Orthotic Selection
There are 3 factors that must be taken into consideration, when selecting the right orthotic for your patient:- 1. Orthotic Density
- 2. Orthotic Style
- 3. Orthotic Size
1. Choosing the Orthotic Density
Factors such as the amount of pronation, the patient's weight and other existing medical conditions (such
as diabetes) must be considered when selecting the appropriate density for each patient. Below is a
general guide:
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2. Selecting the Orthotic Style
The style of footwear which the orthotic will be worn in is also an important consideration.
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|
ICB 2/3 Length
Orthotics are best
used in regular
walking shoes and
most men's dress
shoes.
 |
ICB Full Length
Orthotics are
best suited to
sports shoes and
workboots.
 |
|
ICB Dress Style Orthotics
can be used for patient
with very wide feet, as the
lateral skive will allow
the foot to splay naturally.
It is also good for narrow
fitting shoes.
|
ICB's High Heel
Orthotic is ideal for use
in ladies low to high
heel court shoes. It is
extra thin and can also
be fitted to flat shoes
with a shallow heel
cup or narrow shank.
|
3. Orthotic Size
ICB Dual Density Heat Moulding Orthotics are available in an extensive range of sizes: starting from a
Toddler size, up to an adult's XX Large. Use the sizing chart below as a guide to estimate the required
orthotic size, based on the patient's shoe size.
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| AUS / USA | UK | Europe | ||||
| MEN | WOMEN | MEN | WOMEN | MEN | WOMEN | |
| Toddler | K4 - 6 | K4 -6 | K4 -6 | K4 -6 | 20 - 23 | 20 - 23 |
| Kids | K7 - 9 | K7 - 9 | K7 - 9 | K7 - 9 | 24 - 27 | 24 - 27 |
| Small Junior | K10-12 | K10-12 | K10-12 | K10-12 | 28 - 31 | 28 - 31 |
| Junior | 1 - 3 | 1.5 - 4 | 1 - 2.5 | 1.5 - 3 | 32 - 35 | 32 - 35 |
| X Small | 3.5 - 5 | 5 - 6 | 3 - 4.5 | 3.5 - 5 | 36 - 38 | 36 - 38 |
| Small | 5.5 - 7 | 7 - 8 | 5 - 6 | 5.5 - 7 | 39 - 41 | 39 - 41 |
| Medium | 7.5 - 9 | 9 - 10 | 7 - 8.5 | 7.5 - 9 | 42 - 43 | 42 - 43 |
| Large | 10 - 11 | 11 - 12 | 9 - 10.5 | 9.5 - 11 | 44 - 45 | 44 - 45 |
| X Large | 11.5 - 13 | 12.5 - 13 | 11 - 12 | 11.5 - 12 | 46 - 47 | 46 - 47 |
| XX Large | 13.5 - 15 | 13.5 - 14 | 13 - 14.5 | 12.5 - 14 | 48 - 50 | 48 - 50 |
For greater accuracy place the orthotic under the foot - if the distal edge of the
orthotic finishes 5-10mm behind the bisection of the 1st Metatarso phalangeal
joint, it is the correct size.
Patient Compliance: Patients should wear the orthotics for 1 hour on the 1st day (or until discomfort occurs), 2 hours on the second day - gradually building up to wearing them full time.