title: The effect of neuromuscular electrical stimulation on congenital talipes equinovarus following correction with the Ponseti method: a pilot study.
abstract: The Ponseti method for clubfoot treatment offers satisfactory initial correction, but success correlates with abduction brace compliance, which is variable. Electrical stimulation as a dynamic intervention to prevent relapses was investigated. Data were compared to a control group. There was a significant improvement in ankle range of motion only in the study group after short-term intervention, and a trend toward greater increase in calf circumference in this group. Parental perception was positive with no compliance issues. This study suggests stimulation is feasible with potential to increase ankle range of motion and facilitate muscle activity. It could be an important adjunct in preventing relapses, however, further studies with larger groups and longer intervention and follow-up duration are necessary.
authors.affiliation: Centre for Biomedical Engineering, University of Surrey, Guildford, UK. gelfer@pinkink.net
authors.forename: Yael
authors.initials: Y
authors.lastname: Gelfer
authors.forename: Sally
authors.initials: S
authors.lastname: Durham
authors.forename: Karen
authors.initials: K
authors.lastname: Daly
authors.forename: Reuven
authors.initials: R
authors.lastname: Shitrit
authors.forename: Yossi
authors.initials: Y
authors.lastname: Smorgick
authors.forename: David
authors.initials: D
authors.lastname: Ewins
mesh_terms: D000843:Ankle Joint / Q000503:physiopathology; D002370:Casts, Surgical; D003025:Clubfoot / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D003131:Combined Modality Therapy; D004599:Electric Stimulation Therapy; D005260:Female; D005528:Foot; D006801:Humans; D007223:Infant; D008297:Male; D008349:Manipulation, Orthopedic / Q000379:methods*; D009119:Muscle Contraction / Q000502:physiology; D018482:Muscle, Skeletal / Q000502:physiology; D010290:Parents; D010342:Patient Acceptance of Health Care; D010865:Pilot Projects; D016059:Range of Motion, Articular; D055502:Secondary Prevention; D011795:Surveys and Questionnaires; D016896:Treatment Outcome