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Flashcards in Shoes and Therapeutic Footwear Deck (37)
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how can footwear maximize function

enhance shock absorption
reduce shear stress on the foot
accommodate/support the deformity
relieve pressure on sensitive areas


what is the toe box

room available for the toe


What should you consider first when enhancing function

consider footwear first before orthosis


what is the quarter on a shoe

it is considered the high top part of a shoe


where is the vamp of a shoe

located in the front part of the shoe


what is the throat of a shoe

the front of the shoe where the tongue inserts
determines how wide the shoe can be opened


how much room should one have in the tow box length when in standing

they should have 1/2 inch past the longest toe


what type of person would need extra toe box height

someone with hammertoe, clawfoot, corns/calluses would need extra room in that area


what is the shoe last

it is the 'curve' of a shoe; also the form or mold around which a shoe is constructed


what type of shoe last would a pronater fit best in

a straight last


what type of shoe last provides stability

a board lasted shoe last which is also hard and fibrous


what type of shoe last is lighter and more flexible

a slip lasted shoe last which has no insole board


what is the typical heel height

3/4 inch


what happens if you have too much heel

decreased WB surface and puts the foot into PF while loading the forefoot
tilts the leg forward providing excessive stance phase and knee flexion


what happens if the heel is too low

decreased PF
produces knee hyperextension


What is the benefit of quarter height

provides more ankle stability and restricting ankle motion


what type of throat has the lace come in at a narrow point which can restrict forefoot motion and makes it hard to get the foot in the shoe



why do we prefer the BLUCHER throat

it is open at the laces
better accommodates to orthtotics, swelling or deformities


what to make sure a properly fitted shoe should have

shoe should be 1/2 inch longer than the longest toe
widest part should correspond with the widest part of the foot


when should you get your foot sized and why

in the afternoon; this is because your feet are 1/2 size smaller in the morning


what is a SACH

a solid ankle cushioned heel
it can reduce shock at heel strike and compensates for diminished ankle motion


what type of heel flare would a supinator benefit from

a lateral outflare; since they invert and roll their ankles more often


how does the thomas heel give more stability

it is externally applied on the bottom of the shoe to give more support in the heel


how much correction would there have to be for a heel lift to be built up OUTSIDE of the shoe

if they need more than 1/2 inch they would need the heel lift done out of the shoe


what is the difference between a fixed and flexible foot

a fixed foot can NOT be corrected and needs to be accomodated. We do this by bringing up the ground to the foot wherever side the gap is on with a wedge

a flexible foot can be corrected by adjusting the foot itself


when would you use a medial heel wedge

for a fixed hindfoot varus


when would you use a lateral heel wedge

for a fixed hindfoot valgus


what would you do for a flexible rearfoot varus deformity

have the person wear a lateral heel wedge


what would you do for someone with a fixed rearfoot valgus deformity

have them wear a lateral heel wedge


what would you do for someone with a flexible rearfoot valgus deformity

have them wear a medial heel wedge