Follow-up of children with congenital clubfoot. Development of a new evaluation instrument.

Hanneke Andriesse

Follow-up of children with congenital clubfoot. Development of a new evaluation instrument.

Hanneke Andriesse

Human Movement: health and rehabilitation

Research output: Thesis › Doctoral Thesis (compilation)

516 Downloads (Pure)

Abstract

Clubfoot is a congenital disorder, affecting about one of 1000 children. Treatment consists of initial correction of the deformity, followed by prolonged orthosis treatment to maintain the correction obtained. There are several different treatment options. Outcome studies, using reliable and valid instruments are rare.

In this thesis an assessment instrument, Clubfoot Assessment Protocol (CAP) was developed for longitudinal follow up of children with clubfoot. The CAP provides information on the development of different functional domains (mobility, muscle function, morphology and motion quality) over time. The reliability, validity, responsiveness and clinical utility was analysed in a prospective sample of 73 consecutive children. The clinical utility was analysed by comparing Ponseti casting technique vs Copenhagen stretching method and by studying developmental motor problems in children born with clubfoot.

The methodological studies showed that the CAP can be used with sufficient reliability and validity. For research purposes, experience of the CAP and data on actual inter observer differences should be described. The CAP showed a stronger ability to discriminate foot status than the Dimeglio Classification system (DCS). The CAP is more sensitive to change especially in the moderate to severe range. Thus, the CAP is an important contribution to clubfoot evaluation in clinical and in research settings.

The casting technique according to Ponseti was superior in clubfoot correction regarding mobility and motion quality according to the CAP at age two years. Furthermore, less surgery was needed. The orthosis management showed maintenance or slight improvement of the clinical status along with good compliance.

Developmental motor ability problems were found more often than expected among seven year old children treated for idiopathic clubfoot. This finding could not be explained by previous surgery or foot function. The ability to stand on one leg correlated strongest to motor problems and could serve as a screening test in clinical settings of clubfoot evaluation.

Original language	English
Qualification	Doctor
Awarding Institution	Human Movement: health and rehabilitation
Supervisors/Advisors	Hägglund, Gunnar, Supervisor JARNLO, GUN-BRITT M, Supervisor
Award date	2007 Sept 14
Publisher	Institution for Health Sciences, Division of Physiotherapy, Lund University Department of Orthopaedics, Lund University Hospital
ISBN (Print)	978-91-85897-01-8
Publication status	Published - 2007

Bibliographical note

Defence details

Date: 2007-09-14
Time: 09:00
Place: Segerfalksalen, BMC, Universitetssjukhuset, Lund.

External reviewer(s)

Name: Haglund-Åkerlind, Yvonne
Title: docent
Affiliation: Astrid Lindgrens Barnsjukhus, Stockholm

---

<div class="article_info">Hanneke Andriesse, Gunnar Hägglund and Gun-Britt Jarnlo. <span class="article_issue_date">2005</span>. <span class="article_title">The Clubfoot Assessment Protocol (CAP; Description and reliability of a structured multi-level instrument for follow-up</span> <span class="journal_volume">vol 6</span> <span class="journal_pages">pp 8</span>. <span class="journal_distributor">BMC Musculoskeletal Disorders</span></div>
<div class="article_info">Hanneke Andriesse, Ewa M Roos, Gunnar Hägglund and Gun-Britt Jarnlo. <span class="article_issue_date">2006</span>. <span class="article_title">Validity and responsiveness of the Clubfoot Assessment Protocol (CAP). A methodological study</span> <span class="journal_volume">vol 7</span> <span class="journal_pages">pp 8</span>. <span class="journal_distributor">BMC Musculoskeletal Disorders</span></div>
<div class="article_info">Hanneke Andriesse and Gunnar Hägglund. <span class="article_issue_date"></span>. <span class="article_title">Comparison of serial casting versus stretching technique in children with congenital idiopathic clubfoot</span> <span class="journal_pages">pp 10</span>. <span class="journal_distributor">Department of orthopedics, Lund</span> (accepted)</div>
<div class="article_info">Hanneke Andriesse, Lena Westbom, Gun-Britt Jarnlo and Gunnar Hägglund. <span class="article_issue_date"></span>. <span class="article_title">Developmental disorder of motor function in children treated for idiopathic clubfoot?</span> <span class="journal_pages">pp 10</span>. <span class="journal_distributor">Department of Orthopaedics, Lund Division of Physiotherapy, Lund</span> (submitted)</div>
<div class="article_info">Hanneke Andriesse, Gunnar Hägglund and Per-Erik Isberg. <span class="article_issue_date"></span>. <span class="article_title">Reliability of motion analysis in children treated for congenital clubfoot</span> <span class="journal_pages">pp 10</span>. <span class="journal_distributor">Department of Orthopaedics, Lund</span> (submitted)</div>

