Correlation between baropodometric parameters and functional evaluation in patients with surgically treated congenital idiopathic clubfoot

J Pediatr Orthop B. 2022 Jul 1;31(4):391-396. doi: 10.1097/BPB.0000000000000937. Epub 2021 Dec 11.

Abstract

The study aimed to investigate the correlation between baropodometric parameters and the functional score in the evaluation of the results of surgery in patients with clubfoot. Fifty-one patients (77 feet) underwent surgical treatment, with a mean follow-up of 9.58 years (5-15 years), and a mean age of 10.2 years (7-16 years). A total of 39 males and 12 females were included, with 25 unilateral cases and 26 bilateral cases. The patients underwent a functional evaluation and an assessment of plantar pressure distribution using computerized baropodometry. The functional evaluation results were statistically analyzed to investigate any correlations. Unilateral and bilateral cases were studied in two different groups. The Mann-Whitney and Spearman correlation tests were used for these analyses. The static contact area, weight bearing time, gait speed, and plantar pressure peak were not correlated with the functional evaluation in the unilateral and bilateral cases. There was a statistically significant correlation (P < 0.05) among the integral plantar force, distribution of force, total plantar pressure, distance between the center of foot pressure and center of body mass, and dynamic contact area only in the bilateral cases. Baropodometry was correlated with the functional evaluation of several parameters in patients with bilateral involvement.

MeSH terms

  • Child
  • Clubfoot* / therapy
  • Female
  • Foot / surgery
  • Gait
  • Humans
  • Lower Extremity
  • Male
  • Physical Therapy Modalities