Orthotic fitting improves gait in a patient with generalized secondary dystonia

Authors: Mirlicourtois, Serge; Bensoussan, Laurent; Viton, Jean-Michel; Collado, Hervé; Witjas, Tatiana; Delarque, Alain

Source: Journal of Rehabilitation Medicine, Volume 41, Number 6, May 2009 , pp. 492-494(3)

Publisher: Medical Journals Limited

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Abstract:

Objective: To determine whether an orthotic fitting improved gait in an adult patient presenting with generalized secondary dystonia.

Patient: The patient had stance and gait disturbances associated with pain, ankle instability and fatigability. Clinical examination showed the presence of dystonia in the foot and ankle, along with equinovarus foot, mainly on the left side. The patient was fitted with a patellar tendon-bearing orthosis on the left side, orthopaedic shoes and plantar orthoses.

Methods: The outcome of the treatment after 12 months was assessed on the basis of a physical examination and an instrumental gait assessment, using the GAITRite^® system to analyse spatiotemporal parameters and force-plates to measure body weight distribution.

Results: The fitting resulted in a significant improvement in gait, reduced pain and ankle instability, decreased cadence, increased step length and single foot support time, and reduced asymmetry of the temporo-spatial patterns and body weight distribution.

Conclusion: Patellar tendon-bearing orthoses and orthopaedic shoes could provide a good therapeutic approach for improving gait in patients with generalized secondary dystonia.

Keywords: DYSTONIA; ORTHOSIS; ORTHOPAEDIC SHOES; GAIT

Document Type: Case report

DOI: http://dx.doi.org/10.2340/16501977-0363

Publication date: 2009-05-01

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Journal of Rehabilitation Medicine is the international peer-reviewed journal published in English, with at least 10 issues published per year.

Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.

The journal is read by a wide group of healthcare professionals including specialists in rehabilitation medicine, neurology, clinical neurophysiology, general medicine, psychologists, physiotherapists, occupational therapists and social workers.

Contributions from all parts of the world and from different professions in rehabilitation are welcome.

ISI Impact Factor 2009: 1.882.

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Orthotic fitting improves gait in a patient with generalized secondary dystonia

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