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PTRS 745 Exam 2 > Orthotics > Flashcards

Flashcards in Orthotics Deck (36)
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1

Q: What is the largest bone of the foot?

Calcaneus

2

Q: What bones form the arches of the foot?

Cuboid, navicular, and cuneiforms

3

Term: Arched part of the top of the foot between the toes and ankle

Instep

4

Content: Metatarsalgia 

1. Description

2. Main symptoms

3. Onset

1. Sharp, short pain between toes near the MT heads

2. Pain with walking/running 

3. Insidious 

5

Content: Treatment for Metatarsalgia 

MT head pad - place inside 1st-5th MT head at same angle as MT heads

6

Content: Planatar Fasciitis

1. Description

2. Daily Cycle

3. If left untreated

1. Inflammation of the plantar fascia

2. Night/Morning = stiff from being in a shortened position;

    Day = stretched out/relaxed

3. Become chronic and requires surgery

7

Q: What is the most important part of plantar fasciitis treatment?

Pt. Compliance

8

Content: Treatment for Plantar Fasciitis (4)

1. Deep massage several times a day

2. Stretching includes toes

3. Ice massage

4. Night splint

9

Q: Who is most susceptible to achilles tendonitis?

30-45 yo (middle aged) men

10

Q: What aspect of a shoe can be changed for Achilles tendonitis?

The CANT (make it less than 90 degrees) or add a heel lift 

11

Q: What is the CANT of a shoe?

The angle of the back of the shoe compared to the ground

12

T/F: Having a pronated or supinated foot effects the position of the Achilles Tendon.

True - runs in a curved motion 

13

Q: Excess pronation in toe off puts compression on what part of the ankle?

Lateral

14

T/F: Excessive pronations can cause achilles subluxation.

False: Peroneal 

15

T/F: The more pronated the ankle the more prone to achilles and peroneal tendonitis.

True

16

Q: What is the most common type of ankle sprain?

Lateral

17

Q: What type of shoe/orthotic is used with grade 2 or 3 ankle sprains?

Lateral posting

18

Content: Early and Often treatment for Ankle Sprain (7)

1. Ice

2. Compression

3. Elevation 

4. 90 Degrees

5. WBAT

6. Early motion as tolerated

7. Heel strike to toe off regardless of the amount of motion 

19

Q: A supinated foot is more prone to what two injuries?

Lateral sprain, Achilles tendonitis (?)

20

Q: Where do stress fx in the foot typically occur?

5th MT 

21

T/F: Pronation is a normal movement of the mechanics of the ankle.

True, but not an excessive amount

22

T/F: A pronated ankle results in a smaller Q angle, causing the patella to ride up medially.

False, larger, laterally

23

Content: Rigid Orthotics

1. Difficult to adjust

2. Cover 3/4 of the length of the foot

3. Movement only occurs at MT heads

4. Do not allow for normal full foot motion 

24

T/F: A cushion for the shoe provides arch support.

False, if any is provided it is due to the shape of the midsole of the SHOE, not the insert

25

Q: What type of orthotics allows support and kinematic movement of the arches?

Semi Rigid

26

T/F: The purpose of orthotics is to put the foot in a position that can not be attained through natural movement.

False an orthotic should never position the foot in any position that cannot be attained through natural movement 

27

Defn: Pump Bump

Calcification under the achilles tendon 

28

Defn: Turf Toe

Sprain to the ligaments around the big toe joint

29

Content: Treatment for Turf Toe

Carbon fiber plate or taping

30

Q: Who are bunions more common in?

Women or those who push off medial foot

31

Q: When do men and women's feet stop growing?

Men = 18-19

Women = 16 

32

Content: Describe the following types of shoes

1. Neutral 

2. Stability

3. Motion Control

1. EVA all over, if arch support is added provide support but don't stop pronation

2. Medial and hind foot have been built up 

3. For pronated/flat foot, more stability on the mid foot

33

Content: What to look for when buying shoes (3)

1. Should feel like your not wearing a shoes

2. Shouldn't need to break them in 

3. SIZE - use your bigger foot, want half to full size larger (feet swell throughout day)

34

Content: Shoe Drop 

1. Normal drop is 10-12 mm

2. Barefoot running drop is 0-4mm 

35

Q: What is the supposed advantage of bare foot running

Strike more on forefoot > better posture > less respiratory effort

36

T/F: Shoes correct over pronation

False: can stop you from excessive crushing the medial shoe, but would require an orthotic to address the over pronation