THE ROLE OF PHYSIOTHERAPY IN THE TREATMENT OF CLUBFOOT BY THE PONSETI METHOD
DOI:
https://doi.org/10.47820/recima21.v4i1.3213Keywords:
Congenital clubfoot; Treatment; Ponseti MethodAbstract
Congenital clubfoot is an orthopedic deformity of the lower limbs caused by foot alignment and compromised flexibility. The most commonly used method today is Ponseti method, which consists of maneuvers and immobilizations using casts. Objective: To analyze the effectiveness of physical therapy using the Ponseti Method in the treatment of CTS. Method: This is a systematic review, in which the electronic databases SCIELO, PubMed, MEDLINE, PEDro and Lilacs were used for data collection. Articles published between the period 2018 to 2023 were analyzed. The selection tool used was the PICO Method and the flowchart construction method applied was the PRISMA Method. The descriptors: congenital clubfoot; Treatment; Ponseti Method were combined with the Boolean operator (AND). Results: After the selections of the studies, 10 articles were analyzed confirming that the Ponseti Method is the most efficient in the treatment of CTS, and its techniques are coincident with those used by physical therapists, being suitable its practicability by this professional. Conclusion: The Ponseti Method has shown positive results and a low rate of return to PTC deformity, avoiding surgical procedures that can lead to complications. Compared to the Kite Method in the treatment of PTC, the Ponseti Method showed better results in the rate of correction of the deformity, the rate of recurrence, and the need for surgery. Regarding the role of the physiotherapist in this area, we observed a scarce dissemination in scientific journals of studies on this topic.
Downloads
References
Dias H. síndrome do pé torto congênito: uma revisão sistemática (Congenital clubfoot syndrome: a systematic review). Revista Brazilian Journal of Development. 2022. Disponível em: https://brazilianjournals.com/ojs/index.php/brjd/article/view/48106/pdf.
Chueire AJFG, Carvalho Filho G, Kobayashi OY, Carrenho L. Treatment of congenital clubfoot using Ponseti method. Revista Brasileira de Ortopedia (English Edition). 2016. Disponível em: https://www.scielo.br/j/rbort/a/ys6n8lbjbzzgklbxhsczhyn/?format=pdf&lang=en.
Carvalho MD, Batista J. Pé torto congênito (Congenital Clubfoot). 2011 Disponível em: https://www.scielo.br/j/aob/a/wvjrrdz7zfrxpwwkpjfk8mr/?format=pdf&lang=pt.
Santos AN, Silva BMH, Vieira DFA, Fidelis de PGC, Barboza SR, Silva SC. Método Ponseti como forma de tratamento de pé torto congênito em um município Brasileiro. Brazilian Journal of development 2021. Disponível em: https://brazilianjournals.com/ojs/index.php/brjd/article/view/24346/19450
Motta IS, Amorim PB. A atuação da fisioterapia no tratamento do pé torto congênito: Estudo de caso. Recima21 - Revista Científica Multidisciplinar - ISSN 2675-6218. 2021 Disponível em: https://www.recima21.com.br/index.php/recima21/article/view/870/739.
Nunes SV. Importância da idade da criança para se iniciar o tratamento do pé torto congênito pela técnica acelerada de Ponseti. 2020. Disponível em:
https://repositorio.ufmg.br/bitstream/1843/38563/1/tese%20doutorado%20sabrina%20versuti%20nunes.pdf.
Bitew A, Melesse DY, Admass BA. A 5 years results of the Ponseti method in the treatment of congenital clubfoot: a retrospective study. European Journal of Orthopaedic Surgery & Traumatology 2022. Disponível em: https://link.springer.com/article/10.1007/s00590-022-03353-5.
Gaytán-fernández S, Et al. Seguimiento por cuatro años de pacientes con pie equinovaro aducto congénito manejados con método Ponseti Four years follow up in congenital talipes equino varus patients managed with Ponseti method. Acta Ortopédica Mexicana 2021. Disponível em: https://www.medigraphic.com/pdfs/ortope/or-2021/or212n.pdf.
Lasebikan OA, Et al. Ponseti clubfoot management method: Initial experience with 273 clubfeet treated in a clubfoot clinic of a Nigerian regional orthopedic hospital. Nigerian Journal of Clinical Practice · September 2019. Disponível em: https://pubmed.ncbi.nlm.nih.gov/31489864/.
Yaqeen A, Sidra H, Ijaz MA, Ijaz MM. Comparison of outcome of Ponseti method with traditional clubfoot treatment in children up to five years of age at tertiary care hospital. Pakistan Journal of Medical Siences 2022. Disponível em: https://www.pjms.org.pk/index.php/pjms/article/view/5519.
Vahidi K, Et al. Clinical, Radiological, Pedobarographic, and Quality of Life Outcomes of the Ponseti Treatment for Clubfoot: A prospective Study from Iran. Sciencedirect Journals e Books 2022. Disponível em: https://www.sciencedirect.com/science/article/abs/pii/s0958259222000189?via%3dihub.
Haje DP, Et al. Ponseti Method After Walking Age – A Multi-Centric Study of 429 Feet: Results, Possible Treatment Modifications and Outcomes According to Age Groups.iowa Orthopaedic Journal 2020. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/pmc7894059/.
Ferreira GF, Stéfani KC, Haje DP, Nogueira MP. The Ponseti method in children with clubfoot after walking age – Systematic review and metanalysis of observational studies. Journal PLOS ONE 2018. Disponível em: https://doi.org/10.1371/journal.pone.0207153.
Chunho Chen, Et al. Comparison of two methods for idiopathic clubfoot treatment: A case-controlled study in Taiwan. Journal of the Formosan Medical Association 2019. Disponível em: https://www.sciencedirect.com/science/article/pii/s0929664618300573?via%3dihub.
Garcia LC, Et al. Evaluation of Kite and Ponseti methods in the treatment of idiopathic congenital clubfoot avaliação dos métodos de Kite e de Ponseti no tratamento do pé torto congênito idiopático. Revista Acta Ortopédia Brasileira 2018. Disponível em: https://www.scielo.br/j/aob/a/dsrwlwjxrrsgcdhfppfcpkm/?lang=en.
Fincato FC. Pé torto congênito: Método de Ponseti e sua aplicabilidade pelo fisioterapeuta / Congenital clubfoot: Ponseti method and its applicability by the physiotherapist. Fisioter Bras 2020. Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1282978.
Downloads
Published
Issue
Section
Categories
License
Copyright (c) 2023 RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218
This work is licensed under a Creative Commons Attribution 4.0 International License.
Os direitos autorais dos artigos/resenhas/TCCs publicados pertecem à revista RECIMA21, e seguem o padrão Creative Commons (CC BY 4.0), permitindo a cópia ou reprodução, desde que cite a fonte e respeite os direitos dos autores e contenham menção aos mesmos nos créditos. Toda e qualquer obra publicada na revista, seu conteúdo é de responsabilidade dos autores, cabendo a RECIMA21 apenas ser o veículo de divulgação, seguindo os padrões nacionais e internacionais de publicação.
