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CAD-CAM ORTHOTICS
CAD-CAM ORTHOTIC PRESCRIPTION
39 Phillips St.
Thebarton, S.A. 5031
IMPORTANT NOTE: SHADED AREAS MUST BE COMPLETED
Telephone: (08) 7127 8471
Office use only: S: A: G: C: B:
Fax: (08) 8354 4897
Email:
FILE NO:
DATE RECEIVED:
PATIENT'S NAME: 1
CLINIC: 2
(In block letters)
AGE: 3 SEX: 4
POD: 5
EVA DENSITY: 125 190 220 Blue260 Black260 400
DISPENSE DATE: 7
6 Grey350 Black350 Other 350________________
TIME:
AM/PM
(Standard Grey350 assumed unless otherwise marked)
ORTHOTIC STYLE: Mens Womens Athletic
Womens Dress
PRIORITY RETURN: Tick if required
8 (Wide)
(Medium Width)
(Narrow Width)
9
(will incur 20% loading)
TEMPLATE SIZE: 10
Left Foot Right Foot TOP COVERS: HEEL SKIVE mm
11 VINYL blue green purple cream
deg
27
MULTIFORM 1mm blue red black multi
neutral 12
2mm blue red green black multi jellybean
inverted
3mm blue red green black SCAN everted
POSITION on computer* 13 VITA brown black cream
*(provide date
(Forefoot Correction) or file nunber) P. U. LINING biscuit CAMBRELLE black
14
INVERSION RAMP ( 0 to 12 deg)
SPENCO 1.5mm 3mm 1.5mm: blue black
15
3mm: green black
EVERSION RAMP ( 0 to 12 deg)
16 PPT/PORON 1.6mm 3.2mm 6mm
THICKNESS mm (1-18mm)
(Standard thickness is 1.5mm) PS VLIES black
KANGAROO black
17
ARCH FILL % ( -30 to +30%) PIGSKIN LEATHER SUEDE LEATHER
OTHER OPTIONS:
18 28 LAMINATED ARCH LOW HEEL GRIND 33 33
LAT ARCH FILL % ( -30 to +30%) 28 HOOKS
3/4 LENGTH 32
19 29 1st MPJ CUTOUT HEEL LIFT EXT (mm) 33
HEEL LIFT mm (0-12mm)
30 45 DEG CUTOUT 1ST RAY GRIND (mm) 34
20
HEEL CUP % ( -30 to +30%) 31 SULCUS LENGTH PLANTAR GRIND(mm) 35
21
REARFOOT POSTING (0-24 deg)
(Medial unless Lateral specified)
(Medial Heel Wedge)
22
METATARSAL WEDGES (0-12 deg)
(Lateral unless Medial specified)
23
METDOMES size (1, 2, 3, 4)
or Briggates type size (S, M, L)
24
METPADS size (s, m, l)
25
PFA (mm)
OTHER INSTRUCTIONS:
36 26
Version 7/2/2012
Contents 1. Patient's Name.................................................................................................................................................................... 3
2. Age ....................................................................................................................................................................................... 3
3. Sex ....................................................................................................................................................................................... 3
4. EVA Density ........................................................................................................................................................................ 3
5. Orthotic Style ...................................................................................................................................................................... 5
6. Template Size ..................................................................................................................................................................... 5
7. Clinic..................................................................................................................................................................................... 5
8. Podiatrist .............................................................................................................................................................................. 5
9. Dispense Date .................................................................................................................................................................... 5
10. Priority Return ................................................................................................................................................................... 5
11. Heel Skive ......................................................................................................................................................................... 6
12. Scan Position .................................................................................................................................................................... 6
13. On Computer .................................................................................................................................................................... 7
14. Inversion Ramp ................................................................................................................................................................ 7
15. Eversion Ramp ................................................................................................................................................................. 7
16. Thickness .......................................................................................................................................................................... 8
17. Arch Fill % ......................................................................................................................................................................... 8
18. Lateral Arch Fill % ............................................................................................................................................................ 9
19. Heel Lift (mm) ................................................................................................................................................................... 9
20. Heel Cup % ..................................................................................................................................................................... 10
21. Rearfoot Posting ............................................................................................................................................................. 11
22. Metatarsal Wedges ........................................................................................................................................................ 13
23. Metdomes ........................................................................................................................................................................ 14
24. Metpads ........................................................................................................................................................................... 14
25. PFA .................................................................................................................................................................................. 15
26. Other Instructions ........................................................................................................................................................... 15
27. Top Covers ...................................................................................................................................................................... 15
28. Hooks ............................................................................................................................................................................... 20
29. 1st MPJ Cutout ............................................................................................................................................................... 20
30. 45 Degree Cutout ........................................................................................................................................................... 20
31. Sulcus Length ................................................................................................................................................................. 21
32. 3/4 Length ....................................................................................................................................................................... 21
33. Heel Lift External (mm) .................................................................................................................................................. 22
34. 1st Ray Grind (mm) ........................................................................................................................................................ 23
35. Plantar Grind (mm) ........................................................................................................................................................ 23
36. Plantar View .................................................................................................................................................................... 24
1. Patient's Name
Input the patient's first and last name into this section. For the convenience of the orthotics laboratory please do not abbreviate the name in any way. Please stick to using a standardised ‘Maiden Name -> Surname’ structure for your own convenience as well as ours.
