ArticleJournal of children's orthopaedics2019
Additional challenges in children with idiopathic clubfoot: is it just the foot?
Article in Journal of children's orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05456737 (Investigation of Ankle-Foot Characteristics, Balance, Funtional Activity and Quality of Life in Children With Idiopatic Pes Equinovarus), which is not on this map. Cited by 8 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Investigation of Ankle-Foot Characteristics, Balance, Funtional Activity and Quality of Life in Children With Idiopatic Pes Equinovarus
Who cites it
8 citing papers in PubMed.
- Health-related quality of life and caregiving burden in pediatric clubfoot patients treated with Ponseti method in China: a cross-sectional study.BMC musculoskeletal disorders · 2026Article
- Tracing neurodevelopment and growth pattern in six-year-old children with idiopathic clubfoot: a national cohort study.BMC musculoskeletal disorders · 2025Article
- Global clubfoot treatment in 2023: an overview of advances and outcomes.BMJ global health · 2025Observational
- Psychosocial Impacts of Idiopathic Clubfoot on Parents and Children: A Scoping Review Protocol.Healthcare (Basel, Switzerland) · 2024Article
- A modification of the Ponseti method for clubfoot management: a prospective comparative study.Journal of children's orthopaedics · 2021Article
- This is a narrative review of the functional evaluation of clubfoot treatment with gait analysis.Annals of translational medicine · 2021Review
- Rare andJournal of medical genetics · 2020Article
- Special symposium issue: Clubfoot.Journal of children's orthopaedics · 2019Article
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTreatment of idiopathic clubfoot (IC) has improved since the introduction of the Ponseti method. However, relapses are still common and primarily related to non-adherence to the brace regime. Our hypothesis was that IC might be more than just a structural deformity. Based on three studies, the aim of this paper was to provide an overview of findings regarding additional challenges within IC.
methodsIn total, 153 children with IC and 137 control children participated in the studies. The first study assessed gross motor skills in six motor tasks using the Clubfoot Assessment Protocol. The second and third studies surveyed neurodevelopmental difficulties (NDDs) using the Five to Fifteen (FTF) questionnaire and health-related quality of life (HRQoL) using the EuroQol-5D youth.
resultsA high percentage of gross motor deviations were found in children with IC compared with controls, and those correlated poorly with clubfoot severity and foot movement. Children with IC had a higher prevalence of NDDs on the FTF compared with the control group, including the domains: motor skills, perception and language. One-third of children with IC were defined as at risk of developmental disorders. In this subgroup, parents were less satisfied with the outcome of clubfoot treatment and the children reported worse HRQoL than those without NDDs.
conclusionThe findings suggest additional challenges in children with IC, such as NDDs, apparently affecting both clubfoot treatment outcome and HRQoL. Thus, awareness of these challenges could be vital to further optimize treatment and support, for example, with regards to brace adherence. LEVEL OF EVIDENCE: II - Prognostic study.
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