line insoles Introducing our new X-Line insole range INSOLES Condition Specific

Transcription

1 line insoles Condition Specific INSOLES Introducing our new X-Line insole range

2 1 Introduction Welcome to the Bailey orthotic catalogue. The X-Line range of functional insoles is well established as an innovative and effective choice for the musculo-skeletal practitioner. Our more recent innovation is the introduction of the Condition Specific patterns. These devices have been designed to deal with specific lower limb conditions. Each device boasts mechanical features designed to combat the unique challenges presented by specific conditions. The Condition Specific Range: TPD - for Tibialis Posterior Dysfunction DJD - for Degenerative Joint Disease of the 1st MTP joint AT - for Achilles Tendonopathy PF - for Plantar Fasciitis TPD50 - a version of our TPD insole, with a lower shore rating. Condition Specific INSOLES So, take a look through our very first dedicated orthotic catalogue. As well as the new Condition Specific range, the ever popular Pressure Perfect and PediPod insoles are there too. Should you have any queries or questions regarding the range, please contact me: gareth.hicks@baileyinstruments.co.uk or sales@baileyinstruments.co.uk Complete your MSk toolkit with the X-Line Insole range

3 2 Our Product Range Product Description page line line Pressure Perfect line Condition Specific line PediPod line Vector Accessories INSOLES standard - quick and easy prescription base Extra - standard devices with wedge pack PressurePerfect X-Line with shock absorbing top cover 70 - High Density version of the standard X-Line RIF - reinforced for extra durability TPD - Tibialis Posterior Dysfunction DJD - Degenerative Joint Disease AT - Achilles Tendonitis PF - Plantar Fasciitis TPD50 - A TPD but without the reinforcing shell the X-Line specifically designed for the paediatric patient the customisable orthotic system a range of products to enhance the orthotic prescription and patient rehabilitation

4 3 History and Philosophy of the Range of Foot Orthoses These simple but effective devices were designed to give the practitioner a quick and easy prescription base. X-Lines can be modified, and have now established themselves as the first line of defence in many clinics. The term X-line refers to the co-ordinate system where the sagittal plane is represented as an X. Because gait is about moving forward, most motion of the foot occurs in the sagittal plane just like the rest of the joints in the leg. In describing this feature, the best analogy to use is that of a car driving over a humpback bridge. decelerate As the car approaches the bridge, it slows to go up the incline. Calcaneal plantarflexion is reduced when the meets the. Each X-Line orthotic is a total contact device meaning it is in contact with the shoe throughout its length. Made from expanded foam, each X-Line device has three common features: stabilise At a safe speed, the car crosses the hump of the bridge. The foot is stabilised when fully loaded on the. contoured A contoured seat affording control with comfort for the patient. A. An integral part of the design, this hump reduces the speed and amount of distal calcaneal plantarflexion in the foot. X-line also has a atarsal freeing the atarso-phalangeal joint from early and high pressure in stance to allow good sagittal motion as the foot accelerates towards the next step. accelerate wedge kit compatible Once over the hump, the car accelerates away. The 1 st ray drops into the and encourages the MTP joint to bend, the raises and sagittal movement within the foot has been maximised. Specifically designed for the X-Line range, the wedge kit comprises a pair of 4 degree and 8 degree wedges. The kit offers a rearfoot wedge which extends into the arch enhancing the control provided by the. Before fitting any X-Line orthotic, make sure your patients footwear is appropriate for their needs. If you can, remove the existing insoles and be ready to adjust the lacing. For more fitting advice visit: All terms and conditions to be found at:

