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Process

Insole Fabrication Process

Our insole fabrication process has been meticulously designed and is the heart of our technology. Our process is what differentiates us from any other insole fabricating unit or pre-fabricated insoles that are sold over the shelf (we sell them too, for the ones who are in other cities and are unable to visit the clinic for a customized pair).
Your time: 20 minutes
Our time: 45 minutes

  • Posture Analysis

    Welcome to the world of asymmetry! We humans are all asymmetrical. Our natural asymmetry varies from person to person and depends on individual physiological make-up as well as our habits and our lifestyle choices. For many people, these slight discrepancies are naturally compensated for and the asymmetry goes unnoticed. For others, however, the differences are more pronounced and may result in a trauma to the overall postural system.

    Take for example, someone who, due to working conditions, uses repeated and prolonged “bad” posture. The trauma to their overall postural system may begin to manifest itself in back pain. To treat the origin of the pain, the correct source of the postural imbalance must be identified.

    KINEOD uses infrared acquisition technology to provide a complete, 3D postural analysis for this very purpose: assistingexperts in diagnosing postural imbalances. KINEOD is an ideal solution for experts treating pathologies of the spine or lower limbs, ooking to improve impaired balance and posture or perhaps wishing to confirm a diagnosis with a thorough follow-up and assessment of the implemented therapeutic strategies.

    KINEOD is also an excellent communication tool that will help the expert not only communicate the pathologies to the patient but to illustrate the results of the therapies put in place.

  • How does it work?

    The KINEOD station can quickly be set up on its tripod and simply connects to your computer via an USB 2.0 port. The phases of preparation, acquisition and reconstruction are optimized through an ergonomic user interface and intuitive management of the patient database.

    Preparation

    To set-up a patient, the process includes: Identifying skin markers with a felt pen at the specified anatomic landmarks and then tracing a dotted line on the patient’s exposed back that follows the spinal column.

    Acquisition

    The patient is positioned correctly through a virtual viewfinder. The patient holds the posture for the short duration of the acquisition: (33 ms).

  • Reconstruction

    The reconstruction phase is quite fast, includes 3-steps, and uses the automatic detection of morphological markers. After validation of the mask, the position of skin markers and the position of the spinous lines, the data is readable on the user interface.

  • Reconstruction

    KINEOD brings major clinical benefits for an objective evaluation based on a full body 3D reconstruction. The following clinical analyses are available by automatic reports and a 3D viewer.

    Report summary

    The dashboard summarizes the various parameters calculated by the software. Details of each feature (Gibbosity, Sagittal / Front / Apical...) are available by clicking on the corresponding parameter.

  • Sagital Analysis

    Sagittal analysis offer choices of sagittal plane selection (profile view) to obtain corresponding cyphosis (back roundness) and lordosis (lower back) parameters.br>

  • Apical analysis

    The apical analysis (top view) combines the frontal and sagittal information to better appreciate the distortion along the spinous line. It also assesses the gibbosity (hump at one side and depression on the other) on a plurality of apical sections.

  • Apical analysis

    Allows practitioners to view several indicators: The angles between the pairs of markers and a reference corresponding to imbalances. The lateral deviations from the C7 vertebra in relation to the inter-gluteal fold, knees and malleolus over PSIS.

    The vertical de Barré indicates the deviation of C7 point and gluteal fold from a vertical drawn from the middle of both ankles. On the lower limbs, the front axle of the knee and the mechanical axis between the knee and ankle are indicated in degrees.

  • Personalized measurement

    The software can perform custom measurements of angles and distances. It is possible to work according to a line of gravity or the horizontal plane.

  • Morphometric analysis

    This dynamic modeling allows users to visualize the body’s deformation through several views (naked, contour lines or colors by concavities).

  • Patient follow-up

    This dynamic modeling allows users to visualize the body’s deformation through several views (naked, contour lines or colors by concavities).

  • Patient follow-up

    This dynamic modeling allows users to visualize the body’s deformation through several views (naked, contour lines or colors by concavities).

  • Posture Analysis Report

  • How Foot Scanner is Used ?

    Check the pressure points on your soles in static conditions using a tangential light podoscope

  • Digital foot scan analysis using Baropedometer

    We will scan your feet in static and/or dynamic conditions depending on your activity levels and check for the weight pressure distribution on your feet

  • Selection of Insole Materials

    The Factors involved are:-

    1. Size
    2. Type of Foot-wear.
    3. Weight
    4. Activity of Patient
    5. Biomechanical Axis
    6. Pathalogy.

  • Material Used for Insole

    1. EVA
    2. Polythylene Foam
    3. Polyurethane Foam.
    4. Polyester resin

  • Fundamental Principle of Plantar Moulding

    The notion of moulding brings the idea of comfort, something we all look for. Thermoforming a pair insoles for the purpose of providing comfort is a fairly simple exercise. But, providing relief to a patient requires modification of his/her articular axis during the moulding procedure to eliminate pathogenic movements. We need to understand this specific point which forms the basis for all orthotic treatments but raises numerous technical problems:

    • Should moulding be done sitting, half-standing, or standing?
    • In what position should the foot be placed?
    • How to be sure of the correct posture of the foot?
    • Is it possible to have a dynamic approach?

