Athletic Ability of School-Age Children After Satisfactory Treatment of Congenital Clubfoot

NewsBot · Mar 19, 2013

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Athletic Ability of School-Age Children After Satisfactory Treatment of Congenital Clubfoot
Kenmoku, Tomonori MD, PhD; Kamegaya, Makoto MD, Ph.D; Saisu, Takashi MD, PhD; Ochiai, Nobuyasu MD, PhD; Iwakura, Nahoko MD, PhD; Iwase, Dai MD; Takahashi, Kazuhisa MD, PhD; Takaso, Masashi MD, PhD
Journal of Pediatric Orthopaedics: April/May 2013 - Volume 33 - Issue 3 - p 321–325

Background: This is the first study to objectively assess the athletic ability of school-age congenital clubfoot patients.

Methods: Forty-six feet of 30 patients (18 boys, 12 girls) were evaluated in this study. Nine patients were treated conservatively, 8 patients underwent percutaneous tenotomy of the Achilles tendon, and 13 patients were treated with extensive soft-tissue release. The mean age at the investigation was 9.2±1.9 years, and the mean follow-up period was 8.3±2.9 years. Athletic ability was evaluated by calculating Z-scores for the patients’ scores in 5 physical fitness tests routinely performed nationwide at elementary schools: 50-meter run; standing long jump; repetition side steps; 20-meter shuttle run; and sit-ups. The Z-scores were calculated based on data published as the nationwide standards.

Results: Of the 148 scores recorded for the 5 tests for the 30 clubfoot patients, 143 scores (96.6%) were higher than the −2 SD value. The mean Z-scores were as follows: −0.32 for 50-meter run; −0.16 for standing long jump; −0.24 for 20-meter shuttle run; 0.22 for repetition side steps; and 0.06 for sit-ups. None of the events showed any significant differences among the three treatment groups.

Conclusions: Congenital clubfoot with satisfactory treatment did not significantly impair the athletic performance.
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Admin2 · Mar 19, 2013

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NewsBot · Nov 4, 2019

Motor and cognitive functioning in children treated for idiopathic clubfoot at the age of 3 years
Julia DillmannGudrun SchwarzerChristian-Dominik Peterlein
BMC Pediatrics; December 2019, 19

Background
Several studies have investigated motor and cognitive skills in infants as well as gross motor abilities in schoolchildren treated for congenital idiopathic clubfoot, mostly indicating specific impairments in those children. However, until now, little is known about the motor and cognitive abilities of preschool children treated for idiopathic clubfoot. Thus, it was the aim of this study to examine gross motor, fine motor and cognitive skills of 3-year-old-children treated for idiopathic clubfoot.

Method
We tested gross motor, fine motor and cognitive functioning of 10 children treated for idiopathic clubfoot and 10 typically developing children at the age of 40 months (SD = 1) with the Bayley Scales of Infant and Toddler Development.

Results
The children treated for idiopathic clubfoot showed a slight delay in gross motor development. In particular, they demonstrated difficulties in tiptoeing, walking upstairs and walking downstairs. Moreover, we found some slight deficits in cognitive development, particularly in visual-spatial memory.

Discussion
Children treated for idiopathic clubfoot appear to have an increased risk of gross motor and spatial cognitive deficits. Orthopedic pediatrics should incorporate measures of gross motor functioning, for example tiptoeing, in their orthopedic setting. Moreover, future studies are needed to clarify whether the observed deficits persist through childhood. If so, some kind of a motor training for children with idiopathic clubfoot might be required.
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NewsBot · Apr 26, 2022

Clubfoot and sporting activity
Chiara ARRIGONI et al
Minerva Orthopedics 2022 April;73(2):213-8

BACKGROUND: One of the most critical aspects of congenital clubfoot treatment is the orthopedist’s relationship with the child’s parents. Indeed, their involvement is mandatory from the outset as well as their awareness of the deformity and the treatment steps. It may explain why clubfoot treatment can be challenging for orthopedists due to the characteristics of the malformation and the parents’ anxiety about the outcome and its impact on the child’s prospects of leading a healthy, active life. A good outcome indicator may be represented by the child’s likelihood of playing a sport like his or her healthy peers. Few studies correlated clubfoot and sporting activity. The aim of the study was to investigate how clubfoot may affect patients’ physical activity.
METHODS: Patients treated for clubfoot from 2000 to 2010 were evaluated using data collected from an electronic hospital database. An analysis of clubfoot patients and their satisfaction levels was conducted, including sporting activities played. Subsequently, two comparison studies on certain parameters including sport were conducted between clubfoot sub-groups (according to the method used for the correction of deformities), and between clubfoot and control groups of healthy subjects. Each patient or indeed parent was interviewed by submitting a “custom-made” questionnaire about sporting activities.
RESULTS: The main population consists of 53 clubfoot patients: 30 of them were treated with the Kite method with a mean number of 9 preoperative casts, and 23 with the Ponseti method with a mean number of 8.6 preoperative casts. 49 out of 53 underwent surgery. 62.26% of the populations currently play sports for a mean of 4,6 hours a week without any discomfort and only two patients are using orthopedic insoles. Only 9 patients played sport and then ceased (predominantly out of personal choice). A percentage of 64.15% of populations declared satisfaction from their sport and daily life. In the comparison study between the two sub-groups (Kite and Ponseti methods), no significant differences were found in the number of casts, sporting activity, hours of sport, level of sport, use of insoles or other devices and personal satisfaction levels. Finally, the main cohort’s data were compared with a control group of healthy children; no difference was reported during sporting activity.
CONCLUSIONS: Despite the limited cohort, children who underwent treatment for clubfoot correction seem to successfully lead a physically active life. The type of treatment would not influence the results in terms of participation in sporting activities.
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Athletic Ability of School-Age Children After Satisfactory Treatment of Congenital Clubfoot

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Athletic Ability of School-Age Children After Satisfactory Treatment of Congenital Clubfoot

NewsBot The Admin that posts the news.

Admin2 Administrator Staff Member

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

Nike Flyease for easier access into athletic shoes for those with a disability

Heat Moldable Custom Orthotic, Medium (Athletic) Profile

Book: Athletic Footwear and Orthoses in Sports Medicine, 2nd Ed

World Athletics modifies rules governing competition shoes for elite athletes

patients with a structual Hallux Limitus have decreased pain when walking in a light athletic shoe t

Intrinsic foot muscle strengthening and athletic performance

World-first biomechanics research on indoor athletics released in Birmingham

Share This Page

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