Journal of Orthopedic and Sports Physical Therapy-April 2007
Effects of wearing foot 1st Step® foot orthosis with medial arch support on the fifth metatarsal loading and ankle inversion angle in selected basketball tasks.
OBJECTIVE: The objective was to investigate the effects of foot orthosis with medial arch support on ankle inversion angle and plantar forces and pressures on the fifth metatarsal during landing for a basketball lay-up and during the stance phase of a shuttle run.
CONCLUSION: 1st Step Orthotics does correct pronation by applying plantar forces on the area of the fifth metatarsal.
Physical Therapy Journal-January 2004
Identification of individuals with Patellafemoral Pain whos symtoms inproved after a combined program of foot orthosis use and modified activity: a preliminary investigation.
OBJECTIVE: In patients with patellafemoral pain syndrom (PFPS), the authors determined which aspects of the examination could be used to identify those patients most likely to respond to off-the-shelf foot orthosis and instruction in activity modification.
CONCLUSION: The results suggest that patients with PFPS who have forefoot valgus alignment of 2 degrees, passive great toe extension of 78 degrees, or navicular drop of 3 mm are most likely to respond favorably to initial intervention with 1st Step off-the-shelf foot orthosis and instruction in activity modification.


A. Mal-Alignment
1. Internal Fermoral Rotation
2. Internal Tibial Rotation
3. Subtalar Joint Eversion
4. Mid-Tarsal Joint "Unlocks"
5. Forefoot Abduction

B. Dynamic Alignment™



