The relation between clinical and objective gait scores in clubfoot patients with and without a relapse

Grin, L.; Wijnands, S.D.N.; Besselaar, A. T.; Oorschot, L. van; Vanwanseele, Benedicte; Steen, Marieke van der

doi:10.1016/j.gaitpost.2022.07.261

Cited by 3 publications

(12 citation statements)

References 21 publications

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“…Relapse patients show multiple structural impairments which contribute to gait issues at the ankle and knee 24,25. Recent studies show lower clinical status in relapse patients compared with nonrelapse patients,26 but after relapse treatment, comparable physical activity was found 27. In the current clubfoot group, 34% of the parents reported additional surgical interventions.…”

Section: Discussionmentioning

confidence: 99%

Participation and Motor Abilities in Children Aged 5 to 9 Years With Idiopathic Clubfeet After Treatment With the Ponseti Method

Dijk

Besselaar

Grin

et al. 2022

Journal of Pediatric Orthopaedics

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† § and on behalf of the Dutch Clubfoot CentresBackground: Functioning in children consists of different aspects, including their ability to execute activities and participate in life situations. Several studies on children with clubfeet showed limited motor abilities and walking capacity compared with healthy control children, while other studies showed comparable athletic abilities and gross motor development. Although participation in activities of daily life plays an important role in the development of children, this has not yet been investigated in children with clubfeet. The study aims to determine the level of parents' perceived motor ability and participation in Ponsetitreated children with clubfeet compared with age-matched healthy controls. Methods: Parents of children aged 5 to 9 years with and without idiopathic Ponseti-treated clubfeet were asked to complete an online questionnaire about their child's motor abilities and participation level using the Dutch version of the Assessment of Life Habits for Children (LIFE-H) version 3 to assess participation and the Dutch Movement Assessment Battery for Children-2 Checklist (MABC-2 Checklist) to assess motor abilities. Statistical analysis focused on differences between groups and the relationship between motor abilities and level of participation.Results: Questionnaires of 86 children with clubfeet (mean age 7.1, 73% boys) and 62 controls (age 6.7, 53% boys) were analyzed. Despite a large variation, results showed no significant differences between groups on the total scores of the LIFE-H and the MABC-2 Checklist. Children with clubfeet, however, scored lower on Mobility and better on the categories Communication and Responsibility of the LIFE-H. Furthermore, children with clubfeet showed lower scores on the MABC-2 Checklist subscale "movement in a static and/or predictable environment." High levels of the parents' perceived participation correlate with good results, as perceived by the parents, in motor ability. Conclusions: Although differences on some aspects of motor ability and participation existed, children with clubfeet in general showed high levels of parents' perceived motor ability and participation. High levels of participation correlated with good results in motor ability. Level of Evidence: Level II.

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Section: Discussionmentioning

confidence: 99%

Participation and Motor Abilities in Children Aged 5 to 9 Years With Idiopathic Clubfeet After Treatment With the Ponseti Method

Dijk

Besselaar

Grin

et al. 2022

Journal of Pediatric Orthopaedics

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“…Several studies have shown that among patients who have received Ponseti treatment, the disease rate at 3.7-4.1 years after correction is still as high as 68% (Bergerault et al, 2013;Zionts et al, 2018). Patients with recurrent cases showed a similar gait pattern to that before correction (Grin et al, 2021;Grin et al, 2022). Grin et al (2021) reported that, compared with those in the nonrecurrent group, the forefoot adduction and supination angles (relative to the hindfoot and tibia) in the recurrent group were significantly greater.…”

Section: Congenital Talipes Equinovarusmentioning

confidence: 99%

Three-dimensional gait analysis of orthopaedic common foot and ankle joint diseases

Wang,

Qi,

et al. 2024

Front. Bioeng. Biotechnol.

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Walking is an indispensable mode of transportation for human survival. Gait is a characteristic of walking. In the clinic, patients with different diseases exhibit different gait characteristics. Gait analysis describes the specific situation of human gait abnormalities by observing and studying the kinematics and dynamics of limbs and joints during human walking and depicting the corresponding geometric curves and values. In foot and ankle diseases, gait analysis can evaluate the degree and nature of gait abnormalities in patients and provide an important basis for the diagnosis of patients’ diseases, the correction of abnormal gait and related treatment methods. This article reviews the relevant literature, expounds on the clinical consensus on gait, and summarizes the gait characteristics of patients with common ankle and foot diseases. Starting from the gait characteristics of individuals with different diseases, we hope to provide support and reference for the diagnosis, treatment and rehabilitation of clinically related diseases.

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“…Initially, the search strategy provided 1194 unique articles. After screening articles for inclusion and exclusion criteria, 20 studies met the criteria [24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43]. Articles were mainly excluded since the described clubfoot cohort was not treated with the Ponseti method, and no kinematic outcomes were reported (Figure 1).…”

Section: Study Selection and Characteristicsmentioning

confidence: 99%

“…prior to additional treatment for relapse [28][29][30][31][33][34][35], and one study described 3D gait analysis performed on overcorrected clubfoot [26]. Since the overcorrected clubfoot is a single specific group, the results of this study are presented in the Appendix (Appendix C, Table A2).…”

Section: Study Selection and Characteristicsmentioning

confidence: 99%

“…Since the overcorrected clubfoot is a single specific group, the results of this study are presented in the Appendix (Appendix C, Table A2). In 16 studies, children walked at a self-selected speed [24,[26][27][28][29][30][31][33][34][35][36]38,[40][41][42][43]. In the other four included studies, no information on walking speed was provided [25,32,37,39].…”

Section: Study Selection and Characteristicsmentioning

confidence: 99%

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Kinematic Gait Impairments in Children with Clubfeet Treated by the Ponseti Method: A Systematic Review and Meta-Analysis

et al. 2023

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Background: Being aware of possible gait impairments in Ponseti-treated clubfoot children might be useful for optimizing initial and additional treatment. Therefore, this systematic review and meta-analysis aimed to identify kinematic gait abnormalities in children with clubfoot treated with the Ponseti method (with and without relapse). Methods: A systematic search was conducted. Studies comparing kinematic gait parameters of Ponseti-treated clubfoot children to healthy controls were included. Meta-analyses and qualitative analyses were conducted on the extracted data. Results: Twenty studies were identified. Twelve of the 153 reported kinematic outcome measures could be included in the meta-analysis. Plantarflexion at push-off, maximum ankle dorsiflexion during the swing, maximal plantarflexion, and ankle range of motion was significantly lower in Ponseti-treated clubfoot children. Ponseti-treated clubfoot children showed more internal foot progression. Qualitative analysis revealed 51 parameters in which pre-treatment relapse clubfeet deviated from healthy controls. Conclusions: Ponseti-treated clubfoot children showed several kinematic gait differences from healthy controls. In future studies, homogeneity in measured variables and study population and implementation of multi-segmental foot models will aid in comparing studies and understanding clubfoot complexity and treatment outcomes. The question remains as to what functional problems gait impairments lead to and whether additional treatment could address these problems.

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The relation between clinical and objective gait scores in clubfoot patients with and without a relapse

Cited by 3 publications

References 21 publications

Participation and Motor Abilities in Children Aged 5 to 9 Years With Idiopathic Clubfeet After Treatment With the Ponseti Method

Participation and Motor Abilities in Children Aged 5 to 9 Years With Idiopathic Clubfeet After Treatment With the Ponseti Method

Three-dimensional gait analysis of orthopaedic common foot and ankle joint diseases

Kinematic Gait Impairments in Children with Clubfeet Treated by the Ponseti Method: A Systematic Review and Meta-Analysis

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