5 4 line Standard The standard X-Line device offers low profile, low volume and infinite versatility. It is quick to fit and easy to adjust. The X-Line offers the patient optimal comfort, and can be trimmed to fit virtually any shoe. Its flat base readily accepts additions and modifications. decelerate stabilise accelerate X-Line wedges have been specifically designed to enhance the sagittal plane control provided by the X-Line device. LEX-XA Extra Small ERU4599 LEX-A Small ERU3154 LEX-B Medium ERU3155 LEX-C Large ERU3156 LEX-D Extra Large ERU3157 LEX-E Extra, Extra Large ERU3158 contoured X-line standards work best in a stable supportive shoe. Always check the shoe bends across the forefoot and not across the midfoot. Make sure you can t twist the middle of the shoe (this is called torsional instability). If the shoe is unstable consider the x-line RIF. The X-line standard is a great choice for older patients in stable shoes. wedge kit compatible

6 5 line Extra The X-Line Extra contains one pair of X-Lines and a wedge pack. The wedge pack contains a pair of 4 degree and 8 degree posts. These wedges have been designed specifically to enhance the sagittal and medial control provided by the X-Line device. The X-Line wedges are shaped to provide a rearfoot hemi-post,allowing easier fitting to everyday shoes. The post extends forward to supplement the of the X-Line device. decelerate stabilise accelerate When deciding on adding posting to an X-Line, make sure the shoe it is going to fit isn t badly worn on one side of the counter. A shoe used a lot for driving, or if feet are turned out when walking, can lead to excessive lateral wear increasing a medial post s effect. A shoe worn badly on the inside of the might reduce the effect of medial posting. LEX-AW Small ERU3149 LEX-BW Medium ERU3150 LEX-CW Large ERU3151 LEX-DW Extra Large ERU3152 LEX-EW Extra, Extra Large ERU3153 contoured Order Qty

7 6 Pressure line Perfect Originally designed to meet the mechanical challenges of the high risk foot, this low profile contoured insole provides ultimate comfort to all users. Pressure Perfect s shock absorbing properties have widened their appeal to include walkers, runners, tennis players and in multi-directional sports where supportive cushioning adds to performance. The top cover material is a superb balance between shock absorbency and durability. Its closed cell structure means it resists bottoming out and it recovers between steps. decelerate stabilise accelerate LEXP-A Small ERU2387 LEXP-B Medium ERU2388 LEXP-C Large ERU2389 LEXP-D Extra Large ERU2390 LEXP-E Extra, Extra Large ERU4574 contoured The X-line Pressure Perfect is an excellent choice where plantar tissue is compromised, such as diabetes, rheumatoid feet, and in plantar-tissue atrophy due to age or vascular disease. However, it is also extremely effective for bariatric patients where the plantar tissue is under high stress but the patient is unable to tolerate firm support. extra cushion top cover wedge kit compatible

8 7 line 70 As a further development of the already successful X-Line range, practitioners asked for a firmer version. The X-Line 70 is so-called as it has a shore value of 70, compared to a shore value of 50 in the standard X-Line. The X-Line 70 is a low profile device. Due to its high shore value this device can be heavily modified by grinding and trimming to create intrinsic posting meaning less bulk in the shoe. decelerate stabilise accelerate When shoe space is an issue, consider the X-Line 70 as posting can be ground in rather than being added. If posts are ground in, they cannot fall off. This device is an excellent choice where working or leisure activity can lead to the insole getting wet. LEX70-A Small ERU3320 LEX70-B Medium ERU3321 LEX70-C Large ERU3322 LEX70-D Extra Large ERU3323 contoured wedge kit compatible

9 8 line RIF The X-Line RIF (reinforced) insole was created in response to clinicians requests for an X-Line with greater durability. The X-Line RIF provides a durable, anti-bacterial top cover and a reinforced plastic shell to offer greater integral strength. Extra modifications are possible due to the improved structural rigidity. decelerate stabilise accelerate LEXR-A Small ERU3316 LEXR-B Medium ERU3317 LEXR-C Large ERU3318 LEXR-D Extra Large ERU3319 LEXR-E Extra, Extra Large ERU4575 reinforced shell contoured If a shoe lacks torsion stability the X-line RIF will provide it. The X-line RIF is a great choice where the patient is active or where greater support is needed to control abnormal foot posture in gait. wedge kit compatible

