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Attached are photos demonstrating how to fabricate the proprioceptive insole I have used to treat the PreClinical Clubfoot Deformity. These modifications are added to the standard Rothbart Proprioceptive Insole, sold by a company in Tacoma Washington.

The rearfoot medial elevation can be from 1mm to 5mm. The forefoot medial elevation can be 5 to 9mm medial elevation. The highest forefoot medial elevation I have ever used was 15mm for a severe PCCD (total collapse of the ILA).

If this insole is used to treat Rothbarts Foot it can exacerbate your patient´s symptoms.

 

Vertical medial elevations determine the mode of function of the insole - mechanical vs proprioceptive.

As a rule of thumb, forefoot vertical medial elevations greater than 7-8 mm transform the insole into a mechanical (supportive type) device. Proprioceptive insoles typically have medial elevations in the range of 1-4mm.