Hemiparesis, Varus Deformity of Equine Carpus
Conditions
Keywords
stroke, hemiplegia
Brief summary
To assess the benefit of an anti-varus ankle foot orthosis (CALIGALOC, Bauerfeind) on gait and balance parameters in hemiparetic patients.
Interventions
DEVICECaligaloc
15 days of wearing of the Caligaloc orthosis
Sponsors
University Hospital, Lille
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Hemiparesis at \> 3 months (whatever the etiology) * varus or equinovarus foot disturbing the stance phase of gait * Able to walk at least 10m, with or without assistive device
Exclusion criteria
* unable to walk 10m * Botulinum toxin injection less than 3 months before inclusion * history of neurological or locomotor pathology in addition to the etiology of hemiparesis * Severe comprehension troubles * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 10-meter walk test (in seconds) | comparison between baseline and 15 days | Maximum gait velocity, from a standing start |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of gait temporospatial parameters by GaitRite® | comparison between baseline and 15 days | Specific temporal and spatial parameters of gait will be measured with the GaitRite gait evaluation system: gait cadence, hemiparetic step length, spatial asymmetry, swing and stance times. |
| Posturographic analysis during static upright stance (center of pressure surface) | comparison between baseline and 15 days | Assessment of displacements of the center of pressure during quiet upright standing for 30s, using a Zebris platform |
| Baropodometric analysis during gait | comparison between baseline and 15 days | Assessment of the paretic footprint during gait, using the Zebris platform |
| Gait endurance (2-minute walk test) | comparison between baseline and 15 days | Assessment of maximum gait perimeter during a 2mwt |
| Assessment of walking function | comparison between baseline and 15 days | Lower Limb Function assessment scale (LL-FAS, Allart et al. 2015) functional subscores |
| Tolerability of the wearing of the Caligaloc orthosis assessed by visual analog scale | at 15 days | visual analog scale (0=major discomfort - 10=excellent comfort) |
Countries
France
Contacts
PRINCIPAL_INVESTIGATOREtienne Allart, MD
University Hospital, Lille
Outcome results
None listed