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A patient recovering from surgery to treat foot drop, with limited plantar and dorsiflexion.. Foot drop is a gait abnormality in which the dropping of the forefoot happens out of weakness, irritation or damage to the deep fibular nerve (deep peroneal), including the sciatic nerve, or paralysis of the muscles in the anterior portion of the lower leg.
The first documented pedobarographic study was published in 1882 and used rubber and ink to record foot pressures. [1] Numerous studies using similar apparatus were conducted in the early- and mid-twentieth century, [1] [2] but it was not until the advent of the personal computer that electronic apparatus were developed and that pedobarography became practical for routine clinical use. [3]
National guidelines vary; some recommend the therapy for those who do not improve with other treatment. [49] It may be effective for lumbar disc herniation with radiculopathy , [ 50 ] [ 51 ] as effective as mobilization for neck pain, [ 52 ] some forms of headache, [ 53 ] [ 54 ] and some extremity joint conditions.
The McKenzie method is a technique primarily used in physical therapy.It was developed in the late 1950s by New Zealand physiotherapist Robin McKenzie. [1] [2] [3] In 1981 he launched the concept which he called "Mechanical Diagnosis and Therapy (MDT)" – a system encompassing assessment, diagnosis and treatment for the spine and extremities.
Gait analysis laboratory equipped with infrared cameras and floor mounted force platforms. A typical gait analysis laboratory has several cameras (video or infrared) placed around a walkway or a treadmill, which are linked to a computer.
Toe walking may also be one way of accommodating a separate condition, foot drop. Persistent toe walking in children is also associated with developmental disabilities, such as autism. [7] [8] In a recent study, 68% of children with an Autism Spectrum Disorder report experiencing walking changes.
NICE have stated that "current evidence on the safety and efficacy (in terms of improving gait) of functional electrical stimulation (FES) for drop foot of central neurological origin appears adequate to support the use of this procedure provided that normal arrangements are in place for clinical governance, consent and audit".
Physical therapy used to treat spastic hemiplegia. Physical activity is recommended for people with cerebral palsy, particularly in terms of cardiorespiratory endurance, muscle strengthening and reduction of sedentary behaviour. Participating in physical activity can supplement or replace some forms of therapy. [8]