title: Orthopaedic shoes improve gait in a Charcot-Marie-Tooth patient: a combined clinical and quantified case study.
abstract: The aim of this study was to assess the extent to which orthopaedic shoes improved gait in a patient with Charcot-Marie-Tooth (CMT) disease and to show how the latest gait analysis tools available can help to assess and quantify the efficacy of this treatment. The case of a 55-year-old woman with CMT disease is described. She complained mainly of pain and frequent falling. The physical examination and the clinical gait analysis showed the presence of bilateral foot drop, high-stepping and varus. Treatment based on physical therapy and orthopaedic shoes was prescribed. In order to assess the clinical efficacy of the treatment, a complete physical examination was carried out after the patient had been wearing the orthopaedic shoes for one month. The quantified assessment was performed with a Gaitrite system, which can be used to record the spatio-temporal parameters of gait. It was concluded that orthopaedic shoes provide specialists in physical and rehabilitation medicine with an excellent means of treating gait disabilities in patients with CMT disease. With the made-to-measure orthopaedic shoes used, the falling and pain disappeared; the patient's walking speed increased and the foot support base decreased in size. Both the clinical and quantified data confirmed the subjective improvement perceived by the patient. The latest tools available for performing quantified gait analysis in clinical practice provide useful means of objectively assessing the success of treatment.
authors.affiliation: Department of Physical and Rehabilitation Medicine, Faculté de Médecine, Université de la Méditerranée-Assistance Publique Hôpitaux de Marseille - University Hospital la Timone, Marseille, France.
authors.forename: M C
authors.initials: MC
authors.lastname: Guzian
authors.forename: L
authors.initials: L
authors.lastname: Bensoussan
authors.forename: J M
authors.initials: JM
authors.lastname: Viton
authors.forename: V
authors.initials: V
authors.lastname: Mihle de Bovis
authors.forename: J
authors.initials: J
authors.lastname: Ramon
authors.forename: J P
authors.initials: JP
authors.lastname: Azulay
authors.forename: A
authors.initials: A
authors.lastname: Delarque
mesh_terms: D002607:Charcot-Marie-Tooth Disease / Q000150:complications* / Q000503:physiopathology; D005260:Female; D020233:Gait Disorders, Neurologic / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D009989:Orthotic Devices; D012775:Shoes; D016896:Treatment Outcome