5 step pathology prescripti on guide - talarmade...

Pathology Prescripti on Guide

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5 STEP

Complete 5 Step Pathology Prescripti on FormDownload Pathology Prescripti on Form from www.talarmadecustom.comALTERNATIVELY CALL 01246 268456 OR EMAIL [email protected] TO REQUEST AN ORDER PAD

Customised prescripti on is developed, including:- ORTHOTIC DESIGN- CORRECTIVE ADDITIONS & CUSHIONING- TOP COVER

Delivery ServiceYour orthoti cs are dispatched within 10 working days

Your clinical informati on is assessed by Clinical Experts including: - FOOT TYPE - CLINICAL TESTS- PATHOLOGY

- ORTHOTIC TYPE- CLINICAL PHOTOS/VIDEO (IF SUPPLIED)

Orthoti c Manufacture

STEP 1

STEP 3

STEP 5

STEP 2

STEP 4

MODULAR ORTHOTICKS™ PRO HOW TO ORDER

POWERED BY DOLA ORTHOTICS

PRACTICE NAME PRESCRIBER

PATIENT NAME WEIGHT SHOE SIZE (UK)GENDER

M<60kg 60-90kg >90kg F

DATE

GENERAL COMFORT AND PREVENTATIVE TREATMENT

KNEE/LEG PATHOLOGY

LOWERLIMB/ANKLE

REARFOOT PATHOLOGY

MIDFOOT PATHOLOGY

FOREFOOTPATHOLOGY

OTHERPLEASE SPECIFY

RANGE OF MOTION NWB

ORTHOTIC AIM

ORTHOTIC TYPE

CLINICAL TESTS

ANTERIOR KNEE PAIN

MEDIAL KNEE PAIN

LATERAL KNEE PAIN

CUBOID SYNDROME

LISFRANC INJURY

ACHILLES TENDINOPATHY

ANKLE EQUINUS

ANTERIOR IMPINGEMENT SYNDROME

FLEXOR HALLUCIS PATHOLOGY

GASTROC/SOLEUS PATHOLOGY

1ST MPJ INJURY

5TH METATARSAL INJURY

CORNS/CALLUS

FRIEBERGS OSTEOCHONDRITIS

FUNCTIONAL HALLUX LIMITUS

HALLUX RIGIDUS

CALCANEAL APOPHYSITIS: SEVERS DISEASE

CHRONIC PLANTAR HEEL PAIN: PLANTAR FASCIITIS

FAT PAD SYNDROME

PERONEAL PATHOLOGY

ILIOTIBIAL BAND (ITB)

OS GOOD SCHLATTERS

PATELLO-FEMORAL SYNDROME

MIDTARSAL JOINT SPRAIN

NAVICULAR PATHOLOGY

GENERAL PRONATED

POLYPROPYLENE ORTHOTIC

EVA ORTHOTIC

3D PRINTED ORTHOTIC

ORTHOTICK PRO - FULL LENGTH

ORTHOTICK PRO - 3/4 LENGTH

CUSTOM CUSTOMISED PREFAB

GENERAL SUPINATED NEUTRAL

PAEDIATRIC OUTTOEING

PAEDIATRIC INTOEING

PAEDIATRIC TOE WALKING

PLANTAR FASCIA PATHOLOGY

LATERAL ANKLE SPRAINS

PERONEAL TENDON PATHOLOGY

SHIN SPLINTS: ANTERIOR

SHIN SPLINTS: POSTERIOR

TIBIALIS ANTERIOR PATHOLOGY

HAV (BUNIONS)

METATARSAL STRESS FRACTURE

METATARSALGIA (CAPSULITIS / BURSITIS)

NEUROMA: INTERDIGITAL NEURITIS

PLANTAR PLATE INJURY

SESAMOID INJURY

PLANTAR CALCANEAL BURSITIS

RETROCALCANEAL BURSITIS

TARSAL TUNNEL SYNDROME

TIBIALIS POSTERIOR PATHOLOGY

ANKLE MIDTARSAL JOINT (MTJ) 1ST METATARSOPHALANGEAL JOINT (1ST MPJ)SUBTALAR JOINT (STJ)

