TIPOS DE PÉS
Autor: CARLOS PODÓLOGO | Publicado: 2012-09-04T12:16:00-03:00



&nbsp;Tipos de Pés



&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Os 2 arcos do pé são o longitudinal
e o transverso. O suporte extrínseco é dado pelos músculos da perna e o intrínseco
pelos ligamento e musculatura do pé.

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; O pé plano ocorre pela ajuda do arco
longitudinal do pé. Os ossos do tarso tendem a formar uma linha reta em vez de
um arco, perdendo a função de amortecimento.



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&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;Pé Plano



&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
No pé cavo, o arco longitudinal é
muito acentuado, há excesso de pressão nas cabeças dos 
metatarsianos que estão
abaixadas, com formação de calosidades e fascite plantar por processo de
corda
de arco.

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&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Pé Cavo



&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; O arco transverso do pé é formado
pelos 5 metatarsianos. Com sua queda, as cabeças do 2º ao 4º metatarsianos
passam a tocar o solo, ocorrendo a contratura do m. adutor do hálux. Pode haver
a formação do hálux valgus. O apoio anormal dos metatarsianos leva também à
formação de calosidades plantares e à metatarsalgia crônica. A persistência
dessas alterações leva à artrose precoce.



&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Arco Transverso<!--[if gte vml 1]><v:shape
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&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; No pé
supinado ou varo, apresenta a queda lateral do arco transversal, o tendão
calcâneo se torna varo. Pode estar associado ao pé cavo e/ou a um joelho
geno-varo. Devemos estabelecer equilíbrio dos músculos dorsais e plantares e os
exercícios devem estar associados a outras deformidades.<!--[endif]-->



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&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; No
pé pronado ou valgo, apresenta queda medial do arco transversal, o tendão
calcâneo se torna valgo. Pode estar associado ao pé plano e/ou a um joelho
geno-valgo. Os exercícios devem seguir os mesmos princípios do pé supinado.

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&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; O
pé convergente, é caracterizado pela rotação medial do tornozelo, o hálux se
aproxima da linha medial. Os exercícios devem priorizar a inversão da rotação
do tornozelo e estabelecer um equilíbrio dos músculos da perna e plantares.

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&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;&nbsp;Pé Convergente



&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; O
pé abduto a rotação lateral do tornozelo e o hálux se aproxima da linha
lateral. Os exercícios seguem os mesmos princípios do pé convergente,
priorizando a eversão da rotação do tornozelo. 

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&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;&nbsp;Pé Abduto