Treatment of the Foot (2) Flashcards

(58 cards)

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
board last --> construction last
rigid material b/w sole and upper rigid shoe mens dress shoe
26
slip last --> construction
no rigid material b/w sole and upper flexible ballet slipper
27
combination --> construction
rigid material b/w heel and upper front flexible back rigid
28
heel of the shoe
should be broad 2" in height
29
what does a wedge heel do
reduces stress on forefoot
30
where is the heal measured
at the breast of the heel 1/8" increments
31
what could a higher heel be used for
LOM in DF
32
upper shoe includes
everything above the sole
33
upper shoe should
not put pressure on top of foot should be comfortable
34
upper parts of the shoe
vamp toe box quarter heel counter closure throat
35
vamp
front of shoe/anterior to stitches ends w/ toe box
36
toe box
high enough not to put pressure on dorsum of toes
37
toe deformities
hammer toes claw toes --> diabetes, biomechanical imbalance in foot
38
quarter
medial and lateral sides of upper (behind stitching) made more rigid medially to support MLA
39
heel counter
cardboard reinforcement of heel
40
height of counter
= type low top high top 3/4 top
41
low top --> counter
should be under malleoli grasps the heel too loose can cause blisters
42
3/4 top --> counter
first walker for babies
43
closure of shoe
laces straps velcro
44
what should we consider w/ shoe closure
consider pt's eyesight and dexterity in the choice
45
throat of the shoe
bulcher throat bal throat
46
bulcher throat
not stitched bigger opening good for braces
47
bal throat
stitched across smaller opening
48
sole of the shoe
inner and outersole
49
outersole
provides traction dress shoes athletic shoes
50
dress shoes outersole
leather hard rubber if balance is an issue
51
athletic shoes outsole
black rubber where needed
52
midsole of the shoe
sandwiched b/w inner and outer sole
53
fxns of midsole
shock absorption foot control
54
what are midsoles built to do
guide stabilize support energize the foot
55
what determines the stability of the shoe
last and fit
56
more stable shoe will have
straight last for over pronators medial posts for pronation control dual density midsole heavier and stiffer
57
neutral shoe will have
average foot (ideal) semi-curved last combination last no medial post dual density midsole lighter and flexible
58
least stable shoe
semi-curved to curved last for under pronators --> rigid foot single density midsole less stiff slip last sometimes light and flexible