit and comfort (Adult 3-11) Silver based anti-microbial agents embedded in the material Highly durable - lifetime guarantee Machine washable and low odour properties Environmentally friendly - 100% of the material can be recycled

Recommendations

Ideal in cases of lateral ankle instability Suitable for high arches Trainers, football boots, wellingtons

Code
OCSALGR35 OCSALGR37 OCSALGR38 OCSALGR39 OCSALGR40.5 OCSALGR42 OCSALGR43 OCSALGR44.5 OCSALGR46

Description
Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Salfordinsole, Green Green Green Green Green Green Green Green Green Lateral Lateral Lateral Lateral Lateral Lateral Lateral Lateral Lateral Wedge Wedge Wedge Wedge Wedge Wedge Wedge Wedge Wedge

UK
3 4 5 6 7 8 9 10 11

EU
35 37 38 39 40.5 42 43 44.5 46

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Insole Kits
PPL Insole Kits
Features Self assembly Kit to make chairside prescription / temporary insoles Durable professional finish Quality components Recommendations Insole Kit for Chairside devices Extremely cost-effective Good retail potential Time efficient 1 Recommendations Arch Support Mild to moderate pronation and supination Contains 3o rearfoot medial/lateral wedges 5o rearfoot medial/lateral wedges Arch supports Self adhesive insole bases Self adhesive top covers
0% VAT

PPL Standard Insole Kit

PPL Medial Column Insole Kit


Contains

2 Recommendations Functional Hallux Limitus Plantarflexed 1st Ray Mobilisation of medial column (assist windlass)

As standard Kit PLUS 1st Metatarsal Cutout Pads 2-5 Varus Metatarsal Bars

PPL Heel Pain Insole Kit


Contains

3 Recommendations Achilles Tendinopathy Plantar heel pain Plantarfasciitis Bony Ankle Equinus

As standard Kit PLUS 3mm Heel Cushions 3mm Heel Raises

PPL Metatarsalgia Insole Kit


Contains

4 Recommendations Digital Neuritis Displacement of fibro-fatty padding General metatarsal pain

As standard Kit PLUS 3mm Metatarsal Cushions 2-4 Metatarsal Dome Pads

PPL Insole Kits (Pair)


UK Size
Ladies Ladies Ladies Ladies Mens Mens Mens Mens 41/2-5 51/2-6 61/2-7 71/2-8

EU
37-38 38-39 40-41 41-42 41-42 42-43 44-45 45-46

Standard Kit

Medial Column Kit

Heel Pain Kit

Metatarsalgia Kit

IKSTANL37/38 IKSTANL38/39 IKSTANL40/41 IKSTANL41/42 IKSTANM41/42 IKSTANM42/43 IKSTANM44/45 IKSTANM45/46

IKMEDCL37/38 IKMEDCL38/39 IKMEDCL40/41 IKMEDCL41/42 IKMEDCM41/42 IKMEDCM42/43 IKMEDCM44/45 IKMEDCM45/46

IKHPAINL37/38 IKHPAINL38/39 IKHPAINL40/41 IKHPAINL41/42 IKHPAINM41/42 IKHPAINM42/43 IKHPAINM44/45 IKHPAINM45/46

IKMETL37/38 IKMETL38/39 IKMETL40/41 IKMETL41/42 IKMETM41/42 IKMETM42/43 IKMETM44/45 IKMETM45/46

71/2-8 81/2-9 91/2-10 101/2-11

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Shock Absorbing & Thermal Orthotic Devices


Dr Comfort Gel Insole
Code
OCDRCGELL35 OCDRCGELL37 OCDRCGELL38 OCDRCGELL39 OCDRCGELL41 OCDRCGELL42 OCDRCGELM41 OCDRCGELM42 OCDRCGELM43 OCDRCGELM44 OCDRCGELM46 OCDRCGELM48 0% VAT

Description
Ladies Ladies Ladies Ladies Ladies Ladies Mens Mens Mens Mens Mens Mens

UK

3 4 5 6 7 8 7 8 9 10 11 12.5

EU
35 37 38 39 41 42 41 42 43 44 46 48

Features

Gel metatarsal pad under the forefoot Gel heel pad for extra comfort Moderate heel cup Mens or Ladies

Dr Comfort Elite Thermal Insole


Code
OCDRCELTL35 OCDRCELTL37 OCDRCELTL38 OCDRCELTL39 OCDRCELTL41 OCDRCELTL42 OCDRCELTM41 OCDRCELTM42 OCDRCELTM43 OCDRCELTM44 OCDRCELTM46 OCDRCELTM48

0% VAT

Description
Ladies Ladies Ladies Ladies Ladies Ladies Mens Mens Mens Mens Mens Mens

3 4 5 6 7 8 7 8 9 10 11 12.5

UK

35 37 38 39 41 42 41 42 43 44 46 48

EU

Features

Made from 40 shore blue EVA Soft thermal mouldable top cover Mens or Ladies

Fresil Gel Heel Cups


Features Silicone gel heel cups for cushioning and comfort.

0% VAT

Fresil Gel Heel Cup (Pair)


Code
OCFRHCUPS OCFRHCUPM OCFRHCUPL

UK
3/5 51/2/7 71/2/10

EU
35/37 38/40 41/44

Anti-shox Walker / Runner


Features

0% VAT

Full Length, anti-shox gel under whole insole Arch support with metatarsal dome pad Anti-bacterial fabric cover

Anti-shox Orthotic Devices (Pair)


UK
3-41/2 5-61/2 7-81/2 9-101/2 11-13

EU
35-37 38-40 40-42 43-45 46-48

Walker/Runner
OCANTWALK35/37 OCANTWALK38/40 OCANTWALK40/42 OCANTWALK43/45 OCANTWALK46/48

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Slimfit & Rearfoot Orthotic Devices
Vasyli & McConnell
0% VAT

Features Enhanced metatarsal control Slim design fits most heeled shoes and sandals Dual-density compound Supports and realigns the foot Recommendations Suitable for Hard to fit footwear

Vasyli & McConnell


Code
OCVASMCCONNELL04 OCVASMCCONNELL06 OCVASMCCONNELL08 OCVASMCCONNELL10

Description
McConnell McConnell McConnell McConnell Extended Extended Extended Extended Slimfit, Slimfit, Slimfit, Slimfit, XS S M L

UK
3.5-5 5.5-7 7.5-9 9.5-11

EU

Vasyli Custom Easifit


Recommendations Fits most low heeled dress shoes Moderate / low natural arch profile Mild to moderate rearfoot pronation Features 3/4 length slim medium density device Lateral cut away for easy accommodation Design features as Vasyli 3/4 length Optional extras Vasyli additions and wedge

0% VAT

Vasyli Custom Easifit (Pair)


Code
OCVASEF33/34 OCVASEF35/37 OCVASEF38/40 OCVASEF41/42 OCVASEF43/45 OCVASEF46/48

Size

UK
1-21/2 3-41/2 5-61/2 7-81/2 9-101/2 11-121/2

Large Kids X Small Small Medium Large X Large

EU

33-34 35-37 38-40 41-42 43-45 46-48

Vasyli Custom Slimfit


Recommendations Fits high heeled dress shoes Mild rearfoot pronation Features Extremely slim medium density device Very low arch support Flexible with no heel cup Built in 2-4 metatarsal raise

0% VAT

Vasyli Custom Slimfit (Pair)


Code
OCVASSF35/37 OCVASSF38/40 OCVASSF41/42

Size

UK
3-41/2 5-61/2 7-81/2

X Smal Small Medium

EU

35-37 38-40 41-42

Vasyli Custom Heel Pain


Recommendations Fits most dress & regular shoes Mild rearfoot pronation Heel Pain Achilles tendinopathy Features Rearfoot medium density device Low cobra type arch support Sorbon heel cushion Lateral clip for calc-cuboid joint

0% VAT

Vasyli Custom Heel Pain (Pair)


Code
OCVASHP36/40 OCVASHP41/47

UK
31/2-7 71/2-12

EU
36-40 41-47

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Slimfit & Rearfoot Orthotic Devices
Insolia High Heel Inserts
Features
0% VAT

Weight shift technology Extra slim design Durable Easy to clean

Recommendations


Code

Suitable for any heeled shoe including sandals, sling backs and wedges Forefoot when wearing heels Description
Insolia Insolia Insolia Insolia

OCINSOLIAL OCINSOLIAM OCINSOLIAS OCINSOLIAXS

Device Device Device Device

Large Medium Small Extra Small

7.5 5.5 3.5 1.5

UK

9.5 -7 -5 -3

Unithotic
Recommendations Dancing and ballet shoes High heeled dress shoes Mild rearfoot pronation Features Cobra shaped device Extremely slimline 3/4 Length orthotic with arch support Flexible, durable & washable Intrinsic rearfoot support

0% VAT

Unithotic (Pair)
Code
OCUNI35/37 OCUNI38/40 OCUNI41/42

Size
Adult Adult Adult

UK
3-41/2 5-61/2 7-81/2

EU
35-37 38-40 41-42

Proheel Elevator
Recommendations Leg length discrepancy Bony ankle equinus Achilles tendinopathy

0% VAT

Features Rearfoot device Moderate heel cup 6mm, 9mm & 12mm heel raise/elevator Anti-bacterial top cover

Proheel Elevators (Pair)


UK
child 81/2-1 adult 11/2 -5 adult 51/2 -9 adult 91/2-121/2

EU
26/33 34/38 39/43 44/48

6mm Elevator
OCPH6ELEV26/33 OCPH6ELEV34/38 OCPH6ELEV39/43 OCPH6ELEV44/48

9mm Elevator
OCPH9ELEV26/33 OCPH9ELEV34/38 OCPH9ELEV39/43 OCPH9ELEV44/48

12mm Elevator
OCPH12ELEV26/33 OCPH12ELEV34/38 OCPH12ELEV39/43 OCPH12ELEV44/48

Proheel Posted

0% VAT

Recommendations Mild rearfoot pronation For those unable to tolerate orthoses under the arch or forefoot

Features Rearfoot device Moderate heel cup 5o medial post Anti-bacterial top cover

Proheel Posted(Pair) UK
Code
OCPHPOST26/33 OCPHPOST34/38 OCPHPOST39/43 OCPHPOST44/48 child 81/2-1 adult 11/2 -5 adult 51/2 -9 adult 91/2-121/2

EU
26/33 34/38 39/43 44/48

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Rearfoot Medial

Rearfoot Laterall

Sulci

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3/4 Forefoot Medial Forefoot Lateral

Digital Devices
Otoform K-2
TOTAL Forefoot Medial TOTAL Forefoot Lateral TOTAL Forefoot Medial 0% VAT

Mouldable silicone putty material, sets with the use of the hardener. For making customised digital splints and toe separators for toe deformities
Carbonflex & Orthoses Heal Raise Detachable

Supplied as Heal Raise Attached Heal Raise Detachable 1 x tub silicon putty 1 x tube hardener Spare 20g tube of hardener also sold separately

Otoform K-2 Code

Heal Cussion OCOTOFORM OCOTOHARD

Cobra Otoform Pads spare hardener

Product

800g pack 20g tube

Type

HEEL CUSSION

Leather Covered Self Adhesive Met Dome Pad


Cobra Pads 2-5 Met Bars

0% VAT
Cobra Pads 2-5 Met Bars

2-4 Dome pad. Can be fixed directly into footwear

2-4 Dome Pad

Teardrop Pad

2-4 Dome Pad

Teardrop Pad

Met dome pads (Pair)


Code
OCLEAMTBARS OCLEAMTBARL

Quantity
Pair Pair

Size
Small Large

Short Shaft

1st Met Cut-out

Short Shaft

1st Met Cut-out

Leather Detachable Toe Props

0% VAT

Leather covered detachable toe prop, to fit under 2nd Long 4thShaft Pad to Met toe cleft. A small elasticated loop Met Shaft Pad Long fits Met Cussions around the digit to keep the prop in place For splinting and straightening of toe deformities

Met Cussions

Leather Detachable Toe Props (Single) Code Foot U To Which Heads Size
OCTPROPLS OCTPROPRS OCTPROPLM OCTPROPRM OCTPROPLL OCTPROPRL
Cut out To Which Heads

2-4 Metatarsal Dome Pad

left right left right left right

small small medium medium large large

Cut out To Which Heads

U To Which Heads

Extra Layer on All

Extra Layer on shell only

5mm 2-5 Varus Met Bar

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Digital Devices
Darco Toe Alignment Splint
0% VAT

In-expensive fully adjustable toe alignment night splint. Thin elastic metatarsal band with soft toe straps and Velcro fastenings which are fully adjustable. May assist soft tissue stretching associated with toe deformities

Toe Alignment Splint (Single) Code Colour Size


OCDARTAS white

one size fits all

Fresco Bunion Splints

0% VAT

Inexpensive fully adjustable toe alignment night splint. A soft pad cushions the bunion, while the Velcro strap acts as a lever to gradually align the Hallux. May assist soft tissue stretching associated with toe deformities.

