Table 2 Orthema Orthowin® Software Addition Protocol and Orthotic Fitting Modifications

1.

Heel cup contour

▪ Width of horseshoe shape adjusted to create smooth heel contour

2.

Medial rearfoot skive

▪ Height dependant on degree of pronation as rated by the FPI:

 Mild: 140% (height approx. 23 mm; FPI: 0–4),

 Moderate: 170% (height approx. 28 mm; FPI: 5–8),

 Severe: 200% (height approx. 33 mm; FPI: 9+)

▪ No medial skive will be added to a supinated foot type

3.

Cuboid pad

▪ 50% height (approx. 10 mm)

▪ 150% of original addition length added to region of cuboid (approx. 122 mm)

4.

Metatarsal dome

▪ Standard shape at 90% height (approx. 5 mm) and width adjusted to leave approx. 1.5 cm either side of block

▪ Length adjusted to extend from proximal metatarsal heads to base of metatarsals

5.

Rearfoot-midfoot supination/pronation wedge

▪ Height adjusted dependent on degree of pronation or supination as rated by the FPI

 Mild: 140% (height approx. 13 mm; FPI: 0–4),

 Moderate: 170% (height approx. 17 mm; FPI: 5–8),

 Severe: 200% (height approx. 20 mm; FPI: 9+)

▪ Length adjusted to finish just proximal to 1^st metatarsal head

6.

Plantar fascia groove

▪ 2 mm depth

▪ Length adjusted to span medial longitudinal arch along approx. line of plantar fascia and the FHL tendon