Congenital Talipes Equinovarus (CTEV) or clubfoot is the commonest congenital orthopaedic condition with an incidence of 1.5 per 1000 in the UK. The usual treatment for CTEV is the Ponseti method, consisting ofserial manipulation and casting followed by immobilisation in a foot brace. Two main factors have an effect on treatment result: deformity relapse due to muscle imbalance, creating the need for surgery, and smaller ankle range ofmotion (ROM) and calf circumference (CC).This study investigated the practicality ofsurface neuromuscular electrical stimulation (NMES) as an 'active' intervention in infants with CTEV. The primary outcome measure was the potential to reduce relapse measured by the Pirani score and secondary outcome measures were increase ROM and calf circumference. An AlBA2 approach (Astimulation, B-non-stimulation), six weeks each phase, was used in a study and a control group each with eight feet. At each session evertor muscle activity, Pirani severity score and static measures were assessed. Usage and parent perception was assessed using a questionnaire. The compliance with the stimulation and the brace were monitored by diary cards. A separate study with normally developing feet (n=26) and clubfeet (n=14) was also undertaken to determine the repeatability ofthe static measures.
| Identifer | oai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:505100 |
| Date | January 2007 |
| Creators | Gelfer, Yael |
| Publisher | University of Surrey |
| Source Sets | Ethos UK |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
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