Clubfoot Activity and Recurrence Exercise Study (CARES).
Journal
Journal of pediatric orthopedics
ISSN: 1539-2570
Titre abrégé: J Pediatr Orthop
Pays: United States
ID NLM: 8109053
Informations de publication
Date de publication:
01 Jan 2022
01 Jan 2022
Historique:
entrez:
10
12
2021
pubmed:
11
12
2021
medline:
15
12
2021
Statut:
ppublish
Résumé
Approximately half of treated clubfoot patients initially corrected with the Ponseti method experience relapse that requires additional treatment. The consequences of relapse on childhood activity levels have not been well studied. Ponseti noted lower functional ratings at 18-year follow-up in clubfoot patients who had undergone tibialis anterior tendon transfer for relapse. Clubfoot Activity and Recurrence Exercise study (CARES) is an observational, prospective cohort study that compares physical activity in 30 clubfoot patients without and with relapse. Eligible participants were 5 to 10 years old, diagnosed with idiopathic clubfoot at birth, and had not received any clubfoot treatment for at least 6 months before study. Recruitment for this study occurred in-person and through Facebook clubfoot groups. Consented participants wore Fitbits secured to their wrists for at least 14 days, and completed a demographic survey, Child Health Questionnaire (CHQ), and the clubfoot disease-specific instrument (CDSI). Participants' daily activity was monitored through Fitabase. Participants without and with clubfoot relapse had similar daily step counts, distance walked, and step intensities, except for moderately active step intensity, which was higher in the clubfoot relapse group. Total steps, total distance, distances (very active, moderately active), minutes (very active, fairly active), and lightly active intensity of steps were significantly higher for participants whose families earn more than $100,000 per year. Various physical activities and sports were reported by both groups in daily activity sheets. Neither demographics nor the CDSI or the CHQ scores significantly differed between the 2 groups. Step counts of children with clubfoot with or without relapse were similar to published levels for healthy children. Children with clubfoot initially treated with the Ponseti method who undergo treatment for relapse have comparable physical activity to those who have not relapsed. They also have comparable step counts to that of the general pediatric population. These reassuring findings can guide conversations with parents when addressing concerns regarding their children's physical activity after treatment for relapse of clubfoot deformity. Level II-therapeutic studies-investigating the results of treatment.
Sections du résumé
BACKGROUND
BACKGROUND
Approximately half of treated clubfoot patients initially corrected with the Ponseti method experience relapse that requires additional treatment. The consequences of relapse on childhood activity levels have not been well studied. Ponseti noted lower functional ratings at 18-year follow-up in clubfoot patients who had undergone tibialis anterior tendon transfer for relapse.
METHODS
METHODS
Clubfoot Activity and Recurrence Exercise study (CARES) is an observational, prospective cohort study that compares physical activity in 30 clubfoot patients without and with relapse. Eligible participants were 5 to 10 years old, diagnosed with idiopathic clubfoot at birth, and had not received any clubfoot treatment for at least 6 months before study. Recruitment for this study occurred in-person and through Facebook clubfoot groups. Consented participants wore Fitbits secured to their wrists for at least 14 days, and completed a demographic survey, Child Health Questionnaire (CHQ), and the clubfoot disease-specific instrument (CDSI). Participants' daily activity was monitored through Fitabase.
RESULTS
RESULTS
Participants without and with clubfoot relapse had similar daily step counts, distance walked, and step intensities, except for moderately active step intensity, which was higher in the clubfoot relapse group. Total steps, total distance, distances (very active, moderately active), minutes (very active, fairly active), and lightly active intensity of steps were significantly higher for participants whose families earn more than $100,000 per year. Various physical activities and sports were reported by both groups in daily activity sheets. Neither demographics nor the CDSI or the CHQ scores significantly differed between the 2 groups. Step counts of children with clubfoot with or without relapse were similar to published levels for healthy children.
CONCLUSION
CONCLUSIONS
Children with clubfoot initially treated with the Ponseti method who undergo treatment for relapse have comparable physical activity to those who have not relapsed. They also have comparable step counts to that of the general pediatric population. These reassuring findings can guide conversations with parents when addressing concerns regarding their children's physical activity after treatment for relapse of clubfoot deformity.
LEVEL OF EVIDENCE
METHODS
Level II-therapeutic studies-investigating the results of treatment.
Identifiants
pubmed: 34889836
doi: 10.1097/BPO.0000000000001973
pii: 01241398-202201000-00025
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
e91-e96Informations de copyright
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
Références
Laaveg SJ, Ponseti IV. Long-term results of treatment of congenital club foot. J Bone Joint Surg Am. 1980;62:23–31.
