1. The effectiveness of three-phase physiotherapy program in children with clubfoot after Ponseti treatment
- Author
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Ela Tarakci, Gokce Leblebici, Aysegul Bursali, and Devrim Tarakci
- Subjects
Male ,musculoskeletal diseases ,medicine.medical_specialty ,Clubfoot ,medicine.medical_treatment ,Pes equinovarus ,Plantar flexion ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Orthopedics and Sports Medicine ,Serial casting ,Range of Motion, Articular ,Physiotherapy ,Physical Therapy Modalities ,030222 orthopedics ,Rehabilitation ,business.industry ,Infant ,030229 sport sciences ,medicine.disease ,Casts, Surgical ,Treatment Outcome ,medicine.anatomical_structure ,Physical therapy ,Female ,Functional status ,Ankle ,business ,Range of motion ,Pes Equinovarus ,Foot (unit) - Abstract
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. © 2021 European Foot and Ankle Society The authors thank to all patients for participating in the study.
- Published
- 2022