QUADRASTEP A B C D E F SYSTEM
A POSSIBLE CLINICAL SYMPTOMS • Lateral Ankle Instability • Peroneal Tendonitis • Heel Pain KEY ORTHOTIC FEATURES • 5th Metatarsal Base Pressure • Lateral Biaxial Forefoot Posting • Lower Back Pain • 1st MTH Cut-out • Sesamoiditis, Hammer Toes • Deep Lateral Heel Cup • Knee Recurvatum • Equinus Correction SEVERE PES CAVUS
SEVERE PES CAVUS
The Quad A foot type is commonly thought of as an over- supinated or Severe Pes Cavus foot. This condition, also A known as a Torque Foot, occurs when an Uncompensated Rearfoot Varus is coupled with a Large Rigid Forefoot Valgus.
GAIT
PROPELS FORCEFULLY FROM 1st METATARSAL
CALLUSES “PEEK-A-BOO” HALLUX
LARGE EXTERNAL TIBIAL/FIBULAR ROTATION
FOOT PROGRESSION CAVUS/HIGH ARCH ANGLE POSSIBLE SYMPTOMS • Lateral Ankle Instability • Peroneal Tendonitis • Heel Pain • 5th Met. Base Pressure • Lower Back Pain VALGUS FOREFOOT Sesamoiditis, Hammer Toes LARGELY INVERTED HEEL ALIGNMENT • ALIGNMENT • Knee Recurvatum
- AFFORDABLE, READY-TO-WEAR, WITH CUSTOM RESULTS! QUADRASTEP B A B C D E F SYSTEM POSSIBLE CLINICAL SYMPTOMS • Sesamoiditis • 1st Ray Hypermobility • Sacro-iliac Joint Pain KEY ORTHOTIC FEATURES • Often unilateral, may be • Medial RF Posting associated with leg length discrepancies • Intrinsic Lateral FF Posting • Mild Medial Skive MILD PES PLANUS
MILD PES PLANUS The Quad B foot-type is a mildly over-pronated foot. This is the result of a Compensated Rearfoot Varus with a flexible forefoot valgus deformity. B It is often unilateral and may be associated with a leg length discrepancy
GAIT
TOE IN GAIT
TOE IN CALLUSES
MILD-MODERATE INTERNAL TIBIAL/FIBULAR ROTATION
FOOT PROGRESSION ANGLE LOW-MEDIUM ARCH POSSIBLE SYMPTOMS • Sesamoiditis • 1st Ray Hypermobility • Sacro-iliac Joint Pain • Often unilateral, may be associated with leg MILDLY INVERTED HEEL ALIGNMENT VALGUS FOREFOOT ALIGNMENT length discrepancies
- AFFORDABLE, READY-TO-WEAR, WITH CUSTOM RESULTS! QUADRASTEP C A B C D E F SYSTEM POSSIBLE CLINICAL SYMPTOMS • Retrocalcaneal Bursitis • Lateral Hip Pain • Haglund’s Deformity KEY ORTHOTIC FEATURES • Lower Back Pain • Stabilizing RF Posting • Iliotibial Band Syndrome • Medium Arch • Pinch Callus Medial Hallux • Standard Depth Heel Cup NEUTRAL FOOT
NEUTRAL FOOT
The Quad C foot-type is sometimes referred to as a subtle Pes Cavus foot or an under-pronator. This foot-type exists when an Uncompensated Rearfoot Varus is coupled with a relatively C normal (neutral) forefoot alignment. A key distinguishing feature of this foot-type is an obvious toe-out gait pattern.
GAIT
TOE OUT GAIT
CALLUSES “FALSE” TOE SIGN
FOOT PROGRESSION NORMAL EXTERNAL ANGLE TIBIAL/FIBULAR ROTATION
POSSIBLE SYMPTOMS • Retrocalcaneal Bursitis • Lateral Hip Pain MEDIUM ARCH • Haglund’s Deformity • Lower Back Pain • Iliotibial Band Syndrome • Pinch Callus Medial Hallux
NORMAL FOREFOOT MODERATELY INVERTED HEEL ALIGNMENT ALIGNMENT
- AFFORDABLE, READY-TO-WEAR, WITH CUSTOM RESULTS! QUADRASTEP A B C D E F SYSTEM D POSSIBLE CLINICAL SYMPTOMS • Plantar Fasciitis • Metatarsalgia • Functional Hallux Limitus KEY ORTHOTIC FEATURES • Patellofemoral Pain Syndrome • Deep Heel Cup • Posterior Tibial Tendonitis • Medial RF Posting • Neuromas • Moderate Medial Skive • Hallux Limitus • Medial and Lateral Flare MODERATE PES PLANUS
MODERATE PES PLANUS
The Quad D foot-type is a moderately over-pronated foot. D This foot-type occurs when a Compensated Rearfoot Varus exists with a normal or neutral forefoot alignment.
