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Parts of a shoe

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Question
Answer
Vamp   Anterior part covering the toes  
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Toe Box   Anterior part of the vamp  
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Quarters   The pieces that make up the posterior part  
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Tongue   Leather lying under lace  
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Throat   Shoe Entrance  
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Outsole   Part that touches the ground  
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Insole   Part that touches the bottom of the foot  
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Ball   Widest part of the sole at met heads  
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Shank   Narrowest part of the sole between heel and ball  
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External heel seat   posterior part of sole the which heel is attached  
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Heel   Attached to outer sole. Acts as a shock absorber and prevents shoe from wearing out. Shirts weight to the forefoot.  
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Breast   Anterior part of heel. Heel is 1/8 inches at breast  
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Heel counter   reinforces the shoe and stabilizes the foot by controlling the calcaneus  
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Collar   Band of leather stitched to the top of the quarters  
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Lace stay   portion containing eyes for laces  
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Heel cushion relief   give pressure relief for the heel part like in a calcaneal spur  
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Sole relief   cut sole for pressure relief  
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Scaphoid pads or arch cookies   rubber or foam wedge to give medial longitudinal support  
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Met pads   pad under the met heads  
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Heel wedges   medial wedge promotes inversion and later wedge promotes eversion  
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UCBL orthosis   custom molded insole used in flat foot  
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heel cup   provides calcaneal support  
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arch insert   can support medial or lateral longitudinal arch  
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insoles   useful for many deformities  
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rocker bar   convex strip placed under met heads externally to relieve metatarsal pan, quicken gait by assisting rollover, assist dorsifelxion or ecrease demand on weak plantar flexors  
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met bar   external device under met heads relieves pressure from the met heads  
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sole wedge   medial wedge promotes inversion and lateral wedge promotes eversion  
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toe wedge   medial toe wedge encourages toeing in and lateral toe wedge helps in toeing out  
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sole flare   widens base of support  
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steel shank   is inserted between inner and outer sole and reduces work of metatarsals/phalanges while bending  
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heel flare   used medially to resist eversion and laterally to resist inversion  
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heel extension   supports longitudinal arch and can project medially or laterally  
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cushioned heel   is a heel with posterior portion replaced by a rubberised material to absorb shock  
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heel lift   is used to compensate for pes equnus deformity or a leg length discrepancy of 1/4 to 1/2 inch  
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Pes Planus   Goal: decrease eversion an longitudinal arch support Modification: Thomas heel with medial high wedge, medial longitudinal arch support with cooke  
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Pes Cavus   Goal: distribute weight over entire foot, decrease pain and pressure on med heads Modification: high quarter, high toe box, lateral heel and sole wedges, met bars and molded inner sole  
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Pes equines   Goal:Heel strike, contain foot in shoe, decrease pressure on met head Modification:High quarter shoe, heel and sole elevation of the other shoe, modified lace stay for wide opening, medial longitudinal arch support  
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Metatarsalgia   Goal:Decrease pressure on the Met heads and support transverse arch Modification:Met pad or Met bar, inner sole releif  
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Short limb   Goal:Equalize leg length Modification:<0.5 inches internal lift; >0.5 external; >1 both internal and external; high quarter shoe and rocker bottom  
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Hammer toe   Goal:Decrease pressure on the painful region and support transverse arch Modification:Extra depth shoe with high toe box, met pad  
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Hallux valgus   Goal:Decrease pressure on the Met head, prevent foot slide and pressure distribution Modification:Relief in a soft vamp for the valgus, low heel, Met pad, medial longitudinal arch support  
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Calcaneal spur   Goal:Decrease pressure on the painful area Modification: Heel cushion  
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Arthritis of foot   Goal:Support the joint motion Modification:wide shoe, extra depth, flexible sole, fully molded insole, metatarsal pad, soft toe box, soft heel counter  
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Insensate foot   Goal: prevent ulcers Modification: Extra depth shoe, microcellular rubber insole; Patient needs to examine the foot for any trauma and pay attention to the metatarsal head and can soak daily & apply emollients  
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Plantar Fascitis   Goal: Pain releif Modification: UCBL shoe insert. This is a custom insert made of plastic shell, holds foot in position that releives tension in plantar fascia  
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Pronated foot   Goal: to decrease pronation Modification: This is seen in runners. The foot tends to roll inward causing wear along the inner side of the shoe. Needs medial support, wide flared heel and motion control heel counter  
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Arthritis of foot   Goal: pain releif Modification: wide shoe, extra depth, flexible sole, fully molded insole, metatarsal pad, soft toe box, soft heel counter  
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