Pedorthic Certification Practice Exam

Question: 1 / 400

If a prescription indicates a "depth shoe with appropriate modifications," what might you choose for an individual wearing an AFO?

Rocker bottom and SACH heel

A depth shoe designed for use with an ankle-foot orthosis (AFO) must accommodate the bulk and design of the device while providing adequate stability and comfort. Selecting a rocker bottom shoe combined with a SACH heel is particularly suitable because it allows for a smoother transition during ambulation, which is essential for individuals who utilize an AFO. The rocker bottom design facilitates heel-to-toe movement, promoting a natural gait, while the SACH heel (which stands for Solid Ankle Cushion Heel) offers shock absorption and a stable base, enhancing the overall fit and function with the AFO.

The other options might address specific features but may not provide the overall benefit required for this context. For instance, medial and lateral flares could improve stability, but that aspect alone doesn't accommodate the need for depth and fit necessary when wearing an AFO. A high top shoe with limited toe spring may be helpful for ankle support, but it may not provide the optimal foot positioning or facilitate a proper gait. A full-length cushioned removable insole can add comfort, but on its own lacks the necessary modifications to address the challenges presented by an AFO. Therefore, the rocker bottom and SACH heel combination directly addresses the needs of an individual requiring a depth shoe with

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Medial and lateral flares

High top shoe with limited toe spring

Full length cushioned removable insole

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