GAIT
PROPELS OFF 2ND & 3RD METATARSAL (DUE TO TRANSVERSE METATARSAL ARCH REVERSAL)
CALLUSES NEUTRAL TOE SIGN
MODERATE INTERNAL TIBIAL/FIBULAR ROTATION FOOT PROGRESSION ANGLE
LOW ARCH POSSIBLE SYMPTOMS • Plantar Fasciitis • Metatarsalgia • Functional Hallux Limitus • Patellofemoral Pain Synd. • Posterior Tibial Tendonitis VERTICAL HEEL ALIGNMENT NEUTRAL FOREFOOT • Neuromas ALIGNMENT • Hallux Limitus
- AFFORDABLE, READY-TO-WEAR, WITH CUSTOM RESULTS! QUADRASTEP E A B C D E F SYSTEM POSSIBLE CLINICAL SYMPTOMS • Shin Splints • Plantar Fasciitis • Tailor’s Bunionette KEY ORTHOTIC FEATURES • Cuboid Syndrome • Medial RF & FF Posting • Medial Knee Pain • 5th MTH Cut-Out • 1st Ray Recess • Mild Medial Flare ABDUCTOVARUS FOREFOOT
ABDUCTOVARUS FOREFOOT
The Quad E foot-type is one of the most unique looking feet, often with a reverse-lasted foot shape. This foot-type is the E result of a combined Uncompensated Rearfoot Varus, coupled with a large Rigid Forefoot Varus.
GAIT
MEDIAL HEEL PIVOT
CALLUSES ABDUCTED TOE SIGN
MILD INTERNAL TIBIAL/FIBULAR ROTATION
FOOT PROGRESSION ANGLE MEDIUM/LOW ARCH POSSIBLE SYMPTOMS • Shin Splints • Plantar Fasciitis • Tailor’s Bunionette • Cuboid Syndrome MILDLY INVERTED HEEL ALIGNMENT VARUS FOREFOOT • Medial Knee Pain ABDUCTED FOREFOOT ALIGNMENT
- AFFORDABLE, READY-TO-WEAR, WITH CUSTOM RESULTS! QUADRASTEP A B C D E F SYSTEM F POSSIBLE CLINICAL SYMPTOMS • Posterior Tibial Tendon Dysfunction KEY ORTHOTIC FEATURES • Tarsal Tunnel Syndrome • Deep Heel Cup • Plantar Fasciitis • Large Medial Skive • Patellofemoral Pain Syndrome • Medial RF & FF Posting • Subfibular Impingement • 1st MTH Cut-Out to assist • Hallux Valgus/Bunion Peroneal Functioning • Splayfoot • Ideal for Posterior Tibial Tendon Dysfunction SEVERE PES PLANOVALGUS
SEVERE PES PLANOVALGUS
The Quad F foot-type is commonly referred to as a Pes Planovalgus foot deformity because of its very poor alignment to the floor. This is a true “flat foot.” The condition occurs F when a Compensated Rearfoot Varus is coupled with a large Flexible Forefoot Varus (also called Forefoot Supinatus).
