Treatment of the Foot (3) Flashcards
shoe corrections
pads, wedges and arches that are used to support or correct the foot
shoe corrections could be placed in
shoe or shoe insert
what are shoe corrections made out of
various materials
felt, rubber, etc.
under structure shoe correction
increase weight bearing
behind structure shoe correction
relieves weight bearing
1st MT platform
placed under MT heads
under sesamoids
placed under MT heads –> 1st MT platform
increase WBing under head
bring ground up to the foot
what is a 1st MT platform under MT head used for
morton syndrome
1st MT head under sesamoids
stabilizes
heel wedge
can be medial or lateral
1/2 - 3/16 in height
most common heel wedge
medial
clinical reason for medial heel wedge
corrects flexible pronation
accommodates for supination
where is a MT support/pad placed
proximal to 2,3,4 metatarsal heads
proximal to all metatarsal heads
what does MT support/pad support –> proximal to 2,3,4 metatarsal heads
transverse MT arch
MT support/pad can be–> proximal to 2,3,4 metatarsal heads
in the shoe
part of inner sole
part of foot orthosis
MT support/pad clinically–> proximal to 2,3,4 metatarsal heads
metatarsalgia
splay foot
plantar ulcer
MT support/pad –> all metatarsal heads –> relieves
pressure under MT heads
MT support/pad –> all metatarsal heads –> can be
outside shoe
part of arch support or innersole
MT support/pad –> all metatarsal heads –> clinically
metatarsalgia
rocker bar
rounded bottom
facilitated push off
clinical –> rocker bar
hallux rigidus
arthritis in forefoot or toes
gout
arch support –> MLA–> can be
part of the shoe
inserted as an inner sole
included in a foot orthotic
supports of MLA can be
rigid or non rigid
clinical use of MLA support
pes planus
medial support of foot
what does a high toe box allow
greater room for toe height
high toe box –> clinically
toe deformities
prevents rubbing and calluses
thomas heel
heel advanced 1/2” on medial side
gives support to medial longitudinal arch
heel pad/heel raiser clinically used for
leg length discrepancy
increase range for LOM in DF
cut out for calcaneal spur
we use a heel pad/heel raiser
bilaterally
heel pad/heel raiser can be
alone or part of inner sole
within shoe
1/2-3/4”
foot orthotics are
custom made
base of foot orthotic
foot plate w/ MLA
types of foot orthotics
accommodative
fxnal
clinical use for foot orthotics
fixed/rigid deformities
duel density/multi-layered
protects insensate feet
fixed/rigid deformities –> clinical use
accommodates deformity
evens weight bearing
soft molded
fxnal FO
support biomechanical imbalances in the foot
for flexible deformities
posted to correct foot position
flexible deformities –> fxnal FO
corrects imbalances
evens WBing
semi-rigid, rigid orthotics
ML-arch support
DAFO
dynamic ankle foot orthosis
custom fabricated
how do we measure DAFO
hold the foot and ankle in fxnal position for weight bearing/ADL
DAFO clinically
flexible flat foot children
DAFO can be
AFO
SMO
FO
UCBL
shoe insert
maximum control foot orthosis
clinically –> UCBL
progressive flat foot adult
tx of foot attempts to
even weight bearing
relieve pain/protect foot
even weight bearing –> tx
accommodate a rigid deformity
correct a flexible deformity
relieve pain/protect foot –> tx
place under a structure increases WBing
place behind a structure relieves weight