    Distribution of plantar pressure:

    Moulding an inAsole goes back to giving it a shape exactly opposite to that of sole of the foot. Hence, we are talking about a Plantar Negative Moulding (PNM).
    In order to homogenously distribute the pressure that a patient exerts on his foot while standing, we need to mould a rigid support in a nonAcompressive manner when the patient is standing.
    Noncompress moulding:
    Noncompress moulding has the property of perfectly respecting the base shape of the foot. By using casting material under the foot without applying pressure (for example, in sitting position), it is possible to take a nonAcompress mould. If, during this process, the foot is put down on a surface which does not have the same form as the foot, the pressure zones will lose their homogeneity.

    Moulding done in standing position:

    A remarkable aspect of moulding done with the use of sand is that it can be done in standing position. The height of the inner arch is therefore, exactly that of the foot under the weight of the body. Distribution of pressure is also closer to the real situation when moulding is taken in this position. The plantar heel area is an area sensitive to the pressure phenomenon. Hence, it is important that moulding be nonAcompress in standing position.

    Why use a rigid support?

    A soft material (for eg. foam) that is not moulded according to the patient’s foot, needs to modify its shape under compression so that it perfectly embraces the plantar shapes. This compression results in variations in pressure applied to the most compressed zones and the least compressed zones of foam, which in turn inhibits efficient distribution of plantar pressure.
    A soft material moulded to the shape of the patient’s foot, will also get compressed under his/her body weight, thereby increasing the pressure endured by pressure zones.
    Hence, it is impossible to homogenise the plantar pressure with the help of a soft material.
    On the condition that a rigid material is moulded in standing position, in a non compressive manner, it forms a cradle capable of distributing plantar pressure more efficiently. On using the inAsole, the patient will immediately experience and appreciate this phenomenon. This process is the only one to offer both, comfort and a perfectly stable grip (process used to make the seats of Formula 1).

    Moulding done in a functionally controlled posture:

    The main objective of our inAsoles is to treat pathogenic postures. Hence it is important to put the foot in a functionally correct posture during the moulding stage itself, and to be sure of it.
    The main objective of our insoles is to treat pathogenic postures. Hence it is important to put the foot in a functionally correct posture during the moulding stage itself, and to be sure of it. Neutral posture corresponds to the articular alignment (or congruence) of the Talus head and the navicular bone. The sufficiently fine tactile feedback of the placing of this bone enables a precision close to the smallest halfmillimetre.
    It offers a double advantage of eliminating the pathogenic postures (hence the pathology), and respecting the morphology of the patient.
    A third advantage, and a more subtle one, comes from this method. The practitioner is sure of his therapeutic advice. This argument obliges us to mould the plantar orthoses specifically to the patients’ feet all by ourselves. In fact, morphology varies a lot from one individual to another. When using a prefabricated insole to compensate a pathogenic postural behaviour, not only are there serious chances that the shape does not correspond to the functional needs of the patient, but the practitioner also has no control over his treatment.
    The risk, therefore, is double. The treatment could be either insufficient and does not relieve the patient completely, or (and this is worse), more severe than required. The result, therefore, is short term relief, due to a shifting of the pathology. The postural alignment being incorrect, another pathogenic movement takes place, which will undoubtedly trigger another more or less long term pathology, over which the practitioner will have no more control than he had the first time.

    Functional control in the three stages of the step:

    To avoid the risks mentioned above, we have put a rigourous moulding procedure in place, based on the principles of American Biomechanics, by working on the limits of this method (for example, too much processing time, too rigid insoles, too much time lapse between renewal of orthoses, very high cost to the patient, etc.). The moulding procedure that we use is therefore, done in the neutral posture in all the three stages of step progression (taligrade, plantigrade, and digitigrade) and not only in plantigrade. In this way, the practitioner gets total control over the position of the foot as it would be when the patient performs his activity.
    Moulding in the taligrade stage helps harmonise the arch of the insole to that of the shoe, which in the case of women’s shoes prevents the heel from getting dislodged.
    Moulding in the dynamic phase (digitigrade stage) marks the exact placement of the metatarsal heads as they move. Taking such a footprint of the metatarsal plantar pressures automatically places the foot in the functionally correct posture when it propels itself forward to take the next step. Remember that this quality of functional correction is impossible to achieve with a prefabricated insole, while it is of crucial importance to preserve a non-pathogenic knee axis during movement.
  • Thermoforming the Insole

    We heat the insole material to make it malleable and then we thermoform it in your foot impression so that it cools down to take the correct contour

  • Adding of correction Elements & Finishing of Insoles

    Correction elements are added at specific areas under the foot (eg. Arch support, metatarsal pad, etc.) based on the targeted objective so that your foot gets the required support and comfort

    The insole is then put through a grinding process that offloads weight from areas receiving excessive weight pressure or from areas of wounds, ulcers, corns, calluses and we give the insole a finish that your customized hand-made pair of orthotics looks like a factory cut piece with a smooth finish.

  • Fitting

    The orthoses are then fitted into your shoes or sandals the way regular insoles are.