| 제목 |
Can the foot orthosis withmetatarsal inhibition bar improve tiptoeing in patients with CRT lesion? |
| 소속 |
College of Medicine, Yeungnam University, Department of Physical Medicine and Rehabilitation1 |
| 저자 |
Su Min Son1†, Kyu Tae Choi1*† |
Objectives: Tiptoe gait pattern is common in patients with corticoreticulospinal tract (CRT) lesion on diffusion tensor tractography. We attempted to investigate therapeutic effect of biomechanical foot orthosis (BFO) with metatarsal inhibition bar (MIB) in patients with CRT lesion who show tiptoe gait pattern.
Methods: One hundred thirty patients (mean age 5.52 ± 3.89 years) who show tiptoe gait pattern were enrolled in this study. BFO with MIB was custom-made by poron and located just proximal to the 4,5th metatarsal head line. All patients showed no definite spasticity or weakness on their distal extremities. Patients were advised to wear BFO with MIB at least 3 hours a day. Edinburgh Visual Gait Score (EVGS) for assessment of gait pattern were followed up at initial, 3 weeks (1st follow up) and 10 weeks (2nd follow up) after applying BFO with MIB. For the assessment of usual gait pattern at home, parents’ questionnaire about satisfaction level was performed.
Results: EVGS showed significantly decreased result at 1st follow up and last until 2nd follow up (p<0.05). 92.6 % of parents responded as ‘satisfaction’ which meant their child rarely walks on tiptoe at home anymore.
Conclusions: We found that BFO with MIB had significant therapeutic effect for tiptoe gait in patients with CRT lesion. |
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