Prescribing guide
Essential guide for the community of clinicians whose mission and ambition is improving life performance for patients
Kevin Orthopedic Institute has received feedback from partnering clinicians to develop a prescribing guide and ordering experience that allows the clinician to provide the highest quality foot orthotic outcomes for patients.
- Guide includes over 500 detailed illustrations for clinical education.
- Illustrations are high quality, CT scan 3D renderings with detailed orthotic intervention.
This essential guide is for the community of clinicians whose mission and ambition is improving life performance for patients.
Experience why clinics across the globe are ecstatic about partnering with Kevin Orthopedic Institute.
Prescribe Better
Prescribing guide
Experience why clinics across the globe are ecstatic about partnering with Kevin Orthopedic Institute.
Dr. Conway McLean, DABFAS, FAPWHc, FAMIFAS
Superior Foot and Ankle Centers
"I find this an excellent resource for materials listing, and all the information contained therein. This is the most complete, thorough, detailed such reference I personally have ever seen. I'm sure this took some time to complete. For my part, the time was not wasted."
Foot Impression Methods
Lab Fabrication Methods
Materials
TOP COVER:
Prolite
Spenco
Protex
Glove Leather
Suede
Plastazote
Glue Only Heel of Cover for Placing Pads
BOTTOM COVER:
Suede
Suede Bottom Wrap
Protex
Myolite
FRAME OPTIONS:
Frame Calibration Guide Per Weight
Frame Material Rigidity Guide
Polypropylene
Subortholene
Carbon
TPE
EVA
Pronation Corrections
Supination Corrections
Extensions
Offloading Pads & Cushions
Prescribing guide
Choose Topic Here
Foot Impression Methods
Lab Fabrication Methods
Materials
Pronation Corrections
Supination Corrections
Extensions
Offloading Pads & Cushions
FOREFOOT:
Metatarsal Balance
Metatarsal Punch
Metatarsal Pad 2-4
Metatarsal Bar 1-5
Dancer’s Pad
MIDFOOT:
Cuboid Offload
REARFOOT:
Heel Cushion
Heel Spur Pad
DEVICE CUSHION LENGTH:
Myolite Layer
Plastazote Layer
Frame Modifications
Essential guide for the community of clinicians whose mission and ambition is improving life performance for patients
Kevin Orthopedic Institute has received feedback from partnering clinicians to develop a prescribing guide and ordering experience that allows the clinician to provide the highest quality foot orthotic outcomes for patients.
- Guide includes over 500 detailed illustrations for clinical education.
- Illustrations are high quality, CT scan 3D renderings with detailed orthotic intervention.
This essential guide is for the community of clinicians whose mission and ambition is improving life performance for patients.
Experience why clinics across the globe are ecstatic about partnering with Kevin Orthopedic Institute.
Welcome to the new wave of orthopedic outcomes.
Prescribe Better
Dr. Conway McLean, DABFAS, FAPWHc, FAMIFAS
Superior Foot and Ankle Centers
"I find this an excellent resource for materials listing, and all the information contained therein. This is the most complete, thorough, detailed such reference I personally have ever seen. I'm sure this took some time to complete. For my part, the time was not wasted."
Foot Impression Methods
There are 7 common Foot Impression Methods for capturing a patient’s foot contour.
Visit page or download PDF:
+ Plaster Slipper Cast / PDF
+ Foam Impression / PDF
+ STS Slipper Socks / PDF
+ 3D Scanner / PDF
+ Pedobarography / PDF
+ Existing Positive Model / PDF
+ Redimold / PDF
Tolerances in foot impression methods and fabrication methods produce variable outcomes for how similarly the orthotic frame matches the patient’s foot. The chart below shows outcomes of shape-contour variation between foot, foot-model and orthotic frame when different methods are combined. Congruent accuracy is a measure of how closely the orthotic frame matches the patient’s foot in the exact position the patient’s foot impression was captured.
Try Kevin Orthopedic Institute App for 3D Scanning!
The app is now available on the iTunes App Store for complementary download.
