The Most Important Rules of Prosthetic Care in PatientsSuffering from Hereditary Motorand Sensory Neuropathy(HMSN)

Overview

There are approximately 4000 patients suffering from some form of hereditary neuropathy in theCzech Republic. The most typical clinical symptoms are muscular weakness and atrophy affectingprimarily the distal parts of the lower and ultimately the upper extremities and characteristic footdeformity: high arch foot type with hammer toes and sagging transverse arch. Such foot deformityresults in pain and poor stability when standing and walking and limits the patient in many activitiesof everyday. It is possible to alleviate the consequences of feet deformity by correct prosthetic carewhich should be an important part of complex rehabilitation in all patients suffering from HMSN. Inthis article we present our experience with prosthetic care during the 5 year existence of themulti-specialist center for patients suffering from HMSN in the University Hospital Motol, Prague,Czech Republic.

Key words:
hereditary motor and sensory neuropathy, Charcot-Marie-Tooth disease, footdeformity, prosthetic care, orthopedic insoles, ankle-foot orthosis