Effects of Modified Foot Abduction Brace in Maintaining the Foot Position after Ponseti Treatment Method in Congenital Clubfoot

Authors

  • Pornpimon Sona PM&R department, Srinagarind Hospital, faculty of medicine KKU
  • Samerduen Kharmwan Department of Rehabilitation, Faculty of Medicine, Srinagarind hospital, Khon Kaen University, Thailand
  • Kitiwan Vipulakorn Department of Rehabilitation, Faculty of Medicine, Srinagarind hospital, Khon Kaen University, Thailand
  • Chatchawarl Sarntipiphat Department of Orthopedic, Faculty of Medicine, Srinagarind hospital, Khon Kaen University, Thailand
  • Atiwat Pannon Department of Rehabilitation, Faculty of Medicine, Srinagarind hospital, Khon Kaen University, Thailand

Keywords:

congenital clubfoot, Ponseti method, foot abduction brace

Abstract

Objective: Modify the Foot Abduction Brace (FAB) and measure the slippage of the FAB to obtain a suitable FAB for maintaining the position of the patient's foot and to study of parents' satisfaction with modified FAB.

Methods: An action research was conducted in 2 stage stage 1 Modify the FAB according to interdisciplinary consensus. Stage 2 twenty-nine patients with congenital clubfoot who have been treated with the Ponseti method will receive FAB from the outpatient rehabilitation department at Srinagarind Hospital to maintain foot shape for 7 days. Parents record FAB slippage, satisfaction, and problems encountered in using the modified FAB in the diary and telephone interviews.

Results: Of the 29 congenital clubfoot patients, 21 were male (72.4%), with a mean age of 10.6 ± 7.9 months. The mean age at initiation of FAB usage was 21.2 ± 2.7 weeks. Fourteen patients (48.3%) started using the FAB for the first time. The study found that 69.0% - 79.3% of patients had no FAB slippage during usage. The average number of FAB slippages were 1.2 ± 2.4 times/day (median = 0, interquartile range 0-1). Parental satisfaction was reported at 4.7 ± 0.6 points, with the highest satisfaction regarding fit and durability (4.6 ± 0.6 and 4.6 ± 0.8, respectively).

Conclusion: By modifying both the shoe and strapping of the FAB found minimal instances of FAB slippage. Moreover, the parents expressed high satisfaction in using the FAB, which was also cost-effective and covered by government reimbursement.

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Published

2024-04-24

How to Cite

1.
Sona P, Kharmwan S, Vipulakorn K, Sarntipiphat C, Pannon A. Effects of Modified Foot Abduction Brace in Maintaining the Foot Position after Ponseti Treatment Method in Congenital Clubfoot . SRIMEDJ [Internet]. 2024 Apr. 24 [cited 2024 Jun. 19];39(2):147-55. Available from: https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/260832

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