Abstract
Equinovarus foot deformity (EVFD) is the most common lower limb deformity in stroke patients. Immobilization following EVFD surgical correction is known to have a negative impact on muscle rearrangement with possible loss of walking ability in stroke patients. In a previous study, safe and positive effects at one-month follow up after surgery were obtained with an early rehabilitation treatment (ERT) characterized by immediate walking and training. To determine long-term safety and efficacy of functional surgery followed by early rehabilitation (FSER). A 12 months prospective observational study. Outpatients clinic, Gait and Motion Laboratory, Sol et Salus Hospital, Italy POPULATION: 24 adult chronic stroke survivors with EVFD surgical correction followed by ERT, age 55+/-13 years, affected side 12L/12R, time from lesion 5 +/- 4 years. Patients received clinical and instrumental evaluation by Gait Analysis (GA) before (T0), one, three and twelve months after surgery. Safety was defined as the absence of any complication consequent to FSER. Efficacy was assessed by the recovery in ankle kinematics, walking speed and space-time parameters. No clinical complication (thrombosis, surgical wound infection, muscle or tendon injury, mu...Continue Reading
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