LE orthoses Flashcards

1
Q

Foundation of the LE Orthosis
Can reduce areas of concentrated pressure

A

SHOE

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2
Q

For protection of foot (part of shoe)

A

WELT

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3
Q

2 parts of Sole

A

inner sole; outer sole

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4
Q

Widest part of the sole; Fulcrum for “Push off”

A

BALL

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5
Q

ball corresponds to the area beneath the
_______

A

metatarsal heads

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6
Q

● Area between sole and the anterior border
of the heel
● Narrowest part of the shoe

A

SHANK

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7
Q

preferably corrugated metal which reinforces the shank area

A

SHANK PIECE/STEEL SHANK/Rigid strip

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8
Q

Space between the anterior portion of the
sole and the floor; Reduces wrinkling of the upper part of the shoe

A

TOE SPRING

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9
Q

Facilitates “toe off”

A

TOE SPRING

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9
Q

2 parts of heel

A

proximal; distal

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10
Q

4 types of heel height

A

spring; oxford; military; cuban

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11
Q

○ Lowest heel; 1/8 inch high
○ (-) heel breast

A

Spring

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12
Q

Oxford Heel- ______ inch high

A

6/8 to 8/8

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13
Q

10/8 inches high

A

Military Heel

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14
Q

used heel For most orthopedic purposes

A

cuban

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15
Q

Inclination of the posterior surface of the
heel from the vertical

A

PITCH OF THE HEEL

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16
Q

Portion of the shoe above the sole

A

UPPER

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17
Q

type of quarter Below lateral or medial malleolus

18
Q

HIGH QUARTER/HIGH SHOE aka _____

19
Q

for the laces contained in the laces stays

20
Q

● Guards the dorsum of the toes against
trauma from falling objects, protects the tips
of the toes from stubbing against furniture,
rocks and other obstacles
● Preserves the shape of the vamp
● Enlarged to accommodate toe deformities

21
Q

Reinforcement that preserves the shape of
the shoe in the area of the anatomic heel.

22
Q

5 shoe lasts

A

regular, straight, outflare, inflare, custom

23
Q

Must accommodate every deformed
and tender area of the foot

24
Adducts the juvenile foot
inflare
25
Influences the ease of donning and doffing and the amount of adjustability of the shoe
throat
26
○ Most common design ○ Has a loose anterior margin of the lace stays ○ Provides substantial opening which facilitates donning and offers a greater degree of adjustment ○ MC for orthopedic shoes
Blutcher Opening
27
○ If donning is not a problem ○ Has stitched down vamps that cover the forward edges of the quarter ○ Not possible to open the shoe widely over the forefoot ○ A.k.a. Balthroat ○ Covers most of quarter area ○ E.g., Black leather shoes na walang tali
Balmoral
28
○ Lace stay extends to the toe ○ Ak.a. “surgical boot” or “greatest heels of the knee” ○ Easiest to don (i.e., after foot surgery) because the patients’ toes may be exposed fully ○ May have a high or low quarter
lace to toe
29
● Interposed between outer sole and thinned regular heel ● Soft rubber absorbs the impact reducing stress on heel and ankle
CUSHION HEEL
30
SACH
Solid Ankle Cushion Heel
31
WEDGE Designed to rotate the hindfoot in inversion
MEDIAL heel wedge
32
inversion/adduction/supination
Varus
33
eversion/abduction/pronation
valgus
34
Extension of medial heel breast Maintains medial longitudinal arch
Thomas Heel
35
● Extended lateral heel breast ● Supports the lateral longitudinal arch
reverse thomas
36
● Layer of firm material is added to the heel as compensation for leg length discrepancy or fixed equinus deformity ● If LLD< 1 inch
HEEL ELEVATION
37
● Consists of a firm material with skived anterior and posterior edges placed across the sole ● Usually placed behind MT heads/ball of the sole ● Transfers the pressure off of the MT heads to the shafts +to facilitate roll over
rocker bar
38
Flatter compared to rocker bar, less assistance to roll over.
METATARSAL BAR
39
● Spring steel inserted between the outer and inner soles of a shoe ● ⅛ inch. thick, 1.5 cm wide ● Prevents motion in anterior portion of the sole, thereby reducing stress at the phalanges and MTs
Steel sole bar
40
Crescent-shaped resilient pad placed behind the 2nd to 4th toes Loop is inserted to the 3rd toe
toe crest
41
gap between MT heads and toes
Hallux sulcus
42
● Removable appliance that is placed in the shoe ● Inserts ● Often contoured to provide MLA support ● Anterior convexity to support the MT arch and relieves pressure on MT heads
FOOT ORTHOSES