2. Age
Please input the patient's age for your records as well as ours. This will occasionally provide orthotics technicians with a useful reference.
3. Sex
Please input the patient's sex for your records as well as ours. This will occasionally provide orthotics technicians with a useful reference.
4. EVA Density
Please select the EVA density that you feel is appropriate for your patient. Our densities are laid our clearly on the script that is provided. Our densities ranging from 125; the lowest, to 400; the highest. Please note that if no density is specified in this section we will assume that 350 Grey EVA is the preferred orthotic medium.
220 350
190 220 260
400 350 260
120
5. Orthotic Style
Please select an orthotic style. This orthotic style is in relation to the size of the patient’s footwear. Cadcam Orthotics uses US sizing - please refer to the sizing conversion chart for an efficient way to convert other shoe sizing systems. If the patient requires a custom fitted orthotic please indicate in this section. We recommend that a direct photocopy, correctly scaled photograph or tracing of the patient shoe last be provided in order for orthotic technicians to correctly fit orthoses to footwear. A men’s last will have a higher heel cupping of between 10-20mm, a women’s athletic last will have a lower heel cupping of between 10-15mm and a women’s dress last will have an even lower heel cupping of between 5-10mm. If no size is selected then we will assume that a 'Men’s (Wide)' orthotic style is wanted for a male prescription and a 'Women’s Athletic (Medium Width)’ for a female prescription.
6. Template Size
Please input the size of the orthoses you require for your patient. Cadcam Orthotics uses Australian sizing - please refer to the sizing conversion chart for an efficient way to convert other shoe sizing systems. If you require a custom cut orthoses then please indicate whether or not you have attached a diagram, or template to the script or within the package sent to Cadcam Orthoses. This will prevent orthotic technicians from overlooking attached diagrams, or templates. A universal sizing chart has been attached to the end of this guide for your convenience.
7. Clinic
Please include the name of your clinic if it is not already permanently included on the scripts that are provided.
8. Podiatrist
Please include the name of the podiatrist that is prescribing the pair of orthoses. This helps orthotic technicians as occasionally we will need to converse with podiatrists in order to make the orthoses to the required specifications.
9. Dispense Date
If you require your orthoses on a particular day at a particular time you may indicate it in this section.
10. Priority Return
If you require the patient's orthoses back at your clinic within four working days then Cadcam Orthotics reserves the right to charge a 20% priority loading charge on the prescribed orthoses.
11. Heel Skive
When the axes of the forces of the patients foot are low and medially deviated a heel skive may be used to redirect forces in an appropriate way. Please indicate the angle (degrees) and the depth (mm) that you wish the heel skive to have.
12. Scan Position
Please input an amount in degrees that you wish the orthotics to be held when three-dimensionally scanned. If no scan position is entered then the orthotic will be modeled perpendicular to the bisection of the calcaneus. Increasing the inversion in degrees will create an increase in the medial arch height, medial rear foot posting and total medial support of the orthotic. Increasing the eversion in degrees will create an increase in the lateral arch height, lateral rear foot posting and total lateral support of the orthotic. If you are requesting a repeat pair then this value will be stored electronically and there is no need to input this data.
