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Orthotic Modifications

Orthotics and their modifications

Modification Method

Modified Root – Standard orthotic device - forefoot balanced with a natural arch in line with corrected rearfoot. Posted at NCSP. Mid-foot control

A Medial Skive (Kirby) – Increased supinatory movement around STJ axis to control excessive pronation. Shaving plaster off the medial plantar surface of the heel section of the positive mold. This in effect adds extra medial intrinsic wedging to the device. Shells are ground at varying depths from 2 - 8 mm. A higher than normal heel cup is advised. Must take into account heel width thin heels pads don’t tolerate large amounts of skive. Rear-foot control
Indicated for pts who need additional pronatory control, difficulty resupinating the foot, paed flexible flat foot, post tib dysfunction, lower limb pathology caused by excessive stj pronation.
Contraindicated in pts with lateral heel pain- may increase pain due to shape of skive, lateral ankle instability and thin heel......


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Approximate Word Count: 1158
Approximate Pages: 5 (250 words per double-spaced page)

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