SPASTIC EQUINOVARUS

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SUMMARY

1. Clinical: pain on weight bearing on the hemiplegic limb, thus affecting transfers & increased loading phase, shortened stance phase.

2. Decreased weight-bearing in the heel: ankle instability, abnormal base of support, genu varum and recurvatum, unstable gait, impaired balance, increased energy consumption.

3. Functional limb-length discrepancy: interference with transfers, interfering with smooth forward progression of the center of gravity, shortened contralateral step length.


Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.