The effect of neuromuscular electrical stimulation on congenital talipes equinovarus following correction with the Ponseti method: a pilot study

被引:10
作者
Gelfer, Yael [1 ,4 ]
Durham, Sally [2 ]
Daly, Karen [3 ]
Shitrit, Reuven [4 ]
Smorgick, Yossi [4 ]
Ewins, David [1 ,2 ]
机构
[1] Univ Surrey, Ctr Biomed Engn, Guildford GU2 5XH, Surrey, England
[2] Queen Marys Hosp, Gait Lab, Roehampton, England
[3] St Georges Healthcare NHS Trust, London, England
[4] Assaf Harofeh Med Ctr, IL-70300 Zerifin, Israel
来源
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 2010年 / 19卷 / 05期
关键词
clubfoot; dorsiflexion; electrical stimulation; peroneal muscles; pirani; ponseti; TIBIAL TENDON TRANSFER; CLUB FOOT; IDIOPATHIC CLUBFOOT; MANAGEMENT;
D O I
10.1097/BPB.0b013e32833becad
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
The Ponseti method for clubfoot treatment offers satisfactory initial correction, but success correlates with abduction brace compliance, which is variable. Electrical stimulation as a dynamic intervention to prevent relapses was investigated. Data were compared to a control group. There was a significant improvement in ankle range of motion only in the study group after short-term intervention, and a trend toward greater increase in calf circumference in this group. Parental perception was positive with no compliance issues. This study suggests stimulation is feasible with potential to increase ankle range of motion and facilitate muscle activity. It could be an important adjunct in preventing relapses, however, further studies with larger groups and longer intervention and follow-up duration are necessary. J Pediatr Orthop B 19: 390-395 (C) 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins.
引用
收藏
页码:390 / 395
页数:6
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