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双侧先天性马蹄内翻足婴儿的物理治疗管理

Physiotherapy management of an infant with Bilateral Congenital Talipes Equino varus.

作者信息

Ezeukwu A O, Maduagwu S M

机构信息

Department of Medical Rehabilitation, College of Medicine, University of Nigeria, Enugu Campus, Nigeria.

出版信息

Afr Health Sci. 2011 Sep;11(3):444-8.

Abstract

BACKGROUND

Clinicians are constantly seeking for the most ideal option in the management of Congenital Talipes Equino Varus (CTEV), especially among infants.

OBJECTIVE

This case report presents the outcome of a one year Physiotherapy management of an infant with Congenital Talipes Equino Varus (CTEV).

METHODS

Management commenced 48 hours after birth. During the first three months, passive stretching and strapping techniques were employed. Subsequently, plaster of Paris cast was applied using the serial plastering approach. Stretching continued each time the cast was removed for replacement.

RESULTS

Follow up after one year showed that the child could walk with apparently normal gait and there was no residual deformity

CONCLUSION

There is need for more enlightenment on the importance of early referral of CTEV cases for Physiotherapy care.

摘要

背景

临床医生一直在寻找先天性马蹄内翻足(CTEV)治疗中最理想的选择,尤其是对于婴儿。

目的

本病例报告展示了一名先天性马蹄内翻足(CTEV)婴儿接受一年物理治疗的结果。

方法

治疗在出生后48小时开始。在前三个月,采用被动拉伸和绑扎技术。随后,使用连续石膏固定法应用巴黎石膏。每次更换石膏时都继续进行拉伸。

结果

一年后的随访显示,该儿童能够以明显正常的步态行走,且无残留畸形。

结论

有必要进一步宣传早期将CTEV病例转诊接受物理治疗的重要性。

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本文引用的文献

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Congenital talipes equinovarus: a review of current management.先天性马蹄内翻足:当前治疗方法综述
J Bone Joint Surg Br. 2007 Aug;89(8):995-1000. doi: 10.1302/0301-620X.89B8.19008.
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Nonoperative clubfoot treatment using the French physical therapy method.
J Pediatr Orthop. 2005 Jan-Feb;25(1):98-102. doi: 10.1097/00004694-200501000-00022.
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Congenital idiopathic talipes equinovarus.
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