Fresco Bunion Splints (Pair)


Code
OCFRBUNS OCFRBUNM OCFRBUNL

Size
Small Medium Large

UK
2- 4 41/2 - 7 71/2 -11

EU
34-36 37-40 41-45

Deramed Metatarsal Cushions

Deramed Metatarsal Cushions (pair)


Code
OCDGMCSPR OCDGMCLPR

Size

Small (Ladies) Large (Mens)

Elasticated forefoot bands with Integrated metatarsal gel pad

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Digital Devices
Deramed Gel Digital Devices
A range of digital paddings lined with gel containing mineral oils which softens and protects the skin. Deramed Tubular Pads (bag 2) Elasticated 15cm long tubes fully lined with gel. Protection of dorsal/inter digital pressure points and bunions (HAV)

Deramed Tubular Pads(bag 2) Quantity Code


OCDGTGS2 OCDGTGM2 Bag of 2 Bag of 2

Size
small medium

Deramed Digital Cap (bag 6)

Ribbed elasticated toe tubes fully lined with gel Protection of whole digit

Deramed Digital Cap(bag 6)


Code
OCDGDCL6 OCDGDCS6

Quantity
Bag of 6 Bag of 6

Size
Large Small

Deramed Toe Seperators (bag 6) Gel wedge separators Protection of inter digital pressure points

Deramed Toe Seperators (bag 6)


OCDGTSS6 OCDGTSM6 OCDGTSL6 OCDGTSXL6

Code

Quantity
Bag Bag Bag Bag of of of of 6 6 6 6

Size

Small Medium Large X Large

Deramed Digital Ring Pad (bag 12) Elasticated tube with internal gel disc Protection of dorsal digital pressure points

Deramed Digital Ring Pad (bag 12)


Code
OCDGDRS12 OCDGDRM12 OCDGDRL12

Quantity
Bag of 12 Bag of 12 Bag of 12

Size
Small Medium Large

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Temporary Devices
Eezytemp
0% VAT

Standard Features Low cost Available singular or sold at discounted rates (10 pairs of one size) Durable and resistant to cracking Easily accomodated in footwear Genuine leather top cover Full length and 3/4 length device Slightly flexible Inbuilt metatarsal dome Option to add additional PPL wedging Low heel cup Product Description
Eezytemp Eezytemp Eezytemp Eezytemp Eezytemp Eezytemp Eezytemp Eezytemp Eezytemp Insole Insole Insole Insole Insole Insole Insole Insole Insole Adult Adult Adult Adult Adult Adult Adult Adult Adult 5 (38) 6 (39) 6.5 (40) 7.5 (41) 8 (42) 9 (43) 9.5 (44) 10.5 (45) 11 (46)

3/4 length
OCETEMP38 OCETEMP39 OCETEMP40 OCETEMP41 OCETEMP42 OCETEMP43 OCETEMP44 OCETEMP45 OCETEMP46

Full length
OCETEMPFL38 OCETEMPFL39 OCETEMPFL40 OCETEMPFL41 OCETEMPFL42 OCETEMPFL43 OCETEMPFL44 OCETEMPFL45 OCETEMPFL46

Recommendations As a precursor to long term device Mild to moderate biomechancial problems Low to medium natural arch profile

Night Splints
Darco Heel Night Splint
0% VAT

Standard Features Sold singularly. Padded night splint. Removable, washable padding. Extra dorsiflexion wedges supplied. Pocket beneath the toes for extra wedges.

Recommendations Plantarfasciiosis and heel pain Achilles tendinopathy Stretch plantarfascia & achilles tendon

Darco Heel Night Splint (Single) Size Order Code


RHDARNS35/36 RHDARNS37/39 RHDARNS40/43 RHDARNS44/49 Small Medium Large XLarge

UK Size
3-4 41/2-6 61/2-9 91/2-14

EU Size
35-36 37-39 40-43 44-49

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Night Splints
Darco Body Armor Night splint
Features Toe Strap dorsiflexes the 1st MPJ to provide a specific and sustained stretch to the Plantar Fascia and a sustained low load stretch to the flexor tendons, Achilles tendon and calf muscles. Loading the Windlass Mechanism naturally brings the foot/ankle to a near 90 degree angle thus eliminating the lever effect and the resulting pressure on the apex of the ankle. Elastic Connector Ring allows for natural flexion of the foot and toes during sleep, returning to the dorsiflexed position when muscles relax. Low Profile Design allows for maximum user comfort and compliance. Recommendations lantar Fasciitis Heel Spurs Achilles Tendonitis Achilles Tendinosis Metatarsalgia Ankle Contracture
0% VAT

Order Code
RHDARDNSPLINT

Description
Darco Body Armour Night Splint

Size
One size

Hot & Cold Compression


Thermoactive Hot & Cold Mobile Compression Therapy
Code Description
0% VAT

RHTHERAGP RHTHERAS RHTHERBGP RHTHERBS RHTHERC/AGP RHTHERC/AS RHTHEREGP RHTHERES RHTHERKGP RHTHERKS RHTHERSGP RHTHERTGP RHTHERTS RHTHERWGP RHTHERWS

Thermoactive Thermoactive Thermoactive Thermoactive Thermoactive Thermoactive Thermoactive Thermoactive Thermoactive Thermoactive Thermoactive Thermoactive Thermoactive Thermoactive Thermoactive

Ankle Gel Pack Ankle Support Back Gel Pack Back Support Calf/Arm Gel Pack Calf/Arm Support Elbow Gel Pack Elbow Support Knee Gel Pack Knee Support Shoulder Gel Pack Thigh Gel Pack Thigh Support Wrist Gel Pac Wrist Support

Features

Removable, washable and reusable gel pack Removable air pump for easier mobility Lightweight Same gel pack can be heated or cooled No electricity needed for compression Totally portable Gel pack flexibility provides better anatomical fit

Recommendations

Suitable for patient at home use Pitch side application

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MOTION ANALYSIS

Motion AnAlysis prescribing orthotic devices


Contents:
Templo 1

TEMPLO motion analysis software is the correct choice to perform clinical gait analyses. Its ability to easily perform complex analyses in a minimum of time is second to none. All relevant patients and measuring data are stored in a SQL based database and are available at any time. Regardless of whether you prefer a treadmill analysis or an analysis on a walkway, TEMPLO motion analysis provides for a detailed and clear documentation. With software costs starting at just 1500, TEMPLO is a cost effect option if you are considering making an investment in motion analysis equipment.

FootWork Pro by AM Cube

The FootWork Pro professional pressure plate uses high quality capacitive sensors that measure and display real plantar pressure with both dynamic and static features. The FootWork Pro is ideal for dedicated clinicians that demand quality information instantly. It's uniquely intuitive to use with fast data processing and excellent graphics. The FootWork Pro has been programmed to automatically identify the 'mean' foot behaviour from 40 samples.

Sprintex Treadmill
The worlds only treadmill designed specifically for gait analysis. The Sprintex Gait treadmill is perfect for video-based analysis, rehabilitation and personal training. Unlike standard treadmills, there are no revolving belts just individual stats engineering to encourage natural, independent gait behaviour.

motionQuest Software
motionQuest is an objective gait profiling system, which leads you through a number of simple tests and exercises to help create an accurate biomechanical profile for your patients.

Software includes injury identification & management system; 10 profiling tests; personalised stretching & strengthening strategies; automated shoe prescription database supported by all major brands including Nike, Adidas and Asics. Software prices from 1550.

Please contact our sales team on (021) 432 0277 or email sales@pplbiomechanics.com for a quotation or further details.

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Motion AnAlysis

TEMPLO is the worlds leading gait analysis software and allows you to achieve professional results within seconds. Having used video analysis for many years, the introduction of TEMPLO has significantly enhanced my process. The ability to synchronise views, quickly analyse key aspects of gait and create reports has been a huge benefit. I have found it very user friendly and best of all, it saves time. Trevor Prior - Premier Podiatry BSc Hons FCPodS MChS Record Analyse Diagnose Communicate Research Refer Archive

www.pplbiomechanics.com

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Motion AnAlysis

Tools
TEMPLO features all the usual tools - slow motion, lines, angles, overlay, zoom and even automatic tracking. You can open and view up to 6 video clips for different trail dates ideal for reviewing a treatment process. You can cross populate the screen with other videos from different clients, as well as quick access from a user defined favourites folder.

Reports
TEMPLO enables you to emailed image rich reports (branded with your company logo) within seconds. No matter what your analysis screen may contain (information, tracking lines, angles etc) all data will be transferred to a report with just one click. Our Gait Variant module has made things even easier by automating this process. Screen images can also be saved as JPG or BMP. You can burn the whole analysis (including all video file and reports) to a CD, TEMPLO will automatically burn a Player Module for your clients/consultants to view the images etc.

Database & Archive


With litigation and data protection becoming more prevalent TEMPLO has ensured that its Database & Archiving protocol keeps you protected. Every client has their own entry, at line level, then sub entries for each trail. TEMPLO allows archiving of video files and database entries to supplementary folders, drives, etc (normally a remote hard disk). This can be set up on a monthly basis. The database will still show the client and all their trails however the video files will be checked as archived. If for any reason you wish to view these images again a simple click on the client within the database and the software will collect the video files automatically.

PPL Biomechanics Tramore Commercial Park, Tramore Road, Cork, Ireland.

www.pplbiomechanics.com

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Motion AnAlysis

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Motion AnAlysis

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Motion AnAlysis

The Worlds Only Treadmill Designed Specifically For Gait Analysis

Slat Technology

Sealed Rollers

1 KW Motor

Speed Control

2 Year Warranty

The Sprintex Gait treadmill is perfect for video-based analysis, rehabilitation and personal training. Unlike standard treadmills, there are no revolving belts - just individual slats engineered to encourage natural, independent gait behaviour.

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Motion AnAlysis

The Worlds Only Treadmill Designed Specifically For Gait Analysis

A key benefit for its use in gait analysis is its ability to reverse the running direction to enable observation of anterior, posterior and both sagittal perspectives without moving your cameras. The adapted handrail ensures an uninterrupted head-to-toe sagittal view. A smooth action enables those re-training their gait to start at speeds as low as 0.1 kph The vast majority of belt-driven treadmills are not suitable for professional gait analysis. Central to their design is a belt drawn across a board drawing the feet beneath the body, similar to a checkout conveyor belt drawing items towards the till. The foot is an intricate mechanism that cushions the body, provides traction and leverage for propulsion. It does not rely on the ground being drawn beneath it. Sprintex slat technology with its low friction design reduces this drawing effect, increases normal ground reaction forces whilst encouraging natural propulsion. The individual T-shaped slats are not only built to withstand impacts but more importantly replicate normal ground reaction forces. These forces stay local to each individual slat rather than affect the whole treadmill. Unlike a normal treadmill belt the slats cannot shift laterally as they run over a series of sealed roller bearings.

PPL Biomechanics Tramore Commercial Park, Tramore Road, Cork, Ireland.


Tel: + 353 (0) 21 4320277 Fax: + 353 (0) 21 4321159 Email: sales@pplbiomechanics.com Website: www.pplbiomechanics.com

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Motion AnAlysis
Injury Management System Professional Running Shoe Injury Management System Prescription Professional Running Shoe Prescription Gait Specific Exercise Plans Gait Specific Exercise Plans Simple & Intuitive Data Capture Simple & Intuitive DataReporting Detailed Automated Capture Detailed Automated Reporting

Injury Identification & Injury Identification & Management System Management System

10 Profiling Tests 10 Profiling Tests with or without with or without video based video based analysis analysis

Personalised Personalised Stretching & Stretching & Strengthening Strengthening Strategies Strategies

Automated Shoe Automated Shoe Prescription from a Prescription from a 1,800 shoe database 1,800 shoe database supported by all major supported by all major brands brands

Gender Specific Biomechanical Profiling Software Gender Specific Biomechanical Profiling Software ...Increase Patient Interaction and Understanding ...Increase Patient Interaction and Understanding

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Motion AnAlysis

Injury Management System Professional Running Shoe Prescription Gait Specific Exercise Plans Simple & Intuitive Data Capture Detailed Automated Reporting

motionQuest is an objective gait profiling system, which leads you through a number of simple tests and exercises to help create an accurate biomechanical profile for your patients. Once the tests have been completed the systems complex algorithm creates a profile which it matches against one of 15,500 variables.

