EVALUATION OF BILATERAL FOOT DEFORMITY IN PATIENTS WITH HEMIPLEGIC TYPE
CEREBRAL PALSY
Abstract
Aim: The aim of our study is to determine the potential degree of the
deformity that can occur on the healthy foot, which is often neglected
during treatment, in the case that the patient can walk independently,
by evaluating the feet, the stiff and healthy side of patients with
hemiplegic type CP. Patients and Methods: 13 girls and 15 boys, a total
of 28 patients who were diagnosed with hemiplegic type CP were included
in the study. A foot examination was done with a feiss line to determine
the patient’s foot deformity. The midpoint of the patient’s malleolus
medialis and the midpoint of their first metatarsophalangeal joint were
connected with a straight line. Tuberositas ossis navicularis in the os
naviculare was also marked and detected, and its perpendicular distance
to the straight line was approximately measured in centimeters with a
soft tape measure. These measurements were repeated on both feet.
Results: 13 of the participants in the study were girls and 15 of them
were boys. 12 of the patients had right side hemiplegic type CP, while
16 of them had left side hemiplegic type CP. 17 of the patients could
walk independently, 11 could walk with support or an assisting device or
could only stand but not actively walk. The age average of the patients
was 14.5; 42.9% of them were under the age of 10 and 57.1% of them
were 10 years old and above. Conclusion: It could be concluded that the
existing deformities on the stiff side can worsen over time, and a new
deformity can ensue on the healthy side over time as well. We think that
deformities can advance quicker especially in cases who can walk, due to
the effectiveness of their muscle weaknesses, and that these situations
must definitely be evaluated in the treatment.