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Function and participation of children with Ponseti treated clubfoot

Recruiting
Conditions
clubfoot / relapse clubfoot
Registration Number
NL-OMON25499
Lead Sponsor
Raad van bestuur Máxima MC
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
90
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

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.

Study & Design

Study Type
Observational non invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Maximum plantar flexion at toe-off obtained with 3DGA during walking
Secondary Outcome Measures
NameTimeMethod
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.
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