Successful Application of an Insole with a Metatarsal Inhibition Bar and Deep Heel Cup for Improving Gait Dysfunction in a Patient with Poor Coordination with Disrupted Corticoreticular Tracts
A Case Report
Bibliographic Data
| ID | 15718650 |
|---|---|
| Authors | Su Min Son (Yeungnam University), Jung Won Lee (0000-0001-6531-253X, Yeungnam University), Min Cheol Chang (0000-0002-7629-7213, Yeungnam University, corresponding author) |
| Year | 2021 |
| Volume | 8 |
| Issue | 5 |
| Pages | 320-320 |
| Publication date | 2021-04-22 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Children (JOURNAL) |
| Journal identifiers | ISSN: 2227-9067 • E-ISSN: 2227-9067 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/children8050320 |
| PMID | 33921951 |
| OpenAlex | W3158232698 |
| Language | EN |
| References cited | 23 |
We report the successful management of gait dysfunction in a patient with coordination problems using an insole with a metatarsal inhibition bar (MIB) and a deep heel cup. Furthermore, we investigated the state of the neural tracts via diffusion tensor tractography (DTT). A 23-month-old boy with gait dysfunction presented with toe walking with a wide base and decreased hip flexion. Motor weakness or spasticity was not observed. Conventional brain magnetic resonance imaging did not reveal any abnormal findings, but DTT revealed disrupted bilateral corticoreticulospinal tracts (CRTs). No abnormalities were observed in the corticospinal tract or the medial lemniscus. We applied a custom-made insole with an MIB and a deep heel cup. Immediately after application, the patient's gait pattern stabilized significantly and was nearly normalized. Our therapeutic experience indicates that the application of an insole with an MIB and deep heel cups could be beneficial for patients with coordination problems and gait dysfunction. Our DTT results showed that CRTs could be the causative brain pathology for gait dysfunction in patients with coordination problems
Gait · Gait analysis · Heel · Magnetic resonance imaging · Motor coordination · Physical medicine and rehabilitation · Radiology · Advanced Neuroimaging Techniques and Applications · Cerebral Palsy and Movement Disorders · Children's Physical and Motor Development · Medicine · Anatomy
| Citation velocity | historical |
|---|---|
| Highly cited | No |