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  Česky / Czech version Rehab. fyz. Lék., 11, 2004, No. 4, p. 169–175
 
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
 


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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