Injury Identification & Management System Built-in Injury Management system


motionQuest has a built-in injury database with 45 common injuries and pain regions. The software will identify the problem area and the common causes of any particular injury concerns. Great for report 10 Profiling Tests writing, providing patients with detailed information related to their pathology and additional with or without solutions to their injury problems. video based analysis

Accurate shoe prescription


motionQuest provides accurate independent shoe recommendations, based on the customers needs and functional classes. The software has an up to date shoe database Personalised of 1800 models, with all the latest technologies and performance characteristics provided by the Stretching & manufacturers to ensure accurate and objectiveStrengthening information. Strategies Match the shoe database with that of your local running specialist therefore providing your client with an accurate shoe s prescription that can be purchased from a trusted retailer.

Automated Shoe Exercise Strategies Prescription from a 1,800 shoe database will automatically create a report of motionQuest supported by all majoreach specific patient, giving detailed itsfindings for information related to their bio-mechanical profile, brands
highlighting both strengths and weaknesses.

Fully Automated Reports and Customised

From their profile motionQuest will deliver your client individual strengthening and stretching strategies - thus offering valuable information and additional solutions to their pathology. This will go hand in hand with the practitioners solution, aiding quicker recovery, improved efficiency and increased performance.

PPL Biomechanics Tramore Commercial Park, Tramore Road, Cork, Ireland.

Gender Specific Biomechanical Profiling Software ...Increase Patient Interaction and Understanding
Tel: + 353 (0) 21 4320277 Fax: + 353 (0) 21 4321159 Email: sales@pplbiomechanics.com

www.pplbiomechanics.com

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FOOTWEAR

FOOTWEAR

Contents:
Measuring for Biomechanical & Podartis Footwear Measuring for Dr Comfort Footwear Biomechanical Footwear Dr Comfort Mens Footwear Dr Comfort Ladies Footwear Stretchable Footwear Heat Mouldable Footwear Rehabilitation Footwear Sandals Dr Comfort Socks Walkers Rehabilitation Sundries 1 2 3 4 6 8 10 13 16 17 19 20

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FOOTWEAR

Measuring for Biomechanical & Podartis Footwear


Measuring for Footwear
Measuring for extra depth, extra width footwear does not have to be complicated. Following the guidelines below and using the sizing chart for each product, makes the whole process easier and less liable to error. The instructions and sizing charts are given as a guideline only. Each patient will need to be assessed according to their individual needs. The most accurate way to fit footwear is to hold a fitting stock of each size in your clinic. This allows the patient to try on the footwear and the correct fit can be easily assessed. You cannot simply ask your patient what shoe size they wear, as they are often wearing the wrong size shoe. Some patients prefer a shorter, tighter fit, whilst others prefer a longer, looser fit. The length, width and toe box shape will vary between brands of footwear, due to their different last shapes.

Measuring for Footwear - Guidelines


1 With the patient standing, place both feet onto a piece of paper or the foot sketch form. Draw around the feet. Make sure you keep the pen at a 90o angle to the ground. Do not slope the pen in under the heel or elsewhere around the foot.

Measure the forefoot circumference with the patient sitting down and the foot on the ground (semi-weightbearing). Place the tape under the foot around the 1st and 5th metatarsal heads, measure the circumference of the forefoot in millimetres.

To measure the length draw a horizontal line at the back of the heel and a parallel line of the tip of the longest toe. Measure the length of each foot between these two lines in millimetres and record.

m m

Use the shoe sizing chart corresponding to your chosen style of shoe. Firstly look at the foot length column and then check if the width and depth of the shoe is sufficient to accommodate the forefoot circumference of the patients foot.

Fitting Notes The circumference measure shown in each table is the maximum width/depth that can be accommodated with all insoles removed. The removable insoles can be added and removed, to improve the fit of the shoe. Remember some people prefer a short fitting shoe and some prefer a long fit.

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FOOTWEARor wider fittings you should use the measuring instructions below and For narrower
find the correct fittingfeet charts opposite. Measuring your in the
Wear the socks/hosiery you would normally wear and take measurements towards the end of the day your feet will usually expand during the course of the day. YOu MaY fINd IT uSEfuL TO havE a frIENd aSSIST YOu. Measuring for Dr Comfort Footwear and take measurements towards Wear the socks/hosiery you would normally wear the end of the day your feet will usually expand during the course of the day. Measuring Your Feet - Guidelines YOu MaY fINd IT uSEfuL TO havE a frIENd aSSIST YOu.

Most people should order their normal shoe size in a medium fit. For narrower or wider fittings you should use the measuring instructions below and find thepeople should order their normal shoe size in a medium fit. Most correct fitting in the charts opposite.

Finding your perfect fit

your Foo Find y move WOM your F FOOT L

Measuring your feet

MEASURE YOUR FOOT LENGTH

Wear the socks/hosiery you would normally wear and take measurements towards the end of the day your feet will usually expand during the Put a piece day. course of the of paper

on the floor against 1 a wall. Stand onFOOT LENGTHheels the paper with MEASURE YOUR against the wall. MEASURE YOUR of paper on the floor against Put a piece FOOT LENGTH 1 For each foot mark the paper at the tip a wall. Stand of paper on the floor against on the paper with heels 2 Put a piece of1 the wall. Stand on the paper with heels longestwall. toe. against the a against the wall. For each mm the the paper at the mark 3 2 Measure in foot markdistance from the tip edgeFor each paper tothe paper at themark of the foot toe. the furthest tip 2 of of the longest toe. the longest and record it here: Measure Measure in mm the distance from the 3 3 edge ofin mm the distance from the the paper edge of the paper to the furthest markmark to the furthest mm and record it here: FOOT LENGTH and record it here: mm

215-219 WO 220-223 FOOT 224-227 215-21 228-232 220-22 233-236 224-22 237-241 228-23 242-245 233-23 246-249 237-24 250-254 242-24 255-258 246-24 259-262 250-25 263-266 255-25 267-275 259-26 263-26 MENS 267-27

FOOT LENGTH MEASURE YOUR FOOT WIDTH MEASURE YOUR FOOT WIDTH 1 Stand on another piece of paper.
1 Stand on another piece of paper.

MEASURE YOUR FOOT WIDTH foot flat 2 For both feet, with the foot flat onon the feet, with the 2 For boththe paper at on each the mark side 1 floor,floor, mark the paper at on each side Stand on another piece of paper. where the the foot iswidest. where foot is widest. For both feet, with the foot flat on the 2 3 Extend the marksto make two marks to make two floor, the lines, measure at on each 3 Extend mark the paper the distance side parallel parallel lines,them and recorddistance between measure the where the foot is widest.the widest measurement here: between them and record the widest Extend the here: measurement marks to make two Fitting Notes 3 parallel lines, measure the distance The circumference measure shown in each table is the maximum width/depth that can be between them and record the widest accommodated with all insoles removed. The removable insoles can be added and removed, to mm FOOT WIDTH measurement here: improve the fit of the shoe.
Remember some people prefer a short fitting shoe and some prefer a long fit.

FOOT WIDTH

mm

To Order To Order

0845 370 0 380 0845 370 0 380

FOOT L 247-251 MEN 252-255 FOOT 256-259 247-25 260-264 252-25 265-268 256-25 269-272 260-26 273-276 265-26 277-281 269-27 282-285 273-27 286-289 277-28 290-293 282-28 294-297 286-28 298-305 290-29 306-315 294-29 298-30 *YOU M are bigge 306-31 correct le *YOU are big correct

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FOOTWEAR
Dr Comfort Mens Footwear
Dr Comfort Douglas
Code
SFDRCDOUGW41 SFDRCDOUGW42 SFDRCDOUGW43 SFDRCDOUGW44 SFDRCDOUGW46 SFDRCDOUGW48 SFDRCDOUG41 SFDRCDOUG42 SFDRCDOUG43 SFDRCDOUG44 SFDRCDOUG46 SFDRCDOUG48 0% VAT

Description
Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort

Douglas Douglas Douglas Douglas Douglas Douglas Douglas Douglas Douglas Douglas Douglas Douglas

Wide Chestnut Wide Chestnut Wide Chestnut Wide Chestnut Wide Chestnut Wide Chestnut Extra Wide Chestnut Extra Wide Chestnut Extra Wide Chestnut Extra Wide Chestnut Extra Wide Chestnut Extra Wide Chestnut

7 8 9 10 11 12.5 7 8 9 10 11 12.5

UK

41 42 43 44 46 48 41 42 43 44 46 48

EU

Features


Dr Comfort Frank

Available in wide & extra wide last fittings Leather & Lycra with Velcro strap Ideal for swollen feet Non skid sole

0% VAT

Code

SFDRCFRANKW41 SFDRCFRANKW42 SFDRCFRANKW43 SFDRCFRANKW44 SFDRCFRANKW46 SFDRCFRANKW48 SFDRCFRANK41 SFDRCFRANK42 SFDRCFRANK43 SFDRCFRANK44 SFDRCFRANK46 SFDRCFRANK48

Description
Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort

Frank Frank Frank Frank Frank Frank Frank Frank Frank Frank Frank Frank

Wide Bark Wide Bark Wide Bark Wide Bark Wide Bark Wide Bark Extra Wide Extra Wide Extra Wide Extra Wide Extra Wide Extra Wide

Bark Bark Bark Bark Bark Bark

7 8 9 10 11 12.5 7 8 9 10 11 12.5

UK

41 42 43 44 46 48 41 42 43 44 46 48

EU

Features

Available in wide & extra wide last fittings Velcro fastening for secure comfort fit Finest quality polished leather Fine detailed stitching

Dr Comfort Patrick
Code
SFDRCPATW41 SFDRCPATW42 SFDRCPATW43 SFDRCPATW44 SFDRCPATW46 SFDRCPATW48 SFDRCPAT41 SFDRCPAT42 SFDRCPAT43 SFDRCPAT44 SFDRCPAT46 SFDRCPAT48

0% VAT

Description
Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort

Patrick Patrick Patrick Patrick Patrick Patrick Patrick Patrick Patrick Patrick Patrick Patrick

Wide Chestnut Wide Chestnut Wide Chestnut Wide Chestnut Wide Chestnut Wide Chestnut Extra Wide Chestnut Extra Wide Chestnut Extra Wide Chestnut Extra Wide Chestnut Extra Wide Chestnut Extra Wide Chestnut

7 8 9 10 11 12.5 7 8 9 10 11 12.5

UK

41 42 43 44 46 48 41 42 43 44 46 48

EU

Features

Available in wide & extra wide last fittings Classic deck shoe styling Moccasin toe Traditional lacing for secure fit

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FOOTWEAR
Dr Comfort Mens Footwear
Dr Comfort Classic
Code
SFDRCCLASSW41 SFDRCCLASSW42 SFDRCCLASSW43 SFDRCCLASSW44 SFDRCCLASSW46 SFDRCCLASSW48 SFDRCCLASS41 SFDRCCLASS42 SFDRCCLASS43 SFDRCCLASS44 SFDRCCLASS46 SFDRCCLASS48 0% VAT

Description
Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort

Classic Classic Classic Classic Classic Classic Classic Classic Classic Classic Classic Classic

Wide Black Wide Black Wide Black Wide Black Wide Black Wide Black Extra Wide Black Extra Wide Black Extra Wide Black Extra Wide Black Extra Wide Black Extra Wide Black

7 8 9 10 11 12.5 7 8 9 10 11 12.5

UK

41 42 43 44 46 48 41 42 43 44 46 48

EU

Features


Dr Comfort William

Available in wide & extra wide last fittings High polished leather with classic attention to detail Perfect for formal or informal occasions Traditional lace up for secure fit

0% VAT

Code

SFDRCPATW41 SFDRCPATW42 SFDRCPATW43 SFDRCPATW44 SFDRCPATW46 SFDRCPATW48 SFDRCPAT41 SFDRCPAT42 SFDRCPAT43 SFDRCPAT44 SFDRCPAT46 SFDRCPAT48

Description
Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort

Patrick Patrick Patrick Patrick Patrick Patrick Patrick Patrick Patrick Patrick Patrick Patrick

Wide Chestnut Wide Chestnut Wide Chestnut Wide Chestnut Wide Chestnut Wide Chestnut Extra Wide Chestnut Extra Wide Chestnut Extra Wide Chestnut Extra Wide Chestnut Extra Wide Chestnut Extra Wide Chestnut

7 8 9 10 11 12.5 7 8 9 10 11 12.5

UK

41 42 43 44 46 48 41 42 43 44 46 48

EU

Features

William style is an extra extra deep fitting Available in Wide & Extra Wide last fittings Easy to fasten Velcro strap Perfect for the hard to fit foot that requires extra space

