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Aug 6

Written by: Larry Huppin, DPM
8/6/2009 1:49 PM

A loose definition of a flexible orthosis is one where the arch collapses about halfway to the ground under the weight of a particular patient.   A semi-rigid orthosis is one that shows a minimal amount of deformation under a patient's weight and a rigid device is one that does not deform at all.   

The flexibility of an orthosis is dependent on a number of factors, including:   

  • Orthosis material: Some materials are simply more rigid than others. Read more here
  • Material thickness: Thicker materials are more rigid
  • Patient weight: An orthosis that is rigid for a 100lb patient would be "flexible" for a 250 lb patient.
  • Patient arch height:  Increased curvature increases rigidity.  For example, a polypropylene shell that is flexible for a low-arched foot might be rigid for a high-arched foot.
  • Heel cup height:  The increased shell curvature increases rigidity
  • Cast fill:  A minimum fill results in a higher arch and greater rigidity than a standard or maximum fill
  • Post:  Adding a post increases rigidity
  • Post material:  More rigid materials (polypropylene vs. EVA) increase orthosis rigidity

When prescribing polypropylene orthoses using our prescription form you can choose either material thickness or a rigidity.  If you choose a rigidity, we will take all of the above factors into consideration in order to give you the rigidity you prescribed.  

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