A-S-R: An Effective Program for Long-Term Patient Wellness

ASR – Adjust, Support, Rehabilitate

ASR – Adjust, Support, Rehabilitate

Foot Levelers’ A-S-R program is more than just a catch phrase; it is a system of total body care for your patients. You determine the appropriate adjustments for your patients’ conditions, and Foot Levelers provides you with the tools you need to improve their overall health and well-being.

A-S-R stands for “Adjust – Support – Rehabilitate.” The needed adjustments are determined by you, with Foot Levelers providing the postural support (custom-made functional orthotics and cervical support pillows) and the rehabilitative products (NECKSYS®, BACKSYS®, and THERA-CISER®) to help strengthen injured joints and maintain postural stability. The A-S-R concept is easy to explain to patients, easy to implement, and best of all, it works!

Foot Levelers believes in whole body care, which is why we developed the A-S-R program. A-S-R can make the difference between a successful care program and a recurring pain or injury.


A-S-R starts with the care you provide patients – your Chiropractic adjustments keep your patients’ bodies functioning properly, and your advice helps them to stay healthy.

Support (Functional Orthotics)

The feet are the foundation of the body, and imbalances in the feet can lead to problems throughout the body. Pedal imbalance can also reduce the effectiveness of Chiropractic adjustments. As the old saying goes, “When the foot hits the ground, everything changes.”

Foot Levelers functional orthotics can help with support and rehabilitation.

Foot Levelers functional orthotics can help with support and rehabilitation.

To make your adjustments more effective, the next step of the A-S-R program is support with functional orthotics. Custom-made orthotics are scientifically designed for each individual’s unique postural problems. They support all three arches of each foot to help keep your patients’ bodies properly balanced and supported. Supporting the spine and pelvis provides lasting results for your patients by helping your adjustments hold longer.

Support (Cervical Support Pillows)

Patients spend nearly one-third of their lives sleeping, so cervical support pillows are also an important part of the support element in A-S-R. Because the need for postural support doesn’t end when the day does, Foot Levelers also offers cervical support pillows to keep your patients properly aligned while they sleep. Our pillows hold the neck in a normal, neutral position and also help improve the effectiveness of your adjustments. Make sure your patients have the comfort and postural alignment their bodies need with Foot Levelers’ cervical support pillows.


The final step of the A-S-R program is to rehabilitate. When you determine that it is appropriate to begin rehabilitation exercises with your patients, there is no better way to get started than with Foot Levelers’ easy-to-use, low-tech rehab products. Our rehab systems help re-educate muscle action, relieve pain, loosen adhesions, reduce the risk of re-injury, and much more. Rehab works together with your care to achieve better results for your patients. Choose from:

  • NECKSYS® for cervical spine rehab
  • BACKSYS® for low back rehab
  • THERA-CISER® for extremities rehab
  • TRI-FLEX® for a total body rehab system

Mini Research Study: Proprioception, Alignment and Balance Improve with A-S-R

Better proprioception, alignment, and balance lead to improved physical performance and general health benefits for all patients. The body’s proprioceptive system can be strengthened with Foot Levelers’ A-S-R program. Here’s how:

Adjust. Many approaches to musculoskeletal problems take advantage of proprioceptive concepts. Joint adjustment, especially of the spinal joints, has a direct and immediate effect in normalizing receptor responses. A 1997 study found that specific spinal manipulation was much more effective than a series of stretching exercises in improving the proprioceptive repositioning of the head in patients with chronic neck pain and positioning problems.1 A different approach was taken by Fitz-Ritson in a 1991 study, which found that specific spinal manipulation effectively treated a series of patients who demonstrated cervicogenic vertigo (90% became symptom-free).2

Support. Patients with proprioceptive imbalances can benefit from specific postural supports to help them achieve proper body positioning. Stude and Brink investigated proprioceptive feedback, posture, and golf performance with Foot Levelers’ functional orthotics.3 The test subjects were experienced golfers without any specific foot or ankle problems. The researchers found that “six weeks of wearing these custom-made, flexible orthotics has a positive influence in promoting balance and proprioceptive symmetry.”

In addition to orthotic support, Foot Levelers’ cervical support pillows are effective in cases of chronic neck pain.

Rehabilitate. Methods for postural muscle strengthening and rehabilitation have improved, based on our knowledge of proprioception. Since postural (especially back and neck) muscles are tonic, slow-twitch muscles, we must use slow and controlled exercises in an upright position, in order to stimulate and normalize input from position receptors.

In fact, closed-chain exercising is being used much more frequently in sports and rehabilitation. By keeping the body upright and weightbearing during exercising, all of the proprioceptors are recruited to condition the muscle and joints. Foot Levelers’ NECKSYS (for cervical strengthening) and BACKSYS (for low-back rehab) provide a more rapid and appropriate neuromuscular learning experience, and allow the skills practiced to be used in functional everyday and sports-specific situations.


1. Rogers RG. The effects of spinal manipulation on cervical kinesthesia in patients with chronic neck pain: a pilot study. J Manip Physiol Ther 1997; 20:80-85.

2. Fitz-Ritson D. Assessment of cervicogenic findings. J Manip Physiol Ther 1991; 14:194-198.

3. Stude DE, Brink DK. Effects of nine holes of simulated golf and orthotic intervention on balance and proprioception in experienced golfers. J Manip Physiol Ther 1997; 20(9):590-601.