Formthotics New Zealand – Custom Thermoformable Medical Orthotic Insoles - Formthotics Medical System - Custom-Fitted Orthotic Insoles

Test 1: Foot Morphology and Motion Test
Assesses foot structure, alignment, and joint range of motion in a non-weight-bearing position to understand how the foot compensates under weight-bearing conditions.
Test 2: Alignment Test
Observes the patient’s relaxed stance and gait to identify any structural deviations that may contribute to lower limb issues.
Test 3: Windlass (Jack’s) Test
Evaluates the windlass mechanism’s function during toe-off, which is crucial for effective forward propulsion and detecting potential issues in the medial arch.
Test 4: Supination Resistance Test
Measures how much force is needed to supinate the foot, helping to determine the level of support required in orthotics.
Test 5: Proximal Control Knee Bend Test
Assesses balance and lower limb muscle strength by observing knee and foot alignment during a weight-bearing knee bend.
Test 6: Neuromotor Balance Test
Tests balance, agility, and neuromotor function through three options: single limb balance, star excursion, and forefoot stability, revealing potential gait and stability issues.

Step 1: Selecting, Fitting, and Heating Formthotics Orthotics
Choose the appropriate Formthotics model based on patient needs and shoe type, then heat-mould for a customised fit that aligns with the foot’s contours.
Step 2: Patient Adjustment Period
Allow patients a break-in period to get used to their new Formthotics, gradually increasing wear time to ensure comfort and effectiveness.
Step 3: Rearfoot Modification
Apply medial or lateral rearfoot wedges to adjust alignment and manage excessive pronation, helping to relieve pain or improve biomechanics.
Step 4: Forefoot Modifications
Use wedges or metatarsal domes to apply targeted force to the forefoot, enhancing stability and function, particularly in cases requiring support of the Windlass mechanism.
Step 5: In-Shoe Testing
Observe the patient’s stance and gait with the Formthotics in place, checking for comfort, fit, and effectiveness in supporting foot mechanics during movement.
Step 6: Ongoing Patient Management
Schedule follow-up appointments to assess the orthotics' effectiveness, discuss any needed adjustments, and ensure they continue to meet the patient’s needs over time.