MARATHON ORTHOTICS INC
is an Authorized RICHIE BRACE® Distributor

THE RICHIE BRACE® STANDARD VERSION
          




          
DESCRIPTION:
      The Richie Brace® is a custom ankle foot orthosis which
contains a balanced functional foot orthotic attached to a semi-
rigid ankle brace.  It is designed to apply force both above and
below the axis of rotation of the major joints of the foot and ankle
(rearfoot complex).   The Richie Brace® is designed to control foot
and ankle movements in situations where traditional foot orthotics
may fail.
CLINICAL INDICATIONS:
*Adult Acquired Flatfoot secondary to Posterior Tibial Tendon
Dysfunction (i.e. TPD,  PTTD etc)
*Severe Pronation secondary to Neuromuscular Disease, Tarsal
Coalition,
*Early Charcot Arthropathy
*  Severe Arthritis of the Ankle, Subtalar and Midtarsal Joints
*Lateral Ankle Instability
*Custom Sports Performance Brace
*Peroneal Tendinopathy i.e. chronic tendonitis or tear
CONTRAINDICATIONS:
The Richie Brace® is NOT indicated for:
#Severe Charcot Arthropathy
#Spastic Dropfoot  (for flaccid dropfoot, use Dynamic Assist Richie
Brace®)
#Spastic Equinus or Uncompensated Equinus
#Flexion Instability of the Knee (secondary to severe weakness of
Gastroc- Soleus and/or Quadriceps)
HOW DOES THE RICHIE BRACE® WORK?
The orthotic footplate is generally balanced to align the subtalar
joint in neutral position, midtarsal joint locked and pronated, and
the first ray in a neutral to plantarflexed position.  Conformity of
the orthotic footplate to the foot of the user encourages optimal
positioning and re-direction of ground reaction forces.   Rotation
of the joints of the rearfoot complex are controlled by controlling
TIBIAL ROTATION.  Tibial rotation is directly coupled to the
talonavicular joint and the subtalar joint.  By reducing tibial
rotation on the foot, the primary movement of pronation (internal
rotation) and inversion ankle sprain (external rotation) is
controlled.


INTRODUCING: THE RICHIE DYNAMIC ASSIST BRACE®
“A dorsiflexion-assist AFO for Dropfoot Conditions”
               







DESCRIPTION
The Richie Dynamic Assist Brace® is a custom articulated ankle-
foot-orthosis with two spring-like hinges, medial and lateral, to
provide up to 15 degrees of dorsiflexion of the foot at the ankle
joint during the swing phase of gait.

CLINICAL INDICATIONS
The Richie Dynamic Assist Brace® is indicated for the stabilization
of the foot and ankle in patients with weakness of the dorsiflexor
and evertor muscles of the lower leg.  This presentation may be the
result of:
*Post CVA (stroke)
*Mild Muscular Dystrophy
*Charcot Marie Tooth Disease
*Post Spinal Cord Surgery
*Diabetic Neuropathy

Brace is indicated for patients with:
Partial or complete dropfoot

CONTRAINDICATIONS
Brace is NOT indicated for patients with:
#Spasticity of plantar flexors or invertor muscle groups
#Moderate to severe weakness of plantarflexors
#Severe equinus ankle dorsiflexion zero degrees or less.

Brace CAN be used if patient has:
      Adducto-varus  foot deformity
      Diabetic Charcot deformity without severe equinus
      Body weight over 200 pounds

ADVANTAGES
The Richie Dynamic Assist Brace® is an alternative to traditional
AFO therapy for dropfoot because the  brace has  a comfortable,
low-profile sport brace design.  It also has a custom, balanced foot
orthotic that contours to the medial and lateral arches and
balances forefoot to rearfoot deformities, much like an podiatric
foot orthotic.  The orthotic footplate can incorporate standard
podiatric modifications including accommodations, forefoot
posting and sweet spots.  The dynamic hinge is anatomically
aligned to allow a comfortable pure sagittal plane motion
according to the patients’ own unique axis of rotation.  The casting
technique utilizes the standard Richie Brace® protocol with three
strips of plaster or the STS Ankle Sock.

The Richie Dynamic Assist Brace® is now available utilizing the
current standard Richie Brace® Prescription form.  Just designate
at the top of the form  “ Dynamic Assist” and complete the form
according to the footplate prescription requirements.

Complete casting instrutions for all Richie Braces® can be viewed
at:

         www.RichieBrace.com


FOR INFORMATION ABOUT THE COMPLETE RICHIE BRACE® LINE, FOR
ORDER FORMS AND ORDERING INFORMATION:

PLEASE CONTACT US AT MARATHONORTHO@EARTHLINK.NET

Other Products available:

               Little Richie Brace® - Pediatric
                   Richie Soccer Brace®
                   Arch Hammock & Arch Suspender for the Richie Brace®
                   OTC Brace