Dr Comfort Stallion
Code
SFDRCSTALLW41 SFDRCSTALLW42 SFDRCSTALLW43 SFDRCSTALLW44 SFDRCSTALLW46 SFDRCSTALLW48 SFDRCSTALL41 SFDRCSTALL42 SFDRCSTALL43 SFDRCSTALL44 SFDRCSTALL46 SFDRCSTALL48

0% VAT

Description
Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort

Stallion Stallion Stallion Stallion Stallion Stallion Stallion Stallion Stallion Stallion Stallion Stallion

Wide Black Wide Black Wide Black Wide Black Wide Black Wide Black Extra Wide Black Extra Wide Black Extra Wide Black Extra Wide Black Extra Wide Black Extra Wide Black

7 8 9 10 11 12.5 7 8 9 10 11 12.5

UK

41 42 43 44 46 48 41 42 43 44 46 48

EU

Features

Available in wide & extra wide last fittings Casual shoe with moccasin toe Lace up for secure fit

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FOOTWEAR
Dr Comfort Ladies Footwear
Dr Comfort Merry Jane
Code
SFDRCMJANEW35 SFDRCMJANEW37 SFDRCMJANEW38 SFDRCMJANEW39 SFDRCMJANEW41 SFDRCMJANEW42 SFDRCMJANE35 SFDRCMJANE37 SFDRCMJANE38 SFDRCMJANE39 SFDRCMJANE41 SFDRCMJANE42 0% VAT

Description
Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort

Merry-Jane Merry-Jane Merry-Jane Merry-Jane Merry-Jane Merry-Jane Merry-Jane Merry-Jane Merry-Jane Merry-Jane Merry-Jane Merry-Jane

Wide Nubuck Blue Wide Nubuck Blue Wide Nubuck Blue Wide Nubuck Blue Wide Nubuck Blue Wide Nubuck Blue Extra Wide Nubuck Extra Wide Nubuck Extra Wide Nubuck Extra Wide Nubuck Extra Wide Nubuck Extra Wide Nubuck

Blue Blue Blue Blue Blue Blue

3 4 5 6 7 8.5 3 4 5 6 7 8.5

UK

35 37 38 39 41 42 35 37 38 39 41 42

EU

Features

Dr Comfort Spirit Plus

Available in Wide & Extra Wide last fittings Lightweight open dress casual shoe Buckle look with Velcro fastening Easily adjustable to swelling feet Blue Nubuck
0% VAT

Code

SFDRCSPIRITW35 SFDRCSPIRITW37 SFDRCSPIRITW38 SFDRCSPIRITW39 SFDRCSPIRITW41 SFDRCSPIRITW42 SFDRCSPIRIT35 SFDRCSPIRIT37 SFDRCSPIRIT38 SFDRCSPIRIT39 SFDRCSPIRIT41 SFDRCSPIRIT42

Description
Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort

Spirit Spirit Spirit Spirit Spirit Spirit Spirit Spirit Spirit Spirit Spirit Spirit

Plus Plus Plus Plus Plus Plus Plus Plus Plus Plus Plus Plus

Wide White Wide White Wide White Wide White Wide White Wide White Extra Wide White Extra Wide White Extra Wide White Extra Wide White Extra Wide White Extra Wide White

3 4 5 6 7 8 3 4 5 6 7 8

UK

35 37 38 39 41 42 35 37 38 39 41 42

EU

Features

Available in Wide & Extra Wide last fittings Full top grain leather Arch stabiliser for enhanced support Traditional lace up for great fit

Dr Comfort Maggy
SFDRCMAGGYW35 SFDRCMAGGYW37 SFDRCMAGGYW38 SFDRCMAGGYW39 SFDRCMAGGYW41 SFDRCMAGGYW42 SFDRCMAGGY35 SFDRCMAGGY37 SFDRCMAGGY38 SFDRCMAGGY39 SFDRCMAGGY41 SFDRCMAGGY42

0% VAT

Code

Description
Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort

Maggy Maggy Maggy Maggy Maggy Maggy Maggy Maggy Maggy Maggy Maggy Maggy

Wide Black XX Deep Wide Black XX Deep Wide Black XX Deep Wide Black XX Deep Wide Black XX Deep Wide Black XX Deep Extra Wide Black XX Deep Extra Wide Black XX Deep Extra Wide Black XX Deep Extra Wide Black XX Deep Extra Wide Black XX Deep Extra Wide Black XX Deep

3 4 5 6 7 8.5 3 4 5 6 7 8.5

UK

35 37 38 39 41 42 35 37 38 39 41 42

EU

Features

Maggy style is an extra extra deep fitting Available in Wide & Extra Wide last fittings Easy to fasten Velcro strap Perfect for the hard to fit foot that requires extra space

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Dr Comfort Ladies Footwear
Dr Comfort Sunshine
Code
SFDRCSUNW35 SFDRCSUNW37 SFDRCSUNW38 SFDRCSUNW39 SFDRCSUNW41 SFDRCSUNW42 SFDRCSUN35 SFDRCSUN37 SFDRCSUN38 SFDRCSUN39 SFDRCSUN41 SFDRCSUN42 0% VAT

Description
Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort

Sunshine Sunshine Sunshine Sunshine Sunshine Sunshine Sunshine Sunshine Sunshine Sunshine Sunshine Sunshine

Wide Beige Wide Beige Wide Beige Wide Beige Wide Beige Wide Beige Extra Wide Beige Extra Wide Beige Extra Wide Beige Extra Wide Beige Extra Wide Beige Extra Wide Beige

3 4 5 6 7 8.5 3 4 5 6 7 8.5

UK

35 37 38 39 41 42 35 37 38 39 41 4

EU

Features


Dr Comfort Lily

Available in Wide & Extra Wide last fittings Lightweight open dress casual shoe Button look with Velcro fastening Easily adjust to a swelling foot

0% VAT

Code

SFDRCLILYW35 SFDRCLILYW37 SFDRCLILYW38 SFDRCLILYW39 SFDRCLILYW41 SFDRCLILYW42 SFDRCLILY35 SFDRCLILY37 SFDRCLILY38 SFDRCLILY39 SFDRCLILY41 SFDRCLILY42

Description
Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort

Lily Lily Lily Lily Lily Lily Lily Lily Lily Lily Lily Lily

Wide Nubuck Black Wide Nubuck Black Wide Nubuck Black Wide Nubuck Black Wide Nubuck Black Wide Nubuck Black Extra Wide Nubuck Black Extra Wide Nubuck Black Extra Wide Nubuck Black Extra Wide Nubuck Black Extra Wide Nubuck Black Extra Wide Nubuck Black

3 4 5 6 7 8 3 4 5 6 7 8

UK

35 37 38 39 41 42 35 37 38 39 41 42

EU

Features

Available in Wide & Extra Wide last fittings Traditional style shoe Lace up for secure fit Black Nubuck upper

Dr Comfort Laura
Code
SFDRCLAURAW35 SFDRCLAURAW37 SFDRCLAURAW38 SFDRCLAURAW39 SFDRCLAURAW41 SFDRCLAURAW42 SFDRCLAURA35 SFDRCLAURA37 SFDRCLAURA38 SFDRCLAURA39 SFDRCLAURA41 SFDRCLAURA42

0% VAT

Description
Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort Comfort

Laura Laura Laura Laura Laura Laura Laura Laura Laura Laura Laura Laura

Wide Black,Size 3 (35) Wide Black,Size 4 (37) Wide Black,Size 5 (38) Wide Black,Size 6 (39) Wide Black,Size 7 (41) Wide Black,Size 8.5 (42) Ex Wide Black,Size 3 (35) Ex Wide Black,Size 4 (37) Ex Wide Black,Size 5 (38) Ex Wide Black,Size 6 (39) Ex Wide Black,Size 7 (41) Ex Wide Black,Size 8.5 (42)

3 4 5 6 7 8.5 3 4 5 6 7 8.5

UK

35 37 38 39 41 42 35 37 38 39 41 42

EU

Features

Available in Wide & Extra Wide last fittings Classic walking shoe Seamless toe Lace up for secure fit

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Podartis Footwear
Podartis Flex pell Footwear
Recommendations Diabetic approved Active Walkers Rheumatoid Arthritis Lesser toe deformities Bunions (HAV)
0% VAT

Podartis Flex pell shoes are the most comfortable shoes in our range. Combining a super stretchy Flex pell toe box upper especially for accommodating and cushioning painful bunions (HAV) and other digital deformities, with good biomechanical function.

Biomechanical Features Flexible Rocker bottom sole (Venezia & Botero) For improved heel toe gait, and reduction of forefoot pressure Rigid Rocker bottom sole (Manet sandal) Improves saggital plane function, recommended for patients with reduced ankle and/or hallux dorsiflexion. Lightweight, shock-absorbing, anti-slip durable soles Firm heel counters for stability Comfort Features Flex pell toe box upper Super soft material which fits like a glove around the forefoot, and stretches without compression around toe deformities. Soft nappa leather upper No stitching around flexion points Soft padded tongue Soft padded collar with Achilles protection Limitations of use Not suitable for hypermobile feet or patients with excessive rearfoot pronation Fragile upper if put on excessive stretch

Standard Features Deep and Extra wide Italian styling Removable cushioning Insole Wide opening with Velcro straps Moulded sole units Available in Ladies Venezia, Size 3-71/2 (35-41) Mens Botero, Size 6-11 (39-46) Ladies Manet sandal, Size 3 - 71/2 (35-41) Masaccio rehabilitation boot (page 68)

Podartis Venezia - Flex pell

Stretchable Upper

0% VAT

Ladies black, casual, velcro fastening shoe. Nappa leather and Flex pell upper. Flexible rocker sole.

Podartis Venezia (pair) UK Sizes EU Sizes Order Code


3 31/2 4 5 6 61/2 71/2 35 36 37 38 39 40 41 SFPODVEN35 SFPODVEN36 SFPODVEN37 SFPODVEN38 SFPODVEN39 SFPODVEN40 SFPODVEN41

Foot Length FF Circ*


215-220mm 221-226mm 227-233mm 234-239mm 240-246mm 247-252mm 253-259mm 256mm 262mm 268mm 274mm 280mm 286mm 292mm

Fitting Notes Includes removable cushioning insoles.

* FF Circ = Forefoot Circumference - Maximum width/depth that can be accommodated with all insoles removed.

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Podartis Footwear
Podartis Botero - Flex Pell Stretchable Upper
0% VAT

Men's casual black velcro fastening shoe. Nappa leather and Flex pell upper. Flexible rocker sole.

Podartis Botero (pair) UK Sizes EU Sizes Order Code


6 61/2 71/2 8 9 91/2 101/2 11 39 40 41 42 43 44 45 46 SFPODBOT39 SFPODBOT40 SFPODBOT41 SFPODBOT42 SFPODBOT43 SFPODBOT44 SFPODBOT45 SFPODBOT46

Foot Length FF Circ*


240-246mm 247-252mm 253-259mm 260-266mm 267-272mm 273-279mm 280-286mm 287-293mm 280mm 286mm 292mm 298mm 304mm 310mm 316mm 322mm

Fitting Notes Includes removable cushioning insoles.

* FF Circ = Forefoot Circumference - Maximum width/depth that can be accommodated with all insoles removed.

Podartis Manet Sandal


Podartis Manet Sandal UK Sizes EU Sizes Order Code
3 31/2 4 5 6 61/2 71/2 35 36 37 38 39 40 41 SFPODMAN35 SFPODMAN36 SFPODMAN37 SFPODMAN38 SFPODMAN39 SFPODMAN40 SFPODMAN41

0% VAT

Foot Length
215-220mm 221-226mm 227-233mm 234-239mm 240-246mm 247-252mm 253-259mm

FF Circ*
256mm 262mm 268mm 274mm 280mm 286mm 292mm

* FF Circ = Forefoot Circumference - Maximum width/depth that can be accommodated with all insoles removed.

Features

Fitting Notes

Includes removable cushioning insole.

Ladies sandal Blue nubuk and Flex pell upper Rigid rocker sole Extra deep with raised lip around sole to hold devices in place Removable Insole Velcro fastening

Podartis Masaccio - Flex Pell

Stretchable Upper
Standard Features

0% VAT

Unisex black boot 3 loop return velcro straps Soft calfskin leather upper and lining plus super stretchy Flex Pell upper (Page 61) Super deep and extra extra wide. Rigid Double Rocker sole improves heel-toe gait.

