EDUCATION

latest

For the latest education follow us on social.

Remote Learning: Forefoot Platform Modification (P

Remote Learning: Forefoot Platform Modification (Part 5) Specialty shapes using the forefoot platform

In traditional plaster manufacturing size of the forefoot platform is used for specialty extensions as prescribed by the practitioner.

The length of the forefoot platform needs to accomodate the shape of the specialty orthotic shell relative to the foot morphology.

Specialty Shape Orthotic Prescription Options include:
-In-toeing gaitplate
-Out-toeing gaitplate
-Mortons extension
-Toewalker extension

The distal length of the forefoot platform needs to allow the manufacture of the extension shape in the orthotic shell material.

Considerations for shape prescription:
-Foot morphology / metatarsal parabola
-Pathology or symptoms (including plantar plate injury, neuroma, capsulitis, bursitis, hallux rigidus)
-Gait pattern / noxious stimulus: intoeing, out-toeing, toewalking

In CAD design the process depends on if creating a foot positive or an orthotic shell.

For a foot positive the forefoot platform is lengthened to allow for the extension required identical to the plaster process.

See next weeks post for the process of designing in a shell by shaping the anterior border or extending the shell for specialty shapes

Class Task:
Using your plaster foot as reference, how long would your forefoot platform need to be to allow for the following specialty extensions:
-Mortons extension (MPJ)
-Mortons extension (MPJ and IPJ)
-In-toeing gaitplates (to sulcus,apex)
-Out-toeing gaitplate (to sulcus, apex)

#dolaorthotics #dolaortho #qutpods #qutpodiatry #podiatryresident #podiatryonline #medschool #dpmstudent #physicaltherapystudent #orthoticsandprostheticsstudent #podiatrystudent #physiostudent #orthotics #orthoses #footorthotics #footorthoses #insoles #customorthotics #orthoticinsoles #orthoticfabrication #podiatry #podiatrist #dpm #footdoctor #footpractitioner #physiotherapist #physiotherapy #physio #fisio #fisioterapia

Behind the Design Series: Forefoot Valgus Extensio

Behind the Design Series: Forefoot Valgus Extension

In behind the design we look a one aspect of the orthotic design & discuss its selection.

This client needed an orthotic to provide sagittal plane facilitation of the 1st MPJ during gait to promote a high gear toe off and optimal windlass activation..

One of their prescription variables selected was a full length EVA forefoot valgus extension.

Orthotip

A forefoot valgus extension transitions from the calc/cuboid region to the sulcus/ or full length. It extends from the 5th metatarsal to the 2nd and is thicker laterally.

Indications:
-Support rigid forefoot valgus
-Plantarflex the 1st ray
-Improve propulsion / 1st MPJ function / Improve windlass
-Provide lateral ORF
-Provide pronatory moment

Alternative prescription options include:
-1st metatarsal cut out
-1st ray cut out
-Reverse mortons extension

#dolaorthotics #dolaortho #qutpods #qutpodiatry #podiatryresident #podiatryonline #medschool #dpmstudent #physicaltherapystudent #orthoticsandprostheticsstudent #podiatrystudent #physiostudent #orthotics #orthoses #footorthotics #footorthoses #insoles #customorthotics #orthoticinsoles #podiatry #podiatrist #dpm #footdoctor #footpractitioner #physiotherapist #physiotherapy #physio #fisio #windlass #propulsion

How to modify a full length DOLA Pro orthotic with

How to modify a full length DOLA Pro orthotic with a toe walker extension.

A toe walker extension can be used to address a toe walking gait pattern.

The addition requires 2 landmarks connected by a curve to indicate the length and shape of the extension.

Have the patient stand on the orthotic and mark the landmarks in their weightbearing position.

Transpose the medial and lateral orthotic markings onto the DOLA tech plate and trace around the orthotic shell connecting the medial and lateral points.

Using scissors, cut the DOLA tech plate following the template markings. At 0.8mm thick, the DOLA tech sheet is easily cut in clinic and is available in 40 x 12 cm pieces to fit the entire DOLA Pro size range.

To aid in gluing, roughen the surface of the orthotic and place a thin layer of glue on each surface.

Wait for both surfaces to be touch dry, without any areas of wet glue before proceeding.

Once dry, align the DOLA tech plate with the markings and adhere the 2 surfaces together. Apply pressure over the entire surface of ensure adhesion. Once dry, complete a finishing grind of the lateral, posterior and medial borders and taper to follow the plantar surface.

A toe walker extension is a noxious stimulus that acts to change a habitual pattern by making usual function or gait pattern feel uncomfortable.

A toe walker extension extends past the MPJs aiming to address the habbit of toe walking.

The length of the toe walker extension is prescribed by the practitioner based on the change required.

Care must be taken in the appropriate prescription of this orthotic shell modification and treatment directed testing is advised prior to prescription.

