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Risk factors of relapse clubfoot

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dc.contributor.author Ambia, S.J.M. Ummul
dc.date.accessioned 2017-01-10T05:53:02Z
dc.date.available 2017-01-10T05:53:02Z
dc.date.issued 2016-10-10
dc.identifier.uri http://hdl.handle.net/123456789/211
dc.description Abstract of a thesis submitted to the SSARC Regional Interprofessional Master’s Program in Rehabilitation Science of Centre for the Rehabilitation of the Paralysed (CRP) in conformity with the requirements for the Degree of M.Sc. in Rehabilitation Science, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh. en_US
dc.description.abstract Introduction The Ponseti method is the gold standard of nonsurgical treatment of clubfoot deformity. The initial casting phase leads to correction of the clubfoot. In the subsequent maintenance phase a foot abduction brace (FAB) has to be applied for 4 years: first 22 hours per day, later during the night only. There is a chance of clubfoot relapse. Aim of this study is to examine risk factors. Material and methods 50 children with completed Ponseti treatment formed the study sample: 25 showed relapse (cases) and 25 without relapse (control group). Demographic data, compliance with FAB and problems were reported by caregivers. Foot status (Pirani score) and child’s functional abilities were assessed by the PT. Data were analyzed using SPSS (Odds ratio and Chi2 calculations). Results Noncompliance was the factor most related to the risk of relapse: not wearing FAB as prescribed (odds ratio = 0.038; 95% CI: 0.006 - 0.263), significantly less stretching exercises done and less follow-up control visits. Noncompliance ‘reasons’: child’s continuous crying, problems in applying FAB, in carrying child with FAB and performing daily care; these were significantly less mentioned in the control group. Demographic risk factors: caregiver not being the child’s mother, low education, younger siblings, not aware of child’s functional limitations and living in rural area. Treatment risk factors: later initial casting and no tenotomy. Conclusion: Lack of treatment adherence is the most prominent risk factor of clubfoot relapse. This urges for a caregiver’s tailor-made educational program directed to avoidable causes of relapse and its long-term financial and social consequences. en_US
dc.language.iso en en_US
dc.publisher Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh: en_US
dc.subject Clubfoot en_US
dc.subject Ponseti method en_US
dc.subject Relapse en_US
dc.subject Risk factors en_US
dc.title Risk factors of relapse clubfoot en_US
dc.type Thesis en_US

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