13. On Computer
Please include the previous job number as displayed in the top left corner of the patient's previous pair of orthoses from Cadcam Orthoses. As all of our orthotic data is stored electronically there is no need to recast the patient. Instead, you may simply send a new script, with any changes that the patient requires included on the script.
14. Inversion Ramp
Enter the measurement of inversion that you would like built into the orthotic device in degrees. Inputting an inversion ramp figure will create a full length inversion wedge in the orthotic device, which will build up the medial aspect of the orthotic model. You may manually request alternate parameters of the inversion ramp in section 26, or 36.
15. Eversion Ramp
Enter the measurement of eversion that you would like built into the orthotic device in degrees. Inputting an eversion ramp figure will create a full length eversion wedge in the orthotic device, which will build up the lateral aspect of the orthotic model. You may manually request alternate parameters of the eversion ramp in section 26, or 36.
16. Thickness
Please input the thickness that you would like the orthotic device to have at the thinnest points. The thickness of the device can be altered on each device if a patient has a defined limb length difference. The thickness can be set between 1.5 and 8.0mm it is recommended that a limb length difference of more than 5.0mm should be treated with additional extrinsic wedging. The thickness of the device is measured from the thinnest point of the device, which should be the ball of the heel and the 1st, or 5th MPJ contact points. If no thickness is selected then it will be assumed that 1.5mm is being requested.
17. Arch Fill %
Enter the amount of additional medial arch fill you would like the orthotic model to have in percentage, or conversely the amount of reduction of medial arch fill you would like the orthotic model to have. By inputting a percentage it will proportionately increase, or decrease the total medial arch fill in the orthotic model. The percentage that is calculated will increase the medial arch support in (mm) as a proportion of the total medial arch area. For example if the total surface area under the medial arch was measured at 30mm2, then a percentage of 10% entered in the input box would mean an increase in total medial arch area to 33mm2.
18. Lateral Arch Fill %
Enter the amount of additional lateral arch fill you would like the orthotic model to have as a percentage. Conversely, you may enter the amount of reduction of lateral arch fill you would like the orthotic model to have as a percentage. By inputting a percentage it will proportionately increase, or decrease the total lateral arch fill in the orthotic model. The percentage that is calculated will increase the lateral arch support in (mm) as a proportion of the total lateral arch area. For example if the total surface area under the lateral arch was measured at 10mm2, then a percentage of 20% entered in the input box would mean an increase in total medial arch area to 12mm2.
19. Heel Lift (mm)
Enter the amount of additional heel thickness (mm) you would like added to the orthotic device. This additional heel lift will be added to the total thickness of the heel at the thinnest point. For example if the ‘Insole Thickness’ is set at 2mm and a heel lift of 3mm is entered into the heel lift input box, then the total thickness of the heel will be 5mm.
20. Heel Cup %
Enter the amount of additional support you would like the orthotic model to have at the heel as a percentage (%). This additional heel cup support will be calculated based on a percentage of the total area of the heel cup surrounding the heel contour. For example if a heel cup is 20mm in height then a percentage increase of 10% will result in a new heel cup height of 22mm. This percentage increase will predominantly affect the outer margin of the heel cup. There will be some tapering into the heel contour area. If a great increase in heel cup height is needed then the total width of the patient’s foot compared to the size of the foot selected should be considered. For example if the patients heel is quite narrow compared to the foot size selected, then a heel cup increase will work successfully. Conversely a larger heel in comparison to the total width of the foot size will not work as successfully as the orthotic model will contact the outer edges of the patient’s foot vertically. If additional heel support is needed then it can be included in the ‘Notes’ section and a customised blank can be used during the milling of the device. It should be also requested that the orthotic be tapered slightly more to ensure that it fits properly into the patient’s shoe.