Fitting Notes Includes removable cushioning insole. Recommendations Diabetic approved Post surgery boot Accommodation of bulky dressings Wound care

Podartis Masaccio (pair) UK Sizes EU Sizes Order Code


6 61/2 71/2 8 9 91/2 101/2 11 39 40 41 42 43 44 45 46

RHPODMAS39 RHPODMAS40 RHPODMAS41 RHPODMAS42 RHPODMAS43 RHPODMAS44 RHPODMAS45 RHPODMAS46

240-246mm 247-252mm 253-259mm 260-266mm 267-272mm 273-279mm 280-286mm 287-292mm

Foot Length FF Circ*


304mm 310mm 316mm 322mm 328mm 334mm 340mm 346mm

* FF Circ = Forefoot Circumference - Maximum width/depth that can be accommodated with all insoles removed. see measuring for footwear (Page 58)

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Podartis stretchable biomechanical footwear


PODARTIS X-DIAB SHOE
Standard Features Combination of soft stretchy upper & rigid rocker sole Black Mens or Ladies Shoe 2 velcro straps, top loop return strap with D Ring Soft calfskin leather upper and lining plus super stretchy Flex Pell upper Super deep and extra extra wide Rigid double rocker sole improves heel-toe gait Extra deep, can accommodate swollen foot and insole Firm heel counter Cushioning moulded removable insoles
0% VAT

UK
3 4 5 6 6 7 8 9 9 10 11

EU
36 37 38 39 40 41 42 43 44 45 46

Product Code
SFPODXDIAB36 SFPODXDIAB37 SFPODXDIAB38 SFPODXDIAB39 SFPODXDIAB40 SFPODXDIAB41 SFPODXDIAB42 SFPODXDIAB43 SFPODXDIAB44 SFPODXDIAB45 SFPODXDIAB46

Length
221-226mm 227-233mm 234-239mm 240-246mm 247-252mm 253-259mm 260-266mm 267-272mm 273-279mm 280-286mm 287-293mm

FF Circ**
268mm 274mm 280mm 286mm 292mm 298mm 304mm 310mm 316mm 322mm 328mm

Recommendations Diabetic approved Post Surgery Poor Sagittal Plane Function Hallux Valgus & Hallux Rigidus Lesser Toe Deformity Bony Ankle Equinus Advanced Rheumatoid foot

* FF Circ = Forefoot Circumference - Maximum width/depth that can be accomodated with all insoles removed. See measuring for footwear

PODARTIS GOODSPORT
Standard Features

0% VAT

Combination of soft stretchy upper & rigid rocker sole Brown Mens Shoe 1 velcro loop return strap with D Ring Soft calfskin leather upper and lining plus super stretchy Flex Pell upper Super deep and extra extra wide Rigid double rocker sole improves heel-toe gait Extra deep, can accommodate swollen foot and insole Firm heel counter Cushioning moulded removable insoles


Recommendations Diabetic approved Post Surgery Poor Sagittal Plane Function Hallux Valgus & Hallux Rigidus Lesser Toe Deformity Bony Ankle Equinus Advanced Rheumatoid foot

UK

EU
39 40 41 42 43 44 45 46

Product Code
SFPODGOOD39 SFPODGOOD40 SFPODGOOD41 SFPODGOOD42 SFPODGOOD43 SFPODGOOD44 SFPODGOOD45 SFPODGOOD46

Length
240-246mm 247-252mm 253-259mm 260-266mm 267-272mm 273-279mm 280-286mm 287-293mm

FF Circ**
286mm 292mm 298mm 304mm 310mm 316mm 322mm 328mm

6 6 7 8 9 9 10 11

* FF Circ = Forefoot Circumference - Maximum width/depth that can be accomodated with all insoles removed. See measuring for footwear

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Heat Mouldable Footwear


Podartis Heat Mouldable Footwear
0% VAT

Recommendations Diabetic approved Active Walkers Rheumatoid Arthritis Lesser toe deformities Bunions (HAV)

Biomechanical Features Flexible Rocker bottom soles (Siena) For improved heel toe gait, and reduction of forefoot pressure Rigid Rocker bottom soles (Tiziano & Renoir) Improves saggital plane function, recommended for patients with reduced ankle and/or hallux dorsiflexion. Lightweight, shock-absorbing, anti-slip durable soles Firm heel counters for stability Available in Ladies, Siena Size 3-71/2 (35-41) Unisex, Tiziano, Size 6-11 (39-46) Comfort Features No stitching around flexion points Heat mouldable soft leather upper

This range of footwear combines extra depth/ extra width with good biomechanical function. The additional feature of a heat mouldable soft nappa leather upper allows further customisation for accommodating painful bunion (HAV) and other digital deformities.

Standard Features Deep and Wide (Siena) Removable cushioning insole (Siena) Super deep and Extra Extra wide (Tiziano) Italian styling Laced Non slip sole units

Instructions for heat moulding Siena and Tiziano Remove the insole. Using a heat gun gently warm the shoe in the area you wish to stretch. Apply the ball and ring footwear pliers to the area to be stretched, squeeze ball and ring together and allow the leather to cool before removing the pliers.

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Heat Mouldable Footwear


Podartis Siena - Heat Mouldable Upper
Standard Features Deep and Wide Low-medium wedge heel Ladies stylish, black, laced shoe Heat mouldable nappa leather upper.
0% VAT

Podartis Siena UK Sizes EU Sizes


3 31/2 4 5 6 61/2 71/2 35 36 37 38 39 40 41

Order Code
SFPODSIEN35 SFPODSIEN36 SFPODSIEN37 SFPODSIEN38 SFPODSIEN39 SFPODSIEN40 SFPODSIEN41

Foot Length FF Circ*


215-220mm 221-226mm 227-233mm 234-239mm 240-246mm 247-252mm 253-259mm 232mm 238mm 244mm 250mm 256mm 262mm 268mm

Fitting Notes Includes removable cushioning insoles.

* FF Circ = Forefoot Circumference - Maximum width/depth that can be accommodated with all insoles removed.

Podartis Renoir - Self moulding upper (Not Heat Mouldable)

0% VAT

Ladies black laced shoe. Extra depth extra width. Super soft self moulding leather upper. Rigid rocker bottom sole.

Renoir (pair)
UK Sizes EU Sizes
3 31/2 4 5 6 61/2 71/2 35 36 37 38 39 40 41

Order Code
SFPODREN35 SFPODREN36 SFPODREN37 SFPODREN38 SFPODREN39 SFPODREN40 SFPODREN41

Foot Length FF Circ*


215-220mm 221-226mm 227-233mm 234-239mm 240-246mm 247-252mm 253-259mm 256mm 262mm 268mm 274mm 280mm 286mm 292mm

Fitting Notes Without removable insoles to maximise depth.

* FF Circ = Forefoot Circumference - Maximum width/depth that can be accommodated with all insoles removed.

Podartis Tiziano - Heat Mouldable Upper


Podartis Tiziano UK Sizes EU Sizes
6 61/2 71/2 8 9 91/2 101/2 11 39 40 41 42 43 44 45 46

0% VAT

Order Code
SFPODTIZ39 SFPODTIZ40 SFPODTIZ41 SFPODTIZ42 SFPODTIZ43 SFPODTIZ44 SFPODTIZ45 SFPODTIZ46

Foot Length FF Circ*


240-246mm 247-252mm 253-259mm 260-266mm 267-272mm 273-279mm 280-286mm 287-292mm 298mm 304mm 310mm 316mm 322mm 328mm 334mm 340mm

Standard Features Mens classic laced, black shoe. Heat mouldable soft leather calfskin upper. Super Deep and Extra Extra Wide. Rigid rocker bottom sole

* FF Circ = Forefoot Circumference - Maximum width/depth that can be accommodated with all insoles removed.

Fitting Notes Without removable insoles to maximize depth.

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Shoe Fitting Tools

Pliers Code
SFPLIER1

Description
Pliers

Measuring Tape Description Code


SFPPLTM Measuring Tape

Heatgun Code
UTOOLHGUN1

Description
Heatgun

Heel Grips (pair) Description Code


SFHGRIP Heel Grip

Rehabilitation Footwear
Darco HeelWedge and OrthoWedge
0% VAT

Standard Features Sold Singularly Fully adjustable velcro fastenings Breathable mesh upper Lightweight, non-slip, durable sole Fully opening Universal, fits left and right HeelWedge 2 Styles HeelWedge Shoe Sole unit cut away from under the heel
Will remove pressure from plantar aspect of heel

Closed toe cover OrthoWedge Shoe Sole unit is cut away under the forefoot

Will remove pressure from the metatarsal heads and forefoot.

OrthoWedge Lightweight rehabilitation shoe for the treatment and prevention of ulcers Recommendations Diabetic approved Post surgery Plantar heel or metatarsal ulceration

Open toed

Darco HeelWedge and OrthoWedge Shoe (Single) HeelWedge OrthoWedge UK Size EU


Extra Small Small Medium Large Extra Large 2-31/2 4-6 61/2-8 81/2-101/2 11-13 34-36 37-39 40-42 43-45 46-48 RHDARHW34/36 RHDARHW37/39 RHDARHW40/42 RHDARHW43/45 RHDARHW46/48 RHDAROW34/36 RHDAROW37/39 RHDAROW40/42 RHDAROW43/45 RHDAROW46/48

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Rehabilitation Footwear
Darco Wound Care Shoe System
0% VAT

Standard Features 4 Insole Layers

Use cut-outs and/or different sequences of layering to redistribute pressure

Raised sole circumference


To prevent insoles slipping forwards in the shoe

Customisable uppers

Shoe system specifically designed for the treatment and prevention of foot ulcers in the at risk foot. Sold as single. Recommendations Diabetic approved Prevention of foot ulcers Management of foot ulcers

2 separate upper layers. Either layer can be independently removed over an at risk or ulcerated area

External soft leather upper layer Soft EVA upper layer nylon covered Dual rocker bottom rigid sole

To minimise forefoot trauma and assist with gait

Deep strong heel counter Long adjustable loop return velcro straps

Darco Wound Care Shoe System Order Code Foot


RHDARWOU37/38L RHDARWOU39/40L RHDARWOU41/42L RHDARWOU43/44L RHDARWOU45/46L RHDARWOU47/48L RHDARWOU37/38R RHDARWOU39/40R RHDARWOU41/42R RHDARWOU43/44R RHDARWOU45/46R RHDARWOU47/48R Left Left Left Left Left Left Right Right Right Right Right Right

(Single) Size
Small Small/medium Medium Large XLarge XXLarge Small Small/medium Medium Large XLarge XXLarge

UK
5-512 6-7 712-812 9-10 1012-1112 12-13 5-512 6-7 712-812 9-10 1012-1112 12-13

EU
37-38 39-40 41-42 43-44 45-46 47-48 37-38 39-40 41-42 43-44 45-46 47-48

Darco A.P.B.

(All Purpose Boot)


Standard Features

0% VAT

Sold Singularly Fully opening boot with closed toe cover Fully adjustable velcro fastenings Breathable mesh upper Wide supportive ankle strap prevents heel slippage Lightweight, non-slip, rigid sole Universal fits both left and right

Recommendations Diabetic approved Post surgery boot Accommodation of bulky dressings Can be used as an over cast boot

Darco A.P.B (Single) Order Code Size


RHDARAPB34/36 RHDARAPB37-39 RHDARAPB40-42 RHDARAPB43-45 RHDARAPB46-48

Extra Small Small Medium Large Extra Large

2-31/2 4-6 61/2-8 81/2-101/2 11-13

UK

EU

34-36 7-39 40-42 43-45 46-48

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DEAMBULO H Boot
Standard Features

0% VAT

Cost effective versatile container boot Adjustable Inner Space with easy to adjust velcro system Maximum velcro opening to tip of toes (toe box) Velcro easy closure system Includes shock absorbing insole Black soft lining with no seams Ideal for Oedema, and over dressings Lightweight, non-slip, durable sole Flexible rocker soles for heel-toe gait Firm extended heel counters for stability Boot design for ankle support


Recommendations Diabetic approved Post surgery Accommodate bulky dressings and bandages Wound care Oedema Suitable for around the house and short walks

UK
3 4 5 6 6 7 8 9 9 10 11

EU
36 37 38 39 40 41 42 43 44 45 46

Product Code
RHPODDEAM36 RHPODDEAM37 RHPODDEAM38 RHPODDEAM39 RHPODDEAM40 RHPODDEAM41 RHPODDEAM42 RHPODDEAM43 RHPODDEAM44 RHPODDEAM45 RHPODDEAM46

Length
221-226mm 227-233mm 234-239mm 240-246mm 247-252mm 253-259mm 260-266mm 267-272mm 273-279mm 280-286mm 287-293mm

FF Circ**
262mm 268mm 274mm 280mm 286mm 292mm 298mm 304mm 310mm 316mm 322mm

* FF Circ = Forefoot Circumference - Maximum width/depth that can be accomodated with all insoles removed. See measuring for footwear

DEAMBULO X Boot
Standard Features

0% VAT

Cost effective versatile container shoe Adjustable Inner Space with easy to adjust velcro system Maximum velcro opening to tip of toes (toe box) Velcro easy closure system Includes shock absorbing insole Black soft lining with no seams Ideal for Oedema, and over dressings Lightweight, non-slip, durable sole Flexible rocker soles for heel-toe gait Firm extended heel counters for stability


