Orthopaedic shoes along with physical therapy was effective in Charcot-Marie-Tooth patient over 10 years.
BACKGROUND
The aim was to investigate the effectiveness of custom-made orthopaedic shoes (derby shoes) along with physiotherapy (twice a week) on a person with Charcot-Marie-Tooth over a period of 10 years.


CASE DESCRIPTION AND METHODS
A 66-year-old woman with Charcot-Marie-Tooth disease, who did not have other health conditions, complained of pain and frequent falls. Physical examination, including ankle, knee and hip muscle strength; sensory evaluation of foot and joint range of motion; self-reported assessment of pain, frequency of falls and sprains; and gait analyses, including spatial and temporal parameters and motion analyses, were performed in 2001, 2007 and 2011.


FINDINGS AND OUTCOMES
During the 10 years of follow-up, the physical examination parameters had stabilized since 2001; falls, sprains and walking distance had improved as compared to 2000; pain had alleviated since 2001 and gait parameters had improved up to 2007 and stabilized between 2007 and 2011.


CONCLUSION
Bracing with orthopaedic shoes along with physical therapy was effective in treating pain, improving the gait and enhancing the walking distance (>500 m) without assistive device in a person with Charcot-Marie-Tooth disease.


CLINICAL RELEVANCE
Orthopaedic shoes along with physical therapy can be a good option for treating Charcot-Marie-Tooth associated pain, foot drop, falls and sprains, improving the gait abnormalities and also increasing the walking distance.
['Bensoussan|Laurent|L|', 'Jouvion|Arnaud|A|', 'Kerzoncuf|Marjorie|M|', 'Delarque|Alain|A|', 'Theodoridou|Efy|E|', 'Milhe de Bovis|Virginie|V|', 'Thefenne|Laurent|L|', 'Attarian|Sharam|S|', 'Viton|Jean-Michel|JM|']
D002607:Charcot-Marie-Tooth Disease D005260:Female D020233:Gait Disorders, Neurologic D006801:Humans D008875:Middle Aged D026741:Physical Therapy Modalities D012775:Shoes D013997:Time Factors D016896:Treatment Outcome
orthopaedic shoes Charcot-Marie-Tooth gait gait assessment