21. Rearfoot Posting
Enter the amount of rear foot posting in degrees that you would like the orthotic model to have at the medial or lateral aspect of the rear foot of the device. Rear foot posting, sometimes referred to as a medial heel wedge, will help the orthotic to have additional control at the medial aspect of the rear foot. The parameters that the rear foot posting will span from are the centre line of the heel to medial edge of the device (mediolaterally) and the proximal aspect of the heel to slightly distal of the centre point of the heel (proximodistally). The rear foot posting is specified in degrees, which means that a wedge of defined degrees will be inbuilt into the orthotic model at the previously defined areas. It is a basic rule of thumb that the rear foot posting should be calculated as the difference between the patient’s RCSP and the NCSP. Lateral rear foot posting, sometimes referred to as a lateral heel wedge, will help the orthotic to have additional control at the lateral aspect of the rear foot. The parameters that the rear foot posting will span from are the centre line of the heel to lateral edge of the device (mediolaterally) and the proximal aspect of the heel to slightly distal of the centre point of the heel (proximodistally). The rear foot posting is specified in degrees, which means that a wedge of defined degrees will be inbuilt into the orthotic model at the previously defined areas.
22. Metatarsal Wedges
Enter the angle of the metatarsal wedge in degrees. Enter a positive value for a medial metatarsal wedge and a negative value for a lateral metatarsal wedge. Or simply indicate that you would like a lateral metatarsal wedge. The metatarsal wedge will automatically be built into the orthotic device. The parameters and exact specifications of the metatarsal wedge are modifiable within our software, therefore we ask you to indicate within section 38 the exact location in which you would like the wedge to be placed.
23. Metdomes
Please indicate in this section whether you would like metdomes included under the covers of your orthoses. It is preferred if you included a diagram, or template that provides orthotic technicians with reference as to the exact location you would like your metdomes. Alternatively you may request that the orthoses be dispensed to your clinic uncovered with metdomes included so that you may position them yourself. Metdomes come in standard sizes of 1,2,3,4 (smallest -> largest). Cadcam Orthotics will provide your clinic with a sample of each metdome to aid you in your orthotic prescription.
24. Metpads
Please indicate in this section whether you would like metpads included under the covers of your orthoses. It is preferred if you included a diagram, or template that provides orthotic technicians with reference as to the exact location you would like your metpads. Alternatively you may request that the orthoses be dispensed to your clinic uncovered with metpads included so that you may position them yourself. Metpads come in standard sizes of S, M and L (smallest -> largest). Cadcam Orthotics will provide your clinic with a sample of each metpad to aid you in your orthotic prescription.
25. PFA
Specify the depth in mm of the plantar fascia accommodation (PFA) you would like the device to contain. There is also the option of requesting a straight, or curved PFA, simply indicate this next to your PFA depth number (mm) so that orthotic technicians may know. It is helpful for orthotic technicians and far more comfortable for your patient if you simply provide a tracing of the shape of the patient’s plantar fascia when the hallux is dorsiflexed. This will allow orthotic technicians to perfectly position the PFA grind within the device for maximal comfort.
26. Other Instructions
This section should contain all information that you were not able to enter during the scripting process. Do not be afraid to ask for anything in this section. If there is something that is unclear then the orthotics technicians at CadCam Orthotics will contact you. At CadCam Orthotics we do not make orthotics without being completely clear as to what is being requested. We believe that lab discretion is not something that should be used, as we prefer to make what a podiatrist wants, not what we think they want.
27. Top Covers
Select the top covers that you would like your orthoses to have. You may select as few, or as many as you like. Be sure to select which cover you would like as an undercover and which cover you would like as a top cover.
Cover Name Suede Tan Suede Black
Pigskin Tan Pigskin Black PS Vlies
HS Brown Ultralux Cushmax
Vita Brown Vita Cream Vita Black
Cambrelle Kangaroo Vinyl Cream
Vinyl Red
Vinyl Purple Vinyl Yellow
Vinyl Green Vinyl Blue
Vinyl Navy
Vinyl Aqua
Vinyl White Multiform Red
Multiform Black Spenco Green Spenco Blue
Spenco Black Spenco Bamboo Lunasoft BL
Lunasoft BY Lunasoft WLR Lunasoft Jellybean
Lunasoft RB Lunasoft Cork Lunasoft BBG
Lunasoft PPW Multiform Blue Multiform Red
Multiform Green PU Black PU Biscuit
PU Green PU Purple PU Pink
Cover Name Description Thickness
Options Poron - Slow Release
Slow release poron offers additional rebound, which results in a unique adaptive fit during each use.
