Document Detail

Effects of muscular deficiency on postural and gait capacities in patients with Charcot-Marie-Tooth disease.
MedLine Citation:
PMID:  23412436     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The aim of this study was to examine the relationships between lower limb muscular deficiencies and postural and gait capacities.
DESIGN: Observational study.
SUBJECTS: A total of 26 patients with Charcot-Marie-Tooth disease and 19 health-matched healthy subjects.
METHODS: Barefoot gait and postural control were analysed using a walking mat and a force platform, respectively. Muscular strength of the plantar and dorsal ankle flexors were assessed using the Medical Research Council scale.
RESULTS: Gait parameters correlated with both dorsal- and plantar-flexors strength, whereas postural parameters correlated only with plantar-flexors strength. More particularly, patients with a weak deficit of the plantar-flexor muscles were characterized by normal postural control except along the antero-posterior axis. For gait control, the overall pattern defined from the gait cycle division was preserved, whereas other spatio-temporal parameters were impaired, and more so in patients with a high level of deficit of the plantar-flexor muscles.
CONCLUSION: These data highlight behaviour differences in standardized tasks, such as standing still upright or gait. Improved knowledge of postural and gait capacities may constitute a basis to emphasize the corrections that should be enabled by rehabilitation exercises or orthotic devices.
Bastien Guillebastre; Paul Calmels; Patrice Rougier
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of rehabilitation medicine     Volume:  45     ISSN:  1651-2081     ISO Abbreviation:  J Rehabil Med     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-03-06     Completed Date:  2013-07-09     Revised Date:  2014-05-30    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  314-7     Citation Subset:  IM    
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MeSH Terms
Charcot-Marie-Tooth Disease / physiopathology*
Lower Extremity / physiopathology*
Middle Aged
Muscle Strength*

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