EFFECTS OF LOW DYE TAPING TECHNIQUE VERSUS ROBERT DEBRE METHOD ON FOOT POSTURE AND RANGE OF MOTION IN CHILDREN WITH CLUB FOOT. LOW DYE TAPING TECHNIQUE VERSUS ROBERT DEBRE METHOD.
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Keywords
CTEV, Low Dye Taping, Robert Debre Method, Club Foot, physiotherapy
Abstract
BACKGROUND: Clubfoot is an inborn malformation affecting the foot & ankle, manifesting as ankle equinus deformity, subtalar joint inversion, midtarsal joint adduction, cavus, and internal tibial torsion. The etiology of this condition is thought to be linked to factors like intra-uterine posture, maternal smoking, amniocentesis, distal limb vasculature, male gender, and familial predisposition impacting single lower limb or both limbs.
OBJECTIVE: The study aims to explore the impact of the low dye taping technique in comparison to the Robert Debré method on foot posture and range of motion in children with clubfoot.
METHODS: It was a Randomized clinical trial conducted on children with Congenital Club Foot through non probability convenience sampling technique. The study included 40 children with CTEV, calculated by Epi tool calculator, of both sexes and 10% attrition was added to the total sample size. Exclusion criteria were Benign or non-idiopathic, associated syndrome or neurological condition, positional clubfoot, Children with systemic disease and Juvenile arthritis. Total participants were divide into two equal groups; Group one (G1) following Low Dye Taping technique(LDT), and .
RESULTS: Data was analyzed using SPSS version 22. Statistical significance set at P=0.05. Total number was 40 with Mean ±SD 2.03±0.967. 85% were males and 15% were females out of total population. Within the group analysis was done by Wilcoxon Signed Ranks and Mann- Whitney test was administered as the data was not normally distributed. G1 and G2 Pirani pre- treatment scores were compared by Mann- Whitney test and showed the total mean of 5.6125±0.34876 with z score -2.365 and P=0.018, while post treatment mean was 1.9735±1.02649 with Z score of -4.393 and P=0.000. G1 and G2 Dimeglo pre-treatment comparison had total mean of 12.9500±0.87560 with z score of -0.057 and P=0.954, while post-treatment values were 5.0000±1.01274 total mean with the z score of -2.395 and P=0.017.
CONCLUSION: This randomized clinical trial shows that both treatments reduce the deformity, but Low Dye Taping technique was more effective in reduction of equinus, varus, derotation and fore foot adductus along with clinically improving activity of posture and range of motion.
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Dr. Hafiza Natasha Hirra
(Lecturer), Kasur Institute of Allied Health Sciences.
Dr. Rozina Shafaq Aslam
(Consultant Physiotherapist),HAQ Orthopedic Hospital
Dr. Ali Raza
(Lecturer), PSRD College of Rehabilitation Sciences.
Dr. Fatima
(Principal),MARS Institute of Health Sciences for Women, Lahore.
Dr. Rabia Kanwal
(PT), University of Lahore.
Dr. Sajawal Bashir
(HOD), Physiotherapy Department, Bajwa Hospital,
Dr. Muhammad Bilal
(MO)
Dr. Zubia Qayyum Chaudhary
(PT), University of Health Sciences, Lahore
Dr. Muhammad Talha
(Lecture), Kasur Institute of Allied Health Sciences.