Comprehensive review of the functional outcome evaluation of clubfoot treatment: a preferred methodology. J Pediatr Orthop B 2012 Jan;21(1):20-7
Date
11/15/2011Pubmed ID
22080298DOI
10.1097/BPB.0b013e32834dd239Scopus ID
2-s2.0-82955198452 (requires institutional sign-in at Scopus site) 20 CitationsAbstract
Treatment outcome has been a focus of interest in those who manage clubfeet. Because of a lack of a common evaluation protocol, it has become necessary to establish a universally recognized quantitative measurement to compare and better understand the treatment outcome. The outcome is not merely morphological and radiographic, but it should also include functional and quality-of-life measurements. In this article, we will outline the most commonly used methods of long-term evaluation for congenital clubfeet and recommend the data collection parameters that are most appropriate for a comprehensive functional analysis. This will begin with pretreatment classifications that are important in prognosticating the results. The physical examinations and plain radiographs in standing position are also two fundamental evaluations of clubfoot. Several outcome evaluations have been published in the literature and may be useful depending on the desired metrics. Gait analysis is an additional useful technical tool for analyzing the motion of the foot and ankle and its relation to the whole body function; pedobarography added to the dynamics of the evaluation. Functional quality-of-life questionnaires are increasing in popularity for measuring the total body functional status and the quality of life.
Author List
Graf A, Wu KW, Smith PA, Kuo KN, Krzak J, Harris GAuthor
Gerald Harris PhD Director in the Orthopaedic Research Engineering Center (OREC) department at Marquette UniversityMESH terms used to index this publication - Major topics in bold
Activities of Daily LivingAnkle Joint
Clubfoot
Foot
Gait
Humans
Quality of Life
Radiography
Range of Motion, Articular
Recovery of Function
Surveys and Questionnaires
Treatment Outcome
