Sharath H V, Rathi Siddhi G, Kolhe Pradhyum D
Department of Pediatric Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (Deemed to Be University), Wardha, IND.
Cureus. 2024 Apr 26;16(4):e59102. doi: 10.7759/cureus.59102. eCollection 2024 Apr.
Congenital deformities of the foot significantly challenge the mobility and quality of life of affected individuals. While surgical interventions are common, rehabilitation protocols tailored to address the specific needs of adults with congenital foot deformities are less explored. This case series aims to evaluate the effectiveness of a specialized foot rehabilitation protocol in improving functional outcomes and quality of life in adults with congenital foot deformities. A series of cases involving adults diagnosed with congenital foot deformities were enrolled in a structured rehabilitation program. The protocol incorporated a combination of therapeutic exercises, manual therapy, gait training, and orthotic management tailored to individual needs. Outcome measures included functional assessments, gait analysis, pain levels, and patient-reported outcomes at baseline, midpoint, and endpoint of the rehabilitation program. Preliminary findings from the case series indicate significant improvements in various outcome measures following the foot rehabilitation protocol. Participants demonstrated enhanced gait parameters, reduced pain levels, increased range of motion, and improved functional capacity. Moreover, subjective assessments revealed enhanced satisfaction and perceived improvements in quality of life among participants. The findings suggest that a tailored foot rehabilitation protocol can be beneficial in improving functional outcomes and quality of life in adults with congenital foot deformities. This underscores the importance of integrating comprehensive rehabilitation strategies alongside surgical interventions to optimize long-term outcomes and enhance the overall well-being of individuals with congenital foot deformities. Further research with larger sample sizes and controlled study designs is warranted to validate these findings and establish evidence-based rehabilitation guidelines for this population.
足部先天性畸形严重影响了受影响个体的活动能力和生活质量。虽然手术干预很常见,但针对先天性足部畸形成年人的特定需求制定的康复方案却较少被探索。本病例系列旨在评估一种专门的足部康复方案对改善先天性足部畸形成年人的功能结局和生活质量的有效性。一系列被诊断为先天性足部畸形的成年病例被纳入一个结构化的康复项目。该方案结合了治疗性锻炼、手法治疗、步态训练以及根据个体需求量身定制的矫形器管理。结局指标包括康复项目基线、中点和终点时的功能评估、步态分析、疼痛程度以及患者报告的结局。该病例系列的初步结果表明,足部康复方案实施后,各项结局指标有显著改善。参与者的步态参数得到改善,疼痛程度减轻,活动范围增加,功能能力提高。此外,主观评估显示参与者的满意度提高,生活质量得到改善。研究结果表明,量身定制的足部康复方案有助于改善先天性足部畸形成年人的功能结局和生活质量。这凸显了将综合康复策略与手术干预相结合以优化长期结局并提高先天性足部畸形患者整体福祉的重要性。有必要进行更大样本量和对照研究设计的进一步研究,以验证这些发现并为该人群制定基于证据的康复指南。