Shoes

Question 1

what are the 4 components of shoe fit

Answer 1

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

Question 2

what do most people use to determine shoe size

Answer 2

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

Question 3

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

Answer 3

heel to ball length

Question 4

what does heel to ball length allow

Answer 4

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)

Question 5

heel to ball length is referred to as

Answer 5

arch length

Question 6

how is width measured

Answer 6

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

Question 7

what is girth of the foot

Answer 7

how thick the foot is from dorsal to plantar

Question 8

a thicker foot will require an increased —

Answer 8

depth of shoe

Question 9

a thinner foot may require extra padding in the —

Answer 9

toe box to take up space

Question 10

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

Answer 10

-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

Question 11

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

Answer 11

heel to ball length

Question 12

what are 7 basic shoe types

Answer 12

• moccasin
• mule
• clog
• pump
• sandal
• oxford
• boot

Question 13

Moccasin

Answer 13

provide protection

does not provide support

Question 14

who would wear Moccasins?

Answer 14

Toddlers/Babies

Wheel chair bound persons

Question 15

Mule

Answer 15

-an open backed, usually heeled shoe

Question 16

who would wear a Mule

Answer 16

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

Question 17

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

Answer 17

-mule type slippers

Question 18

clog

Answer 18

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

Question 19

clogs are good for

Answer 19

posterior heel irritation

Question 20

clogs should not be worn if patient has

Answer 20

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

Question 21

pumps

Answer 21

• any slip-on open topped shoe

- may be low or high heeled

Question 22

by definition for pumps to stay on the shoe

Answer 22

is too small

Question 23

sandals are good for

Answer 23

toenail problems, hyperhydrosis

Question 24

sandals should not be worn by

Answer 24

neuropathic pateints

Question 25

do sandals have good support

Answer 25

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

Question 26

what are oxford

Answer 26

the "standard" shoe

Question 27

what are the pros of Oxford shoes

Answer 27

- provides good support - allows for adequate toe space - best for use with orthoses

Question 28

Oxfords should not be worn if pt's have

Answer 28

Haglund's deformity and dorsal exostoses in the midfoot

Question 29

Oxford Blucher openings are good for

Answer 29

- patients who wear orthoses - patients with higher insteps - patients with thicker feet

Question 30

Oxford Balmoral opening are for what type of shoe

Answer 30

- 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

Question 31

Boot

Answer 31

- increased warmth/protection - may provide increased ankle stability - may "hide" braces, ankle foot orthoses, etc - may accommodate foot orthoses

Question 32

standard parts of a shoe

Answer 32

``` Upper Sole Heel Quarter Counter Vamp Throatline Shank Topline Toebox Linings Outsole Midsole Insole Last ```

Question 33

Upper

Answer 33

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

Question 34

Upper is composed of

Answer 34

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

Question 35

Sole

Answer 35

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

Question 36

Sole is composed of

Answer 36

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

Question 37

Heel

Answer 37

heel cap and heel base

Question 38

Quarter

Answer 38

the back half of the shoe's upper

Question 39

Counter

Answer 39

- reinforcement at the back of the heel | - helps provide RF control and maintain the shape of the shoe

Question 40

Vamp

Answer 40

-front part of the shoe

Question 41

Throatline

Answer 41

-the seam connecting the vamp to the quarters

Question 42

Shank

Answer 42

- the portion of the sole connecting the heel to the ball of the shoe - may be reinforced

Question 43

Topline

Answer 43

-the top rim of the shoe's quarters

Question 44

Toebox

Answer 44

- 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

Question 45

Outsole

Answer 45

-the portion of the shoe contacting the ground

Question 46

Midsole

Answer 46

- 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

Question 47

insole

Answer 47

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

Question 48

what are the several definitions of "Last"

Answer 48

- 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