The information about affiliations in this record was updated in December 2015.
The record was previously connected to the following departments: Division of Physiotherapy (Closed 2012) (013042000)

Subject classification (UKÄ)

Physiotherapy

Free keywords

Validity
Assessment instrument
Clubfoot
Reliability
Responsivenss
Treatment evaluation
Developmental motor ability
Skeleton
rheumatology locomotion
muscle system
muskelsystem
Skelett
Surgery
reumatologi
traumatologi
Rehabilitering (medicinsk och social)
rehabilitation
revalidation
kinesitherapy
Physical medicine
orthopaedics
traumatology
Kirurgi
ortopedi

Access to Document

Andriesse_KAPPA

2 Article

Validity and responsiveness of the Clubfoot Assessment Protocol (CAP). A methodological study
Andriesse, H., Roos, E., Hägglund, G. & Jarnlo, G.-B., 2006, In: BMC Musculoskeletal Disorders. 7, 28
Research output: Contribution to journal › Article › peer-review

Open Access
File
185 Downloads (Pure)
The clubfoot assessment protocol (CAP); description and reliability of a structured multi-level instrument for follow-up
Andriesse, H., Hägglund, G. & Jarnlo, G.-B., 2005, In: BMC Musculoskeletal Disorders. 6, 40
Research output: Contribution to journal › Article › peer-review

Open Access
File
206 Downloads (Pure)

Cite this

@phdthesis{a7d51a0ef04649b783e7bf85a9e96f0a,

title = "Follow-up of children with congenital clubfoot. Development of a new evaluation instrument.",

abstract = "Clubfoot is a congenital disorder, affecting about one of 1000 children. Treatment consists of initial correction of the deformity, followed by prolonged orthosis treatment to maintain the correction obtained. There are several different treatment options. Outcome studies, using reliable and valid instruments are rare. In this thesis an assessment instrument, Clubfoot Assessment Protocol (CAP) was developed for longitudinal follow up of children with clubfoot. The CAP provides information on the development of different functional domains (mobility, muscle function, morphology and motion quality) over time. The reliability, validity, responsiveness and clinical utility was analysed in a prospective sample of 73 consecutive children. The clinical utility was analysed by comparing Ponseti casting technique vs Copenhagen stretching method and by studying developmental motor problems in children born with clubfoot. The methodological studies showed that the CAP can be used with sufficient reliability and validity. For research purposes, experience of the CAP and data on actual inter observer differences should be described. The CAP showed a stronger ability to discriminate foot status than the Dimeglio Classification system (DCS). The CAP is more sensitive to change especially in the moderate to severe range. Thus, the CAP is an important contribution to clubfoot evaluation in clinical and in research settings. The casting technique according to Ponseti was superior in clubfoot correction regarding mobility and motion quality according to the CAP at age two years. Furthermore, less surgery was needed. The orthosis management showed maintenance or slight improvement of the clinical status along with good compliance. Developmental motor ability problems were found more often than expected among seven year old children treated for idiopathic clubfoot. This finding could not be explained by previous surgery or foot function. The ability to stand on one leg correlated strongest to motor problems and could serve as a screening test in clinical settings of clubfoot evaluation.",

keywords = "Validity, Assessment instrument, Clubfoot, Reliability, Responsivenss, Treatment evaluation, Developmental motor ability, Skeleton, rheumatology locomotion, muscle system, muskelsystem, Skelett, Surgery, reumatologi, traumatologi, Rehabilitering (medicinsk och social), rehabilitation, revalidation, kinesitherapy, Physical medicine, orthopaedics, traumatology, Kirurgi, ortopedi",

