Effect of surgery on foot function in the management of equinovarus foot deformity following stroke

Recruiting

Conditions: cerebral vascular accident (CVA)
stroke
10007963

Registration Number: NL-OMON55426

Lead Sponsor: Revalidatiecentrum Het Roessingh

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: Not specified

Target Recruitment: 40

Inclusion Criteria

1. Unilateral ischaemic or haemorrhagic hemiparetic stroke
2. Time since stroke > 6 months
3. Age 18 years or older
4. Walking disabilities and/or fall incidents and/or pressure sores on the foot
and/or unable to walk bare foot due to structural or dynamic equinovarus foot
deformity, including
a. problems with stability in stance
b. problems with foot clearance during swing
c. problems with foot prepositioning in early stance
5. Subject is selected for surgical correction of equinovarus foot only (so no
intervention to structures around knee that may influence gait)
6. Subject is able to participate in an 1.5 hour session, including several
stand and walking activities (walking aids allowed) with breaks in-between

Exclusion Criteria

1. Complicating medical history such as cardiac, pulmonary, neurological or
orthopaedic disorders that could severely affect performance of the included
measurements
2. Neurolysis (fenol/alcohol) < 8 months
3. Motorpoint blockage (btx) < 5 months
4. Suffering from severe neglect
5. Severe comprehensive aphasia
6. Severe cognitive disorders

Study & Design

Study Type: Observational invasive

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p> The main study parameters includes the effect of surgery on restoring foot and<br /><br>ankle kinematics (motion). </p><br>

Secondary Outcome Measures

Name	Time	Method
<p>Furthermore, the effects of surgery on walking ability such as walking speed<br /><br>and endurance and fall risk, as well as daily participation measures is<br /><br>assessed.</p><br>