3.2mm, 6.0mm
Poron – Blue/Fawn/Black
Poron is commonly used as an undercover to help offload pressure points of the foot, or to provide additional comfort. Features include comfort, breathability and antifungal properties
1.6mm, 3.2mm, 6mm, 10mm
Cambrelle A hard wearing cover that is breathable, absorbent and cool to wear, making it perfect for orthotic top covers.
0.8mm
PS Vlies PS Vlies is a black cotton polyester based material that is highly durable. It absorbs moisture effectively and dries without undergoing any lasting damage.
1mm
Kashmere Kashmere is a highly water absorbent, abrasion resistant cover that is treated with antimicrobial agents to prevent the growth of bacteria and fungae
1mm
Multiform - Black Multiform is an Ethylene Vinyl Acetate (EVA) foam that is a wonderful shock absorber with excellent shape retention. It is among the most popular of our covering options due to its versatility.
1mm, 2mm, 3mm, 4mm
Multiform - Blue Multiform is an Ethylene Vinyl Acetate (EVA) foam that is a wonderful shock absorber with excellent shape retention. It is among the most popular of our covering options due to its versatility.
1mm, 2mm, 3mm, 4mm
Multiform - Red Multiform is an Ethylene Vinyl Acetate (EVA) foam that is a wonderful shock absorber with excellent shape retention. It is among the most popular of our covering options due to its versatility.
1mm, 2mm, 3mm
Multiform - Green Multiform is an Ethylene Vinyl Acetate (EVA) foam that is a wonderful shock absorber with excellent shape retention. It is among the most popular of our covering options due to its versatility.
2mm, 3mm
Lunasoft - Jellybean
Multiform is an Ethylene Vinyl Acetate (EVA) foam that is a wonderful shock absorber with excellent shape retention. It is among the most popular of our covering options due to its versatility.
2mm
Lunasoft - Multicolour
Multiform is an Ethylene Vinyl Acetate (EVA) foam that is a wonderful shock absorber with excellent shape retention. It is among the most popular of our covering options due to its versatility.
1mm, 2mm
Lunasoft - PPW Multiform is an Ethylene Vinyl Acetate (EVA) foam that is a wonderful shock absorber with excellent shape retention. It is among the most popular of our covering options due to its versatility.
2mm
Lunasoft - BBA Multiform is an Ethylene Vinyl Acetate (EVA) foam that is a wonderful shock absorber with excellent shape retention. It is among the most popular of our covering options due to its versatility.
2mm
Lunasoft - Purple/Black
Multiform is an Ethylene Vinyl Acetate (EVA) foam that is a wonderful shock absorber with excellent shape retention. It is among the most popular of our covering options due to its versatility.
2mm
Lunasoft - GPW Multiform is an Ethylene Vinyl Acetate (EVA) foam that is a wonderful shock absorber with excellent shape retention. It is among the most popular of our covering options due to its versatility.
2mm
Lunasoft - Yellow/Black
Multiform is an Ethylene Vinyl Acetate (EVA) foam that is a wonderful shock absorber with excellent shape retention. It is among the most popular of our covering options due to its versatility.
2mm
Lunasoft - Red/Black
Multiform is an Ethylene Vinyl Acetate (EVA) foam that is a wonderful shock absorber with excellent shape retention. It is among the most popular of our covering options due to its versatility.
2mm
Spenco - Bamboo
Spenco X-Static provides the comfort of traditional spenco with nano-silver technology, making the product antimicrobial and antibacterial
1.5mm, 3mm
Spenco - Black Spenco has fantastic cushioning, insulation and anti-ageing properties making it an ideal top cover for all types of orthotic devices
1.5mm, 3mm
Spenco - Blue Spenco has fantastic cushioning, insulation and anti-ageing properties making it an ideal top cover for all types of orthotic devices
1.5mm
Spenco - Green Spenco has fantastic cushioning, insulation and anti-ageing properties making it an ideal top cover for all types of orthotic devices
3mm
Ultralux Ultralux keeps the feet cool, dry and comfortable by absorbing moisture, while the PPT underlayer provides additional comfort
1.6mm, 3.2mm
Pigskin - Black Natural pigskin leather is sourced from high quality suppliers. For those who wish to use a non-synthetic covering option.
