Outcome of Clubfoot Correction at ‘Walk for Life’ Clinic of Mymensingh Medical College Hospital: A Four Year Review

Rahman, Fashiur; Chowdhury, Mmh; Kabir, H.; Alam, Junaid; Uddin, Jalal; Evans, AM

doi:10.3329/bmrcb.v44i3.39936

Cited by 3 publications

(1 citation statement)

References 20 publications

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“…This technique gradually corrects the malformation through moderate stretching and casting. 20 Only 19.7% of responders to our poll knew that casting is really the best beginning the clubfoot treatment. About 52.0 & 28.3 percent of the survey participants said that, respectively, surgery, and physiotherapy were initial lines of the treatment.…”

Section: Discussionmentioning

confidence: 94%

Assessing Public Awareness of the Knowledge and Clubfoot about the Importance of the Treatment of Early Childhood

Sadiq,

Khan,

Hassan

2023

PJMHS

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Background: With early attention, clubfoot is a disorder that can be treated and managed. However, a lack of knowledge regarding clubfoot among the general public may result in a delay in receiving treatment. Methods: This cross-sectional study was conducted with survey poll included Hazara Division (Abbottabad, Mansehra, Haripur, Battagram, Upper Kohistan, Kolai-Palas, Lower Kohistan) residents and lasted six-months, from June 2022 to December 2022. The population of this study was the all participants who faced the issues of prognosis, and clubfoot and online survey was created by orthopedic specialists to gather information on the public knowledge of treatment options, prognosis, and clubfoot risk factors. Regardless of whether they were familiar with someone who had clubfoot, the target demographic was made up of persons from all age groups and both sexes in the general community. A team of orthopaedic specialists created a questionnaire to gather information on the general public's knowledge of clubfoot risk factors, treatments, and prognoses. Pilot research using the sample of the 80 individuals who aren’t the part of main study was used to undertake initial evaluation of the questionnaire. Based on the comments from pilot test, questionnaire was modified. The data was obtained from selected participants and data was analyzed in SPSS. Results: The online survey was finished by 746 individuals by the end of the research period from June 2022 to December 2022. A total of 520 respondents (69.7%) said they were unaware of clubfoot syndrome. 40 (5.4%) participants had a child having clubfoot syndrome, and the 34 (4.6 percent) were informed of the clubfoot since they themselves had a child with condition. Social media platforms were the most often used resource by respondents 284 (38.1%) for learning about clubfoot, followed by family and friends 148 (19.9 percent). Hereditary and genetic problems 435 (58.4%) and neurological abnormalities were the most commonly cited causes of clubfoot 297 (39.9 percent). Practical implication: The current study was employed to determine how well the general population understood clubfoot and the benefits of early therapeutic intervention. Conclusions: The findings indicate that there is little awareness of the clubfoot, which may be a result of a dearth of awareness programmes. In order to encourage patients to seek early treatment, we advise raising awareness of clubfoot using social media and open campaigns in the strategic locations, such as malls. This is vital since earlier treatment of the clubfoot is less intrusive and the results in the better patient’s results when accompanied with regular follow-up. Keywords: Awareness, Clubfoot, Perception, Congenital deformity, Foot deformity, Talipes equinovarus

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Section: Discussionmentioning

confidence: 94%

Assessing Public Awareness of the Knowledge and Clubfoot about the Importance of the Treatment of Early Childhood

Sadiq,

Khan,

Hassan

2023

PJMHS

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Disability, economic and work-role status of individuals with unilateral lower-limb amputation and their families in Bangladesh, post-amputation, and pre-rehabilitation: A cross-sectional study