EVERSIONINVERSION>10°

<10°

MOBILE

RESTRICTED

>65°

20° - 65°

<20°

>10°

<10°

>20°

<20°

PATHOLOGY PRESCRIPTION FORMCUSTOM AND PRO-PREFAB

FOOT TYPE ARCH HEIGHTCALCANEUS POSITION MSRT FORCE

SUPINATED

NORMAL

PRONATED

LOW

NORMAL

HIGH

INVERTED

VERTICAL

EVERTED

LOW

NORMAL

HIGH

RESTING STANCE POSITION

ORTHOTICK PRO LITE - 3/4 LENGTH SLIMLINE

HOW TO ORDER

Tell us about your patient and we will design, customise and send you the orthotic you need. Complete our Pathology Prescription Form...

Download Form from www.talarmadecustom.com

PRACTICE NAME PRESCRIBER

PATIENT NAME WEIGHT SHOE SIZE (UK)GENDER

M<60kg 60-90kg >90kg F

DATE

GENERAL COMFORT AND PREVENTATIVE TREATMENT

KNEE/LEG PATHOLOGY

LOWERLIMB/ANKLE

REARFOOT PATHOLOGY

MIDFOOT PATHOLOGY

FOREFOOTPATHOLOGY

OTHERPLEASE SPECIFY

RANGE OF MOTION NWB

ORTHOTIC AIM

ORTHOTIC TYPE

CLINICAL TESTS

ANTERIOR KNEE PAIN

MEDIAL KNEE PAIN

LATERAL KNEE PAIN

CUBOID SYNDROME

LISFRANC INJURY

ACHILLES TENDINOPATHY

ANKLE EQUINUS

ANTERIOR IMPINGEMENT SYNDROME

FLEXOR HALLUCIS PATHOLOGY

GASTROC/SOLEUS PATHOLOGY

1ST MPJ INJURY

5TH METATARSAL INJURY

CORNS/CALLUS

FRIEBERGS OSTEOCHONDRITIS

FUNCTIONAL HALLUX LIMITUS

HALLUX RIGIDUS

CALCANEAL APOPHYSITIS: SEVERS DISEASE

CHRONIC PLANTAR HEEL PAIN: PLANTAR FASCIITIS

FAT PAD SYNDROME

PERONEAL PATHOLOGY

ILIOTIBIAL BAND (ITB)

OS GOOD SCHLATTERS

PATELLO-FEMORAL SYNDROME

MIDTARSAL JOINT SPRAIN

NAVICULAR PATHOLOGY

GENERAL PRONATED

POLYPROPYLENE ORTHOTIC

EVA ORTHOTIC

3D PRINTED ORTHOTIC

ORTHOTICK PRO - FULL LENGTH

ORTHOTICK PRO - 3/4 LENGTH

CUSTOM CUSTOMISED PREFAB

GENERAL SUPINATED NEUTRAL

PAEDIATRIC OUTTOEING

PAEDIATRIC INTOEING

PAEDIATRIC TOE WALKING

PLANTAR FASCIA PATHOLOGY

LATERAL ANKLE SPRAINS

PERONEAL TENDON PATHOLOGY

SHIN SPLINTS: ANTERIOR

SHIN SPLINTS: POSTERIOR

TIBIALIS ANTERIOR PATHOLOGY

HAV (BUNIONS)

METATARSAL STRESS FRACTURE

METATARSALGIA (CAPSULITIS / BURSITIS)

NEUROMA: INTERDIGITAL NEURITIS

PLANTAR PLATE INJURY

SESAMOID INJURY

PLANTAR CALCANEAL BURSITIS

RETROCALCANEAL BURSITIS

TARSAL TUNNEL SYNDROME

TIBIALIS POSTERIOR PATHOLOGY

ANKLE MIDTARSAL JOINT (MTJ) 1ST METATARSOPHALANGEAL JOINT (1ST MPJ)SUBTALAR JOINT (STJ)

