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The Palmer Pletsch Complete Guide to Fitting


Synopsis


Pati Palmer, Marta Alto

Summary

Chapter 1: Understanding the Anatomy of the Foot

This chapter provides an overview of the structure and function of the foot, including the bones, muscles, ligaments, and tendons. It discusses the different types of foot disorders and how they can affect fitting.

Real-life example: A patient with bunions, a common foot deformity, may need shoes with a wider toe box to accommodate the protruding bone.

Chapter 2: Taking Measurements and Evaluating Foot Shape

This chapter teaches how to properly measure the foot and assess its shape, including length, width, arch height, and toe alignment. It explains the importance of using a Brannock device and other tools to ensure an accurate fit.

Real-life example: A patient with a high-arched foot may benefit from shoes with good arch support, while someone with a flat-arched foot may prefer shoes with a more neutral arch.

Chapter 3: Shoe Construction and Materials

This chapter discusses the different components of a shoe, including the upper, insole, midsole, and outsole. It covers the materials used in shoe construction and their impact on fit and durability.

Real-life example: A patient with diabetes may need shoes with a seamless interior to prevent pressure points and skin irritation.

Chapter 4: Fitting Footwear for the Common Foot Types

This chapter provides guidelines for fitting shoes for a variety of foot types, including normal, wide, narrow, high-arched, flat-arched, and diabetic feet. It explains the specific shoe features that are appropriate for each foot type.

Real-life example: A patient with wide feet may require shoes with a "W" width or even a "XW" width to ensure a comfortable fit.

Chapter 5: Fitting Footwear for Children and Seniors

This chapter addresses the unique fitting needs of children and seniors. It discusses how to measure their feet, assess their gait, and choose shoes that support their developing or aging bodies.

Real-life example: A child with a growing foot may need shoes with adjustable closures to allow for length changes.

Chapter 6: Modifying Footwear for Special Needs

This chapter provides techniques for modifying footwear to accommodate special needs, such as orthotics, braces, and prosthetics. It covers the use of inserts, heel lifts, wedges, and other modifications to improve fit and comfort.

Real-life example: A patient with a leg length discrepancy may require a shoe lift to compensate for the difference in leg lengths.

Chapter 7: Common Fitting Problems and Solutions

This chapter identifies common fitting problems and provides solutions for each issue. It covers issues such as heel slippage, blisters, bunions, and hammertoes.

Real-life example: A patient with heel slippage may need a shoe with a heel counter that provides additional support.

Chapter 8: The Ethical and Legal Responsibilities of Fitting

This chapter emphasizes the ethical and legal responsibilities of shoe fitters. It discusses the importance of informed consent, confidentiality, and preventing harm to patients.

Real-life example: A fitter should not recommend shoes that are not appropriate for the patient's foot condition, even if the patient insists on purchasing them.