title: A study of structural foot deformity in stroke patients.
abstract: [Purpose] The aim of this study was to evaluate the structural deformity of the foot joint on the affected side in hemiplegic patients to examine factors that affect this kind of structural deformity. [Subjects and Methods] Thirty-one hemiplegic patients and 32 normal adults participated. The foot posture index (FPI) was used to examine the shape of the foot, the modified Ashworth scale test was used to examine the degree of ankle joint rigidity, the navicular drop test was used to investigate the degree of navicular change, and the resting calcaneal stance position test was used to identify location change of the heel bone. [Results] The FPIs of the paretic side of the hemiplegic patients, the non-paretic side of the hemiplegic patients, and normal participants were -0.25 ± 2.1, 1.74 ± 2.3, and 2.12 ± 3.4 respectively. [Conclusion] Our findings indicated that in stroke-related hemiplegic patients, the more severe the spasticity, the more supinated the foot. Further, the smaller the degree of change in the navicular height of hemiplegic patients is, the more supinated the paretic side foot is. Additionally, a greater change in the location of the calcaneus was associated with greater supination of the overall foot.
authors: Department of Physical Therapy, General Graduate School, Catholic University of Daegu, Republic of Korea.
authors: Gwon Uk
authors: GU
authors: Jang
authors: Department of Physical Therapy, General Graduate School, Catholic University of Daegu, Republic of Korea.
authors: Mi Gyoug
authors: MG
authors: Kweon
authors: Department of Physical Therapy, General Graduate School, Catholic University of Daegu, Republic of Korea.
authors: Seol
authors: S
authors: Park
authors: Department of Physical Therapy, General Graduate School, Catholic University of Daegu, Republic of Korea.
authors: Ji Young
authors: JY
authors: Kim
authors: Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Republic of Korea.
authors: Ji Won
authors: JW
authors: Park
keywords: Foot deformity; Foot posture index; Hemiplegic foot
references: Age Ageing. 1998 Mar;27(2):239-45
references: 16296686
references: Arch Phys Med Rehabil. 2001 Aug;82(8):1066-72
references: 11494186
references: Gait Posture. 2007 Jun;26(1):68-75
references: 16945538
references: Scand J Rehabil Med. 1977;9(4):165-8
references: 594697
references: Arch Phys Med Rehabil. 2004 Oct;85(10):1631-7
references: 15468023
references: Int Disabil Stud. 1991 Jan-Mar;13(1):1-4
references: 1917796
references: Arch Phys Med Rehabil. 2006 Apr;87(4):562-8
references: 16571398
references: Gait Posture. 2002 Feb;15(1):1-9
references: 11809575
references: Arch Phys Med Rehabil. 2007 Jan;88(1):88-93
references: 17207681
references: Eur J Neurol. 2002 May;9 Suppl 1:23-9; dicussion 53-61
references: 11918646
references: Scand J Rehabil Med. 1979;11(3):95-103
references: 493898
references: J Foot Ankle Res. 2008 Jul 31;1(1):6
references: 18822155
references: Phys Ther. 1987 Feb;67(2):206-7
references: 3809245