Lab Fabrication Methods
Lab Fabrication Methods used by our teams to custom create your patient's foot orthotics and AFOs.
Visit page or download PDF:
Materials
Covering and frame material options improve clinical management of biomechanical compression and shear loads for each unique individual.
Visit page or download PDF:
Top Cover
+ Covering and Frame Material Options / PDF
+ Prolite / PDF
+ Spenco / PDF
+ Protex / PDF
+ Glove Leather / PDF
+ Suede/ PDF
+ Plastazote / PDF
+ Glue Only Heel of Cover for Placing Pads in Clinic / PDF
Bottom Cover
+ Suede / PDF
+ Suede Bottom Wrap / PDF
+ Protex / PDF
+ Myolite / PDF
Frame Options
+ Frame Calibration Guide Per Weight / PDF
+ Frame Material Rigidity Guide / PDF
+ Polypropylene / PDF
+ Subortholene / PDF
+ Carbon / PDF
+ TPE / PDF
+ EVA / PDF
Length of Top Cover
Length of cover instruction will supersede all other modification instructions including extensions and paddings.
A met length top covering originates at the heel and terminates proximal to metatarsal heads. Metatarsal length covers allow maximum room for metatarsal heads and toes in shoe gear.
A sulcus length top covering originates at the heel and terminates distal to the metatarsal heads, at the foot’s sulcus. Sulcus length covers are great for modifications and postings that treat forefoot pathologies while leaving space for the toes.
A toe length top covering originates at the heel and terminates distal to the toes approximately 12mm distal from each phalange. Ideal for shoes with removable insoles and toe comfort. Often coverings to toes will need to be trimmed to fit to shoe gear.
Pronation Corrections
Pronation corrections change orthotic reaction forces, compression forces and tensional stress in tendons and ligaments
Visit page or download PDF:
Supination Corrections
Supination corrections change orthotic reaction forces, compression forces and tensional stress in tendons and ligaments.
Visit page or download PDF:
+ Balance Forefoot to Rearfoot / PDF
+ Valgus Extrinsic (Bar) / PDF
+ Valgus Metatarsal Wedge / PDF
+ Lower Medial Arch / PDF
+ Lateral Flange / PDF
+ Valgus Frame Filler / PDF
+ Valgus Cuboid Pad / PDF
+ Valgus Intrinsic / PDF
+ Valgus Extrinsic / PDF
Extensions
Extensions are materials coupled with the distal end of the orthotic frame and contribute to increased performance, comfort and treat pathology
Visit page or download PDF:
+ Toe Extension / PDF
+ Morton’s Extension to Toes / PDF
+ Reverse Morton’s Extension to Toes / PDF
+ Dynamic Wedge / PDF
+ Sulcus Extension / PDF
+ Morton’s Extension to Sulcus / PDF
+ Reverse Morton’s Extension to Sulcus / PDF
+ Foot Cookie Extension / PDF
+ Toe Filler / PDF
Offloading Pads & Cushions
Offloading Pads & Cushions are used to disperse force, increase shock absorption, change orthotic reaction forces in a given area and provide comfort
Visit page or download PDF:
+ Metatarsal Balance / PDF
+ Metatarsal Punch / PDF
+ Metatarsal Pad 2-4 / PDF
+ Metatarsal Bar 1-5 / PDF
+ Dancer’s Pad / PDF
+ Cuboid Offload / PDF
+ Heel Cushion / PDF
+ Heel Spur Pad / PDF
+ Myolite Layer / PDF
+ Plastazote Layer / PDF
Frame modifications
Frame modifications not only customize the design of the orthotic frame but can alter coupled components as well
Visit page or download PDF:
+ 1st Ray Cut Out / PDF
+ 5th Ray Cut Out / PDF
+ Navicular Button Out / PDF
+ 5th Button Out / PDF
+ Heel Aperture / PDF
+ Heel Lift / PDF
+ Frame Filler / PDF
+ Filler Skive / PDF
+ Heel Cup Depth / PDF
+ Width of Frame / PDF
+ Device Undercut / PDF
+ Detached Carbon Foot Plate to Toes / PDF
Materials
The Prescribing guide topics:
Foot Impression Methods
Lab Fabrication Methods
Materials
Pronation Corrections
Supination Corrections
Extensions
Offloading Pads & Cushions
Essential guide for the community of clinicians whose mission and ambition is improving life performance for patients
Kevin Orthopedic Institute has received feedback from partnering clinicians to develop a prescribing guide and ordering experience that allows the clinician to provide the highest quality foot orthotic outcomes for patients.
