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Monday, November 15, 2010

Top 100 Biomechanical Guidelines #21: Internal Shoe Lifts have many Variations

When using internal shoe lifts, several generalizations are important to know:
  • Up to 3/8 " of lifts can be placed in tie-on shoes (especially athletic shoes)
  • At times, full correction for the heel area and 1/2 correction for metatarsal area for room and ease of forward transition
  • Heel lifts should be used with some caution since they may increase heel strike shock and allow heel strike instability (always check effect on stability by watching the patient with and without the heel lifts walk and/or run)
  • Full length lifts rarely extend past the sulcus area (not go under the toes)

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