J Med Assoc Thai 2019; 102 (10):20

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Effectiveness of Home Stretching Exercise for the Treatment of Congenital Talipes Calcaneovalgus: A Randomized Controlled Trial.
Kaewpornsawan K Mail, Sookwanich P , Eamsobhana P , Ariyawatkul T , Wongcharoenwatana J , Udompunturak S

Background: Congenital talipes calcaneovalgus (CTCV) is the deformities characterized by hyperdorsiflexion of the foot against the anterior surface of the tibia. The treatments proposed were gentle stretching exercises performed by the parents, corrective casting or splinting with or without stretching exercises. No information regarding effectiveness of the treatment or comparing the outcome between the treatments

Objective: The purpose of this prospective randomized controlled study is to evaluate the effectiveness of stretching manipulation performed by the parents, in comparison with no treatment, in newborns with congenital talipes calcaneovalgus (CTCV).

Material and method: The healthy babies aged ranging from 1-7 days, who were born with CTCV were included in this study. Simple randomization was done to allocate the patients into 2 groups. In group A-the treated group, the parents were taught to perform stretching exercise consisting of passive plantar flexion the deformed foot for at least 10 seconds each time and at least 10 times a day. Group B contained the newborns that did not receive any treatment other than explanation about diagnosis, prognosis and follow up plan. The follow up intervals for both groups were one, three, four, six and ten months after enrollment. The demographic data in sex, affected side, severity of the deformity, weight and height of the newborns were recorded. The outcome measured included rate and time to recovery for each group.

Results: There were 38 cases (16 boys, 22 girls) in group A and 36 cases (15 boys, 22 girls) in group B who had complete follow up data for the final analysis. There were no statistically significant differences in sex, affected side, severity of the deformity, weight, height, recovery time, and success rate between the two groups.

Conclusion: The foot with uncomplicated CTCV have good prognosis and achieve full recovery within 300 days regardless of treatment.

 

Key words: Effectiveness, stretching exercise, newborns, congenital talipes calcaneovalgus, randomized controlled trial


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