Treatments of the club-foot
Whatever the technique used, the treatment
of the club-foot passes by
three crucial steps :
1st stage :
the reduction of the deformation
2nd stage :
consolidation of the result obtained
3rd stage : risk
management of repetition
1st
stage : the reduction of the deformation :
(Glossary)
It is about a capital phase, because the risk
to cause lesions of the foot by handling fragile bones (cartilagineux to 75%)
is important.
It requires experiment and softness.
The techniques of reduction used are variable according to the schools, but
there exist common characteristics :
| Duration
of the phase |
Beginning
of the treatment |
Principles of the treatment | Actors
of the treatment |
| 6 to 8 weeks |
Early (in the 3 first days of life) |
Mobilization Application |
Surgeons pediatrists Kinesitherapists |
To carry out this phase of reduction, 3 options are possible :
| Orthopedic treatment | Application
of the foot and correction by successive plasters |
Used
in North America and since 5 years in Lyon |
| Functional treatment | Active
and passive handling of the foot, repeated in the course of the day |
Used
in France |
| Mixed treatment | Used
in France |
2nd
stage : consolidation of the result obtained :During this phase, the risk is that to see reproducing the deformation précocément.
| Duration
of the phase |
Beginning of
the treatment |
Principles of the treatment | Actors of the
treatment |
| 3 months |
As of the end of the phase of reduction |
Physiotherapy Postures |
Parents Kinesitherapists |
Physiotherapy |
Postures |
|
| Orthopedic treatment | Moderate
kinesitherapy Stimulation by the parents |
|
| Functional treatment | Intensive
kinesitherapy |
|
| Mixed treatment | Variable
kinesitherapy |
Splints |
3rd
stage : risk management of repetition :
The growth of the foot is likely to cause the repetition of the deformations.
It is thus VERY IMPORTANT not to stop the treatment, even in the event of
good performance after the first two phases, and to make follow his child
regularly (consultation of orthopedy every approximately 3 months).
| Duration
of the phase |
Beginning
of the treatment |
Principles of the treatment | Actors
of the treatment |
| Very variable, of 1
year at 10 years
To appoint 4 years in practice |
As of the end of the
phase of consolidation |
Application of day
(shoes) Application of night (splints) Kinesitherapy |
Parents |
Recommendations of A.N.A.E.S.
(National agency of Accreditation and Evaluation in Health)
Masso-kinesitherapy and orthopedic treatment of the
deformations isolated from the foot
during the first 6 months of the life.
Access to the site of A.N.A.E.S.
Recommandations
for the clinical practice - Synthesis - January 2004
Recommandations for the
clinical practice - Recommendations - January 2004
Recommandations for the
clinical practice - Sales leaflet - January 2004
Clinical practice guidelines-
-January 2004
The place of osteopathy
Osteopathy does not have ANY place in the treatment
of the club-foot varus equine idiopathic.
More on osteopathy, to see the www.osteo-stop.com
site.
Return in top of the page
| Home | What
is a clubfoot | Images of clubfeet
| History of the clubfoot | Treatments
| Dr Ponseti | Méthod
of Ponseti | Clubfoot and sports
| To know more about it
| Forum |
| Ordrers
to the physiotherapists | Score
of Diméglio | Bandages
of Finck | Glossary
| Physiotherapy
| Madam
Bovary | Health
Insurance | Anatomy
| Radiology
| Antenatal
diagnosis | Questions-Answers
|