National Physical Therapy Examination (NPTE) Practice Exam

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What type of orthotic is commonly recommended for a patient with pes planus?

Heel lift
Longitudinal arch support
Transverse arch support
Custom foot orthotics

The correct answer is: Longitudinal arch support

For a patient with pes planus, commonly known as flat feet, the most effective type of orthotic support is longitudinal arch support. This type of orthotic is designed to help distribute body weight evenly across the foot and provide support to the medial longitudinal arch, which is often collapsed or not properly developed in individuals with pes planus. By lifting and supporting the arch, longitudinal arch supports can reduce pain and improve functionality by enhancing stability and alignment during ambulation. In contrast, while heel lifts are beneficial for addressing specific issues like leg length discrepancy or managing tightness in the Achilles tendon, they do not directly address the stability and support needs associated with pes planus. Transverse arch supports focus on the support of the metatarsal area rather than the longitudinal arch, which is more relevant for conditions affecting the toe area. Custom foot orthotics can be beneficial for various foot conditions, including pes planus, as they provide personalized support, but the most commonly recommended solution for flat feet specifically tends to be effective longitudinal arch support.