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Ondar V.S.

Voino-Yasenetsky Krasnoyarsk State Medical University

Prokopenko S.V.

Voino-Yasenetsky Krasnoyarsk State Medical University

Isaeva N.V.

Voino-Yasenetsky Krasnoyarsk State Medical University

Gurevich V.A.

Voino-Yasenetsky Krasnoyarsk State Medical University

Koriagina T.D.

Federal Siberian Research Clinical Center

Andrianova O.A.

LLC «ORTO-BALANS»

Correction of gait stereotype and reduction of the risk of falling in patients with equinovarus foot placement and central hemiparesis

Authors:

Ondar V.S., Prokopenko S.V., Isaeva N.V., Gurevich V.A., Koriagina T.D., Andrianova O.A.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2023;123(12): 65‑68

DOI: 10.17116/jnevro202312312165

Read: 1377 times

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Table of contents

CORRECTION OF GAIT STEREOTYPE AND REDUCTION OF THE RISK OF FALLING IN PATIENTS WITH EQUINOVARUS FOOT PLACEMENT AND CENTRAL HEMIPARESIS
CORRECTION OF GAIT STEREOTYPE AND REDUCTION OF THE RISK OF FALLING IN PATIENTS WITH EQUINOVARUS FOOT PLACEMENT AND CENTRAL HEMIPARESIS

To cite this article:

Ondar VS, Prokopenko SV, Isaeva NV, Gurevich VA, Koriagina TD, Andrianova OA. Correction of gait stereotype and reduction of the risk of falling in patients with equinovarus foot placement and central hemiparesis. S.S. Korsakov Journal of Neurology and Psychiatry. 2023;123(12):65‑68. (In Russ.)
https://doi.org/10.17116/jnevro202312312165

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова (S.S. Korsakov Journal of Neurology and Psychiatry)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To test a new approach to gait stereotype correction for patients with central hemiparesis with talipes equinovarus.

MATERIAL AND METHODS

The study was performed in a group of patients with formed talipes equinovarus and post-stroke hemiparesis. Footwear with orthopaedic elements was offered to the patients. Evaluation of spatial and temporal gait parameters was performed and the risk of falls was assessed.

RESULTS

In the process of work, data were obtained confirming the effectiveness of using specialized shoes for equinovarus foot placement. The risk of falling significantly decreased when walking; walking became more symmetrical due to an increase in the anterior extension of the paretic limb.

CONCLUSION

Application of this method does not decrease the tone in the paretic limb but optimises the gait stereotype, facilitates the increases of its velocity and decreases the risk of falling.

Keywords:

central hemiparesis
talipes equinovarus
orthopaedic footwear
risk of falls

Authors:

Ondar V.S.

Voino-Yasenetsky Krasnoyarsk State Medical University

Prokopenko S.V.

Voino-Yasenetsky Krasnoyarsk State Medical University

Isaeva N.V.

Voino-Yasenetsky Krasnoyarsk State Medical University

Gurevich V.A.

Voino-Yasenetsky Krasnoyarsk State Medical University

Koriagina T.D.

Federal Siberian Research Clinical Center

Andrianova O.A.

LLC «ORTO-BALANS»

Received:

25.05.2023

Accepted:

21.08.2023

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References:

  1. Levin OS, Bogolepova AN. Poststroke motor and cognitive impairments: clinical features and current approaches to rehabilitation. Zhurnal Nevrologii i Psihiatrii im. S.S. Korsakova. 2020;20(11):99-107. (In Russ.). https://doi.org/10.17116/jnevro202012011199
  2. Damulin IV, Ekusheva EV. A clinical value of neuroplasticity in ischemic stroke. Annaly Klinicheskoj i Jeksperimental’noj Nevrologii. 2016;10(1):57-64. (In Russ.).
  3. Gur’janova EA, Koval’chuk VV, Tihoplav OA, Litvak FG. Functional electrical stimulation for restoration of gait and motor recovery after a stroke. Review of scientific literature. Fizicheskaja i Reabilitacionnaja Medicina, Medicinskaja Reabilitacija. 2020;3:244-262. (In Russ.). https://doi.org/10.36425/rehab34831
  4. Niet M, Weerdesteyn V, de Bot ST, et al. Does calf muscle spasticity contribute to postural imbalance? A study in persons with pure hereditary spastic paraparesis. Gait Posture. 2013;38(2):304-309.  https://doi.org/10.1016/j.gaitpost.2012.12.006
  5. Tolmacheva VA. Poststroke spasticity: An individualized approach to treatment. Nevrologija, Nejropsihiatrija, Psihosomatika. 2016;8(4):71-76. (In Russ.). https://doi.org/10.14412/2074-2711-2016-4-71-76
  6. Zinov’eva OE, Golovacheva VA. Questions of pathogenesis and treatment of post-stroke spasticity. Medicinskij Sovet. 2016;8:63-67. (In Russ.). https://doi.org/10.21518/2079-701X-2016-8-63-67
  7. Hefter H, Jost WH, Reissig A, et al. Classification of posture in poststroke upper limb spasticity: a potential decision tool for botulinum toxin A treatment. Int J Rehabil Res. 2012;35(3):227-233.  https://doi.org/10.1097/MRR.0b013e328353e3d4
  8. Iskra DA, Kovalenko AP, Koshkarev MA, Dyskin DE. Spasticity: from pathophysiology to treatment. Zhurnal Nevrologii i Psihiatrii im. S.S. Korsakova. 2018;10:108-114. (In Russ.). https://doi.org/10.17116/jnevro2018118101108
  9. Santamato A, Micello M, Ranieri M. Employment of higher doses of botulinum toxin type A to reduce spasticity after stroke. J Neurol Sci. 2015;350(1-2):1-6.  https://doi.org/10.1016/j.jns.2015.01.033
  10. Mayo NE, MacKay-Lyons MJ, Scott SC. A randomized trial of two home-based exercise programmes to improve functional walking poststroke. Clin Rehabil. 2013;27(7):659-671.  https://doi.org/10.1177/0269215513476312
  11. Romero Morales C, Calvo Lobo C, Rodríguez Sanz D, et al. The concurrent validity and reliability of the Leg Motion system for measuring ankle dorsiflexion range of motion in older adults. Peer J. 2017;5:e2820. https://doi.org/10.7717/peerj.2820
  12. Logan BN. Foot and Ankle Anatomy. M.: BINOM; 2014;257. (In Russ.).
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