%0 Journal Article %A Deltombe, Thierry %A Gustin, Thierry %A De Cloedt, Philippe %A Vandemeulebroecke, Maryse %A Hanson, Philippe %D 2007 %I Begell House %N 3 %P 195-212 %R 10.1615/CritRevPhysRehabilMed.v19.i3.20 %T The Treatment of Spastic Equinovarus Foot after Stroke %U https://www.dl.begellhouse.com/journals/757fcb0219d89390,4449addf70864ec5,48f01cd56f577a53.html %V 19 %X Spastic equinovarus foot (SEF) is a major cause of disability in stroke patients. Treatments are multimodal and include rehabilitation, orthosis, botulinum toxin injections, alcohol and phenol nerve blocks, functional neurosurgery (neurotomy and intrathecal baclofen) and orthopedic surgery (tendon transfer or lengthening). Precise knowledge of the cause of the equinovarus deformity (muscle spasticity, shortening, and/or weakness) with clinical examination, diagnostic nerve blocks with anesthetics, and gait analysis may help to determine the most appropriate treatment for each patient. This article summarizes current approaches to the assessment and treatment of SEF. In contrast with the number of treatments available, there are a lack of comparative studies to guide therapeutic decisions, which actually depend more on personal experience than on scientific guidelines. %8 2007-10-17