Sayeed

Oakman

Dillon

et al. 2022

WOR

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BACKGROUND: Amputation has significant negative impacts on physical, psychological, social and economic wellbeing of individuals and families. This is potentially compounded by significant delays to rehabilitation in Bangladesh. OBJECTIVE: To quantify disability, occupation and socioeconomic status of people with unilateral lower-limb amputation (LLA) and their families in Bangladesh, post-amputation and pre-rehabilitation. METHODS: Between November 2017 and February 2018, people with unilateral LLA attending two locations of Center for the Rehabilitation of the Paralyzed, Bangladesh, for prosthetic rehabilitation were surveyed pre-rehabilitation, using the World Health Organization Disability Assessment Schedule (WHODAS-2.0) with additional socio-economic questions. Data were analysed descriptively, using cross-tabulation with Chi-square and Fisher’s exact tests. RESULTS: Seventy-six individuals participated. The majority had traumatic (64.5%), transtibial amputation (61.8%), were young adults (37.92±12.35 years), in paid work prior to LLA (80%), married (63.2%), male (81.6%), from rural areas (78.9%), with primary/no education (72.4%). After LLA mobility (WHODAS score 74.61±13.19) was their most negatively affected domain. Most (60.5%) did not return to any occupation. Acute healthcare costs negatively impacted most families (89.5%), over 80% becoming impoverished. Nearly 70% of previous income-earners became economically dependent changing traditional family roles. CONCLUSIONS: Following LLA, most participants experienced significant mobility impairment and became economically dependent. The impact of LLA extends beyond the individual, to families who often face challenges to traditional primary earner gendered roles. Improved access to timely and affordable rehabilitation is required to reduce the significant personal and societal costs of disability after LLA.

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Effects of educational material among children with clubfoot during bracing stage of treatment by Ponseti method

Ali,

Hossain,

Mohoshina

et al. 2024

Edorium J Disabil Rehabil

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Aims: To identify effects of educational material among children with clubfoot during bracing stage of treatment by Ponseti method. Methods: This study was a quantitative type quasi-experimental research design. Actually, it was an experiment among specific groups and usual groups. Exercises applied with educational material to the material group or experiment group and only usual exercises applied to the non-material group or the control group. A pre-test (before exercises provided by educational material) and post-test (after exercises provided by educational material) was administered with each subject of both groups to compare the effects on children with clubfoot during bracing stage of treatment by Ponseti method. Results: The mean Pirani score before providing exercises with educational material for right feet among the clubfoot babies were 0.56 ± 0.33 (material group) and after providing exercises with educational material for right feet among the clubfoot babies were 0.43 ± 0.41 (material group). Statistically it was found highly significant (t = 2.99, p greater 0.0003). So, it was concluded that exercises with educational material had significant influence on Pirani score reduction for right feet among the clubfoot babies. The mean Pirani score before providing usual exercises for left feet among the clubfoot babies were 0.5 ± 0.15 (non-material group) and after providing usual exercises for left feet among the clubfoot babies were 0.53 ± 0.48 (non-material group). Statistically it was found significant (t = –0.059, p greater 0.056). So, it was concluded that usual exercises without educational material had influence on Pirani score increased for left feet among the clubfoot babies. Conclusion: The modern treatment of clubfoot is Ponseti method which is very effective, outcome oriented, and less invasive surgical procedure. This study was concluded that exercises with educational material had significant influence on Pirani score reduction among the children with club foot. So, there was significant importance of exercises with educational material rather than usual exercises by verbal instructions.

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Outcome of Clubfoot Correction at ‘Walk for Life’ Clinic of Mymensingh Medical College Hospital: A Four Year Review

Cited by 3 publications

References 20 publications

Assessing Public Awareness of the Knowledge and Clubfoot about the Importance of the Treatment of Early Childhood

Assessing Public Awareness of the Knowledge and Clubfoot about the Importance of the Treatment of Early Childhood

Disability, economic and work-role status of individuals with unilateral lower-limb amputation and their families in Bangladesh, post-amputation, and pre-rehabilitation: A cross-sectional study

Effects of educational material among children with clubfoot during bracing stage of treatment by Ponseti method

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