- Guide includes over 500 detailed illustrations for clinical education.
- Illustrations are high quality, CT scan 3D renderings with detailed orthotic intervention.
This essential guide is for the community of clinicians whose mission and ambition is improving life performance for patients.
Experience why clinics across the globe are ecstatic about partnering with Kevin Orthopedic Institute.
Welcome to the new wave of orthopedic outcomes.
Prescribe Better
Dr. Conway McLean, DABFAS, FAPWHc, FAMIFAS
Superior Foot and Ankle Centers
"I find this an excellent resource for materials listing, and all the information contained therein. This is the most complete, thorough, detailed such reference I personally have ever seen. I'm sure this took some time to complete. For my part, the time was not wasted."
The Prescribing guide topics:
Foot Impression Methods
Covering and frame material options improve clinical management of biomechanical compression and shear loads for each unique individual.
Top Cover
+ Prolite
+ Spenco
+ Protex
+ Glove Leather
+ Suede
+ Plastazote
+ Glue Only Heel of Cover for Placing Pads in Clinic
Bottom Cover
+ Suede
+ Suede Bottom Wrap
+ Protex
+ Myolite
Frame Options
+ Frame Calibration Guide Per Weight
+ Frame Material Rigidity Guide
+ Polypropylene
+ Subortholene
+ Carbon
+ TPE
+ EVA
Tolerances in foot impression methods and fabrication methods produce variable outcomes for how similarly the orthotic frame matches the patient’s foot. The chart below shows outcomes of shape-contour variation between foot, foot-model and orthotic frame when different methods are combined. Congruent accuracy is a measure of how closely the orthotic frame matches the patient’s foot in the exact position the patient’s foot impression was captured.
Try Kevin Orthopedic Institute App for 3D Scanning!
The app is now available on the iTunes App Store for complementary download.
There are 7 common Foot Impression Methods for capturing a patient’s foot contour.
Visit page or download PDF:
+ Plaster Slipper Cast / PDF
+ Foam Impression / PDF
+ STS Slipper Socks / PDF
+ 3D Scanner / PDF
+ Pedobarography / PDF
+ Existing Positive Model / PDF
+ Redimold / PDF
Lab Fabrication Methods
Lab Fabrication Methods used by our teams to custom create your patient's foot orthotics and AFOs.
Visit page or download PDF:
Materials
Materials
Covering and frame material options improve clinical management of biomechanical compression and shear loads for each unique individual.
Top Cover
+ Prolite
+ Spenco
+ Protex
+ Glove Leather
+ Suede
+ Plastazote
+ Glue Only Heel of Cover for Placing Pads in Clinic
Bottom Cover
+ Suede
+ Suede Bottom Wrap
+ Protex
+ Myolite
Frame Options
+ Frame Calibration Guide Per Weight
+ Frame Material Rigidity Guide
+ Polypropylene
+ Subortholene
+ Carbon
+ TPE
+ EVA
Top Cover
Top coverings are the most superior placed material on the orthotic, covers all components of the orthotic and interfaces with the patient’s foot.
Length of Top Cover
Length of cover instruction will supersede all other modification instructions including extensions and paddings.
A met length top covering originates at the heel and terminates proximal to metatarsal heads. Metatarsal length covers allow maximum room for metatarsal heads and toes in shoe gear.
A sulcus length top covering originates at the heel and terminates distal to the metatarsal heads, at the foot’s sulcus. Sulcus length covers are great for modifications and postings that treat forefoot pathologies while leaving space for the toes.
