A Longitudinal Review of Gait Following Treatment for Idiopathic Clubfoot: Gait Analysis at 2 and 5 Years of Age

Jeans, Kelly A.; Erdman, Ashley; Jo, Chan Hee; Karol, Lori A.

doi:10.1097/bpo.0000000000000515

Cited by 24 publications

(21 citation statements)

References 27 publications

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“…Contudo, é relevante enfatizar que os demais estudos (13,3%) não identificaram quaisquer satisfação e analogia com a qualidade de vida, uma vez que indicaram eficácia insuficiente ou irrelevante, privilegiando outros métodos (JEANS et al 2016;CHAWLA et al 2017;EVANS et al 2017;JACKSON et al 2017). Embora o número tenha sido bem inferior se comparado com os dados estatísticos relacionados com a positividade, é preciso refletir sobre tais achados.…”

Section: Discussionunclassified

Qualidade de vida de crianças com pé torto congênito e a técnica de Ponseti

Cunha¹,

Souza

Sousa

et al. 2019

R. bras. Qual. Vida

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OBJETIVO: Analisar a contribuição da técnica de Ponseti para a qualidade de vida de crianças portadoras do pé torto congênito.MÉTODOS: A elaboração do trabalho foi realizada através de uma revisão sistemática da literatura, utilizando-se como descritores em Ciência da Saúde (DeCS) (português): pé torto congênito, qualidade de vida, técnica de Ponseti; e os medical subject headings (MeSH) (inglês): congenital biceps foot, quality of life e Ponseti technique. Foram selecionados artigos nas bases de dados: Public Medicine (Pubmed), Scientific Electronic Library Online (SciELO), Medical Literature Analysis and Retrievel System Online (MEDLINE) e Biblioteca Virtual de Saúde (BVS). Os artigos selecionados foram analisados quanto ao título, ao ano, à formação e ao tema principal. A pesquisa compreendeu artigos publicados entre 2013 e abril de 2018. Foram identificados 110 artigos, dos quais foram selecionados 30 artigos que se encaixaram nos critérios de inclusão.RESULTADOS: A partir dos estudos analisados, observou-se que 83,3% destes apontaram eficácia elevada no tratamento do pé torto congênito de crianças por meio da técnica de Ponseti associada a uma melhora na qualidade de vida.CONCLUSÕES: A técnica de Ponseti é altamente eficaz para correção da deformidade e propicia melhoria da qualidade de vida das crianças que são portadoras da patologia.

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Section: Discussionunclassified

Qualidade de vida de crianças com pé torto congênito e a técnica de Ponseti

Cunha¹,

Souza

Sousa

et al. 2019

R. bras. Qual. Vida

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“…We must bear in mind that these feet had not suffered any hell-cord tenotomy at the time of the last MRI study, contrary to the feet treated with the PM, and all feet had been subjected to the hell-cord tenotomy before the last MRI study. There is still controversy as to which method is better, but it has been demonstrated that both methods achieve similar results; the FPM is as effective as the PM, and the differences between them do not reach statistical significance[8,31-33]. Regarding the learning curve of FPM approaches, we want to point out that learning and mastering the necessary skills to successfully apply the method takes time and requires knowledge.…”

Section: Discussionmentioning

confidence: 99%

Functional physiotherapy method results for the treatment of idiopathic clubfoot

García-González¹,

Hodgson-Ravina²,

Aguirre‐Jaime³

2019

WJO

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BACKGROUND Idiopathic clubfoot is a congenital deformity of multifactorial etiology. The initial treatment is eminently conservative; one of the methods applied is the Functional physiotherapy method (FPM), which includes different approaches: Robert Debré (RD) and Saint-Vincent-de-Paul (SVP) among them. This method is based on manipulations of the foot, bandages, splints and exercises adapted to the motor development of the child aimed to achieve a plantigrade and functional foot. Our hypothesis was that the SVP method could be more efficient than the RD method in correcting deformities, and would decrease the rate of surgeries. AIM To compare the RD and SVP methods, specifically regarding the improvement accomplished and the frequency of surgery needed to achieve a plantigrade foot. METHODS Retrospective study of 71 idiopathic clubfeet of 46 children born between February 2004 and January 2012, who were evaluated and classified in our hospital according to severity by the Dimeglio-Bensahel scale. We included moderate, severe and very severe feet. Thirty-four feet were treated with the RD method and 37 feet with the SVP method. The outcomes at a minimum of two years were considered as very good (by physiotherapy), good (by percutaneous heel-cord tenotomy), fair (by limited surgery), and poor (by complete surgery). RESULTS Complete release was not required in any case; limited posterior release was done in 23 cases (74%) with the RD method and 9 (25%) with the SVP method ( P < 0.001). The percutaneous heel-cord tenotomy was done in 2 feet treated with the RD method (7%) and 6 feet (17%) treated with the SVP method ( P < 0.001). Six feet in the RD group (19%) and twenty-one feet (58%) in the SVP group did not require any surgery ( P < 0.001). CONCLUSION Our study provides evidence of the superiority of the SVP method over the RD method, as a variation of the FPM, for the treatment of idiopathic clubfoot.

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“…Gait analysis has been used as a useful tool for assessing the functional outcomes by quantitatively measuring the motion of walking in terms of body movements, body mechanics, and the activity of the muscles to evaluate treatment outcome of clubfeet functionally and objectively over the last decades [ 17 – 20 ]. It is controversial as to the issue whether the Achilles tendon should be completely transected.…”

Section: Discussionmentioning

confidence: 99%

Functional Assessment of the Foot Undergoing Percutaneous Achilles Tenotomy in Term of Gait Analysis

Liu

Jiang

Zhao

et al. 2016

BioMed Research International

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Background. This study was designed to evaluate the function of the foot undergoing the procedure of percutaneous Achilles tenotomy (PAT) in case of clubfoot management in terms of gait analysis. Methods. Nineteen patients with unilateral clubfeet were retrospectively reviewed from our database from July 2012 to June 2016. The result in all the cases was rated as excellent according to the scale of International Clubfoot Study Group (ICSG). The affected sides were taken as Group CF and the contralateral sides as Group CL. Three-dimensional gait analysis was applied for the functional evaluation of the involved foot. Results. Statistical difference was found in physical parameters of passive ankle dorsiflexion and plantar-flexion. No statistical difference was found in temporal-spatial parameters. There was statistical difference in kinematic parameters of total ankle rotation, ankle range of motion, and internal foot progression angle and in kinetic parameters of peak ankle power. No statistical difference was found in other kinematic and kinetic parameters. Conclusions. It is demonstrated that the procedure of PAT is safe and efficient for correcting the equinus deformity in case of clubfoot management and preserving the main function of Achilles tendon at the minimum of four-year follow-up.

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A Longitudinal Review of Gait Following Treatment for Idiopathic Clubfoot: Gait Analysis at 2 and 5 Years of Age

Abstract: Level II-therapeutic.

Cited by 24 publications

References 27 publications

Qualidade de vida de crianças com pé torto congênito e a técnica de Ponseti

Qualidade de vida de crianças com pé torto congênito e a técnica de Ponseti

Functional physiotherapy method results for the treatment of idiopathic clubfoot

Functional Assessment of the Foot Undergoing Percutaneous Achilles Tenotomy in Term of Gait Analysis

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