EVERSIONINVERSION>10°

<10°

MOBILE

RESTRICTED

>65°

20° - 65°

<20°

>10°

<10°

>20°

<20°

PATHOLOGY PRESCRIPTION FORMCUSTOM AND PRO-PREFAB

FOOT TYPE ARCH HEIGHTCALCANEUS POSITION MSRT FORCE

SUPINATED

NORMAL

PRONATED

LOW

NORMAL

HIGH

INVERTED

VERTICAL

EVERTED

LOW

NORMAL

HIGH

RESTING STANCE POSITION

ORTHOTICK PRO LITE - 3/4 LENGTH SLIMLINE

04 www.dolaorthoti cs.com/5step

STEP 1. TYPE + SIZE

SIZE

SK MK LK

XXS XS SM L

XLXXL

EU

25 - 2728 - 3132 - 3435 - 3738 - 3940 - 4142 - 4344 - 4647 - 49

50+

MENS

US UK US UK US UK

- - ---

7 - 8 9 - 10

11 - 12 13 - 14

15+

- - ---

6 - 7 8 - 9

10 - 11 12 - 13

14+

WOMENS

---

5 - 6 7 - 8

9 - 10 11 - 12

---

---

3 - 4 5 - 6 7 - 8

9 - 10 ---

KIDS

8 - 10K11 - 13K

1 - 3J4 - 5J6 - 7J

-----

7 - 910 - 12 13 - 23 - 45 - 6

-----

* Pro Lite: XXS - L only

Select a Size:The Orthoti cks Pro range is available in 10 sizes.

Select Type:

PRO FULL LENGTH - Full length orthoti c - Suitable for shoes with removable insoles

PRO 3/4 LENGTH - 3/4 length orthoti c- Requires less shoe space than the full length version - Suitable for most standard footwear without removable insoles

PRO LITE- 3/4 length low profi le design- Specifi cally designed for HARD TO FIT footwear including ballet fl ats, court shoes, high heels, low profi le football boots and even fl ipfl ops and sandals.

www.talarmadecustom.com

Orthoti cks PRO 5 Step Process 05

STEP 2. FOOT TYPE

Mild

PronatedRight Foot

Moderate

Neutral Right Foot

Severe

SupinatedRight Foot

Determine a Foot Type:

Determine the Level of Problem:

MEDIAL LATERAL MEDIAL LATERALMEDIAL LATERAL



STEP 3. PATHOLOGY

GENERAL• Comfort• Preventi on• Performance

LOWER BACK / HIP & KNEE / LEG• SIJ• Sciati ca• Anterior Knee Pain - Patello Femoral Joint - Patella• Lateral Knee Pain - Ilioti bial Band (ITB) - Lateral Collateral Ligament (LCL) - Lateral Knee Joint• Medial Knee Pain - Adductor - Medial Collateral Ligament (MCL) - Medial Knee Joint

LOWERLIMB / ANKLE• Achilles Tendonopathy• Ankle Equinus• Anterior Impingement Syndrome• Gastroc/Soleus Pathology• Lateral Ankle Sprains• Peroneal Tendon Pathology• Shin Splints: Anterior• Shin Splints: Posterior• Tibialis Anterior Pathology

KIDS FEET• Flat Feet• Osgood Schla� ers / Sinding - Larsen• Calcaneal Apophysiti s: Severs• Paediatric Ou� oeing• Paediatric Intoeing• Paediatric Toe Walking



FOREFOOT / MIDFOOT / REARFOOT

• 1st MPJ Injury• 5th Metatarsal Injury• Corns/Callus• Friebergs Osteochondriti s• Functi onal Hallux Limitus• Hallux Rigidus• HAV (Bunions)• Metatarsal Stress Fracture• Metatarsalgia (Capsuliti s / Bursiti s)• Neuroma: Interdigital Neuriti s• Plantar Plate Injury• Sesamoid Injury

• Cuboid Syndrome• Lisfranc Injury• Midtarsal Joint Sprain• Plantar Fascia Pathology

• Chronic Plantar Heel Pain: Plantar Fasciiti s• Fat Pad Syndrome• Plantar Calcaneal Bursiti s• Retrocalcaneal Bursiti s• Tarsal Tunnel Syndrome• Tibialis Posterior Pathology

FOREFOOT MIDFOOT REARFOOT



STEP 4. CLINICAL TESTS

ANKLE RANGE OF MOTION NWB

1ST METATARSOPHALANGEAL JOINT (1st MPJ) RANGE OF MOTION NWB

TESTAnkle joint dorsifl exion and plantar fl exion

RESULTSDorsifl exion range is greater than or less than 10°

TEST1st MPJ plantarfl exion and dorsifl exion

RESULTS1st MPJ dorsifl exion range is above 65°, between 20° - 65° or below 20°

SUBTALAR JOINT (STJ) RANGE OF MOTION NWB

TESTSubtalar joint inversion (supinati on) and eversion (pronati on)

