Article

The aim of this study was to analyze the prevalence of claw toes and
its correlation to other lower limb disorders as well as the global functional
recovery in a population of hemiplegic patients 1year post-stroke.
This prospective study included 39 stroke patients hospitalized in the
Physical Medicine and Rehabilitation (PM&R) department of a hospital between
September2000 and September2001. The evaluation looked for incidence of claw toes
during the first year post-stroke and whether there was a potential link to
triceps surae spasticity, motor impairment of the leg and patients' functional
abilities (Barthel Index, postural assessment scale for stroke patients [PASS],
functional ambulation classification [FAC]). RESULTS: We conducted a total of 64
evaluations (one to four by patient). In 18 out of 39 (46%) patients, we found an
occurrence of claw toes. In 15 out of 18 (83%) patients, who regained average
functional capacities, its onset took place before the end of the third month
post-stroke (Barthel: 30-70, PASS: 15-33, FAC: 3-4) and it was significantly
linked to equinus and/or varus foot (p<0.0001). CONCLUSION: The occurrence of
claw toes in hemiplegic patients is common and happens early on post-stroke.
Equinus and/or varus foot and average functional capacities were associated to
claw toes. Despite the few studies devoted to this condition in stroke patients,
this condition must be diagnosed early and taken into account to improve the
patient's rehabilitation care.
CI - 2010 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS ; FRANCAIS