A toe length top covering originates at the heel and terminates distal to the toes approximately 12mm distal from each phalange. Ideal for shoes with removable insoles and toe comfort. Often coverings to toes will need to be trimmed to fit to shoe gear.
Bottom Cover
Bottom coverings are the most inferior placed material on the orthotic. It provides protection from shearing forces between the shoe and orthotic.
Frame
In most orthotics, the frame is the most important component. A frame’s function is to support the aligned foot structures that were created during the foot impression. It is the core of the orthotic in which all postings, accommodations, paddings and cushions are added. The congruency of the frame to the foot maximizes effectiveness of orthotic reactionary forces.
Covering and frame material options improve clinical management of biomechanical compression and shear loads for each unique individual.
Visit page or download PDF:
Top Cover
+ Covering and Frame Material Options / PDF
+ Prolite / PDF
+ Spenco / PDF
+ Protex / PDF
+ Glove Leather / PDF
+ Suede / PDF
+ Plastazote / PDF
+ Glue Only Heel of Cover for Placing Pads in Clinic / PDF
Bottom Cover
+ Suede / PDF
+ Suede Bottom Wrap / PDF
+ Protex / PDF
+ Myolite / PDF
Frame Options
+ Frame Calibration Guide Per Weight / PDF
+ Frame Material Rigidity Guide / PDF
+ Polypropylene / PDF
+ Subortholene / PDF
+ Carbon / PDF
+ TPE / PDF
+ EVA / PDF
Pronation
Corrections
Pronation
Corrections
Pronation corrections change orthotic reaction forces, compression forces and tensional stress in tendons and ligaments
Visit page or download PDF:
Supination
Corrections
Supination
Corrections
Supination corrections change orthotic reaction forces, compression forces and tensional stress in tendons and ligaments.
Visit page or download PDF:
+ Balance Forefoot to Rearfoot / PDF
+ Valgus Extrinsic (Bar) / PDF
+ Valgus Metatarsal Wedge / PDF
+ Lower Medial Arch / PDF
+ Lateral Flange / PDF
+ Valgus Frame Filler / PDF
+ Valgus Cuboid Pad / PDF
+ Valgus Intrinsic / PDF
+ Valgus Extrinsic / PDF
Extensions
Extensions
Extensions are materials coupled with the distal end of the orthotic frame and contribute to increased performance, comfort and treat pathology
Visit page or download PDF:
+ Toe Extension / PDF
+ Morton’s Extension to Toes / PDF
+ Reverse Morton’s Extension to Toes / PDF
+ Dynamic Wedge / PDF
+ Sulcus Extension / PDF
+ Morton’s Extension to Sulcus / PDF
+ Reverse Morton’s Extension to Sulcus / PDF
+ Foot Cookie Extension / PDF
+ Toe Filler / PDF
Offloading
Pads & Cushions
Offloading
Pads & Cushions
Offloading Pads & Cushions are used to disperse force, increase shock absorption, change orthotic reaction forces in a given area and provide comfort
Visit page or download PDF:
+ Metatarsal Balance / PDF
+ Metatarsal Punch / PDF
+ Metatarsal Pad 2-4 / PDF
+ Metatarsal Bar 1-5 / PDF
+ Dancer’s Pad / PDF
+ Cuboid Offload / PDF
+ Heel Cushion / PDF
+ Heel Spur Pad / PDF
+ Myolite Layer / PDF
+ Plastazote Layer / PDF
Frame
Modifications
Frame
Modifications
Frame modifications not only customize the design of the orthotic frame but can alter coupled components as well
Visit page or download PDF:
+ 1st Ray Cut Out / PDF
+ 5th Ray Cut Out / PDF
+ Navicular Button Out / PDF
+ 5th Button Out / PDF
+ Heel Aperture / PDF
+ Heel Lift / PDF
+ Frame Filler / PDF
+ Filler Skive / PDF
+ Heel Cup Depth / PDF
+ Width of Frame / PDF
+ Device Undercut / PDF
+ Detached Carbon Foot Plate to Toes / PDF