custom toeoff custom toeoff & bluerocker achieving success! after viewing this presentation you...
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- Custom ToeOFF Custom ToeOFF & BlueRocker Achieving Success! After viewing this presentation you should be made fully aware of the proper techniques required to fit a Custom ToeOFF or BlueRocker.
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- Custom ToeOFF Indications Applications Process and procedures Model acquisition Reimbursement Agenda This presentation will cover
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- Custom ToeOFF CVA MS CMT ALS TBI GB SCI Neuropathy Post-Polio Soft-tissue Injuries Indications Some of the indications that have been successfully fit with both Standard and Custom ToeOFF products are:
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- Custom ToeOFF Applications Atrophy Obesity Deformity Modified ToeOFF or Blue Rocker properties The primary reasons you would use a Custom over a standard product are for the following conditions:
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- Custom ToeOFF Some additional applications include: Change support level AP (crouch gait) ML (Trunk sway) Change heel rise Incorporate relief Tibial crest Cavus foot
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- Custom ToeOFF A Custom ToeOFF NOT an application for: Delamination Refer to the ToeOFF Customization guide to resolve delamination issues.
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- Custom ToeOFF Evaluate patientAssess in standard ToeOFF or BlueRocker whenever possible Establishes baseline for required dynamic response Process & Procedures
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- Custom ToeOFF Evaluate patient Complete forms Process & Procedures
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- Custom ToeOFF Evaluate patient Complete forms Important to fill out information on size used for evaluation purposes. Process & Procedures
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- Custom ToeOFF Evaluate patient Complete forms Page 4 allows changes to be made to the dynamic properties. Fill out all grey boxes. Process & Procedures
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- Custom ToeOFF Evaluate patient Complete forms Measure the heel height of the patients shoe to make sure the Custom ToeOFF is aligned properly. Process & Procedures
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- Custom ToeOFF Evaluate patient Complete forms Page 5 is only to be used when ordering by measurements. Photo must accompany the forms. Dont forget to attach pages 3 & 4. Process & Procedures
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- Custom ToeOFF Evaluate patient Complete forms Select footwear Process & Procedures Shoe selection Shank & counter Rocker sole Facilitate 3 rd rocker Measure Heel Rise
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- Custom ToeOFF Evaluate patient Complete forms Select footwear Determine heel rise Process & Procedures Inside heel = 5/8 Inside ball = 1/8 Needed rise = 1/2
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- Custom ToeOFF Evaluate patient Complete forms Select footwear Determine heel rise Manage the foot biomechanics. Process & Procedures Foot orthotic shell At a minimum Custom if necessary Capture if casting or scanning
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- Custom ToeOFF Evaluate patient Complete forms Select footwear Determine heel rise Manage the foot What is possible Process & Procedures
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- Custom ToeOFF What is possible? Modify the properties of a Standard ToeOFF!
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- Custom ToeOFF What is possible? Extra small No height restrictions on the low end. Smallest footplate is 190mm or 7 Process & Procedures
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- Custom ToeOFF What is possible? Extra small Extra tall Up to taller than an XL Max. Footplate length 310mm or 12 Process & Procedures
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- Custom ToeOFF What is possible? Extra small Extra tall Increase or decrease stiffness by up to 2 times a standard product. AP ML Process & Procedures
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- Custom ToeOFF Cast-requirements Fiberglass only Posterior-medial opening Neutral in sagittal plane Or to proper heel height Anterior & Lateral plumb lines Model Acquisition
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- Custom ToeOFF Cast Note: If there are any uncorrectable deformities in the frontal plane, they should be represented by standing the patient and then marking the plumb lines. Model Acquisition
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- Custom ToeOFF Cast Measurement All forms must be completely filled out 4(exactly) Piece of tape, placed vertically on calf Photo must accompany the forms Model Acquisition
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- Custom ToeOFF Cast Measurement Scan Must have extension .cxpxp or export as a STL File Model Acquisition
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- Custom ToeOFF Two replacements within one year If on using the left side of form Heel height from to 1 Standard lateral strut Greater than 1, covered 6 months under GMP (Good Manufacturing Practices) Warranty
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- Custom ToeOFF Casts shipped to Allard USA, then to Sweden 3 4 week turnaround Scans or measurements emailed to Sweden 2 3 week turnaround Turnaround Time
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- Custom ToeOFF Cost Materials$ 60 Labor$ 150 Total$ 210 Solid Ankle Reimbursement Allowable Ceiling Floor L1960 $ 625 $ 469 L2270 $ 61$ 45 Total $ 686$ 514
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- Custom ToeOFF Cost Materials$ 100 Labor$ 150 Total$ 250 Hinged AFO Reimbursement Allowable Ceiling Floor L1970 $ 802 $ 602 L2220x2 $ 92$ 69 L2270 $ 61$ 45 Total $ 955$ 716
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- Custom ToeOFF Cost Base$ 695 SoftKit$ 36 Total$ 731 Custom ToeOFF Reimbursement Allowable Ceiling Floor L1945 $1,044 $ 738 L2232 $ 105 $ 79 L2755x2 $ 282$ 212 L2820 $ 98$ 73 Total $1,529$1,147
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- Custom ToeOFF Contact Additional Information Scott Hennessy, CO National Product Manager Office 888-678-6548 Fax 800-289-0809 Cell 210-874-1599 [email protected] www.allardusa.com