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Design of the Insole to Treat the PreClinical Clubfoot Deformity

Discussion in 'Biomechanics, Sports and Foot orthoses' started by Brian A. Rothbart, Feb 5, 2024.

  1. Brian A. Rothbart

    Brian A. Rothbart Well-Known Member


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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.

    Photo 1.jpg Photo 2.jpg Photo 3.jpg Photo 4.jpg Photo 5.jpg
     
  2. Brian A. Rothbart

    Brian A. Rothbart Well-Known Member

    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.
     
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