SACM - Egypt
Permanent URI for this collectionhttps://drepo.sdl.edu.sa/handle/20.500.14154/9653
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Item Restricted THE EFFECT OF AN INTENSIVE PHYSIOTHERAPY PROGRAM FOLLOWING BOTULINUM TOXIN INJECTION IN THE TREATMENT OF CHILDREN WITH IDIOPATHIC CLUB FOOT(Saudi Digital Library, 2025) Alkhathami, Abdulrahman; AbdulrahmanAlkhathamiBackground: Idiopathic clubfoot is a common congenital condition that typically resolves well to the Ponseti procedure, while persistent equinus and recurrence are still issues. This study investigates if giving young children injections of botulinum toxin type A (BTX-A) along with a strict physiotherapy program improves treatment results. Methods: 46 infants with idiopathic clubfoot were randomly assigned to receive an injection of BTX-A into the gastrocnemius-soleus complex at the hindfoot stall. split up into two groups. Participants started an eight-week intense physical therapy program (IPT) after one week, while group two got a conventional TPT program that included exercises. Weight-bearing activities, strengthening exercises, manual mobilization, passive stretching, and task-specific training. On the other hand, TPT incorporates orthotic bracing and frequent stretching exercises. Ankle dorsiflexion variations at baseline and eight weeks were assessed using Pirani ratings. Results: Following the intervention, both groups showed statistically significant improvements in every variable that was assessed. However, following a BoNT-A injection, the study group who participated in the demanding physiotherapy program shown noticeably higher improvements in foot posture and decreased Pirani scores and ankle dorsiflexion range of motion. Conclusion: After getting BoNT-A injections, children with idiopathic clubfoot appear to respond better to treatment when an intensive physiotherapy program is included. Functional results and foot alignment are enhanced as a result. These results support the adoption of a multimodal therapeutic approach in the treatment of this condition.2 0