Orthotic Rx and Shoes Flashcards

1
Q

(true/false) Try for total correction with orthotics on day one.

A

False (shoot for tolerance first)

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2
Q

Rigid orthoses are (thinner/thicker)

A

thinner

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3
Q

What percent of patients complete their POC?

A

< 30 degrees

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4
Q

What is the classic method/position of plaster casting?

A

subtalar neutral NWB

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5
Q

What casting technique is used only for diabetic inserts and accommodation?

A

foam box impressions

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6
Q

(true/false) the quality of the cast can dictate the result of the product

A

true

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7
Q

With pes cavus feet, you want to (increase/decrease) rigidity with accommodative material

A

decrease

–> consider a deeper heel cup to stabilize the hindfoot

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8
Q

How should you choose a casting method for pes planus feet?

A
  • Choose a casting method that allows for the correction desired
  • account for navicular drop and prominence w/ choice of material
  • consider a medial flange to contain the midfoot

deepen the heel cup for rearfoot control

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9
Q

Are all flat arches a problem that needs to be addressed?

A

no

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10
Q

When looking at orthoses for pes planus, remember to allow relief for _____ deformities.

A

immobile deformities

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11
Q

(True/false) Phits are recommended to address bony abnormalities.

A

false

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12
Q

(true/false) Phits work well with mechanical issues more than foot deformity

A

true

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13
Q

(true/false) Phits may not be ideal for pes cavus/pes planus feet.

A

true

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14
Q

What should you be cautious of with heavy clients and phits?

A

shell cracking

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15
Q

What is a stiffer heel counter used for?

A

more structure/more strength

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16
Q

Where do running shoes get their cushioning from?

A

foam in the sole of the shoe

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17
Q

definition: total height of the cushioning under the foot

A

stack

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18
Q

definition: the difference in height between the forefoot and rearfoot

A

pitch

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19
Q

definition: the shape of the base of the shoe

A

last

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20
Q

what are the different shapes of the base of the shoe?

A

curved, semi-curved, straight

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21
Q

definition: stabilizing system in the midfoot of the sole to stiffen the arech of the shoe with heel to forefoot transition

A

trusstic system

22
Q

definition: stiffer material in the mid-sole of the shoe to limit motion in that direction

A

posting

23
Q

Standard male shoes are what width?

A

D

24
Q

Standard female shoes are what width?

A

B

25
Q

definition: shoe category that has a single-density mid-sole with no attempt at limiting PRON.

Generally curved or semi-curved last.

A

cushioning

26
Q

definition: shoe category that has a multi-density mid-sole with mild-moderate attempts at limiting PRON.

Generally, semi-curved last

A

stability

27
Q

(true/false) shoes limit SUP

A

FALSE (no shoes limit SUP)

28
Q

definition: shoe classification that has a multi-density midsole with full attempts to limit PRON.

primarily straight last

A

motion control

29
Q

definition: shoe category that has little to no pitch and is a low stack shoe with high flexibility.

A

minimalist

30
Q

What category of sneaker are shoe orthoses not commonly inserted into?

A

minimalist

31
Q

What categories of shoes have guide-rail technology?

A

motion control
stability

32
Q

Depth footwear will have removable fillers under the ______.

A

sock liner (up to 7 mm)

33
Q

What types of materials are available for toe deformities and edema?

A

lyrca and stretch materials

34
Q

(true/false) all carcot-lasted shoes are customized.

A

False (non-custom are available)

35
Q

Always fit a shoe from (ball/heel) to (ball/heel/toe)

A

heel to ball

36
Q

Where should the widest part of the foot fit into the shoe?

A

the widest part of the shoe

37
Q

(true/false) not all shoes come in different widths

A

true

38
Q

Laces should be close to (perpendicular/parallel) on the throat of the shoe

A

parallel

39
Q

What does a buttress do?

A

gives structure to the side of the shoes

40
Q

(medial/lateral) buttress should be used with patients who have charcot foot or equinous feet.

A

lateral

41
Q

(true/false) AFOs are made for ankle stability

A

FALSE

42
Q

Why are AFOs used?

A

to improve toe clearance

43
Q

What kind of AFO has no hinges?

A

static AFO

44
Q

What type of AFO is common/y used with children?

A

Dynamic AFO (allows neutral DF)

45
Q

definition: unable to clear the toe when walking

A

foot drop/steppage gait

46
Q

(true/false) there is a limit for rocker soles

A

false

47
Q

Should you change the height of the contralateral shoe relative to the shoe being changed to a rocker sole?

A

yes

48
Q

Why are rocker soles used?

A

improve heel to toe transitions

49
Q

(true/false) rocker soles are covered by insurance

A

false

50
Q

what are external metatarsal bars used for?

A

offloading ulcerations