author = "Hanneke Andriesse",

note = "Defence details Date: 2007-09-14 Time: 09:00 Place: Segerfalksalen, BMC, Universitetssjukhuset, Lund. External reviewer(s) Name: Haglund-{\AA}kerlind, Yvonne Title: docent Affiliation: Astrid Lindgrens Barnsjukhus, Stockholm --- <div class={"}article_info{"}>Hanneke Andriesse, Gunnar H{\"a}gglund and Gun-Britt Jarnlo. <span class={"}article_issue_date{"}>2005</span>. <span class={"}article_title{"}>The Clubfoot Assessment Protocol (CAP; Description and reliability of a structured multi-level instrument for follow-up</span> <span class={"}journal_volume{"}>vol 6</span> <span class={"}journal_pages{"}>pp 8</span>. <span class={"}journal_distributor{"}>BMC Musculoskeletal Disorders</span></div> <div class={"}article_info{"}>Hanneke Andriesse, Ewa M Roos, Gunnar H{\"a}gglund and Gun-Britt Jarnlo. <span class={"}article_issue_date{"}>2006</span>. <span class={"}article_title{"}>Validity and responsiveness of the Clubfoot Assessment Protocol (CAP). A methodological study</span> <span class={"}journal_volume{"}>vol 7</span> <span class={"}journal_pages{"}>pp 8</span>. <span class={"}journal_distributor{"}>BMC Musculoskeletal Disorders</span></div> <div class={"}article_info{"}>Hanneke Andriesse and Gunnar H{\"a}gglund. <span class={"}article_issue_date{"}></span>. <span class={"}article_title{"}>Comparison of serial casting versus stretching technique in children with congenital idiopathic clubfoot</span> <span class={"}journal_pages{"}>pp 10</span>. <span class={"}journal_distributor{"}>Department of orthopedics, Lund</span> (accepted)</div> <div class={"}article_info{"}>Hanneke Andriesse, Lena Westbom, Gun-Britt Jarnlo and Gunnar H{\"a}gglund. <span class={"}article_issue_date{"}></span>. <span class={"}article_title{"}>Developmental disorder of motor function in children treated for idiopathic clubfoot?</span> <span class={"}journal_pages{"}>pp 10</span>. <span class={"}journal_distributor{"}>Department of Orthopaedics, Lund Division of Physiotherapy, Lund</span> (submitted)</div> <div class={"}article_info{"}>Hanneke Andriesse, Gunnar H{\"a}gglund and Per-Erik Isberg. <span class={"}article_issue_date{"}></span>. <span class={"}article_title{"}>Reliability of motion analysis in children treated for congenital clubfoot</span> <span class={"}journal_pages{"}>pp 10</span>. <span class={"}journal_distributor{"}>Department of Orthopaedics, Lund</span> (submitted)</div> The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Physiotherapy (Closed 2012) (013042000)",

year = "2007",

language = "English",

isbn = "978-91-85897-01-8",

publisher = "Institution for Health Sciences, Division of Physiotherapy, Lund University Department of Orthopaedics, Lund University Hospital",

type = "Doctoral Thesis (compilation)",

school = "Human Movement: health and rehabilitation",

}

TY - THES

T1 - Follow-up of children with congenital clubfoot. Development of a new evaluation instrument.

AU - Andriesse, Hanneke

N1 - Defence details Date: 2007-09-14 Time: 09:00 Place: Segerfalksalen, BMC, Universitetssjukhuset, Lund. External reviewer(s) Name: Haglund-Åkerlind, Yvonne Title: docent Affiliation: Astrid Lindgrens Barnsjukhus, Stockholm --- <div class="article_info">Hanneke Andriesse, Gunnar Hägglund and Gun-Britt Jarnlo. <span class="article_issue_date">2005</span>. <span class="article_title">The Clubfoot Assessment Protocol (CAP; Description and reliability of a structured multi-level instrument for follow-up</span> <span class="journal_volume">vol 6</span> <span class="journal_pages">pp 8</span>. <span class="journal_distributor">BMC Musculoskeletal Disorders</span></div> <div class="article_info">Hanneke Andriesse, Ewa M Roos, Gunnar Hägglund and Gun-Britt Jarnlo. <span class="article_issue_date">2006</span>. <span class="article_title">Validity and responsiveness of the Clubfoot Assessment Protocol (CAP). A methodological study</span> <span class="journal_volume">vol 7</span> <span class="journal_pages">pp 8</span>. <span class="journal_distributor">BMC Musculoskeletal Disorders</span></div> <div class="article_info">Hanneke Andriesse and Gunnar Hägglund. <span class="article_issue_date"></span>. <span class="article_title">Comparison of serial casting versus stretching technique in children with congenital idiopathic clubfoot</span> <span class="journal_pages">pp 10</span>. <span class="journal_distributor">Department of orthopedics, Lund</span> (accepted)</div> <div class="article_info">Hanneke Andriesse, Lena Westbom, Gun-Britt Jarnlo and Gunnar Hägglund. <span class="article_issue_date"></span>. <span class="article_title">Developmental disorder of motor function in children treated for idiopathic clubfoot?</span> <span class="journal_pages">pp 10</span>. <span class="journal_distributor">Department of Orthopaedics, Lund Division of Physiotherapy, Lund</span> (submitted)</div> <div class="article_info">Hanneke Andriesse, Gunnar Hägglund and Per-Erik Isberg. <span class="article_issue_date"></span>. <span class="article_title">Reliability of motion analysis in children treated for congenital clubfoot</span> <span class="journal_pages">pp 10</span>. <span class="journal_distributor">Department of Orthopaedics, Lund</span> (submitted)</div> The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Physiotherapy (Closed 2012) (013042000)

