Thursday, October 10, 2013
Orthotic Designs: Positive Casts before Balancing
In designing orthotic devices, to achieve positive functional changes, and positive symptom outcomes, the prescribing health care provider needs to be fluent in orthotic casting, orthotic prescription variables, etc. Recently, to prepare for a lecture on orthotic modifications, I took 20 casts of my wife Pat's left foot. The first cast I poured with plaster and left uncorrected (the yellow positive cast below). The other 19 casts of her left foot I corrected various ways to achieve various functional results. I will try to show you that even though a good cast is our Gold Standard in Root Biomechanics, your goals of what you are trying to achieve functionally and symptomatically may require a wide range of orthotic variables.