clubfoot / relapse clubfoot
Conditions
Interventions
None listed
Sponsors
Raad van bestuur Máxima MC
Eligibility
Inclusion criteria
Inclusion criteria: Both controls and (relapse) clubfoot patients who: - Are 5 - 9 years old - Have parents with sufficient command of the Dutch language (Relapse) Clubfoot patients who: - Have idiopathic clubfoot - Are uni- or bilaterally affected - Have been primarily treated with the Ponseti method Relapse clubfoot patients: - Reoccurrence of one or more clubfoot aspects that requires additional treatment as judged by the expert opinion of the treating orthopaedic surgeon. Additional treatment according to regular care includes: • Non-invasive treatment with physiotherapy, • Surgical treatment, consisting of a period of bracing followed by one of the following surgical procedures: a tibialis anterior tendon transfer (TATT), anterior distal tibial epiphysiodesis (8- plate), or a combination of both procedures.
Exclusion criteria
Exclusion criteria: Both controls and (relapse) clubfoot patients who: - Are unable to follow the instructions - Have obesity - Have an underlying syndrome - Have a neurological disease Controls who: - Have problems of the lower extremity (e.g., hip dysplasia/ broken leg <1year prior to participation) All clubfoot patients who: - Did not have their primary treatment in the Netherlands - Previously received additional surgical treatment (with exception of re-Achilles tendon tenotomy) for a relapse of their clubfoot.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maximum plantar flexion at toe-off obtained with 3DGA during walking | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary parameters from the gait analysis are kinematics and kinetics from the foot, ankle, knee and hip during functional activities, and muscle activity. Other secondary parameters are the total and/or sub-scores obtained with the questionnaire on perceived motor competence, CAP, PEM-CY, M-ABC 2 checklist and test. | — |
Contacts
Public ContactMaria van der Steen
Máxima MC / Catharina ziekenhuis
Outcome results
None listed