It’s estimated that up to 85% of the population suffer from pronation and related conditions.
Excess pronation is not an isolated condition – it contributes to causing mal-tracking and misalignment of the knee joint and hips, causing over compensation of the lower back muscles.
Such biomechanical dysfunction can affect patients of ALL ages and is not restricted to highly active people. Young children, adults, the elderly and even top athletes can suffer from pronation and its related effects.
Realignment of the lower limbs to the Neutral Calcaneal Stance Position (NCSP) with ICB Heat Moulding Orthotics integrated into the practitioners particular treatment modality, ensures correct foot function, and relief from painful biomechanical complaints, including:
• Bunions & Corns
• Plantar Fasciitis & Heel Spurs
• Metatarsalgia & Mortons Neuroma
• Achilles Tendonitis
• Shin Splints
• Tibial Stress Syndrome
• Achilles Tendonitis
• Patello Femoral Pain
• Ilio-Tibial Band Syndrome
• Tired Aching Legs
• Hip Pain
• Osteo-Arthritis
• Severs Disease
• Osgood Schlatters
• Growing Pains
• Lower Back Pain
Finding Subtalar Joint Neutral
ICB Anterior Line Method
1. Start with talo-navicular technique and find the mid point between the marked dots.
2. Mark the position of the 2nd metatarsal head and join with a line.
3. Draw a line down the trough on the lateral aspect of the tibial crest.
4. Palpate the subtalar joint until the lines are straight.
Talo Navicular Technique
1. Place forefinger and thumb either side of the Talo Navicular joint.
2. Palpate until joint feels congruent or even.
3. Subtalar Neutral will be achieved when the foot is neither pronating nor supinating.
Posterior Lower 1⁄3 Calcaneal Method
1. Bisect the lower area of the calcaneus
2. Bisect the lower posterior 1/3 tibia
3. Hold the talo-navicular joint and palpate whilst viewing the posterior view of the calcaneus.
4. Subtalar neutral is found when both lines are in line with each other.
NCSP: Neutral Calcaneal Stance Position RCSP: Resting Calcaneal Stance Position.
ICB Heat Moulding Orthotics
1. Attach any Forefoot or Rearfoot Additions prior to heat moulding.
2. Holding the ICB orthotic by the distal edge, heat the orthotic using an ICB Heat Gun. Hold the heat gun 15cm from the plantar surface of the orthotic – heating for 20-30 seconds in a ‘10-seconds-on, 3-seconds-off’ sequence until the surface has softened.
3. Heat the plantar surface of the orthotic until it gains elasticity. Overheating is not recommended.
4. Place the heated orthotic into the patients shoe – the patient must wear both orthotics and shoes during the moulding process.
5. As the patient stands, place the foot into the Subtalar Neutral Position and hold the orthotic to the arch for 30-40 seconds.
6. After molding, remove the orthotic from the shoe and allow to cool for 1-2 minutes then place back into shoe.
7. Repeat the process for the other foot.
8. Attach Heel Lifts and Metatarsal Domes as required after heat moulding.
NOTE: DO NOT apply heat to Talbrelle cover on the dorsal surface.
Moulding and Grinding
ICB Orthotics are very versatile and can be custom fitted by heat moulding to the patient’s foot in the footwear or by moulding directly to the plaster cast and vinyl covers added, allowing for personal customisation.
ICB Orthotics are 100% EVA which enables them to be moulded completely for full correction and grinding is done in the workshop using a bench or hand held grinder. Pes Cavus foot types can be fully accommodated using the unique molding ability of ICB 100% EVA orthotics.