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Hi everyone!

Was just wondering if anyone is aware of clinical guidelines (or peoples thoughts) for the prescription of off the shelf orthoses and custom made orthoses.

I was thinking along the lines of a foot posture index under +10 but plantar fascial pain = off the shelf where as a score over +10 needs more rigid device.

I was also wondering how much emphasis others place on the supination resistance test and Jack's test in relation to orthoses prescription?

Obviously I realise that more complex cases require extra features in an orthotic leading to custom devices however in relatively "normal" foot types does anyone tend to use certain clinical criteria for prescription?

Justin

 

There are none and unlikely to be as posture has a very poor correlation to force when it comes to foot function. Its forces that the foot orthoses have to redirect..

They are two of the more important things I take into account when prescribing (they both based on "forces").