10 9 Condition Specific INSOLES line DJD X-Line DJD (Degenerative Joint Disease) Osteoarthritis, or degenerative joint disease, is often responsible for painful hallux limitus and rigidus. This debilitating condition can limit patient activity as well as causing great pain or extreme discomfort. A lace-up shoe with a deep counter and a removable insole is recommended in combination with these orthoses. If the shoe has a stiff mid-sole throughout and a convex out-sole profile, the X-line DJD will work much better. You can test the shoe by putting on a hard surface and seeing if it rocks forward with the lifting off the surface when you press down on the toe box of the shoe. The X-Line DJD offers rapid relief of this common problem by reducing the loading rate of the atarso-phalangeal joint, reducing the dorsiflexion bending moments on the hallux, and allowing the hallux to move from a more flexed starting position. The design also reduces the bending moments across the metatarso-phalangeal joints by stiffening the shoe. The X-line DJD has a lift to allow easier terminal stance propulsion over the painful joint - we recommend fitting this device into a spacious shoe. These unique features improve the mechanics around the 1st joint, allowing a more comfortable progress for the patient. The DJD also has a durable, anti-bacterial top cover and the supporting plastic base-shell offers structural rigidity for an effective condition-specific device. wedge kit compatible decelerate stabilise accelerate LEXJ-A Small ERU4569 LEXJ-B Medium ERU4570 LEXJ-C Large ERU4571 LEXJ-D Extra Large ERU4572 LEXJ-E Extra, Extra Large ERU4573 contoured

11 10 line TPD Condition Specific INSOLES X-Line TPD Tibialis Posterior Dysfunction, or moderate/ severe hyperpronation is a potentially crippling pathology, and presents a challenge in the management of foot and ankle pain. Quick and effective treatment is essential in offering symptom relief and functional support. The X-Line TPD has been specifically designed to be the first line of defence against this potentially debilitating condition. The deep seat offers comfortable, and reassuring support, with the plastic shell providing essential rigidity. A sagittally modified medial skive is another feature designed to combat foot hyperpronation. LEXT-A Small ERU3324 LEXT-B Medium ERU3325 LEXT-C Large ERU3326 LEXT-D Extra Large ERU3327 LEXT-E Extra, Extra Large ERU3328 In managing Tibialis Posterior Dysfunction, the greatest orthotic demand is immediacy. Waiting for a custom made device is not an option. This device is ideal for stage 1 and stage 2a tibialis posterior dysfunction. decelerate stabilise accelerate high enhanced arch profile extra deep The shoe choice is critical to get the TPD to work effectively. If the tibialis posterior is painful, get the patient to buy some motion control running trainers to fit the X-line TPD. The benefits will be instantaneous. wedge kit compatible

12 11 Condition Specific INSOLES line AT Ensure the correct shoe is selected to optimize this device s effect. A stable lace-up shoe with a small is ideal. The X-Line AT can be used in conjunction with trainers. The Achilles tendon is the thickest human tendon, and is one of few tendons in biology that operate near their ultimate tensile stress. This high strain occurs when we run. The Achilles tendon helps control forward progression of the leg over the foot, and is critical in initiating lift in both walking and running. decelerate stabilise accelerate The Achilles Tendonopathy insole is designed to help control forward progress of the leg, with a specially contoured midfoot support and an integrated, pitched hindfoot raise to aid lift during the driving phase of gait. raise hind-foot rocker LEXAT-A Small ERP3458 LEXAT-B Medium ERP3459 LEXAT-C Large ERP3460 LEXAT-D Extra Large ERP3461 LEXAT-E Extra, Extra Large ERP3462 wedge kit compatible

