Forghany, S, Tyson, S, Nester, CJ ORCID: 0000-0003-1688-320X, Preece, SJ
ORCID: 0000-0002-2434-732X and Jones, RK
ORCID: 0000-0001-5242-185X
2011,
'Foot posture after stroke : frequency, nature and clinical significance'
, Clinical Rehabilitation, 25 (11)
, pp. 1050-1055.
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Abstract
Objectives: clinical convention suggests that foot posture and movements are adversely affected by stroke and cause walking difficulties but there is little objective data to support or refute these beliefs. This study explores static foot posture in people with stroke and their relationship to weakness and spasticity and walking limitations. Design: cross-sectional survey. Setting: stroke services and support groups of two acute hospitals. Subjects: seventy-two stroke survivors with mobility limitations. Main measures: foot Posture Index; Demographics; Motricity Index (weakness); modified Ashworth Scale (spasticity); Walking Handicap Scale (walking limitations). Results: about one-third of participants had abnormal foot posture on the weak side, which was associated with walking limitations. Most (70%) had a symmetrical foot posture with similar frequencies of supination (13%) and pronation (16%) abnormalities. There was no relationship between foot posture and weakness and spasticity; age was the only independent predictor of foot posture abnormalities. Conclusions: a minority of people with stroke had abnormal or asymmetrical foot posture and equal numbers suffered pronation and supination abnormalities; these findings challenge the beliefs that underpin the clinical management of stroke-related foot problems.
Item Type: | Article |
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Uncontrolled Keywords: | Stroke, foot, mobility |
Themes: | Health and Wellbeing |
Schools: | Schools > School of Health and Society > Centre for Health Sciences Research |
Journal or Publication Title: | Clinical Rehabilitation |
Publisher: | Arnold Publishers |
Refereed: | Yes |
ISSN: | 0269-2155 |
Related URLs: | |
Depositing User: | SJ Preece |
Date Deposited: | 28 Sep 2011 09:26 |
Last Modified: | 21 Nov 2018 21:49 |
URI: | http://usir.salford.ac.uk/id/eprint/17751 |
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