Format

Send to

Choose Destination
Arch Phys Med Rehabil. 2002 Apr;83(4):513-6.

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

Author information

1
Department of Rehabilitation of Charcot-Marie-Tooth Disease and Other Neuromuscular Disorders, Specialized Rehabilitation Hospital L. Spolverini, Via Castelli Romani 6, 00040 Rocca di Papa, Ariccia, Italy. paolovinci@libero.it

Abstract

OBJECTIVE:

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.

DESIGN:

Observational.

SETTING:

A neuromuscular disorders department in a specialized Italian rehabilitation hospital.

PARTICIPANTS:

One hundred twenty-six nonoperated lower limbs from 64 outpatients.

INTERVENTIONS:

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.

MAIN OUTCOME MEASURES:

Frequency of mild footdrop (ankle angle < or =100 degrees ), severe footdrop (ankle angle >100 degrees ), and rotation and plantarflexor failure singularly and in association.

RESULTS:

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.

CONCLUSIONS:

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.

PMID:
11932853
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center