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Orthotics Exam – Questions And Detailed Solutions
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Orthotics Exam – Questions And Detailed SolutionsThe term orthotics was adopted in: Correct Ans - 1940
Fixed deformity Correct Ans - Cannot be changed manually or with
external support. Orthotics are used to support or accommodate
Flexible deformity Correct Ans - Can be reduced. Orthotic is used to
treat the opposite side of the deformity.
Shoe last is developed for a particular: Correct Ans - Heel height and
shoe shape
The most common shoe type modified for orthotics are: Correct Ans -
oxfords and boots
Upper components of the shoe: Correct Ans - vamp, quarter, throat,
toe box
Lower components of the shoe: Correct Ans - outersole, shank, heel
The vamp Correct Ans - extends from instep anteriorly
The quarter Correct Ans - makes up side and the back of upper shoe
The throat Correct Ans - line that connects the rear part of the vamp
and the front part of the quarter
Throat styles Correct Ans - Bal, Blucher, lace to lace
Toe box Correct Ans - Part of the shoe that covers the toes
The counter Correct Ans - Component of the quarter that stabilizes the
rearfoot in the shoe
Outersole Correct Ans - Lies between the plantar surface and the
ground
Shank Correct Ans - Area between the heel and the metatarsal heads
, Heel Correct Ans - Distributes forces between the front and the back of
the foot
Quarter heights Correct Ans - Low, medium, high, chukka
Shoe insert Correct Ans - Can be used to correct a flexible flat foot
deformity
Metatarsal pad Correct Ans - dome pad of sponge rubber placed post.
to metatarsal heads. Increases load on metatarsal shafts and decreases load
on metatarsal heads.
Rocker bar Correct Ans - Firm material with cut ant/post edges placed
along portion of foot posterior to metatarsal heads.
Should run from the 1st to 5th metatarsal head. Shortens functional length of
shoe while allowing the metatarsals to move throughout lessened ROM during
propulsion
Reduces lever arm of ground reaction forces taking some work off of the
gastroc/soleus during PF.
Metatarsal bar Correct Ans - Flat strip of leather placed across the sole
of foot posterior to metatarsal heads. Transfers stress from MP joints to
metatarsal shafts during late stance, but less assist with rollover.
Heel modifications Correct Ans - Cushion heel and Thomas heel
Cushion heel Correct Ans - Wedge of rubber between the outer sole
and thinner regular heel. Stimulates PF. Indicated when pt. wears orthotic
with a rigid ankle.
Thomas heel Correct Ans - Medial portion of the heel projects 1/2 inch
anterior and gives support to the medial longitudinal arch. Augments the
affects of a medial wedge in supporting longitudinal arch.
Ankle stabilizing orthosis (ASO) Correct Ans - Lace-up
Made of non-elastic nylon
Prescribed after ankle injury to prevent rearfoot rotation (hold calcaneus).
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