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Metatarsus adductus in toddler: a comparison of two different treatment approaches

Author: 
Rasha A. Mohamed
Subject Area: 
Health Sciences
Abstract: 

Metatarsus adductus is a common pediatric disorder related to intrauterine molding. Severe mid flexible metatarsus adductus may need a serial casting or special bracing to avoid the need for surgical intervention. Therefore, the aim of this study was to compare between the effects of the serial plaster casting and combined treatment program consisting of both rigid strap taping and selected exercise program in correcting metatarsus adductus of toddler children. Thirty children with bilateral severe mid rigid metatarsus adductus of both sexes whose age ranged from 2 to 3 years were included in the study. They were assigned randomly into two groups of equal number. The casting group was treated with serial plaster casting and the strapping group was treated with a combined treatment program consisting of both a rigid strap taping and selected exercise program. The exercise program lasted for 1 hour/ 5 times/ week. The functional activity by using Peabody Developmental Motor Scale-version 2 as well as weight-bearing anteroposterior and lateral view radiographs were evaluated before and after successive eight weeks of treatment. Significant differences were recorded when comparing the pre and post treatment mean values of the radiographic measurements in both groups (p < 0.05), without worsening of the heel valgus. Also, significant differences were recorded in the functional activity of strapping group (p < 0.05) while no significant differences were recorded in casting group (p > 0.05). There were no significant differences in both groups when comparing their post treatment mean values of radiographic measurements (p > 0.05). Meanwhile, significant differences were recorded between both groups in favor of the strapping group when comparing their post treatment mean values of functional activity (p < 0.05). Based on the obtained results, a combined treatment program consisting of both a rigid strap taping and selected exercise program is an excellent decision for correcting metatarsus adductus in toddler children with severe mid rigid metatarsus adductus.

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