~ 0.8mm
Pigskin - Tan Natural pigskin leather is sourced from high quality suppliers. For those who wish to use a non-synthetic covering option.
~ 0.8mm
Velousana Velousana is a highly durable and absorbent top cover material with a luxurious, soft plush finish.
1mm
PU - Purple An appropriate cover when cost is important. PU keeps the foot cool, dry and comfortable.
0.8mm
PU - Biscuit An appropriate cover when cost is important. PU keeps the foot cool, dry and comfortable.
0.8mm
PU - Black An appropriate cover when cost is important. PU keeps the foot cool, dry and comfortable.
0.8mm
PU - Green An appropriate cover when cost is important. PU keeps the foot cool, dry and comfortable.
0.8mm
Suede - Black Natural suede is sourced from high quality suppliers. For those who wish to use a non-synthetic covering option. Suede is supple and soft to touch.
1mm
Suede - Tan Natural suede is sourced from high quality suppliers. For those who wish to use a non-synthetic covering option. Suede is supple and soft to touch.
1mm
Vinyl - Purple Highly durable orthotic top cover with high resistance to water, UV, fungal and microbial damage. Extremely easy to clean and maintain.
0.8mm
Vinyl - Aqua Highly durable orthotic top cover with high resistance to water, UV, fungal and microbial damage. Extremely easy to clean and maintain.
0.8mm
Vinyl - Blue Highly durable orthotic top cover with high resistance to water, UV, fungal and microbial damage. Extremely easy to clean and maintain.
0.8mm
Vinyl - Cream Highly durable orthotic top cover with high resistance to water, UV, fungal and microbial damage. Extremely easy to clean and maintain.
0.8mm
Vinyl - Navy Highly durable orthotic top cover with high resistance to water, UV, fungal and microbial damage. Extremely easy to clean and maintain.
0.8mm
Vinyl - Green Highly durable orthotic top cover with high resistance to water, UV, fungal and microbial damage. Extremely easy to clean and maintain.
0.8mm
Vinyl - Red Highly durable orthotic top cover with high resistance to water, UV, fungal and microbial damage. Extremely easy to clean and maintain.
0.8mm
Vinyl - White Highly durable orthotic top cover with high resistance to water, UV, fungal and microbial damage. Extremely easy to clean and maintain.
0.8mm
Vinyl - Yellow Highly durable orthotic top cover with high resistance to water, UV, fungal and microbial damage. Extremely easy to clean and maintain.
0.8mm
Vita - Black Vita has extremely high absorbption abilities helping keep feet free from unwanted moisture. Vita is also treated with an antimicrobial additive to help protect against bacteria and fungae
0.8mm
Vita - Brown Vita has extremely high absorbption abilities helping keep feet free from unwanted moisture. Vita is also treated with an antimicrobial additive to help protect against bacteria and fungae
0.8mm
Vita - Cream Vita has extremely high absorbption abilities helping keep feet free from unwanted moisture. Vita is also treated with an antimicrobial additive to help protect against bacteria and fungae
0.8mm
HS - Brown HS is a microfleexe material that is durable and absorbent. It does not wrinkle or tear, even under harsh conditions and is supple and soft to touch.
1mm
28. Hooks
Select this option if you would like the prescribed orthoses to be hook shaped. Applications for hook orthoses include high heeled shoes. The heel of the device is able to curl and narrow. The mid foot area of the device is also narrower in a hooked device.
29. 1st MPJ Cutout
Select this option if you like your orthoses to have a cutout underneath the 1st MPJ. If you would like the MPJ cutout to be backfilled with a soft poron material please indicate in section 26. If not specified standard poron will be used, however for diabetic patients slow release poron is also available.
30. 45 Degree Cutout
Select this option if you would like a 45 degree cutout on the medioplantar surface of the device. By grinding a 45 degree cutout into the device it will help the orthoses to fit in the patient’s shoes. If you would like a greater angle cut into the device so that they correctly fit into the shoes then specify the exact angle in section 26 so that the orthotic technician making the devices can grind the orthotics correctly.
