Pes equinus varus (striker foot): why this occur by adults!

Introduction: Till today the “fairy tale” exist, that the pes equinus varus (striker Foot) can occur through the pressure of blankets on the feet of the person that lying is in bed, often with the remark that the blankets were put in, so tight that the feet were not movable anymore. This is an “insult” for all the nurses and let see that many people working in the care, see not what people must do, lying on their back in bed when the try to move or lift even one leg. That fact and the effects of an neurological disease are the most common reason for the arise of the striker foot. Method: In the literature search, we search for reasons for the occurrence and regrettable the remarks about blankets still exist, but other reasons are also mention so that an better view can occur. Still the heaviness of lifting an leg, lying on your back is still not an part of this thinking and thus also not an part of the treatment of the striker foot. Results: The treatment is still not effective as we see, what the reasons are for the occurrences and often (to) late in the treatment program and secondary “care” on the pressure score prevention. The tone and the pathological synergy that people need to stabilize there leg, to move the other will end with plantar flexion and the only treatment option is, to take care of an relaxation that place the foot back in the right position. Conclusion/Discussion: Pes equinus varus by adults isn’t the debt of blankets but is the normal reaction of people with an neurological disease to search stability to move on his own. Most striker foot we see by that group of patients but by others we see it sometime also occur and then it is important to search for the cause. By chronic stroke survivors that wear a certain AFO is an clear mobility loss of the ankle mobility present after an period.