Determining the Correct Strength of Tactile Stimulation

Proprioceptive insole therapy is done incrementally; similar to the use of orthodontic braces (using too much stimulation, too soon would be analogous to trying to straighten the teeth too quickly).  The animated model (left) illustrates the final strength of tactile stimulation based on measured Primus Metatarsus Supinatus values.

Rule of Thumb:
Bracers – in almost all cases start with 3.5mm
Releasers – in almost all cases, never start with more than 6.0mm

If possible, never start using foot and mouth stimulators at the same time.  Start with one or the another, only.  When that therapy is completed, start using the other stimulator.

A change in strength of tactile stimulation is determined by the patient’s clinical progress.  When the stimulation needs to be either increased or decreased, the effectiveness of the tactile stimulation will diminish and symptoms will resurface.