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PT1019 Assistive Tech > S2 L3: LE Orthoses - Shoes > Flashcards

S2 L3: LE Orthoses - Shoes Flashcards

1
Q

T/F: A well-designed shoe is the necessary foundation for many lower extremity orthotics and for prosthetic alignment and an energy efficient gait

A

True!

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2
Q

T/F: A well-designed show can create shear force that leads to skin breakdown—create and facilitate toe and foot deformities and lead to falls.

A

False.
Ill-fitting shoes

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3
Q

A component of a good shoe should minimize the _____ on all portions of the feet.

A

Stress

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4
Q

3 Components for a perfect shoe:

A
  1. Broad heel base
  2. Ankle collar
  3. Close-fitting heel counter
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5
Q

What is the keystone of a good shoe?

A

Its ability to absorb shock.

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6
Q

Why should you shop for shoes during the afternoon?

A

Your foot naturally expands with use during the day.

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7
Q

What do you do if the ball of your foot feels compressed in a particular shoe?

A

Get a wider size.

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8
Q

A good shoe must be _____ and provide _____ with each step

A

(1) Flexible
(2) Stability

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9
Q

The sole should also provide adequate _____ as it contacts the ground especially in _____ _____ as body wight is transferred onto the foot.

A

(1) Traction
(2) Early Stance

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10
Q

For every 1/2 inch increase in heel heigh, there is an exponential increase on what?

A

Weight bearing of the metatarsal head

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11
Q

Height of heel that can transfer pressures on forefoot

A

6-inch heels

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12
Q

Primary determinants of proper shoe fit

A

Shoe shape and size

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13
Q

Determinant that refers to the shape of the sole and the upper. Proper fit is achieved when shoe shape is matched to foot shape

A

Shoe Shape

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14
Q

Determinant determined by the arch length not by overall foot length

A

Shoe Size

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15
Q

It is the portion of the shoe over the dorsum of the foot.

A

Upper

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16
Q

It is the anterior component of the upper

A

Vamp

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17
Q

It is the posterior component of the upper

A

Quarter

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18
Q

It separates the vamp and quarter

A

Shoe hole

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19
Q

This type of shoe contains the lace stays, which have eyelets for the shoelace.

A

Laced Shoe

20
Q

This type of shoe has the outside quarter cut lower than the inside to avoid contact with the malleoli—clearance of the footwear from contact with malleoli.

A

Oxford Balmoral Shoe

21
Q

In a Bal-type Oxford, the _____ edges of the vamp cover the _____ edges of the quarter making the vamp extend posteriorly.

A
  1. Back
  2. Forward
22
Q

In a Blucher style shoe, the _____ edges of the quarters are on _____ of the vamp.

A
  1. Forward
  2. Top
23
Q

Why is the vamp of a Blucher lace stay preferable than a Balmoral lace stay?

A

Because the anterior margins of the Blucher lace stays is separated from the vamp which permits substantial adjustability (an important feature edematous patients)

24
Q

This vamp lace stay is continuous with the vamp.

A

Balmoral Lace Stay

25
Q

A shoe closure where the tongue is an extension of the vamp.

A

Blucher-style Closure

26
Q

A shoe closure where the tongue is separate of the vamp.

A

Balmoral or Bal-type Oxford Closure

27
Q

A type of shoe closure that is indicated for patients with right ankle orthoses, fixed deformity or fragile neuropathic foot.

A

Lace-to-Toe Closure

28
Q

Type of quarter that is below the malleoli and is satisfactory for most clinical purposes.

A

Low-quarter

29
Q

Why is a low-quarter recommended to most clinical purposes?

A

Having it below the malleoli promotes more mobility than stability and does not restrict foot or ankle motion.

30
Q

Type of quarter indicated to cover the foot having rigid pes equinus; promotes stability than mobility.

A

High-quarter

31
Q

The high quarter tends to position the foot into _____ thus minimizing abnormal _____ deformity

A
  1. Dorsiflexion
  2. Plantarflexion
32
Q

Type of quarter where it is joint to the vamp, which make up the side and back of the upper, supporting the heel.

A

Rear quarter

33
Q

Why is a Blucher closure preferable than Balmoral closure for individuals wearing orthoses and with moderate to severe foot deformity?
(Hint: 3 Reasons)

A
  1. Easier access and better donning and doffing of the shoe.
  2. The Blucher closure has a separation between the distal margin of the lace offering a wide inlet which makes shoes easier to put on and off and having a readily adjustable circumference.
  3. Lace-to-toe shoe which incase the malleoli provides addition mediolateral stability
34
Q

It is the part of the shoe that protects the plantar surface of the foot.

A

Sole

35
Q

A traditional sole consists of what?

A

Two pieces of leather with a layer of compressible cork in between

36
Q

What type of sole protects the foot against irregularities in the walking surface?

A

A heavy thick sole

37
Q

Why are most soles in athletic shoes made of rubber?

A

To provide maximal traction and absorb shock (minimizing the heel impact)

38
Q

Inside piece of the external sole between inner and outer sole. Also known as the primary structure of the sole.

A

Welt

39
Q

Found inside the shoes already that is in contact with the foot of the individual when wearing the shoe.

A

Insole

40
Q

Portion of the sole that is most external. Should not contact the floor at the distal end.

A

Outsole

41
Q

Slight rise of the sole which allows a rocker effect at late stance; does not contact the floor.

A

Toe spring

42
Q

Area that lies between the heel and the ball of the shoe that prevents collapse of the material between the heel and the ball of the foot to provide extra support.

A

Shank

43
Q

Why are most soles rubber for athletic shoes?

A

For maximal traction and to absorb shock, thus minimizing heel impact forces.

44
Q

Distal portion of the shoe to the anterior portion of the heel that stiffens the quarter and generally terminates at the anterior border of the heel.

A

Counter

45
Q

Which portion of the shoe does the counter make it sturdier?

A

Posterior Portion

46
Q

The _____ counter helps to support the _____ arch of the shoe, and the heel counter aids in controlling the _____

A
  1. Medial
  2. Medial
  3. Rearfoot

PT1019 Assistive Tech (14 decks)

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