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Foot posture after stroke: frequency, nature and clinical significance.

Forghany, S; Tyson, S; Nester, C; Preece, S; Jones, R


S Forghany

S Tyson

C Nester

S Preece

R Jones


OBJECTIVES: Clinical convention suggests that foot posture and movements are adversely affected by stroke and cause walking difficulties but there is little objective data to support or refute these beliefs. This study explores static foot posture in people with stroke and their relationship to weakness and spasticity and walking limitations. DESIGN: Cross-sectional survey. SETTING: Stroke services and support groups of two acute hospitals. SUBJECTS: Seventy-two stroke survivors with mobility limitations. MAIN MEASURES: Foot Posture Index; Demographics; Motricity Index (weakness); modified Ashworth Scale (spasticity); Walking Handicap Scale (walking limitations). RESULTS: About one-third of participants had abnormal foot posture on the weak side, which was associated with walking limitations. Most (70\%) had a symmetrical foot posture with similar frequencies of supination (13\%) and pronation (16\%) abnormalities. There was no relationship between foot posture and weakness and spasticity; age was the only independent predictor of foot posture abnormalities. CONCLUSIONS: A minority of people with stroke had abnormal or asymmetrical foot posture and equal numbers suffered pronation and supination abnormalities; these findings challenge the beliefs that underpin the clinical management of stroke-related foot problems.


Forghany, S., Tyson, S., Nester, C., Preece, S., & Jones, R. (2011). Foot posture after stroke: frequency, nature and clinical significance. Clinical Rehabilitation, 25, 1050--1055.

Journal Article Type Article
Publication Date 2011
Deposit Date Jul 4, 2023
Journal Clin Rehabil
Print ISSN 0269-2155
Electronic ISSN 1477-0873
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 25
Pages 1050--1055
Keywords Aged, Cross-Sectional Studies, Female, Foot, Humans, Logistic Models, Male, Mobility Limitation, Muscle Spasticity, Muscle Weakness, Posture, Pronation, Stroke, Supination, Walking
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