QUADRASTEP Efficacy in the Workplace

A quality improvement study into the effectiveness of the semi-custom, prefabricated shoe insert program (Quadrastep System) at reducing complaints of discomfort in an industrial setting.
Jeffrey Dow, RPT, CEASIII, Premise Health System
Pauline Lewis, MS, CPE, Michelin

A common source of reduced productivity and lost work time in the industrial setting is musculoskeletal discomfort in the feet, knees, hips, and low back. Even when working identical job posts, these symptoms can vary widely between employees, and could potentially be caused by intrinsic foot biomechanics coupled with long-term standing activities. Therefore, to prevent injury and reduce daily discomfort, one size-fits-all approaches such as anti-fatigue mats or off-the-shelf shoe insoles may be less effective than treating each employee’s specific biomechanical traits. The Quadrastep System is a prefabricated, semicustom shoe insert system that bridges the gap between more expensive, fully customized orthotics and off the- shelf options. We studied the effectiveness of the system in a large manufacturing plant by assessing and providing Quadrastep inserts to 28 volunteers. After 2 months of daily wear, 94% of these volunteers said they received some benefit from the inserts, while 52% reported full resolution of daily symptoms.

Click Here to read the full article

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What’s New at NOLARO24?

Nolaro24 & IQMed Biomechanics & Equinus Master Class April 2020
Join us for this convenient 2-day course on both the science and practice management of surgery, plantar fasciitis, biomechanics, orthotics, and equinus of all ages! Join speakers Louis DeCaro, DPM, Patrick DeHeer, DPM, and Roberta Nole, MA, PT, C.Ped for NEW CONTENT and lectures.

Interested in a PRIVATE MASTER CLASS or 1 or 2 Day Class? We can do that! Roberta just visited Dr. Neville’s office in Texas in December for a private course for his doctors. If you are interested in Private education or training for your office EMAIL US.


FREE DOWNLOAD – Waiting Room Poster! Put out some Valentine’s Day candy with this FREE poster and get patients to ask you about our products!



ALL NEW Webinar Series 2020
Join us for 3 NEW Biomechanical Webinars:
Treating Pediatric Flatfoot: Age Specific Protocols
March 12, 2020 7 PM
Assessing Functional Foot Types in Four Easy Steps
April 9, 2020 7 PM
Mastering Gait Analysis and Orthotic Solutions
June 11, 2020 7 PM

Product Spotlight
littleSTEPS Fit Kits

Have your patients TRY littleSTEPS before they BUY littleSTEPS with a Fit Kit
• Full Fit Kit – 11 pairs (one of each size), $275
• Early Intervention Fit Kit – 6 small sizes (LS00-LS4)
• Kids Fit Kit – 6 large sizes (LS4-LS9)
• Gait Plate Fit Kits pricing available upon request
Substantially Reduce returns/exchanges

If you would like to find out more, EMAIL US!


Ever thought about bringing in QUADRASTEPS for your hospital staff or company, but didn’t know where to begin? We have been having great success with several Occupational Health & Safety programs like the one we are running with Abbott. We are partnering with them to run screening clinics at various locations around the country and offering orthotics to their employees to help with relief of daily pain and fatigue in the workplace.
This is also a great program for hospital staff.

Blogs & Articles

Attaining Successful Orthotic Outcomes Through Functional Foot Typing
By Louis J. DeCaro, DPM and Roberta Nole, MA, PT, C.Ped
Are you fluent in Foot Typing yet? Read this article from Current Pedorthics and learn how you can improve your orthotic prescriptions/recommendations with Foot Typing!

Want to Grow your Pediatric Practice? Remind your parents that it’s time to check for orthotic outgrowth. Download the sample flyer HERE

Praises for the Master Class:

“This course is a must for every Pedorthist. It gives you the tools to easily evaluate, educate, and provide care to your patients. The Quadrastep System is the perfect way to dispense corrective orthotics on the spot. They are also easy to modify and customize. I have been using this foot typing method and Quadrastep system for six years. The success I have had with this system is remarkable. Patients love learning about their Foot Type and the orthotics provide exceptional comfort and function. Don’t miss this opportunity!!” – Ellie Penner, C.Ped

“Whether you’ve heard Louis and/or Roberta speak or not, this is one of the best and practical programs regarding biomechanics and orthotics you’ll hear anywhere, any time. Easy to understand, easy to translate to your patients, easy to implement in your practice. Guaranteed you won’t/can’t sleep through the lectures. They’re entertaining and informative, not dry biomechanics, they’re paced well, and Louis might call you out if he catches you sleeping or checking your smartphone. If you have the time, don’t miss it! If you don’t have the time, make the time–you won’t regret it!” – Brandon Macy, DPM

“Great conference. Worth your time. Reignited my passion for biomechanics. Hit the ground running right after the conference!” – Nick Pagano, DPM

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FREE Customized Marketing Materials!

Did you know that Nolaro24 is happy to customize graphics for your office with your logo and contact information, FREE of charge? We have many pieces to choose from, including office signs, referral sheets, patient brochures, foot sizing charts, ads and clinic templates.

The First step would be to customize a Referral Sheet with your logo and office information. You can print these and hand to area practitioners who may want to recommend that a patient schedule an appointment with you. Here are generic examples:
littleSTEPS® Referral Sheet

We have parent/patient brochures, please let us know if you would like us to customize them for you:
littleSTEPS® Orthotics Parent Brochure

We also have office signs to let your patients know that you carry our products. There are generic examples on our website: https://nolaro24.com/promo.html.

Another great tool that we have is providing you with graphics for your website, so that your patients will know that you are dispensing our products. We are happy to work with your website designer to get a graphic on your site.

After you get our products on your website, we suggest the next step for success would be to offer a free 10 minute foot screening in your office for family members of patients, that will generate new and future patients and sales for years to come. Many adult patients might not know that you see children as well, and adding one kid a day to your practice equals 240 new patients a year! We have a poster for your waiting room to advertise that you do the screenings. A letter sized example of the poster can be viewed here. The full sized poster is available for purchase.

We have also developed an informative slideshow that can be used in a waiting or examination room as a tool to educate your patients about our products. We offer it in MP4 format, as well as PDF. Many of our customers find it a big hit to have something playing on a loop in their rooms, and it prompts customers to ask more questions. If this is something you are interested in using, you can download the video here, there is a link on the bottom left of the page. If you already have a waiting room slideshow, we can help you to integrate it into your current presentation.

The step after that would be to run a foot screening clinic to screen for foot problems. The goal is to make appointments for the people that will need further treatment. We have found that these are very successful for many of our customers. We have many themes for you to choose from in order to help you advertise your clinic, and we are happy to customize them for you. Themes can be viewed here  https://nolaro24.com/graphics.html.

We want to help you with a successful orthotics program, so please reach out to us and let us know what we can do to make it happen for you! Contact Casey Hoffman 860-480-0475 and get started TODAY!

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