GAIT
LATERAL COLUMN INSTABILITY
CALLUSES
ABDUCTED TOE SIGN
FOOT PROGRESSION LARGE INTERNAL ANGLE TIBIAL/FIBULAR ROTATION
POSSIBLE SYMPTOMS • Posterior Tibial Tendon FLAT ARCH Dysfunction • Tarsal Tunnel Syndrome
• Plantar Fasciitis
• Patellofemoral Pain Syndrome • Subfibular Impingement • Hallux Valgus/Bunion EVERTED HEEL ALIGNMENT VARUS FOREFOOT • Splayfoot LARGE TOE SIGN ALIGNMENT
- AFFORDABLE, READY-TO-WEAR, WITH CUSTOM RESULTS! QUADRASTEP 877.792.4669 A B C D E F thequadrastepsystem.com SYSTEM
SEVERE PES CAVUS MILD PES PLANUS A B
GAIT GAIT
“PEEK-A-BOO” PROPELS FORCEFULLY TOE IN TOE IN GAIT HALLUX FROM 1st METATARSAL
CALLUSES
CALLUSES
MILD-MODERATE TIBIAL/FIBULAR INTERNAL ROTATION TIBIAL/FIBULAR LARGE EXTERNAL ROTATION
CAVUS/HIGH ARCH FOOT PROGRESSION LOW-MEDIUM ARCH FOOT PROGRESSION ANGLE ANGLE POSSIBLE SYMPTOMS POSSIBLE SYMPTOMS • Lateral Ankle Instability • Sesamoiditis • Peroneal Tendonitis • Heel Pain • 1st Ray Hypermobility • 5th Met. Base Pressure • Sacro-iliac Joint Pain • Lower Back Pain • Often unilateral, may be LARGELY INVERTED HEEL ALIGNMENT VALGUS FOREFOOT • Sesamoiditis, Hammer Toes MILDLY INVERTED HEEL ALIGNMENT VALGUS FOREFOOT associated with leg ALIGNMENT • Knee Recurvatum ALIGNMENT length discrepancies
NEUTRAL F OO T MODERATE PES PLANUS
C D normal
GAIT GAIT “FALSE” TOE SIGN NEUTRAL TOE PROPELS OFF 2ND & SIGN TOE OUT GAIT 3RD METATARSAL (DUE TO TRANSVERSE METATARSAL ARCH REVERSAL) CALLUSES
CALLUSES
NORMAL EXTERNAL MODERATE INTERNAL TIBIAL/FIBULAR TIBIAL/FIBULAR ROTATION ROTATION FOOT PROGRESSION ANGLE
POSSIBLE SYMPTOMS FOOT PROGRESSION • Retrocalcaneal Bursitis LOW ARCH ANGLE MEDIUM ARCH • Lateral Hip Pain POSSIBLE SYMPTOMS • Haglund’s Deformity • Plantar Fasciitis • Lower Back Pain • Metatarsalgia • Iliotibial Band Syndrome • Functional Hallux Limitus • Pinch Callus Medial Hallux • Patellofemoral Pain Synd. • Posterior Tibial Tendonitis NORMAL FOREFOOT MODERATELY INVERTED HEEL ALIGNMENT VERTICAL HEEL ALIGNMENT NEUTRAL FOREFOOT • Neuromas ALIGNMENT ALIGNMENT • Hallux Limitus
ABDUCTOVARUS FOREFOOT SEVERE PES PLANOVALGUS E F
GAIT GAIT
MEDIAL HEEL PIVOT LATERAL COLUMN ABDUCTED ABDUCTED INSTABILITY TOE SIGN POSSIBLE SYMPTOMS TOE SIGN
CALLUSES CALLUSES
MILD INTERNAL LARGE INTERNAL TIBIAL/FIBULAR TIBIAL/FIBULAR ROTATION ROTATION FOOT PROGRESSION ANGLE
POSSIBLE SYMPTOMS FOOT PROGRESSION • Posterior Tibial Tendon MEDIUM/LOW ARCH ANGLE FLAT ARCH Dysfunction • Tarsal Tunnel Syndrome
POSSIBLE SYMPTOMS • Plantar Fasciitis
• Shin Splints • Patellofemoral Pain Syndrome • Plantar Fasciitis • Subfibular Impingement • Tailor’s Bunionette • Hallux Valgus/Bunion • Cuboid Syndrome • Medial Knee Pain • Splayfoot MILDLY INVERTED HEEL ALIGNMENT VARUS FOREFOOT EVERTED HEEL ALIGNMENT VARUS FOREFOOT ALIGNMENT ALIGNMENT ABDUCTED FOREFOOT LARGE TOE SIGN
- AFFORDABLE, READY-TO-WEAR, WITH CUSTOM RESULTS!