A patient specific device for reducing plantar pressure, a system and a method for manufacturing the same are disclosed. The method includes: obtaining pressure measurements of a plurality of plantar regions of a patient, wherein said measurements are acquired from at least one hardware pressure sensor； providing patient specific parameters for manufacturing a patient specific device, wherein the patient specific parameters comprise ranges of durometers for materials suitable for engaging each of the plurality of plantar regions based on a plurality of rules and manufacturing the patient specific device. Also disclosed is an insole adaptive layer (IAL), including a surface including a plurality of contour lines, the contour lines defining zones, wherein the surface within each zone having predetermined mechanical properties specific to the zone and the contour lines of each of the surface zones correspond to contour lines obtained from pedobarographic data of a subject.
