The Most Important Rules of Prosthetic Care in Patients
Suffering from Hereditary Motorand Sensory Neuropathy(HMSN)
Kobesová A.1, Smetana P.2, Suzan J.1, Smetana V.2, Baránková L.3, Horáček O.1
1Klinika rehabilitace FN Motol, Praha 2Ortopedická klinika dětí a dospělých FN Motol, Praha3Klinika dospělé neurologie FN Motol, Praha |
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Summary:
There are approximately 4000 patients suffering from some form of hereditary neuropathy in the
Czech Republic. The most typical clinical symptoms are muscular weakness and atrophy affecting
primarily the distal parts of the lower and ultimately the upper extremities and characteristic foot
deformity: high arch foot type with hammer toes and sagging transverse arch. Such foot deformity
results in pain and poor stability when standing and walking and limits the patient in many activities
of everyday. It is possible to alleviate the consequences of feet deformity by correct prosthetic care
which should be an important part of complex rehabilitation in all patients suffering from HMSN. In
this article we present our experience with prosthetic care during the 5 year existence of the
multi-specialist center for patients suffering from HMSN in the University Hospital Motol, Prague,
Czech Republic.
Key words:
hereditary motor and sensory neuropathy, Charcot-Marie-Tooth disease, foot
deformity, prosthetic care, orthopedic insoles, ankle-foot orthosis
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