Document Detail


Footdrop, foot rotation, and plantarflexor failure in Charcot-Marie-Tooth disease.
MedLine Citation:
PMID:  11932853     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Paolo Vinci; Sandra L Perelli
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  83     ISSN:  0003-9993     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2002 Apr 
Date Detail:
Created Date:  2002-04-04     Completed Date:  2002-04-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  513-6     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation
Affiliation:
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
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MeSH Terms
Descriptor/Qualifier:
Charcot-Marie-Tooth Disease / diagnosis,  physiopathology,  rehabilitation*
Foot Diseases / diagnosis,  physiopathology,  rehabilitation*
Gait / physiology*
Humans
Isometric Contraction / physiology
Muscular Atrophy / diagnosis,  physiopathology,  rehabilitation
Range of Motion, Articular / physiology*
Weight-Bearing / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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