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The DOLA Pro and the ASICS Kayano 28 This client

The DOLA Pro and the ASICS Kayano 28

This client is getting their pair of customised DOLA Pro prefabricated orthotics fitted to the new ASICS Kayano 28

The DOLA Pro full length soft orthotic is customised with a poron arch pad, intrinsic rearfoot post grind and a co-ordinated Durafit top cover.

Visit our Youtube channel for How To videos on the modifications used for this patient:

Poron Arch Pad
https://youtu.be/ibbcj5-xQPg

Rearfoot Varus Intrinsic grind
https://youtu.be/7qtGTx-DCoU

For more information visit:
www.dolaorthotics.com

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DOLA Custom Orthotic in focus: Football boot fit

DOLA Custom Orthotic in focus: Football boot fit

Custom polypropylene shell
Vertical cast balance
Forefoot to rearfoot balance
Narrow heel cup & shell width
Low heel cup height
10% Medial taper
Standard arch fill (20%)
Medium poron metatarsal bar
4 degree intrinsic rearfoot posts
Full length Black EVA top cover
Durafit forefoot extension

Orthotip

Customisation of the orthotic shell shape with a medial border taper or negative flare aids in footwear fit.

A taper is a reduction of the width of the waist of the orthotic to match footwear dimensions.

The standard orthotic waist dimension is determined by a straight line from the heel cup with to the anterior shell width.

-5% taper results in a reduction of the waist of the orthotic by 5% compared to standard.

-10% taper results in a reduction of the waist of the orthotic by 10% compared to standard

A medial taper can be done as an orthotic adjustment after dispense

Indications:
-To adjust orthotic device to patient footwear dimensions
-To accommodate specialty footwear dimensions
-To accommodate narrow waisted or hard to fit footwear
-To improve EVA orthotic fit
-Orthotic fitting troubleshooting

Note: Reduces medial arch support and orthotic contact area

For more resources visit: www.dolaorthotics.com

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Build orthotic confidence with the online DOLA Or

Build orthotic confidence with the online DOLA Orthotics Custom prescription course.

Explore our custom orthotic services, orthotic prescription variables and real case examples.

Look at orthotic materials, shell design, orthotic modifications, additions and covers.

Available now with open access through our website:

https://dolaorthotics.com/courses/dola-custom-prescription-education-course/

New to DOLA Orthotics? Login for the course through the get started button on the course page.

Current DOLA customers with a website login, you have automatic access using your normal login details.

The DOLA Custom Manual acts as a companion resource to this course and is also available on our website.

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Medial Heel Skive (Part 1) Introduction The media

Medial Heel Skive (Part 1) Introduction

The medial heel skive is one of the most popular orthotic prescription variables.

It is an intrinsic (in-shell) prescription variable that creates a varus / medial wedge shape to the dorsal surface of the orthotic in the heel.

It was developed by Dr Kirby to create an increase in supinatory moment across the STJ axis.

Your prescription can choose the:
Depth of skive (mm)
Angle of skive (degrees)

Traditionally plaster is removed from positive casts at the medial heel to a guide depth marked at the medial 1/3 heel width at a 15 degree angle.

This creates an intrinsic varus wedge in the shell shape at the heel.

The deeper the cut, the larger the wedge the more force applied or higher dose (see picture of different depths).

For details on the development of this techniques please refer to the publications of Dr Kevin Kirby including:

The medial heel skive technique. Improving pronation control in foot orthoses JAPMA 1992 Apr;82(4):177-88

Foot and Lower Extremity Biomechanics: A Ten Year Collection of Precision Intricast Newsletters.

Class task:
Read the JAPMA article from Dr Kirby
Prepare you casts for modification next week by completing your forefoot platform, medial and lateral mods.

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Behind the Design Series: Extrinsic Forefoot Post

Behind the Design Series: Extrinsic Forefoot Post

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

This client needed a custom poly orthotic with the captured forefoot alignment supported with an extrinsic forefoot post.

They selected balance extrinsic forefoot post in the postings section of the DOLA Prescription form.

Orthotip

EVA is used to support the intrinsic orthotic post either varus or valgus at the prescribed angle.

EVA extrinsic forefoot varus / valgus postings are used for a rigid forefoot or to apply an orthotic reaction force in a prescribed amount.

The are higher bulk than an intrinsic options so footwear should be considered.

Alternative options include:
-Intrinsic varus / valgus in-shell posting
-Forefoot varus / valgus extension

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The Lateral Patient Ready Orthotic is designed by

The Lateral Patient Ready Orthotic is designed by podiatrists for lateral foot, ankle and peroneal pathologies.

Key features include:

• Stable rearfoot control
• Lateral arch cushioning and contour
• Lateral wedge

Choose from 9 models within the range to match your patients needs.

