BS ISO 21064:2017 pdf download.Prosthetics and orthotics – Foot orthotics Uses , functions classification and description.
No internationally accepted method is available to describe devices applied to the foot to address neuromusculoskeletal impairments.
This situation has created problems for practitioners prescribing these devices, for manufacturers when describing their products and for those reporting on the devices used in the treatment of their patients and their effects.
BS ISO 21064 proposes the adoption of the term “foot orthotics” for this field of orthotic practice. It also specifies the clinical objectives [or the use of these devices and describes their functions and constituent components.
Manufacturers’ trade names anti details of materials and manufacturing processes have been avoided.
3.1
foot orthoses
orthoses that encompass the whole or part of the foot intended to address the effect of a neuromusculoskeletal impairments
Note I to entry: They can be custom fabricated or prefabricated.
Note 2 to entry: This definition supersedes the definition of ‘foot orthoses” in ISO 8549-3.
3.2
orthotic footwear
footwear intended to address the effect of a neuromusculoskeletal impairment(s)
Note 1 to entry: These can encompass the ankle joint. These devices are sometimes referred to as “orthopaedic footwear’. They can be custom fabricated or prefabricated.
3.3
adaptations (modifications) to footwear
adaptations (modifications) to either standard footwear or prefabricated orthotic footwear intended to meet the clinical needs of the individual user
4 Uses
Foot orthotic devices may be used to achieve the following clinical objectives:
a) to relieve pain;
b) to promote balanced standing and walking;
c) to manage deformities which arc:
1) reducible (flexible) (e.g. pes planus);
2) irreducible (fixed) (e.g. fixed equinus);
d to control joint instability (e.g. ankle ligament insufficiencyl;
6.2 Description of foot orthoses (used in conjunction with footwear)
Types of foot orthoses include:
a) heel raises;
b) heel cups/shells (which may be extended);
c) foot orthoses with:
1) flares;
2) suprarnalleolar extensions;
3) medial/longitudinal arch supports;
4) metatarsal supports;
5) stiffening;
6) cushioning;
6.3.3 Custom fabricated orthotic footwear
Types include footwear to:
a) accommodate foot deformityesJ;
b) accommodate extreme foot shape and size;
c) compensate for severe limb discrepancy;
d) compensate for foot deficiencies;
c) accommodate vulnerable (at risk) feet.
Some types of custom fabricated footwear incorporate several of these features.
6.4 Description of adaptations (modifications) to footwear Types of footwear adaptation include.BS-ISO-21064-2017