• Title/Summary/Keyword: Foot drop

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Immediate Effects of Ankle Dorsiflexor Facilitation Dynamic Taping on Static and Dynamic Balance and Gait Speed in Stroke Patients With Foot Drop (발등굽힘근 촉진 다이나믹 테이핑이 발 처짐이 있는 뇌졸중 환자의 정적, 동적 균형과 보행 속도에 미치는 즉각적 효과)

  • Im, Jin-gu;Kim, Suhn-yeop
    • Physical Therapy Korea
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    • v.29 no.1
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    • pp.19-27
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    • 2022
  • Background: Foot drop is a common symptom in stroke patients. Tape applications are widely used to manage foot drop symptoms. Previous studies have evaluated the effects of static and dynamic balance and gait on foot drop using kinesiology tape; however, only few studies have used dynamic tape application in stroke patients with foot drop. Objects: The purpose of this study was to investigate the immediate effects of dynamic taping, which facilitates the dorsiflexor muscle, on static and dynamic balance and gait speed in stroke patients with foot drop. Methods: The study included 34 voluntary patients (17 men, 17 women) with stroke. The patients were randomly assigned to the experimental group (n = 17), wherein dynamic taping was used to facilitate the dorsiflexor muscle, or the control group (n = 17), wherein kinesiology taping was used. Before the taping application, velocity average, path-length average, Berg balance scale, and timed up and go test (TUG) were recorded to measure static and dynamic balance, whereas the 10-meter walk test (10MWT) was used to measure gait speed. After the taping application, these parameters were re-evaluated in both groups. Repeated measure analysis of variance was used. Statistical significance levels were set to α = 0.05. Results: Except for the 10MWT scores in the control group, significant differences were noted in all the parameters measured for static and dynamic balance and gait speed between the pre and post-test (p < 0.05). However, the parameters showed significant interaction effects between group and time in the TUG and 10MWT (p < 0.01). Conclusion: These results indicate that compared with kinesiology taping, dynamic taping used in chronic stroke patients with foot drop had a more significant effect on dynamic balance and gait speed.

Sudden Foot Drop Caused by Foraminal Gas Pseudocyst

  • Kim, Hyun-Sook;Kim, Heyun-Sung;Kim, Seok-Won;Shin, Ho
    • Journal of Korean Neurosurgical Society
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    • v.49 no.6
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    • pp.384-386
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    • 2011
  • A foraminal gas pseudocyst is a rare cause of lumbar radiculopathy. The association with a sudden foot drop has not been previously reported. Here, a 67-year-old woman with sudden foot drop on the left side is reported. Computed tomography and magnetic resonance imaging identified a foraminal gas containing lesion compressing the left L5 root at the L5-S1 foramen. The foraminal gas containing lesion compressing the L5 ganglion was successfully removed by the posterior approach. The histological diagnosis was a gas pseudocyst. This unique case of surgically proven gas pseudocyst indicates that it should be included in the differential diagnosis of patients presenting with sudden foot drop.

The 2 Case Report with Hemiplegic gait and foot drop after Cardiovascular Accident improved by Taping therapy (뇌졸중 후유증으로 인한 족하수(Foot drop)의 예방과 치료에 첩대 요법을 병행한 환자 치험 2례)

  • Choi, In-Ho;Hwang, Jin-Woo;Yoo, Sang-Min;Jung, Jae-Jung;Lee, Yong-Hyun;Song, Yun-Kyung;Lim, Hyung-Ho
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.1 no.2
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    • pp.49-60
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    • 2006
  • This study report foot drop patients, who improved by taping therapy. We applied therapy and check ROM, walking ability, MMT. It is considered that this therapy is meaningful for Foot drop.

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Case Report of Foot Drop Patient Treated with Electroacupuncture (전침을 이용한 족하수(Foot drop)환자 치험2례)

  • Lee, Jong-Young;Won, Seung-Hwan;Kim, Doo-Yong;Kim, Sung-Hae;Park, Hee-soo;Hwang, Jung-Su
    • Journal of Acupuncture Research
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    • v.22 no.5
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    • pp.161-166
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    • 2005
  • The Foot drop is led by the conditional palsy of dorsal flexor according to some causes. In this case, it is caused by peroneal nerve palsy. It brings the difficulty in waking and standing up. We observed 2 cases of patient with Foot drop. Two patients were treated by the same method and treatment was performed by means of electroacupuncture(2-4Hz frequency, intensity was adjusted so that localized muscle contraction could be seen). As the result, symptoms are improved.

