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Biomechanics Exam 3 (Ash) > Shoes > Flashcards

Shoes Flashcards

1
Q

what are the 4 components of shoe fit

A
  1. heel to toe length
  2. Heel to ball length
  3. width
  4. girth
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2
Q

what do most people use to determine shoe size

A

heel to toe length, but it is not the most important factor

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3
Q

what is the most important factor in determining the size (length) of the shoe

A

heel to ball length

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4
Q

what does heel to ball length allow

A

the arch of the shoe to be in the correct position on the foot and allows the foot to bend at the proper place (the first MTPJ)

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5
Q

heel to ball length is referred to as

A

arch length

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6
Q

how is width measured

A

from the 1st to 5th MT heads which is normally the widest part of the foot

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7
Q

what is girth of the foot

A

how thick the foot is from dorsal to plantar

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8
Q

a thicker foot will require an increased —

A

depth of shoe

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9
Q

a thinner foot may require extra padding in the —

A

toe box to take up space

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10
Q

what happens if the shoe is too short from heel to ball

A

-the bend of the shoe will be more proximal than the 1st MT head, that bend will force the 1st ray to dorsiflex…this is never a good thing unless you have hallux rigidis and will lead to planar fasciitis

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11
Q

to have the right bend in the shoe you need to correct

A

heel to ball length

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12
Q

what are 7 basic shoe types

A
  • moccasin
  • mule
  • clog
  • pump
  • sandal
  • oxford
  • boot
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13
Q

Moccasin

A

provide protection

does not provide support

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14
Q

who would wear Moccasins?

A

Toddlers/Babies

Wheel chair bound persons

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15
Q

Mule

A

-an open backed, usually heeled shoe

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16
Q

who would wear a Mule

A

-anyone with a posterior heel irritation (Haglund’s deformity, Achilles, enthesopathy, etc.)

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17
Q

if patients complain of callus and cracking around the heels what type of shoes do they probably wear

A

-mule type slippers

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18
Q

clog

A

originally wooden soled shoes, but now rigid soled, usually open-backed shoes

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19
Q

clogs are good for

A

posterior heel irritation

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20
Q

clogs should not be worn if patient has

A

symptomatic hammer digit syndrome b/c the toes have a tendency to overgrip to keep the shoes on

21
Q

pumps

A
  • any slip-on open topped shoe

- may be low or high heeled

22
Q

by definition for pumps to stay on the shoe

A

is too small

23
Q

sandals are good for

A

toenail problems, hyperhydrosis

24
Q

sandals should not be worn by

A

neuropathic pateints

25
Q

do sandals have good support

A

generally no, but sandals like Birkenstocks and other brands of comfort sandals may have considerable support

26
Q

what are oxford

A

the “standard” shoe

27
Q

what are the pros of Oxford shoes

A
  • provides good support
  • allows for adequate toe space
  • best for use with orthoses
28
Q

Oxfords should not be worn if pt’s have

A

Haglund’s deformity and dorsal exostoses in the midfoot

29
Q

Oxford Blucher openings are good for

A
  • patients who wear orthoses
  • patients with higher insteps
  • patients with thicker feet
30
Q

Oxford Balmoral opening are for what type of shoe

A
  • dress shoe

- V shaped opening, flaps don’t open up all that well so not a lot of room for foot and orthosis to pass through

31
Q

Boot

A
  • increased warmth/protection
  • may provide increased ankle stability
  • may “hide” braces, ankle foot orthoses, etc
  • may accommodate foot orthoses
32
Q

standard parts of a shoe

A 
Upper
Sole
Heel
Quarter
Counter
Vamp
Throatline
Shank
Topline
Toebox
Linings
Outsole
Midsole
Insole
Last
33
Q

Upper

A

-the part of the shoe not on the plantar aspect o the foot

34
Q

Upper is composed of

A

-toebox/toecap, quarters, counter, vamp, tongue, throat and linings

35
Q

Sole

A

-the part of the shoe on the plantar aspect of the foot

36
Q

Sole is composed of

A

-the outer, mid, and insoles as well as the shank

37
Q

Heel

A

heel cap and heel base

38
Q

Quarter

A

the back half of the shoe’s upper

39
Q

Counter

A
  • reinforcement at the back of the heel

- helps provide RF control and maintain the shape of the shoe

40
Q

Vamp

A

-front part of the shoe

41
Q

Throatline

A

-the seam connecting the vamp to the quarters

42
Q

Shank

A
  • the portion of the sole connecting the heel to the ball of the shoe
  • may be reinforced
43
Q

Topline

A

-the top rim of the shoe’s quarters

44
Q

Toebox

A
  • the portion of the shoe over the toes

- an extra depth toe box may be required to accommodate accommodaive orthoses or significant saggital plane deformities

45
Q

Outsole

A

-the portion of the shoe contacting the ground

46
Q

Midsole

A
  • the portion of he shoe between the insole and the outsole

- very important in athletic shoes b/c this is where the shock absorption and motion control is provided

47
Q

insole

A

-the portion of the shoe in contact with the plantar surface of the foot

48
Q

what are the several definitions of “Last”

A
  • a model o which the shoe is constructed
  • the metod by which the upper is attached to the sole
  • the shape of the sole of the shoe

Biomechanics Exam 3 (Ash) (9 decks)

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