Ponseti method of treatment of clubfoot (congenital talipes equinovarus) Vojta therapy as a part of treatment

PSOTKA, Libor and Radana PODĚBRADSKÁ. Ponseti method of treatment of clubfoot (congenital talipes equinovarus) Vojta therapy as a part of treatment. In 11th International Conference on Kinanthropology. 2017. ISBN 978-80-210-8917-4.

Basic information

• Original name: Ponseti method of treatment of clubfoot (congenital talipes equinovarus) Vojta therapy as a part of treatment
• Name in Czech: Ponsetiho metoda léčby pes equinovarus congenitus Vojtova metoda jako součást léčby
• Name (in English): Ponseti method of treatment of clubfoot (congenital talipes equinovarus) Vojta therapy as a part of treatment
• Authors: PSOTKA, Libor (203 Czech Republic) and Radana PODĚBRADSKÁ (203 Czech Republic, guarantor, belonging to the institution).
• Edition: 11th International Conference on Kinanthropology, 2017.

Other information

• Original language: Czech
• Type of outcome: Conference abstract
• Field of Study: 30304 Public and environmental health
• Country of publisher: Czech Republic
• Confidentiality degree: is not subject to a state or trade secret
• RIV identification code: RIV/00216224:14510/17:00102539
• Organization unit: Faculty of Sports Studies
• ISBN: 978-80-210-8917-4
• Keywords (in Czech): Ponsetiho metoda; pes equinovarus; Vojtova metoda; fyzioterapie; asymetrie ve vývoji
• Keywords in English: Ponseti method; talipes equinovarus; Vojta therapy; physiotherapy; asymmetry in development
• Tags: rivok
• Tags: International impact, Reviewed

Abstract

The Ponseti method is based on a redress therapy by means of series of passive exercise with attaching plaster fixations to the affected lower limb. Percutaneous tenotomy of the Achilles tendon with subsequent plaster fixation lasting 3 weeks forms a part of therapy using this method in most of the children treated this way. Subsequently, a Denis-Browne splint is worn until the child is 3-4 years old. The Ponseti protocol may eventually include the transposition of tibialis anterior muscle, if the dynamic supination of the forefoot persists. We believe that rehabilitation therapy as an ancillary method to influence the foot development, and also as a method of prevention to capture and treat the disorders of the child’s psychomotor development, represents an inseparable part of the child’s treatment. Vojta therapy with use of reflex locomotion, eventually using tapes, represents the method of choice. In this way, it was possible to influence correct development of foot in going through the standard Ponseti treatment protocol and to prevent the reoccurrence of the defect even in removing the Denis-Browne splint earlier than the Ponseti protocol recommends. Two case studies have been presented as to the reaction of the motion system to the unilateral tenotomy of Achilles tendon as the possible risk of the child’s asymmetric development, and further on the individual approach to the general recommendations regarding the application of Denis-Browne splints.

Abstract (in English)

The Ponseti method is based on a redress therapy by means of series of passive exercise with attaching plaster fixations to the affected lower limb. Percutaneous tenotomy of the Achilles tendon with subsequent plaster fixation lasting 3 weeks forms a part of therapy using this method in most of the children treated this way. Subsequently, a Denis-Browne splint is worn until the child is 3-4 years old. The Ponseti protocol may eventually include the transposition of tibialis anterior muscle, if the dynamic supination of the forefoot persists. We believe that rehabilitation therapy as an ancillary method to influence the foot development, and also as a method of prevention to capture and treat the disorders of the child’s psychomotor development, represents an inseparable part of the child’s treatment. Vojta therapy with use of reflex locomotion, eventually using tapes, represents the method of choice. In this way, it was possible to influence correct development of foot in going through the standard Ponseti treatment protocol and to prevent the reoccurrence of the defect even in removing the Denis-Browne splint earlier than the Ponseti protocol recommends. Two case studies have been presented as to the reaction of the motion system to the unilateral tenotomy of Achilles tendon as the possible risk of the child’s asymmetric development, and further on the individual approach to the general recommendations regarding the application of Denis-Browne splints.