S2 L3: LE Orthoses - Shoes

Question 1

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

Answer 1

True!

Question 2

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.

Answer 2

False.
Ill-fitting shoes

Question 3

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

Answer 3

Stress

Question 4

3 Components for a perfect shoe:

Answer 4

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

Question 5

What is the keystone of a good shoe?

Answer 5

Its ability to absorb shock.

Question 6

Why should you shop for shoes during the afternoon?

Answer 6

Your foot naturally expands with use during the day.

Question 7

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

Answer 7

Get a wider size.

Question 8

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

Answer 8

(1) Flexible
(2) Stability

Question 9

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

Answer 9

(1) Traction
(2) Early Stance

Question 10

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

Answer 10

Weight bearing of the metatarsal head

Question 11

Height of heel that can transfer pressures on forefoot

Answer 11

6-inch heels

Question 12

Primary determinants of proper shoe fit

Answer 12

Shoe shape and size

Question 13

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

Answer 13

Shoe Shape

Question 14

Determinant determined by the arch length not by overall foot length

Answer 14

Shoe Size

Question 15

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

Answer 15

Upper

Question 16

It is the anterior component of the upper

Answer 16

Vamp

Question 17

It is the posterior component of the upper

Answer 17

Quarter

Question 18

It separates the vamp and quarter

Answer 18

Shoe hole

Question 19

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

Answer 19

Laced Shoe

Question 20

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.

Answer 20

Oxford Balmoral Shoe

Question 21

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

Answer 21

1. Back
2. Forward

Question 22

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

Answer 22

1. Forward
2. Top

Question 23

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

Answer 23

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

Question 24

This vamp lace stay is continuous with the vamp.

Answer 24

Balmoral Lace Stay

Question 25

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

Answer 25

Blucher-style Closure

Question 26

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

Answer 26

Balmoral or Bal-type Oxford Closure

Question 27

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

Answer 27

Lace-to-Toe Closure

Question 28

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

Answer 28

Low-quarter

Question 29

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

Answer 29

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

Question 30

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

Answer 30

High-quarter

Question 31

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

Answer 31

1. Dorsiflexion 2. Plantarflexion

Question 32

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

Answer 32

Rear quarter

Question 33

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

Answer 33

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

Question 34

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

Answer 34

Sole

Question 35

A traditional sole consists of what?

Answer 35

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

Question 36

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

Answer 36

A heavy thick sole

Question 37

Why are most soles in athletic shoes made of rubber?

Answer 37

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

Question 38

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

Answer 38

Welt

Question 39

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

Answer 39

Insole

Question 40

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

Answer 40

Outsole

Question 41

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

Answer 41

Toe spring

Question 42

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.

Answer 42

Shank

Question 43

Why are most soles rubber for athletic shoes?

Answer 43

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

Question 44

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.

Answer 44

Counter

Question 45

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

Answer 45

Posterior Portion

Question 46

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

Answer 46

1. Medial 2. Medial 3. Rearfoot