SAPPHIRE PHYSICAL THERAPY SHOE

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SAPPHIRE PHYSICAL THERAPY SHOE FOOT SEMINAR

• Putting Feet Shoes Together
• for Your Health
• with John Fiore, PT

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PRESENTATION OUTLINE

• Foot Facts
• Foot Ankle Anatomy
• Shoe Anatomy
• Common Foot Injuries
• Orthotics
• Sport Activity Specific Shoes
• Questions Answers

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FOOT FACTS

• Average person logs 1,000 miles per year.
• One hour of running transfers 1 million lbs. of
  force through the feet.
• Walking places 1.5 times your body weight through
  your foot.
• Over 11 million medical office visits in 2003 due
  to foot and ankle problems.

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FOOT ANATOMY

• 26 bones in each foot.
• The ankle is composed of the talus and the distal
  end of the tibia and fibula and their associated
  supporting ligaments.
• Most commonly sprained ankle ligament is the
  anterior talofibular ligament.
• Muscles located in the lower leg and foot move
  the ankle and foot.
• The arch of the foot is a supporting structure
  composed of bones, muscles, and the plantar
  fascia.
• Foot pronation and supination- which do I have
  and does it matter?

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FOOT ANATOMY

• Bones
• Ankle
• Foot
• Ligaments
• Muscles
• The arch of the foot
• Plantar fascitis
• Muscles
• Bone structure
• Foot pronation and supination
• - which do I have and does it matter?

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FOOT ANATOMY
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FOOT ANATOMY
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GAIT ANALYSIS

• Pronation or Supination?
• Toe-in or Toe-out?
• Knees-in or Knees-out?
• Heel (rear foot) Motion?
• Antalgic (limp) Gait Present?
• Arch Height?
• Right Foot Compared to Left Foot?

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SHOE ANATOMY

• Your shoes should allow for appropriate foot and
  ankle motion while controlling inappropriate or
  inefficient motion.
• Shoe cushion vs. shoe support
• Mid sole materials (gel, air, EVA)
• Heel counter
• Last -straight vs. curved
• Shoe tread
• Torsional stability test
• Insole vs. over the counter orthotic vs.
  custom-casted orthotic

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SPORT ACTIVITY SPECIFIC SHOES

• Walking shoes
• Running shoes
• Work shoes/boots
• Hiking shoes/boots
• Cycling shoes
• Sandals
• Dress shoes

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ORTHOTICS

• Custom made vs. prefabricated

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ARE ORTHOTICS FOR ME?

• 50 of all Americans will miss a day of work due
  to foot pain.
• Foot pain is not normal and should not be
  ignored.
• Orthotics help reduce pain, provide support,
  improve biomechanical function of the foot
  ankle.

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OVER THE COUNTER ORTHOTICS

• Provide additional support for the average
  foot.
• Includes
• Spenco insoles
• Super feet
• Pre-fabricated arch supports

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CUSTOM ORTHOTICS

• Provide support and/or cushion to decrease pain
  and improve function.
• Casted in ideal ankle position to insure a custom
  fit.
• Three types
• Rigid
• Semi Rigid
• Soft

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WHO MAY BENEFIT FROM ORTHOTICS?

• People with foot problems
• People who must walk or stand excessively on the
  job.
• People who are active in sports
• Overweight individuals
• People with diabetes
• Older adults
• It is important for patients to follow the
  doctors instructions on when to wear them to
  obtain the greatest benefit.

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RIGID CUSTOM ORTHOTICS

• Provide necessary support and stability in order
  to decrease excessive foot and ankle motion
  causing pain.
• Rigid plastic or carbon fiber arch.
• Top cover usually extends to the metatarsal heads
  and is composed of Spenco, Coolflex, or suede.
• Indications include cycling, soccer, baseball
  shoes, ankle instability.

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SEMI RIGID CUSTOM ORTHOTICS

• Provide support while allowing appropriate,
  dynamic foot and ankle motion.
• Semi rigid plastic or carbon fiber arch with
  variable density EVA or cork material.
• Full length top cover for cushion and air flow
  composted of suede, Spenco or Coolflex.
• Indications include activities such as running,
  walking, hiking, plantar fascitis, work settings
  requiring frequent walking (work shoes, work
  boots).

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SOFT CUSTOM ORTHOTICS

• Provide cushion and support.
• Indications
• Diabetic foot
• Arthritic foot
• Variable density EVA, PPT, cork.
• Full length Spenco, Coolflex, or suede top cover.
• Indications include activities requiring
  prolonged standing

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COMMON FOOT INJURIES

• Plantar fascitis
• Metatarsalgia
• Ankle sprain
• Hammer toe
• Bunion
• Blisters calluses
• Overuse injuries
• stress fractures
• shin splints
• tendonitis

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QUESTIONS ANSWERS

• What should I look for when shopping for new
  shoes?
• What is the torsion test?
• What should I avoid when purchasing shoes?
• Will custom orthotics benefit me?

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LOWER LEG AND FOOT ANATOMY
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LOWER LEG AND FOOT ANATOMY
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LOWER LEG AND FOOT ANATOMY