PMID: 11932853Apr 5, 2002Paper

Footdrop, foot rotation, and plantarflexor failure in Charcot-Marie-Tooth disease

Archives of Physical Medicine and Rehabilitation
Paolo Vinci, Sandra L Perelli

Abstract

To evaluate the frequency of occurrence of the main causes of poor stance and gait in patients with Charcot-Marie-Tooth disease (footdrop graded as mild or severe, rotation, and plantarflexor failure) both as single and associated problems. Observational. A neuromuscular disorders department in a specialized Italian rehabilitation hospital. One hundred twenty-six nonoperated lower limbs from 64 outpatients. Ankle angle during active dorsiflexion and heel angle in stance were measured in a photograph; the ability to raise the heel at least 2cm was evaluated. Frequency of mild footdrop (ankle angle < or =100 degrees ), severe footdrop (ankle angle >100 degrees ), and rotation and plantarflexor failure singularly and in association. Mild footdrop was present in 47.6% of examined limbs and was associated with rotation in 39.7% of limbs; severe footdrop was present in 52.4% of limbs and was associated with rotation in 28.6% of limbs, with rotation plus plantarflexor failure in 21.4% of limbs. We recommend categorizing problems in the lower limbs into 4 levels of increasing symptom severity, starting with mild footdrop and graduating to the instance where the 3 problems are associated.

Citations

Jul 17, 2013·Occupational Therapy in Health Care·Maria Matyjasik-Liggett, Peggy Wittman
Mar 22, 2019·Muscle & Nerve·Marita E MauracherScott E Jarvis
Feb 10, 2010·Journal of Neuropathology and Experimental Neurology·Eng-Tat AngSara Sancho Oliver
May 23, 2013·Journal of Child Neurology·Melissa MandarakasJoshua Burns
Oct 13, 2017·Muscle & Nerve·Darin J FalkLucia Notterpek
Jun 3, 2006·Prosthetics and Orthotics International·M C GuzianA Delarque
Jan 1, 2007·Disability and Rehabilitation. Assistive Technology·Marleen H van der LindenBaziel G M van Engelen
Nov 14, 2017·Neurologia i neurochirurgia polska·Katarzyna BieniasJan Kochanowski
Dec 22, 2004·Current Treatment Options in Neurology·Marina Grandis, Michael E Shy
Jun 18, 2011·American Journal of Physical Medicine & Rehabilitation·Bastien GuillebastrePatrice R Rougier
Mar 20, 2014·Journal of Foot and Ankle Research·Melissa MandarakasClaire E Hiller
Feb 22, 2021·Gait & Posture·Sylvia ÕunpuuKristan Pierz

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