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Motor ability in children treated for idiopathic clubfoot. A controlled pilot study

Hanneke Andriesse1, Lena Westbom, Gunnar Hägglund

  • 1Department of Orthopaedics, Lund University Hospital, Sweden, SE-221 85 Lund, Sweden. hanneke.andriesse@med.lu.se

BMC Pediatrics
|December 17, 2009
PubMed

Insights

Children treated for idiopathic clubfoot show increased motor impairments, particularly in ball skills. Balance on one leg may help identify those needing further neuromotor evaluation.

Area of Science:

  • Pediatric Orthopedics
  • Developmental Pediatrics
  • Motor Control Research

Background:

  • Idiopathic clubfoot is a common congenital foot deformity requiring treatment.
  • Long-term motor outcomes in treated children are not fully understood.
  • Previous studies suggest potential links between clubfoot and motor deficits.

Purpose of the Study:

  • To assess motor ability at seven years of age in children with idiopathic clubfoot.
  • To investigate the relationship between motor skills and clubfoot laterality, foot status, and surgical history.
  • To identify potential indicators for neuromotor assessment in this population.

Main Methods:

  • A cohort of twenty children (mean age 7.5 years) treated for idiopathic clubfoot was evaluated.
  • Motor skills were assessed using the Movement Assessment Battery for Children (MABC).
  • Foot status and surgical history were documented using the Clubfoot Assessment Protocol (CAP).

Main Results:

  • Children with idiopathic clubfoot exhibited a higher prevalence of motor impairment compared to typically developing peers (p < 0.05).
  • Specific deficits were noted in the MABC total score and the ball skills subtest (p < 0.05).
  • No significant correlation was found between motor ability and foot status, laterality, or extent of surgery; however, the 'one-leg stand' ability correlated with MABC scores (rs = -0.53, p = 0.02).

Conclusions:

  • Children with idiopathic clubfoot face an elevated risk of motor activity limitations.
  • Factors beyond clinical foot status may influence motor development in these children.
  • Assessing one-leg standing balance can serve as a screening tool for neuromotor evaluation in orthopedic settings.
Abstract

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