31. Sulcus Length
Select this option if you would like a sulcus length device. If a sulcus length device is requested the orthoses will be cut at the sulcus of the device to shorten the overall length of the device. The orthoses will be slightly tapered distally to avoid irritation at the interphalangeal joints.
32. 3/4 Length
Select this option if you like a ¾ length device. CadCam Orthotics laboratory will cut the orthoses so they end slightly proximal of the metatarsal head parabola. This ensures that the metatarsal heads are not contacting the orthoses, preventing irritation.
33. Heel Lift External (mm)
Select this option if you would like an external heel lift added to your device. Selecting this option will instruct orthotics technicians to add an external heel lift of specified thickness to the heel area of the device using the material specified. The standard material that is used is a 260kg/m3 density black EVA.
34. 1st Ray Grind (mm)
Select this option if you would like additional material taken out of the arch of the orthoses, spanning from the 1st MPJ to the highest point of the medial arch. By grinding a first ray grind the orthoses will be more accommodative of the patient’s first ray. 1st ray grinds are often used concurrently with a 1st MPJ cutout, which provide additional comfort and accommodation for the 1st ray.
35. Plantar Grind (mm)
Select this option if you would like a plantar grind on the plantar surface of the orthoses. A plantar grind in the orthoses is a grind on the plantar surface of the orthoses that allows a device to better fit into a shoe. By removing material directly below the medial and lateral arches plantarly the orthoses will have a decreased arch height during weight bearing. This is allows for more accommodation of the patient’s foot and a device that is less ‘firm’ under the patient’s foot. A plantar grind also helps decrease the feeling of an EVA orthoses bulging out of the patient’s shoes, which is a feeling that some patient’s often get when wearing EVA orthoses for the first time. A plantar grind is deepest at the medioplantar aspect of the device and shallowest at the lateroplantar aspect of the device.
36. Plantar View
Please illustrate on this diagram any relevant information to your patient’s script that you need to be conveyed visually. If this area is too small, or you need a diagram that is to scale please include this separately.
Universal Orthotic Sizing Chart
System Sizes
Europe 35 35 ½ 36 37 37 ½ 38 38 ½ 39 40 41 42 43 44 45 46 ½ 48 ½
Mexico 4.5 5 5.5 6 6.5 7 7.5 9 10 11 12.5
Japan M 21.5 22 22.5 23 23.5 24 24.5 25 25.5 26 26.5 27.5 28.5 29.5 30.5 31.5
W 21 21.5 22 22.5 23 23.5 24 24.5 25 25.5 26 27 28 29 30 31
UK M 3 3 ½ 4 4 ½ 5 5 ½ 6 6 ½ 7 7 ½ 8 8 ½ 10 11 12 13 ½
W 2 ½ 3 3 ½ 4 4 ½ 5 5 ½ 6 6 ½ 7 7 ½ 8 9 ½ 10 ½ 11 ½ 13
Australia M 3 3 ½ 4 4 ½ 5 5 ½ 6 6 ½ 7 7 ½ 8 8 ½ 10 11 12 13 ½
W 3 ½ 4 4 ½ 5 5 ½ 6 6 ½ 7 7 ½ 8 8 ½ 9 10 ½ 11 ½ 12 ½ 14
US & Canada M 3 ½ 4 4 ½ 5 5 ½ 6 6 ½ 7 7 ½ 8 8 ½ 9 10 ½ 11 ½ 12 ½ 14
W 5 5 ½ 6 6 ½ 7 7 ½ 8 8 ½ 9 9 ½ 10 10 ½ 12 13 14 15 ½
Korea (mm) 228 231 235 238 241 245 248 251 254 257 260 267 273 279 286 292
Inches 9 9 1/8
9 ¼ 9 3/8
9 ½ 9 5/8
9 ¾ 9 7/8
10 10 1/8
10 ¼ 10 ½ 10 ¾ 11 11 ¼ 11 ½
Centimetres 22.8 23.1 23.5 23.8 24.1 24.5 24.8 25.1 25.4 25.7 26.0 26.7 27.3 27.9 28.6 29.2
Mondopoint 228 231 235 238 241 245 248 251 254 257 260 267 273 279 286 292