#dolaorthotics #dolaortho #orthotics #orthoses #footorthotics #footorthoses #insoles #customorthotics #archsupport #orthoticinsoles #podiatricbiomechanics #biomechanics #footfunction #podiatry #podiatrist #podiatrystudent #podiatryclinic #podiatrists #dpm #footdoctor #physiotherapist #physiotherapy #physio #physiotherapystudent #fisio #fisioterapia #physiotherapie #toewalking #habitualtoewalking #paediatrictoewalking

Do you have a Podiatry or Orthotics teaching cours

Do you have a Podiatry or Orthotics teaching course that needs our support?

DOLA Orthotics provides supplies and teaching materials to many educational institutions worldwide.

Here we see our Japanese language manuals, orthotic blanks and orthotic additions being used by the School of Pedi Yokohama helping their students to become the next generation of Japan’s foot specialists.

With foot orthotic therapy being a vital part of foot health, we are proud to assist the school’s training courses.

Contact info@dolaorthotics.com to discuss ways we can help your course.

#orthotics #orthoses #footorthotics #insoles #archsupport #dolaorthotics #dolaortho #podiatry #podiatrist #podiatrystudent #podiatrists #dpm #australianpodiatry #dpmstudent #footdoctor #physiotherapist #physiotherapy #physio #physiotherapystudent #physiostudent #fisio #fisioterapia #fisioterapeuta #fisios #physiotherapie #podiatryclinic #podiatryeducation #podmed

DOLA Pro Customisation In-focus: Toewalker Exten

DOLA Pro Customisation In-focus: Toewalker Extension

This client needed a cost-effective prefabricated orthotic modified with a toewalker extension for habitual toewalking.

They selected the DOLA Pro prefab to in-clinic adjust with DOLA Tech sheets and cover, all in the same appointment for immediate dispense.

This allowed the modifications to be treatment directed tested on the spot and adjusted based on patient feedback and clinical assessment.

Prescription:

Full length DOLA Pro prefabricated Medium EVA orthotic shell
DOLA Tech sheet toewalker extension 20mm
Black EVA 2mm full length cover

Orthotip

A toe walker extension is a noxious stimulus that acts to change a habitual pattern by making usual function or gait pattern feel uncomfortable.

A toe walker extension extends past the MPJs aiming to address the habbit of toe walking.

The length of the toe walker extension is prescribed by the practitioner based on the change required.

Care must be taken in the appropriate prescription of this orthotic shell modification and treatment directed testing is advised prior to prescription.

For step by step DIY instructions on this modification of the DOLA Pro see our post this sunday or visit our youtube channel.

https://youtu.be/OHVxTr0dWaA

For more resources:

www.dolaorthotics.com

#dolaorthotics #dolaortho #orthotics #orthoses #footorthotics #footorthoses #insoles #customorthotics #archsupport #orthoticinsoles #podiatricbiomechanics #biomechanics #footfunction #podiatry #podiatrist #podiatrystudent #podiatryclinic #podiatrists #dpm #footdoctor #physiotherapist #physiotherapy #physio #physiotherapystudent #fisio #fisioterapia #physiotherapie #toewalking #habitualtoewalking #paediatrictoewalking

DOLA Custom Orthotic in focus: Manage Tissue Stres

DOLA Custom Orthotic in focus: Manage Tissue Stress in the Diabetic Foot

Custom ¾ EVA medium density orthotic shell
5% medial flare
Minimum arch fill
Follow lateral arch contour
Wide heel cup and shell width
SRP forefoot extension with 5th met cut outs
Full length SR poron
Diabetic Antishear Top cover

This custom orthotic has been designed for the reduction of shear stress and plantar pressures and forms part of the ongoing management program which incorporates clinical recommendations in order to improve patient outcomes and reduce DFU risk.

Orthotip:

Did you know? The most frequent cause of Diabetic Foot Ulcers (DFUs) are biomechanical gait changes in the presence of a loss of protective sensation leading to increased stress, inflammation and eventually to a DFU.

Subjective clinical judgement to guide treatment directed testing can be used to design an orthotic to manage “Plantar Tissue Stress” in a High Risk patient with a history of previous ulceration who show signs of repetitive external stresses (callous) bilateral PMA5 putting the patient at continued risk without management.

NB: IWGDF guidelines do not recommend custom or prefabricated foot orthotics to treat diabetic foot ulcers and appropriate offloading devices are recommended

For more information visit https://dolaorthotics.com/dolabetic/ or email: madelyn@dolaorthotics.com

#diabetes #diabeticfoot #diabeticfootcare #diabetesawareness #diabetescare #diabetesmanagement #diabeteseducation #dfu #diabetessupport #diabetesprevention #foothealth #podiatrystudent #podiatry #orthotics #customorthotics #dolaorthotics #orthotic #orthoticsandprosthetics #dolaortho #sportsdoc #orthoticsprosthetics #orthoticslab #orthoticinsoles #orthoticsupport #orthoticsandprostheticsstudent #podiatryaustralia #podiatryuk #podiatrynz #podiatryresident #podiatryonline

Introducing the DOLA ProFIT The DOLA ProFIT…. i

Introducing the DOLA ProFIT

The DOLA ProFIT…. is focused on FIT with a reduced orthotic footprint for harder to fit footwear.