RESULTSInversion (supinati on) range is greater than or less than 20o

Eversion (pronati on) range is greater than or less than 10o MEDIAL LATERAL

HEEL BISECTION

LEG BISECTION

RIGHT FOOT 20˚ INVERTED10˚ EVERTED

MIDTARSAL JOINT (MTJ) RANGE OF MOTION NWB

TEST• Midtarsal Inversion and Eversion• Midtarsal Adducti on & Abducti on• Midtarsal Dorsifl exion & Plantarfl exion

RESULTSMidtarsal joint is mobile or restricted


Orthoticks PRO 5 Step Process 09

CALCANEUS POSITION RESTING STANCE POSITION

ARCH HEIGHT RESTING STANCE POSITION

MANUAL SUPINATION RESISTANCE TEST (MSRT) RESTING STANCE POSITION

JACKS TEST SAGITTAL PLANE

The position of the calcaneus in the patients normal stance

The height of the medial longitudinal arch in the patients normal stance

TESTThe amount of force required to supinate the foot

RESULTSLow, moderate or high amount of force is required to supinate the foot

TESTAssess the activation, range of motion available and force required for 1st MPJ dorsiflexion while weight bearing. Tests the function of the windlass mechanism

RESULTSLow force or high force required to dorsiflex the 1st MPJThe 1st MPJ has a high or low range of motion

HOW TO VIDEOS - See the test at www.dolaorthotics.com/5step

Everted / Pronated (right foot)

Vertical / Neutral (right foot)

Inverted / Supinated (right foot)

Low Arch Normal Arch High Arch

LUNGE TEST SAGITTAL PLANE

TESTFunctional range of ankle joint dorsiflexion in stance

RESULTSThe foot is greater than or less than 10cm from the wall



STEP 5. TOP COVERS

Durafi t™

Luxurious, breathable microfi bre with the appearance of genuine leather. Our most popular top cover as it has excellent performance properti es for sports, everyday, business and general use.

Black (Smooth)

Black (Semi Perf.)

Marine / Navy (Semi Perf.)

Bronze (Smooth)

Blue (Semi Perf.)

Orange (Semi Perf.)

Cocoa (Smooth)

Camel (Semi Perf.)

Silver (Semi Perf.)

Skin (Smooth)

Cream (Semi Perf.)

Skin (Semi Perf.)

Anthracite (Semi Perf.)

Lime (Semi Perf.)

Stone (Semi Perf.)

Beige (Semi Perf.)

Magenta (Semi Perf.)



Diabeti c Anti Shear Stone Grey

Diabeti c Anti Shear nora® Lunatec Moti on 10Extremely so� , shock absorbing top cover with excellent shear force absorpti on.Used for pressure relief in pati ents with Diabetes and joint diseases like rheumatoid arthriti s.

ANTI SHEAR NORA® LUNATEC MOTION 10New type of EVA material absorbs shearing forces and has extremely so� cushioning properti es.

ANTI SHEAR NORA® LUNATEC MOTION 10New type of EVA material absorbs shearing forces and has extremely

Available on all custom and prefab opti ons from DOLA

Also available in sheets from www.talarmadecustom.com

Black Blue Red Lime Green Black/Grey Blue Swirl

Natural Yellow Purple Pink Lime Swirl Pink Swirl

EVACombining the perfect blend of cushioning, comfort and performance. This thin, high performance material is suitable for almost all applicati ons including sports, comfort and general use.



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TalarMade Ltd.Springwood House, Foxwood Way, Foxwood Industrial Park, Chesterfi eld, Derbyshire, United Kingdom S41 9RN

Tel: +44 (0)1246 268 456 | Fax: +44 (0)1246 268 648

DISCLAIMER: The informati on and recommendati ons provided in this manual are general in nature and do not replace the need for professional assessment. Including thorough history, physical examinati on, clinical diagnosis and other treatment modaliti es. The results of treatment directed testi ng including strapping and padding; and the results of applicable tests can be used to determine if your pati ent could benefi t from orthoti c therapy and to guide the design features of your custom orthoti c.


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