Stimulated biofeedback training combined with conventional rehabilitation in a bilateral congenital clubfoot patient: A case report

Abstract

Ponseti method is the most commonly used method in treatment of congenital clubfoot, but still, there is a recurrence risk of deformity after treatment. The purpose of this case report was to investigate the effectiveness of stimulated biofeedback training combined with conventional rehabilitation on muscle strength, balance and foot posture in a patient with bilateral congenital clubfoot after walking age. The patient was a five-year-old girl with bilateral congenital clubfoot treated with Ponseti method on second day of birth but she was suffering foot posture and balance problems. The patient had included stimulated biofeedback training combined with conventional rehabilitation for 24-week. Her foot posture assessed by Foot Posture Index, balance assessed by Pediatric Functional Reaching Test and Balance Master System, muscle strength was assessed with the handheld dynamometer at the beginning, third month, and end of the rehabilitation program. Patient’s foot posture and balance were improved after six-month rehabilitation, therefore physical therapy and rehabilitation could be effective in development of foot posture and balance of congenital clubfoot patients.

Keywords

• clubfoot
• biofeedback
• rehabilitation
• balance
• physical therapy

Bilateral konjenital pes ekinovaruslu bir hastada konvansiyonel rehabilitasyon ile kombine biofeedback eğitimi: Olgu raporu

Abstract

Ponseti yöntemi, konjenital pes ekinovarus tedavisinde en sık kullanılan yöntemdir, ancak yine de tedaviden sonra deformitenin rekürrens riski vardır. Bu olgu sunumunun amacı, bilateral konjenital pes ekinovaruslu bir hastada yürüme yaşından sonraki dönemde uygulanan konvansiyonel rehabilitasyon ile kombine stimülasyonlu biofeedback eğitiminin, kas kuvveti, denge ve ayak postürü üzerine etkinliğini araştırmaktı. Hasta doğumdan sonraki ikinci günde Ponseti yöntemiyle tedavi edilen bilateral konjenital pes ekinovaruslu beş yaşında bir kız olgu idi, ancak hastanın ayak postüründe ve dengesinde problemleri vardı. Hasta 24 haftalık konvansiyonel rehabilitasyon ile kombine stimülasyonlu biofeedback eğitimine dahil edildi. Hastanın ayak postürü Ayak Postür İndeksi ile, dengesi Pediatrik Fonksiyonel Uzanma Testi ve Balance Master Sistemi ile ve kas kuvveti el dinamometresi ile rehabilitasyon programının başında, üçüncü ayında ve sonunda değerlendirildi. Altı aylık rehabilitasyondan sonra hastanın ayak postürü ve dengesi gelişti. Bu nedenle fizik tedavi ve rehabilitasyon, konjenital pes ekinovaruslu hastaların ayak postürü ve denge gelişiminde etkili olabilir.

Keywords

• pes ekinovarus
• biofeedback
• rehabilitasyon
• denge
• fizik tedavi

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