Three Phase Physical Therapy in Children With Relapsed Club Foot After Ponseti Treatment

Riphah International University

Status: Completed

Conditions: Club Foot

Treatments: Other: Three-Phase Physical Therapy Intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT06407739

REC/RCR & AHS/23/0770

Details and patient eligibility

About

Clubfoot, or congenital Talipes Equinovarus (CTEV), is a condition where a baby is born with one or both feet twisted inward and downward due to abnormal fetal foot development. Its estimated global prevalence is 1 in 1,000 live births, varying across populations. Relapsed clubfoot, a recurrence after initial correction, may occur due to incomplete treatment, noncompliance, muscle imbalance, or natural growth. Treatment involves surgical and non-surgical interventions, including soft tissue releases, osteotomies, and external fixation devices. The Ponseti method, a non-surgical approach, is commonly used in infants, with post-treatment physiotherapy focusing on three phases to optimize foot function. This holistic approach aims to achieve the best long-term outcomes for children with clubfoot. This 6-month randomized clinical trial at PSRD Hospital aims to assess the effectiveness of three-phase physical therapy versus conventional physiotherapy in treating clubfoot. With a sample size of 19 participants and a 10% attrition rate, the study involves children aged 3-10 previously treated with the Ponseti method. Data collection includes, one-leg standing and sit-to stand tests, Pirani score and the Oxford Ankle Foot Questionnaire. The three-phase therapy consists of joint mobilization, kinesio taping, and functional exercises over three months, with a focus on improving balance and proprioception.

Enrollment: 19 patients

Sex: All

Ages: 3 to 10 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Having unilateral and bilateral club foot
• Age between 3-10 year
• Previously treated with Ponseti method
• Children fall under Grade II and III according to classification of relapse pattern

Exclusion criteria

• Children who were diagnosed with arthrogryposis multiplex congentia
• Children with spastic Equinovarus
• Children who had multiple surgical operation

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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19 participants in 1 patient group

Three-Phase Physical Therapy Intervention

Experimental group

Description:

This group will be given the three-phase physical therapy intervention and each phase prolong for period of one month

Treatment:

Other: Three-Phase Physical Therapy Intervention