Recommendations Diabetic approved Post surgery Accommodate bulky dressings and bandages Wound care Oedema Suitable for around the house and short walks

UK
3 4 5 6 6 7 8 9 9 10 11

EU
36 37 38 39 40 41 42 43 44 45 46

Product Code
RHPODDEAMX36 RHPODDEAMX37 RHPODDEAMX38 RHPODDEAMX39 RHPODDEAMX40 RHPODDEAMX41 RHPODDEAMX42 RHPODDEAMX43 RHPODDEAMX44 RHPODDEAMX45 RHPODDEAMX46

Length
221-226mm 227-233mm 234-239mm 240-246mm 247-252mm 253-259mm 260-266mm 267-272mm 273-279mm 280-286mm 287-293mm

FF Circ**
262mm 268mm 274mm 280mm 286mm 292mm 298mm 304mm 310mm 316mm 322mm

* FF Circ = Forefoot Circumference - Maximum width/depth that can be accomodated with all insoles removed. See measuring for footwear

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FOOTWEAR
Sandals
Mens Vasyli Sandals
Code
SFVASDMBLK39 SFVASDMBLK41 SFVASDMBLK42 SFVASDMBLK43 SFVASDMBLK44 SFVASDMBLK46 SFVASDMBLK48 SFVASDMBRWN39 SFVASDMBRWN41 SFVASDMBRWN42 SFVASDMBRWN43 SFVASDMBRWN44 SFVASDMBRWN46 SFVASDMBRWN48 0% VAT

Description
Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Del Del Del Del Del Del Del Del Del Del Del Del Del Del

Mar Mar Mar Mar Mar Mar Mar Mar Mar Mar Mar Mar Mar Mar

Mens Mens Mens Mens Mens Mens Mens Mens Mens Mens Mens Mens Mens Mens

Black Black Black Black Black Black Black Brown Brown Brown Brown Brown Brown Brown

6 7 8 9 10 11 12 6 7 8 9 10 11 12

UK

39 41 42 43 44 46 48 39 41 42 43 44 46 48

EU

Features


Ladies Vasyli Sandals

Medium density Vasyli profile EVA moulded midsole with deep heel cup Quick dry liners Rubber outersole Soft padded upper Fabric toepost for added comfort Masculine styling

0% VAT

Code

SFVASKWBLK35 SFVASKWBLK37 SFVASKWBLK38 SFVASKWBLK39 SFVASKWBLK41 SFVASKWBLK42 SFVASKWBLK43 SFVASKWCM35 SFVASKWCM37 SFVASKWCM38 SFVASKWCM39 SFVASKWCM41 SFVASKWCM42 SFVASKWCM43

Description
Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Vasyli Key Key Key Key Key Key Key Key Key Key Key Key Key Key

West West West West West West West West West West West West West West

Ladies Ladies Ladies Ladies Ladies Ladies Ladies Ladies Ladies Ladies Ladies Ladies Ladies Ladies

Black Black Black Black Black Black Black Camel Camel Camel Camel Camel Camel Camel

3 4 5 6 7 8 9 3 4 5 6 7 8 9

UK

35 37 38 39 41 42 43 35 37 38 39 41 42 43

EU

Features

Medium density Vasyli profile EVA moulded midsole with deep heel cup Quick dry liners Rubber outersole Soft padded upper Fabric toepost for added comfort Feminine styling

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FOOTWEAR
Socks
Bootmate
Code
RHBOOTMATEL RHBOOTMATEM RHBOOTMATES RHBOOTMATEXL 0% VAT

Description
Bootmate Bootmate Bootmate Bootmate

Steel Steel Steel Steel

Toe Toe Toe Toe

Cap Cap Cap Cap

Sock Sock Sock Sock

Large Medium Small Extra Large

Features


Dr Comfort Ankle Socks

Pressure protection socks Gel pad protects side and top of feet when in safety boots or shoes Stops foot slipping to front of boot Padded under heel and metatarsals Extra durable acrylic yarn Light arch support for improved fit and comfort Moisture wicking yarn to keep skin dry and comfortable

0% VAT

Code DRCSAMBKL DRCSAMBKM DRCSAMBKS DRCSAMBKX DRCSAMWHL DRCSAMWHM DRCSAMWHS DRCSAMWHX DRCSAWBKL DRCSAWBKM DRCSAWBKS DRCSAWBKX DRCSAWWHL DRCSAWWHM DRCSAWWHS DRCSAWWHX Features

Mens / Ladies Mens Mens Mens Mens Mens Mens Mens Mens Ladies Ladies Ladies Ladies Ladies Ladies Ladies Ladies

Colour Black Black Black Black White White White White Black Black Black Black White White White White

Size Large Medium Small X Large Large Medium Small X Large Large Medium Small X Large Large Medium Small X Large

UK 10 11.5 8 9.5 6 7.5 12 14.5 10 11.5 8 9.5 6 7.5 12 14.5 7 8.5 5 6.5 2.5 4.5 9 10.5 7 8.5 5 6.5 2.5 4.5 9 10.5

Smooth seamless socks suitable for diabetics Shorter length ankle sock Nano bamboo charcoal for anti-microbial odour control and superior breathability Padding in heel and forefoot Light arch support Available in black or white

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FOOTWEAR
Socks
Dr Comfort Extra Roomy Socks
Code DRCSXRMBKL DRCSXRMBKM DRCSXRMWHL DRCSXRMWHM DRCSXRWBKL DRCSXRWBKM DRCSXRWWHL DRCSXRWWHM Features Mens / Ladies Mens Mens Mens Mens Ladies Ladies Ladies Ladies Colour Black Black White White Black Black White White
0% VAT

Size Large Medium Large Medium Large Medium Large Medium

UK 10 - 14.5 6.5 - 9.5 10 - 14.5 6.5 - 9.5 10 - 11.5 6.5 - 9.5 10 - 11.5 6.5 - 9.5


Dr Comfort Crew Socks

Smooth seamless socks suitable for people with mild to serious oedema High bulk acrylic fabric for durability and moisture management Dr Comfort socks wick away moisture and keep the skin drier which may help promote healing Padding in heel and forefoot Designed with a non-binding stay up top Available in black or white

0% VAT

Code DRCSCFBEL DRCSCFBEM DRCSCFBES DRCSCFBEX DRCSCFBKL DRCSCFBKM DRCSCFBKS DRCSCFBKX DRCSCFTNL DRCSCFTNM DRCSCFTNS DRCSCFTNX DRCSCFWTL DRCSCFWTM DRCSCFWTS DRCSCFWTX DRCSCMBEL DRCSCMBEM DRCSCMBES DRCSCMBEX DRCSCMBKL DRCSCMBKM DRCSCMBKS DRCSCMBKX DRCSCMTNL DRCSCMTNM DRCSCMTNS DRCSCMTNX DRCSCMWTL DRCSCMWTM DRCSCMWTS DRCSCMWTX

Mens / Ladies Ladies Ladies Ladies Ladies Ladies Ladies Ladies Ladies Ladies Ladies Ladies Ladies Ladies Ladies Ladies Ladies Mens Mens Mens Mens Mens Mens Mens Mens Mens Mens Mens Mens Mens Mens Mens Mens

Colour Navy Navy Navy Navy Black Black Black Black Tan Tan Tan Tan White White White White Navy Navy Navy Navy Black Black Black Black Tan Tan Tan Tan White White White White

Size Large Medium Small X Large Large Medium Small X Large Large Medium Small X Large Large Medium Small X Large Large Medium Small X Large Large Medium Small X Large Large Medium Small X Large Large Medium Small X Large

UK 7 - 8.5 5 - 6.5 2.5 - 4.5 9 - 10.5 7 - 8.5 5 - 6.5 2.5 - 4.5 9 - 10.5 7 - 8.5 5 - 6.5 2.5 - 4.5 9 - 10.5 7 - 8.5 5 - 6.5 2.5 - 4.5 9 - 10.5 10 - 11.5 8 - 9.5 6 - 7.5 12 - 14.5 10 - 11.5 8 - 9.5 6 - 7.5 12 - 14.5 10 - 11.5 8 - 9.5 6 - 7.5 12 - 14.5 10 - 11.5 8 - 9.5 6 - 7.5 12 - 14.5

Features

Smooth seamless socks suitable for diabetics Nano bamboo charcoal for anti-microbial odour control and superior breathability Padding in heel and forefoot Light arch support Available in 4 colours

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FOOTWEAR
Walkers
Darco Body Armor Walker II
Standard Features
0% VAT

Sold Singularly Acts as a total contact cast and an immobilisation walking boot Hard rigid protective shell with built in AFO Fully adjustable ski boot type click strap fasteners Washable padded lining with breathable vents Rigid double rocker bottom non slip sole Multi-density customisable insoles Universal, fits both left and right

Recommendations Diabetic approved Wound care Post op/fracture Controlled compression and immobilisation Management and prevention of ulcers

Darco Body Armor Walker II (Single) UK Size Order Code


RHDARBAH35/38 RHDARBAH39/42 RHDARBAH43/46 RHDARBAH47/49 Small Medium Large XLarge 3-51/2 6-81/2 9-11 111/2-131/2

EU
35-38 39-42 43-46 47-49

Leg Height
37cm 39cm 43cm 45cm

Darco FX Pro

0% VAT

Standard Features

Sold Singularly Economy Walker Rigid Rocker Sole Acts as a total contact cast and an immobilisation walking boot Spatula stirrups conform to the calf to reduce chaffing Vented liner for improved comfort Controlled compression and immobilisation Treatment and prevention of ulcers Universal, fits both left and right Velcro strapping

Recommendations Diabetic approved Wound care Post op/fracture Management and prevention of ulcers

Darco FX Pro Order Code


RHDARFX37/38 RHDARFX39/41 RHDARFX42/44 RHDARFX45/46

(Single) Size
Small Medium Large XLarge

UK
4-51/2 6-71/2 8-91/2 10-11

EU
37-38 39-41 42-44 45-46

Leg Height
26cm 29cm 31cm 32cm

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FOOTWEAR
Rehabilitation Sundries
Darco Heel Night Splint
0% VAT

Standard Features Sold singularly. Padded night splint. Removable, washable padding. Extra dorsiflexion wedges supplied. Pocket beneath the toes for extra wedges.

Recommendations Plantarfasciiosis and heel pain Achilles tendinopathy Stretch plantarfascia & achilles tendon

Darco Heel Night Splint (Single) Size Order Code


RHDARNS35/36 RHDARNS37/39 RHDARNS40/43 RHDARNS44/49 Small Medium Large XLarge

UK Size
3-4 41/2-6 61/2-9 91/2-14

EU Size
35-36 37-39 40-43 44-49

Darco Body Armor Night splint

0% VAT

Features Toe Strap dorsiflexes the 1st MPJ to provide a specific and sustained stretch to the Plantar Fascia and a sustained low load stretch to the flexor tendons, Achilles tendon and calf muscles. Loading the Windlass Mechanism naturally brings the foot/ankle to a near 90 degree angle thus eliminating the lever effect and the resulting pressure on the apex of the ankle. Elastic Connector Ring allows for natural flexion of the foot and toes during sleep, returning to the dorsiflexed position when muscles relax. Low Profile Design allows for maximum user comfort and compliance.

