Evaluation of Bilateral Foot Deformity in Patients with Hemiplegic Type Cerebral Palsy
Journal Title: Hippocrates Medical Journal - Year 2022, Vol 2, Issue 2
Abstract
Aim The aim of our study is to determine the potential degree of the deformity that may occur on the healthy foot, which is often neglected during treatment, in the case that the patient can walk independently, by evaluating the feet, the affected and healthy side of patients with hemiplegic type CP. Methods 13 females and 15 males, aged between 3 and 19, diagnosed with hemiplegic type CP were included in the study. A foot examination was done with a feiss line to determine the patient’s foot deformity. The midpoint of the patient’s malleolus medialis and the midpoint of their first metatarsophalangeal joint were connected with a straight line. Tuberositas ossis navicularis in the os naviculare was also marked and detected, and its perpendicular distance to the straight line was approximately measured in centimeters with a soft tape measure. These measurements were repeated on both feet. Results 13 of the participants in the study were females and 15 of them were males. 12 of the patients had right side hemiplegic type CP, while 16 of them had left side hemiplegic type CP. 17 of the patients could walk independently, 11 could walk with support or an assisting device or could only stand but not actively walk. The age average of the patients was 14.5; 42.9% of them were under the age of 10 and 57.1% of them were 10 years old and above. While a significant difference was not encountered between the left foot measurements when the patients’ walking status and foot measurements were compared, there was a significant difference between the average measurements of the right foot. It was seen that as age increased, the measurement values of the right and left feet linearly increased as well. Conclusion It could be concluded that the existing deformities on the affected side can worsen over time, and a new deformity may ensue on the healthy side over time as well. We think that deformities can advance quicker especially in cases who can walk, due to the effectiveness of their muscle weaknesses, and that these situations must definitely be evaluated in the treatment program.
Authors and Affiliations
Sevda CANBAY DURMAZ, Ali CANBAY, Davut ÖZBAĞ, Selma SOLGUN
Keywords
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- EP ID EP708997
- DOI https://doi.org/10.29228/HMJ.14
- Views 50
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