Eneslow Shoe Modifications - II Rocker Sole

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Exterior addition to the outsole that tapers off at the distal tip of the outsole; may taper off at the posterior edge of the heel, affecting biomechanical function. Curved sole which causes rocking instead of flexing action. Rocker soles are designed to: control foot motion, decrease impact forces and shock on hip, knee, ankle and foot, improve posture, balance and gait. Rocker sole is a contoured platform which controls joint motion in the sagittal plane (dorsiflexion, plantarflexion) by rocking the foot from heel strike through toe-off. By adjusting the location, height, length, and pitch of the rocker, the weight of the body causes the foot to rock as it passes over the fulcrum(s) of the shoe.

A. FOREFOOT (SOLE ONLY) ROCKER

When writing work order for Rockers please specify:

Mark the Fulcrum or Pivot Point (location on which a lever pivots); it should be 1/8” inch behind the area you are offloading. Height measurement of the Rocker depends on heel height and shoe size. The higher the heel, the higher the Rocker CAN be.

B. FULL SOLE (HEEL, BALL, TOE) ROCKER:

Metatarsal Rocker:

(shoe with separate heel); Reduces ground-reactive force to the metatarsal heads to relieve metatarsal and neuroma pain.

Met-Head Rocker:

(shoe with wedge sole); Reduces ground-reactive force to the metatarsal heads to relieve metatarsal and neuroma pain.

Toe Off Rocker:

Reduces pressure and shear on toes and inhibits motion at the MTP joints and IP joints allowing roll-off at most distal point of foot contact.

Ankle Joint Rocker:

Lessens demand for ankle joint motion at heel contact and propulsion. Useful for fixed or limited ankle joint motion deformity.

Equinus Ankle Joint Rocker:

Maintains foot in dorsiflexed position (negative heel) to off-load the forefoot.

Double Rocker:

Absorbs plantar midfoot forces (hammock effect) while controlling motion from heel contact through propulsion.

Lisfranc’s Midfoot Rocker:

Supports and stabilizes midfoot while providing rocking effect; reduces propulsive force to the midfoot.

C. CUSHION HEEL (SACH: SOLID ANKLE CUSHION HEEL):

SACH: SOLID ANKLE CUSHION HEEL

Soft shock absorbing material is inserted into posterior portion of the heel replacing firm heel base under firm top lift. Reduces shock at heel strike, and compensates for lack of ankle motion. At heel contact cushion diminishes moment of force; reduces demand for ankle motion and knee flexion; absorbs impact; used for Calcaneal Fracture, Ankle Arthrodesis & Arthritis, Heel Pain.

D. STEEL SOLE BAR/EXTENDED RIGID SHANK:

Steel Sole Bar/Extended Rigid Shank

Firm, stiff, inflexible addition to the shoe sandwiched between insole and outsole extending from heel-to-toe. Makes shoe more rigid in sagittal plane, for painful or fixed joints; used with rockers.

Rigid Carbon Graphite Foot Plate:

Rigid insole fits inside shoe to prevent sagittal plane motion.

Table of Content

Introduction
Elevation/Build up
Rocker Sole
Stabilizers
Upper Modifications
Recrafting
Internal Modifications
Custom Shoes
Custom Orthotics