Recommendations Plantar Fasciitis Heel Spurs Achilles Tendonitis Achilles Tendinosis Metatarsalgia Ankle Contracture

Order Code
RHDARDNSPLINT

Description
Darco Body Armour Night Splint

Size
One size

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SUNDRIES

bioMechAnicAL sUndries prescribing orthotic devices


Contents:
Casting Information Casting Equipment Diagnostic Equipment Chairside Devices & Components 1 2 3 4

contents

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Casting Information
How to Cast Using Casting Bandage
For best results cast your patient lying prone. Cast one foot at a time. When using casting bandage double it over to make a stronger cast. 1 2 3 4 Measure 2 lengths of casting bandage, the first piece starting at the 5th metatarsal head going along the lateral border of the foot around the heel and down the medial border of the foot stopping at the 1st metatarsal head. The second piece starts at the base of the 5th metatarsal and goes around the toes, ending at the base of the 1st metatarsal. Dip the 1st length of bandage into water (the warmer the water the quicker the plaster will set). Squeeze out the excess water. Place the 1st piece of damp casting bandage around the foot in the position you measured it in. For a nice deep cast skim both malleoli. Fold one half over the plantar surface of the foot then fold in the other half in to overlap the 1st. Make sure there are no gaps in the bandage. Repeat with the 2nd piece of bandage and smooth the plaster around the foot. Hold the foot under the 4th and 5th metatarsal heads and place the foot into subtalar neutral position (if this position is unable to be held due to medical/surgical restrictions you must make us aware of this on your prescription form). Wait for the cast to fully set and harden. Then remove the cast gently without distorting the cast. Gently push out the thumb prints from the 4th and 5th metatarsal area. Allow the casts to dry overnight. Write the patients name on the side of the casts. Pack the casts into a box and secure, include the prescription form and if needed an assessment form. Please Note* Complimentary mailing boxes are available on request 1 2 3 4 5

6 7

How to Cast Using Foam Impression Boxes


1 Lift the foot over the foam impression box and put into subtalar neutral position (if this position is unable to be held due to medical/surgical restrictions you must make us aware of this on your prescription forms). Whilst holding neutral position with one hand, dorsiflex the hallux with the other to stop the foot from pronating, this will also minimise any soft tissue forefoot inversion which can occur. This position must be held whilst gently pressing the foot deeply into the foam. Keep the foot at 90 to the leg. Do not allow the heel to slope or slide into the box. The impression must be deep enough to capture the imprint of the entire arch profile. Ask the patient to stand and lean forward pushing the foot deeper into the box while still dorsiflexing the hallux. Remove the foot by lifting straight out of the box without disturbing the impression. Write the patients name on the box. Put into a strong mailing box and enclose the prescription form with an assessment form if needed.
1 2

3 4

Please Note* For Total Contact Devices Type 1 & 2 Do Not Dorsiflex The Hallux

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Casting Equipment
Casting Equipment
Specialist

E Casting Bandage Description


Box of 12 rolls

Code
BSCASPE12

Size
15cm wide and 2.7m long

0% VAT

Foam Impression Boxes Code


VPLASMOFBOX1

Description
Single box

Discount
Note* Discount on case of 25 boxes

Cast Pencil Code


UTOOLPENCIL2

Description
Single

PPL Measuring Tape Code


SFPPLTM

Description
Single

Chairside Materials

Wedge Strips (each)


Code
VWED3GY1.75X.07 VWED5BK1.75X.07

Description

3o EVA wedge 5o EVA wedge

Colour
Grey Black

Strip Length
1.25m 1.25m

Equipment and sundries used to manufacture devices


Code
BSSATAPE12 BSSATAPE25 UTOOLHGUN1

Description
Narrow double sided adhesive tape Wide double sided adhesive tape Heat gun

Details
12mm width 25mm width 25m long 25m long

We stock a variety of sheet materials and equiptment for manufacture, including Poron,

Please contact for further details.

EVA, Suedette and others.

Padding Materials
Padding
Code
BSCSFELT5MM6 BSCSFW0.8MM

Description
5mm semi-compressed felt Fleecy web

Quantity
4 sheets (30cm x 20cm) 15 sheets (30cm x 20cm)

Indications
self adhesive defective padding self adhesive defective padding

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Diagnostic Equipment
Neutral Zone Prescription Platform
0% VAT

Recommendations Use as a tool to assist biomechanical assessment and prescription writing Allows you to quantify the components and correction needed Designed to be used by medical practitioners to assist in the formulation of a prescription for an orthotic device

Neutral Zone Prescription Platform


Code
NZPPLAT

Quantity
1

Features Biomechanical assessment tool to assist in the prescription of orthotic devices Allows objective testing of proposed orthotic device prescriptions Practical and functional Cost saving by reducing prescription errors Adjustable shoe pitch gradient Functions This tool allows you to quantify the prescription needed, to allow a person to function within their neutral zone It allows you to trial the effect of your proposed components Whilst standing on a correctly adapted platform the patient normally should be: - Standing in their optimal anatomical position (STJ Neutral). - Able to pronate and supinate the foot within their neutral zone. - Able to dorsiflex the hallux and plantarflex the 1st ray Limitations of use

Contains 1 Shoe Pitch Gradient Low shoe pitch gradient platform 1 pair of 10mm heel gradient risers 1 pair of 20mm heel gradient risers Heel Raises 1 pair 3mm heel raises 1 pair 6mm heel raises Arch Support 1 pair of normal height arch pads 1 pair of low height arch pads Forefoot Posting 1 pair of 3o forefoot posts Midfoot & Forefoot Additions 1 pair of 2-4 dome pad 1 pair of 2-5 varus metatarsal bars 1 pair of 1st metatarsal cut-out pads Rearfoot Posting/Wedging 2 pairs of 3o rearfoot wedges 1 pair of 5o rearfoot wedges 1 pair of 8o rearfoot wedges

4 5

In-shoe heel stabilisation is not replicated. Patients presenting with hypermobility can be strapped to further simulate the in-shoe environment and stabilise the rearfoot complex before assessment. This will avoid over correction of your patient. Will not compensate for pathologies or presenting features which are evident during gait and not in standing.

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Chairside Devices & Components
PPL Insole Kits
Recommendations Insole Kit for chairside devices Cost-effective Retail potential Time efficient Features Self assembly Kits to make chairside prescription / temporary insoles Professional finish Quality self adhesive components Available in Standard Kit Heel Pain Kit Medial Column Kit Metatarsalgia Kit
0% VAT 0% VAT

Freedom

Bulk Buy Bags of 10 pairs of the same size are available at a reduced price

Freedom (pair)
Features Full length pre-formed insole Slimline Low arch profile & Heel Cup Anti-bacterial Velour Top Cover UK
3-31/2 4-51/2 6-71/2 8-9 91/2-101/2

EU

One Pair
BSFREECOV35/36 BSFREECOV37/38 BSFREECOV39/41 BSFREECOV42/43 BSFREECOV44/45

35/36 37/38 39/41 42/43 44/45

PPL Insole Bases


Features Flat insole bases for chairside insoles

0% VAT

Available in 1 3.2mm Poron (cushioning) 2 2mm EVA (durable) 3 6mm Plastazote (thermal and conforming)

PPL Insole Bases (Bags of 5 pairs) 1 Size UK EU 3mm Poron


1 2 3

Medium Large X Large

5-71/2 38-41 8-101/2 42-45 11-131/2 46-49

MCIBPORM MCIBPORL ---------

MCIBEVAM MCIBEVAL MCIBEVAXL

2mm EVA

MCIBPLASM MCIBPLASL ---------

6mm Plastazote

Eezytemp

0% VAT

Recommendations As a precursor to long term device Mild to moderate biomechancial problems Low to medium natural arch profile

Standard Features Low cost Durable and resistant to cracking Easily accomodated in footwear Genuine leather top cover

Full length and 3/4 length device Slightly flexible Inbuilt metatarsal dome Option to add additional PPL wedging Low heel cup

Product Description
Eezytemp Eezytemp Eezytemp Eezytemp Eezytemp Eezytemp Eezytemp Eezytemp Eezytemp Insole Insole Insole Insole Insole Insole Insole Insole Insole Adult Adult Adult Adult Adult Adult Adult Adult Adult 5 (38) 6 (39) 6.5 (40) 7.5 (41) 8 (42) 9 (43) 9.5 (44) 10.5 (45) 11 (46)

3/4 length
OCETEMP38 OCETEMP39 OCETEMP40 OCETEMP41 OCETEMP42 OCETEMP43 OCETEMP44 OCETEMP45 OCETEMP46

Full length
OCETEMPFL38 OCETEMPFL39 OCETEMPFL40 OCETEMPFL41 OCETEMPFL42 OCETEMPFL43 OCETEMPFL44 OCETEMPFL45 OCETEMPFL46

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Chairside Devices & Components
PPL EVA Heel Raises
0% VAT

Features Non compressible, shock absorbing medium density EVA heel raises. Available in Medium UK size 5-71/2 Large UK size 8-101/2 3,6 and 8mm, Self adhesive or plain (non self-adhesive) 10 & 12mm plain only

PPL EVA Heel Raises (bag of 10 - same size) Type 6mm Size 3mm
Medium Large Medium Large Plain Plain Self Adhesive Self Adhesive MCHR3MPL MCHR3LPL MCHR3MSA MCHR3LSA

MCHR6MPL MCHR6LPL MCHR6MSA MCHR6LSA

8mm

MCHR8MPL MCHR8LPL MCHR8MSA MCHR8LSA

10mm

MCHR10MPL MCHR10LPL -------------------

12mm

MCHR12MPL MCHR12LPL -------------------

PPL EVA Heel Raises (single) Height Code


MCHRSIN12 MCHRSIN24 Any single heel raise under 12mm Any single heel raise under 24mm

Details

Specify height, size and type Specify height, size and type 0% VAT

PPL Elongated EVA Rearfoot Wedges

Features Non compressible, shock absorbing medium density EVA rearfoot wedges. Skived at the front to fit flush onto flat chairside insoles or into footwear. Can be used medially or laterally Available in PPL Elongated EVA Rearfoot Wedges Medium UK size 5-71/2 Quantity Type Size Large UK size 8-101/2 Medium 5 pairs Plain o o o 3 Grey, 5 Black & 8 Blue Large 5 pairs Plain Self adhesive or plain Medium 5 pairs Self adhesive (non self-adhesive) Large 5 pairs Self adhesive

(bag of 5 pairs - same size)


3o wedges
MCWEDELO3MPL MCWEDELO3LPL MCWEDELO3MSA MCWEDELO3LSA

5o wedges
MCWEDELO5MPL MCWEDELO5LPL MCWEDELO5MSA MCWEDELO5LSA

8o wedges
MCWEDELO8MPL MCWEDELO8LPL MCWEDELO8MSA MCWEDELO8LFA

PPL Economy EVA Rearfoot Wedges

0% VAT

Available in One size 3o Grey and 5o Black Self adhesive or plain (non self-adhesive)

Features Non compressible, shock absorbing medium density EVA rearfoot wedges. Short heel wedge to fit onto pre-formed chairside insoles. Can be used medially or laterally

PPL Economy EVA Rearfoot Wedges (bag of 5 pairs - same size)


One Size One Size

Size

Quantity
5 pairs 5 pairs

Type

Plain Self Adhesive

3o wedges

MCWEDECO3PL MCWEDECO3SA

5o wedges

MCWEDECO5PL MCWEDECO5SA

PPL Forefoot/Rearfoot EVA Wedges

0% VAT

Features Non compressible, shock absorbing medium density EVA forefoot/rearfoot wedges. Long forefoot and rearfoot wedge to fit onto preformed chairside insoles. Can be used medially or laterally Available in Medium UK size 5-71/2 Large UK size 8-101/2 3o Grey and 5o Black Self adhesive or plain (non self-adhesive)

PPL Forefoot/Rearfoot EVA Wedges (bag of 5 pairs - same size) Quantity 3o wedges Size 5o wedges Type
Medium Large Medium Large 5 5 5 5 Pairs Pairs Pairs Pairs Plain Plain Self Adhesive Self Adhesive MCWEDRFFF3MPL MCWEDRFFF3LPL MCWEDRFFF3MSA MCWEDRFFF3LSA

MCWEDRFFF5MPL MCWEDRFFF5LPL MCWEDRFFF5MSA MCWEDRFFF5LSA

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Chairside Devices & Components


Self Adhesive Components
Features Self adhesive low profile pads. Used for chairside devices
1 1 2 2

0% VAT

Arch Pads Sit under medial longitudinal arch Metatarsal Bars Sit under 2nd to 5th metatarsal shafts. Heel Cushions 6mm heel cushions Small Dome Pads Sit behind 1 or 2 metatarsal heads.

4 3

Self Adhesive Components (bag of 12 pairs- same size)


Size
Medium Large One size
1

Arch Pads

Metatarsal Bars

Heel Cushions

Small Dome Pads

BSLYNARCHM BSLYNARCHL ---------

BSLYNMBARM BSLYNMBARL ---------

BSLYNHCUSHM BSLYNHCUSHL ---------

BSLYNMDOMEM BSLYNMDOMEL ---------

Latex Components

0% VAT

Features Non adhesive latex pads. Used for chairside devices


1 1 4 2

Arch Pads Sit under medial longitudinal arch 1st Met Cut-Out Pads Sits around 1st metatarsal head 2-5 Varus Met Bars Sit under 2nd to 5th metatarsal shafts. 2-4 Dome Pads Sit under 2nd to 4th metatarsal shafts. Small Teardrop Pads Sit behind 1 or 2 metatarsal heads.