13 12 line PF Condition Specific INSOLES The plantar fascia is a structure that bridges the arch of the foot linking the to the toe joints (MTP joints). These joints, especially the big toe (hallux), are used in conjunction with the plantar fascia to store and release energy using the windlass effect described by Hicks famous paper of The main attachment point for the plantar fascia is the medial process of the plantar tubercle of the calcaneus. It is here that pain is experienced in plantar fasciitis. The Plantar Fasciitis insole is designed to give pain relief and aid healing of the plantar fascia. As the plantar fascia is loaded during the drive phase of gait, a dell to the 1st MTP joint helps an efficient windlass effect while the arch is protected from dropping excessively during midstance to prevent over strain of the fascia. Finally a dell is positioned perfectly over the medial process of the calcaneal plantar tubercle to prevent pressure and irritation of the thickening of the fascial attachment point. A combination combined to provide relief and comfort instantly. decelerate stabilise accelerate LEXPF-A Small ERP3454 LEXPF-B Medium ERP3453 LEXPF-C Large ERP3455 LEXPF-D Extra Large ERP3456 LEXPF-E Extra, Extra Large ERP3457 shock dot grind The first insole with a correctly placed dell for the medial calcaneal tubercle. No insole works in isolation. Build up intrinsic muscle and flexor strength using the therapy balls, see page 18. lateral groove

14 13 line TPD50 Condition Specific Fit the TPD50 to a stable shoe. If you can twist the shoe, it has a lack of torsional stability so the insole won t be as effective. If fitting to a trainer, ensure it has good motion control. INSOLES Our TPD orthotic has proved to be a very successful device in the management of Tibialis Posterior Dysfunction and other conditions such as Medial Tibial Stress Syndrome. The TPD50 boasts the same mechanical features but without the reinforcing plastic wrap. This reduces the shore rating making the TPD50 more comfortable for those patients unable to tolerate the firmer TPD insole. decelerate stabilise accelerate Code Size UK EU LEXT50-A Small LEXT50-B Medium LEXT50-C Large LEXT50-D Extra Large LEXT50-E Extra, Extra Large deep Enhanced arch profile wedge kit compatible

15 14 PediPod Pedipod insoles are uniquely designed to help children develop a healthy foot and body posture as they grow. The development of poor posture while growing potentially disturbs normal walking, running and standing. This can lead to recurrent back, knee and foot pain as an adult, often resulting in a lifetime of treatment. decelerate stabilise accelerate With its extra deep cup, arch cradle and unique sagittal skive, the stress and strains on developing bones and muscles are changed to stimulate a more healthy posture. PED-A A ERU2627 PED-B B ERU2628 PED-C C c ERU2629 PED-D D c10-c ERU2630 PED-E E c8-c ERU2631 PED-F F c6-c ERU2632 deep medial skive Children s feet are the easiest to strengthen up. Consider giving strengthening exercises in conjunction with a PediPod. But remember the exercises need to be easy and fun to do to get compliance. Foot therapy balls are a great option, see page 18.

16 15 line Vector The customisable orthotic system Our modular system brings all the advantages of custom foot orthoses into your clinic without the need for casting or waiting. Each Vectorthotic pack contains a polypropylene composite shell, top covers and a range of clip-in rearfoot and forefoot posts. Customise the shell to your patient s requirements by clipping in the appropriate post to invert the rearfoot, support the forefoot with a varus, valgus or no post as you see fit. It takes seconds. Decide if you want to use the top cover, which can then be cut to the required length. Other additions such as lifts or extension postings can easily be added. Vectorthotic is totally customisable. Being an injection moulded span device its strength lies in the integrity of the design and durability of the shell. Vectorthotic - a true alternative to custom devices. For more information on adjusting the Vectorthotic go to: Designed and manufactured in the UK Vectorthotic pack contents 1 pair Injection moulded Polypropylene ¾ length shells 1 pair EVA foam top covers (with self-adhesive tape strips) 2, 4 and 6 degree rearfoot click in wedges 2 and 4 degree adhesive forefoot wedges Patient advice leaflet

