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Research Article
Effects of educational material among children with clubfoot during bracing stage of treatment by Ponseti method
1 Physiotherapist cum Ponseti Practitioner, Walk for Life, The Bangladesh Clubfoot Program, Khulna, Bangladesh
2 Lecturer, Speech and Language Therapy Department, Bangladesh Health Professions Institute (BHPI), The Academic Institute of Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka-1343, Bangladesh
3 Protibondhi Seba-O-Sahajjo Kendro (PSOSK), JPUF, Ministry of Social Welfare, Bangladesh
4 Lecturer, Physiotherapy Department, Bangladesh Health Professions Institute (BHPI), The Academic Institute of Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka-1343, Bangladesh
5 Deputy Manager, Ultra Poor Graduation Program, BRAC, Gaibandha, Bangladesh
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Md Monir Hossain
Lecturer, Speech and Language Therapy Department, Bangladesh Health Professions Institute (BHPI), The Academic Institute of Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka-1343,
Bangladesh
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Article ID: 100059D05EA2024
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Ali E, Hossain MM, Mohoshina M, Islam R, Ahammed T, Ahad W. Effects of educational material among children with clubfoot during bracing stage of treatment by Ponseti method. Edorium J Disabil Rehabil 2024;10(2):1–15.ABSTRACT
Aims: To identify effects of educational material among children with clubfoot during bracing stage of treatment by Ponseti method.
Methods: This study was a quantitative type quasi-experimental research design. Actually, it was an experiment among specific groups and usual groups. Exercises applied with educational material to the material group or experiment group and only usual exercises applied to the non-material group or the control group. A pre-test (before exercises provided by educational material) and post-test (after exercises provided by educational material) was administered with each subject of both groups to compare the effects on children with clubfoot during bracing stage of treatment by Ponseti method.
Results: The mean Pirani score before providing exercises with educational material for right feet among the clubfoot babies were 0.56 ± 0.33 (material group) and after providing exercises with educational material for right feet among the clubfoot babies were 0.43 ± 0.41 (material group). Statistically it was found highly significant (t = 2.99, p < 0.0003). So, it was concluded that exercises with educational material had significant influence on Pirani score reduction for right feet among the clubfoot babies. The mean Pirani score before providing usual exercises for left feet among the clubfoot babies were 0.5 ± 0.15 (non-material group) and after providing usual exercises for left feet among the clubfoot babies were 0.53 ± 0.48 (non-material group). Statistically it was found significant (t = –0.059, p < 0.056). So, it was concluded that usual exercises without educational material had influence on Pirani score increased for left feet among the clubfoot babies.
Conclusion: The modern treatment of clubfoot is Ponseti method which is very effective, outcome oriented, and less invasive surgical procedure. This study was concluded that exercises with educational material had significant influence on Pirani score reduction among the children with clubfoot. So, there was significant importance of exercises with educational material rather than usual exercises by verbal instructions.
Keywords: Clubfoot, Pirani score, Ponseti method
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Acknowledgments
We are very thankful to all the participants for their voluntary participation.
Author ContributionsErshad Ali - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Md Monir Hossain - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Marzana Mohoshina - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Rafiqul Islam - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Tuhin Ahammed - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Wakil Ahad - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2024 Ershad Ali et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