PY - 2007

Y1 - 2007

N2 - Clubfoot is a congenital disorder, affecting about one of 1000 children. Treatment consists of initial correction of the deformity, followed by prolonged orthosis treatment to maintain the correction obtained. There are several different treatment options. Outcome studies, using reliable and valid instruments are rare. In this thesis an assessment instrument, Clubfoot Assessment Protocol (CAP) was developed for longitudinal follow up of children with clubfoot. The CAP provides information on the development of different functional domains (mobility, muscle function, morphology and motion quality) over time. The reliability, validity, responsiveness and clinical utility was analysed in a prospective sample of 73 consecutive children. The clinical utility was analysed by comparing Ponseti casting technique vs Copenhagen stretching method and by studying developmental motor problems in children born with clubfoot. The methodological studies showed that the CAP can be used with sufficient reliability and validity. For research purposes, experience of the CAP and data on actual inter observer differences should be described. The CAP showed a stronger ability to discriminate foot status than the Dimeglio Classification system (DCS). The CAP is more sensitive to change especially in the moderate to severe range. Thus, the CAP is an important contribution to clubfoot evaluation in clinical and in research settings. The casting technique according to Ponseti was superior in clubfoot correction regarding mobility and motion quality according to the CAP at age two years. Furthermore, less surgery was needed. The orthosis management showed maintenance or slight improvement of the clinical status along with good compliance. Developmental motor ability problems were found more often than expected among seven year old children treated for idiopathic clubfoot. This finding could not be explained by previous surgery or foot function. The ability to stand on one leg correlated strongest to motor problems and could serve as a screening test in clinical settings of clubfoot evaluation.

AB - Clubfoot is a congenital disorder, affecting about one of 1000 children. Treatment consists of initial correction of the deformity, followed by prolonged orthosis treatment to maintain the correction obtained. There are several different treatment options. Outcome studies, using reliable and valid instruments are rare. In this thesis an assessment instrument, Clubfoot Assessment Protocol (CAP) was developed for longitudinal follow up of children with clubfoot. The CAP provides information on the development of different functional domains (mobility, muscle function, morphology and motion quality) over time. The reliability, validity, responsiveness and clinical utility was analysed in a prospective sample of 73 consecutive children. The clinical utility was analysed by comparing Ponseti casting technique vs Copenhagen stretching method and by studying developmental motor problems in children born with clubfoot. The methodological studies showed that the CAP can be used with sufficient reliability and validity. For research purposes, experience of the CAP and data on actual inter observer differences should be described. The CAP showed a stronger ability to discriminate foot status than the Dimeglio Classification system (DCS). The CAP is more sensitive to change especially in the moderate to severe range. Thus, the CAP is an important contribution to clubfoot evaluation in clinical and in research settings. The casting technique according to Ponseti was superior in clubfoot correction regarding mobility and motion quality according to the CAP at age two years. Furthermore, less surgery was needed. The orthosis management showed maintenance or slight improvement of the clinical status along with good compliance. Developmental motor ability problems were found more often than expected among seven year old children treated for idiopathic clubfoot. This finding could not be explained by previous surgery or foot function. The ability to stand on one leg correlated strongest to motor problems and could serve as a screening test in clinical settings of clubfoot evaluation.

KW - Validity

KW - Assessment instrument

KW - Clubfoot

KW - Reliability

KW - Responsivenss

KW - Treatment evaluation

KW - Developmental motor ability

KW - Skeleton

KW - rheumatology locomotion

KW - muscle system

KW - muskelsystem

KW - Skelett

KW - Surgery

KW - reumatologi

KW - traumatologi

KW - Rehabilitering (medicinsk och social)

KW - rehabilitation

KW - revalidation

KW - kinesitherapy

KW - Physical medicine

KW - orthopaedics

KW - traumatology

KW - Kirurgi

KW - ortopedi

M3 - Doctoral Thesis (compilation)

SN - 978-91-85897-01-8

PB - Institution for Health Sciences, Division of Physiotherapy, Lund University Department of Orthopaedics, Lund University Hospital

ER -

Follow-up of children with congenital clubfoot. Development of a new evaluation instrument.

Abstract

Bibliographical note

Subject classification (UKÄ)

Free keywords

Access to Document

Fingerprint

Research output

Validity and responsiveness of the Clubfoot Assessment Protocol (CAP). A methodological study

The clubfoot assessment protocol (CAP); description and reliability of a structured multi-level instrument for follow-up

Cite this