TO COMPARE PARAMETERS OF GAIT & VERTICAL GROUND REACTION FORCES WITH NORMAL HEALTHY AGE & GENDER OF CLUB FOOT CHILDREN.
Keywords:gait, club foot, children & age.
Background & Method: Study was conducted at Department of Orthopedics, Index Medical College Hospital and Research Center, Indore, M.P. Patients with past treatment of CTEV are generally followed up until skeletal development at our emergency clinic at CTEV facility. Patients between ages of 6 and 12 years who had past traditionalist or careful treatment for CTEV and were not anticipating any further treatment and with plantigrade feet (pirani score<1) were welcome to take an interest in the examination. A sum of 33 patients were enlisted successively through the center and educated assent for support in the investigation was acquired from their folks or their overseers. The neighborhood morals council allowed endorsement for the investigation.
Result: All the times are reduced in both unilateral and bilateral cases except double support time which is increased in bilateral cases. Step time parameters of normal limb of unilateral CTEV are also abnormal showing that they may have compensated for the insufficient motion of the club foot. In both unilateral and bilateral club foot, force distribution is mainly along the lateral border of foot. Forces over MLF, MLM and MLR are increased. This shows that the child puts most of the weight on lateral border of foot.
Conclusion: Revision surgery in clubfeet should only be done when the problem or deformity has become unacceptably symptomatic producing functional problems and pain. It should always be remembered that repeated surgery will always produce additional stiffness within the foot and further loss of power. Thus there should be objective methods of assessment of function in treated club foot. Early methods like radiology and clinical evaluation have limitations. Gait analysis is the new emerging method in objectively assessing the functional outcome. This study showed that gait analysis including kinematics and dynamics of walking can be used to quantify gait pattern characteristics and may be helpful in evaluation and further development of treatment of patients with clubfoot.
Keywords: gait, club foot, children & age.
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