Clubfoot Does Not Impair Gross Motor Development in 5-Year-Olds. Issue 2 (April 2018)

• Record Type: Journal Article
• Authors: Zapata, Karina A.; Karol, Lori A.; Jeans, Kelly A.; Jo, Chan-Hee
• Is Part Of: Pediatric physical therapy. Volume 30:Issue 2(2018:Summer)
• Publication Date: 2018-04
• Subjects: idiopathic clubfeet -- PDMS-2 -- Peabody; Physical therapy for children -- Periodicals; 615.820832
• DOI: 10.1097/PEP.0000000000000504
• Languages: English
• ISSNs: 0898-5669

Abstract

Abstract : Purpose: To evaluate the gross motor development of 5-year-olds using the Peabody Developmental Motor Scales, 2nd Edition (PDMS-2), test after initial nonoperative management of clubfoot as infants. Methods: The PDMS-2 Stationary, Locomotion, and Object Manipulation subtests were assessed on 128 children with idiopathic clubfeet at the age of 5 years. Children were categorized by their initial clubfoot severity as greater than 13, unilateral or bilateral involvement, and required surgery. Results: Children with treated clubfeet had average gross motor scores (99 Gross Motor Quotient) compared with age-matched normative scores. Children with more severe clubfeet required surgery significantly more than children with less severe scores ( P < .01). Peabody scores were not significantly different according to initial clubfoot severity, unilateral versus bilateral involvement, and surgical versus nonsurgical outcomes. Conclusions: Clubfoot does not significantly impair gross motor development in 5-year-olds. Abstract : This study evaluated the impact of clubfeet on the gross motor development of 5-year-olds after initial non-operative management of clubfoot as infants.