Custom ToeOFF & BlueRocker Achieving Success! After viewing this presentation you will be fully aware of the proper techniques required to fit a or BlueRocker.
This presentation will cover Indications Applications Process and procedures Model acquisition Reimbursement Agenda
Indications Some of the indications that have been successfully fit with both Standard and products are: CVA MS CMT ALS TBI GB SCI Neuropathy Post-Polio Soft-tissue Injuries
The primary reasons you would use a Custom over a standard product are for the following conditions: Applications Atrophy Obesity Deformity Modified ToeOFF or Blue Rocker properties
Some additional applications include: Change support level AP (crouch gait) ML (Trunk sway) Change heel rise Incorporate relief Tibial crest Cavus foot
A NOT an application for: Delamination Refer to the ToeOFF Customization guide to resolve delamination issues.
Process & Procedures Evaluate patient Assess in standard ToeOFF or BlueRocker whenever possible Establishes baseline for required dynamic response
Evaluate patient Complete forms Process & Procedures
Evaluate patient Complete forms Important to fill out information on size used for evaluation purposes. Process & Procedures
Evaluate patient Complete forms Page 4 allows changes to be made to the dynamic properties. Fill out all grey boxes. Process & Procedures
Evaluate patient Complete forms Measure the heel height of the patient s shoe to make sure the is aligned properly. Process & Procedures
Evaluate patient Complete forms Page 5 is only to be used when ordering by measurements. Photo must accompany the forms. Don t forget to attach pages 3 & 4. Process & Procedures
Process & Procedures Evaluate patient Complete forms Select footwear Shoe selection Shank & counter Rocker sole Facilitate 3 rd rocker Measure Heel Rise
Process & Procedures Evaluate patient Complete forms Select footwear Determine heel rise Inside heel = 5/8 Inside ball = 1/8 Needed rise = 1/2
Process & Procedures Evaluate patient Complete forms Select footwear Determine heel rise Manage the foot biomechanics. Foot orthotic shell At a minimum Custom if necessary Capture if casting or scanning
Evaluate patient Complete forms Select footwear Determine heel rise Manage the foot What is possible Process & Procedures
What is possible? Modify the properties of a Standard ToeOFF!
What is possible? Extra small No height restrictions on the low end. Smallest footplate is 190mm or 7 ½ Process & Procedures
What is possible? Extra small Extra tall Up to ¾ taller than an XL Max. Footplate length 310mm or 12¼ Process & Procedures
What is possible? Extra small Extra tall Increase or decrease stiffness by up to 2 times a standard product. AP ML Process & Procedures
Cast-requirements Fiberglass only Posterior-medial opening Neutral in sagittal plane or to proper heel height Anterior & Lateral plumb lines Model Acquisition
Cast Note: If there are any uncorrectable deformities in the frontal plane, they should be represented by standing the patient and then marking the plumb lines. Model Acquisition
Cast Measurement All forms must be completely filled out 4 (exactly) Piece of tape, placed vertically on calf Photo must accompany the forms Model Acquisition
Cast Measurement Scan Must have extension.cxpxp or export as a STL File Model Acquisition
Video of Patient A video of your patient is required to aid us in making the best possible brace for your patient. The video should be ten seconds long showing your patient walking toward and away from the camera with his/her knees visible. The video can be emailed to Customs@allardusa.com
Two replacements within one year of the original fit date. Heel height from ¼ to 1 Warranty Greater than 1, covered for 6 months under GMP (Good Manufacturing Practices)
Casts shipped to Allard USA 3 4 week turnaround Turnaround Time
Solid Ankle Reimbursement Cost Materials $ 60 Labor $ 150 Total $ 210 Allowable Ceiling Floor L1960 $ 625 $ 469 L2270 $ 61 $ 45 Total $ 686 $ 514
Hinged AFO Reimbursement Cost Materials $ 100 Labor $ 150 Total $ 250 Allowable Ceiling Floor L1970 $ 802 $ 602 L2220x2 $ 92 $ 69 L2270 $ 61 $ 45 Total $ 955 $ 716
Reimbursement Cost Base $ 695 SoftKit $ 36 Total $ 731 Allowable Ceiling Floor L1945 $1,044 $ 738 L2232 $ 105 $ 79 L2755x2 $ 282 $ 212 L2820 $ 98 $ 73 Total $1,529 $1,147
Additional Information Contact Andrew Gonzalez Product Specialist Office: 888-678-6548 ext.1200 Fax: 800-289-0809 Email: Customs@allardusa.com