17 16 The Vectorthotic is designed for modification. The options are extensive. Consider adding materials like poron, astroshock, or EVA to the arch of the shell before adding the top cover to alter the profile. The material you chose, will effect support and comfort which you can tailor to your patient s needs. Adjustability Rearfoot posts - these are easily applied to the orthotic by snapping them into the rearfoot platform Forefoot posts - by gently heating the glue, these posts can be stuck onto the forefoot platform Altering orthotic pitch - if required, the orthotic can be heated and shaped 1st Met cutout - after a few seconds of gentle heating, the orthotic can be trimmed to allow that 1st metatarsal space to plantarflex For video instruction on Vectorthotic adjustments, visit: VEC-A A ERU4562 VEC-B B ERU4563 VEC-B/C B/C ERU4564 VEC-C C ERU4565 VEC-C/D C/D ERU4566 VEC-D D ERU4567 VEC-E E ERU4568 Rear foot clip-in wedges atarsal head cut-out Re-pitching Vectorthotic

18 17 Accessories Standard Top Covers Code VTC-A VTC-B VTC-C VTC-D VTC-E Description To fit Vectorthotic size A To fit Vectorthotic size B & B/C To fit Vectorthotic size C & C/D To fit Vectorthotic size D To fit Vectorthotic size E Full length replacement top cover for the Vectorthotic device. Worn top covers can be easily replaced on the Vectorthotic. Strip off the old cover and replace with a new one. Self adhesive strips come with each replacement top cover. Before adding the new cover, ensure the Vectorthotic surface is clean and clear of debris. Extra Top Covers Code VTCX-A VTCX-B VTCX-C VTCX-D VTCX-E Description To fit Vectorthotic size A To fit Vectorthotic size B & B/C To fit Vectorthotic size C & C/D To fit Vectorthotic size D To fit Vectorthotic size E The Extra top cover has a midfoot offering greater control in the saggital plane. This feature increases the control you have during midstance. It is an addition inspired by our successful X-Line insole. These full length top covers come with self adhesive strips to adhere them to the shell. Before adding the new top cover ensure the Vectorthotic surface is clean and clear of debris. Supplementary X Line Wedges Code LEXSW-4SM LEXSW-8SM LEXSW-4LX LEXSW-8LX Description X-Line Wedges S/M 4 Degree X-Line Wedges S/M 8 Degree X-Line Wedges L/XL 4 Degree X-Line Wedges L/XL 8 Degree Each pack contains two wedges, one left and one right.

19 18 Foot Therapy Ball Code HHB70 Description Hedgehog Ball (70mm) These soft therapy balls are used to increase flexor strength in the toes. The patient is seated then the ball placed under their toes. The patient then rolls their foot over the ball whilst arching their foot with the aim of trying to pick up the ball using their toes. If the ball can be picked up, pump a little more air into the ball using a football pump. See website for instructional video. Poron Code CG-AP1 CG-AP2 CG-AP3 CG-AP4 CG-AP5 Description Poron 4000s 3.2mm thickness Clinical sheet (45cm x 25cm) grey Poron 4000s 3.2mm thickness Jumbo sheet (100cm x 137cm) grey Poron Permafresh 3.2mm Clinical sheet (45cm x 25cm) green Poron Permafresh 3.2mm Jumbo sheet (100 x 137cm) green Poron Dual Layer 4mm (100cm x 137cm) blue/red Supplementary Wedge Strips Code Description NPC Code WED-3W Wedge Strip Wide (Adhesive Backed) ERP1632 WED-5W Wedge Strip 5 - Wide (Adhesive Backed) ERP1633

20 Our General Podiatry Catalogue is also available. Bailey Instruments Ltd Buffalo Court (Unit R) Kansas Avenue Salford Quays M50 2QL Fax: +44 (0)