5 3

Latex Components (bag of 5 pairs- same size)


Size
Small Medium Large One size
1

Arch Pads

1st Met Cut-Outs

2-5 varus Met Bars

2-4 Dome Pads

Small Teardrop

BSLATARCHS BSLATARCHM BSLATARCHL ---------

--------BSLAT1METM BSLAT1METL ---------

--------BSLATVARMETM BSLATVARMETL ---------

BSLATDOMESML -----------BSLATDOMELRG ------------

------------------------------------BSLATTEAR

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INDEX

INDEX

DEsCrIptIon

pAGE

sECtIon

DEsCrIptIon

pAGE

sECtIon

A
Alpha MK2 Orthotic Footwear Anti Shox Arch Pads 4 9 6 Stock Devices Stock Devices Sundries

F
Felt Padding Feet in Motion First Step Paediatric Device Foam Impression Boxes 2 1 1 2 5 3-15 Sundries Stock Devices Stock Devices Sundries Sundries Footwear Footwear Motion Analysis Sundries

B
Boots Rehabilitation Bunion Splint Buratto Paediatric Devices Buratto Adult Orthotic Devices Bootmate 12-14 13 2 4 16 Footwear Stock Devices Stock Devices Stock Devices Footwear

Forefoot Wedges Footwear Adult Stock

Footwear Rehabilitation/Woundcare 8-14 Footwork Pro Freedom Insoles 7-8 4

G
Gait Analysis Software Gel Heel Cups 1 9 14 Motion Analysis Stock Devices Stock Devices

C
Carbonflex Devices Carbonflex Kit Casted Orthoses Casting Equipment and supplies Chairside Devices & Components Custom Made Orthotic Devices 5 7 9 2 2-6 1 Custom Devices Custom Devices Custom Devices Sundries Sundries Custom Devices

Gel Digital Devices

H
Heat Gun Heat Mouldable Footwear Heel Cushions 2 10-12 6 5 15 8 16 Sundries Footwear Sundries Sundries Stock Devices Footwear Stock Devices

D
Dananburg Vasyli Darco Night Splint Body Armor Darco Rehabilitation Products Deramed Gel Digital Devices Double Sided Adhesive Tape Dr Comfort Footwear Dr Comfort Insoles Dr Comfort Socks 6 16 9-12 13-14 12-14 2 2-6 9 16-17 Stock Devices Stock Devices Footwear Stock Devices Stock Devices Sundries Footwear Stock Devices Footwear

Heel Raises Heel Night Splint Heel Grips Hot & Cold Compression

I
Insole Bases Insolia Insole Kits 4 11 8 Sundries Stock Devices Stock Devices

K E
4Kids Paediatric Insole Eezytemp Device 4 Sundries 2 Sundries

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INDEX

DEsCrIptIon

pAGE

sECtIon

DEsCrIptIon

pAGE

sECtIon

L
Latex Components 6 Sundries

s
Salford Insoles Salford Lateral Wedge 3 7 5 15 6 12 12 3 10-11 16-17 2 3-4 7-9 12-14 14 Stock Devices Stock Devices Footwear Footwear Sundries Footwear Stock Devices Custom Devices Stock Devices Footwear Sundries Motion Analysis Footwear Footwear Footwear

M
Materials for Manufacture Met Dome Pad-Leather Metatarsal Pads Measuring Tape Motion Quest Software 2 12 6 2 5-6 Sundries Stock Devices Sundries Sundries Motion Analysis

Sandals Manet Sandals Vasyli Self Adhesive Components Shoe Stretching Pliers Silicone Putty (Otoform) Simple Insoles Slimfit Orthotic Devices Socks

n
Neutral Zone Prescription Platform Night Splint Darco Body Armor 3 16 Sundries Stock Devices

Specialist E Casting Bandage Sprintex Treadmill Stretchable Footwear Surgical Footwear Suspension Boot

o t
Otoform K-2 12 Stock Devices Tape Measure 12 2 1-2 4-6 8 13 12 16 3-4 Footwear Footwear Motion Analysis Sundries Stock Devices Stock Devices Stock Devices Custom Devices Motion Analysis

p
Pads for Chairside Devices Padding Material Paediatric Orthotic Devices Plaster Casting Bandage Podartis Flex Pell Footwear 5-6 2 1-2 2 7-9 Sundries Sundries Stock Devices Sundries Footwear Footwear Sundries Stock Devices Custom Devices Sundries Stock Devices

Tape Double Sided Adhesive Templo Software Temporary Device Components Temporary Insole Kits Toe Alignment Splint Darco Toe Props Leather Detachable Total Contact Devices Treadmill (Sprintex)

Podartis Heat Mouldable Footwear 10-11 Poron Self Adhesive Cushioning PPL Insole Kits Prescription insoles Prescription Platform (Neutral Zone) Proheel Elevator & Posted 4 8 3 3 11

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Unithotic Orthotic Devices 11 Stock Devices

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Vasyli Orthotic Devices Rearfoot Wedges Rehabilitation Footwear Renoir Shoes Rocker Shoes 5 12-14 11 8-9 Sundries Footwear Footwear Footwear Wedges Pre-Cut Components Wedge Strips Wound Care Footwear 5 2 12-13 Sundries Sundries Footwear 5-7 & 10 Stock Devices

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+ 353 (0) 21 4320277

TERMS

TERMS

General Terms & Conditions


PPL biomechanics is a trading name of Podiatry Products Ltd. Copyright 2008 PPL biomechanics. All rights reserved.

Trade Description Act


Whilst every care has been taken with the accuracy of the illustrations, colour representations and descriptions in this catalogue they are intended as a guide only to identify each product. The customer should satisfy themselves that the products meet their specific requirements before fitting. The company reserves the right to adapt and improve model specification in line with research findings at any time without prior notice.

Prices
The prices quoted in our price list are subject to change. The company reserves the right to increase the price of goods to reflect any increase in companies costs. Any errors or omissions contained within the price list are not the responsibility of the company

Payment/Settlement terms
Our payment terms are 30 days from date of invoice. Invoices will be issued on date of dispatch. Interest at 5% will be applied to all invoices which are more than 60 days old, at the end of the month on the day statements are issued. An order or prescription is looked upon as an agreement to abide by our terms and conditions of trade. Products remain the property of the company until full settlement has been made. We deal only with qualified medical practitioners, and do not deal with the general public, therefore all invoices will be referred to the practitioner who placed the order. Customers can opt to be invoiced in pounds sterling and therefore settle accounts in pounds sterling. All prices quoted are exclusive of VAT. VAT is charged at either standard Irish rates, or at 0% if the product is rated as such.

Delivery Charges
Delivery is charged at cost. We reserve the right to change these charges in line with postal and carriage cost increases. We recommend that all our devices are fitted by a medical practitioner. If under special circumstances you wish us to deliver to a patient, we will only do so under written/faxed instructions, and the more expensive traceable courier delivery service will be used and relevant charges applied.

Loss & Damages


Notification of loss, damage or missing goods from an order must be made in writing within 7 days. Replacement goods will be issued where applicable.

Mailing Boxes & Recycling


PPL has a positive recycling policy. Mailing boxes for casts are available free on request, however we recommend you recycle your old boxes. Prepaid mailing labels are available for use within Ireland and charged at cost when used. These mailing labels can be applied to any box and returned to us as normal.

Disclaimer of liability
We will accept any fault in our products caused by the manufacturing process. We will not accept any liability for problems resulting from an inappropriate prescription. The efficacy of the device is totally dependant upon the prescription.

Special Terms for Traded Goods and Stock Items


Traded goods and stock Items are defined as all items listed in the catalogue, excluding all custom made orthotic devices.

Return of Traded Goods and Stock Items


The company will accept returns of traded goods and stock Items for credit, within 3 months of invoice & dispatch, providing that returned goods and packaging are in a clean, re-saleable condition. We can not under any circumstances accept damaged goods or damaged packaging back into stock for credit. Postage will not be credited. We do not refund any traded good that have been customised or adjusted.

Special Terms for Custom Orthotic Devices


Custom orthotic devices include casted orthoses, carbonflex devices and prescription insoles. We must have the prescribing practitioners name to accept an order.

Return of Custom Orthotic Devices


The company will not accept returns of Custom Orthotic Devices for credit, under any circumstances. The devices are one-offs, designed specially for one individual and cannot be resold.

Loyalty Discount
The % discount is applied to the amount spent on custom orthotic devices only in each calendar month, and is applied before the following months statement is issued. This % discount varies depending on how much you have spent in the month. A customer who spends over 1000/ 700 = 2.5% discount; over 2000/ 1400 = 5% discount; over 3000/ 2100 = 7.5% discount. PLEASE NOTE* Loyalty discount will only be applied to accounts that are within their 30 day credit terms.

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+ 353 (0) 21 4320277

TERMS

2nd Pair Discount on Casted Orthoses


20% discount available on a second pair of casted orthoses ordered at the same time as the original. 10% discount available for a second pair of orthoses ordered within 6 months of the original prescription (Same type and prescription must be ordered, does not apply to additions or services)

Turnaround Time & Fast Track


Times are based on orders received before 10am. Times are guaranteed only on the basis that we have received all the information required to complete the order. We reserve the right to delay manufacture or dispatch of goods if there is information missing. The company cannot accept liability for delays caused by postal or delivery services.

Technical Advice & Lab Evaluation


Whilst representatives of the company are happy to help you with prescription queries and orders, the nature and prescription of the device will be solely the practitioners responsibility. Any suggestion, recommendation or advice made by any representative of the company to a prescribing practitioner in respect of the devices, will not transfer liability or responsibility of therapeutic outcome or tolerance of the devices. The company will manufacture what the practitioner orders. If the practitioner has ordered an inappropriate device the company will accept no liability for the device. If an inappropriate order is placed and requires to be remade or altered in anyway from the nature of the original prescription, standard charges will be applied.

Standard Guarantees
Comfort Trim ; One Comfort fitting for casted orthoses and carbonflex orthoses within 3 Months of dispatch of orthoses. This includes one adjustment of orthoses for fit & comfort, such as trimming of sides and edges of orthoses, but no stripping down of the orthoses in anyway, or alterations/changes to rearfoot, midfoot or forefoot additions. Postage will be charged for any returns. Posting Adjustments ; One Small Posting adjustment for all orthoses within 3 Months of dispatch at no charge. For example, adding to or removal of existing rearfoot extrinsic postings (this will change the aesthetics of the orthoses). Additional Posts such as new forefoot posts can not be applied without an extra charge. Intrinsic posting which is built into the cast cannot be altered. Postage will be charged for any returns. Shell Fracture ; One year guarantee against shell fracture for Podofirm, Flexifirm, Podoflex & Carbonflex orthoses. Materials/Workmanship ; 6 month guarantee to replace or repair any orthotic which has any defects relating to materials or workmanship. Damaged or defective orthoses must be returned to the company to be assessed before replacement orthoses can be issued. Please Note* All materials, especially EVA and Astroshock are of a variable nature.

What We Don t Guarantee


No guarantee or liability against normal wear & tear of top covers, post protectors, extensions and adaptions. No guarantee against wilful damage or negligence, failure to follow company advice verbal or written, or misuse or alteration or repair of the device by practitioner, or other. No guarantee against errors or inadequacies in specification or prescription by practitioner.

Special Fitting Service


Limited to a maximum of 2 adjustments within the 6 week period from dispatch. Further adjustments or extensions of period will incur another special fitting charge, or charged an alteration fee as appropriate. This service does not include completely changing the nature of the device, for example changing type of device, or changing length of device. If changing from 3/4 length to full length, an additional charge will be made. Postage will be charged for any returns.

Alterations
Any devices sent back for refurbishment must be in a reasonably hygienic and repairable state. We are willing to alter devices not manufactured by our company, However only on written instructions by a registered medical practitioner, and we disclaim any liability relating to these devices. The materials used will be as similar as possible but may not replicate the original material. Postage will be charged for any returns.

Refurbishment Protection Scheme


The scheme covers 1 minor and 1 major refurbishment as detailed below in addition to the standard guarantees for a period of 2 years We will send you a refurbishment protection scheme certificate, which will quote the reference number, the expiry date and terms and conditions. The patient will not be able to contact us directly, and must return to their practitioner to avail of the scheme. The scheme must be taken out at the time of the origional order. Minor Refurbishment Includes recovering of devices, replacement or removal of heel, midfoot or forefoot additions, new heel protectors for Podofirm, minor adjustments to existing extrinsic posting, and new base linings if required. Major Refurbishment Includes all above plus reinforcement, replacement of heel posts, and reposting back to original prescription as far as possible. Please Note Podosoft is a low density EVA device and is not suitable for functional control, it cannot be reinforced. The scheme does not include completely changing the nature of the device, for example it does not include the adding of heel, midfoot or forefoot additions, only the replacement or removal of them. It does not include changing the length of the device from 3/4 length to full length or cut to sulci. Postage at cost.

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+ 353 (0) 21 4320277

Tramore Commercial Park, Tramore Road, Cork, Ireland. telephone: +353 (0)21 4320277 | fax:+ 353 (0)21 4321159 | email: sales@pplbiomechanics.com website: www.pplbiomechanics.com