Authors: Paolo Vinci M.D. and Sandra Linet Perelli M.D.

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The Gait Normal Gait CMT Gait Foot Drop In CMT AFOs in CMT Our Solution The Device CMT Foot Without Device CMT Foot WIth The Device Examples Of Shoes Suitable For Modification Pictures From Video Tape

Pages:1    2 OUR SOLUTION:A MODIFIED SHOE which fixes the ankle at 90° in phase 2 of gait and allows some plantarflexion after the heel touches the ground. SHOES suitable for our modification are 6.5 inch high boots(or higher) , in stiff leather, like the ones shown in the following photographs, and are trendy in Italy now. Click on the IMAGE for a larger view and use the back button on your browser to return here Fixation of the ankle is obtained by putting a properly shaped strip of very thin polypropylene between the lining and the vamp in the back of the boot, as shown in the next photos. Click on the IMAGE for a larger view and use the back button on your browser to return here The FOAM RUBBER PAD, which is attached to the upper part of the back of the boot, on the inside, is very important as it accomplishes the following functions: It fills the space between the lower third of the leg (which is generally thin in CMT) and the boot: allowing the 90° position to be held during phase 2 and early 3 of gait It allows the angle between the leg and foot to become more than 90° after the heel is placed on the floor, so the sole can easily touch the floor and the knee can be fully extended: this is very important, when the quadriceps muscle is weak, as rigid fixation of the ankle can cause knee flexion and falls. It gives protection to the Achilles tendon and prevents skin irritation. Images showing the CMT foot in shoes without the device: Click on the Image for a larger view and use the back button on your browser to return here The following images are shown with the device inserted in a shoe chosen by the patient: Click on the Image for a larger view and use the 'BACK' button on your browser to return here These are examples of shoes, which correct footdrop, thanks to this device. Click on the IMAGE for a larger view and use the back button on your browser to return here These are more examples of shoes, which correct footdrop, thanks to this device. Click on the IMAGE for a larger view and use the back button on your browser to return here The following images are taken from a vidoetape showing ambulation in shoes with the device inserted: Click on the IMAGE for a larger view and use the back button on your browser to return here

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