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Re:Footdrop

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This is straight from the book Charcot-Marie-Tooth Disorders: A Handbook for

Primary Care Physicians.... Page #8 Gait..... The gait abnormality is directly

related to the severity of the leg muscle weakness and the skeletal deformity of

the feet. Early in the course of the disease, the gait may look normal, but the

physician may notice that the patient dorsiflexes the toes with each step. The

earliest objective difficulty with gait is the inability of the patients to walk

on their heels. As the disease progresses and the anterior tibial muscles get

weaker, the foot drops with each step and the patient is forced to lift the knee

and throw the foot and toes upward to avoid tripping over objects (steppage

gait). The rapid decend of the foot to the floor produces the " slapping " noise

that is heard when the patient walks. ( " slapping gait " ) Hopes this helps.

>Becky M.

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