Need help choosing the best orthotic from our range?

Use the online orthotic selector tool or access the free online training course.

Patient Specific Styles
Ready to fit in-clinic
Orthotics for Health Professionals Only

Order online using the DOLA store or use the order form for delivery direct to your clinic.

Download order form: https://dolaorthotics.com/wp-content/uploads/2021/07/DOLA-Patient-Ready-Orthotics-Order-Form.pdf

For more information visit: https://dolaorthotics.com/patient-ready/

#patientreadyorthotics #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 #chiropractor #chiropractic #orthoticfabrication #orthotic

Do you need a Prefabricated orthotic for revere s

Do you need a Prefabricated orthotic for revere sandals?

The DOLA Pro full length prefab can be fitted to the revere closed heel sandal range including the:

-Bali
-Geneva
-Portofino
-Madrid

Our lab customisation service will fit the DOLA Pro to the sandals at our lab and send to you ready to dispense.

Simply let us know your prescription and which sandal model and size your patient wants to wear.

This example includes a:
-Metatarsal dome addition
-Skin durafit semi-perforated cover
-Fit grind to revere

Coming into Spring, let your patients wear the shoes they want with the support they need.

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The Lateral Patient Ready Orthotic is designed by

The Lateral Patient Ready Orthotic is designed by podiatrists for lateral foot, ankle and peroneal pathologies.

Key features include:

• Stable rearfoot control
• Lateral arch cushioning and contour
• Lateral wedge

Choose from 9 models within the range to match your patients needs.

Styles include: Pronation, Supination, Neutral, Propulsion, Medial, Lateral, Rearfoot, Forefoot & Sensitive

Build orthotic confidence with the online training course available at:

Patient Specific Styles
Ready to fit in-clinic
Orthotics for Health Professionals Only

Order online using the DOLA store or use the order form for delivery direct to your clinic.

Download order form: https://dolaorthotics.com/wp-content/uploads/2021/07/DOLA-Patient-Ready-Orthotics-Order-Form.pdf

For more information visit: https://dolaorthotics.com/patient-ready/

#patientreadyorthotics #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 #chiropractor #chiropractic #orthoticfabrication #orthotic

Orthotic in Focus: Anterior High Point Polypropyl

Orthotic in Focus: Anterior High Point

Polypropylene shell
Balance forefoot to rearfoot
Minimum 10% arch fill
Anterior MLA high point
Intrinsic rearfoot post (varus 2 degrees)
EVA full length top cover 2mm (pink)
Durafit forefoot extension

OrthoTip:

Anterior arch high point results in:
- Gradual calcaneal inclination angle
-Steep metatarsal declination angle
-Increased ORF in anterior / distal arch

The prescription choice of the MLA high point or peak point can be used to influence the shape of the orthotic shell and application of force.

Common high point location options include:

-Following foot morphology: the high point as captured in the cast or scan
-Standardised position - based on anatomy
-Positions either anterior or posterior to the standardised position

The high point position selection should match the aim of the orthotic device for the individual.

Example aims include:
-Support for the foot morphology as in a Pes cavus foot
-Application of ORF in relation to the STJ axis
-Influence of 1st ray in the sagittal plane
- Influencing patient comfort / tolerance in the sensitive patient

When prescribing your high point position consider the influence on a variety of variables including:

-Calcaneal inclination
-Metatarsal declination
-1st ray characteristics
-ORF position
-Patient tolerance
-Foot morphology

For more resources visit: www.dolaorthotics.com

#podiatrystudent #podiatry #orthotics #customorthotics #dolaorthotics #physiotherapist #physio #physiotherapy #orthotic #orthoticsandprosthetics #dolaortho #sportsdoc #chiro #chiropractor #orthoticsprosthetics #orthoticslab #orthoticinsoles #orthoticsupport #orthoticsaus #orthoticscanada #orthoticsuk #orthoticstudents #orthoticsandprostheticsstudent #orthoticsaustralia #podiatryaustralia #podiatryuk #podiatrynz #podiatrylab #podiatryresident #podiatryonline

How to In-clinic modify: Lateral Arch Pad The mod

How to In-clinic modify: Lateral Arch Pad

The modification of an orthotic shell with an addition of a lateral arch pad, to support the cuboid and lateral column.

