Shoes Flashcards
what are the 4 components of shoe fit
- heel to toe length
- Heel to ball length
- width
- girth
what do most people use to determine shoe size
heel to toe length, but it is not the most important factor
what is the most important factor in determining the size (length) of the shoe
heel to ball length
what does heel to ball length allow
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)
heel to ball length is referred to as
arch length
how is width measured
from the 1st to 5th MT heads which is normally the widest part of the foot
what is girth of the foot
how thick the foot is from dorsal to plantar
a thicker foot will require an increased —
depth of shoe
a thinner foot may require extra padding in the —
toe box to take up space
what happens if the shoe is too short from heel to ball
-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
to have the right bend in the shoe you need to correct
heel to ball length
what are 7 basic shoe types
- moccasin
- mule
- clog
- pump
- sandal
- oxford
- boot
Moccasin
provide protection
does not provide support
who would wear Moccasins?
Toddlers/Babies
Wheel chair bound persons
Mule
-an open backed, usually heeled shoe
who would wear a Mule
-anyone with a posterior heel irritation (Haglund’s deformity, Achilles, enthesopathy, etc.)
if patients complain of callus and cracking around the heels what type of shoes do they probably wear
-mule type slippers
clog
originally wooden soled shoes, but now rigid soled, usually open-backed shoes
clogs are good for
posterior heel irritation
clogs should not be worn if patient has
symptomatic hammer digit syndrome b/c the toes have a tendency to overgrip to keep the shoes on
pumps
- any slip-on open topped shoe
- may be low or high heeled
by definition for pumps to stay on the shoe
is too small
sandals are good for
toenail problems, hyperhydrosis
sandals should not be worn by
neuropathic pateints
do sandals have good support
generally no, but sandals like Birkenstocks and other brands of comfort sandals may have considerable support
what are oxford
the “standard” shoe
what are the pros of Oxford shoes
- provides good support
- allows for adequate toe space
- best for use with orthoses
Oxfords should not be worn if pt’s have
Haglund’s deformity and dorsal exostoses in the midfoot
Oxford Blucher openings are good for
- patients who wear orthoses
- patients with higher insteps
- patients with thicker feet
Oxford Balmoral opening are for what type of shoe
- 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
Boot
- increased warmth/protection
- may provide increased ankle stability
- may “hide” braces, ankle foot orthoses, etc
- may accommodate foot orthoses
standard parts of a shoe
Upper Sole Heel Quarter Counter Vamp Throatline Shank Topline Toebox Linings Outsole Midsole Insole Last
Upper
-the part of the shoe not on the plantar aspect o the foot
Upper is composed of
-toebox/toecap, quarters, counter, vamp, tongue, throat and linings
Sole
-the part of the shoe on the plantar aspect of the foot
Sole is composed of
-the outer, mid, and insoles as well as the shank
Heel
heel cap and heel base
Quarter
the back half of the shoe’s upper
Counter
- reinforcement at the back of the heel
- helps provide RF control and maintain the shape of the shoe
Vamp
-front part of the shoe
Throatline
-the seam connecting the vamp to the quarters
Shank
- the portion of the sole connecting the heel to the ball of the shoe
- may be reinforced
Topline
-the top rim of the shoe’s quarters
Toebox
- 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
Outsole
-the portion of the shoe contacting the ground
Midsole
- 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
insole
-the portion of the shoe in contact with the plantar surface of the foot
what are the several definitions of “Last”
- 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
