The Foot: Exam 3 Flashcards
Plantar Fascia
Thick band of fibrous tissue extending from calcaneus to metatarsal heads
What does the plantar fascia do?
Help support the arch of the foot
Support/ Stance phase of walking
-strike
-midsupport
Take-off
Recovery/ swing phase of walking gate
- follow through
- forward swing
- decent
What extra phase does the running gait have?
A flight phase where neither foot is touching the ground
What type of strikers do distance runner tend to be?
Heel strikers
What type of strikers do sprinters tend to be?
Forefoot strikers
What type of injuries do excessive pronators tend to have?
Stress injuries such as tibial rotation at the knee
Are excessive pronators’ feet too mobile or rigid?
Mobile
What type of injuries do excessive supinations have?
Other injuries such as inversion sprains
Are excessive supinators’ feet too rigid or too mobile?
Too rigid
What type of foot has a high arch?
Excessive supination
What type of foot has a normal arch?
Neutral
What type of foot does a low arch have?
Excessive pronation
Pes Cavus
- high arch
- excessive supination
- poor shock absorption
Pes plantus
- flat foot
- excessive pronation
- pain and weakness
When should abnormal foot postures be corrected?
If they cause symptoms or problems
How to prevent foot injuries with appropriate footwear
- match shoe to foot type
- match activity and surface
- use orthotic
What type of shoe should a pronator wear?
Rigid
What type of shoe should a supinator wear?
Flexible
How do you prevent foot injuries?
- appropriate footwear
- foot hygiene
How to asses foot injuries
- history
- observation
- shoe wear
- palpation
- special test
How to asses history
- generic history questions
- specific to the foot
Questions to ask about history specific to the foot
- pain type and location
- surfaces
- training
- footwear
how to assess foot by observation
- limping or difficulty weight bearing
- pes plantus or cavus
- foot alignment
- deformities
How to check shoe wear
Check bottom of shoes for wear patterns
How to assess foot injuries with palpation
- bony
- soft tissue
- pulses
2 pulse locations on the foot
- dorsalis pedis pulse
- posterior tibial
How to assess foot injuries with special tests
- ROM
- other special tests