Indications:
-Support the cuboid and lateral column
-Cuboid syndrome
-Peroneal pathologies
-Lateral ankle instability
-ORF lateral to STJ
-flexible forefoot valgus
-promote high gear transition
-rigid cavus/supinated with lateral arch
-forefoot equinus

Instructions:
1) Mark anatomical landmarks: 5th met head, calc-cuboid joint, lateral calc
2) Select the required poron arch pad size and height
3) Place the pad on the dorsal surface of the orthotic shell
-Locate high point as required
-Trim lateral border as required
4) Assess effect of addition on symptoms or function

NOTE: use strapping tape or hypafix for patient to adjust location of pad in treatment directed testing

Alternative Modifications:
-Cuboid pad
-Forefoot valgus extension
-Rearfoot valgus post
-Eversion ramp

www.dolaorthotics.com

Youtube channel: https://www.youtube.com/user/DigitalOrthoticsAus

Full video link: https://youtu.be/DfmDPX_vW6c

#podiatrystudent #podiatry #orthotics #customorthotics #dolaorthotics #physiotherapist #physio #physiotherapy #orthotic #orthoticsandprosthetics #dolaortho #sportsdoc #chiro #chiropractor #orthoticsprosthetics
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Medial Modification (Part 4): MLA Profile The med

Behind the Design Series: EVA Forefoot Extension

Behind the Design Series: EVA Forefoot Extension

In behind the design we look at one aspect of the orthotic design and discuss its selection.

This client needed a custom orthotic with the forefoot thickned to fit a specific sandal with a 10mm total forefoot thickness.

They selected the 3mm EVA forefoot extension in the finishing / extension options on the DOLA Custom Prescription form.

The extension can be plain or prescribed with apertures, divots and accomodations for a variety of pathologies.

The prescription included:
-3mm EVA forefoot extension
-5mm Slow release poron
-1mm durafit top cover
-1mm durafit forefoot extension

Orthotip:

A forefoot extension extends from the metatarsal shafts to the sulcus or full length.

It can extend from a 3/4 othotic shell or be placed on the forefoot of a full length shell.

It is commonly made of either poron or EVA and can be used to:

-Stiffen the covering material
-Fill space
-Add Cushioning
-Apply apertures or divots or accommodations or pads
-Address a wide range of forefoot pathologies
-to fit a forefoot depth / replace original insole thickness
-combined with a heel raise on a polypropylene orthotic to form a full length raise

For more resources visit: www.dolaorthotics.com

#podiatrystudent #podiatry #orthotics #customorthotics #dolaorthotics #physiotherapist #physio #physiotherapy #orthotic #orthoticsandprosthetics #dolaortho #sportsdoc #chiro #chiropractor #orthoticsprosthetics #orthoticslab #orthoticinsoles #orthoticsupport #orthoticsaus #orthoticscanada #orthoticsuk #orthoticstudents #orthoticsandprostheticsstudent #orthoticsaustralia #podiatryaustralia #podiatryuk #podiatrynz #podiatrylab #podiatryresident #podiatryonline

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 - 9 VIDEOS

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 GRINDING CUSTOMISATIONS - 15 VIDEOS

DOLA PRO: REARFOOT VARUS POST

DOLA PRO: REARFOOT VALGUS POST

DOLA PRO: MEDIAL TAPER

DOLA PRO: LATERAL TAPER

DOLA PRO: MEDIAL PLANTAR GRIND

DOLA PRO: LATERAL PLANTAR GRIND

DOLA PRO: REARFOOT POST TAPER

DOLA PRO: REARFOOT THICKNESS REDUCTION

DOLA PRO: HEEL CUP HEIGHT REDUCTION

DOLA PRO: PLANTAR FASCIAL GROOVE

DOLA PRO: STYLOID ACCOMMODATION

DOLA PRO: METATARSAL HEAD ACCOMMODATION

DOLA PRO: DIVOT ACCOMMODATION

DOLA PRO: 1ST MET HEAD CUTOUT

DOLA PRO: FULL LENGTH TO 3/4 LENGTH
DOLA PRO TECH PLATE CUSTOMISATIONS - 4 VIDEOS

DOLA PRO: IN-TOEING GAITPLATE

DOLA PRO: OUT-TOEING GAITPLATE

DOLA PRO: TOE WALKER

DOLA PRO: MORTONS EXTENSION
DOLA PRO PORON ADDITIONS - 6 VIDEOS

DOLA PRO: METATARSAL DOME

DOLA PRO: METATARSAL BAR

DOLA PRO: MEDIAL ARCH PAD

DOLA PRO: LATERAL ARCH PAD

DOLA PRO: REVERSE MORTONS EXTENSION

DOLA PRO: CUBOID PAD
DOLA PRO EVA ADDITIONS - 5 VIDEOS

DOLA PRO: HEEL RAISE

DOLA PRO: REARFOOT VARUS WEDGE

DOLA PRO: REARFOOT VALGUS WEDGE

DOLA PRO: FOREFOOT VALGUS (DORSAL)

DOLA PRO: FOREFOOT VALGUS (PLANTAR)

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

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