Orthotic Rx and Shoes

Question 1

(true/false) Try for total correction with orthotics on day one.

Answer 1

False (shoot for tolerance first)

Question 2

Rigid orthoses are (thinner/thicker)

Answer 2

thinner

Question 3

What percent of patients complete their POC?

Answer 3

< 30 degrees

Question 4

What is the classic method/position of plaster casting?

Answer 4

subtalar neutral NWB

Question 5

What casting technique is used only for diabetic inserts and accommodation?

Answer 5

foam box impressions

Question 6

(true/false) the quality of the cast can dictate the result of the product

Answer 6

true

Question 7

With pes cavus feet, you want to (increase/decrease) rigidity with accommodative material

Answer 7

decrease

–> consider a deeper heel cup to stabilize the hindfoot

Question 8

How should you choose a casting method for pes planus feet?

Answer 8

• Choose a casting method that allows for the correction desired
• account for navicular drop and prominence w/ choice of material
• consider a medial flange to contain the midfoot

deepen the heel cup for rearfoot control

Question 9

Are all flat arches a problem that needs to be addressed?

Answer 9

no

Question 10

When looking at orthoses for pes planus, remember to allow relief for _____ deformities.

Answer 10

immobile deformities

Question 11

(True/false) Phits are recommended to address bony abnormalities.

Answer 11

false

Question 12

(true/false) Phits work well with mechanical issues more than foot deformity

Answer 12

true

Question 13

(true/false) Phits may not be ideal for pes cavus/pes planus feet.

Answer 13

true

Question 14

What should you be cautious of with heavy clients and phits?

Answer 14

shell cracking

Question 15

What is a stiffer heel counter used for?

Answer 15

more structure/more strength

Question 16

Where do running shoes get their cushioning from?

Answer 16

foam in the sole of the shoe

Question 17

definition: total height of the cushioning under the foot

Answer 17

stack

Question 18

definition: the difference in height between the forefoot and rearfoot

Answer 18

pitch

Question 19

definition: the shape of the base of the shoe

Answer 19

last

Question 20

what are the different shapes of the base of the shoe?

Answer 20

curved, semi-curved, straight

Question 21

definition: stabilizing system in the midfoot of the sole to stiffen the arech of the shoe with heel to forefoot transition

Answer 21

trusstic system

Question 22

definition: stiffer material in the mid-sole of the shoe to limit motion in that direction

Answer 22

posting

Question 23

Standard male shoes are what width?

Answer 23

D

Question 24

Standard female shoes are what width?

Answer 24

B

Question 25

definition: shoe category that has a single-density mid-sole with no attempt at limiting PRON. Generally curved or semi-curved last.

Answer 25

cushioning

Question 26

definition: shoe category that has a multi-density mid-sole with mild-moderate attempts at limiting PRON. Generally, semi-curved last

Answer 26

stability

Question 27

(true/false) shoes limit SUP

Answer 27

FALSE (no shoes limit SUP)

Question 28

definition: shoe classification that has a multi-density midsole with full attempts to limit PRON. primarily straight last

Answer 28

motion control

Question 29

definition: shoe category that has little to no pitch and is a low stack shoe with high flexibility.

Answer 29

minimalist

Question 30

What category of sneaker are shoe orthoses not commonly inserted into?

Answer 30

minimalist

Question 31

What categories of shoes have guide-rail technology?

Answer 31

motion control stability

Question 32

Depth footwear will have removable fillers under the ______.

Answer 32

sock liner (up to 7 mm)

Question 33

What types of materials are available for toe deformities and edema?

Answer 33

lyrca and stretch materials

Question 34

(true/false) all carcot-lasted shoes are customized.

Answer 34

False (non-custom are available)

Question 35

Always fit a shoe from (ball/heel) to (ball/heel/toe)

Answer 35

heel to ball

Question 36

Where should the widest part of the foot fit into the shoe?

Answer 36

the widest part of the shoe

Question 37

(true/false) not all shoes come in different widths

Answer 37

true

Question 38

Laces should be close to (perpendicular/parallel) on the throat of the shoe

Answer 38

parallel

Question 39

What does a buttress do?

Answer 39

gives structure to the side of the shoes

Question 40

(medial/lateral) buttress should be used with patients who have charcot foot or equinous feet.

Answer 40

lateral

Question 41

(true/false) AFOs are made for ankle stability

Answer 41

FALSE

Question 42

Why are AFOs used?

Answer 42

to improve toe clearance

Question 43

What kind of AFO has no hinges?

Answer 43

static AFO

Question 44

What type of AFO is common/y used with children?

Answer 44

Dynamic AFO (allows neutral DF)

Question 45

definition: unable to clear the toe when walking

Answer 45

foot drop/steppage gait

Question 46

(true/false) there is a limit for rocker soles

Answer 46

false

Question 47

Should you change the height of the contralateral shoe relative to the shoe being changed to a rocker sole?

Answer 47

yes

Question 48

Why are rocker soles used?

Answer 48

improve heel to toe transitions

Question 49

(true/false) rocker soles are covered by insurance

Answer 49

false

Question 50

what are external metatarsal bars used for?

Answer 50

offloading ulcerations