Claw toes in hemiplegic patients after stroke

Annals of Physical and Rehabilitation Medicine
G LaurentG Robain

Abstract

The aim of this study was to analyze the prevalence of claw toes and its correlation to other lower limb disorders as well as the global functional recovery in a population of hemiplegic patients 1year post-stroke. This prospective study included 39 stroke patients hospitalized in the Physical Medicine and Rehabilitation (PM&R) department of a hospital between September2000 and September2001. The evaluation looked for incidence of claw toes during the first year post-stroke and whether there was a potential link to triceps surae spasticity, motor impairment of the leg and patients' functional abilities (Barthel Index, postural assessment scale for stroke patients [PASS], functional ambulation classification [FAC]). We conducted a total of 64 evaluations (one to four by patient). In 18 out of 39 (46%) patients, we found an occurrence of claw toes. In 15 out of 18 (83%) patients, who regained average functional capacities, its onset took place before the end of the third month post-stroke (Barthel: 30-70, PASS: 15-33, FAC: 3-4) and it was significantly linked to equinus and/or varus foot (p<0.0001). The occurrence of claw toes in hemiplegic patients is common and happens early on post-stroke. Equinus and/or varus foot and average...Continue Reading

References

Mar 29, 2002·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·G Sheean
Mar 12, 2004·Annales de réadaptation et de médecine physique : revue scientifique de la Société française de rééducation fonctionnelle de réadaptation et de médecine physique·J-M Mazaux, X Debelleix
Sep 23, 2009·PM & R : the Journal of Injury, Function, and Rehabilitation·Geoffrey Sheean, John R McGuire

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Citations

Nov 12, 2013·PM & R : the Journal of Injury, Function, and Rehabilitation·Chetan P PhadkeChris Boulias
Jul 31, 2013·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Troy J Boffeli, Rachel C Collier
Nov 9, 2015·Neurophysiologie clinique = Clinical neurophysiology·C BeyaertG E Frykberg
Nov 30, 2010·Archives of Physical Medicine and Rehabilitation·Chih-Chi ChenSimon F Tang
Jul 4, 2018·Technology and Health Care : Official Journal of the European Society for Engineering and Medicine·Kyoung Bo LeeKang Seong Lee
Jul 1, 2020·Journal of Foot and Ankle Research·A RogersM C Cramp

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