case 26: relapsed clubfoot

Question 1

how does the foot abduction braces hold the foot

Answer 1

70° of hip ER as well as 10° of ankle DF

Question 2

what is idiopathic clubfoot

Answer 2

foot deformity at birth with no associated underlying diagnosis; foot has a high longitudinal arch associated with plantar flexed first ray , bean shaped curved appearance with inability to correct forefoot to neutral from its adducted posture and varus hind foot that cant be passively DF to neutral

Question 3

what is a intervention for clubfoot correction invovled a specific serial acting technique to realign the talus in the talocrural joint

Answer 3

ponseti method

Question 4

what are the general PT POC/goals

Answer 4

improve ROM

improve great toe extension

improve balance and strength

improve gait

Question 5

what are precautions durign PT of a child with relapsed clubfoot

Answer 5

stress fx prevention after serial casting

avoidance of high impact activities

Question 6

what are the complications during PT interventions of a child with relapsed clubfoot

Answer 6

stress fx

Question 7

how is the hind foot and forefoot aligned for a kid with idiopathic clubfoot

Answer 7

hind foot is positioned in PF. and fore foot is adducted

Question 8

what is closely associated with recurrence of clubfoot deformity

Answer 8

noncompliance with wearing the brace

Question 9

what is the first indication for clubfoot relapse

Answer 9

increased in toeing during stance phase

Question 10

what will intoeing progress to

Answer 10

early heel rise after initial foot contact

Question 11

what does the french PT method of clubfoot management include (grade C evidence)

Answer 11

stretching
strengthening
close chain training

Question 12

what is the common gait pattern with relapsing clubfoot

Answer 12

early heel rise after initial contact with intoeing during stance phase

Question 13

what would be an appropriate activity for the PT to give a child with clubfeet as a HEP

Answer 13

balancing on one foot