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Clinical Study on 1 Case of Patient with the Foot Drop Diagnosed as Peripheral Neuropathy (말초신경병증으로 진단된 편측 족하수 환자의 치험 1례)

  • Choi, Sung-Yong;Lee, Seong-Kyun;Gug, Yun-Jai;Kim, Dae-Joong;Lee, Seung-Hyun
    • Journal of Acupuncture Research
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    • v.23 no.1
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    • pp.217-223
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    • 2006
  • Objectives : To see if Clinical study on 1 Case of patient with the foot drop diagnosed as peripheral neuropathy suggest further treatment plan for more effective cure. Methods : To heal foot drop diagnosed as peripheral neuropathy using herbal medicine wooseul-tangkami and electronic acupuncture on the Yangmyung channel(陽明經) selected in The Yellow Emperor's of internal Medicine and on Panggwang channel(膀胱經) considered as painful lesion. Results : we experienced a case of foot drop diagnosed as the peripheral neuropathy the patient was treated by wooseul-tangkami, and electric acupuncture on Yangmyung channel and also Panggwang channel and had a significant improvement in gait ability and the range of motion. Conclusion : Herbal medicine wooseul-tangkami, and electric acupuncture on Yangmyung channel and also Panggwang channel was prescribed in the perpective of oriental medicine when treating foot drop, Wooseul-tangkami is used to remove the wetness-heat evil and had shown significant improvement in gait ability and the range of motion.

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Comparison of Subjects with and without Pes Planus during Short Foot Exercises by Measuring Muscular Activities of Ankle and Navicular Drop Height

  • Park, Du-Jin;Park, Se-Yeon
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.3
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    • pp.133-139
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    • 2018
  • PURPOSE: Despite the abundant literature available regarding the activity of intrinsic muscles, few studies have investigated the muscle activity of extrinsic muscles. Therefore, the present study compared the muscle activity of the peroneus longus, tibialis anterior, and abductor hallucis during short foot exercise in subjects with and without flat feet. METHODS: Twelve subjects with and without pes planus participated in this study. During the short foot exercises, muscular activity of the tibialis anterior, fibularis longus, and abductor hallucis longus were measured in both groups. To identify the effects of short foot exercises, navicular drop height was also investigated in pre and post short foot exercises. RESULTS: In a symptomatic group, the navicular drop height was significantly reduced at post measurement compared with pre-measurement. During the short foot exercise, the pes planus group showed significantly lower activities of the fibularis longus than the control group (p<.05). CONCLUSION: Similar to previous studies and clinical literature, short foot exercise was effective for alleviating navicular drop for a population with pes planus. In addition, subjects with pes planus showed decreased muscular activities of the fibularis longus, which suggests that considering extrinsic muscles such as fibularis longus is also important for rehabilitation of pes planus patients.

Influence of Longitudinal Arch of Foot on the Strength and Muscle Activity of the Abductor Hallucis in Subjects with and without Navicular Drop Sign

  • Jeon, In-Cheol
    • The Journal of Korean Physical Therapy
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    • v.31 no.4
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    • pp.222-227
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    • 2019
  • Purpose: This study examined the influence of longitudinal arch on the strength and muscle activity of the abductor hallucis in the standing position in subjects with and without navicular drop signs. Methods: A sample of 34 subjects with and without navicular drop signs between 22 and 28 years of age were enrolled in this study. The strength and muscle activity of the abductor hallucis was measured using a tensiometer. The Smart KEMA System and electromyography device was used on the subjects with and without navicular drop signs. Two groups were classified using the navicular drop test to identify the longitudinal arch of the foot. The strength of the abductor hallucis was evaluated in standing, both with and without an external arch support condition. The two-way mixed ANOVA was used. The level of statistical significance was set to ${\alpha}=0.05$. Results: The strength and muscle activity of the abductor hallucis in standing was significantly higher with external arch support than that without the external arch support in the group with navicular drop signs. There was no significant difference in the abductor hallucis strength and muscle activity with and without external arch support in the subjects without navicular drop signs. Conclusions: The strength and muscle activity of the abductor hallucis in standing can be influenced by the external arch support in the group with navicular drop signs. The strength measurement of the abductor hallucis in standing should be separately performed in conditions with and without longitudinal arch of foot.