The DOLA Pro-FIT combines the function of the DOLA Pro full length prefabricated orthotic with advanced fit technology for the shoes they need to fit.

Designed by clinicians for the everyday in-clinic challenge of fitting todays most popular shoe styles:

Casual shoes
Street shoes
Narrow waisted sports shoes
Football boots
Cleats
Skates / Ski boots

Suitable for a range of usage and prescription options from:

Instant dispense
DIY modification
Advanced modification

For all of your patients, children to adults, everyday to sports and comfort to complex.

For more information visit:
https://dolaorthotics.com/profit/

#dolaorthotics #dolaortho #qutpods #qutpodiatry #podiatryresident #podiatryonline #medschool #dpmstudent #physicaltherapystudent #orthoticsandprostheticsstudent #podiatrystudent #physiostudent #orthotics #orthoses #footorthotics #footorthoses #insoles #customorthotics #orthoticinsoles #orthoticfabrication #podiatry #podiatrist #dpm #footdoctor #footpractitioner #physiotherapist #physiotherapy #physio #fisio #fisioterapia

Remote Learning: Forefoot Platform Modification (P

Remote Learning: Forefoot Platform Modification (Part 4) Orthotic Anterior edge shape

In traditional plaster manufacturing the forefoot platform is used to indicate the shape of the anterior border of the orthotic shell or used for specialty extensions as prescribed by the practitioner.

Orthotic Prescription Options include:
-Metatarsal parabola (2,1,3,4,5) curved
-Straight
-Specialty

In CAD design the process is similar with the ability to:
-Shape the anterior border
-Extend the shell for specialty extensions

Considerations for shape prescription:
-Foot morphology / metatarsal parabola
-Pathology or symptoms (including plantar plate injury, neuroma, capsulitis, bursitis)
-Gait pattern / noxious stimulus

Class task:

Using your plaster foot as reference draw 2 shapes for your orthotic anterior edge or posterior edge of your forefoot plateform.

1) Curved to follow metatarsal parabola
2) Straight from 1st to 5th

How would the different shapes influence the function of the orthotic shell?

#dolaorthotics #dolaortho #qutpods #qutpodiatry #podiatryresident #podiatryonline #medschool #dpmstudent #physicaltherapystudent #orthoticsandprostheticsstudent #podiatrystudent #physiostudent #orthotics #orthoses #footorthotics #footorthoses #insoles #customorthotics #orthoticinsoles #orthoticfabrication #podiatry #podiatrist #dpm #footdoctor #footpractitioner #physiotherapist #physiotherapy #physio #fisio #fisioterapia

Behind the Design Series: Heel Aperture with Poron

videos

How to use DOLA orthotics to ensure optimal results for your patients

Choose from our extensive library on customising your orthotic and clinical tests for your patients.
Click on the tabs below to view videos.

CLINICAL TEST VIDEOS

The following clinical tests will assist with your patient assessment and orthotic selection.

NON WEIGHT BEARING ASSESSMENT
ANKLE JOINT

NON WEIGHT BEARING ASSESSMENT
SUBTALAR JOINT

NON WEIGHT BEARING ASSESSMENT
MIDTARSAL JOINT

NON WEIGHT BEARING ASSESSMENT
1ST METATARSOPHALANGEAL JOINT

FUNCTIONAL TEST
RCSP VS NCSP

FUNCTIONAL TEST
LUNGE TEST

FUNCTIONAL TEST
JACKS TEST

FUNCTIONAL TEST
STJ AXIS & MSRT

FUNCTIONAL TEST FOREFOOT TO
REARFOOT ASSESSMENT
DOLA PRO SERIES ADJUSTMENT VIDEOS
Our Pro range adjustment videos include:

An overview of the range of DOLA Pro prefabricated devices available, their attributes and uses

Customisation of the DOLA Pro range for footwear fit

Customisation of the DOLA Pro range for the treatment of common pathologies including modification description, when to use and how to modify

An overview of the range of orthotic additions
REARFOOT VARUS POST

REARFOOT VALGUS POST

HEEL RAISE

FOREFOOT VARUS EXTENSION

FOREFOOT VALGUS EXTENSION

REVERSE MORTONS EXTENSION

CUBOID PAD

METATARSAL BARS

METATARSAL DOMES

TOP COVER APPLICATION

MEDIAL LONGITUDINAL ARCH PADS

ANKLE EQUINUS

NEUTRAL FOOT TYPE

PES PLANUS PRONATED FOOT TYPE

PES CAVUS SUPINATED FOOT TYPE

common conditions pdf library

An overview of Common Conditions complete with Patient Presentations and Orthotic Considerations.

Click on the tabs below to view all titles and view PDFs.

BIOMECHANICAL PRESENTATION PDFs
LEG / KNEE PATHOLOGY PDFs
LOWER LIMB / ANKLE PATHOLOGY PDFs
REARFOOT PATHOLOGY PDFs
MIDFOOT PATHOLOGY PDFs
FOREFOOT PATHOLOGY PDFs

Sign up for industry news and product updates