Prescription of foot and ankle orthoses for children with Charcot-Marie-Tooth disease: a review of the evidence
Grant Scheffers, Claire Hiller, Kathryn Refshauge, Joshua Burns
Charcot-Marie-Tooth disease (CMT) is the most common inherited peripheral neuropathy and is associated with debilitating lower limb impairments and activity limitations. These impairments and activity limitations are potentially amendable to the prescription of orthoses, yet there is no universal literature-based consensus to inform the decision making process of whether or not orthoses are indicated for a particular child with CMT, and if so, what type of device.
The aims of this paper were to: (1) review the lower limb impairments and activity limitations of children with CMT; (2) review the indications of commonly prescribed foot and ankle orthoses; and (3) formulated a clinical algorithm for the optimal prescription of foot an ankle orthoses for children with CMT.
Major Findings and Conclusions
The attached article presents the findings and conclusions of a comprehensive search of the major databases and reference lists of relevant articles and books and proposes a clinical algorithm to guide the prescription of foot and ankle orthoses for children with CMT.
Physical Therapy Reviews, 2012, Volume 17:2, page 79-90