The effectiveness of three-phase physiotherapy program in children with clubfoot after Ponseti treatment

被引:1
作者
Tarakci, Devrim [1 ]
Leblebici, Gokce [2 ,3 ]
Tarakci, Ela [4 ]
Bursali, Aysegul [5 ]
机构
[1] Istanbul Medipol Univ, Div Occupat Therapy, Fac Hlth Sci, Istanbul, Turkey
[2] Istanbul Medeniyet Univ, Div Physiotherapy & Rehabil, Fac Hlth Sci, Istanbul, Turkey
[3] Istanbul Univ Cerrahpasa, Inst Grad Studies, Div Physiotherapy & Rehabil, Istanbul, Turkey
[4] Istanbul Univ Cerrahpasa, Fac Hlth Sci, Div Physiotherapy & Rehabil, Istanbul, Turkey
[5] Private Clin, Istanbul, Turkey
关键词
Clubfoot; Pes equinovarus; Physiotherapy; Rehabilitation; CONGENITAL IDIOPATHIC CLUBFOOT; FOOT; RELIABILITY; MANAGEMENT; DEFORMITY; TERM;
D O I
10.1016/j.fas.2021.03.003
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Backgrounds: Clubfoot is a foot disorder frequently seen. Although, there are several studies about the efficiency of physiotherapy in the treatment of clubfoot, physiotherapy programs may be more efficient if the treatment apply step by step similar to the logic of the serial casting progression of the involved foot. Therefore, the aim of this study was to determine the effectiveness of three-phase physiotherapy program in children with clubfoot. Methods: Fifty-seven patients (37 males, 20 females; 7.26 +/- 1.27 years) with clubfoot which had Ponseti treatment before were included. The ankle dorsiflexion (DF) and plantar flexion (PF) ranges of motion (ROM), one-leg standing time, sit-to-stand test, The Oxford Ankle Foot Questionnaire (OxAFQ) and treatment satisfaction were evaluated before and after treatment. A three-phase physiotherapy program was applied for 3 months. Results: DF, PF, one-leg standing time, sit-to-stand test, treatment satisfaction and all parameters of OxAFQ except 'Emotional' parameter of OxAFQ-Children significantly improved after treatment (p < 0.05). Conclusions: The three-phase physiotherapy program increased the ankle range of motion, improved functional status and treatment satisfaction in children with clubfoot. The three-phase physiotherapy might be a reasonable treatment for clubfoot. Although, there is a need for long-term studies to understand its effects on preventing relapse. (c) 2021 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:181 / 185
页数:5
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