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

Ondar V.S.

Voino-Yasenetsky Krasnoyarsk State Medical University

ORCID: 0000-0003-2194-8557

Prokopenko S.V.

Voino-Yasenetsky Krasnoyarsk State Medical University

ORCID: 0000-0002-4778-2586

Isaeva N.V.

Voino-Yasenetsky Krasnoyarsk State Medical University

ORCID: 0000-0002-8323-7411

Gurevich V.A.

Voino-Yasenetsky Krasnoyarsk State Medical University

ORCID: 0000-0002-1565-1020

Koriagina T.D.

Federal Siberian Research Clinical Center

ORCID: 0009-0000-0007-1237

Andrianova O.A.

LLC «ORTO-BALANS»

ORCID: 0009-0002-9184-9706

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.

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

DOI: 10.17116/jnevro202312312165

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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

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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

ORCID: 0000-0003-2194-8557

Prokopenko S.V.

Voino-Yasenetsky Krasnoyarsk State Medical University

ORCID: 0000-0002-4778-2586

Isaeva N.V.

Voino-Yasenetsky Krasnoyarsk State Medical University

ORCID: 0000-0002-8323-7411

Gurevich V.A.

Voino-Yasenetsky Krasnoyarsk State Medical University

ORCID: 0000-0002-1565-1020

Koriagina T.D.

Federal Siberian Research Clinical Center

ORCID: 0009-0000-0007-1237

Andrianova O.A.

LLC «ORTO-BALANS»

ORCID: 0009-0002-9184-9706

Received:

25.05.2023

Accepted:

21.08.2023

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