Werler MM, Yazdy MM, Mitchell AA, et al. Descriptive epidemiology of idiopathic clubfoot. Am J Med Genet A. 2013;161A:1569–1578.
Eidelman M, Kotlarsky P, Herzenberg JE. Treatment of relapsed, residual and neglected clubfoot: adjunctive surgery. J Child Orthop. 2019;13:293–303.
Hosseinzadeh P, Kiebzak GM, Dolan L, et al. Management of clubfoot relapses with the ponseti method: results of a survey of the POSNA members. J Pediatr Orthop. 2019;39:38–41.
Coppola G, Costantini A, Tedone R, et al. The impact of the baby’s congenital malformation on the mother’s psychological well-being: an empirical contribution on the clubfoot. J Pediatr Orthop. 2012;32:521–526.
Pietrucin-Materek M, van Teijlingen ER, Barker S, et al. Parenting a child with clubfoot: a qualitative study. Int J Orthop Trauma Nurs. 2011;15:176–184.
Jeans KA, Karol LA, Erdman AL, et al. Functional outcomes following treatment for clubfoot: ten-year follow-up. J Bone Joint Surg Am. 2018;100:2015–2023.
Aulie VS, Halvorsen VB, Brox JI. Motor abilities in 182 children treated for idiopathic clubfoot: a comparison between the traditional and the Ponseti method and controls. J Child Orthop. 2018;12:383–389.
Sankar WN, Rethlefsen SA, Weiss J, et al. The recurrent clubfoot: can gait analysis help us make better preoperative decisions? Clin Orthop Relat Res. 2009;467:1214–1222.
Zionts LE, Packer DF, Cooper S, et al. Walking age of infants with idiopathic clubfoot treated using the ponseti method. J Bone Joint Surg Am. 2014;96:e164.
Holt JB, Oji DE, Yack HJ, et al. Long-term results of tibialis anterior tendon transfer for relapsed idiopathic clubfoot treated with the Ponseti method: a follow-up of thirty-seven to fifty-five years. J Bone Joint Surg Am. 2015;97:47–55.
Heckathorn DD, Cameron CJ. Network sampling: from snowball and multiplicity to respondent-driven sampling. Annu Rev Sociol. 2017;43:101–119.
Topolovec-Vranic J, Natarajan K. The use of social media in recruitment for medical research studies: a scoping review. J Med Internet Res. 2016;18:e286.
Landgraf JM Michalos AC. Child Health Questionnaire (CHQ). Encyclopedia of Quality of Life and Well-Being Research. Netherlands: Springer; 2014:698–702.
Dietz FR, Tyler MC, Leary KS, et al. Evaluation of a disease-specific instrument for idiopathic clubfoot outcome. Clin Orthop Relat Res. 2009;467:1256–1262.
Tudor-Locke C, Han H, Aguiar EJ, et al. How fast is fast enough? Walking cadence (steps/min) as a practical estimate of intensity in adults: a narrative review. Br J Sports Med. 2018;52:776–788.
Tudor-Locke C, Aguiar EJ, Han H, et al. Walking cadence (steps/min) and intensity in 21–40 year olds: CADENCE-adults. Int J Behav Nutr Phys Act. 2019;16:8.
Diaz KM, Krupka DJ, Chang MJ, et al. Fitbit®: an accurate and reliable device for wireless physical activity tracking. Int J Cardiol. 2015;185:138–140.
Feehan LM, Geldman J, Sayre EC, et al. Accuracy of Fitbit devices: systematic review and narrative syntheses of quantitative data. JMIR Mhealth Uhealth. 2018;6:e10527.
Pavone V, Vescio A, Caldaci A, et al. Sport ability during walking age in clubfoot-affected children after Ponseti method: a case-series study. Children (Basel). 2021;8:1–8.
Kantomaa MT, Tammelin TH, Näyhä S, et al. Adolescents’ physical activity in relation to family income and parents’ education. Prev Med. 2007;44:410–415.
Romero AJ. Low-income neighborhood barriers and resources for adolescents’ physical activity. J Adolesc Health. 2005;36:253–259.
Tudor-Locke C, Craig CL, Beets MW, et al. How many steps/day are enough? For children and adolescents. Int J Behav Nutr Phys Act. 2011;8:68–78.
Tudor-Locke C, Johnson WD, Katzmarzyk PT. Accelerometer-determined steps per day in US children and youth. Med Sci Sports Exerc. 2010;42:2244–2250.
Child Health Questionnaire Scoring. HealthActCHQ. The CHQ Scoring and Interpretation Manual . Boston, MA: HealthActCHQ Inc; 2013.