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Prosthetics and Orthotics - Exam 1 > Treatment of the Foot (2) > Flashcards

Treatment of the Foot (2) Flashcards

1
Q

talipes equino varus

A

foot points downward or inward

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2
Q

calcaneal deformity

A

DF deformity

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3
Q

splay foot

A

depressed TMT arch

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4
Q

morton toe

A

2nd toe is longer than the rest of the toes

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5
Q

pes planus

A

flat foot

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6
Q

supple pes planus

A

normal arch with WB

arch disappears w/ WBing

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7
Q

rigid pes planus

A

arch remains stiff and collapsed w/ and w/o WBing

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8
Q

how do we determine the proper fit of a shoe

A

check while in standing

measure

arch support

heel

foot orthotics/foot plate

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9
Q

what do we measure –> proper fit

A

3/8-5/8 “ longer than the longest toe

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10
Q

where should the shoe be the widest

A

at ball of foot

MT heads

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11
Q

what should the arch support match

A

MLA

high point = sustentaculum tali

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12
Q

heel counter –> proper fit

A

lower than malleoli

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13
Q

foot orthotics/foot plate –> proper fit

A

buy a shoe 1/2 size bigger

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14
Q

last of shoe

A

shape over which the shoe is built \

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15
Q

types of shape of shoe

A

regular

straight

in-flare

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16
Q

regular shape

A

L/R

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17
Q

straight shape

A

no L or R

initially either foot

pediatrics

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18
Q

pediatrics –> straight shape

A

shoes wear differently

Mark R and L

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19
Q

inflare shape

A

curved last

curved in / MT adductus

bunions –> more room

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20
Q

3 types of lasts

A

straight

semi-curved

curved

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21
Q

straight lasts

A

more stable

good for over pronators

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22
Q

semi-curved last

A

average arch

biomechanically normal foot

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23
Q

curved last

A

rigid foot

high arch

good for under pronators

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24
Q

construction last

A

rigidity of the shoe

board last

slip last

combination

25
Q

board last –> construction last

A

rigid material b/w sole and upper

rigid shoe

mens dress shoe

26
Q

slip last –> construction

A

no rigid material b/w sole and upper

flexible

ballet slipper

27
Q

combination –> construction

A

rigid material b/w heel and upper

front flexible

back rigid

28
Q

heel of the shoe

A

should be broad

2” in height

29
Q

what does a wedge heel do

A

reduces stress on forefoot

30
Q

where is the heal measured

A

at the breast of the heel

1/8” increments

31
Q

what could a higher heel be used for

A

LOM in DF

32
Q

upper shoe includes

A

everything above the sole

33
Q

upper shoe should

A

not put pressure on top of foot

should be comfortable

34
Q

upper parts of the shoe

A

vamp

toe box

quarter

heel counter

closure

throat

35
Q

vamp

A

front of shoe/anterior to stitches

ends w/ toe box

36
Q

toe box

A

high enough not to put pressure on dorsum of toes

37
Q

toe deformities

A

hammer toes

claw toes –> diabetes, biomechanical imbalance in foot

38
Q

quarter

A

medial and lateral sides of upper (behind stitching)

made more rigid medially to support MLA

39
Q

heel counter

A

cardboard reinforcement of heel

40
Q

height of counter

A

= type

low top

high top

3/4 top

41
Q

low top –> counter

A

should be under malleoli

grasps the heel

too loose can cause blisters

42
Q

3/4 top –> counter

A

first walker for babies

43
Q

closure of shoe

A

laces

straps

velcro

44
Q

what should we consider w/ shoe closure

A

consider pt’s eyesight and dexterity in the choice

45
Q

throat of the shoe

A

bulcher throat

bal throat

46
Q

bulcher throat

A

not stitched

bigger opening

good for braces

47
Q

bal throat

A

stitched across

smaller opening

48
Q

sole of the shoe

A

inner and outersole

49
Q

outersole

A

provides traction

dress shoes

athletic shoes

50
Q

dress shoes outersole

A

leather

hard rubber if balance is an issue

51
Q

athletic shoes outsole

A

black rubber where needed

52
Q

midsole of the shoe

A

sandwiched b/w inner and outer sole

53
Q

fxns of midsole

A

shock absorption

foot control

54
Q

what are midsoles built to do

A

guide

stabilize

support

energize the foot

55
Q

what determines the stability of the shoe

A

last and fit

56
Q

more stable shoe will have

A

straight last

for over pronators

medial posts for pronation control

dual density midsole

heavier and stiffer

57
Q

neutral shoe will have

A

average foot (ideal)

semi-curved last

combination last

no medial post

dual density midsole

lighter and flexible

58
Q

least stable shoe

A

semi-curved to curved last

for under pronators –> rigid foot

single density midsole

less stiff

slip last sometimes

light and flexible

Prosthetics and Orthotics - Exam 1 (19 decks)

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