RecruitingNot ApplicableNCT07428902

Effects Of French Method With/Without Brace In Clubfoot Treatment

Effects Of French Method With And Without Foot Abduction Brace In Children With Congenital Talipes Equinovarus


Sponsor

Riphah International University

Enrollment

18 participants

Start Date

Oct 28, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The current study will be a randomized control trial. Data will be collected from the Pakistan Society for the Rehabilitation of the Disabled, Lahore (PSRD) and the Children Hospital and Institute of Child Health, Lahore. The study will include 18 patients, equally divided into two groups and randomly allocated. Inclusion criteria will be children aged 0 to 12 months diagnosed with CTEV of either gender. Patients with neurological conditions, other orthopedic issues, previous surgical history related to the foot, severe systemic disorders, or neuromuscular disorders will be excluded from the study. The experimental group will receive the French method along with a foot abduction brace, while the control group will receive only the French method without the brace. Outcomes to be analyzed will include foot position, severity of deformity, and functional mobility. Data collection will occur before and after the intervention, utilizing clinical assessments for foot position, the Pirani score for severity of deformity, and standardized mobility assessments. Data will be analyzed using SPSS version 23.00.


Eligibility

Min Age: 1 DayMax Age: 12 Months

Inclusion Criteria3

  • Patients under 12 months of age with clubfeet.
  • All patients without previous clubfoot surgery were included.
  • Children who have not received any prior corrective treatment or bracing for CTEV.

Exclusion Criteria2

  • Patients with prior clubfoot surgery were excluded.
  • Non-idiopathic cases (patients with underlying conditions) typically did not respond well to the nonoperative interventions and were less likely to be included for purely nonoperative treatment.

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Interventions

OTHERFrench method and Foot Abduction Brace

The experimental group will follow the French method with the addition of a foot abduction brace, which is worn after each session.

OTHERFrench Method only

The control group will receive the French method only, without a foot abduction brace. The intervention includes manual manipulation to correct deformities through soft tissue stretching and joint mobilization; stretching exercises for dorsiflexion, abduction, and eversion to maintain range of motion; and taping for stabilization after manipulation. Gentle calf and foot massage will reduce stiffness and promote relaxation. Daily sessions of 30-45 minutes will be conducted for 2-3 months. Parents will be trained to perform gentle stretches, monitor foot position, recognize signs of poor circulation or discomfort, and apply taping correctly. They will be advised to continue exercises at home between follow-up visits to maintain correction and ensure continued improvement.


Locations(1)

Pakistan Society for the Rehabilitation of the Disabled

Lahore, Punjab Province, Pakistan

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NCT07428902


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