LE orthoses Flashcards

1
Q

Foundation of the LE Orthosis
Can reduce areas of concentrated pressure

A

SHOE

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2
Q

For protection of foot (part of shoe)

A

WELT

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3
Q

2 parts of Sole

A

inner sole; outer sole

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4
Q

Widest part of the sole; Fulcrum for “Push off”

A

BALL

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5
Q

ball corresponds to the area beneath the
_______

A

metatarsal heads

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6
Q

● Area between sole and the anterior border
of the heel
● Narrowest part of the shoe

A

SHANK

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7
Q

preferably corrugated metal which reinforces the shank area

A

SHANK PIECE/STEEL SHANK/Rigid strip

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8
Q

Space between the anterior portion of the
sole and the floor; Reduces wrinkling of the upper part of the shoe

A

TOE SPRING

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9
Q

Facilitates “toe off”

A

TOE SPRING

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9
Q

2 parts of heel

A

proximal; distal

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10
Q

4 types of heel height

A

spring; oxford; military; cuban

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11
Q

○ Lowest heel; 1/8 inch high
○ (-) heel breast

A

Spring

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12
Q

Oxford Heel- ______ inch high

A

6/8 to 8/8

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13
Q

10/8 inches high

A

Military Heel

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14
Q

used heel For most orthopedic purposes

A

cuban

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15
Q

Inclination of the posterior surface of the
heel from the vertical

A

PITCH OF THE HEEL

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16
Q

Portion of the shoe above the sole

A

UPPER

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17
Q

type of quarter Below lateral or medial malleolus

A

low

18
Q

HIGH QUARTER/HIGH SHOE aka _____

A

boot

19
Q

for the laces contained in the laces stays

A

EYELETS

20
Q

● Guards the dorsum of the toes against
trauma from falling objects, protects the tips
of the toes from stubbing against furniture,
rocks and other obstacles
● Preserves the shape of the vamp
● Enlarged to accommodate toe deformities

A

toe box

21
Q

Reinforcement that preserves the shape of
the shoe in the area of the anatomic heel.

A

counter

22
Q

5 shoe lasts

A

regular, straight, outflare, inflare, custom

23
Q

Must accommodate every deformed
and tender area of the foot

A

custom

24
Q

Adducts the juvenile foot

A

inflare

25
Q

Influences the ease of donning and doffing
and the amount of adjustability of the shoe

A

throat

26
Q

○ Most common design
○ Has a loose anterior margin of the lace
stays
○ Provides substantial opening which
facilitates donning and offers a greater
degree of adjustment
○ MC for orthopedic shoes

A

Blutcher Opening

27
Q

○ If donning is not a problem
○ Has stitched down vamps that cover
the forward edges of the quarter
○ Not possible to open the shoe widely
over the forefoot
○ A.k.a. Balthroat
○ Covers most of quarter area
○ E.g., Black leather shoes na walang tali

A

Balmoral

28
Q

○ Lace stay extends to the toe
○ Ak.a. “surgical boot” or “greatest heels
of the knee”
○ Easiest to don (i.e., after foot surgery)
because the patients’ toes may be
exposed fully
○ May have a high or low quarter

A

lace to toe

29
Q

● Interposed between outer sole and
thinned regular heel
● Soft rubber absorbs the impact
reducing stress on heel and ankle

A

CUSHION HEEL

30
Q

SACH

A

Solid Ankle Cushion
Heel

31
Q

WEDGE Designed to rotate the hindfoot in
inversion

A

MEDIAL heel wedge

32
Q

inversion/adduction/supination

A

Varus

33
Q

eversion/abduction/pronation

A

valgus

34
Q

Extension of medial heel breast
Maintains medial longitudinal arch

A

Thomas Heel

35
Q

● Extended lateral heel breast
● Supports the lateral longitudinal arch

A

reverse thomas

36
Q

● Layer of firm material is added to the heel
as compensation for leg length discrepancy
or fixed equinus deformity
● If LLD< 1 inch

A

HEEL ELEVATION

37
Q

● Consists of a firm material with
skived anterior and posterior edges
placed across the sole
● Usually placed behind MT heads/ball
of the sole
● Transfers the pressure off of the MT
heads to the shafts
+to facilitate roll over

A

rocker bar

38
Q

Flatter compared to rocker bar, less
assistance to roll over.

A

METATARSAL BAR

39
Q

● Spring steel inserted between the
outer and inner soles of a shoe
● ⅛ inch. thick, 1.5 cm wide
● Prevents motion in anterior portion
of the sole, thereby reducing stress
at the phalanges and MTs

A

Steel sole bar

40
Q

Crescent-shaped resilient pad
placed behind the 2nd to 4th toes
Loop is inserted to the 3rd toe

A

toe crest

41
Q

gap between MT
heads and toes

A

Hallux sulcus

42
Q

● Removable appliance that is placed in the
shoe
● Inserts
● Often contoured to provide MLA support
● Anterior convexity to support the MT arch
and relieves pressure on MT heads

A

FOOT ORTHOSES