Wednesday, May 25, 2022

Terminology_Footdrop or Drop Foot

Carol Paez

Here are the responses to the posting regarding “footdrop” or “drop

foot”.

Thank you for all your input. Wishing a successful New Year for all!:

Preferably neither!! We should strive to utilize medical terminology

whenever the opportunity presents itself. I’ve switched to peroneal

paresis

(or “paralysis”-when appropriate)

______

In a nutshell, the dictionaries I have did nothing to clear it up. Ones’

definition of footdrop was almost exactly the same as the others

definition

of drop foot.

I suggest you pick a personal favorite and go with it. Someone will

probably

find fault no matter what you do. I personally like drop foot just

because I

think it sounds more like a condition and it doesn’t sound like a thing,

i.e., it doesn’t remind me of a gumdrop.

______

I think Mr. Tom Lunsford intended “excessive plantar flexion…..” in

his

query. This seems to be an omission or just typing mistake and Mr.

Handricks

is requested not to make a fun or advertise the notorious drug.

______

The proper terminology is neither “drop foot” or “footdrop,” they are

old

metal bender names. The proper description is “paralytic equinus.” Far

as

pamphlets, search perineal palsy on the med-web or a library. There is

usually good info on that particular etiology. You may also want to

search

the Neurological Aspect of the Lower Extremities.

______

Try Oregon Orthotics system or OOS they have a great “text” book for

their course that Deanna Fish CPO wrote on gait pathomechanics easy to

understand. Deanna is at Hanger I believe in PA.

______

why not just call it a wrist orthosis/splint. I think the phrase for

dropfoot should read

“excessive plantar flexion during swing phase” not “dorsiflexion”

______

“Excessive dorsiflexion in swing phase” as a substitute for “dropfoot”?

When

I read that I thought, surely there is a better way to say it. But if

there

is, I can’t think of it. No wonder “dropfoot” has stuck.

But, frankly, I’d rather be stuck with “dropfoot” than with “cockup.”

If anyone can think of a good substitute phrase for “cock-up splint,”

I’d

love to put it into use. A good humored patient said, as he handed me

his

prescription for a “cock-up splint,” “Why didn’t he just prescribe

Viagra?”

______

I think the term “paralytic equinus” is more professional. Thanks.

______

When conversing with patients or the laity, either “footdrop” or “drop

foot” seem to me to be acceptable. However, when speaking

professionally, I

believe the correct pathomechanical terminology is “excessive

dorsiflexion in

swing phase” and the proper gait deviation is “toe drag” or “MT head

drag” in

mid-swing. Toe drag in initial swing is usually not due to excessive

PF.

Many years ago there was a physician who called the AFO for this problem

a “polydropylene AFO.”

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