{"id":12217,"date":"2025-06-06T10:21:59","date_gmt":"2025-06-06T08:21:59","guid":{"rendered":"https:\/\/www.wheeleo.eu\/impact-of-a-shoe-with-orthosis-on-gait-parameters\/"},"modified":"2025-06-19T12:00:44","modified_gmt":"2025-06-19T10:00:44","slug":"impact-of-a-shoe-with-orthosis-on-gait-parameters","status":"publish","type":"post","link":"https:\/\/www.wheeleo.eu\/en\/impact-of-a-shoe-with-orthosis-on-gait-parameters\/","title":{"rendered":"Impact of a Shoe with Orthosis on Gait Parameters."},"content":{"rendered":"\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Impact d&#039;une chaussure avec orth\u00e8se sur les param\u00e8tres de marche.\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/qKK0vXdNbL8?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n<p>Observe the immediate effects of adding a <strong>shoe and orthosis<\/strong> on the gait parameters of a patient with right hemiparesis following a stroke.<\/p>\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n<h2 class=\"wp-block-heading\">Comparison of Two Conditions<\/h2>\n\n<h3 class=\"wp-block-heading\">1. Barefoot Walking<\/h3>\n\n<p><strong>Observed characteristics:<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>Three-step gait<\/strong>, with a <strong>pause in double support<\/strong> to move the cane<\/li>\n\n\n\n<li><strong>Relatively symmetrical gait<\/strong><\/li>\n\n\n\n<li><strong>Low step amplitude<\/strong> (heel-to-heel distance of about 20 cm)<\/li>\n\n\n\n<li><strong>Reduced cadence<\/strong><\/li>\n<\/ul>\n\n<h3 class=\"wp-block-heading\">2. Walking with Orthosis and Shoe<\/h3>\n\n<p><strong>Observed characteristics:<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li>Transition to a <strong>two-step gait<\/strong><\/li>\n\n\n\n<li>Maintenance of <strong>gait symmetry<\/strong><\/li>\n\n\n\n<li><strong>Increase in step amplitude<\/strong><\/li>\n\n\n\n<li><strong>Faster cadence<\/strong><\/li>\n<\/ul>\n\n<p><strong>Overall result:<\/strong><br\/><strong>Significantly increased walking speed<\/strong> with the orthosis and shoe.<\/p>\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n<h2 class=\"wp-block-heading\">Clinical Analysis<\/h2>\n\n<p>In this patient, the <strong>right foot varus<\/strong> (without equinus, due to an active anterior tibialis) is particularly pronounced in case of pain (e.g., claw toes) or imbalance.<\/p>\n\n<p>The <strong>shoe alone<\/strong>, although providing partial support, is not sufficient to <strong>correct the varus<\/strong> or ensure a <strong>secure plantar support<\/strong>.<\/p>\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n<h2 class=\"wp-block-heading\">Therapeutic Benefits of Orthoses<\/h2>\n\n<p><strong>Orthoses<\/strong>, like mobility aids, play a key role in helping patients walk:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>With <strong>safety<\/strong><\/li>\n\n\n\n<li>With <strong>more comfort<\/strong><\/li>\n\n\n\n<li>And with <strong>more autonomy<\/strong><\/li>\n<\/ul>\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n<h2 class=\"wp-block-heading\">Recommendations for this Patient<\/h2>\n\n<p>Given the observed <strong>persistent varus<\/strong>:<\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>Equip with an orthosis and adapted shoe<\/strong><\/li>\n\n\n\n<li><strong>Referral to a Physical Medicine and Rehabilitation (PMR) physician<\/strong> for management of <strong>claw toes<\/strong>:\n<ul class=\"wp-block-list\">\n<li><strong>Botulinum toxin<\/strong> injection?<\/li>\n\n\n\n<li><strong>Neurotomy<\/strong>?<\/li>\n\n\n\n<li><strong>Tenotomy<\/strong>?<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n<h2 class=\"wp-block-heading\">Conclusion<\/h2>\n\n<p>This clinical demonstration illustrates the importance of:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>A <strong>dynamic gait assessment<\/strong><\/li>\n\n\n\n<li>An <strong>adapted orthopedic equipment<\/strong><\/li>\n\n\n\n<li>A <strong>multidisciplinary approach<\/strong> (physiotherapist, PMR, orthotist)<\/li>\n<\/ul>\n\n<p>These elements are essential to <strong>improve gait fluidity<\/strong>, safety, and <strong>quality of life<\/strong> for post-stroke patients.<\/p>\n\n<p>When the walking situation does not allow for the use of an orthosis and shoe (for example, when going to the shower), using a more stable walking aid helps compensate for this loss of foot stability. For hemiplegic patients, the one-handed walker Wheeleo\u00ae is particularly suitable. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Observe the immediate effects of adding a shoe and orthosis on the gait parameters of a patient with right hemiparesis following a stroke. Comparison of Two Conditions 1. Barefoot Walking Observed characteristics: 2. Walking with Orthosis and Shoe Observed characteristics: Overall result:Significantly increased walking speed with the orthosis and shoe. Clinical Analysis In this patient, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":12215,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[109],"tags":[],"profils-type":[],"expertise":[],"situation":[331],"profils-et-pathologies":[289],"class_list":["post-12217","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-article","situation-other-articles-health-professional","profils-et-pathologies-hemiplegie-en"],"_links":{"self":[{"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/posts\/12217","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/comments?post=12217"}],"version-history":[{"count":1,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/posts\/12217\/revisions"}],"predecessor-version":[{"id":12218,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/posts\/12217\/revisions\/12218"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/media\/12215"}],"wp:attachment":[{"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/media?parent=12217"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/categories?post=12217"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/tags?post=12217"},{"taxonomy":"profils-type","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/profils-type?post=12217"},{"taxonomy":"expertise","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/expertise?post=12217"},{"taxonomy":"situation","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/situation?post=12217"},{"taxonomy":"profils-et-pathologies","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/profils-et-pathologies?post=12217"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}