THE PERFORMANCE OF PHYSIOTHERAPY IN THE TREATMENT OF CONGENITAL CROOKED FOOT: CASE STUDY.

Abstract

Congenital clubfoot is considered by some studies as the most common congenital deformity, reaching 1 in every 1000 live births. It occurs due to an alteration in the deposition of the posteromedial collagen of the leg, causing a deformity in the cavus, adductor, varus and equinus, with a shorter leg and foot than the unaffected one. Quality of life has been experienced as a goal to be achieved by different age groups, including the different stages of the human evolutionary cycle. In this way, the factors that involve the quality of life are different, and among them the health conditions and mobility of people can be mentioned. A case study was carried out based on the documentary analysis of the medical record of the physiotherapeutic evolution of a patient diagnosed with congenital clubfoot in order to describe the evolution of the treatment during the rehabilitation sessions. The data collected from this exploratory study demonstrated that the implementation of non-invasive maneuvers such as the Kite and Ponseti method in the treatment of congenital clubfoot are efficient, satisfactory and cost-effective. At the end of the treatment of the clinical case, it can be noted that the patient acquired a better quality of life through increased range of motion (ROM) of up to 10°, strength gain to grade 5 (previously grade 4) , with weight bearing training, a better body alignment can be gained, distributing the body mass, thus removing the excessive load on the joints in question.