A Case Report of Foot Drop in Soyangin Improved with Sukjiwhanggosam-tang (숙지황고삼탕(熟地黃苦蔘湯)으로 호전된 소양인(少陽人) 족하수(足下華) 치험 1례)

  • Han, Da-Nim;Lee, Pil-Jae;Kim, Seong-Ki;Lim, Eun-Chul;Jung, Ji-Eun
    • Journal of Sasang Constitutional Medicine
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    • v.21 no.1
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    • pp.270-277
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    • 2009
  • 1. Objectives The purpose of this case study is to report the effects of Sukjiwhanggosam-tang which is based on the Sasang Constitutional Medicine for the Foot drop caused by peroneal nerve palsy. 2. Methods This patient was treated by Sukjiwhanggosam-tang according to the result of Sasang Constitutional diagnosis. We used Visual analogue scale(VAS), Range of motion(ROM) and Manual Muscle Testing(MMT) to evaluate the improvement of the Foot drop. 3. Results After 20 days treatment, the VAS of Rt. leg & foot hypoesthesia decreased from 10 to 2. The ROM of dorsiflexion of the ankle joint increased from $10^{\circ}$ to $30^{\circ}$ and the grade of MMT increased from 3 to 4. 4. Conclusions This case study shows an efficient result of using Sukjiwhanggosam-tang in the treatment of the Foot drop caused by peroneal nerve palsy.

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Seven Cases Report on the Foot Drop Patients with Herniated Intervertebral Lumbar Disc by Muscle Energy Technique & Korean Traditional Medicine Therapy (근에너지기법 및 한방치료를 적용한 족하수를 동반한 요추추간판탈출증 환자 치험 7례)

  • Chung, Jai-Hyeon;Yun, Young-Ung;Cheong, Seong-Hyun;Kim, Tae-Ho;Choi, Young-Jun;Kim, Sin-Woong;Lee, Cha-Ro
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.9 no.1
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    • pp.27-37
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    • 2014
  • Objectives : The present study reports seven foot drop patients with herniated intervertebral lumbar disc treated by Muscle Energy Technique and Korean traditional medicine therapy. Methods : Seven foot drop patients with herniated intervertebral lumbar disc were treated by Muscle Energy Rechnique and Korean traditional medicine therapy and were assessed by Manual Muscle Test, numeric rating scale, and oswestry low back pain disability index. Results : Among seven foot drop patients, two cases showed complete recovery, three cases showed recovery over good grade, and two cases showed recovery over good grade after temporary weakness. numeric rating scale and oswestry low back pain disability index of all cases showed improvement. Conclusions : Seven foot drop patients with herniated intervertebral lumbar disc were treated by Muscle Energy Rechnique and Korean traditional medicine therapy and showed improvement. It is anticipated that this report benefits the future in depth study and clinical treatments on the foot drop symptom in korean medicine.

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Bilateral foot drop caused by T12 infectious spondylitis after vertebroplasty: a case report

  • Kim, Dong Hwan;Shin, Yong Beom;Ha, Mahnjeong;Kim, Byung Chul;Han, In Ho;Nam, Kyoung Hyup
    • Journal of Trauma and Injury
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    • v.35 no.1
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    • pp.56-60
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    • 2022
  • The most common cause of foot drop is lumbar degenerative disc herniation, particularly at L4/5. We present a rare case of spinal cord injury accompanied by a thoracolumbar lesion that presented with bilateral foot drop. A 69-year-old male patient presented with sudden-onset severe bilateral leg pain and bilateral foot drop. Radiologic findings revealed T12 spondylitis compressing the conus medullaris. He had undergone vertebroplasty for a T12 compression fracture after a fall 6 months before. A physical examination showed bilateral foot drop, paresthesia of both L5 dermatomes, increased deep tendon reflex, and a positive Babinski sign. An acute bilateral L5 root lesion and a conus medullaris lesion were suspected based on electromyography. A surgical procedure was done for decompression and reconstruction. After the operation, bilateral lower extremity muscle strength recovered to a good grade from the trace grade, and the patient could walk without a cane. The current case is a very rare report of bilateral foot drop associated with T12 infectious spondylitis after vertebroplasty. It is essential to keep in mind that lesions of the thoracolumbar junction can cause atypical neurological symptoms. Furthermore, understanding the conus medullaris and nerve root anatomy at the T12-L1 level will be helpful for treating patients with atypical neurological symptoms.